An "education first" philosophy has been established by voluntary faculty and residents alike within the Carilion General Surgery Residency. As such, all residents are able to attend the following morning conferences, held at Carilion Roanoke Medical Center. The overarching guideline of the conference schedule is to deploy fundamental didactic surgical curriculum around which we will deliver a higher level curriculum via more Socratic methodologies.
BASIC SCIENCES CONFERENCES
To prepare residents for the American Board of Surgery (ABS) Qualifying examination (and, of course, the annual ABSITE examinations) a weekly chapter by chapter review of the core surgery fund of knowledge within one of the three available core general surgery textbooks (e.g. Sabiston, Schwartz or Greenfield) will be moderated by the Program Director. The material learned in that session will be later reinforced by a multiple choice examination delivered in the format of an interactive, audience response, facilitated discussion, session we call the Evidence Based Medicine Conference.
From April through August, we deliver a multifaceted curriculum that will include, but not be limited to, the following: fundamental simulation training exercises such as suturing, knot tying, laparoscopic skills enhancement; trauma team STEPPS training; virtual operating room team training; simulated surgical gesture proficiency analysis; fundamentals of surgical critical care; problem-based learning in ethical decision making; bedside ultrasound training facilitated patient management scenarios in trauma, general and vascular surgery; facilitated journal club (Selected Readings In General Surgery); and, simulated bedside procedures (thoracostomy tube, central line, intubation, etc.).
ADDITIONAL CORE CONFERENCES
Surgery Grand Rounds
Interspersed with the more traditional format of weekly Surgical Grand Rounds, given by experts in their fields, the surgery residents can expect to deliver three grand rounds during their training, each one supervised by a faculty mentor who is trained to provide insight as to the proper conduct of a formal presentation. In so doing, it is our intent to assure our graduates are given the skills needed to impart medical information to others--professionals and lay public alike.
Morbidity and Mortality Conference
A Morbidity and Mortality conference is the most important teaching conference a training program can conduct. We have specifically designed our Morbidity and Mortality conference to encourage the resident to take a proactive role in analyzing each complication. The residents will create a PowerPoint presentation which includes the following:  identification of causative factor(s);  review of the literature to determine published standards of care and/or alternative options in managing the complication; and,  definition of the extent to which the resident would alter his/her management of the complication faced with similar circumstances in the future. Each of the teaching staff is encouraged to withhold the rendering of an opinion until after the resident has completed his/her presentation. The Program Director summarizes the discussion, and provides written comments to the resident in terms of his/her intrepretation of the case.
In these sessions, attendance is encouraged from those residents who are rotating on that given specialty for which the conference is designed. These conferences represent unique opportunities to enhance one's clinical skills within the scope of that conference.
- Combined Emergency Department/Trauma conference
- Breast Treatment Planning conference
- Tumor Board (New River Valley Hospital)
- Trauma/ICU conference
- Pediatric Surgery Journal Club