SURGERY- UM HOSPITAL

GENERAL SURGERY (SEC), University Hospital

COURSE CODE: SURCC-I.801.U SUBINTERNSHIP/ICU

Instructors: Drs. Bartlett, Thompson, Burney, Schreiner

Responsible Agent: Dr. Bartlett; D2920 Taubman Center; 936-5822

Duration: 4 or 8 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
70% Inpatient Care
20% Outpatient/Specialty
10% Conferences/Lectures

Average number of patients seen each week: 30

On-call responsibility: Every 3-4 days

Where to Report First Day of Clerkship: Surgery Education Office; 2207 Taubman Health Center; 8:00 a.m.

Clerkship objectives beyond comprehensive care of patients including evaluation, diagnosis and therapy:
To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of a conference or journal club.

Additional objectives:
Thorough knowledge of surgical critical care.

Students will be evaluated on each of the following:
Quality of care given.
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.
Written/oral tests.

Course Description:
Fourth-year students are given more responsibilities than the third year clerks on Service. This includes primary responsibility for intensive care patients and primary responsibility in the operating room and on the wards. There is an opportunity to participate in ongoing clinical research projects. The SEC Service has the most diverse types of patients of any of the General Surgery services.

GASTROINTESTINAL SURGERY, University Hospital

COURSE CODE: SURGI-I.801.U SUBINTERNSHIP/ICU

Instructors: Drs. Eckhauser, Knol, Mulholland and Colletti

Responsible Agent: Dr. Colletti; 2922H Taubman Health Center;
936-7944

Duration: 4 or 8 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
70% Inpatient Care
20% Outpatient/Specialty
10% Conferences/Lectures

Where to Report First Day of Clerkship: Surgery Education Office; 2922G Taubman Center; 7:30 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.

Procedures:
CVP, SG Cath.
Chest tubes.
Minor wounds.

To increase student involvement in conferences, journal clubs, etc.
by having students:
Present patients and/or patient date.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of a conference or journal club.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
The number of patients given care.
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.
Written/oral tests (informal).

Course Description:
Students will be responsible for evaluating elective and urgent
admissions on a rotating schedule that corresponds to that of
the house officers. Student will be an active participant on the
service with supervised primary responsibility for inpatient
clinical care, evaluation of patients in an outpatient setting,
and participation in the O.R. Didactic teaching by faculty
occurs on a regularly scheduled basis.

SURGICAL INTENSIVE CARE & SURGICAL PHYSIOLOGY, University Hospital

COURSE CODE: SURICUI.601.U ICU

Instructors: Dr. R. Bartlett, R. Dechert, and ICU faculty

Responsible Agent: Dr. Bartlett; D2930 Taubman Health Center; 936-5822

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 6 Maximum

Distribution of student's time:
80% Inpatient Care
20% Conferences/Lectures

Average number of patients seen each week: 30

On-call responsibility: None

Where to Report First Day of Clerkship: SICU, 5D Hospital; 8:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interpretation of data.
Clinical judgment.
Procedures:
ICU procedures.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc.
by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of a conference or journal club.

Students will be evaluated on each of the following:
Participation and performance in conferences.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.

Course Description:
This rotation is a structured critical care experience emphasizing
acute pathophysiology, monitoring systems, and management
of respiratory, cardiac, renal, and host defense failure. Students
follow the course of all patients in the surgical ICU, with study
emphasis on specific organ systems as desired by the student
(rather than focus on specific patients). Students participate in
the critical care diagnostic service laboratory to learn specialized
techniques of ICU monitoring and management. Students are
encouraged to conduct a clinical research project during clerkship.

NEUROSURGERY, University Hospital

COURSE CODE: SURNRSI.801.U SUBINTERNSHIP/ICU

Instructors: Drs. Hoff, Muraszko and the Neurosurgery staff

Responsible Agent: Dr. Muraszko; 2128 Taubman Health Center; 936-5015

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
70% Inpatient Care
20% Outpatient/Specialty
10% Conferences/Lectures

Where to Report First Day of Clerkship: 2128 Taubman Health Center; 8:00 a.m.

Clerkship objectives beyond comprehensive care of patients including evaluation, diagnosis and therapy:
To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.

To increase student use/review of the medical literature:
As part of a conference or journal club.

