Vascular Surgery

Sites: BIDMC
Director(s): Katharyn Atkins, Mark Wyers
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Not offered in April 2016.
Location: BIDMCW - BI-Deaconess Med Ctr-West (12)
Open to Exclerks: US/Canadian
Description: This subinternship will provide a basic understanding of the pathology, physiology and modern clinical management of peripheral vascular disease. Students will participate in daily rounds on patients undergoing surgery, balloon angioplasty, stent placement or other modern approaches to peripheral vascular disease. They will be assigned to follow their own patients with an emphasis on continuity of care. Active involvement in surgical and endovascular procedures is encouraged. Specific areas of instruction will include: appropriate, considerate, multidisciplinary care of elderly, high risk patients, the relationship between blood flow disturbances and atherosclerotic plaque formation; the pathophysiology of diabetic foot lesions; the interaction of blood with artificial materials; the mechanisms of arterial graft failure, alternatives to open surgical procedures, the response of blood vessels to iatrogenic injury.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The student will participate in weekly didactic conferences including presentations of comparative effectiveness of alternative procedures in the management of peripheral vascular disease. The student will present a specific patient-based review at the completion of the elective.
Grade Criteria:
Honors with Distinction: The honors with distinction student will be identified demonstrating highly reliable work product in the care of patients signaling preparedness to function at a PGY 1 level. Eagerness, receptiveness to teaching, rapid acquisition of knowledge, maturity in dealing with and solving common problems encountered in patient care, unfailing concern for and understanding of patients are all characteristics of the honors with distinction student. Honors: The honors student will have all of the above characteristics but with some need for prompting in one or more areas. Satisfactory: The satisfactory student will demonstrate concern and understanding of patients but not able to demonstrate work effort, acquisition of knowledge, or functional abilities indicating current preparedness for successful function at the PGY1 level in a clinical discipline. Unsatisfactory: Inappropriate behavior toward patients, irresponsibility affecting patient care, absenteeism are causes fro an unsatisfactory grade.