The Jackson Health System / Jackson Memorial Hospital, in affiliation with the University of Miami Miller School of Medicine, Division of Plastic, Reconstructive and Aesthetic Surgery will provide the highest quality cost-effective patient centric care, train and educate the most outstanding residents, fellows and medical students. We will also serve as an exemplary role model for our local, regional and national plastic surgery communities.
Educational Goals and Objectives
Goal of our educational program is to guarantee the completion of training of each plastic surgery resident and to ensure each has developed an ethical, professional and educational sound foundation for their future independent practice of their chosen specialty.
Mission of the University of Miami/Jackson Memorial Hospital, Division of Plastic, Reconstructive and Aesthetic Surgery is to enable our residents to acquire satisfactory clinical skills and a sound basic fund of didactic knowledge. This will then enable them to eventually independently practice their chosen specialty of Plastic Surgery. This is primarily achieved through the progressive process of increasing the resident’s responsibility and continued self-evaluation based on the faculty’s direct assessment of the individual resident’s level of achievement in their education, ability, judgment, and clinical experience. Each patient must be treated with dignity and respect. Every individual within our division is expected to create a collegial working environment.
HISTORY OF THE PLASTIC SURGERY PROGRAM AT THE UNIVERSITY OF MIAMI/JACKSON MEMORIAL HOSPITAL
In 1963, Dr. W. Dean Warren, the Chairperson of the Department of Surgery, commenced a formal search to choose a Program Director to head the newly formed University of Miami Division of Plastic Surgery. Dr. Gil Snyder, who had completed his Plastic Surgery training at John Hopkins eventually, accepted the position. Prior to Dr. Snyder’s arrival to the University of Miami, Plastic Surgery training at Jackson Memorial Hospital was conducted with the collaboration of the private practices of Drs. Clifford Snyder, Clinical Assistant Professor of Surgery, and Dr. D. Ralph Millard. However, with formal organization of the Plastic Surgery Division in 1964, Dr. G. Snyder was assigned a general surgery resident and intern to help with the clinical activities of the Plastic Surgery program. Dr. Snyder also was assisted by other members of the Miami Dade Plastic Surgery community including Drs. Thomas Baker, Howard Gordon, Thomas Zaydon, Sr., Clifford Snyder, Phil George and D. Ralph Millard. They provided invaluable help in the education of residents and medical students. As the program became more active in its second year, Dr. Peter Stokley was appointed the first resident following completion of the general surgery program at Emory University. Approximately 6 months later, the second resident, Dr. Gassan Khalil, entered the program. On July 1, 1967, Dr. D. Ralph Millard assumed the position of Program Director, which he held until 1995. During that period, Dr. Millard made many significant contributions to the field of Plastic Surgery, especially in the areas of Cleft Lip/Palate, Nasal reconstruction and Aesthetic Surgery. In 1991, Dr. Robert Hunsaker at Dr. Millard’s request assumed responsibility for day-to-day administrative needs of the Division. In 1994, Dr. Joseph Moylan became the new Chair of the Department of Surgery and made a strong commitment to developing a full-time academic program in Plastic Surgery.
In 1995 Dr. Thaller assumed the full-time position as Professor and Chief. Within the year; two additional full-time faculty joined the division. Dr. Paul Liu and Dr. Helen Tadjalli, who both eventually joined the full-time faculty at other institutions. Dr. William Scott McDonald joined in February of 1999 and left for private practice in 2005. Dr. Milton Armstrong joined the University of Miami in July of 1999 from Ohio State University and left on August 2009 to be the Chief of Plastic Surgery as Medical University of South Carolina.
