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8-8:30 AM SURGICAL INFECTION Nichols 8:30-9:00 AM PRINCIPLES OF ANESTHESIA Fox 9-9:30 AM BREAST CANCER Jones 9:30-10 AM BREAK 10-10:15 AM WOUND HEALING Wright 10:15-10:45 AM How to be a Surgery Student Rennie 10:45-11:15 AM HERNIA Bellows 11:15-11:45 AM Lunch 11:45-1 PM Endocrine Kandil 1-1:45 PM NUTRITION Kelly Sparks 1:45-2:15 PM Acute Abdomen Jaffe 2:15-2:45 PM BREAK 2:45-3:00 PM PULMONARY FUNCTION & FAILURE & LUNG CA Weaver 3:00-3:30 PM PERIPHERAL VASCULAR DISEASE McGinness 3:30-4:00 PM UPPER & LOWER GI Brown 4-4:45 PM
Lecture Test – Wednesday, October 28, 2009 – Room 5150 at 8:00 AM
LABS – October 27, 2009 (Tuesday) TEAM 7:00-10:00 AM CS COT’s version of ATLS for medical students, called TEAM (Trauma Evaluation and Management), consist of pre and post test, lecture and 3 rotation stations. The pre and post test are for research only and consist of 10 – 20 questions. The presentation changes. Group 1 William Acker Anh-Van Mai Daniel Petroni Catherine Firestein Garland Mcquinn Seeyuen Lee Jean Wheeler Group 2 Benjamin Leach David Casey Sylvia Szentpetery Kieran Stober Daniella Miller Elizabeth Leimbach Gregory Weiner Group 3 Joshua Denson Brian Halbert Akilah Jefferson Christine Cao Joshua Orabone Patrick Richard Clayton Smith Group 4 Alexandra Sleed Margaret Jones Marco Fossati-Bellani Nichole Guillory Brian Talleur Melissa Adrouny Richard Brucker Anne Sammarco Group 5 Megan Stock Ryan Leblanc Christiana Roussis Whitni Milton Ann Katz Andrew Prouse Dorothy Contiguglia
Stations: Suturing & Knot tying w/ residents OR orientation w/ Nancy Iovino Foley cath insertion & Central Line Placement w/ residents Lap Skills & Endoscopy w/Cheri Touchard You, the student, will be required to achieve the preset proficiency level for knot tying and suturing. Beyond the orientation/training day, you need to check into the skills lab on your own time to practice. This is accomplished by contacting the SIM Center Coordinator, Candice Flood at 988-9150 or firstname.lastname@example.org to schedule a one hour practice session. Drop-ins will not be accommodated. The time spent will be monitored and Candice Flood will keep the attendance sheet. However, please keep a record also. You must achieve the preset proficiency level for knot tying and suturing by the end of your General Surgery Clerkship. Your grade for knot-tying and suturing is worth 5% of your final grade. If you have achieved proficiency, you will contact Candice Flood to arrange to be tested. If you test as proficient, you will earn a 100%. We are aware some may not have the requisite skill to achieve proficiency therefore, for every 1 hour that you practice, you will earn 10 points; therefore if you practice 10 hours, you earn 100%.
Suturing/ Knot Tying 1 2 LUNCH 3 4 5 Foley Cath/ OR orientation 2 3 LUNCH 4 5 1 Central line Placement 3 4 LUNCH 5 1 2 Lap Skills/ Endoscopy 4 5 LUNCH 1 2 3
10:00-11:00 11:00-12:00 12:00-1:00 1:00-2:00 2:00-3:00 3:00-4:00
OR Orientation: You are part of a surgical team whose main objective is to provide quality patient care in a safe environment for staff and patients. Certain tasks seem mundane but each of us has a significant role and responsibility to meet this purpose. Since OR’s vary, you are responsible for following policies/procedures of the hospital to which you are assigned. Your Responsibilities: Come prepared with the knowledge of surgical procedure, anatomy and patient history. You will be asked to assist with positioning, prepping and possibly draping. If not, once gowned and gloved, stand on the sterile field side of the room. Please wear clean Tulane green scrubs. All above training will be done on the 3 rd Floor of the Simulation Center at the Murphy building.
Test Wednesday from 8:00 – 9:00 AM in room 5150. Meet your team following the test, but confirm logistics the day before.
Akilah OLOL JONES. Christiana OLOL SAMMARCO. Joshua PEDIATRICS/ENT PETRONI. 2009 NAME TRAUMA ACKER. Nichole ORTHO/CT-TOURO HALBERT. Catherine FOSSATI-BELLANI. Richard PLASTICS/BREAST SURGERY CAO. Christine ELECTIVE SERVICE CASEY. Benjamin ACUTE CARE LEBLANC. 2009 (Thurs – Sunday) NOVEMBER 23-DECEMBER 16.OCTOBER 28-NOVEMBER 22. Jean HOLIDAY: November 26-29. Seeyuen ELECTIVE SERVICE LEIMBACH. Whitni PEDS ENT ORABONE. Alexandra CT-TOURO/NEUROSURGERY SMITH. Andrew OCHSNER RICHARD. Brian NEUROSURGERY/PLASTICS WEINER. William ENT/CT-TOURO ADROUNY. Megan ACUTE CARE SZENTPETERY. Anne UROLOGY/PEDIATRICS SLEDD. Ann ORTHO/VASCULAR LEACH. OLOL Marco HPLH GUILLORY. Anh-Van TXP MCQUINN. Elizabeth CT/PEDIATRICS MAI. Gregory TRAUMA WHEELER. Daniella ENT/PLASTICS MILTON. Brian OCHSNER JEFFERSON. Melissa HPLH BRUCKER. Patrick OCHSNER ROUSSIS. Clayton OCHSNER STOBER. Sylvia HAND SURGERY/ORTHO TALLEUR. Garland LAKESIDE MILLER. Kieran PLASTICS/ORTHO STOCK. Dorothy OCHSNER VASCULAR/UROLOGY DENSON. Joshua BREAST/HAND SURG FIRESTEIN. Ryan ORTHO/NEUROSURGERY LEE. 2009 VASCULAR/ORTHO HPLH UROLOGY/ENT OLOL ORTHO/CT-TOURO PEDIATRICS/NEUROSURGERY TXP LAKESIDE PEDIATRICS/ENT PLASTICS/BREAST SURG OLOL PLASTICS/CT HAND SURG/NEUROSURGERY ACUTE CARE ELECTIVE SERVICE ENT/VASCULAR OCHSNER NEUROSURGERY/UROLOGY OCHSNER VASCULAR/PEDIATRICS CT-TOURO/PEDIATRICS OCHSNER OCHSNER ELECTIVE SERVICE TRAUMA ORTHO/PEDIATRICS ENT/PLASTICS ORTHO/CT-TOURO HPLH ACUTE CARE CT/ORTHO OCHSNER UROLOGY/PLASTICS OLOL TRAUMA BREAST/ORTHO 4 . Daniel ENT/ORTHO PROUSE. David CONTIGUGLIA. Margaret CT-TOURO/ENT KATZ.
MD Rafael Sierra. Mark Hausmann Dr. MD Dr. 2009 Brian Acker Gregory Weiner Jean Wheeler Andrew Prouse Ryan LeBlanc Clayton Smith Sylvia Szentpetery Ann Katz David Casey Ben Leach Elizabeth Leimbach Daniel Petroni Margaret Jones Brian Talleur Anne Sammarco Marco Fossati-Bellani Richard Brucker Nichole Guillory Garland McQuinn Daniella Miller Akilah Jefferson Patrick Richard Dorothy Contiguglia Kieran Stober Christiana Roussis Name David Yu.HOSPITAL TRAUMA TMC/ACUTE CARE TMC/ELECTIVE SERVICE OLOL (Drs. Brown) glen@schwartzberg. Hausman) OLOL (Dr.net 584-8753 (Oct) 213-1605 (Nov & Dec) 538-2526 5 . MD Ravi Tandon. 2009 October 28 – November 22. MD Georgia Wahl.Schwartzberg/ Froelich) OLOL (Dr. MD Christine Cao Brian Halbert Alexandra Sledd Melissa Adrouny Joshua Denson Catherine Firestein Megan Stock Seeyuen Lee Whitni Milton Anh-Van Mai Josh Orabone Pager 213-1605 (Oct) 550-0385 (Nov & Dec) 423-4727 (Oct) 599-2211 (Nov & Dec) 599-2211 (Oct) 213-0239 (Nov & Dec) CHIEF RESIDENTS: TRAUMA (Duchesne) TMC/ACUTE CARE (McGinness) TMC/ELECTIVE SERVICE (Bellows) OLOL/Baton Rouge Clinic OLOL/The Surgeons Group of Baton Rouge OLOL/Surgical Assocaites (not BRG) TMC/HEPATOBILIARY (Florman) LAKESIDE (Dr. Hirsch Catherine Baucom. MD Marie Unruh. Glen Schwartzberg Dr. Hirsch) HPLH TRANSPLANT LAKESIDE OCHSNER Department of Surgery OCTOBER 28-DECEMBER 18. MD Kashaf Sherafgan.net mhausmann@sgbr. MD Rafael Sierra. 2009 November 23 – December 16.com hirsch6@cox. MD David Yu.
MD 538-2527 (Oct) Marco Hidalgo. MD 547-9031 (Nov & Dec) Pediatrics Plastic Surgery Vascular Breast Surgery Marquinn Duke.SUBSPECIALTY SERVICES (October 28 – November 22. MD Mary Jo Wright. 2009) 1ST 2 WEEKS Breast Surgery 10/28-11/8/09 1ST 2 WEEKS CT/Touro 10/28-11/8/09 1ST 2 WEEKS ENT 10/28-11/8/09 1ST 2 WEEKS Hand Surgery 10/28-11/8/09 1ST 2 WEEKS N/S 10/28-11/8/09 1ST 2 WEEKS Ortho 10/28-11/8/09 1ST 2 WEEKS Peds 10/28-11/8/09 1ST 2 WEEKS Plastics 10/28-11/8/09 1ST 2 WEEKS Urology 10/28-11/8/09 1ST 2 WEEKS Vascular 10/28-11/8/09 Catherine Firestein 2nd 2 WEEKS Breast Surgery 11/9-22/09 Ann Katz Clayton Smith 2nd 2 WEEKS CT/Touro 11/9-22/09 Andrew Prouse Melissa Adrouny 2nd 2 WEEKS ENT 11/9-22/09 Brian Talleur 2nd 2 WEEKS Hand Surgery 11/9-22/09 Gregory Weiner 2nd 2 WEEKS N/S 11/9-22/09 Ben Leach Brian Halbert 2nd 2 WEEKS Ortho 11/9-22/09 Daniel Petroni 2nd 2 WEEKS Peds 11/9-22/09 Christine Cao 2nd 2 WEEKS Plastics 11/9-22/09 Alexandra Sledd 2nd 2 WEEKS Urology 11/9-22/09 Joshua Denson 2nd 2 WEEKS Vascular 11/9-22/09 Christine Cao Brian Halbert Melissa Adrouny Daniel Petroni Ann Katz Catherine Firestein Clayton Smith Brian Talleur Andrew Prouse Alexandra Sledd Gregory Weiner Joshua Denson Ben Leach SUBSPECIALTY SERVICES (November 23 – December 16. MD Marquinn Duke. MD 538-2621 (Oct-Dec) 213-0681 (Oct-Dec) 538-2621 (Oct-Dec) 538-2526 (Oct – Dec) 7 Anne Sammarco David Casey Ryan LeBlanc . 2009) 1ST 2 WEEKS Breast Surgery 11/23-12/6/09 1ST 2 WEEKS CT/Touro 11/23-12/6/09 1ST 2 WEEKS ENT 11/23-12/6/09 1ST 2 WEEKS Hand Surgery 11/23-12/6/09 1ST 2 WEEKS N/S 11/23-12/6/09 1ST 2 WEEKS Ortho 11/23-12/6/09 1ST 2 WEEKS Peds 11/23-12/6/09 1ST 2 WEEKS Plastics 11/23-12/6/09 1ST 2 WEEKS Urology 11/23-12/6/09 1ST 2 WEEKS Vascular 11/23-12/6/09 Jean Wheeler Daniella Miller Ryan LeBlanc Margaret Jones 2nd 2 WEEKS Hand Surgery 12/7-16/09 Elizabeth Leimbach 2nd 2 WEEKS N/S 12/7-16/09 David Casey Anne Sammarco 2nd 2 WEEKS Ortho 12/7-16/09 Marco FossatiBellani 2nd 2 WEEKS Peds 12/7-16/09 Nichole Guillory 2nd 2 WEEKS Plastics 12/7-16/09 Richard Brucker Sylvia Szentpetery 2nd 2 WEEKS Urology 12/7-16/09 Garland McQuinn Brian Acker 2nd 2 WEEKS Vascular 12/7-16/09 2nd 2 WEEKS Breast Surgery 12/7-16/09 2nd 2 WEEKS CT/Touro 12/7-16/09 2nd 2 WEEKS ENT 12/7-16/09 Nichole Guillory Richard Margaret Brian Acker Garland McQuinn Sylvia Elizabeth Brucker Jones Jean Wheeler Daniella Miller Szentpetery Leimbach Marco FossatiBellani CHIEF RESIDENT(S) FOR TULANE SURGERY SERVICES/ALL OTHERS CONTACT NAME ON INDIVIDUAL SUBSPECIALTY SHEETS: Name Beeper Touro CT Thomas Chaly. MD Marie Unruh.
