Educational Events - 10/7/2019 to 10/11/2019
GENERAL SURGERY RESIDENCY
10/07/2019 – 10/11/2019
MORTALITY & MORBIDITY
Wednesday, November 6, 2019
Location: Hatch Auditorium (GP-2).
SURGERY GRAND ROUNDS
Wednesday, November 6, 2019
Location: Hatch Auditorium (GP-2)
Department of Surgery Grand Rounds Presents:
"The Coalition for Quality in Geriatric Surgery"
Ronnie A. Rosenthal, MD
Chief of Surgery, VA Connecticut HCS
Professor of Surgery and Geriatrics
Yale University School of Medicine
New Haven, CT
BASIC SCIENCE LECTURE
This Friday, October 11, 2019 → 7:00AM-9:30AM
Location: Hess Building 5th floor Seminar 101
Topic: Spleen/ Hematology (Coagulation/ VTE PPX)
Resident Presenter: Shruti Zaveri, MD
Preceptor: Adel Bassily- Marcus , MD
RESIDENT TOWN HALL MONTHLY MEETING
THIS Friday, October 11, 2019 → 3:00PM
Location: 5 E 98th St., 15th Floor, Conf. Rm
This will serve as a reminder for the various elements of the sepsis workflow including:
Use of the sepsis order set if sepsis, severe sepsis, or septic shock identified
Required documentation for all BPAs using the templated notes
New BPA policy on boarder patients in the ED
Appropriate documentation of sepsis, severe sepsis, septic shock in the H&P if present on admission
Appropriate documentation if sepsis is ruled out later in the admission
Timely conversion of IV antibiotics to oral
Hand-off to incoming teams of pending sepsis tasks at shift change
Ensuring that all providers on your team have the sepsis alert icons if they are using personal EPIC patient lists instead of system lists
For more information on Sepsis please contact: Sarah.Taimur@mountsinai.org
MONTHLY SCHEDULE REQUESTS FOR CALL SCHEDULES
In an effort to simplify the submission of requests for days off,
you may submit requests using the links below.
***All requests are due 6 weeks prior to the month they are for***
Due: PAST DUE!!
NO EXCEPTIONS!!! ALL REQUESTS MUST BE SUBMITTED BY THE DEADLINE
Ø SINAI INTERNS (including PGY2 on Surgical Oncology)
Ø ELMHURST and VA INTERNS
Ø SINAI SENIORS (including PGY2 on buddy calls)
Ø ELMHURST SENIOR
General Surgery Categorical Residents
***Operative Assessments Monthly Submissions***
Operative assessments are an ACGME requirement which must be tracked on a monthly basis.
At the end of each month, you should plan to submit 3 Operative Assessments
of a single procedure (from the same attending) to Education Office in order to obtain credit.
These operative assessment forms must be completed with the
date of the surgical procedure, medical records number, and respective faculty member.
Please submit to the Educationteam@mountsinai.org or hand to Education Office on 5 E 98th St., 15th Floor
***Global Assessment of Gastrointestinal Endoscopic Skills (GAGES)
Global Assessment of Gastrointestinal Endoscopic Skills (GAGES) evaluation form
MUST be completed by the conclusion of your Endoscopy rotation.
Once completed, it is your responsibility to submit the completed
GAGES evaluation form to Eric Greenstein to be included in your file.
General Surgery Categorical Residents: BLS & ACLS Certifications
If your BLS & ACLS Certifications are due to expire soon please contact the Education Office
to be scheduled for an upcoming Renewal Course
***It is important to keep these updated for Mount Sinai & Elmhurst credentialing purposes***
Once you receive your certification card, it is imperative that you submit a copy of the
front & back of the card to the Education Office so we can have a copy for your file!
**Q2 REPORTING PERIOD begins 10/21 – 11/17**
ACGME DUTY HOUR REGULATIONS
Ø No Q2 call
Ø Everyone must take an entire calendar day off per week.
Ø Everyone must have 8 hours off in between shifts.
Ø If you stay late, you must inform your chief and come in late the next day to stay compliant.
Ø No call switching with co-resident without approval from Dr. Divino and Justin George.
DUTY HOURS LOGGING POLICY
Duty hours are being monitored on a WEEKLY basis by the Education Office for compliance purposes.
Please be sure to log your DUTY HOURS in New Innovations on a WEEKLY IF NOT DAILY BASIS!
