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Surgery: A Competency-Based Companion Editor: Barry D. Mann, MD Contents Contents Section I: Introduction to the Competencies Section Editors: Linnea Hauge, Ph.D. Mary Ann Hopkins, M.D. Section Contents: Chapter 1 How to Study This Book Barry Mann, MD Chapter 2 Medical Knowledge: The Foundation of Patient Care Sandra Fine, Thomas McCarter, MD Chapter 3 Practice-Based Improvement Mary Ann Hopkins, MD Susan Kaiser, MD, Leo A. Gordon, MD Chapter 4 Interpersonal and Communication Skills Jane Ruddell, Esq, Stephanie Landmesser, RN, Daria Arcaro, ARCS Nicholas Lang, MD, Pamela Rowland, PhD Chapter 5 Professionalism in Surgery Joel Rosenfeld, MD, Linda L. Blank Chapter 6 The Systems-Based Competency Stephen Gordon, MBA, John Clarke, MD, Stephen Klasko, MD, MBA, Linnea Hauge, PhD, Barry D. Mann, MD Chapter 7 How to Succeed on the Surgical Clerkship: Thoughts on Expectations, Feedback, and Stress Kimberly Schenarts, PhD, Paul J. Schenarts, MD Chapter 8 The Resident as Teacher: Facilitating Student Success: Thoughts on Expectations, Feedback, and Stress Kimberly Schenarts, PhD, Paul J. Schenarts, MD Chapter 9 The Art of Oral Presentation P. J. Schenarts, M.D., Mary Ann Hopkins, MD Section I Appendix ACGME General Competencies Section II Cases in Abdominal Pain Section Editor: Christopher P. Brandt, M.D. Section Contents: Chapter 10 Radiology Tools for Abdominal Diagnosis Anton Mahne, M.D. Andrew Curtin, M.D. Harry Zegel, M.D. Chapter 11 Right Lower Quadrant Pain in a 28 Year Old Female (Case 1) Barry D. Mann, M.D. Michael Belden, M.D. Chapter 12 Right Upper Quadrant Pain in a 44 Year Old Female (Case 2) Joe Golob, M.D. Christopher P. Brandt, M.D. Chapter 13 Epigastric Pain in a 47-Year-Old Male (Case 3) Matthew Walsh, M.D. Chapter 14 Lower Left Quadrant Pain in a 67 Year Old Male (Case 4) Rebecca Evangelista, M.D. Chapter 15 Groin Mass in a 68 Year Old Male (Case 5) Ryan Hoffman, M.D. Jonathan Gefen, M.D. Chapter 16 Abdominal Pain and Diarrhea in a 43 Year Old Female (Case 6) Roy Phitayakorn, M.D. Brett Gilbert, D.O. Christopher P. Brandt, M.D. Chapter 17 ¿Free Air¿ in a 72 Year Old Female (Case 7) Karen Brasel, M.D. Chapter 18 63 Year Old Man with Abdominal Pain and Distention (Case 8) Marjie Persons, M.D. Adeline Deladisma, M.D. John Mellinger, M.D. Chapter 19 Abdominal Pain and Hypotension in a 79 Year Old Female (Case 9) Jeffrey Claridge, M.D. Professor¿s Pearls, Section II: Cases in Abdominal Pain Bruce E. Stabile, M.D. Section III: Cases in Surgical Oncology Editor: Paula Termuhlen, M.D. Section Contents Chapter 20 Abnormal Screening Mammogram in a 48 Year Old Female (Case 10) Paula M.Termuhlen, MD Chapter 21 Breast Mass in a 44 Year Old Female (Case 11) Roxane Weighall, D.O. Jennifer Sabol MD Ari Brooks, MD Chapter 22 Teaching Visual: DCIS and Breast Cancer Ari D. Brooks, MD Chapter 23 Pigmented Skin Lesion in a 58 Year-Old Female (Case 12) James Bittner MD D. Scott Lind MD Chapter 24 Dysphagia in a 62 Year Old Male (Case 13) Paul Vesco, MD Chapter 25 Thyroid Nodule in a 48-Year-Old Woman (Case 14) Mira Milas, M.D. Debeanne