Duration: 4 Weeks with different service permutations as below.
The student should choose one of the below permutations
Permutation 1: Colorectal + Hepato-Pancreas-Biliary (HPB) Surgery (2 weeks + 2 weeks).
Permutation 2: Trauma and Colorectal Surgery (2 weeks + 2 weeks).
Permutation 3: General and Endocrine Surgery ( 4 weeks).
Please see appendix related to the different permutations
Target Audience: 4th-Year Medical Students
Prerequisites: Successful completion of core 3rd-year Clerkship in General Surgery
On call: 1 weekday (7:00am -12 am) / week
1 day per weekend (either a Saturday or Sunday 8:00 am -8:00 pm / per week)
Course Description
The Fourth-Year Sub-internship is a 2-4-weeks course in General Surgery designed to immerse the 4th-year student in all aspects of broad-based general surgery and specialized endocrine surgery at HMC. This rotation provides students with the basic components of complex general surgical issues (biliary, hernia, colorectal and bowel surgery soft tissue and endocine surgery and trauma surgery). The student will function as an acting intern responsible for the evaluation and continued management of their own patients, under the direct supervision of attending physicians, fellows, and residents. The student is expected to take ownership of a minimum of 5 patients per week (quantity target).
General Objective
By the end of this sub-internship, the Med 4 student will be able to:
- Function as an acting intern, assuming primary responsibility for the comprehensive perioperative management of general and endocrine surgery patients.
- Evaluate new and established patients in both inpatient and outpatient settings.
- Perform and assist in basic bedside, clinic, and operating room procedures safely under direct supervision.
- Apply evidence-based medicine principles to help guide patient care and formulate management plans.
Specific Objectives (Core Competencies)
Patient Care
- Function as an acting intern, assuming primary responsibility for the comprehensive perioperative management of general and endocrine surgery patients.
- Evaluate new and established patients in both inpatient and outpatient settings.
- Perform and assist in basic bedside, clinic, and operating room procedures safely under direct supervision.
- Apply evidence-based medicine principles to help guide patient care and formulate management plans.
- Perform initial history and physical examinations, write orders, and assist in coordinating patient care.
- Perform or assist in ward and OR procedures appropriate to educational level and patient safety, including: Foley catheter placement, nasogastric tube insertion, preparing and draping for surgery, assisting with surgery, and closure of surgical wounds.
- To identify the main postoperative complications and understand the principle of treatment
- To be familiar with the postoperative follow up protocol for the main general surgery surgery procedures
Medical Knowledge
- Demonstrate an understanding of the pathophysiology, diagnosis, and treatment of common benign and malignant general surgery disorders.
- Understand the comprehensive perioperative management of surgical patients.
- Use evidence-based medicine principles to help guide patient care and clinical decision-making.
- Specific Fundamental Medical Knowledge expected related to each system
Interpersonal and Communication Skills
- Deliver organized and accurate oral presentations during morning rounds and sign-outs.
- Formulate clear, specific clinical questions when requesting consultations from other medical and surgical specialties.
- Communicate empathetically and clearly to patients and their families.
- Learn and perform safe transitions of care (e.g., utilizing the I-PASS method) at the end of clinical shifts.
Professionalism
- Take primary ownership and advocacy for assigned patients ( minimum 3 new patients per week) , ensuring all aspects of their care are addressed.
- Uphold strict patient confidentiality and ethical standards in all clinical and professional interactions.
- Demonstrate punctuality, reliability and strong work ethics adhering to the call schedule.
- Assess personal clinical limitations and promptly seek assistance from senior residents or attendings when patient safety or clinical complexity dictates.
Practice Based Learning and Improvement
- Use current medical literature to answer clinical questions that arise during patient care, and integrate these findings into the team's management plan.
- Actively solicit feedback from residents and attendings and incorporate these feedbacks to modify and improve daily clinical performance.
- Participate in Mortality and Morbidity (M&M) conferences to identify systemic or cognitive areas for quality improvement.
