Protected Block Curriculum
Each resident participates in the Protected Block Curriculum based on their program year, during which time residents develop camaraderie through peer learning, support and mentoring. The curriculum is competency-based and presented and facilitated by faculty and staff using multiple educational tools including didactic lectures, peer-reviewed articles, skill sessions, hands-on workshops, and case-based discussions. For the PGY 1 and 2 years, residents are relieved of all clinical duties during the curriculum in order to prepare for and fully participate in curriculum activities. Over a five year period, the Protected Block Curriculum represents nearly 1,000 hours of concentrated learning.
Resident Research Project
All residents participate in a scholarly research project. The project is expected to result in an article of publication quality and be presented at Grand Rounds in the Chief Resident year. Karen Brasel, MD, MPH is the Director of Resident Research and oversees the program. This educational initiative was put into place to insure that all residents participate in scholarly activity, improve patient care, satisfy scientific and intellectual curiosity, advance knowledge and enhance critical thinking. Each resident will finish a project prior to graduation with the goal of presenting and/or publishing their research internally and externally of the Medical College of Wisconsin.
Mock Oral Boards
PGY 3 through PGY 5 residents participate in Mock Oral Boards each June. This exercise presents itself as a representation of the American Board of Surgery Certifying Exam. Each resident has three, one-on-one sessions with 1-2 faculty members during which time they are asked patient-centered questions. Residents are graded on their ability to articulate correct responses, think on their feet and communicate in a professional manner, all in preparation for the certifying examination.
Each PGY III through PGY V resident is provided through an endowment the opportunity to attend one major conference of choice for up to seven days. This conference must provide an educational learning environment that allows a resident to broaden their knowledge base in clinical or basic science.
Family Conference OSCE (Objective Structured Clinical Examination)
The family conference OSCE for all residents was developed with the help of a grant from the University of Minnesota received by Travis Webb, MD, and continues with support from the residency program. The learning goals of the exam include: (1) to create a longitudinal set of skills in professionalism and leadership through family conferences; and (2) to develop interpersonal and communication skills that are needed in adverse situations with patients and families. PGY 2 residents perform the OSCE in order to continue to develop the needed skills by the end of the PGY 2 year.
The first of its kind at our institution, residents are required to engage in this simulation exam (role play) with two standardized cases. In a safe setting, residents practice delivering “bad news” to families and receive feedback on interpersonal and communication skills from both medical faculty and standardized patients. One case requires residents to counsel family members about end-of-life decisions and gain consensus about a relative’s care. The second case requires residents to explain an iatrogenic complication that occurred and gain family support for a revised treatment plan.
Annual Family Events
We believe that your family is important and spending time with them is a necessary part of your life. We provide for several annual events which are Department or resident driven. These include a Resident Welcome Picnic each July, the Thanksgiving Dinner in November and a Resident Holiday Party in December.
Quality and Root Cause Analysis Project
In the final years of General Surgery Training, residents complete a Quality and Root Cause Analysis Project. Residents identify an occurrence with one of the following as a project focus:
A patient morbidity
A patient mortality
A communication problem
A hospital process problem
While integrated with the Morbidity and Mortality Conference, residents demonstrate the who, what, how and why of the occurrence and develop a written analysis of the project.
All residents receive an iPad to support medical education related learning and to achieve the educational objectives of our curriculum. In addition, residents use their iPads to complete assessments, review and document patient care activities and other data reporting as required by the Accreditation Counsel for Graduate Medical Education (ACGME). Residents are responsible for compliance with all hospital/clinic regulations regarding iPad or other handheld technology use. This includes complying with or adhering to HIPAA guidelines.
3rd Year Elective
During the third year of clinical training, residents have the option to select one of seven blocks as an elective rotation. This elective can focus on the individual resident’s preferred interest or to help identify a career track.
Licensing assistance is offered through the Division of Education Residency Office. During the PGY 1 year, residents are educated on the process and forms are completed to initiate licensing through the State of Wisconsin. It takes approximately 18 months to obtain licensure and the Residency Office ensures that all necessary components are fulfilled. By providing a licensing service to residents, they no longer have to self-initiate the process and this unique service is viewed as a program enhancement.
Mock Laparoscopic Surgery Exam (FLS)
During the PGY 2 year, residents participate in a Mock Laparoscopic Exam. This exercise presents itself as a representation of the American Board of Surgery Qualifying Exam. The goal is to prepare residents for the Fundamentals of Laparoscopic Surgery Exam (FLS) by assessing knowledge, judgment and manual skills in basic laparoscopic surgery.