General Surgery Training Program Handbook

Goals & Objectives

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Supervision

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Policies:

 

Handoffs & Transfer Protocols

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A handoff,  also known as “sign-out”, is a real time, active process of passing patient-specific information from one caregiver to another or from one team of caregivers to another for the purpose of ensuring the continuity and safety of the patient’s care.


A transfer is a real time, active process of conveying the responsibility for the care of a patient from one entity to another. It may involve the discharge from one entity and the admission to another along with the patient’s medical records or copies.

Resource:

Policy and step-by-step instructions

Work Hours

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Med Hub Lockout Reminders:

  • Email sent every Friday – Saturday (before 9pm, PST) is the last day to enter hours for the previous week.

1st reminder email sent on Mondays to come to residency office after core course and enter hours.

2nd reminder email

3rd reminder email will include a cc: to program directors, service chiefs, and admin chiefs

  • If residents go over 80 hours on any given week, a violation prevention email will be sent to resident, service chief on given rotation, and program directors.

Additional Info:

  • Vacations do not count as days off (i.e., if a resident is on vacation for one week, the hours and days off for that rotation should be averaged over the remaining 3 weeks). The seven days taken for vacation are NOT counted as your days off for the 4-week period.
  • In-House Call no more than q 3 days
  • Residents SHOULD have 8 hours off between scheduled clinical work and education periods
  • Residents MUST have at least 14 hours free of clinical work and education after 24 hours on in-house call.
  • Night Service interns are not required to attend didactics.

Resources:

Quality Improvement

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All fellows and residents are required to document their required QI ‘project” in the MedHub Learning Portfolio – Category: QI

This includes any improvement process, involvement in a quality committee or task force, planned quality improvement process

Resources:

Forms: 

QI Self-Assessment Form

M&M

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Please click here to view our M&M templates

Moonlighting Policy

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Moonlighting is forbidden during the five clinical years (PGY1-PGY5). If there is any indication of moonlighting, the situation will be investigated thoroughly. Should a resident who indicated that he/she is not moonlighting, be found to be engaging this activity, this will be grounds for dismissal from the program in the absence of mitigating circumstances.

 

Vacation Policy

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Current Policy & Guidelines

Professional Development

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Core and Surgical Skills Curriculum

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For specific information regarding the specific required skills courses and assessments, see our Core and Surgical Skills Curriculum Page for information on the following:

·      BLS, ACLS, ATLS 

·      Central Line Insertion

·      Suturing and Knot-Tying

·      ACS Basic Ultrasound Course

·      ACS Advanced Ultrasound Course

·      Fundamentals of Endoscopic Surgery

·      Fundamentals of Laparoscopic Surgery

·      Bowel Anastomosis

·      ASSET Course

·      Open Vascular Skills

·      Mock Oral Exams

·      Robotic Surgery Basic and Certificate Curriculum

 

Resident Well-being

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The mission of the Balance in Life program is to support and promote the physical, psychological, social, and professional wellbeing of General Surgery residents and to provide them with the tools they will need to successfully navigate life as a surgeon.

Resources:

Working With Medical Students

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The responsibilities with teaching medical students on a clinical service are automatically placed upon residents.  This responsibility should be considered an honor and with it, a certain amount of preparation must be done in order to accomplish this well.  There are two components to this.  The actual teaching and mentoring component happens everyday.  Following the time with the student giving them formative feedback, a formal summative assessment is required.  These are the basis for the core clerkships student’s grade and therefore should be done with constructive honesty but with some delicacy.

Clerkship Educator's Guidebook

Clinical Teaching As Residents

Teaching As Competency 

Faculty Advisors

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Residents should meet with their advisors twice a year.

Meeting 1 should be completed by October 31

Meeting 2 should be completed by March 30.

 

Current Faculty Advisors

Forms & Templates

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Quality Improvement - Self Assessment of Outcomes

ABS Clinical & Operative Assessments

Clinical Documentation

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Clinical Documentation Improvement  (CDI) Tips for Surgery

Orientation/IT Tips/Affiliate Sites

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Stanford Orientation/Resources:

Affiliate Sites Orientation/Resources:

Fatigue Education and Mitigation

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  • UBER is a means for transportation home for trainees when they are too tired to drive home. Instructions on usage so they can avoid personal costs are posted on the GME website with SUNet ID login required:
  • GME > Residents/Fellows > Current & Continuing Residents/Fellows > Training Resources
  • http://med.stanford.edu/gme/housestaff/all-topics/training-resources.html
  • As a reminder, UBER is only to be used if trainees are too tired to drive home. It is not to be used if their car is being repaired or for any other reasons. For any questions on UBER accounts, please contact Jonathan Orana with the Controllers Office at jorana@stanfordhealthcare.org or 650-721-4240.
  • Cab Vouchers at Stanford- cab vouchers will continue to be available in GME and the Security Offices at SHC and LPCH 
  • Cab Vouchers at SCVMC- located in the GME office, on the 7th floor of the Old Main Building. Please read the SCVMC cab voucher guidelines. 

ACLS/BLS

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ACLS/BLS Renewal

The GME will only pay for ACLS/BLS if taken at Stanford.  Residents must complete the Life Support Training Center (LSTC) – GME Payment Authorization Form for payment processing. DO NOT pay and request reimbursement. The payment form must be completed for payment.  

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ACLS/BLS Renewal

The GME will only pay for ACLS/BLS if taken at Stanford.  Residents must complete the Life Support Training Center (LSTC) – GME Payment Authorization Form for payment processing. DO NOT pay and request reimbursement. The payment form must be completed for payment.  

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Postgraduate Training License- CA Med Board

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Obtaining a PTL

  • Anyone new to the specialty has 180 days (from the start of their contract) to acquire the PTL. Categorical are in that group. Anyone who was in an intern in another California program and transfers here fall into the 90 days (from the start of their contract). 
  • Please follow steps on our PTL Resource Page
  • email the residency office with any questions: generalsurgeryresidency@stanford.edu
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