The goal of the University of South Florida surgical residency program is to prepare each resident to function as a qualified practitioner of surgery at the high level of performance expected of a board-certified specialist in general surgery.

PGY 1

1. Care of surgical patient on the ward including preoperative evaluation, writing preoperative and postoperative orders, postoperative care. Assessment: faculty evaluations, ABSITE

2. Basic pathophysiology of surgical disease. Assessment: ABSITE

3. ACLS and ATLS certification. Assessment: Course test

4. Basic procedures: start IV, placement of central lines, PA catheters, chest tubes. Assessment: Supervision/log book

5. Surgery: basic techniques, sterile technique, surgeon in simple procedures, excision subcutaneous lesions, breast biopsies, hernia repair. First assist on larger procedures. Assessment: Observation in OR, Faculty evaluation, animal labs

6. Communicate as a professional with patients, hospital staff, students, fellow residents and attending staff. Assessment: 360 degree evaluation via web based evaluation program including review of core competencies

7. Begin developing adult learning skills. Assessment: Faculty and advisor evaluations

PGY 2

1. Care of more complex or severely ill patients including critical care, trauma and burns. Assessment: faculty evaluations

2. Expand basic surgical knowledge and learn to apply it during evaluation and care of patients with more complex surgical problems. Gain understanding of surgical specialties while caring for multiply injured patients. Assessment: faculty evaluations, ABSITE

3. More advanced procedures: PA catheter, bronchoscopy, and tracheostomy. Assessment: Supervision/log book

4. Surgery: be able to perform more advanced procedures under supervision and first assist on more complex surgical procedures. Assessment: Observation in OR, Faculty evaluation

5. Communicate more effectively with patient care team, begin to assume leadership position within the team, show foresight and planning in regards to patient care, concise and effective presentation. Assessment: 360 degree evaluation via web based evaluation program including review of core competencies

6. Further improvement of adult learning skills

PGY 3

1. "Leader/supervisor" on a smaller surgical team with close attending supervision. Assessment: faculty evaluations

2. "Mid-level/sub leader" on larger surgical teams with supervision and input from more senior residents and attendings. Coordinate patient care to include appropriate evaluation and treatment by other health care professionals and consultants. Focused exposure to pediatric and breast surgery. Assessment: faculty evaluations

3. Mastery of basic surgical pathophysiology and patient care (ward and ICU), basic understanding of surgical alternatives. Assessment: faculty evaluations, ABSITE

4. Procedure: teach and supervise basic procedures including line placement, chest tubes.

5. Surgery: teach and supervise junior residents in the performance of basic surgeries including excision of subcutaneous masses, breast biopsies, and hernia repairs. Perform as surgeon on more complex surgical procedures. Focused exposure to vascular surgery. Assessment: Observation in OR, Faculty evaluation, feedback from junior residents

6. Develop teaching and supervision skills. Assessment: Faculty evaluation, feedback from junior residents and students

7. Improve communication with patient care team and function more effectively as team leader. Communicate effectively with other health care professionals. Begin to address issues of problem solving and dispute resolution. Demonstrate an understanding of the role of different specialists and other health care professionals in overall patient management. Assessment: 360 degree evaluation via web based evaluation program including review of core competencies

8. Improve mastery of adult learning skills

PGY 4

1. Function in the role of senior resident with its associated increase in responsibility in an affiliated hospital. Assessment: faculty and 360 degree evaluations

2. Assume leadership of larger surgical teams and supervise care of surgical patients at various levels of acuity with input from surgical attendings, consultants and other health care professionals. Assessment: faculty evaluation

3. Master common surgical procedures. Assessment: Observation in OR, Faculty evaluation

4. Surgery: teach and supervise some more advanced surgeries. Assessment: Observation in OR, Faculty evaluation, feedback from junior residents

5. Mastery of general surgical knowledge. Assessment: faculty evaluations, ABSITE

6. Advanced understanding of subspecialties. Assessment: faculty evaluations, ABSITE

7. Further develop skills in problem solving and dispute resolution. Assessment: 360 degree evaluation via web based evaluation program including review of core competencies

8. Continue to improve the mastery of adult learning skills

PGY 5

1. Provide clinical and administrative leadership of residents and students assigned to the surgical services of the affiliated hospitals. Assessment: faculty and 360 degree evaluations

2. Begin to function as a responsible surgeon under appropriate supervision. Assessment: faculty evaluations

3. Master surgical skills. Assessment: Observation in OR, Faculty evaluation, ABSITE

4. Provide oversight of all aspects of pre-, peri- and post-operative care. Coordinate evaluation, input, and care from consultants and other health care professionals. Assessment: faculty evaluations

5. Achieve the full competence (knowledge, skills, attitudes) of a board eligible general surgeon