Dr. Zubin Panthaki arrived after his Plastic Surgery Training at McGill University and reconstructive microsurgery fellowship at the Buncke Clinic in September of 2001. The division has continued to grow with the addition of Dr. Lawrence Iteld in 2005 following a fellowship at MD Anderson. In 2006, with Dr. John Oeltjen following completion of his plastic surgery residency at Baylor College of Medicine, Dr. Iteld left for private practice opportunity in Chicago in 2014. We have now hired additional new faculty. Dr. Wrood Kassira completed both her general surgery and plastic surgery at the University of Miami/Jackson Memorial Hospital and an Aesthetic Fellowship at New York Eye & Ear Infirmary. Dr. Kassira will assume a significant role of directing the JMH Staff Aesthetic Clinic. Dr. Morad Askari completed his Plastic Surgery Residency at USC and a Hand Fellowship at the Mayo Clinic. He will retain a significant position in both our JMH Hand and Plastic Surgery Program. Dr. Harvey Chim has joined us following a Plastic Surgery Residency at Case Western Reserve University and Hand Micro fellowship at Mayo. In addition, to further enhance reconstructive microsurgery hand and general plastic surgery, he will add a new dimension of migraine headache surgery. Division of Plastic Surgery maintains a tremendous future at the University of Miami/Jackson Memorial Hospital. Clinical material available for teaching of residents remains unsurpassed in both its quantity and quality. Dr. Cristiano Boneti will be joining our full-time faculty. He completed his General Surgery and Surgical Oncology at the University of Arkansas and Plastic Surgery the University of Alabama, Birmingham. Staff clinics at both JMH and the affiliated institutions are extremely active. They provide a vast variety of teaching material in all clinical fields of plastic surgery including reconstruction, reconstructive microsurgery, aesthetic, replantation, congenital deformities, chronic wounds cleft lip/palate, craniomaxillofacial trauma, acute and rehabilitation burn care and surgery of the upper/lower extremities. This clinical experience is augmented by further exposure to the private practices of our outstanding voluntary faculty at our affiliate institutions.
We have developed a superb full time faculty with expertise in hand surgery, reconstructive microvascular surgery, craniofacial, cleft lip/palate, vascular anomalies, pediatric plastic surgery, abdominal and chest wall reconstruction, transgender surgery, reconstructive breast surgery and general plastic and reconstructive surgery as well as all aspects of cosmetic surgery. In addition, we have been able to develop excellent working relationships with our colleagues in oral and maxillofacial surgery, otolaryngology, dermatology, neurosurgery, ophthalmology, surgical oncology and orthopedics. These colleagues also provide excellent clinical expertise and serve as excellent educational resources. This enables us to share in an additional pool of patients and provides our division with a unique clinical perspective. We are also fortunate to have an outstanding Voluntary Faculty, many of whom are well-known contributors to the field of plastic surgery. These factors have allowed us to develop an excellent, well-rounded teaching program utilizing all the resources available both within our institution and our surrounding community. Our entire faculty remains committed to providing an optimal educational environment to our residents and providing continued excellence in patient centric.
ACGME Accredited: Yes
3 Residents per year (total of 9) Independent Program – 3 years
1 Resident per year for 6 years Integrated program
2 Hand Fellows per year
Jackson Memorial Hospital; Jackson Community Hospital South; Miami Veterans Medical Center; University of Miami Hospital; Holtz Children’s Hospital; Sylvester Cancer Center, Bascom Palmer; Miami Children’s Hospital
RESIDENTS/FELLOWS WHO HAVE GRADUATED OUR PROGRAM IN THE PAST TEN YEARS OBTAINED FACULTY POSITIONS AT:
- University of South Carolina
- University of Pittsburgh
- University of Missouri
- University of Iowa
- University of California Irvine
- University of Miami
At the present time, the Plastic Surgery Resident Review Committee (RRC) permits Jackson Health Systems to appoint a total of 9 residents into the UM/JMH Plastic Surgery Program. This consists of 3 residents per year for 3 years. Applications which are received for the Independent Plastic Surgery Program through the San Francisco Central Application Service are then reviewed by the Residency Selection Committee comprised of the full time and representative voluntary faculty members appointed by the Division Chief. Applicants are then chosen by the Committee to proceed through the interview process. After completion of all interviews the Committee then meets and preferentially ranks the candidates. This list is then submitted to the Plastic Surgery San Francisco Central Application Service. Selected residents are given a one-year contract by Jackson Health Systems. This is renewed by the faculty each year. Individuals must successfully complete the plastic surgery program requirements for the 6 core competencies and show progression in their Milestones, ethical, moral and ethical professional behavior as evaluated by the Faculty. At the completion of the Residency Program, the Chief of Service is required by the American Board of Plastic Surgery to corroborate the resident’s successful completion of the plastic surgery residency program in order to become eligible to take the Board Examination in Plastic Surgery. Application for the Integrated program will only be accepted from ERAS. We are permitted 1 resident per year for 6 years.
Plastic surgery training may not be less than 3 years for the Independent program at the same institution with the final year at a Chief resident level. Training may be completed in either the U.S. or Canada that have received approval by the Residency Review Committee and accredited by the ACGME.
