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Electives - General Surgery


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

Elective Number: (Oasis E76a) 3018

Rotation Supervisor: Dr. Bruce Schirmer

Coordinator: Heather Trainium

Duration: Maximum 8 weeks, Minimum 4 weeks

Available: all rotations

Report to: Orange Surgery Chief

Time to Report: 6:40am (first day of the rotation)

Place to Report: 5th floor classroom

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:

Course Description: Medical students should participate in all patient care activities. These include:

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 Orange 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 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. Plan ahead. The residents on your 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 ot the date of elective surgery.

Learning Objectives:

1. Describe the presentation, diagnosis, and management of patients with cancer and morbid obesity.

2. Develop a plan of 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 devleop appropriate diganostic 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.

7. Function as an "Assistant Intern" of the surgical team in managing preoperative and postoperative care for patients.

8. Assist in all operations performed on his/her patients.

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