Advanced education in the basic and clinical sciences is provided by a well structured series of lectures and conferences. Wednesday morning is reserved for academic pursuits, and during this time, residents do not attend the OR ( save for emergencies). There are three joint conferences for residents at NYHQ:
Morbidity and Mortality
Morbidity and Mortality Conference is the principle teaching conference. It is held each Wednesday from 7:30 to 8:30 a.m., and can be extended to two hours in length when necessary. It is led by the Department Chairman and attended by all residents, and by the entire teaching and voluntary staffs of both hospitals. A radiologist, pathologist, and anesthesiologist are always in attendance.
The basic tenet of this conference is that the discussion of patients and their illnesses constitutes the single best contemporaneous method for the education of surgical residents. The goal is to provide an open educational forum for discussion of adverse outcomes, deaths,and interesting cases. Narrative material at this conference is prepared by the residents, with each presenter expected to define the problem, review the literature, and determine what could improve future outcomes. Senior residents are asked to make slide presentations discussing significant points of the problem at issue with reference to the appropriate literature found via computer search. All complications and deaths are discussed, and all operative cases for the preceding week are listed to allow questions to be asked about them where needed.
M & M Conference
M & M Conference is followed by weekly Grand Rounds. Speakers are invited from within our own institutions as well as from other parts of the city and beyond. Invited speakers discuss a variety of topics, with most themes chosen because of questions raised in patient care or the faculty’s desire to supplement the existing curriculum. Periodically, we hold “great debates,” in which two residents take opposing positions on a controversial surgical issue. At times, medicolegal, economic, and social issues of interest to the staff are also addressed.
Basic Science Conference
The Basic Science Conference is organized by senior residents who must review textbook materials before presenting them to the juniors and administering examinations. One of the major resources for this lecture series is O’Leary’s Physiologic Basis for Surgery. The residents are given a reading assignment the week before each lecture, and a written quiz is given at the completion of each chapter.
The following is a list of the basic science topics at NYHQ from the past year:
- Cell Biology ( 4 sessions)
- Growth and Development
- Nutrition and Metabolism
- Wound Healing
- Oncology ( 3 sessions)
- Surgical Infection ( 2 sessions)
- Pharmacology ( 2 sessions)
- Liver, biliary, pancreas ( 2 sessions)
- Breast ( 2 sessions)
- Cardiovascular ( 3 sessions)
- Digestive System ( 2 sessions)
- Hematology (2 sessions)
- Musculoskeletal ( 2 sessions)
- Neuroscience ( 2 sessions)
- Pulmonary ( 2 sessions)
- Skin and Subcutaneous Tissue
- Anesthesia ( 2 sessions)
- Selected Technologies