Tavani, DO, PhD Paula M.Termuhlen, MD Chapter 26 Hypercalcemia in a 56 Year Old Female (Case 15) Walter E. Pofahl, MD Rita El-Hajj Chapter 27 Lateral Neck Mass in a 67 Year Old Male (Case 16) James R. Ouellette, D.O. Veeraiah Siripurapu, M.D. B. Davison Smith, Jr., M.D. Chapter 28 35 Year Old Male with an Expanding Lump in the Thigh (Case 17) Robin M. Ciocca, DO Ned Z. Carp, MD Chapter 29 63 Year Old Female with Jaundice (Case 18) James R. Ouellette, DO David Schmidt, MD Chapter 30 Teaching Visual: Anatomic Relationships of the Pancreatic Head Barry D. Mann, MD Meredith Osterman, MD Chapter 31 Splenomegaly in a 40 Year Old Female (Case 19) Matthew Goldblatt, MD Clifford Pemberton, MD Professor¿s Pearls, Section III: Cases in Surgical Oncology Ari D. Brooks, MD Section IV: Cases in Vascular Surgery Section Editor: Thomas G. Lynch, MD Section Contents Chapter 32 Vascular Tools Lieno Miele, MD Alexander Uribe, MD Chapter 33 Teaching Visual: Peripheral Vascular Reconstruction Thomas G. Lynch, MD Chapter 34 Peripheral Vascular Clinic (Case 20) Thomas G. Lynch, MD Chapter 35 Vascular Clinic: Aneurysm (Case 21) G. Matthew Longo, MD Chapter 36 Cerebrovascular Clinic (Case 22) Iraklis I. Pipinos, MD Chapter 37 Vascular Clinic: Leg Swelling (Case 23) Jason M. Johanning, MD Professor¿s Pearls, Section IV: Cases in Vascular Surgery Thomas, G. Lynch, MD Section V: Cases in GI Bleeding Section Editor: Robert B. Noone, MD Section Contents Chapter 38 Radiology Tools in the Diagnosis of Gastrointestinal Hemorrhage Jack Schilling, MD Anton Mahne, MD Chapter 39 Upper GI Bleeding in a 58 Year Old Male (Case 24) Veeraiah Siripurapu, MD Robert B. Noone, MD Chapter 40 Lower GI Bleeding in a 71 Year Old Male (Case 25) Greg Guilfoyle, DO Robert B. Noone, MD Chapter 41 Ano-Rectal Pain in a 45 Year Old Male (Case 26) Catherine Schermer, MD Randall Russell, MD Professor¿s Pearls, Section V: Cases in GI Bleeding John Marks, MD Section VI: Cases in Post-Operative Care Section Editor: Peter Lalor, M.D. Section Contents Chapter 42 Chest Pain (CASE 27) Peter F. Lalor, M.D Chapter 43 Shortness of Breath (Case 28) Steve Behrens, M.D. Omar Yousef Kudsi, MD Catherine Kuntz, M.D. Chapter 44 Post-op Fever (CASE 29) Charles Shieh, M.D. Julia Bulatova, M.D. Mary Ann Hopkins, M.D. Chapter 45 Low Urine Output (CASE 30) Gregory Peck, D.O. Umber Burhan, M.D. Robert Benz, MD Chapter 46 Post-Operative Wound Complications (Case 31) Gabriel Del Corral, M.D. Larry Jonas, MD Leo A. Gordon, MD Professor Pearls, Section VI: Cases in Post-Operative Care Leo Gordon, MD Section VII: Cases in Trauma Section Editor: Amy J. Goldberg, M.D. Section Contents Chapter 47 Introduction to the Trauma Patient and Using the Primary and Secondary Surveys Amy J. Goldberg, M.D. Chapter 48 Trauma Radiology Tools Jonathan R. Hiatt, MD Michael Zucker, MD Chapter 49 Head Trauma (Case 32) Michael Weaver, M.D Darric Baty, M.D. Chapter 50 Penetrating Neck Injury (Case 33) Abhijit S. Pathak, M.D. Christine Trankiem-Ecenbarger, M.D. Chapter 51 Penetrating Chest Injury (Case 34) Amy J. Goldberg, M.D. Justin B. Hurie, M.D. Chapter 52 Blunt