CRT Surgical Associates - NYHQ Department of Surgery

Conferences and Meetings
M&M
Morbidity and Mortality Conference is the principle teaching conference. It is held each Wednesday from 7:30 to 9:00 a.m., It is led by the Department Chairman and attended by all residents, and by the entire teaching and voluntary staffs. A radiologist is always in attendance.

The basic tenet of this conference is that the discussion of patients and their illnesses constitutes the single best contemporaneous method for the education of surgical residents. The goal is to provide an open educational forum for discussion of adverse outcomes, deaths, and interesting cases. Narrative material at this conference is prepared by the residents, with each presenter expected to define the problem, review the literature, and determine what could improve future outcomes. Senior residents are asked to make slide presentations discussing significant points of the problem at issue with reference to the appropriate literature. All complications and deaths are discussed, and all operative cases for the preceding week are listed to allow questions to be asked about them where needed.

Basic Science
The Basic Science Conference is organized by senior residents who must review textbook materials before presenting them to the juniors and administering examinations. One of the major resources for this lecture series is O'Leary's Physiologic Basis for Surgery . The residents are given a reading assignment the week before each lecture, and a written quiz is given at the completion of each chapter.

The following is a list of the basic science topics at NYHQ from the past year:
- Cell Biology ( 4 sessions)
- Growth and Development
- Nutrition and Metabolism
- Wound Healing
- Oncology ( 3 sessions)
- Surgical Infection ( 2 sessions)
- Pharmacology ( 2 sessions)
- Biostatistics
- Liver, biliary, pancreas ( 2 sessions)
- Breast ( 2 sessions)
- Cardiovascular ( 3 sessions)
- Digestive System ( 2 sessions)
- Endocrine
- Hematology (2 sessions)
- Musculoskeletal ( 2 sessions)
- Neuroscience ( 2 sessions)
- Pulmonary ( 2 sessions)
- Skin and Subcutaneous Tissue
- Urology
- Anesthesia ( 2 sessions)
- Selected Technologies

Chiefs Meeting
Chief's Rounds are held every Wednesday afternoon. This forum enables the Chairman to interact with all the surgical residents and the physician's assistants. The emphasis during these rounds is on methods for the improvement in patient assessment through a better understanding of surgical disease. Other relevant health care issues may be addressed at these meetings as well, such as the impaired physician, and the economics of surgical practice.

CQI /QA
The monthly meeting of the "Continuous Quality Improvement and Quality Assurance Committee" is run by Kenneth Rifkind, MD. Dr. Rifkind is Vice Chairman Surgery and is certified in QA and Utilization Review. All chief residents learn principles of CQI by participating in the meetings through monthly rotations.

Journal Club
The Journal Club meets once a month under the direction of Dr. Simon Fink, one of the full-time staff. Its format is designed to help the residents with critical reading, making them secure in the ability to draw from statistics, common sense, and knowledge of mammalian experiments, to decide if journal articles are valid.

Laparoscopic Conference
Laparoscopic conference is held once a month headed by our Laparoscopic Fellow in our new minimally invasive lab.

A/B Rounds
A/B rounds are held once a month, with the attendings and a resident presents a case.

B Service Rounds with Chairman
Chairman Rounds gives the residents a chance to interact with the chairman in a more informal setting. They present difficult and unusual cases, and then brainstorm to evolve an appropriate management paradigm.

B Service is a fast paced high volume general surgery service which sees everything from bread and butter general surgery such as colon resections to specialized oncology cases such as total gastrectomy and LAR/APR to advanced laparoscopic surgery such as gastric bypass, laparoscopic small bowel resection and laparoscopy colon resection.

Surgical Graduate Medical Education
The SGME was formed as an ad hoc to the hospital GME committee. The SGME meets with a resident from each PGY year as well as the program director. This is the residents forum to discuss difficulties in performing their job as well as enhancing the educational aspects of the training program. Many changes have evolved from this committee, for example: we no longer send resident for a GYN rotation, they now do an Endoscopy rotation. Items which cannot be resolved in by the SGME are brought to the institutional GME meeting which also consists of residents.

Preceptor Meetings
All residents are assigned a preceptor. They are scheduled to meet with their preceptor at least twice per academic year. If the resident or a faculty member feel this is insufficient, additional meetings are scheduled.

Trauma Conference
The New York Hospital Queens is a Level 1 New York State Trauma Center that treats over 1200 admitted adult and pediatric trauma patients yearly. Since 1984 the NYHQ Trauma Service has treated over 20,000 trauma patients with a wide variety of blunt and penetrating trauma injuries. Trauma Conference is led by Division Director, Kenneth Rifkind, MD. All surgical residents, Trauma Surgeons, Surgical Physician Assistants meet with the trauma director and the trauma coordinator at the weekly conference meeting to discuss selected cases for the preceding week. This conference meeting, also frequently attended by 911 EMS Paramedics, Critical Care Nursing and Emergency Department personnel, includes discussions on multidisciplinary treatment of the critically injured patient. Each week cases are presented by the chief or senior surgical residents and the discussion revolves around the many aspects of the initial and subsequent care of the trauma patient. All residents are assigned didactic educational presentations reflecting trauma care issues based on current literature research. On occasion, the Trauma Service will invite lecturers from specialized medical, legal and law enforcement programs addressing current medical legal issues thus enhancing the educational learning process.

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