All human actions have one or more of these seven causes: chance, nature, compulsions, habit, reason, passion, desire.
Aristotle
Dear colleagues, old and new,
welcome to the new academic year. For me it’s the 26th July 1st. I am shocked by the number. Certainly doesn’t feel like so many years have passed since I started residency. Still vividly remember the first day, the first call, the team of residents who worked with me. My chief, and senior residents were great. Especially the senior resident on the team, Dr.Gulmatico, whom some of you may know. He practices general surgery in Brooklyn, and I have not seen him for many years. Yet I always will remember his patience, intelligence, and guidance. The other person who comes to mind is a nurse, Ms.Cusi, whom many of you know, and who has been at LICH for many years. Her presence and guidance those early days were those of a guardian angel.
Today is the first 1st of July for many of you. If I were to give you any advice for today it would to be patient with yourself. I promise that all your chief residents and attendings felt just like you do on their first 1st of July.
ALex Schwartzman
June 30th, 2009
Dear colleagues,
As has been discussed at faculty meetings and conferences, we are embarking on a new educational curriculum. I am grateful to many of our residents and faculty, who have participated in the planning, and everyone who will be involved in the implementation.
Our Friday weekly case conference will be moved to Thursdays beginning July 9, 2009, 7am, in Lecture Hall IV at SUNY. On July 9th at 8am our guest speaker will be Mr. Veronica Wilbur, who is a Statewide Program Director for IPRO/duty hours compliance for the New York State. New rule have been made, so I encourage all faculty to attend this important presentation.
For the month of July, case conference will be followed by intern orientation until 10am. ALL INTERNS ARE REQUIRED TO ATTEND, residents are free to go to their hospitals. Dr.Sylvia Kim did an outstanding job in organizing the orientation camp for the new interns. It will run over a period of four weeks, and cover an extensive range of topics relevant to those who are brand new clinicians. Below is the curriculum for the interns for your review.
Thursday July 9:
Ms. Veronica Wilbur, RN, MBA, Statewide Director for Hospital Compliance Program from NYSDOH/IPRO
Resident Duty Hours Regulations
8am – Lecture Hall IV
Dr. Michael Giuliano
Residents as Teachers
9am - 8th Floor Surgical Library
Thursday July 16
Patient care with Drs. Kim, Schulze, Lajoie
8am - 8th Floor Surgical Library
Introduction/Basics with Dr. Kim:
Order basics: abbreviations to avoid, EMR vs paper
Admission orders
Preoperative note/checklist: including which meds to hold, bowel preps, who gets a cxr, etc
Postoperative check
Management of drains: JP, Hemovac, Foley, ngt, stomas
Dressings
Discharge planning
Fluids/Electrolytes/Nutrition 101 with Bob Schulze:
IVF-basic fluids used, when to use which
Electrolytes-basics and how to replace
Nutrition/Diets/TPN
Introduction to the “Lajoie Intern Survival Guide” by Lidie
Introduce manual, basic “ins and outs”
Thursday July 23:
Handling emergencies/acute issues/phone calls with The Chiefs
8am - 8th Floor Surgical Library
Fever workup
Tachycardia
Hypertension
Chest pain
Shortness of breath
Hypotension/oliguria
Bleeding
Altered mental status/Anxiety/”Think I’m going to die”
Pain
Documentation
Escalation/Calling for help/Calling a code
Talking to family
Logs-Dr. Sugiyama
Thursday July 30: Skills Lab with Drs. Kim, Dresner, Schwartzman, chiefs
8am - 8th Floor Surgical Library
Introduction to surgical instruments, sutures
Knot-tying
Suture lab
Starting August 6th we will commence our full Education Day curriculum which will follow case conference on Thursday mornings. The schedule is as follows, and all residents are required to attend.
