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Curriculum Update

 
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

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