Curriculum

Surgery Clerkship

Total Contact Hours: 480 hours

Director: Melissa Roelle, M.D., Clerkship Director, and Assistant Professor, Surgery

Clerkship Description: The Clinical Clerkship in Surgery goal is to be sure students acquire the skills and knowledge that all physicians need to know in order to manage patients with conditions commonly treated by surgeons.

Learning Goals, Assessment, Practice, Teaching and Learning Activities, and their Integration with the Institutional Educational Objectives:

Institutional Objectives

Learning Goals

Assessment Activities (graded)

Practice/Feedback Activities (non-graded)

Teaching and Learning Activities

K1, K2, K3

C1, C2, C3

P1, P2, P3

A. Perform and document patient history taking and physical examination

  • Office visit for elective surgery
  • Inpatient acute surgical consultation
  • Admissions/Pre-op Area
  • Emergency surgery consultation in the ED
  • Trauma patient

Observed history and physical examination

Quizzes

TEAM

Disease Pattern and Recognition Examination

Resident/attending evaluation and formative feedback

Pre-op, Operative and Post-operative care of the patient

Hospital Clinics

Private Surgeons Offices

Trauma/Emergency Call

Reading Assignments

Didactic Sessions

Weekly Surgery M&M, Case Conferences and Grand Rounds

Role Modeling

K1, K2, K3

C1, C2, C3

P1, P2, P3

B.  Formulate a differential diagnosis for common surgical conditions/injuries/conditions

  • Thorough, comprehensive differential diagnosis for a patient with non-surgical emergency
  • Focused, comprehensive differential diagnosis for an in-patient with an urgent surgical issue
  • Focused, brief but thorough, differential diagnosis in a patient with an acute surgical condition
  • Focused, brief, physiologic differential diagnosis in a patient with a life and/or limb threatening surgical condition

Observed history and physical examinations

Quizzes

NBME Exam

Disease Pattern and Recognition Examination

Resident/attending evaluation and formative feedback

Presence in the Pre-op, Operative and Post-operative care of the patient

Hospital Clinics

Private Surgeons Offices

Operating Room

Trauma/Emergency Call

Reading Assignments

Didactic Sessions

Weekly Surgery M&M, Case Conferences and Grand Rounds

Role Modeling

K1, K2, K3

C1, C2, C3

P1, P2, P3

C.  Initiate a diagnostic work-up, which is evidence-based and cost-effective, based on the pathophysiology of underlying differential diagnosis

  • Elective general surgery in the office or clinic
  • Urgent inpatient general surgery consultation
  • Emergency general surgery patient in the ED
  • Trauma patient with a life and/or limb threatening injury

Quizzes

OSCE

NBME Exam

Disease Pattern and Recognition Examination

Resident/attending evaluation and formative feedback

Presence in the Pre-op, Operative and Post-operative care of the patient

Hospital Clinics

Private Surgeons Offices

Operating Room

Trauma/Emergency Call

Reading Assignments

Didactic Sessions

Weekly Surgery M&M, Case Conferences and Grand Rounds

Role Modeling

K1, K2, K3

C1, C2, C3

P1, P2, P3

D.  Construct an assessment and plan of care, considering operative and non-operative management

  • Elective general surgery
  • In patient urgent general surgery consultation
  • Emergency general surgery
  • Life and/or limb threatening injuries

 

 

Quizzes

OSCE

NBME Exam

Disease Pattern and Recognition Examination

Resident/attending evaluation and formative feedback  

Presence in the Pre-op, Operative and Post-operative care of the patient

Hospital Clinics

Private Surgeons Offices

Operating Room

Trauma/Emergency Call

Reading Assignments

Didactic Sessions

Weekly Surgery M&M, Case Conferences and Grand Rounds

Role Modeling

Institutional Educational Objectives

Category addressed Definition
1. Institutional Objectives What does our institution want our graduates to do?
2. Learning Goals If your students mastered the content of your course, what would they be able to do?
3. Assessment Activities (graded)
4. Practice/Feedback Activities (non-graded)
What will students need to do for them and others (peers, professors) to know whether they have achieved this specific learning goal?
5. Teaching and Learning Activities How will students get the information they need to learn?

Knowledge and Lifelong Learning

  • K1: The graduate will demonstrate knowledge of the basic medical sciences; clinical skills; and the ability to acquire, manage, and use current information for clinical decision-making and problem-solving in the care of individual patients, family members, populations, and systems of care delivery.
  • K2: The graduate will demonstrate knowledge of the ethical, social, economic, and cultural influences upon the health of and health care delivery to patients and patient populations, and will be able to propose realistic approaches to improving the health of an individual patient and for a patient population.
  • K3: The graduate will be able to identify the diverse factors that influence the health of the individual and the community; identify the socio-cultural, familial, psychological, economic, environmental, legal, political, and spiritual factors impacting health care and health care delivery; and be able to respond to these factors by planning and advocating the appropriate course of action at both the individual and the community level.

Interpersonal and Communication

  • C1: The graduate will demonstrate the ability to establish a professional relationship with a patient, build a comprehensive medical and social/personal history, conduct either a focused or comprehensive physical examination as indicated, construct a differential diagnosis, and recommend a course of treatment consistent with current standards of care.
  • C2: The graduate will demonstrate the ability to communicate (written and oral) clearly, professionally, and effectively with patients, their family members, health care team members, and peers.
  • C3: The graduate will demonstrate the capacity to listen to and respond appropriately to constructive feedback from peers and teachers, as well as give constructive feedback and evaluation to peers and faculty as requested.

Professionalism, Advocacy, and Personal Growth

  • P1: The graduate will be able to identify personal strengths and weaknesses in the care of patients and working with colleagues and allied health professionals, and, if indicated, demonstrate the ability to make changes in behavior that facilitate collaborative relationships.
  • P2: The graduate will demonstrate through the period of undergraduate medical education a pattern of responsible behaviors consistent with the highest ethical standards of the profession: honesty, confidentiality, reliability, dependability, civility, and punctuality.
  • P3: The graduate will demonstrate a commitment to leadership and the advancement of new knowledge.
Last edited on 01/28/2015.