Brown University

Pediatric Surgery @ Brown
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY

The Warren Alpert Medical School of Brown University

 

Program Description
  3. SUPERVISION                                             Picture of an actual fellow (Chris Breuer, left) at work

Our pediatric surgery residency curriculum fosters independent decision-making. This is accomplished by direct supervision and progressive responsibility. The surgical faculty directly supervises the pediatric surgical resident in both inpatient and outpatient surgery and in separate pre- and post- operative surgical office visits. Current supervision and teaching participation are completed within HCFA guidelines across the academic medical center. Direct supervision in the neonatal intensive care unit and in the pediatric intensive care unit is provided by the pediatric surgical attending staff augmented by appropriate consultation with critical care faculty in Neonatology and Pediatrics, respectively. The Pediatric Urology service directly supervises the Pediatric Surgical Resident during his/her rotation on these services. ECMO, burn, transplant, endocrine and ENT patients remain under the care of the pediatric surgery team directed by the responsible attending.
The first-year resident operates with attending surgeons on all portions of each case. As a chief resident, he/she performs all index cases under the direct supervision of the attending surgeons; the role of the attending surgeon on these cases is modified, as the chief resident matures in confidence, judgment and ability. Gradually, the chief resident assumes complete responsibility for operative decisions. The goal of the program is to train confident, independent pediatric surgeons. This goal can only be met by direct supervision, constant instruction, and a nurturing academic environment.

 

 

 

 

 

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