PLASTIC SURGERY RESIDENTS HANDBOOK

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2 PLASTIC SURGERY RESIDENTS HANDBOOK I. PLASTIC SURGERY REQUIREMENTS a. AACPS Post Interview Communication Guidelines b. General Competencies c. Plastic Surgery Goals & Objectives d. ACGME Required Index Case Mappings II. PLASTIC SURGERY STATISTICS a. Past Resident Fellowship b. Past Resident Current Positions c. Resident Presentations, Publications and Awards d. Faculty Awards III. IV. RESEARCH ROTATIONS a. Rotation Schedules b. Conference Schedule V. EVALUATION PROCESS a. New Innovations b. Sample Evaluations VI. SIU RESIDENT POLICIES a. Resident Fact Sheet b. Institutional Policy for Resident Duty Hours c. Plastic Surgery Policy for Resident Duty Hours d. Late Start Policy e. Closure Reduction Policy f. Impairment Policy g. Licensing Examination Policy h. Selection & Promotional Policy i. Employment Authorization Policy(Visa Status Policy) j. Vacation and Other Leaves of Absence Policy k. Delinquent Medical Record Policy l. Academic Deficiency Policy m. Due Process & Resident Complaint Policy VII. SAMPLE DOCUMENTS a. Affiliated Hospital Benefit Package & Agreements with Physician

3 PLASTIC SURGERY REQUIREMENTS AACPS Post Interview Communication Guidelines General Competencies Plastic Surgery Goals & Objectives ACGME Required Index Case Mappings

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5 Accreditation Council for Graduate Medical Education (ACGME) General Competencies Patient Care Medical Knowledge Practiced Based Learning Interpersonal & Communication Skills Professionalism System-Based Practice Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of heath. Resident must demonstrate knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social behavioral) sciences and the application of this knowledge of patient care. Residents must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices. Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their patient families, and professional associates. Residents must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. Residents must demonstrate an awareness of and responsiveness to the large context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.

6 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM - GOALS & OBJECTIVES PGY 1, 2 & 3 - GENERAL SURGERY SERVICE 1. Learn pre and post-operative care of the general surgical patient. 2. Learn about surgical problems in general related to patient management, evaluation and diagnosis, medical and surgical management 3. Learn the care of fluid and electrolytes in the surgical patient. 4. Participate actively in surgical problems 5. Develop basic surgical techniques including suturing, dissection and resection 6. Learn anatomy and pathophysiology of general surgical procedures 7. Participate in planning and selection of surgical procedures. 8. Actively participate in surgical procedures as the primary surgeon. 9. Oversee the first year residents regarding patient management; provide educational direction for those residents as well as medical students. 10. Learn advanced techniques of general surgical care and general surgical procedures including endoscopy. 11. Supervise first and second year general surgery residents and medical students. 12. Perform advanced and increasing complex general surgical procedures. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 5) Surgery Skills Lab to gain expertise prior to direct patient contact. 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 4) General Surgery Grand Rounds 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) General Surgery M & M s 4) General Surgery Grand Rounds 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations

7 Competency Sub Competency Assessment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M & M s

8 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 1, 2 & 3 - VASCULAR SURGERY SERVICE 1. Learn the pre and post-operative care of vascular surgery patients. 2. Learn the management and care of patients with vascular problems in an intensive care unit. 3. Learn the management of patients with arterial and venous problems including trauma and obstruction. 4. Participate in vascular surgical procedures. 5. Develop skills in vessel repair and dissection. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 5) 5) Surgical Skills Lab to gain expertise prior to patient contact 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) General Surgery M & M s 4) General Surgery Grand Rounds 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M & M s

9 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 1, 2 & 3 - PEDIATRIC SURGERY SERVICE 1. Learn the pre and post-operative clinical management of pediatric patients. 2. Learn the principles and management of pediatric fluids and electrolytes and homeostasis 3. Learn the anatomy and pathophysiology of the pediatric patient. 4. Develop skills in the surgical techniques utilized in pediatric patients. 5. Teach and guide medical students on the service. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan A) Technical ability, i.e. procedures B) Apply information technology to optimize patient care C) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals A) Counsel and educate patients and families B) Maintain appropriate records documenting practice activities and outcomes C) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) General Surgery M & M s 4) General Surgery Grand Rounds 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M M s

10 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM - GOALS & OBJECTIVES PGY 1, 2 & 3 - HEAD & NECK SERVICE 1. Learn the principles and techniques of basic head and neck surgery. 2. Learn and become proficient in laryngoscopy. 3. Learn to become proficient in triple endoscopy. 4. Learn the principles of medical management of head and neck cancer patients. 5. Learn to evaluate and diagnose head and neck cancer patients. 6. Participate actively in head and neck cancer surgery, particularly resection and node dissection. 7. Learn the anatomy of head and neck surgeries. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) Otolaryngology M & M s 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committee 4) Otolaryngology M & M s

11 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 1, 2 & 3 - ORAL SURGERY SERVICE 1. Learn the pre and post-operative management of patients with jaw and maxillary problems. 2. Learn the evaluation, diagnosis and management of oral surgical problems. 3. Learn the basis for the use of cephalometric analysis. 4. Participate actively in the oral surgical operative procedures. 5. Learn the anatomy and pathophysiology of oral surgical procedures. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of Cephalographics x-rays II: Medical Knowledge A) Know current medical information of maxillomandibular surgery B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) Oral Surgery M & M s 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Discuss cost effective work-up of patients with oral occlusion

12 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 1,2 & 3 - DERMATOLOGY SERVICE 1. Learn the evaluation, diagnosis and treatment of dermatologic problems. 2. Learn the principles of Mohs micrographic surgery. 3. Understand the treatment of patients with Mohs micrographic surgery and pos-operative reconstruction. 4. Recognize various types of surgical lesions and their treatment. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) Dermatology M & M s V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 3) Dermatology M & M s

13 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM - GOALS & OBJECTIVES PGY 1, 2 & 3 - TRAUMA / CRITICAL CARE SERVICE 1. Learn the principles and management of trauma patients. 2. Learn the primary and secondary initial assessment of the trauma patient. 3. Learn the principles of ventilator management. 4. Learn advanced life support skills. 5. Learn skills such as chest tube insertion and intubation. 6. Develop skills and become proficient in venous and arterial catheterization. 7. Participate in the critical care and sub-acute homeostatasis of the trauma patient. 8. Participate in surgical procedures in trauma. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) General Surgery M & M s 4) General Surgery Grand Rounds 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M & M s

14 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM - GOALS & OBJECTIVES PGY 1, 2 & 3 BURN SERVICE 1. Learn the evaluation, diagnosis and stabilization of the burned patient. 2. Learn the critical care management of burn patients. 3. Learn the management of pre and post-operative care of burn patients. 4. Participate actively in the surgical management of burn patients. 5. Evaluate burn patients in the Emergency Department and on acute admission. 6. Participate in and learn the principles of burn scar management and reconstruction. 7. Learn fluid resuscitation of burn patients. 8. Develop skills in skin grafting and burn excision. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 4) In-Service Examination 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) M & M s 4) Multidisciplinary Burn Rounds 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Multidisciplinary Burn Rounds 4) Hospital Committees 5) M & M s

15 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 1, 2, 3, 4, 5 & 6 RESEARCH SERVICE 1. Choose and organize a plastic surgery research project under the supervision and direction of a plastic surgery faculty member. 2. Progress toward completion of the project and literature search to prepare for publication. 3. Learn the principles of basic science and clinical research in plastic surgery 4. Participate in the laboratory methodology and animal handling. 5. Develop a working awareness of statistical analysis. 6. Learn guidelines for the presentation of research. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician.

