2024-2025 M3/M4 Course Syllabi
Surgery
COURSE NUMBER:
22 01 01
TITLE:
ELECTIVE JR INTERNSHIP GEN SURGERY -ICE
This elective provides both inpatient and outpatient experience in general surgery at the acting internship level with preoperative, intra and postoperative exposure to a wide variety of patients.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Successful completion of third year core clerkship in Surgery and Internal Medicine.
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: NO
COURSE LENGTH:
4 wks
DIRECTOR:
Latifa Silski
sagesila@ucmail.uc.edu

Jennifer Colvin
colvinjs@ucmail.uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Nicole Norman
normanno@ucmail.uc.edu
513-558-2134
MSB, 1586
SITE(S):
CCHMC - Cincinnati Children's Hospital
Christ Hospital
Good Samaritan Hospital
UCMC - University of Cincinnati Medical Center
VAMC
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 1
2 06/03/2024 - 06/28/2024 0
3 07/01/2024 - 07/26/2024 2
4 07/29/2024 - 08/23/2024 3
5 08/26/2024 - 09/20/2024 3
6 09/23/2024 - 10/18/2024 2
7 10/21/2024 - 11/15/2024 2
8 11/18/2024 - 12/13/2024 2
9 12/16/2024 - 01/10/2025 2
10 01/13/2025 - 02/07/2025 2
11 02/10/2025 - 03/07/2025 2
12 03/10/2025 - 04/04/2025 0
13 04/07/2025 - 05/02/2025 2

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:
6:30 a.m. to 7:30 p.m. - on call every third night
REPORT 1ST DAY:
Information will be sent out from the coordinator to contact the Chief Resident on service for first day meeting time/place.

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)
  • Journal Club
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
  • Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
  • Ward Rounds
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:
35% Attending Physician
50% Senior Resident
15% Junior Resident
FEEDBACK:
ASSESSMENT:
 Clinical Preceptor Assessments

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Participation
Self-Assessment
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
 1. Submission by the student of a rough copy of a computer-based literature search conducted while taking the elective, or documentation of other literature retrieval activities during the elective.
Instructional Methods:
Clinical Experience - Inpatient
Knowledge/Skills:
   1. Illustrate improved presentation skills.
   2. Display improved fund of knowledge.
   3. Display an increased analytical ability to determine and prioritize relevant information.
   4. Demonstrate the ability to complete an accurate physical examination.
   5. Demonstrate the ability to organize a complex patient.
   6. Determine the patient's major active problem(s).
   7. Demonstrate the ability to formulate a differential diagnosis for the major active problem(s).
   8. Acquire and improve skills in -
       a. The diagnostic and preoperative evaluation of surgical diseases.
       b. The use of laboratory and radiological procedures in the diagnosis and management of surgical diseases.
       c. The intraoperative care of surgical patients.
       d. The postoperative care of surgical patients, especially the management of wounds, respiratory and metabolic problems and complications.
       e. The performance of weekly physicals and histories.
       f. The evaluation of the results of both operative and nonoperative treatment of surgical diseases.
Main Course Topics :

  1. Training in critical review of literature.
  2. Ethical discussions.
  3. Risk/benefit issues.
Procedures:
   1. Use minor ward surgical procedures such as central line insertion, thoracentesis, tube thoracostomy, venous cut down, and arterial line insertion.
   2. Perform minor operating room procedures.
Remediation Plan:
 Specific components of the course will be remediated as necessary on an individual basis per University policy and Course Syllabi.

SAMPLE WEEK

Monday:
8:00AM 10:00AM Rounds two (2) times daily
10:00AM 3:00PM Operating Room
3:00PM 6:00PM OR/Rounds
Tuesday:
8:00AM 9:00AM Clinic
9:00AM 12:00PM Rounds two (2) times daily
12:00PM 6:00PM Library time for assigned readings
Wednesday:
7:00AM 8:00AM Grand Rounds
8:00AM 9:00AM Morbidity & Mortality
9:00AM 10:00AM Curriculum Conference
10:00AM 11:30AM Round two (2) times daily
11:30AM 6:00PM Operating Room
Thursday:
8:00AM 9:30AM Rounds two (2) times daily
9:30AM 10:30AM Operating Room
10:30AM 3:30PM Meet with preceptor
Friday:
8:00AM 9:30AM Rounds two (2) times daily
9:30AM 10:30AM Clinic
10:30AM 3:30PM Operating Room
SCHEDULE NOTE:

NOTE ALSO PARTICIPATION EXPECTED

SATURDAY:  (7:30 AM) Rounds/(8:00 AM) VA Medical Center Conference

 SUNDAY:  (7:30 AM) Rounds (if on call)

 Daily - Library time and independent study if time permits

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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