Surgical Oncology I: R3
Friday, February 05, 2016
Stanford University General Surgery Residency Program
Surgical Oncology I Goals and Objectives for Residents: R-3
Rotation Director: Ralph Greco, MD
Description
The Surgical Oncology I rotation at Stanford Hospital offers a broad experience in the care of complex upper abdominal oncological
surgery patients, endocrine tumors, melanoma and sarcomas.
Goals
The goal of the Surgical Oncology I rotation is to help the R-3 residents:
 Develop knowledge and experience in the evaluation and management of inpatient and outpatient endocrine and surgical
oncology diseases.
 Refine procedural and operative skills commonly required in the care of these patients, including mastering the fundamentals of
open and laparoscopic therapies
 Experience and understand the day-to-day function of a complex surgical service.
Objectives
The Surgical Oncology I R-3 rotation has the following objectives:
 The residents have primary responsibility for the management of all inpatient consultations in conjunction with the attending
surgeon.
 The R-3 residents function as primary caretaker of the ICU Surgical Oncology I patients, assuming direct responsibility for the
day-to-day care of patients on the Surgical Oncology I ICU services and coordinating care with SICU service as well as consulting
services. He/she also serves as the first consultant for the intern regarding issues related to floor patients, and will develop
leadership skills in the management and guidance of inpatient surgical teams and supervision and education of more junior
residents and students.
 The R-3 resident gains knowledge of endocrine, surgical oncology and melanoma surgery through discussion on rounds and in the
clinic and OR with other residents and the attending surgeon as well as independent literature and focused reading. This
knowledge base includes, axillary and other lymph node dissections, sentinel lymph node biopsy for melanoma, wide local
excision of melanoma with possible skin grafting, wide excision of sarcomas and occasional thyroid surgery and minimally
invasive parathyroid surgery.
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Surgical Oncology I: R3
Friday, February 05, 2016

The resident gains operative skills through pre-operative reading and preparation and by direct intra-operative teaching from the
Surgical Oncology I Attendings.
R-3 residents can expect frequent teaching from members of the team, both at the bedside and during formal and informal
sessions. R-3 residents are also expected to act as junior leader on the team, and able to run the service with the intern, nurse and
medical students.
Residents are evaluated in the 6 core competencies (Medical knowledge, Patient care, Interpersonal communication skills,
Professionalism, Practiced based learning and Systems based practice) using specific web-based evaluation forms. An outline of core
competencies with rotation objectives, instructional activities, and evaluations is below.
Specific goals and objectives for residents
GOALS
Core Competencies
Knowledge:
To acquire and apply
knowledge of
established and
evolving basic and
applied clinical
sciences that relate to
the practice of
endocrine and surgical
oncology
R-3 OBJECTIVES
1. Perform general surgical procedures as
appropriate on designated patients
including axillary and other lymph node
dissections, sentinel lymph node biopsy for
melanoma, wide excision of melanoma
with possible skin grafting, wide excision
of sarcomas and occasional thyroid surgery
and minimally invasive parathyroid surgery
appropriate for their level of experience.
2. Gain experience and familiarity with
management of surgical oncology patients
with melanoma, thyroid cancer,
parathyroid disease, adrenal tumors,
pancreatic tumors, stomach and liver
tumors and sarcoma.
INSTRUCTIONAL
ACTIVITIES
Teaching by attending
faculty.
Independent reading
Daily rounds and
conferences including
morbidity and mortality,
grand rounds and core
course, GI tumor board and
sarcoma tumor board.
EVALUATION
Weekly feedback by
fellow/chief
resident/attending and
Rotation evaluation by each
Surgical Oncology I attending
(https://stanford.medhub.com)
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Surgical Oncology I: R3
GOALS
Core Competencies
Patient Care:
To provide compassionate,
appropriate, and effective care to
endocrine and surgical patients.
Effective Interpersonal and
Communication skills:
Residents must communicate in a
way that leads to effective
information exchange of oncologic
and endocrine surgery care plan to
patients, their families, and
professional associates.