16 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 1, 2 & 3 OCCULAR PLASTICS SERVICE 1. To become familiar with periorbital surgery from ophthalmologic perspective 2. Learn the assessment of periorbital pathology including post traumatic and congenital conditions. 3. Participate in aesthetic and reconstructive periorbital surgery. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) M & M s 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M & M s

17 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 1, 2 & 3 TRANSPLANT SURGERY SERVICE 1. Learn pre & post-operative care of transplant surgery patients. 2. Learn principles of immunosuppresion and management of complications related to treatment of transplant surgery. 3. Participate in transplant surgery procedures. 4. To develop skills in vessel repair and dissection. Competency Sub Competency Assessment I: Patient Care E) Develop and implement patient care plan F) Technical ability, i.e. procedures G) Apply information technology to optimize patient care H) Evaluation of diagnostic studies II: Medical Knowledge C) Know current medical information D) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement E) Communicate with other healthcare professionals F) Counsel and educate patients and families G) Maintain appropriate records documenting practice activities and outcomes H) Function as team member/leader C) Commitment to practice lifelong learning D) Analyze personal practice outcomes V: Professionalism E) Maintain high standards of ethical behavior F) Demonstrate continuity of care (pre-op, operative, post-op) G) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect H) Demonstrate honesty, dependability, and commitment VI: System Based Practice C) Practice cost-effective care without compromising quality (value) D) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) M & M s 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M & M s

18 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 5 Pediatric Plastic Surgery (1) Rotation - Children's Memorial Hospital - Chicago, IL 1. Learn the pre and post-operative evaluations of children with congenital anomalies. 2. Learn principles of cleft lip & palate surgeries. 3. Learn management of patients with a multi-disciplinary craniofacial team. 4. Teach and mentor medical students. 5. Learn the embryology, pathophysiology of children with congenital anomalies. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 4) In-Service Examination 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) M & M s 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) M & M s

19 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 1 PLASTIC SURGERY SERVICE 1. Learn the basics of wound care management and healing. 2. Participate in the care of plastic surgery patients in the trauma facility. 3. Develop eye-hand coordination appropriate for plastic surgical suture techniques. 4. Develop expertise in the management and techniques of tissue handling. 5. Learn the principles of skin grafts, flaps and tissue transfers. 6. Learn the anatomy and pathophysiology of plastic surgery procedures. 7. Learn skin pathology and surgical management Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 4) In-Service Examination 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) M & M s 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M & M s

20 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 2 PLASTIC SURGERY SERVICE 1. Learn more advanced wound care management and healing. 2. Participate in the care of plastic surgery patients in the trauma facility. 3. Develop skills in basic flap transfer. 4. Develop eye-hand coordination appropriate for plastic surgical suture techniques. 5. Develop expertise in the management and techniques of tissue handling. 6. Learn the principles of skin grafts, flaps and tissue transfers. 7. Learn principles of microsurgery. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 4) In-Service Examination 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) M & M s 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M & M s

21 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 3 PLASTIC SURGERY SERVICE 1. Learn more advanced plastic surgery procedures 2. Learn more complex management of plastic surgery patient care. 3. Supervise first and second year residents and medical students in the surgical and clinical management of patients. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 4) In-Service Examination 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) M & M s 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M & M s

22 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 4 PLASTIC SURGERY SERVICE 1. Take primary call for plastic surgery trauma with chief resident and faculty supervision. 2. Progress to more complex plastic surgical procedures including flaps, free tissue transfer and wound care. 3. Supervise PGY I, II & III year residents and medical students. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 4) In-Service Examination 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) M & M s 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M & M s

23 SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM GOALS & OBJECTIVES PGY 5 PLASTIC SURGERY SERVICE 1. Provide emergency and acute care to plastic surgery surgical patients under the supervision of the plastic surgery faculty. 2. Progress through more complex plastic surgical procedures, such as, flaps, replants, cleft lip & palate care. 3. Supervise and teach junior residents, rotating residents and medical students. 4. Prepare presentations for regional and national meetings. 5. Maintain learning in plastic surgery through reading plastic surgery journals and text, plus assigned topics to the educational program assigned by the chief administrative resident. 6. Develop graduated skills in surgical procedures to teach junior residents. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 4) In-Service Examination 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) M & M s 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M & M s

24 Administrative Resident (Six Months) SIU SCHOOL OF MEDICINE - PLASTIC SURGERY RESIDENCY PROGRAM - GOALS & OBJECTIVES PGY 6 PLASTIC SURGERY SERVICE 1. Learn patient management relating to plastic surgery. 2. Refine management and care of cosmetic surgical patients and refine surgical techniques 3. Learn and perform procedures for repair of cleft lip and palate and maxillofacial disorders. 4. Organize conferences and supervise junior residents in plastic surgery and other residents and medical students rotating on our service. 5. Organize conferences for the educational program of plastic surgery 6. Assign plastic surgery cases to best utilize patient care for resident learning commensurate with level of training. 7. Assign cases and fill in gaps in the residents' surgical experience with less common procedures. 8. Perform complex plastic surgery procedures independently. Senior Resident (Six Months) 1. Learn patient management relating to plastic surgery 2. Refine management and care of cosmetic surgical patients and refine surgical techniques 3. Learn and perform procedures for repair of cleft lip and palate and maxillofacial disorders. 4. Assist the administrative resident in the preparation of conferences, case assignments and call schedule. 5. Supervise and teach junior residents and medical students in the management of plastic surgery procedures. 6. Present at the Plastic Surgery Senior Resident Conference. 7. Perform complex plastic surgery procedures independently. Competency Sub Competency Assessment I: Patient Care A) Develop and implement patient care plan B) Technical ability, i.e. procedures C) Apply information technology to optimize patient care D) Evaluation of diagnostic studies II: Medical Knowledge A) Know current medical information B) Critically evaluate scientific information III: Interpersonal Skills & Communication IV: Practice Based Learning & Improvement A) Communicate with other healthcare professionals B) Counsel and educate patients and families C) Maintain appropriate records documenting practice activities and outcomes D) Function as team member/leader A) Commitment to practice lifelong learning B) Analyze personal practice outcomes 1) Monthly rotations with an attending physician 2) Operative Log 3) Operative and clinical supervision 4) Monthly Evaluations 1) Medical knowledge will be obtained through core conferences 2) Literature review 3) Monthly Evaluations 4) In-Service Examination 1) Faculty Evaluation will ascertain communication with the health care professionals. 2) The resident to counsel and educate patients families 3) The residents will function as team leaders and answer directly to the chief residents or to the faculty. 4) Monthly Evaluations 1) Rounds will be utilized to analyze personal practice outcomes to fulfill Practice Based Learning & Improvement competency. 2) The PSOL and clinical follow-up and literature review will be utilized. 3) M & M s