Duty Hour reminder emails will be sent every Friday by the Education Office
If duty hours are not logged you will receive a warning letter and possible SUSPENSION
REMINDER: ADMINISTRATIVE RESPONSIBILITIES
Ø Kindly use the Duty Hours tab in New Innovations to log your Duty Hours
Ø Kindly use the Clinic log Books drop-down menu in New Innovations to log your Clinics/Continuity of Care
Ø Kindly use the Portfolio drop-down menu in New Innovations to log your Scholarly activities
Ø Kindly ensure your online completion of pending medical-student evaluations (e*value).
Ø Kindly ensure your completion of Rotation Evaluations, Goals and Objectives in New Innovations
BRONX VA ROTATORS
MUST DO PRIOR TO THE START OF YOUR VA ROTATION
Ø Contact Indra (coordinator) immediately (718) 584-9000 Ext. 6757 to make sure you are cleared to rotate at the VA and that you have completed your CPRS Training/ Mandatory VA On-line Trainings and that you will have VA hospital access and will be able to receive your VA ID badge without any issue
Ø Ask Indra how to obtain your fingerprint clearance
Ø Rotators not working NIGHT must take 6:45AM Shuttle
Ø Be aware of all VA conferences, clinics, primary patients, consults and OR cases that should be in your radar while rotating there***
BRONX VA FINGERPRINTING PROCESS
Ø If you have not been fingerprinted at the VA previously, it is imperative to have your fingerprinting done at least a 1 month prior to the start of your rotation (sometimes it can take up to 3 weeks or longer to obtain your clearance).
Ø You can report to the Bronx VA between Monday-Thursday between 8am-12pm – Visit Indra Naipal located on the 7th Fl (Room 7A-11) – Prior to going you can confirm if she will be available on a particular day/time by calling her at (718) 584-9000 Ext. 6757.
Ø In the event that she’s not available you can contact the HR Department at 718-584-9000 ext. 6584 to schedule your Fingerprinting APPT and their office is located on the 9th Fl (Room 9B-11).
FIRST DAY OF ROTATION
Bring two original forms of picture ID (Driver’s License/State Photo ID and Passport).
NAMES MUST MATCH ON IDs LISTED.
All non-citizens and naturalized citizens must bring their original picture ID’s for processing upon their rotation at the VA.
• All residents must be fully credentialed 6 weeks prior to their rotation. There will be no exceptions!
• Residents MUST find the time to update medical clearance and update Mask Fitting once notified by the Education Office.
Updating Medical Clearance
Employee Health Services
19 E 98th St., 2nd Fl, Rm 2D
Monday – Wednesday
anytime between 8AM-4PM
1) Mount Sinai Respirator Fit Testing Monthly Schedule available via Intranet:
2) Education Office can also arrange and conduct Respirator Fit Testing. Please call to set up a time for Fit Test: x45871
Elmhurst End of Rotation Requirements
Returning Pagers & Scrubs
Ø You must return beepers directly to the Telecom Dept.
Ø Do not leave pagers home, in team room, or in your locker on the last day of your rotation.
Ø Please be sure to return all scrubs on your last day of rotation.
Completion of Brief Op Notes & Dictated Cases
Ø You must complete all Brief Op Notes to complete the chart.
Ø Complete all undictated cases and sign charts in the computer.
Ø Medical Records and Telecommunication Depts. REQUIRE Clearance forms that must be completed and signed for each resident at the end of their rotation.
THE GENERAL SURGERY RESIDENT OF THE MONTH (September) IS AWARDED/FOR:
Dr. Christopher Lachapelle
Prize: $25 Gift Card
Good for use at any Food & Nutrition Cafeteria locations at Mount Sinai
(including the Starbucks in the Guggenheim Lobby)
· ACGME Case Logs (must be logged & up-to-date)
· Duty Hours (logged on weekly basis)
· New Innovations Monthly Evaluations (no outstanding evals)
· Continuity of Care Clinic Logs (up-to-date)
· Rotation Goals & Objectives (up-to-date)
Trainee Mental Health Support Resources
Dr. Sarah Hodulik
Any residents interested in coming in for an appointment can get in touch personally at:
212-659-8851 / email@example.com
Or can email their clinic account: STMH@mssm.edu
Dr. Jeffrey Newcorn
Dr. Evan Leibu
Emergency psychiatric services can be initiated by contacting the psychiatrist on-call through the page operator (212-241-5581) or by calling the Psychiatric Emergency Service (212-241-5637).