David Beck General Surgery 1 .Dr.Dr.Dr. John Bolton General Surgery-3 .Dr. Lester Prats and Richard Vanlangendonck Vascular Surgery . Ronald Amedee 9 .Dr. Charles Conway. Christopher Babycos Orthopedics . William Richardson General Surgery-2 . Michael Bates Plastic Surgery .Dr. Vincent Adolph Urology – Drs.Dr.Dr. MD General Surgery-6 – Dr.2009/2010 Medical Student Rotation Schedule Students 10/28-11/8/09 Block 3 11/9-22/09 11/23-12/6/09 12/7-16/09 Akilah Jefferson Patrick Richard Dorothy Contiguglia Kieran Stober Christiana Roussis Megan Stock Anh-Van Mai Seeyuen Lee Whitni Milton Joshua Orabone 3 2 1 4 5 Plastics CT Ortho ENT Peds 3 2 1 4 5 Plastics CT Ortho ENT Peds 3 2 1 4 5 Ortho Peds NeuroS Plastics ENT 3 2 1 4 5 Ortho Peds NeuroS Plastics ENT Plastics Ortho Peds CT ENT 3 4 5 2 1 Plastics Ortho Peds CT ENT 3 4 5 2 1 CT Peds CT Peds NeuroS Ortho Plastics 3 4 5 2 1 NeuroS Ortho Plastics 3 4 5 2 1 Specialty CRS . Ralph Corsetti General Surgery-4 .Dr. W.Dr.Dr. Roger Smith Pediatric Surgery . Wooldridge Neurosurgery .Dr. Townsend/Bowen General Surgery-5.Dr. II. Britt Tonnesson Cardiothoracic Surgery . Mark Meyer ENT .
Your grades will not be posted until this CD is returned to me or you pay $35. gallbladder. Mann (available in the bookstore. colon and breast cancer. read those chapters as well. carotid enderectomy. hemothorax. (988-7520 Room 8530) Pager 480-1715 mweaver@tulane. Your clinical duties will end at 7:00 p. on the Wednesday immediately prior to Friday’s final examination (December 18. Basic technical skills in knot-tying & suturing A written examination (consisting solely of questions taken from the lecture material) will be administered upon completion of this lecture series (the following Wed from 8-9 AM in room 5150).SURGERY CLERKSHIP COURSE DIRECTOR: Michael Weaver. acute abdomen.) PROGRAM COORDINATOR: REQUIRED READING: SUGGESTED READING MATERIAL: Pre- NOTE: It is not expected for you to read the entire book for any of the suggested reading. M. (ed.m. I have “The Virtual Patient” Self-directed Study Guide in Surgery (2007) Copyright from the University of Texas Southwestern Medical Center at Dallas for each of you to use as a study guide.) (Basic Science) Current Surgical Therapy 8th ed (Cameron.00 for the CD. and section on operative and Post-operative care. Upon completion of General Surgery and the Inpatient Services.D. Lawrence Sabiston Textbook of Surgery.edu Patricia Kirsch (988-3909 Room 8558) Fax 988-1882 Pkirsch@tulane.edu Essentials of General Surgery (Third Edition) by Peter F. if you have not covered hernia. bowel obstruction. I will loan the CD out to the students on their General Surgery month only and they must be returned to my office on the last day of your general surgery service for the next group. (and any other topics you all can think of). 2009 in room 6001 8:00 AM). DESCRIPTION: All students are to assemble for the Principles of Surgery portion of the clerkship. When you have time. You should read the sections in the books that are pertinent to the patients you are seeing and the operations which you are attending. It takes the residents about one year to finish one book. This series of lectures is designed to provide you with: 1. Surgery: A compentency-Based Companion by Barry D. No additional time will be granted from clinical duties for study preparation. ed-in chief) Charpters on Pneumothorax. a National Board of Clinical Sciences Examination will be administered. A surgical perspective relative to fundamental topics in Medicine 2. 16th edition. FINAL GRADE: Student Evaluations: Examinations: General Surgery Inpatient Services National Board Surgery Examination Oral Examination (General Surgery) Knot Tying & Suturing Principles of Surgery Examination Case Summaries TOTAL 11 30%* 20%* 25%* 10% 5% 5% 5% 100% .
If you do not receive this mid block evaluation. A student who receives a failing grade on any of the faculty evaluation forms will be notified immediately. Should a student fail only the National Board Examination (and receive passing grades on each clinical rotation). but including the comments supplied by faculty evaluators on your evaluation forms. there will be no exceptions made to students grading 86. must receive at the national mean average or higher on the national board exam which is a 71. Any student who fails the oral examination will be asked to retake the test until a minimally acceptable performance is achieved and the grades will be averaged for a final grade. At that time. Also. will be taken into consideration by the committee. all numerical and letter grades are final. STUDENT ASSESSMENT: Evaluation Forms: Each faculty will receive an evaluation form. a student must achieve acceptable standards on both the National Board Examination (equivalent to a score in the 5th percentile). summarize the written comments received by the student on the rotation assessment forms. the student will be asked to undertake a period of intense reviewing of the precepts in General Surgery – upon completion of the remainder of their academic year. during the final week of the rotation.50 and above will be presented to the Curriculum Committee. reflections on a student’s noncognitive skills. This list will be made available in Patricia Kirsch’s office (988-3909. room 8558). numerical grades that consistently signify a quality performance. A distinctly superior performance by a medical student on this clerkship will be properly accorded a letter grade of “High Pass” or “Honors” by the Department of Surgery Medical Student Curriculum Committee.GRADING POLICY: To receive a grade of “pass”. Oral Examination: About eight days before the end of the General Surgery block of this clerkship.6. and pass elements of the entire General Surgery clerkship prior to January of the graduating year. You will have a mid block evaluation 2 weeks into your General Surgery clerkship by your resident and faculty. A statement as to the students’ performance on the National Board Clinical Sciences Examination will be included in each letter. should he/she fail this examination. the degree of responsibility assumed by the student while rotating on the various services. You are to bring with you the patient log you were asked to maintain. Only students with an 86. a letter grade of “C” (Condition) will be assigned. pertinent additional factors . In addition.not limited to. for this examination. comments relating to individual performance on the oral examinations. Short of mathematical error. and be asked to repeat. the student will receive a grade of “F”. A second National Board Examination will be offered. and the General Surgery Medical Student Curriculum Committee will review their clerkship performance. the patient log will be attached to the oral examination form. The date and time of the exam are the choice of the examiner. A candidate for “High Pass” must have established the following: In most. In the student letter to the Dean’s Office. Given those circumstances. Unless evidence is presented to the contrary. designed to assess your progress in mastering the fundamentals in surgery. etc. the house officers with whom you worked will submit an evaluation that will contain their consensus of your progress. A candidate for “Honors” must have established the above criteria and in addition.49 and below. that student will be required to repeat the entire General Surgery clerkship prior to January of the graduating year. These requirements are marked with an asterisk above.50 and above) will be presented to the Department of Surgery Medical Student Curriculum Committee. please discuss this with your resident. 12 . the records of qualified candidates (numerical grade of 86. After examination is finished. and on each of the student evaluations. Upon completion of the clerkship. you will be assigned a staff member in the Department of Surgery who is responsible for administering your oral examination. It is your responsibility to contact the office of the assigned staff member to mutually set aside ½ hour. the course director will at minimum. and sent out to you by e-mail. if not all areas.
Some links that you may find helpful are listed below: Students with disabilities: http://erc.edu/disability/ Academic dishonesty link: http://www.edu/student/honorcode/new.htm SOM Phase I & II Objectives: http://tulane.tulane.tulane.som.edu/som/ome/upload/Tulane_SOM_Learning_Objectives_Phase_1_-_2.pdf 13 .
This educational conference is designed to teach the pathophysiology and decision-making process regarding complex and interesting surgical cases and surgical cases that result in a complication. Date Morbidity & Mortality 7 AM Grand Rounds 8 AM Burns & Plastic Surgery Portal Hypertension . These presentations should last 30-40 minutes. invited lecturers and surgical residents as assigned by the chairman. 3. with a period of questions and answers if one lecture is to be given. two case presentations may be given. Mary Killackey Bullpen 9:15-10:15 Room 5160 28Oct M&M CORE CURRICULUM GRAND ROUNDS 4-Nov M&M CORE CURRICULUM GRAND ROUNDS Neurosurgery & GU TBA .THANKSGIVING Clayton Smith Ben Leach Megan Stock Andrew Prouse 2-Dec M&M 14 .Dr. each lasting approximately 20 minutes. Ronnie Rosenthal Yale University Daniella Miller Garland McQuinn Elizabeth Leimbach Jean Wheeler 18Nov M&M CORE CURRICULUM GRAND ROUNDS Statistics & Pharmacology Alton Ochsner Lecture .WEDNESDAY EDUCATION CONFERENCES: Entire Rotation: DRESS APPROPRIATELY for conferences. Clifton McGinness Christiana Roussis Brian Acker Ryan LeBlanc David Casey Kieran Stober 11Nov M&M CORE CURRICULUM GRAND ROUNDS Key Words/Didactic Session Geriatric Surgery . Department of Surgery Grand Rounds: 8:00 AM-9:00 AM in room 6001 Presentations at this conference will be by department faculty.THANKSGIVING CANCELLED . Bullpen: 9:15 AM-10:15 AM in Room 5150 See page 20 & 21. On certain dates.Dr. Julie Freischlag Johns Hopkins Hospital Dorothy Contiguglia Sylvia Szentpetery Patrick Richard Gregory Weiner 25Nov M&M CORE CURRICULUM GRAND ROUNDS CANCELLED . residents and medical students. M & M: 7:00 AM-8:00 AM in room 6001 This conference will be attended by surgical faculty. SCRUBS ARE NOT APPROPRIATE! IF YOU QUESTION WHAT IS APPROPRIATE.Dr.Dr.THANKSGIVING CANCELLED . This format will be used primarily for resident presentations. ASK YOU RESIDENT 1. 2. You will receive by e-mail prior to the Grand Rounds to inform you of the topic.
