University of Minnesota
Division of Plastic & Reconstructive
Surgery
2007-2008 FELLOWSHIP INFORMATION:
PROGRAM MANUAL
Policies, Guidelines, & Reference Listings
Department of Surgery Division of Plastic &
Reconstructive Surgery
Introduction/Explanation of Manual
The information contained in this Program Manual (formerly known as the Part B Manual) pertains to fellows in
the Division of Plastic and Reconstructive Surgery.
For information that applies to all fellows at the University of Minnesota, please review the Institution Policy
Manual (formerly known as the Part A Manual), available online at
http://www.med.umn.edu/gme/residents/parta.html. Information in the Institution Policy Manual takes precedence
over that in the Program Manual.
Department of Surgery Mission Statement
The academic charge of the Department of Surgery at the University of Minnesota is to provide a superb
environment to facilitate the training of individuals at all levels-medical student, resident, and fellow-in the
discipline of clinical surgery and surgical sciences.
Program Mission Statement
The academic charge of the Department of Surgery at the University of Minnesota is to provide a superb
environment to facilitate the training of individuals at all levels-medical student, resident, and fellow-in the
discipline of clinical surgery and surgical sciences.
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Table of Contents
Introduction/Explanation of Manual ................................................................................................................................... 2
Department of Surgery Mission Statement ...................................................................................................................... 2
Program Mission Statement ................................................................................................................................................. 2
SECTION I: STUDENT SERVICES .......................................................................................... 6
Universal University Pagers ................................................................................................................................................. 7
E-Mail and Internet Access................................................................................................................................................... 7
HIPPA Training ........................................................................................................................................................................ 8
UMMC Photo ID Badge ........................................................................................................................................................ 10
Doctor Number and UMMC Computer Access .............................................................................................................. 10
Regions Hospital Introduction Information ................................................................................................................... 10
SECTION II: BENEFITS .......................................................................................................... 11
Stipends .................................................................................................................................................................................. 12
Vacation Policy, Non-Regions Rotations ....................................................................................................................... 12
Vacation Policy, Regions Rotations................................................................................................................................. 12
Sick Leave Policy .................................................................................................................................................................. 13
Health and Dental Insurance Coverage........................................................................................................................... 13
Professional and Academic Leave ................................................................................................................................... 13
Parental Leave: Family Medical Leave Policy/Childbirth or Adoption .................................................................... 13
Policy on Effect of Leave for Satisfying Completion of Program ............................................................................ 14
Long Term Disability Insurance ........................................................................................................................................ 14
Short Term Disability Insurance ....................................................................................................................................... 14
Professional Liability Insurance ....................................................................................................................................... 14
Life Insurance ........................................................................................................................................................................ 14
Meal Tickets ........................................................................................................................................................................... 14
Laundry Service .................................................................................................................................................................... 14
Parking..................................................................................................................................................................................... 15
Travel Policy........................................................................................................................................................................... 15
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SECTION III: DISCIPLINARY AND GRIEVANCE PROCEDURES ........................................ 17
Fellow Grievance Policy ...................................................................................................................................................... 18
SECTION IV: GENERAL POLICIES AND PROCEDURES .................................................... 19
Program Curriculum............................................................................................................................................................. 20
Division Conferences .......................................................................................................................................................... 20
Program Goals and Objectives ......................................................................................................................................... 23
YEAR 1A .............................................................................................................................................................................. 23
YEAR 1B .............................................................................................................................................................................. 24
YEAR 2 ................................................................................................................................................................................. 26
Training / Graduation Requirements ............................................................................................................................... 28
Operative Records ................................................................................................................................................................ 28
ACGME Competencies ........................................................................................................................................................ 28
Duty Hours .............................................................................................................................................................................. 29
Evaluation ............................................................................................................................................................................... 30
Mock Oral Examinations ..................................................................................................................................................... 32
On Call Schedules ................................................................................................................................................................ 33
Overnight Call Rooms/Call Rooms .................................................................................................................................. 34
Resident Exercise Room ..................................................................................................................................................... 34
Resident Lounges ................................................................................................................................................................. 35
Support Services .................................................................................................................................................................. 35
Laboratory/Pathology/Radiology Services .................................................................................................................... 35
Medical Records.................................................................................................................................................................... 35
Security/Safety ...................................................................................................................................................................... 35
Moonlighting Policy ............................................................................................................................................................. 36
Supervision Policy ................................................................................................................................................................ 36
Graded Responsibility ......................................................................................................................................................... 37
Monitoring of Resident Well-Being .................................................................................................................................. 38
Photocopying ......................................................................................................................................................................... 38
Office Support Services ...................................................................................................................................................... 39
Guidelines of Professional Dress ..................................................................................................................................... 39
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SECTION V: ADMINISTRATION ............................................................................................ 40
Main Hospital Contact Information .................................................................................................................................. 41
S.O.U.P. Administrative Phone List & 11th Floor PWB Offices ................................................................................ 42
Telephone/Pager Hints And Instructions ....................................................................................................................... 43
Paging ................................................................................................................................................................................... 43
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SECTION I: Student Services
(Please refer to Institution Policy Manual for Medical
School Policy on the following: Child Care, Computer
Discount, Credit Union, Legal Services, Library Services,
Medical School Campus Map, Residency Assistance
Program, Tuition Reciprocity, U Card, University
Recreation Sports Center, University Tickets, and Use of
Phone Numbers.)
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Universal University Pagers
Plastic surgery fellows receive alpha pagers at the beginning of the year and are provided to you by the residency
program coordinator. The number you are assigned remains the same for the duration of your training.
For malfunctioning beepers, please contact Lana in the Communications Office (952-924-1452).
If your beeper is not turned in at the end of your training you will be assessed a fine for $170.00 to cover the costs
of a new one. New batteries can be obtained from the Department of Surgery Front Desk, 11th floor PhillipsWangensteen Building.
Paging Instructions
USER:
University Campus:
U of M phone with a 624/625/626 Prefix
Dial Access Code 19393
Fairview phone with a 273 Prefix
Dial Access Code 893
Riverside Campus:
Fairview phone with a 672 or 273 Prefix
Dial Access Code 893
Off Campus:
Dial Access Code 899
SYSTEM:
Please enter the four digit I.D. to page
USER:
Enter the FOUR digit I.D. number
SYSTEM:
displayed.
States the status and if the person is available, directs you to enter the number you wish to be
USER:
Enter your SEVEN digit call back phone number, then hang up.
Alpha Pagers
All plastic surgery staff and resident pagers from the University are alpha-numeric. The URL for alpha, or text,
messaging is: http://www.americanmessaging.net/index.asp
Pages sent numerically should be considered urgent and a call-back is expected. Alpha text does not usually
require a response, unless indicated (e.g., Call me). Abbreviated text is used liberally. If in doubt, call the sender.
E-Mail and Internet Access
To set up E-mail account:
Check to make sure you are registered as a student (all surgical fellows are registered students at the University
of Minnesota). You can do this by going to the UMN search page at http://search.umn.edu/. Under search for
people, type in your name and click on search. If you are not registered, you won’t be in the system. If you are
not registered, please contact Teri Wolner, at (612) 625-3926, to make sure all of your paperwork is complete.
Call the E-Mail help line at 612-626-4276, or go to the Computer Information Services Office in Room 152
Shepherd Laboratories, 100 Union Street, to set up your account and password.
To access your E-mail account:
Any computer with Internet access can be used to access your University of Minnesota E-mail account.
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Go to http://www.mail.umn.edu/ (if you forget this address, there is a link to this page on the Department of
Surgery home page at http://www.surg.umn.edu ).
Click on "GopherMail" or "WebMail 3.0"
Enter your Internet ID and Password
To set up Internet access from home:
The University of Minnesota provides an Internet account to all faculty, staff, and enrolled students. The University
also provides 50 hours of free modem pool access per month. Additional blocks of 30 hours are available at a rate
of $4 per 30 hours. The Internet kit contains software and instructions for connecting your computer to the
Internet, as well as many popular Internet programs and utilities.
More information about the Internet kits can be found at http://www1.umn.edu/adcs/software/internetkit/.
E-mail merge instructions:
If you use another e-mail (e.g., Hotmail, Yahoo) other than your university e-mail, please make sure that you have
your university e-mail forwarded to your other account. E-mail notification is the primary communication tool used
by the division, department, the Dean’s Office, AHC, and the University to notify faculty, staff, and students for all
required information and deadlines. The steps to do this are:
1.
2.
3.
4.
5.
Go to http://www.umn.edu/dirtools
Enter your Internet ID and Password
Click on “Set eIn the “send e-mail to” field, click "other" and type in your alternate eSubmit
Important Web Pages:
The Department of Surgery’s web page is: http://www.surg.umn.edu/
The Division of Plastic & Reconstructive Surgery’s web page is:
http://www.surg.umn.edu/surgery/General/Plastic.html
The UMN Graduate Medical Education office’s web page is: http://www.med.umn.edu/gme/
The Medical School’s web page is: http://www.meded.umn.edu/
Campus Mail
Your mail is delivered to the general Plastic & Reconstructive Surgery box, and will be sorted by the residency
coordinator. The coordinator will notify you when you have mail, and have it available for pick up in Mayo, C261.
Your campus mail address is; 420 Delaware Street SE, MMC 195, Minneapolis, MN 55455. Please have any
magazines or journals, etc. sent to your home address, in order to insure you receive your materials in a timely
manner.
HIPPA Training
All Plastic Surgery fellows must complete the University of Minnesota’s HIPAA training. You will be assigned your
sections to complete through your AHC Portal. Please contact Sara Gort, at (612) 624-7149, for any questions.
University Privacy & Data Security Training: Compliance Requirements for Individuals
There are security courses that are required of all individuals, and privacy and security training courses that are
appropriate only for some individuals. The particular training that each individual must complete depends in large
part on job duties and responsibilities. The privacy and security training courses offered at the University of
Minnesota are listed in the table on the next page.
HIPAA Privacy training requirements:

All employees, student workers, and health science students and volunteers in the AHC (with the
exception of those in College of Veterinary Medicine programs) and other University health care
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

