Surgery Sub-Internship

ELEC680 / PSRG 680

Department
Surgery

Clinical or Non-Clinical Course
Clinical (Sub-I selective)

Physician Assessed Patient Facing
Yes

Prerequisites
Completion of Phase 2 Clerkships

Other
CHM orientation; Springfield Clinic clearance required

Goal
The purpose of the Sub-Internship is to familiarize the student with the responsibilities of a resident and to aid in the transition from medical student to resident physician. The Surgery Sub-Internship provides additional surgical experiences and patient care responsibilities to the fourth-year student who may be considering a career in surgery. This Sub-Internship represents a full- time intensive commitment and significant responsibility of the student caring for patients in the hospital and the outpatient departments. The student will have direct responsibility for comprehensive patient care, including medical and surgical needs of the patient, but will always be acting under the supervision of a senior surgical resident and attending surgeons. The student will see the new patient first, as in the office outpatient setting, inpatient consultation, or inpatient surgical admission. The student will identify the time for appropriate medical consultation, (i.e. diabetes management, nephrology, cardiology, etc.) and make the necessary communication to request consultation, and be present for dialogue and instruction with the consultant and /or consulting service, and in this manner gain experience in the management of the medical needs of the patient. The student will continue to work with the medical consultant as well, to provide on-going comprehensive patient management. The student will participate in preoperative care, assist in surgery and participate in postoperative care, including interpretation and assessment of laboratory findings, imaging information, and other diagnostic tests. It is important to emphasize that the student should function as a Surgery PGY-1, and resident/attending supervision will ensure that all hospital policies of patient care are met. The student will be expected to participate in all of the educational activities of the Department of Surgery during the course of the student’s sub-internship as well as an assigned Laparoscopic Skills Simulator Curriculum.

Objectives
At the end of this course, the student will be able to:

  1. Actively take responsibility for assigned patients.
  2. Perform appropriate accurate complete history and physical exams and record history and physical and surgical admission notes.
  3. Develop comprehensive assessment of the patient’s problem and review the assessment with attending surgeon/ senior resident.
  4. Discuss and explain assessment, tests to be ordered, test results, and treatment plans with patient and family, including providing informed consent information and the postoperative reports to the patient and family.
  5. Demonstrate improved surgical skills during appropriate surgical procedures.
  6. Describe the improvement of his/her abilities as measured by the AAMC six competencies of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.
  7. Show ability to develop PowerPoint presentation for 15-minute teaching lecture to his/her service.

Method of Assessment
Standard Clinical 4wk Elective Evaluation - Honors/High Pass/Pass/Fail

Additional Methods
The faculty will base their evaluation on: 1. On-going observation of performance and informal discussion with student by preceptor. 2. Completion of Standard Clinical Evaluation Form by preceptor and discussion with student. 3. Technical procedures including a Laparoscopic Skills Simulator Curriculum. 4. Mid-Rotation Feedback Form, completed mid-rotation by student, resident, and attending physician

Course Director
Richard Anderson, M.D.

Course Coordinator
Jennifer Young
jakyoung@uic.edu
309-655-6454

Location
SFMC, Carle Health Methodist Hospital (CHM)

Setting
Outpatient
Inpatient

Night Call
Yes
Please Specify
Optional

Laboratory
No

Weekends
Yes

House Staff
Yes

Number of Learners per Block
2-3

Duration
4 weeks

Who is this elective available to
M4s (in Phase 3)

Blocks Available
All except winter break.