 The Sinai surgical residents rotate at the R Adams Cowley Shock
Trauma Center (STC) and the state of Maryland's Premier Adult Resuscitation
and Neurotrauma Center at the University of Maryland School of
Medicine, during their 3rd clinical year. The duration of this rotation is six
weeks.
This rotation is designed to complement the exposure to Trauma Surgery that each resident
receives throughout his or her training at Sinai Hospital, by
providing a focused, high-level and high-acuity exposure to the care of injured
patients (~ 8,000 patients per year) in a multispecialty single focus
institution. In particular, this rotation will expose the resident to
complex multi-system trauma, neuro-trauma, (non-) operative management of
solid organ injury, high-volume trauma ICU management including alternative
modes of ventilation, prone-position therapy, use of CPP driven
support in neuro-trauma, renal replacement therapy in trauma and sepsis,
and so forth.
This rotation will also provide the resident with exposure to a
multispecialty and multi-institutional information exchange with
providers (residents) from various Surgery, Emergency Medicine and
Anesthesia training programs; the U.S. Air Force C-Star program; and a
multispecialty trauma and critical care faculty team in a major academic
center.
During the rotation, the resident will complete the Advance Trauma
Operative Management (ATOM) course and be trained in the Focused Abdominal
Sonography in Trauma (FAST), maintain/re-certify in the Advanced Trauma
Life Support (ATLS) course of the ACS.
The resident will be assigned to one of the three Trauma Surgery
teams and participate in attending- and fellow-led morning and afternoon rounds,
q3 trauma call, including the initial resuscitation, medical and operative
management of blunt and penetrating trauma patients, Trauma Surgery weekly
clinic, and various educational activities.
The surgical residents will attend the following educational
activities:
Resident core curriculum in Trauma and Critical Care:
daily, one hour
Morbidity and mortality conference in Trauma: weekly,
one hour
Trauma/Critical Care Grand Rounds: weekly, one hour (combined
with General Surgery Grand Rounds)
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