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Surgery Training and Education

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Teaching Medical Students

Goals:

The following goals are discussed in detail below.
  1. Provide an environment conducive to learning surgical principles during the surgery clerkship.
  2. Provide constructive feedback in a timely manner.
  3. Serve as a role model for physicians in training.
Provide an environment conducive to learning surgical principles during the clerkship.

Medical Student Coverage of Services. The students will be assigned to the Blue (Bariatric), Red (Trauma), Yellow (Endocrine), Colon & Rectal, Plastic Surgery, Pediatric Surgery, Vascular Surgery or Transplant Surgery services. In general, there will be 2-3 students on each service during the rotation.

Rounds. The chief resident is expected to lead morning and afternoon rounds. Medical students should be encouraged to closely follow 2-3 patients on the service and provide input into their care. During rounds the medical students are invited to briefly present the patients and their progress as well as assist in dressing changes. The morning rounds typically start at 6-7 AM and are focused and work related. In the afternoon, every attempt should be made to make rounds between 5-6 PM. Once or twice a week, afternoon rounds should be focused on medical student education. This may include resident or medical student presentations reviewing the latest literature on a specific topic as it relates to the in-patient service. The medical students are not expected to stay for late evening rounds and are encouraged to sign-out between 6 and 7 PM, unless they are on-call.

On Call. The medical students will each take 4 nights of call (2 weeknights, 1 weekend day and 1 weekend night) during their one-month of rotation at NYP. Vanessa Mejia, the Medical Student Clerkship Coordinator for General Surgery (room F-732, 212-746-9374), will maintain the call schedule and it will appear on CANVAS and she will send it via email as well. When the student is on-call they are expected to contact the night float R3 (P:30100) at 7PM. The on-call medical student will shadow the R3 during consults and will assist in any general surgery operative cases which may occur at night (Blue, Red, Yellow, Colon & Rectal or Transplant). In the event that the R3 is unavailable or not active, the medical student should contact the night float R2 (P:11752) or the SICU on-call resident (2S). If unable to make contact with any resident, the medical student should page the Yellow Chief Resident or one of the administrative chief residents (Dr. Brendan Finnerty, pager 30812 or Dr. Jamie Green, pager 30813). It is the intention that the medical students will have an active night of call and exposure to surgical emergencies in real time. Post-call, the medical student will make morning rounds and sign-out. They are encouraged to rest and return the following morning for AM rounds. Call nights will be every day of the week except for Sunday.

Weekends. Medical students should be encouraged to make AM rounds every other weekend during the rotation. If there are any educational experiences during the day they are encouraged to participate. The students are not expected to be in-house or immediately available on the weekends.

Lectures and Conferences. Each Monday is the designated lecture time for the medical students. The students should attend AM rounds then proceed to Morbidity and Mortality conference and Grand rounds. Following Grand Rounds the students will attend the assigned faculty lectures. Students may then attend PM rounds following completion of the lectures. The students should not be assigned floor work or OR cases during the day on Monday. All other lectures and conferences should be attended with the house staff.

Operative Experience. The medical students are encouraged to be present in the operating room for cases performed on their respective services. The students should arrive promptly and assist in preparation of the patient for the procedure. During the cases, the students should be allowed to scrub in and interact with the resident and attending, when appropriate. Post-op, the resident should review the case with the medical student as well as the post-op orders and the expected post-op course. The students should be encouraged to rotate amongst services (Blue, Red, Yellow, Colon & Rectal, Vascular, Pediatrics, Plastic Surgery, or Transplant) so that they may experience a wide breath of operative cases. Ideally, each student will get a chance to see a: cholecystectomy, appendectomy, colectomy, breast biopsy/mastectomy, thyroidectomy, gastric bypass, gastrectomy/pancreatectomy, tracheostomy, gastrostomy and inguinal hernia repair. They should not be expected to be present for every single case done on the service, especially if they have seen that particular case before.

Floor Work. The medical students may participate in routine floor work, however this should be a limited (<10%) part of the rotation. The students should not function as phlebotomists, transport technicians, physical therapists or other hospital staff except in emergency situations or when otherwise appropriate.

Provide constructive feedback in a timely manner

Evaluations. Vanessa Mejia, Medical Student Clerkship Coordinator for General Surgery, will collect and maintain all evaluations (room F-732, 212-746-9374).

  • Overall surgical clerkship evaluations should be filled out in a timely manner by the attending surgeons, fellows and the PGY-1 to PGY-4 Residents on the respective services.
  • Mid-term evaluations will be filled out by Dr. Gregory Dakin, Surgery Clerkship Director. These evaluations should facilitate growth of the medical students during their rotation.

Reverse Feedback. The medical students will be given the opportunity to evaluate the residents as teachers at the end of the surgical clerkship. These evaluations will be anonymous and distributed on a quarterly basis. Serve as a role model for physicians in training.

The residents are expected to treat the medical students, consult physicians and attending surgeons with respect. Additionally, they should demonstrate care and compassion for the patients on the service.

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