SU545M.23

Acute Care Surgery

Director(s): Erik Alexander, Reza Askari
Offered: Offered full time for one month. Open to Int'l Jan, Feb and Mar ONLY.
Location: BWH - Brigham and Women's Hospital (23)
Open to Exclerks: Yes (may be restricted for international students)
Description: The course is intended to provide exposure to the breadth of Trauma & Acute care surgery. The primary vehicles for this rotation is the Cushing service, which focus on care of patients with Trauma and Emergency general surgical problems. This course assumes experience in the Core Surgery sequence at HMS or its equivalent. The subintern will be involved in both inpatient and outpatient management of trauma and emergency general surgery patients. They will attend bi-weekly clinic with the attending surgeon of the week. They will assist in management of patient on the floor, consult patients and will participate actively in procedures in the operating room. Each week, elective students will meet with the course director (Dr. Askari) to present cases a review of literature connected to key surgical decisions in the case. There will also be a case presentation made to the entire faculty during the subinterns last week of the rotation. Evaluation of performance and progress is based on evaluation by staff and residents, as well as the course director. Areas of evaluation will include: organization and reporting of clinical data for patients assigned to the subintern, ability to interpret information to develop differential diagnosis and plans of management, professionalism in carrying out assigned tasks and interacting with the team and other care providers, efforts to contribute to the environment of learning by presentations to the team and progress in technical areas. In case sessions with Dr. Askari, assessment is based on the student's progress in identifying key surgical decisions in the presented cases and identifying high quality evidence to inform those decisions. Feedback will be provided to students by the course director and Chief/senior residents in the middle and end of the rotation, and a final debriefing session with the Course Director.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic Science content is incorporated into discussions of individual cases: pathophysiology of surgical illness, the response to injury or surgery, the pathophysiolic consequences or removal or reconstruction of various regions in the GI tract. EBM prinicples are emphaisized in the student's presentation at the weekly case conference (moderated by Dr. Askari).
Grade Criteria:
Honors with Distinction:
The Honors with Distinction student demonstrates above peer-level skills in data gathering and reporting, interpretation and development of plans of management for patients in whose care they are engaged. The Honors with Distinction student demonstrates above peer-level abilities to identify the key issues in management and initiative in seeking out information from the literature that will inform those decisions. An above-peer level of professionalism will be observed by team members and attending staff in the student's carrying out of assigned tasks and interactions with the team and other care providers. Consistent efforts will be observed in the students contributions to the environment of leaning by presentations to the team and progress in technical areas. In case sessions with Dr. Soybel, consistent progress is expected in identifying key surgical decisions in the presented cases and identifying high quality evidence to inform those decisions. Technical progress and participation in the operating room will be at or above peer-level.
Honors:
The honors student performs above satisfactory level however is not at the top 10% of his/her peers.
Pass:
The student is punctual and reliable in carrying out assigned tasks and recognized responsibilities within the team. The student has a fund of knowledge, information-gathering skills, ability to integrate information, and professional attitude at the level of a HMS third year student, according to standards set in the HMS Core Surgery Course
Unsatisfactory:
The student repeatedly fails to be punctual and is not generally engaged in completion of assigned tasks. The student fails to demonstrate a fund of knowledge, information-gathering skills, ability to integrate information, and professional attitude at the level of a HMS third year student, according to standards set in the HMS Core Surgery Course.