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Training Development Program, 2001-2003

 

Philosophy

 

We believe that training should:

 

Be continually done to improve quality of service of a department of surgery.

 

Be integrated into the day-to-day service activities of a department of surgery and its staff, and not to be looked upon as something distinct and separate from service, research and governance and as an added burden for the staff.

 

Be effectively and efficiently done using active and long-lasting learning strategies such as problem-based learning and self-directed learning methods.

 

Be done to develop an effective, efficient, and humane community-oriented surgeon, surgeon-clinician, surgeon-teacher, surgeon-learner, surgeon-researcher, and surgeon-manager.

 

Not be limited to clinical medicine but should include training in service, research and governance for the surgical staff.

 

Be done to develop an effective, efficient, and humane parasurgical staff.

 

Be done to develop an effective, efficient, and humane surgical team.

 

 

Goal

 

To continually provide highest possible quality training to all staff in order to improve the quality of service, research, and governance activities of the department of surgery.

 

Performance Objectives (Targets)

 

Parameter

2001

2002

2003

Curriculum for general surgery residents being regularly reviewed and improved

 

 

 

Teaching-learning activities

being regularly implemented, developed, evaluated and improved

 

 

 

Evaluation of residents’ learning being regularly implemented, developed, evaluated, and improved

 

 

 

General surgery training program being continuously accredited with PSGS

 

 

 

At least 50% of the general surgery residents pass the PBS in-service exam

 

 

 

At least 2 general surgery board passers per year

 

 

 

 

 

 

 

Quality of services shows satisfactory or progressive improvement

 

 

 

Quality of research output shows satisfactory or progressive improvement

 

 

 

Quality of governance effect (organizational functioning) shows satisfactory or progressive improvement

 

 

 

 

 

 

 

Curriculum for medical students being regularly reviewed and improved

 

 

 

Curriculum for parasurgical staff being regularly reviewed and improved

 

 

 

 

 

 

 

Continuing professional training program for core consultant staff being done

 

 

 

 

Strategies (General)

 

Effective leadership from chairperson down

            Effective in promoting achievement of performance objectives

            Effective in promoting achievement of the other strategies

           

            Leadership by training and coaching

Leadership by example

            Situational leadership – innovativeness and resourcefulness

 

Consultant-guided and assisted training from chairperson down

 

Structured departmental training development program with clear philosophy, directions, and policies; realistic short- and long-term targets; doable strategies and training activities; regular monitoring and updating; and continual quality improvement measures

 

Continuing education, training, and coaching of staff

 

Motivation-provision for staff

 

Donor-enticement or donor-development program 

 

 

Strategies (Specific)

 

Formulation and continual improvement of general surgery curriculum [2001 – present]

Yearly presentation of general surgery curriculum every January [2002 – present]

 

Development of clinical practice guidelines and protocols

            Management of a patient process  - mother practice protocol

            Management of patient with thyroid disorders

            Management of patients with breast disorders

            Prevention of surgical site infection

            Prevention of abdominal wound dehiscence

            Management of patient with possible acute appendicitis

            Management of stoma

 

Development of modular instructions

            Medical Recording

            Management of a Patient Process

            Head and Neck Disorders

            Basic Introduction to Operation

            Stoma Management

 

Development of a structured Tuesday and Thursday conferences [2002 – present]

 

Development of a structured Preop and Postop Conferences [2002 – present]

            How to present

 

Development of a structured Morbidity and Mortality Conferences [2002 – present]

            How to analyze for causes and how to avoid

 

Development of a structured Case Presentation and Discussion Conferences [2002 – present]

            Mastery of Management of a Patient Process

            Useful in clinical management

            Useful in preparation for Part I PBS Exam

 

Development of structured and innovative evaluation system for residents

            Clinical pictorial examination [2002 - present]

            Residents’ report card [2002 - present]

            Case presentation and discussion [2002 – present]

            Trimester written examination [2002 – present]

            PBS In-service examination [2001 – present]

            Clinical skills evaluation [2001 – present]

 

Development of a training program in governance (part of governance development program) [2001 – present]

 

Development of a training program in rendering quality service (part of service development program) [2001- present]

 

Development of a training program in research (part of research development program) [2001 – present]

 

Development of a master in health profession education for residents and consultants [2003 ]

 

Development of training program for medical students and rotators [2001 – present]

            Basic Introduction to the Operation

            Management of a Patient Process

 

Development of training program for parasurgical staff (nurse) [2003]

            Stoma care

            Operating room assist

                       

Outcome

 

Parameter

2001

2002

2003

Curriculum for general surgery residents being regularly reviewed and improved

Initial year

YES

YES

Teaching-learning activities

being regularly implemented, developed, evaluated and improved

Initial year

YES

YES

Evaluation of residents’ learning being regularly implemented, developed, evaluated, and improved

Initial year

YES

YES

General surgery training program being continuously accredited with PSGS

Initial year

YES

YES

At least 50% of the general surgery residents pass the PBS in-service exam

YES

YES

 

At least 2 general surgery board passers per year

 No graduates

yet from this program

No graduates

yet from this program

4 passed PBS Part I (2003)

 

 

 

 

Quality of services shows satisfactory or progressive improvement

Initial year

YES

YES

Quality of research output shows satisfactory or progressive improvement

Initial year

YES

YES

Quality of governance effect (organizational functioning) shows satisfactory or progressive improvement

Initial year

YES

YES

 

 

 

 

Curriculum for medical students being regularly reviewed and improved

Initial year

YES

YES

Curriculum for parasurgical staff being regularly reviewed and improved

Initial year

YES

YES

 

 

 

 

Continuing professional training program for core consultant staff being done

Initial year

YES

YES

 

 

Future Plans

 

To sustain and institutionalize the training development program

 

To improve further on certain training parameters that still need and can still be improved

 

To improve the reputation of the department of surgery by its quality training program