| | 01 | TBA | | TBA | [TBA] | Default - none | 999 | 0 | 0 | | |
| 02 | TBA | | TBA | [TBA] | Default - none | 999 | 0 | 0 | | |
| 03 | TBA | | TBA | [TBA] | Default - none | 999 | 0 | 0 | | |
| 04 | TBA | | TBA | [TBA] | Default - none | 999 | 0 | 0 | | |
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| | 01 | TBA | | TBA | Kranker, Sacks | Default - none | 99 | 1 | 0 | | Desc: | Location: Barnes-Jewish Hospital (1160 Northwest Tower)
Elective contacts: Tyronda Lane, lanet@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 2 |
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| | 01 | TBA | | TBA | Snyder, Sacks | Default - none | 99 | 1 | 0 | | Desc: | Location: Barnes-Jewish Hospital (Emergency Department)
Elective contacts: Tyronda Lane, lanet@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 2 |
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| | 01 | TBA | | TBA | Patel | Default - none | 99 | 1 | 0 | | Desc: | Location: Barnes-Jewish Hospital, St. Louis Children's Hospital, Barnes West County
Elective contact: Maddie Hodous, hodous@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 2 weeks only
Enrollment limit per block: 4 |
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| | 01 | TBA | | TBA | Traxel | Default - none | 99 | 0 | 0 | | Desc: | Location: Barnes-Jewish Hospital, St. Louis Children's Hospital, Barnes-Jewish West Country Hospital, John Cochran VA Medical Center
Elective contact: Leanna Bell, leannabell@wustl.edu; Carla Koberna, ckoberna@wustl.edu; Alexis French-Parkinson, alexis.french@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 4 |
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| | 01 | TBA | | TBA | Wise, Sacks | Default - none | 99 | 0 | 0 | | Desc: | Location: Barnes-Jewish Hospital (Center for Outpatient Health, Suite 915)
Elective contacts: Maddie Hodous, hodous@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1 |
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| | 01 | TBA | | TBA | Pandian, Sacks | Default - none | 99 | 0 | 0 | | Desc: | Location: Barnes-Jewish Hospital, Northwest Tower, Center for Advanced Medicine
Elective contact: Carla Koberna, ckoberna@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1 |
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| | 01 | TBA | | TBA | Brown, Kopar, Sacks | Default - none | 99 | 2 | 0 | | Desc: | Location: Barnes-Jewish Hospital
Elective contacts: Kalei Rincker, kaleir@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 2 |
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| | 01 | TBA | | TBA | Reed | Default - none | 99 | 0 | 0 | | Desc: | Location: Barnes-Jewish Hospital (Maternity Building, Fourth Floor)
Elective contacts: Nicole Althage, nalthage@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 3 |
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| | 01 | TBA | | TBA | Leigh, Sacks | Default - none | 99 | 1 | 0 | | Desc: | Location: Barnes-Jewish Hospital (Maternity Hospital Building, Fifth Floor)
Elective contacts: Angela Colbeck, cangela@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1 |
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| | 01 | TBA | | TBA | Warner, Sacks | Default - none | 99 | 0 | 0 | | Desc: | Location: St. Louis Children's Hospital
Elective contacts: Stacy Pokorny, pokornys@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 3 |
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| | Description: | The care of transplant patients requires the integration of multiple diverse medical and surgical disciplines. This course in organ transplantation encompasses the preoperative evaluation and management of adult and pediatric recipients of liver, kidney, and pancreas. Students participate in procurement of allografts from cadaveric or living donors, learn concepts involved in organ preservation, and transplantation. Emphasis is also placed on postoperative care, multimodality immunosuppression and management of allograft rejection. Fundamentals of hepatic and renal physiology, fluid and electrolyte balance, and transplantation immunology are stressed. Rotation provides an elaborate exposure to different facets of management of end stage renal and liver disease. Management of the complications of diabetes, hypertension, portal hypertension, and infectious problems are an integral part of pre- and post-transplant care. This course is designed to offer the student an overview of the field of organ transplantation, however, in addition to transplant surgery, students will also get some exposure to vascular access and hepatobiliary surgery. The student functions as a member of the transplant team and assumes appropriate responsibilities under supervision. Medical students are also invited to participate in ongoing research projects under the mentorship of surgery faculty. Please contact course director if you are interested in this option.
