CHICAGO MEDICAL SCHOOL - s3. · PDF filePerformance on USMLE Step 2CK/ CS as appropriate to...

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CHICAGO MEDICAL SCHOOL ____________________________________________________ Surgery MSUR 700 SYLLABUS 2016-2017 ACADEMIC YEAR Surgery Education Director Michael Zdon, MD [email protected] Clerkship Coordinator Stephen Florent, MHEA, MOL, CNP [email protected] 847-578-3291 Room RWLC 1.086 CLERKSHIP DESCRIPTION The 3 rd Year Surgery Clerkship is an 8 week rotation that is conducted at 10 affiliated hospitals: Advocate Condell, Advocate Illinois Masonic (AIMMC), Advocate Lutheran General (LGH), John H. Stroger (CCH), Vista/Cancer Treatment Centers of America (CTCA), Presence St. Mary of Nazareth, Little Company of Mary, Advocate Good Shepherd Hospital (GSH), Edwards Hospital, Centegra, and the Billings Clinic. The rotation is primarily inpatient. The curriculum covers core topics in surgery as presented below. Learning activities at each site, which are organized by the site director, include small group discussions, lectures, and hospital based conferences. Basic science concepts are integrated into clinical discussions as well as the Core didactic lectures. Depending on the site, students either are incorporated into surgical teams including residents or precept directly with attending surgeons. Students document their activities by maintaining a log of the patients they see on one45. Feedback is given by the site director and by supervising housestaff and attendings. Clinical evaluations are collated by site directors and final clinical grades are assigned by the site director utilizing the standard clinical anchors utilized on all clerkship rotations. An NBME Shelf exam for Surgery is given at the end of the rotation.

Transcript of CHICAGO MEDICAL SCHOOL - s3. · PDF filePerformance on USMLE Step 2CK/ CS as appropriate to...

CHICAGO MEDICAL SCHOOL ____________________________________________________

Surgery

MSUR 700

SYLLABUS

2016-2017 ACADEMIC YEAR

Surgery Education Director Michael Zdon, MD

[email protected]

Clerkship Coordinator Stephen Florent, MHEA, MOL, CNP

[email protected] 847-578-3291

Room RWLC 1.086

CLERKSHIP DESCRIPTION The 3rd Year Surgery Clerkship is an 8 week rotation that is conducted at 10 affiliated hospitals: Advocate Condell, Advocate Illinois Masonic (AIMMC), Advocate Lutheran General (LGH), John H. Stroger (CCH), Vista/Cancer Treatment Centers of America (CTCA), Presence St. Mary of Nazareth, Little Company of Mary, Advocate Good Shepherd Hospital (GSH), Edwards Hospital, Centegra, and the Billings Clinic. The rotation is primarily inpatient. The curriculum covers core topics in surgery as presented below. Learning activities at each site, which are organized by the site director, include small group discussions, lectures, and hospital based conferences. Basic science concepts are integrated into clinical discussions as well as the Core didactic lectures. Depending on the site, students either are incorporated into surgical teams including residents or precept directly with attending surgeons. Students document their activities by maintaining a log of the patients they see on one45. Feedback is given by the site director and by supervising housestaff and attendings. Clinical evaluations are collated by site directors and final clinical grades are assigned by the site director utilizing the standard clinical anchors utilized on all clerkship rotations. An NBME Shelf exam for Surgery is given at the end of the rotation.

Surgery Clerkship Competency Map 2016-2017 I. Medical and Scientific Knowledge: Demonstrate knowledge about established and evolving biomedical, clinical, epidemiological,

and social-behavioral sciences and apply this knowledge in caring for ill and healthy patients of all ages. Specifically, the student must demonstrate:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

1.1 Describe the normal structure and function of the body.

Describe the normal structure and function of the body as it relates to the following content domains in surgical cases/ management: -Fluid, Electrolyte/ Acid Base Balance, Nutrition, wound and wound healing, GI, Endocrine, Cardiovascular, Pulmonary, Musculoskeletal, Neurologic, Trauma, Breast, Shock/Hemorrhage, Surgical Infection

Participation in patient cases as defined by the Surgery Required Patient Encounters Document. Required lecture topics/ presentations attended during clerkship. See Surgery Lecture Objectives. WISEMD Cases

Performance on NBME Surgery Shelf Examination. Performance on USMLE Step 2CK/ CS as appropriate to surgical domains. Direct observation/ evaluation by faculty completing the required performance evaluation form.