Students will be evaluated on each of the following:
Quality of care given.
Participation and performance in conferences.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.

Course Description:
This course exposes the student primarily to hospitalized patients with neurosurgical problems including aneurysm, brain tumor, and spine diseases. Critical thinking in diagnosis and management will be stressed. The student will be a member of the neurosurgery HO team, taking part in ICS management and surgery on a regular basis.

SURGICAL ONCOLOGY, University Hospital

COURSE CODE: SURONCI.801.U SUBINTERNSHIP/ICU

Instructors: Drs. August, Chang, Sondak, Yahanda

Responsible Agent: Dr. Sondak; 2210 Taubman Health Center; 936-5732

Duration: 4 or 8 weeks

Periods Offered: All

Enrollment/Period: 1 Maximum

Distribution of student's time:
70% Inpatient Care
20% Outpatient/Specialty(Breast Clinic)
10% Conferences/Lectures

Average number of patients seen each week:
10 outpatient/10 inpatient

On-call responsibility: Every 3 days

Where to Report First Day of Clerkship: Surgery Education Office; 2207 Taubman Center; 8:00 a.m.

Clerkship objectives beyond comprehensive care of patients including evaluation, diagnosis and therapy:
To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of a conference or journal club.

Additional objectives:
Learn minor procedures i.e., central line placement, Swan-ganz placement.
Increase familiarity with critical care of general surgical patients.

Students will be evaluated on each of the following:
Quality of care given.
Participation and performance in conferences.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups, reports, and presentations.

Course Description:
This clerkship is designed to provide subinternship experience in general surgery for senior medical students and at the same time offer a concentrated exposure to surgical oncology. Students share primary responsibility for all aspects of patient management, including ICU patients, and participate in both major and minor surgical procedures. In addition, students will be involved in the management of patients on oncology treatment protocols and will have some exposure to relevant oncologic research. This is an excellent experience for students who plan a career in surgery and who have an interest in oncology.

OUTPATIENT ORTHOPEDICS, University Hospital

COURSE CODE: SURORTO.001.U

Responsible Agent: Dr. Sybil Biermann; 2912 Taubman; Box 0328; 936-5685

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
42.5% Outpatient/Primary Care
42.5% Outpatient/Specialty
15% Conferences/Lectures

Average number of patients seen each week: 80

On-call responsibility: None

Where to Report First Day of Clerkship: 2C224 University Hospital; 7:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Clinical judgment.

Procedures:
Casting, Splinting.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of a conference or journal club.

Additional Objectives:
Musculoskeletal examination.

Student will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Written/oral tests.

Course Description:
This rotation is an outpatient experience for individuals who don't need the operative orthopedic experience, especially students who are interested in Primary Care. Students will spend time in specialty outpatient clinics including sports medicine, orthopaedic oncology, arthritis, hand, trauma, spine and pediatrics. If participation on a single service (such as sports or pediatrics) is desired, students should sign up for SURORTP.001.U and plan on both an inpatient and outpatient experience.

ORTHOPAEDIC SURGERY, University Hospital

COURSE CODE: SURORTP.001.U

Instructors: Dr. Sybil Biermann

Responsible Agent: Dr. Sybil Biermann, 7304 CCGC, Box 0946, 936-9594

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: Five students per period

Distribution of student's time:
50% Inpatient Care
35% Outpatient/Specialty
15% Conferences/Lectures

Average number of patients seen each week: 30

On-call responsibility: Variable

Where to Report First Day of Clerkship: 2912 Taubman Center; 6:45 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions Clinical judgment.

Procedures:
Fracture Management.
Casting, Splinting.
Operative Techniques.

To increase student involvement in conferences, journal clubs, etc. by having students
Present patients and/or patient data

To increase student use/review of the medical literature
As part of a conference or journal club

Student will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Written/oral tests.

Course Description:
Students will be assigned to patient care teams for inpatient and outpatient experiences. Students will participate in patient care duties and operative procedures. Experiences are available in trauma; adult reconstruction (spine and joint replacement); pediatric orthopaedics; hand and orthopaedic oncology; and sports. Students will generally be assigned to one of the services at the University Hospital or the Pediatric Orthopaedic Service at Mott Hospital. Assignments will take place on the first day of the service and every effort will be made to accommodate each individuals request. However, if multiple students are requesting the same service all student may not get their first choice of service rotation.

