Department of Surgery

 

Senior Electives Catalogue
Telephone: (602) 344-5601

Lila Mirza
Residency Program and Clerkship Manager
lila_mirza@dmgaz.org
Telephone: (602) 344-5445

Roxanne Carter
Clerkship Coordinator
Roxanne_Carter@dmgaz.org
Telephone: (602) 344-5608


The Department of Surgery offers the following electives for 4th Year Medical Students:


Otorhinolaryngology


Faculty:  Dr. Randy Oppenheimer, Dr. Kristin Nelson
Length of Time: 4 weeks, 6 weeks; Maximum length of 8 weeks
Offered: Year round
Maximum Enrollment: Maximum enrollment of 1, minimum of 1
Patient care elective: Yes
Pre-requisite: MS4

Goals:

To familiarize the medical student with Otolaryngology as a surgical specialty.

Format:

Outpatient clinics are held on Monday, Wednesday and Thursday and Operating Room experience on Tuesday and Friday. Students will participate with the resident and staff in both clinical care and surgical procedures.

Evaluation Methods:

Evaluation of each student will be issued at the end of the rotation. Each student's performance will be discussed during and at the completion of this clerkship.


Plastic Surgery

Faculty: Dr. Salvatore Lettieri, Dr. Terry Maffi
Length of Time: 4 weeks, 3 weeks; Maximum length of 4 weeks
Offered: Year round
Maximum Enrollment: Maximum enrollment of 1
Patient care elective: Yes
Pre-requisite: MS4

Goals:

Introduce the student to the clinical practice of plastic and reconstructive surgery. This would be provided in a multispecialty clinic setting. The emphasis is on patient care and attempts would be made to give the student an understanding of the principles of plastic and reconstructive surgery.

Format:

The student would be required to live in the Phoenix metropolitan area during that period of time. Evaluation would be made of the activities of the two surgeons involved, and the student would be assigned to what was felt to be the most interesting and rewarding activities of the two surgeons. If there are other interesting activities during the rotation in some of the other surgical specialties, the student would be allowed to attend and observe these. A one-to-one direct teaching would be utilized.

Evaluation Methods:

Evaluation by the plastic surgeon on the usual form would be forwarded to the medical school.


Pediatric Surgery

Faculty: Dr. Patrick Bailey and faculty
Length of Time: 4 weeks; Maximum length of 4 weeks
Offered: Year round
Maximum Enrollment: 1
Patient care elective: Yes
Pre-requisite: MS4

Goals:

To offer a comprehensive introduction to neonatal and pediatric surgery. This experience will include exposure to patients in the newborn nursery, pediatric intensive care unit and on the pediatric floor. The student will be involved in all aspects of the child's pediatric surgical care from the clinic or inpatient environment; including diagnostic evaluation, surgical treatment and postoperative care.

Format:

The student will participate, under faculty supervision, in the management of pediatric surgical patients. This will be an elective in which the student experiences a "one on one" learning opportunity with the course faculty; allowing for direct education including daily academic rounds, selected conferences, supervised procedures, operating room participation and guided topical reading.

Evaluation Methods:

A written evaluation will be provided of the student's overall performance; including participation in rounds, in the operating room and clinical behavior. The student will be given feedback during and following completion of the rotation.


Burn Care

Faculty: Dr. Daniel M. Caruso, Dr. Kevin N. Foster and Faculty
Length of Time: 4 weeks; Maximum length of 8 weeks
Offered: Year round
Maximum enrollment: 2
Patient care elective: Yes
Pre-requisite: MS4

Goals:

Become familiar with initial evaluation, resuscitation and treatment of all types of burns.

Participate in daily patient critical care including treatment of wounds and invasive monitoring.

Participate in operative procedures to provide coverage for burn wounds.

Participate in daily teaching rounds with faculty and residents.

Attend and participate in burn clinic, which is held three times weekly and at which time 30-35 patients are seen per clinic.

Participate in educational conferences including electives and weekly formal Burn Grand Rounds.

Format:

Will participate as a member of the burn team in patient resuscitation and initial management, ward rounds, conferences and operative care.

