STUDENT RESPONSIBILITIES FOR GASTROINTESTINAL SURGERY (SRG Section)
Learning Objectives
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Surgical Knowledge: Students should become knowledgeable in the following surgically related problems:
Intestinal Obstruction
Inflammatory Bowel Disease
Colorectal Carcinoma
Anorectal Disease
Diverticulitis
Nutritional Management of the Surgical Patient
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Hernia Management
Ostomy care/management
General Principles of Laparoscopic Surgery
Management of complex abdominal wounds
including the application of negative pressure
dressings
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Patient Care: Students should practice developing assessments/plans, and technical skills including:
 Placement and removal of NG tubes and Foley catheters
 Wound dressings and management of drains
 Basic suture techniques
3.
Communications: Students should develop:
 Written Communication Skills (history and physical examinations and progress notes)
 Oral Communication Skills (rounds, clinics, ORs, conferences)
4.
Evidence-Based Practice: Students should read for cases and patient encounters and show understanding of
the contemporary literature.
5.
Practice-Based Learning: Students should employ active learning in the care of surgical patients to:
 Learn proper scrubbing technique
 Participate at the operating table using aseptic technique
 Correlate pathological findings with signs and symptoms of disease in your patients
6.
Professionalism: Students should develop and demonstrate:
 Good bedside manner
 Responsibility
 Teamwork
GI Surgery Organization
The Division is specializes in gastrointestinal problems and is divided into two affiliated Sections: Surgery Z
(SRZ) Drs. Farrell, Overby, Bunzendahl and Duke, and Surgery G (SRG1 Drs. Sadiq and Rahbar) and G2 (Dr.
Koruda). Each service has a senior resident (PGY 4-5) who is responsible for the organization and function of the
service, and an intern (PGY1) or nurse practitioner who manages the details of ward care. Students will spend
their 4 weeks on one service. The GI Surgery Administrative Office is located at 4035 Burnett-Womack (9668436).
Learning Environments
Management Conference
Surgery G’s Management Conference is held weekly on Friday 6:45 – 8:30 AM. Morbidity and Mortality case
from the previous week are discussed. Operative cases for the upcoming week are presented by the residents and
students and discussed.
ORs
Elective cases occur each day with some exceptions. One student should scrub on each case done by his/her
service unless required clerkship activities conflict.
It is acceptable to stay for part of a case and leave for
required didactic meetings.
Clinics
Clinics are held in the first floor GI Surgery Clinic area. Although occasionally subject to change, clinic
schedules are: Monday : 8:30 to 5:00 (Rahbar); Tuesday: 8:30 – Noon (Sadiq); Tuesday: Noon – 5:00 (Koruda);
Wednesday - 8:30 to Noon (Sadiq), Thursday: 9:00-Noon (Rahbar); Friday - 8:30 to Noon (Koruda). New
patients, postoperative follow-up patients, and preoperative referrals are seen. Most elective cases are admitted
through these clinics. Student attendance is required when not involved in ORs or required educational sessions.
Rounds
Teams round twice daily. Morning rounds are focused on initiating plans for all patients in an efficient way,
before OR/conference obligations begin. Students will “pick-up” patients through the ORs and clinics and will be
asked to assist in the process of pre-rounding and presenting for these patients. Afternoon rounds occur near the
end of the day and are geared toward education of junior trainees and safe transfer of patients to the on-call
coverage team.
CONFERENCES
Departmental Morbidity and Mortality Conference
Attendance is expected at this weekly conference. Wednesday 5:00-6:00 PM Clinic Auditorium
Grand Rounds
Attendance is expected at this weekly conference. Wednesday 7:15-8:15 AM Clinic Auditorium
GI Med/Surg Conference
Topical presentations by GI Surgery or GI Medicine members. Tuesday 5:30-6:00 PM OR Classroom
Assignments
History and Physical Workups
Students are to submit two written history and physical examination workups on patients presenting to the
service for operation or management. History & Physical workups should adhere to the following format:
Infosource:
Chief complaint: (CC)
HPI
PMH (medical, surgical, medications, allergy)
SH (smoking, etc)
FH
ROS (complete)
PE (complete)
Data (Labs and Studies)
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Assessment
Plan
Then, a concise (<1 page) evidence-based discussion covering some aspect of each patient’s case should be
amended to each H&P.
These assignments may be typed or handwritten. These should be submitted to Dr. Sadiq. The first one should
be submitted by the mid-point of the rotation.
X-ray Presentation
Please find an interesting or educational radiograph to use as a source for a required oral case presentation (5
minutes). Students must present one X-ray as part of one Friday case conference during their 4 weeks on the
rotation. No slides or handouts are required, but only a well prepared and orderly presentation of the patient’s
presentation and the chosen film.
Progress Notes and Daily Orders
Students are to learn to write notes and orders. We are still learning the best way to do this with EPIC. We can
discuss once you are on service.
Planning Ahead
Preparation for Cases
Solicit from the residents operating room assignments the day before surgery to allow preparation for cases. It is
expected that each student be familiar with each patient he/she scrubs on. Students should make every effort to
see the patients pre-op. At a minimum their chart should be reviewed. It is the student's responsibility to check
on the time of the operative procedure so that he/she may plan his/her activities to be present.
Evaluations
At the completion of each rotation, the attendings and house staff meet to discuss the performance of the students.
A consensus evaluation form is then submitted through One45, usually within two weeks of the end of the
rotation. Students are encouraged to meet with faculty members to review their evaluations.
Revised 8/2013
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