Advanced Surgery Clerkship

Sites: BIDMC
Director(s): Katharyn Atkins, Benjamin James
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Not offered in April 2016.
Location: BIDMCE - BI-Deaconess Med Ctr-East (1)
Open to Exclerks: US/Canadian
Description: This course will give students an in-depth experience in clinical management of patients with surgical problems. It will provide students an opportunity to evaluate patients, decide on a diagnostic and management strategy and provide care under housestaff and faculty supervision. Students will serve as clerks on a busy general surgical service. Students will be responsible for patient management with housestaff and under the guidance of the chief resident and attending surgeon. The course will offer an opportunity for students to gain experience in preoperative, intraoperative and postoperative patient management. There will be ample opportunity to attend and participate in conferences.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science, especially anatomy and physiology are discussed daily on rounds and in conferences. Evidence based medicine is central to care, it's use or absence being discussed at weekly M&M conferences, and in various multidisciplinary conferences such as colorectal and pancreaticobiliary teaching conferences.
Grade Criteria:
Honors with Distinction: Outstanding clinical performance as demonstrated by reading and communication of knowledge with evaluating faculty and participation. Also exhibition of outstanding technical learning is required as judged by attending surgeons. Also required is meticulous adherence to ethics and professionalism principles. Participation in conferences is also required. Honors: Excellent performance clinically in patient care so that most often the student exhibits desire for knowledge and communicates it. Satisfactory: Daily attendance is required except for days off agreed upon by the team and course director. Student must show attempts to learn surgical technique and acquire knowledge as judged by participation in rounds and patient care. Unsatisfactory: A critical failure to demonstrate professionalism values and/or ethical values or failure to communicate learned content to evaluating faculty. Failure to participate in patient care to a reasonable level will also result in an unsatisfactory grade.