1.2 Distinguish the causes and underlying mechanisms of disease.

Distinguish the causes and underlying mechanisms of disease as it relates to the following content domains in surgical cases/ management: -Fluid, Electrolyte/ Acid Base Balance, Nutrition, wound and wound healing, GI, Endocrine, Cardiovascular, Pulmonary, Musculoskeletal, Neurologic, Trauma, Breast, Shock/Hemorrhage, Surgical Infection

Participation in patient cases as defined by the Surgery Required Patient Encounters Document. Required lecture topics/ presentations attended during clerkship. See Surgery Lecture Objectives. WISEMD Cases

Performance on NBME Surgery Shelf Examination. Performance on USMLE Step 2CK/ CS as appropriate to surgical domains. Direct observation/ evaluation by faculty completing the required performance evaluation form.

Surgery Clerkship Competency Map 2016-2017 Page 1

1.3 Identify the epidemiology of common illnesses.

Identify the epidemiology of common illnesses including: -Fluid, Electrolyte/ Acid Base Balance, Nutrition, wound and wound healing, GI, Endocrine, Cardiovascular, Pulmonary, Musculoskeletal, Neurologic, Trauma, Breast, Shock/Hemorrhage, Surgical Infection

Participation in patient cases as defined by the Surgery Required Patient Encounters Document. Required lecture topics/ presentations attended during clerkship. See Surgery Lecture Objectives. WISEMD Cases

Performance on NBME Surgery Shelf Examination. Performance on USMLE Step 2CK/ CS as appropriate to surgical domains. Direct observation/ evaluation by faculty completing the required performance evaluation form.

1.4 Describe the principles and methods of diagnostic decision-making (to include clinical, laboratory, pathologic and imaging studies).

Describe the principles and methods of diagnostic decision-making in surgical cases (to include clinical, laboratory, pathologic and imaging studies). -Fluid, Electrolyte/ Acid Base Balance, Nutrition, wound and wound healing, GI, Endocrine, Cardiovascular, Pulmonary, Musculoskeletal, Neurologic, Trauma, Breast, Shock/Hemorrhage, Surgical Infection

Participation in patient cases as defined by the Surgery Required Patient Encounters Document. Required lecture topics/ presentations attended during clerkship. See Surgery Lecture Objectives. WISEMD Cases

Performance on NBME Surgery Shelf Examination. Performance on USMLE Step 2CK/ CS as appropriate to surgical domains. Direct observation/ evaluation by faculty completing the required performance evaluation form.

1.5 Describe the principles of therapeutic decision-making.

Describe the principles and methods of diagnostic decision-making in surgical cases (to include clinical, laboratory, pathologic and imaging studies). -Fluid, Electrolyte/ Acid Base Balance, Nutrition, wound and wound healing, GI, Endocrine, Cardiovascular, Pulmonary, Dermatology, Musculoskeletal, Neurologic, Trauma, Breast, Shock/Hemorrhage, Surgical Infection

Participation in patient cases as defined by the Surgery Required Patient Encounters Document. Required lecture topics/ presentations attended during clerkship. See Surgery Lecture Objectives. WISEMD Cases

Performance on NBME Surgery Shelf Examination. Performance on USMLE Step 2CK/ CS as appropriate to surgical domains. Direct observation/ evaluation by faculty completing the required performance evaluation form.

Surgery Clerkship Competency Map 2016-2017 Page 2

II. Patient Care and Prevention: Demonstrate patient centered care that is compassionate, appropriate and effective for the promotion of

health, quality of life, prevention of illness, treatment of disease, and the end of life. Specifically, students must:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

2.1 Identify factors that place individuals at risk for disease or injury and use strategies to prevent or slow the disease process.

Identify risk factors and preventive strategies for surgical patients presenting with conditions related to the following:

-Fluid, Electrolyte/ Acid Base Balance, Nutrition, wound and wound healing, GI, Endocrine, Cardiovascular, Pulmonary, Dermatology, Musculoskeletal, Neurologic, Trauma, Breast, Shock/ Hemorrhage, Surgical Infection

Participation in patient cases as defined by the Surgery Required Patient Encounters Document.