B.CORE CURRICULUM Grand Rounds Pediatric Surgery Robotic Urologic Oncology-Dr. Nichols 15 . Lee Ann Katz Daniel Petroni Seeyuen Lee 9-Dec M&M Core Curriculum Grand Rounds Anesthesia & Orthopedics TBA-Ron Stein & April Zarifian Joshua Denson Catherine Firestein Whitni Milton Josh Orabone 16Dec M&M Core Curriculum Grand Rounds Key Words/Didactic Session Update on Surgical Infections-Dr.
Pancreas & Gallbladder Dr. Kandil 10:30-11:30 AM GI Dr. Jaffe 10:30-11:30 AM Neurosurgery Dr. Ollie Edmunds 11:30 – 12:30 PM Case Summary: Thyroid Mass Dr. 16 . Luke Thompson 11:30 – 12:30 PM Case Summary: Reflux Esophagitis Dr. Manish Singh 11:30 – 12:30 PM Case Summary: Adrenal Incidentloma Dr. Steiner 11:30 – 12:30 PM Case Summary: Large & Small Bowel Dr. Thomas Case Summary Conference: All students are invited to discuss their case scenarios. Jaffe 10:30-11:30 AM Case Summary: Liver.4. Weaver 10:30-11:30 AM Otolaryngology Dr. Brown 11:30 – 12:30 PM Case Summary: Lung Cancer Dr. Korndorffer 10:30-11:30 AM Orthopaedic Surgery Dr. Nov 4 Nov 11 Nov 18 Nov 25 Dec 2 Dec 9 Specialty and Sub-Specialty lectures/conferences: 10:30 AM-12:30 (Schedule below) Room 5150 10:30-11:30 AM Pediatrics Dr. Paramesh 11:30 – 12:30 PM Urology Dr.
grammar & style References “Bonus Points” 25% 50% 15% 10% Grade Grade Grade Grade Total Grade 17 .CASE SUMMARY GRADE FORM • • • • • Organization Content Clarity.
Jaffe’s specific case history(s) for his specific instructions. This is NOT a surgical reference. including references. GRADE: Your grade will be derived from all six case summaries. remaining within the one page limit. One or more students will be chosen at each conference to present and defend the case summary each has prepared for the conference. Grammar & Style 15% • References 10% 5. Grades for each summary will be based on the following: • Organization 25% • Content 50% • Clarity.edu. library research. Typewritten reports are preferred. (e. and writing skills. pkirsch@tulane. or faxed to 988-1882) before the conference begins. oral presentation. 3. Only one of these may be a standard textbook and one must be a journal article written during the past 10 years. This exercise will be done in the small group seminar format. Case summaries submitted after the start of the conference will not be accepted.g. In addition to getting these case summaries to Patricia before the case summary begins. During the course orientation. you should list three references you used to prepare your summary. Scores for the entire series will be averaged at the close of the clerkship. Cost effective case will also be stressed. The composite grade will count as 5% of your clerkship grade. 4. and your plan for management of the case. There will be a faculty facilitator at each conference. For Dr. your understanding of the pathophysiology.JUNIOR SURGERY STUDENT CASE SUMMARY CONFERENCE PURPOSE: The purpose of the case summary conference is to provide an opportunity to improve clinical problem solving. BASIC INSTRUCTIONS: 1. each student will receive the case histories on which each conference will be based. Failure to do so will result in deducted points. If we can’t read it . All case summaries must be given to Patricia (room 8558. see Dr. At the end of the summary. There will be an emphasis on complete and compassionate care plans which focus on the best interest of the patient. Jaffe likes the students to hand him their case summary upon the start of the session. font of typewritten reports is too small or penmanship is poor) Please make sure you limit your summary to one page.we can’t grade it properly. Neatness counts. Do not use Surgical Recall. A series of case studies have been prepared. 18 . You should review the case histories and prepare a one page written summary of your analysis of the problem posed by the case. 2. Dr. Jaffe’s case summary(s).
November 4. CXR revealed RLL pneumonia. 2009 Lung Cancer 72 y/o WF w/ recent onset of shortness of breath. Biopsy was taken. 1) 2) 3) 4) 5) What is likely diagnosis? What other history would be pertinent? What further W/U is needed? What surgical intervention is needed or not needed? What complications and outcomes would be expected if surgery is performed? 19 . W/U included bronchoscopy which revealed an endobronchial lesion in the bronchus intermedius.
a 4 cm mass in the right adrenal gland was found. Issues: a. There was no evidence of cholecystitis. W/U included abdominal US.) What is the differential diagnosis of this mass. at what size would you operate on an incidentaloma? e) Assuming the patient has an aldosteronoma.) Assuming all tests come back negative. how will you differentiate hyperplasia from an adenoma? Do you need to do selective venous sampling? 20 . however. 2009 Adrenal Incidentloma 42 year old previously healthy man is evaluated for right hypochondriac pain. b.) What tests would you want to order to narrow your differential diagnosis? c.) Would you biopsy the lesion if you were to decide to follow this lesion? d.November 11.
utilize. 2009 Large and Small Bowel A 65 year old previously healthy man is admitted to the hospital with a 24-hour history of obstipation. the student. nausea. from surgical journals. 3. an ileocolic intussusception is identified. What are the indications for operation and how quickly should he go to the OR? At operation. 1. and what would you do? What would you look for in the pathology report and how would that influence your operative care? Dr. 5.November 18. what imaging studies are necessary to establish a diagnosis? The patient’s abdomen is nontender and he has a normal white blood cell count. 4. and abdominal distention. 7. JAFFE WOULD LIKE YOU TO HAND YOUR CASE SUMMARY INTO HIM AT THE TIME OF THE LECTURE. What are the options for treatment. residency and career. 2. How does that influence the diagnosis? Aside from plain films. Jaffe expects you. 6. ADDITIONALLY. He has never had a prior abdominal operation. He wants you to know how to look up journal articles and how to document their citations accurately. What is the differential diagnosis (not the cause) from most common to least common? What physical findings can be used to establish a diagnosis (include at least 6)? Flat and upright abdominal x-rays reveal dilated small bowel with air fluid levels. YOUR CASE SUMMARY WILL NOT BE GRADED IF NOT HANDED INTO DR. JAFFE AT THE TIME OF THE CASE SUMMARY (EXCEPT FOR OLOL STUDENTS WHO CONTINUE TO E-MAIL TO ME) 21 . something you will have to do as part of your education. at least one and preferrably two. vomiting. and accurately cite at least three references from the literature (not the internet) dealing with 3 different aspects of the topic. to read. DR.
What are the success rates for operative intervention? 6. Assuming the diagnosis is uncomplicated GERD. What are the typical symptoms of GERD? Atypical Symptoms? 2. how does it alter your management? 22 .November 25. 2009 Reflux Esophagitis 1. If Barrett's esophagitis is documented on workup. what are the appropriate management options? What would you tell your patient about those options? 4. What workup is needed to evaluate for GERD? 3. What operative interventions are performed for GERD? Why is one selected over the other? 5.
December 2. something you will have to do as part of your education. what are the options for operative therapy. His only relevant past history is that he received radiation therapy for Hodgkin’s disease involving the mediastinum. What postoperative complications are specific to this procedure? 7. JAFFE WOULD LIKE YOU TO HAND YOUR CASE SUMMARY INTO HIM AT THE TIME OF THE LECTURE. to read. 2009 Thyroid Mass A 32-year-old man is seen with a 1. from surgical journals. Which radiologic studies would be needed prior to planning therapy? 5. What specialized follow up would be in order? Dr. Jaffe expects you. utilize. YOUR CASE SUMMARY WILL NOT BE GRADED IF NOT HANDED INTO DR. What is the differential diagnosis? 2. DR. Which thyroid function studies would be useful? 4. He want you to know how to look up journal articles and how to document their citations accurately. If the diagnosis was follicular carcinoma. and what would you do? 6. at least one and preferrably two. residency and career. the student. JAFFE AT THE TIME OF THE CASE SUMMARY (EXCEPT FOR OLOL STUDENTS WHO WILL CONTINUE TO E-MAIL TO ME) 23 . The remaining gland is normal to examination. 1. How can you reach a definitive diagnosis in an efficient and cost-effective manner? 3.5-cm firm nodule in the left lobe of the thyroid gland. ADDITIONALLY. and accurately cite at least three references from the literature (not the internet) dealing with 3 different aspects of the topic.
Pancreas & Gallbladder 54 yo man with history of hepatitis C found to have a 3cm mass in the right lobe of the liver. Questions: What is the differential diagnosis for this mass? What would be the appropriate evaluation for this patient? What are the treatment options? What is the surgical anatomy of the liver? 24 .December 9. 2009 Liver.
Each presentation is approximately fifteen minutes.) The patients will be from Tulane University Hospital and University. Do not prepare Power Point . and she will contact you with the name and bed of the patient. If you would like to present the film. but remain sensitive to the patient’s situation. You receive the film on a CD rom. Presentations should be made just as if you were in the hospital. (If you have not heard from her by 10:00 am or so on Tuesday. please have a lap top and the projector will be made available in Room 5150 for your presentation. Frequently. Decorum requires you to wear your white coat and for men to either wear ties or scrub suits and women accordingly. The Tulane Surgical Bullpen gained national notoriety and was described in an article in Time Magazine nearly fifty years ago. Make your presentations concise and precise. treatment plan and the pathophysiology following a brief history and physical examination without the patient chart or other information. occasions do arise when the patient has been discharged prior to your visit to them. If so. check with her. comfort and dignity. University no longer permits the students to check out films. The Rules: Four students are assigned to present at Surgical Bullpen each Wednesday at 9:15 am in Room 5150. but you are free to use your notes and to draw anatomy. simply make that clear in your presentation. Patricia Kirsch.SURGICAL BULLPEN Background: The Surgery Bullpen is an exercise for students to hone their case presentation skills as well as learn pathophysiology and management of surgical diseases. do a history and physical examination where appropriate and review pertinent laboratory and radiographic studies. you will simply present from the chart but indicate this during your presentation. Students are assigned patients by Dr. all of your information must come directly from the chart and not from the patient. If possible bring radiographs. on the preceding morning. Since patients are currently discharged very soon after uncomplicated operations. Senior Tulane students were assigned an unknown patient and were expected to determine the diagnosis and differential. or movies. Use your own judgment. You may prepare by textbook reading and review of articles. The contemporary Bullpen is based upon a tradition begun by Dr. overheads. arteriograms or other imaging studies which add value to the presentation. Sometimes the patients are too ill or incapacitated to give a history or to even be examined. procedures and other diagrams on the black board when indicated. 25 . The exercise was modified and extended to the third year clerkship in a way similar to the present Bullpen. Alton Ochsner nearly seventy years ago. If that occurs. hand outs. Jaffe and the student coordinator. Ms. You should review the patient’s chart.
