breast by hedongchenchen


									                                Table. Rotation Specific Educational Goals and Objectives
MWH Breast Surgery
PGY      Competency             Goals                    Objectives                    Activities              Evaluation
  2       Patient Care   1. To evaluate and         To be able to diagnose          Didactic teaching      Exit examination
                            manage patients          and treat the following         Outpatient Clinic      ABSITE
                            with breast              conditions:                     Ward Rounds             Examination
                            disease and              o Palpable breast               Breast                 Global Faculty
                            malignant                   masses                        conference              Evaluation
                            melanoma                 o Non-palpable breast           Tumor board            Direct Observation
                                                        abnormalities                Surgical                and Attending
                                                     o Breast cancer                  oncology                Feedback
                                                     o Malignant melanoma             conference
                         2. To prepare the          To interpret the existing       Didactic teaching      Exit examination
                            patient for breast       laboratory, radiologic,         Outpatient Clinic      ABSITE
                            or melanoma              and consultation reports        Ward Rounds             Examination
                            surgery                  appropriately                   Breast                 Global Faculty
                            appropriately            To recognize results of         conference              Evaluation
                                                     diagnostic studies which        Tumor board            Direct Observation
                                                     would prompt additional         Surgical                and Attending
                                                     testing or cancellation of       oncology                Feedback
                                                     surgery                          conference
                                                    To be able to educate a
                                                     patient about their
                                                     preoperative preparation
                                                     and hospital course
                                                    To understand the risks,
                                                     benefits, and alternatives
                                                     of the procedures
                           performed on this service
                          To understand the proper
                           use of:
                             o Antibiotic prophylaxis
                             o Fluid therapy
                             o Patient positioning
3. To provide             To be able to assess a          Didactic teaching      Exit examination
   appropriate post-       patient’s condition             Outpatient Clinic      ABSITE
   operative care to      To be able to recognize         Ward Rounds             Examination
   patient.                changes in patient              Breast                 Global Faculty
                           condition                        conference              Evaluation
                          To recognize the need for       Tumor board            Direct Observation
                           intensive care unit             Surgical                and Attending
                           monitoring or ventilatory        oncology                Feedback
                           support                          conference
                          To be able to coordinate
                           (along with other staff)
                           necessary services or
                           studies for patient
                          To be able to recognize
                           and manage postoperative
                           complications of breast or
                           melanoma surgery:
                           o     infection
                           o     bleeding
                           o     seroma
4. To gain                To be able to provide:          Ward Rounds            Exit examination
   proficiency in          o Wound care                    Didactic teaching      ABSITE
   basic patient care/     o Drain care                                             Examination
   management             To be able to insert and                                Global Faculty
               skills                 remove:                                                 Evaluation
                                      o Foley catheter                                       Direct Observation
                                      o Drain                                                 and Attending
            5. To be competent       To be able to perform:         Open Skills            Exit examination
               in providing basic     o Breast surgery (local         Curriculum             ABSITE
               surgical                   excision, mastectomy)      Case Conference         Examination
               procedures             o Axillary lymph node          Didactic               Global Faculty
                                          dissection                  Teaching                Evaluation
                                      o Regional lymph node          Operative              Direct Observation
                                          dissection                  Teaching                and Attending
                                      o Sentinel node biopsy                                  Feedback
            6. To be proficient      To demonstrate gradual         Open skills            Global Faculty
               in the use of          acquisition of basic            Curriculum              Evaluation
               surgical               surgical skills such as:       Operative              Direct Observation
               equipment as           o Tying knots                   teaching                and Attending
               well as be             o Simple suturing              Ward Rounds             Feedback
               competent in the       o Incise tissue                Cadaver lab
               use of technical       o Handle tissue gently
 Medical    1. To understand         To understand:                 Didactic teaching      Exit examination
Knowledge      fundamental            o Breast cancer                Outpatient Clinic      ABSITE
               surgical                  screening                   Ward Rounds             Examination
               principles and         o Use of imaging studies       Breast                 Global Faculty
               anatomy                   (mammography,                conference              Evaluation
                                         ultrasound,                 Tumor board            Direct Observation
                                         stereotactic biopsy)        Surgical                and Attending
                                      o Principles of                 oncology                Feedback
                                         postoperative                conference
                        o Examination of the
                        o Examination of lymph
                            nodes in the axilla and
                            inguinal areas
                      To understand the steps of
                        and relevant anatomy of:
                        o Breast surgery (local
                            excision, mastectomy)
                        o Axillary lymph node
                        o Regional lymph node
                        o Sentinel node biopsy
2. To gain            To understand diagnosis,          Didactic teaching    Exit examination
   knowledge about     staging, and treatment            Outpatient Clinic    ABSITE
   the evaluation      options of such conditions        Ward Rounds           Examination
   and care of the     as:                               Breast conference    Global Faculty
   patient             o Palpable breast masses          Tumor board           Evaluation
                       o Non-palpable breast             Surgical oncology    Direct Observation
                           abnormalities                  conference            and Attending
                       o Breast cancer                                          Feedback
                       o Malignant melanoma
                       o Suspicious skin lesions
                       o Advanced breast
                       o Advanced melanoma
                      To be able to select
                       patients for preoperative or
                       adjuvant chemo- or
                       radiation therapy
                 3. To gain             To recognize and know         Operative              Global Faculty
                    familiarity about    the usage of different         teaching                Evaluation
                    the concepts and     surgical instruments,         Ward Rounds            Direct Observation
                    uses behind          needles, and sutures                                   and Attending
                    surgical                                                                    Feedback
Practice-based   1. To be able to       To be able to self-direct       Morbidity and          Global faculty
 learning and       critique one’s day    learning as a result of         Mortality               evaluation
improvement         to day practice       input received critiquing       Conference             Direct Observation
                                          one’s own daily practice       Ward Rounds             and Attending
                                        Obtain and use                  Operative               Feedback
                                          information about one’s         teaching               Self-evaluations
                                          own patients and the           Outpatient clinic
                                          larger population from
                                          which they are drawn
                                        Use information
                                          technology to manage
                                          information, access on-
                                          line medical information,
                                          and support one’s own
 Interpersonal   1. To be able to       To appropriately gather         Ward Rounds            Direct observation
      and           communicate           necessary information          Outpatient clinic       and attending
communication       effectively and       from patients                  Family and              feedback
     skills         demonstrate                                           patient care           Peer/staff
                    caring and          Explain relevant                 conference              evaluations
                    respectful            information to patients                                Patient evaluations
                    behaviors when        and families                                           Global faculty
                    interacting with                                                              evaluation
                    patients and their

