Clerkship Director:Matthew W. Lube, MD Orlando Health 77 West Underwood Street Orlando, FL 32806 Office: 321-841-5142/ 407-590-6932 (cell) Email: firstname.lastname@example.org
Clerkship Assistant Director:
Vladimir Neychev, MD UCF Health Email: email@example.com Clerkship Administrator: Katherine D. Newsum Florida Hospital – South 2501 North Orange Avenue Orlando, FL 32804 Office: 407-203-5021/ 407-622-9506 (cell) Email: Katherine.firstname.lastname@example.org Site-specific contact information is available from the Clerkship Coordinator
Clerkship Goals and Objectives
The clerkship Goals and Objectives are designed around the six Core Competencies set up by the ACGME for General Surgery Residency programs, but are structured to the level of training of the medical student. By the end of the clerkship, the student will become knowledgeable in the principles of pre-op assessment, operative intervention, and post-op care and follow-up in patients with a wide variety of surgical diseases.
Medical Knowledge – While on this rotation the student will:
- Be able to discuss the basic evaluation and treatment of benign and malignant breast disease, cutaneous malignancies, abdominal wall hernias, gallbladder disease and other acute inflammatory intra-abdominal conditions.
- Understand the principles and rationale for management of surgical patients to include the preoperative assessment and management as well as postoperative care. Examples include assessment of patient risk, appropriate selection of patients for surgery, knowledge of anesthetic options, and principles of postoperative pain management and wound care.
- Understand the general principles of laparoscopy. Examples include the physiologic consequences of pneumoperitoneum.
- Understand the pathology as it relates to surgery.
- Be knowledgeable of the anatomy of the abdomen, chest, neck and vascular tree.
- Be knowledgeable with regard to the physiological basis of the disease process, fluid and electrolytes, nutrition, wound healing and organ function.
Patient Care – While on this rotation the student will:
- Accurately perform a complete history and physical examination in patients with common surgical problems and present patients to the attending and/or senior resident.
- Participate in daily rounds and management of inpatients.
- Begin to demonstrate an understanding of the principles of surgical decision-making.
- Efficiently utilize and interpret diagnostic laboratory testing. Examples of appropriate tests include serum chemistries, hematological profiles, and coagulation tests.
- Efficiently utilize and interpret diagnostic radiological tests. Examples of the types of studies include mammography, gallbladder ultrasonography (US), plain film radiology tests and computed tomography (CT).
- Under appropriate supervision, assist in basic surgical procedures such as: open lymph node biopsy (cervical, axillary, groin), hernia repair (inguinal, femoral, umbilical) excision of small subcutaneous masses, and laparoscopic cholecystectomy and appendectomy.
- Under appropriate supervision, perform basic surgical procedures such as: placement of venous access devices, removal of cutaneous lesions, and routine wound closure.
- Assist the resident physicians in the discharging of patients, including writing prescriptions, and ensuring appropriate follow-up.
- Attend and participate in weekly outpatient clinics. Activities will include examination and evaluation of new patients and postoperative care of established patients.
Systems-Based Practice – While on this rotation the student will:
- Observe and learn the process of working with nursing, social work, home health, pharmacy, radiology, acquisition of test results, operating room (OR) scheduling, recovery room staff, and discharge planning.
- Demonstrate an understanding and commitment to continuity of care by development of a patient care plan including timing of return to work and appropriate follow-up.
- Begin to understand the appropriate utilization of consultations from other surgical and medical specialties in a timely and cost efficient manner to facilitate and enhance patient care.
Practice-Based Learning and Improvement – While on this rotation the student will:
- Use books, journal articles, internet access, and other tools available to learn about diseases and treatments.
- Recognize the importance of lifelong learning in surgical practice by analyzing personal practice outcomes to improve patient care.
Interpersonal and Communication Skills – While on this rotation the student will:
- Develop skill and sensitivity for appropriate counseling and educating patients and their families in a variety of clinical situations.
- Work effectively with the health care team and/or other professional groups.
- Effectively and promptly document practice activities.
- Present all patients in a concise, organized, logical and knowledgeable manner.
- Exhibit the ability to interact as part of the surgical team.
- Exhibit honesty, reliability, good communication skills, and appropriate judgment.
- Demonstrate a high level of initiative and self-motivation and be well-read and prepared prior to any surgical procedure (including clinical knowledge of the patient).
- Be dependable in completing assigned tasks.
- Demonstrate professional interpersonal skills when dealing with patients, staff, other residents, and attending physicians.
While on this rotation the student will:
- Begin to understand the ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, and informed consent.
- Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities.
- Demonstrate accountability for actions and decisions.
View M.D. Program Objectives…
Patient Log and DO Card 2018-2019
Direct Observation Requirements:
Students must show evidence of having been directly observed by their attendings in taking History & Physicals and in writing daily progress notes. Students are required to turn in one of the following cards for the core rotation during the surgical clerkship.
Direct Observation Card