Evaluation Methods:

Will be evaluated by the Directors based on clinical performance.

Trauma (Care of the Trauma Victim)

Faculty: Dr. Marc Mattews and faculty
Length of Time: 4 weeks; Maximum length of 8 weeks
Offered: Year round
Maximum enrollment: 1
Patient care elective: Yes
Pre-requisite: MS4

Goals:

To learn and identify the correct sequence of priorities to be followed in assessing a multiple injured patient.

Identify and discuss key components and rationale for obtaining the patient's history and history of trauma incidents.

Learn guidelines and techniques to be used in the initial resuscitative and definitive care phase in the treatment of the trauma patient.

Format:

A clinical clerkship under the supervision of senior level house staff and surgical faculty.

Evaluation Methods:

The evaluation methods include daily contact with the medical and nursing staff allowing for ample opportunity to provide written evaluation of the student's performance during the rotation.


Urology

Faculty: Dr. Jose deGuzman

Dr. Kaveh Homayoon
Length of time: 4 weeks; maximum length 6 weeks
Offered: Year round
Maximum enrollment: Maximum enrollment of 1
Patient care elective: yes
Pre-requisite: MS4

Goals:

To provide the student with experience in all phases of the care of the urological patient. Exposure to urological procedures both in the operating room outpatient clinics and emergency room will be part of this elective experience. The student will be provided the opportunity to participate in all conferences and other exercises pertaining to the care and treatment of theurological patient.

Format:

Monday through Thursday--the student makes daily ward rounds with the attending staff of the Urology section. Monday the student will participate in the operating room. Tuesday the student will participate in the General Urology Outpatient Clinic in the morning. The student will be assigned to inpatient ward duty with the house staff. If time permits, the student will attend the Tumor Conference on Tuesday. This day also will be used for literature study. Wednesday the student will participate in surgery. In the afternoon the student will attend the pyelogram confer- ence and endoscopic procedures followed by the general surgery conference. The morbidity, complication and mortality review will be Wednesday morning. Thursday the student will attend a house staff urological conference with each individual, including the student, assigned a topic for presentation. During the afternoon, the student will participate in the outpatient endoscopy. Fridays are reserved for General Urology Clinic. Following this, ward rounds are attended and the student will participate in ward activities with the house staff. In his/her work in the outpatient clinic, the student will see new patients, returned patients and will also be instructed in the valid outpatient manipulatory procedures common to urology.

Evaluation Methods:

Based on performance of patient evaluations, ward responsibilities and participation in surgical activities. Elective evaluation form will be used.

Surgical Critical Care

Faculty: Dr. Patrick O'Neill and faculty
Length of Time: 6 weeks, 4 weeks, 3 weeks; Maximum length of 6 weeks
Offered: Year round
Maximum enrollment: 2
Patient care elective: Yes
Pre-requisite: MS4

Goals:

To provide the student with the opportunity to become familiar with an approach to the severely ill pre and post-operative surgical patient. Major emphasis will be placed on active daily involvement in diagnosis and management of SICU patients, allowing further understanding of multiple organ and major system dysfunction. Opportunity will be provided in selected patients under faculty supervision for refinement of technical and diagnostic skills, including placement of hemodynamic monitoring equipment with interpretation of resultant data, intubation, bronchoscopy and other endoscopic procedures.

Format:

Students will participate, under faculty supervision, in the management of surgical patients requiring intensive care. A variety of educational opportunities will be provided, including daily faculty rounds, supervised procedures, guided literature review and seminars. Direct faculty involvement and student interaction in patient care will be emphasized.

Evaluation Methods:

Evaluation of each student will be issued at the end of the rotation. Each student's performance will be discussed during and at the completion of this clerkship.

General Surgery

Faculty: Dr. Robert Dixon and faculty
Length of Time: 4 weeks; maximum length of 6 weeks
Offered: Year round
Maximum enrollment: 4
Patient care elective: Yes
Pre-requisite: MS4

Goals:

To provide exposure to and increase understanding of surgical disease processes and their treatment.

To develop ability to diagnose patients presenting with surgical disease and outline a treatment plan appropriate for the disease.

To develop skills for diagnostic and therapeutic procedures, minor surgery, and surgical assisting.

