ROTATION Details pgy-1
1. To learn the difference between a surgical critical care and the more traditional medical critical care perspective (System-based practice).
2. To learn the pathophysiology of sepsis, multi-system organ failure, and respiratory failure and the management of these conditions (Medical knowledge, patient care).
3. To become facile with ventilator care, central line and Swan-Ganz catheter placement, and the use and interpretation of hemodynamic monitoring (Practice-based learning, patient care).
4. To see the complications of various surgical procedures (System-based practice, patient care).
5. To become fluent in the diagnosis and treatment of disorders commonly encountered in the pre- or post- operative critically ill surgical patient, including: acute renal failure; ARDS; pneumothorax/hemothorax; inhalation injury; pulmonary embolism; fat/septic emboli; pneumonia; elevated intracranial pressure; shock (cardiogenic, hypovolemic, neurogenic, septic); flail chest; aortic rupture; myocardial contusion; pulmonary contusion; pericardial tamponade; and penetrating chest/abdominal/neck trauma (Medical knowledge, patient-based, practice-based learning and improvement).
6. To perform procedures such as central line placement and tube thoracostomy and assist with Trauma resuscitations (Practice-based learning and improvement, patient care).
7. To begin to understand triage and the ATLS approach to Trauma care (System-based practice and patient care).
8. To gain experience interacting with families of critically ill patients and in communicating poor prognoses to patients and families (Communication skills).
· The resident will perform in the role of a PGY-1 resident in the Trauma Unit. The resident will take night call no more often than every third night. She/he will help manage and perform procedures on Trauma patients under the auspices of the direction of the Trauma upper- level residents, Trauma Fellows, and Trauma Attending Physicians.
· Written evaluation by the Trauma Attending physicians, Trauma Fellows and PGY-4 Trauma residents.
· Direct bedside feedback from PGY-4 residents, fellows, and faculty; written formatted rotation evaluations.
This rotation has been agreed to and approved by the Chief of Trauma. Residents are given copies of all rotation summaries at the beginning of their PGY-1 year. Residents should use rotation summaries, formatted written rotation evaluations, and their performance on the In-service Examination to assess the rotation’s effectiveness.