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40 Years in the Saddle:  Lessons Learned as Program Director  in One Program for 40 Years   <ul><li>Allen Silbergleit, M.D...
George Santayana (1863-1952) American Philosopher and Poet <ul><li>“ If you don’t know history, you are doomed to repeat i...
Guinness Book of Records <ul><li>Durability of Program Director </li></ul><ul><li>Most Meetings Attended </li></ul><ul><li...
The Outside World in1966 <ul><li>President – Lyndon Johnson </li></ul><ul><li>Medicare began  </li></ul><ul><li>Super Bowl...
4 Decades Pass - 2006 <ul><li>About 12 RRC reviews later: </li></ul><ul><li>13 (12 as of July 1) General Surgery residenci...
 
 
Comments from  Dinosaur Attendings: <ul><li>“ When I was a resident . . .”  </li></ul><ul><li>“ The RRC can’t tell me what...
The Amazing Success of Baron Von Steuben in training in George Washington’s Army <ul><li>Baron Friedrich Wilhelm Von Steub...
Association of Program Directors in Surgery (APDS) <ul><li>3 Workshops </li></ul><ul><ul><li>Teaching Basic Science in Sur...
Current Surgery   <ul><li>Journal Articles: </li></ul><ul><ul><li>Bleeding and Clotting Problems – 1999 </li></ul></ul><ul...
Pioneering Efforts  <ul><li>Surgical Curriculum </li></ul><ul><li>Basic Science in Surgery </li></ul><ul><ul><li>Elements ...
Chief Resident Conference Chief Resident Conference Medical Student Presentation Chief Resident Conference Breast  Confere...
Regional Organizations <ul><li>MCACS – Michigan Chapter of the American College of Surgeons - 1951 </li></ul><ul><li>Detro...
SEMCME  <ul><li>Largest community based medical education consortium in the U.S. </li></ul><ul><li>OHEP (Oakland Health Ed...
Pioneering the  “New” Competencies <ul><li>Surgical Knowledge </li></ul><ul><li>Ethics </li></ul><ul><li>Communication Ski...
Educational “Products” <ul><li>SJMO – 80 successful surgeons produced by the categorical program and considerably more pre...
Be a Little Creative For Necessity and Fun!
Lessons Lived and Learned as Program Director <ul><li>Standing still is falling behind </li></ul><ul><li>A program must in...
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40 Years in the Saddle: Lessons

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Transcript of "40 Years in the Saddle: Lessons "

