PGY 4 (Chief Resident - GSH Division)

●

PATIENT CARE:

1. All skill sets for PGY 2,& 3, PLUS:

2. Organize Pre-Op, Intra-Op, & Post-Op Care for all patients on the service.

3. Assure Patient Care Coverage for ALL ATTENDINGS in Division.

4. Demonstrate TECHNICAL COMPETENCE IN OPERATING SKILLS:

• Peform complex primary & revision total joint replacements with supervision.
• Supervise junior resident in performance of uncomplicated trauma surgery
• inter-trochanteric fracture
• ankle fracture.

5. Consistently Mark Patients with initials prior to surgery and drape initials into the surgical field.

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

7. Report Medical Errors to attending surgeon when recognized.

8. Prepare and Template Operative Cases for following week in absence of the Fellow.

9. Verify Equipment Needs for following week's surgeries in absence of the Fellow.

10. Organize & Supervise PG-2, 3 residents, sub-interns, medical students & paramedical staff in Daily Care of Service Patients.

●

INTERPERSONAL & COMMUNICATION SKILLS:

1. All skill sets for PGY 2, & 3, PLUS:

2. Communicate Effectively with Attending Staff, Nursing, PA staff & OR staff to assure continuity of patient care and operative service.

●

PROFESSIONALISM:

1. All skill sets for PGY 2, & 3.

●

MEDICAL KNOWLEDGE:

1. All skill sets for PGY 2, & 3, PLUS:

2. Working knowledge of Electronic Medical Record.

3. Working knowledge of Advanced Exposure Techniques for Complex Joint Replacements including:

• Ilioinguinal approach to pelvis
• Extended trochanteric slide
• Intercalary femoral osteotomy
• Extended direct lateral approach
• Exposure of acetabulum for anterior and/or posterior column plating
• Quadriceps turn-down
• Quad snip
• Tibial tubercle osteotomy

●

PRACTICE-BASED LEARNING & IMPROVEMENT:

1. All skill sets for PGY 2 & 3.

●

SYSTEMS-BASED PRACTICE:

1. All skill sets for PGY 2 & 3.