PGY Direct by Faculty Direct by senior residents Indirect but immediately available - faculty Indirect but immediately available - residents Indirect available Oversight 6 X 7 X 8 X Ambulatory Settings (clinics) PGY Direct by Faculty Direct by senior residents Indirect but immediately available - faculty Indirect but immediately available - residents Indirect available Oversight 6 X X Faculty attend all clinics 7 X 8 X Consult Services PGY Direct by Faculty Direct by senior residents Indirect but immediately available - faculty Indirect but immediately available - residents Indirect available Oversight 6 X X Dependent on complexity 7 X 8 X Policy on Mandatory Notification of Faculty (on plastic surgery rotations) Policy and Process
The program director must review each submission of additional service, and track both individual resident and program-wide episodes of additional duty. Minimum Time Off between Scheduled Duty Periods PGY-1 resident should have 10 hours, and must have eight hours, free of duty between scheduled duty periods. Intermediate-level residents [as defined by the Review Committee] should have 10 hours free of duty, and must have eight hours between scheduled duty periods. They must have at least 14 hours free of duty after 24 hours of in-house duty. Residents in the final years of education [as defined by the Review Committee] must be prepared to enter the unsupervised practice of medicine and care for patients over irregular or extended periods. This preparation must occur within the context of the 80-hour, maximum duty period length, and one-day-off-in seven standards. While it is desirable that residents in their final years of education have eight hours free of duty between scheduled duty periods, there may be circumstances [as defined by the Review Committee] when these residents must stay on duty to care for their patients or return to the hospital with fewer than eight hours free of duty. Circumstances or return-to-hospital activities with fewer than eight hours away from the hospital by residents in their final years of education must be monitored by the program director. Maximum Frequency of In-House Night Float Residents must not be scheduled for more than six consecutive nights of night float. [The maximum number of consecutive weeks of night float, and maximum number of months of night float per year may be further specified by the Review Committee.] Maximum In-House On-Call Frequency PGY-2 residents and above must be scheduled for in-house call no more frequently than (when averaged over a four-week period). At-Home Call
6. Specific therapy for common chemical burns will be learned 7. Effect of electrical burns on the heart, skin and muscle will be learned C. Interpersonal and Communication Skills 1. Burns wounds are tremendously hard on families. Residents will learn to deal with the families in a patient and compassionate manner. 2. Residents will maintain cogent and up to date notes on their patients when on the service. 3. Residents will communicate frequently with other team members, especially burn wound therapists, from whom they can learn a great deal. D. Professionalism 1. Dealing with burn wound victims and their families requires the ultimate professionalism. a. families are frequently extremely distraught and frightened b. patients can have a horrible appearance and be difficult for residents to face c. families and patients require an unbelievable amount of psychological support. 2. Residents will assist in teaching medical students who may be on the rotation. E. Practice Based Learning and Improvement 1. The common burn protocol and best practices will be learned 2. Residents will attend all conferences and clinics on the service to see the outcomes of patients in the units. 3. Residents will review the selected readings on acute burns prior to starting the rotation. F. System Based Practice Objectives 1. In no other area of surgery is so much done to patients by members of a team. Residents must appreciate the contributions made by other team members a. burn wound therapists b. inhalation therapists c. social workers d. occupational and physical therapy 2. There is likewise a tremendous amount to be learned about burn care from the dedicated team members and residents must humble themselves to learn from them. Anesthesia Rotation: Goals and objectives Plastic Surgery PGY-2 Plastic surgery is now largely performed either as outpatient or 23 hours stay. Additionally many surgeons have operating rooms in their office which raises important patient safety issues. In order to learn the important working relationship between outpatient plastic surgery and outpatient anesthesia; a rotation in the anesthesia department was established. Residents should be able to administer conscious sedation, intubate patients, induce anesthesia and recover patients in the outpatient surgery unit. Rotation Goals:
home and mobile phone numbers must be on file in the department and with answering services. Residents are also required to have a cellular telephone. Lab Coats: A lab coat is provided to the resident free of charge by the Department of Surgery. Lab coats are to be kept fresh and clean at all times. Camera: A digital camera with flash is mandatory. Digital photography is the primary tool employed for conferences. Photo documentation is critical in the field of plastic surgery. The camera should produce quality photos but be simple enough for others to use. Loupes: Loupes are mandatory and should be obtained before or during the first month of residency. A 3.5 magnification with extended fields and 16 inch focal length is recommended, and they usually range in price from $1100-$1300. Goggles: Goggles or operating glasses are required for each physician’s safety in the operating room. Specialty and Micro vascular Instruments: Specialty equipment is usually available at each institution. Please ask senior residents and Dr. Dupin about specifics. Textbooks and Reference Material: The following are recommended textbooks. The division, if funds are available, may help you to purchase some for your personal library. They are available in the LSU regional library on campus as well. Mathis (8 volume set): good reference, too long to read, but fairly inclusive. You can go online to the Saunders website for online reference but only if you have purchased the set. (they only allow two computers to log on) Green’s Hand Surgery: Standard text, very well written. Online access is to Username: cldupinmd@aol.com , Password: lsuplastic Plastic and Reconstructive Surgery (journal) most complete journal, with good online search engine for articles. PRS Login: lsuplasticsurgery Password: TIGERS Selected Readings in Plastic Surgery. You are highly encouraged to subscribe to this journal. It has much of the information of a major text and is more up to date than most. You can access the material through the Tulane website: Additionally the main link into Greenspace is: https://greenspace.tulane.edu/xythoswfs/webui; Username: newsome; Password: Tulane1 Strauch, B. Atlas of Microvascular Surgery (second edition). Available at amazon. Extremely good reference. Annals of Plastic Surgery; ; Username: newso=meer; Password: Plastic Chapter 9:
Contact Name Title Office Number Cell Number Home Number Pager Number Charles Dupin MD Program Director 504-412-1240 504-258-1119 504-282-9655 Frank Lau, MD Assistant Program Diector 540-412-1240 617-935-2625 Oren Tessler, MD Educational Director and Chief, ILH 504-899-8411 617 694 9954 Hugo St. Hilaire MD Educational Director Children’s Hospital 504-568-4750 504-287-7704 504-835-4568 504-423-7160 Department Phone Numbers Callie Pearson Cpear1@lsuhsc.edu Resident Coordinator 504-568-4748 504-609-9003 Department of Surgery Main Office 504-568-4750 504-568-4633 fax