Surgical Foundations Competence Committee (SFCC)

The SFCC meets at minimum four times per academic year to review Surgical Foundations (SF) residents. The SFCC aims to provide each resident with individualized feedback on their progress in Surgical Foundations. Each member of the SFCC (listed below), is given three to five residents to review per meeting.

The SFCC is comprised of:

• The SF program director
• The SF associate program director
• Program directors of subspecialties participating in Surgical Foundations
• The SF senior education associate
• At least one external member

2020 – 21 Surgical Foundations Competence Committee (SFCC):

Name	Position
Dr. Brad Petrisor	Associate Chair, Education, Department of Surgery. Orthopaedic Surgery, Hamilton General Hospital (HGH).
Dr. Darren de SA	SF Program Director. Orthopaedic Surgery, McMaster University Medical Centre (MUMC) Primary Reviewer | Secondary Reviewer (Expedited)
Dr. Laura Nguyen	Chair. SF Associate Program Director. Urology, HGH Primary Reviewer
Dr. Ranil Sonnadara	External Member. Director of the Office of Education Science
Dr. Nalin Amin	General Surgery. Centre for Minimal Access Surgery (CMAS), St. Joseph’s Healthcare Primary Reviewer
Dr. Ilun Yang	General Surgery Associate. Primary Reviewer
Dr. Karina Roth-Albin	General Surgery. Cambridge Memorial Hospital Primary Reviewer
Dr. Kesh Reddy	Neurosurgery, MUMC Primary Reviewer
Dr. Valerie Mueller	Obstetrics & Gynecology, MUMC Primary Reviewer
Dr. Jamal Al-Asiri	Orthopaedic Surgery, HGH Primary Reviewer
Dr. Stephanie Bouvier	Otolaryngology – Head & Neck Surgery (OTOHNS), St. Joseph’s Healthcare Hamilton Primary Reviewer
Dr. Kayvan Nateghi	OTOHNS, CMH Primary Reviewer
Dr. Piotr Zareba	Urology.. St. Joseph’s Healthcare Hamilton Primary Reviewer
Dr. Theodore (Ted) Rapanos	Vascular Surgery, HGH. Primary Reviewer
Dr. Vik Iyer	Vascular Surgery, HGH. Primary Reviewer

SFCC Resident Evaluations

Using an electronic reviewer report, all SFCC primary reviewers complete reviewers for their assigned residents. Following submission, Dr. Laura Nguyen completes a secondary review in advance of an upcoming SFCC meeting. Additional discussions take place as required to come to a committee agreement on both the progression and promotional status of each individual resident.

All committee members take into account variables including, but not limited to:

• Boot Camp performance
• Attendance
• Quiz Grades
• Entrustable Professional Activities (EPA) and Milestone Progression (Transition to Discipline and Foundations of Discipline)
• Advanced Cardiac Life Support (ACLS) & Advanced Trauma Life Support (ATLS) Certification
• Performance at Technical Skills and Anatomy Lab sessions
• Level of participation, contribution overall attitude, professionalism and interaction

Each resident is divided into one of the following categories:

Promote

• Progressing as Expected
• Progressing at an Accelerated Rate
• From Transition to Discipline to Foundations of Discipline
• Foundations of Discipline to Core of Discipline (SF completed)

Do not Promote

• Failure to Progress*
• Not Progressing as Expected*
• Progressing as expected

The results of each resident as found by the SFCC are then reviewed by the Surgical Foundations Resident Program Committee (SFRPC).

*Any resident listed as ‘Failure to Progress’ or ‘Not Progressing as Expected’ is referred to a Remediation Plan. The Remediation Plans are guided by the Post Graduate Medical Education policy.

The Surgical Foundations Resident Program Committee is comprised of:

• The SF program director
• The SF associate program director
• Faculty members from each subspecialty participating in surgical foundations
• The SF senior education associate
• The Resident Representative Group (RRG) president, vice-president and PGY-1 representative

2021 – 22 SFRPC:

Division	Program Director/Member
SF Director/Chair	Dr. Darren de SA
Associate SF Director	Dr. Laura Nguyen
Cardiac Surgery	Dr. Brad Petrisor
General Surgery	Dr. Mike Marcaccio/Dr. Ilun Yang
Neurosurgery	Dr. Blake Yarascavitch
Obstetrics & Gynecology	Dr. Michelle Morais
Orthopaedic Surgery	Dr. Vickas Khanna
Otolaryngology – Head & Neck Surgery
Plastic Surgery	Dr. Matt McRae
Urology	Dr. Shahid Lambe
Vascular Surgery	Dr. John Harlock
SF Program Coordinator	Naomi Downer
Resident Representative Group	Olivia Monton Jane Newman PGY-1 TBD

SFRPC Review

The SFRPC reviews commentary provided by the SFCC for each resident. The SFRPC may recommend changes to the outcome of a residents individual evaluation (i.e., promotion eligibility). Any suggestions agreed upon by the SFRPC are communicated with the SFCC for consideration.

In addition to resident-specific review, the SFRPC discusses overall themes and ways in which to improve resident progression. These themes vary, and include discussions on curriculum, communication, understanding and resident experience (among others).

Once the resident review and outcome is agreed upon, residents receive a letter outlining their individual progress in surgical foundations. Each letter provides detailed information on the following:

• Date of the SFCC meeting
  • Those in attendance
  • The member assigned to review the resident
• Date of the SFRPC meeting
  • Those in attendance (all review)
• EPA Progress
  • Transition to Discipline EPAs  (marked as competent or not achieved)
  • Foundations of Discipline EPAs (marked as competent or not achieved)
• Individual resident strengths and weaknesses (personalized)
• Themes found throughout the review (all residents)
• Promotional Status
  • Promote
    • From Transition to Discipline to Foundations of Discipline
    • Foundations of Discipline to Core of Discipline (SF completed)
  • Do not Promote
    • Progressing as Expected
    • Not Progressing as Expected
    • Failure to Progress

  Date of next review

Residents are encouraged to review the letter thoroughly and communicate with the SF program director, education associate and their home-discipline program director and program coordinator should they have any comments about the letter and its contents/information.

Please note: this information is not exhaustive. For more information please email Naomi Downer, the SF senior education associate.