Residency Level:
Surgical Rotation:
Length of Rotation:
PGY 3
Pediatric Surgery
Two Months at Swedish Medical Center
Goals and Objectives
Patient care:
 Evaluation and preparation of the pre-operative pediatric surgical patient
 Management skills required to independently evaluate the pediatric surgical patient, develop your
own plan for the patient and communication of the plan to the appropriate level of supervision
 Take ownership in care of the patient
 Post-operative care of the pediatric surgical patient
 Mechanisms and criteria for minimally invasive surgery of the abdomen in a child
 Pediatric fluid and electrolyte management including indications for parenteral and enteral
nutrition
 Understanding and utilization of diagnostic techniques including routine films, contrast studies,
ultrasound, CT scan, MRI and endoscopic procedures
 Clear and timely documentation of daily progress notes
 Develop a strong work ethic
 Develop appropriate safe hand offs
 Develop the ability to care for pediatric surgical emergencies in the role as the pediatric or senior
surgical resident on call
Technical skill:
 Master basic surgical technique such that incision, suturing, knot-tying and dissection
 Evaluation of the acute abdomen in a newborn or child
 Master the performance of venous access, chest tube placement, etc. in the neonate and pediatric
patient
 Master the performance of surgical procedures (excisional biopsies, lipoma removal, hernia repair,
appendectomy, cholecystectomy and bowel resections, etc.) in the neonate and pediatric patient

Master the performance of advanced surgical procedures, including correction of congenital
defects in the neonate or pediatric patient
 Become comfortable in performing all major abdominal and minimally invasive surgical
procedures in the neonate or pediatric patient
Medical knowledge:
 Demonstrate evidence of continued increase in pediatric surgery core knowledge from basic
surgical texts, additional readings and the SCORE curriculum as noted below
 Obtain a broad knowledge base of pediatric surgery and other surgical specialties
 Study and prepare for the ABSITE
 Anatomy and physiology of the newborn and the pediatric patient.
 Fluid and nutritional management of the neonate and pediatric patient.
 Embryology, evaluation and management of congenital anomalies.
 Peri-operative management of the neonate and pediatric patient.
 Anatomy and physiology of the GI tract, liver, biliary tract and pancreas
 Fluid and electrolyte management including management of parenteral and enteral nutrition
Practice-based learning and improvement:
 Participate actively in M and M conferences, daily chief conferences 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:
 Consistently exhibit efficient, concise, patient presentations
 Master text paging, emailing, etc.
 Develop strong doctor patient relationships using counseling and education of patients and their
families
 Master EPIC to provide proper documentation in the electronic medical record
 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 the Swedish health
care system
 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 our system
SCORE CURRICULUM - CATEGORY 23: PEDIATRIC SURGERY
Diseases/Conditions
Operations/Procedures
BROAD
ESSENTIAL − COMMON
• Hypertrophic pyloric stenosis
• Inguinal herniorrhaphy in children
• Umbilical hernia
• Umbilical hernia repair in children
• Inguinal hernia
• Malrotation
ESSENTIAL − UNCOMMON
• Intussusception
• Pyloromyotomy
• Meckel’s diverticulum
• Emergency operation for malrotation
• Emergency operation for intussusception
FOCUSED
• Excise branchial cleft anomaly
• Gastroschisis
• Excise thyroglossal duct cyst
• Omphalocele
• Orchiopexy
• Esophageal atresia
• Open antireflux procedure
• Tracheoesophageal fistula
• Laparoscopic antireflux procedure
• Foreign bodies of the trachea/esophagus
• Repair intestinal atresia/stenosis
• Congenital diaphragmatic hernia
• Repair diaphragmatic hernia
• Duodenal atresia/stenosis
• Repair omphalocoele/gastroschisis
• Pancreas divisum
• Procedure for meconium ileus/necrotizing enterocolitis
• Intestinal atresia and meconium ileus
• Excision Wilms tumor/neuroblastoma
• Imperforate anus
• Operation for Hirschsprung’s/imperforate anus
• Necrotizing enterocolitis
• Hirschsprung’s disease
• Biliary atresia
• Choledochal cysts
• Cryptorchidism
•Wilms tumor
• Neuroblastoma
• Repair esophageal atresia/tracheoesophageal fistula
• Repair deformity chest wall