2018-2019 M3/M4 Course Syllabi
Surgery
COURSE NUMBER:
22 01 12
TITLE:
CARDIOTHORACIC SURGERY UH -ICE
Students will gain working knowledge of adult cardiac surgery and general thoracic surgery including the most common conditions, nature of risks, and pre- and postoperative care. An exciting look at cardiovascular physiology as applied to the patient is provided.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Must have completed the third year Surgery Core Clerkship
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
4 wks
DIRECTOR:
Sandra Starnes, MD
sandra.starnes@uc.edu
584-1387
ADMINISTRATIVE SUPPORT PERSON:
Bennie Patrick
patricbl@ucmail.uc.edu
513 558-2134
SRU, 1586
INSTRUCTOR:
Sandra Starnes, MD
SITE(S):
UCMC - University of Cincinnati Medical Center
University Hospital
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 07/02/2018 - 07/27/2018 1
2 07/30/2018 - 08/24/2018 1
3 08/27/2018 - 09/21/2018 1
4 09/24/2018 - 10/19/2018 1
5 10/22/2018 - 11/16/2018 1
6 11/26/2018 - 12/21/2018 1
7 01/02/2019 - 01/25/2019 1
8 01/28/2019 - 02/22/2019 1
9 02/25/2019 - 03/22/2019 1
10 03/25/2019 - 04/19/2019 1
11 04/22/2019 - 05/17/2019 1
12 05/20/2019 - 06/30/2019 1

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
6:00 a.m. - 6:00 p.m., M-F
REPORT 1ST DAY:
2472 MSB TBD 6:30 a.m..

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Clinical Experience - Inpatient (Nights)
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
ORIENTATION:
Cardiothoracic Surgery Clinicians
TEACHING:
50% Attending Physician
30% Senior Resident
20% Junior Resident
FEEDBACK:
Elective director
ASSESSMENT:
FINAL GRADE:
50% Clinical work performance evaluations
40% Attitude, e.g., professionalism, motivation etc
10% Topic presentation
GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

1.  Must demonstrate improved interpersonal skills.

2.  Must participate in patient care as an integral part of the surgical care team.

Curricular Resources :

Thoracic surgical packet (provided)

www.ctsnet.org


 

Knowledge/Skills:
  1. Demonstrate a working knowledge of adult cardiac surgery, as well as general thoracic surgery such as the most common conditions, the risks of operation, and the nature of pre- and postoperative care
  2. Apply the principles of cardiovascular physiology
Main Course Topics :
  Acquired and congenital cardiac pathophysiology
  Applied cardiopulmonary physiology
  Lung and esophageal pathophysiology
Objectives:

Goals: 

 

1.   To understand the preoperative evaluation and postoperative care of  cardiac and thoracic surgery patients.

2.   To demonstrate knowledge of the most common operations and their risks for adult cardiac and general thoracic surgical conditions. 

3.   To understand cardiovascular and pulmonary pathophysiology.          

 

Objectives:

 

1.         Assist in the diagnosis and preoperative evaluation of patients with cardiac and thoracic diseases.

 

            a.         benign and malignant lung disease

            b.         esophageal malignancy

            c.         benign esophageal disorders

            d.         benign and malignant pleural disease

            e.         coronary artery disease and its complications

            f.          valvular heart disease

                       

2.         Assess the pulmonary and cardiac systems using history and physical examination.

 

3.         Interpret CXR’s in pre-operative and post-operative thoracic and cardiac surgery patients.

 

4.         Assist in cardiac and thoracic surgical procedures.  Perform parts of a standard thoracotomy. 

 

5.         Understand the indications and contraindications of chest tube insertion.

 

6.         Perform chest tube placement in uncomplicated situations.

                                               

7.         Assist in the post-operative care of cardiac and thoracic surgical patients. 

 

8.         Demonstrates the ability to communicate effectively with patients and their families across all socioeconomic and cultural background.

 

Responsibilities:

 

1.         Attend and participate in daily rounds.

2.         Attend at least ½ day of clinic per week.

3.         Participate in the preoperative evaluation and care of cardiac and thoracic surgery patients.

4.         Participate in the postoperative care of cardiac and thoracic surgery patients.

5.         Assist in operative procedures for a variety of cardiac and thoracic surgeries.

6.         Attend cardiothoracic conferences and tumor boards.

7.         Read pertinent literature and textbook material.

 

 

Other Resources - Audiovisuals:

Slide Projectors

Overhead Projectors

Other Resources - Computer resources:
Other Resources - Other :

X-ray and image files

Viewboxes

 

Procedures:
 1. Demonstrate proficiency in obtaining venous access and wound closure.

SAMPLE WEEK

Monday:
6:00AM 7:00AM Rounds
7:30AM 4:00PM OR or Clinic
4:00PM 6:00PM Professor's Hour and Clinical Conference
Tuesday:
6:00AM 7:00AM Rounds
7:30AM 4:00PM OR
4:00PM 6:00PM Evening/teaching rounds
Wednesday:
6:00AM 7:00AM Rounds
7:00AM 8:00AM Dept. of Surgery Grand Rounds
10:00AM 11:00AM Thoracic Tumor Board
11:00AM 4:00PM OR
4:00PM 5:00PM Evening/teaching rounds
5:00PM 6:00PM Cardiothoracic Teaching Conference
Thursday:
6:00AM 7:00AM Rounds
7:30AM 4:00PM OR or Clinic
4:00PM 6:00PM Evening/ teaching rounds
Friday:
6:00AM 7:00AM Rounds
7:30AM 11:00AM OR
11:00AM 12:00PM Thoracic Tumor Board
12:00PM 4:00PM OR
4:00PM 5:00PM CT Preoperative Conference
SCHEDULE NOTE:

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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