SYLLABUS
College of Medicine
Course title and number
Term (e.g., Fall 200X)
Meeting times and location
SURG 846 General Surgery Acting Internship
All Year
Call Terri Okun at (254)935-4934 the Friday prior to the start of the rotation
for report times.
Course Description and Prerequisites
(Course Description
(from HSC Course Catalogue) and Overview
http://www.tamhsc.edu/education/catalog/
1. Provide an advanced level of surgical training approaching the functioning
responsibility of an intern while building on the clinical skills obtained by the student in
his third year Surgery Clerkship.
2. Give the student more training in both pre and post-op care of general surgical patients
and to expand on their OR and procedural experience.
3. Give some experience in emergency surgical care by taking in house surgical call with
the junior general surgical resident.
4. Allow for more in depth involvement in the care of critically ill patients within the
intensive care unit setting.
VI. Course Objectives and Evaluation Method
For Course Objectives:
1. Perform an initial history and physical examination and plan initial workup of general
surgical patients seen as an elective or emergency consultation.
2. Scrub in surgery, recognize anatomic structures, and know what procedure is indicated.
3. Become familiar with general surgical emergency situations, both inpatient and
outpatient.
4. Perform 1 or 2 minor surgical procedures under the supervision of the staff (such as I &
D and/or removal of benign skin lesion).
5. Be able to write daily on postoperative orders on general surgical patients.
6. Supply postoperative care of elective and emergency general surgical patients with
resident supervision.
For Evaluation Methods:
1. Patient oriented activities (100%)
2. Residents and staff will assign a grade utilizing the Clinical Evaluation Form on ability
to relate disease process and recognize such at the operating table and know what should
be done, quality of written work-up, familiarity with progress of patients as evidenced
by presentation to rounds, conferences, etc,
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Upon completion of the course, students will be able to:
Instructor Information
Course Director
Scott Thomas, M.D.
Name
(254)724-7445
Telephone number
jsthomas@sw.org
Email address
By appointment
Office hours
Desk 4A General
Office location
Surgery
Coordinator
Terri Okun
Name
(254)935-4934
Telephone number
tokun@sw.org
Email address
By appointment
Office hours
McLane’s Children
Office location
Clinic
Coordinator
Clerkship Director
Name
Telephone number
Email address
Office hours
Office location
Name
Telephone number
Email address
Office hours
Office location
Clerkship Director
Name
Telephone number
Email address
Office hours
Office location
Coordinator
Name
Telephone number
Email address
Office hours
Office location
Clerkship Director
Name
Telephone number
Email address
Office hours
Office location
Coordinator
Name
Telephone number
Email address
Office hours
Office location
Clerkship Director
Name
Telephone number
Email address
Office hours
Office location
Coordinator
Name
Telephone number
Email address
Office hours
Office location
Learning Outcomes & Objectives
1. Assigned to general surgical team as an acting intern under the direct supervision of a
chief resident in General Surgery.
2. Make ward rounds with the chief resident, staff and surgical team. Scrub in the OR as
assigned.
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3. Perform minor surgical procedures under resident and staff supervision
4. Be responsible for the direct care of assigned patients under resident and staff
supervision.
5. Take emergency call with the assigned surgical team.
6. Attend scheduled general surgery educational conferences.
COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/
Principles and Guidelines for Curriculum Development:
http://medicine.tamhsc.edu/policies/pdf/curriculum-principles-guidelines.pdf
Course Objective:
Perform an initial history and
physical examination and plan initial
workup of general surgical patient as
an elective or emergency
consultation.
Scrub in surgery, recognize
anatomic structures, and know what
procedures is indicated.
Become familiar with general
surgical emergency situations, bot
inpatient and outpatient
Perform 1 or 2 minor surgical
procedures under the supervision of
the staff (such as I &D and/or
removal of benign skin lesion).
Be able to write daily on
postoperative orders on general
surgical patients.
Supply postoperative care of elective
care of elective and emergency
general surgical patients with
resident supervision.
COM Competency
Based Learning
Objectives
(CBLO):
Taught (T)
and/or
Evaluated (E):
Evaluation:
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Choose an item
Taught AND
Evaluated
Choose an item
Taught AND
Evaluated
Choose an item
Taught AND
Evaluated
Choose an item
Taught AND
Evaluated
Choose an item
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Choose an item
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Textbook and/or Resource Material
1. Standard textbooks of General Surgery as utilized in third year clerkship
2. Selected Readings (in surgery) on file in department
3. Third Year Lecture Series and Subspecialty Seminars
Date Created/Revised: __5/13/15___By:__T.O.___
Grading Policies
GRADING SCALE
Satisfactory
70-100
Unsatisfactory
69 and below
Should the course director determine remediation is required, the remediation plan will be at the
discretion of the course director and on a case by case basis depending on the issues involved.
Remediation plans could entail some (or all) of the following examples: Additional clinical shifts,
research papers, presentations, article reviews, exams, directed reading, web-based modules, etc. If the
student performance results in a failure of the elective, it will be recommended that the elective be taken
again in its entirety.
Attendance and Make-up Policies
(A
component of professionalism is to be present, prepared, and punctual. In the event of a
personal illness, critical illness within your immediate family, family death, or other
extenuating events, please communicate this to the clerkship director or administrator in a
timely manner. TAMHSC – COM student handbook states: Students who miss more than 20%
of a 4th year elective for any reason (2 weekdays during a two-week rotation or 4 weekdays for
4 week rotation) will require a remediation plan. Elective director will consider students
attendance and remediation if the student is requesting extended time off during interview
season.
