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Surgery Subspecialties

Clerkship Learning Objectives

At the conclusion of the Surgical Subspecialty Clerkship (of which the Urology Clerkship is a subset), the student will be able to:

1. Outline the approach and management of a patient with a post-operative fever, including:

  • a. Classifying the most likely etiologies based on postoperative time course
  • b. Propose the initial relevant physical exam components and ancillary studies
  • c. Design an initial management plan

2. Analyze the care of a patient with a postoperative wound infection, including:

  • a. Expected physical exam findings
  • b. Supportive laboratory and radiographic studies
  • c. Treatment options

3. Discuss the care of a patient with a traumatic injury requiring the consultation of a surgical subspecialist, including:

  • a. Prioritize the patient’s injuries by importance
  • b. Explain the nature of the injury requiring subspecialty care
  • c. Compare and contrast the options for treatment of the consulted injury
  • d. Distinguish the appropriate time frame for intervention by the specialist

4. Discuss the care of a patient with a congenital malformation requiring the consultation of a surgical subspecialist

  • a. Prioritize the patient’s malformation by importance (if more than one present)
  • b. Identify the syndromes potentially associated with the malformation
  • c. Compare and contrast the options for treatment of the malformation
  • d. Distinguish the appropriate time frame for intervention by the specialist

5. Develop a step-wise approach to the care of a postoperative patient with acute pain

6. Discuss the care of a patient with a cancer diagnosis requiring the consultation of a surgical subspecialist

  • a. Identify the team members by specialty needed for optimal multi-disciplinary care
  • b. Discuss the laboratory and radiographic evaluation indicated
  • c. Identify the stage of the tumor and rationalize chosen stage
  • d. Compare and contrast the options for surgical treatment
  • e. Distinguish the appropriate time frame for surgical intervention by the specialist

7. Demonstrate the ability to participate in patient care in the operating room under sterile conditions

  • a. Perform a supervised sterile preparation of the surgical site
  • b. Perform a supervised, satisfactory sterile handwashing prior to surgery

8. Demonstrate the ability to provide postoperative care of a patient with a surgically placed drain a. Discuss the management and record keeping of drain output b. Identify the considerations in deciding the timing of drain removal

9. Discuss the routine care considerations and develop patient instructions regarding the care of a postoperative incision

10. Discuss the disposition of a patient from the inpatient setting to another facility, including home a. Identify social factors and resources needed by the patient to support their next phase of care b. Debate the most appropriate setting for discharge based on the patient’s further needs

11. Demonstrate the use of a radiographic study in the decision-making and care of a surgical patient

12. Demonstrate the ability to perform routine documentation in the care of a surgical patient

  • a. Write a prescription for medication (either electronic or handwritten)
  • b. Write a brief operative note immediately following a procedure Write a discharge summary and identify the necessary components of the document