The Sinai Surgery Residents, at various points during their training will complete validated standardized courses. These courses are designed to supplement the resident's overall education and provide a common foundation of knowledge and skills.
Course Description
The BLS Healthcare Provider Course teaches CPR skills for helping victims of all ages (including doing ventilation with a barrier device, a bag-mask device, and oxygen); use of an automated external defibrillator (AED); and relief of foreign-body airway obstruction (FBAO). It's intended for participants who provide heath care to patients in a wide variety of settings, including in-hospital and out-of-hospital. For certified or non-certified, licensed or non-licensed healthcare professionals.
Course Length: 6-8 hours
The course will be offered at Sinai Hospital. Residents take the course first as PGY I and then are required to renew every 2 years. Residents may also choose to renew online at http://www.cprassociate.com/blscprcourseinfo.php or similar AHA accredited sites
Course Description
The ACLS Provider Course provides the knowledge and skills needed to evaluate and manage the first 10 minutes of an adult ventricular fibrillation/ventricular tachycardia (VF/VT) arrest. Providers are expected to learn to manage 10 core ACLS cases: a respiratory emergency, four types of cardiac arrest (simple VF/VT, complex VF/VT, PEA and asystole), four types of prearrest emergencies (bradychardia, stable tachycardia, unstable tachycardia and acute coronary syndromes) and stroke.
Course Length: 8-16 hours
Student Materials:
- ECC Handbook, Strongly Recommended
- ACLS Provider Manual, Required or ACLS Text, Reference
Written/Skills Exam: Required for completion card
The course will be offered at Sinai Hospital . Residents take the course first as PGY I and then are required to renew every 2 years. Residents may also choose to renew online at http://www.cprassociate.com/blscprcourseinfo.php or similar AHA accredited sites
Program:
The program is CME activity developed by the ACS Committee on Trauma. The goal is to teach one safe, reliable method for assessing and initially managing the trauma patient. In the ATLS course students learn an organized approach for evaluation & management of seriously injured patients The course functions to set a foundation of common knowledge for all members of the trauma team. Gained knowledge is applicable in both large urban centers and small rural emergency departments
Objectives:
- Assess the patient's condition rapidly and accurately
- Resuscitate and stabilize the patient according to priority
- Determine if the patient's needs exceed a facility's capabilities
- Arrange appropriately for the patient's definitive care
- Ensure that optimum care is provided
The course will be offered at the R Adams Cowley Shock Trauma Center. Residents take the course first as PGY I and then are required to renew every 4 years.
Overview
Dr. Lenworth Jacobs, of the University of Connecticut School of Medicine and Hartford Hospital's Trauma Program developed the Advanced Trauma Operative Management ® Course. It was established in 1998 out of a demonstrated need for the interactive exchange of knowledge regarding operative procedures in the management of trauma.
The course consists of six 30-minute lectures followed by a 3-hour lab session where the student will manage fourteen different injuries. The lab session is unique in that there is a 1:1 student to instructor ratio. At the conclusion of the lab, the students must complete post-course evaluations and surveys via the Internet.
Objectives
The student will explain and describe the proper operative technique for dealing with trauma injury. The student must identify traumatic injuries and develop a management plan in order to surgically repair the injuries. At the completion of this course the student will be able to demonstrate the following:
- Increased self-efficacy in the management of traumatic injuries
- Increased knowledge in the management of penetrating injuries
- Ability to successfully and safely perform all operative procedures presented in the course
The course will be offered at the R Adams Cowley Shock Trauma Center. Residents take the course as PGY III or IV.
Program:
The use of focused ultrasonography has now become an extension of the physical examination of the trauma patient. Performed in the trauma room by properly trained and credentialed staff, it allows the timely diagnosis of potentially life-threatening hemorrhage and is a decision-making tool to help determine the need for transfer to the operating room, CT scanner or angiography suite.
Objectives:
- Assess the patient's condition rapidly and accurately
- Understand the physical basics of Ultrasonography and tissue interactions
- Understand the indications and limitations of the test
- Perform the standardized examination
The course will be offered at the R Adams Cowley Shock Trauma Cente. Residents take the course as PGY III.
Program:
The ASSET course uses human cadavers to teach surgical exposure of anatomic structures that when injured may pose a threat to life or limb. The course to provide an overview of key surgical exposures in five key anatomic areas: neck, chest, abdomen and pelvis, extremities, upper and lower. The one day cadaver-based course follows this modular, body region approach. Each section begins with a short case-based overview, followed by a hands-on exposure performed by students under the guidance of faculty. The student to faculty ratio is low, allowing extensive faculty guidance and interaction with students. The student assesses his or her ability to perform each exposure independently and is evaluated on knowledge, and technical skills.
Objectives:
- Understand the important anatomy in the key areas
- Define and practice best operative approaches to key areas
- Perform standardized examination
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- The course will be offered at the R Adams Cowley Shock Trauma Cente.
Residents take the course as PGY IV.
Program:
The program is delivered in collaboration between the Department of Anesthesia and the Department of Surgery, Division of Trauma & Critical Care and provides the resident with improved understanding and advanced skills in airway management. Residents will practice on low and high fidelity models, as well as animal models and be exposed to a variety of airway management tools (i.e. LMA, Glide Scope, Bronchoscope). The goal of the course is to provide the senior resident with skills to manage airway emergencies on the floor and in the Emergency room.
