The University of Tennessee Health Science Center

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Department of Surgery

SUR1-3001/F SURGERY CLERKSHIP

Clerkship Director: Dr. Gayle Minard

Location: Memphis

This is a face to face clinical rotation offered all year and receiving 14 credit hours.
Core Clerkship in Surgery (14 credit hrs). This eight-week clerkship encompasses general, vascular, cardiothoracic, transplant, pediatric surgery, and trauma surgery. The objective of this clerkship is to familiarize the student with the basic pathophysiologic, diagnostic and therapeutic modalities involved in the art and science of surgery. The fundamentals taught in this rotation will be of benefit to individuals even if they do not choose a field of surgery as a career. The clinical rotations consist of four weeks at the Regional One Health at Memphis which includes general surgery, trauma/critical care and outpatient clinics, then 2 weeks of general surgery at the Veterans Affairs Medical Center, Baptist, St. Francis, or Methodist University plus 2 weeks of a subspecialty in surgery. In addition to this clinical involvement, each student is involved in several small group conferences as well as afternoon didactic lecture series delivered by members of the faculty. The student is also involved in a skills laboratory as well as videotape presentations, grand round sessions, and generous outpatient participation. This clerkship, with similar experiences, is also offered in Knoxville (SUR2-3001/F) and Chattanooga (SUR3-3001/F).

SUR1-3012/F JI ANY - SENIOR CLERKSHIP IN ADVANCED SURGERY

Course Coordinator: Dr. Steve Behrman

Location: Baptist

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This elective provides a unique opportunity to experience an extremely broad range of pathology from Memphis and the surrounding area in its role as a tertiary care institution. The elective is structured to provide intern-like responsibility for the senior student. In addition, special areas of interest are easily accommodated in this institution. The student is encouraged to attend all resident conferences and rounds. Enrolled students should contact Ramona Pipkin, Program Coordinator for the Department of Surgery for further instructions at (901) 448-5914.
This rotation is only available to visiting students from schools that have an agreement in place with Baptist Hospital’s Medical Education Department for the student to be in the hospital.

SUR1-3013/F JI ANY - GENERAL/TRAUMA

Course Coordinator: Dr. Martin Croce

Location: Regional One Health

Size: 6

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: Contact Ramona Pipkin, Program Coordinator for the Department of Surgery a week prior to start of your rotation @ 901-448-5914. If you are a visiting student from another institution, you must obtain a UT ID badge before beginning your rotation.
A combined experience in both general surgery and trauma. The student undertakes an advanced clinical role in patient care, including preoperative workup, operative management, and post-operative care under the direct supervision of the faculty. The student will acquire skill in bedside surgical procedures. There will be conferences and daily rounds with the house staff. Patient exposure will be at the Regional One Health. All enrolled students see how both blunt and penetrating trauma is managed in one of the busiest trauma centers in the country. This course is extremely beneficial to students considering a career in surgery, or emergency room medicine. Strong points include initial evaluation, multiple system injury, diagnostic studies and an immense O.R. experience. The Trauma ICU allows the student to gain experience in Ventilatory management, and hemodynamic, nutritional and antibiotic management.

SUR1-3014/F JI ANY - VETERANS ADMINISTRATION HOSPITAL SICU JUNIOR INTERNSHIP

Course Coordinator: Dr. Gayle Minard

Location: VA

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: Not available in Block 12
The student will be able to manage patients in the ICU- -specifically ventilators, fluid management, surgical infection, and pulmonary artery catheters. The student will help coordinate care between patient, family, and consultants. He/she will also participate in procedures such as bronchoscopy, chest tubes, and central lines. The student will have responsibility for approximately five patients a day. The student will round on his or her patients and be responsible for communicating with the team, ICU team, ICU resident, and ICU attending. He or she will be responsible for management decisions with supervision from residents and attendings. “Topic of the Day” presentation 4 -5 days per week. All procedures are done with direct supervision by the ICU resident or general surgery residents or attendings. Rounds are four times a week with the attending. The student will attend three conferences on Wednesdays from 8:30 AM to noon – Basic Science Conference, Surgical Grand Rounds, and Morbidity and Mortality Conference. Call schedule consist of: work daily 7 a.m. – 7 p.m., during the week. Students take call two times a week (midweek and Friday or Saturday) with middle level surgical resident covering the ICU. Rounds on Saturday at 7 a.m.; Sunday at 7 a.m., if on call Saturday night.
This rotation requires students to undergo vetting under VA rules to include fingerprinting, an additional background check, and completion of training modules.