components are required to complete the primary Introduction to HIPAA Privacy and Security videotape
course.
All employees, students, and volunteers with research-related duties are required to complete the Privacy
and Confidentiality in Research core course.
All employees, students, and volunteers with clinical responsibilities are required to complete the Privacy
and Confidentiality in Clinical Settings core course.
Security training requirements:
All employees, students, and volunteers are required to complete the three primary security courses: Data
Security in Your Job, Securing Your Computer Workstation, and Using University Data.
All employees, students, and volunteers in the AHC (with the exception of those in College of Veterinary Medicine
programs) are required to complete the Managing Health Data Securely topical course.
Course Name
Course Length
(approximate)
Privacy Training
Introduction to HIPAA Privacy and Security videotape (primary)
Privacy and Confidentiality in Research (core)
Privacy and Confidentiality in Clinical Settings (core)
7 minutes
35 minutes
55 minutes
Security Training
Data Security in Your Job1 (primary)
Securing Your Computer Workstation (primary)
Using University Data2,3 (primary)
Managing Financial Data Securely (topical)
Managing Personnel Data Securely (topical)
Managing Health Data Securely (topical)
Managing Student Data Securely (topical)
Data Security Information for Faculty, Managers, and Supervisors (topical)
20 minutes
20 minutes
20 minutes
20 minutes
20 minutes
20 minutes
20 minutes
20 minutes
Privacy and Security Training Courses Offered by the University of Minnesota
1Only
the first security course, Data Security in Your Job, is initially assigned by either the Tracking system
automatically or by a privacy coordinator. Two weeks later, the second security course, Securing Your Computer
Workstation, is automatically assigned (with the person that training was assigned to receiving an e-mail
notification about training), whether or not the first course has been completed. Two weeks after the second
security primary course is assigned, the third course, Using University Data, is assigned (whether or not the first
or second course has been completed), with an e-mail sent to the person assigned training.
2The
third security course, Using University Data, contains an assessment module at the end. The assessment is
a required component of security training. If a person who finishes the third security course does not complete the
assessment, he or she will still receive a completion e-mail notification. However, the course will be treated as
incomplete until the assessment is completed. A person who completes the course but not the assessment
receives one reminder e-mail with a link to the assessment.
3The
assessment that follows the Using University Data course is listed as a separate course in the Tracking
system that privacy coordinators use. It is also listed in the myU portal as a separate course to highlight its
importance as a tool for determining and delivering additional curricula.
About security training topical courses
Depending on roles/duties and type of data used in his or her position, an individual may need to take additional
topical courses beyond the required primary security courses. An assessment that an individual completes at the
end of the third primary security course determines the additional topical courses that he or she needs. Based on
the responses to the assessment, the Tracking system automatically assigns the appropriate courses and sends
an e-mail to the individual with information about how to take the necessary topical courses.
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How to Access the On-Line Courses
All required training can be accessed in the University-wide “myU” portal at www.myu.umn.edu
Once authenticated (“signed in”), Employees will need to go to their “my WORK LIFE” tab and Students will need
to go to their “my ACADEMICS & CAREER” tab.
Additional information
Questions regarding training requirements, University policies, HIPAA, or privacy and security issues in general
can be directed to the Privacy & Security Office at 612.624.7447 or at privacy@umn.edu.
UMMC Photo ID Badge
There are two locations to obtain a UMMC photo ID badge. The first one is in the Main Hospital, 2-112 Security
Office. Hours are from noon to 5 PM on Thursdays and 7 AM to noon Fridays. For more information, call (612)
273-4948. Otherwise, you may go to the Main Security Office, M141 East Building, Riverside Campus. For more
information call, (612) 273-4544. They are open 24 hours a day, 7 days a week.
To get to the Riverside campus from the University campus, board the shuttle to the Riverside campus at the
entrance of the Hospital—you may obtain the schedule from the Hospital Information Desk. The shuttle drops
you off at the East Building. Go in the entrance and follow the signs to the Main Security Office. The office will
have a list of Department of Surgery fellows. You will be required to fill out a form giving your name, address,
Social Security Number, etc.
Doctor Number and UMMC Computer Access
Teri Wolner, in the Surgical Education Office, will provide you the forms to complete and return in order to be
assigned your doctor number and computer access number. You can reach Teri at, (612) 626-2590.
Regions Hospital Introduction Information
Prior to beginning the Regions plastic surgery rotation, please contact the Regions Plastic Surgery Office at (651)
254-0883. They will instruct you where and at what time to report to the hospital and meet with the Plastics staff.
(Usually 6:30 a.m.)
On first day of rotation, register with Willie Braziel (3rd Floor, North Bldg). Where applicable, he will assist you
with the following:
Parking
ID Badge
Computer Codes (Epic Web, Rampis)
Dictation Codes
Access to secured areas (O.R., E.R.)
Call Room Access
If you have any problems with computer or door access, codes, parking, etc. or any questions about Regions
Hospital or its policies, please contact Willie Braziel at (651) 254-1530.
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SECTION II: BENEFITS
(Please refer to Institution Policy Manual for Medical School
Policy on the following: Boynton Health Services, Dental
Insurance, Health Insurance, Life Insurance, Long-Term
Disability Insurance, Short-Term Disability Insurance,
Insurance Coverage Changes, Loan Deferment, Optional
Retirement Contributions, Pre-Tax Reimbursement Program,
Overview of Pre-Tax Accounts, Professional Liability
Insurance, Resident Leave Policy, Stipends, Workers’
Compensation Benefits.)
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Stipends
Fellow stipends are determined each year. Your annual stipend amount will be sent to you each year with your
Graduate Medical Education Program Residency Agreement.
Fellows must be hired at the appropriate stipend level paid by their PGY year level by their department/program.
Years away in non-accredited program (clinical service, research, government service etc.) cannot be counted
when determining the appropriate stipend level.
The 2007/2008 base stipends were approved by the UM GMEC at their November 28, 2006 meeting. Please
note that we will continue to withhold FICA as appropriate.
Level
G6
G7
G8
Stipend
$52,204
$53,873
$55,597
The 2007/2008 rates are posted on the GME web-site at: http://www.med.umn.edu/gme/directors/finance.html,
along with an update of the stipend history spreadsheet.
Fellows will receive a paycheck every other week. Payroll dates are stated in the Institution Policy Manual. The
Department of Surgery receives the paychecks from Payroll on every other Wednesday and mails them to the
fellows’ home. As paychecks have the potential of being lost or delayed in the mail, fellows are encouraged to
use the direct deposit system. Paychecks are credited to the bank accounts of those using the direct deposit
system on the morning the paychecks are delivered to the Department Office. If you have any questions, please
contact Kirk Skogen, payroll personnel, at (612) 625-3954 or k-skog@umn.edu.
Vacation Policy, Non-Regions Rotations
A maximum of 7 days may be taken during each four-month rotation and the fellows are encouraged to utilize all
vacation days available during that time.
Vacation requests must be submitted at least 30 days in advance on the division form. The site director will be
responsible for its distribution to the rest of the faculty.
Fellows are responsible for arranging call coverage and must indicate the coverage on the vacation request form.
Request forms must be approved by the site director who will notify the other sites.
It is undesirable that two fellows should be on vacation at the same time.
Holiday schedules are as below, but residents may negotiate between themselves:
First year resident has Thanksgiving weekend free; works on Christmas.
Third year resident has Christmas free; works on Thanksgiving.
Vacation Policy, Regions Rotations
Fellows may take 21 days of vacation each year (July to June). Vacation not taken during the year may not be
applied toward vacation in subsequent years.
Vacation must be taken up to a maximum of 7 days during each 4-month period as follows:
BLOCK 1: 1 week during July – October
BLOCK 2: 1 week during November – February
BLOCK 3: 1 week during March – June
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Vacation requests must be submitted in writing to the Residency Program Coordinator during the block prior to
the block you are requesting vacation time.
Once vacations are approved they may not be changed and vacation days not taken during a 4-month period may
not be carried forward.
Vacation may not be taken during the following time periods:
December 24-January 1
January 16–25
June 13–30
The site director will arrange for every fellow to have three days off during the period of December 24 th through
January 1st, allowing all fellows time off during these dates.
Estimated dates for maternity or paternity leave should be submitted in writing to the Program Coordinator three
months in advance.
Greater than 7 days of vacation may be taken only under special circumstances (e.g., marriage, overseas travel,
etc.) with a maximum of 11 days, and must be split at the end of one rotation and the beginning of another.
Sick Leave Policy
In the event of illness, the affected fellow is personally responsible for notifying the faculty member of the affected
clinic(s)/service(s) or Program Director’s office as soon as the fellow knows that the illness will cause an absence
from clinical responsibilities. Sick leave will be approved only for legitimate illness. A physician’s note may be
requested to support the fellow’s request for sick leave. If the above policy is not followed, the absence will be
counted as vacation time. It is the responsibility of the fellow and the program director to ensure that Board
eligibility requirements are met within the original residency period or alternative arrangements are made.
Health and Dental Insurance Coverage
See the Institution Policy Manual. Please contact Teri Wolner, at (612) 625-3926, for any questions.
Professional and Academic Leave
You must submit in writing to the Residency Program Coordinator, a vacation request form for any time off of
service for fellowship interviews, meetings, teaching ATLS, etc., although you will not be charged vacation time.
Time away from the hospital for academic leave, continuing medical education, and conferences is available in
addition to the regular vacation time. This is under the jurisdiction of the residency content of their fellowship. If
the fellow is assigned to an off-service rotation, the residency program needs to make mutually agreeable
arrangements with any department that may be affected. If requested, the fellow must provide of a replacement,
either with another fellow or a qualified substitute.
See the Institution Policy Manual for the Institutional Fellow/Resident Leave Policy.
Parental Leave: Family Medical Leave Policy/Childbirth or Adoption
A leave of absence for serious illness of the fellow; serious health condition of a spouse, parent, or child; or birth
or adoption of a child shall be granted through formal request to the program director. The length of the leave will
be determined by the program director based upon an individual’s particular circumstances and the need of the
department, not to exceed 12 weeks in any 12-month period. The fellow shall be granted, upon request, up to six
weeks paid maternity leave for birth or two weeks paid leave for adoption. After using paid maternity leave and all
unused vacation, any additional leave will be without pay. Two weeks paid paternity leave will be granted upon
request to the program director.
The fellow should exercise consideration in informing the program director as early as possible to allow
scheduling of curriculum plans to accommodate the leave. It is the responsibility of the fellow and the program
Page 13 of 43
director to ensure that Board eligibility requirements are met within the original fellowship period or that alternative
arrangements are made.
Policy on Effect of Leave for Satisfying Completion of Program
The Board considers a residency in plastic surgery to be a full-time endeavor and looks with disfavor upon any
other arrangement. The minimum acceptable training year is 48 weeks. Should absence exceed four weeks per
annum for any reason, the circumstances and possible make-up time of this irregular training arrangement must
be approved by the program director and the additional months required in the program must be approved by the
Residency Review Committee (RRC-PS) for Plastic Surgery and documentation of this approval must be provided
to the Board by the program director. No credit but no penalty is given for military, maternity/paternity or other
leaves during training. Residents or candidates in the examination process called to active military duty do not
need to submit a reapplication if five years expire during the active duty period.
Long Term Disability Insurance
See the Institution Policy Manual. Please contact Teri Wolner, at (612) 625-3926, for any questions.
Short Term Disability Insurance
Short-Term disability insurance is offered as an optional coverage. The cost is based on the amount of coverage
elected. Coverage may be applied to in increments of $100 from a minimum of $300 to a maximum of $5000, but
not to exceed 2/3 of the fellow’s monthly gross salary. Benefits are effective the first day of a disability due to an
accident or the eighth day of disability due to sickness or pregnancy and, if certified, can continue for up to 26
weeks.
Professional Liability Insurance
See the Institution Policy Manual. Please contact Teri Wolner, at (612) 625-3926, for any questions.
Life Insurance
See the Institution Policy Manual. Please contact Teri Wolner, at (612) 625-3926, for any questions.
Meal Tickets
Meal Tickets will be provided for you on all clinical rotations as fellows on duty must have access to adequate and
appropriate food services 24 hours a day at all institutions.
For UMMC, the Residency Coordinator will provide on call fellows with preprogrammed meal cards. When the
card has been used up, leave the card with the cafeteria staff. If the meal card is lost or stolen, contact the
Residency Coordinator.
At the VA, the kitchen has a list of who is on call, and at Regions, Willie Braziel, in the Surgical Education Office
will provide you with preprogrammed meal cards. There is no food service available for any other institutions
(e.g., North Memorial, West Health, Centennial Lakes).
Laundry Service
The Division of Plastic and Reconstructive Surgery will provide each incoming fellow with two long white lab
coats. You will receive an order form to purchase the coats through the University of Minnesota Health Sciences
Bookstore. The division provides laundry service for the lab coats through AmeriPride laundry. All coats need to
be tagged in order for this service to be had so please notify the residency coordinator once the coats are ready
to be cleaned.
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Parking
The Division of Plastic and Reconstructive Surgery provides a parking contract for Ramp C on Oak Street and
Delaware Street SE for fellows when on service at the University. Parking at Regions is available through Willie
Braziel, in the Surgical Education Office; at the VA no parking card is required, the surface lot is open to all. At all
other sites, the on-site Education Office will provide you with the details of how and where to park.
Travel Policy
Annual Travel
The division of Plastic and Reconstructive Surgery at the University of Minnesota enthusiastically supports the
fellows’ educational experience by committing funds for each fellow to attend one academic meeting per year.
Travel dollars do not carry over.
For years one or two of the plastic surgery fellowship, fellows are free to choose any academic meeting; provided
they attend either a board review course of their choice or the Core Curriculum course in Plastic Surgery. Fellows
are strongly encouraged to attend the Core Curriculum course at least once during the fellowship. The flexibility
allows fellows who wish to achieve board certification in their primary residency to attend a board review course. It
also allows fellows who plan to take an additional fellowship to attend a meeting that would allow them to make
the necessary contacts for their intended fellowship.
In year three, the fellow is strongly encouraged to attend the senior residents course as a participant in the
program.
Travel to Present at Meetings
Fellows in the Plastic and Reconstructive Surgery fellowship program at the University of Minnesota are provided
resources and strongly encouraged to perform clinical and/or basic science research during the course of their
three years of training. The division supports the fellow research experience by committing funds to each fellow to
attend the major national meeting to which they have abstracts accepted.
Acceptance of an abstract for presentation in poster or oral format at a meeting will entail travel expenses that
must be reimbursed by the senior investigator on the abstract or by a sponsoring organization.
Travel outside of the 48 continental states in the U.S. will be approved on an individual basis.
Overseas Travel
Third world trips are determined on an individual case-by-case basis and will not negatively impact on the amount
of meeting time available per year as described above.
Pre-travel Instructions
Prior to any travel a Travel Authorization form must be filled out, signed by the division director, and if applicable,
the research mentor. Forms are to be completed by the fellow and returned to the Department of Surgery Budget
Office. Forms are available in the Department of Surgery office (11-100 PWB). Estimated expenses should be
reflective of actual expenses that will be incurred.
If travel is for abstract presentation, please enclose a copy of the letter indicating acceptance of your abstract and
a copy of the abstract itself. If a concurrent submission of a manuscript is required, a copy of the cover letter to
the editor of the journal to which the manuscript has been submitted and a copy of the manuscript itself should
also be enclosed.
For all fellow travel, support will be reimbursed according to the Travel Reimbursement Schedule in compliance
with the Department of Surgery guidelines, as noted below:
Page 15 of 43
Travel Reimbursement Schedule (minimum levels)

Per diem (hotel plus meals) $120.00 per day and subject to actual expenses and allowable limits as per
University of Minnesota guidelines (see http://travel.umn.edu/polandpro.php); We suggest that you share
a room with one of your colleagues whenever possible.

