The Anesthesiology rotation during the Clinical Immersion phase supports medical school objectives for graduating students whose breadth and depth of knowledge, skills and experience will make them prime candidates for highly competitive residencies in all medical disciplines. The rotation is therefore foundational both for students intending to take 4th year anesthesiology rotations (whether at Wake Forest or at other institutions) as preparation for a career in anesthesiology, as well as for students whose career choice is a medical discipline other than anesthesiology. During this 2 week introduction to the management of perioperative patients – including preoperative assessment, intraoperative management, resuscitation skills and pain management – students will gain practical clinical experience in operating rooms and clinics. These settings will expose them to anesthesiology and surgical faculty and residents, other care providers, and patients and their families. This practical clinical experience will be supplemented by appropriate educational experiences in various modalities.
Clinical Skills (student must perform):
- Pre-Operative History and Physical
Procedures (student required to perform):
- Airway Mgmt (Bag Valve Mask)
- Nasogastric Tube Placement
Procedures (not required by this Clerkship, but required prior to graduation):
- Abscess Incision and Drainage
- ACLS or PALS Resuscitation
- Airway Mgmt (Bag Valve Mask)
- Airway Mgmt (Oral/Nasal Airway)
- Arterial Blood Draw
- Arterial Line Placement
- Central Line Placement
- Chest Tube Placement
- CPR
- Foley Catheter Placement (Female)
- Foley Catheter Placement (Male)
- Intubation
- Laceration Repair
- Lumbar Puncture
- Nasogastric Tube Placement
- Paracentesis or Thoracentsis
- Peripheral IV Placement
- Phlebotomy
- Vaginal Delivery
The following questions are asked of students regarding their clinical experience with preceptors:
- Effective teaching by faculty during the clerkship
- Specific and actionable feedback on student medical knowledge and clinical skills by faculty
- Faculty observation of student performing relevant portions of a patient history
- Faculty observation of student performing relevant portions of the physical or mental status exam
- Number of times directly observed performing a history or physical exam (including mental status exam) during clerkship
- During the clerkship, I feel I received appropriate supervision of my clinical care
- During the clerkship, I feel I received appropriate supervision when performing procedures
- Duty hours considerations:
- Not to exceed 5 continuous overnight shifts
- No allowance for at least 8 hours free from duties
- Exceeding 16 continuous hours
- No allowance for 4 twenty-four hour periods free from duties over a 4 week period
- Exceeding and average of 80 hours per week, averaged over 4 weeks
- Duty hour violations must be reported to a course director
- Experience or observation of mistreatment
- Experiencing a sense of respect, collegiality, and cooperation among faculty and staff during this course
- Experiencing a sense of respect, collegiality, and cooperation among peers during this course
Download: 3ANE01 - Anesthesia Clinical Rotation (PDF)
The Year III 4-week EM Clerkship is designed to allow students to develop the knowledge, attitudes, and skills necessary to recognize, diagnose, and manage patients presenting with an acute presentation of illness or injury, while developing a better understanding of the role of emergency medicine in the healthcare system. This will be accomplished by involving the student in multiple activities, including lectures, simulation activities, bedside teaching, and clinical shifts. Students will have the opportunity to work with/interact with attending physicians, resident physicians, PA/NP’s, nursing staff, and EMS personnel.
