Faculty Chair: Dr. Minerva Medrano de Ramirez, MD
Contacts:
Dr. Minerva Medrano de Ramirez, MD
Faculty
Southern New Mexico Family Medicine Residency Program
Donna Madrid, C-TAGME
Program Coordinator
Ashley Coffey
Team Lead Certified Medical Assistant
General Surgery Associates
2530 S Telshor Blvd. Ste. 207
Las Cruces, NM 88011
Required Experiences:
General surgery associates clinic, Memorial Medical center.
Optional Experience:
Weekly Schedule:
| Sunday | Monday | Tuesday | Wed | Thursday | Friday | Saturday |
| Surgery | FM Clinic | Surgery | Surgery | Surgery | ||
| Surgery | Surgery | Didactic | Surgery |
Requirements:
ACGME
Residents must have at least 100 hours (or one month) dedicated to the care of surgical patients, including hospitalized surgical patients. (Core)
This experience must include operating room experience.
Description of Rotation or Educational Experience
The General Surgery Rotation is a required block rotation. Two months focused on general surgery and surgical sub-specialties will be required during the residency. The resident will obtain the skills necessary to diagnose, treat, and refer disorders that are common in the family physicians office; in addition to assist during major surgical procedures. It is expected that the resident spend time in the clinic and inpatient setting, as well as the operating room. Hands-on educational opportunities must be provided.
Expectations:
Residents
Residents are expected to arrive to the General Surgery rotation on time and to dress and act in a professional manner. They are expected to contact the preceptor’s office prior to their first day on the rotation in order arrange the initial meeting time and location on day one of the rotation. It is expected that while at the preceptor’s office the residents will be respectful of the office space and personnel. The resident is responsible for maintaining a procedure log as well as completing assigned readings.
Faculty
General Surgery Associates’ physicians will provide precepting during the focused General Surgery rotation. The faculty and preceptors are expected to allow the resident to participate in active patient care as well as procedures when appropriate. The preceptors should also provide time and allowance for explanation and teaching of general surgical conditions and their treatments.
Call
Resident will mirror preceptor’s call responsibility at their request for this rotation when it does not interfere with duty hours.
Patient Care
Goal
Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of the surgical patient. Residents are expected to:
Competencies
- Be able to perform a surgical assessment and develop an appropriate treatment plan. (Medical Knowledge, Patient Care)
- Coordinate ambulatory, in-patient and institutional care across health care providers, institutions and agencies. (Systems-based Practice, Patient Care)
Objectives
- Obtain and report developmentally, age and presentation/setting appropriate history
- Perform and report developmentally, age and presentation/setting appropriate physical examination
- Generate an appropriate surgical differential diagnosis
- Make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
- Develop and carry out patient management plans
- Counsel and educate patients and their families in a clear, respectful and culturally conscious manner
- In the appropriate setting, the resident should demonstrate the ability to independently perform or appropriately refer:
- Intra-operative skills
- Post-operative care
- Collaborate with health care professionals, including those from other disciplines, to provide patient-focused care
Medical Knowledge
Goal
- Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to:
Competencies
- Be able to demonstrate surgical knowledge and assessment and develop an appropriate treatment plan. (Medical Knowledge, Patient Care)
Objectives
In the appropriate setting, the resident should demonstrate the ability to apply knowledge of:
- Basic principles of surgical diagnosis
- Recognition of surgical emergencies
- Preoperative assessment
- Postoperative care
- Outpatient surgery
- Office care of common conditions
- Recognition and care of surgical wounds
Practice-Based Learning and Improvement
Goal
Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life long learning. Residents are expected to develop skills and habits to be able to:
Competencies
- Recognize his or her practice limitations and seek consultation with other health care providers when necessary to provide optimal care. (Professionalism, Practice-based Learning)
Objectives
- Ask questions as an engaged, critical learner
- Use information technology to manage information, access on-line medical information, and support their own education
Systems Based Practice
Goal
Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to:
Competencies
- Work in interprofessional teams to enhance patient safety and improve patient care quality
- Coordinate ambulatory, in-patient, and institutional care across health care providers, institutions and agencies. (Systems-based Practice, Patient Care)
Objectives
- Practice cost-effective health care and resource allocation that does not compromise quality of care
- Advocate for quality patient care and assist patients in dealing with system complexities to minimize discomfort or confusion
Professionalism
Goal
Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to:
Competencies
- Recognize his or her practice limitations and seek consultation with other health care providers when necessary to provide optimal care. (Professionalism, Practice-based Learning)
- Demonstrate respect for patient privacy and autonomy
- Demonstrate the ability to communicate effectively with the surgeon supervisor/consultant about the patient’s symptoms, physical findings, test results and proposed plan of care. (Communication, Professionalism)
Objectives
- Accept responsibility for patient care
- Consistently perform in a punctual, reliable and collegial manner
Interpersonal and Communication Skills
Goal
Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to:
Competencies
- Demonstrate the ability to communicate effectively with the patient, as well as the patient’s family and caregivers, to ensure that the diagnosis and treatment plan are clearly understood. (Communication)
- Demonstrate the ability to communicate effectively with the surgeon supervisor/consultant about the patient’s symptoms, physical findings, test results and proposed plan of care. (Communication, Professionalism)
Objectives
- Make organized and effective oral presentations
- Communicate with the patient, family and members of the healthcare team in a timely, developmentally and culturally appropriate manner
- Obtain informed consent in an appropriate manner
- Document patient care in appropriate record system and maintain essential components of the patient’s record of care
Teaching Methods
Residents will provide medical care to patients under the direct supervision of the attending physician. They will be supervised on all procedures performed in the hospital. The will participate in weekly conferences at the FMC. Residents will be assigned specific reading topics to be completed by the end of their month on the service.
Assessment Method (Residents)
Direct observation with a final global assessment based on a competency scale. All procedures will be recorded on New Innovations.
Assessment Method (Program Evaluation)
Residents will be provided with an evaluation of their experiences and given the opportunity to provide feedback of the rotation during their quarterly IEP assessments.
Level of Supervision
The resident is directly supervised by the attending physician during all procedures performed in the hospital. The attending will see all patients on the service each day and will document their involvement in the patient’s care. An Attending will be available the entire time the resident is on the rotation.
SNMFMRP Curriculum 