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)