Friday, February 05, 2016
R-3 OBJECTIVES
1. Evaluate, triage, staff and manage
all inpatient Surgical Oncology I
surgery consultations at SUMC.
2. Perform complete directed history
and physical examinations on
endocrine and surgical oncology
clinic patients 2-4 days per week,
review all accompanying clinical and
image-based information regarding
patients, develop an independent
management plan appropriate for
each patient
1. Instruct interns and medical
students on basic general surgical
techniques in the surgical simulation
center.
2. Deliver case presentation and
teaching conferences for interns and
students at tumor boards and breast
conference.
3. Provide family members an
update of patient’s condition.
4. Discusses appropriate
perioperative concerns with team &
consultants.
5. Works effectively with team
members (attending, interns,
students) to communicate care plan
INSTRUCTIONAL
ACTIVITIES
Daily rounds with the
Vascular Surgery Team
Pre-operative and intraoperative teaching
EVALUATION
Weekly feedback by /chief
resident/attending and
Rotation evaluation by each
Surgical Oncology I attending
(https://stanford.medhub.com)
Clinic presentation with
direct attending surgeon
interaction.
Daily rounds with the
Surgical Oncology I
Team and attending
surgeon
Weekly feedback by /chief
resident/attending and
Rotation evaluation by each
Surgical Oncology I attending
(https://stanford.medhub.com)
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Surgical Oncology I: R3
GOALS
Core Competencies
Practice based learning and
improvement:
In order to improve patient care
practices, residents must be able to
critically evaluate their own
performance as well as appraise
and incorporate clinical scientific
evidence.
Professionalism:
Residents must show a
commitment to professional
responsibilities, adherence to
ethical principles, and sensitivity
to diversity.
Friday, February 05, 2016
R-3 OBJECTIVES
1. Serve as a more senior resident
and team leader in conjunction with
PGY-5 Surgical Oncology I Chief
resident. Help to manage inpatient
census, OR team schedules, daily
clinical assignment and patient
management tasks.
2. Master all general surgery
scenarios on the Goodman Simulator
including resuscitation and
laparoscopic surgery techniques.
3. Diagnose acute general surgery
conditions, order imaging and
develop treatment plan including
surgery, if indicated.
4. Use information technology to
assimilate current medical literature
as it relates to patient care
1. Learn to manage complex patient
problems specifically related to
relating information to patients and
families
2. Learn to interact with multiple
subspecialty groups in consultation
as well as multi-disciplinary
conferences
3. Displays appropriate demeanor,
INSTRUCTIONAL
ACTIVITIES
Daily rounds with the
Surgical Oncology I
Team
Daily Conferences
EVALUATION
Weekly feedback by chief
resident/attending and
Rotation evaluation by each
Surgical Oncology I attending
(https://stanford.medhub.com)
Interaction with the
Surgical Oncology I
attending surgeons on
rounds and during
consults
Daily rounds with the
Surgical Oncology I
Team and Surgical
Oncology I attending
surgeon.
Interactions during
consults and ICU
patients
Weekly feedback by chief
resident/attending and
Rotation evaluation by each
Surgical Oncology I attending
(https://stanford.medhub.com)
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Surgical Oncology I: R3
Friday, February 05, 2016
even in adverse or stressful
situations
4. Acts with sensitivity and
responsiveness to patient’s culture,
age, gender, and disabilities
Systems-based Practice:
A resident must be able to
demonstrate an awareness of and
responsiveness to the system of
health care and the ability to
effectively call on system
resources to provide optimal care.
1. Act as an organizational problem
solver for Surgical Oncology I
oncology patients
2. Understands how care for patients
and enables the hospital to deliver a
wide range of patient care.
3. Understands how care practice
affects staffing and health care costs
Interactions in OR
Daily rounds with the
Surgical Oncology I
Team and Surgical
Oncology I surgeon
Weekly feedback by chief
resident/attending and
Rotation evaluation by each
Surgical Oncology I attending
(https://stanford.medhub.com)
Daily rounds in ICU
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