Electives - General Surgery
ACE - A. I. in Pediatric Surgery
Elective Number: 3016
Rotation Supervisors: Dr. Eugene McGahren
Coordinator: Heather Trainium
Duration: 4 weeks
Available: Rotations 3-7
A pager is required and will be supplied by the department.
Report to: Pediatric Surgery Chief Resident
Time to Report: As designated by the Peds Surgery Chief
Place to Report: As designated by the Peds Surgery Chief
Typical day: 6:00 am - 6:00 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 Pediatric Surgery elective is considered
an "acting internship" on the service. The role of the “ACE” student
is distinct from the role of a third-year clerkship student. The ACE
student is expected to approach the rotation as a preparation for her/his
role as an intern. As such, it is anticipated that the ACE student will
cover 2-3 patients as their primary patients. But, the ACE student should
also be familiar with the entire service so as to understand and assist
with service management issues. In addition, the ACE student can help
in the mentoring process for the clerkship students. The students are
expected to assist with the workup of new patients who present in the
clinic, Emergency Department, from consults, and from pre and post-operative
presentations. In the clinic, they will be initial providers for many
patients. They are expected to assist in the operating room, particularly
with the patients they have initially evaluated. An ACE student would
be expected to be able to first assist in appropriate cases where there
are not other residents who have priority. They are expected to assist
with post-operative management of the patients on the service. The students
will share night call one night per week with the overnight Resident
covering this service. There is no weekend call, but the ACE student
is expected to participate in weekend rounds and activities with the
caveat that one day in every seven, on average, must be an off day. This
day is typically a weekend day. The student will be expected to participate
in the Division's conferences and to provide one prepared topical presentation
to the team during the rotation. The rotation supervisors will closely
observe the student. Final evaluation will be completed by the Rotation
Supervisor. Appropriate input for this evaluation will be provided from
all residents and attendings that the student has worked with during
Goal: The goal of this elective is to introduce and involve the student
in the evaluation and management of the wide variety of anomalies and
illnesses in children encountered by Pediatric Surgeons. This is done
in the spirit of helping the student start to develop a sense of independence
in the care of patients as they progress toward her/his residency.
1. Recognize and evaluate newborn infants with signs & symptoms of
bowel obstruction, such as intestinal atresias and Hirschsprung's Disease.
2. Evaluate children presenting with acute and chronic abdominal pain.
3. Know the principles of fluid management in childre with surgical conditions;
particularly calculating daily fluid requirements, hourly maintenance
IV fluid rates, and appropriate IV fluid components.
4. Become familiar with the evaluation and resuscitation of pediatric
trauma victims and know the principles involved in coordination of the
in-hospital care of these patients.
5. Understand principles of nutritional management of pediatric surgical
patients; e.g. be able to calculate daily calorie needs and understand
how that determines formula management for babies or TPN management for
children in general.
6. Recognize the importance of involving family members in decision-making
and management of Pediatric surgical patients and the cost effective
pre & postoperative care of these children.
7. Recognize and understand engagement of supporting services such as
Child Life, Social Work, Child Protective Services, Occupational Therapy,
and Physical Therapy.
8. Recognize and understand the importance of interaction amongst a variety
of medical and other surgical specialists in the care of pediatric surgical
9. Participate in outpatient clinic activities, exposing the student
to acute patient presentations requiring evaluation and management, short
term follow-up of patients both operative and non-operative, and long-term
functional evaluation of patients after treatment for various surgical
10. Understand and participate in operating room time-out.
11. Become familiar with and participate in the process of obtaining
Suggested Learning Resources:
Pediatric Surgery, 2-Volume Set: Expert Consult
Feb 28, 2012
by Arnold G. Coran MD and N. Scott Adzick MD
Ashcraft's Pediatric Surgery: Expert Consult - Online + Print, 6e (Expert
Consult Title: Online + Print)
Mar 10, 2014
by George W. Holcomb III MD and Jerry D Murphy
Operative Pediatric Surgery
Mar 18, 2014
by Moritz Ziegler and Richard G. Azizkhan
Fundamentals of Pediatric Surgery: Second Edition
Oct 2, 2016
by Peter Mattei and Peter F. Nichol
American Pediatric Surgical Association
IPEG (International Pediatric Endosurgery Group)
Journal of Pediatric Surgery
Pediatric Surgery International
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