Thank you. Please do not use this conference for your lunch time. you will not be presenting.JUNIOR SURGERY PRESENTATIONS 9:15-10:15 AM Wednesday (room 5150) November 4 Christiana Roussis Brian Acker Ryan LeBlanc David Casey November 11 Kieran Stober Daniella Miller Garland McQuinn Elizabeth Leimbach November 18 Jean Wheeler Dorothy Contiguglia Sylvia Szentpetery Patrick Richard November 25 Gregory Weiner Clayton Smith Ben Leach Megan Stock December 2 Andrew Prouse Ann Katz Daniel Petroni Seeyuen Lee December 9 Joshua Denson Catherine Firestein Whitni Milton Josh Orabone If your name does not appear on this sheet. No food or drinks are allowed while this Bullpen is taking place. 26 .
as they might not be able to return your call the minute you are ready to begin that service. Tulane students who are assigned to MCL/University need to go to the medical staff office. when you do take In-house overnight call. you may only work an additional 6 hours after that call ends. If you rotate at OLOL. In accordance with the ACGME requirements. Tulane ID’s are not compatible with the access control system at University. This presentation will be a 15 minute oral presentation. when you do take In. IN-HOUSE CALL: All students will be expected and required to take 1 in-house call on your service’s team AND one in-house call on the Trauma service at University. A team of surgery house officers and at least one attending surgeon-preceptor will staff each General Surgery service. backed-up by a 1 page paper. The medical staff office will make arrangements for you to be issued a MCL/University affiliate badge which will grant you access to the approved areas. The Call Rooms are located on the 1st floor next to the resident nourishment room. send mail to:rarnol@lsuhsc. whether management occurred on an inpatient or outpatient basis. to the extent that much of the preoperative and postoperative management is now carried out in the outpatient setting. You are to maintain the same on-call hours as your house officer When taking your in-house call. If your resident does not. The notes on your patients will be expected to be complete by 6:30 AM. These personnel will provide ample opportunities for “on the job” experience relative to the discipline of Medicine in general and surgery in particular. you will be expected to make rounds after in-house call nights to sign patients off to the next service. 27 . Again this should be weekly while you are on your general month.1GENERAL SURGERY DESCRIPTION: The General Surgery rotation is primarily an inpatient-based experience designed to familiarize the student with acute and elective surgical decision making processes (see Goals & Objectives) However. you may only work an additional 6 hours after that call ends. You are to maintain the same on-call hours as your house officer. on which medical students will rotate. you will have a mandatory presentation weekly. Please contact your resident the evening before. Please note that in keeping with the ACGME 80-hour work week. operation (if any).In-house call will be expected on those days on which the Tulane Faculty has primary call (approximately every 4 th night). HOSPITAL SITES: University Trauma (Dr. For questions. Please note that in keeping with the ACGME 80-hour work week. Your chief resident will discuss what. you are to keep a concise log of all patients for whom you were given primarily responsibility. Specific data to be recorded are: primary diagnosis.house overnight call. where and when in regards to this weekly presentation. Duchesne/Leslie Schwartzmann – 988-5111) . The medical staff office is Room 313 in the Butterworth Building at 1541 Tulane Ave. please let me know. given to the faculty or resident of your service while you are on your general surgery month.edu. Additionally. you may not be in the hospital more than 80 hours per week and you are required to have at least one day off each week. students will as well be expected to participate in this phase of care. and complications. During the course of the General Surgery rotation. but note. please have your houseofficer sign off and date your procedure log indicating that you have completed this. please take your overnight University call the week before you go or the first week you return.
Chairman of the Department of Surgery of the Ochsner Clinic/Dr. and Bariatric Surgery service. Laparoscopic. Charles Sterbergh. Dr. mmeyer@ochsner. Main Campus. II: This is a General Surgery/Surgical Oncology. email@example.com . II and a PGY-I resident will staff this service. Plastics Surgery: Christopher Babycos. 842-3907 and his office is on the 8th floor. Clinic Tower.Gloss@ochsner. Dr. 5. dbeck@ochsner. (wconway@ochsner. Dr. A PGY-V and PGY-I resident will staff this service. 10. Dr. Main Campus.org . Britt Tonnesson: btonnesson@ochsner. MD. with an emphasis on Diseases of the esophagus. Lisolette Tansey Breast Center and the 8th floor. A PGY-V. & Dr.org. W.Ochsner Hospital: Each student will be assigned to one of several surgical services for two to four week rotations. Department of Surgery 8. III. breast. Main campus 4th fl Clinical Atrium – 842-4060. a PGY-V and a PGY-III resident will staff this service.org .org.org.org and Dr. Ralph Corsetti 4. Residency Program Director: This is a General Surgery and Surgical Oncology service. endocrine system. liver. Department of Surgery 7. Make sure that Ms. Main Campus 9. A vascular fellow. Wooldridge: This is a Bariatric/Laparoscopic/General. 8th floor. vadolph@ochsner. 8425263. Roussel has your beeper #. Vascular Surgery. MD.Icarmody@ochsner. csternberg@ochsner. 846-2926. Room 634). J. Clinic Tower 6. Her phone number is 842-3267. 5th fl. 4th Clinic Atrium 5. Corsetti or his resident to set up the rotation schedule. General Surgery Services: 1. Clinic Tower.org. Charles Conway. Lester Prats. lprats@ochsner. Dr. 2.org .org) 6.org . There will be a cash $20 refundable deposit for your ID/Access card. PGY I and III will staff this service. This service places an emphasis on vascular surgery. Neurosurgery: Roger Smith. 3. Jwooldridge@ochsner. Main Campus. Check in with Ms. Main Campus. 842-3950. Critical Care and the Endocrine system. George Loss . 2. MD. Main Campus. Clinic Atrium – 842-3910 Transplant: Dr.3966. Main Campus. 7th fl. Mbates@ochsner. and Richard Vanlangendonck. Dr.org 28 . MD. pancreas and melanoma. IV. A colorectal fellow. 842-4033. Ortho: Mark Meyer. MD . Chairman/David Margolin. 3.Department of Colon & Rectal Surgery This is a service that places an emphasis on colorectal carcinoma and inflammatory bowel disease. Dr. Urology: Drs. 842-4080. MD. Helen Roussel (842-3907) Room 8112 on the 8th floor of General Surgery and Dr. rogsmith@ochsner. Bowen and Townsend: This is a General Surgical Service with an emphasis on Gastrointestinal. D. III and a PGY-II resident will staff this service. cbabycos@ochsner. ENT: Ronald Amedee. Ian Carmody . William Richardson This is a General Surgery. 4th Clinic Tower 4. Pediatric Surgery: Vincent Adolph.ochsner.org and phone number is 842 . Bolton. 842-4919.org.org.org Subspecialty Services: 1. with an emphasis on diseases of the biliary system and upper abdomen. MD. A PGY-V. after going to see Nicole Magee in Graduate Medical Education (Brent House 6 th floor. Main Campus. ramedee@ochsner. CT: Michael Bates. rvanlangendonck. IV. Ralph Corsetti. Clinic Tower. Beck. 8th fl. Dr. Main Campus.
Students will be relieved of any work at Ochsner to go to anything required at Tulane. scrub in the operating room. All student rounds must be completed prior to making rounds with the residents. Students are expected to read on surgical problems they are involved with or are likely to encounter. Nicole Magee will register each student for insurance purposes and to issue ID/Access cards. There is no call but students will stay through the end of the work day and be involved with rounds on Saturday.m. There will be no inhouse call. In order to be sure that students have the opportunity to monitor surgical patients’ progress. Students will be given Sunday off to comply with the 24-hour off rule. You are expected to become an integral part of the service to which you are assigned. Students will not come in to work on Sundays. but you should remain with your team until the clinical and educational responsibilities have been completed for the day. Her phone number is 842-3267 (room 634). you will be given ample opportunity to work with your surgery team in the inpatient and outpatient environments. During each of your rotations. 29 . In addition. rounds will be required to be made every day. depending on the demands on his time. Corsetti may. This will necessitate early arrival at the hospital so that all patients can be evaluated prior to making rounds with the residents and staff. 842-3267) at 8:30 a. students are to go to all lectures for general surgery residents. Students are required to attend all resident conferences. You must see Nicole as soon as you arrive at Ochsner. each student must check in with the Office of Graduate Medical Education (1516 Jefferson Highway. Corsetti will try to complete an exit interview prior to the end of the rotation. Dr. Before beginning this rotation. and follow patients in the hospital. The purpose of this is to discuss the student’s evaluation of their performance during this rotation.EXPECTATIONS: The expectations for students on their general surgery rotation are to see patients in clinic. including Saturdays. and to allow the student the opportunity to discuss the quality of their educational experience at Ochsner. room 634. Dr. on the 1st day of the rotation. Students will be directed in these activities by the residents and staff on their services. not be able to complete an exit interview with each student individually (this will continue to be monitored).
Do complete history and physicals on new patients admitted to the service and turn them in to the attending for review. House officers will provide resident coverage for this service. There must be a good reason to be absent from the surgical procedure on their patients. Make rounds with staff daily and present patients to staff in a manner consistent with working rounds. Charles (Chip) Bellows)/Stephanie Reed at 988-2307 Lakeside General: Drs. Brown (583-6459 jbrown3@tulane. Students will be directed in these activities by the residents and staff on their services.Tulane Medical Center/Lakeside: TMC Acute Care: Drs. but are not limited to: 1. The students assigned to this service will assist in the care of those patients under the care of the General Surgery Service.edu) TMC Elective Service: Dr. Provide daily inpatient care for the patients to whom you are assigned. Students are expected to read on surgical problems they are involved with or are likely to encounter.edu) Transplant: Dr. Expectations: Make rounds with the resident on the service every AM. EXPECTATION: The expectations for students on their general surgery rotation are to see patients in clinic.edu) but you will additionally work with Drs. and make recommendations consistent with resident and staff. Much teaching will be done on these rounds. Naturally. Examine the patients. Your duties are to include. Perform histories and physical examinations. There is no call but students will stay through the end of the work day and be involved with rounds on Saturday. In addition. Dr. your notes will NOT be included in the patient’s chart. Students are expected to attend surgery on all of their patients. scrub in the operating room. come to decisions. review the labs. Work with attending physicians in their outpatient clinics (3rd floor of professional office building) Attend all Wednesday morning Educational conferences. See consults to the service and do history and physicals. There are clinics and other conferences that you will be expected to attend as are the residents. Therefore. Florman’s office has a bibliography of core reading materials for you. 6. 30 . make recommendations consistent with resident and staff recommendations. review labs. For now students should look to the senior resident on the service for direction. Students are expected to attend clinics at Lakeside and do complete histories and physicals on the new consults and referrals and discuss diagnoses and recommendations with the staff attending. students are expected to have read about the diseases present in their patients. students are to go to all lectures for general surgery residents. 4. 5. give to the faculty you are working with and those will be graded and placed in your file. there is no in-house call for students on this TMC Hepatobiliary Service. implementations of recommendations depend on resident and staff. Therefore it will be mandatory that you write 3 H & P’s and 6 progress notes. and follow patients in the hospital. McGinnis (301-0270 cmcginne@tulane. If rotating on TMC Hepatobiliary.edu) and Jones (988-2305 sdjones@tulane. 3.edu) and Brown (583-6459 jbrown3@tulane. All of this above information is included in the student/resident handbook which once revised will be give to you. Be available for home call up to every third night and every other weekend. Additionally. Mary Killackey and Anil Paramesh (988-0783). 2. Participate in the operations being performed on your patients. Sandy Florman is the Director of Abdominal Transplant (988-7867 sflorman@tulane.
Students are encouraged to attend surgical procedures done on patients other than their own if it does not conflict with primary responsibilities. Students are expected to learn basic surgical procedures well enough to assist in surgery.Students are expected to take call at night for emergency admits and emergency surgery. 31 . Students are encouraged to make week-end rounds on their hospitalized patients.