                  2. To be able to           Clearly communicates           Ward Rounds            Direct observation
                     effectively              intentions                     Outpatient clinic       and attending
                     communicate                                             Family and              feedback
                     with peers, allied      Respond to requests from        patient care           Peer/staff
                     health                   peers                           conference              evaluations
                     professionals, and                                                              Patient evaluations
                     the general public      Transfer necessary                                     Global faculty
                                              information to team                                     evaluation
Professionalism   1. To maintain a           To be able to                  Ward Rounds            Direct observation
                     sense of                 demonstrate:                   Outpatient clinic       and attending
                     professional                 o Ethical behavior         Didactic teaching       feedback
                     integrity between               toward patients         Outpatient clinic      Global faculty
                     colleagues and                  and colleagues          Morbidity and           evaluation
                     patients and their           o Respect toward            Mortality              Peer/staff
                     families.                       colleagues and           conference              evaluations
                                                     patients and their                              Patient evaluations
                                                  o A commitment to
                                                     ethical principles
                                                     pertaining to
                                                     patient privacy
                                                     and autonomy, the
                                                     provision or
                                                     withholding of
                                                     clinical care,
                                                     confidentiality of
                                                    informed consent,
                                                    conflict of
                                                    interest, and
                                                    business practices
                                                o Openness about
                                                    one’s intentions
                                           To be responsible and
                                            accountable for one’s
                                            own actions
                                           To be courteous toward
                                            colleagues and patients
                                            and their families
                                           To be sensitive and
                                            responsive to the patient’s
                                            culture, age, gender, and
Systems-based   1. To have an              To be knowledgeable              Case Conference      Direct observation
   practice        awareness of how         about:                           Ward Rounds           and attending
                   one’s own                   o The function of the         Didactic teaching     feedback
                   practice                        system                    Outpatient clinic    Global faculty
                   interfaces with             o The relationship                                   evaluation
                   the institution in              between the system                              Peer/staff
                   which one                       and one’s own                                    evaluations
                   practices                       practice                                        Patient evaluations
                                               o Practice-based
                                               o System
   Assist patients and their
    families in dealing with
    system complexities
   Incorporate
    considerations of cost-
    awareness and risk-
    benefit analysis into day
    to day practice

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