PEDIATRIC SURGERY, Mott Hospital

COURSE CODE: SURPEDI.701.U SUBINTERNSHIP

Instructors: Drs. Coran, Polley, Hirschl, Teitelbaum, Harmon, Lelli, Adelman, Galladay, Geiger

Responsible Agent: Dr. Theodore Polley; F3970 Mott Children's Hospital; 764-4l5l

Duration: 4 or 8 weeks

Periods Offered: All

Enrollment/Period: 1 Maximum

Distribution of student's time:
70% Inpatient Care
20% Outpatient/Specialty
10% Conferences/Lectures

Where to Report First Day of Clerkship: F3970 Mott; 8:00 a.m.

Students will be evaluated on each of the following:
Quality of care given.
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Enthusiasm, willingness, ability to function as part of resident team.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.

Course Description:
These students will function like house officers on the pediatric surgical service, taking call approximately every third night and carrying a beeper. They will be an integral part of the service and will be responsible for writing orders, emergency resuscitation, placement of intravascular catheters and other tubes, and other management carried out by surgical H.O. I's and II's. Emphasis will be placed on the care of patients in the Pediatric Intensive Care Unit and Neonatal Intensive Care Unit. Students will assist with operations and actively participate in the outpatient clinic.

PLASTIC SURGERY CLERKSHIP, University Hospital

COURSE CODE: SURPLSI.001.U

Responsible Agent: Dr. Edwin Wilkins; 2130 Taubman Health Center; 936-5885

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
70% Inpatient Care
20% Outpatient/Specialty
10% Conferences/Lectures

On Call Responsibility: None

Where to Report First Day of Clerkship: Room 2130 Taubman Center; 8:00 a.m.

Clerkship Objective:
To enhance knowledge and skills pertaining to:
Clinical judgment.

Procedures:
Wound management.
Wound closure.
Decision-making in reconstructive problems.

To increase student involvement in conferences, journal clubs, etc. by having students:
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of a conference or journal club.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.

Course Description:
Broad exposure to reconstructive and plastic surgery including cancer reconstruction, hand surgery, craniofacial surgery, microsurgery and burn reconstruction.

PLASTIC SURGERY, Mott Hospital

COURSE CODE: SURPLSI.701.U SUBINTERNSHIP

Instructors: Dr. Wilkins

Responsible Agent: Dr. E. Wilkins; 2130 Taubman Center; 936-5885

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 1 Maximum

Distribution of student's time:
70% Inpatient Care
20% Outpatient/Specialty
10% Conferences/Lectures

Average number of patients seen each week: 20 - 30

On-call responsibility: Every seven days

Where to Report First Day of Clerkship: 2130 Taubman Center; 7:30 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interpretation of data.
Clinical judgment.

Procedures:
Suturing.
General wound management.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present Patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of a conference or journal club.

Students will be evaluated on each of the following:
Quality of care given.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.

Course Description:
Course designed for those considering career in plastic surgery and for students seeking to refine their surgical skills. Emphasis on active participation in surgical procedures and patient care.

TRANSPLANT SURGERY, University Hospital

COURSE CODE: SURTSPI.801.U SUBINTERNSHIP/ICU

Instructors: Drs. Campbell, Merion, Turcotte, Punch, Bromberg

Responsible Agent: Dr. Merion; 2926 Taubman Health Center; 936-7336

Duration: 4 or 8 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
65% Inpatient Care
25% Outpatient/Specialty
10% Conferences/Lectures

Average number of patients seen each week: 30

On-call responsibility: Every 3 days

Where to Report First Day of Clerkship: 2926D Taubman Center; 8:00 a.m.

Clerkship objectives beyond comprehensive care of patients including evaluation, diagnosis and therapy:
To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of conference or journal club.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment)
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.

Course Description:
Students will have the opportunity to experience all aspects of transplantation practice. This includes evaluation of potential liver, kidney and pancreas transplant recipients; participation in all aspects of donor and recipient operative transplant surgery; active involvement in post transplant surgical care, including management of immunosuppression and its complications; long term post transplant outpatient care; understanding of immunosuppressive therapies, complications, side effects, and associated infections and neoplastic morbidity.

