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Electives - General Surgery


ACE - A. I. in General Surgery - Blue Service

Elective Number: (Oasis E76b) 3019

Rotation Supervisor: Dr. Charles Friel

Coordinator: Heather Trainium

Duration: Maximum 8 weeks, Minimum 4 weeks

Available:Rotations 3 - 14

Report to: Chief Resident

Time to Report: 7:00 am

Place to Report: Ward designated by Chief Resident (contact by pager one week prior to elective)

Typical day: 6:00 am - 9:00 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

Course Description: 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 Blue 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 see every patient daily, examine them (including wounds), review appropriate laboratory & study data results, report the status of each patient and 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 & 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 proposed surgery, including relevant anatomy and surgical techniques involved. We do not expect 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. Prepare a presentation on a topic of your choice. The residents and faculty can provide guidance on a topic and will arrange a time for presentation.

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:

1. Describe the presentation, diagnosis, and management of patients with common colon and rectal conditions, including colorectal cancer, diverticulitis, inflammatory bowel disease and anorectal disorders.

2. Develop a plan for care for all in-house surgical patients with whom they come in contact. This includes data collection, ordering & interpreting appropriate diagnostic tests, and working to provide a patient centered plan of care.

3. Evaluate and develop a plan for patients seen in consultation in the emergency room or inpatient service.

4. Recognize significant changes in patient status.

5. Be able to develop appropriate diagnostic and treatment algorithms for common surgical emergencies.

6. Present a problem-based summary of all admissions and consults to the attending/chief resident and to discuss complications occuring in patients for whom they had the primary responsibility.  

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