Clinical Skills (student must perform):
- Chest X-Ray Interpretation
- ECG Interpretation
- Urinalysis Interpretation
Conditions / Diagnoses (student direct participation required):
- Abdominal Pain/Nausea/Vomiting
- Acute Neurological Deficit
- Altered Mental Status
- Back or Neck Pain
- Burns, Bites, Envenomations
- Chest Pain
- Dental Pain / Trauma
- Dyspnea
- Extremity Pain
- Fever
- GI Bleeding
- Headache
- Intoxication / Poisoning
- Laceration / Wound
- Loss of Consciousness / Syncope
- Rash, Skin Lesion
- Seizure
- Shock
- Trauma, Blunt or Penetrating
- Vaginal Bleeding / Discharge
Procedures (student required to perform):
- ACLS / PALS
- Airway Mgmt (Bag Valve Mask)
- CPR
- Intubation
- Laceration Repair
- Peripheral IV Placement
- Phlebotomy
Procedures (not required by this Clerkship, but required prior to graduation):
- Abscess Incision and Drainage
- Airway Mgmt (Oral/Nasal Airway)
- Arterial Blood Draw
- Arterial Line Placement
- Central Line Placement
- Chest Tube Placement
- Foley Catheter Placement (Female)
- Foley Catheter Placement (Male)
- Lumbar Puncture
- Nasogastric Tube Placement
- Paracentesis or Thoracentsis
- Vaginal Delivery
The following questions are asked of students regarding their clinical experience with preceptors:
- Effective teaching by faculty during the clerkship
- Specific and actionable feedback on student medical knowledge and clinical skills by faculty
- Faculty observation of student performing relevant portions of a patient history
- Faculty observation of student performing relevant portions of the physical or mental status exam
- Number of times directly observed performing a history or physical exam (including mental status exam) during clerkship
- During the clerkship, I feel I received appropriate supervision of my clinical care
- During the clerkship, I feel I received appropriate supervision when performing procedures
- Duty hours considerations:
- Not to exceed 5 continuous overnight shifts
- No allowance for at least 8 hours free from duties
- Exceeding 16 continuous hours
- No allowance for 4 twenty-four hour periods free from duties over a 4 week period
- Exceeding and average of 80 hours per week, averaged over 4 weeks
- Duty hour violations must be reported to a course director
- Experience or observation of mistreatment
- Experiencing a sense of respect, collegiality, and cooperation among faculty and staff during this course
- Experiencing a sense of respect, collegiality, and cooperation among peers during this course
Download: 3EM01 Emergency Medicine Rotation (PDF)
The Third-Year Family Medicine Clerkship of the Wake Forest School of Medicine is a 4-week rotation, consisting of outpatient clinic, seminars and small group discussions, standardized patient assessments, department conferences, and opportunities for direct clinical observation with our Clinical Coaches. Hours vary, but are often 7:30 a.m. to 5:00 p.m. Monday through Friday. This clerkship has been designed to expose third-year medical students to the discipline of Family Medicine, and its role within the larger health care system.
Clinical Skills (student must perform and can be with adult patients unless indicated otherwise):
- Adult Health Check, including Complete Physical Exam and/or Medicare Wellness Visit
- Back, Pelvis, Hip and/or Lower Extremity MSK Exam
- Counsel about Smoking Cessation (Observe/Participate)
- Diabetic Foot Exam
- HEENT exam (adult and pediatric)
- Use a Clinical Risk Assessment Tool
- Well Child Visit (pediatric)
Conditions / Diagnoses (student direct participation required and can be with an adult patient unless indicated otherwise):
- Asthma and/or COPD
- Back or Neck Pain
- Depression (Observation)
- Diabetes Mellitus
- Dysuria
- Headache (in adult or pediatric patient)
- Hyperlipidemia
- Hypertension
- Joint Pain
- Obesity (in adult or pediatric patient) (Observation)
- Skin Rash or Lesion (in adult or pediatric patient)
- Respiratory Illness / Cough (in adult or pediatric patient)
- Tobacco Abuse
Procedures (not required by this Clerkship, but required prior to graduation):
- Abscess Incision and Drainage
- ACLS or PALS Resuscitation
- Airway Mgmt (Bag Valve Mask)
- Airway Mgmt (Oral/Nasal Airway)
- Arterial Blood Draw
- Arterial Line Placement
- Central Line Placement
- Chest Tube Placement
- CPR
- Foley Catheter Placement (Female)
- Foley Catheter Placement (Male)
- Intubation
- Laceration Repair
- Lumbar Puncture
- Nasogastric Tube Placement
- Paracentesis or Thoracentsis
- Peripheral IV Placement
- Phlebotomy
- Vaginal Delivery
The following questions are asked of students regarding their clinical experience with preceptors:
- Effective teaching by faculty during the clerkship
- Specific and actionable feedback on student medical knowledge and clinical skills by faculty
- Faculty observation of student performing relevant portions of a patient history
- Faculty observation of student performing relevant portions of the physical or mental status exam
- Number of times directly observed performing a history or physical exam (including mental status exam) during clerkship
- During the clerkship, I feel I received appropriate supervision of my clinical care
- During the clerkship, I feel I received appropriate supervision when performing procedures
- Duty hours considerations:
- Not to exceed 5 continuous overnight shifts
- No allowance for at least 8 hours free from duties
- Exceeding 16 continuous hours
- No allowance for 4 twenty-four hour periods free from duties over a 4 week period
- Exceeding and average of 80 hours per week, averaged over 4 weeks
- Duty hour violations must be reported to a course director
- Experience or observation of mistreatment
- Experiencing a sense of respect, collegiality, and cooperation among faculty and staff during this course
- Experiencing a sense of respect, collegiality, and cooperation among peers during this course
This core clerkship focuses on the basic competencies of internal medicine. A list of competencies appropriate for third year medical students during their clerkship has been established by the Clerkship Directors in Internal Medicine, a national organization focused on medical student education in Internal Medicine. The national competencies were used by the faculty at Wake Forest to inform this curriculum’s development. Students are assigned to a General Medicine service for four weeks, cardiology services for 2 weeks and an additional subspecialty service for two weeks (Hematology/Oncology, Leukemia or Nephrology).
