How to Successfully Navigate the General Surgery Clerkship

Director: Adam Kabaker, MDAsst Director: Tony Baldea, MDCoordinator: Renata Barylowicz

EXPECTATIONS

Professional appearance and demeanorPunctualReliablePatient privacyLeave of absence/Illness

Duty Hours80 hours per week averaged over 4 weeksOne day off per weekLeave post call after completion of morning roundsLeave no later than noon on assigned non-call weekend day

BE PREPAREDReview service objective if availableRead about disease processes for patients on serviceReview operative schedule in advance and patient’s history and indication for surgeryKnowledge of surgical anatomy is expectedAsk intelligent questions

Perioperative CareIntroduce yourself to patient prior to surgeryAccompany patient back to OR and call resident if not in the roomActive role in OR

Positioning, SCDs, foley, IV placement, art line, basic suturing and knot tying,etc

CommunicationParamount to a safe and successful surgical serviceReport patient concerns to residents or facultyAsk for feedbackDefine service specific expectations

Educational Resources

In addition to clinical learning environment:

Essentials of General Surgery –LawrenceWISE-MDLectures – MANDATORY (except Resurrection students)

Required ConferencesMorbidity and Mortality Conference

Fulfills your requirement to participate in quality improvementMonday 5-6 pm SSOM 460

Surgical Grand RoundsWednesday 7 am SSOM Tobin Hall

12 hour Call ShiftPick up call pagerPage consult resident – 708-643-3912Participate in OR cases, traumas, consults or ICU patient careDon’t wait to be called

Call room on 6th floor

Required Assignments

H&P and MonographOSCE

Log cardsEnd of Life ReflectionDirect Observation

Clinical Performance Evaluations

Mid rotation feedback2 weeks into each blockFormativeResidents, fellows or faculty

Clinical Performance Evaluations

End rotation feedbackEnd of each month blockSet up face to face meetingFormative and summativeChoose one faculty or fellow and submit eval to them on MyLumen (no residents)

Grading PolicyClinical Evaluations - 40%NBME Surgery Shelf Exam – 40%OSCE – 15%H&P/Monograph – 5%

Grading PolicyFinal grade is normative

Honors = 1 SD > meanHigh Pass = mean to 1 SD above meanPass = below the meanMinimum passing standard 64.1%

End of the Year Review

Overall mean and SD for the entire cohort calculated and using this data the final grades are determined.

RemediationFailure of clinical evaluation constitutes failure for clerkshipFailure of NBME Surgery Shelf Exam will result in “U” and retake will be offeredHighest achievable grade after retake is PassFailure of the retake constitutes failure of clerkship

Where do I go tomorrow?

“By failing to prepare, you are preparing to fail.”

Benjamin Franklin

HAVEFUN

Mistreatment

The first step is admitting you have a problem16% of students reported humiliation during surgery clerkship

What is mistreatment?