SURGERY CLUB
DR. EUGENE C. MANGIANTE PROFESSOR AND DEPUTY CHAIR DEPARTMENT OF SURGERY UNIVERSITY OF TENNESSEE RESIDENCY PROGRAM DIRECTOR CHIEF OF SURGERY, VA HOSPITAL August 28th, 2001
S U R G E R Y
M E M P H I S
UNIVERSITY OF TENNESSEE, MEMPHIS
Timothy C. Fabian, M.D. Chairman
Eugene C. Mangiante M.D. Program Director Ann Waldon Education Coordinator
DEPARTMENT OF SURGERY
GENERAL SURGERY
ONE YEAR
GENERAL SURGERY-5
OPHTHAMOLOGY
VASCULAR SURGERY 1-2 CARDIOTHORACIC-2 CRITICAL CARE-1 TRAUMA-1 COLORECTAL-1 LAPAROSCOPIC-1 PEDIATRIC-2 GASTROINTESTINAL-1 TRANSPLANTATION-1
UROLOGY ORTHOPEDICS NEUROSURGERY OTOLARYNGOLOGY PLASTIC SURGERY
Surgery
WHY? WHO? WHEN? WHERE?
SURGERY
WHY?
FAMILY MENTOR EXPERIENCE EXCITING
SURGERY
WHO?
TIME LIFESTYLE FAMILY RESIDENCY LENGTH AGE
SURGERY
WHEN? NOW GRADES, LEADERSHIP,RESEARCH 4TH YR. STUDENT, RESIDENTS,STAFF,RESEARCH SURGERY GRAND ROUNDS WED. 1 PM COLEMAN N SURGICAL BASIC SCIENCE CONFERENCE WED 7 AM. COLEMAN South (email) http://surged.utmem.edu 3RD YEAR CLERKSHIPS,STROLLING,CAREER DAY PLAN ELECTIVES, FACULTY 4TH YEAR ELECTIVES,LETTERS,ERAS INTERVIEWS , MATCH
SURGERY
WHERE?
GEOGRAPHIC RESIDENCY REPUTATION RESEARCH SPOUSE MULTIHOSPITAL FACULTY COMMITMENT HAPPY RESIDENTS
Department of Surgery University of Tennessee, Memphis
Regional Medical Center Bowld University Veteran's Medical Center Methodist Hospital Lebonheur Childrens’ East Locations
Regional Medical Center Dr. Liz Pritchard, Chief
• • • • • • General Surgery Trauma Center Burn Center Endovascular Suite Wound Care Center Hyperbaric Oxygen Chamber • Endoscopy • Neurosurgery • Orthopedics
William F. Bowld Dr. Osama Gaber, Chief
• Liver • Transplantation-50 • Renal Transplantation110 • Pancreas Transplantation-40 • Hepatic Resections-30 • Living Donor Program • Portal Hypertension • General Surgery • Thoracic Surgery
Veterans’ Medical Center Dr. Eugene Mangiante, Chief
• • • • • • • • • General Surgery Vascular Service Non-invasive Vascular Lab Endovascular Surgery Computerized Orders PACS X-Ray System Surgery Intensive Care Anesthesia , Nutrition Urology, Plastics
Methodist Hospital Dr. Raza Dilawari, Chief
• • • • • General Surgery Surgical Oncology Vascular Surgery Thoracic Surgery Tumor Board
LeBonhuer Childrens’ Hospital Dr. Thom Lobe, Chief
• Four Boarded Pediatric Surgeons • Two Boarded Pediatric Cardiovascular Surgeons • St Jude Affiliation • Laparoscopic surgery • PGY-1 & PGY-3
East Locations Baptist East Methodist Germantown Surgery Center St Francis Hospital
Department of Surgery University of Tennessee, Memphis
CATEGORICAL
PGY- 5 8
PRELIMINARY
ORTHO 4
PGY- 4 PGY- 3 PGY- 2 PGY- 1
8
8
UROLOGY NEURO ENT PLASTIC
6 (3+3)
2
8 8 40
2 1 15
Department of Surgery University of Tennessee, Memphis
TENNESSEE LOUISVILLE EMORY TEXAS-GALVESTON
WISCONSIN SOUTH FLORIDA ILLINOIS INDIANA
