karen r. borman, md, facs apds presidential address 2010

KAREN R. BORMAN, MD, FACSKAREN R. BORMAN, MD, FACS

APDS PRESIDENTIAL APDS PRESIDENTIAL ADDRESS 2010ADDRESS 2010

A TASTEFUL INTRODUCTION?A TASTEFUL INTRODUCTION?

CHOOSING A TOPICCHOOSING A TOPIC

KAREN R. BORMAN, MD, FACSKAREN R. BORMAN, MD, FACS

APDS PRESIDENTIAL APDS PRESIDENTIAL ADDRESS 2010ADDRESS 2010

JACK, JILL, JACK, JILL, PEGGY & ROGERPEGGY & ROGER

JACK, JILL, JACK, JILL, PEGGY & ROGERPEGGY & ROGER

KAREN R. BORMAN, MD, FACSKAREN R. BORMAN, MD, FACS

DESCRIBING THE MODERN DESCRIBING THE MODERN SURGICAL PROGRAM SURGICAL PROGRAM

DIRECTOR’S SKILLS SETDIRECTOR’S SKILLS SET

TAKING A VERY BIG BITETAKING A VERY BIG BITE

DESCRIBING THE SKILLS SETDESCRIBING THE SKILLS SET

IDENTIFY OUR CONSTITUENCIESIDENTIFY OUR CONSTITUENCIES CHARACTERIZE WHAT THEY CHARACTERIZE WHAT THEY

REQUIREREQUIRE SPECULATE WHAT THEY WANTSPECULATE WHAT THEY WANT LINK SKILLS SET DEVELOPMENT LINK SKILLS SET DEVELOPMENT

TO APDSTO APDS

RRCRRC

SERVING MANY MASTERSSERVING MANY MASTERS

EXPLICIT REQUIREMENTS: RRCEXPLICIT REQUIREMENTS: RRC

PR. II.A.3 Qualifications of the PD PR. II.A.3 Qualifications of the PD must includemust include

Documented educational experienceDocumented educational experience Current ABS certification, active Current ABS certification, active

license, medical staff appointment, license, medical staff appointment, unrestricted credentials at unrestricted credentials at sponsoring institutionsponsoring institution

Scholarly activityScholarly activity

ACADEMIC SURGEON TRIPLE THREATACADEMIC SURGEON TRIPLE THREAT

GS PROGRAM REQUIREMENTSGS PROGRAM REQUIREMENTS

CORPORATE TRIPLE THREATCORPORATE TRIPLE THREAT

GS PROGRAM REQUIREMENTSGS PROGRAM REQUIREMENTS

PD SKILLS SET # 1PD SKILLS SET # 1

Administer/maintain Administer/maintain educational environmenteducational environment

Delineate responsibilitiesDelineate responsibilities Evaluate performanceEvaluate performance Authority and Authority and

accountability for accountability for program operationsprogram operations

PD SKILLS SET # 2PD SKILLS SET # 2Necessary

professional, technical, and clerical personnel

Educational resources sufficient for all residents

Resources adequate for facilitating scholarly activities

PD SKILLS SET # 3PD SKILLS SET # 3

o Internet access 24/7 to Internet access 24/7 to journals, references, journals, references, searchable databasessearchable databases

o Software for presentations, Software for presentations, manuscripts, portfoliosmanuscripts, portfolios

o Simulations and skills labsSimulations and skills labso Online radiographic and Online radiographic and

lab reporting systemslab reporting systemso IT support sufficient for IT support sufficient for

GSOL interfaceGSOL interface

PD SKILLS SET # 4PD SKILLS SET # 4

Select, evaluate, Select, evaluate, promote, discipline, promote, discipline, supervise residentssupervise residents

Evaluate facultyEvaluate faculty Implement grievance Implement grievance

+ due process+ due process Counsel + assist NDPCounsel + assist NDP Verify completionVerify completion

PD SKILLS SET # 5PD SKILLS SET # 5

EXPLICIT REQUIREMENTS: ABSEXPLICIT REQUIREMENTS: ABS

SKILLS SET # 6SKILLS SET # 6

Verify progress Verify progress each yeareach year

Validate chief Validate chief applicationapplication

Attest to Attest to knowledge, knowledge, technical skills, technical skills, ethical standing, ethical standing, professionalismprofessionalism

SKILLS SET # 7SKILLS SET # 7

Shared Shared passion for passion for graduate graduate surgical surgical educationeducation

RespectRespect CollaborationCollaboration Unwavering Unwavering

supportsupport

CHAIR + FACULTY EXPECTATIONSCHAIR + FACULTY EXPECTATIONS

Maintain full accreditationMaintain full accreditation Recruit and retain the best residentsRecruit and retain the best residents 100% ABS pass rate100% ABS pass rate Cover every service and every facultyCover every service and every faculty Provide coverage to them and their Provide coverage to them and their

servicesservices Resolve all complaints to their Resolve all complaints to their

satisfactionsatisfaction Run the program as they would like but Run the program as they would like but

with minimal help from themwith minimal help from them WATCH MY BACK!WATCH MY BACK!

SKILLS SET # 8SKILLS SET # 8

RESIDENT EXPECTATIONS: COMPLEXRESIDENT EXPECTATIONS: COMPLEX

Grant autonomy / Set boundariesGrant autonomy / Set boundaries Be respectful of us / Earn our respectBe respectful of us / Earn our respect Decisive / DemocraticDecisive / Democratic Consistent / FlexibleConsistent / Flexible Support individual / Meet needs of all Support individual / Meet needs of all Superb, stress-free, daytime clinical Superb, stress-free, daytime clinical

opportunitiesopportunities Evaluations honest / non-judgmentalEvaluations honest / non-judgmental Teach me / Let me learnTeach me / Let me learn Rural practice / Urban subspecialistRural practice / Urban subspecialist

RESIDENT EXPECTATIONS: SIMPLERESIDENT EXPECTATIONS: SIMPLE

Demonstrate Demonstrate mastery of mastery of ALL the ALL the competenciescompetencies

Provide 24 / 7 Provide 24 / 7 positive role positive role modelmodel

SKILLS SET # 9SKILLS SET # 9

EXPECTATIONS OF THE PUBLICEXPECTATIONS OF THE PUBLIC

SKILLS SET # 10SKILLS SET # 10

JACK OF ALL TRADESJACK OF ALL TRADES

JACK OF ALL TRADESJACK OF ALL TRADES

Jack of all trades, Jack of all trades, master of none, though master of none, though ofttimes better than ofttimes better than master of onemaster of one

A master of A master of integration…knows integration…knows enough from many enough from many learned disciplines to learned disciplines to bring them together in a bring them together in a practical manner; a practical manner; a polymath or polymath or renaissance man; e.g., renaissance man; e.g., Leonardo daVinciLeonardo daVinci

JILL OF ALL TRADESJILL OF ALL TRADESA girl who knows how to do everythingA girl who knows how to do everything

EXPECTATIONS OF OURSELVESEXPECTATIONS OF OURSELVES

EXPECTATIONS OF OURSELVESEXPECTATIONS OF OURSELVES

20102010 20072007

A master organization for the Jacks and A master organization for the Jacks and Jills of all tradesJills of all trades

Preparing the surgeons of tomorrow to Preparing the surgeons of tomorrow to provide excellence in patient careprovide excellence in patient care

When you see a turtle atop a fence post, When you see a turtle atop a fence post, you know she didn’t get there by herselfyou know she didn’t get there by herself

She doesn’t belong up there, and she She doesn’t belong up there, and she doesn’t know what to do while she’s up doesn’t know what to do while she’s up there, and you just wonder what kind of there, and you just wonder what kind of dumb ass put her up there to begin withdumb ass put her up there to begin with

TREASURER SECRETARY PRESIDENT - ELECT

PAST-PRESIDENT

PROGRAM COMMITTEE CHAIR

A master organization for the Jacks and Jills of A master organization for the Jacks and Jills of all tradesall trades

Preparing the surgeons of tomorrow to Preparing the surgeons of tomorrow to provide excellence in patient careprovide excellence in patient care

JACK, JILL, PEGGY & ROGERJACK, JILL, PEGGY & ROGER