2024-2025 M3/M4 Course Syllabi
Surgery
COURSE NUMBER:
22 01 61
TITLE:
ORGN TRNSPLTN & TRNSPLT IMMUNO -ICE
This elective includes multidisciplinary conferences including; liver/kidney transplant listings, HPB tumors, complex vascular access. Students are expected to present in front of multidisciplinary team that included medical and surgical providers. Students will be rounding with the team in the morning and expected to be present in the OR. The students have a unique opportunity to be first assist in deceased donor recovery cases. Students are exposed to complex care of patients with end stage renal disease, end stage liver disease and hepatobiliary disorders. The service offers educational experiences with critically ill patients and the opportunities to be exposed to hematologic derangements, organ failure, immunology, infectious deceases and ethics. Emphasis will be on the bases of disease processes as well as surgical techniques.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Successful completion of the third year Surgery core clerkship 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
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):
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 2
2 06/03/2024 - 06/28/2024 2
3 07/01/2024 - 07/26/2024 2
4 07/29/2024 - 08/23/2024 2
5 08/26/2024 - 09/20/2024 2
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 2
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:
Varies
REPORT 1ST DAY:
Email/Call/Page resident or report to transplant offices.

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--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:
50% Attending Physician
25% Senior Resident
25% Junior Resident
FEEDBACK:
ASSESSMENT:
 Clinical Preceptor Assessments

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

OBJECTIVES

Curricular Resources :
  1. Operative Techniques in Transplantation Surgery. Michael J. Englesbe  ISBN-13.978-1451188745 
  2. Kidney Transplantation: Principles and Practice, 4th edition.  Peter J. Morris ed., WB Saunders 1994.
  3. Atlas of Organ Transplantation 1st edition.  Thomas Starzl, Ron Shapiro, Richard L. Simmons, ed., Gower 1991.
  4. Liver Transplantation:  A 31 year perspective, Part I, II, III.  Current Problems in Surgery.  Feb, March and April 1990.
Instructional Methods:
  • Clinical Experience - Inpatient
  • Clinical Experience - Ambulatory
  • Independent Study
  • Conferences
  • Lectures
Knowledge/Skills:
  1. Understand basic transplant selection processes and patient care
  2. Discuss organ procurement and preservation
  3. Understand basic transplant immunology
  4. Research techniques related to nutrition and infection
  5. Recognize infectious processes in immunosuppressed patients and their management
Main Course Topics :
  •   Kidney transplantation
  •   Transplant immunology
  •   Organ procurement
  •   Liver transplantation
  •   Pancreas transplantation
  •   Hepatobiliary disorders
Procedures:
   1. Place a central line (with supervision)
   2. Assist in operative procedures
Remediation Plan:
 Specific components of the course will be remediated as necessary on an individual basis under University policy and course syllabi.

SAMPLE WEEK

Monday:
8:00AM 12:00PM OR
12:00PM 1:00PM Rounds
1:00PM 2:00PM Rounds
2:00PM 6:00PM OR
Tuesday:
8:00AM 9:00AM OR
9:00AM 12:00PM Tx Clinic
12:00PM 1:00PM Liver Interdisciplinary Meeting
1:00PM 2:00PM Pre Tx Clinic
2:00PM 3:00PM Rounds
3:00PM 4:30PM Study
4:30PM 6:00PM Transplant Conference
Wednesday:
7:00AM 8:00AM Grand Rounds
8:00AM 9:00AM M & M Conference
9:00AM 12:00PM Hepatobiliary Clinic
12:00PM 2:00PM Pre-kidney Pancreas Transplant Clinic
2:00PM 3:00PM Rounds
3:00PM 6:00PM OR
Thursday:
7:30AM 2:00PM OR
2:00PM 3:00PM Rounds
3:00PM 6:00PM OR
Friday:
7:00AM 1:00PM OR
1:00PM 2:00PM Rounds
2:00PM 6:00PM OR
SCHEDULE NOTE:

Transplant is an unpredictable schedule with many deceased donors overnight.   This results in overnight liver/kidney transplantations.   The students are expected to learn pacing and communication to prevent them from becoming over extended.  This may result in an unpredictable schedule.  

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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