Clinical Skills (student must perform):
- ABG Interpretation
- Chest X-Ray Interpretation
- Electrocardiogram Interpretation
Conditions / Diagnoses (student direct participation required):
- Abdominal Pain/Nausea/Vomiting
- Altered Mental Status
- Anemia
- Arrhythmia
- Chest Pain
- Congestive Heart Failure
- COPD
- Coronary Artery Disease
- Diabetes Mellitus
- Dyspnea
- End of life care/palliative care
- Fever
- Fluid, electrolytes, acid-base
- GI Bleeding
- HIV infection, acute or chronic
- Hyperlipidemia
- Hypertension
- Kidney Disease (acute or chronic)
- Liver disease (acute or chronic)
- Malignancy
- Obesity
- Respiratory Illness / Cough
- Tobacco Abuse
Procedures (not required by this Clerkship, but required prior to graduation):
- Abscess Incision and Drainage
- ACLS or PALS Resuscitation
- Airway Mgmt (Bag Valve Mask)
- Airway Mgmt (Oral/Nasal Airway)
- Arterial Blood Draw
- Arterial Line Placement
- Central Line Placement
- Chest Tube Placement
- CPR
- Foley Catheter Placement (Female)
- Foley Catheter Placement (Male)
- Intubation
- Laceration Repair
- Lumbar Puncture
- Nasogastric Tube Placement
- Paracentesis or Thoracentsis
- Peripheral IV Placement
- Phlebotomy
- Vaginal Delivery
The following questions are asked of students regarding their clinical experience with preceptors:
- Effective teaching by faculty during the clerkship
- Specific and actionable feedback on student medical knowledge and clinical skills by faculty
- Faculty observation of student performing relevant portions of a patient history
- Faculty observation of student performing relevant portions of the physical or mental status exam
- Number of times directly observed performing a history or physical exam (including mental status exam) during clerkship
- During the clerkship, I feel I received appropriate supervision of my clinical care
- During the clerkship, I feel I received appropriate supervision when performing procedures
- Duty hours considerations:
- Not to exceed 5 continuous overnight shifts
- No allowance for at least 8 hours free from duties
- Exceeding 16 continuous hours
- No allowance for 4 twenty-four hour periods free from duties over a 4 week period
- Exceeding and average of 80 hours per week, averaged over 4 weeks
- Duty hour violations must be reported to a course director
- Experience or observation of mistreatment
- Experiencing a sense of respect, collegiality, and cooperation among faculty and staff during this course
- Experiencing a sense of respect, collegiality, and cooperation among peers during this course
Our vision is to have the best clinical rotation in Year 3. Our mission is to equip students with lifelong clinical reasoning skills, teach them the fundamentals of the neurological exam and have them recognize neurological conditions that require prompt diagnosis and intervention. Our 4 week neurology clerkship in year 3 will introduce the students to the fundamentals of clinical neurology through a series of activities chosen for their relevance to the art and science of neurology. It is not our intent to make neurologists of 3rd year students but we mean to equip students with essential skills required of every good clinician. We have organized the rotation into a didactic core and an experiential core. Our didactic core consists of a lecture and case series that expands the entire length of the rotation and is intended to provide a solid cognitive basis for the student during the rotation. Reading is expected to take place in preparation for these conferences and discussions. Our experiential core consists of 2 inpatient and 2 outpatient weeks which will alternate smoothly to provide a broad exposure and continuity of care in the practice of clinical neurology. Reading is essential as the learner is expected to read on each patient or topic he/she will encounter or may be assigned by an attending or resident.