SUR1-4011/F TRANSPLANTATION SERVICE

Course Coordinator: Dr. James Eason

Location: Methodist University Transplant Institute

Size: 4

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: Enrolled students contact Ramona Pipkin, Program Coordinator for the Department of Surgery for further instructions (901) 448-5914
The purpose of this elective is to acquaint the student with the general principles of solid organ transplantation and afford them the opportunity to participate in a number of tertiary care surgical problem situations. The specific skills involve learning detailed aspects of renal, hepatic and pancreatic replacement, including indications, selection of donors and recipients, histocompatibility testing, preoperative care, and complications. Conferences will be held daily in the form of transplantation rounds conducted each afternoon with the course coordinator. Students will have additional surgical exposure to hepatobiliary cases and vascular access. Students are to attend all resident conferences.

SUR1-4041/F SURGERY - SURGICAL ONCOLOGY

Course Coordinator: Dr. Martin Fleming

Location: Methodist and St. Jude

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours.

Note: This elective can be half-time (SUR1-4041/H)
This elective will acquaint the student with diagnosis, preoperative workup, staging and surgical management of cancer. Also emphasized will be the utilization of protocols and combination therapy integrating chemotherapy, radiation therapy and surgery in the management of cancer patients. This elective will also require attendance at the weekly tumor conference at the University of Tennessee, weekly surgical grand rounds, weekly tumor conference at Methodist Hospital and the weekly solid tumor working conference at St. Jude Children's Research Hospital. It will also include pre and postoperative bedside rounds and in-patients at both the Methodist Hospital and St. Jude Children's Research Hospital. Operative experience will be that of observing and assisting in surgery done at St. Jude Children's Research Hospital and at Methodist Hospital.

SUR1-4059/F RESEARCH IN SURGICAL AND TRANSPLANTATION IMMUNOLOGY

Course Coordinator: Dr. James Eason

Location: Regional One Health

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours. Note: This elective can be half-time (SUR1-4059/H).
Contact Ramona Pipkin at 901-448-5914 or rpipkin@uthsc.edu for instructions at least

week before rotation begins.

The student will learn basic surgical immunology as it relates to trauma, nutrition, and transplantation. The student will select an area of particular interest in any of the surgical subspecialties and will be assigned a specific project which may involve literature and chart review as well as following specific patients who fall within this study group (EXAMPLE: A trauma patient who develops an infection, or a transplant patient who develops rejection). The student will be responsible for 2-4 patients per week. The student will follow with the faculty member those patients who are a part of the particular study group the student has selected. The student will be responsible for the review of the results of follow-up laboratory and radiological testing in the patient's overall postoperative course. One faculty member will supervise one student at all times. The student will attend four major Surgery Conferences plus the weekly Transplantation Conference on a routine basis during the month. The student will periodically attend the Immunology Conferences. After the student has selected a particular problem or area of interest, the student will: (1) Review literature concerning immunology background for this area, (2) Accumulate data on patients who fall within this study group, (3) Perform and review results of various testing modalities, and (4) Follow-up of patients including further chart review. This month should produce enough data, that with additional time and study, the student should be able to produce at least one publishable paper USUAL CALL SCHEDULE. Minimal weekday call, No weekend duty.

SUR1-4060/F CARDIOVASCULAR SURGERY

Course Coordinator: Dr. Darryl Weiman

Location: Regional One Health and VA

Size: 3 (1 Each Hosp)

This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours. Note: This elective can be half-time (SUR1-4060/H).
Contact Elizabeth Krapels for instructions - 901-448-1350 or ekrapels@uthsc.edu
An intensive exposure to the total surgical management of the adult cardiac patient is offered. Emphasis is placed on adequate diagnostic measures and the available therapeutic modalities.
This rotation requires students to undergo vetting under VA rules to include fingerprinting, an additional background check, and completion of training modules.
SUR1-4061/F VASCULAR SURGERY 4^th YEAR ELECTIVE

Course Coordinator: Michael J. Rohrer, MD

Location: Methodist University Hospital

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
The objectives for this course are:

Students will gain experience in the diagnosis and management options for patients with peripheral arterial, venous, and lymphatic disorders.
To become competent interpreting arteriograms
To gain experience with the fundamental operations in Vascular Surgery including aortic reconstructions, distal arterial bypass grafting, and carotid reconstructions
To gain experience with basic and advanced endovascular procedures and techniques
To acquire the clinical and administrative skills necessary to succeed as a PGY1 General Surgery house officer

The student will participate in the care of the patients in the Vascular Surgery Service at the Methodist University Hospital, which typically has 20-25 patients.

The fourth year Medical Student will function in a capacity similar to that of the PGY1 General Surgery Resident.
The level of supervision will be similar to that provided over the PGY1.
The student will attend Monday a.m. interesting case conference. The student will also attend Tuesday a.m., Vascular Surgery City Wide conference and Thursday a.m. General Surgery/Vascular Surgery Journal Club.
Clinical responsibilities began with rounding in preparation for 6:00 a.m. Attending Rounds, and working throughout the day on the Clinical Vascular Surgery Service. No on call responsibility is expected. Enrolled students should contact Ramona Pipkin one week before rotation begins for instructions 901-448-5914 or rpipkin@uthsc.edu.