Airfare (must be lowest rate possible [14-21 day advance] and include a Saturday night stay if the
meeting ends on Saturday or begins on Sunday). The reimbursement for a Saturday night stay will
always be allowable, if the difference between airline ticket cost for non-Saturday and a Saturday stay
exceeds $130.00. Full reimbursement for the hotel room (not to exceed $130.00) will occur for Saturday
night.

Reasonable ground transportation at city of destination, i.e. taxi to and from airport to hotel or rental car if
cost benefit shows savings for staying at another hotel for a reduced rate.

The maximum reimbursement per trip will not exceed $1,000.00, unless there is a concurrent submission
of a manuscript at the time of the meeting. This will increase the maximal reimbursement up to $1,150.00.
Applying for Travel Expense Reimbursement
Obtain proper approval for reimbursing the traveler. The Travel Voucher requires two signatures, the traveler and
the Program Director.
Submit the Travel Voucher for data entry within 15 days from the return date of the trip. If an advance was
obtained and the required voucher is not submitted within 30 days of the anticipated return date, collection of the
advance through payroll deduction will commence.
Original receipts are required for all expenses of $25 or more, except for meals. Receipts should be detailed
vendor receipts rather than general charge card transaction slips. Receipts for meals are not required (even if
meal is over $25) unless your department requires them for their own internal audit procedures.
Foreign expenses must be submitted in U.S. dollars using the exchange rate in effect during the dates of travel or
the exchange rate used by the University Corporate Charge Card at time of billing. If conversions are necessary,
please indicate what exchange rate was used. For assistance in itemizing foreign expenses, call Disbursement
Services at 612-624-7819.
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SECTION III: Disciplinary and Grievance Procedures
(Please refer to Institution Policy Manual for Medical School
Policy on the following: Discipline/Dismissal of
Residents/Fellows, Regents’ Student Academic Grievance
Policy, University Senate Policy on Sexual Harassment,
Resident Procedure for Reporting Sexual Harassment and
Discrimination, and Sexual Assault Victim’s Rights Policy.)
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Fellow Grievance Policy
The Division of Plastic and Reconstructive Surgery encourages fellows at any time to communicate directly with
any of the staff or faculty members regarding issues, problems, concerns or stresses that they may be
experiencing. In particular, if there are logistical problems in their current rotations, conflicts with staff, or issues
regarding fellow evaluations, the site director for that rotation should be contacted to discuss possible solutions.
The Program Director, Dr. Bruce Cunningham, will address general concerns affecting more than one rotation.
Fellows may log grievances either at their quarterly rotation review or they may contact the residency coordinator
in order to obtain a grievance form, to be completed and returned the University offices for the Program Director’s
review.
When fellows are reluctant to voice minor concerns to the Program Director and staff, they may contact the
program’s Ombudsman. The ombudsman position was created in an attempt to facilitate communication
regarding fellows’ complaints and concerns at an informal level before they reach a point where official action is
required by the Program Director. To address minor irritants before they become serious problems, fellows are
encouraged to contact the ombudsman to air their concerns and solicit advice on an informal basis. The
ombudsman is a recent graduate of the program, who is aware of many of the specific elements of the individual
rotations, and serves as an accessible link between the supervising staff, and the fellows.
The current ombudsman is Dr. Marie-Claire Buckley, contact information listed below;
Marie-Claire Buckley, MD
Phone: 612-625-5470
Fax:
612-624-4441
Pager: 612-899-5143
Cell:
612-201-2751
Email: buckl012@umn.edu
Office: Mayo Building, room C260
Address:
420 Delaware Street SE, MMC 195
Minneapolis, MN 55455
Page 18 of 43
SECTION IV: General Policies and Procedures
(Please refer to Institution Policy Manual for Medical School
Policy on the following: Academic Health Center Policy on
Student Background Checks, Classification Policy, Duty Hours,
Dress Code Policy, On-Call Room Policy, Eligibility and
Selection of Residents/Fellows, Evaluation of
Residents/Fellows, RMS Instructions, GME Core Curriculum
Seminars, Immunizations and Vaccinations, Impaired
Resident/Fellow Policy, Impaired Resident/Fellow Procedure,
Institutional and Program Requirements, International Medical
Graduates, Jury Duty Policy, Licensure, Moonlighting Policy,
New Training Program Policy, Observer Policy, Program
Evaluation, Promotion of Residents/Fellows Policy, Policy
Blood Borne Diseases, Restrictive Covenants, Supervision
Policy, and Without Salary Appointments.)
Page 19 of 43
Program Curriculum
The goal of training is to assist the fellow in preparing a broad-based foundation for his/her future clinical and
research endeavors.
The philosophy of the Department is to train academically oriented surgeons by fostering and facilitating
independent discovery and research. The faculty serves as a resource, a clinical and intellectual database to
which the trainee can refer for assistance in answering questions stimulated by reading or clinical exposure.
Fellows will acquire the necessary technical skills in several ways. In addition to didactic lectures and
conferences, dissection on cadaver specimens will provide anatomical experience in flap anatomy and aesthetic
surgery. The basic fundamentals of microsurgery are taught and practiced in the micro surgical research
laboratory. As the fellow demonstrates a mastery of the basic skills in a laboratory setting, he or she will be
provided progressively increasing operative responsibility in the clinical area.
The rotation schedule is designed to allow maximum exposure to the requirements outlined by the RRC. Plastic
and Reconstructive surgery experience will take place at three core facilities (University of Minnesota Medical
Center, Fairview, Regions Hospital, North Memorial Medical Center) and a number of affiliated private hospitals.
This experience will expose fellows to the full range of surgical care environments, from busy community hospitals
to the clinical private practice setting.
Division Conferences
The following Plastic Surgery conferences are mandatory. Attendance of both fellows and faculty is taken and
recorded, and is a criterion for advancement. Faculty are in attendance at each conference. Complete
conference schedules are e-mailed to all residents and faculty members on a monthly basis. Also invited to
participate are medical students and community surgeons.
Fellows have the opportunity to evaluate the conferences in writing, and the input is used to improve the
conferences bi-annually.
Conferences are organized by the faculty and held to allow discussion of topics selected to broaden knowledge in
the wide field of plastic surgery and to evaluate current information. Teaching conferences augment the didactic
Core Curriculum Conference, and cover the scope of plastic surgery. Teaching conferences are designed to
include basic science subjects, such as anatomy, physiology, pathology, embryology, radiation biology, genetics,
microbiology, and pharmacology. Presentations are primarily given in Power Point or other electronic formats.

Grand Rounds: This mandatory conference is conducted monthly, and may have one of two formats as
determined by Dr. Bruce Cunningham. The most common format is conducted as a lecture by a member
of the faculty, or a visiting plastic surgeon or other professional. Invited presenters have included
University and regional experts from other specialties such as Dentistry, Orthopedics and Otolaryngology,
Biomedical Ethics, Hospital General Council, UMMC Billing Office, ASPS President, and ASPS Executive
Director. Invited speakers are used three to four months of the year for the conference. Staff, residents
and guest speakers discuss the clinical or General Competency material as indicated. At other times one
or more of the fellows present recent clinical cases illustrative of basic plastic surgery problems, topics or
techniques. Fellows are required to emphasize the basic science aspects of the topic, including anatomy,
physiology, pathology, embryology, epidemiology and pharmacology in their discussion as they relate to
the topics. The conference may alternate between the Regions and University Campus from time to time.

Mortality and Morbidity & Quality Assurance Conference: Each month there is a compulsory review
of the morbidity and mortality experiences of the service that is conducted by the Program Director at the
University and includes data from all rotations for the collecting period. Complications are pulled from
each participating institution; cases with learning potential are selected by the Senior Fellow, and
presented by the appropriate fellow on service using illustrative patient documentation. In the course of
the discussion the fellow is expected to refer to an appropriate literature survey that documents the
frequency, cause, basic science foundation, and treatment of the particular complication.
This mandatory conference is combined with a Quality Assurance Conference, where fellows and staff
present particularly challenging pre-operative clinical problems for review, comment, and suggestions by
Page 20 of 43
the other participants in the conference. Patient images are used, and the clinical problem delineated to
the group. The fellows then suggest appropriate solutions to the problem, starting from junior and
progressing to the senior fellow.

Journal Club: For this mandatory monthly conference in which the Senior Fellow selects articles from the
recent literature to be read by the fellows and faculty attending the conference. The conference is held at
the home of the Program Director and directed by him. Topics include basic science, clinical innovations,
ethics, and medico-legal articles. The conference format consists of exposition of the articles by individual
fellows, with a scholarly evaluation of the article, including a discussion of the hypothesis, study design,
analytical methods, statistics, and a critical evaluation of the conclusions expected of the presenter. A
discussion between staff and fellows helps place the article into perspective.

Core Curriculum in Plastic Surgery: As noted above, this required monthly conference is the didactic
backbone of the residency and is hosted and led by Dr. Marie Claire Buckley. The conference represents
a cyclic repetition of the core curriculum topics in Plastic Surgery as defined by AACPS CoreQuest
(http://www.aacplasticsurgery.org/), and supplemented by Selected Readings in Plastic Surgery. This
conference deals with the resection, repair, replacement, and reconstruction of defects of form and
function of the integument and its underlying anatomic systems, including the craniofacial structures, the
oropharynx, the trunk, the extremities, the breast, and the perineum. It includes aesthetic surgery of
structures with undesirable form, special knowledge and skill in the design and transfer of flaps, in the
transplantation of tissues, and in the replantation of structures are vital to these ends, as is skill in
excisional surgery, in management of complex wounds, and in the use of alloplastic materials.
Each section of the Selected Readings contains CME credit questions that the fellows must answer prior
to the conference and discuss during it. Fellows are required to read the subject matter in its entirety
before each session. During conference one fellow will give a 15 minute overview of the subject, another
fellow shall lead a quiz/discussion using past In-Service examination questions, and the final fellow shall
choose to present to the group recent journal articles related to the subject matter. While this exposure is
not a substitute for didactic training during residency rotations, it does familiarize them with most of the
core scientific content, and makes subsequent exposure a reinforcement rather than a discovery.
CoreQuest
1. Local Anesthetics
2. Breast Reduction
3. Breast Aug, Mastopexy
4. Breast Reconstruction
5. Burns
6. Cleft Lip and Palate
7. Coding
8. Liposuction/Abdominoplasty
9. Facelifts
10. Blepharoplasty
11. Chemical Peel
12. Hair Transplant
13. Rhinoplasty
14. Craniofacial
15. Ear Reconstruction
16. Eye/Eyelid
17. Flaps
18. Chest Wall / Abdominal Wall
19. Congenital Hand
20. Hand Fractures / Dislocations
21. Wrist
22. Hand Nerves

23. Rheumatoid Hand
24. Hand Tumors
25. Hand/Fingertip Amputations,
Dupuytren's, Vascular
26. Hemangiomas
27. Head and Neck Anatomy
28. Head and Neck Tumors / Parotid
29. Laser
30. Facial Palsy
31. Lower Extremity
32. Lymphedema
33. Mandible
34. Orthognathic, TMJ, Chin
35. Melanoma
36. Microsurgery
37. Nasal Reconstruction
38. Pressure Sore
39. Skin Lesions
40. Soft Tissue Infection
41. Skin, Fat and Cartilage Grafts
42. Tissue Expansion
43. Wound Healing / Keloids
44. Lip/Cheek Reconstruction
Cleft Lip/Palate, Craniofacial Interdisciplinary Conferences: There are two optional University of
Minnesota referral clinics held in the School of Dentistry-the Craniofacial Anomalies Clinic and Cleft Lip &
Palate Clinic. The conferences serve as interdisciplinary referral evaluations by faculty of the University
community. Typically, five to seven patients are evaluated and reviewed at each clinic by a team
Page 21 of 43
composed of the appropriate medical, surgical, dental specialties as well as speech-language pathology,
neuropsychology and genetics. After the multiple clinical examinations are performed by each specialist,
a face-to-face conference is held and a consensus treatment plan is derived by the team and
communicated to the referring physician, as well as all specialists currently involved in the management
of the patient. The emphasis of the conference is clinical, and consists of examinations and review of the
laboratory and radiology findings prior to making treatment recommendations. The fellows attend this
elective conference when one of the teaching staff is involved.

