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Students participating in a General Surgery elective rotation become an integral
part of the residency program as a student member of the resident team and are
supervised by the Chief Resident and Attendings on each service. Students are
fully integrated into the service and are expected to participate in all teaching
conferences, Grand Rounds, clinics, and attend core curriculum conference two hours
per week. Under the supervision of the Chief Resident and faculty, students
participate in the management of general surgical in-patients, preoperative
evaluations, and outpatient clinic.
The program offers surgery rotations in the following areas:
General Surgery/ Trauma
Objectives for this elective include:
- Understand the basic principles of care of the trauma victim.
- Develop skills in initial evaluation and work-up in the acute setting
- Develop experience in hemodynamic monitoring, ventilator management, nutritional support, sepsis, and organ failure
- Develop an understanding of the comprehensive management of trauma patients and care of patients with head and neck, chest, abdomen, and extremity injury
- Demonstrate an understanding of how to approach the assessment, resuscitation, stabilization, and provision of definitive care for the trauma victim.
- Demonstrate an understanding of appropriate use of diagnostic imaging modalities for evaluation of the trauma victim.
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General Thoracic
Objectives for this elective include:
- Understand technical aspects of surgery on the esophagus, lung, pleura, trachea, bronchi, chest wall, mediastinum, pericardium, and diaphragm
- Understand preoperative management and the basis for perioperative management in thoracic patients.
- Develop the capability to recognize the spectrum of esophageal & pulmonary diseases that relate to the components of general surgery.
- Develop an understanding of operative techniques (vein harvest, vascular anastamoses, and chest tube placement).
- Develop an understanding of critical care skills including ventilator management.
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Bariatric Surgery
Objectives for this elective include:
- Describe the indications, criteria for assessment, procedures, complications, and outcomes of obesity operations.
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List the indications for a bariatric procedure.
- BMI>40 kg/m²
- BMI>35 kg/m² with co-morbidities
- Explain the significant co-morbidities of morbid obesity and how to assess them if the patient has them, both on history and physical exam.
- Lap band
- Roux en Y gastric bypass
- Lateral gastrectomy with duodenal switch and biliary diversion
- Describe the acute and chronic post operative problems common to the bariatric patient and how to recognize them.
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Critical Care
Objectives for this elective include:
- Rapidly and efficiently identify various shock states both compensated and uncompensated and know how to deliver appropriately targeted therapy.
- Become aware of mechanical ventilator management.
- Understand how to diagnose and treat organ system failures.
- Understand treatment algorithms for surgical infections
- Gain familiarity with metabolic abnormalities encountered in surgical critical care.
- Gain familiarity with common cardiac arrhythmia's (AF, SVT, heart block) and their optimal management.
- Gain familiarity with indications and complications of IJ and subclavian type central line, PA catheter and chest tube placement skills.
- Gain familiarity with indications and complications of tracheostomy, both open and percutaneous.
- Gain familiarity with indications and complications of bronchoscopy.
This page was last updated on
9/6/2005
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