Format:

The student will f unction at the sub-intern level, working with the residents and attendings of the Surgery service.

The student will be given responsibilities commensurate with their education and abilities.

The service will provide exposure to a wide variety of general and laparoscopic surgeries, as well as cholecystectomy, hernia surgery, gastrointestinal surgery.

The student will be given the opportunity to scrub into the procedures as a member of the surgical team, participate in ward rounds, clinics, and all educational conferences and activities.

Evaluation Methods:

Evaluated by residents and faculty in daily work situation during teaching rounds and in didactic conferences.

Provided with counseling and written evaluation.


Breast Surgical Oncology

Faculty: Ian K. Komenaka, MD
Length of Time: 4 weeks
Offered: Year round
Maximum enrollment: 1
Patient care elective: Yes
Pre-requisite: MS4

Goals:

To provide the student with the opportunity to become familiar with one of the most common General Surgical problems, patients with diseases of the breast. Major emphasis is placed on evidence-based medicine and the multidisciplinary approach to the oncologic patient. Patient care includes workup of the cancer patient from initial biopsy to discussion of treatment options and postoperative care. Daily discussion of classic journal articles which have dictated or changed management happens throughout the rotation. Depending on the month of the rotation, discussion includes surgical management of the breast, surgical management of the lymph nodes, adjuvant chemotherapy, adjuvant hormonal therapy and targeted biologic therapy, neoadjuvant chemotherapy, adjuvant radiation therapy, ductal carcinoma in-situ, and breast cancer risk assessment and prevention.

Format:

Students will participate in the management of oncologic patients requiring multidisciplinary care for their breast cancer. A variety of education opportunities will be provided by patient care in the clinic, daily discussion of classic journal articles, and operative techniques.

Evaluation Methods:

Evaluation of each student will occur at the midpoint of the rotation and at the end of the rotation.

Vascular Surgery

Faculty: Dr. Walter Schell
Length of Time: 6 weeks, 4 weeks; Maximum length of 8 weeks
Offered: Year round
Maximum enrollment: 1
Patient care elective: Yes
Pre-requisite: MS4

Goals:

To obtain a basic grounding in the practice of vascular surgery with particular emphasis on the detection of vascular disease and its diagnosis by the primary care practitioner.

To understand the indications for vascular surgical consultation in select disease processes and the physiologic/ pathologic basis of current vascular surgical interventions.

Format:

The student will be an integral member of the vascular surgery team with two didactic conferences, two clinics and three operating days each week. He/she will work with the team in clinics, OR and ward rounds; read non-invasive vascular studies and angiograms and have biweekly one-on-one teaching sessions with the attending surgeons. Night care will be limited to PRN calls for vascular or service emergencies.

Evaluation Methods:

Evaluation by residents & faculty in daily work situations during teaching rounds and in didactic conferences.

Student's performance will be discussed during and at completion of the rotation with counseling and written evaluation.

Ophthalmology

Faculty: Duane Mitzel MD
Length of Time: 2 weeks; 4 weeks
Offered: Year round
Maximum enrollment: 2
Patient care elective: Yes
Pre-requisite: MS4

Goals:

To teach the medical student skills for ophthalmic physical diagnosis including the use of the slit lamp, applanation tonometer and direct ophthalmoscope. To provide an overview of ophthalmic diagnosis and treatment of common eye diseases, as well as the evaluation and treatment of some ophthalmic emergencies. The student will follow a clinician in the community and be exposed to ophthalmic clinical practice and observe surgical procedures.

Format:

The student will learn to develop a differential diagnosis and then make recommendations for treatment for a number of common ophthalmic problems. There will be extensive one-on-one time with the instructors. The student will be required to attend the weekly Fluorescein Conference on Wednesday AM at the Associated Retina Consultants office from 7-8 AM weekly and be exposed to fluorescein diagnosis and treatment. The location of the conference is: 7600 N. 15th St. Ste 155, Phoenix, AZ.

Evaluation Methods:

The student will have direct observation by faculty and residents with written evaluation and personal feedback at the end of the rotation. Special attention will be given to student professionalism and attendance.