Required lecture topics/ presentations attended during clerkship. See Surgery Lecture Objectives.

WISEMD Cases

Performance on NBME Surgery Shelf Examination.

Performance on USMLE Step 2CK/ CS as appropriate to surgical domains.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

2.2 Perform reliable (comprehensive and problem focused) history and physical examinations.

Participate in the performance of a reliable history and physical exam for surgical patients with conditions applicable to:

-CV, Endocrine, GI, Biliary, Pancreatic, Oncologic, hernias, Pulmonary, and trauma.

Participate in the performance of an H&P for surgical patients in both the urgent/emergent and elective setting.

Participation in patient cases as defined by the Surgery Required Patient Encounters Document.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Completion of all required minimum encounters.

2.3 Order and appropriately interpret the results of commonly used diagnostic procedures.

Participate in ordering and interpreting the results of commonly used diagnostic procedures for surgical patients with conditions applicable to:

-CV, Endocrine, GI, Biliary, Pancreatic, Oncologic,

Participation in patient cases as defined by the Surgery Required Patient Encounters Document.

WISEMD Cases

Performance on NBME Surgery Shelf Examination.

Direct observation/ evaluation by faculty

Surgery Clerkship Competency Map 2016-2017 Page 3

hernias, Pulmonary, and trauma.

-Surgical patients in both the urgent/emergent and elective setting.

completing the required performance evaluation form.

Completion of all required minimum encounters.

2.4 Perform routine technical procedures.

Perform routine technical procedures for surgical patients with conditions applicable to:

- CV, Endocrine, GI, Biliary, Pancreatic, Oncologic, hernias, Pulmonary, and trauma.

-Surgical patients in both the urgent/emergent and elective setting.

Specifically perform the exam of abdominal pain and scrub in on surgical procedures.

Participation in patient cases as defined by the Surgery Required Patient Encounters Document.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Completion of all required minimum encounters.

2.5 Construct appropriate diagnostic and therapeutic strategies for patients with common acute and chronic conditions.

Perform routine technical procedures for surgical patients with conditions applicable to:

- CV, Endocrine, GI, Biliary, Pancreatic, Oncologic, hernias, Pulmonary, and trauma.

-Surgical patients in both the urgent/emergent and elective setting.

Specifically perform the exam of abdominal pain and scrub in on surgical cases.

Participation in patient cases as defined by the Surgery Required Patient Encounters Document.

WISEMD Cases

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Completion of all required minimum encounters.

2.6 Provide effective education to patients and their families.

N/A N/A N/A

Surgery Clerkship Competency Map 2016-2017 Page 4

III. Professionalism and self-awareness: Demonstrate a commitment to professional services, adherence to ethical principles, and

awareness of one’s own interests and vulnerabilities. Specifically, students must:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

3.1 Apply the theories and principles that govern ethical decision-making in medicine.

Apply the theories and principles that govern ethical decision-making in surgery care. Recognize and address ethical issues that arise during patient care.

Participation in patient cases as defined by the Surgery Required Patient Encounters Document. Discussion of cases with faculty on the appropriate role of a medical student, resident, attending physician, as well as other members of the healthcare team. Attend hospital-based M&M

Direct observation/ evaluation by faculty completing the required performance evaluation form.

3.2 Demonstrate respect, dignity, compassion and integrity when engaging patients, their families, peers, the university community and other healthcare providers.

Demonstrate respect, dignity, compassion and integrity when engaging patients, their families, peers, the university community and other healthcare providers in the surgery rotations.

Participation in patient cases as defined by the Surgery Required Patient Encounters Document. Discussion of cases with faculty on the appropriate role of a medical student, resident, attending physician, as well as other members of the healthcare team.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

3.3 Recognize how one’s own limitations, personal biases and vulnerabilities may impact patient care and interactions with other healthcare providers.

Recognize one’s own limitations, biases, and vulnerabilities may impact care of the patient and interactions with other providers on the medical team.

Participation in patient cases as defined by the Surgery Required Patient Encounters Document. Discussion of cases with faculty on the appropriate role of a medical student, resident, attending

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Surgery Clerkship Competency Map 2016-2017 Page 5

physician, as well as other members of the healthcare team.

