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Education

Trauma ICU

Subspecialty Curriculum

While on general surgery service, the resident will:

  • rotate one month through the trauma intensive care unit.
  • attend all neurosciences didactic conferences, including subspecialty program conferences;
  • see all in-patient consults with senior resident or attending staff; and
  • attend outpatient clinics.

Goals and Objectives

During the Trauma ICU rotation, the PGY-1 neurosurgery resident will learn comprehensive management of trauma patients, including coordinating care of patients with head and neck, chest, abdomen, and extremity injuries and treatment plans for severe soft tissue and pulmonary infections, respiratory failure, hemodynamic instability, renal failure and major bleeding.

Competencies

Medical Knowledge – After this rotation, the resident will be able to:

  • Build solid fundamentals of knowledge in anesthesiology, critical care and trauma patient management.
  • Understand the epidemiology, diagnosis, surgical treatment and critical care of patients with blunt and penetrating trauma and complex multi-system injuries.
  • Understand the anatomy, physiology and pathology of all body systems affected by trauma including the central nervous system, cardiovascular system and pulmonary system.
  • Understand cranial trauma including fracture, cerebrospinal fluid leaks, epidural hematomas, subdural hematomas, concussion, contusion and lacerations.

Patient Care and Assessment – At the end of this rotation, the resident will be able to:

  • Develop a comprehensive management plan of the trauma, shock and critical care patients including ventilator management.
  • Perform concise history and physical examinations.

Practiced-Based Learning – At the end of this rotation, the resident will be able to:

  • Coordinate the care of patients.
  • Insert IV & central lines and chest tubes and assist in bronchoscopy.
  • Take responsibility and learn from errors.

System-Based Practice – At the end of this rotation, the resident will be able to:

  • Utilize computer systems and other available resources to obtain patient testing results to provide the best care for the trauma patient.
  • Utilize computer systems to enter orders for patient testing/consults.
  • Understand system-based practices of vocational rehabilitation, nursing homes and insurance issues.

Interpersonal and Communication Skills – At the end of this rotation, the resident will be able to:

  • Effectively present comprehensive, concise management plans to supervising faculty and multiple team members for the care of Trauma ICU patients.
  • Discuss medical issues with patients and families while guarding patient’s privacy.

Professionalism – At the end of this rotation, the resident will be:

  • Expected to act in a professional manner at all times.
  • Expected to be compassionate in his or her dealings with patients and patient families.
  • Expected to receive constructive criticism positively and develop an improvement plan.
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