Please see Betty Burton in Dr. office #: (225) 769-6400 Contacts: Housing. cell #: (225) 247-8354 (Contact BR Clinic Administrator Mr. etc: Leigh Salvant Graduate Medical Education Our Lady of the Lake Regional Medical Center Phone 225-765-7730 Fax 225-765-3497 leigh. the more assurance you will have that your experience on the rotation will run smoothly. MD kleblanc@sgbr. Bonner) – Baton Rouge Clinic. Office #: (225) 769-4044. MD firstname.lastname@example.org Kenny Kleinpeter. listed below in red. Chief Medical Officer. Hirsch/Gordon OLOL Yes Yes Yes BR General/HIPAA Compliant Yes/Yes No/No Yes/Yes Lake Surgery Center Yes No Yes Women’s Yes Yes Yes Dr. FACS.com Keith Rhynes. Rotation Name Dr. MD ballain@sgbr. Roberts. Krane’s office. ID badges.com.D. The earlier the packets are completed and returned. CELL: (225) 229-9094 FAX #: (225)766-6996 e-mail: mhausmann@sgbr.. MD email@example.com John Whitaker. & Dr. Hausmann Dr.net.. M. John Clifford. glen@schwartzberg. computer access.) The Surgeons Group of Baton Rouge Dr.net. GME Manager. MD. FACS – General Surgery. Medical Director of Graduate Medical Education & DIO of Baton Rouge General Medical Center (225) 387-7121. FACP. Bariatric Surgery Karl LeBlanc. MD kkleinpeter@sgbr. MD.org (225) 387-7736 or (225) 387-7707 Fax (225) 387-7872 Floyd J. Schwartzberg/Froelich Dr. Surgical Associates.com Baton Rouge General Medical Center (BRG) Connie Rome..com Dr.com Brent Allain. Mark Hausmann. Senior Coordinator.OLOL We have 3 different rotations based out of Our Lady of the Lake in Baton Rouge. Bacot. RN @ Lake Surgical @ firstname.lastname@example.org 7777 Hennessy Blvd. or if not available. 32 . Hirsch6@cox.org Sandra Wiley. then Patricia in room 8558 of the medical school when the schedule comes out to complete these packets.wiley@brgeneral. Jayne B. Suite 612 Baton Rouge. Jr. Sandra. Connie. Alec Hirsch – General Surgery. jfroelich@brclinic. Each rotation will rotate at different hospital sites and each site has its own packet of paperwork (as depicted below). FCCP. Ed Silvey at 225-9301 to assure that your HIPAA training at Tulane is sufficient. Medical Director Graduate Medical Education and DIO of OLOLRMC @ 225-765-1955. LA 70808 Office #: (225) 769-5656. Glen Schwartzberg.salvant@ololrmc. James Froelich.
) Front door key will open Laundry room. and the general surgery house officers. Lee. You will assume considerable responsibility in the care of patients assigned to you.) • You are not allowed to have overnight guests in your room. but the institution will not defray the cost of such accommodations. Call can be taken from the housing facilities (located next to the hospital) provided during your stay. the chief resident and/or resident on call as applicable to let them know you have arrived. • Please report to Medical Staff Office personnel and bring your Tulane ID badge and driver’s license.) • There is a $5. (No preferential assignment is possible due to limited room availability. Wigle and Dr. Deposit fee will be returned to you when keys are returned at time of departure. Your contact person in Pineville is Sandy Corley (318-473-1425). Drs. Housekeeping.00 deposit fee (payable in exact cash only) for your front door & room keys. (Nonrefundable if key lost or broken. and. Institutional facilities are not available for one's spouse. Room assignments are made on first-come first-served basis.Huey P. There will be no in-house call. The following information has been prepared to acquaint you with our facility in order to make your stay as pleasant and comfortable as possible. Long Medical Center.50/meal maximum). HPLMC Chief of Services Switchboard. or significant other. to the extent of your abilities. Rayburn. – at the corner of Hospital Boulevard & Main St. operative and preoperative management will be provided. RULES AND REGULATIONS: • You should leave all rooms including kitchen & living room in a clean & tidy condition daily. • You will need to obtain and wear LSUHSC-HPLMC Identification badge . under the supervision of attending faculty. Maintenance. performance of admission history and physical examinations. CHECK IN AT SWITCHBOARD UPON ARRIVAL: • Switchboard personnel will assign dormitory room. As occurs at the other institutions that afford the students experience in General Surgery. • Smoke Free Environment. (General housekeeping services for the building provided. Please report to Human Resources (Annex Bldg. Meals can be purchased in the cafeteria at a reduced rate ($ 1.) PLEASE notify the operator ASAP if you have lost your keys. children. • No pets allowed. Dietary. MISCELLANEOUS INFORMATION: 33 . All students are to complete a Personnel Data Form in case of an emergency. Long: The students who select this rotation will be provided with considerable “hands on” experience in the care of surgery patients. etc. Room key will open Storage Room (extra linen. Motel accommodations are available and within a reasonable distance to the hospital. weekly case summary conference sessions will be held.) ASAP or upon arrival. Human Resources Medical Staff Office Medical Student Orientation Welcome to Huey P. • Please page staff. FY: 2009-2010 TO: CC: FROM: RE: TUHSC Student & Residency Coordinators. the opportunity for active participation in daily rounds. A parking area is available next to the housing quarters. Muchmore.
• • • One free meal daily will be provided at each serving time for the students. # 1426) during normal business hours (Monday – Friday 7a. • Outside balcony Room 201 (left): 1 single bed (318) 473-6333 Reserved for Anesthesia student Room 202 (left): 2 single beds (318) 473-6354 Room 203 (left): 2 single beds (318) 473-6313 Room 204 (right): 2 single beds (318) 473-6254 Room 205 (right): 2 single beds (318) 473-6301 Room 206 (right): 1 single bed (318) 473-6240 Reserved for Anesthesia student Room 207 (left): 1 single bed (318) 473-1439 CONTACT INFORMATION: To insure proper delivery. # (318) 473-1437 or 1426 Medical Staff Office Fax# (318) 473-1435 MAINTENANCE ISSUES: If you become aware of any maintenance/housekeeping concerns. microwave.m. sofa. Please put label (your name/date) on items placed in refrigerator.Television with cable.) • Switchboard Operator on duty – after 4:30 p. (Operator to forward all emergent concerns to Maintenance Dept. Breakfast hours: 6-8 a. Key may be signed out from switchboard. Non-emergent concerns to MSO for scheduling.. lunch 11:30 a. stove. LA 71360 Mailing Address: P.m. chair.) Acknowledgment of Self Study Orientation for Medical Staff & Residents (Human Resources) 3. chest of drawer. towels. (You are responsible for your own laundry & laundry supplies.) • All rooms have (1 or 2) single bed.00 each. Box 5352. dinner 4:15 .single beds (May bring own bed linen as desired. • Complete kitchen .m. Sandy Corley 34 . (You are responsible for bringing & laundering your own scrub suits. Pineville. 206. lamp & clothes hamper. O.m. (Librarian ph # 318-473-1425 from 8a-4:30p) DORMITORY: First Floor • Lobby/Foyer – Phone # (318) 473-6348 • Living Room/Lounge area . 207 next to rooms).Sandy Corley. -1 p.5:30 p. librarian & computers available for your use and is available after hours if needed. please notify designated hospital staff immediately.) Second Floor: • Bathroom in each bedroom (except 201. desk.Refrigerator. with carbon copy to MSO. desk. LA 71361-5352 Hospital phone # (318) 448-0811 Medical Staff Office Ph.) Personal Data Form 4. mail should be addressed: Student Name C/o Medical Staff Office Huey P. (See attached dietary policy & procedure) Students are provided disposable scrubs only. washcloths & soap available (May bring own bathroom linen as desired. • Medical Staff Office . Asst.m.m.) Hospital ID & Emergency Response Codes – to be worn at all times Enjoy your stay.) Medical Student Orientation/Welcome letter (Medical Staff Office) 2. • Restroom • 2 Washer/Dryers . (Ext.) Information issued to student: 1.) Information Security Training for LSUHSC HPLMC Non-computer Users 5. Additional meals available at $3. Adm. Long Medical Center Physical Address: 352 Hospital Blvd.m. Pineville. chairs. etc..located in back of building.4:30p.) • Linen/blankets are provided .. etc.) Medical Staff Office has a Medical Library. wireless internet.
4 Medical Staff Office/Credentialing Ph # 318-473-1426 Scorle1@lsuhsc.edu Revised: 08/21/09 35 . Asst.Adm.
♦ I agree to abide by the Medical Staff Bylaws.google. ___________________________________ SIGNATURE DATE DIRECTIONS: http://maps. and policies & procedures of the hospital. Rules & Regulations.PERSONAL DATA FOR FILE IN PERSONNEL FOLDER (PLEASE PRINT OR TYPE) NAME: __________________________________ SSN: ______________________________ DATE OF BIRTH: ___________ SEX: _____ RACE: _____MARITAL STATUS: _______ ADDRESS: __________________________________________________________________ __________________________________________________________________ MAILING ADDRESS (IF DIFFERENT THAN ABOVE) ____________________________ ____________________________ PHONE NUMBER: ________________________________ PERSON TO NOTIFY IN CASE OF EMERGENCY: NAME: __________________________________ RELATIONSHIP: __________________ ADDRESS: ___________________________________________________________________ PHONE NUMBER: _________________________________ ♦ I have received a key to my room and a key to the outside door of the doctor’s quarters.com/maps?hl=en&tab=wl 36 .
Write appropriate post-operative orders for both out-patient and emergency surgery patients. Discuss diagnosis and management of: a. and complications. Insert Nasogastric tube. you are to keep a concise log of all patients for whom you were given primarily responsibility. 8.Department of Surgery Hutchinson Building. GOALS Patient Care: 1. 4. 8th Floor SL 22 (504) 988-3909 (504) 988-1882 fax DESCRIPTION: The General Surgery rotation is primarily an inpatient-based experience designed to familiarize the student with acute and elective surgical decision making processes (see Goals & Objectives) However. vascular conditions. Ochsner. students will as well be expected to participate in this phase of care. Insert Foley Catheter. on which medical students will rotate. Pancreatic masses h. Peripheral vascular disease 37 . During the course of the General Surgery rotation. Demonstrate sterile technique. 5. Common liver tumors iii. Be able to perform as a second assistant in the operating room. Discuss patient CT scans. 3. Acute appendicitis b. 6. GI bleeding. 7. Colon cancer g. Specific data to be recorded are: primary diagnosis. Cirrhosis ii. Transplant indications i. Demonstrate patient prep in operating room. Medical Knowledge: 1. Perform wound or incision closure. 4. 2. Explain and interpret chest x-rays. OLOL and Lakeside. Write appropriate patient admission orders for a variety of surgical conditions including but not limited to: trauma. 6. Assess and discuss management of post-operative fever. Be able to function as a first assistant for minor or bedside procedures. Lower and Upper GI bleeding f. 3. 2. A team of surgery house officers and at least one attending surgeon-preceptor will staff each General Surgery service. HOSPITAL SITES: University. Acute Cholecystitis c. operation (if any). Hernias e. 7. Liver disease including: i. Perform a complete history and physical exam. Describe the steps and indications for central line insertion. These personnel will provide ample opportunities for “on the job” experience relative to the discipline of Medicine in general and surgery in particular. whether management occurred on an inpatient or outpatient basis. 5. to the extent that much of the preoperative and postoperative management is now carried out in the outpatient setting. and acute abdomen. Pulmonary Embolus d. TMC.
