PGY 2
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Knowledge Objectives |
- Anatomy and physiology of respiratory and cardiovascular system including:
- Shunt
- Ventilation/Perfusion abnormalities
- Pulmonary embolism
- PIOPED study
- Identify the anatomical structures encountered in:
- Tracheostomy
- Mastectomy
- Axillary dissection
- Hernia repair
- Cholecystectomy
- Appendectomy
- Embryology, anatomy, and physiology of pancreas
- Understand the metabolic response to trauma
- In-depth understanding of the role of the following hormones in fluid and electrolyte homeostasis:
- ADH
- Renin-angiotensin system
- Steroids
- Aldosterone
- Sex hormones
- ACTH including stimulation test for diagnosis of adrenal insufficiency
- Discuss the changes associated with aging with respect to:
- Total body water
- Water and sodium homeostasis
- Renal and hepatic blood flow and function
- Cardiac function
- Nutritional assessment including daily caloric requirement
- Composition of parenteral nutrition with in depth understanding of:
- Carbohydrate metabolism including Cori cycle and lactate shuttling mechanisms
- Metabolism of fats and in depth understanding of the role of short, medium and long chain triglycerides in health and disease
- Role of ?-3 and ?-6 TCG in the inflammatory response
- Metabolism of proteins and role of organ specific amino-acids
- Principles of oncology
- Breast
- Soft tissue and retroperitoneal sarcoma
- Melanoma
- Gastrointestinal malignancies
- Principles of hemostasis and coagulopathy
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Puritan 840™
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- Physiology and consequences of portal hypertension
- Knowledge of all vasoactives and antiarrhythmic drugs
- Knowledge of homeostasis of hydrogen ion including:
- The Henderson-Hasselbach equation
- Hydrogen production and disposal
- Buffering systems
- Knowledge of anatomy of extra and intracerebral perfusion pressure
- Autoregulation of cerebral blood flow
- Determinants of cerebral perfusion pressure
- Production and regulation of cerebrospinal fluid
- Regulation of ICP
- Determinants and regulation of spinal cord perfusion pressure
- Knowledge of subarachnoid hemorrhage, subdural and epidural hematoma
- Knowledge of acute conditions of the abdomen including:
- Appendicitis
- Diverticulitis
- Cholecystitis
- Pancreatitis
- Inflammatory bowel disease
- Perforated viscus (colon, duodenum, stomach)
- Acute mesenteric ischemia
- Knowledge of anatomy, physiology, and surgical pathology of thyroid and parathyroid glands
- Knowledge of advanced statistics including:
- ANOVA
- Bonferroni
- Multiple logistic regression analysis
- Sperman's correlation
- Pearson linear correlation
- Sample size determination
- Cox proportional hazard model
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Skills Objectives |
- Identify conditions requiring ventilatory support
- Select appropriate mode of ventilatory support
- Describe triggering mechanisms, specific function of each dial on the following ventilators:
- Bear 8400
- Puritan 7200
- Puritan 840™
- Select appropriate vasopressor and inotropic support for the critically ill patient.
- Treat all cardiac arrhythmias
- Assign risk for perioperative cardiac complications using Goldman, Detsky, Eagle, Vanzetto's and other prognostic models
- Perform under supervision and first assist on:
- Laparoscopic cholecystectomy
- Exploratory laparotomy
- Lysis of adhesions and small bowel resection
- Mastectomy
- Angioaccess
- Thyroidectomy and parathyroidectomy
- Perform:
- Insertion hemodialysis catheters
- Venous and arterial cutdowns
- Write a comprehensive surgical consult
- Be able to read the medical literature critically