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