General/Vascular Surgery Rotation
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Goals
To improve upon the knowledge and skill of the podiatric resident through exposure in General Surgery.
Objectives
Upon completion of the rotation, the resident will:
- Be knowledgeable of the principles of perioperative management, including fluid and electrolyte balance, pain management, insulin dosing, and blood and/or component therapy.
- Be able to demonstrate proficient sterile techniques within the operating room.
- Be able to function as a first assistant on general surgery cases.
- Recognize normal and abnormal EKG, chest x-ray, blood gases and pulmonary function tests.
- Recognize patients who are surgical risk and be knowledgeable of necessary cautions which should be taken.
- Be able to discuss the indications and contraindications for invasive and non-invasive vascular testing.
- Be familiar with the gamut of limb saving vascular procedures and develop proficiency in determining which procedure is indicated.
- Demonstrate knowledge of the indications and contraindications and surgical considerations of the various amputation levels and techniques.
- Be able to diagnose a patient with acute thromboembolic phenomenon (DVT or PE) and initiate appropriate treatment.
Methodology
- The resident will be part of the surgical team which consists of surgical residents and an attending staff surgeon. The resident will be under the direct supervision of a chief resident.
- The resident will make daily rounds, attend surgical conferences and take call when assigned.
- The resident will scrub and assist when needed. The resident will observe and assist in clinics.
- An evaluation will be completed on each resident by the Director of General Surgery or designee. All residents will be expected to complete an evaluation of the rotation.
SUGGESTED READINGS:
- Fluid, Electrolyte, and nutritional management of the Surgical Patient. In Principles of Surgery, Ed by Schwartz.
- Physiologic Monitoring of the Surgical Patient. In Principles of Surgery, Ed by Schwartz.
- Cohen J.R. Vascular Surgery for the House Officer. 2nd Ed. Baltimore, Williams & Wilkins, 1992.
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