Entero-cutaenous fistula. including exam. n. Attend conferences. and plan of patient care.8. 3. j. anastomotic leak. Discuss patient condition and assessment with resident team. Develop personal process of acquiring and appraising scientific knowledge. Respect patient culture. hernia. Hypokalemia / Hyperkalemia c. Deep vein thrombosis l. 2. hyperglycemia. System Based Practice: 1. Calculate and write TPN orders for a variety of patient conditions. 38 . 2. and treatments of common electrolyte derangements in surgical patients: a. bleeding. and disease process. 13. 10. Define cost-effective patient care. 2. clinics. Discuss the differences and uses for various forms of mechanical ventilation. 4. DVT. 15. heart attack. and operative interventions. privacy. Perform patient care in an ethical manner. Hypomagnesemia Demonstrate and discuss management of anemia. 4. radiology exams. causes. Appraise patient for post-operative complications: infections. Understand and verbalize indications for mechanical ventilation. 2. Understand the basic costs and risk-benefit of common lab tests. assessment of condition. and rounds on time. Document steps in patient care. 14. Present patient to staff during rounds in clear concise manner. Hypocalemia d. Display commitment to patient care and educational process. Recognize symptoms. Practice Based Learning and Improvement: 1. Professionalism: 1. Participate in development of patient care plan. Calculate daily caloric needs of different types of patients. Hyponatremia / Hypernatremia b. Interpersonal and Communication Skills: 1. 11. Gastritis m. 12. 3. Carotid artery stenosis k. Evaluate patient care through personal assessment and feedback from residents and staff. Discuss management and give examples of post-operative pain control. Complete and partial small and large bowel obstructions. Interpret arterial blood gases. 9.
13. Location of admission (recovery room. 5.) Status post (surgical procedure) Admitting physician Condition Vital signs (per recovery room protocol.) Laboratory tests Roentgenographic studies EKG 39 . 14. 7. 18. 6. 12. etc. 11. 15. etc. 17. wound care. ICU. ICU. 2. record patient weight daily Special nursing care orders Monitoring device instructions Miscellaneous (anything else necessary for good patient care. etc. etc. 9. etc. 16. 4. 10.) Diet Activity (up with assistance.) Allergies Intravenous fluids Medications Nursing care orders (dressing care. assistant with ambulation. 3. then on ward. lines Intake and output.) Care of drains. bathroon privileges. 8. 19.POST-OPERATIVE ORDERS 1. one day surgery. such as notifying the physician if the patient is unable to void post-operatively.
REVIEW WITH YOU AND RETURN TO MY OFFICE FOR YOUR FILE. 2009 Student Name: Surgery Service: Faculty evaluation summary: _____________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Resident evaluation summary: _____________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Surgery (common procedure log) review: ____________________________________ _____________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Professionalism: ________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Student Response: _______________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Faculty signature: _______________________________________________________ Student signature: _______________________________________________________ Program Director’s Response: _____________________________________________ ______________________________________________________________________ Program Director’s Signature: _____________________________________________ FAX: Patricia Kirsch at 504-988-1882 Evaluator: Dr. AT THE APPROPRIATE DOWN TIME. THANK YOU. WEAVER WILL CONTACT YOUR TEAM AND REVIEW YOUR MID BLOCK PERFORMANCE WITH YOU. CONTACT PATRICIA KIRSCH IMMEDIATELY AND DR. I WILL SEND OUT ELECTRONICALLY YOUR MID BLOCK EVALUATION.SURGERY THIRD YEAR MEDICAL STUDENT MID-BLOCK EVALUATION TWO WEEKS INTO YOUR GENERAL SURGERY SERVICE. TO ASK YOUR RESIDENT TO COMPLETE THIS EVALUATION. Date of Evaluation: . PLEASE IF YOU DO NOT GET YOUR MIDBLOCK EVALUATION INTO YOUR THIRD WEEK OF YOUR GENERAL MONTH. Block: /09 –/09 40 . BUT IT IS APPROPRIATE.
5 6 7 8 9 10 UA 5. Student does not attend conferences and/or is unprepared if present. Commitment to 1 2 3 Excellence: Student is content to do the minimum. Student attends conferences. 4 5 6 7 8 9 10 UA Student is accountable for fulfilling the contract of the physician to the patient and the patient’s family. is well prepared and punctual. 2) as a significant part of any letter of recommendation for this student that may arise from the Dean’s Office or from the Department of Surgery. It will be used: 1) by the Department of Surgery whenever it bears on problems or awards concerning this student. putting personal needs ahead of professional responsibility. 41 . or reasonable personal risk. 4 Student is fair. Student demonstrates willingness to serve the needs of patients despite inconvenience.GENERAL SURGERY/INPATIENT ROTATION EVALUATION FORM Name Department ______________ ______________ Rotation Dates ____________ Evaluator ___________________ Uses of the evaluation: This evaluation becomes a part of this student’s permanent record. truthful. 6 7 8 9 10 UA 5 Student demonstrates commitment to life-long learning and self improvement. 3. recognizes and avoids conflicts of interest. demonstrates greed for personal fame/power. Accountability: 1 2 3 4 Student demonstrates impaired judgment and incompetence. consistently meets commitments. Acceptance of 1 2 3 4 Professional Responsibility: Student is not to be found when on call. Altruism: 1 2 3 4 5 6 7 8 9 10 Student demonstrates arrogance and pretentiousness Student always puts the best interest of the towards patients and/or colleagues. Student patient as the highest priority. Student is available when on call. 5 6 7 8 9 10 UA 4. Student refuses to accept responsibility for his/her actions. and contributes to patient care discussions. is uncommitted to academic responsibilities. 2. Integrity and 1 2 3 Honor: Student has misrepresented achievement through fraud and/or laziness. PROFESSIONALISM Rating Scale: 1 2 Lowest Score 3 4 5 6 7 8 9 10 UA Highest Score Unable to Evaluate UA 1.
Pass .65-79. colleagues or faculty. nurses. Student has demonstrated bias or discrimination others.80-86. _______________________________ Student’s Name _______________________________ Numerical Grade _________________________ Department __________________________ Signature When submitting your overall score to include your assessment of the student’s professionalism. and other members of the health against Superior Fund of knowledge Clinical acumen Histories & physicals Presentations Technical Skills Appearance & Demeanor Patient records & Documentation Satisfactory Unsatisfactory COMMENTS: Please comment upon this student’s unique strengths and/or weaknesses.87-89. 42 .6. colleagues. High Pass . residents. Condition . please keep in mind that the numerical score is as follows: Honors . Fail . Student has breached patient care team.<65. families.90-100. Detailed comments for students given superior or unsatisfactory grades must be submitted so as to justify these marks. 7 8 9 10 UA Student demonstrates the highest standards of toward respect for patients. faculty. Neither superior/unsatisfactory marks will be accepted unless justified in sufficient detail. confidentiality. Respect for1 2 3 4 5 6 Others: Student has demonstrated abuse of power patients.
Diverticulitis GENERAL 1. Appendicitis 5. Surgical Infections 2. Nutrition 4. Peripheral Vascular Disease (Fem Pop) 2. Lung Cancer 5.TABLE OF CONTENTS FOR ORAL EXAM You will be questioned on 1 topic from each of the 3 categories below (therefore 3 total questions). Melanoma 43 . Upper Gastrointestinal Bleeding 4. Colon Cancer 4. All test questions can be found in the Sabiston & Schwartz textbook. Portal Hypertension ONCOLOGY 1.Inguinal Hernia 3. Reflux Esophagitis 5. Cholecystitis 3. Thyroid 3. Breast Cancer 2. ACUTE 1.
GRADE SHEET Student Name _____________________________ Examiner Name____________________________ Date______________________________________ ACUTE----Question #_______ Pathogenesis________________ Anatomy___________________ Diagnosis___________________ Management_________________ GENERAL-Question # ______ Pathogenesis_________________ Anatomy____________________ Diagnosis____________________ Management__________________ ONCOLOGY-Question#______ Pathogenesis___________________ Anatomy______________________ Diagnosis______________________ Management____________________ TOTAL SCORE (Maximum 300)___________ EXAM SCORE (Maximum 100)____________ Signature_______________________________ 44 .
you saw multiple procedures. *H&P. COMMON PROCEDURES Student:____________________________ Attending: _______________________ AY2009-2010 Block 1 *MARK LOCATION* H&P OR IC Hosp Post-op SOA U Course P Acute Abdomens 2 2 2 2 Trauma Patients 2 Critical Care ICU/Patients 2 Biliary Tract Disease 2 2 2 2 Laparoscopic Procedures 2 2 2 2 Surgical Oncology 2 2 2 2 G. You will be completing this on the e-value website. post-op 45 .. ICU. O. In-patient. After entering all procedures for that one patient.e-value.R. If on same patient. Log into: https://www. click “next” and “save record” and repeat for next patient. In-House call completed on the Trauma Service on _____________ (date).I.The table below are the cases and numbers we expect you to see while on your eight week rotation. Operations 2 2 2 2 Breast Exam 2 Chest X-Ray (2) KUB interpretation (2) H & P (2) Wound Care 5 Simple Suture Technique 1 Sterile Technique 1 PVD Exam 1 E-mail me when you do both of these calls w/ the resident or faculty you did call with.net/ Go to “User Menu” – then “PxDx” – then “add new”. you can add multiple listings. In-House call completed on _________________ Service on _____________ (date). Out-patient.
in-house call schedule. Ollie Edmunds Michon 988-2178 Dr. Nick Moutoukas Carita 616-8562 Dr's Jared Gilmore and Eugene Kukuy Dr. STUDENT ASSESSMENT: The faculty member in charge of each of the specialty rotations will receive an evaluation form that is designed to assess your performance. the common goal of each specialty is that these experiences will all have merit in regards to learning about some of the fundamental concepts of patient care within the particular specialty field. Friedlander Mary Olivio 988-5453 Dr. attendance at specialty conferences. You will be informed of these early in each rotation by the faculty in charge of student education. Thomas Demi 988-2794 Dr. CONTACT PEOPLE: Breast Surgery Touro Cardiothoracic Hand Surgery Neurosurgery Otolaryngology Orthopaedics Pediatric Surgery Plastic Surgery Urology Vascular Dr. Hand Surgery. Orthopaedic Surgery. Newsome Debra 988-5500 Plastic Surgery Fellow (varies. These specialties have their own educational guidelines and objectives. and the like will vary considerably form specialty to specialty.SUBSPECIALTY SERVICES DESCRIPTION: Each student will spend an equivalent amount of time on each of the two inpatient services: Cardiothoracic Surgery. Weaver Lynn 988-5049 46 . Plastic Surgery. Neurosurgery. Pediatric Surgery. check w/ Debra) Dr. Stephen Jones Leslie 988-5111 Dr. Luke Fifer 213-1721 Dr. and you will be expected to follow these guidelines. Melgar Janice Lucas 988-5565 Dr. Otolaryngology. However. Steiner Heide 988-3994 Dr. Stokes Kelly Todd 412-1650 Dr. Breast Surgery. Patient care responsibilities. and Urology Surgery.
women’s health and surgical education. sdjones@tulane. Stephen Jones Cell 250-0052. Research Interests: clinical studies in breast cancer care.m. Jones on his cell phone. Monday: Tuesday: Thursday: 7:00am Surgery unless informed otherwise Tulane/Lakeside Clinic 1:00 p.edu Leslie Schwartzman. 47 .edu 988-5111 Welcome to Surgical Oncology. disparities in breast cancer care. Hopefully. and high risk breast cancer populations. Tulane/Lakeside Clinic 8:00 a. Below is the schedule for the week: You should contact the Tulane resident on service at Lakeside and /or contact Dr.SPECIALTY: COURSE DIRECTOR: CONTACT PERSON: BREAST SURGERY Dr. to Noon Academic Interests: lymphedema. to 4:00 p. email@example.com. you will find this to be an educational and pleasant experience. breast conservation therapy. I am looking forward to working with you.m.
