2024-2025 M3/M4 Course Syllabi
Surgery
COURSE NUMBER:
22 01 88
TITLE:
VASCULAR SURGERY ROTATION -ICE
This elective provides both inpatient and outpatient experience in the management and diagnosis of vascular disorders at the acting internship level with preoperative, intra and postoperative exposure to a wide variety of patients. The student will become familiar with basic principles of endovascular surgery including arterial and venous access, wire and catheter use, and basic devises.
PREREQUISITES:
26980373 (SURGERY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Completed all required third year clinical rotations, including general surgery
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
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: NO
COURSE LENGTH:
4 wks
DIRECTOR:
Sung Yang
yangs4@ucmail.uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Nicole Norman
normanno@ucmail.uc.edu
513-558-2134
MSB, 1586
SITE(S):
UC Health Medical Center
UC Health-WestChester
UCMC - University of Cincinnati Medical Center
West Chester Medical Center
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 1
2 06/03/2024 - 06/28/2024 1
3 07/01/2024 - 07/26/2024 1
4 07/29/2024 - 08/23/2024 1
5 08/26/2024 - 09/20/2024 1
6 09/23/2024 - 10/18/2024 1
7 10/21/2024 - 11/15/2024 1
8 11/18/2024 - 12/13/2024 1
9 12/16/2024 - 01/10/2025 1
10 01/13/2025 - 02/07/2025 1
11 02/10/2025 - 03/07/2025 1
12 03/10/2025 - 04/04/2025 1
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:
6:00 AM - 6:00 pm + call (Monday-Friday)
REPORT 1ST DAY:
Alexandra Riestenberg will email you prior to the rotation with information regarding your first day.

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
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:
30% Attending Physician
30% Senior Resident
30% Junior Resident
10% Other Allied Health Professional(s)
FEEDBACK:
ASSESSMENT:
 Clinical Preceptor Assessments

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

OBJECTIVES

Curricular Resources :
1. Robert Rutherford – Vascular Surgery
2. R. James Valentine – Anatomic Exposures in Vascular Surgery
3. Journal of Vascular Surgery
4. Annals of Vascular Surgery
Instructional Methods:
  1. Clinical Experience - Ambulatory
  2. Clinical Experience - Inpatient
  3. Conference
  4. Lectures
  5. Independent Learning
Knowledge/Skills:
1. Illustrate and improve presentation skills.
2. Display improvement in fund of knowledge. Understand arterial and venous disease.
3. Become familiar with noninvasive arterial studies.
4. Understand risks and benefits of vascular procedures.
5. Display the ability to determine and prioritzie relevent information.
6. Demonstrate the ability to interview, examine and manage patients who present with acute or chronic vascular disease and become familiar with common vascular surgery emergencies and their initial management.
7. Demonstrate the ability to synthesize assessments and plans on complex patients.
8. Demonstrate the ability to formulate a differential diagnosis for new consults.
9. Acquire and improve skills in
a. The diagnostic and preoperative evaluation of vascular diseases and the use of laboratory and radiological procedures in the mangement of those diseases.
b. How to manage post operative vascular surgery patients with particular attention to cardiopulmonary status, fluid balance, anticoagulation, and the status of vascular perfusion.
c. The intraoperative care of surgical patients.
d.  The performance of history and physical exams. 
e.  The evaluation of test results of both operative and non-operative management of vascular surgery diseases.
Main Course Topics :
1. Training in critical review of literature
2. Ethical discussions
3. Cerebrovascular disease
4. Aneurysmal arterial disease
5. Peripheral occlusive arterial disease
6. Venous disease
Procedures:
1. Students will be responsible for finding a patient, which they can present during Wednesday teaching rounds. The presentation is a formal presentation during walk rounds and will consist of the past medical history, significant surgical and social history, a focused physical exam, hospital course, and the plan for the patient.
2. Become familiar with basic principles of endovascular surgery including arterial and venous access, wire and catheter use, and basic devises.
3. Perform minor operating 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:
6:00AM 7:00AM Pre Rounds
7:00AM 8:00AM Walk Rounds
8:00AM 6:00PM OR, Inpatient
Tuesday:
6:00AM 7:00AM Pre Rounds
7:00AM 8:00AM Walk Rounds
8:00AM 6:00PM OR, Inpatient
Wednesday:
6:00AM 7:00AM Pre Rounds
7:00AM 8:00AM Grand Rounds
8:00AM 9:00AM M & M
9:00AM 10:00AM Education Conference
10:00AM 12:00PM Non-Invasive Lab Conference
12:00PM 6:00PM OR, Inpatient
Thursday:
6:00AM 7:00AM Pre Rounds
7:00AM 8:00AM Walk Rounds
8:00AM 6:00PM OR, Inpatient
Friday:
6:00AM 7:00AM Pre Rounds
7:00AM 8:00AM Walk Rounds
8:00AM 6:00PM Clinic
SCHEDULE NOTE:

INSTRUCTION

TYPE/FORMAT

4 hrs      Outpatient/ambulatory care experience 

30 hrs    Inpatient ward experience

10 hrs    Inpatient consult experience

2 hrs      Library time/independent study

7 hrs      Lectures, conferences, seminars, grand rounds, etc.

25 hrs     minimum of 40 hrs per wk required for full time credit

78 hrs total 

   

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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