Department of Surgery Conferences

 

We have developed a series of conferences that we feel best prepares residents to become the complete General Surgeon, as well as succeed on the Boards and compete competitively for Attending and Fellowship positions. Scheduled conference times are considered “protected time”. Accordingly, the operating room starts late on Mondays and there is no elective general surgery on Wednesdays, which are when we have our required conferences.

Morbidity and Mortality. Drs. Savino (Program Director) and Yelon (Associate Program Director) run the weekly M&M Conference at WMC. M&M is conducted as a primarily educational conference with structured PowerPoint presentations of selected cases and discussions with associated literature reviews. Emphasis is placed on analysis of delays in diagnosis and/or treatment, appropriateness of diagnoses and treatments, and determination of whether adverse events were preventable, possibly preventable or non-preventable. Residents have ready access to on-line literature and databases including complete use of the resources of the New York Medical College and on-line access to the “Up-to-Date” system, enabling them to prepare presentations based on the most recent evidence available in the literature. All presentations are electronically archived for later review and incorporated into resident portfolios and files.  Once a month, there is an M&M devoted solely to Trauma and Surgical Critical Care which is run by Dr Yelon.

An independent M&M Conference at St Vincent’s Medical Center in Bridgeport, CT, is conducted by Drs. Douglas Ross and Anthy Demestihas. Dr. Ross is a Head and Neck Surgeon, recently recruited from Yale University to be Chairman of Surgery at SVMC – Bridgeport. Dr. Demestihas is the Program Site Director at SVMC – Bridgeport.  Dr. Ross also organizes and runs the Medical/Surgical Conference and GI Tumor Board at SVMC – Bridgeport.  The Journal Club at SVMC is organized and run by Dr. Demestihas.

Basic Science. The goal of the Basic Science curriculum is to provide residents with an understanding and appreciation of the scientific foundation of the core elements of general surgery and the surgical subspecialties. Efforts are made to emphasize those topics identified as areas of weakness based on ABSITE results. This conference is designed to be highly interactive. In the past, we had assigned faculty surgeons or scientists to deliver each lecture, however, we found that resident learning and participation was less than optimal. Therefore, Senior Residents (PGY 3, 4, & 5) are assigned each week to work with a designated faculty surgeon to prepare the lecture for the upcoming week’s topic. Assigned faculty and other faculty in attendance at both sites present brief clinical case vignettes of relevance to the topic, highlighting associated anatomy, physiology, biochemistry, molecular biology, pharmacology and pathology. They also engage a discussion following the presentation by questioning the residents about the topic in a Socratic manner. Basic Science conference is teleconferenced to St Vincent’s Medical Center in Bridgeport, where Dr. Vincent Donnelly (Chairman Emeritus at St. Vincent’s Medical Center - Bridgeport) regularly attends and moderates the conference there. Following the presentation and discussion, Basic Science concludes with individual and/or group quizzes to reinforce learning.  Below is the 2009 – 2010 Basic Science Schedule.

2009 – 2010 Basic Science Schedule

Date

Topic

Jul. 8

Central Line Placement Course

Jul. 15

Evidence Based Surgery

Jul. 22

Pre/Post Operative Care, Fluids & Electrolytes, & Electrolyte Dysfunction/ Transfusion and Replacement therapy

Jul. 29

Fever & Hypothermia

Aug. 5

Wound Healing & Metabolic Response to Trauma

Aug. 12

Nutrition, Digestion and Absorption

Aug. 19

CNS Impairment, Seizure, Coma and Death

Aug. 26

Hematology, Homeostasis, & Thrombo-Embolic Disease

Sep. 2

Critical Care: Organ Dysfunction – Pulmonary Physiology (normal and abnormal), Respiratory Failure and Support

Sep. 9

Critical Care: Organ Dysfunction – Cardiac Physiology, Insufficiency, Failure and Support

Sep. 16

Critical Care: Organ Dysfunction – Renal Physiology, Dysfunction, Diagnosis and Management. 

