General Surgery and Sub-Specialties

Duration

4 weeks

Course Objectives

To provide fourth-year medical students with an advanced experience in General Surgery and one of its sub-specialties. Students will apply and expand their knowledge of surgery through direct patient care and operative experience.

Course Outline

Each student will rotate onto one or more busy clinical services, including general surgery, surgical oncology, laparoscopic surgery, cardiac surgery, vascular surgery, pediatric surgery, and colorectal surgery. The student will choose in advance among various services, and his or her top choice will be honored when available. Students participate actively in all phases of diagnosis and treatment alongside resident and attending staff. Activities include daily work rounds, assisting in the operating room, and evaluation of pre and postoperative patients in both the hospital and clinic settings. He or she will actively participate in the regular conference schedule. Principles of surgical diagnosis, as well as clinical physiology and pathophysiology, are especially emphasized for the student. There is no on call requirement, although students may choose to shadow an intern on call once a week. Fourth year elective rotation performance is designed for students interested in pursuing a surgical career, or those wishing to gain a more intensive or specialized experience in surgery than provided during the third year rotation.

Method of Evaluation

Subjective assessment of the student's performance by the attendings on the clinical service and by the resident staff.

SICU

Duration

4 weeks

Objectives

To provide senior medical students with a comprehensive four-week experience that pertains to the management of surgical patients in the ICU setting.

Course Outline

The student on SICU will learn about in-depth care of surgical ICU patients. Students will participate in rounds, didactics, invasive procedures, and evaluate postoperative ICU patients from all surgical services, including cardiothoracic surgery, neurosurgery, general surgery, and vascular surgery. Regular readings are assigned and will be discussed at conferences. Call requirement is one 24-hour shift per week.

Method of Evaluation

Subjective assessment by the attendings and resident staff.

Neurosurgery

Duration

4 weeks

Objectives

Exposure to clinical neurosurgery.

Course Outline

Act as an intern on the neurosurgery service. Attend the regularly scheduled conferences and undertake a short clinical research project.

Orthopedic Surgery

Duration

4 weeks

Objectives

To permit medical students to observe the diagnosis and treatment of patients with a wide variety of orthopedic problems. The students have the opportunity to learn the scope of this surgical specialty.

Course Outline

The student is assigned to four staff orthopedic surgeons and their residents for a period of one week each, thus having the opportunity to participate in the treatment of a variety of orthopedic conditions since members of the department have subspecialties within the specialty. The student sees patients in the clinic, makes rounds with the staff orthopedic surgeon and the residents, scrubs in on the surgical cases, and assists in the reduction of fractures and the application of casts. He or she also attends all of the teaching conferences of the department.

Method of Evaluation

The student is evaluated through a compilation of information from the various staff, orthopedic surgeons, and residents to whom he or she has been assigned from the standpoint of knowledge, participation, and enthusiasm.

Basic Otolaryngology

Duration

4 weeks

Objectives

To expose students to office and surgical aspects of this surgical subspecialty. The completion of a reasonably competent examination of the nose, throat, ears, and neck, as well as some exposure to audiometric, histopathologic, and radiographic aspects of the specialty, will be accomplished.

Course Outline

The day will start at 7:00 A.M. in the operating room, and will consist of close observation of as many surgical procedures as is feasible in the morning. The examination of ENT outpatients in conjunction with staff physicians in late mornings, and afternoons will be expected with limited performance of history and general physicals on presurgical patients under the direction of resident staff.

Transplant Medicine & Surgery

Duration

4 weeks

Objectives

To provide senior medical students with a comprehensive four-week experience that pertains to the theoretical and applied clinical aspects of transplantation medicine and surgery, as they relate to liver, kidney, and pancreas transplantation.

Course Outline

We perform approximately 100 liver and 110 kidney transplants per year. Students will interact daily with a multidisciplinary transplant team, including transplant physicians and surgeons, and will be exposed to all aspects of pre and posttransplant patient care. This rotation will be heavily weighted toward the operative and in-patient settings. Important subjects covered will include histocompatibility testing, the acquisition and preservation of organs for transplantation, surgical anatomy (especially as it relates to organ procurement), hepatopathology, immunosuppressive therapy, and acute postoperative patient care in both an ICU and dedicated transplant floor setting. Students who choose this elective will also benefit from regular didactic teaching sessions, and they will be included in a variety of conferences that pertain to transplantation medicine and surgery as well as general surgery.

Method of Evaluation

The student performances will be evaluated on a daily basis by the faculty members. There will be no written or oral examination.