The PGY1-AP resident is expected to:
- Be assigned to the colorectal team, breast team or hepatobiliary team in order to completely fulfill the specific objectives of the rotation.
- Cover the pager of acute are surgery team when on call or if not engaged in activities with the other teams.
- Acquire knowledge and skills that will assist in preparation for the LMCC Part II exam
- Understand the medical problems related to underlying diseases that he/she will be required to diagnose.
- Enhance communication and collaboration between the pathologists and their clinical colleagues.
- Respect the CanMEDS roles as set by the Department of General Surgery and Anatomical Pathology
- Demonstrate the ability to perform a focused history and physical exam pertinent to the patient’s presenting illness.
- Present cases in a clear, concise, integrated, and problem-based manner.
- Demonstrate the appropriate diagnosis and management of patients with: appendicitis, small bowel obstruction, cholecystitis, acute abdomen/free air, diverticulitis, pancreatitis, lower GI bleed, perianal abscess, breast cancer, oesophageal cancer, gastric cancer, colon cancer, rectal cancer, liver cancer, and pancreatic cancer.
- Develop an appreciation for the role of pathology and imaging in aiding in the diagnosis of various pathologies.
- Attend the colorectal and/or breast clinic. Through clinical practice with staff and/or senior resident surgeons:
- Develop an understanding of guidelines and indications for screening for GI and breast malignancies.
- Develop an understanding of risk factors and prognostic factors for GI and breast malignancies.
- Spend sufficient time in operating room
- Participate in surgical procedures.
- Learn the basis of the surgical techniques: indications, benefits and complications.
- Identify the surgical margins on the fresh specimens.
- Learn the rules of tissue fixation.
- Participate in the frozen sections when indicated.
- Further to this, the resident should develop an understanding of the multidisciplinary approach to cancer care, including surgery, radiology, pathology, chemotherapy, and radiotherapy.
- To understand the importance for a clinician of a clear and concise pathology report.
- Establish therapeutic relationships with patients/families.
- Obtain and synthesize relevant history from patients/families/communities.
- Listen effectively.
- Discuss appropriate information with patients/families and the health care team.
- To understand the importance of a pathologist’s report in the management of patients.
- To understand the questions that a pathology report may generate and the importance of being able to communicate physician to physician for clarification.
- To understand the role of the pathology report along the continuum of patient investigations (eg breast ultrasound, mammography, biopsy, resection).
- To gain an understanding of the various laboratory requisitions that a physician must be familiar with in order to appropriately access laboratory medicine services.
- To understand the various transport media which practitioners routinely have in their offices.
- To understand the role of specimen collection and processing in the context of quality control and quality assurance (eg. importance of proper and immediate labeling of specimen when collected).
- To gain an understanding of the handling and disposal of hazardous materials within a surgery clinic.
- To identify the important determinants of health affecting patients.
- To understand the role of the physician as a health advocate, including their role to provide population screening and preventative health.
- To implement a strategy for critically appraising sources of medical information.
- To facilitate the learning of patients, staff and medical learners regarding the role of a laboratory medicine professional and available educational resources.
- To understand the value of laboratory medicine education for practitioners in regards to ancillary tests. (eg guidelines for fasting bloodwork, consider flow cytometry if lymphocytosis)
- To understand the guidelines regarding the frequency of screening tests containing a laboratory medicine component (eg. stool for fecal occult blood, pap tests, serum lipids).
- To view the clinical presentation of disease entities.
- To understand obstacles that physicians may face in obtaining sample material.
- To learn the management of various disease entities including both surgical modalities.
Updated April, 2020