Residency Level:
Surgical Rotation:
Length of Rotation:
PGY 1 (Categorical, Preliminary)
Burns/Plastic Surgery (Harborview Medical Center Burn Unit)
Four Weeks
Goals and Objectives
Patient care:
 Demonstrate the ability to manage and care for burns following the guidelines in Burn Pearls, the rotation
handbook
 Demonstrate the ability to assess and manage the burn patient including making a plan and assuring its
implantation in consultation with upper level members of the team
 Demonstrate the ability to assess and manage a simple lacerations and the ability to evaluate complex
lacerations and wounds
Technical skill:
 Demonstrate technical proficiency in the emergency room and operating room with basic wound suturing,
burn care, debridement, skin grafting and appropriate dressings
 Master venous access, airway management and fluid resuscitation of the burn patient
 Demonstrate the principles of burn wound management including escharotomy, skin grafting, coverage
techniques and debridement techniques including revision of scars and resultant deformities and composite
tissue transfers.
Medical knowledge:
 Demonstrate mastering the pathophysiology of the burn injury, including the dynamics of thermal injury
and progression of tissue damage, including how to care for: hypothermia, frostbite, flame burns, scald
burns, electrical burns, chemical burns, smoke inhalation injury and carbon monoxide poisoning
 Learn to examination and assess a burn wound including extent and depth of injury
 Learn the principles of burn shock and fluid resuscitation
 Learn bacteriology and immunologic alteration of the burn wound
 Learn the indications and techniques of burn wound immobilization and coverage
 Learn about the rehabilitation of the burn wound patient
 Demonstrate the ability to perform a basic craniofacial trauma evaluation, including important elements of
history and physical examination
 Demonstrate the ability to identify fractures on the craniofacial CT scan
 Demonstrate the ability to perform a basic hand examination and evaluate common hand injuries in the
emergency department and clinic
 Demonstrate understanding of basic hand anatomy
Practice-based learning and improvement:
 Demonstrate understanding of the expected course of wound healing by regular attendance at wound
rounds and observation and participation in the wound care of once patient's
Interpersonal and communication skills:
 All residents should again an appreciation for a multidisciplinary and holistic approach to the care of the
burn patient
Professionalism:
 All residents should gain an appreciation for a multidisciplinary and holistic approach to patient care
 Demonstrate sensitivity to age, gender and culture of patients and other health care professionals
Systems-based practice:
 Demonstrate an appreciation for the team approach a patient care and presenting the patients at
multidisciplinary rounds on Mondays and Thursdays
SCORE CURRICULUM CATEGORY 17: TRAUMA
FOCUSED
• Hypothermia
• Frostbite
• Flame burns
• Scald burns
• Electrical burns
• Chemical burns
• Smoke inhalation injury
• Carbon monoxide poisoning
COMPLEX
• Burn debridement or grafting
SCORE CURRICULUM CATEGORY 24: PLASTIC SURGERY
Operations/Procedures
ESSENTIAL − COMMON
• Skin grafting
COMPLEX
• Revision of scars and resultant deformities
• Composite tissue transfer