Conditions / Diagnoses (student must observe or have direct participation in inpatient or ambulatory settings unless indicated):
- Altered Mental Status
- Dementia (inpatient)
- Dizziness and Syncope
- Headache
- Intracerebral hemorrhage (inpatient)
- Movement Disorders
- Multiple Sclerosis
- Neuromuscular Disorders
- Peripheral Neuropathy
- Seizure
- Sleep Disorders
- Stroke (inpatient)
Procedures (student required to perform):
- Lumbar Puncture (simulation okay)
Procedures (not required by this Clerkship, but required prior to graduation):
- Abscess Incision and Drainage
- ACLS or PALS Resuscitation
- Airway Mgmt (Bag Valve Mask)
- Airway Mgmt (Oral/Nasal Airway)
- Arterial Blood Draw
- Arterial Line Placement
- Central Line Placement
- Chest Tube Placement
- CPR
- Foley Catheter Placement (Female)
- Foley Catheter Placement (Male)
- Intubation
- Laceration Repair
- Nasogastric Tube Placement
- Paracentesis or Thoracentsis
- Peripheral IV Placement
- Phlebotomy
- Vaginal Delivery
The following questions are asked of students regarding their clinical experience with preceptors:
- Effective teaching by faculty during the clerkship
- Specific and actionable feedback on student medical knowledge and clinical skills by faculty
- Faculty observation of student performing relevant portions of a patient history
- Faculty observation of student performing relevant portions of the physical or mental status exam
- Number of times directly observed performing a history or physical exam (including mental status exam) during clerkship
- During the clerkship, I feel I received appropriate supervision of my clinical care
- During the clerkship, I feel I received appropriate supervision when performing procedures
- Duty hours considerations:
- Not to exceed 5 continuous overnight shifts
- No allowance for at least 8 hours free from duties
- Exceeding 16 continuous hours
- No allowance for 4 twenty-four hour periods free from duties over a 4 week period
- Exceeding and average of 80 hours per week, averaged over 4 weeks
- Duty hour violations must be reported to a course director
- Experience or observation of mistreatment
- Experiencing a sense of respect, collegiality, and cooperation among faculty and staff during this course
- Experiencing a sense of respect, collegiality, and cooperation among peers during this course
Course Description:
The overall purpose of this 7-week rotation is for the student to:
- Acquire the basic Obstetrics and Gynecology knowledge and skills expected for all primary care physicians
- Develop professional behavior and the skills necessary to effectively communicate with patients and other health care workers
- Cultivate intellectual and scientific enthusiasm for Obstetrics and Gynecology and provide appropriate exposure for students to make an informed career decision
During the rotation students are expected to become familiar with the management of obstetrics and gynecological diseases – including anatomy, disease process, diagnosis and treatment – students will gain practical clinical experience in outpatient clinics, operating rooms, labor and delivery, and inpatient units. In these settings students will work along faculty, residents, advance professional providers (APPs [Nurse Practitioner, PA, Certified Nurse Midwife]) as well as patients and their families. During the rotation, students are expected to encounter and track specific chief complaints and perform or observe specific skills and procedures. In both cases these may be real or simulated encounters. Details provided under course content and outline. During the first week of the rotation students receive most of the didactic material delivered by faculty and training on specific clinical skills. Students undergo individualized training on: 1) Breast exam, pelvic exam, speculum exam and rectovaginal exam performed by the Gynecological Teaching Associates team from East Virginia Medical School and 2) Normal vaginal delivery and elements of obstetrical ultrasound performed by the OBGYN faculty using simulation equipment.