TOURO CARDIOTHORACIC SURGERY Drs. Nick Moutoukas, Jared Gilmore and Eugene Kukuy 616-8563 Carita 616-8562 897-7164
COURSE DIRECTOR: CONTACT PERSON: OFFICE #:
All students, please check in at the Medical Education Office, 2nd floor, Suite B 200. You must sign a confidentiality form and we will make a copy of your Tulane picture ID for security purposes. PRIMARY RESPONSIBILITIES: 1. Clinic – Tuesday 9:00 AM – noon. 2. Operating room (times will vary) – 7:30 AM-4:00 PM 3. Rounds EXPECTATIONS: 1) 2) 3) 4) Round on the patients daily; Attend surgery clinic weekly; Scrub in on patients assigned unless student has a previous commitment, i.e, conferences Prepare talk on cardiothoracic surgery; about 10 minutes with handouts
CONFERENCES: Wednesday noon – Cardiology Conference. READING MATERIAL: Will be distributed at time of rotation.
DEPARTMENT OF NEUROSURGERY SPECIALTY: COURSE DIRECTOR: NEUROSURGERY John W. Walsh, MD Program Director of Neurosurgery 1440 Canal St. Suite 1621, Tidewater Building New Orleans, LA 70112 Chief Resident: Jorge Alvernia, MD Pager: 538-0859 Janice Lucas; firstname.lastname@example.org Department of Neurosurgery 1440 Canal St. SL-47 Suite 1621 New Orleans, LA 70112 504.988.5565 504.988.5793 fax 1. Basic understanding of Neurosurgical patient management and operative techniques. 2. Student will gain experience in direct care of neurosurgical patient and in decision making that is unique to the field. OUTPATIENT CLINICAL RESPONSIBILITIES: 6:15 AM 7:00 AM 7:30 AM 6:15AM 7:00 AM 7:30 AM 6:15 AM 7:00 AM 7:30 AM 6:15 AM 7:30 AM 12:00 PM 1:00 PM 3:00 PM SATURDAY SUNDAY 7:00 AM 8:00 AM Neurosurgery Rounds “OR” MCLNO “OR” TMC Neurosurgery Rounds “OR” MCLNO “OR” TMC Neurosurgery Rounds “OR” MCLNO “OR” TMC Neurosurgery Rounds “OR” TMC In-service Neuroscience Lecture w/ Dr. Ware Neurosurgery Conference (possible Junior student Case Presentation (RM1621) Neurosurgery Rounds Neurosurgery Rounds
*NO* CONFERENCES: The 2nd Saturday of each month in M&M Conference
SPECIALTY: COURSE DIRECTOR: ORTHOPAEDIC SURGERY Raoul Rodriguez, MD Professor of Orthopaedic Surgery Director of Orthopaedic Medical Student Education 1430 Tulane Ave., SL-32 New Orleans, LA 70112 988-2178 ; FAX: 988-3600 CONTACT PERSONS: Michon Shinn 988-2178 FAX: 988-3517 Resident: David Ferachi, MD Beeper: 595-9455 email@example.com
Always meet Dr. Ferachi in the Orthopaedic Library, Room 2115 (across from service elevator) 2nd floor of the med school on the first day of your rotation at 5:30 AM.
COURSE OBJECTIVES: 1. 2. 3. 4. 5. EXPECTATIONS: To introduce the junior student to the concepts, principles, and terms of orthopaedics by reading and clinical work. To prepare the junior student for the orthopaedic portion of the National Board examination in surgery. To introduce the future young physician to common everyday musculoskeletal problems useful in clinical practice no matter what area of medicine is later chosen. To enhance the student’s diagnostic and physical examination skills with respect to the extremities, spine, and musculoskeletal system. To enhance the student’s ability to read and interpret x-rays of the skeletal system.
1. At the completion of the rotation the student should be able to read x-rays of the long bones and spine. 2. At the completion of the rotation the student should be able to recognize fractures of the long bones and spine. 3. The student should be able to perform an orthopaedic exam of the extremities and spine.
Textbook of Disorders and Injuries of the Musculoskeletal System Robert B. Salter (3rd Edition) Williams & Wilkins, Baltimore, Maryland **Refer to the Orthopaedic Surgery Course Description and course outline and study guide for required reading
CLINICAL RESPONSIBILITIES: **Refer to the “Orthopaedic Surgery Course Description” for more details One of the chief residents will assign students to a team and a junior resident in his first year of orthopaedics (PGY2). Students should spend most of their day and evening with that junior resident. When he works up a patient, goes to surgery, or goes to the ER, they should accompany him, learn from him, get his beeper number, and know where he is at all times night and day. Students are expected to work up patients and write notes on them, scrub in surgery, assist in fracture reductions and casting, see patients in clinic, attend conferences, and do the required reading.
Room 2115 TBA DATE/TIME 1:00-2:00 pm (Thursdays) 3:00-5:00 PM (Thursdays) 2:00-3:00 PM (Thursdays) 4th Thursday of the month 51 . ADDITIONAL RESPONSIBILITIES: **Refer to the Outline “Orthopaedic Surgery Course Description” for more details RESPONSIBILITY * Basic Science * Grand Rounds REQUIRED * M & M Conference/Research † Journal Club * = Required † = Optional PLACE TMS Room 2115 TMS Room 6001 TMS. Textbook reading is required. Raoul Rodriguez. MD. on the basis of a written final exam and written reports to him by both junior and senior residents.2008-2009 ORTHOPAEDIC SURGERY RESIDENT PAGER NUMBERS: RESIDENT PGY 5 Michael Cox PGY 4 David Ferachi Otis Drew Juan Serrato BEEPER NUMBER 596-1309 595-9455 477-9333 596-7596 528-4501 544-2908 576-1097 477-5477 550-9424 663-5531 538-0674 Kyle Caswell Wade Van Sice Cary Sanders Sergey Dzugan PGY 2 Wesley Clark Carol Meyer Felipe Ramirez ACADEMIC RESPONSIBILITIES: PGY 3 All students will be given a written outline of academic and clinic responsibilities. Final grades are assigned by faculty member.
OUTPATIENT CLINICAL RESPONSIBILITIES: All rotations are centered at TUH&C where daily clinics and surgeries are performed from 7am until 5pm daily. ADDITIONAL RESPONSIBILITIES: • • You are expected to attend the weekly Thursday Conference at 3:00 p. They will give you the resident’s pager number.tulane. write notes. 52 .D. and present patient to attending and/or chief residents during morning rounds. (http://www. • To examine patients and discuss their care under resident’s supervision. extensive head and neck resections requires lengthy stay in the ICU and surgical ward.edu/departments/otolaryng/ under applicant info) Suggest that each student attempt to spend some time in the ER when Otolaryngology is on call for facial trauma.SPECIALTY: COURSE DIRECTOR: CONTACT PERSON: OTOLARYNGOLOGY Paul Friendlander. RESPONSIBILITIES DURING ICU/SURGICAL WARD: • You are expected to follow in-patients.m. It is your duty to contact her/him on Friday to arrange for a meeting time/place. M. Interium Chairman of Otolaryngology Mary Olivio (988-5453.som. OBJECTIVES: During your two-week rotation in Otolaryngology/Head and Neck Surgery you will be exposed to the full array of medical and surgical conditions seen and treated in clinic and in the operating room. RESPONSIBILITIES DURING CLINIC: • You are expected to learn to perform a thorough head and neck exam. Monday through Friday. room 2030) Contact the Friday before the rotation begins. Even though up to 70% of our surgical procedures are performed on an outpatient basis. Visit the department’s website for the current conference schedule.
M.m. We have clinics on Tuesday and Thursday at Children’s from 1pm to 4. There is no better motivation to learning than patient interaction followed by some investigation.R. 53 . Enjoy! PRIMARY RESPONSIBILITIES: Monday Tuesday Wednesday 8:00 a.D.R. Students should write brief notes on the patients they follow which will be reviewed and signed by the surgical residents. We don’t expect you to be experts! It takes ten years of post graduate training to be a pediatric surgeon. There is no in house call but students can provide contact information in the event that there is a good after hours case. The Pediatric Surgery section of an up to date Surgical textbook is adequate reading. Cases 7:30 a. There are three attending physicians and three surgical residents. The Tulane library often has a Pediatric Surgery textbook to check out.R. Cases (Downtown) Children’s Hospital O.m. Room 8207 CONTACT PERSONS: The Pediatric Surgery rotation for third year medical students is based at Children’s Hospital at Henry Clay and Tchoupitoulas. Students should come and may wear scrubs to clinic. Associate Professor of Clinical Surgery Clinical Associate Professor of Pediatrics Heide Dyer. There is a library at Children’s on the third floor with good materials. Third year students are encouraged to work with all of us depending on our schedules. Tumor board is Wednesday at 4pm at Children’s. Drs Hill. 2nd & 4th Wednesday Thursday Friday Tulane Clinic (Downtown) Children’s Hospital Clinic 1:30p-3:30p 1:00p-4:00p TMC O. Valerie and Steiner share responsibilities for clinical and teaching duties. Students on the rotation should learn all there is to know about the patients they follow and the patients on the service. Cases (Downtown) 7:30 a. When you finish this rotation one should be able to recognize some of the more common pediatric surgical conditions.SPECIALTY: COURSE DIRECTOR: PEDIATRIC SURGERY Rodney Steiner.m. Children’s Hospital Clinic 1:00p-4:00p TMC O. 988-5500. Students can see the patient first and then present their findings to the attending.
The plastic surgery resident will assign cases so that the student has an opportunity to read prior to coming to the OR. Burns 6. MD Associate Professor of Surgery Director of Research Division of Plastic and Reconstructive Surgery Ms. OR SCHEDULE: Ask Debra or Heide to e-mail OR schedule. Debra Felix 504-988-5500 Room 8207 Contact Person: Welcome to the Tulane Plastic Surgery Rotation! This should be a fun and educational experience for all students. Debra Felix (dfelix@tulane. Reconstructive Surgery 8. Chiu. Sutures 3.. The student should obtain the contact information for the Tulane Downtown plastic surgery resident about the upcoming week’s activity. They will actively participate in patient care in the O.R.edu) or Heide Dyer (firstname.lastname@example.org) for rotation information (504-988-5500). This is generally compiled and sent by Heide weekly on the Thursday or Friday before the week of the OR schedule. Benign and malignant skin lesions 5. Topics that will be discussed include: 1. Aesthetic Surgery 9. Call Ms. Flaps and Grafts 4. Implants and biomaterials 7.2009-2010 Tulane Plastic Surgery Medical Student Clerkship Course Director: Ernest S. DAILY MORNING ROUNDS: Contact plastic surgery resident for the morning’s schedule. Pediatric Plastic Surgery ORIENTATION On the Friday BEFORE beginning the plastic surgery elective. PLASTIC SURGERY WALK ROUNDS WITH FACULTY: Weekly on Wednesdays starting at 1pm from the Plastic Surgery Office. hospital. CLINIC SCHEDULE (Downtown Clinics Only): Newsome Tuesdays Wednesdays Thursdays Tuesdays Thursdays Mondays 9:00a-1:00p 9:00a-1:00p 9:00a-12:00p 2:00-4:00p 2:00-4:00p 6th Floor Surgery Clinic 6th Floor Surgery Clinic 6th Floor Surgery Clinic 6th Floor Surgery Clinic 6th Floor Surgery Clinic Chiu Chaffin 9:00a-12:00pm 6th Floor Surgery Clinic 55 . and clinics. GOALS and OBJECTIVES Medical student will gain exposure to the field of plastic and reconstructive surgery. A Red Plastic Surgery Study Guide is available in the office. Wound Care 2.