KENTUCKY ST. LOUIS TEXAS-SOUTHWESTERN VANDERBILT ARKANSAS BOWMAN-GRAY TEXAS TECH TEXAS-HOUSTON EAST CAROLINA DUKE
RESIDENTS' MEDICAL SCHOOLS
LSU TEXAS-SAN ANTONIO ALABAMA FLORIDA MISSISSIPPI SOUTH CAROLINA TULANE
Department of Surgery University of Tennessee, Memphis
General Surgery 30 Trauma / ICU 8 Thoracic 5 Pediatric Surgery 3 Transplantation 4 Oncology 2 Plastic / Burns 2 Ortho/Neuro 2 Anesthesia 1 Urology 1 Nutritional Support 1 Endoscopy 1
60 MONTH CURRICULM
SURGICAL RESIDENCY “IN SEARCH OF BALANCE”
OPERATIVE DIDACTIC
CHAIRMAN
PROGRAM DIRECTOR
Department of Surgery University of Tennessee, Memphis
C O N F E R E N C E S
W E D N E S D A Y
6:45 AM
10:00 AM NOON 1:00 PM 4:00 PM
BASIC SCIENCE / JOURNAL CLUB
TRAUMA CONFERENCE ONCOLOGY CONFERENCE GRAND ROUNDS MORBIDITY AND MORTALITY
VASCULAR CONFERENCE THORACIC CONFERENCE PLASTIC CONFERENCE
A Decade of UT Surgery Resident ABSITE Scores
90 80 70 60 50 40 30 20 10 0
1 9 9 0 1 9 9 1 1 9 9 2 1 9 9 3 1 9 9 4 1 9 9 5 1 9 9 6 1 9 9 7 1 9 9 8 1 9 9 9 2 0 0 0
r e s % i d o e f n t s
YE
<50% tile
>50% tile
>75% tile
>90% tile
Department of Surgery University of Tennessee, Memphis
AVERAGE FIVE YEAR OPERATIVE LOG -2001
TOTAL / RQR % TILE
SURGEON AS SENIOR 344 (150)
SURGEON AS JUNIOR 658
81
69
TOTAL MAJOR
FIRST ASSISTANT
995 (500)
534
74
97
TEACHING ASSISTANT 143
95
Department of Surgery University of Tennessee, Memphis
ATTENDING
E V A L U A T I O N ADVISOR CHAIRMAN
ABSIT E I N T E R N A L
SENIOR RESIDENT
CLINICAL KNOWLEDGE BASE ENTHUSIASM STUDENT EDUCATION RELIABILITY TECHNIQUE RAPPORT
R E V I E W
QUARTERLY RESIDENT EVALUATION SEMIANNUAL WRITTEN REPORT
Department of Surgery University of Tennessee, Memphis
C A R E E R C H O I C E S
1 9 8 0
2 0 0 0
% 40 General Surgery 19 Thoracic 22 Vascular 7 Plastic 3 Oncology Trauma / Critical Care 3 3 Pediatric Surgery 1 Hepatobiliary 2 Transplantation
Department of Surgery University of Tennessee, Memphis
94
UT PASS RATE
1977-2000
92 90 88 86 84 82 80 78 76
93
92
American Board of Surgery
84 82
Qualifying Certifying
% PASS
Department of Surgery University of Tennessee, Memphis
Mock Oral Exams Basic Science Exams Medical Legal Seminar Economic / Business Aspects of Practice Resident Internal Review Resolution Operative Log Focused Abdominal Sonography in Trauma Sentinel Node Biopsy Course Stereotaxic Breast Biopsy Course Scientific Meetings: Senior, PGY-3, PGY-1 Laparoscopy Labs (Dry and Wet)
M E R I
edical ducation esearch nstitute
UT DEPARTMENT OF SURGERY
DR. TIM FABIAN 5918 PROFESSOR AND CHAIRMAN DR. EUGENE C. MANGIANTE 7635 RESIDENCY PROGRAM DIRECTOR
DR. GAYLE MINARD 8370 CLERKSHIP DIRECTOR
DR. KEN SELLERS 577-7352 ASSOCIATE PROGRAM DIRECTOR DR. LIZ PRITCHARD 8140 ASSOCIATE PROGRAM DIRECTOR
DR. LOUIS BRITT 5910 PROFESSOR OF SURGERY
MRS. ANN WALDON 4541 EDUCATION COORDINATOR