Based on a SCORE-driven schedule, the program engages in a lecture series for one hour each week which is given by a resident and facilitated by the corresponding faculty for the topic. Pre and post-lecture quizzes identify areas for improvement and contributions from the talk. This time is also utilized for ABSITE preparation particularly in the months of December and January as the exam approaches.
This conference is largely driven by senior residents. Typically cases which are related to the previous hour’s resident seminar topic are presented for discussion of diagnostic and therapeutic management. They incorporate faculty expertise, appropriate radiology, pathology and guidelines including preparation in answering related oral board examination questions.
Morbidity & Mortality:
Morbidity and Mortality conferences are varied based on topics including:
Quality, Safety, and Cost M&M:
Patient safety and quality are assuming increasing importance in our day-to-day practice. The overall healthcare environment is now focused intensely on the quality and safety of health care delivery. The performance of physicians and hospitals are assessed based on numerous quality and safety metrics such as length of stay, readmission rates, mortality and morbidity.
This M&M is a part of the Patient Safety, Quality, and Cost curriculum that was introduced in 2012. Once monthly, two residents present patients with procedures, appropriate to their skill level, with complications and discuss how they relate to SCIP, NSQIP and HCCHAP quality indicators, evaluate and identify places for cost-saving and outcome improvement. Every resident presents one case per year. This also satisfies the mandatory ACGME requirement of resident participation in patient safety, quality and cost projects. The aim of this curriculum is to make the residents aware of all the metrics that are used to assess physician performance. This curriculum will acquaint residents to the real life environment that they will be entering upon graduation.
Approximately once each quarter, M&M is held in coordination with another department in the College of Medicine: Internal Medicine, Anesthesia, Radiology, or Emergency Medicine. One patient is selected to be presented jointly with colleagues from other department(s) who participated in the patient’s care to discuss areas for improvement.
Service Specific M&M:
For the remainder of the curriculum, M&M presentations are based on a given service. Senior residents from a given service are assigned to present a patient and approximately three complications, previously determined to be educationally beneficial. This is a non-punitive conference designed to improve patient care and provider judgment and behavior by discussing these experiences. This supportive forum allows participants reflect on the entire patient care experience and evaluate it objectively.
Each month, one hour is dedicated to the discussion of selected peer-reviewed articles based on surgical specialty. The articles are sent to the residents to review and prepare for presentation during the week prior to journal club. Residents then present each of the articles and faculty from that specialty facilitate evaluation of the paper’s strengths, weaknesses and application to practice.
Surgery Grand Rounds:
The General Surgery Residency Program participates in the Department of Surgery Grand Rounds which are held weekly on Wednesday. The Surgical Grand Rounds curriculum is robust, covering a wide variety of topics. Typically, it is a one hour presentation given by faculty, either within the department or across other departments and occasionally other colleges, invited speakers, research residents, and chief residents. While many presentations are geared toward surgical topics, that is not the sole focus. The curriculum encompasses faculty development lectures, COM guest department lectures, as well as non-medical lectures. Past presentations have included topics such as: Surgical Palliative Care, Medical Device Failure, Innovations in Robotic Endocrine Surgery, Funding for Graduate Medical Education in Academic Centers, Transforming Residency Education, Risk Management for Surgeons, and Physician Sleep Deprivation. For additional information and to view current schedules, please visit the grand rounds page.
Most participating facilities have conferences.