Students will adhere to the same work schedules as the attendings and/or residents. Students
are required to attend morning report, patient rounds and Journal review.
Resources: Texas A&M Health Science Center Medical Student Handbook.
VIII. Policies and Procedures (generic information for all campuses)
Responsibilities and Expectation of Students
Students are expected to be present for the various clerkship activities that will be
noted by your residents and staff.
Attendance is expected at the various clinical activities including morning ward rounds,
operating room when assigned, third year lecture series, afternoon rounds,
conferences, and any activity specifically requested by your attending.
Students are expected to be punctual for all of the various activities noted on the
weekly schedule. Failure to adhere to the schedule will result in undue delays and
inconveniences to patients, students and faculty. However, your tolerance of any last
minute schedule changes in lectures is asked. Sometimes trying to arrange a lecture
series with surgeons is full of unforeseen scheduling changes
Dress and Appearance: In order to be accepted as a member of the health care team, it is
important to assume the same basic manner of dress, appearance and conduct as the other
members of the team. A picture name identification tag must be readily visible on your shirt or
coat collar, with introduction of your full name including “Ms.” or “Mr.” or “medical student”.
If the parent/patient refers to the student as a “doctor”, it is the student’s duty to correct this
error. One should not misrepresent his/her role.
Date Created/Revised: __5/13/15___By:__T.O.___
Resource: Texas A&M Health Science Center Medical Student Handbook.
Course Topics, Calendar of Activities, Major Assignment Dates
(List major didactics, simulations, and test dates by week. Must include dates on which major exams will
be given and assignments will be due and should not be changed without notification of all students in
the course. Include a statement that all dates are subject to change. Include major topics, assignments,
etc. Reference where an up to date schedule can be accessed. INCLUDE an INITIAL or
REPRESENTATIVE schedule in the appendix. THIS INFORMATION HAS BEEN PLACED HERE FOR
REFERENCE ONLY. PLEASE REMOVE BEFORE PREPARING SYLLABUS.)
Week
Topic
Required Reading
Other Pertinent Course Information
General Surgery Acting Internship is a 2or 4 week rotation. Students will adhere to the same
work schedule as the attending and/or resident.
Americans with Disabilities Act (ADA)
The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides
comprehensive civil rights protection for persons with disabilities. Among other things, this legislation
requires that all students with disabilities be guaranteed a learning environment that provides for
reasonable accommodation of their disabilities. If you believe you have a disability requiring an
accommodation, please contact Disability Services, in Cain Hall, Room B118, or call 845-1637. For
additional information visit http://disability.tamu.edu
Date Created/Revised: __5/13/15___By:__T.O.___
Any student with a disability who needs accommodation should inform the instructor at the beginning of
the course.
Academic Integrity
For additional information please visit: http://aggiehonor.tamu.edu
“An Aggie does not lie, cheat, or steal, or tolerate those who do.”
Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All College of Medicine students are required to comply with the student code of conduct and the academic integrity and
honesty standards published in each component’s Student Handbook. Disciplinary action will be taken in accordance with
the policies of each component. Students found guilty of Academic Dishonesty will receive an “F”/Unsatisfactory in the
course. For a full list of actions qualifying as academic dishonesty, please review the College of Medicine Student
Handbook at http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf.
According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another person's ideas,
processes, results, or words without giving appropriate credit. Intentionally, knowingly, or carelessly presenting the work of
another as one’s own (i.e., without crediting the author or creator). Plagiarism and other academic misconduct definitions
can be viewed on the Aggie Honor System Office website;
http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions.
TAMHSC E-mail Access and FERPA
The College of Medicine is communicating all official information to students through the students’ TAMHSC e-mail
accounts. Please check the account frequently during the semester for updates.
This course is supported with web-based and/or e-mail activities. In order to take advantage of these additional resources
and participate fully in the course, you have been assigned an e-mail address by the Texas A&M Health Science Center.
This e-mail address is for internal use only, so that faculty may communicate with you and the entire class. By registering
for this course, you are agreeing to allow your classmates to have access to this e-mail address. Should you have any
questions, please contact the TAMU’s Office of the Registrar at 979-845-1031.
The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is intended to protect the
privacy of education records, to establish the rights of students to inspect and review their education records and to
provide guidelines for the correction of inaccurate or misleading data through informal and formal hearings. Students also
have the right to file complaints with the Family Educational Rights and Privacy Act Office of the Department of Education
in Washington, D.C., concerning alleged failures by the HSC to comply with the act.
Mistreatment of Students
The College of Medicine is committed to providing a positive learning environment in which students can meet their
academic goals based on mutual respect in the teacher/learner relationship. Both parties must be sensitive to the needs
of others and differences in gender, race, sexual orientation, religion, age or disability. As outlined in the Student
Handbook under the section titled Standards of Conduct in the Teacher-Learner Relationship, belittlement, intimidation
and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches involving student
mistreatment may result in a faculty or staff member being sanctioned or the loss of faculty and/or staff appointment.
These policies address student mistreatment involving College of Medicine employees, residents, affiliate staff, or
patients. Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or through
an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html. For a full list of reporting avenues,
please refer to the Student Handbook under the Mistreatment Policy.
Exposure and Occupational Hazard
The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be accessed in the
Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
Note: More information is available on the aforementioned topics to all students on the College of Medicine website.
Date Created/Revised: __5/13/15___By:__T.O.___