Electives - General Surgery
ACE - A. I. in General Surgery - Green Service
Elective Number: (Oasis E76p) 3022
Rotation Supervisor: Dr. Victor Zaydfudim
Rotation Attendings: Todd Bauer, Reid Adams & Victor
Rotation Coodinator: Heather Trainium
Duration: Maximum 8 weeks, Minimum 4 weeks
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
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: The Green surgery service is primarily responsible
for the care of patients with non-transplant related hepato-biliary-pancreatic
disease (HPB). Drs. Adams, Bauer and Zaydfudim are the primary HPB attendings.
Drs. Bauer also has an interest in soft tissue sarcoma. Residents assigned
to this service will include a PGY-5 (Chief), a PGY-3, and a PGY-1 resident.
The administrative duties of the service overall will be the responsibility
of the Chief resident, which includes care & oversight of the patients.
The Chief resident will distribute cases and responsibilities for the
other members of the team. The PGY-1 residents will participate in providing
care for all patients on the service as delegated by the Chief resident.
1. Describe the presentation, diagnosis, and management of patients
with hepatic, pancreatic, and biliary lesions.
2. Develop a plan of care for all in-house surgical patients with whom
they come in contact. This includes data collection, ordering and interpreting
appropriate diagnostic tests, and working to provide a patient centered
plan consistent with the resident’s level of training
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 occurring
in patients for whom they had the primary responsibility.
7. Discuss the pathophysiology and associated medical problems of liver
disease, diseases of the pancreas and diseases of the biliary tree.
8. Develop an understanding of the importance of the multidisciplinary
approach to patients with gastrointestinal malignancies. A critical part
of this experience is participation in the GI Tumor Board on Thursdays,
6:45-8:15 am, 6th Floor West Complex, Cancer Center Conference Room.
9. Describe the work-up, staging, multidiscliplinary management of and
indications and contraindications for surgical treatment of soft tissue
sarcoma and cancers of the hepatobiliary system and pancreas.
1. Attend clinic for the preoperative and postoperative care and evaluation
of patients. Dress professionally for clinic.
2. Be involved in the care of inpatients on the Green 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 and study data
results, report the status of each patient and their studies on rounds,
and write a daily progress note in the chart. 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 proposed 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. 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.
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