Systems-Based Practice
- Collaborate effectively with multidisciplinary team members, including nurses, respiratory therapists, pharmacists, and social workers, to optimize patient outcomes.
- Organize safe and timely discharge plans by anticipating patient needs early in the hospital stay and coordinating with case management.
- Understand the multimodality approach to patient with malignancies.
Student Expectations and Responsibilities
- Rounding: Pre-round on all assigned patients prior to morning team rounds. Have all vital signs, lab results, and imaging interpreted and ready to present.
- Operating Room: Prepare for the OR by reviewing the patient's chart, relevant anatomy, and the planned surgical steps.
- Call Schedule: Complete a minimum of
- 4 weekdays on call (1 weekday (7:00am – 7 pm ) / week )
· 1 day per weekend (either a Saturday or Sunday 8:00 am -8:00 pm )/ per week
- Quantity target: The students is expected to take ownership of a minimum of 5 patients per week
- Didactics: Attend all mandatory departmental educational conferences, including Grand Rounds, M&M, and trauma-specific lectures.
Evaluation and Assessment
The students are continuously evaluated through direct observation of their presentations and procedures performance with immediate verbal feedback and written evaluation by the end of the rotation. The final grade (Pass, Fail) will be based on:
- Clinical Evaluations (80%): Composite scores from attendings and chief residents assessing the student's ability to meet the competency-based objectives outlined above.
- Case Presentation (20%): A 15-minute formal presentation on a specific trauma patient, requiring the student to analyze the clinical course and appraise relevant current literature, delivered during the final week of the rotation.
Appendices
Appendix 1:
Course Title: Sub-Internship in Colorectal Surgery
Duration: 2 Weeks
Course Description
The Fourth-Year Sub-internship is a 2-4-weeks course in Colon and Rectal Surgery designed to immerse the 4th-year student in all aspects of Colon and Rectal Surgery at HMC. This rotation will provide students with the basic components of colon and rectal disorders and surgeries and the care of patients with these disorders. The student will be an integral part of the surgical team in the inpatient unit, the operating room, the surgical clinic, and the emergency department. The student will function as an acting intern responsible for the evaluation and continued management of their own patients, under the direct supervision of attending physicians, fellows and residents. The students is expected to take ownership of a minimum of 5 patients per week (quantity target).
General Objective
By the end of this 2-week sub-internship, the Med 4 student will be able to:
- Function as an acting intern, assuming primary responsibility for the comprehensive perioperative management of colorectal patients.
- Evaluate new and established patients in both the inpatient and outpatient settings.
- Perform and assist in basic bedside, clinic, and operating room procedures safely under direct supervision.
- Apply evidence-based medicine principles to help guide patient care and formulate management plans.
Specific Objectives (Core Competencies)
Patient Care
- Perform initial history and physical examinations, write orders, and assist in coordinating patient care.
- Assist in basic endoscopy including anoscopy and proctoscopy.
- Assist in office procedures such as drainage of abscesses, excision of thrombosed external hemorrhoids and tags, rubber band ligation, wound care, and ostomy care.
- Perform or assist in ward and OR procedures appropriate to educational level and patient safety, including Foley catheter placement, nasogastric tube insertion, preparing and draping for surgery, assisting with surgery, and closure of surgical wounds.
- To identify the main postoperative complications of colorectal surgery and to understand the principle of treatment
- To be familiar with the postoperative follow up protocol for colorectal cancer.
Medical Knowledge
- Demonstrate an understanding of the pathophysiology, diagnosis, and treatment of common benign and malignant colon and rectal disorders including emergency conditions.
- Understand the comprehensive perioperative management of surgical patients.
- Use evidence-based medicine principles to help guide patient care and clinical decision-making.
- To classify the common stages at presentation of colorectal cancer.
- To Understand the pathophysiology of colorectal cancer (adenoma-carcinoma sequence).
- To determine a framework for the treatment and management of colon cancer and recognize ways to detect colon cancer polyps at an early stage.
- To understand the relationship of colon cancer with Hereditary nonpolyposis colorectal cancer (HNPCC), and Familial Adenomatous Polyposis (FAP).