Multidisciplinary Maxillofacial Trauma Conference: This mandatory monthly conference is organized
by Dr. Schubert, and held at Regions Hospital on a Thursday evening. This conference includes
participants from all of the major teaching institutions in the Minneapolis/St. Paul, is multi-disciplinary, and
is coordinated with Plastic Surgery, Otolaryngology and Oral and Maxillofacial Surgery at the University of
Minnesota. The conference format can vary, consisting usually of lectures given by local or invited
experts from the participating disciplines speaking on their area of interest. Often the speakers are
nationally and internationally recognized in their areas of expertise. Frequently the lecture is followed by
presentation of clinical cases for analysis by the visiting expert, and is used as a springboard for open
discussion. At other times there is more emphasis on fellows presenting challenging or problem cases to
the group in an attempt to draw out the different interdisciplinary approaches to the problem. This is also
the research forum for residents and papers accepted for presentation and publication are reviewed at
this conference. Plastic surgery residents are expected to attend and present when appropriate. This
conference is approved by the office of GME for 1.0 Cat I credit.

Hand & Wrist Conference: This is a required bi-monthly conference during the Regions rotation. It is a
combined Plastics/Orthopedic Hand clinical presentation and patient rounds, which consists of all of the
attendings from the Division of Plastic Surgery and the Department of Orthopedics. Clinical cases are
presented by orthopedic hand fellows/Plastic surgery residents/ interns or attendings for discussion of the
scientific and clinical aspects of the case. The conference is directed by Dr. James Fletcher and an broad
overview of common hand problems is covered in an annual basis. Emphasis on evidence-based
approach for best practice in Hand Surgery is a priority. This conference is approved by the office of
GME for 1.0 Cat I credit.

Maxillofacial Trauma Radiology Conference: This is a weekly conference organized by Dr. Warren
Schubert, at Regions, to discuss all of the Maxillofacial trauma cases that have been admitted or treated
during the previous week by Plastic Surgery and ENT. For the five busiest months of the year, Oral and
Maxillofacial Surgery participates. It is mandatory for the Interns and Plastics fellow on the Regions
rotation. Pre-operative x-rays, operative management and post-operative x-rays are presented. A
correlation with anatomy and pathology is discussed, as well as use of synthetic and alloplastic materials.

Research Meeting: Monthly (as needed), Dr. Lacy directs a review of current research proposals with the
residents in the program. Updates of IRB status and current projects are reviewed. Attendance is
mandatory.

Lecture by On-Call Staff: This is a weekly conference given by all regions staff on a rotating basis. On
call staff meets weekly with an assigned lecture in basic anatomy and management for maxillofacial
trauma and hand trauma. Other topics covered are infectious disease/flap technique and post-op
care/breast health and other core topics in plastic surgery. These are also attended by the interns and
are designed to provide basic management skills for the ER, wards, and OR. Guest lecture is often given
by staff of Infectious disease regarding management of common patients on the service. Attendance is
mandatory.

Regions Morbidity and Mortality and Grand Rounds: This is a Wednesday morning monthly
conference run by the resident rotating at regions. This conference is a review of morbidity on the
regions plastic surgery service with review of literature and didactic presentation by the resident regarding
current best practice regarding these complications. Further discussion by staff centers around clinical
problems and experience with similar clinical cases. Didactic sessions are also given by rotating interns
in general surgery, ortho, ER, OMF on topics of special interest for the entire department. Attendance is
mandatory. This conference is approved by the office of GME for 1.0 Cat I credit.
Page 22 of 43

Operative Preparation Conference: This is the major teaching conference held monthly at the
Centennial Lakes Medical Center and is organized by Dr. Allen Van Beek. The conference format is
Socratic, and consists of a series of unknown clinical situations which are presented to the fellows to
solve. The fellows are asked to be consultants solving the problem, and are expected to use the provided
x-rays and other clinical data to derive a treatment plan. This conference has a format similar to, and is
designed to prepare the fellows for, the examiner’s cases in the ABPS certifying oral exam, where the
fellow is expected to define the clinical problem, and to plan and articulate the appropriate treatment
program. Typically the case is initially presented to the junior fellow who takes the problem as far as
possible, before calling for assistance from his more senior fellows who manage the problem in turn.
Attendance is mandatory.
Program Goals and Objectives
The following is an outline of the specific goals and objectives at each level of training, year-by-year, rotation by
rotation. Goals and Objectives are formulated by the Curriculum Committee, with a resident member, approved by
the faculty annually, and reviewed in a combined faculty meeting with the fellows annually.
Achieving the program’s goals and objectives in a timely fashion, evaluated at the end of each rotation, will serve
as objective evidence of personal and professional growth. We consider achieving these goals and objectives, as
reflected in faculty and 360 degree reviews of the fellows, to represent satisfactory levels of progress. Achieving
beyond them is encouraged and expected. Both faculty and fellows are encouraged refer to these goals and
objectives frequently throughout the years of training, and during appropriate rotations. They are also reviewed
quarterly between each fellow with the Program Director during the evaluation interviews at the end of each
rotation.
YEAR 1A
July 1 through October 31
General Plastic Surgery I at the University of Minnesota Medical Center, Fairview and Veteran’s Administrative
Medical Center
At completion of the fellow’s first year of residency at the University of Minnesota, the fellow will have gained
knowledge, skills, understanding and demonstrate competence regarding:







Clinical evaluation of wounds and discussion of treatment plan
Methods of clinical evaluation for basic aesthetic surgical patients including fellow’s aesthetic clinic
Evaluation and preparation treatment plan options for breast reconstruction
Management of a consultation service for CV, pressure ulcer and peripheral vascular problems at VAMC
Basic preparation and presentation of computer generated graphics and data at conferences
Use of internet and medical literature search techniques
Methods for self-evaluation of practice by presenting complications and surgical outcomes
November 1 through November 30
Oral Surgery Rotation at University of Minnesota Medical Center, Fairview
At completion of the OMS rotation in the first year of residency, the fellow will have gained knowledge, skills,
understanding and demonstrate competence regarding:





Evaluation and treatment of patients with orthognathic deformities
Manufacturing special splints and dental models
Serving as a member of a multi-disciplinary oral trauma and tumor treatment team
Evaluation and treatment of TMJ disorders
Treatment of common oral pathological conditions
Page 23 of 43
December 1 through February 28
Cosmetic Rotation I at University of Minnesota Medical Center, Fairview and West Health
At completion of the cosmetic rotation in the first year of residency, the fellow will have gained knowledge, skills,
understanding and demonstrate competence regarding:







The financial differences of private physician’s office practice
The role of ancillary aesthetic office services
Patient assessment and evaluation techniques of aesthetic surgical patients
Management of the Fellow Aesthetic Clinic at UMMC
Planning an aesthetic clinical research project
How to ensure patient safety in out patient office surgery
Assist and perform primary aesthetic procedures
March 1 through June 30
General Plastic Surgery Rotation I at Regions Hospital
At completion of the fellow’s first year of residency at Regions Hospital, the fellow will have gained knowledge,
skills, understanding and demonstrate competence regarding:





How to evaluate and manage ambulatory hand injuries and maxillofacial injuries
How to manage and direct the rehabilitation program for simple hand & maxillofacial injuries
The basic techniques and modalities for evaluating complex trauma injuries
Planning and assisting in harvesting free flap donor sites, and in micro anastomoses
How to interact with families and other professionals, and present patients at multi-specialty conferences
YEAR 1B
July 1 through August 31
Hand Rotation I at Regions Hospital
At completion of the hand rotation in the first year of residency, the fellow will have gained knowledge, skills,
understanding and demonstrate competence regarding:







How to perform as the assisting surgeon on micro-surgical procedures
Initial management of wrists and distal forearm fractures
Methods for tendon transfers to – congenital and post traumatic injuries
Evaluate, repair, and rehabilitation of major - peripheral nerve injuries
The ability to identify, diagnose and manage common brachial plexopathies
How to independently repair flexor tendons and peripheral nerves, propose and manage rehabilitation
program.
How to manage syndactyle, thumb hypoplasia and other common deformities
September 1 through October 31
Craniomaxillofacial Rotation at Regions Hospital
At completion of the craniomaxillofacial rotation in the first year of residency, the fellow will have gained
knowledge, skills, understanding and demonstrate competence regarding:




Have an understanding of the comprehensive multidisciplinary management of the acutely traumatized
facial injury patient.
Understand the diagnosis, investigation and management of the patient with a post-traumatic facial
deformity.
Design surgical treatment plan and social service program and rehabilitation of secondary facial
reconstruction patients.
Identify and manage common craniosynostosis syndromes, including pediatric skull moulding techniques
Page 24 of 43
November 1 through December 31
Breast Rotation at University of Minnesota Medical Center, Fairview
At completion of the breast rotation in the first year of residency, the fellow will have gained knowledge, skills,
understanding and demonstrate competence regarding:





How to participate in multi-disciplinary breast treatment team
Evaluation and management of congenital breast disease including psychological and social issues
Diagnostic tests and modalities to evaluate and stage breast cancer and to evaluate breast implant for
integrity
Evaluation of patients and selection of methods for breast reconstruction after mastectomy
Evaluation and treatment of patient needing revisions of reconstructions and aesthetic procedures
January 1 through February 28
Pediatric Plastic Surgery Rotation I (Craniofacial) at University of Minnesota Medical Center, Fairview and
Children’s Hospitals
At completion of the pediatrics rotation in the first year of residency, the fellow will have gained knowledge, skills,
understanding and demonstrate competence regarding:



Presenting patients and participating in the comprehensive multidisciplinary management of the
craniofacial patient.
Diagnosis and treatment of the craniosynostoses both syndromic and non-syndromic and their surgical
management.
Diagnosis and treatment of craniofacial anomalies, both syndromic and non-syndromic and their surgical
management.
March 1 through April 31
Microneurosurgery Rotation at North Memorial Medical Center
At completion of the Micro-neuro rotation in the first year of residency, the fellow will have gained knowledge,
skills, understanding and demonstrate competence regarding:




Evaluate and surgically manage patients with amputation injuries
Evaluate and mange patients for reconstruction after nerve injury or degenerative disease
Evaluation and management of brachial plexus injuries
Successful peripheral nerve, grafting and rehabilitation
May 1 through June 30
General Plastic Surgery I at the University of Minnesota Medical Center, Fairview and Veteran’s Administrative
Medical Center
At completion of the fellow’s first year of residency at the University of Minnesota, the fellow will have gained
knowledge, skills, understanding and demonstrate competence regarding:








Management of patients in the context of a multi-disciplinary breast clinic setting
Demonstrate the ability to plan and perform free TRAM and secondary breast reconstructions
Performing as Principle surgeon with independent responsibility for complex aesthetic and reconstructive
procedures
Evaluation and independent selection of management plan of complicated secondary reconstructions
Independent coordination and management of recurrent pressure ulcers, and chronic or recurrent wounds
The ability to plan and perform free tissue and other complicated forms of secondary reconstruction
Mentoring and teaching medical students and general surgery fellows
The technique to present research work at national meeting(s)
Finally, at completion of the fellow’s first year of residency at Regions Hospital, in addition to the subspecialty
rotations, the fellow will have gained knowledge, skills, understanding and demonstrate competence regarding:
Page 25 of 43




Perform capably to manage the team caring for complex maxillofacial trauma
How to perform as fellow managing adult craniofacial cases and problems
The capability to be primary surgeon on complicated eyelid and facial burn reconstruction cases
Demonstrate ability to mentor and direct Oral Surgery fellow, interns, medical students, and manage the
resources of a multi disciplinary team including a physician assistant
In addition to the above, all fellows are required to meet the following goals and objectives for each year of
training:




Satisfactory attendance and participation in academic teaching conferences
Submission of operative log data after each rotation
In-Service scores above 25th percentile
Adequate clinical performance
YEAR 2
July 1 through August 31
Pediatric Plastic Surgery Rotation I (Clefts) at University of Minnesota Medical Center, Fairview and Children’s
Hospitals
At completion of the pediatrics rotation in the second year of residency, the fellow will have gained knowledge,
skills, understanding and demonstrate competence regarding:




Presenting patients and participation in the comprehensive multidisciplinary management of the cleft lip
and palate patient and be able to surgically manage this patient.
Understand the embryology of normal facial development and common congenital anomalies of the head
and neck and extremities.
Working knowledge of the diagnosis, investigation and management of hemangiomas, vascular
malformations and congenital nevi.
Coordinate post-op care with Pediatric service.
September 1 through October 31
Cosmetic Rotation II at the University of Minnesota Medical Center, Fairview and West Health
At completion of the cosmetic rotation in the second year of residency, the fellow will have gained knowledge,
skills, understanding and demonstrate competence regarding:







Independent evaluation and management of aesthetic patients
Completion of an aesthetic clinical research project
How to manage complications independently
How to evaluate and manage complicated aesthetic patients and secondary patients
Planning and establishing ancillary services in a private office
Financial & safety management of office surgery facility
Ethical marketing of personal practice on internet and in print
November 1 through December 31
General Reconstruction II at Regions Hospital
At completion of the fellow’s second year of residency at Regions Hospital, the fellow will have gained knowledge,
skills, understanding and demonstrate competence regarding:





The ability to choose and independently harvest free flap donor sites
How to evaluate free tissue/replantation patients and manage post operatively
The ability to perform micro-surgical procedures as assistant
How to plan & perform the surgical repair of maxillofacial injuries and congenital defects
Evaluate & manage complex referral patients as part of multi-disciplinary team & articulate the specific
care plan for patients with complex trauma
Page 26 of 43
January 1 through February 28
Hand Rotation I at Regions Hospital
At completion of the hand rotation in the second year of residency, the fellow will have gained knowledge, skills,
understanding and demonstrate competence regarding:







The ability to evaluate, plan, and perform the primary surgical repair of common hand injuries
Evaluate and propose treatment plan options for complex multi-level upper extremity injuries
Coordinate evaluation of the injury at the remote site and preparation for transfer of patient and
amputated parts
Assist in the repair flexor and extensor tendons and manage rehabilitation program
Design and fabrication of common hand splints
Evaluate effectiveness of treatment outcomes by presenting cases at Hand Clinic conferences
Complete didactic reading schedule assigned by Chief of Hand Surgery related to the Hand/Lower
extremity/Microsurgery
March 1 through April 30
Post-Bariatric Surgery Rotation at the University of Minnesota Medical Center, Fairview
At completion of the post-bariatric surgery rotation in the second year of residency, the fellow will have gained
knowledge, skills, understanding and demonstrate competence regarding:




Evaluating post bariatric patients and participation in post-bariatric clinic
Propose and execute treatment plans for management of post-bariatric patient
Coordinate treatment team management of pre and post bariatric wounds
Evaluate and manage large and recurrent ventral incisional hernias, and abdominal wall reconstruction
May 1 through May 31
Burn Rotation at Regions Hospital
At completion of the burn rotation in the second year of residency, the fellow will have gained knowledge, skills,
understanding and demonstrate competence regarding:











Medical management of patients with burns
Burn wound reconstruction
Wound care including local and acute
Goals of physical rehabilitation
Reconstruction of the burn patient
Operative intervention for burn wounds
Plan & assist at secondary revisions of complex facial & extremity burn wounds
The ability to identify and institute resuscitation of burn patient.
The ability to identify deep, perform excise and close including autograft and synthetic material
The ability to identify and plan acute treatment of severe face and hand burns
The ability to identify and treat electrical injuries and long-term sequelae
June 1 through June 30
Head and Neck Rotation at University of Minnesota Medical Center, Fairview
At completion of the Head and Neck rotation in the second year of residency, the fellow will have gained
knowledge, skills, understanding and demonstrate competence regarding:





Evaluating and stage the extent of disease
Making a differential diagnosis of head and neck disorders
Obtaining appropriate laboratory and radiologic tests to evaluate patients
Formulating, and justifying the recommendations of a treatment plan
Recognition and detection of recurrence of malignancy
Page 27 of 43
Finally, at completion of the fellow’s second year of residency at University of Minnesota Medical Center,
Fairview, in addition to the subspecialty rotations, the fellow will have gained knowledge, skills, understanding and
demonstrate competence regarding:










How to evaluate and manage post-bariatric patients with body contouring procedures
Designing treatment plan and operative management of common & basic aesthetic procedures
Indications and technique of soft tissue expander and pedicle tissue breast reconstruction
How to manage clinical and operative complications independently
Proposing plans for operative and non-operative management of common wound problems
The operative evaluation and management of primary pressure ulcers
The primary evaluation and management of open chest wounds, head and neck cancer and skin lesions
Planning independent research project with faculty mentor
Coordinating health care team for inpatient, extended care, and post discharge patients
Learn coding and billing terminology
Training / Graduation Requirements
The fellow must perform satisfactorily on clinical rotations, and demonstrate an adequate knowledge of the
specialty to meet the graduation requirements for the Program, and be approved to sit for the ABPS qualifying
and certifying examinations.
The Board considers a fellowship in plastic surgery to be a full-time endeavor and looks with disfavor upon any
other arrangement. The minimum acceptable training year is forty-eight weeks. Should absence exceed four
weeks per annum for any reason, the circumstances and possible make-up time of this irregular training
arrangement must be approved by the RRC for Plastic Surgery and documentation of this approval must be
provided to the Board by the program director.
Training in plastic surgery must cover the entire spectrum of plastic surgery. It should include experience in both
the functional and aesthetic management of congenital and acquired defects of the head and neck, trunk, and
extremities. Sufficient material of a diversified nature should be available to prepare the fellow to pass the
examinations of the Board after the prescribed period of training.
This period of specialized training should emphasize the relationship of basic science – anatomy, pathology,
physiology, biochemistry, and microbiology – to surgical principles fundamental to all branches of surgery and
especially to plastic surgery. In addition, the training program must provide in-depth exposure to the following
subjects: the care of emergencies, shock, wound healing, blood replacement, fluid and electrolyte balance,
pharmacology, anesthetics, and chemotherapy.
Operative Records
The Residency Review Committee for Plastic Surgery requires that each fellow keep a detailed record of
operative experience. The maintenance and accuracy of this record are the responsibility of the individual fellow.
In addition, copies of operative notes must be kept for all cases in which the fellow is listed as responsible
surgeon.
Your Log In user name and password will be given to you by the Residency Program Coordinator. Further
instructions are to be downloaded from the ACGME web site at: http://www.acgme.org/. Click on Resident Case
Log System then User Manuals to begin. The program is authorized for PDA usage. Case logs are reviewed by
the Program Director three times a year during the fellows’ evaluation periods.
ACGME Competencies
All University of Minnesota Medical School Residency/Fellowship training programs define the specific
knowledge, skills, attitudes, and educational experiences required by the RRC to ensure its residents/fellows
demonstrate the following:
Page 28 of 43

Patient Care that is compassionate, appropriate, and effective for the treatment of health problems and
the promotion of health.

Medical Knowledge about established and evolving biomedical, clinical, and cognate (e.g.
epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.

Practice-Based Learning and Improvement that involves investigation and evaluation of their own
patient care, appraisal and assimilation of scientific evidence, and improvements in patient care.

Interpersonal and Communication Skills that result in effective information exchange and teaming with
patients, their families, and other health professionals.

Professionalism, as manifested through a commitment to carrying out professional responsibilities,
adherence to ethical principles, and sensitivity to a diverse patient population.

Systems-Based Practice, as manifested by actions that demonstrate an awareness of and
responsiveness to the larger context and system of health care and the ability to effectively call on system
resources to provide care that is of optimal value.
Duty Hours
It is essential for patient care and medical education purposes that undue stress and fatigue among the fellows is
avoided. Thus the following policy has been developed regarding fellow duty hours, and reflects the current
ACGME and Department of Surgery mandates.
Duty hours are defined as all clinical and academic activities related to the residency program, i.e., patient care
(both inpatient and outpatient), administrative duties related to patient care, the provision for transfer of patient
care, time spent in-house during call activities, and scheduled academic activities such as conferences. Duty
hours DO NOT include reading and preparation time spent away from the duty site. Specific provisions include:
Duty hours must be limited to 80 hours per week, averaged over a four-week period, inclusive of all in-house call
activities. Residents called back to the hospital while on call at home must count these in-house hours towards
their weekly limit.
Residents/Fellows must be provided with 1 day in 7 free from all educational and clinical responsibilities,
averaged over a 4-week period, inclusive of call. One day is defined as one continuous 24-hour period free from
all clinical, educational, and administrative activities.
The training program provides adequate time for rest and personal activities, which consists of a 10 hour time
period provided between all daily duty periods and after in-house call.
Tracking Duty Hours
In order to better assess the program’s compliance with ACGME working condition stipulations, the Division of
Plastic and Reconstructive Surgery at the University of Minnesota has implemented a duty hour tracking system
within Residency Management Suite (RMS). RMS is a web-based system, which the user accesses at:
https://www.new-innov.com/.
Fellows should log their duty hours into the RMS system daily. The program director monitors the work activity of
the fellows on a monthly basis, to ensure that duty hours do not exceed the standard, and that the fellows are not
required to perform excessively difficult or prolonged duties regularly. If necessary, fellows may contact the
Ombudsman if they feel the workload is negatively affecting the quality of their education or not adhering to
required guidelines.
Training and account set-up for RMS is provided by Stephanie Schaffer, RMS Coordinator. Please contact her for
new user instructions at (612) 626-4959 or sriedel@umn.edu.
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Evaluation
The Plastic Surgery Training Program is committed to comprehensive, regular and timely evaluation of the
educational and professional achievement of surgical fellows. This section presents the purpose, components and
methodology of the fellow evaluation system.
Purpose of the Evaluation System
To provide information on the quality of the fellows for the following reasons:





To make informed decisions on fellow promotion
To provide data to specialty boards for certification
To write letters of recommendation
Identify performance deficits to improve the quality of the fellow
Identify program strengths and weaknesses and target areas for modification in the curriculum
To properly evaluate a fellow’s performance the assumptions must be clearly stated. By doing so, the foundation
is laid for the evaluation of the progress of the fellow and for determining the effectiveness of the program to
educate fellows.
The fellow must demonstrate efforts to develop themselves to the high level of performance expected of a
specialist in plastic surgery while functioning in an environment where they are an integral part in providing
service to the patient. To do so they are expected to:





Develop a personal program of self-study and professional growth with guidance from the teaching staff.
Participate in safe, effective and compassionate patient care under supervision, commensurate with their
level of responsibility.
Participate fully in the education activities of the program and, as required, assume responsibility for
teaching and supervision other fellows and students.
Participate in institutional programs, activities involving the medial staff and adhere to established
practices, procedures, and policies of the institutions.
Apply cost containment measures in the provision of patient care.
Our goal is to prepare the trainee to function as a qualified practitioner of surgery at the high level of performance
expected of a specialist. The surgical fellow must be committed to provide an exemplary quality of service to
patients, performed in concert with educational activities in order to graduate as a well rounded, knowledgeable
and highly qualified surgeon. In order to accomplish these goals the following objectives have been established.
The fellow must:






Acquire a solid foundation of fundamental surgical knowledge. This is done through self-study, an
organized Core Curriculum, Conferences, both departmentally and institutional and service specific, and
close association with faculty. An understanding of biology as it relates particularly to disorders of a
surgical nature and an understanding of the etiology, pathogenesis, diagnosis and management of
surgical disorders is absolutely necessary for completion of the program.
Use sound surgical judgment, think rationally and use the literature to solve problems.
Achieve a satisfactory level of critical skill prior to completion of program. The fellow should have superb
history and physical skills, should do an appropriate diagnostic work-up with an understanding of the tests
to be ordered, and be able to develop a management plan. All this should be done efficiently and in an
organized manner.
Exhibit good technical skills commensurate with residency level. The fellow should be prepared, show
initiative and be willing to accept direction in the operating room.
The fellow must maintain the highest moral and ethical values and demonstrates a mature attitude. The
fellow should be trustworthy, conscientious and maintain a professional attitude both in demeanor and
attitude. Being sensitive to the needs and feelings of others be it faculty, patients, family members or
fellow fellows is also necessary.
Acquire good teaching skills. The fellow should be willing to question and answer questions of students
and junior fellows. The fellow should consistently create a supportive learning environment for all
learners.
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These goals are attained by a progressively graded clinical and operative experience. Within the limits of
variability found in clinical practice an equivalent opportunity will be afforded each fellow, under the guidance and
supervision of a qualified teaching staff, to develop the degree of mature surgical judgment and operative skill to
render him or her prepared to provide surgical care to patients with a wide range of disorders. The teaching staff
supervising the fellow will make the assessment of achieving this goal.
Methodology of Evaluation
The methodology used to achieve a broad, reliable and valid evaluation on the competency of each fellow
includes:
PSEF In-Service training examination scores
Mock Oral examination scores
Rotation evaluation forms by faculty
Quality of presentations at Grand Rounds and other conferences
Nursing and physician assistants’ evaluations
Medical Student evaluations
Performance teaching students and junior residents
Patient evaluations of fellow care
The quality and timeliness of record keeping
Conference attendance
The Plastic Surgery Educational Foundation In-Service training examination is an objective method used to
evaluate the cognitive knowledge of the fellow. To progress fellows must score above the 40th percentile
nationally at his/her level of training. Academic probation may be imposed for performance less than the 30th
percentile, and fellows have been informed in the past, when their scores fell below this level in the first or second
year, that unless their score exceeds this required percentile score, that they will not be advanced or graduated.
The mock oral examination is a method of evaluating the clinical thinking of the resident. The examiners grade the
residents’ answers on a pass/fail basis. Residents are expected to pass at least one of the mock oral
examinations during their residency training. Failure to do so requires the resident to retake the test until they
have successfully passed.
Fellows are evaluated on conference presentations and attendance. Fellows should be well prepared for their
presentation, able to discuss alternative treatments, present basic science background for the topic, and include a
bibliography in all talks given. Records of attendance are maintained for monitoring conference attendance.
These records are reviewed each year at the fellow evaluation sessions.
Faculty complete evaluation forms on fellows at the end of each rotation, using the RRC evaluation template.
These evaluations are designed to effectively assess the performance of the fellow in categories of patient care,
medical knowledge, interpersonal and communication skills, practice-based learning and improvement,
professionalism, and systems-based practice. The evaluator is also asked whether the evaluation is based on
extensive, moderate or occasional observation. The service director is encouraged to meet with the fellow at the
end of the rotation to review the evaluations with the fellow and provide immediate feedback on his/her
performance. This meeting is documented on the appropriate form.
Nursing staff and physician assistants at University of Minnesota Medical Center, Fairview (UMMC) and Regions
Hospital complete similar evaluations of the fellows. The support staff evaluations are a shorter version of the
faculty evaluation of the fellows, and are reviewed at the end of each rotation or every four months. Competencies
evaluated include patient care, interpersonal and communication skills, practice-based learning and improvement,
professionalism, and systems-based practice.
Medical Students who rotate on the plastic surgery service at both UMMC and Region’s Hospital also complete
evaluations on the fellows. This is a one page evaluation form concentrates on evaluating the fellows
competencies in interpersonal and communication skills, practice-based learning and improvement, and
professionalism. They work to assess the teaching effectiveness of surgical fellows. In addition to receiving
ongoing feedback as to his or her teaching performance, this data will be summarized for each fellow for review at
the annual fellow evaluation session.
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Patients from University of Minnesota Medical Center, Fairview and Regions Hospital also complete evaluations
on the fellows. At the University of Minnesota Medical Center, Fairview approximately 20 evaluations are mailed
15 days prior to the end of the rotation to patients who had been on the plastic surgery service. At Regions
Hospital evaluations are handed to patients in clinic with the instruction to return the evaluation via mail to the
Residency Program Coordinator at the University. These evaluations are then included in the evaluation review at
the end of each rotation or every four months. Competencies evaluated include professionalism and interpersonal
and communication skills.
Important in fellow performance is his/her attention to record keeping. This includes accuracy, timeliness, and
readability. In addition to the program directors random review of records, a compliance report is run on average
two times a year on fellows rotating at University of Minnesota Medical Center, Fairview and Regions Hospital.
The Plastic Surgery faculty holds evaluation sessions, three times a year, to review each fellow’s clinical
evaluations, conference attendance, In-Service score, teaching performance, academic development, and record
keeping habits. Suggestions for counseling of a particular fellow may result from this meeting. This discussion on
each fellow is brought to conclusion with one of the following recommendations:

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

Advancement with statement of exemplary performance and areas that need development.
Advancement with statement of deficiencies to be improved.
Advancement with notification of academic probation and statement of deficiencies to be improved.
Unsatisfactory performance and dismissal from the program.
Each fellow meets with the program director after each rotation. The fellow’s PSOL must be available to the
residency coordinator for review prior to the meeting with the Program Director. The Program Director will review
faculty, support staff, medical student, and patient fellow evaluations and the PSOL data with the fellow, who will
have an opportunity to comment on the evaluations and sign a written performance summary. Based upon the
PSOL data review, plans will be made to provide the appropriate clinical case emphasis for the upcoming months.
The resident has an opportunity to submit a response to the evaluation in writing if they desire.
Appeal Process
A fellow may exercise the right to appeal any decision regarding plans for non-renewal of contract or dismissal
from the program. This process is outlined in the fellow contract as well as the Institution Policy Manual. The
Division of Plastic and Reconstructive Surgery Fellowship Training Program in such case will carefully follow the
University of Minnesota School of Medicine appeal guidelines.
Mock Oral Examinations
The purpose of a mock oral examination is to prepare the residents on the process for taking the ABPS oral exam
rather than on the content or the answers. It is also a method of evaluating the clinical thinking of the resident.
The mock exam is scheduled to take place in either May or June of each year and is arranged by the Residency
Program Coordinator. All residents are required to attend; local graduates are also invited. All ABPS Oral
Examination Guest or Senior Examiners on the faculty are specifically interdicted from participating in the Mock
Oral Exam process as a stipulation of their ABPS activity.
One month prior to the mock exams, faculty are asked to e-mail Dr. Migliori one case each for the oral
examination. Case examples include: facial fracture, cleft, breast, head and neck, and spaghetti wrist. A total of
9 cases minimum is required.
On the day of the exam each resident is interviewed separately in front of at least two faculty members. Three
cases or more are presented for approximately six to eight minutes apiece for a total of no more than 30 minutes
a resident. Residents are interviewed separately at different times over the course of a day.
The examiners grade the residents’ answers on a pass/fail basis. The resident must pass 5 out of the 6 cases in
order to pass the examination.
Residents are expected to pass at least one of the mock oral examinations during their residency training. Failure
to do so requires the resident to retake the test until they have successfully passed.
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On Call Schedules
The objective of on-call activities is to provide fellows with continuity of patient care experiences throughout a 24hour period.
In-house call is defined as those duty hours beyond the normal work day when fellows are required to be
immediately available in the assigned institution.

In-house call must occur no more frequently than every third night, averaged over a four-week period.

Continuous on-site duty, including in-house call, must not exceed 24 consecutive hours. Residents may
remain on duty for up to six additional hours to participate in didactic activities, transfer care of patients,
conduct outpatient clinics, and maintain continuity of medical and surgical care. No new patients, as
defined in Specialty and Subspecialty Program Requirements, may be accepted after 24 hours of
continuous duty
At-home call (pager call) is defined as call taken from outside the assigned institution.

The frequency of at-home call is not subject to the every third night limitation. However, at-home call must
not be so frequent as to preclude rest and reasonable personal time for each resident.

Residents taking at-home call must be provided with 1 day in 7 completely free from all educational and
clinical responsibilities, averaged over a 4-week period.