25 Competency Sub Competency Assessment V: Professionalism A) Maintain high standards of ethical behavior B) Demonstrate continuity of care (pre-op, operative, post-op) C) Sensitivity to age, gender, cultural, etc. differences in an atmosphere of mutual respect D) Demonstrate honesty, dependability, and commitment VI: System Based Practice A) Practice cost-effective care without compromising quality (value) B) Know how different practice systems operate to deliver care 1) Professionalism will be evaluated though the faculty. 2) Patient questionnaires as well as case scenarios are discussed at morning conferences. 3) These will be utilized to make sure that the residents maintain a high standard of ethical behavior, demonstrate continuity of care and are sensitive of age, gender, cultural differences in patients. 4) Monthly Evaluations 1) All residents are expected to practice cost effective care in keeping with the System Based Practice. 2) Appropriate radiographs, lab tests, other imaging studies and diagnostics will be following by the attending physician. 3) Hospital Committees 4) M s

26 ACGME PLASTIC SURGERY INDEX CASE MAPPINGS Index Category Required Required Minimum Total by Number Category Breast 40 Reduction 10 Reduction Augmentation 10 Augmentation Reconstruction 20 Reconstruction Free Tissue Reconstruction Myocutaneous Flap Reconstruction Nipple/Areolar Reconstruction Secondary Breast Procedures Reconstruction with Implant or Tissue Expander Other (Breast) 0 Gynecomastia Other (Breast) Burns 12 Operative 5 Operative Treatment Non-Operative 2 Non-operative Reconstructive 5 Reconstructive Congenital Defects of the Head and Neck 24 Cleft Lip (primary) 6 Cleft Lip Nasal Deformity Cleft Lip Repair Primary, bilateral repair Cleft Lip Repair Primary, unilateral repair Cleft Palate (primary) 6 Cleft palate Bilateral Primary Repair Cleft palate Unilateral Primary Repair Cleft Lip or Palate (secondary) 6 Cleft Lip Secondary repairs Cleft Palate Secondary repairs Other (Congenital Defects) 6 Craniomaxillofacial Major Craniofacial Reconstruction Craniomaxillofacial Mandible Craniomaxillofacial Maxilla Cysts, Sinuses, Angiomas and Hygromas Other (Congenital Defects of H&N) Otoplasty Reconstruction of Ear

27 ACGME Plastic Surgery Index Case Mappings Page 2 Cosmetic 45 Facelift 7 Brow Lift Face Lift Blepharoplasty 8 Blepharoplasty Rhinoplasty 6 Rhinoplasty Body Contouring: Abdominoplasty 5 Abdominoplasty: Contouring Body Contouring: Suction Lipectomy 10 Suction Lipectomy Other (Cosmetic) 9 Other (Cosmetic) Skin Resurfacing Head and Neck Trauma 30 Nasal Fractures 3 Facial Bone Fractures Frontal Sinus/Nasoethmoid Facial Bone Fractures Nasal Mandibular Fracture 4 Facial Bone Fractures Mandible Alveolar Ridge Facial Laceration 5 Soft Tissue Acute Repair Zygomatic, Orbital Fractures 6 Facial Bone Fractures Zygomatic Orbit Maxillary Fractures 3 Facial Bone Fractures Maxillary / Mid-face Other (Facial Trauma) 9 Eyelid Facial Nerve Soft Tissue Lymph Node Resection Soft Tissue Scar Revision (including Dermabrasion) Soft Tissue Revision or Reconstruction Eyelid Soft Tissue Revision or Reconstruction Grafts Head and Neck Neoplasms 15 Other (Head & Neck Neoplasms) 15 Other (Head & Neck Neoplasms) Reconstruction Eyelid Reconstruction Flap, Multiple Tissue Reconstruction Flap, Skin Reconstruction Free Tissue Transfer Reconstruction - Nose Resection Antral / Orbital Resection Endoscopy Resection Lip Resection Lymph Node Resection Resection Oropharyngeal Resection Other (Exclude Skin Cancer) Resection Salivary

28 ACGME Plastic Surgery Index Case Mappings Page 3 Upper Extremity 115 Skin Repair 10 Skin Repair Fingertip Injury 5 Fingertip Injuries and Reconstruction Tendon, Flexor 15 Tendon Repair Extensor Tendon Repair Flexor Tendon Repair Tendon Transfer Nerve Repair 5 Nerve Repair Nerve Repair Major Fracture / Dislocation 15 Fractures and Dislocations Release Contracture, Joint & Tendon 5 Contracture Release Amputation 5 Amputation Dupuytren s 2 Dupuytren s Nerve Decompression 5 Decompression (Nerves) Other (Hand) 48 Arterial Repair Digital Congenital Other (Upper Extremity) Replant, Revascularization, Free Transfer Tumors Benign Tumors Malignant Lower Extremity 20 Flap 10 Flap Other (Lower Extremity) 10 Other (lower extremity) Skin and Soft Tissue Neoplasm 30 Malignant 20 Malignant Non-malignant 10 Benign Trunk Genitalia 25 Pressure sore, flap 5 Pressure sore Debridement Pressure sore Direct Repair Thoracic or abdominal flaps 10 Thoracic Abdominal Defects Debridement Thoracic Abdominal Defects Repair, Direct Thoracic Abdominal Defects Repair, Flap

29 Other (Trunk) 10 Hidradenitis Male / Female Genitalia Hypospadias Male / Female Genitalia Other Male / Female Genitalia Penile Replantation and Re Male / Female Genitalia Repair, flap ACGME Plastic Surgery Index Case Mappings Page 4 Methods Groups 0 Free Tissue Transfer 10 Laser 5 Flap 40 Graft, Bone 2 Graft, Skin 10 Graft, Other 3 Implant 5 Tissue Expansion 5 Total required number of procedures for entire program is 900. The technique groups will be doubled counted, i.e. in the total number of operative procedures listed above the technique group section and in the technique group section, to ensure that these additional technical skills required of the plastic surgeon have been documented.

30 PLASTIC SURGERY STATISTICS Past Resident Fellowships Past Resident Current Positions Faculty Awards Resident Presentations, Publications & Awards

31 SIU School of Medicine Plastic Surgery Resident Post-Training Fellowships Year Graduated Resident Name Fellowship Location 1998 Samira Bayati, MD Hand Loma Linda University Loma Linda, CA 2002 Nicole Z. Sommer, MD Breast/Aesthetic The Plastic Surgery Center Nashville, TN 2003 Reuben Bueno, MD Hand Ortho Hospital for Special Surgery New York, NY 2003 Reuben Bueno, MD Pediatric Plastic Surgery Hospital for Sick Children Toronto, Canada 2008 Minh-Doan Nguyen, MD Aesthetic/Breast Beth Israel Deaconess/Harvard Medical Boston, MA 2009 Damon Cooney, MD Microsurgery University of Pittsburgh Pittsburgh, PA 2009 David Megee, MD Hand Washington University St. Louis, MO 2010 Nada Berry, MD Hand Mayo Clinic Rochester, MN 2010 Brooke French, MD Craniofacial Hospital for Sick Children Toronto, Canada 2012 Erika Henkelman, MD Pediatric Plastic Surgery Hospital for Sick Children Toronto, Canada 2014 Brian Derby, MD Aesthetic & Oculoplastic 2014 Brian Derby, MD Aesthetic Surgery Mark Codner Plastic Surgery Atlanta, GA Grotting Plastic Surgery Birmingham, AL

