Electives - General Surgery

ACE - A. I. in Acquired and Congenital Cardiac Surgery

Elective Number: 3017 (arranged)

Rotation Supervisor: Drs. Eugene McGahren, Hilary Sanfey and Senior Cardiac Surgery Resident

Designated Signer: Christine Morrison, 4072 University Hospital Expansion; 982-0332; PIC 3226

Evaluation should be given to: Attending on service

Duration: Maximum 6 weeks, Minimum 2 weeks

Report to: Chief Resident on TCVPO

Time and Place to Report: 0600 TCV PO Unit

Typical day: 6:00 am - 6:00 pm

Attendance: A student may not take time off during an ACE.

Attendance at elective activities is mandatory.

• Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.
• Students are allowed to take off up to 1 day per week to interview between November 1 and February 1.
  • Specific days missed must be approved by the Attending on Service.

Suggested preparatory reading: Elefteriades, Geha, Cohen 1996 House Officer Guide to ICU Care or Kirklin’s Cardiac Surgery – Chapter 5 Post operative care

Number of students per rotation: 2

Course Description: This experience exposes the students to the highest volume of surgical service in the hospital, under the supervision of the Thoracic Surgical Resident and the four cardiac attendings (Drs. Peeler, Kron, Kern and Ailawadi). On this service, the student will learn about pre and post operative care of the cardiac surgical patient, including management of arrhythmias, arrest, near arrest, re-exploration, post pericardiotomy syndrome and anticoagulation regimens. The student will have ample opportunity to come to the Operating Room and participate in the procedures such as saphenous vein harvesting and closure of the leg as well as participating in the actual operative procedures involving the heart cases. The students on this service will also be involved in thoracic transplantation which includes cardiac transplants, lung transplants, heart/lung transplants and bilateral lung transplants. In addition, the students will be expected to participate in both the pediatric and adult cardiac catheterization conferences as well as the Wednesday morning TCV conferences. The student will follow patients from TCVPO to discharge. There will be no night or weekend call, but occasional weekend rounds. The externs are also expected to help teach and assist the third year students.

 

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