7-8am. Case Conference: The structure of this conference will slightly change. For the first half of the hour an assigned resident will present a case from one of our hospitals, with a case presentation, and review of the topic and relevant literature. For the second half of the hour the chief residents wanted to pick an interesting case and they will assign the presentation to one of the senior residents. This presentation will be more of a case management style, and the chiefs want to make it very interactive, getting juniors involved in the discussion.
8-10am: Core Curriculum;The second activity of the Education Day will be the Core Curriculum. I would like to thank our Trauma faculty who took a leading role in getting the process started, and will become the faculty mentors for the initial part of the curriculum. The Core Curriculum will start at 8am, following the case conference, and will continue till 10am.
10-11am: Life Long Learning Hour: The third activity of the Education Day, the Life Long Learning Hour will consist of a wide array of topics in accordance with the ACGME professional competencies requirements.
The Thursday AM schedule is ready and confirmed up to November 12th, and we’ll post it on the Department’s website and my blog at www.alexschwartzman.com. The schedule will be mailed to you as well.
I look forward to a great academic year, and I am very grateful for everyone’s help and participation.
Alexander Schwartzman MD
Chief, Division of General Surgery
Associate Program Director
June 26th, 2009
Dear colleagues, residents and faculty,
The new academic year is about to begin. The new Core Curriculum will begin on Thursfday, July 9th at 7am. The 7am case conference will take place in the Lecture Hall IV, and for the month of July will be followed by the orientation curriculum for the new interns. You can see the schedule for that on the blog.
The general curriculum will commence in August, and I am very happy at the way the schedule is shaping up.
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LIFE LONG LEARNING HOUR |
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| Aug 6th |
Management of acute trauma I |
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Trauma faculty |
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Specialty Conference |
CT Surgery |
Dr.Ko |
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| Aug 13th |
Management of acute trauma II |
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Trauma faculty |
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Journal Club |
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Dr.Bowne |
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| Aug 20th |
Pediatric Surgical Emergencies |
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Dr.Shorter |
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Study strategies for adults |
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Dr.Langley |
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| Ayg 27th |
Lower Abdominal Pain. Clinical/radilogical aspects |
Dr.Amodio/Dr.Schwartzman |
FAST for Surgeons |
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Dr.Stone |
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| Sept 3rd |
Emergency Care of Musculosceletal Injuries |
Dr.A.Goldman |
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Evaluations |
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| Sept 10th |
Shock, Electrolytes and Fluids I |
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Trauma faculty |
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Specialty Conference - GI Surgery |
Dr.Zenilman |
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| Sept 17th |
Shock, Electrolytes and Fluids II |
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Trauma faculty |
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Journal Club |
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Dr.Bowne |
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| Sept 24th |
Surgical Critical Care |
Ventilator Management |
Dr.Schulze |
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Reporting Cases to the ME and death certification |
Dr.Deroux/Lebien |
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I look forward to your comments and suggestions.
Regards,
AS
June 22, 2009
Dear all,
I am happy to finalize our didactic intern orientation curriculum. I am very grateful to Sylvia Kim, who put the whole thing together.
Let me know what you think.
See you Tuesday at Dr.Zenilman’s house fro the new interns’ reception.