  1. 1. 40 Years in the Saddle: Lessons Learned as Program Director in One Program for 40 Years <ul><li>Allen Silbergleit, M.D., Ph.D. </li></ul><ul><li>Program Director and Chair </li></ul><ul><li>Division of Surgery </li></ul><ul><li>St. Joseph Mercy Oakland </li></ul><ul><li>Professor of Surgery & Physiology </li></ul><ul><li>Wayne State University School of Medicine </li></ul>
  2. 2. George Santayana (1863-1952) American Philosopher and Poet <ul><li>“ If you don’t know history, you are doomed to repeat it.” </li></ul><ul><li>“ The first sign of the downfall of a civilization is when people start calling things by different names.” </li></ul>
  3. 3. Guinness Book of Records <ul><li>Durability of Program Director </li></ul><ul><li>Most Meetings Attended </li></ul><ul><li>Fastest Response to Pages </li></ul>
  4. 4. The Outside World in1966 <ul><li>President – Lyndon Johnson </li></ul><ul><li>Medicare began </li></ul><ul><li>Super Bowl I coming up </li></ul><ul><li>First female member of The New York Stock Exchange – Muriel Siebert </li></ul><ul><li>Pat Boone “sort of out” but Beatles “in” </li></ul><ul><li>27 General Surgery residency programs in Michigan (MI) </li></ul>
  5. 5. 4 Decades Pass - 2006 <ul><li>About 12 RRC reviews later: </li></ul><ul><li>13 (12 as of July 1) General Surgery residencies in MI </li></ul><ul><li>Grizzled PD married 50 years to his still-lovely bride </li></ul><ul><li>Beatles “out” but Pat Boone celebrates 50 years in the music business and 52 years of marriage to Shirley Foley </li></ul>
  6. 8. Comments from Dinosaur Attendings: <ul><li>“ When I was a resident . . .” </li></ul><ul><li>“ The RRC can’t tell me what to do” </li></ul><ul><li>“ The surgical resident should be scared to death of you” </li></ul>
  7. 9. The Amazing Success of Baron Von Steuben in training in George Washington’s Army <ul><li>Baron Friedrich Wilhelm Von Steuben </li></ul><ul><li>European – “You say to your soldier ‘Do this’ and he doeth it” </li></ul><ul><li>American - “This is the reason why you ought to do that and he does it” </li></ul>
  8. 10. Association of Program Directors in Surgery (APDS) <ul><li>3 Workshops </li></ul><ul><ul><li>Teaching Basic Science in Surgical Residency Programs – 1990 </li></ul></ul><ul><ul><li>Mock Oral Examinations – 1992 </li></ul></ul><ul><ul><li>The Impaired Surgical Resident – 1997 </li></ul></ul><ul><li>5 Journal Articles </li></ul><ul><li>Editorial Board </li></ul><ul><li>Peer Review </li></ul>
  9. 11. Current Surgery <ul><li>Journal Articles: </li></ul><ul><ul><li>Bleeding and Clotting Problems – 1999 </li></ul></ul><ul><ul><li>Low Potassium – 2000 </li></ul></ul><ul><ul><li>William A. Altemeier, MD – 2001 </li></ul></ul><ul><ul><li>Forrest Dewey Dodrill, MD – 2002 </li></ul></ul><ul><ul><li>Blood Substitutes – 2002 </li></ul></ul>
  10. 12. Pioneering Efforts <ul><li>Surgical Curriculum </li></ul><ul><li>Basic Science in Surgery </li></ul><ul><ul><li>Elements of the Competencies </li></ul></ul><ul><ul><li>Quality of Life in Surgical Residency </li></ul></ul><ul><li>Role of Regional Organizations </li></ul>
  11. 13. Chief Resident Conference Chief Resident Conference Medical Student Presentation Chief Resident Conference Breast Conference 3:00 p.m. Surgery Clinic Surgery Clinic 1:00 p.m. Student Conference (1 st & 3 rd weeks) 11 a.m. Morbidity & Mortality 9 a.m. Tumor Board (weekly) 8 a.m. Specialty Lectures SEMCME Basic Science, ICU, Critical Care, Ethics Surgical Physiology Surgical Anatomy Office Management Trauma Code Blue 7 a.m. SAT FRI THU WED TUE MON Time
  12. 14. Regional Organizations <ul><li>MCACS – Michigan Chapter of the American College of Surgeons - 1951 </li></ul><ul><li>Detroit Surgical Association - 1947 </li></ul><ul><li>Academy of Surgery of Detroit - 1922 </li></ul><ul><li>MSTCVS – Michigan Society of Thoracic and Cardiovascular Surgeons - 1965 </li></ul><ul><li>SEMCME – Southeast Michigan Center for Medical Education - 1972 </li></ul>
  13. 15. SEMCME <ul><li>Largest community based medical education consortium in the U.S. </li></ul><ul><li>OHEP (Oakland Health Education Program) was original name </li></ul><ul><li>Surgery Basic Science program monthly </li></ul><ul><li>Mock Oral Examinations </li></ul><ul><li>Surgery Review Course annually </li></ul>
  14. 16. Pioneering the “New” Competencies <ul><li>Surgical Knowledge </li></ul><ul><li>Ethics </li></ul><ul><li>Communication Skills </li></ul><ul><li>Professionalism </li></ul><ul><li>Evidence-Based Medicine </li></ul><ul><li>Primacy of the Patient </li></ul>
  15. 17. Educational “Products” <ul><li>SJMO – 80 successful surgeons produced by the categorical program and considerably more preliminary graduates </li></ul><ul><li>WSU – MS and PhD graduates </li></ul><ul><li>SJMO & WSU – A multitude of medical students </li></ul>
  16. 18. Be a Little Creative For Necessity and Fun!
  17. 19. Lessons Lived and Learned as Program Director <ul><li>Standing still is falling behind </li></ul><ul><li>A program must innovate to survive </li></ul><ul><li>Helping to create the tide – not merely going with it – is necessary for a vibrant program </li></ul><ul><li>There is no higher calling than that of the teacher </li></ul>
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