I. Rotation Format: Clinical Educational 1 month experience at high volume cleft center in Guwahati India. Operations Smiles’ “Guwahati Comprehensive Cleft Care Center” also known as GC4
International Cleft Rotation
Hershey Medical Center
Call responsibility (q):
1 in 7
Responsible faculty member: (CV attached):
Drs, Mackay, Campbell, Sarma, Despansade
II. Goals and Objectives:
Goals: The goal of this rotation is to expose the resident to cleft lip and palate care in a resource poor area of India.
The resident will apply the skills acquired in her/his training to date to the comprehensive care of these patients.
The resident will continue to expand on the medical knowledge and refine his/her skills in evaluating and organizing treatment plans and improving the technical skill and judgment needed to surgically treat these patients.
Explain the embryology of the development of the facial structures and the occurrence cleft lip and palate.
Discuss the value and importance of the cleft lip and palate team, participate in Team Day evaluations and help plan cleft lip and palate patient treatment
Describe what is know of the incidence of cleft lip and palate in India
Discuss the etiology, genetics, embryology and anatomy of congenital disorders of the head and neck.
Discuss the craniofacial team, the roles of the different specialists and the evaluation of complex craniofacial patients and how can be adapted and modified in resource poor parts of the world
Discuss the diagnosis and treatment of the following congenital anomalies that you may encounter in Guwahati including:
Participate in the Cleft Team’s multidisciplinary screening evaluation and treatment planning for the patients you see.
Provide perioperative care and participate in surgical treatment of the patients you encounter.
Evaluate and treats patients with head and neck tumors of a vascular origin.
Practice Based learning and Improvement
Use available information technology to prepare for surgical cases, bringing to the OR the knowledge of current modalities of care and the scientific evidence for that care of cleft lip and palate patients.
Analyze the effectiveness of own practice with immediate evaluation and then by analyzing the evaluations and photographs sent to the residents at the 1-month and 6-month follow up on the patients whose care the residents participated in.
Improve own practices in the care of cleft patients by integrating appropriately gathered data and feedback.
Educate medical students and peers in the lessons learned from the rotation.
Interpersonal and Communication Skills
Demonstrate knowledge of the broad scope of cleft lip and palate surgery and demonstrate skills required to communicate with pediatric patients and their families through interpreter at the site in Guwahati
Educates patients and families in postoperative and rehabilitative strategies of cleft patients.
Demonstrates compassion for patients and families afflicted with clefts.
Provides adequate counseling and informed consent to patients using the nurses and child life specialists at the GC4 center in Guwahati.
Assimilate data and information provided by other members of the health care team.
Chart and record accurate information using the record keeping system at Guwahati.
System Based Practice
Participate in and understand the team based care at the GC4 center in Guwahati including: