ELECT ESURA - Trauma Surgery

GOALS

•  To become familiar with the initial evaluation of the trauma patient in the emergency room, as well as the principals of resuscitation and stabilization.

•  To become familiar with general principals of both operative and non-operative management of the trauma patient.

•  To become familiar with principles of surgical critical care.

•  To provide additional experience for senior students considering the pursuit of a surgical career.

OBJECTIVES

·      The student will participate as an active intern in the pre-operative , intraoperative, and post-operative care of the patients of the trauma service under the supervision of the house staff and trauma staff.

SPECIFIC DUTIES OF SENIOR STUDENTS

•   The senior student will be the acting intern assigned to specific patients on the trauma service, de- pendent upon his/her desires and abilities with supervision of the house staff and trauma staff. He will be responsible for the new work-up, pre-operative, post-operative care of these patients.

•  The student will take call with the intern on the trauma team, and is expected to participate in all trauma surgery taking place on his call nights.

•  The student is expected to take call on any day that the intern is on call, even when it falls on a weekend. If the weekend has no call for the intern, the senior student may elect to take Sunday off.

READING ASSIGNMENTS

Reading assignments will be those pertinent to the care of the patients on the surgical service. Additionally, pertinent chapters in Schwartz or Sabiston regarding trauma should be addressed by the student while he or she is a part of the service. The student will be required to review articles in the trauma literature.

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