The PGY-1 year is designed to teach pre-and post-operative care of patients with surgical illness under the guidance and supervision of junior and senior residents and attendings. The PGY-1 resident performs a focused, efficient, and accurate initial history and physical of a full spectrum of patients admitted to the hospital, including critically ill patients. This resident recognizes and manages common post-operative problems such as fever, hypotension, hypoxia, confusion, and oliguria with the assistance of senior residents or staff members who are physically present.
The PGY-1 resident has a basic understanding of the symptoms, signs, and treatments of the “core” diseases in the SCORE curriculum and has basic knowledge about common surgical conditions and basic knowledge of the “core” surgical operations in the SCORE curriculum. A PGY-1 resident has basic surgical skills such as airway management, knot tying, simple suturing, suture removal, use of Doppler ultrasound, administration of local anesthetic, universal precautions, and aseptic technique, and is able to reliably perform basic procedures, including venipuncture, arterial puncture incision and drainage, minor skin excisions and placement of an IV, nasogastric tube, or urinary catheter; can perform basic operative steps in “core” operations/procedures of the SCORE curriculum.
This resident has a basic understanding of the resources available for coordinating patient care, including social workers, visiting nurses, and physical and occupational therapists. This resident knows system factors that contribute to medical errors and is aware that variations in care occur. This resident participates in assigned skills curriculum activities and simulation experiences to build surgical skills. This resident actively participates in Morbidity and Mortality (M&M) and/or other Quality Improvement (QI) conferences with comments, questions, and/or accurate presentation of cases. This resident demonstrates a commitment to continuity of care by taking personal responsibility for patient care outcomes. This resident recognizes when and how errors or adverse events affect the care of patients and changes patient care behaviors in response to feedback from his or her supervisors.
The resident understands the institutional resources available to manage personal, physical, and emotional health (e.g., acute and chronic disease, substance abuse, and mental health problems, and understands the principles of physician wellness and fatigue mitigation. This resident performs face-to-face hand-offs. This resident understands the necessary elements of informed consent for procedures. PGY-1 residents on night float are expected to round, in addition to signing out, in the morning.
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May 14, 2021
Bronx, New York