Report A Concern
Please use the Report A Concern Website (https://ismmsgme.wufoo.com/forms/z1q97o8s19dfzm8/) for confidential reporting of Mistreatment, Harassment, Lapses in Professionalism or any other issues of concern to House Staff or Faculty in programs under ISMMS Sponsorship.
These reports go directly to the GME Director who will route them to the appropriate party in the GME Leadership structure. You may report anonymously, include non-identifiable contact information, or include your name. While all reports are appreciated and encouraged, the inclusion of contact information will allow us to potentially obtain supplemental information to adequately investigate the reported concern(s).
For any inquiries or issues please contact the
General Surgery Residency Education Office at 212-241-5871 to speak with
Catalina Gonzalez / Eric Greenstein / Fatima Shafiq/ Omayra Lambert
American Board of Surgery - Training Requirements
for General Surgery Certification
Resident Assessment Requirement
Applicants for general surgery certification are required to have obtained six operative and six clinical performance assessments conducted by their program director or other faculty members. By signing an individual’s application, the program director attests that these 12 assessments have been completed. The completed assessment forms are not collected by the ABS.
Other specific requirements include: Completion of the following programs: Advanced Cardiovascular Life Support (ACLS), Advanced Trauma Life Support® (ATLS®) and Fundamentals of Laparoscopic Surgery™ (FLS). Applicants are not required to be currently certified in these programs; they must only provide documentation of past certification.
Evaluation forms and further information are available at www.absurgery.org under Training & Certification General Surgery Training Requirements.
ABS Flexible Endoscopy Curriculum
A reminder that completion of the ABS Flexible Endoscopy Curriculum will be required of applicants who complete residency in the 2017-2018 academic year or thereafter. The curriculum contains several levels; the final level includes successful completion of the Fundamentals of Endoscopic Surgery™ (FES) program. Documentation of current or past FES certification will be required for application approval.
Each resident graduating in the 2017-18 academic year and thereafter have to return a completed Global Assessment of Gastrointestinal Endoscopic Skills (GAGES) evaluation form to be completed at the conclusion of their Endoscopy rotation. It is your responsibility to send the completed GAGES evaluation form back to the Education office to be included in your file.
Operative Experience Requirements
The following operative requirements are effective with applicants graduating residency in the 2017-2018 academic year. The previous operative case numbers are noted in parenthesis — applicants who graduated before the 2017-2018 year will be required to meet those numbers.
At least 850 (previously 750) operative procedures as surgeon over 5 years, with at least 200(previously 150) in the chief resident year. Teaching assistant cases may count toward the 850 total; however these cases may not count toward the 200 chief year cases.
At least 40 (previously 25) cases in surgical critical care, with at least one in each of the seven categories: ventilatory management; bleeding (non-trauma); hemodynamic instability; organ dysfunction/failure; dysrhythmias; invasive line management and monitoring; and parenteral/enteral nutrition.
At least 25 cases as teaching assistant by the completion of residency.
At least 250 operations by the beginning of PGY-3 year, effective with applicants who began residency in July 2014. The 250 cases can include procedures performed as operating surgeon or first assistant. Of the 250, at least 200 must be either in the defined categories, endoscopies, or e-codes. Up to 50 non-defined cases may be applied to this requirement.
Clinical vs. Non-Clinical Time
The ABS requires 48 weeks of full-time clinical experience in each year of residency. The remaining four weeks of the year are considered non-clinical time that may be used for any purpose. While the ABS considers the 48-week requirement to be of the utmost importance in developing fully-trained surgeons, options are available to provide programs and residents with some flexibility in meeting this requirement.
Full Medical License Required for CE
Residents will be required to have a full and unrestricted medical license (U.S. or Canada) to register for the Certifying Exam. They should allow several months for the licensure process. Temporary, limited, educational or institutional licenses will not be accepted under any circumstances, even if they are in a fellowship.
Taking the QE After PGY-4
As of 2016, ABS will permit eligible residents who successfully complete their PGY-4 year in June to apply for and take the QE. All application requirements must be met, including the requirements outlined above for operative cases and for certification in ACLS, ATLS and FLS.
Taking the exam after PGY-4 will count toward the four opportunities within four years that are granted to successfully complete the QE. However, the overall seven-year limit to achieve certification will not go into effect until successful completion of residency training.
Residents who pass the QE after their PGY-4 will not have any official status with the ABS until their residency training has been satisfactorily completed. Once that occurs, they will be considered a candidate for certification and, like other candidates, will be granted three opportunities within three years (with one opportunity per year) to pass the General Surgery Certifying Exam (CE).