Surgical Foundations Program



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
Program Administrator Surgical Foundations
AD407-820 Sherbrook
Health Science Centre
Telephone: 204-787-8670
chodnett@hsc.mb.ca


Directors Welcome Message

New 2010

 



Better STANDARDS,

  Better PHYSICIANS,

    Better CARE

  CanMEDS 

RCPS link

Surgery Residents Role in Teaching Medical Students