3.4 Seek and respond appropriately to performance feedback.

Seek and respond appropriately to performance feedback during the surgical rotations.

Complete all mid-term and end of clerkship logging requirements. Meet with clerkship/ site director or designated faculty for mid-clerkship and end of clerkship. Clinical Learning Environment Reflections

Direct observation/ evaluation by faculty completing the required performance evaluation form. Integration of feedback into practice habits and clinical performance.

Surgery Clerkship Competency Map 2016-2017 Page 6

IV. Practice-Based, Life-Long Learning: Demonstrate the ability to appraise and assimilate scientific evidence to evaluate and improve

patient care practices. Specifically, students must:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

4.1 Search for, evaluate, and apply evidence-based medicine for solving clinical problems.

Search for, evaluate, and apply evidence-based medicine for solving surgical clinical problems.

Participation in patient cases as defined by the Surgery Required Patient Encounters Document. Discussion of cases with faculty with particular emphasis on current best practices for managing common surgical conditions and presentations.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

4.2 Apply current technology to access, manage, and use biomedical information in the context of patient care.

Apply current technology to access, manage, and use biomedical information in the context of patient care.

Student will present 1 case and/or answer preceptor questions utilizing evidence-based information.

Preceptor will evaluate with summative evaluation form.

4.3 Develop the ability to self-assess and demonstrate a willingness to engage in reflective practice.

Develop the ability to self-assess and demonstrate a willingness to engage in reflective practice in the care of surgical patients.

Student will self-assess at mid-point and review with faculty.

Completion of mid-term evaluation form and review with faculty and student evaluation of clerkship.

4.4 Provide constructive feedback to peers/ colleagues aimed at fostering professional growth and improving patient care.

N/A N/A N/A

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V. Systems-based, Interprofessional Practice: Demonstrate and awareness of and responsiveness to the larger context of health care and

be able to call on system resources and other health care professionals to provide optimal care. Specifically, students must:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

5.1 Identify one’s own role on the healthcare team and how it is complementary to other health professionals in the delivery of patient care.

Identify one’s own role on the surgical team and how it relates to other members of the surgical team.

Participate in Simulation Team Training cases with emphasis on one’s own role on the healthcare team and how it is complementary to other health professionals in the delivery of surgical patient care.

Submit to D2L dropbox, a reflection statement indicating what the student has learned about their own professional roles and the roles of other healthcare professional regarding the surgical cases being discussed.

5.2 Recognize when and how to initiate the assistance of other healthcare providers in the context of patient care.

Recognize when and how to initiate the assistance of other providers in the context of caring for the surgical patient to provide high quality interprofessional care.

Participate in Simulation Team Training cases with emphasis on how to initiate the assistance of other healthcare providers in the context of surgical patient care.

Submit to D2L dropbox, a reflection statement indicating what the student has learned about recognizing when and how to initiate the assistance of other healthcare providers in the context of patient care.

5.3 Describe various healthcare practice types, delivery systems, and identify interprofessional members of these practices and how they work together to meet the needs of the community.

N/A N/A N/A

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5.4 Identify systematic interprofessional practices that improve patient safety, minimize error, and contribute to continuous quality improvement.

Identify systematic interprofessional practices that improve patient safety, minimize error, and contribute to continuous quality improvement.

Participate in Simulation Team Training cases to identify systematic practices that improve patient safety, minimize error, and contribute to continuous quality improvement with emphasis on communication demonstrated through surgical pre-op huddles, time outs, safe site surgery, etc.

Submit to D2L dropbox, a reflection statement indicating what the student has learned about identifying systematic interprofessional practices that improve patient safety, minimize error, and contribute to continuous quality improvement.

Surgery Clerkship Competency Map 2016-2017 Page 9

VI. Interpersonal and Communication Skills: Demonstrate effective understanding, information exchange, and teamwork with patients,

their families, peers and other health professionals. Specifically, students must:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

6.1 Demonstrate the ability to initiate and sustain professional relationships with patients, their families, and other members of the healthcare team.

Interact effectively with patients and their families.

Interact effectively with other members of the surgical team (nursing, resident physicians, attending faculty, physician assistants, etc.)