Best Wishes,
Alex Schwartzman
Intern Bootcamp 2009
Thursday July 9:
Ms. Veronica Wilbur, RN, MBA, Statewide Director for Hospital Compliance Program from NYSDOH/IPRO
Resident Duty Hours Regulations
8am – Lecture Hall II
Dr. Michael Guiliano
Residents as Teachers
9am - 8th Floor Surgical Library
Thursday July 16
Patient care with Drs. Kim, Schulze, Lajoie
8am - 8th Floor Surgical Library
Introduction/Basics with Dr. Kim:
Order basics: abbreviations to avoid, EMR vs paper
Admission orders
Preoperative note/checklist: including which meds to hold, bowel preps, who gets a cxr, etc
Postoperative check
Management of drains: JP, Hemovac, Foley, ngt, stomas
Dressings
Discharge planning
Fluids/Electrolytes/Nutrition 101 with Bob Schulze:
IVF-basic fluids used, when to use which
Electrolytes-basics and how to replace
Nutrition/Diets/TPN
Introduction to the “Lajoie Intern Survival Guide” by Lidie
Introduce manual, basic “ins and outs”
Thursday July 23:
Handling emergencies/acute issues/phone calls with The Chiefs
8am - 8th Floor Surgical Library
Fever workup
Tachycardia
Hypertension
Chest pain
Shortness of breath
Hypotension/oliguria
Bleeding
Altered mental status/Anxiety/”Think I’m going to die”
Pain
Documentation
Escalation/Calling for help/Calling a code
Talking to family
Logs-Dr. Sugiyama
Thursday July 30: Skills Lab with Drs. Kim, Dresner, Schwartzman, chiefs
8am - 8th Floor Surgical Library
Introduction to surgical instruments, sutures
Knot-tying
Suture lab
 Graduating Chiefs, and the next generation. On Friday, June 19th, we hosted our new interns. A great group of bright young women and men. I look forward to the new academic year, and starting our new curriculum.
Every July 1st brings enthusiasm, excitement, anticipation, and apprehension. We’ll work together to make the new interns’ transition into the new life as smooth as possible. Together we’ll continue to improve our program to make it into the residency that we can all be proud of. We’ll capitalize and build on our strengths, solidify and centralize our education program, extend blocks of time for clinical assignments, and amplify the surgical simulation curriculum.
I am grateful to the chiefs who just graduated, for being great students, great teachers, and active participants in the program. It’ is due to them that we are able to understand how to improve our program, and I hope that they will continue to be active as our alumni, and active participant in the SUNY Downstate Clarence Dennis Surgical Society.
In the next several days we’ll finalize our “bootcamp” curriculum, and I’ll post the schedule.
See you on Tuesday at Dr.Zenilman’s home, where Mrs. and Dr. Zenilman will host a reception for the new interns. As always all residents and faculty are invited.
Best wishes,
Alex Schwartzman
Dear Residents,
the faculty and many of you have been working as a team to create a curriculum for our Education Day. The project is very comprehensive, and I hope that it will lead to a meaningful and organized methodology for surgical didactic and practical education. All of you have received the curriculum in print and electronically. Please look closely at it. While your faculty had specific goals in choosing the topics we look forward to your comments and suggestions. I have already received excellent suggestions from Sarah Ikponmwosa, and Joel Ricci.
The new academic year is fast approaching, and we will start in July with the “bootcamp” for the interns. Faculty, residents, and invited speakers will participate in running it. I am very grateful to Dr.Sylvia Kim who accepted the charge of creating the “bootcamp”curriculum, and as always did an outstanding job. Please take a look and let me know what you think.
PROPOSED CURRICULUM FOR INTERN BOOT CAMP (3.0 Revised 6/5/2009):
Thursday July 9: Patient care with Drs. Kim, Schulze, Lajoie
Introduction/Basics with Dr. Kim:
Order basics: abbreviations to avoid, EMR vs paper
Admission orders
Preoperative note/checklist: including which meds to hold, bowel preps, who gets a cxr, etc
Postoperative check
Management of drains: JP, Hemovac, Foley, ngt, stomas
Dressings
Discharge planning
Fluids/Electrolytes/Nutrition 101 with Bob Schulze:
IVF-basic fluids used, when to use which
Electrolytes-basics and how to replace
Nutrition/Diets/TPN
Introduction to the “Lajoie Intern Survival Guide” by Lidie
Introduce manual, basic “ins and outs”
Thursday July 16: Handling emergencies/acute issues/phone calls with The Chiefs
Fever workup
Tachycardia
Hypertension
Chest pain
Shortness of breath
Hypotension/oliguria
Bleeding
Altered mental status/Anxiety/”Think I’m going to die”
Pain
Documentation
Escalation/Calling for help/Calling a code
Talking to family
Thursday July 23: Skills Lab with Drs. Kim, Dresner, Schwartzman, chiefs
Introduction to surgical instruments, sutures
Knot-tying
Suture lab
Thursday July 30: ACGME/Misc
Logs-Dr. Sugiyama
ACGME competencies-Dr. Schwartzman
Study Skills-Dr. Dresner
Residents as Teachers-Dr. Guiliano
ETC per Dr. Schwartzman, et al
Don’t you wish we had this when you started? Well, we learn and get better.
