Residency Level:
Surgical Rotation:
Length of Rotation:
PGY 3
Trauma Surgery – Harborview Medical Center
Chief of Trauma Team
Three Months
Goals and Objectives
Patient care:
 Master the complete assessment, evaluation, stabilization and management of the trauma patient
 Effectively triage trauma patients, independently manage the ER/trauma patient, develop your
own plan for the patient and communication of the plan to the appropriate level of supervision –
functioning as the chief of your trauma service.

 Take ownership in care of the patient
 Master and properly utilize diagnostic techniques including routine films, contrast studies,
ultrasound, CT scan, MRI and endoscopic procedures
 Exemplify a strong work ethic
 Exemplify appropriate safe hand offs
 Develop the ability to care for surgical emergencies in the role as the leader of your trauma service
Technical skill:
 Teach airway management, venous access, emergency diagnostic and therapeutic procedures
 Teach wound care, suturing, dressing and splinting
 Take the lead in the evaluation of the trauma patient with appropriate supervision, perform trauma
surgical procedures as warranted including the operative management of the trauma patient
including: thoracotomy, laparotomy and hemorrhage control.
 With appropriate supervision, perform more advanced trauma surgical procedures
Medical knowledge:
 Demonstrate evidence of continued increase in emergency medicine and trauma surgery core
knowledge from basic surgical texts, additional readings and the SCORE curriculum as noted
below
 Master a broad knowledge base of emergency medicine and trauma surgery
 Study and prepare for the ABSITE
 Take responsibility to teach more junior residents and students
 Fluid and electrolyte management including management of parenteral and enteral nutrition
Practice-based learning and improvement:
 Participate actively in M and M conferences, daily teaching rounds and journal clubs
 Learn to critically read the literature
 Master the IT resources available to you to develop a commitment to lifelong learning and
education
Interpersonal and communication skills:
 Develop the appropriate skills to provide efficient, concise, patient presentations
 Master text paging, emailing, etc.
 Develop strong doctor patient relationships using counseling and education of patients and their
families
 Learn to master Harborview’s electronic medical record
 Learn to properly consult other specialty services in a professional manner
Professionalism:
 Respect every patient regardless of social or other circumstances
 Log cases appropriately
 Log your duty hours using My Evaluations appropriately and in a timely fashion
 Complete all required clinical and residency documents in a timely fashion
 Demonstrate sensitivity to age, gender and culture of patients and other members of the health care
delivery team
 Learn to be punctual
 Always exemplify professional attire, appropriate grooming and hygiene
 Demonstrate honesty, integrity and leadership skills
Systems-based practice:
 Demonstrate the effective communication with referring physicians throughout Harborview
 Keep patients’ safety foremost while discharging patients in a timely fashion
 Demonstrate time management and organizational skills while adhering to work hour regulations
 Gain an understanding of the importance of discharge planning and the writing of timely discharge
orders to the overall throughput of patients in the University of Washington health care system
SCORE CURRICULUM CATEGORY 17: TRAUMA
Diseases/Conditions
Operations/Procedures
BROAD
ESSENTIAL − UNCOMMON
• Injuries of the spleen
• Management of esophageal trauma
• Injuries of the liver
• Management of gastric trauma
• Injuries of the small intestine
• Management of duodenal trauma
• Injuries of the colon and rectum
• Management of small bowel trauma
• Blunt trauma
• Management of colon trauma
• Penetrating trauma
• Neck exploration for trauma
•Vascular injuries of the neck
• Open exploratory thoracotomy
• Injuries of the trachea and larynx
• Open exploratory laparotomy
• Injuries of the pharynx and cervical esophagus
• Laparoscopic exploratory laparotomy
• Nerve injuries of the neck
• Splenectomy/splenorrhaphy
• Rib fractures
• Repair hepatic lacerations
• Sternal fractures
• Drainage pancreatic injury
• Flail chest
• Debride/suture major wounds
• Pneumothorax
• Repair/resection for kidney trauma
• Hemothorax
• Repair ureteral injury
• Pulmonary contusion
• Repair bladder injury
• Pulmonary laceration
• Repair of carotid artery injury
• Myocardial contusion
• Repair of abdominal aorta or vena cava injury
• Cardiac tamponade
• Repair peripheral vessels
• Esophageal injury
• Fasciotomy for injury
• Injuries of the diaphragm
• Repair cardiac injury
• Injuries of the stomach
• Focused assessment with sonography (FAST scan)
• Injuries of the duodenum
• Injuries of the pancreas
COMPLEX
• Retroperitoneal hematoma
• Placement of intracranial pressure monitor
• Pelvic fractures
• Reduction and stabilization of maxillofacial fracture
• Injuries of the kidney
• Repair of tendon or nerve
• Injuries of the bladder
• Hepatic resection for injury
• Injuries of the ureter
• Resection for pancreatic injury
•Vascular injuries of the thorax
• Closed reduction of fracture
•Vascular injuries of the abdomen
• Open reduction of open/closed fracture
•Vascular injuries of the extremities
• Debridement and reduction of open fracture
• Pediatric trauma
• Geriatric trauma
• Trauma in pregnancy
• Closed head injury
• Penetrating head injury
• Tracheobronchial injuries
• Aortic Injuries
• Urethral injuries
• Spine fracture
• Pelvic fracture
• Extremity fractures
• Dislocations
• Sprains and strains
• Mangle and traumatic amputation
• Snake bites
• Spider bites
• Bee and wasp stings
• Scorpion bites
• Animal and human bites
• Repair of thoracic aorta, innominate, subclavian injury