
Surgical Foundations is that initial period of postgraduate training required to acquire the knowledge, skills and attitudes underlying the basics to the practice of surgery in general and preparatory to further training in a surgical specialty or sub-specialty. For the purpose of clarity, the junior surgical resident refers to any surgical resident in PGY 1 and PGY 2 These objectives refer to exit competencies for which a junior surgical resident must be evaluated by the end of PGY 2.
At the discretion of the surgical foundations and home program director, residents who fail to meet these objectives at the end of PGY2 may continue training, however, a remediation plan must be put in place. These objectives of training must be achieved by the end of the third year of training. Successful completion of the Principles of Surgery examination has been designated as one of the means to evaluate the attainment of the objectives of Surgical Foundations, however, if all other objectives are met, but if a candidate fails the POS exam, he/she may be allowed to continue.
It is recognized that the POS examinations is only one metric in determining completion of these objectives. The Surgical Foundations Examination will be taken at end of the Surgical Foundations training period and must be passed to be eligible to apply for the certification exam.
The following University of Manitoba Surgery programs participate in the Surgical Foundations Program
• Cardiac Surgery
• General Surgery
• Neurosurgery
• Orthopedic Surgery
• Otolaryngology – Head and Neck Surgery
• Plastic Surgery
• Urology
Royal College of Physicians and Surgeons Objectives of Surgical Foundations Training
Academic Activities
Seminars (Surgical Foundations Events Calendar)
Schedule (Surgical Foundations Schedule)
PGME Core Curriculum
Surgical Foundations Seminar Series- Objectives
1
Medical Problems in the Surgical Patient-Pre-operative Care: Part 1
Medical Problems in the Surgical Patient-Pre-operative Care: Part 2
2
Conduct of a Surgical Procedure
3
Postoperative Care
4
Wound Management and healing
5
Hemostasis and use of blood
6
Fluid Management and Acid-base problems
7
Hemodynamics; Oxygen transport; Shock
8
Metabolic and Nutritional care
9
Legal and Ethical Responsibilities
10
Biostatistics, Epidemiology and Critical appraisal
11
Trauma Series Objectives Including Burns
Trauma Series: Basic Principles
Trauma Series: Abdominal Injuries
Trauma Series: Basic Chest & Mediastinum
Trauma Series: Central Nervous System
Trauma Series: Fractures
Trauma Series: Neck Injuries
Trauma Series: Peripheral Nerve, Hand, Chemical & Thermal Injuries
Trauma Series: Extremes of Life (Pediatric, Geriatric, Obesity & Obstetrical)
Trauma Series: Major Vascular Injuries
12
Sepsis and Surgical Infections
13
Transplantation and Implantation
14
Cancer
Cancer: Part 1 – Chemotherapy
Cancer: Part 2 – Radiation Therapy
15
Communication and Interpersonal Skills
16
Maintenance of Competence
Seminar Series Reading Material and Biostats & Critical Appraisal E-Journals
SURGICAL SKILLS
• Surgical Skills Curriculum
• ATLS- Advanced Trauma Life Support
• ACLS-Advanced Cardiac Life Support
Specialty Training Requirements
Evaluation of Performance Flowchart (link to flowchart)
Evaluation of Performance
• Surgical Foundations ITER
• Resident Portfolio
• Examinations/quizzes
• Special Assignments
• Skills Testing
Assesment of Training and Examination Information
Preliminary assesment of training-Royal College
Format for Examination- Royal College
Principles of Surgery (POS) Exam Dates
Assessment of training normally takes at least six months, but may take longer, particularly if United States training must be assessed, or if your application is otherwise unusual.
When a Confirmation of Completion of Training is received from your program director, near the end of training, you will receive a ruling of eligibility, and an examination registration form.
To obtain an application form for assessment of training, please e-mail your request to the Office of Education - Credentials (credentials@royalcollege.ca), stating your full name and specialty.
References and Resources
Bloody Easy (website)
Access Surgery - from McGraw-Hill
Sabiston - Textbook of Surgery 18th Edition
Schwartz - Principles of Surgery
University of Manitoba Library ID and password required to access the texbooks

Dr Lawrence Gillman
Director of Surgical Foundations
Mrs. Cidalia Hodnett

Better STANDARDS,
Better PHYSICIANS,
Better CARE

RCPS link
Surgery Residents Role in Teaching Medical Students