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Electives - General Surgery

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Surgical Oncology - Gold Surgery

Elective Number: (Oasis E76d) 3006

Rotation Supervisor: Dr. David Brenin

Rotation Coordinator: Kristen Dudley

Duration: Maximum 8 weeks, Minimum 4 weeks

Available: Rotations 3 -14

Report to: Chief Resident

Time to Report: 8:00 am

Place to Report: TBA by Chief Resident

Typical day: 6:00 am - 9:00 pm

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. 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 Gold Surgery Service. You are expected to be involved in the ongoing care of any patient in whom youy 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 dressing & 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 implicatiuons of, the interventions that we perform.
  4. Prepare a presentation on a topic of your choice. The student will be encouraged to study one aspect of cancer in depth and be able to present a seminar or paper on tyhe subject at a future date. If a student desires, he or she may design and develop, under supervision, a clinical research project or a retrospective chart review study. This could be carried out not only during the exact period of the elective, but could extend beyond that time if it did not conflict with the student's other course work.

Learning Objectives:

  1. Describe the presentation, diagnosis, and management of patients with breast cancer, in particular solid tumors.
  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 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 & 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.
  7. Function as a member of the surgical team in managing preoperative and long-term care for in-house cancer patients.
  8. Participate in the multi-disciplinary management of cancer involving chemotherapy, radiation therapy, and immunotherapy in paitents with operable as well as advanced malignancy.
     

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