Residency Training in General Surgery

BREAST SURGERY: Goals and Objectives

Overall Educational Goals for the Breast Rotation

1. To understand the wide spectrum of breast disease and associated treatments
2. To understand the basic diagnostic algorithms for breast abnormalities
3. To understand the treatment algorithms for breast cancer
4. To improve general operative skills as well as skills pertinent to breast surgery
5. To supervise and teach medical students on the service

Specific Responsibilities

1. To document daily progress report on all inpatients
2. To develop medical management and perioperative strategies for breast patients
3. To communicate issues with surgical attendings
4. To communicate with nursing staff regarding medical and social issues of patients
5. To participate in surgical cases, both inpatient and ambulatory cases
6. To participate in outpatient clinics for preoperative and postoperative evaluations
7. To maintain his or her personal operative log


1. To attend and participate in the weekly multidisciplinary breast conference on Fridays at 7:30 AM
2. To attend Weekly M&M, Grand rounds, and residentsí lecture on Thursday mornings
3. To attend any afternoon student lectures on breast disease


Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to:

l Communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families
l Gather essential and accurate information about their patients
l Develop and carry out patient management plans
l Prepare all discharge paper work in advance


Residents must demonstrate knowledge about established and evolving biomedical, clinical, and epidemiological sciences and the application of this knowledge to patient care. Residents are expected to:

l Demonstrate an investigatory and analytic thinking approach to clinical situations in patients with breast disease
l Know and apply the basic and clinically supportive sciences appropriate to the management of breast disease


Residents must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices. Residents are expected to:

l Analyze practice experience and perform practice-based improvement activities using a systematic methodology
l Locate, appraise, and assimilate evidence from scientific studies related to breast disease
l Obtain and use information about patients with breast disease
l Apply knowledge of study designs and statistical methods to the appraisal of breast cancer clinical trials
l Use information technology to manage information, access on-line medical information; and support their own education
l Facilitate the learning of students and other health care professionals


Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange with patients, their patients families, and professional associates. Residents are expected to:

l Create and sustain a therapeutic and ethically sound relationship with patients
l Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills
l Work effectively with others as a member or leader of a health care team or other professional group


Residents must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. Residents are expected to:

l Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society that supercedes self-interest; accountability to patients, society, and the profession; and a commitment to excellence and on-going professional development
l Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices
l Demonstrate sensitivity and responsiveness to patients' culture, age, gender, and disabilities


Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide optimal care of patients. Residents are expected to:

l Understand how their patient care and other professional practices affect other health care professionals, the health care organization, and the larger society and how these elements of the system affect their own practice
l Know how types of medical practice and delivery systems differ from one another, including methods of controlling health care costs and allocating resources
l Practice cost-effective health care and resource allocation that does not compromise quality of care
l Advocate for quality patient care and assist patients in dealing with system complexities

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