Knowledge, Skills & Other AttributesThe entire reason for the surgical training program at The Jewish Hospital – Mercy Health of Cincinnati is to turn medical novices into highly-trained professionals. Inherent in this process is recognition that surgery has a body of knowledge that must be assimilated early in one’s training to bring maximum benefit to the patient, his or her institution and the community at large. This fund of knowledge is based on basic science, clinical acumen and technical skills. Each must be mastered in a relatively short period of time in order to complete the goal of becoming a qualified surgeon. Inherent in this acquisition of knowledge, experience and technique is the development of lifelong learning skills so that the surgeon, upon matriculation from the shelter of the residency program, continues to hone his/her skills, expand his/her understanding of surgical disease and its management, and enhance his/her professionalism.
The program administration understands the changing environment of surgical education. A state-of-the-art conference center had been constructed to accommodate resident needs. As simulation becomes an increasing component to surgical education, a SIM-36 MAN is being purchased, as well as a location for patient simulation, line placement simulation and ultrasound didactics.
Certain aspects of the curriculum in general surgery can be broken down into specific goals and objectives at various points in one’s career or during certain clinical rotations. During the trauma rotation, the PGY-2 resident is expected to acquire the skills of assessing the critically injured patient and developing a care plan. During the PGY-3 year, the resident will be exposed to the care of children and begin to incorporate the skills needed to deal with complex interactions. During the PGY-4 year, the trauma rotation teaches the intermittent and unexpected nature of surgical disease and the need for compulsive thoroughness in its evaluation. During the transplant rotation, the PGY-4 acquires a fundamental knowledge of the immunologic system and its appropriate suppression.
Throughout the training program, the resident is assessed, challenged, rewarded and critiqued by attending staff, conferees and hopefully, him/herself. It is through constant effort and evaluation that a professional is created. This self-directed period of education and growth, facilitated by the faculty and program, has at its pinnacle the chief resident year, when the primary decision-making and operative planning is expected.