Original Publication
Open Access

Critical Skills for the Senior Medical Student Entering Surgery

Published: March 15, 2013 | 10.15766/mep_2374-8265.9372

Included in this publication:

  • 1a Hypoxia Shock Metabolic Disturbances Instructor Blueprint.doc
  • 1b Hypoxia Shock Metabolic Disturbances Slides.ppt
  • 2a Arrhythmias Pacers VADs Instructor Blueprint.doc
  • 2b Arrhythmias Pacers VADs Slides.ppt
  • 2c Arrhythmias Pacer VADs LVAD pocket card.docx
  • 3a Critical Skills I Instructor Blueprint.doc
  • 3b Critical Skills Simulation I student handout.docx
  • 3c Critical Skills Simulation I Post_Op Leak Module.docx
  • 3d Critical Skills Simulation I Post_Op Bleed Module.docx
  • 3e Critical Skills Simulation I Post_Op MI Module.docx
  • 3f Critical Skills Simulation I Grading Sheet.docx
  • 4a Critical Skills II Instructor Blueprint.doc
  • 4b Critical Skills Simulation II student handout.docx
  • 4c Critical Skills Simulation II Heart Block and Tamponade Module.docx
  • 4d Critical Skills Simulation II Gastric Bypass PE Module.docx
  • 4e Critical Skills Simulation II Leak after Nissen Module.docx
  • 4f Critical Skills Simulation II Grading Sheet.docx
  • 5 Critical Skills Knowledge Test with Answer Key.doc

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

Introduction: Critical response skills focusing on the management of acute, life-threatening emergencies in postoperative patients are important topics that are not uniformly covered in medical schools. We developed a technology-enhanced course for fourth-year medical students entering surgical specialties incorporating didactics and simulation, aimed at improving surgical intern readiness for responding to life-threatening issues encountered in surgical care. Methods: This resource includes all instructor’s blueprints, PowerPoint slides, and handouts for four separate sessions. A multiple-choice knowledge test is also included as a fifth session. This resource may be used by course directors for surgery PGY-1 preparatory classes/boot camps, for independent study by individuals planning to matriculate into surgical residencies, or as a review source for those already in surgical training. Results: Learners demonstrated objective improvement in testing of cognitive skills and performance in simulated scenarios. Upon course completion, participants reported high confidence in executing skills, suggesting improved readiness for acute care of the surgical inpatient. Discussion: We feel that by augmenting intern readiness, we have heightened the safety and effectiveness of the medical care provided to our patients. While these materials were designed to meet the needs of new surgical house staff, the contents are easily generalizable to other medical specialties and would prove useful for any trainee managing hospital inpatients.


Educational Objectives

By the end of this session, learners will be able to define terminology, recognize clinical signs, and identify management and treatment strategies for common postoperative calls, including hypoxia, hypotension, shock, electrolyte disturbances, altered mental status, arrhythmias, and pacemaker dysfunction.


Author Information

  • Mara B. Antonoff, MD: University of Minnesota Medical School
  • Courtney A. Green: University of Minnesota Medical School
  • Jonathan D'Cunha, MD, PhD: University of Minnesota Medical School

Disclosures
None to report.

Funding/Support
None to report.

Prior Presentations
Antonoff MB, Shelstad R, Reihsen T, et al. A technology-enhanced curriculum for surgical interns improves readiness for acute inpatient care. Presented at: University of Minnesota Academic Health Center Best Practices Institute; May 20, 2008; Minneapolis, MN.  

Antonoff MB, Shelstad R, Reihsen T, Schmitz C, Chipman J, D’Cunha J. A novel “critical skills” curriculum for surgical interns incorporating simulation training improves readiness for acute inpatient care. The American College of Surgeons 94th Annual Clinical Congress Abstracts for the 63rd Annual Sessions of the Owen H Wangensteen Forum on Fundamental Surgical Problems. Journal of the American College of Surgeons 2008;207(3):S93. http://dx.doi.org/10.1016/j.jamcollsurg.2008.06.234

Antonoff MB, Shelstad R, Reihsen T, et al. A critical skills curriculum for surgical interns including simulation improves readiness for acute inpatient care. Presented at: Minnesota Surgical Society Fall Meeting; October 25, 2008; Alexandria, MN. 

Antonoff MB, Shelstad R, Reihsen T, et al. Preparing interns for acute surgical inpatient care: design and implementation of a novel simulation-based curriculum. Presented at: Association for Surgical Education, Surgical Education Week; April 29, 2009; Salt Lake City, UT.   

