Clinical Course/Rotation Syllabus Course Name: Junior Clerkship in Surgery 2018-19 Course Number: SURG 631 Course Director: Dr. Laura Vick, 601-815-1288, [email protected] Dr. Felicitas Koller, 601-815-0259, [email protected] Course Coordinator: Denise Merideth, 601-984-5114, [email protected] Introduction Welcome to the Junior Clerkship in Surgery! This rotation has been designed to provide each junior medical student with a broad-based experience in the art and science of surgery, which is a very important part of the overall field of medical care. During your eight weeks with us in Surgery, you will spend four weeks on a specialty General Surgery service and four weeks on a subspecialty service. Hopefully, these experiences will give you a broader perception of what a career in surgery is like and how surgical conditions are managed. We put forth a great amount of effort to make this rotation the very best for our students. We listen to your constructive criticism, and take that information into account when making changes. Please let us know if you have any suggestions. If you have any questions before, during, or after the Clerkship, or would like to discuss further options in Surgery, please do not hesitate to contact us. Schedule Duty Hours (per the School of Medicine student handbook) • Students are expected to not work more than 80 hours per week, averaged over a 4 week period • Students will have 1 day off in 7, averaged over a four week period • Scheduled days off will be either Saturday or Sunday • Post-call students are excused from clinical activity at 11:00 a.m. – not before 11:00 a.m. • Leaving prior to 11:00 a.m. will be considered as an unexcused absence • Weekdays off will only be granted for attendance at academic meetings or conferences – no personal events - at the Clerkship and Associate Clerkship Directors discretion. • Final approval for days off will be through the Clerkship Director and Associate Clerkship Director • Duty hours are logged in E*Value • If you feel you are being pressured to stay past your duty hours, please contact the Clerkship or Associate Clerkship Director Absences Any absences must be approved by the Clerkship Director • Residents/fellows/NP may not approve absences or early dismissals • Absences must be reported to the Clerkship Director and Coordinator’s office and the Dean’s Office Clinical Course/Rotation Syllabus • If you are sick, please email the Clerkship Coordinator, resident, and faculty on your service prior to the day starting • An excuse from Student/Employee Health will be required for any days missed for illness • More than three excused days missed may require time on that rotation to be made up • More than eight excused days missed will require the entire rotation to be made up • One unexcused absence will result in 5 points deducted from your final grade • Two unexcused absences will result in failure of the course, and repeating the clerkship • Unexcused absences will be deemed such at the Clerkship Director’s discretion Per the School of Medicine: The University Of Mississippi Medical Center School Of Medicine is committed to a quality educational experience for all students. In order to maintain this quality, it is required that all students maintain an adequate attendance at functions while participating in each third year core clerkship. Therefore, each student is only allowed 1 day off for each week of the clerkship to coincide with the School of Medicine Duty Hours policy of an average of 1 day off in 7. For example, for a 2 week clerkship, a student will only be allowed 2 days off; for a 4 week clerkship, 4 days; and for an 8 week clerkship, 8 days. If additional days are required for school or personal functions during a given clerkship, these days MUST be approved by the Clerkship Director for that rotation. Course Objectives There are five major objectives during the M3 Surgical Clerkship. Students are to: 1. Develop a fundamental knowledge base in major disease processes for which surgery is the cornerstone of therapy. 2. Develop clinical decision-making skills and the ability to acquire, interpret, synthesize, and record clinical information required to define, understand, and manage patient problems in surgery. 3. Develop the skills necessary to present surgical patients to faculty, residents and peers in a clinical setting. 4. Develop and maintain personal qualities of conduct and the integrity of a practicing physician. 5. Develop as self-directed and mentor-directed learners who will take personal responsibility for, and be committed to, acquiring current knowledge as well as becoming life-long learners. Thus, you will be held responsible for, and evaluated upon, knowledge acquired on your own through self-study outside the didactic faculty and student lecture series. Core Competencies Patient Care Students must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Corresponding Course Objective(s): (2) Develop clinical decision-making skills and the ability to acquire, interpret, synthesize, and record clinical information required to define, understand, and manage patient problems in surgery Medical Knowledge Students must be able to demonstrate knowledge about established and evolving biomedical, Clinical Course/Rotation Syllabus clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care. Corresponding Course Objective(s): (1) Develop a fundamental knowledge base in major disease processes for which surgery is the cornerstone of therapy Practice-Based Learning and Improvement Students must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices. Corresponding Course Objective(s): (2) Develop clinical decision-making skills and the ability to acquire, interpret, synthesize, and record clinical information required to define, understand, and manage patient problems in surgery Interpersonal and Communication Skills Students must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, patients’ families, and professional associates. Corresponding Course Objective(s): (3) Develop the skills necessary to present surgical patients to faculty, residents and peers in a clinical setting Professionalism Students must be able to demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. Corresponding Course Objective(s): (4) Develop and maintain personal qualities of conduct and the integrity of a practicing physician. Systems-Based Practice Students must be able to demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value. Corresponding Course Objective(s): (2) Develop clinical decision-making skills and the ability to acquire, interpret, synthesize, and record clinical information required to define, understand, and manage patient problems in surgery; (5) Develop as self-directed and mentor-directed learners who will take personal responsibility for, and be committed to, acquiring current knowledge as well as becoming life-long learners. Thus, you will be held responsible for, and evaluated upon, knowledge acquired on your own through self-study outside the didactic faculty and student lecture series Goals The goal of the surgery rotation is to impart a solid fund of knowledge to the student, with an emphasis on the principles of General Surgery. While we strive to have every student see and experience as much as possible, we realize that you will have a different experience based on your clinical rotations.. The goals described below are to introduce and help assure a degree of uniformity in your experience. The student will learn how to: 1. Perform a history and physical exam for a surgical patient 2. Perform appropriate work up, including lab tests and imaging, for surgical problems 3. Diagnose surgical problems 4. Manage surgical problems The following general surgery conditions will be seen: Clinical Course/Rotation Syllabus 1. Abdominal Pain: (4) real or simulated patients, such as, but not limited to: a. Appendicitis b. Cholecystitis c. Bowel obstruction d. Diverticulitis 2. Colorectal: (2) real or simulated patients, such as, but not limited to: a. Inflammatory bowel disease b. Anorectal disease c. Colon cancer 3. Breast: (2) real or simulated patients, such as, but not limited to: a. Benign breast disease b. Malignant breast disease 4. Hernias: (2) real or simulated patients, such as, but not limited to: a. Pediatric or Adult b. Ventral hernia – umbilical, epigastric, incisional c. Inguinal hernia d. Diaphragmatic hernia e. Hiatal hernia 5. Trauma: (4) real or simulated patients, such as, but not limited to: a. Abdominal injuries – blunt and penetrating b. Fractures c. Traumatic brain injury d. Vascular injuries e. Resuscitation of a trauma patient 6. Wound management: (2) real or simulated patients, such as, but not limited to: a. Chronic wounds b. Routine post-operative wounds 7. Cancer: (2) real or simulated patients, such as, but not limited to: a. Disease process where surgery is the primary treatment b. Surgical evaluation and staging of hematological malignancies Teaching Methods