32 SIU School of Medicine Plastic Surgery Residency Graduates Year Graduated Resident Name Type of Practice Current Location 1997 Melinda Haws, MD Group Nashville, TN Joel Williams, MD Group Dalton, GA 1998 Semira Bayati, MD Group Newport Beach, CA Evan Manolis, MD Private Chicago, IL 1999 Michael Smock, MD Group St. Louis, MO Sean Lille, MD Private Scottsdale, AZ 2000 Brent Rubis, MD Group Tulsa, OK Todd Williams, MD Group Farmington, NM 2001 Allan Parungao, MD Private Chicago, IL 2002 Marcos Ortega, MD Private Pensacola, FL Charles Chalekson, MD Group Torrence, CA Nicole Z. Sommer, MD Academic Springfield, IL 2003 Reuben Bueno, MD Academic Springfield, IL Tammy Wu, MD Private Modesto, CA 2004 Ryan Naffziger, MD Group Durango, CO Arian Mowlavi, MD Private Laguna Beach, CA 2005 Kosta Lekkas, MD Group Des Moines, IA Garth Meldrum, MD Private Eugene, OR 2006 John Houle, MD Group St. Cloud, MN Paige Cornette, MD Group Bloomington, IL 2007 Brad Medling, MD Group Murfreesboro, TN Jessica Gillespie, MD Private Indianapolis, IN 2008 Minh-Doan Nguyen, MD Academic Cincinnati, OH Pradeep Mohan, MD Private Abilene, TX 2009 Damon Cooney, MD Academic Baltimore, MD David Megee, MD Academic Cincinnati, OH

33 SIU School of Medicine Plastic Surgery Residency Graduates Year Graduated Resident Name Type of Practice Current Location 2010 Nada Berry, MD Academic Springfield, IL Brooke French, MD Academic Denver, CO 2011 Ryan Diederich, MD Private Edwardsville, IL Margo Herron, MD Private Ashland, OR 2012 Erika Henkelman, MD Joel Wietfeldt, MD Fellowship Private Toronto, Canada Springfield, IL

34 SIU School of Medicine Plastic Surgery Faculty Awards Teaching Outstanding Scholar 2011 Michael W. Neumeister, MD Excellence in Teaching 2001 Elvin G. Zook, MD Excellence in Teaching of Residents 2003 Michael W. Neumeister, MD Elvin G. Zook, MD 2004 Michael W. Neumeister, MD 2005 Michael W. Neumeister, MD Elvin G. Zook, MD 2006 Michael W. Neumeister, MD Elvin G. Zook, MD 2007 Michael W. Neumeister, MD 2008 Michael W. Neumeister, MD Elvin G. Zook, MD Reuben A. Bueno, MD 2009 Michael W. Neumeister, MD Elvin G. Zook, MD Reuben A. Bueno, MD Robert C. Russell, MD 2010 Michael W. Neumeister, MD Elvin G. Zook, MD Nicole Z. Sommer Reuben A. Bueno, MD Robert C. Russell, MD

35 SIU School of Medicine Plastic Surgery Faculty Awards Excellence in Teaching of Residents (cont d) 2011 Michael W. Neumeister, MD Reuben A. Bueno, MD 2012 Nada Berry, MD Michael W. Neumeister, MD Excellence in Teaching of Medical Students 2003 Elvin G. Zook, MD 2004 Elvin G. Zook, MD Nicole Z. Sommer, MD 2005 Michael W. Neumeister, MD 2006 Elvin G. Zook, MD 2007 Elvin G. Zook, MD Reuben A. Bueno, MD 2008 Elvin G. Zook, MD Michael W. Neumeister, MD 2009 Elvin G. Zook, MD 2010 Elvin G. Zook, MD 2012 Nada Berry, MD Michael W. Neumeister, MD Faculty Teacher of the Year for Residents 2004 Elvin G. Zook, MD 2005 Michael W. Neumeister, MD 2009 Reuben A. Bueno, MD Faculty Teacher of the Year of Medical Students 2008 Michael W. Neumeister, MD

36 SIU School of Medicine Plastic Surgery Faculty Awards Student Teaching of the Year Award 2004 Nicole Z. Sommer, MD 2 nd Annual Faculty Teaching Award 2006 Michael W. Neumeister, MD Research Outstanding Researcher Award 2002 Michael W. Neumeister, MD Research Mentor of the Year 2003 Michael W. Neumeister, MD 2004 Michael W. Neumeister, MD 2005 Michael W. Neumeister, MD Junior Faculty Researcher of the Year 2007 Reuben A. Bueno, MD Senior Faculty Researcher of the Year 2008 Michael W. Neumeister, MD Clinical Excellence Excellence in Clinical Practice 2005 Nicole Z. Sommer, MD 2006 Nicole Z. Sommer, MD Michael W. Neumeister, MD Elvin G. Zook, MD 2007 Reuben A. Bueno, MD

37 RESIDENT PRESENTATIONS, PUBLICATIONS & AWARDS Podium Presentations ASPS Denver, CO September 2011 Cocaine-Induced Full Thickness Skin Necrosis Presented by: Ashley Amalfi, MD AAHS/ASPN/ASRM Red Rock Resort Las Vegas, NV January 2012 Cocaine Induced Full Thickness Skin Necrosis of the Upper Extremities Presented by: Ashley Amalfi, MD Sr Resident Conference Tampa, FL January 2012 The Optimal Buffering of Local Anesthetics with Sodium Bicarbonate Presented by: Erika Henkelman, MD Cocaine Induced Full Thickness Skin Necrosis of the Upper Extremities Presented by: Joel Wietfeldt, MD 51 st Annual Midwest Association of Plastic Surgeons (MAPS) Chicago, IL April 2012 Adipose-derived Stem Cell to Skin Stem Cell Transdifferentiation: A Mechanism to Improve Understanding of Fat Grafts Skin Regenerative Potential Presented by: Brian Derby, MD AWARD: 1 st Place Basic Science ($500) A Side-to-Side Nerve Bridge Preserves Muscle Viability Following Peripheral Nerve Injury Shaun D. Mendenhall, MD; Jared W. Garlick, BS; Jill Shea, PhD; Linh A. Moran, BS; Mohamed E. Salama, MD; Jayant P. Agarwal, MD Presented by: Shaun Mendenhall, MD AWARD: 2 nd Place Basic Science ($250) Retrospective Review of Octogenarian Burn Patient Mortality Presented by: Cedar Helen Malone, MD AWARD: 1 st Place Clinical Research ($500) Cocaine Induced Full Thickness Tissue Necrosis Presented by: Ashley Amalfi, MD Multidrug-Resistant Acinetobacter in a Burn Intensive Care Unit: Epidemiology, Progression, and Containment Protocol Presented by: Megan Henderson, MD

