2023-2024 M3/M4 Course Syllabi
Medical Education
COURSE NUMBER:
28 01 18
TITLE:
ADVANCED ANATOMY OF THE HEAD AND NECK II: THE OPERATING ROOM
This two-week course builds directly upon the ADVANCED ANATOMY OF THE HEAD AND NECK I course, by placing the students who have successfully completed the ADVANCED ANATOMY OF THE HEAD AND NECK I course immediately into the operating rooms. Students interested in Neurosurgery, Ophthalmology, Ear Nose and Throat, Oral and Maxillofacial Surgery, or Neurology shall attend/assist in these subspecialty procedures. The students will then debrief with faculty to discuss the patient’s clinical findings, the procedure chosen to address it, the anatomical considerations that helped to drive the decision, the risks and benefits of the approach and then describe the relevant steps and landmarks. Any questions or points of clarification can be addressed by referring to the dissections performed in the prior weeks. This course provides the added benefit of applying the recently learned anatomic approaches and principles from the lectures and dissections of the lab into the operating room.
PREREQUISITES:
This course requires that students successfully complete the 280116 ADVANCED ANATOMY OF THE HEAD AND NECK I course.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
4
CREDIT WEEKS:
2
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Pass/Fail
COURSE QUALIFICATIONS:
COURSE TYPE:
Non-Clinical/Non-Research
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
2 Weeks
DIRECTOR:
Donald Lowrie, PHD
DJ.Lowrie@uc.edu
558-5032
Medical Science Building, MSB G454A
Charles Prestigiacomo
presticj@uc.edu
513-558-5032
MSB 5208A, 558-5387
ADMINISTRATIVE SUPPORT PERSON:
Donald Lowrie
DJ.Lowrie@uc.edu
558-5032
Medical Science Building, MSB G454A
SITE(S):
Goodyear Lab
UCMC/CCHMC Neurosurgery
MAX ENROLL:
8 
ROTATIONS:
Rotation Dates Max
10 02/19/2024 - 03/01/2024 8

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:
8am-4pm Monday - Friday
REPORT 1ST DAY:
Goodyear Lab

INSTRUCTION

LEARNING ACTIVITIES:
  • 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.
TEACHING:
50% Attending Physician
25% Other Faculty
25% Fellow Physician
FEEDBACK:
ASSESSMENT:
 Students will participate in the operating room surgeries.  They will then present these as part of case discussions with faculty.  Students will also complete select procedures on cadavers.

ASSESSMENT METHODS:
Oral Patient Presentation
Participation
FINAL GRADE:
GRADE ASSIGNED BY:

OBJECTIVES

Curricular Resources :
Lecture PPTs, online self-study modules, reference articles
Instructional Methods:
DETAILED OVERVIEW AND CURRICULUM

The Advanced Anatomy of the Head and Neck II: The Operating Room is a two-week elective offered in March of the M4 year.  Students will receive 2 weeks of elective credit upon successful completion of all 80 hours of didactic, laboratory, and surgical activities.  Activities in the Advanced Anatomy of the Head and Neck II Elective include, but are not limited to, the following:

·         Surgical activities with participation in complex cases

·         didactic sessions conducted by the students and moderated by faculty to discuss the relevant anatomy of the cases

·         preparation of a portfolio of relevant anatomy

·         relevant anatomical and surgical approach reference papers

Upon completion of course activities, students taking the elective will be evaluated by the faculty.  At the end of the first week, the student will receive formative feedback from the course director or other faculty member about their performance in the activities listed above, including ways to improve.

DESCRIPTION OF COURSE ACTIVITIES

Didactic/interactive sessions

Interactive presentations will be given by teaching faculty to review the anatomy relevant to a dissection activity or surgical activity.  In most cases, the content will review anatomy learned in the M1 year, and then extend that knowledge to anatomy from a surgical point of view.