Metairie. For more information. the student should give his/her contact number to the Tulane plastics surgery resident in case there is an emergency. LA Journal Club and Visiting Professor Events: Journal club is held on the 4th Thursday evening of every month.READING MATERIAL: Grabb and Smith’s Plastic Surgery – selected chapters CONFERENCES Wednesday 2pm Location: Thursdays 5:30 pm Location: Breast Multidisciplinary Conference Tulane Cancer Center Grand Rounds/Hand Conference)/M&M (Varies based on the week) 1st and 2nd Thursday of the Month: East Jefferson Hospital. New Orleans. 3rd Thursday of the Month: LSUHSC Allied Health Bldg. Room 6A15. Weekly room assignment vary and are included in weekly Plastic Surgery Conference E-Mail Announcements. LA). In-House Call: There is no in-house call. Students are invited to attend. please contact the Tulane Downtown plastic surgery resident. however. Room 6A15. 1900 Gravier Street. Visiting Professor events are held throughout the year. 56 . LA Friday 7-8am Friday 8-9am Location: Core Curriculum Case Presentations LSUHSC Allied Health Bldg. New Orleans. 4200 Houma Blvd. 1900 Gravier Street.
meet Dr. Stokes is out of the office the 4 th Thursday of each month. traumatic neurological congenital arthritic and neoplastic conditions. surgery. PRIMARY RESPONSIBILITIES: The primary responsibility is to assist Dr. Students starting on a Monday. Dr. Students need to be familiar with Hepatobiliary’s Operative Text Book of Hand and Regional Anatomy. The student will demonstrate proficiency through hand specialized histories and physicals and will assist with office surgical procedures. Stokes and to be available for emergency situations. 12 in EJ’s Operating room (3 rd floor) at 7:30 AM. please use this time to study if nothing further is indicated. Stokes. Common disorders of the hand will be presented through clinical and surgical observations. AT EJ’S MEDICAL AFFAIRS OFFICE at 504-454-5656: EAST JEFFERSON GENERAL HOSPITAL MEDICAL SCHOOL STUDENT REGISTRATION FORM Name: _________________________________________________ Address: _______________________________________________ School Affiliation: _______________________________________ Specialty Training: _______________________________________ Term of Rotation at EJGH: _______________________________ Phone Number: __________________________________________ Beeper/Cell Number: _____________________________________ Birthdate: _______________________________________________ Social Security # _________________________________________ 57 . MD Cell 832-260-6673 4228 Houma Suite Suite 600 A Kelly Todd 504-412-1650 Fax: 412-1660 COURSE OBJECTIVES: The objective of this course is to expose the students to common problems in the hand. EXPECTATIONS: The Hand Surgery Rotation is designed to familiarize the student with a subspecialty of combined orthopedic and plastic surgery disciplines. DIDACTIC MATERIAL: Biweekly hand conference related to the above. Stokes in Rm. PLEASE COMPLETE THE ATTACHED FORM AND FAX TO DAVID POTTER.SPECIALTY: COURSE DIRECTOR: CONTACT PERSONS: HAND SURGERY Harold M.
Medical School Student Date EJGH Sponsoring Physician Date EJGH Medical Director Date 58 .I have read and agree to comply with the rules and regulations stipulated in the Medical School Student Practice Guidelines policy.
SPECIALTY: COURSE DIRECTOR: CONTACT PERSON: TMC Vascular/CT Dr.edu Lynn at 988-5049 59 . Michael Weaver mweaver@tulane.
5. Professor & Chairman of Urology Cell: (504)583-8732 Demi Robert.C. with notes. The assigned student/s should contact the Chief resident the night before the rotation to let them know where they are scheduled to meet. preferably prior. The Med Student/s are expected to make patient rounds. 3. 1. Dr. 7. Guidelines for the Med Students rotating thru Urology. 8. and robotic surgery. but at the least on the day they start their rotation. Hellstrom’s Clinic Thursday Dr. They are expected to get experience in the Out-patient Urology clinics. Room 3508. as well as the didactic related educational experience. Hellstrom’s Clinic Wednesday Dr. Familiarize students with complete urologic examination.. There is no fixed schedule but the residents are assigned to clinics and to the surgical suite based on the appropriateness of the learning experience. They have to attend didactics by Dr Moparty. If you cannot get in touch with Demi.. Please report to Demi at the beginning of your rotation to receive your didactic material.A. 2. lasers.D.S. so as to have a well-rounded experience which includes the continuum of urologic care.) DIDACTIC MATERIAL: Chapter from Campbell’s Urology textbook available in urology department room 3508 PRIMARY RESPONSIBILITIES: (the schedule below is subject to change) The primary responsibilities are: the students are responsible for both the patient care responsibilities. as well as post operative management. with notes in the charts (along with the residents) prior to surgery start each day. Introduce students to Urologic technology (various endoscopes. COURSE OBJECTIVES: 1. Thomas ((Endo-Oncology) The above clinic schedule give medical students an introduction to outpatient urologic care where they have access to the routine diagnostic and therapeutics. but also pre-operative evaluation. 988-2794. 6. laparoscopic. Grades are assigned based on performance at every stage of their rotation. M. M.. The students are encouraged to participate actively in the urology clinic and in endoscopic. 4. Familiarize students with means to diagnose more common adult and pediatric urologic problems. F. Evening rounds on post-op and in-patients are expected every day. Thomas’s Clinic Friday Open Afternoons (Andrology & Erectile Dysfunction) Dr.H. 4. contact the URO-4 resident. The suggested schedule: Mornings TMC-Lakeside Clinic-Suite 510 Monday Dr.SPECIALTY: COURSE DIRECTOR: CONTACT PERSONS: UROLOGY Raju Thomas. and robotic surgical procedures. They have to take a multiple choice exam on the last day of their rotation. Hellstrom’s Clinic Tuesday Dr. 2. 60 . Give an overview of urologic subspecialties. They are to get a copy of the urology hand-out. 3.A. Mathew Raynor at beeper 538-2487.
Those interested can contact the program director or faculty. common endoscopic. URO-3 PGY-3. Children’s Hospital. Location to be announced prior to each meeting. URO-2 PGY-3. URO-4 PGY-4. common investigative procedures. 6:00 p.. This is in combination with the LSU/Ochnser Urology program 3. 6:00 p. Ashley Oommen. they will be comfortable with urologic physical examinations. Arthur PGY-Yr PGY-5. cell 504-421-9827. Moparty. URO-2 PGY-2. Pyelogram Conference: 3rd Wednesday of the month.. The students are expected to be up to date on inpatients at all times and should participate actively in rounds and in the patient care decision making process. Journal Club: 2nd Wednesday of the month.m.Surgical schedule is available for medical students almost every day of the week at Lakeside Hospital and the students can avail themselves of the opportunity to maximize that experience between the outpatient and surgical setting. Fellow. CONFERENCES: (Please check with the Demi Robert or Chief Resident for updated conference schedule. Luke Richardson.m. Urology Library (room 3515) 2. All orders and any changes in patient management have to be cleared by the Chief Resident. Mathew Patel. 6:00 p. 4. Pediatric Conference: 1st & 2nd Tuesday of the month. Death & Complications Conference: 4th Wednesday of the month.m. URO-1 Pager 213-1721 544-9364 538-2487 213-0174 550-9335 213-0089 61 . as well as clinical studies and students are always welcome to participate in these studies. Expectations: It is anticipated that by the time the medical student finishes this rotation. Research opportunities: The urology department offers ample opportunity for basic laboratory. Brian Bowen. location varies. laparoscopic and robotic procedures and hopefully stimulate several to pursue urology as a career option.) The normal conferences for a given week are as follows: 1. Kush Caire. Didactics will be administered by Dr.) ADDITIONAL RESPONSIBILITIES: Check with the chief resident on your service for questions while on the Urology Services 2009-2010 Resident Listing Resident Name Fifer. 6:00 p.m. URO-1 PGY-2. (The faculty member “on call” will administer a brief didactic lecture during your rotation. This is in combination with the LSU/Ochnser Urology program 5. or the attending.
Procedure: Scrub suits are available in jade green and are stamped “Property of Tulane Hospital”. data will be input to the ScrubEx system. You will be asked to assist with positioning. If not.m. Attending faculty and staff will have a credit of two scrub suits. anatomy and patient history. Outpatient Surgery. Since OR’s vary.com Melissa Guidry @ Melissa. is located on the 3rd floor of Tulane Medical Center. in order to receive additional scrub suits. An automated scrub suit dispensing system will be used in the Operating Room. All users must submit application with a personal identification number (PIN) to use in the event that the badge is unavailable. Unauthorized removal from the facility is a violation of hospital policy.m. all areas of the Operating Room (Anesthesia.R. Scrubs: Tulane Medical Center Scrub Suit Policy and Procedure Policy: Tulane Medical Center will provide scrub suits for personnel while they are working in the following areas: Bone Marrow Transplant. They are also not to be worn as uniforms within departments outside of invasive areas. SDS Dept. All forms for medical school students will be coordinated through the Student Coordinators. Visiting physicians and vendors will be issued scrubs by the Operating Room front desk personnel.mccord@hcahealthcare. The system is activated by an identification card. access to the system will be via the PIN..m.com Forms should be sent to: Linda Levesque 62 . There are five main areas that you will be involved in: GOR which has 14 rooms.m. on Wednesday s. Your Responsibilities Come prepared with the knowledge of surgical procedure. Scrub Suits are not to be worn outside the Hospital/Clinic – Medical School complex. If you are at Ochsner or OLOL. previously issued scrubs must be returned to the unit. You are part of a surgical team whose main objective is to provide quality patient care in a safe environment for staff and patients./Pre-admit (where patients go pre-operatively and post-operative). LLI/Cysto Dept. you will not use Tulane scrubs. Once form is completed. Endoscopy and Radiology Special Procedures. Surgery starts at 7:15a. stand on the sterile field side of the room. Post Anesthesia Care Unit). – 11:30 p. once gowned and gloved. and on weekends. and employee badge activated. all authorized Tulane employees. Contact people for the Scrub Ex machine are: Lynetra McCord @ 988-9090 and Lenetra. prepping and possibly draping. Monday –Friday and 7:45a. The GOR is open from 6:45 a.labore@hcahealthcare. Monday through Friday with emergent cases done after 11:00 p. To receive an activated card. Medical students will have a credit of one scrub suit. you are responsible for following policies/procedures of the hospital to which you are assigned.m.Guidry@hcahealthcare.The O. Once this limit has been reached. Certain tasks seem mundane but each of us has a significant role and responsibility to meet this purpose. Because medical students have a university-issued badge. Recovery Room and SICU. physicians and residents must complete an application form and submit it to the Operating Room management staff.com Shannon Labore @ Shannon.
com 988-2469 Mike Calcagno Michael.com FAX: 988-7653 63 .email@example.com.Calcagno@hcahealthcare.
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