M3 Surgery Clerkship

This content serves the M3 NEOMED students.

About My Surgery Clerkship

Prior to the start of your Surgery Clerkship, you will receive by email a copy of your rotation schedule, call schedule, lecture and presentation schedule, and other necessary items.

First Day:

On the first day of your M3 Surgery Rotation, you should follow the directions sent to you by Medical Education to get your badge. You will then come to the Surgery Administration office, located on the second floor of 55 Arch, suite 2F. Your first day will be dedicated exclusively to orientation.

Subspecialty Rotations:

You are scheduled for your top two subspecialty requests. Students interested in Trauma/Critical Care will gain exposure to the specialty through the Night Float rotation, working with the Surgery resident covering the ER.

Night Float and Time Off:

You will take one week of Night Float instead of rotating call. When on Night Float, you will work with the resident covering the ER to gain trauma exposure. The Night Float schedule is as follows:

Sunday – 10 a.m. – 6 a.m.
Monday – 6 p.m. – 6 a.m.
Tuesday – 6 p.m. – 6 a.m.
Wednesday – 6 p.m. – 6 a.m.
Thursday – 6 p.m. – 6 a.m.
Friday – 6 p.m. – 6 a.m.

You are post call after 10 a.m. on Saturday and must leave the hospital. You are off on Sunday and will join your next service at 6 a.m. on Monday morning (or the time set by the chief resident of your service.)

Medical Students generally follow the same rules as a resident and must therefore have 8 hours in between duty periods. From 6 a.m. to 10 a.m. you will engage in patient handoff procedures and must leave the hospital by 10 a.m. unless otherwise directed to remain on site by Dr. Petrinec.

Sleeping quarters are provided to medical students. Residents and Medical students are granted one day off every seven days averaged over four weeks. Days off and weekend rounding schedules are worked out by the chief of your service.

Calling Off Sick:

It is understood that unforeseen circumstances occur that may prevent you from coming to the hospital. We adhere to the NEOMED policy for absences, please refer to their policy and absence request form.

Required Reading:

You are required to read Lawrence, Essentials of General Surgery, 4^TH Edition as well as the Trauma Evaluation and Management book. Each student will be loaned a copy of the book during the course of the clerkship. Books must be returned at the time of your exit interview in the same good condition as was lent. Sabiston, Textbook of Surgery may be read as a backup.

Surgery Lectures on AIMS

Surgery lectures are available online through the NEOMED AIMS site or through WISE-MD. Please watch them at your convenience. **It is strongly recommended that you also watch the NEOMED SUPAK lecture on Breast Cancer, available at the NEOMED website.

The following online Surgery lectures are on AIMS. The information contained in these lectures may be on your oral exam. The Core Educational Lectures (on AIMS) which apply to surgery are as follows:

"Acute and Perioperative Pain Management” by Dr. Kyle Tipton
“Diagnosis and Management of Benign Breast Disease” Nancy L. Gantt, MD
“Diagnosis and Management of Malignant Breast Disease” Nancy L. Gantt, MD
“Sepsis and Shock” William Fallon, MD
“Bariatric Surgery” John Zografakis, MD
“Evolution of Laparoscopic Surgery” Michael Kavic, MD
“Central Line insertion/Complications”
“Cardiac Disease” John Cardone, MD
“Disease of the Genitourinary System” Mark Memo, DO
“GI Bleeding” Costas Kefalas, MD
“General Urologic Problems” Daniel Ricchiuti, MD
“Parenteral Nutrition” Vincent Vanek, MD
“Pulmonary Embolism” Robert DeMarco, MD
“Practice Based Learning and Improvement Project” John Sutton, MD
“Fractures-The Fundamentals” Tom Boniface, MD
“Acute Abdominal Pain” Jim Smith, MD
”Hepatobiliary Disease” Brian Jones, MD
“Thyroid and Parathyroid Disease” Mark Horattas, MD
“Peripheral Arterial Occlusive Disease” Drazen Petrinic, MD
“Abdominal Hernia” Rashid Abdu, MD
"Non-melanotic Skin Cancers” Michael Obeng, MD

Additional lectures which are also recommended but available only on WISE-MD are:

Burn / Pediatrics
Abdominal Aortic Aneurysms
Adrenal Adenoma
Anorectal disease
Appendicitis
Bowel Obstruction
Breast Cancer Surgery
Burn Management( in preview)
Carotid Stenosis
Cholecystitis
Colon Cancer
Diverticulitis (in preview)
Hernia
Skin Cancer
Trauma Resuscitation
Thyroid Nodule

H&P's

It is your responsibility to ensure that all H&P's, progress notes, and orders are countersigned in the charts by a resident/attending on your service. Once the H&P is countersigned, copy and turn it in to Dr. Petrinec each week.

Clinic Duty

You must attend one ½ day of clinic per week and have your attending sign your clinic office log book which will be provided to you at the start of your Clerkship. You will not have clinic if you are on anesthesia or night float.

Evaluations

You will be provided with evaluations to distribute to the residents and attendings you work with on each rotation. It is your responsibility to distribute these to the attendings and residents that you work with. Instructors will return it to the Department of Surgery office.

OUCH!! - Sharps / Exposure Injuries Follow-Up

An exposure is defined as a sharp object injury or splash to mucous membranes or exposure of non-intact skin to body substances.

For exposures, hospital policy directs all employees to Employee Health Assessment for evaluation and appropriate follow-up during 8 a.m. to 4 p.m. Monday through Friday. After hours, weekends and holidays, exposed individuals should go to the Emergency Room and follow-up with the Employee Health Center as directed. (Hepatitis B vaccine is offered through the Employee Health Center.) Your personal insurance required by NEOMED will be billed for the cost of treatment. You are responsible for any co-pay.

Questions

Call or email Jackie Williams, Residency Program Coordinator in Surgery Administration if you have questions.
Phone: 330-375-6299 Email: williamsja@summahealth.org