Surgical Foundations Program

Introduction to Surgical
Biostatistics


Surgical Foundations is that initial period of postgraduate training required to acquire the knowledge, skills and attitudes underlying the basics to the practice of surgery in general and preparatory to further training in a surgical specialty or sub-specialty. For the purpose of clarity, the junior surgical resident refers to any surgical resident in PGY 1 and PGY 2 These objectives refer to exit competencies for which a junior surgical resident must be evaluated by the end of PGY 2.

At the discretion of the surgical foundations and home program director, residents who fail to meet these objectives at the end of PGY2 may continue training, however, a remediation plan must be put in place. These objectives of training must be achieved by the end of the third year of training. Successful completion of the Principles of Surgery examination has been designated as one of the means to evaluate the attainment of the objectives of Surgical Foundations, however, if all other objectives are met, but if a candidate fails the POS exam, he/she may be allowed to continue.

It is recognized that the POS examinations is only one metric in determining completion of these objectives. The Surgical Foundations Examination will be taken at end of the Surgical Foundations training period and must be passed to be eligible to apply for the certification exam.

The following University of Manitoba Surgery programs participate in the Surgical Foundations Program

          • Cardiac Surgery
          • General Surgery
          • Neurosurgery
          • Orthopedic Surgery
          • Otolaryngology Head and Neck Surgery 
          • Plastic Surgery
          • Urology

Royal College of Physicians and Surgeons Objectives of Surgical Foundations Training

Academic Activities

 Session ID
Number
 Topic Title  CanMEDs
Roles
 YEAR 1  YEAR 2
  Orientation to Surgical Foundations    X  X
 SF 1.1 - 1

Medical Problems in the
Surgical Patient
Pre-Operative Care

 Medical Expert,
Collaborator
 X  
 SF 1.2 - 1 Medical Problems in the
Surgical Patient
Post-OperativeCare 1
 Medical Expert,
Collaborator
 X  
 SF 1.3 - 1 Medical Problems in the
Surgical Patient
Post-Operative Care 2
 Medical Expert,
Collaborator
 X  
 SF 2 - 1 Basic Anesthetic Principles Medical Expert,
Collaborator,
Communicator
 X  
 SF 3 - 1 Wound Management & Healing  Medical Expert,
Collaborator
 X  
 SF 4 - 2 Hemostasis & Use of Blood Products    Medical Expert    X
 SF 5 - 2 Fluid Management & Acid-Base Problems  Medical Expert    X
 SF 6 - 2 Hemodynamics; Oxygen Transport; Shock  Medical Expert    X
 SF 7 - 2 Metabolic and Nutrition Care  Medical Expert,
Collaborator,
Communicator
   X
 SF 8 - 1 Ethics in Surgery  Professional,
Health Advocate
 X  
 SF 9.1 - 2 Introduction to Surgical Biostatistics Scholar    X
 SF 9.2 - 2 Critical Appraisal  Scholar    X
SF 10.1 - 2 Sepsis & Surgical Infections 1 
Assessment and Prophylaxis
 Medical Expert,
Collaborator
   X
SF 10.2 - 2

Sepsis & Surgical Infections 2 
Postsurgical Infection  

 Medical Expert,
Collaborator
   X
 SF 11 - 2 Transplantation & Implantation  Medical Expert,
Collaborator,
Manager, Health
Advocate
   X
 SF 12.1 - 2 Cancer: Part 1 - Principles of Cancer Medical Expert,
Collaborator
   X
 SF 12.2 - 2 Cancer: Part 2 – Chemotherapy  Medical Expert,
Collaborator
   X
 SF 12.3 - 2 Cancer: Part 3 – Radiation Therapy  Medical Expert,
Collaborator
   X
 SF 13.1 - 2 Abdominal Injuries  Medical Expert,
Collaborator,
Communicator,
Manager, Health
Advocate
   X
 SF 13.2 - 1 Chest & Mediastinal Trauma  Medical Expert,
Collaborator
 X  
 SF 13.3 - 1 Central Nervous System Trauma  Medical Expert,
Collaborator
 X  
 SF 13.4 - 2 Orthopedic Trauma  Medical Expert,
Collaborator
   X
 SF 13.5 - 2 Neck Trauma  Medical Expert,
Collaborator
   X
 SF 13.6 - 2 Peripheral Nerve, Hand, Chemical Trauma  Medical Expert    X
 SF 13.7 - 2 Vascular Trauma  Medical Expert    X
 SF 14 - 1 Surgery at Extremes of Life Medical Expert  X  
 SF 15 - 1 Basic Radiology  Medical Expert,
Collaborator,
Health Advocate
 X  
 SF 16 - 1 Public Health in Canada  Manager, Health
Advocate
 X  
 Mandatory PGME
Courses
       
 CORE – TDP 1 Teacher Development Program 1  Scholar  X  
 CORE – TDP 2 Teacher Development Program 2  Scholar    X
 CORE – PB Professional Boundaries  Scholar,
Professional
 X  
 CORE - RTLE Residents & The Learning Environment  Scholar  X  
 CORE - CM Conflict Management in Medicine  Collaborator,
Professional,
Communicator
 X  X
 Simulation/Surgical
Skill Courses
       
 SS 1 Introduction to Crisis Resource Management  Collaborator,
Professional,
Communicator
 X  X
 SS 2 Crisis Resource Management Trauma
Simulation
 Collaborator,
Professional,
Communicator
 X  
 Mandatory Courses        
 MC - ATLS Advanced Trauma Life Support  Medical Expert,
Collaborator
   X
 MC - ACLS Advanced Cardiac Life Support  Medical Expert,
Collaborator
 X  
 MC - PS Procedural Sedation Medical Expert,
Collaborator 
 X  
 MC - US CAE Ultrasound Course  Medical Expert  X  
         
         
       


Seminars (Surgical Foundations Events Calendar)

Schedule (Surgical Foundations Schedule)

PGME Core Curriculum


Seminar Series Reading Material and Biostats & Critical Appraisal E-Journals

SURGICAL SKILLS 
 

               • Surgical Skills Curriculum

      
         • ATLS- Advanced Trauma Life Support

               • ACLS-Advanced Cardiac Life Support

Specialty Training Requirements

Evaluation of Performance Flowchart (link to flowchart)

      Evaluation of Performance
      • Surgical Foundations ITER
      • Resident Portfolio
      • Examinations/quizzes
      • Special Assignments
      • Skills Testing


Dr. Justin Rivard
Director of Surgical Foundations

Tamara Lewsey
Program Administrator Surgical Foundations 
3rd Floor - 825 Sherbrook Street
Telephone: 204-787-1094
Email: tlewsey@hsc.mb.ca


 

 

 



Better STANDARDS,

  Better PHYSICIANS,

    Better CARE

  CanMEDS 

 

 

RCPS link

Surgery Residents Role in Teaching Medical Students