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Surgery Clerkship

Surgery is a six-week clerkship during which students are introduced to the care of surgical patients with an emphasis on establishing a diagnosis, learning the pathophysiology of surgical diseases, participating in the treatment of surgical patients, and supporting patients before, during, and after surgery.

CLERKSHIP OBJECTIVES

Patient Care and Procedural Skills (PC)

  • Formulates therapeutic management plans to address common postoperative complications (ex. shock, AKI, respiratory failure, infection, DVT, anemia, malnutrition, nausea/emesis, and wound complications), volume status and perioperative pain. (PC6)
  • Demonstrates knowledge of basic procedural techniques including appropriate sterile technique, suturing and knot tying. (PC7)
  • Integrates context, patient and caregiver needs, values, preferences, experiences, and structural factors into discussions of informed consent for surgical procedures. (PC8)

Medical Knowledge (MK)

  • Demonstrates knowledge of basic, clinical, social and health systems needed for clinical practices in a surgical context. (MK1)

  • Applies foundational knowledge in diagnostic reasoning and clinical decision-making in a surgical context, including recognizing indications for surgical interventions. (MK2)

  • Demonstrates knowledge of research design, interpretation and application to support clinical decision-making in a surgical context. (MK3)

Interpersonal and Communication Skills (IC)

  • Communicates effectively with patients and caregivers using patient-centered language, empathy and active listening to enhance the therapeutic relationship. (IC1)
  • Demonstrates sensitivity and compassion in addressing difficult conversations such as delivering bad news, end of life discussions, and disclosure of errors or surgical complications. (IC1)
  • Communicates and collaborates effectively with healthcare team members to enhance team function in the operating room. (IC2)
  • Demonstrates skills in educating patients, caregivers, peers and team members. (IC3)

Practice-Based Learning and Improvement (PL)

  • Recognizes personal limits of knowledge and skills and actively seeks and incorporates feedback and assessment data to develop and implement learning and improvement goals. (PL1)
  • Identifies learning issues and locates, critically appraises, and synthesizes credible information to support evidence-informed, patient-centered clinical decisions. (PL2) 

Systems-Based Practice (SP)

  • Assesses the impact of social factors on the care of surgical patients and propose mechanisms to reduce health care disparities to improve surgical care. (SP1)
  • Evaluates the risks and benefits of using current and emerging surgical technologies in patient care. (SP3) 

REQUIRED CLINICAL ENCOUNTERS

Diagnosis
Participate in the care of patients with the following diagnoses:
Outpatient or
Inpatient
Abdominal Pain I
Tumor/Mass O,I
Perioperative hematologic/infectious disorder (ex. Anemia, thrombocytopenia, DVT, leukocytosis, infection) O,I
Cardiopulmonary abnormality (ex. arrythmia, COPD, asthma, CHF) impacting surgical care O,I
Postoperative pain O,I
Postoperative care (for a patient in whose surgery you participated) I
Nutrition Abnormality
O,I
Dysvolemia
I
Procedures and Skills Outpatient or
Inpatient
Participate in an open surgical procedure I
Perform the evaluation of a surgical wound O,I
Observe a process of informed consent O,I
Perform a preoperative risk assessment (ex. frailty, VQI, ACS, NSQIP calculators)
O,I
Participate in a minimally invasive procedure (laparoscopic, thorascopic, endoscopic, endovascular)
O,I
Participate in interpreting preoperative imaging findings with the attending/fellow/chief resident O,I
Participate in interpreting of preoperative labs findings with the attending/fellow/chief resident
O,I