38 Podium Presentations cont. Herpes Simplex Virus Type 1 Infection in Burn Patients Presented by: Kelli Webb, MD Patient Satisfaction with 3D Imaging Technology in Cosmetic Breast Augmentation: A Pilot Study Presented by: Cedar Helen Malone, MD 11 th Annual Department of Surgery Resident Research Day April 2012 Adipose-derived Stem Cell to Skin Stem Cell Transdifferentiation: A Mechanism to Improve Understanding of Fat Grafts Skin Regenerative Potential Presented by: Brian Derby, MD AWARD: 1st Place Basic Science ($500) A Side-to-Side Nerve Bridge Preserves Muscle Viability Following Peripheral Nerve Injury Shaun D. Mendenhall, MD; Jared W. Garlick, BS; Jill Shea, PhD; Linh A. Moran, BS; Mohamed E. Salama, MD; Jayant P. Agarwal, MD research conducted at Univ of Utah Presented by: Shaun Mendenhall, MD AWARD: 2 nd Place Basic Science ($250) Pressure Characteristics of Hospital and Non-Hospital Mattresses Presented by: Erika Henkelman, MD AWARD: 1 st Place Clinical Research ($500) Retrospective Review of Octogenarian Burn Patient Mortality Presented by: C. Helen Malone, MD AWARD: 2 nd Place Clinical Research ($250) The Optimal Buffering of Local Anesthetics with Sodium Bicarbonate Presented by: Erika Henkelman, MD Integra Application on Exposed Bone with Fibrin: An Animal Model Presented by: Theresa Hegge, MD SIU-SOM 22 st Annual Trainee Research Symposium April 2012 Integra Application on Exposed Bone with Fibrin: An Animal Model Presented by: Theresa Hegge, MD, MPH AWARD: 2 nd Place Illinois Society of Plastic Surgeons (Sr Resident Paper Presentation & Competition) Chicago, IL June 2012 Pressure Characteristics of Hospital and Non-Hospital Mattresses Presented by: Erika Henkelman, MD AWARD: 2 nd Place Overall ($200)

39 Podium Presentations cont. American Burn Association Annual Meeting Seattle, WA April 2012 Herpes Simplex Virus Type 1 Infection in Burn Patients Presented by: Kelli Webb, MD Aesthetic Meeting Vancouver, Canada May 2012 Skin Regenerative Potential of ADSC s in An In-Vivo Nude Mouse Model Presetnted by: Brian Derby, MD PSRC Ann Arbor, MI June 2012 Retrospective Review of Octogenarian Burn Patient Mortality Presented by: Cedar Helen Malone, MD Herpes Simplex Virus Type 1 Infection in Burn Patients Presented by: Shaun Mendenhall, MD for Kelli Webb, MD Publications Book chapters Neumeister MW, Zook EG, Sommer NZ, Hegge TA. Nail and Fingertip Reconstruction Plastic Surgery Third Edition Neligan Chang Chapter 6:Section 2:Volume 6 pp Elsevier 2012 Research Awards 51 st Annual Midwest Association of Plastic Surgeons (MAPS) Chicago, IL April 2012 Derby -- 1 st Place Basic Science ($500) Mendenhall -- 2 nd Place Basic Science ($250) Malone -- 1 st Place Clinical Research ($500) 11 th Annual Department of Surgery Resident Research Day April 2012 Derby -- 1st Place Basic Science ($500) Mendenhall -- 2 nd Place Basic Science ($250) Henkelman -- 1 st Place Clinical Research ($500) Malone -- 2 nd Place Clinical Research ($250) SIU-SOM 22 st Annual Trainee Research Symposium April 2012 Hegge -- 2 nd Place ($250) Illinois Society of Plastic Surgeons (Sr Resident Paper Presentation & Competition) Chicago, IL June 2012 Henkelman -- 2 nd Place Overall ($200)

40 Resident Teaching Awards SIU-SOM Resident Excellence in Teaching Award for Medical Student Teaching Brian Derby, MD Theresa Hegge, MD Shaun Mendenhall, MD Kelli Webb, MD SIU- SOM Resident Teacher of the Year for the Medical Students Kelli Webb, MD

41 RESEARCH

42 Plastic Surgery Resident Research Experience Research experience with dedicated time in the lab is an integral part of our training program. There are multiple on-going projects that residents can get involved with, from basic science projects to clinical trials to retrospective reviews. Residents also have the opportunity to design and complete new projects if they wish. During the PGY-2 year, residents spend 1 month on research, gathering information for potential projects and applying for a Department of Surgery research grant. During the PGY-3 year, residents have 3 continuous months to complete their project. Presentation of their research is done at local, regional, or national meetings. Presentation at a regional or national meeting and publication in a peer-reviewed journal or textbook is a requirement for graduation from the training program.

43 Research Personnel Michael W. Neumeister, MD Vice Chair of Research Department of Surgery Hui Dai, MD, PhD Assistant Professor of Research Mai Yang, MD, PhD Research Associate Lisa Cox Researcher III Carrie Harrison Researcher III Joel Reichensperger Researcher II Jenny Koechle Clinical Research Specialist Urooj Imtiaz Clinical Data Analyst

44 Resident Research Projects BASIC SICENCE RESEARCH Contribution of EGR-1 Skeletal Muscle Ischemia-Reperfusion Injury 2004 Will Buried De-epithelialized Dermal Flap Lose Its Re-epithelialization Potential Over Time 2005 The Therapeutic Dose and Dose-Response Curve for Botulinum Toxin Type A For the Induction of Vasodilatation 2006 The Therapeutic Dose & Dose Response Curve for Botulinum 2006 Induction Tolerance in Rat Hindlimb Allotransplantation 2007 Modulation of Adult Derived Stem Cells by Notch Signaling 2007 The Use of Rapamycin to Reduce the Severity of Breast Capsular Contracture Formation after Augmentation Mammoplasty: A Rat Model 2007 Chemokines CCL2 and CCL22 Induction of Treg Migration 2008 Evaluation of Peripheral Nerve Regeneration Using Dorsal Root Ganglia and Adult Adipose Stem Cells with a PGA Conduit 2008 Microsurgical Education: Using Rat Hindlimb Transplantation to Improve Resident Microsurgical Competency 2009 Directing T Regulatory Cell Migration Based on Regional Lymph Nodes 2009 Early Growth Response Factor-1 (EGR-1) Expression in a Rabbit Flexor Tendon Scar Model 2009 Is Nerve Growth within a Conduit Enhanced by the Presence of Adipocyte Derived Stem Cells? 2009 Integra Application on Denuded Tendon in an Animal Model 2009 Tissue Engineered Skin for Upper Extremity Wounds 2010 Skin Regenerative Potential of Adipose Derived Stem Cells (ADSCs) in an In Vivo Nude Mouse model 2010 HBO Hindlimb Transplants in Rats 2010 To Evaluate the Role of Botox in the Treatment and Prevention of Painful Neuromas 2012 Knotless Hand Flexor Tendon Repair: Reducing Friction Could Improve Outcomes 2012

45 BASIC SICENCE RESEARCH (cont d) The Salvageable Time Window for Ischemic Postconditioning on Skeletal Muscle 2012 Ischemia Reperfusion Injury Model The Role of Botulinum Toxin in Nerve Injury 2012 A Microbiologic Comparison of Acellular Dermal Matrices as an Aseptic Reconstructive Material and a Scaffold for Stem Cell In- growth 2012 CLINICAL RESEARCH The Effective Methods for Teaching Microsurgical Skills 2005 The Effect of Resection of the Dorsal Lip of the Radius Row 2006 Anatomical Relationships in the Human Palm During Endoscopic Carpal Tunnel Surgery 2007 Anatomical Landmarks for the Nerve Branch in the Master Muscle in Facial Reanimation 2007 Correlation of Scratch Collapse Test with Electromyography and Nerve Conduction Study in Evaluation of Upper Extremity Nerve Compression Syndromes 2008 Uses, Safety, and Efficacy of Local Anesthetics for the Treatment of Pain Associated with Botox Injection 2009 Patient Outcomes after Hand Fractures 2010 Therapeutic Use of Botulinum Toxin Type A to Treat Ischemia and Pain 2010 Related to Raynaud s Phenomenon Use of 3-Dimensional Ultrasound in the Evaluation of Flexor Tendon Injuries 2011 Prospective, Randomized, Double Blind Placebo controlled Crossover Clinical Trial of Botulinum Toxin A for Neuroma 2011 Patient Satisfaction with 3D Imaging Technology in Cosmetic Breast Augmentation: A Pilot Study 2011 Simple Nailbed Lacerations - Are Functional and Cosmetic Outcomes of Surgical Repair Equivalent to Observation Alone? 2011 Incidence of Herpes Simplex Virus in Burn Patients 2011 Review of Octogenarian Burn Patient Mortality 2012

