PGY-1 – General Surgery

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Rotation Contacts: 
Andrew Aldridge MD,
Flagstaff Surgical Associates:

Description of Rotation and Educational Experience: 

  • This curricular component isdesigned to build clinical and procedural skills with surgical complaints. 
  • The experience will include inpatient, outpatient and ambulatory surgical center experiences. 
  • The resident will complete 1 half day per week in the family medicine clinic.  

Teaching Methods: 

  • Learners will be oriented to the goals/objectives, schedule, and expectations during their orientation block and at the beginning ofthe rotation. 
  • During thisblocklearners will attend regular Family Medicine didactic sessions and will present a topic assigned to them. 

Curriculum Goals: 

  • To provide NCHC Family Medicine residents and other learners (medical students) with the ability to identify and manage a surgical patient. 
  • Residents should achieve understanding and competency inobjectives below. 

General Surgery Objectives:

  • Practice-Based Learning and Improvement:
  • Learns and improves via performance evaluation 
  • Learns and improves at the point of care 
  • Learns and improves via feedback 
  • Monitors practice with a goal for improvement 
  • Patient Care and Procedural Skills:
  • Care of the surgical patient in the inpatient environment: 
  • Evaluation, management, and disposition in the emergency room 
  • Evaluation and assistance in the surgical suite 
  • Evaluation, management, and disposition status post surgical intervention 
  • Care of the surgical patient in the outpatient environment: 
  • Evaluation, management of the pre andpost surgicalpatient in the clinic 
  • Procedural skills in various in-office surgical procedures 
  • Care of the trauma patient: 
  • Rotate through trauma call 
  • Systems-Based Practice:
  • Transitions patients effectively within and across health delivery system 
  • Recognizes system error or inefficiency and advocates for system improvement 
  • Medical Knowledge:
  • Demonstrate growth toward mastery in clinical knowledge of above domains 
  • Interpersonal and Communication Skills:
  • Works and communicates effectively within an interprofessional team 
  • Communicates effectively with patients and caregivers 
  • Professionalism:
  • Accepts responsibility and follows through on tasks 
  • Appropriate utilization and completion of health records 
  • Exhibits integrity and ethical behavior in professional conduct 

Evaluation and Feedback: 

  • Learners will be given regular formative feedback by faculty during their rotation and are encouraged to have an explicit mid-rotation progress feedback session to help guide performance 
  • Faculty will complete formal evaluation through new innovations at the end of the rotation 
  • Learners will evaluate faculty and the rotation through the newinnovations platform 

Reading List: 

  • Netter’s Atlas of Human Anatomy 
  • UpToDate 

Sample Schedule: 

 Week 1Monday Tuesday Wednesday Thursday Friday Saturday 
AM Surg Surg Surg Surg Surg Surg 
PM Surg Surg FM Clinic  FM Didactics Surg Surg 
  Week 2Monday Tuesday Wednesday Thursday Friday 
AM Surg  Surg Surg Surg Surg 
PM Surg  Surg FM Clinic  FM Didactics Surg 
  Week 3Monday Tuesday Wednesday Thursday Friday Saturday 
AM Surg  Surg Surg Surg Surg Surg 
PM Surg  Surg  FM Clinic  FM Didactics Surg Surg 
Week 4  Monday Tuesday Wednesday Thursday Friday Saturday 
AM Surg  Surg Surg Surg Surg Surg 
PM Surg  Surg FM Clinic  FM Didactics Surg Surg 
  • Netter’s Atlas of Human Anatomy 
  • UpToDate 

Author: Brandon Abbott
Associate Program Director. My passions are teaching and watching the light bulb go off. I benefited from fantastic mentorship and inspiring clinical instruction and hope to pay it forward!