SURG 7550
Essentials of Surgery Clerkship
Contact
Yvonne Christensen
Course Coordinator
ychriste@umn.edu
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.
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 |
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MF-1068 |
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CM-1000 |
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HP-1010 |
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NM-1004 |
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HP-1015 |
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VA-1000 |
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