Antonoff MB, Shelstad R, Chipman JG, Schmitz CC, D’Cunha J. Development and implementation of a simulation-based critical skills course for surgical interns: lessons learned. The American College of Surgeons 95th Annual Clinical Congress Abstracts for the 64th Annual Sessions of the Owen H Wangensteen Forum on Fundamental Surgical Problems. Journal of the American College of Surgeons 2009; 209(3): S108. http://dx.doi.org/10.1016/j.jamcollsurg.2009.06.270

Chipman JG, D’Cunha J, Antonoff MB, Schmitz CC. Critical response simulations: works in progress. Presented at: 2nd Annual Meeting of the Consortium of ACS-Accredited Education Institutes; March 20, 2009; Chicago, IL.

Antonoff MB, D’Cunha J. Improving the transition to surgical internship: increased confidence and anxiety reduction through formal preparatory instruction.  Presented at: Minnesota Surgical Society, Fall Conference; October 24, 2009; Rochester, MN.

Antonoff MB, Maddaus MA, D’Cunha J. Improving the transition to surgical internship: increased confidence and anxiety reduction through formal preparatory instruction. Presented at: 5th Annual Academic Surgical Congress; February 3, 2010; San Antonio, TX.

Antonoff MB, Swanson JA, Acton RD, Chipman JG, Maddaus MA, Schmitz CC, D’Cunha J. Improving surgical intern confidence through the implementation of expanded orientation sessions. Presented at: 5th Annual Academic Surgical Congress; February 3, 2010; San Antonio, TX.

Antonoff MB, D’Cunha J. The benefit of a targeted intervention to improve the transition to surgical residency. Presented at: Association for Surgical Education, Surgical Education Week; April 24, 2010; San Antonio, TX.

Green CA, Antonoff MB, Maddaus MA, Reihsen TE, Sweet R, D’Cunha J. Development and implementation of a simulation-based critical skills course for PGY-1 surgical interns: mid-term analysis. Presented at: American College of Surgeons, Division of Education Medical Student Program; October 4, 2010; Washington, DC.

Antonoff MB, Green CA, Reihsen TE, Sweet R, Maddaus MA, D’Cunha J. A simulation-based critical skills course for surgical interns: mid-term analysis. Presented at: Association of American Medical Colleges Annual Meeting, Modernizing Medicine MedEdPORTAL Poster Session; November 6, 2010; Washington, DC.

Antonoff MB, Maddaus MA, D’Cunha J. Beyond the surgical bootcamp: evaluation of a competency-based curriculum for senior medical students entering surgical internship. Presented at: 6th Annual Academic Surgical Congress; February 3, 2011; Huntington Beach, CA.

Antonoff MB, Maddaus MA, D'Cunha J. PGY-1 preparatory curriculum design: tailoring content to the modern trainee. Presented at: Association for Surgical Education Annual Meeting; March 22, 2011; Boston, MA.

Antonoff MB, D'Cunha J. Competency-based preparation of senior medical students for surgical internship: impact upon task-specific confidence and competence. Presented at: Surgical Education Research Fellowship Forum, Association for Surgical Education Annual Meeting; March 23, 2011; Boston, MA.

Antonoff MB, D'Cunha J. Development of PGY-1 surgery preparatory course curricula: identification of key curricular components. Presented at: Association of Program Directors in Surgery Annual Meeting; March 25, 2011; Boston, MA.

Antonoff MB, Whitson BA, Green CA, Maddaus MA, D’Cunha J. Preparation of the senior medical student for integrated surgery training: significant impact of a competency-based course. Presented at: American College of Surgeons 97th Annual Clinical Congress; October 25, 2011; San Francisco, CA.

Antonoff MB, Green CA, Swanson JA, Maddaus MA, D’Cunha J. Prospective Analysis Of The 2-Year Outcomes From A Competency-Based Preparatory Course For The PGY-1 Resident: Modeling Standards For The Future. Presented at: 7th Annual Academic Surgical Congress; February 14-16, 2012; Las Vegas, NV.

Green CA, Antonoff MB, Swanson JA, D'Cunha J. Preparing Medical Students for Residency Training: 2-year Cumulative Analysis of a Model Preparatory Course. Presented at: Minnesota Surgical Society, Spring 2012 Meeting; May 4, 2012; St. Paul, MN.

Green CA, Antonoff MB, Swanson JA, D’Cunha J. Competency-based Preparation of Senior Medical Students for Residency Training: 2-year Cumulative Analysis of a Model Preparatory Course. Presented at: Association of Women Surgeons Starr Poster Session, AWS Fall Conference; September 30, 2012; Chicago, IL.



Citation

Antonoff M, Green C, D'Cunha J. Critical skills for the senior medical student entering surgery. MedEdPORTAL. 2013;9:9372. https://doi.org/10.15766/mep_2374-8265.9372