Objectives:
- Assess the patient's airway rapidly and accurately in accordance with established standards
- Identify patients with potential airway compromise
- Become familiar with basic and advanced tools for airway management
- Be able to perform non invasive airway support
- Be able to perform oral/nasal intubation, use glide scope and Bronchoscope
- Be able to perform emergent Cricothyroidotomy and tracheostomy
The course will be offered at the Johns Hopkins Hospital. Residents take the course as PGY III.
Program:
The comprehensive course addresses fundamental management principles for the first 24 hours of critical care. The FCCM course is designed to better prepare the non-intensivist for the first 24 hours of management of the critically ill patient until transfer or appropriate critical care consultation can be arranged, to assist the non-intensivist in dealing with sudden deterioration of the critically ill patient, and to prepare residents for ICU coverage.
Course Objectives:
- Prioritize assessment needs for the critically ill patient.
- Select appropriate diagnostic tests.
- Identify and respond to significant changes in the unstable patient.
- Recognize and initiate management of acute life-threatening conditions.
- Determine the need for expert consultation and/or patient transfer
The residents will be given the SCCM course companion text and the course contents will be integrated into the PGY II ICU rotations.
Program:
The SAGES FLS course is a comprehensive web-based education module that includes hands-on skills training and assessment tools designed to teach the physiology, fundamental knowledge, and technical skills required in basic laparoscopic surgery. The goal is to provide surgical residents, fellows and practicing physicians an opportunity to learn the fundamentals of laparoscopic surgery in a consistent, scientifically accepted format; and to test cognitive, surgical decision-making, and technical skills, all with the goal of improving the quality of patient care. The FLS Test measures cognitive knowledge, case/problem management skills and manual dexterity. The FLS program content has been endorsed by the American College of Surgeons (ACS) and is a joint educational offering of SAGES and ACS. FLS is also CME accredited.
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Objectives:
- Understand the principles and physiologic impact of laparoscopic surgery
- Understand the ergonomics of laparoscopy (positioning and set up)
- Develop and practice fundamental skills (access, object transfer, suturing, knot tying, cutting)
- Perform the standardized examination
The course will be offered at the University of Maryland M.A.S.T.R.I. center. Residents take the course as PGY II.
Program:
The FES Program is a test of knowledge and skills in flexible gastrointestinal (GI) endoscopy. FES is the flexible endoscopy equivalent of the Fundamentals of Laparoscopic Surgery™ (FLS) Program developed by SAGES. FES is designed to set a benchmark for the knowledge and skills required to form a foundation for the practice of flexible GI endoscopy. The program is comprised of two components: an interactive web-based multimedia-enhanced didactic curriculum and a validated assessment program that is web-based for evaluating knowledge and judgment, and uses a virtual reality platform to evaluate fundamental technical skills.
Objectives:
- A.Endoscope Technology and Equipment
- Patient Preparation
- Anesthesia/Conscious Sedation/Monitoring/Recovery
- Upper Endoscopy
- Colonoscopy
- ERCP (Endoscopic Retrograde Cholangio-Pancreotography)
- Endoscopic Therapies assess the patient's airway rapidly and accurately in accordance with established standards
The course will be integrated into the resident's PGY III endoscopy rotation at Sinai Hospital.
Program:
The Collaborative Institutional Training Initiative (CITI) was founded in March 2000 as a collaboration between the University of Miami and the Fred Hutchinson Cancer Research Center to develop a web based training program in human research subjects protections. In response to the June 2000 education policy announcement, the collaboration was expanded to include content experts from 10 institutions who provided the content for the first 12 biomedical modules.
The web-based course is designed to familiarize the resident with applicable law and regulations regarding research on human subjects, and teach the resident concepts of ethical conduct in research.
Objectives:
- Familiarize the student with the history of human subject research
- Understand problems that have led to the development of the current standards and regulations
- Understand the current laws and regulations regarding human subject research
- Be able to define and practice ethical conduct in human subject research
The course will be offered as web-based self-study curriculum. PGY I, III and V residents complete the curriculum.
Program:
The Radiation Safety course is based on the curriculum on minimizing risks from Fluoroscopic X Rays from the University of Texas-Houston Medical School Department of Radiological Physics. The course is designed to familiarize the resident with the physics and biological effects of radiation, as well as the current standards and regulations designed, to minimize the adverse effects of radiation on health care providers and patients.
Objectives:
- Familiarize the student with the physics and biologic effects of radiation
- Understand current policies, regulations and laws around radiation safety
- Be able to set dose and dose rate controls when performing fluoroscopy
- Perform the standardized examination
The course will be offered as text-based self-study curriculum. PGY I, III and V residents complete the curriculum.
Program:
The use of conscious sedation is essential to perform may bedside and Emergency room procedures. This course will familiarize the resident with the pharmacology of commonly used sedatives and analgesic drugs, the physiologic responses to sedation, and alteration of such responses in specific patient groups. The resident will become familiar with standard assessment and monitoring procedures, required to perform safe conscious sedation.
Objectives:
- After completing this activity and reviewing the accompanying materials, the Sedation Policy and its Appendices, participants demonstrate that they should be able to
- Assess a patient and relative risks prior to a procedure that involves sedation;
- List the medications commonly used for sedation;
- Operate monitors and document patient status during the procedure and recovery;
- Recognize and effectively treat airway compromise;
- Intervene in a timely fashion to rescue and resuscitate the patient as needed;
- Perform the standardized examination
The course will be offered as web-based self-study curriculum. PGY I, III and V residents complete the curriculum.