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Electives - Plastic Surgery
ACE - Plastic Surgery Preceptorship A.
Elective Number: 2608
Rotation Supervisor: Dr. David B. Drake
Designated Signer: Freda McClung; Old Medical School, North wing, room 4711; 924-1234, firstname.lastname@example.org
Duration: Maximum 4 weeks, Minimum 2 weeks
Available: Rotations 3, 4, 5, 6, 7, 8, 9, 10, 11
Report to: Dr. Drake
Time to Report: 7:15 am
Place to Report: OPSC in Battle building
Typical day: 6:00 am - 6:00 pm
A pager is required for this rotation but is not supplied by the department
Attendance: A student may not take time off during an ACE.
Attendance at elective activities is mandatory.
Number of students per rotation: 1
Course Description: This Plastic Surgery rotation entails exposure to all aspects of Plastic Surgery. Clinic exposure, operative experience both inpatient and outpatient, and inpatient patient management are aspects of the rotation. During your rotation you will be evaluated regarding your patient care, medical knowledge, practiced based learning, interpersonal and communication skills, professionalism, and your ability to work with a multidisciplinary burn team and within the resources of a tertiary health care system. The following are basic science and clinical objectives for the rotation.
Basic Science Objectives
2. Review the detailed anatomy of the upper extremity and hand, the maxillofacial area, and facial soft tissues.
3. Study the basic physiology of free tissue grafts and pedicle tissue transfer including the classifications of flaps and appropriate related nomenclature. Review pathophysiology and indications for hyperbaric oxygen therapy.
4. Participate in anatomy review and plastic surgery flap dissection (cadaver) workshop sessions.
5. Study the physiology of tissue transfer including concepts related to flap failure and salvage, the delay phenomena, repercussion injury and no-reflow phenomena.
6. Study concepts of flap design, geometry and flap movement
7. Study the use of biomaterials in plastic surgery as well as grafting of such tissues as fat and cartilage, and their biochemical properties
8. Explore the psychologic concepts of body image and its relation to reconstructive and aesthetic surgery.
9. Review the physiological ramifications of burns and burn
1. Demonstrate an understanding of the analysis of specific patient problems addressing loss of form and function.
2. The student will become aware of the Plastic Surgeon’s role
in the multidisciplinary (or “team”) approach to:
3. The student will understand basic techniques for handling of soft tissue including wound management and debridement and soft tissue repair.
4. The student will study surgical and nonsurgical management of skin lesions including skin cancers and premalignant lesions.
5. Demonstrate further understanding of:
6. Obtain an understanding of the criteria for replantation surgery and extremity revascularization, as well as the basic preparation of the patient and the severed part for surgery or transfer.
7. The student will learn to perform a comprehensive examination of the hand and upper extremity.
8. The student will order and interpret appropriate imaging studies for hand trauma.
9. The student will monitor routine postoperative care for plastic surgery patients, both pediatric and adult.
10. The student will monitor postoperative circulation and viability in major flaps and free tissue transfers, and demonstrate knowledge of the early complications of these procedures.
11. The student will apply basic concepts of pressure management and wound care for large body surface wounds and defects.
12. The student will be expected to assist in:
Relative to the six competencies, the educational goals of the service are as follows:
Practice-based Learning and Improvement
Interpersonal and Communication Skills
Communication with consulting services will be on a daily or ongoing
fashion as appropriate and directed.