Student time distribution: Inpatient 80%; Outpatient 10%; Conferences/Lectures 10%
Patients seen weekly: 40
On call/weekend responsibility: Yes |
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| | 01 | TBA | | TBA | Yu, Sacks | Default - none | 99 | 0 | 0 | | Desc: | Location: Barnes-Jewish Hospital
Elective contacts: Megan Filer, filer@wustl.edu; Alex Flieg, fliega@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1 |
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| | Description: | This elective in minimally invasive surgery is offered by the Chief of the Section of Minimally Invasive Surgery in the General Surgery Division. Surgeons in the Minimally Invasive Surgery group regularly perform the following procedures laparoscopically: cholecystectomy, splenectomy, adrenalectomy, hiatal hernia repair, endoscopic myotomy for achalasia, inguinal hernia repair, ventral hernia repair, complex abdominal wall reconstruction, robotic surgery, and bariatric surgery for morbid obesity. The medical student electing this rotation will participate in the outpatient office and direct patient care, assist and observe in a wide range of laparoscopic procedures and participate in teaching rounds and conferences. During this rotation, the student will also have the opportunity to observe and participate in minimally invasive surgical procedures performed by various surgeons within the Section of Minimally Invasive Surgery and will function as an acting intern.
Medical students are also invited to participate in ongoing research projects under the mentorship of surgery faculty. Please contact course director if you are interested in this option.
Notice: If a student desires to work more closely with a specific attending, he/she must make special arrangements with the faculty member prior to beginning this elective.
Student time distribution: Inpatient 60%; Outpatient 30%; Conferences/Lectures 10%; Subspecialty Care 100%
Patients seen weekly: 25
On call/weekend responsibility: One weekend call which consists of morning rounds and home call. No in-house call. |
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| | 01 | TBA | | TBA | Brunt, Sacks | Default - none | 99 | 0 | 0 | | Desc: | Location: Barnes-Jewish Hospital, North Campus Center for Advanced Medicine and Parkview Tower, Center for Outpatient Health
Elective contacts: Kimberly Stockglausner, stockglausnerk@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1 |
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| | Description: | Students in the General Surgery ACR are placed in one of the following eight services. Students may enroll in this ACR twice, with the second assignment on a different service than the first.
On each Surgical service, participation will involve floor management, ER evaluation, operating room participation and outpatient clinic experience. Emphasis will be on correlating anatomy to function in normal and pathologic states and clinical management of Surgical patients.
Duties: rounding on inpatients, participating in service and department wide education conference, participating/assisting in operations, seeing and evaluating new, return and postoperative patients in clinic, taking call in the emergency room. This will be done under the guidance of attendings, fellows and residents.
Acute and Critical Care Surgery
The ACCS service provides experience with a broad range of general surgical problems. Typically, students encounter patients with acute traumatic injuries or burns and are exposed to many acute surgical problems such as acute abdominal emergencies, skin and soft tissue infections (including some amputations), acute appendicitis, and acute cholecystitis. Students will likely experience a combination of laparoscopic, robotic, and open operations. Students also gain experience with pre-operative evaluation and operative management of patients undergoing elective surgical procedures such as hernia repair and cholecystectomy.
Colorectal Surgery
The Colorectal Surgeryrotation covers all aspects of benign and malignant colorectal and anal disease. The operative procedures vary from simple anorectal procedures to large open abdominal, robotic and laparoscopic operations. Students will likely encounter both urgent/emergent and elective operations.
Hepatobiliary and Pancreatic Surgery
The HPB service exposes students to a variety of surgical conditions of the pancreas, liver, stomach, and biliary tract. This includes benign and cancerous conditions. Students may also encounter surgeries for various types of sarcomas. They will encounter laparoscopic, robotic, and large open operations.
Minimally Invasive Surgery
The MIS service exposes students to patients with avariety of surgical problems (including hernias, gallstone disease, gastrointestinal foregut problems, morbid obesity, and endocrine disorders). Students are exposed to basic and advanced minimally invasive surgery (laparoscopic and robotic operations) aswell as complex open operations.