46 Resident Grants Resident Grant Title Funding Source Amount Funding Year(s) Josh Hammel Knotless Hand Flexor Tendon Repair: Reducing Friction Could Improve Outcomes SIU Surgery Grant $2,500 07/ /2013 Brian Derby Brian Derby Megan Henderson Kelli Webb Natasha Luckey Simple Nailbed Lacerations -- Are Functional Cosmetic Outcomes of Surgical Repair Equivalent to Observation Alone? The Salvageable Time Window for Ischemic Postconditioning on Skeletal Muscle Ischemia Reperfusion Injury Model The Role of BotulinumToxin in Nerve Injury A Two-Part Study of Botulinum Toxin Type A Therapy for Raynaud's Phenomenon Tissue Engineered Skin for Extremity Wounds SIU Surgery Grant $2,500 07/ /2013 SIU Surgery Grant $2,500 07/ /2013 SIU Surgery Grant $2,500 07/ /2013 American Foundation for Surgery of the Hand $20,000 08/ /2012 SIU Surgery Grant $2,500 02/ /2011 Theresa Hegge 3-D Ultrasound/Flexor Tendo Memorial Medical Center Foundation Kelli Webb Best Practices Hand Fractures Memorial Medical Center Foundation $10,150 02/ /2011 $63,307 02/ /2011 Kelli Webb Therapeutic Use of Botulinum Toxin Type A to Treat Ischemia and Pain Related to Raynaud s Phenomenon Memorial Medical Center Foundation $48,300 2/2010-2/2011 Theresa Hegge Integra Application to Exposed Bone: An Animal Model Memorial Medical Center Foundation $10,630 2/2010-2/2011 Natasha Luckey Tissue Engineered Skin for Upper Extremity Wounds American Association for Hand Surgery (AAHS) $5,000 1/2010-1/2011 Brian Derby Early Growth Response Factor-1 (EGR- 1): Expression in a Rabbit Flexor Tendon SIU Dept. of Surgery $2,500 12/ /2010

47 Resident Grant Title Funding Source Amount Funding Year(s) Damon Cooney Microsurgical Education: Using an Animal Microsurgery Teaching Protocol to Improve Resident Microsurgical Competency SIU Dept. of Surgery $2,500 12/ /2010 Damon Cooney Damon Cooney Induction of Immune Tolerance in a Rat Model of Composite Tissue Allograft Transplantation Microsurgical Education: Using an Animal Microsurgery Teaching Protocol to Improve Resident and Medical Sudent Microsurgical Competency EAM (Excellence in Academic Medicine, SIU SOM Memorial Medical Center Foundation $40,000 12/ /2010 $22,069 2/2009-1/2010 Brian Derby Early Growth Response Factor-1 (EGR- 1): Expression in a Rabbit Flexor Tendon Plastic Surgery Education Foundation (PSEF) $10,000 8/2009-7/2010 Brooke French, Theresa Hegge The VECTRA Volumetric 3D Surface Imaging System: Improving Patient Outcomes by Bridging the Communication Gap between Patients and Surgeons Memorial Medical Center Foundation $37,000 8/2009-7/2010 Theresa Hegge Ryan Diederich Using the Nintendo Wii TM to Improve Recovery and Compliance in Hand Therapy Integra Application on Denuded Tendon in an Animal Model Memorial Medical Center Foundation Memorial Medical Center Foundation $3,209 8/2009-7/2010 $10,833 4/ Joel Wietfeldt Is Nerve Growth within a Conduit Enhanced by the Presence of Adipocyte Derived Stem Cells? SIU Dept. of Surgery $2,500 12/ /2009 Damon Cooney Induction of Immune Tolerance in Rat Hindlimb Allotransplantation by Over Expression of IL-10 and TGF-beta within the Transplant Graft American Association for Hand Surgery $5,000 2/2008-1/2009 Damon Cooney Hindlimb Allograft Immune Tolerance Induced by IL-10/TGF-beta Memorial Medical Center Foundation $22,433 8/2007-8/2008 Damon Cooney Hindlimb Allograft Immune Tolerance Induced by IL-10/TGF-beta Plastic Surgery Education Foundation (PSEF) $4,000 11/ /2008

48 Resident Grant Title Funding Source Amount Funding Year(s) Damon Cooney Hindlimb Allograft Immune Tolerance Induced by IL-10/TGF-beta SIU Dept. of Surgery $2, Brad Medling The Effect of Activated Protein C on Ischemia-Reperfusion Injury Memorial Medical Center Foundation $18,749 2/2006-2/2007

49 ROTATIONS Resident Rotation Curriculum Plastic Surgery Rotation Schedule Plastic Surgery Monthly Conference Schedule

50 CHANGES IN PLASTIC SURGERY RESIDENT CURRICULUM (PGY-1 to PGY-3) PGY-1 Rotation Months Gen Surgery 5 Vascular 1 Plastic Surgery 2 Burn 2 Orthopedic Trauma 1 Oculoplastic 1 PGY-2 Rotation Months Gen Surgery 2 Vascular 2 Plastic Surgery 2 Burn 2 Oral Surgery 1 Ortho Hand 1 Research 1 Head and Neck 1 PGY-3 1st six months of the year: Rotation Months Vascular 1 Pediatric Surgery 2 Head and Neck 2 Dermatology 1 2 nd six months of the year: Plastic Surgery/Burn 2 Oculoplastic 1 Research 3

51 PLASTIC SURGERY RESIDENT ROTATION SIU SCHOOL OF MEDICINE JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUNE Chief Resident DERBY LUCKEY DERBY LUCKEY DERBY LUCKEY DERBY LUCKEY DERBY LUCKEY DERBY LUCKEY DERBY #5593 BERRY MWN BERRY BUENO MWN RUSSELL SOMMER BERRY SOMMER MWN SOMMER MWN LUCKEY #5594 MWN SOMMER MWN BERRY BUENO SOMMER BERRY RUSSELL BERRY SOMMER MWN SOMMER SHUHATOVICH #1316 HAND HAND HAND HAND HAND HAND HAND HAND HAND HAND HAND HAND PGY -5 HEGGE #5647 BUENO RCR/CMH CMH MWN BERRY BERRY MWN SOMMER RUSSELL BUENO RUSSELL NIGHTS WEBB #5648 SOMMER BERRY BABY RUSSELL SOMMER BUENO RUSSELL MWN BUENO NIGHTS BERRY BERRY PGY-4 AMALFI #4908 NIGHTS BUENO SOMMER BERRY RUSSELL MWN PLS BUENO PLS BERRY BUENO RUSSELL MALONE #4909 CMH CHM/RCR BUENO SOMMER PLS PLS BUENO PLS MWN RUSSELL NIGHTS BUENO PGY-3 HENDERSON #6087 ENT BURN NIGHTS ENT PEDS # PEDS # RESEARCH RESEARCH RESEARCH VASC DERM OCULOPLS MACIOLEK #6096 OCULOPLS NIGHTS RUSSELL DERM RESEARCH RESEARCH RESEARCH VASC VASC * PEDS # ENT ENT PGY-2 HAMMEL #6594 BURN/PLS ORAL SIU VASC * SIU BURN/PLS BURN/PLS VASC VASC RESEARCH STJ BURN/PLS MENDENHALL #6618 ORAL STJ BURN/PLS RESEARCH PEDS # STJ VASC BURN/PLS BURN/PLS VASC BURN/PLS SIU PGY-1 SCHMUCKER #5450 PLS ORTHOTR VASC STJ TRAUMA BURN OCULOPLS VASC BURN SIU/TXP PLS STJ SNIDER #5451 ORTHOTR PLS TRAUMA SIU/TXP BURN STJ VASC OCULOPLS SIU BURN SIU PLS Rotating Residents QUERY-ENT # 5438 PLS TIEU, C.-ENT # 5439 PLS ILLINGWORTH-ORTH #5437 BURN LEWIS-ORTHO # 1331 BURN PATTON-ORTHO # 1332 BURN SULAVER-URO # 5484 PLS TIEU, T-URO # 5485 PLS KOCH-VASC # 6613 PLS CMH Childrens Memorial Hospital MWN Neumeister SIU SIU General Surgery CRS Colal Rectal Surgery RCR Russell SPC Springfield Clinic GS General Surgery STJ St John s General Surgery 10/19/2012

