THIRD YEAR STUDENT ROTATION - GENERAL SURGERY - OLIVE VIEW
Introduction
Students should page the resident on the General Surgery at Olive View service before
they begin the rotation to find out where and when to meet. The name of the resident and
pager can be found on the R2 General Surgery rotation schedule located at the Surgery
website: http://www.surgery.ucla.edu/resident/
I. Goal of Clinical Rotation
The overall goal of this three-week rotation is to introduce you to principles of evaluation
and management of patients with a wide variety of GS problems including abdominal,
breast, vascular and endocrine diseases. In general, you will be participating in most of the
activities with the residents. During the three weeks, you will be expected to gain skills in
the following areas:
1. Comprehensive evaluation of the patient with acute abdominal pain.
This includes skill in performing a comprehensive History and Physical examination
(H&P). Practice in physical assessment and completing a well-organized write-up
are important in the third year. Unlike the H&P’s performed by the residents, which
are often focused and limited in length, your write-up should be detailed and
complete. This write-up will be placed in the chart and used as the primary
admission note on your patients. You must review the H&P with the resident on call
when you evaluate the patient. It is required that the resident countersigns the writeup before it can go into the chart.
2. Focused evaluation of patients in the following clinics: General, Breast,
Proctology, Pediatric and Vascular.
A totally separate skill is the ability to focus on a patient's problems during an
outpatient visit, to carry out a problem-specific History and Physical, and to write an
appropriate note for the chart.
3. Diagnosis of patients with abdominal pain.
By the end of the rotation, you should become familiar with methods of evaluation of
the patient with abdominal pain. These include imaging studies such as plain Xrays, ultrasound and CT scan. In connection with the diagnostic methods, you will
need to review the anatomy of the abdomen.
4. Indications for surgery inpatients with abdominal pain.
By the end of the rotation, you should learn the basic principles of the pre, intra, and
postoperative management of patients with abdominal pain and the indications for
surgery on these patients.
II. CURRICULAR GOALS:
The Curricular Goals are subjects, which we wish students to study during their General
Surgery Clerkship. These items are considered basic to the surgical curriculum required by
any individual preparing for a medical career. It is expected that students will read on these
topics. You should discuss these issues and refer questions to the faculty. This material
may be covered directly (lectures, presentations, case discussions) or indirectly (clinical
cases, required readings) in the course of the clerkship.
Listing of Curricular Goals for General Surgery at Olive View-UCLA Medical Center
1. Acute Right Lower Quadrant Pain and Appendicitis
2. Biliary Tract Disease
a. Cholelithiasis
b. Acute and chronic cholecystitis
c. Cholangitis
d. Biliary pancreatitis
3. Colonic Disease
a. Diverticulitis
b. Cancer
4. Breast Disease
a. Benign
b. Malignant
5. Hernia
a. Groin
b. Umbilical
c. Incisional
Requirements:
1. The work-up, to include a comprehensive H&P, on 2 patients per week.
2. Attendance at the following outpatient clinics: Pediatric, General, Breast, Proctology
and Vascular.
3. In each clinic, you will be required to perform focused outpatient evaluations on the
various conditions seen there.
4. Take in-house call one night in four.
5. Required reading: Lawrence. Essentials of General Surgery, chapters 3, 7, 8, 9,
10, 11, 13, 15, 18, 19, 20, 22.
6. Attend required Department of Surgery Education Conferences at CHS on
Wednesdays, beginning at 7:00 am and the Core Lectures at 9:00 am.
7. Attend required Olive View-UCLA Medical Center Teaching Conferences.
Summary Sheet
THIRD YEAR STUDENT ROTATION - GENERAL SURGERY - OLIVE VIEW
Name:
Dates of Service:
Complete work-ups (patient name, diagnosis, date of H&P)
1.
2.
3.
4.
5.
6.
Clinic: Diseases evaluated (list those conditions you actually evaluated)
Breast Disease
Biliary Disease
Anorectal Disease
Hernia
Other:
We would like you to observe the following index operations:
Type
Date
Appendectomy
Laparoscopic cholecystectomy
Breast biopsy
Mastectomy (total or segmental)
Hernia operation
Colon operation
Exploratory laparotomy
Comments about rotation:
Please turn in this completed form to Iris Mau in Room 72-215 CHS.
LOS ANGELES COUNTY LETTERGRAM
All OV-UCLA Medical Students
Jesse E. Thompson, M.D.
Chairman, Department of Surgery
June 2007
Basic Medical Student Information
I. UCLA Medical Student Sign-in Process
1. You must report to the Surgery Office (Rm 2B156) or
(2C108) on your first day.
2. If you are on rotation at OV-UCLA as part of your formal
medical student training, you will remain a UCLA employee
while you are here. All medical students must be on an
approved rotation schedule in order to work at Olive ViewUCLA Medical Center.
II. Initial OV-UCLA Expenses
You will need to bring your checkbook on your first day for the
following deposits, which will be refunded after you have
returned the items. Hold on to your receipts!
1. $40.00 for scrubs — See cashier (Rm 2A101), take receipt to
Scrub Exchange (Rm 3B109). At the end of your rotation, return
your scrubs, and the attendant will give you a signed and dated
exchange card with the inscription “All scrubs returned.” Take
the card and your receipt to the cashier for a refund. (Note: OVUCLA policy does not allow scrubs to be worn outside the facility,
nor as daily wear.)
2. $2.00 for your meal card — Dietary (Rm 1C112).
III. Parking
Park in lot Orange Parking “Bowl” located behind the Fire
Department. If you park in any other area (including the Visitor’s
lot), you may be ticketed for illegal parking by our safety police
staff. Rev 7-10
We look forward to having you on our staff at Olive View-UCLA
Medical Center. We hope you will have an enjoyable and rewarding
experience at our facility. If you have any further questions, please call
Judy Reno at (818) 364-3396 or (818) 364-3194. Thank you in advance
for your cooperation.
Medical Students:a:\Gram MS Basic Info.doc