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Program Details

Mission

The University of Kentucky PA Acute Care Surgery residency is dedicated to train Physician Assistant graduates in the field of surgery to provide exceptional healthcare to the surgical patient.

Purpose

  • To educate and prepare recent PA graduates for transition into surgical practice
  • Highlights exposure to complex emergency surgery, trauma and surgical critical care, allowing for mastery of the diagnosis and management of acutely ill surgical patients
  • Meeting the healthcare needs for surgical care in the community
  • Changing how PAs are educated in the ever changing healthcare delivery system from a physician training on the job of a new graduate in a surgical field, to now meeting the demands of employers (hospitals) to be ready to practice at a higher level in a focus area

Benefits

  • Readiness to start working at a higher level of competency
  • Competitive advantage in employment
  • Meeting the need for sub-specialize care in hospital industry

Program Goals

  • To prepare the physician assistant (PA) to deliver healthcare in the field of surgery that is beyond the newly graduate level to an advance level of knowledge and skills
  • Educate competent surgical physician assistant to function at a higher level than a generalist PA
  • The education of the physician assistant for the practice of surgery encompasses education in basic science, training in cognitive and technical skills, development of clinical knowledge and maturity in the acquisition of surgical judgement
  • Equips graduates who are equipped with the breadth and depth of knowledge to provide exemplary, quality-drive, clinical care and the inter-personal skills required to be successful in careers across a spectrum of practice environments

Program Objectives

  • Medical Knowledge
    • Respiratory Failure (Ventilatory-Associated Events)
    • Nutritional support
    • Shock/Resuscitation
    • Acute Kidney Injury
    • Trauma and Burns
    • Cardiac Disorders of Critically-ill Patients
    • Neurologic Disorders of Critical-ill Patients
    • Gastrointestinal (GI) Disorders of Critically-ill Patients
    • Infectious Diseases of Critically-ill Patients
  • Patient care
    • Respiratory Failure
    • Nutritional support
    • Shock/Resuscitation
    • Acute Kidney Injury
    • Trauma and Burns
    • Cardiac Disorders of Critically-ill Patients
    • Neurologic Disorders of Critical-ill Patients
    • Gastrointestinal (GI) Disorders of Critically-ill Patients
    • Infectious Diseases of Critically-ill Patients
    • Procedural Competencies
  • Systems-Based Practice
    • Administrative Responsibility
    • Coordination and Transitions of Care
  • Practice-Based Learning and Improvement
    • Improvement of Care
    • Teaching
    • Self-Directed Learning
  • Professionalism
    • Professionalism and Personal Behavior
    • Ethical Issues in Critically-ill Patients
    • Personal Responsibility
    • Healthy Work Environment
  • Interpersonal and Communication Skills
    • Effective Communication with Patients and Families
    • Effective communication with the Healthcare Team

Rotation Schedule

  • 2 months Trauma Ward (Acute and Progressive Care)
  • 2 months Trauma ICU
  • 2 months Emergency General Surgery (EGS) Ward (Acute and Progressive Care)
  • 2 months Emergency General Surgery (EGS) ICU
  • 2 Months Trauma Resuscitation/EGS Consults
  • 1 Week Nutrition Support
  • 1 Week Palliative Care
  • 1 Week EMS/Air Medical
  • 1 month Elective (Vascular, Thoracic/CT, Interventional Radiology, Neurosurgery)

12 months Total

Essential Experiences

  1. ATLS certification
  2. Rural Trauma Team Development Course (RTTC) Certification
  3. Swarm/Patient Safety Training
  4. EMS ride-along (1 day minimum)
  5. Trauma Registry (1 day minimum)
  6. Extracorpreal Life Support (ECLS Course)
  7. Tour acute rehab facility
  8. Tour subacute rehab facility
  9. Tour Long Term Acute Care (LTAC)
  10. Ventilator orientation/with Respiratory Therapy educator
  11. Sim lab scenarios
  12. Performance improvement project
  13. Outpatient trauma clinic
  14. Outpatient emergency general surgery clinic

Conferences

  1. ACS Conference (daily M, W, R, F)
  2. Multi-D Critical Care Conference (Tuesday, weekly)
  3. Grand Rounds (Wednesday, weekly)
  4. Morbidity and Mortality (Thursday, weekly)
  5. Trauma Peer Review (monthly)
  6. Trauma Operations (monthly)
  7. Emergency General Surgery Quality (Wednesday, weekly)
  8. Quarterly APP Journal Club (with other APP’s on the team, with APP topic)
  9. Recommend one national meeting
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