Electives - General Surgery
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
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. Attend Clinic for the preoperative & postoperative care and
evaluation of patients. Dress professionally for clinic.
- 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,
a daily progress note in EPIC using the appropriate student notes. You
should manage dressing & wound care under the guidance of the residents
- Being involved in the operative care of patients on the
service. You should be completely prepared for every OR case prior
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,
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
an understanding of the rationale for, and the implicatiuons of, the
interventions that we perform.
- 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
- Describe the presentation, diagnosis, and management of patients
with breast cancer, in particular solid tumors.
- 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.
- Evaluate and develop a plan for patients seen in consultation
in the emergency room or inpatient service.
- Recognize significant
changes in patient status.
- Be able to develop appropriate diagnostic & treatment
algorithms for common surgical emergencies.
- 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.
- Function as
a member of the surgical team in managing preoperative and long-term
care for in-house cancer patients.
- 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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