CORE Curriculum CORE Curriculum OrientationOrientation

Nalin Amin, Program DirectorNalin Amin, Program DirectorCORE Surgical CurriculumCORE Surgical Curriculum

Department of SurgeryDepartment of SurgeryMcMaster UniversityMcMaster University

What is CORE?What is CORE?

• Academic curriculum designed to Academic curriculum designed to develop and achieve the basic develop and achieve the basic competencies required by the Royal competencies required by the Royal College for certification in any College for certification in any surgical specialtysurgical specialty

• Rotating schedule occurring Wed Rotating schedule occurring Wed am’s from 0900-1200am’s from 0900-1200

Who attends CORE?Who attends CORE?

• All PGY-1’s and PGY-2’s in all surgery All PGY-1’s and PGY-2’s in all surgery divisions at McMaster Universitydivisions at McMaster University– Cardiac SurgeryCardiac Surgery NeurosurgeryNeurosurgery– General SurgeryGeneral Surgery Plastic SurgeryPlastic Surgery– Orthopedic SurgeryOrthopedic Surgery UrologyUrology– ENT SurgeryENT Surgery

– OpthalmologyOpthalmology Possibly Ob/GynePossibly Ob/Gyne

What happens in CORE?What happens in CORE?

• Clinical sessionsClinical sessions

• Principles of SurgeryPrinciples of Surgery

• Technical Skills sessionsTechnical Skills sessions

• Research Methodology CourseResearch Methodology Course

• CanMEDS sessions CanMEDS sessions

Where does CORE happen?Where does CORE happen?

• Usually MUMC 4E-20Usually MUMC 4E-20

• Other venues:Other venues:– Michael Degroote Center for LearningMichael Degroote Center for Learning– Stelco Amphitheater (St. Joseph’s Stelco Amphitheater (St. Joseph’s

Healthcare)Healthcare)– MUMC Anatomy LabMUMC Anatomy Lab– MUMC Simulation CenterMUMC Simulation Center

How will I know…How will I know…

• Program Coordinator:Program Coordinator:– Jane Klie, Jane Klie, kliej@mcmaster.cakliej@mcmaster.ca– Henderson Hospital, Ground FloorHenderson Hospital, Ground Floor– 70 Wing, Rm 1770 Wing, Rm 17

• email usually best..email usually best..– Ensure you have given her your Ensure you have given her your

addresses and get a medportal account addresses and get a medportal account ASAPASAP

– Check your email regularly!Check your email regularly!

How will I know…How will I know…

• Advanced CORE scheduleAdvanced CORE schedule• Contact informationContact information• Handouts and presentationsHandouts and presentations• Goals and objectivesGoals and objectives• Executive and their dutiesExecutive and their duties

• http://www-fhs.mcmaster.ca/surgery/divisions/phttp://www-fhs.mcmaster.ca/surgery/divisions/postgrad/CORERMContents.htmlostgrad/CORERMContents.html

CORE Organization:CORE Organization:• CORE Program DirectorCORE Program Director

• CORE Program CoordinatorCORE Program Coordinator

• CORE Executive CommitteeCORE Executive Committee– Curriculum organized and managed by Curriculum organized and managed by

residentsresidents– President, secretary, treasurer, past President, secretary, treasurer, past

president, Thunder Bay rep, PGY-1 rep, president, Thunder Bay rep, PGY-1 rep, coordinatorscoordinators

– Elected yearlyElected yearly

Duties of the CORE Duties of the CORE executive:executive:• Elected from the PGY-1’s, 2’s – all Elected from the PGY-1’s, 2’s – all

divisions representeddivisions represented• Represent the group, responsible to Represent the group, responsible to

the COREthe CORE• Voice concerns, educational needs, Voice concerns, educational needs,

coordinate sessions and faculty coordinate sessions and faculty speakers/advisorsspeakers/advisors

• Pivitol role in modifying the programPivitol role in modifying the program

Current Executive: 2009-Current Executive: 2009-20102010• PresidentPresident• SecretarySecretary• TreasurerTreasurer• PGY-3 repPGY-3 rep• Thunder Bay repThunder Bay rep• PGY-1 repPGY-1 rep• CoordinatorCoordinator• CoordinatorCoordinator• CoordinatorCoordinator• CoordinatorCoordinator

• John AgzarianJohn Agzarian• Craig DurantCraig Durant• Blake YaracavitchBlake Yaracavitch• Laura VanderbeekLaura Vanderbeek• Sara KalechsteinSara Kalechstein• TBATBA• Michael TranMichael Tran• Kevin DebiparshadKevin Debiparshad• Sarfaraz BanglawalaSarfaraz Banglawala• Stephanie MaStephanie Ma

Conflict Resolution:Conflict Resolution:

• Jane KlieJane Klie

• Nalin AminNalin Amin

• CORE Executive MembersCORE Executive Members

• Home Program DirectorHome Program Director

• Ombudsperson:Ombudsperson:– Mark Crowther – HematologyMark Crowther – Hematology– Elected every 3 yrsElected every 3 yrs

Expectations: RespectExpectations: Respect

• Significant time and resourcesSignificant time and resources

• Rely on educational altruism of Rely on educational altruism of clinical and research facultyclinical and research faculty

• If needs not met, follow processIf needs not met, follow process– ExecutiveExecutive– EvaluationsEvaluations– Jane or myselfJane or myself

Expectations: AttendanceExpectations: Attendance

• Full attendance to all sessions is Full attendance to all sessions is mandatorymandatory

• This includes post tuesday night callThis includes post tuesday night call

• No exceptions!No exceptions!– Illnesses, conferences, exams, Illnesses, conferences, exams,

dependents, retreats, clinical workdependents, retreats, clinical work

• Off all clinical duties from 0900-1200Off all clinical duties from 0900-1200

• Turn off pagers!Turn off pagers!

Expectations: EvaluationsExpectations: Evaluations

• Critical for improvement of the Critical for improvement of the curriculumcurriculum

• Used as attendance for sessionsUsed as attendance for sessions

Expectations: Research Expectations: Research MethodologyMethodology

• Have attended and completed all 10 Have attended and completed all 10 modulesmodules

• Have attended and completed all 10 Have attended and completed all 10 post-testspost-tests

• Have attended the CORE and Have attended the CORE and Department of Surgery Research DaysDepartment of Surgery Research Days

• Have presented 1 research proposal, Have presented 1 research proposal, work in progress, completed research work in progress, completed research projectproject

Am I evaluated for CORE?Am I evaluated for CORE?• Previously no…Previously no…

• AttendanceAttendance

• ParticipationParticipation

• Technical skills progressTechnical skills progress

• Research methodology attendance, modular Research methodology attendance, modular quiz, presentationquiz, presentation

• Final CORE evaluation is placed in FITER Final CORE evaluation is placed in FITER submitted by home program director to Royal submitted by home program director to Royal College for consideration of certificationCollege for consideration of certification

New developments and future New developments and future directionsdirections

• Newly renovated anatomy labNewly renovated anatomy lab

• Newly renovated simulation centerNewly renovated simulation center

• Revolutionized research Revolutionized research methodology coursemethodology course

• Increased clinical contentIncreased clinical content

• Corporate sponsorshipsCorporate sponsorships

• Developing surgical skills centersDeveloping surgical skills centers