ELECT ESUVA - Vascular and Endovascular Surgery

This rotation is recommended for students interested in vascular, general surgery and radiology. Students not going into surgery will be allowed on the rotation at the discretion of the course director and student rotation coordinator.

GOALS

1.        Provide student with an overview of vascular surgery

2.            Exposure to full range of vascular surgical diseases including carotid artery disease, aortic and peripheral aneurysm,    peripheral artery diseases, venous diseases and vascular trauma

3.        Understand management of vascular disease including prevention, diagnosis, and treatment

OBJECTIVES

1.        To understand pathophysiology of arterial and venous disease, and relevant anatomy of neck, abdomen and extremity

2.        To be able to perform comprehensive history and physical exam relevant to vascular diseases, and to be able to present pertinent information during round and conference

3.        To learn preoperative and postoperative care of complex vascular patients in outpatient and in-hospital settings

4.        To learn basic of non-invasive laboratory investigation including indication and interpretation of findings.

5.        To appreciate important of evidence base practice in vascular surgery

6.        To understand basic of vascular surgery techniques and endovascular intervention

ROTATION SYLLABUS:

•         Attendant required 5 days per week

•         Document in diary for review by attending

1. Learning expectation (first week)

2. Daily activities, learning events, and self-directed learning activities

3. Summary (end of rotation)

•         Participate in all surgical and endovascular cases.

•         Spend the 1 week in the vascular lab gaining exposure to non-invasive test and diagnostic imaging (contact Dale Speir 5-6504)

•         Participate in vascular and vein clinic weekly (each Tuesday or Wednesday)

•         Participate in teaching conference (walk round and case conference) weekly (Friday afternoon)

REFERENCE:

·         Faculty and residents on vascular surgery rotation

·         http://lib.sh.lsuhsc.edu/portals/surgery/

·         Video for vascular surgery procedure (www.accesssurgery.com)

·         Selected articles in vascular surgery (surgery portals/Journal of Vascular Surgery)

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 Dr. Tan 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.