Pediatric Surgery
Pediatric surgery is essentially general surgery on children. Students are exposed to a wide variety of conditions involving the gastrointestinal tract, genitourinary tract, lung, diaphragm, etc. The service handles a significant amount of penetrating and blunt trauma, burns, and other acute surgical emergencies such as appendicitis, intestinal obstruction, and perforated viscus. In addition, the student will be exposed to surgery on newborns for vascular access and intestinal and abdominal wall conditions. Students will be exposed to a variety of surgical approaches including open, laparoscopic, and thoracoscopic procedures.
Surgical Oncology
The Surgical Oncology (formerly Endocrine/Oncology) service is primarily dedicated to the treatment of some of the most common cancers in adults (including breast, melanoma, and thyroid). Students will also obtain experience with many other surgeries for benign disease processes in breast and endocrine glands (thyroid, parathyroid, and adrenal). Students may also encounter surgery for sarcomas and a unique operation that involves heated intra-peritoneal chemotherapy for advanced cancers (HIPEC). They will likely encounter some laparoscopic procedures (adrenalectomy).
Transplant Surgery
Abdominal Organ Transplantation exposes students to a blend of medical and surgical care of solid-organ transplant patients (kidney, pancreas, and liver). Organ procurements provide the ultimate exposure to human anatomy in a heart-beating, brain-dead donor. Students will likely experience other hepato-biliary procedures (liver resection, pancreatic resection, biliary tract surgery etc) for benign/malignant conditions and vascular access procedures (AV fistula formation), providing broad anatomical exposure. Most of these operations are performed with large, open incisions but students may encounter some laparoscopic procedures (cholecystectomy).
Vascular Surgery
Vascular Surgery exposes the student to a broad range of surgical vascular pathology, from varicose veins and peripheral arterial disease to the most complex thoracoabdominal and abdominal aneurysms. They may also see some amputations. Students will likely encounter a mix of urgent/emergent and elective procedures. The students will be exposed to the use of endovascular technology, in addition to the use of standard open surgical techniques.
Student time distribution: varies by service
Patients seen weekly: varies by service
On-call/weekend responsibility: varies by service |
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| | 01 | TBA | | TBA | Pandian, Sacks | Default - none | 999 | 6 | 0 | | Desc: | Location: Barnes-Jewish Hospital
Elective contact: Carla Koberna, ckoberna@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 4 |
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| 02 | TBA | | TBA | Pandian, Sacks | Default - none | 999 | 4 | 0 | | Desc: | Location: Barnes-Jewish Hospital
Elective contact: Carla Koberna, ckoberna@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 4 |
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| | 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.
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) |
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| | 01 | TBA | | TBA | Schill, Masood | Default - none | 999 | 1 | 0 | | Desc: | Location: Barnes-Jewish Hospital
Elective contacts: Katie Fuhs, fuhs@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 2 |
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| | Description: | The period on Plastic and Reconstructive Surgery will be spent as a clinical clerkship. The purpose of the clinical sub-internship is to familiarize the student with the basic principles of Plastic and Reconstructive Surgery and prepare for internship. The student will have successive assignments to each of the attending staff and the ward resident services during the four weeks. This will expose the student to the breadth and depth of plastic and reconstructive surgery. Alternatively, if the student has identified a focus of interest, the student may participate on those services of special interest, such as hand or pediatric plastic surgery, although rotation will be required each week. Students will submit a preference list for service assignments prior to the rotation and efforts will be made to accommodate these preferences. The student will assume an active role on the plastic and reconstructive surgery service and will participate in the total management of a wide variety of surgical problems including congenital anomalies, microvascular surgery, surgery of the upper extremity, peripheral nerve surgery, cosmetic surgery, and general reconstructive plastic surgery. Students will be expected to participate in patient care on morning and afternoon rounds, in clinic, the emergency department, and in the operating room. Students will gain basic procedural skills including wound care, splinting, and suturing. Student will perform a ten-minute case presentation at PRS Grand Rounds.