SUR1-4069/F VASCULAR SURGERY

Course Coordinator: Dr. Edward Garrett

Location: VAMC / Baptist

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
The objectives for this course are the introduction to peripheral and endovascular surgery and interpretation of vascular labs. The student will perform diagnostic arteriogram and open exposure of common femoral artery. The student will act as first assistant on carotid surgeries and peripheral bypasses. The student will have some responsibility for 6-8 cases, 10 patients in the hospital as well as perform duties on an intern level in the ICU and the wards. The student will follow patients in clinics and assist in the OR. Direct supervisor of the student will be the vascular fellows and faculty. Tuesday 7 – 8 AM Vascular Conference and M & M, 3rd Thursday of month Journal Club. No nights, 1 weekend a month.
This rotation is only available to visiting students from schools that have an agreement in place with Baptist Hospital’s Medical Education Department for the student to be in the hospital.
SUR1-4070/F PEDIATRIC SURGERY

Course Coordinator: Max Langham, M.D.

Location: LeBonheur Children’s Medical Center

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This clerkship offers 4^th year students an advanced clinical experience in the surgical care of infants and children. The service is a busy general pediatric surgical service located at LeBonheur Children’s Medical Center, an urban 200 bed children’s hospital. The faculty consists of five full-time board certified pediatric surgeons, with special expertise in the care of birth defects, minimally invasive surgery, pediatric trauma, and burns. Outpatient care of children with a broad range of surgical problems is provided through clinics held two and a half days each week. The goal of this rotation is to improve diagnostic and technical skills of the students and help prepare students interested in pursuing careers in surgery or pediatrics.

SUR1-4101/F PEDIATRIC SURGICAL ONCOLOGY ELECTIVE

Course Coordinator: Dr. Andrew Davidoff

Location: St. Jude Research

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
NOTE: Approval is needed before scheduling, contact Ms. Ramona Pipkin rpipkin@uthsc.edu
The purpose of this elective is to gain an understanding of the diagnosis, treatment and follow-up of the common slid tumors in children. Gain an appreciation of the pre-operative and post-operative management of children with various malignancies. The number of patients per week for whom the student will have some responsibility for is 10-15. The student will assist with pre-operative work-ups, assist in operating room and make pre & post-operative rounds. The student will be under supervision of attending surgeons. The level of expected supervision of students will be direct faculty and fellows contact. The student will attend the following conferences: 1) didactic pediatric surgical oncology conference 2) soft tissue tumor conference 3) hematology/oncology grand rounds 4) tumor board 5) surgery management conference. Call schedule is flexible but the students will be seeing patients in outpatient and inpatient setting. The student will follow patients through operation and post-operatively. The student will assist in research if interested.

SUR1-4144/F SURGERY - PEDIATRIC CARDIAC SURGERY IN DEVELOPING COUNTRIES

Course Coordinator: Dr. William M. Novick

Location: Variable (see schedule)

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: Available all blocks except for June and July (summer reserved for freshman students)

Prerequisites: Student must fulfill International Health Studies requirements at this link

http://www.uthsc.edu/Medicine/students/international.php
The objectives for this course are to provide the student with vertically integrated experience in pediatric cardiac care (diagnosis, pre-op care, anesthetic care, operative procedures, post-op ICU and ward care). The student will have the opportunity to study natural history of congenital heart defects. Provide the student with the opportunity to experience medical care in developing countries. Provide the UTHSC medical students with the opportunity to participate in Humanitarian Medical Services. The student will have some responsibility for 10 to 15 patients per week. The level of responsibility students will have for patient care will be to perform history and physical on all children. Participate in echocardiographic evaluation of all children. Learn to perform endotracheal intubation and insertion of I.V. line (peripheral), insertion of NG tubes, insertion of Foley catheters, (with direct attending supervision). Student will be responsible for morning and evening rounds on ward patients and will participate in ICU rounds. Students will be responsible for participating as an assistant in surgical procedures. Students will be directly supervised by Dr. Novick. The student will attend 2 Cardiology/Cardiac Surgery pre0operative conferences at International site and 1 at LBCMC; 2 surgical defect conferences at international site; 1 morbidity/mortality conference at international site. Student will take ICU call 1 night in 4, week-end duty consists of ICU and ward rounds with Dr. Novick.
SUR9-4010/F VISITING ELECTIVE IN SURGERY

Course Coordinator: Department Program Director

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This course number is used by UTHSC students only for scheduling a visiting

elective at another medical school for which credit is granted at UTHSC.

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