CORE: Surgery - Midwestern University

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4th YEAR
CLINICAL ROTATIONS
NON-PODIATRIC
SURGERY
PMED 1803
ROTATION SYLLABUS
MIDWESTERN UNIVERSITY
Arizona School of Podiatric Medicine
4 Credit hours
TABLE OF CONTENTS
I. AZPod Liaisons
II. Rotation Description
III. Prerequisites
IV. Rotation Goals
V. Rotation Educational Objectives
VI. Schedule
VII. Policies and Procedures
VIII. Health and Safety
IX. Evaluation Policy
X. Required Textbooks/Reading
XI. Recommended Textbook/Reading
XII. Podiatry Program Mission and Vision Statements
XIII. Rotation Evaluation Sample Form
PMED 1803 Surgery Rotation
2
I. AZPOD LIASIONS
Clinical Director: Dr. Denise Freeman
Phone: 623-572-3452
Email: dfreem@midwestern.edu
Clinical Education Coordinator: Randi Carlson
Phone: 623-582-3447
Email: rcarls@midwestern.edu
II. ROTATION DESCRIPTION
The Surgery rotation is a four week training experience on a Surgical Service, i.e.,
Orthopedics, Vascular, General or Plastics. The overall goal of the experience is for
the student to develop fundamental skills in evaluating and managing patients with
non-podiatric pathologies that warrant surgical intervention. Students will utilize
diagnostic and treatment modalities throughout the peri-operative period.
III. PREREQUISITES
The first three years of didactic curriculum must be completed successfully, as well as
fully completing the 3rd year clinical educational program (including all preceptor
evaluations, student rotation evaluations and activity logs being submitted fully) prior
to beginning this rotation.
In addition to completing and submitting paperwork from the clinical rotations, students
will be required to have taken and meet competency levels of the third year
Competency-Based Exam.
IV. ROTATION GOALS
Develop the skills needed to evaluate and manage the surgical patient, i.e.
orthopedics, vascular, general, or plastics.
V. ROTATION OBJECTIVES
The rotation objectives are provided to assist students in their clinical learning
experiences. In addition to specified objectives, students must take a fundamental
interest in their own education by asking appropriate questions, following patients,
putting in extra time, and reading about encountered clinical problems.
PMED 1803 Surgery Rotation
3
General Objectives
1. Demonstrate compassionate treatment of patients, and respect for their privacy
and dignity.
2. Demonstrate sensitivity and responsiveness to patient’s culture, age, gender,
and disabilities.
3. Demonstrate a commitment to ethical principles pertaining to informed consent &
confidentiality.
4. Demonstrate the ability to recognize their knowledge and skill limitations.
5. Demonstrate a commitment to improve one’s knowledge and ability.
6. Demonstrate caring/respectful behaviors with patients, physicians and staff.
7. Gather essential and accurate information about their patients.
8. Present cases in a concise, clear and organized manner.
9. Make informed decisions based on patient information and up-to-date scientific
evidence.
10. Follow protocol for cleanliness/universal precautions.
11. Complete assignments e.g., research, presentations, journal club etc.
Rotation-Specific Educational Objectives:
CODE SURGERY ROTATION:
4.6.1 Perform a medical history that is relevant, concise, accurate and appropriate to
4.6.2
4.6.3
4.6.4
4.6.5
4.6.6
4.6.7
4.6.8
4.6.9
4.6.10
4.6.11
the patient's problem(s)
Perform a physical examination that is relevant, sufficiently elaborate, and
appropriate
Select medical imaging tests that are appropriate to investigate the problem
e.g. basic x-ray, ultrasound, computer-assisted tomography (CT), magnetic
resonance imaging (MRI) and radionuclide studies
Participate in preoperative planning: understand the concepts; order
appropriate preoperative investigations to assist in planning and execute the
preoperative plan during surgery
Participate in surgical and technical procedures commonly performed in
surgery
Demonstrate knowledge of surgical options that allow appropriate operative
selection
Demonstrate knowledge of wound healing principles.
Assist in the use of surgical equipment: understand its use, recognize its limits
and apply to tissues safely.
Assist in the proper application and implementation of closure techniques
Participate in the appropriate use of imaging equipment: understand its use,
recognize the risks of, and appreciate safety measures required to protect
patients, self and other personnel from ionizing radiation
Participate in postoperative care including effective pain management and post
operative complications
PMED 1803 Surgery Rotation
4
VI. SCHEDULE
The schedule is dependent upon the attending preceptor, and/or supervisor. Students
are required to contact the rotation site/preceptor one week in advance to verify the
department’s schedule.
VII. POLICIES and PROCEDURES – Refer to Clinical Handbook
1.
2.
3.
4.
5.
6.
7.
General Requirements.
Student Rotation Changes
Failure of a Rotation
Attendance
Communication with the Podiatric Program
Charting and Prescriptive Activities
Professionalism
VIII. HEALTH AND SAFETY – Refer to Clinical Handbook
1.
2.
3.
4.
5.
6.
7.
8.