Services (students will rotate on 4 of these services):
- GOLD
Attendings: Drs. Justin Sacks, Rachel Anolik, Saif Badran
Content: Breast, Microsurgery
- GREEN
Attendings: Drs. Kelly Currie, Amy Kells, Mitchell Pet, Shoichiro Tanaka, Ida Fox
Content: Hand, microsurgery, general reconstruction
- BLUE
Attendings: Drs. Keith Brandt, Terry Myckatyn, Thomas Tung, Alison Snyder-Warwick, Kamlesh Patel, Neha Datta
Content: Craniomaxillofacial, breast, general reconstruction
- ORANGE
Attendings: Drs. Susan Mackinnon, Ida Fox
Content: Hand, nerve
- SLCH
Attendings: Drs. Alison Snyder-Warwick, Kamlesh Patel
Content: Pediatric
Student time distribution: Inpatient 70%; Outpatient 20%; Conferences/Lectures 10%; Subspecialty Care 100%
Patients seen weekly: 12
On-call/weekend responsibility: One weekday (night) and one weekend odd call during the rotation (these are days when plastic surgery is responsible for both hand and face trauma consults)
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| | 01 | TBA | | (None) / | Patel | Default - none | 999 | 7 | 0 | | Desc: | Location: Barnes-Jewish Hospital, St. Louis Children's Hospital, Barnes-Jewish West County Hospital (optional), Christian Northeast Hospital (optional)
Elective contacts: Maddie Hodous, hodous@wustl.edu; Carla Koberna, ckoberna@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 5 |
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| | Description: | The Phase 3 Urology ACR will be a clinical subinternship. The purpose of the 4 week rotation is to provide students with exposure to the full spectrum of clinical urology and to prepare them for Internship as a Urology Resident.
The student will play an active role in patient management and is expected to demonstrate progressive understanding of:
- the basic evaluation of the urologic patient, including performing a focused urologic history and physical examination
- the work-up of the urologic patient, including ordering and interpreting diagnostic tests/imaging/procedures
- the management (both surgical and non-surgical) of urologic conditions
- basic procedural skills, including suturing and bedside procedures like Foley catheter placement
The above will take place in the following settings:
- Adult Urology BJH Inpatient Service, where the student will participate in patient rounds and work alongside the Urology Inpatient Team of house staff and NPs
- Adult Urology Outpatient Service in the Center for Advanced Medicine (CAM), where the student will observe attendings in an ambulatory clinic setting and will also participate in taking a focused urologic history and physical examination
- Adult Urology Operating Rooms in Parkview Tower (PVT), where the student will help to facilitate operative care through different phases (i.e., pre-op, intra-op, post-op) and will participate, when appropriate, in the surgeries
- Adult Urology BJH Consult Service, where the student will help the Consult Team in providing urologic consultation in the inpatient and ED settings
- Adult Urology Barnes-Jewish West County Hospital, where the student will observe attendings in the ambulatory clinic setting and also participate in taking a focused urologic history and physical examination; and will help to facilitate operative care through different phases and will participate, when appropriate in the surgeries
- Pediatric Urology OR and outpatient clinic at SLCH, where the student will participate in the care of the pediatric urologic patient
Throughout the Urology ACR, the student will be under the supervision of the attending staff and house staff.
Note that students have the opportunity for exposure to the spectrum of subspecialties within Urology, including Urologic Oncology, Reconstructive Urology, Endourology/Minimally Invasive Urology, Men's Health/Infertility, Female Urology, and Pediatric Urology. If a student has a specific request for distinct exposure to one or more of these subspecialties, they should reach out to the Course Director in advance, and efforts will be made to accommodate those requests.
Student time distribution: Inpatient 65%; Outpatient 25%; Conferences/Lectures 10%; Subspecialty Care 100%
Patients seen weekly: 35
On-call/weekend responsibility: 1 weekend day per month |
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| | 01 | TBA | | (None) / | Traxel, Murphy | Default - none | 999 | 5 | 0 | | Desc: | Locations: Center for Advanced Medicine, Barnes-Jewish Hospital, St. Louis Children's Hospital, Adult Urology Barnes-Jewish West County Hospital
Elective contacts: Leanna Bell, leannabell@wustl.edu; Carla Koberna, ckoberna@wustl.edu; Alexis French-Parkinson, alexis.french@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 4 |
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