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Surgery (M95)  (Dept. Info)Medicine  (Policies)YR2024

M95 Surgery 915Cardiothoracic Surgery Advanced Clinical Rotation (ACR)4.0 Units
Description:This will be a four-week clinical experience focusing on evaluation, diagnosis and treatment of cardiac and thoracic surgical conditions as well as postoperative care and common on-call problems. This is a mostly inpatient experience, with some outpatient clinic. Students will learn how to preform clinical duties and responsibilities of a PGY-1. Participation will involve ICU management (beginning with reporting and interpretation), floor management, evaluation of new consultations and presenting to attendings, operating room participation at an intern level, and outpatient clinic experience. This rotation does include heavy operating room exposure, but the focus is on preparation for intern and junior resident responsibility rather than on observation. Students will spend their time 50/50 on cardiac and thoracic rotations.

Students can rotate for up to one week on Congenital CT upon approval from the instructor.

Patient Population: adult
Services: 50% cardiac surgery, 50% thoracic surgery
Duties:
  • Rounding on inpatients
  • Presenting patients to senior residents/fellows and attendings
  • Work in close collaboration with (not under supervision) of mid-level providers, to enhance communication skills and teamwork
  • Participating in service and division education conference
  • Bedside procedures with direct supervision (chest tube removal, pacing wire removal)
  • Participating in preoperative planning, following up and evaluation of radiologic and imaging studies
  • Active participation as a team player in operating rooms (transfer patient, indwelling catheters, prepping and positioning patients) including supervised assistance with closures.
  • Seeing and evaluating new and established preoperative patients in the inpatient and outpatient settings. This will be done under the supervision of attending surgeons, fellows and residents.
Student time distribution: Inpatient Care 50%; Outpatient Care 10%; Conferences/Lectures 5%; Subspecialty Care 35% including heart and lung transplantation
Patients seen weekly: 25
On-call/weekend responsibility: One weeknight per week in-house call, four weekend days off for the month/out of 8 weekend days, plus one mandatory Friday night call (student to choose)
Attributes:MedVSEC, WUSMAC, WUSMEC
Instruction Type:Internship/Practicum Grade Options:P Fees:
Course Type:HomeSame As:N/AFrequency:None / History
SecDays       TimeBuilding / RoomInstructorFinal ExamSeatsEnrollWaits
01TBATBASchill, MasoodDefault - none99900
Desc:Location: This course takes place on the WUSM medical campus.
Elective contacts: Katie Fuhs, fuhs@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 2
Label

Home/Ident

A course may be either a “Home” course or an “Ident” course.

A “Home” course is a course that is created, maintained and “owned” by one academic department (aka the “Home” department). The “Home” department is primarily responsible for the decision making and logistical support for the course and instructor.

An “Ident” course is the exact same course as the “Home” (i.e. same instructor, same class time, etc), but is simply being offered to students through another department for purposes of registering under a different department and course number.

Students should, whenever possible, register for their courses under the department number toward which they intend to count the course. For example, an AFAS major should register for the course "Africa: Peoples and Cultures" under its Ident number, L90 306B, whereas an Anthropology major should register for the same course under its Home number, L48 306B.

Grade Options
C=Credit (letter grade)
P=Pass/Fail
A=Audit
U=Satisfactory/Unsatisfactory
S=Special Audit
Q=ME Q (Medical School)

Please note: not all grade options assigned to a course are available to all students, based on prime school and/or division. Please contact the student support services area in your school or program with questions.