Maps Directories   
 

Third Year Clerkships

Surgery and Perioperative Medicine and Pain Management
10 weeks

Description

This clerkship is divided into four phases: four weeks of a general surgery service, two weeks of a subspecialty service, two weeks of one of the services that provides an experience in critical care and two weeks of anesthesiology. At the UCH, there are four general surgery services and a large number of surgery subspecialty services. Each handles patients with diseases classically associated with general surgery or the surgical subspecialty area. However, there are various emphases from service to service, and the student should familiarize him/herself with these subspecialty emphases if the student has a particular interest in such areas as breast surgery, transplantation surgery, endocrine surgery, etc. Students may also choose to do general surgery at MacNeal Hospital where the service is more general and students have an opportunity to see a more diverse spectrum of cases.

Students are considered a part of the team and are encouraged to participate actively in ward rounds, inpatient care, outpatient clinics, and the surgery of patients on his/her service. Students are encouraged to do outside reading and to attend the various weekly surgical conferences. A lecture series will be held at the U of C for all students. The lectures will run from 6:45am-7:30am on Mondays, Tuesdays, Thursdays and Fridays. Students also participate in case presentations and surgical pathology sessions at both sites.

Clinical Evaluation

A student’s clinical performance is evaluated and graded by the residents and faculty at U of C who work with the student on each rotation. They are asked to evaluate the student in several areas, including clinical acumen, interpersonal skills, and general knowledge. A written consensus evaluation is submitted to the departmental office by the designated faculty coordinator for that service.

Objectives

To understand the clinical presentation and management of patients with: gastrointestinal hemorrhage, small bowel obstruction, peptic ulcer disease, diverticular disease, jaundice, colorectal cancer, acute abdomen, breast cancer, and hernias. Objectives exist for subspecialties (too many to name here) and are presented to students at the beginning of the individual two-week rotations.

Evaluation of Clinical Clerks

  • 70% Clinical Performance
  • 20% NBME Subject Exam
  • 10% Oral exam

Required Textbooks

  • NMS Surgery Casebook by Bruce E Jarrell
  • Cope’s Diagnosis of Acute Abdomen by William Silen

Recommended Textbooks

  • Learning Surgery: The Surgery Clerkship Manual by Stephan F. Lowry
  • Blueprints Clinical Cases: Surgery by Michele Li