Topics for didactic / interactive activities include, but are not limited to, the following:

·         Surgery of the skull base

·         Surgery of the temporal bone

·         Surgery of the orbit

·         Surgery of the occiput and cervical spine

·         Surgery of the midface and pterygopalatine fossa

·         Surgery of the lower face and jaw

·         Surgery of the visceral and somatic neck

Debrief/Case Presentation Activities

Students will spend the afternoons discussing with faculty the surgeries that were observed for the day with specific attention focused on the indications, alternatives, rationale for choosing the approach and the relevant approach corridors used during surgery.

Topics for these activities will be determined days prior to the activity by the faculty member to ensure each student is exposed to the various procedures from different specialties.  Multidisciplinary cases will be emphasized throughout the course. 

Students will enhance the presentations by the end of the course to include relevant references (video or published papers) describing the approaches and procedures.  Student portfolios of observed approaches and intraoperative photos will enhance the experience.
Knowledge/Skills:
Knowledge/Skills/Procedures/Performance

The student should be able to:

  • Attend daily surgical procedures and conduct and participate in the active discussions that take place thereafter when presenting the cases of the day.
  • Complete dissection and operating room activities as assigned.
  • Submit drawings (as necessary per case) or video (for one case if available) of dissected structures.
  • Submit relevant references describing the various approaches observed.
Attitudes (include professional attitudes/behaviors)

The student should be able to:

  • Demonstrate responsibility by coming to sessions on time and prepared
  • Interact with faculty during didactic sessions, dissections, and operating room sessions
Main Course Topics :
·         Surgery of the skull base

·         Surgery of the temporal bone

·         Surgery of the orbit

·         Surgery of the occiput and cervical spine

·         Surgery of the midface and pterygopalatine fossa

·         Surgery of the lower face and jaw

·         Surgery of the visceral and somatic neck
Procedures:
Assist in surgical procedures as required
Remediation Plan:
 Attendance is required for all course sessions, exceptions can be made in emergencies on a case-by-case basis.

SAMPLE WEEK

Monday:
8:00AM 12:00PM attend / assist in surgical procedures
1:00PM 4:00PM debrief / case presentation activities
Tuesday:
8:00AM 12:00PM attend / assist in surgical procedures
1:00PM 4:00PM debrief / case presentation activities
Wednesday:
8:00AM 12:00PM attend / assist in surgical procedures
1:00PM 4:00PM debrief / case presentation activities
Thursday:
8:00AM 12:00PM attend / assist in surgical procedures
1:00PM 4:00PM debrief / case presentation activities
Friday:
8:00AM 12:00PM attend / assist in surgical procedures
1:00PM 4:00PM debrief / case presentation activities
SCHEDULE NOTE:

DESCRIPTION OF COURSE ACTIVITIES

 

Didactic/interactive sessions

Interactive presentations will be given by teaching faculty to review the anatomy relevant to a dissection activity or surgical activity.  In most cases, the content will review anatomy learned in the M1 year, and then extend that knowledge to anatomy from a surgical point of view.

Topics for didactic / interactive activities include, but are not limited to, the following:

·         Surgery of the skull base

·         Surgery of the temporal bone

·         Surgery of the orbit

·         Surgery of the occiput and cervical spine

·         Surgery of the midface and pterygopalatine fossa

·         Surgery of the lower face and jaw

·         Surgery of the visceral and somatic neck

 

 Debrief/Case Presentation Activities

Students will spend the afternoons discussing with faculty the surgeries that were observed for the day with specific attention focused on the indications, alternatives, rationale for choosing the approach and the relevant approach corridors used during surgery.

Topics for these activities will be determined days prior to the activity by the faculty member to ensure each student is exposed to the various procedures from different specialties.  Multidisciplinary cases will be emphasized throughout the course. 

Students will enhance the presentations by the end of the course to include relevant references (video or published papers) describing the approaches and procedures.  Student portfolios of observed approaches and intraoperative photos will enhance the experience.

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.




University of Cincinnati College of Medicine | MedOneStop | Contact Us
Alerts | Clery and HEOA Notice | Notice of Non-Discrimination | eAccessibility Concern | Privacy Statement | Copyright Information
© 2024 University of Cincinnati