Chest Trauma (CASE 35) Jeffrey L Kashuk, M.D. Ben Rogoway, MD Chapter 53 Penetrating Abdominal Injury (Case 36) Mark Seamon, M.D. Brian Smith, M.D. Chapter 54 Blunt Abdominal Trauma (CASE 37) Kevin Bradley, M.D. Carlos Medina, M.D. Chapter 55 Pelvic Fracture 64 Year Old Female (CASE 38) Saqib Rehman, M.D. Professor¿s Pearls, Section VII: Cases in Trauma Jonathan R. Hiatt, MD M & M Form and Competency Self-Assessment Log Section VIII: Bariatric Surgery Section Contents Chapter 55 Teaching Visual: The Roux Y Limb Barry D. Mann, MD Chapter 56 Patient Presents for Gastric Bypass (Case 39) Lisa R. Weisfelner, M.D. Andres Casellanos, MD Section IX: Cases in Cardio-Thoracic Surgery Section Editor Francis D Ferdinand, MD Section Contents Chapter 58 Patients Present for Coronary Revascularization (CASE 40) Sharon Ben-Or, MD Francis D Ferdinand, MD Chapter 59 Teaching Visual: Coronary Bypass Sharon Ben-Or, MD Francis Sutter, DO Chapter 60 Mediastinal Mass in a 61 Year Old Male (Case 41) Doug Paull, MD Chapter 61 Solitary Pulmonary Nodule in a 58 Year Old Male (Case 42) Dennis Zagrodnik, MD Professor Pearls, Section IX: Cases in Cardio-Thoracic Surgery Scott Goldman, MD Section X: Cases in Pediatric Surgery Section Editor David A. Rogers MD Section Contents Chapter 62 Persistent Jaundice in a One-Month Infant (Case 43) David A. Rogers MD Chapter 63 Newborn Baby with a Large Abdominal Wall Defect (Case 44) Dan Poenaru MD Chapter 64 A Newborn Infant with Labored Breathing and Hypoxemia (Case 45) Andreas H Meier MD Chapter 65 Vomiting in an Infant (Case 46) Celeste Hollands MD Chapter 66 A 3-Year Old Female with a 12-Hour Onset of Abdominal Pain, Vomiting, and Fever Of 38.5oC (Case 47) Ruth Mayforth MD, PhD Chapter 67 Four Year Old Boy with a Groin Mass (Case 48) Barbara Pettit MD Chapter 68 Two-Year-Old Boy with Gastrointestinal Bleeding (Case 49) Donald Cooney MD Chapter 69 Abdominal Mass in a Four-Month Old Infant (Case 50) Douglas Katz, MD Professor¿s Pearls, Section X: Cases in Pediatric Surgery Phillip Wolfson, MD Section XI: Cases in Transplantation Section Editor: Hilary A. Sanfey, M.D. Section Contents: Chapter 70 A 45-Year-Old Man with Abnormal Liver Function Tests and a History of Heavy Alcohol Use is Referred for Liver Transplant Evaluation (Case 51) Hilary A. Sanfey, M.D. Chapter 71 A 46-Year-Old Female on Dialysis for Three Years with End Stage Renal Disease Due yo Glomerulonephritis is Referred for Kidney Transplant Evaluation (Case 52) Nicole Figueredo, M.D. Francisco Badosa, M.D. Chapter 72 A 55-Year-Old Male with a Severe Coronary Disease is Referred for Cardiac Transplant Evaluation (Case 53) Jaromir Kohout, M.D. Louis Samuels, M.D Professor¿s Pearls, Section XI: Cases in Transplantation Hilary A. Sanfey, MD Louis Samuels, MD Section XII: Critical Care Section Editor: Thomas A. Santora, M.D. Section Contents: Chapter 73 Introduction to Surgical Critical Care Thomas A. Santora, M.D. Chapter 74 Fluid and Electrolyte Disorders Jennifer L. Denne, M.D. Chapter 75 Acid-Base Balance Thomas Meyer, M.D. Chapter 76 Mechanical Ventilation Rashna F. Ginwalla, M.D Chapter 77 