General surgery medicine ward is located at 7C, comprising 33 beds including 10 general surgery/hepatobiliary surgery beds, 4 neurosurgery beds, 3 orthopedics beds, 3 thoracic surgery beds, 3 cardiovascular surgery beds, 4 plastic surgery beds and 5 trauma department beds. In order to reach the goal of “To be a general doctor before a specialty.” and follow the policy of Ministry of Education and Ministry of health and welfare, Executive Yuan, our hospital established the first General surgery medicine ward in Taiwan in October, 2006.
Every PGY1 trainee should receive one-month general surgery training in General surgery medicine ward and takes care of an average of 6-8 patients. The ward can accommodate 4-5 trainees every month. The teacher staffs include one full-time tutor 3 part-time clinical professors,and 2 part time clinical attends. Co-care specialty doctors are responsible to take care of patients and teach trainees. All trainees can learn the 19 PGY1 basic skills (head injury, pneumothorax, acute abdomen, fracture, pressure sore, hematuria, aseptic concept, wound suture, wound care, basic surgery indication, pro-operation evaluation and prepare, post-operation general and wound pain care, tracheal intubation, drain tube care, central vein catheter insertion and care, emergency scald burn care, emergency trauma evaluation, basic anesthesia, and casting and splitting) in General surgery medicine ward within one month instead of rotating to all these subspecialty ward. We emphasis the bedside teaching and hands on as well as lectures. In order to fulfill the target of holistic medical education, medical ethics and law, medical quality, EBM and medical record writing are taught by discussion and practices. All trainees will assigned to department of anesthesiology and trauma to learn pro-operation evaluation and prepare, post-operation general and wound pain care, tracheal intubation, central vein catheter insertion and care, emergency trauma evaluation and basic anesthesia.
The establishment of General surgery medicine ward is contributed to the efforts of all medical staffs, tutors and trainees. Of course, it could not be made possible without plenty of help and support from our hospital. The preliminary promising outcomes, including tutor assessment, patient satisfaction, and the performance of trainee, encourage us to move forward.