Overall programmatic goals and objectives
The curriculum of the osteopathic surgical residency is built around the AOA Core Competencies of OMM/OPP, patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.

  • Score has been implemented for the 2011-2012 academic year
  • Create a modern residency program that provides the foundation for contemporary surgical training that reflects the practice of general surgery in the 21st century
  • Provide a supportive educational environment that fosters the development of professionalism in conjunction with personal growth and commitment to compassionate care
  • Train medical students to become competent, confident, and compassionate surgeons who will deliver quality care in a cost-efficient manner in either the community or academic setting
  • Provide research opportunities for those residents interested in pursuing further specialty training, in becoming independent investigators or in becoming academic surgeons
  • Train surgeons who after having passed the qualifying and certifying examinations of the American Osteopathic Board of Surgery will remain lifelong learners, teacher and leaders in a constantly changing environment

Osteopathic principles and practice
All residents (PGY-1 through 5), all services - inpatient care
Residents should be able to demonstrate competency in the understanding and application of osteopathic principles and practices (OPP) appropriate to the care of surgical patients. Residents are expected to:

  • Recognize and treat each patient as a whole person integrating body, mind, and spirit
  • Use the relationship between structure and function to help the body move toward wellness

Competency-based attitudinal objectives

  • Demonstrate professionalism by treating patients and their families with respect and compassion, by being constantly aware of the inherent uncomfortable situations patients and their families’ experience, and by observing the bill of patients’ rights at all times
  • Be knowledgeable of the basic principles of biomedical ethics: confidentiality, autonomy, justice, nonmaleficence and beneficence
  • Be aware and respectful of the weight that different cultures and religions place on value principles, and understand the cultural and religious needs of patients and their families and provide care in accordance with those needs
  • Always be sensitive to the individual beliefs of patients, family members and other health care providers
  • Demonstrate professionalism by being respectful and supportive of those who contribute to the care of patients including colleagues, medical students, nurses, technicians, and secretaries

Competency-based knowledge objectives

  • Be able to identify the ethical and legal issues associated with the practice of surgery.
  • Have knowledge of the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding.
  • Identify the characteristics needed for effective interpersonal communication at all levels.
  • Understand the role of the physician in controlling cost by implementing diagnostic and therapeutic modalities based on cost-effectiveness.
  • Learn how to use critical thinking and the principles of evidence-based medicine when making decisions affecting the life of a patient and the patient's family.
  • Develop a self-directed method for lifelong learning.

Competency-based performance objectives

  • Demonstrate effective verbal communication with patients, patients' family members, and other health care professionals.
  • Show the ability to identify critical clinical situations requiring timely and appropriate response.
  • Show the ability to request appropriate help from senior residents and/or faculty in those complex clinical situations when the best course of action is not readily apparent or easily understood

All services - outpatient care

  • Maintain continuity of care of the patient with surgical diseases from pre-hospital evaluation through in-hospital and post-surgical management and long-term follow-up

Competency-based attitudinal objectives
Demonstrate awareness of the importance of continuity of care with respect to all patients with surgical diseases

Competency-based knowledge objectives

  • Delineate the components and discuss the importance of a focused history and physical examination performed in the outpatient setting on a surgical patient.
  • Demonstrate knowledge of the natural history of surgical diseases:
    • If untreated
    • If treated surgically
    • If treated non-surgically
  • Describe different types of biopsy techniques used in the outpatient setting   
  • Be able to describe the expected appearance of a wound at different time intervals   
  • Demonstrate knowledge of appropriate pain medications and dosages   

Competency-based performance objectives

  • Be able to accurately interpret clinical laboratory results, pathology reports, and radiographic studies including CT scans.
  • Be able to synthesize historical and physical findings in conjunction with laboratory data to arrive to a diagnosis and to a treatment plan.
  • Order appropriate consultations
  • Be able to discuss with the patient and patient's family members:
    • Treatment options including non surgical treatment
    • Operative risks including mortality and possible complications
    • The operative procedures including preoperative testing and preparation, expected duration of surgery, and length of hospitalization
    • Anesthetic modalities
    • Prognosis including functional results and typical postoperative course
    • Demonstrate understanding of the informed consent
  • Postoperatively, obtain appropriate follow-up history including:
    • General well being
    • Pain control
    • Functional status
    • Nutritional state and gastrointestinal function
    • Presence of fever
    • Need for further follow-up visits

Residents rotate at Geisinger Wyoming Valley (GWV) Medical Center, Wilkes-Barre, Pa.; Geisinger Community Medical Center (GCMC), Scranton, Pa.; and Geisinger Medical Center, Danville, Pa.

Based on current surgical volumes and expected growth, all graduating residents will meet their case volumes to sit for the American Osteopathic Board of Surgery exam. There is also a significant breath of cases to provide the resident with a wide scope of clinical experience.

Academic conferences
Major teaching conferences are shared among the institutions in addition to conferences that are specific and unique to each institution. The typical educational schedule of Geisinger Wyoming Valley Medical Center is outlined below:

Monday 7 - 9 a.m. faculty lecture
Tuesday
7:30 - 8:30 a.m. faculty lecture
Wednesday
7 - 8 a.m. M&M
Thursday
7 - 8 a.m. curriculum score senior track
Friday
7 - 8 a.m.  curriculum score senior track, faculty