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Resident Education Program in Thoracic Surgery

Core Competencies

 

ACGME Core Competencies

The educational goals of the Vanderbilt residency program in cardiac and thoracic surgery include:

PATIENT CARE AND MEDICAL KNOWLEDGE

  • Developing a sound understanding of the pathophysiology of thoracic and cardiac diseases, including acquiring an in-depth knowledge of the management of critically ill and critically injured patients including the literature supporting various particle approaches.
  • Mastering the use of various technologies for cardiopulmonary support, and monitoring in the cardiac and thoracic units.
  • Confidently applying therapeutic interventions in a variety of settings including outpatient clinic, general and patient wards, intensive care unit, operating room, and in various perioperative areas.
  • Developing the administrative skills necessary to direct patient care within a cardiac or thoracic intensive care unit.
  • Acquiring sound clinical decision making and surgical judgment.
  • Enhancing professional behavior, and communication and interpersonal skills inside and outside the operating room.


PRACTICE BASED LEARNING

  • Develop a personal program of self-study and professional growth with guidance from the teaching staff and faculty advisor. An understanding of the etiology, pathogenesis, pathophysiology, diagnosis and management of cardiac and thoracic surgical disorders is absolutely necessary. This will allow for sound surgical judgment which relies on knowledge, rational thinking and the surgical literature.
  • Participate in teaching and organization of the educational conferences and activities of the Department of Thoracic Surgery and the Department of Cardiac Surgery and assume responsibility for teaching and supervision of subordinate surgical house staff, and medical students.

PROFESSIONALISM

  • Participate in compassionate patient care maintaining the highest moral and ethical values with a professional attitude. The resident should be sensitive to the needs and feelings of others, including the patient's family members, allied health care personnel (nurses, clerical staff, etc.), fellow residents, and medical students.
  • Demonstrate respect, compassion and integrity in the care of patients on a daily basis.
  • Show sensitivity to patients’ culture, age, gender and disabilities.

INTERPERSONAL RELATIONSHIPS AND COMMUNICATION SKILLS

  • Create and sustain a therapeutic and ethically sound relationship with patients to include both counseling and education of patients and families.
  • Work effectively with other members of the medical team including faculty, colleagues (co-residents) allied health care personnel (nurses, clerical staff, etc.), fellow residents, and medical students.
  • Maintain professional interactions with other health care providers and hospital staff.

SYSTEMS BASED PRACTICE

  • Understand how the health care organization affects surgical practice.
  • Demonstrate cost effective health care.
  • Knows how to partner with health care managers and allied health personnel to improve health care.
  • Follow established practices, procedures, and policies of the Department of Thoracic Surgery, and the Department of Cardiac Surgery and integrated and affiliated hospitals.
  • Completion of medical records operative notes staff sheets and notes, patient database cards and other patient care related documentation in a timely, accurate and succinct manner.


Core Competencies Goals & Objectives

Core competencies Goals are shown below for (1) Patient Care (2) Medical Knowledge, (3) Communication and Interpersonal Skills, (4) Practice based learning and Improvement, (5) Professionalism, and (6) Systems-based practice.

These objectives amplify the expectations of the ACGME General Competencies and apply to residents at all levels. The objectives characterize the general requirements for successful completion of our residency program. A continuum of achievement in accomplishing these goals throughout the residency education training will serve as one indicator of satisfactory progress. Residents are expected to build upon skills and techniques learned in previous years.

These goals will be taught by self-directed reading, resident conferences, and demonstrations by the faculty. Opportunity for observation by the resident, and practice will be provided. These skills will be evaluated by the faculty. As often as daily, feedback will be provided.

Common objectives for individual resident years are presented for communication and Interpersonal Skills, Practice based learning and Improvement, Professionalism, and Systems-based practice. A progressive graduated acquisition of skills for years 1, 2, and 3 are provided. Residents are expected to accomplish the following objectives in the time frame indicated:

YEAR 1. Patient care and Medical Knowledge will be met by the curriculum:

Thoracic Surgery 1st Year Resident
Curriculum Goals and Objectives for the
Cardiac Surgery Rotation
Thoracic Surgery Rotation

Objective: Perform above the 50th percentile (for year of residency education) on the TSDA-ITE primary examination

YEAR 2. Patient care and Medical Knowledge will be met by the curriculum:
Thoracic Surgery 2st Year Resident
Curriculum Goals and Objectives for the

Cardiac Surgery Rotation
Echocardiography and Diagnostic and Therapeutic Catheterization
Pediatric Cardiac Surgery Rotation
Thoracic Surgery Rotation

Objective: Perform above the 50th percentile (for year of residency education) on the TSDA-ITE primary examination

YEAR 3. Patient care and Medical Knowledge will be met by the curriculum:

Thoracic Surgery 3nd Year Resident
Curriculum Goals and Objectives for the

Cardiac Surgery Rotation
Thoracic Surgery Rotation

Objective: Perform above the 50th percentile (for year of residency education) on the TSDA-ITE primary examination.

 

Copyright 2004, Vanderbilt University Medical Center, Department of Thoracic Surgery

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