American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Kaiser Permanente, Mid-Atlantic Permanente Medical Group

Kaiser Permanente, Mid-Atlantic Permanente Medical Group
McLean, VA

Number of Positions Available: 1

Contact Information

TTP Chief

Linda M. Cardinal, MD, FACS

Additional Information

8008 Westpark Drive
McLean, VA 22102
Fax: 703-287-4601


Program Highlights

The initial experience at Mid-Atlantic Permanente Medical Group (MAPMG) will involve a 12-week supervised period in which the TTP Associate works closely with supervising surgeons. After a successful completion of supervised practice, the TTP Associate will graduate to progressively more independent assignments across many MAPMG sites.

Program Description

The TTP Associate will begin the program under regular supervision, working closely with the Senior Associate, and be provided with progressively more independence with available supervision if needed. The goal is to allow the TTP Associate to attain competency with a broad range of general surgery skills in a supervised setting while still being able to develop independent decision making and judgment.

For the remainder of the program, one week per month will be spent as an acute care surgeon providing primary call coverage (overseen by a Senior Associate) for all surgical consults and surgical procedures performed in our core hospitals during the week. No night call would be expected during this week. The other three weeks per month will be spent in a clinic setting seeing patients in the office, performing elective surgical procedures both in an ambulatory setting and in the hospital, and taking call in a rotation with oversight by a Senior Associate. Call frequency is expected to be approximately once per week. The TTP Associate will gain exposure to bread-and-butter general surgery, minimally invasive surgery, and surgical oncology cases during this time.

A one-month rotation overseen by our colorectal surgeons in Northern Virginia will be provided to expose the TTP Associate to common conditions and the performance of routine anorectal procedures as well as open and laparoscopic colon resections. General surgery call will be taken during this rotation.

A one-month bariatric surgery rotation in suburban Maryland will familiarize the TTP Associate with evaluation of these patients, the usual surgical procedures performed, and potential complications associated with weight loss procedures. It is expected that general surgery call will be taken during this rotation. Other subspecialty rotations can be designed and substituted if the TTP Associate has specific areas of interest within general surgery not covered by the above program.

The TTP Associate will meet with the TTP Chief and Senior Associate and plan a list of goals for the TTP Program. The Senior Associate will have regular discussions with the TTP Associate, during which the Senior Associate will be able to deliver informal feedback and assess the TTP Associate’s progress toward meeting his or her goals. Formalized quarterly evaluations will include elements of self-evaluation, objective feedback (rating specific competencies on a 1–5 scale), and subjective feedback (open-ended comments), as well as 360-degree feedback. This information will be compiled and summarized, then discussed with the TTP Associate for review and input.

The TTP Associate will not be involved with training, although in Northern Virginia and Washington, DC/suburban Maryland, the TTP Associate may work with residents from training programs and provide call coverage with support by an attending shareholder physician. The TTP Associate will have decision-making authority with built-in oversight when working on cases.

MAPMG offers training, ongoing monitoring, and feedback for billing, coding, quality improvement, patient safety, and medical liability issues. The TTP Associate can also consult with the associate medical director who covers those areas.

The TTP Chief will be Linda M. Cardinal, MD, FACS, at the Northern Virginia locations (Tyson’s Corner Ambulatory Surgery Center, Virginia Hospital Center, and Reston Hospital) and Baltimore facilities (South Baltimore County Medical Center, Greater Baltimore Medical Center, and St. Agnes Hospital). The Senior Associate will be Rahul D. Tevar, MD, FACS at the Washington, DC/suburban Maryland facilities (Largo Medical Center, Gaithersburg Medical Center, Kensington Medical Center, Holy Cross Hospital, Suburban Hospital, Washington Hospital Center, and Sibley Memorial Hospital).

Senior Associate

Rahul D. Tevar, MD, FACS