Surgical Competence, a Crisis in US Health Care?
Posted on February 20, 2014 – 12:45pm
Surgical competence requires a complex set of interdependent roles and abilities that include psychomotor, cognitive, and interpersonal abilities.[i]
A shift in surgical procedures towards minimally invasive techniques has greatly complicated surgical education with a major potential impact on emergency patient care.
Introduction
This summer a former resident of mine – now an older surgeon himself – asked me whether I’d be interested in re-activating my surgical career (not a simple thing to do). As explanation, he mentioned a critical shortage of experienced surgeons in traditional surgical techniques, as present day’s education is now mainly focused on minimally invasive procedures. During the past ten years this has become a major issue, particularly in trauma and emergency surgery, where often “open” procedures are necessary.
GI Tract Development
Posted on August 20, 2013 – 11:26pm
Surgical Anatomy Lecture, Tufts University School of Medicine
GI Tract Embryology
Joan F. Tryzelaar, MD, FACS, FACCP
1/27/2010
Body Cavities
Posted on August 20, 2013 – 11:23pm
Surgical Anatomy Lecture, Tufts University School of Medicine
Embryology of Body Cavities
Joan F. Tryzelaar, MD, FACS, FACCP
1/27/2010
Embryology
Posted on August 20, 2013 – 10:50pm
Mediastinum
Posted on August 20, 2013 – 10:29pm
Surgical Anatomy Presentation Tufts University School of Medicine:
Mediastinum
Joan F. Tryzelaar, MD, FACS, FACC
1/21/2010
Mediastinum
Posted on August 20, 2013 – 10:21pm
Mediastinum
Posted on August 20, 2013 – 10:11pm
Mediastinum
Posted on August 20, 2013 – 10:01pm
Tuft’s University School of Medicine Surgical Anatomy Lecture1/20/2010
Joan F. Tryzelaar, MD, FASCS, FACCP
Syllabus of Clinical Thoracic and Cardiac Embryologic Problems with anatomic correlations
Posted on August 20, 2013 – 6:07pm
Case studies involving the thorax, mediastinum, embryology of the heart & circulatory systems
Anatomic and clinical reviews that will include basic symptoms and findings, diagnosis & treatment
Tufts University school of Medicine
Clinical Anatomy
Joan F. Tryzelaar, M.D., F.A.C.S, F.A.C.C.P.
January, 2011
Before we go on to congenital heart problems, it is good to review how to get into the chest:
Clinical Case:
You have just been invited to participate in an operation. The surgeon plans a posterolateral thoracotomy to enter the chest. He will tell you that he plans entry via the 6th intercostals interspace(Pearl: found two finger widths below the tip of the scapula).