When residents are called into the hospital from home, the hours residents spend in-house are counted
toward the 80-hour limit.
The program director and the faculty must monitor the demands of at-home call in their programs and make
scheduling adjustments as necessary to mitigate excessive service demands and/or fatigue.
At Regions Hospital, Dr. Warren Schubert designs the fellows' work schedules so that on average, fellows have at
least 1 day out of 7 free of routine responsibilities and are on call from home no more often than every third night
and are often on every fourth night. In order to accomplish this, general and emergency medical interns, oral
surgery fellows, a hand fellow, and physician assistants assist in call coverage.
At University of Minnesota Medical Center, Fairview, Dr. Bruce Cunningham is in charge of creating the monthly
call schedule. While on this rotation the plastic surgery fellow has responsibility to first triage the patient and then
call the plastic surgery staff when direction is required. In some cases the General Surgery resident assigned to
cross-cover the service may be asked to provide first triage for Plastic Surgery in-patients or ER calls.
At the Veteran’s Administrative Medical Center, the plastic surgery fellow serves as a sub-specialty back up to a
general surgery fellow who has responsibility to first triage the patient and then call the plastic surgery fellow. With
this arrangement, the plastic surgery fellows do not spend an inordinate amount of time in non-educational
activities that can be discharged properly by other personnel. If the Plastic Surgery fellow is not available the
VAMC general surgery fellow will contact faculty directly for patient care issues.
On the North Memorial Medical Center rotation, the faculty member with whom the plastic surgery fellow is
rotating is usually called first and then contacts the plastic surgery fellow if it is a case that has educational merit.
The call schedule at North Memorial Medical Center is published for the eight rotating faculty every two months.
Fellows are welcome to participate with any of the program faculty members. The fellow call schedule is also
published every two months. The fellow will take call by pager from home and is expected to be available for
night call twice a week and two weekends a month. The fellow will most often be called by the responsible staff
person to either evaluate the patient initially or after the patient has already been seen. The fellow call schedule
is provided to all plastic surgeons who take call at North Memorial. The fellow will also be available Monday
through Friday from 7:00 AM to 5:00 PM.
The fellow not assigned to the University or Regions will be expected to work with the UMMC fellow to coordinate
weekend call so that each fellow has at least one day in seven free of responsibilities.
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Patient care, however, is the ultimate responsibility of the faculty and there will be no instance when that care is
the sole responsibility of the fellow.
Overnight Call Rooms/Call Rooms
Medical students, residents and fellows that must remain on call at the University of Minnesota Medical Center,
Fairview and University of Minnesota Children's Hospital, Fairview overnight are guaranteed a room. Rooms
closest to in-patient areas are assigned by your department, with additional rooms available to be signed out on
an individual basis on the 4th floor of the Mayo Building (University Campus). Details are listed below.
Understanding that space is a premium for call room availability; UMMC, Fairview, along with the University of
Minnesota Medical School's Graduate Medical Education office developed the following principles for assigning
rooms to each department. Rooms are prioritized for:
1.
2.
3.
4.
5.
6.
Residents and fellows required to take overnight, in-house call.
Year 3 and 4 medical students required to take overnight, in-house call.
1st and 2nd year medical students not required to take in-house call.
Faculty and hospitalists required to take in-house call.
All other residents, fellows, staff physicians or medical students needing a call room.
Non-medical staff, excluding CRNAs.
Room Availability
Call rooms on the 4th floor of the Mayo Building are available for checkout as needed. These daily rooms have
punch code security access changed everyday, and a security monitor on duty daily from 2 p.m. to 7 a.m. Call
612-626-6330 to reserve a room.
Checking In
Check-in can only occur during designated check-in hours: 2 p.m. to 7 a.m.
Go to the check-in desk located in the Resident Lounge (Mayo C-496). The check-in desk is staffed by a security
monitor (after 2:30 p.m.) during set hours seven days a week and will require you to present your ID badge. The
security monitor will assign you a room, the room access code and the locker room and lounge access codes.
Checking Out
All individuals must be out of their room by 8 a.m. Housekeeping will begin cleaning by 9 a.m. If you wish to sleep
past 9 a.m., make sure your "do not disturb" sign is indicated on your door. Do not leave personal belongings in
the room.
Resident Exercise Room
An exercise room is available for resident, fellow or medical student use only, 24 hours, seven days a week.
Located in Mayo C-496, it's equipped with treadmill, elliptical, weights and mats. Contact Mira Jurich,
Coordinator, GME UMMC, at (phone) 612-273-7482, (pager) 612-899-7958 or mjurich1@fairview.org for the most
recent access code.
Mayo Locker Rooms
One men's and one women's locker room with toilets, sinks and showers is available 24 hours, seven days a
week. There are also lockers available for daily use. The access code is the same as the exercise room (see
above for contact information).
Important Things to Note:
 If you are assigned to carry a code pager for your department, please talk with your chief resident or
resident coordinator about dedicated on-call for your department in or near the hospital.
 No room is checked out to the same service two consecutive days.
 You must have a valid hospital ID to checkout a room.
Page 34 of 43
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Belongings left in a room past noon will be removed and kept in a security locker.
Belongings can be picked up anytime after 2:30 p.m. from the security monitor.
Padlocks can be checked out for use in the locker rooms on a daily basis only.
Resident Lounges
The UMMC Resident Lounge is located in Room 6-501 in Unit J and is available 24 hours a day for residents from
all specialties. The room is accessible by punch code access, which is changed weekly, or by open door when
security monitor is on duty. TV/VCR, computers, and phones with access to the main hospital are available. There
is also a partially stocked kitchen with refrigerator, coffee/tea makers, microwave, and toaster. Contact Mira
Jurich, Coordinator, GME UMMC, at (phone) 612-273-7482, (pager) 612-899-7958 or mjurich1@fairview.org for
the most recent access code.
The Department of Surgery Resident Workroom is located in C278 Mayo. The room has punch code security
access, which can be obtained from the Surgical Education Office, and is accessible to surgery residents 24
hours a day. Plastic Surgery residents may access their e-mail, connect to the Internet and catch up on duties
requiring a telephone.
The above room also houses the bulk of the division’s library. Selected Readings and the Journal of Plastic and
Reconstructive Surgery can be found here. Suggestions as to additional materials are welcome. Additional
materials can be found in the faculty's offices.
Support Services
A full range of patient support services are provided in a manner appropriate to and consistent with education
objectives and patient care. These include but are not limited to Care Management Services, Employee Health
Service, Health Information Management, Infection Control, Laboratory Medicine and Pathology, Nursing
Administration, Nutrition Services, Patient Relations, Patient Transport, Pharmacy Services, Radiology Film File
Services, Rehabilitation Services, Security Services, Social Services, Spiritual Health Services, and Shuttle
Service between the Riverside and University campuses. Similar patient support services are provided by all
major participating hospitals.
Laboratory/Pathology/Radiology Services
Federal and state regulation and regulatory agencies mandate competency validation for testing personnel
(including physicians), documentation, quality assurance, quality control, etc. The regulations cover hospitals,
clinics, physicians’ offices, nursing homes, and any site where testing is performed. Testing performed by
physicians, practitioners, nursing staff, and laboratorians must meet regularly guidelines. Failure to comply with
the mandates can lead to suspension, revocation, or limitation of certification and denial of reimbursement.
Laboratory, pathology, and radiology services are readily available through all the major participating hospitals.
Medical Records
All University of Minnesota Medical Center and Fairview Riverside patient records can be accessed either via
Allscripts, the Electronic Medical Records (EMR) system, or by calling the Health Information Management (HIM)
offices at 612-626-3535. For instructions on medical record retrieval at additional sites, please direct inquiries to
the appropriate site.
Security/Safety
The Security Monitor Program (SMP) is a branch of the University of Minnesota Police Department. SMP offers a
walking/biking escort service to and from campus locations and nearby adjacent neighborhoods. This service is
available completely free to students, staff, faculty, and visitors to the University of Minnesota - Twin Cities
campus. To request an escort from a trained student security monitor, please call 612-624-WALK shortly before
your desired departure time and walk safe.
Page 35 of 43
University of Minnesota Medical Center, Fairview also employes security officers are on duty 24 hours a day to
respond to emergencies and to escort persons to and from the parking facilities. Call 612-273-4544 if you wish to
have an escort, and a security officer will meet you at your location.
Moonlighting Policy

Moonlighting requires a prospective, written statement of permission from the program director that will be
made part the fellows’ file.

No fellow will be required to engage in moonlighting activities, and such activities are strongly
discouraged as they represent an unavoidable dilution of the time and energy available for Medical
Education.

Moonlighting activities are not included as part of the educational program in the fellowship programs.

Moonlighting activities will not be allowed to conflict with the scheduled and unscheduled time demands
of the educational program and its faculty.

Fellows must disclose time spent in moonlighting activities. Failure to provide this information is grounds
for discipline under Section VI of the Residency/Fellowship Agreement.

The Fellow’s performance will be monitored for the effect of these activities upon performance and that
adverse effects may lead to withdrawal of permission.

Internal Moonlighting must be counted toward the 80-hour weekly limit on duty hours.

The professional liability policy for fellows does not cover any activities that are not part of the formal
education program.

A fellow on a J-1 visa wishing to moonlight must obtain a separate J-1 visa for each facility where the
fellow works outside the training program.