- To understand the different treatment modalities related to stage of the disease in colon and rectal cancer
- Briefly explain the basis of
- Neoadjuvant therapy
- Adjuvant therapy
- Some of the fundamental medical knowledge expected to be attained relate to the management of malignant colorectal conditions
Interpersonal and Communication Skills
- Deliver organized and accurate oral presentations during morning rounds and sign-outs.
- Formulate clear, specific clinical questions when requesting consultations from other medical and surgical specialties.
- Communicate empathetically and clearly to patients and their families.
- Learn and perform safe transitions of care (e.g., utilizing the I-PASS method) at the end of clinical shifts.
Professionalism
- Take primary ownership and advocacy for assigned patients (minimum 3 new patients per week) , ensuring all aspects of their care are addressed.
- Uphold strict patient confidentiality and ethical standards in all clinical and professional interactions.
- Demonstrate punctuality, reliability and strong work ethics adhering to the call schedule.
- Assess personal clinical limitations and promptly seek assistance from senior residents or attendings when patient safety or clinical complexity dictates.
Practice Based Learning and Improvement
- Use current medical literature to answer clinical questions that arise during patient care and integrate these findings into the team's management plan.
- Actively solicit feedback from residents and attendings and incorporate this feedback to modify and improve daily clinical performance.
- Participate in Mortality and Morbidity (M&M) conferences to identify systemic or cognitive areas for quality improvement.
Systems-Based Practice
- Collaborate effectively with multidisciplinary team members, including nurses, respiratory therapists, pharmacists, and social workers, to optimize patient outcomes.
- Organize safe and timely discharge plans by anticipating patient needs early in the hospital stay and coordinating with case management.
- Understand the multimodality approach to patient with malignant colorectal conditions
Student Expectations and Responsibilities
- Rounding: Pre-round on all assigned patients prior to morning team rounds. Have all vital signs, lab results, and imaging interpreted and ready to present.
- Operating Room: Prepare for the OR by reviewing the patient's chart, relevant anatomy, and the planned surgical steps.
- Call Schedule: Complete a minimum of
- 4 weekdays on call (1 weekday (7:00am – 7 pm ) / week )
- 1 day per weekend (either a Saturday or Sunday 8:00 am -8:00 pm)/ per week
- Quantity target: The students is expected to take ownership of a minimum of 5 patients per week
- Didactics: Attend all mandatory departmental educational conferences, including Grand Rounds, M&M, and colorectal -specific lectures.
Evaluation and Assessment
The students are continuously evaluated through direct observation of their presentations and procedures performance with immediate verbal feedback and written evaluation by the end of the rotation. The final grade (Pass, Fail) will be based on:
- Clinical Evaluations (80%): Composite scores from attendings and chief residents assessing the student's ability to meet the competency-based objectives outlined above.
- Case Presentation (20%): A 15-minute formal presentation on a specific trauma patient, requiring the student to analyze the clinical course and appraise relevant current literature, delivered during the final week of the rotation.
Appendix 2:
Course Title: Sub-Internship in Hepato Pancreatic Biliary Surgery
Duration: 2 Weeks
Course Description
The Fourth-Year Sub-internship is a 2-4-weeks course in Hepato-Pancreato-Biliary (HPB) Surgery designed to immerse the 4th-year student in all aspects of HPB Surgery. This rotation will provide students with the basic components of liver, pancreas, and biliary disorders and surgeries, as well as the comprehensive care of patients with these conditions. The student will be an integral part of the surgical team in the inpatient unit, the operating room, the surgical clinic, and the emergency department. The student will function as an acting intern responsible for the evaluation and continued management of their own patients, under the direct supervision of attending physicians, fellows, and residents. The student is expected to take ownership of a minimum of 5 patients per week (quantity target).
General Objective
By the end of this 2-week sub-internship, the Med 4 student will be able to:
- Function as an acting intern, assuming primary responsibility for the comprehensive perioperative management of HPB patients.
