General Surgery Residency Additional Certifications

Additional Certifications

At various points in their training, residents 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.


BLS Health Care Provider Course

The BLS Provider Course teaches CPR skills for helping victims of all ages (including performing 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 health 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 health care professionals.

Course Length: 6-8 hours

The course will be offered at Sinai Hospital. Residents take the course first as PGY-1 and are required to renew every two years. Residents may also choose to renew online.

It's intended for participants who provide health 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 health care professionals.


ACLS Health Care Provider Course

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.

Residents 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 two years. Residents may also choose to renew online.


ATLS Health Care Provider Course

The program is a CME activity developed by the ACS Committee on Trauma. The goal is to teach one standardized, safe, reliable method for assessing and initially managing the trauma patient.

In the ATLS course students learn an organized approach for evaluation and 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-1 and are required to renew every four years.


Stop the Bleed

The 'Stop the Bleed' campaign was initiated by a federal interagency workgroup convened by the National Security Council Staff, The White House. The purpose of the campaign is to build national resilience by better preparing the public to save lives by raising awareness of basic actions to stop life threatening bleeding following everyday emergencies and man-made and natural disasters. Advances made by military medicine and research in hemorrhage control during the wars in Afghanistan and Iraq have informed the work of this initiative which exemplifies translation of knowledge back to the homeland to the benefit of the general public.

Often incorporated into ATLS, bleeding control measures such as tourniquet placement are emphasized. Once residents complete this training, they may then act as instructors for local stop the bleed courses in the community.


A.T.O.M.

The Advanced Trauma Operative Management® Course 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 three-hour lab session where the student will manage 14 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-3 or 4.


A.S.S.E.T.

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 provides an overview of key surgical exposures in five key anatomic areas: neck, chest, abdomen and pelvis, and 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 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

The course will be offered at the R Adams Cowley Shock Trauma Center. Residents take the course as PGY-4.


F.L.S.

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 required for board certification.

Objectives:

  • Understand the principles and physiologic impact of laparoscopic surgery

  • Understand the ergonomics of laparoscopy (positioning and setup)

  • 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-2.


F.E.S.

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 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 comprises two components: an interactive, web-based, multimedia-enhanced didactic curriculum and a validated assessment program.

Objectives:

  • Endoscope technology and equipment

  • Patient preparation

  • Anesthesia/conscious sedation/monitoring/recovery

  • Upper endoscopy

  • Colonoscopy

  • ERCP (Endoscopic Retrograde Cholangio-Pancreotography)

  • Endoscopic therapies to assess the patient's airway rapidly and accurately in accordance with established standards

The course will be integrated into the resident's PGY-3 endoscopy rotation at Sinai Hospital and successful exam completion is required prior to the end of the PGY4 year.