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DEPARTMENT OF SURGERY
GENERAL SURGERY CLERKSHIP

MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE.  Six (6).

LENGTH OF ROTATIONS.  Two (2) to four (4) weeks.

WILL TAKE STUDENTS FOR TWO WEEKS ONLY?  Yes, on an individual basis.

LEVEL OF STUDENTS ACCEPTED.  Third or fourth year.

TIME OF YEAR OFFERRED.  Flexible start dates throughout the year.

PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.

  • Yes.
  • Offered primarily to medical students with an Army obligation (HPSP and USUHS).
  • In general, not offered to civilian students.
  • HPSP students will apply for a clerkship utilizing the form entitled “Request for Approval of Clinical Clerkship Training.”
  • USUHS fourth year students will apply using USUHS Form No. 1304 for clerkship request.
  • The TAMC Student Coordinator will obtain permission from the appropriate rotation official upon receipt of the application and will then inform the student of approval/disapproval via e-mail.

OBJECTIVES/DESCRIPTION OF CLERKSHIP.

  • Medical students will experience a wide breadth of general surgery problems as well as direct experience or familiarity with several surgical subspecialties.
  • Each medical student will be assigned to one of three general surgical teams which consist of an intern, junior or senior resident and chief resident.
    • The three teams are: GREEN (General, Surgical Oncology, and Pediatric Surgery), BLUE (General, Minimally Invasive, and Bariatric Surgery) and RED (Vascular Surgery and Cardiothoracic Surgery).
    • Each team functions under the supervision of three to five staff surgeons.
    • The duties of the medical student consist of preoperative evaluation including history and physical examination, interpretation of laboratory and X-ray data, and participation in surgical procedures in the operating room as well as postoperative care.
    • The medical student will round with his/ her team and present patients, writing appropriate progress notes.
  • Staff makes teaching rounds at least weekly during which the medical student will present patients for a brief discussion.

FREQUENCY OF CALL.

  • The medical student will gain valuable experience by taking night call in the hospital with his/her team.
  • The call schedule is generally every fourth night.

REQUIRED READINGS.  Sabiston's Textbook of Surgery serves as a general references and should be supplemented by literature search and reference in other texts as applicable.

OTHER REQUIREMENTS.

  • Medical students are expected to participate in numerous weekly teaching conferences to include Patient Care Conference, Tumor Board, Pediatric Conference, GI Conference, Trauma Conference, Morbidity and Mortality Conference, and Preoperative Conference.
  • A formal 10-minute presentation is required on a topic to be assigned during the rotation.

HOW ARE STUDENTS EVALUATED?

  • Medical students should expect feedback from the senior and chief residents on the team at least every two weeks.
  • A formal evaluation will be completed at the end of his/her rotation and should reflect the clerk's fund of knowledge, ability to gather information and synthesize an appropriate plan, his/her motivation, work habits, and interpersonal skills, in addition to any required evaluation from the clerk's medical school.

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