Selective template

Course: ______Preparation for Surgical Internship____ Course Number ____SUR 2110 (1626)__

Department: Surgery

Faculty Coordinator:Rohit Sharma, MD Director of Student Education Department of Surgery

Contact person: Alex Wibben

Hospital:UT Southwestern Medical Center

Periods Offered: Block 9 (February)

Length:4 weeks

Max # of Students:20 (first come, first served)

First Day Contact:Alex Wibben ()

First Contact Time:8:00 a.m.

First Day Location:E6.224

Prerequisites: 4th year student who applied for surgical internship

  1. Course Description

This course is designed to provide the essentials for entering surgical residencies. The course will emphasize procedural skills. It will also include discussion sessions, reading assignments, and case- based activities. Prospective students should carefully examine the attendance policy (below) before enrolling.

Selective expectations include:

  • The student is required to provide patient care at the level of an intern under the direct supervision of attending faculty members or clinical fellows.
  • The student will assess patients, develop and implement patient care plans. They will be specifically graded on their ability to manage patients.
  • The student will assist with and/or perform procedures as appropriate.
  • Attendance at divisional and departmental meetings, and or patient care conferences will be required as appropriate.
  • The student is required to demonstrate critical thinking and medical knowledge via a formal assessment method which may include an oral “Grand Rounds type “presentation, exam, dissemination of critically reviewed literature, or equivalent product.

Goals / Objectives / Assessment methods(examples)
Patient Care: Assessment and Management
  1. Students will demonstrate the knowledge, attitudes and skills necessary to perform appropriately focused and accurate histories and physical assessments and document the findings accurately in the health record.
  2. Students will assist in development of evaluation and treatment plans, and take responsibility for implementation.
/ 1.Teach the students to perform proficiently surgical and technical skills that may include the following: maintaining sterile technique, insertion and maintenance of NG tubes, insertion and maintenance of Foley catheters, insertion of central venous lines, insertion of arterial lines, insertion of peripheral venous catheters, use of proper techniques for skin preparation, knot tying and suturing, minor excisions, Doppler exams, basic laparoscopic skills and camera navigation, andintubation.
2.Teach the students to write appropriate admissions and postoperativeorders.
3.Teach the students to develop management plans for common postoperativeproblems.
4.Teach the students the management of tubes and drains in the surgicalpatient. /
  • Quality of Medical Records entries
  • Skills evaluation from direct observation.

Medical knowledge:
  1. The Student will be able to explain …
  2. The student will know how to assess and manage common complaints in…
  3. The student will know the pathophysiology of …
/ 1.Enhance the student’s ability to integrate and apply knowledge of common surgical diseases to simulated clinicalpatients.
2.Provide basic introduction to the cognitive aspects of laparoscopicsurgery.
3.Enhance knowledge using the web-basedcurriculum. /
  • 10 minute oral presentation

Interpersonal and communication skills:
The students will effectively exchange information with patients, families, consultants and the team, including nurses, faculty, residents and ancillary staff. / 1. Teach students to demonstrate improved communication skills through vignettes with discussion and role playing. /
  • Observations of faculty and staff

Practice Based learning and Improvement:
Students will demonstrate the ability to assimilate scientific evidence and improve patient care practices. / 1. Discuss the principles and tools of practicing evidence-based medicine, teaching students to apply this to studies and literature. /
  • 10 minute oral presentation
  • Critical review of a relevant article

Professionalism:
Students must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population / 1. Lead students to demonstrate understanding of all aspects of professionalism through review and discussion of vignettes. /
  • Observations of faculty and staff

Systems based practice:
  1. Know how …. fits into the larger system of health care.
  2. Work with the team and patients to optimize use of system resources
/ 1. Describe the principles of patient safety and patient safety practices. /
  • Observations of faculty and staff
  • Group discussion

II.Methods of Instruction:

1. Didactic

-Use of CD’s, videos

-Discussion sessions and seminars guided by faculty and senior residents

-Lecture sessions

2. Technical skills in the lab with introductory lectures and videos, self-practice

3. Self-directed study:

-Web curriculum

-Skills practice

-FLS cognitive portion

III.Overview of student responsibilities

1.Participate in all activities, class sessions, and skills labsessions

2.Complete assignments given such as reading and preparation for groupactivities

3.Be accountable to supervising faculty andresidents

IV.Attendance Policy:

Attendance at all sessions is required. Any student missing more than two days of activities without prior written permission from the Course Director will not receive credit for the course.

V. Method of evaluation of students and requirements:

Fourth year elective rotations are evaluated on a pass/fail system with additional comments made by supervising faculty. The grade is submitted within one month of the completion of the rotation. Grades are approved by the course director.