Postgraduate Training Required
SCOPE OF TRAINING:
1. All pre-requisite training must be taken within programs accredited by the ACGME, Royal College of Surgeons (Canada), or the American Dental Association. Proof of having completed this pre-requisite training must be submitted and approved by the American Board of Plastic Surgery. This approval must be submitted in writing to the Program Director prior to the commencement of matriculation into the Residency Program. This will become part of the resident’s permanent file. This necessary paperwork must be accomplished prior to the actual matriculation into the UM Plastic Surgery Program or admission to the American Board of Plastic Surgery Examination.
2. The present independent Plastic Surgery curriculum in plastic surgery at UM/JMH is three years.
3. The program is approved by the RRC for a total of 9 residents (3 per year for 3 years)
4. The Integrated program will have 1 resident per year for a total of 6 per year for 6 years.
5. Completion of an accredited program in Orthopedic Surgery. Satisfactory completion must be verified in writing by the Program Director
6. Certification by the American Board of Otolaryngology – although plastic surgery training may be started immediately following satisfactory completion of the Otolaryngology Residency Program. The certifying examination by the American Board of Plastic Surgery can only be completed after certification by the American Board of Otolaryngology. A letter by the Program Director verifying successful completion of training is mandatory.
8. Oral and Maxillofacial Surgery with a minimum of 2 years of progressive clinical training in general surgery.
9. Completion of Neurosurgery;
For the Integrated program, individuals must have successfully graduated from a US or Canadian School medical school or equivalent intermediate institutions.
U.S. Citizenship Required
Requirements (Effective June 23, 2015 – USMLE)
- At a minimum, documented successful completion of the first two parts of USMLE Step 1, Step II CK and Step 2CS must be submitted for initial appointment as a Resident or Clinical Fellow (or for reappointment, if not previously provided).
- At a minimum, documented successful completion of USMLE Step III (Part 1 and Part 2) is required for appointment (or reappointment) at the PGY 3 level or higher. Programs have the right to impose more stringent requirements but no less than those contained in this policy.
- Documented successful completion of USMLE Step III is required for graduation from all JHS residency and fellowship programs.
- Program Directors/Chiefs, in consultation with the DIO of JHS, may grant individual exceptions to the above provisions for one year at a time.
- Canadian physicians and Doctors of Osteopathy who are eligible for licensure may substitute documentation of successful completion of LMCC/MCCQE and COMLEX examinations, respectively, in lieu of USMLE examinations.
Application accepted through the SF Match. Deadline for application is December 31st.
The Education Program
Goals: Our primary mission for the UM/JMH Plastic Surgery Program is to provide each individual resident with a broad based clinical experience and the development of a basic fund of knowledge thus enabling him to independently practice plastic and reconstructive surgery in either a private practice or academic environment. Curriculum is centered on residents rotating through distinct educational experiences with progressive graded surgical responsibility under the guidance of the attending staff. It is expected that at the successful completion of the program, each resident should be able to pass appropriate specialty oral and written board examinations.
ASSIGNED ROTATIONS – INDEPENDENT PROGRAM
JMH/UMH 10 months
Hand/Micro 2 months
VAH 4 months
Hand/Micro 2 month
JMH/UMH 6 months
JMH/UMH 2 months
Oculoplastic/Hand 1 month
ENT 2 months
DERM 1 month
Anesthesia 2 month
Oral Surgery 2 month
Cosmetics/MCH 1 month
VA – Alpha 1 3 months
Burn/JMH 1 month
Plastic Surgery 2 month
SICU 2 month
E-1 Surg.Onc 1 month
Vacation 1 month
E2 – General Surgery 1 month
E3 – Colorectal 1 month
Pediatric Surgery 1 month
E3-General Surgery 1 month
E4-General Surgery 1 month
VA – General Surgery 2 month
UMH – General Surgery 2 month
TICU 1 month
Trauma 1 month
Vascular 1 month
UMH Plastic Surgery 2 months
SICU/JMH 2 months
Trauma/JMH 2 months
Vascular Access 1 month
VA Plastic Surgery 1 month
Burn 2 months
VA Surgery 2 months
CT/VAH 2 months
To maximize the educational experience of Indication Conferences, residents must be thoroughly prepared to justify their management options and their indications for treatment. At this weekly conference the resident will be presented with clinical case scenarios and actual patient care experience. Plastic Surgery residents will be expected to address patient care, medical knowledge, practice-based learning, systems-based practice and interpersonal and communication skills. This conference will also address issues dealing with medical legal issues; systems based practice, interpersonal skills and professionalism. This necessitates a thorough satisfactory pre-conference preparation. It should follow the following format: indications conference, case presentations of pertinent history and physician examination and a description and analysis of planned management. This is not a didactic lecture. Topics will follow the previously discussion scheduled. If there is sufficient time, full and voluntary faculty will present interesting cases for additional discussion. Following this, we will have formal Grand Rounds. These will take a variety of educational formats. On a number of occasions the residents will be asked to actively participate in the program. Assignments will be assigned far enough in advance to allow adequate