- Evaluate new and established patients in both the inpatient and outpatient settings.
- Perform and assist in basic bedside, clinic, and operating room procedures safely under direct supervision.
- Apply evidence-based medicine principles to help guide patient care and formulate management plans.
Specific Objectives (Core Competencies)
Patient Care
- Perform initial history and physical examinations, write orders, and assist in coordinating patient care.
- Identify the various symptoms and signs of HPB pathologies such as liver failure abdominal findings in the setting of pancreatic cancer (e.g., Courvoisier's sign) and systemic inflammatory responses in acute pancreatitis and the various pathology related to surgical jaundice etc...
- Assist in office and bedside procedures appropriate to the HPB specialty, such as drain removals and wound care.
- Perform or assist in ward and OR procedures appropriate to educational level and patient safety, including Foley catheter placement, nasogastric tube insertion, preparing and draping for surgery, assisting with complex surgeries (e.g., hepatectomies, Whipple procedures), and closure of surgical wounds.
- Identify the main postoperative complications of HPB surgeries (e.g., post-Whipple complications, pancreatic leaks, liver failure) and understand the principles of their management.
Medical Knowledge
- Demonstrate an understanding of the pathophysiology, diagnosis, and treatment of common benign and malignant liver, pancreatic, and biliary disorders, including emergency conditions.
- Understand the comprehensive perioperative management of surgical patients.
- Liver Disease and Portal Hypertension:
- Understand liver anatomy (essential to avoid surgical complications) and liver physiology.
- Understand the Child-Pugh classification of liver failure and its importance in clinical decision-making.
- Understand the pathophysiology of portal hypertension in the setting of liver cirrhosis and the management of its complications (e.g., variceal bleeding).
- Differentiate between common benign and malignant (primary and metastatic) liver lesions radiologically, and understand their surgical options (e.g., common liver hepatectomies).
Pancreatic Cancer:
- Understand the different types of pancreatic cancer (emphasizing adenocarcinoma and cystic neoplasms).
- Describe the anatomy of the pancreaticoduodenal complex and the diagnostic workup for painless jaundice.
- Differentiate between resectable, borderline resectable, and unresectable pancreatic cancer.
- Briefly explain the indications for neoadjuvant/adjuvant therapy and biliary stenting.
- Describe the Whipple procedure, its common complications, and palliative procedures.
Pancreatitis:
- List the most common etiologies, clinical presentation, and laboratory/imaging findings associated with acute pancreatitis.
- Understand prognostic scoring to identify severe pancreatitis and the timeline for interventional/surgical procedures.
- List potential acute and long-term sequelae of pancreatitis and their surgical management options.
- Understand the pathophysiology and surgical options for chronic pancreatitis.
Interpersonal and Communication Skills
- Deliver organized and accurate oral presentations during morning rounds and sign-outs.
- Formulate clear, specific clinical questions when requesting consultations from other medical and surgical specialties.
- Communicate empathetically and clearly to patients and their families, especially regarding complex oncologic diagnoses.
- Learn and perform safe transitions of care (e.g., utilizing the I-PASS method) at the end of clinical shifts.
Professionalism
- Take primary ownership and advocacy for assigned patients (minimum 3 new patients per week) , ensuring all aspects of their care are addressed.
- Uphold strict patient confidentiality and ethical standards in all clinical and professional interactions.
- Demonstrate punctuality, reliability and strong work ethics adhering to the call schedule.
- Assess personal clinical limitations and promptly seek assistance from senior residents or attendings when patient safety or clinical complexity dictates.
Practice Based Learning and Improvement
- Use current medical literature to answer clinical questions that arise during patient care and integrate these findings into the team's management plan.
- Actively solicit feedback from residents and attendings and incorporate this feedback to modify and improve daily clinical performance.
- Participate in Mortality and Morbidity (M&M) conferences to identify systemic or cognitive areas for quality improvement.
Systems-Based Practice
- Collaborate effectively with multidisciplinary team members, including nurses, respiratory therapists, pharmacists, oncologists, and gastroenterologists, to optimize patient outcomes.