Participation in patient cases as defined by the Surgery Required Patient Encounters Document.

Discussion of cases with faculty with particular emphasis on interpersonal relationships between providers, patients and their families.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

6.2 Use effective listening, questioning, verbal, nonverbal, and writing skills when communicating with patients and their families.

Demonstrate effective communications skills when interacting with surgical patients and their families.

Communicate effectively with other members of the surgical team (nursing, resident physicians, attending faculty, physician assistants, etc.)

Participation in patient cases as defined by the Surgery Required Patient Encounters Document.

Discussion of cases with faculty with particular emphasis on interpersonal relationships between providers, patients and their families.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

6.3 Prepare and organize comprehensive, timely, and legible medical records.

Complete appropriate pre-operative and post-operative notes for surgical patients.

Participation in patient cases as defined by the Surgery Required Patient Encounters Document. Discussion of medical documentation of surgical cases with faculty.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Surgery Clerkship Competency Map 2016-2017 Page 10

6.4 Use effective verbal presentation and written skills when communicating with colleagues, superiors, and other members of the healthcare team.

Use effective verbal presentation and written skills when communicating with colleagues, superiors, and other members of the healthcare team as relates to surgical clerkship.

Discussion of medical documentation of surgical cases with faculty. Student presentations and patient charting.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Surgery Clerkship Competency Map 2016-2017 Page 11

EVALUATION, EXAMINATION, AND REMEDIATION POLICIES

Examination: NBME Online Shelf Exam 9:00am – 12:00pm RFUMS Campus

See D2L for: • CMS Clerkship Grading Policy • Clinical Evaluation Standards • Teacher‐Learner Expectations

Instructions and NBME testing guidelines will be read just once before beginning the timed examination. The NBME is responsible for grading all exams. Scores will be available and published once all final evaluations are received from clinical sites. Retake/Missed Exam The Department of Surgery offers a makeup/retake day in June. This will allow you to stay on schedule with your fellow classmates. The retake day is usually the last week in June. If you wish to take the exam any other time, please contact the clerkship coordinator.

CMS Clerkship Remediation Guidelines

Reference the Required Patient Encounters document for specific patient type/clinical condition remediation guidelines. [Posted in D2L]

Reference the CMS Clerkship Exam Failure Policy document for specific make‐up/retake examination guidelines. [Posted in D2L]

Reference the CMS Excused Absence Policy document for examination and other clinical experience remediation guidelines. [D2L]

In general, Clerkship Directors will determine how the student will make up patient encounters, clinical activities or other clerkship requirements. Clerkship Directors will determine if and when the student will be required to repeat the clerkship. Clerkship Directors will use case‐by‐ case evaluation and coordinate with the Office of Student Affairs and Education. ATTENDANCE POLICY See D2L for the Excused Absence Policy Holiday Schedule: You must follow the holiday schedule for your site, not Chicago Medical School's schedule.

Weather Emergencies: If the University is closed due to extreme weather, check with your clinical site regarding its status. Unless otherwise directed by your Site Director, you should go to your clinical site. REQUIRED PATIENT ENCOUNTERS AND ALTERNATIVE LEARNING

Completion of Patient Logs:

All patient and procedure logs should be 100% complete by the end of the weekend following the shelf exam. These course components will be considered late if not completed within that time frame.

Definition of Care Levels:

Participate: The student was one of the primary providers, and performed some part of the history and/or physical examination.

Observation: The student observed the history and physical examination.

You must have 16 (total) entries in your log (fully or partially participated) by the end of the first 3 weeks of the rotation. A hard copy of this information must be discussed with your Site Director at your face‐to‐face midterm evaluation meeting. The rest of the entries should be completed by the beginning of week 7 and must be completed as described above.

Required Procedure Numbers (this is in addition to the Patient Encounter Minimums):

Patient Log: Students will see a minimum of 20 patients (either non‐operative or operative) in which they have participated in the evaluation or perioperative care. Operative Procedures: Students must scrub in on a minimum of 15 operative procedures.

PLEASE NOTE THAT IF THE SAME PATIENT WAS EVALUATED AND ALSO HAD AN OPERATIVE PROCEDURE IN WHICH YOU PARTICIPATED, YOU SHOULD ENTER THE PATIENT INTO BOTH THE PATIENT LOG AND PROCEDURE LOG (SHOULD BE COUNTED TWICE).

