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All of the attendings are trained in both trauma and critical care and have a genuine interest in teaching. Within a defined framework, there is a great deal of graduated autonomy for residents on the service, with much of the day-to-day decision making beginning at the resident level. The service is composed of two 4th year residents (Chiefs), one 3rd year resident, one-second year resident (ICU), and three interns. There is excellent exposure to all aspects of critical care with involvement by residents at all levels.
The Burn rotation consists of a 4-7 week experience during the PGY II year at Wake Forest University Baptist Medical Center’s 8-bed Burn Unit. During the rotation, a PGY II is the senior resident involved in the management of burn victims and patients with soft tissue injuries from admission through postoperative follow-up. The rotation is characterized by a multidisciplinary approach to patient care and allows residents an appropriate degree of autonomy in the assessment and management of patients requiring critical care and operative intervention. Residents gain exposure to and comprehension of the diagnosis and management of partial-thickness and full-thickness burn injuries, inhalation injuries, electrical and chemical burns, all facets of critical care, wound care, nutrition, and other sequelae of thermal trauma. The service is enhanced by working closely with the Burn Center director, Dr. James H. Holmes IV and the experienced staff and ancillary services of the Burn Unit at Wake Forest University Baptist Medical Center.
The operative experience for residents is varied as the trauma attendings provide supervision in the operative care of intra-abdominal pathology, vascular injury and repair, operative techniques in acute thoracic injury, soft tissue injury and burn care. We believe the service provides the residents with a broad based experience of the care of the injured patient with autonomy as is appropriate for each level. It is our hope that this leads to an excellent educational experience. In addition, there are ongoing clinical and basic science research projects on topics including resuscitation strategies, nosocomial pneumonia, pulmonary contusion, injury severity and relation to outcome, and the inflammatory response to injury.
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