Rotation Specific Objectives - Plastic Surgery

 

 

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Introduction:

 

Plastic surgery and Orthopaedic surgery overlap in many crucial areas of patient care, including paediatrics, trauma, tumour and upper extremity surgery. It is a very significant area of expertise, which is valued for our trainees.

 

 

Rotation Specific Objectives:

 

1. Medical Expert


a. Issues Specific to the Management of the Surgical Patient

i. Pre-operative

ii. The Operation

iii. Post Operative

b. Wound Healing and Tissue Repair

c. Sepsis

d. Trauma, Burns - The management of burns including simple and more extensive burns

e. Fluid and Electrolyte Disorders in the Surgical Patient - Emphasized by the burn patient

f. Nutritional Problems in the Surgical Patient - emphasized by the burn patient

g. Shock emphasized by the burn patient

h. Grafts and Transplantation - Emphasizing free skin grafting techniques as well as local flaps and micro vascular transplantation of tissues

i. Cancer - Emphasizing the principles in the management of skin cancer

j. Legal and Ethical Responsibilities of the Surgeon

k. The care and handling of soft tissue including emphasis on suturing techniques

l. The management of simple and more complex hand injuries

m. The principles of tendon transfer and their applicability to common musculoskeletal conditions

n. The surgical management of common peripheral nerve entrapment syndromes

o. The principles of management of maxillofacial trauma

p. The management of simple and complex burns including treatment of compartment syndrome

 

 

2. Communicator:


a. establish therapeutic relationships with patients and families

b. obtain and synthesize a relevant history from patient, families and communities

c. listen effectively

d. discuss appropriate information with patients and families and the health care team

 

 

3. Collaborator:


a. consult effectively with other physicians and health care professionals

b. entry effectively to other interdisciplinary team activities

 

 

4. Manager:


a. utilize resources effectively to balance patient care, learning needs, and outside activities

b. Work effectively and efficiently in the healthcare organization

c. allocate finite health-care resources wisely

 

 

5. Health Advocate:


a. identify the important determinants of health affecting patients particularly those with spinal cord injuries, amputations, chronic debilitating diseases.

b. Have knowledge of community services available for these patients.

 

 

6. Scholar:


a. critically appraise sources of medical information

b. contribute to the development of new knowledge

 

 

7. Professional:


a. deliver highest-quality care with integrity, honesty and compassion

b. Exhibit appropriate personal and interpersonal professional behaviors

c. Practice medicine ethically consistent with obligations of the physician

 

 

Conditions of Learning


a. Junior level – two-month rotation

 

 

Method of Instruction/Learning


a. Cognitive apprenticeship

b. Self-directed

c. OR and ward/clinic experience

 

 

Evaluation


a. Preceptor ITER