The University of Florida Department of Surgery: Core Competencies

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The University of Florida Department of Surgery
Core Competencies

• Lindsey E Goldstein, MD
• Chief Resident

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Overview

• ACGME Core Competencies
• Teaching methods/required curriculum

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ACGME Core Competencies

• Patient Care
• Medical Knowledge
• Practice-Based Learning and Improvement
• Interpersonal and Communication Skills
• Professionalism
• Systems-Based Practice

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ACGME Competencies

• Patient Care that is compassionate, appropriate,
  and effective for the treatment of health
  problems and the promotion of health
• Medical Knowledge about established and evolving
  biomedical, clinical, and cognate (e.g.,
  epidemiological and social-behavioral) sciences
  and the application of this knowledge to patient
  care

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ACGME Competencies

• Practice-Based Learning and Improvement that
  involves investigation and evaluation of their
  own patient care, appraisal and assimilation of
  scientific evidence, and improvements in patient
  care
• Interpersonal and Communication Skills that
  result in effective information exchange and
  teaming with patients, their families, and other
  health professionals

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ACGME Competencies

• Professionalism, as manifested through a
  commitment to carrying out professional
  responsibilities, adherence to ethical
  principles, and sensitivity to a diverse patient
  population
• Systems-Based Practice, as manifested by actions
  that demonstrate an awareness of and
  responsiveness to the larger context and system
  of health care and the ability to effectively
  call on system resources to provide care that is
  of optimal value

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Our Educational Activities Must be monitored
and supervised by an attending!!

• Operating Room
• ICU Rounds (family meetings)
• Clinic
• Grand Rounds
• Conferences
• M and M

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Educational Activities
Patient Care Medical Knowledge PBL Interpers-onal Skills Professio-nalism SBP
Operating Room X X X X X
ICU Rounds X X X X X
Family Meetings X X
Clinic X X X X X
Grand Rds-prof. X X
M and M X
Conferences X
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Operating Room

• Teach surgical competence (PC)
• Discuss the indication and scientific basis for
  surgery (MK)
• Attendings serve as role models for Interpersonal
  Skills and Professionalism (ISP)
• Observe and mentor the resident on ISP
• Discuss the rationale for use of OR resources
  (cost-benefit analysis), discuss OR systems and
  how it relates to service/hospital efficiency
  (SBP)

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ICU/Clinic

• Complete review of medical/ICU management
• Teach procedural competence - lines, EVD
• Residents conduct occasional family meetings,
  with attending present mentor the resident on
  ISP
• Teach the resident to work with nurses, other
  services and consultants (ISP, SBP)
• Discuss the rationale for use of hospital
  resources (length of stay), discuss interactions
  with care coordinators, therapists, other
  hospitals, including transfer and insurance
  issues (SBP)

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Conferences for on-service residents

• Wednesday
• 645am Grand rounds
• 715am MM
• Friday
• 700am PGY 101
• Each service has a unique MM and preoperative
  conference schedule