Clinical Skills (student must perform and in the ambulatory setting unless otherwise indicated):
- Bimanual Exam
- Breast Exam
- Complete Routine Obstetric Prenatal Visit
- Contraception Counseling (inpatient or ambulatory)
- Perform PAP
- Read Fetal Monitor Strip (inpatient)
- Rectovaginal Exam
- Speculum Exam
- Sterile Vaginal Exam on Laboring Patient (inpatient)
Conditions / Diagnoses (student direct participation required and can be completed in the inpatient or ambulatory setting except those explicitly noted):
- Abdominal Pain/Nausea/Vomiting
- Labor/Delivery (inpatient)
- Pelvic Pain
- Pre/postnatal Care (ambulatory)
- Preeclampsia
- Premature Labor
- Vaginal Bleeding (inpatient)
- Vaginal Discharge (ambulatory)
Procedures (student required to observe or have direct participation in the inpatient setting except the one indicated below):
- Cesarean Delivery
- Contraception Procedure – (Sterilization, IUD, Implanon) (inpatient or ambulatory)
- Hysterectomy (vaginal, abdominal, or laparoscopic)
- Laparoscopic/Robotic gynecological surgery
- Perineal Laceration Repair
- Vaginal Delivery
Procedures (not required by this Clerkship, but required prior to graduation):
- Abscess Incision and Drainage
- ACLS or PALS Resuscitation
- Airway Mgmt (Bag Valve Mask)
- Airway Mgmt (Oral/Nasal Airway)
- Arterial Blood Draw
- Arterial Line Placement
- Central Line Placement
- Chest Tube Placement
- CPR
- Foley Catheter Placement (Female)
- Foley Catheter Placement (Male)
- Intubation
- Laceration Repair
- Lumbar Puncture
- Nasogastric Tube Placement
- Paracentesis or Thoracentsis
- Peripheral IV Placement
- Phlebotomy
The following questions are asked of students regarding their clinical experience with preceptors:
- Effective teaching by faculty during the clerkship
- Specific and actionable feedback on student medical knowledge and clinical skills by faculty
- Faculty observation of student performing relevant portions of a patient history
- Faculty observation of student performing relevant portions of the physical or mental status exam
- Number of times directly observed performing a history or physical exam (including mental status exam) during clerkship
- During the clerkship, I feel I received appropriate supervision of my clinical care
- During the clerkship, I feel I received appropriate supervision when performing procedures
- Duty hours considerations:
- Not to exceed 5 continuous overnight shifts
- No allowance for at least 8 hours free from duties
- Exceeding 16 continuous hours
- No allowance for 4 twenty-four hour periods free from duties over a 4 week period
- Exceeding and average of 80 hours per week, averaged over 4 weeks
- Duty hour violations must be reported to a course director
- Experience or observation of mistreatment
- Experiencing a sense of respect, collegiality, and cooperation among faculty and staff during this course
- Experiencing a sense of respect, collegiality, and cooperation among peers during this course
The goal of the pediatric clinical experience is to provide an opportunity for students to develop basic skills required to provide medical care to infants, children and adolescents, and to provide a foundation for further training in pediatrics.
The Pediatric Clerkship is a 6-week experience consisting of a 3-week inpatient block and a 3-week ambulatory block. The inpatient block will involve two weeks during which students will serve on one of four daytime inpatient teams, delivering care to general, hematology/oncology, or subspecialty patients. During the third week, students will cover all hospitalized patients as part of an evening team. Activities during any of the three weeks will include taking admission histories, performing admission and follow-up physicals, rounding and presenting on your team’s patients during the day shift, and performing patient evaluations and following up on laboratory and radiologic studies. All inpatient teams will be comprised of one faculty attending physician, and multiple pediatric residents of various training levels. Students will work closely with, and report directly to, the team attending and senior resident.
The ambulatory block consists of three 1-week rotations. One week involves the delivery of care at the Downtown Health Plaza (DHP) or in a community pediatrician’s office. Students at the DHP will work as a team with faculty and a third-year pediatric resident whose only clinical duty is the supervision and precepting of students. Students at a community preceptor site will work with one pediatrician responsible for their experience. The second week in this block involves the delivery of care to newborns in the term newborn nursery at Forsyth Medical Center. Students will work with an attending physician and one or two pediatric and/or family medicine residents. At the end of this week, students will perform an observed, comprehensive physical examination of a newborn. The third week will involve a pediatric subspecialty experience where students will work with several providers in the field they are placed. Depending on the subspecialty students may have some inpatient consults and/or responsibilities.