Incident Reporting
Safety
Clinical Background Checks
Rotation Requirements
Immunizations
Student Health Insurance
Supervision
Code of Ethics
IX. EVALUATION POLICY
The Arizona School of Podiatric Medicine is the final authority in determining whether a
student has met the requirements to satisfactorily pass a rotation.
For each rotation the following MUST be completed by the deadline as stated in
the Clinical Handbook:
1. Preceptor’s Evaluation of Student
2. Student’s Evaluation of Rotation/Site
3. Student Case Logs
A passing grade from the assigned preceptor in each rotation is required for
passage of the rotation. An average grade of 80 or greater is required for
successful completion in the General Objectives portion of the student
evaluation. A student with an average grade of 70 or below will be interviewed by the
Clinical Director to determine why the grade was given. Additionally, an average
grade of 80 or greater is required for successful completion of the Specific Rotation
Objectives portion of the student evaluation. After consulting with the student and the
clinician who gave the failing grade, the Clinical Director will render a decision with
respect to additional time in the clinic for remediation. Students are encouraged to
review their evaluations with the attending.
PMED 1803 Surgery Rotation
5
In addition to completing and submitting paperwork for the clinical rotations, the
students will be required to participate in one high stakes CBE during the spring quarter
of their fourth year (see Calendar for specific dates). The hands-on assessment will
gauge the progression of clinical skills and knowledge. Students must display a
minimum competency level before being allowed to graduate.
X. REQUIRED TEXTBOOK/READING
1.
Reading materials and assignments will be given at the discretion of the rotation
preceptors and directors.
XI. AZPOD MISSION STATEMENT
As a leader in podiatric medical education, our mission is to ensure excellence in an
environment that nurtures diversity, professionalism, dedication and creativity. Our
vision is to be the standard of excellence by which podiatric medical education will be
measured through:
1.
2.
3.
4.
5.
Innovative curriculum
Cutting edge research
Compassionate patient care
Contemporary graduate and continuing medical education
Service to community
PMED 1803 Surgery Rotation
6
AZPOD NON-PODIATRIC SURGERY ROTATION EVALUATION
YEAR 4
Student Name _________________________________________________________
Rotation Dates _________________________________________________________
Evaluator’s Name _______________________________________________________
Please use the flowing grading scale:
6-Unsatisfactory
7-Unsatisfactory but Improving
8-Competent Performance
9-Competent and Progressing
10-Outstanding Performance
N/A-Not Applicable/Not Performed
At the end of this rotation the student, under the supervision of a preceptor, will be able
to:
GENERAL OBJECTIVE
6
7
8
9 10
N/A
1. Demonstrate compassionate treatment of
patients, and respect for their privacy and
dignity.
2. Demonstrate sensitivity and responsiveness to
patient’s culture, age, gender, and disabilities.
3. Demonstrate a commitment to ethical
principles pertaining to informed consent &
confidentiality.
4. Demonstrate the ability to recognize their
knowledge and skill limitations.
5. Demonstrate a commitment to improve one’s
knowledge and ability.
6. Demonstrate caring/respectful behaviors with
patients, physicians and staff.
7. Gather essential and accurate information
about their patients.
8. Present cases in a concise, clear and
organized manner.
9. Make informed decisions based on patient
information and up-to-date scientific evidence.
10. Follow protocol for cleanliness/universal
precautions.
11. Complete assignments e.g., research,
presentations, journal club etc.
PMED 1803 Surgery Rotation
7
CODE NON-PODIATRIC SURGERY:
6
7
8
9
10 N/A
4.6.1 Student was able to perform a medical history that is relevant, concise,
accurate and appropriate to the patient's problem(s).
4.6.2 Student was able to perform a physical examination that is relevant,
sufficiently elaborate, and appropriate.
4.6.3 Student selected medical imaging tests that are appropriate to investigate
the problem: e.g. basic x-ray, ultrasound, computer-assisted tomography
(CT), magnetic resonance imaging (MRI) and radionuclide studies.
4.6.4 Student participated in preoperative planning: understood the concepts;
ordered appropriate preoperative investigations to assist in planning and
was able to execute the preoperative plan during surgery.
4.6.5 Student participated in surgical and technical procedures commonly
performed in surgery.
4.6.6 Student demonstrated knowledge of surgical options that allow appropriate
operative selection.
4.6.7 Student demonstrated knowledge of wound healing principles.
4.6.8 Student assisted in the use of surgical equipment: understood its use,
recognized its limits and applied to tissues safely.
4.6.9 Student assisted in the proper application and implementation of closure
techniques.
4.6.10 Student participated in the appropriate use of imaging equipment:
understood its use, recognized the risks of, and appreciated safety
measures required to protect patients, self and other personnel from
ionizing radiation.
4.6.11 Student participated in postoperative care including effective pain
management and post operative complications.
COMMENTS:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Has this evaluation been discussed with the student?
_____Yes
____No
Signature of Student ________________________________________Date________
Signature of Preceptor ______________________________________Date________
PMED 1803 Surgery Rotation
8
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