Alternatively you may complete a WISE‐MD module for any given category not met.

If you have documented all patient encounters and you still fall short of the required 35 encounters, you are required to write a 1‐page paper on a patient category found in the Minimum Patient Requirements (below) until the minimum of 35 is met. For example, if you logged only 33 patient encounters and need 2 more encounters to meet the minimum requirement, you will need to write a 300‐word abstract on each different topic (this will be written directly on your case notes in the patient log. This remediation will need to be completed by the end of week 7 of the clerkship.

You must log the remediation in the patient logs so that you get credit for it.

Type of Patient/ Clinical Condition

Benchmark/Explanation Alternative

CV, Endocrine (5) I,O FP, PP, O Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of an attending physician or resident.

If a student has not had the opportunity to achieve five (5) CV, Endocrine clinical encounters by the mid‐clerkship evaluation, then the Attending will arrange and supervise patient encounter, or student will complete the corresponding WiseMD CV, Endocrine case study with review by attendings.

GI, Biliary, Pancreatic

(5)

I,O FP, PP, O Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of an attending physician or resident.

If a student has not had the opportunity to achieve five (5) GI, Biliary, Pancreatic clinical encounters by the mid‐clerkship evaluation, then the Attending will arrange and supervise patient encounter, or student will complete the corresponding D2L GI, Biliary, Pancreatic case study with review by attendings.

Patient Evaluation (20)

I,O FP, PP, O Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of an attending physician or resident.

If a student has not had the opportunity to achieve twenty (20) Patient Evaluation clinical encounters by the mid‐clerkship evaluation, then the Attending will arrange and supervise additional patient encounter.

Hernias (2) I,O FP, PP, O Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of an attending physician or resident.

If a student has not had the opportunity to achieve five (2) hernia clinical encounters by the mid‐clerkship evaluation, then the Attending will arrange and supervise additional patient encounters.

Oncologic (2) I,O FP, PP, O Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of an attending physician.

If a student has not had the opportunity to achieve two (2) Oncologic clinical encounters by the mid‐clerkship evaluation, then the Attending will arrange and supervise patient encounter, or student will complete the corresponding W i s e MD Oncologic, case study with review by attendings.

Trauma/Shock (2) I,O FP, PP, O Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of an attending physician.

If a student has not had the opportunity to achieve two (2) Trauma/Shock clinical encounters by the mid‐clerkship evaluation, then the Attending will arrange and supervise patient encounter, or student will complete the D2L mini trauma shelf with review by attendings.

Evaluation of Abdominal Pain (1)

I,O FP, PP, O Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of an attending physician.

If a student has not had the opportunity to achieve one (1) Evaluation of Abdominal Pain procedure by the mid‐clerkship evaluation, then the Site Director or Attending will arrange and supervise the exam.

Participation in Operative Procedures (15)

I,O FP, PP, O Student will scrub in procedures as directed by their services or attending’s and assist in the procedures as instructed.

If a student has not had the opportunity to participate in fifteen (15) Operative Procedures by the mid‐clerkship evaluation, then the Site Director or Attending will arrange and supervise the procedure.

CLERKSHIP-SPECIFIC PERFORMANCES, PROJECTS, REQUIREMENTS:

WISE-MD Computer Cases. Students are required to complete one Wise MD case weekly during weeks 1 – 7. It is recommended that at the midterm students evaluate which patient encounters that have not been met and choose Wise MD cases accordingly

Clinical Learning Environment Reflections.

Students are required to do a one paragraph reflection on each of the six Clinical Learning Environment (CLE) areas (Patient Safety, Health Care Quality, Care Transitions, Supervision, Duty Hours/Fatigue Management and Mitigation, and Professionalism) throughout the clerkship. At least 3 should be submitted and reviewed with the site director at the mid clerkship evaluation. Students should review the Clinical Learning Environment Review Pathways to Excellence document in D2L prior to their reflection.

Core Lectures. Core lectures occur on Thursday morning and afternoons at Lutheran General Hospital. Attendance is MANDATORY. Confirmation of core lecture topics, time and room location will be emailed weekly by the clerkship coordinator.