Fellows engaging in moonlighting activities must be properly licensed and credentialed as determined by
the organization where they moonlight.
Supervision Policy
It is the program director’s responsibility to ensure, direct, and document adequate supervision of residents and
fellows at all times. Fellows are not to operate without faculty present, or conducted clinics without faculty
present. No fellow activities are performed without the clear understanding and direction of one of the faculty
members, except under extreme emergency conditions. The faculty attends the patient personally, and bears the
ultimate responsibility for their care. This policy is applied uniformly at each of the teaching institutions.
All patient care is supervised by qualified faculty in such a way that the fellows assume progressively increasing
responsibility according to their level of education, ability, and experience. The teaching staff determines the level
of responsibility given to each fellow.
Fellows are provided with rapid, reliable systems for communication with supervising faculty, while the on–call
schedules for teaching staff are structured to ensure that direct supervision is readily available to fellows on duty
at all times.
Faculty and fellows are educated to recognize the signs of fatigue and will adopt and apply policies to present and
counteract the potential negative effects on an annual basis.
At the University of Minnesota Medical Center, Fairview and Veteran’s Administrative Medical Center, if the
patient undergoes surgery in either a major operating room or the ambulatory surgery suite, the nursing staff will
Page 36 of 43
not call for the patient unless the attending surgeon is present in the surgical suite. Faculty is available by pager,
and telephone 24/7, and a call schedule for faculty and fellows is published monthly. Inpatient hospital care is
provided by the fellows with direct supervision of the attending staff on a daily basis. Rounds are made with the
fellows by each attending on assigned patients in the hospital daily.
Similarly, all patients seen in the clinic area are seen by attending and fellow alike and their management is
discussed fully. When patients are seen in the emergency department at night or on the weekends, they are
evaluated first by the fellow on call, consistent with duty hour limitations. That Plastic Surgery fellow ultimately
conveys the information to the attending by telephone, and, if it is a minor problem, the fellow, based on his/her
experience level, manages it, directed by the attending. If the patient problem requires admission, intra-operative
treatment, or has any problems, the attending comes to the hospital, evaluates the patient, and supervises his
care from there. This policy extends to all clinics and satellite surgery centers at all times.
When a fellow rotates at North Memorial, they are involved with primarily one surgeon assisting or managing the
patient in a directly supervised manner. Patient care in these rotations occurs with direct communication and
supervision by the private attending. At North, fellows are assigned periodically to trauma call. It is required that
they communicate with the attending by telephone to formulate a treatment plan, prior to initiating treatment. In
most cases the attending comes to the hospital to provide direct supervision, and frequently only involves the
fellow in cases with strong educational potential. The faculty rounds with fellows on assigned inpatients daily.
At Regions Hospital the fellow always has on-site staff supervision. Ninety-seven percent of all patients seen in
clinic, and all patients scheduled for the operating room are seen personally by the faculty who coordinates care
with the fellow. Often the fellows will see the patient and then present the patient to the faculty member. Patients
with minor injuries seen in the emergency room may be treated by the fellow but must be discussed with the
faculty to confirm the treatment plan, prior to treatment. All cases performed in the operating room are under the
direct supervision of the faculty. The fellow may be involved with managing some outpatient problems in the
emergency room without direct visual supervision by the staff, but the staff is always available by pager or by
phone.
Graded Responsibility
Fellow responsibilities increase at the beginning of each year of training (July 1). Whether to advance a fellow is
decided by the faculty and is based on review of each fellow’s clinical evaluations, conference attendance, InService score, teaching performance, and record keeping habits. Below is a general description of graded clinical
responsibility for plastic surgical fellows years one through three.
During the three years of plastic surgery fellowship the fellow is gradually exposed to higher levels of
responsibility for patient care, teaching, and scholarship. In the first year there is emphasis on general plastic
surgery in the core rotations. The fellow is expected to be able to evaluate a patient, clearly describe the patient’s
problem, delineate the tests which would need to be ordered to confirm the patient’s health status, and be aware
of the other members of the health care team who need to be communicated with. During these general surgery
rotations the fellow is expected to contact the faculty to inform them of all patients’ conditions and the results of
appropriate labs. The fellow is expected to offer several alternatives for treatment plans to the faculty after the
patient has been assessed.
In the second year, during general plastic surgery rotations the fellow is expected to not only be able to accurately
assess with physical examination and history, laboratory and radiographic studies; but also to specifically
recommend a treatment program when they contact the faculty. The fellow will have gained enough knowledge
and experience to independently manage many emergency room and ward situations with back-up from the
faculty. The fellow will take a major role in assisting for more complicated cases and performing in the majority of
straight forward cases always under the supervision of the faculty. During the second year the fellow will also
begin to obtain exposure to the various sub-specialties in plastic surgery.
During the sub-specialty rotations, it is assumed that the fellow has general knowledge regarding the plastic
surgical sub-specialty. The fellow will take a greater role in requesting and evaluating specialized examinations,
directing other members of the health care team, in rehabilitation, and care. The fellow will become more
responsible in supervising and educating medical students, general surgery, and oral surgery fellows on the
service. It is expected that the fellow will be able to harvest most donor sites, elevate most pedicle flaps, and will
gradually gain greater facility in each of the surgical sub-specialties.
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In the third year it is expected that the fellow will be able to perform as an independent evaluator of patient care
status and surgical operator. The fellow will begin to use the faculty more as a resource to confirm a fully
articulated treatment plan rather than to fill in gaps in knowledge in a treatment plan. By the end of the third year
it will be expected that the fellow will be able to perform most of the primary and many of the more complicated
procedures in the field of plastic surgery with the staff as a supervising assistant. They will also be expected to
assist and supervise general surgery and oral surgery residents, and others, in some of the more basic and
primary cases in the plastic surgical sub-specialties. During the third year it is expected that the plastic surgery
fellow will no longer be consulting basic text, but will be researching patient care electronically using and seeking
out the most up-to-date treatment options available. It is also expected that fellows will know how to coordinate
the ancillary services and other members of the care treatment team to obtain the best outcome for an individual
patient.
Monitoring of Resident Well-Being
The program director is responsible for monitoring fellow stress, including mental or emotional conditions
inhibiting performance or learning, and drug-related or alcohol-related dysfunction. Both the program director and
faculty are sensitive to the need for timely provision of confidential counseling and psychological support services
to fellows.
The plastic surgical fellows’ well being is determined through direct observation by faculty and staff. If there is
concern the issue may be brought up during the fellow’s evaluation period with the program director. If a fellow
does not feel comfortable speaking to the program director with regards to what is bothering him, alternate
options are available.
Fellows are encouraged to address the program’s Ombudsman, Dr. Marie-Claire Buckley, when they feel
uncomfortable directly discussing their worries with the program director. Please see Fellow Grievance Policy for
more information regarding to this policy.
Also available is the Resident Assistance Program (RAP). In order to monitor fellow stress, including mental or
emotional conditions inhibiting performance or learning, and drug- or alcohol-related dysfunction, the University of
Minnesota Medical School has contracted with an agency called Sand Creek to provide services for you or
anyone in your family.
Sand Creek's counselors have particular expertise in dealing with the unique needs of individuals in their
residency training programs. In contacting them, you will receive help in determining the problem, what should be
done, and how to go about it. Further information can be found at
http://www.med.umn.edu/gme/residents/rap.html.
Photocopying
At the University of Minnesota fellows may photocopy on the Department's copy machines as long as they adhere
to copyright laws. In general, the residency coordinator should not be requested to perform large volume copying
tasks for the fellows.
The copy room (Mayo C274) houses a copy machine which requires no code for billing. Please use this machine
when copying single page documents such as articles, etc.
The copy code for the department of surgery's copy machine in the Phillips Wangensteen Building is available
from the residency coordinator upon request. A CUFS number is needed in order to make copies in the
Biomedical Library. Please ask the residency coordinator for the CUFS number when necessary.
At Regions Hospital fellows may photocopy on the Department's copy machine located in the office as long as
they adhere to copyright laws. The support staff should not be requested to perform copying tasks for the
fellows. Journals from the Regions library will have to be checked out and brought to the office for copying.
There is no copy code for the Regions library.
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Office Support Services
The Division of Plastic and Reconstructive Surgery’s offices at the University of Minnesota consist of one office
personnel/residency coordinator, and will aide you in all matters related to the administrative end of regular office
business. With the exception of insurance authorizations, the office personnel/residency coordinator does not
manage patient related matters. Please refer the office personnel/residency coordinator for all questions relating
to evaluations, division policy, vacation requests, conference scheduling, meeting scheduling, and On-Call
schedules.
The Department of Plastic & Hand Surgery has three office support staff. LuAnn LaShomb supports the
department chairman, Dr. Warren Schubert. Valery Rousseau supports Drs. Dean Mann and Martin Lacey. As
the person who sits at the front desk at this office, almost any question can be directed to her and she will find the
answer or point you in the right direction. Jessica Woodford supports Drs. James Fletcher and Loree Kalliainen.
She also sits in the front of our office and is willing and able to help with anything you may need.
At Regions Hospital, contact the Physician’s Assistants (PA) regarding any patient care issues. These include
our Lead PA, Frank Benfante, JoAnne Eller and Ned Bruce. Frank Benfante is also able to answer questions
regarding the call schedule. Each PA is assigned to a different physician on a two-month rotating basis. If there
is a question regarding which PA to contact any of the office support staff can point you in the right direction. All
three of the PAs are dedicated to teaching and are happy to answer any questions you may have.
Guidelines of Professional Dress
Fellows are expected to be neat, clean, and orderly at all times during the performance of training program
activities. Jewelry, clothes, hairstyle and fragrances should be appropriate for the performance of duties in the
hospital or clinic, and should reflect a professional and respectful attitude towards the patient and other
professional staff.
The Fellow's identification badge is to be worn whenever the fellow is involved in clinical or administrative duties.
Fellows are expected to dress accordingly to generally accepted professional standards appropriate for their
training program. Where safety is a factor, fellows should use common sense in choosing clothing and shoes for
training activities.
Scrub suits are appropriate for designated areas, e.g. Operating Room, Labor & Delivery.
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SECTION V: Administration
(Please refer to Institution Policy Manual for Medical School
Policy on the following: University of Minnesota Physicians,
Administrative Contact List, Medical School Organizational
Chart, and GME Organizational Chart.)
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Main Hospital Contact Information
Regions Hospital
Department of Plastic & Hand Surgery
Program Director: Warren Schubert, MD
University of Minnesota Medical Center, Fairview
Division of Plastic & Reconstructive Surgery
Program Director: Bruce L. Cunningham, MD
Business Operation Specialist:
LuAnn LaShomb
luann.m.lashomb@healthpartners.com
Phone: (651) 254-3792
Fax: (651) 254-2808
North Building, 3rd Floor, Suite 1
640 Jackson Street
St. Paul MN 55101
Administrative Specialist:
Mariah Ipsan
ipsa0001@umn.edu
Phone: (612) 625-0697
Fax: (612) 624-4441
C261 Mayo Building
Office Secretary:
Valery Rousseau
valery.l.rousseau@healthpartners.com
Phone: (651) 254-0883
Bruce Cunningham, MD: (612) 899-2927
cunni001@umn.edu
Residency Programs Specialist:
Kari Kriesel
kari.e.kriesel@healthpartners.com
Phone: (651) 254-1504
Fax: (651) 254-5044
North Building, 3rd Floor, Suite 8, GME offices
640 Jackson Street
St. Paul MN 55101
Med Student/Residency Coordinator:
Deb Collier
Deb.K.Collier@healthpartners.com
Phone: (651) 254-1504
Fax: (651) 254-5044
Pager: (651) 629-1630
Physician Pagers & Email Addresses:
Warren Schubert, MD: (612) 580-9170
WarrenSchubert@aol.com
Martin Lacey, MD: (651) 629-0203
martin.s.lacey@healthpartners.com
Physician Pagers & Email Addresses:
Marie-Claire Buckley, MD: (612) 899-5143
buckl012@umn.edu
Umar Choudry, MD: (612) 899-9313
choud008@umn.edu
Resident Pagers & Email Addresses:
Sue Mi Tuttle, MD: (612) 899-8789
chaxx033@umn.edu
Samuel Marquez, MD (612) 899-2094
marqu035@umn.edu
Jonathan McCue, MD (612) 899-7286
mccue011@umn.edu
Veterans Administrative Medical Center
Med Student/Residency Coordinator:
Lisa Loyas
Lisa.Loyas@med.va.gov
Phone: (612) 467-1330
Fax: (612) 725-2227
Room 2J 100, VA Surgery Office
Paul Lim, M.D., F.A.C.S.
paul.k.lim@healthpartners.com
Loree Kalliainen, MD: 612-613-3353
Loree.k.kalliainen@healthpartners.com
Dean Mann, MD: (612) 580-7123
dean.e.mann@healthpartners.com
James Fletcher, MD: (612) 580-9192
james.w.fletcher@healthpartners.com
Physician Assistant Pagers:
JoAnne Eller, PA-C: (651) 629-0154
Ned Bruce, PA-C: (651) 580-2150
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S.O.U.P. Administrative Phone List & 11th Floor PWB Offices
Surgery Chairman’s Office
Dr. Selwyn Vickers
Patti Shudy
Debby Rosenauer
Toni Leeth
Fax: 6-0654
6-1999
6-1999
6-1999
5-1174
Location: 11-132 PWB
Jay Phillips Professor and Chairman
Executive Assistant
Executive Ofc and Admin Spec
Research Coordinator
Deputy Chairman’s Office
Dr. David Rothenberger
Bobbie Randolph
Fax: 5-3660
6-6122
6-6122
Location: 11-168 PWB
Professor and Deputy Chairman
Executive Ofc and Admin Spec
Associates/Admin
Dolly Schmidt
Margueritte Uveges
Karen Boone
James DeGross
5-7480/4-0480 (f)
5-6427/4-7733 (f)
6-3539
6-1968
Administrative Center Director
Senior Office Supervisor/Notary Public
Senior Administrative Director/Clinical
Senior Administrative Director/Budget
Human Resources
Mary Jane Towle
Kathleen Olakunle
Sara Gort
Kirk Skogen
Sonya Johnson
Stephanie Samens
Student Work Desk
Fax: 5-8080
5-8636
5-5982
4-7149
5-3954
4-5640
5-8763
6-2598
Location: 11-145 PWB
HR and Education Manager/Notary Public
Sr. Personnel Document Analyst/Notary Public
HR Personnel Assistant
Senior Accountant/Payroll/Telecommunications
Senior Personnel Document Analyst
HR Representative
SOUP Education
Teri Wolner
Stephanie Schaffer
Fax: 5-8080
5-3926
6-4959
SOUP GME Manager Resident/Fellow
RMS Coordinator
Surgery Education
Connie Schmitz, PhD
Ozlem Ersin, MBA
Cathy Larson
Niea Johnson
Fax: 5-4411
4-1722
6-7282
5-6483
6-2590
Location: 11-134 PWB
Director of Educational Research & Development
Education and Technology Coordinator
General Surgery Residency Coordinator
Surgical Education Assistant
Communications & Development Fax: 6-0902
Erik Thurman
6-4848
David Knutson
4-7740
Angie Lillie
5-9646
Joel Bergstrom
4-0450
Lori Olsen-Kramer
6-0692
Location: 11-100 PWB
Director of Development, Surgery
Director of Development, O.U.P.
Development Assistant
Director of Development, DIIT
Director, Communications and Project Management
Budget Office
John Ahearn
Donita Baumgart
Kay Daeger
Sujata Das
Abby Doepke
Nicholas Hooks
Jennifer Turnure
Lynn Kaatz
Stacey Morris
Edie Nelson
Gail Richardson
Linda Xiong
Photography
Jerry Vincent
Fax: 4-9797
5-0645
4-7145
5-4103
4-5642
5-5633
6-3540
6-3168
6-2180
6-3168
4-9402
5-5964
5-7614
Location: 11-115 PWB
Administrative Director (11-154 PWB)
Principal Accountant
Principal Accounts Specialist/Acct. Supv.
Accountant
Accounts Specialist
Accounts Specialist
Senior Accountant
Senior Accountant
Fiscal Officer
Principal Accountant
Principal Accountant/Grants
Principal Accounts Specialist
5-9463
Photographer/Slides/AV Support
Page 42 of 43
UMP Billing Office
Carol Moriarty
Dana Bork
Dawn Ditmarson
Marjorie Dorsey
Prefix: 612-884- 0828
- 0836
- 0841
- 0810
Fax: 884-0988
Patient Accounts/Supv
Patient Accounts
Patient Accounts
Patient Accounts
Clinical Transplantation Journal
Mary Londborg
5-1487, 5-6242
Editorial Assistant
Lillihei Heart Institute
Darlene (Dee) McManus
Cynthia DeKay
Administrative Director
Executive Ofc and Admin Spec
Fax: 5-0404
5-8988
4-7610
Transplant Information Services Fax: 5-9467
David Radosevich
6-4701
Jackie Sterling
4-5453
Program Director
Executive Secretary
Telephone/Pager Hints And Instructions
All calls within Minneapolis begin with the area code of (612).
All calls within St. Paul begin with the area code of (651).
All calls north the Twin Cities begin with the area code of (763).
All calls south the Twin Cities begin with the area code of (952).
Most University of Minnesota telephone numbers begin with a prefix of: 624-, 625- or 626You need only to dial the last 5 digits of a number when calling from the University to another University
extension.
Most Fairview telephone numbers begin with the prefix: 273Most Fairview Riverside telephone numbers begin with the prefix: 672Dial ‘8’ in order to make an outside call from the University. This includes calls to UMMC! This also includes when
you use the University FAX machines.
The University’s toll-free telephone is: 1-800-688-5252 (ext. 5-1188)
Patients should be directed to call the UMMC Call Center at 612-624-9707 for all scheduling needs.
Non-clinical needs are to be directed to: 612-625-0697. This is the administrative office direct line and should be
used for residency and administrative issues only. Do not give patients this number.
Paging
All plastic surgery staff and resident pagers from the University are alpha-numeric. The URL for alpha, or text,
messaging is: http://www.americanmessaging.net/index.asp.
Pages sent numerically should be considered urgent and a call-back is expected. Alpha text does not usually
require a response, unless indicated (e.g., Call me). Abbreviated text is used liberally. If in doubt, call the sender.
Last updated: March 6, 2016
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