preparation. On Thursday at 7:00 am – 8:30 am, we will have our Didactic Conference. This year Grabb & Smith and Selected Readings will serve as the foundation of conferences. These conferences are curriculum topic presentations and clinical case previous related to the assigned topic. Each resident must make arrangements to have the summaries readily available. This will be held in the CRB 4th floor conference room. This will encompass a three-year cycle to expose the residents to a complete AACPS core curriculum in the field of plastic surgery. Goal is to encourage regular reading and develop a basic fund of knowledge for their independent practice of plastic surgery. All residents including the one rotating on the hand service are required to attend unless on vacation or there is an appropriate emergency. Each resident is expected to read the assigned topic prior to the session, as questions will be asked and discussed. This will enable the faculty to assess the level of each resident’s medical knowledge. Any areas not understood should be brought up and discussed. A resident will be assigned to lead the discussion and faculty to moderate the weekly topic or present a didactic lecture summarizing the assigned topic or present an appropriate case for discussion of the assigned topic. Resident assigned to lead the discussion should prepare a 2 page hand-out summarizing those pertinent aspects of the assigned topic. Didactic sessions will play a significant role in the faculty’s assessment of the residents’ basic fund of knowledge, medical knowledge, patient care and practice-based learning. Faculty will be able to readily recognize how well the resident has synthesized the assigned topic through questions, discussion, and written weekly quizzes which will be specific to the assigned weekly topic. Learning educational modules have been developed in specific index categories.
A divisional M&M Conference will be held at the completion of each two months rotation. At that time the Chief Resident will be expected to present appropriate cases from all affiliated hospitals. Resident must prepare a 1- 2 paragraph summary to be included in their portfolio describing the importance of the care in regards to practice based learning and systems based practice. On the third Wednesday evening of the month we will have our Journal Club. Residents are assigned one article to present a concise summary. The residents will also need to provide a written 1- 2 paragraph summary describing the articles importance in relation to the 6 corresponding specialties systems based practice and practice based learning. This will be at a faculty members’ house or office to provide an informal and friendly educational setting. Reading assignments will be circulated in advance from either Annals of Plastic Surgery PRS or the related journals to allow satisfactory preparation by the residents. Each resident will be expected to read, digest and then succinctly summarize and discuss the article for the group. Faculty will then provide additional perspective and insight to encourage active and critical discussion. Residents will be expected to engage in a literature search on the topic to enhance their presentation. This conference will aid in the overall assessment of patient care, medical knowledge and practice based learning. Except for vacation and emergencies all residents are expected to attend. The Plastic Surgery Service will also present a General Surgery Morbidity and Mortality on a pre-arranged schedule. The residents are invited and encouraged to attend the quarterly meetings of the Greater Miami Plastic Surgery Society. PSOL’s data is to be completed weekly and documented on the computer on the ACGME site. Program Director will also meet with all residents on the JMH service every Monday at 6:45 a.m. in the JMH cafeteria. During this meeting, we will discuss upcoming admissions, consults, surgical assignments and clinical JMH challenges. This will enable a more efficient running of the service. This will also allow us to effectively improve the educational responsibilities of the program. Timely attendance will be a significant part of the professionalism evaluation.
These educational conferences are mandatory. Residents must NOT be required to handle service responsibilities in lieu of education.
Knowledge of surgical design, diagnosis, embryology, surgical anatomy, artistic conceptualization, physiology and pharmacology, wound healing, pathology and microbiology, adjunctive oncological therapy, biomechanics, rehabilitation and instrumentation are fundamental to clinical practice of the specialty of plastic surgery. Judgment and technical capability for achieving satisfactory surgical results are mandatory qualities for developing a competent independent plastic surgeon.
The UM/JMH Division of Plastic Surgery is directed towards providing the foundation leading to the development of different areas of clinical expertise at each hospital site. However, the primary goal of the program remains the development of a superior level of patient care through graded supervision by the faculty. Residents need to be totally cognizant of their limitations and must never attempt to provide clinical care or accept personal responsibility for clinical services or procedures for which they are not completely trained or confident of accomplishing. As part of their professional development each resident must clearly recognize their abilities and not practice outside of their level of training. Each resident is personally responsible for communicating to the faculty significant issues as they relate to patient care. Such communication must be documented in the appropriate medical records. This will also serve as a significant component of their Professionalism core competency.