- Organize safe and timely discharge plans by anticipating patient needs early in the hospital stay and coordinating with case management.
- Understand the multimodality approach to patients with malignant HPB conditions (e.g., coordinating with Medical and Radiation Oncology).
Student Expectations and Responsibilities
- Rounding: Pre-round on all assigned patients prior to morning team rounds. Have all vital signs, lab results (e.g., LFTs, tumor markers like CA 19-9), and imaging interpreted and ready to present.
- Operating Room: Prepare for the OR by reviewing the patient's chart, relevant complex HPB anatomy, and the planned surgical steps.
- Call Schedule: Complete a minimum of:
- 4 weekdays on call (1 weekday [7:00am – 7 pm] / week)
- 1 day per weekend (either a Saturday or Sunday 8:00 am - 8:00 pm / per week)
- Quantity target: The student is expected to take ownership of a minimum of 5 patients per week.
- Didactics: Attend all mandatory departmental educational conferences, including Grand Rounds, M&M, tumor boards, and HPB-specific lectures.
Evaluation and Assessment.
The students are continuously evaluated through direct observation of their presentations and procedure performance with immediate verbal feedback and written evaluation by the end of the rotation. The final grade (Pass, Fail) will be based on:
- Clinical Evaluations (80%): Composite scores from attendings and chief residents assessing the student's ability to meet the competency-based objectives outlined above.
- Case Presentation (20%): A 15-minute formal presentation on a specific HPB patient (e.g., a complex pancreas or liver case), requiring the student to analyze the clinical course and appraise relevant current literature, delivered during the final week of the rotation.
Appendix 3
Course Title: Sub-Internship in Trauma Surgery
Duration: 4 Weeks with different service permutations as below.
Course Description
The Trauma Surgery Sub-Internship is an intensive, 4-week clinical rotation designed to transition the senior medical student into the role of a surgical intern. Students will be integrated into the trauma team and will be expected to take primary responsibility for their patients under the direct supervision of senior residents, fellows, and attending surgeons. The rotation encompasses the initial evaluation in the trauma bay, operative interventions, critical care management (ICU), and ward-level post-operative care. The students is expected to take ownership of a minimum of 5 patients per week (quantity target)
General Objective
By the end of this 4-week sub-internship, the Med 4 student will be able to:
- Manage the comprehensive care of trauma patients from admission to discharge, functioning at the level of a first-year surgical resident.
- Execute the initial assessment and resuscitation of acutely injured patients utilizing Advanced Trauma Life Support (ATLS) protocols.
- Formulate evidence-based diagnostic and therapeutic plans for critically ill surgical patients.
- Perform basic bedside and emergency surgical procedures safely under direct supervision.
Specific Objectives (Core Competencies)
Patient Care
- Learn and perform primary and secondary surveys in the trauma bay to rapidly identify life-threatening injuries.
- Formulate and and implement daily management plans for assigned patients in both the intensive care unit and the surgical ward.
- Perform basic surgical procedures safely, including suturing, staple removal, Foley catheter placement, nasogastric tube placement, and FAST (Focused Assessment with Sonography for Trauma) exams.
- Document concise, and timely patient’s note including admission notes, daily progress notes, operative notes, and discharge summaries.
Medical Knowledge
- Demonstrate an understanding of the pathophysiology of hemorrhagic shock, traumatic brain injury, blunt and penetrating torso/abdominal and neck trauma, and orthopedic emergencies.
- Apply ATLS Protocols to patient scenarios.
- Critical Care: Understand the basics of ventilator management, fluid resuscitation, massive transfusion protocols, and nutritional support in the critically ill surgical patient.
Interpersonal and Communication Skills
- Deliver organized and accurate oral presentations during morning rounds and sign-outs.
- Formulate clear, specific clinical questions when requesting consultations from other medical and surgical specialties.
- Communicate empathetically and clearly to patients and their families.
- Learn and perform safe transitions of care (e.g., utilizing the I-PASS method) at the end of clinical shifts.
