Core Signs And Symptoms

• Acute abdominal pain and peritonitis
• Abdominal mass
• Hypotension
• Jaundice
• Cold, painful extremity
• Breast pain, lumps and nipple discharge
• Scrotal mass

Core Clinical Issues

• Preoperative assessment
• Fluids and blood products for resuscitation
• Acute care nutrition
• Hepatobiliary disease
• Breast diseases
• Colorectal cancer
• Hernia
• Arterial insufficiency
• Trauma evaluation and resuscitation
• Acute pain management
• Critical care in the OR
• Critical care in the ICU
• Basic airway management
• Regional anesthesia
• Sedation outside of the operation room
• Wound management (including burns)
• Urinary complaints

Physical Exam Skills

• Examination of the breast
• Examination of the abdomen
• Examination of the peripheral arterial and venous circulations
• Examination of the prostate gland, scrotum, and penis
• Examination of the rectum/anus

Diagnostic Tests

• Blood work
  • CBC, including platelet count
  • Clotting studies – PT/PTT, DIC panel, coagulopathy
• Radiology
  • Chest xray
  • KUB abdomen
  • Common extremity radiography
  • CT scan abdomen/pelvis
• Pathology – operative specimens
  • Fresh/frozen
  • Permanent sections

Communication

• Write an appropriate history and physical examination and SOAP note for surgical (peri-operative) patients.
• Be able to orally present concise patient history and physical exam findings to colleagues and attendings.
• Demonstrate good communication/listening skills with patients and their families.
• Communicate effectively with colleagues, consultants, and other health care professionals.
• Be able to effectively communicate medical information with patients.
• Demonstrate patient-centered communication and collaborative decision making.
• Demonstrate the ability to communicate within the electronic medical record.

Threads

• Informed consent (below)
• Integrated Adult Nutrition Topics
  • Pre-operative assessment of nutritional status
  • Post-operative nutritional care
  • Nutritional support of the critically-ill patient
  • Nutrition support for wound healing – micronutrients
  • Immuno-nutrition