Untitled Document

Electives - General Surgery


ACE - Emergency General Surgery (EGS)

Elective Number: (Oasis E76t) 3026

Rotation Supervisor: Dr. Dolph Rustin

Coordinator: Heather Trainium

Duration: 4 weeks/ 2wk NON-ACE option also avaiable, but must be scheduled with Heather Trainium

Available: Rotations 1-14

Report to: EGS Surgery Chief

Time to Report: As designated by EGS Chief

Place to Report: As designated by EGS Chief

Typical day: 6:30 am - 6:00 pm

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

Attendance at elective activities is mandatory.

Number of students per rotation:

Course Description: Emergency General Surgery service cares for patients who require a variety of emergency surgical procedures or have conditions that are likely to require emergency surgery in the future. Conditions that may call for emergency surgery, such as tears of the gastrointestinal tract, complex skin infections, acute appendicitis, infections of the liver and bile ducts, bowel obstructions. The student will function as an intern in the day-to-day care of all in house patients, assist with all operations, see patients in clinic, participate in all conferences, and guide third year medical students regarding their duties.

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

1. Describe the basic steps involved in the initial resuscitation of a surgical patient with an acute abdomen.
2. Describe the appropriate diagnostic steps involved in the evaluation of acutely ill surgical patients.
3. Demonstrate core skills involved in the management of the emergency surgical patient; examples inlcude, but are not limited to: Nasogastric tube placement, Foley catheter placement, peripheral IV line placement. This objective can be met through performance of these skills while on service.
4. Have an awareness of the role of EGS in the care continuum of the acute surgical patient.
5. Describe the components of team-based care that comprise the EGS experience for patients.
6. Be familiar with the EGS Clinical Pathways.

Student Responsibilities: Medical students should participate in all patient care activities. These include:

1. Initial evaluation of patients in the ED, and outside-hospital transfers and clinic, with appropriate documentation in the medical record.
2. Following patients from clinic to OR, to the ward & back to clinic, time-allowing.
3. Students will be expected to scrub on all surgeries where they will be expected to have some knowledge of the physiology and anatomy of the case prior to scrubbing.
4. Present at least one patient to the EGS Attending during their rotation. This presentation is to include a complete but focused H&P, independent assessment, differntial diagnosis and Plan including further diagnostic testing and a Care Plan. This is to reflect the student's own assessment and thoughts. Use of current literature and textbooks is strongly encouraged. This should occur within three days of the end of the rotation.
5. Students should attend the EGS Attending's clinic during his work on Service. (i.e. if Dr. Williams is on service, the student(s) should participate in his clinic that week and so on).
6. Attention will be paid to work-hours and compliance to exisiting SOM guidelines will be strictly enforced.