Clinical Skills (students must perform and in the inpatient setting):
- Calculation of Pediatric IV Fluids
- Inpatient History and Physical
- Newborn Physical Exam (Faculty Observed)
Conditions / Diagnoses (student direct participation required and can be in the inpatient or ambulatory setting except the one noted below):
- Abdominal Pain / Nausea / Vomiting
- Developmental Delay
- Fever
- GI Illness
- Health Prevention & Maintenance (ambulatory)
- Newborn Care
- Respiratory Illness / Cough
Procedures (not required by this Clerkship, but required prior to graduation):
- Abscess Incision and Drainage
- ACLS or PALS Resuscitation
- Airway Mgmt (Bag Valve Mask)
- Airway Mgmt (Oral/Nasal Airway)
- Arterial Blood Draw
- Arterial Line Placement
- Central Line Placement
- Chest Tube Placement
- CPR
- Foley Catheter Placement (Female)
- Foley Catheter Placement (Male)
- Intubation
- Laceration Repair
- Lumbar Puncture
- Nasogastric Tube Placement
- Paracentesis or Thoracentsis
- Peripheral IV Placement
- Phlebotomy
The following questions are asked of students regarding their clinical experience with preceptors:
- Effective teaching by faculty during the clerkship
- Specific and actionable feedback on student medical knowledge and clinical skills by faculty
- Faculty observation of student performing relevant portions of a patient history
- Faculty observation of student performing relevant portions of the physical or mental status exam
- Number of times directly observed performing a history or physical exam (including mental status exam) during clerkship
- During the clerkship, I feel I received appropriate supervision of my clinical care
- During the clerkship, I feel I received appropriate supervision when performing procedures
- Duty hours considerations:
- Not to exceed 5 continuous overnight shifts
- No allowance for at least 8 hours free from duties
- Exceeding 16 continuous hours
- No allowance for 4 twenty-four hour periods free from duties over a 4 week period
- Exceeding and average of 80 hours per week, averaged over 4 weeks
- Duty hour violations must be reported to a course director
- Experience or observation of mistreatment
- Experiencing a sense of respect, collegiality, and cooperation among faculty and staff during this course
- Experiencing a sense of respect, collegiality, and cooperation among peers during this course
The Psychiatry Clerkship is a 4-week rotation occurring in the third year of the WFSM curriculum. Over the course of four weeks, students will have experience in the inpatient adult and inpatient child settings, in the psychiatry emergency department, outpatient psychiatric clinic and psychiatric consult team. Students will have interaction with patients as part of the multidisciplinary treatment team on adult inpatient unit as well as child/adolescent unit. Working with physician assistants, nurses, occupational therapists, pharmacists, psychologists and social workers will allow medical students to understand and value the different skill sets of each team member in applying a successful team approach. Working with residents, attending physicians, and physician assistants during the Emergency Psychiatry week and the Consult/Liaison week will also help students in understanding the integration of health care in effectively allowing multiple specialists to work together to provide the best care for our patients.
Clinical Skills (student must perform and can be in the inpatient or ambulatory setting):
- Complete a history including a Mental Status Exam with faculty observation
- Present history and mental status exam to faculty member
Conditions / Diagnoses (student direct participation required and can be in the inpatient or ambulatory setting):
- Attention Deficit Disorder
- Bipolar Disorder
- Depression
- Oppositonal Defiant Disorder
- Personality Disorder
- Schizophrenia
- Substance Induced Mood Disorder
- Substance Induced Psychotic Disorder
Procedures (not required by this Clerkship, but required prior to graduation):
- Abscess Incision and Drainage
- ACLS or PALS Resuscitation
- Airway Mgmt (Bag Valve Mask)
- Airway Mgmt (Oral/Nasal Airway)
- Arterial Blood Draw
- Arterial Line Placement
- Central Line Placement
- Chest Tube Placement
- CPR
- Foley Catheter Placement (Female)
- Foley Catheter Placement (Male)
- Intubation
- Laceration Repair
- Lumbar Puncture
- Nasogastric Tube Placement
- Paracentesis or Thoracentsis
- Peripheral IV Placement
- Phlebotomy
- Vaginal Delivery
The following questions are asked of students regarding their clinical experience with preceptors:
- Effective teaching by faculty during the clerkship
- Specific and actionable feedback on student medical knowledge and clinical skills by faculty
- Faculty observation of student performing relevant portions of a patient history
- Faculty observation of student performing relevant portions of the physical or mental status exam
- Number of times directly observed performing a history or physical exam (including mental status exam) during clerkship
- During the clerkship, I feel I received appropriate supervision of my clinical care
- During the clerkship, I feel I received appropriate supervision when performing procedures
- Duty hours considerations:
- Not to exceed 5 continuous overnight shifts
- No allowance for at least 8 hours free from duties
- Exceeding 16 continuous hours
- No allowance for 4 twenty-four hour periods free from duties over a 4 week period
- Exceeding and average of 80 hours per week, averaged over 4 weeks
- Duty hour violations must be reported to a course director
- Experience or observation of mistreatment
- Experiencing a sense of respect, collegiality, and cooperation among faculty and staff during this course
- Experiencing a sense of respect, collegiality, and cooperation among peers during this course
During this 8 week rotation students will be introduced to the management of surgical diseases – including anatomy, disease process, diagnosis and treatment. They will gain practical clinical experience in operating rooms, the emergency department, intensive care units, floors and clinics. These settings will expose them to faculty and residents, other care providers, as well as patients and their families. There are detailed objectives for the Clerkship. During the rotation, students are expected to encounter these conditions, and perform or observe these procedures. (In both cases these may be real or simulated encounters.) Practical clinical experience will be supplemented by appropriate educational experiences in various conferences, as well as engagement in self-directed study to prepare for patient encounters, an oral exam, and the Shelf exam, which is taken at the end of the rotation.