Professionalism
- Take primary ownership and advocacy for assigned patients, ensuring all aspects of their care are addressed.
- Uphold strict patient confidentiality and ethical standards in all clinical and professional interactions.
- Demonstrate punctuality, reliability and strong work ethics adhering to the call schedule.
- Assess personal clinical limitations and promptly seek assistance from senior residents or attendings when patient safety or clinical complexity dictates.
Practice Based Learning and Improvement
- Use current medical literature to answer clinical questions that arise during patient care, and integrate these findings into the team's management plan.
- Actively solicit feedback from residents and attendings and incorporate these feedbacks to modify and improve daily clinical performance.
- Participate in Mortality and Morbidity (M&M) conferences to identify systemic or cognitive areas for quality improvement.
Systems-Based Practice
- Collaborate effectively with multidisciplinary team members, including nurses, respiratory therapists, pharmacists, and social workers, to optimize patient outcomes.
- Organize safe and timely discharge plans by anticipating patient needs early in the hospital stay and coordinating with case management.
- Understand the regional trauma system, the criteria for trauma team activation, and the triage of patients to appropriate levels of care.
Student Expectations and Responsibilities
- Rounding: Pre-round on all assigned patients prior to morning team rounds. Have all vital signs, lab results, and imaging interpreted and ready to present.
- Trauma Bay: Respond to all highest-level trauma activations while on shift.
- Operating Room: Prepare for the OR by reviewing the patient's chart, relevant anatomy, and the planned surgical steps.
- Call Schedule: Complete a minimum of
- 4 weekdays on call (1 weekday (7:00am -12 am) / week )
- 1 day per weekend (either a Saturday or Sunday 8:00 am -8:00 pm )/ per week
- Quantity target: The students is expected to take ownership of a minimum of 5 patients per week
- Didactics: Attend all mandatory departmental educational conferences, including Grand Rounds, M&M, and trauma-specific lectures.
Evaluation and Assessment
The students are continuously evaluated through direct observation of their presentations and procedures performance with immediate verbal feedback and written evaluation by the end of the rotation. The final grade (Pass, Fail) will be based on:
- Clinical Evaluations (80%): Composite scores from attendings and chief residents assessing the student's ability to meet the competency-based objectives outlined above.
- Case Presentation (20%): A 15-minute formal presentation on a specific trauma patient, requiring the student to analyze the clinical course and appraise relevant current literature, delivered during the final week of the rotation.
Appendix 4
Course Title: Sub-Internship in General and Endocrine Surgery
Duration: 4 Weeks
Course Description
The Fourth-Year Sub-internship is a 2-4-weeks course in Colon and Rectal Surgery designed to immerse the 4th-year student in all aspects of Colon and Rectal Surgery at HMC. This rotation will provide students with the basic components of colon and rectal disorders and surgeries and the care of patients with these disorders. The student will be an integral part of the surgical team in the inpatient unit, the operating room, the surgical clinic, and the emergency department. The student will function as an acting intern responsible for the evaluation and continued management of their own patients, under the direct supervision of attending physicians, fellows and residents. The students is expected to take ownership of a minimum of 5 patients per week (quantity target)
General Objective
By the end of this sub-internship, the Med 4 student will be able to:
- Function as an acting intern, assuming primary responsibility for the comprehensive perioperative management of colorectal patients.
- Evaluate new and established patients in both the inpatient and outpatient settings.
- Perform and assist in basic bedside, clinic, and operating room procedures safely under direct supervision.
- Apply evidence-based medicine principles to help guide patient care and formulate management plans.
Specific Objectives (Core Competencies)
Patient Care
- Function as an acting intern, assuming primary responsibility for the comprehensive perioperative management of general and endocrine surgery patients.
- Evaluate new and established patients in both inpatient and outpatient settings.
- Perform and assist in basic bedside, clinic, and operating room procedures safely under direct supervision.
- Apply evidence-based medicine principles to help guide patient care and formulate management plans.
