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)
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Parameter |
2001 |
2002 |
2003 |
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Curriculum for general surgery residents being regularly reviewed and improved |
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Teaching-learning activities being regularly implemented, developed, evaluated and improved |
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Evaluation of residents’ learning being regularly implemented, developed, evaluated, and improved |
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General surgery training program being continuously accredited with PSGS |
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At least 50% of the general surgery residents pass the PBS in-service exam |
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At least 2 general surgery board passers per year |
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Quality of services shows satisfactory or progressive improvement |
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Quality of research output shows satisfactory or progressive improvement |
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Quality of governance effect (organizational functioning) shows satisfactory or progressive improvement |
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Curriculum for medical students being regularly reviewed and improved |
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Curriculum for parasurgical staff being regularly reviewed and improved |
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Continuing professional training program for core consultant staff being done |
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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) |
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|
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 |
|
|
|
|
|
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Continuing professional training program for core consultant staff being done |
Initial year |
YES |
YES |
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