SURG 7550

Essentials of Surgery Clerkship

Contact

Yvonne Christensen
Course Coordinator
ychriste@umn.edu

Curriculum Focus
Clinical Level
Requirement
MS Year
Hands-On
Terms Offered
Credits
Prerequisites

N/A

Details

Catalog Description: Required 4- week clinical Clerkship. Designed to provide the learner with a multidisciplinary experience in approaching surgical disease and surgical decision making.

Canvas Site

Sites:

View site addresses by clicking on the site name below or visiting the site codes table.

Site Code

Site Name

Notes

DU-1000

Duluth/Duluth area site will be assigned after drop/add deadline

Options in Duluth are St. Mary's Medical Center and St. Luke's Hospital

HH-1001

Hennepin County Medical Center

 

MF-1068

UMMC - East Bank

 

CM-1000

Children's Minnesota - Minneapolis Hospital

 

HP-1010

Methodist Hospital

 

NM-1004

North Memorial Health Hospital

 

HP-1015

Regions Hospital

 

VA-1000

VA Medical Center

 

Required session attendance: Simulation sessions- 1st week, 2nd week

Typical weekly schedule/Delivery Mode: Varies by site/services; mix of clinic and OR opportunities

Direct patient care: Yes

Consent Requirement: Open to student scheduling

Course Objectives: This course provides the medical students an opportunity to learn various responsibilities of a PGY-1 Surgery resident. At the completion of the rotation it is expected that the student will have achieved competence in the following subject areas:

Gastrointestinal Bleeding

  • Identify patient with acute gastrointestinal bleed
  • List common causes of GI bleeds
  • Justify selection of standard diagnostic and therapeutic studies
  • Describe signs and symptoms of hemodynamic instability
  • Describe various operations and treatment strategies used to control GI bleeds
  • Describe what blood products to transfuse and when
  • Write orders for GI consult
  • Order endoscopies, labs, radiographic imaging
  • Interpret results from the above workup
  • Bowel Obstruction
  • Identify patients with complete and partial bowel obstructions
  • List common causes of bowel obstruction
  • Understand usual diagnostic labs and studies
  • Describe management and treatment options to deal with bowel obstruction
  • Evaluate patient with suspected bowel obstruction
  • Complete a thorough abdominal and rectal exam
  • Order labs, radiographic studies and management regime
  • Interpret evaluation results and physical findings
  • Demonstrate proper insertion of Nasogastric tube (NGT) (must be performed with Resident)

Post-Op Management, Complications

  • List common post-operative management points
  • Justify selection of post-operative labs, diagnostic studies and radiographic studies
  • Describe possible post-operative complications and their signs and symptoms
  • Specifically describe evaluation of low urine-output, hypoxia and confusion in the post-operative patient
  • Describe common doses, uses and modalities of narcotic and non-narcotic pain management
  • Write standard post-operative orders including labs, diagnostic tests, radiographic tests and nursing orders
  • Write appropriate "call House Officer for…" parameters
  • Write and discuss appropriate "prn" orders
  • Write for pain management medication (must be performed with Resident)
  • Order and interpret appropriate labs, radiographic imaging, studies for evaluation of low urine output, hypoxia and confusion in post-operative patients

Colorectal Cancer

  • Identify risks of colorectal cancer
  • Justify standard diagnostic evaluations
  • Describe signs and symptoms of colorectal cancer
  • Describe various operations and treatment strategies for colorectal cancer
  • Perform digital rectal exam
  • Order laboratory and radiographic studies appropriate to your patient
  • Observe colonoscopy, proctoscopy and sigmoidoscopy

Acute Abdominal Pain

  • Identify patient with acute abdominal pain
  • List common causes of abdominal pain
  • Differentiate potentially life threatening abdominal pain from other types of abdominal pain
  • Describe standard evaluation labs and studies for acute abdominal pain based on presumed diagnosis
  • Recognize a 'surgical abdomen' based on presentation, history and physical exam
  • Describe appropriate algorithm for abdominal pain evaluation and work-up
  • Perform thorough abdominal exam including rectal exam
  • Verbalize differential diagnosis
  • Order appropriate laboratory and radiographic studies
  • Interpret study results
  • Verbalize rationale for narrowing differential diagnoses
  • Perform serial abdominal exams including documentation of exam findings (must be performed with Resident)

Pancreatobiliary Disease

  • Identify patient with pancreas, liver and biliary disease
  • List common types of biliary, hepatic and pancreatic disorders
  • Describe signs and symptoms of biliary, hepatic and pancreatic dysfunction
  • Justify selection of standard diagnostic and therapeutic studies
  • Describe various operative and treatment strategies to deal with diseases of the biliary system, liver and pancreas
  • Perform thorough abdominal exam and verbalize pertinent findings
  • Order appropriate labs, radiographic and invasive studies
  • Verbalize interpretation of study results
  • Observe ERCP and evaluate cholangiogram results