52 SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY Plastic Surgery Monthly Conference Schedule 06:30A Core Resident Conference 06:30A MMC/SJH Hospital Faculty Meeting 06:30A Dr Zook's Board Review Conference 06:30A Pla/Ortho Combined Hand Conference 06:30A Photo Conference 06:30A Core Resident Conference 06:30A Dr Zook's Board Review Conference 06:30A Core Resident Conference 06:30A Photo Conference 06:30A Core Resident Conference 06:30A Division of Plastic Surgery Faculty Meeting 06:30A Dr Zook's Board Review Conference 06:30A Pla/Ortho Combined Hand Conference 06:30A Photo Conference 06:30A Core Resident Conference 06:30A Dr Zook's Board Review Conference 06:30A Core Resident Conference 06:30A Photo Conference Jr. Blues PGY 1-3's try to meet weekly with Dr. Neumeister to discuss requested topics. Topics are commonly those that are covered in Core Curriculum Conferences.

53 EVALUATION PROCESS New Innovations Sample Evaluations

54 PLASTIC SURGERY EVALUATION PROCESS New Innovations Residency Management System New Innovations is an internet-based residency management system adopted by SIU School of Medicine. It facilitates scheduling, attendance taking, faculty evaluation of residents, rotation evaluations, and resident s evaluation of faculty. At the end of each month the faculty will be asked to evaluate each resident that rotated through their service. If you did not work with a particular faculty member listed for you to evaluate they will select *NET (not enough time) box. All evaluations, including narrative comments will be strictly confidential. You can access your own evaluations through New Innovations and your Advisor will have access to your evaluations as well. Patients and paramedical staff will be asked to evaluate the residents on a quarterly basis. The Residency Program and staff will be evaluated by the residents and faculty on a semi-annual basis. This is a requirement of the ACGME and RRC and will help the program make appropriate changes to meet the needs of the residents.

55 SIU SCHOOL OF MEDICINE SEMI ANNUAL RESIDENT EVALUATION MEETING SUMMARY OF PERFORMANCE PHOTO HERE NAME: PGY LEVEL: DATE: MEDICAL SCHOOL: AOA: YES NO AREA OF INTEREST: CORE COMPETENCY EVALUATION: MEETS EXPECTATIONS SERIOUS PROBLEM 1) PATIENT CARE 2) MEDICAL KNOWLEDGE 3) PRACTICE-BASED LEARNING 4) INTERPERSONAL & COMMUNICATION 5) PROFESSIONALISM 6) SYSTEM-BASED PRACTICE CONFERENCE ATTENDANCE CATEGORY Plastic Surgery Core Conference Plastic Surgery Photo Conference Plastic Surgery Teaching Rounds Journal Club Plastic Surgery M&M Conference Department General Surgery Research Day Combined Ortho/Hand Conference # CONFERENCES PRESENT EXCUSED % ATTENDED COMPLETION OF MEDICAL RECORDS DELINQUENT PROBATION SUSPENSION INSERVICE PERCENTILE (percent of residents at particular year level whose scores were lower than individual resident) PGY-1 % PGY-2 % PGY-3 % PGY-4 % PGY-5 % PGY-6 % RESIDENT PRESENTATIONS Topic:

56 TEACHING EVALUATION CLERKSHIP A B C D MEAN (POSSIBLE 5) STUDENT COMMENT S 2008 RECOMMENDATION: I. Advancement with statement of exemplary performance with areas that need development II. Advancement with statement of deficiencies to be improved III. Advancement with notification of one year probation and statement of deficiencies to be improved IV. No advancement with one year of probation and discussion of alternative career choices V. Unsatisfactory performance and dismissal from Program Final Summary: Reuben Bueno, M.D. Program Director Date Resident Name PGY Date Michael W. Neumeister, MD Division Chairman Date

57 New Innovations RMS Evaluations Faculty Evaluation of Resident Evaluator: Subject: Status: Rotation: Program: Please evaluate the performance of this resident during this rotation. Comments and suggestions about the resident's performance during this rotation will be provided to the resident verbatim. Degree of Observation 1) This evaluation is based on (2 = extensive observation, 1 = limited observation): Extensive Observation of Resident's Performance Limited Observation of the Resident's Performance Comparison to Performance of Other Residents at the Same Level of Training 2) Comparison with other house staff (5=EX,4=VG,3=G,2=F,1=P) 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor Overall Clinical Performance 3) Clinical Performance (5=EX,4=VG,3=G,2=F,1=P) 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor Clinical Performance Comments and Suggestions 4) Comments and Suggestions Regarding Clinical Performance: Clinical Performance Comments Remaining Characters: 5000 Overall Professional Behavior 5) Professional Behavior (5=EX,4=VG,3=G,2=F,1=P) 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor Professional Behavior Comments and Suggestions 6) Comments and Suggestions Regarding Professional Behavior: Professional Behavior Comments Remaining Characters: 5000 https://rms1.newinnov.com/evaluationforms/evalu...st.aspx%3fcontrol%3devaluationquestionnairegrid (1 of 3) [11/16/ :24:35 AM]

58 New Innovations RMS Evaluations Clinical Performance Attributes - Check any of the following clinical performance attributes that you consider a serious problem for this resident at this time. 7) Serious Problem 8) Serious Problem 9) Serious Problem 10) Serious Problem 11) Serious Problem 12) Serious Problem 13) Serious Problem 14) Serious Problem Data Collection Problem Identification Diagnostic Approach Management Knowledge Self-directed Learning Habits Technical/Procedural Skills Intra-operative Decision Making Professional Behavior Attributes - Check any of the following professional behavior attributes that you consider a serious problem for this resident at this time. 15) Serious Problem 16) Serious Problem 17) Serious Problem Communication Skills Relationship with patients and their families Relationship with other medical personnel https://rms1.newinnov.com/evaluationforms/evalu...st.aspx%3fcontrol%3devaluationquestionnairegrid (2 of 3) [11/16/ :24:35 AM]