During the rotation, students are assigned to 5 different surgery-related services:
- One 3-week general service (Colon & Rectal; Pediatric Surgery; Minimally Invasive Surgery; Surgical Oncology, Transplant)
- One 2-week subspecialty service (Ophthalmology; Orthopaedic Surgery; Otolaryngology (ENT); Plastic & Reconstructive Surgery, Urology, Vascular Surgery)
- One week of night service (mostly Trauma and Emergency General Surgery)
- One week of Trauma, or Emergency General Surgery, or Burn (this is a day time service)
- One week of Anesthesia
Students are expected to become an instrumental member of the team in each service, undertaking tasks that advance patient care, as directed by faculty, fellows or residents. Examples of these tasks are pre-rounding on patients, taking histories and performing physical exams, and presenting patients to more senior members of the team, and assisting in the operating room.
Clinical Skills (student must perform):
- Pre-Operative History and Physical
Conditions / Diagnoses (student may observe or have direct participation):
- Appendicitis
- Benign or Malignant Condition of the GI Tract
- Biliary Disease
- Bowel Obstruction
- Burn
- Diverticular Disease
- Fracture
- Hernia
- Peripheral Artery Insufficiency
- Pneumothorax
- Skin/Soft Tissue Infection
- Trauma, Blunt or Penetrating
- Traumatic Brain Injury
- Vascular Disease
Procedures (student required to perform):
- Foley Catheter Placement (Female)
- Foley Catheter Placement (Male)
- Skin Closure
Procedures (not required by this Clerkship, but required prior to graduation):
- Abscess Incision and Drainage
- ACLS or PALS Resuscitation
- Airway Mgmt (Bag Valve Mask)
- Airway Mgmt (Oral/Nasal Airway)
- Arterial Blood Draw
- Arterial Line Placement
- Central Line Placement
- Chest Tube Placement
- CPR
- Intubation
- Laceration Repair
- Lumbar Puncture
- Nasogastric Tube Placement
- Paracentesis or Thoracentsis
- Peripheral IV Placement
- Phlebotomy
- Vaginal Delivery
The following questions are asked of students regarding their clinical experience with preceptors:
- Effective teaching by faculty during the clerkship
- Specific and actionable feedback on student medical knowledge and clinical skills by faculty
- Faculty observation of student performing relevant portions of a patient history
- Faculty observation of student performing relevant portions of the physical or mental status exam
- Number of times directly observed performing a history or physical exam (including mental status exam) during clerkship
- During the clerkship, I feel I received appropriate supervision of my clinical care
- During the clerkship, I feel I received appropriate supervision when performing procedures
- Duty hours considerations:
- Not to exceed 5 continuous overnight shifts
- No allowance for at least 8 hours free from duties
- Exceeding 16 continuous hours
- No allowance for 4 twenty-four hour periods free from duties over a 4 week period
- Exceeding and average of 80 hours per week, averaged over 4 weeks
- Duty hour violations must be reported to a course director
- Experience or observation of mistreatment
- Experiencing a sense of respect, collegiality, and cooperation among faculty and staff during this course
- Experiencing a sense of respect, collegiality, and cooperation among peers during this course