PGY 2 - LEARNING OBJECTIVES

 

PGY 2 - GOOD SAMARITAN - ADULT

 

PATIENT CARE:

 

 

1. Learn Essentials of Problem-Focused History & Physical Examination.

2. Learn Principles of Interpreting Plain Radiographs of Spine & Lower Extremities.

3. Recognize Differential Diagnosis of Lower Extremity Pain: Spine vs. Hip & Knee origin.

4. Demonstrate NON-OPERATIVE SKILLS:

  • Splint & Brace Prescription
  • Cast Application
  • Joint Aspiration / Injection
  • Dislocated Total Hip Reduction

5. Demonstrate BASIC OPERATING SKILLS:

  • Patient Positioning for Total Joint Replacement
  • Preparation & Draping of Patient
  • Assisting with Retractors, Lights, & Maintaining Blood-Free Field
  • Layered Closure
  • Placement of Suction Drains
  • Placement of Arthroscopic Portals
  • Surgical Technique for Core Decompression
  • Exposure Techniques of Primary Total Joint Replacement

6. Demonstrate POST-OPERATIVE CARE:

  • Wound Care
  • Antibiotic Prophylaxis
  • Anticoagulation Management
  • Pain Management
  • Discharge Planning

7. Consistently Mark Patients with initials prior to surgery & drape initials into the surgical field.

8. Consistently Perform Surgical Time-out prior to incision.

9. Report Medical Errors to attending surgeon when recognized.

10. Notify Attending in a timely way of all Deviations from standard expected Post-Operative Course.

11. Organize & Supervise medical students & paramedical staff in Daily Care of Service Patients.

12. Effectively Triage Patients seen in Emergency Department.
 

 

INTERPERSONAL & COMMUNICATION SKILLS:

 

 

1. Listen to patient's concerns and express sensitivity & empathy for their medical problems.

2. Understand risks and goals of surgery.

3. Establish an effective patient/doctor relationship: attire, grooming, manner of speech, concern, commitment.

4. Establish appropriate level of communication & relationship with ancillary staff:

  • Refrain from abusive behavior.
  • Be courteous.
  • Report staff who are disrespectful & do their duties in a less than satisfactory manner.

5. Demonstrate legible handwriting, and print name under all signatures.

6. Date and mark time on all notes.

7. Dictate discharge summaries on day of discharge.

8. Dictate operative reports on day of surgery.

9. Answer patient telephone calls on same day they are received.

 

 

PROFESSIONALISM:

 

 

1. Demonstrate sensitivity & responsiveness to differences in culture, gender, age, & impairments of both patients & staff.

2. Demonstrate sensitivity to the needs of older patients in terms of support for their specific & multiple needs.

3. Demonstrate reliability in performance of responsibilities.

4. Demonstrate respect toward opinions of other healthcare professionals.

5. Demonstrate ability to express opinions in a manner sensitive to others.

 

 

MEDICAL KNOWLEDGE:

 

 

1. Working knowledge of Anatomy of Hip, Knee, Shoulder, Spine.

2. Working knowledge of Biomechanics & Kinematics of Hip, Knee, Shoulder, Spine.

3. Introduction to factors associated with Treatment of Osteonecrosis.

4. Differential Diagnosis for Painful Lower Extremity Joint.

5. Recognize Emergencies & Communicate problem to appropriate personnel:

  • Compartment Syndrome
  • Post-Op Hip Dislocation
  • Post-Op Bleeding, Hematoma
  • Post-Op Nerve Palsy
  • Post-Op DVT
  • Post-Op Respiratory Depression
  • Acute Infections
  • Chronic Infections

 

PRACTICE-BASED LEARNING & IMPROVEMENT:

 

 

1. Analyze the effectiveness of own interpretative, problem-solving & surgical skills.

2. Use available information technology to obtain and manage information.

3. Be receptive to constructive criticism.

 

SYSTEMS-BASED PRACTICE:

 

 

1. Demonstrate ability to provide Cost-Effective Care:

  • Utilize appropriate diagnostic tests.
  • Appropriate use of antibiotics.

2. Utilize health care system to provide optimal patient care outside hospital system.

3. Able to fully utilize chain of command in both supervision of subordinates & interaction with seniors.

4. Recognize Emergencies & Communicate problem to appropriate personnel.

 

 

 

 

 

 

 

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