Shock: Principles of Management Thomas A. Santora, M.D. Dipin Gupta, M.D. Chapter 78 Coagulation and Transfusion Rohit A. Patel, M.D. Kevin Bradley, M.D. Chapter 79 Infections in the Critically Ill: Principles and Management Christina Rose, PharmD Aditi Madabhushi, M.D. Chapter 80 Nutrition Support in the ICU Sharon Del Bono RD, CNSD, LDN Julia M. Toto, MD Chapter 81 Multiple System Organ Failure Mark J. Seamon, M.D. Abhijit S. Pathak, M.D. Critical Care Exercises: Integrating the Management of the Critical Care Patient Thomas A. Santora, MD Miren A Schinco, MD Lewis J. Kaplan, MD Section XIII: The Competencies: Challenges and Patient Perspectives Section Editor: Linnea Hauge, PhD Section Contents Chapter 82 The Iraq Experiences: Do Competencies Apply in the War Zone? Paul J. Schenarts, MD Chapter 83 Potential Conflict between Patient Care and System-Based Competencies Don Jacobs MD Chapter 84 Religion and the Competencies Philip Craig Wry, MD Chapter 85 A Patient¿s Perspective Linnea S. Hauge, PhD Chapter 86 On CABGs and Competencies Barry D. Mann, M.D. Chapter 87 Business Challenges to Our Professionalism Robert E. Booth, Jr., M.D. Section XIV: Operations Section Editors: Robert D. Smink, Jr. MD Douglas S. Smink, MD, MPHE Surgical Procedures Breast Operation 1 Breast Biopsy Operation 2 Partial Mastectomy (Lumpectomy) Operation 3 Sentinel Lymph Node Biopsy Operation 4 Axillary Node Dissection Operation 5 Total (Simple) Mastectomy Neck Operation 6 Thyroidectomy Operation 7 Parathyroidectomy Operation 8 Tracheostomy General Operation 9 Open Inguinal Hernia Repair Operation 10 Laparoscopic Inguinal Hernia Repair Operation 11 Laparoscopic Ventral Hernia Repair Operation 12 Splenectomy Gastrointestinal Surgery Operation 13 Gastrectomy Operation 14 Laparoscopic Gastric Bypass Operation 15 Laparoscopic Adjustable Gastric Band Operation 16 Laparoscopic Fundoplication Operation 17 Graham Patch for Perforated Ulcer Operation 18 Oversew of Bleeding Duodenal Ulcer (Vagotomy and Pyloroplasty) Operation 19 Small Bowel Resection Operation 20 Right Colectomy Operation 21 Left Colectomy and Low Anterior Resection Operation 22 Laparoscopic Colectomy Operation 23 Colostomy and Ileostomy Operation 24 Open Appendectomy Operation 25 Laparoscopic Appendectomy Operation 26 Hemorroidectomy Hepatobiliary Operation 27 Laparoscopic Cholecystectomy Operation 28 Common bile duct exploration Operation 29 Hepatic Lobectomy Operation 30 Whipple Procedure (Pancreaticoduodenectomy) Operation 31 Distal Pancreatectomy Thoracic Operation 32 Pulmonary Lobectomy Vascular Operation 33 Endovascular Aneurysm Repair (EVAR) Operation 34 Carotid Endarterectomy Operation 35 Femoral-Popliteal Bypass Grafting Operation 36 Dialysis Access Procedures Operation 37 Insertion of Portacath
Library of Congress Subject Headings for this publication:
Surgery -- Outlines, syllabi, etc.
Surgery -- methods -- Outlines.
Surgical Procedures, Operative -- methods -- Outlines.
Competency-Based Education -- Outlines.
Internship and Residency -- Outlines.
Patient Care -- methods -- Outlines.
Physician-Patient Relations -- Outlines.