59 New Innovations RMS Evaluations 18) Serious Problem 19) Serious Problem 20) Serious Problem Reliability and Dependability Ability to assume responsibility within level of competence (Neither under or over confident) Equanimity ("the quality of remaining calm and undisturbed") Return to Questionnaire New Innovations, Inc https://rms1.newinnov.com/evaluationforms/evalu...st.aspx%3fcontrol%3devaluationquestionnairegrid (3 of 3) [11/16/ :24:35 AM]

60 New Innovations RMS Evaluations Plastic Surgery Residency Program Paramedical Evaluation Form Evaluator: Subject: Status: Rotation: Program: Directions: Please complete this evaluation for all plastic surgery residents you have worked with during the past two to four months. Specific comments regarding strengths and weaknesses are of most value to help the residents progress in professional development. Thank you for participating in the resident evaluation process. Reuben Bueno, MD Residency Program Director Did the resident exhibit professional behavior? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Did the resident communicate well with the patient? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Did the resident communicate well with the family? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Did the resident communicate well with the nurses? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Did the resident communicate well with other residents and students? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Did the resident communicate well with the chief resident? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Was the resident's attire appropriate? 5 4 Excellent Very Good 3 Good 2 Fair 1 Poor N/A Did the resident respond in a timely fashion to pages? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A https://rms1.newinnov.com/evaluationforms/evalu...st.aspx%3fcontrol%3devaluationquestionnairegrid (1 of 3) [11/16/ :31:07 AM]

61 New Innovations RMS Evaluations Did the resident respond to the patient's concerns? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Is the resident thorough in their evaluations? 5 4 Excellent Very Good 3 Good 2 Fair 1 Poor N/A Do patients and their families seem satisfied with the resident's treatment? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A In your opinion, is the resident cost conscious? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Is the resident a TEAM player? 5 4 Excellent Very Good 3 Good 2 Fair 1 Poor N/A Does the resident have an ethical approach? 5 4 Excellent Very Good 3 Good 2 Fair 1 Poor N/A Does the resident show empathy to the patient's conditions and concerns? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Does the resident perform medical procedures effectively? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Does the resident perform medical procedures promptly? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Does the resident counsel and educate the patient and their families? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A Do you read the resident's notes? Yes No N/A If Yes, are they thorough and understandable and are they legible? 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor N/A https://rms1.newinnov.com/evaluationforms/evalu...st.aspx%3fcontrol%3devaluationquestionnairegrid (2 of 3) [11/16/ :31:07 AM]

62 New Innovations RMS Evaluations Was the resident respectful? 5 4 Excellent Very Good 3 Good 2 Fair 1 Poor N/A Was the resident compassionate? 5 4 Excellent Very Good 3 Good 2 Fair 1 Poor N/A Have you witnessed any aggressive or inappropriate behavior from the resident? Yes No N/A If Yes, please specify: Comments Remaining Characters: 5000 Overall Comments: Remaining Characters: 5000 Return to Questionnaire New Innovations, Inc https://rms1.newinnov.com/evaluationforms/evalu...st.aspx%3fcontrol%3devaluationquestionnairegrid (3 of 3) [11/16/ :31:07 AM]

63 New Innovations RMS Evaluations Patient Satisfaction Survey Evaluator: Subject: Thank you for your time in completing this satisfaction survey. We wish to assess the overall professionalism of our residents and to insure your satisfaction through ongoing review such as these surveys. Your time in completing this survey is deeply appreciated. Should you have further comments or concerns, please do not hesitate to write down these at the end of the survey. Thank you again. Reuben Bueno, MD Residency Program Director 1) Did the resident introduce him or her self? Yes Somewhat No N/A 2) Did the resident maintain a courteous attitude? Yes Somewhat No N/A 3) Did the resident discuss the present medical issues with you? Yes Somewhat No N/A 4) Did the resident respond to your answers? Yes Somewhat No N/A 5) Did the resident listen to your concerns? Yes Somewhat No N/A 6) Did you notice good rapport with the nurses and attending physician? Yes Somewhat No N/A 7) Did you feel comfortable with the resident? Yes Somewhat No N/A 8) Did the resident maintain a professional disposition? Yes Somewhat No N/A 9) Was the resident respectful? Yes Somewhat No N/A 10) Was the resident compassionate? Yes Somewhat No N/A 11) Was the resident's behavior improper? Yes Somewhat No N/A https://rms1.newinnov.com/evaluationforms/evalu...st.aspx%3fcontrol%3devaluationquestionnairegrid (1 of 2) [11/16/ :32:22 AM]

64 New Innovations RMS Evaluations 12) Did the resident seem rushed? Yes Somewhat No N/A 13) Would you want the resident to be your primary doctor? Yes Somewhat No N/A 14) Was the resident sensitive to age? Yes Somewhat No N/A 15) Was the resident sensitive to gender? Yes Somewhat No N/A 16) Was the resident sensitive to culture? Yes Somewhat No N/A 17) Did the resident demonstrate honesty? Yes Somewhat No N/A 18) Did the resident demonstrate commitment? Yes Somewhat No N/A 19) Did the resident demonstrate dependability? Yes Somewhat No N/A 20) Were you satisfied with the encounter with this resident? Yes Somewhat No N/A Overall Comments: Remaining Characters: 5000 Return to Questionnaire New Innovations, Inc https://rms1.newinnov.com/evaluationforms/evalu...st.aspx%3fcontrol%3devaluationquestionnairegrid (2 of 2) [11/16/ :32:22 AM]

65 SIU RESIDENT POLICIES Resident Fact Sheet Institutional Policy for Resident Duty Hours Plastic Surgery Policy for Resident Duty Hours Late Start Policy Closure Reduction Policy Impairment Policy Licensing Examination Policy Selection & Promotional Policy Employment Authorization Policy (Visa Status Policy) Vacation & Other Leaves of Absence Policies Delinquent Medical Record Policy Academic Deficiency Policy Due Process & Resident Complaint Policy

66 RESIDENT FACT SHEET (for Springfield Programs) Stipends for PGY I $47, PGY V $54, PGY II $48, PGY VI $56, PGY III $50, PGY VII $58, PGY IV $52, Stipends will be posted on SIU website by January 1, Vacation/Sick/Bereavement/Education Leave All residents/fellows may be permitted up to 3 weeks of vacation 2 weeks of sick leave 1 week of educational leave 3 calendar days of bereavement leave Child Care Leave Residents and Fellows may be permitted to take up to twelve (12) weeks of leave without compensation in accordance with the Family and Medical Leave Act of 1993, after the birth of a child or the placement of a child with the resident/fellow for adoption or foster care. Duty Hours Each program will have duty hours optimal to the care of patients and in compliance with the general and special requirements of the ACGME. Parking/On Call Rooms/Meals All residents are provided with free parking. Secured sleeping rooms are furnished for all residents who are on in-house call. Meals are provided free of charge to all residents while on in-house call. Benefits Residents are employed by either Memorial Medical Center or St. John s Hospital, and are provided benefits through their employing hospital. Health insurance is provided at a minimal charge; an optional family plan can be purchased. Dental insurance is provided for the resident and family at a small fee. Life insurance is provided at no cost; additional coverage may be purchased. Disability insurance is provided at no cost. Additional disability insurance is available. Professional Liability Insurance Residents and fellows are provided professional liability coverage through their employing hospital. It will provide legal defense and protection against awards from claims reported or filed after the completion of the residency program if the alleged acts or omissions of the resident were within the scope of the residency program, in accordance with the affiliated hospitals self-insured trust and liability policy.

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