Surgical Resident Education

Goodman Surgical Education Center houses an extensive skills and simulation curriculum for the General Surgery Residency Program PGY-1 through PGY-5 levels. Many additional post graduate disciplines train in the Goodman Surgical Education Center as well, including Vascular Surgery, OBGYN, Anesthesia/Critical Care, and Gastroenterology. Examples include virtual endoscopy skills training for the GI fellows, DaVinci robot training for the Gyn Oncology Fellows, FLS training for OBGYN residents, and endovascular training for residents and fellows in Vascular surgery.

General Surgery Skills Curriculum

The 12-month General Surgery residency skills curriculum for PGY 1-5 incorporates various simulation experiences on a weekly basis during their protected teaching time. This program is based on the American College of Surgeons (ACS)/Association of Program Directors in Surgery (APDS) skills curriculum.

Over the last 4 years, with learner feedback and the input of the education fellows, this curriculum has undergone constant and consistent improvements that have made it Stanford specific.

The needs of the users are met in a variety of ways:

• Boot Camps (intern, returning from professional development, and ICU) are pillars of the program.

• Basic, procedure, operative, and leadership skills are honed in the GSEC within the annual curriculum.

• The operative skills section is capped by a series of cadaver labs taught by Stanford Department of Surgery faculty experts.

• The leadership section is taught by instructors from the Stanford Business School on negotiation and communication.

• Certification by the ACS on ultrasound is conferred on our junior residents through the ultrasound course taught by our ACS certified instructor/surgeons.

This year, we will begin our verification of proficiency (VOP) program for certain basic skills for the PGY 1-3 surgery residents. This will be instituted in order to identify early on any residents that need extra assistance with these skills. This VOP program will dovetail into a more assessment based rotation experience for the residency program in anticipation towards the Accreditation Council for Graduate Medical Education (ACGME) milestones initiative and the American Board of Surgery (ABS) requirements for clinical and operative assessments for qualifying for board certification in surgery.

In addition, the Roy B. Cohn Bioskills Laboratory is utilized for the cadaver portion of operative teaching in the General Surgery Residency skills curriculum.

Vascular Surgery

Jason Lee, MD, Associate Program Director for the Vascular Surgery Training Program has integrated simulation into the curriculum for vascular surgery fellows and surgical residents.

There are web-based tutorials on carotid, peripheral, and aneurysm disease as well as procedural simulation using several vascular simulators. These simulators allow practice in endovascular procedures using the same physical products used in reality – wires, catheter, balloons, stents, coils, etc. Additionally, the practitioner can try different catheters or find a new approach in a “patient-safe” environment. Surgical trainees at Stanford can rehearse their procedures prior to performing them in the angiography suite and operating room with the Vascular Surgery faculty. Dr. Lee also offers an introductory course for medical students interested in vascular surgery.