Kaiser Santa Clara Rotation congenital

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					                Kaiser Rotation (PGY-3 and PGY-5)

Full-time Attending Staff:

Mark DuLong, MD
Chief, Department of Plastic Surgery
Clinical Associate Professor
Division of Plastic and Reconstructive Surgery
Stanford University Medical Center

Robert Pearl, MD
Chairman and CEO, The Permanente Medical Group
Clinical Professor
Division of Plastic and Reconstructive Surgery
Stanford University Medical Center

Ronald Milliken, MD
Clinical Associate Professor
Division of Plastic and Reconstructive Surgery
Stanford University Medical Center

Robert M. Menard, MD, FACS
Clinical Associate Professor
Division of Plastic and Reconstructive Surgery
Stanford University Medical Center

Timothy Santoro, MD
Clinical Instructor
Division of Plastic and Reconstructive Surgery
Stanford University Medical Center

James Orman, MD
Clinical Instructor
Division of Plastic and Reconstructive Surgery
Stanford University Medical Center

John Eggleston III, MD
Clinical Instructor
Division of Plastic and Reconstructive Surgery
Stanford University Medical Center

Maxillofacial Surgery Division:

Nikhil Desai, MD, DDS
Clinical Instructor
Division of Plastic and Reconstructive Surgery
Stanford University Medical Center
The call schedule is as follows:

PGY-3:     In-house call every fifth weekend day/night rotating with the general
     surgery residents to cover general surgery and plastic surgery. Home call
     on weekdays for plastic surgery until 10 pm.

PGY-5:       Home call weeknights and alternate weekends.
PGY-3:   Plastic Surgery Resident – Goals & Objectives

         The PGY-3 is expected to have a thorough knowledge of
         GENERAL MEDICAL/SURGICAL MANAGEMENT (as outlined in
         General Surgery Objectives) and to develop a progressively
         increasing knowledge base in perioperative management of
         congenital, traumatic, neoplastic and other acquired deformities of:
         HEAD & NECK, BREAST, HAND AND UPPER EXTREMITY,
         TRUNK AND GENITALIA, LOWER EXTREMITY, SKIN AND SOFT
         TISSUE.

         In the management of these cases the following are general
         objectives:

         1. Preoperative evaluation of patient, with increasing decision making
            regarding treatment options and planning. Progressive independence
            in outpatient clinic setting.

         2. Emergency management of hand/face trauma and other acute soft
            tissue injuries.

         3. Intraoperative planning of sequence of procedure, alternative plans,
            potential complications.

         4. Postoperative management of inpatients (see general surgery goals).
            Appropriate consultation. Recognition of management of
            postoperative complications.

         5. Postoperative management of outpatient problems. Recognition of
            complications. Appropriate use of support services such as home
            care, PT, etc.

         6. Management of chronic wound patient.

         7. Independent operating on minor case-decision making in the
            operating room.

         8. Planning staged reconstruction of difficult problems.

         9. Microsurgical technique and management.

         10. Understanding breast cancer patient-complexities of reconstruction
             issues.

         11. Increasing general plastic surgical knowledge base.

         12. Maxillofacial/craniofacial problems – foundations of treatment
             planning and operative and postoperative management.
PGY-3:   Plastic Surgery Resident – Goals & Objectives (continued)


         13. Late reconstruction of acquired defects.

         14. Congenital anomalies-hand/vascular/craniofacial-introduction to
             management.

         15. Extensive experience in management of acute and chronic hand
             problems, operative and nonoperative management.

         16. Endoscopic surgery exposure and experience.

         17. Focused time for further exposure to head and neck surgery with OR
             time spent with the Head and Neck surgery department.

         18. Increasing experience in operating room with focus on technique.
PGY-5 (Chief) PLASTIC SURGERY RESIDENT – Goals and Objectives

            In the management of these cases the following are general
            objectives:

            1. Preoperative evaluation of patient, with increasing decision making
               regarding treatment options and planning. Progressive independence
               in outpatient clinic setting.

            2. Emergency management of hand/face trauma and other acute soft
               tissue injuries.

            3. Intraoperative planning of sequence of procedure, alternative plans,
               potential complications.

            4. Postoperative management of inpatients (see general surgery goals).
               Appropriate consultation. Recognition of management of
               postoperative complications.

            5. Postoperative management of outpatient problems. Recognition of
               complications. Appropriate use of support services such as home
               care, PT, etc.

            6. Management of chronic wound patient.

            7. Independent operating on minor case-decision making in the
               operating room.

            8. Planning staged reconstruction of difficult problems.

            9. Microsurgical technique and management.

            10. Understanding breast cancer patient-complexities of reconstruction
                issues.

            11. Increasing general plastic surgical knowledge base.

            12. Maxillofacial/craniofacial problems – foundations of treatment
                planning and operative and postoperative management.

            13. Late reconstruction of acquired defects.

            14. Congenital anomalies-hand/vascular/craniofacial-introduction to
                management.

            15. Extensive experience in management of acute and chronic hand
                problems, operative and nonoperative management.

            16. Endoscopic surgery exposure and experience.

            17. Increasing experience in operating room with focus on technique.
Specific to the Chief Resident:

1. Semi-independent functioning in operating room.

2. Teaching junior residents in OR

3. Supervising management of outpatients, inpatients, and
   overseeing the clinical responsibilities of the junior residents.

4. Teaching residents and students on daily rounds.

5. Planning and executing large reconstructive cases, including
   craniofacial and microsurgical cases.

6. Taking responsibility for filling in gaps in his/her own clinical
   experience.

7. Administrative support to staff in scheduling, etc.

8. Exposure to management of urologic problems such as
   hypospadias, Peyronie’s etc.

9. Responsibility for self-teaching.

				
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posted:7/25/2010
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Description: Kaiser Santa Clara Rotation congenital