SURGERY CLERKSHIP EDUCATIONAL OBJECTIVES

Knowledge and Life-Long Learning

(BSOM 1) By the conclusion of the surgery clerkship, the student will demonstrate the ability to:

1. Organize clinical data from history and physical examinations and formulate diagnoses consistent with patient demographics such as age, gender and occupation.
2. Develop complete surgical differential diagnoses based upon History and Physical and collated with other available data.
3. Prioritize laboratory and radiographic examinations to confirm or establish a diagnosis considering:
   • Sensitivity and specificity of the tests that are ordered
   • Associated risks
   • Reliability and accuracy
   • Cost effectiveness
4. Integrate basic science knowledge into patient problem solving
5. Recognize these surgical problems:
   a. Emergent conditions:
   • Acute abdomen
   • Blunt trauma
   • Penetrating trauma
   
   b. Congenital conditions:
   • Herniae
   • Branchial cleft diseases
   
   c. Acquired conditions:
   • Volvulus-
   • Diverticulosis
   • Portal hypertension
   • Hernia
   
   d. Inflammatory conditions
   • Appendicitis
   • Cholecystitis
   • Diverticulaitis
   
   e. Neoplastic Disorders
   • Breast cancer
   • Pancreatic cancer
   • GIST
   • Colon cancer
6. Describe evidence-based treatments for each of the above disorders

(BSOM1- SKILLS) By the conclusion of the Surgery Clerkship the student will have demonstrated competency in the following procedures mostly through patient care, but may include simulators:

• Venipuncture techniques
• Blood gas sampling
• Placement of arterial and venous lines
• Endotracheal intubation
• Urinary bladder catheterization
• Stomal dressing changes
• Assessing ankle brachial index
• Nasogastric intubation
• Wound dressing changes
• Suturing simple lacerations
• Use of local anesthetic agents

In addition the student will have familiarity with other procedures including the indications and possible complications of these procedures having viewed training videos or through the use of simulators:

• Chest tube placement
• Pericardiocentesis
• Abdominal Paracentesis
• Thoracentesis
• Cricothyrotomy
• Replace PEG tube

(BSOM 2) By the conclusion of the surgery clerkship, the student will demonstrate the ability to develop and present plausible theories about the causes and courses of patients' surgical illnesses and trauma in regard to:

• biological factors
• psychological factors
• social factors
• cultural factors
• economic factors
• high risk behavior

Interpersonal and Communication

(BSOM 4) By the conclusion of the surgery clerkship, the student will demonstrate the ability acquire data relative to developing surgical diagnoses by:

1. Establishing rapport with patients by properly introducing self and defining the role the student will have in patients' care
2. Being empathic with patients, showing genuine concern for patients' anxieties or concerns through tone of voice, style of speaking, facial expressions and gestures
3. Facilitating data collection with helpful blends of open and closed questions
4. Using language and behaviors that are sensitive to and accepting of differences in patients’ age, gender, ethnicity, religion, and sexual orientation.
5. Concluding interviews with proper timing and respect

(BSOM 4) By the conclusion of the surgery clerkship, the student will demonstrate the ability to elicit data for a complete surgical history, including:

1. Chief complaints in patients' own words
   
2. Details for thorough histories of present surgical illness:
   • Onset of symptoms
   • Duration of symptoms
   • Time lines of exacerbations and decreases of symptoms
   • Presence of pain radiation
   • Character of pain
   • Level of pain on scale of 1 to 10.
   • Association of systemic symptoms
3. Details for past general medical and surgical history
4. Details for complete reviews of systems
5. Details for family history
6. Details for social history, including pertinent elements on gender, culture, ethnicity, and spirituality

(BSOM 4) By the end of the surgery clerkship the student will be able to perform a comprehensive physical examination having been graded by observing preceptor before doing independent assessments.

(BSOM 4) By the conclusion of the surgery clerkship, the student will demonstrate:

1. Ability to develop a treatment plan
2. Recognize contraindications for specific operative treatments in specific patients
3. Inform patients about risks and benefits of surgical treatments

(BSOM 4) By the conclusion of the surgery clerkship, the student will demonstrate ability to present coherent, thoughtful presentations of surgery patients in both oral and written forms:

1. History of present illness
2. Past medical history
3. Review of systems,
4. Family and social history
5. Physical examination differential diagnoses
6. Differential diagnoses
7. Lab data
8. Treatment plans

(BSOM 5) By the conclusion of the surgery clerkship, the student will have demonstrated the ability to effectively communicate with patients and their family. This includes successful completion an OSCE examination developed to learn the art of breaking bad news.

(BSOM 6) By the end of the surgery clerkship the student will have demonstrated the ability to respond appropriately to constructive feedback given throughout the rotation from both peers and supervisors and specifically at the midterm formative feedback session.

Professionalism

(BSOM 7) At the conclusion of the surgery clerkship the student will have:

1. Demonstrated the ability to assess their individual strengths, weaknesses, physical and emotional health and be willing to seek and accept supervision and constructive feedback.
2. Demonstrated the ability to interact with peers, supervisors and ancillary hospital personnel with appreciation for their roles in care of the patient.
3. Promote harmonious relationships through respect for role other specialists and personnel bring to total patient care.

(BSOM 8) At the conclusion of the Surgery Clerkship the student will demonstrate professionalism through the ability to:

1. Be punctual and attend required events
2. Complete patient notes in a timely fashion with legible writing
3. Maintain professional boundaries (physical, sexual, financial, and emotional) with patients
4. Be truthful about medical data
5. Be courteous to patients, patients' families, staff, colleagues, and other health professionals
6. Maintain confidentiality regarding patient care
7. Demonstrate respect, empathy, responsiveness, and concern regardless of the patient's problems, personal characteristics, sexual orientation, cultural or ethnic background
8. Demonstrate integrity, responsibility and accountability in the care of assignedpatients

(BSOM 9) At the end of the Surgery Clerkship, the student will demonstrate scholarship in the form of contributing to a positive learning environment, collaborating with colleagues, and performing self-assessment and self-directed learning.

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