- Perform initial history and physical examinations, write orders, and assist in coordinating patient care.
- Perform or assist in ward and OR procedures appropriate to educational level and patient safety, including: Foley catheter placement, nasogastric tube insertion, preparing and draping for surgery, assisting with surgery, and closure of surgical wounds.
- To identify the main postoperative complications of colorectal understand the principle of treatment
- To be familiar with the postoperative follow up protocol for the main general surgery and endocrine surgery procedures
Medical Knowledge
- Demonstrate an understanding of the pathophysiology, diagnosis, and treatment of common benign and malignant general surgery and endocrine surgery disorders.
- Understand the comprehensive perioperative management of surgical patients.
- Use evidence-based medicine principles to help guide patient care and clinical decision-making.
- Specific Fundamental Medical Knowledge expected:
- Understand the initial workup and management of thyroid nodules, including the role of Fine Needle Aspiration (FNA) and the Bethesda system.
- Understand the pathophysiology, diagnosis, and surgical indications for primary, secondary, and tertiary hyperparathyroidism.
- Be familiar with the workup of adrenal incidentalomas and functional adrenal tumors (e.g., pheochromocytoma, hyperaldosteronism).
- Determine a framework for the treatment and management of acute biliary disease and complicated hernias, bowel surgery and soft tissue tumors.
Interpersonal and Communication Skills
- Deliver organized and accurate oral presentations during morning rounds and sign-outs.
- Formulate clear, specific clinical questions when requesting consultations from other medical and surgical specialties.
- Communicate empathetically and clearly to patients and their families.
- Learn and perform safe transitions of care (e.g., utilizing the I-PASS method) at the end of clinical shifts.
Professionalism
- Take primary ownership and advocacy for assigned patients (minimum 3 new patients per week) , ensuring all aspects of their care are addressed.
- Uphold strict patient confidentiality and ethical standards in all clinical and professional interactions.
- Demonstrate punctuality, reliability and strong work ethics adhering to the call schedule.
- Assess personal clinical limitations and promptly seek assistance from senior residents or attendings when patient safety or clinical complexity dictates.
Practice Based Learning and Improvement
- Use current medical literature to answer clinical questions that arise during patient care and integrate these findings into the team's management plan.
- Actively solicit feedback from residents and attendings and incorporate this feedback to modify and improve daily clinical performance.
- Participate in Mortality and Morbidity (M&M) conferences to identify systemic or cognitive areas for quality improvement.
Systems-Based Practice
- Collaborate effectively with multidisciplinary team members, including nurses, respiratory therapists, pharmacists, and social workers, to optimize patient outcomes.
- Organize safe and timely discharge plans by anticipating patient needs early in the hospital stay and coordinating with case management.
- Understand the multimodality approach to patient with soft tissue and endocrine malignancies.
Student Expectations and Responsibilities
- Rounding: Pre-round on all assigned patients prior to morning team rounds. Have all vital signs, lab results, and imaging interpreted and ready to present.
- Operating Room: Prepare for the OR by reviewing the patient's chart, relevant anatomy, and the planned surgical steps.
- Call Schedule: Complete a minimum of
- 4 weekdays on call (1 weekday (7:00am – 7 pm ) / week )
- 1 day per weekend (either a Saturday or Sunday 8:00 am -8:00 pm)/ per week
- Quantity target: The students is expected to take ownership of a minimum of 5 patients per week
- Didactics: Attend all mandatory departmental educational conferences, including Grand Rounds, M&M, and colorectal -specific lectures.
Evaluation and Assessment
The students are continuously evaluated through direct observation of their presentations and procedures performance with immediate verbal feedback and written evaluation by the end of the rotation. The final grade (Pass, Fail) will be based on:
- Clinical Evaluations (80%): Composite scores from attendings and chief residents assessing the student's ability to meet the competency-based objectives outlined above.
- Case Presentation (20%): A 15-minute formal presentation on a specific trauma patient, requiring the student to analyze the clinical course and appraise relevant current literature, delivered during the final week of the rotation.
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