1. Specific training should be provided in the following areas of competency:
(a) Basic science as it applies to the general practice of Plastic Surgery-Medical knowledge.
(b) Basic technical skills to independently practice Plastic Surgery-Interpersonal skills and communication.
(c) Exhibit ethical attitudes and behavior consistent with excellent patient care. Patient care.
(d) Investigation and evaluation of their own patient care, appraisal, and assimilation of scientific evidence and improvements in patient care-Practice based learning and improvement.
(e) Commitment to carrying out professional responsibilities adherence to ethical principals and sensitivity to a diverse patient population-Professionalism
(f) An awareness is manifested by actions and responsiveness to a larger context and system of healthcare and edibility to effectively call on system resources to provide care of optimal value- Systems Based Practice.
2) Areas within the specialty of Plastic and Reconstructive Surgery include:
a) congenital defects of the head and neck including cleft lip/palate, other craniofacial, and dental-facial anomalies
b) neoplasms of the head and neck, including the oropharynx, and training in appropriate diagnostic endoscopy procedures
c) craniomaxillofacial trauma; basic dental anatomy and terminology
d) aesthetic surgery of the head, neck, trunk and extremities
e) plastic surgery of the breast: reconstructive and aesthetic
f) surgery of the hand/upper extremities
g) plastic surgery of the lower extremities
h) plastic surgery of congenital and acquired defects of the trunk and genitalia
i) burn management, resuscitation, early surgical management and reconstruction
j) micro-neurovascular surgical techniques applicable to plastic surgery
k) reconstruction by tissue transfer including various flaps and grafts
l) surgery of benign and malignant lesions of the skin and soft tissues
m) Scope of plastic surgery is sufficiently broad so that a well-organized, comprehensive and effective educational curriculum is mandatory. Its goal is to ensure that each resident experiences sufficient training in all the various areas of our specialty. Pertinent related basic science applications must also be covered. Written curriculum should reflect careful planning of all years of the program with evidence that the cyclical presentation of core specialty knowledge is being supplemented by the addition of current information including practice management, ethics and medico-legal topics as related to the practice of plastic surgery.
3. Outpatient Experience: There is a well-organized and well-supervised outpatient clinic. This clinic must operate in relationship to outpatient services employed within the JMH educational program.
a) Residents must have an opportunity to see patients, establish provisional diagnosis and initiate preliminary treatment plans with appropriate faculty supervision and guidance;
b) An opportunity for follow-up care must be provided so that the results of surgical care may be evaluated by the responsible resident with appropriate faculty supervision.
c) All these activities must be under an appropriate level of faculty supervision. In the cases where residents participate in pre and postoperative care in a private office, the Program Director must ensure that residents function with an appropriate degree of responsibility with adequate supervision. A daily diary or log to document the resident’s attendance and educational experience for the private office cosmetic rotation.
d) Satisfactory experience should be provided in office practice procedures and management
e) There must be an adequate quantity and breadth of surgical experience for each resident
Experience in all 12 categories of surgical experience is most important and must not be limited by excessive nonclinical activities
BOARD EXAMINATION REQUIREMENTS
The surgeon must:
- Graduate from an accredited medical school
- Hold a license to practice medicine in the state where residing
- Complete a minimum of three years of training in general surgery in an ACGME-accredited residency program (Accreditation Council for Graduate Medical Education)
- Complete a minimum of two years of training in plastic surgery in an ACGME-accredited residency program
- Continue in practice for a minimum of six months, during which time all operative reports and preoperative and postoperative photographs are submitted and accepted by a panel of board-certified plastic surgeons
- Successfully pass a comprehensive written and oral examination
Of the medical specialties that perform plastic surgery, board certification by the American Board of Plastic Surgery requires the most surgical training: a minimum of five years. This Board was established in 1937. More information about the American Board of Plastic Surgery can be found from the following contact information:
The American Board of Plastic Surgery
Seven Penn Center, Suite 400
1635 Market Street
Philadelphia, Pennsylvania 19103-2204
EDUCATIONAL & OTHER EXPERIENCE: Describe
- MENTOR SYSTEM
Each resident will be assigned someone from either the full-time or voluntary faculty to serve as a mentor to enhance each individual’s growth and development as a Plastic Surgeon. Assignments must be confirmed with the Program Director in July. Goal of this mentoring system is for each resident to develop an ongoing relationship with an experienced faculty member in order to discuss any individual concerns, progress, and obtain appropriate advice and guidance in a casual non stressful environment. In addition, the mentor may assist in eventual practice development and career choices. It is hoped that the faculty member will then be able to provide continued support throughout the training program. In addition should any challenges arise the mentor can serve as a facilitator. Also the mentor can serve as a resource in a broad range of needs including practice location, choice of fellowship, etc. The Division Chief will make arrangements.
