Skip to main content

Surgical Foundations

WelcomeThe Surgical Foundations program works in conjunction with individual surgical specialties to deliver fundamental skills and knowledge to surgical residents with the goal of providing a sound grounding in principles common to all surgical disciplines.  Classically this has occurrs during the first 16 blocks.  Recently Surgical Foundations has adopted and implemented a Competency-Based Medical Education model emphasizing ability and proficiency over a time-based teaching model. Surgical Foundations includes residents from General Surgery, Orthopaedic Surgery, Urology and Obstetrics and Gynecology residency programs.

All incoming residents attend the Surgical 'Boot Camp' including the Queen's Critical Events Simulation Course, which is a concentrated hands-on course of basic surgical and emergency skills.  Throughout the year there is a Surgical Foundations seminar series covering surgical skills and principles. There is a mandatory academic half day common to all Surgical Foundations residents.  Topics covered include biomedical ethics, acquisition of teaching skills, research methodology & critical appraisal and others directed towards the LMCC examination.  By September, of their 2nd year the Surgical Foundations residents are eligible to sit the Royal College of Physicians and Surgeons (RCPS) Surgical Foundations examination.

Dr. Darrin Payne
Program Director
Surgical Foundations


Please contact Kim Lloyd, the Program Assistant for any questions or further information

Department of Surgery, Victory 3, Room 3-3-118-0
Phone 613-549-6666 Ext 6590
Fax 613-544-9174

Entrustable Performance Assessments (EPAs) for Surgical Foundations

Surgical Foundations consists of two stages of Competency Based Medicine; Transition to Discipline and Foundations of Discipline. While being a part of the Surgical Foundations program, residents will be expected to be assessed and deemed entrustable on 16 Entrustable Performance Assessments (EPAs).

There are a total of seven EPAs for Transition to Discipline and nine EPAs for Foundations of Discipline, all of which have specific goals and objectives outline within them. All of these EPAs and milestones which make up the EPAs have been determined by the Royal College of Physicians and Surgeons of Canada.

Below you will find a list of all of the EPAs that are required during each stage and an outline of what is required in order to fully achieve each one at Queen's University.

Tranistion to Discipline (TTD)

EPA D1: Performing the pre-operative preparation of patients for basic surgical procedures
EPA D2: Recognizing and initiate early managment for critically ill surgical patients
EPA D3: Documenting clinical encounters
EPA D4: Demonstrating handover technique
EPA D5: Demonstrating the ability to function in the operating room
EPA D6: Repairing simple skin incisions/lacerations
EPA D7: Managing tubes, drains and central lines

Foundations to Discipline (FOD)

EPA F1: Providing inital management for critically ill surgical patients
EPA F2: Providing initial management for trauma patients
EPA F3: Assessing and performing risk optimization for pre-operative patients in preparation for surgery
EPA F4: Providing patient education and informed consent in preparation for surgical care

EPA F5: Demonstrating the foundational aspects for surgical procedures
EPA F6: Participating in surgical procedures
EPA F7: Managing uncomplicated post-operative surgical patients
EPA F8: Managing post-operative patients with complications
EPA F9: Supervising junior learners in the clinical setting

For a better understanding of what an EPA is and what a milestone is, please click on the link below.

Royal College of Physicians and Surgeons of Canada - EPAs and Milestones

Surgical Foundations Academic Schedules


Please find attached the most up-to-date version of the Surgical Foundations Academic schedule.

2019-2020 Academic Schedule