The first year General Surgery Resident functions as an integral part of a surgical team principally caring for patients in the ward setting, leading ward rounds with tempo and precision. The resident should demonstrate substantial achievement of the following attributes and goals before advancing to the second year of training:
Operating Room Certification: Sterile technique, draping, one and two-handed knots with silk, common instrument terminology. Timely operative notes. Reliable in clerical responsibilities (daily notes, discharge summaries, postop checks). Responds in timely fashion for floor rounds. Has most recent data available. Recognizes and follows role as part of care team. Integrates medical students into Team. Reads basic surgical text cover to cover. Acquires adequate clinical fund of knowledge to manage ward patients. Performs focused history and physical with identification of pertinent physical findings. Presents on rounds in a focused, coherent manner. Tracks clinical data, with data immediately available. Reads in preparation of each operation (indication, contraindication, potential complications). Engages senior housestaff or Attendings in preoperative discussion.