ELECT EONSV - Surgical Oncology Services

GOALS

•      Learn to perform a thorough Oncology exam

•     Develop an understanding of the preoperative evaluation of Oncology patients, including preoperative staging of tumors, evaluation of co-morbidity, determination of the role of surgery and preoperative optimization for surgery.

·          Develop an understanding of the likely outcome of surgical oncology treatments

OBJECTIVES

·         The student will scrub in on operative cases and examine, work-up and preoperatively prepare patients for surgery and other treatments.

·         The student will postoperatively manage the care of patients that includes the care of the sequelae and complications .of surgical interventions

SPECIFIC DUTIES OF SENIOR STUDENTS

•  Written work-ups of patients assigned to senior student

•  Present work-up patients to senior resident/staff

•  Participating in surgery cases (scrubbing in) on patients he/she worked up

•  Participating in/performing certain procedures on patients on service (e.g. placing and removing chest tubes, central lines, arterial lines, some suturing (under supervision)

•  Participating as a “junior intern” in daily service rounds including SICU and including the writing or progress notes

and orders (under supervision) (co-signed by resident or staff) and perform daily post-op exams, dressing change.

•  Participate in weekend ward rounds on at least one day of each weekend while on service

•  Participate in Oncology Clinic and outpatient evaluation of patients

READING ASSIGNMENTS

•  Schwartz or Sabiston Text of Surgery: Principle and Practice of Oncology - Selected chapters on

Oncology, Breast Cancer and related topics

•  Participation in Multidisciplinary Tumor Board and discussion on multimodality approach to the treatment of cancer, including expected treatment outcome.

FORMATIVE EVALUATION

At the beginning of the second week of the elective, the student will be prompted by the secretary, Mrs. Anna Beth Crowson, to pick up a Formative Evaluation Form and expedite completion.  Once completed, it must be returned to Mrs. Crowson for review. If additional feedback is desired or required, Dr. Griffen will accommodate.

OUTCOME AND EVALUATION MEASURES

At the end of the course, the course director will submit an evaluation of the student’s diary and performance. It will include references to knowledge, skill, and professionalism. Professionalism will be measured in terms of punctual attendance, maturity, approach to the patient, and interaction with faculty and other staff. The student’s diary will contain daily entries. Entries should include references to problem solving, decision making, clinical reasoning, and communicating. Although each entry will contain different elements, entries overall must contain the patients seen, the operations seen or scrubbed for, the articles read (relate each article to a clinical encounter that led to the review and list at least two new things learned or observed,) One of the final entries must include a comprehensive review of what has been learned with specific notes relating the learning process to preparation for internship. For example, the student should have spent time learning processes like: entering orders, scheduling cases, providing informed consent, medication doses and IV fluids for acute care issues, and answering consults.

 

All

Pass/Fail