Hernia

  • Identify patient with hernia (e.g., inguinal, umbilical, incisional, ventral, hiatal)
  • List common causes and types of hernia
  • Describe signs, symptoms and complications of hernias
  • Describe both surgical and non-surgical treatment modalities for hernias
  • Perform physical exam for hernia based on location.
  • Order appropriate studies and pre-operative evaluation for hernia diagnosis and repair
  • Evaluate post-operative hernia patient
  • Observe or perform reduction of hernia (must be performed with Resident)

Breast Disease

  • Identify patient with breast disease
  • List common causes of breast pain, discharge, abnormal mammography and mass
  • Describe signs, symptoms and risk factors for breast disease
  • Justify selection of standard diagnostic studies
  • Describe various operative and treatment strategies for different breast diseases including sentinel lymph node biopsy
  • Perform thorough breast exam
  • Order appropriate labs and radiographic studies
  • Verbalize interpretation of results
  • Order appropriate drain and wound care for inpatients and for discharge
  • Observe breast biopsy or operation including sentinel lymph node biopsy

Trauma, Burns & Shock

  • Identify patient with burns that require medical attention
  • Identify patient with signs and symptoms of shock
  • List common causes of shock
  • Describe various types and pathophysiology of burns and shock
  • Justify common laboratory and radiographic studies for burn or shock evaluation
  • Describe standard operations and treatments for various types of burn
  • Describe various operations and treatment for various types of shock
  • Perform estimation of burned body surface area
  • Calculate burn resuscitation requirements
  • Order appropriate labs, radiographic and invasive studies
  • Interpret appropriate laboratory and diagnostic studies
  • Perform fluid resuscitation of burn patient or patient in shock (must be performed with a Resident)
  • Interpret pulmonary artery catheter data
  • Observe or perform central venous catheter placement

Fluid / Electrolytes / Nutrition

  • Identify patient with fluid, electrolyte or nutritional abnormality
  • Describe common causes of fluid, electrolyte or nutritional imbalances
  • Describe various treatments for fluid, electrolyte or nutritional problems
  • Order appropriate laboratory evaluations for fluid, electrolyte or nutritional abnormality
  • Interpret laboratory findings
  • Order fluid, electrolyte and nutritional replacements specific to patient
  • Interpret follow-up laboratory findings after intervention

Endocrine Diseases

  • Identify patient with endocrine disease
  • Describe common causes and types of endocrine disorder
  • Justify standard diagnostic, laboratory and radiographic studies to work-up endocrine problem
  • Understand complications associated with endocrine diseases with operative therapy
  • Describe life-saving therapies
  • Describe other operative and treatments available for endocrine disease
  • Order appropriate laboratory and radiographic studies
  • Interpret results from above studies
  • Evaluate post-operative thyroid or parathyroid patient for complications (must be performed with Resident)
  • Verbalize treatment for post-operative complications of neck surgery
  • Verbalize treatment for post-operative complications of endocrine organ surgical manipulation

Vascular Disease

  • Recognize signs and symptoms of atherosclerotic disease (carotid, aortic, and peripheral vascular) and aneurysmal disease.
  • Differentiate between underlying vascular disease and other etiologies with similar presentations
  • Describe standard evaluation steps and studies (including specific physical exam maneuvers)
  • Describe various operations and treatment strategies used to treat patients with vascular disease
  • Order appropriate labs and diagnostic studies
  • Interpret results from above studies
  • Demonstrate ABI (Ankle Brachial Index) exam

Pediatric Surgery

  • Identify child with surgical issue
  • Justify labs and studies based on surgical problem
  • Identify difference between gastroschisis and omphalacele
  • List signs and symptoms of emergency surgical conditions
  • Perform thorough abdominal exam on a child
  • Observe repair of one congenital anomaly
  • Observe an inguinal hernia repair

Graded Components: OSATS exam, EPA, GRS evaluation

Grading Scale: P/N

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Allow repetition of course: Repetition not allowed

Limited to Student Type: No

Course equivalency: SURG 7500, INMD 7120 (REACH), INMD 7229 (RPAP), INMD 7236 (MetroPAP), INMD 7324 (VALUE), INMD 7361 (HeLIX), INMD 7424 (EPAC), INMD 7711 (FLIIC)

Related curricular experience:

Secure Exam:

Course evaluation: MedHub