Southeast Michigan Center for Medical Education: Program for Surgery Residents

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Southeast Michigan Center for Medical
EducationProgram for Surgery Residents

• David Pieper and Ginger Keiffer

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SEMCME Strength in Numbers

• Largest community-based medical education
  consortium in the U.S.
• 16 allopathic teaching hospitals institutes in
  southeast Michigan
• One medical school and one university in
  southeast Michigan
• 184 accredited residency and fellowship programs
  in 76 specialties and subspecialties
• 2,642 approved resident and fellow positions
• Over 3,800 university community faculty

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SEMCME Member Hospitals

• Crittenton Hospital

• Detroit Medical Center

• Henry Ford Hospital

• Oakwood Hospital

• Providence Hospital

• St. John Hospital

• St. Joseph Mercy Oakland
• St. Joseph Mercy Hospital Ann Arbor

• William Beaumont Hospital

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SEMCME Member Universities

• Wayne State University School of Medicine

• Oakland University

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SEMCME Member Locations
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SEMCME Organization Overview
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SEMCME Activity Domains

• Graduate Medical Education
• Faculty Development
• Undergraduate Medical Education
• Continuing Medical Education (limited)
• Educational and Clinical Research
• Legislative Advocacy for GME Funding

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SEMCME Surgery Committee

• David Bouwman, MD Wayne State
  University/Detroit Medical Ctr
• Elango Edhayan, MD St. John Hospital
• Mark Frikker, MD William Beaumont Hospital
• Hubert Huebl, MD Oakwood Hospital
• Vijay Mittal, MD Providence Hospital,
  Chairperson
• Robert Robinson, MD St. Joseph Mercy Oakland
• Ilan Rubinfield, MD Henry Ford Hospital
• Alex Shepard, MD Henry Ford Hospital
• Allen Silbergleit, MD, PhD St. Joseph Mercy
  Oakland
• Christopher Steffes, MD Wayne State
  University/Detroit Medical Ctr

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Surgery Basic Science Course

• Started in 1979
• Increasing emphasis on
• Basic Science aspects of the ABSITE
• Qualifying Examination of the ABS

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Surgery Basic Science Course (cont.)

• 36 lectures, 18 lectures per year (2 yr cycle)
• Utilize internet based platform (WebX) for video
  conferencing to multiple hospital sites
• Assigned readings based on topics from the
  textbook Physiologic Basis of Surgery, 4th
  Edition by J.P. OLeary
• Multiple choice written quiz after each session
• Fifty question final examination given at end of
  year

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Surgery Oral Examinations

• Initiated in 1979
• Designed to prepare residents for the oral
  portion of the Board Certification
• PGY 3s 4s receive their oral exam once a year
  each year throughout the residency experience.
• PGY 5s are examined twice in their last year.
• Each resident is examined by teaching physicians
  from hospitals other than their own to help
  ensure objective evaluations.
• The examinations are used to determine strengths
  and deficiencies at various levels of training
  and to identify aspects to be strengthened in a
  particular training program.

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SEMCME Review of Selected Topics in General
Surgery

• Intensive review to help 90 surgical residents
  prepare for the ABS Qualifying and Certifying
  Examinations
• 24 topics over 1.5 days offered two weeks before
  ABSITE
• Faculty from SEMCME for expertise
• Pre/Post tests
• ARS
• Comprehensive syllabus will go paperless in
  2010

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Surgical Skills for First Year Residents

• Hemodynamic Monitoring
• Suture and Knot Tying Skills

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Hemodynamic Monitoring Workshop

• One day program offered once a year to 40
  incoming first year residents
• Combination didactic, task trainers, and
  simulation
• Focus on
• Central Venous Access
• Invasive Pressure/Cardiac Output Monitoring
• Waveform Analysis
• Simulation scenarios

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Suture Knot Tying Workshop

• Offered to first-year surgical residents
• Pre/post tests
• Didactic and hands-on
• Focus on
• knot tying
• needle selection
• suture choices
• instrument handling
• Super Suture Competition and awards presentation

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Research Workshop Series

• Designed to teach residents the fundamentals of
  research methodology
• Encourages research activity among residents
• Emphasis on research process and reporting
• Structured as three, half day sessions
• Workshop I Design of Research Projects
• Workshop II Hypothesis Formulation and Testing
• Workshop II Written and Oral Presentation of
  Scientific Research
• Upwards of 125 residents participate, all
  specialties

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Annual Research Forum

• Initiated in 1978
• Participants are the top three winners of clinic
  day competition in each of the full member
  hospitals.
• Over 20 papers are presented (expanded 2009 to
  include poster competition)
• Four judges from area universities MSU,UM, WSU,
  and OU
• The papers are judged on originality, quality of
  research, and effectiveness of presentation

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Contact Information

• David R. Pieper, PhD
• Executive Director
• Southeast Michigan Center for Medical Education
• 101 East Alexandrine Drive
• Detroit, MI 48201
• dpieper_at_med.wayne.edu
• [phone]