- LASER EXPERIENCE:
To increase the resident’s experience on lasers, Dr. Mark Nestor’s office is available for our residents. Arrangements should be confirmed with the University of Miami Hospital/Jackson Memorial Hospital Plastic Surgery Program Director.
- ORAL EXAMINATIONS:
Residents will be given two mock oral examinations per year. Specific dates will be provided far enough in advance to allow adequate preparation. The First exam (usually in January) is modeled after the morning or qualifying session (practice and theory) of the Oral Board Exam. Residents will be questioned from a book consisting of cases demonstrating standard plastic surgery diagnostic and management problems. Second session will be late May or early June and will be similar to the PM session of the Certifying Exam. Residents are to accumulate a list of cases in which they have participated and have adequate pre and postoperative photo documentation. Faculty will then select 3 cases for presentation the same way they would when they will take their formal exam. Guidelines for preparation of cases should follow the book provided by the American Board of Plastic Surgery and consistent with HIPPA regulations. Examiners will come from full time and voluntary faculty. Following the Exam sessions, we will all meet to discuss the results. For successful completion and graduation from the program, each resident is expected to demonstrate an adequate fund of knowledge and progress in their development of this knowledge as exemplified by their passing performance on these exams.
Chief Residents have an opportunity to rotate through private offices of a number of our Voluntary Faculty. This gives a realistic opportunity to participate in Aesthetic surgery and practice development.
In collaboration with Project Medishare, the Division has a voluntary surgical mission quarterly to perform primarily Cleft Lip/Palate.
In July, to introduce our residents, we hold 2 individual intensive educational experiences; Facial Trauma and Hand and Upper Extremity
Weekly Indications Conference:
This will precede Grand Rounds on Wednesdays. Resident presentations will follow this format:
a. Photo documentation
b. Short history and physical examination
c. Reasons and justification for selected treatment plan.
Monthly Journal Club:
a. Short summary of article
b. Define clinical relevance
c. Summarize impact on your clinical practice
RESEARCH: Describe opportunities
Division firmly believes that each resident should become familiar with acceptable methods of scientific inquiry and be afforded ample opportunity to ask appropriate questions and design methology that will enable the individual to analyze results and draw appropriate conclusions. Each resident will be expected to engage and successfully complete one research paper per year for either publication or presentation at a regional or national meeting. This can take the form of a case report, a clinical series or if time permits, a basic science research project. Final manuscripts must be submitted to the program director by April 1 of their senior year. Residents must also obtain appropriate IRB approval and closely adhere to HIPPA regulations. Entire faculty is committed to providing and sharing resources for the residents to complete this assignment. If these are accepted for presentation at reputable meeting, the division will provide adequate funding for the trip, at the discretion of the Chief of Plastic Surgery. Attendance is mandatory. Residents will be expected to discuss their research ideas and progress at a Quarterly Research Meeting. This will permit an interchange of ideas and provide additional input into each project. The resident’s performance addresses practice based learning and medical knowledge. If the resident is considering submitting a paper for presentation or publication, these plans must be discussed and prior approval obtained from the Program Director prior to submission of the project or abstract for presentation.
CALL: on call information
All residents regardless of year are responsible for taking call. During the first year, the resident should be on-call no more than every third night. Call schedule will include each junior resident rotating every third night. On Maxillofacial Trauma Admitting nights, all call will be from home. All residents especially the Plastic Surgery residents are expected to provide efficient and prompt response to the needs of the emergency room and Trauma Center for the management of all facial injuries and all other related plastic surgery admissions. If there is excessive need for the junior resident, the chief resident on-call will serve as backup. In addition, a plastic surgery resident is always on call for any consultation requiring specific plastic surgery expertise. Chief Residents at the VA and JMH will alternate call from home and provide satisfactory backup to the juniors. Attending back up is always available by phone or beeper. When necessary, an attending will come to the hospital.