PGY-3 Competencies | UAMS Department of Surgery

Patient Care

To continue to improve on techniques in patient care and management learned in previous years.
To gather and interpret essential and accurate information about the patient’s health status.
In conjunction with the most senior resident on the vascular service the resident should help in the overall responsibility for knowing the daily progress and plans of all patients on the service.

The resident should be able to perform a detailed preoperative assessment of co-morbid conditions in patients undergoing major vascular procedures to include need for cardiac evaluation, interpretation of common cardiac function test (EKG, MUGA, perfusion scans, and other stress tests) and be able to utilize this information to plan the safest procedure with appropriate monitoring.
The resident should interpret and correctly utilize vascular noninvasive tests including carotid duplex ultrasonography, and venous duplex ultrasonography.
The resident should demonstrate detailed knowledge about the angiographic anatomy of the upper and lower extremities, the abdominal aorta and its branches, the brachiocephalic vessels and their branches, the extracranial cervical arteries, and the major intracranial branches of the carotid arteries.
The resident should demonstrate detailed knowledge of critical care as it relates to recovering vascular patients. This should include correct interpretation of physiologic monitoring tests (Swan-Ganz catheters, central oxygen saturation catheters, continuous ECG monitoring, etc.). Residents at these levels should also be able to manage common problems that arise in these patients including low cardiac output, renal insufficiency, congestive heart failure, cardiac arrhythmias, coagulopathy, and acute psychoses.

To expand the fund of knowledge primarily through journals and electronic media
To lead the education of the medical students and junior residents through daily rounds and attend and present at conferences.
To lead work rounds so that diagnostic and treatment issues are identified and care tasks are initiated and completed in an appropriate and timely manner.
To provide information and resources so that the team understands the medical, surgical, and scientific basis of a patient’s condition and his or her treatment plan.
To attend all vascular related conferences and make presentations at these conferences

To demonstrate compassion and integrity through respectful patient care, family interactions, and communication with other care providers.
To conduct work rounds so that clinical information is clear and concise.
To assure that team orders and progress notes are legible, detailed, and accurate.
To provide informed opinions during consultations with other services in a prompt, thoughtful and respectful manner.
To advice patients and family members in the decision making process.

To assume a leadership role in communicating effectively with other housestaff, service attendings, other physicians, medical students, nurses and paramedical personnel.
To understand when expert medical advice is necessary.
To obtain informed consent from patients.
To demonstrate compassion and integrity through respectful patient care, family interactions and communication with other health care providers.
To present at Morbidity and Mortality Conferences.

To function as a part of the larger health team environment by respecting the opinion of others.
To present new and interesting ideas using the latest technology to provide high quality patient care and education.
To assure that priorities of care and service duties are transferred completely and responsibly on changes in duty hours.
To responsibly accept the on call care responsibilities of patients who are not in the primary service.
To assure the standardized care plans are applied and that junior residents understand the rationale behind them.
To identify problems and inefficiencies in the provision of patient care and devise means of assessing and addressing them.