General Surgery Service Objectives
Senior Medical Student Elective
Overview
During the course of the General Surgery Service rotation, the medical student is allowed to function as a senior level medical student under the direction of the house officers and faculty. On the General Surgery Service the student is expected to participate in the preoperative evaluation including diagnostic workup of patients with a myriad of general and vascular surgical diseases. The student will be exposed to invasive and non-invasive diagnostic maneuvers for many general surgical diseases including oncologic, GI and endocrine diseases and will participate in the management of the intra-operative and post-operative care of these patients. The student is responsible for assisting the surgical team and will be allowed to have actual participation in operations. The student will have the opportunity to demonstrate manual dexterity skills, overall comprehensive knowledge of disease states, and pathophysiologic alterations caused by surgery and surgical diseases. The student may assist in the management of the post-operative care of patients and write daily progress notes as well as appropriate physician orders which are to be countersigned by a resident and/or faculty physician. The medical student will participate actively in the ambulatory setting following-up with patients who have been operated on as well as seeing new patients referred to the surgical service for evaluations. The student will have exposure to evaluation of not only abdominal and thoracic CT scans and ultrasounds, but also invasive angiography, and participation in patient care during these procedures. Overall, the student will be exposed to a wide variety of general surgical, vascular and traumatically induced disease states.
Resources:
Greenfield's Surgery, Scientific Principles & Practice 4th Ed. (Articles will be provided).
Health Sciences Library: You have 24 hour access 7 days per week to the IMMC Health. You will need your picture ID for after-hour entry. You may call the Health Science librarians for assistance at 515-241-6490
Conferences:
Didactic Conference (Wednesday at 5 pm).
Mortality and Morbidity Conference (Thursday 7:00 am weekly).
Grand Rounds Conference (Thursday 8:00 am weekly).
Surgical Teaching Rounds (TBA basis).
Evaluations & Final Grading:
Faculty may request the student to do a case presentation.
Faculty and Surgery Residents fill out evaluations.
Program Director reviews and compiles all of the evaluations and returns the evaluations to medical school.
Surgical Critical Care Service Objectives
Senior Medical Student Elective
Overview
During the course of the Surgical Critical Care Service rotation, the medical student is allowed to function as a senior level medical student under the direction of the house officers and faculty. Specifically on the Surgical Intensive Care Unit, the student will participate in the management of critically ill patients from both surgical illnesses as well as trauma. During the course of this clerkship he/she will become facile in the management of ventilator support; both initiating patients on ventilator support as well as monitoring their progress while on the ventilator. The student will become facile in the parameters for extubation and will participate in determining points of extubation. Also, during this clerkship the student will participate in providing central venous access for invasive hemodynamic monitoring and will become facile with the use of pulmonary artery wedge pressure measurements as well as cardiodynamic indices in the management of critically ill patients. The student will demonstrate facility in both manual capabilities as well as abilities to participate in the management of the patients. The student will be exposed to pharmacological issues and will acquire knowledge of drug-to-drug interactions.
Resources
Greenfield's Surgery, Scientific Principles & Practice 4th Ed. (Articles will be provided).
Health Sciences Library: You have 24 hour access 7 days per week to the IMMC Health Sciences Library. You will need your picture ID for after-hour entry. You may call the Health Science librarians for assistance at 515-241-6490.
Conferences
Didactic Conference (Wednesday at 5 pm) Dorner Seminar Room
Trauma Video Reviews (Tuesday at 4 pm weekly) Hill Auditorium
Multidisciplinary Trauma Rounds (Monday and Thursday at 11 am - ICU)
Mortality and Morbidity Conference (Thursday 7:00 am weekly) Thompson Auditorium
Grand Rounds Conference (Thursday 8:00 am weekly) Thompson Auditorium
Evaluations & Final Grading
Faculty may request the student to do a case presentation.
Faculty and Residents fill out evaluations.
Program Director compiles all of the evaluations and submits the completed evaluations to medical school.