Please let me know what you think.
Regards,
alex schwartzman
Dear Chiefs,
my warmest congratulations to you and your families for the personal and professional success that you achieved. Graduating from a surgical residency is indeed a heroic achievement, and all of you deserve praise. Each of you is a story of personal sacrifice, perseverance, adaptability, intelligence and endurance. Each of you has qualities that any person would emulate and consider himself fortunate if achieved to even a small degree. Each of you made your own fortunes, and is solely responsible for this wonderful time in your and your families’ lives. Each of you will continue to strive to better yourselves, get new skills, become leaders to others, and inspire and nurture those who depend on you.
It has been my honor to be a part of your life, and I care deeply for you all.
Yesterday I was on call. That wasn’t the plan, but Chandra, and Sylvia were getting the awards, and no one else was available to take the call. It was my great misfortune to not share in your celebration, and i apologize for not being there, and wishing you well in person. In person, or in any other way I wish you health, prosperity, joy.
Always yours,
Alex Schwartzman
June 9th, 2009
BROOKLYN SURGICAL SOCIETY
“FOUNDED IN 1867”
STANLEY ASHLEY, M.D.
FRANK SAWYER PROFESSOR OF SURGERY
HARVARD MEDICAL SCHOOL
VICE CHAIRMAN OF SURGERY & RESIDENCY PROGRAM DIRECTOR
BRIGHAM AND WOMENS HOSPITAL
THURSDAY, MARCH 5, 2009
“SCORE: THE FUTURE OF GENERAL SURGERY TRAINING?”
RECEPTION/DINNER/LECTURE AT 6:00 PM
MARCO POLO RESTAURANT
345 Court Street, Brooklyn, New York
RSVP please, by calling (718) 270-1421
Hueldine Webb, MD Mitchell Chorost, MD Richard Fogler, MD
President President-Elect Past President
I encourage all residents to attend. It should be agreat evening. Dr.Ashley is to give Grand Rounds at the medical school the following morning.
Hope to see you there!
alex schwartzman
Hello everyone,
I’d like to remind you about the dinner meeting next Thursday.
To all candidates for our program, who are scheduled for the interview on Friday, Jan 9th, I would like to extend an invitation for the dinner. Generally we get together the evening preceeding your interview at a local restaurant for you to meet our residents. For this Thursday, as it coincided with the Brooklyn Surgical Society, we’ll switch the venue to the Marco Polo Restaurant.
Please leave a response on the blog if you are able to attend. Also you may call Natasha Sagal at 718-270-3302.
I would also like to extend the invitation for the candidates who already were interviewed, and would like to learn more about the program, and meet the faculty and the residents.
See you there,
Alex
hey everybody
another opportunity for all of us to get smarter, have fun, and eat pizza. 50 more opportunities to get the right answers on the ABSITE! It’s the home stretch! The exam is in 29days. don’t be lazy, and get here on Monday night.
Hope everyone had a great holiday season. Just saw Rose Hardin in the hallway, one of our graduates. She is now in Pittsburgh, doing CT fellowship. Two other guys are in Pittsburgh with her. One is doing Vascular, and the other Minimally Invasive, Al-Khoury, and Mavashev. They are doing great too, and sending everyone regards.
Don’t forget about Brooklyn Surgical Society dinner meeting on Jan 8th. Call the office to let them know that you are coming.
See you Monday,
Alex
PS:Chiefs meeting tomorrow, Aaron told me we should’t skip it
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