Sep. 23

Anesthesia: General Anesthesiology, Sedation and Regional Anesthesiology

Sep. 30

Immune System Physiology & Dysfunction, Transplant Immunology

October 7

Head & Neck Anatomy

Oct. 14

Thyroid, Parathyroid, & Neck Mass

Oct. 21

Breast: Benign Disease, Cancer Biology & Treatment

Oct. 28

Lung Cancer & Surgical Approaches

Nov. 4

NO CONFERENCE – Annual Louis DelGeurcio Research & Lectureship Day

Nov. 11

Abdominal Wall Anatomy and Hernia

Nov. 18

Esophagus: Anatomy, Physiology, Function Testing, Tumors, Benign Disease

Nov. 25

Small Bowel: Motility Disorders, Tumors

Dec. 2

Small Bowel: Anatomy, Physiology, Gut Hormones, Benign Disease

Dec. 9

Stomach & Duodenum: Anatomy, Physiology, Benign Disease

Dec. 16

Stomach & Duodenum: Tumor Biology & Treatment

Dec. 23

HOLIDAY - NO CONFERENCE

Dec. 30

HOLIDAY - NO CONFERENCE

Jan. 6

ABSITE Review

Jan. 13

ABSITE Review

Jan. 20

ABSITE Review

Jan. 27

ABSITE Review

Feb. 3

Hepatobiliary: Anatomy & Physiology

Feb. 10

Hepatobiliary: Benign Disease

Feb. 17

Hepatobiliary: Cancers

Feb. 24

Endocrine: Adrenal, Pituitary, Endocrine Pancreas

Mar. 3

Pancreas: Anatomy, Benign Disorders, Cysts, Tumors, Surgical Management

Mar. 10

Large Bowel: Physiology, Diverticular Disease, Volvulous, Anorectal

Mar. 17

Colon, Rectum & Anus – Polyps, Cancer, Tumor Biology & Treatment

Mar. 24

Arterial, Venous and Lymphatic Physiology, PVD

Mar. 31

Vascular Disease and Surgery: Carotid & Aorta

Apr. 7

Lymphoma & Spleen – Tumor Biology and Treatment

Apr. 14

Melanoma – Tumor Biology and Treatment

Apr. 21

Sarcoma – Tumor Biology & Treatment

Apr. 28

Surgical Infection and Therapy – Bacterial, Fungal, Viral

May 5

Special Considerations – Pregnant Patient , Elderly and Pediatric Patients

May 12

Special Considerations – Diabetes & Morbid Obesity

May 19

Trauma 1 – Operative Management

May 26

Trauma 2 – Operative Management

Jun. 2

Thermal, Electrical, Chemical Injury and Burns

Jun. 9

Reproductive Physiology, Pathology and Hormonal Therapies

Resident Education Conference. This conference includes monthly sessions on Ethics, Simulation/Skills Lab, Journal Club and Formal Grand Rounds. The occasional fifth Wednesday in a month is reserved for additional special topics seminars (e.g. Fatigue and Sleep Deprivation), or for “Town Hall” meetings where we discuss the program with residents in an open forum to raise and resolve resident concerns.

Other General Surgery Conferences:

Research Conference. Organized by Dr. Yelon, this conference meets weekly to discuss new and ongoing research and quality improvement projects in the Department of Surgery.  The purpose of this meeting is to encourage and assist research projects among Faculty, Residents, Physician Assistants, Nurse Practitioners and Medical Students.  This weekly conference has lead to many presentations at national conferences and publications in peer reviewed journals.  

Tumor Board is a multidisciplinary conference run by Dr. Marcello Facciuto (Medical Director of Hepatobiliary & Pancreatic Surgery) in collaboration with faculty from Medicine, GI, Oncology and Pathology departments. This is a multidisciplinary conference with regular attendance by multiple specialists and subspecialists.

Surgical Critical Care and Trauma Resuscitation Conference.  Dr. Yelon (Associate Program Director and Chief of Trauma, Critical Care, Acute Care Surgery and Burns) runs the Surgical Critical Care and Trauma Resuscitation conferences at WMC. These conferences review individual cases, team performance and leadership.

Vascular Surgery Conference.  The Vascular Surgery Conference is organized and run by Dr. Sateesh Babu, Chief of Vascular Surgery.

Conferences at WMC are scheduled as follows:

Monday

7:30 – 9:00 a.m.

Morbidity & Mortality (M&M) Conference

 

3:00 – 4:00 p.m.

Research Conference

Tuesday

8:00 – 9:00 a.m.

Tumor Board

Wednesday

7:00 – 8:00 a.m.

GI Tumor Board

 

8:00 – 9:00 a.m.

Basic Science Conference

 

9:00 – 10:00 a.m.       

Resident Education Conference

 

12:00 – 1:00 p.m.

Surgical Critical Care and Trauma Resuscitation Conference

Friday

7:00 – 8:00 a.m.

Vascular Surgery Conference     

Conferences at SVMC Bridgeport, CT are scheduled as follows:

Monday

12:00 – 1:00 p.m.

Medical/Surgical Conference (Monthly – every 3rd Monday)

Tuesday

12:00 – 1:00 p.m.

GI Tumor Board

Wednesday

8:00 – 9:00 a.m.

Basic Science Conference (Teleconferenced)

Thursday

7:00 – 8:00 a.m.

M&M Conference (Trauma M&M every 4th Thursday)

 

12:00 – 1:00 p.m.

Journal Club

Note:  Required conferences are in bold.