TRAUMA, BURN AND EMERGENCY SURGERY, University Hospital

COURSE CODE: SURTRAI.801.U SUBINTERNSHIP/ICU

Instructors: Dr. Wendy Wahl

Responsible Agent: Dr. Wendy Wahl; Trauma-Burn Center; Rm. 1B420; Box 0033; 936-9690

Duration: 4 or 8 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
50% Inpatient Care
30% Outpatient/Specialty
20% Conferences/Lectures

Average number of patients seen each week: 20-50 Inpatient; 30-49 Outpatient

On-call responsibility: Every 3-4 days

Where to Report First Day of Clerkship: Floor l; Trauma Burn Center; 6:00 a.m.

Clerkship Objectives beyond comprehensive care of patients including evaluation, diagnosis and therapy:
To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).

Course Description: In house call service that manages trauma, burns and emergency surgery patient. Interaction between ER, ICU, O.R., rehabilitation, and nutritional services.

CLINICAL UROLOGY, University Hospital

COURSE CODE: SURURSP.703.U SUBINTERNSHIP

Instructors: Urology Faculty

Responsible Agent: Dr. William Belville; 2918 Taubman Health Center; 936-8197

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 3 Maximum

Distribution of student's time:
65% Inpatient Care
25% Outpatient/Specialty Care
10% Conferences/Lectures

Where to Report First Day of Clerkship: 2918F Taubman Health Center; 8:00 a.m.

Clerkship objectives beyond comprehensive care of patients including evaluation, diagnosis and therapy:
To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.

To increase student use/review of the medical literature:
As part of patient care (report to attending).

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment)
Participation and performance in conferences.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Logbook entries.
Assessment of write-ups/reports.

Course Description:
The object of the urology course is to expose the student to a broad spectrum of urologic problems. The basic pathophysiology of urologic disease is stressed. The student may choose between two adult urology services or the pediatric urology service. Conferences with the staff and teaching rounds are integrated into the program.

VASCULAR SURGERY, University Hospital

COURSE CODE: SURVASI.801.U SUBINTERNSHIP/ICU

Instructors: Drs. Graham, Greenfield, Jacobs, Stanley, Wakefield, Zelenock

Responsible Agent: Dr. Lisa Colletti; 2922 Taubman Health Center; 936-7944

Duration: 4 or 8 weeks

Periods Offered: All

Enrollment/Period: 1 Maximum; Additional students may be accepted, however, this will require prior approval from Dr. Colletti

Distribution of student's time:
70% Inpatient Care
20% Outpatient/Specialty
10% Conferences/Lectures

Where to Report First Day of Clerkship: Surgery Education Office; 2207 Taubman Center; 8:00 a.m.

Course Description:
This clerkship is designed to provide subinternship experience and a concentrated exposure in vascular surgery for senior medical students. Students share primary responsibility for all aspects of patient management and participate in both major and minor surgical procedures. This is an excellent experience for students who plan a career in surgery.

THORACIC SURGERY, University Hospital

COURSE CODE: SURTHRI.802.U SUBINTERNSHIP/ICU

Instructors: Drs. Orringer, Deeb, Bolling, Pagani, Iannettoni

Responsible Agent: Dr. Iannettoni; 2120 Taubman Health Center; 763-7418

Duration: 4 or 8 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
70% Inpatient Care
20% Outpatient/Specialty
10% Conferences/Lectures

Average number of patients seen each week: 20

On-call responsibility: None

Where to Report First Day of Clerkship: 2120 Taubman Health Center; 8:00 a.m.

Clerkship objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.

Procedures:
Minor procedures.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.
Brief presentation of current topics.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of a conference or journal club.

Additional Objectives:
Care of thoracic surgery patients.
Exposure to subspecialty.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
The number of patients given care.
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of writeups/reports.
Other structured skills testing.

Course Description:
Students may rotate through the adult cardiac or general thoracic service and function as a junior house officer under close supervision from the residents and staff. A series of didactic lectures will be presented by the faculty. Students will participate in patient management, rounds and staff conferences. The Mott Children's Cardiac Service may be elected, however, this requires prior approval by Dr. Iannettoni.