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Electives - General Surgery

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ACE - Trauma Surgery/Critical Care

Elective Number: 3020

Rotation Supervisors: Dr. Jeffrey S. Young and Trauma Chief Resident

Coordinator: Heather Trainium

Duration: 2 weeks minimum (non-ACE option) or 4 weeks

Available: All Rotations

A pager is required and will be supplied by the department.

Report to: Trauma Chief Resident (PIC# 1560)

Time to Report: call night before to ask

Place to Report: Surgical Trauma Intensive Care Unit

Typical day: 6:00 am - 5:00 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.

Number of students per rotation: 1-2

Course Description: The goal of this elective is to provide the student with intensive hands-on experience in the care of seriously injured patients. There will be night and weekend call as well as weekend rounds. Student responsibilities-- Medical students should participate in all patient care activities. These include:

1. Attend clinic for the preoperative & postoperative care and evaluation of patients. Dress professionally for clinic.

2. Be involved in the care of inpatients on the Trauma Surgery service. You are expected to be involved in the ongoing care of any patient in whom you were involved in the admission or operative care. You should round on these patients. You should se every patient daily, examine them (including wounds), review appropriate laboratory & study data results, report the status of each patient & their studies on rounds, and write a daily progress note in EPIC using the appropriate student notes. You should manage dressings and wound care under the guidance of the residents on service.

3. Being involved in the operative care of patients on the service. You should be completely prepared for every OR case prior to scrubbing in. This means that you have reviewed the patient's history and know the results of all laboratory, radiology and pathology studies. In addition are expected to read about the patient's disease process, the treatment options, and the details of the propsed surgery, including relevant anatomy and the surgical techniques involved. We do not expect that you will become a surgeon during the rotation. We do expect you to develop an understanding of the rationale for, and the implications of, the interventions that we perform.

4. A clinical research project is encouraged during this elective.

5. Plan ahead. The residents on service can guide you as to the anticipated schedule. This will allow you to dress appropriately/professionally and will allow ample time to read ahead about patients and disease processes prior to the date of elective surgery.

Learning Objectives- Upon completion of this rotation students should be able to:

1. Learn the basics of initial evaluatino of major trauma

2. Perform procedures necessary for initial evaluation & resuscitation

3. Gain knowledge of resuscitation and basic critical care

4. Learn initial Advanced Trauma Life Support (ATLS) evaluation, femoral line placement, Swan-Ganz catheter placement, thoracostomy tube placement, and basic suturing skills.

5. Participate as a member of the Trauma team with respect to rounds, call and patient care duties.

 

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