FAILURE TO COMPLE/COMPLY WITH THE ABOVE REQUIREMENTS WILL RESULT IN A DECREASE IN THE FINAL CLINCAL EVALUATION IN ONE OR MORE OF THE APPROPRIATE COMPETENCIES

Required Textbook: Either

• Schwartz's Principles of Surgery, Ninth Edition (2009) by F. Brunicardi, Dana Andersen, Timothy Billiar, David Dunn, John Hunter, Jeffrey Matthews, Raphael E. Pollock

• Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice, Nineteenth Edition (2012) by Courtney M. Townsend Jr. MD, R. Daniel Beauchamp MD, B. Mark Evers MD, Kenneth L. Mattox MD

D2L

• Recorded Core Lectures • Clinical Learning Environment Review Pathways to Excellence document

OTHER CLERKSHIP INFORMATION

Dress Code:

• General: Professional attire and modesty expected relative to length, style, fit and transparency. Clothes including CMS logo’d short white coats should be clean, free of holes or defects, free of wrinkles, fit properly. No visible undergarments. Garments worn to work must be pressed, in good condition and properly fitted and appropriate to the type of work being performed.

• Tops: Collared shirts (ties for men), dress shirts, sweaters, blouses, vests, sports coats/blazers. Tops should cover shoulders, back and stomach when standing or sitting. No visible cracks or cleavage.

• Scrubs: Only those provided by the hospital should be worn. If out of the OR must be covered with white coat. Scrubs should never be worn outside of the hospital. Scrubs should NOT be the primary dress in clinical patient care settings.

• Bottoms: Dress slacks. No denim, sweatpants, skin tight pants, painter pants, overalls, cargo pants, harem pants, shorts, capri pants, leather pants, bib overalls. No visible cracks or cleavage; especially when bending or sitting.

• Skirts & dresses: No less than 2 inches above knees. No longer than ankles. Not excessively tight, no high slits. Hosiery or leggings required.

• Shoes: OSHA standards. No open toed shoes or open backed shoes w/o straps. No Crocs (except in OR). No sneakers unless part of uniform. No flip‐flops. Must be clean and polished.

• Hair ‐ head & facial: Long hair pulled back so as not to touch patient. No hair colors and fad styles that detract from a professional appearance. Clean, neatly trimmed & groomed.

• Jewelry: Avoid excessive jewelry. No visible body piercings except earrings • Fingernails: Clean, trimmed, at a length that does not interfere with job. May not exceed ¼ inch. No nail polish chips. No artificial nails or

extenders. • Tattoos: Must be covered • Headwear: Hats, caps, scarves only for religious or medical reasons. • Cosmetics: Use in moderation • Fragrances: No offensive odors, heavy fragrances should be avoided.

In the event of inappropriate attire being worn by a student while at work, leaders may require that the student change into acceptable attire and/or conform to professional appearance and grooming standards before continuing their work shift.

PROFESSIONAL BEHAVIOR

CMS students are expected to exhibit Professional behavior at all times. This includes but is not limited to:

• Being present and on time for any and all activities (your patients’ and colleagues’ time is as valuable as yours and it is unprofessional to waste either for your convenience). If the unforeseen occurs and you are late or absent, professional behavior dictates that you apologize and provide a reasonable explanation for the occurrence.

SIGNIFICANT RECURRING LAPSES IN PROFESSIONAL BEHAVIOR NOTED ON CLINCIAL EVALUATIONS WILL BE TAKEN INTO ACOUNT IN ASSIGNING FINAL EVALUATIONS FOR PROFESSIONALISM

Faculty and Staff Faculty Extension Office Email

Michael Zdon, MD – Advocate Condell (847)578‐8714 RFUMS [email protected]

Sanja Nikolich, MD Advocate Lutheran General Hospital (LGH)

(847)723‐6464 LGH [email protected]

Nicholas Dallas, MD Advocate Illinois Masonic Hospital (AIMMC)

(773)296‐7465 AIMMC [email protected]

Shabir Abadin, MD Cook Country Hospital (CCH)

(312)864‐2128 CCH [email protected]

Amir Heydari, MD Centegra Health Systems ‐ McHenry

(815)444‐2949 Centegra Health Systems ‐ McHenry

[email protected] Email Edie Best at [email protected]

Daniel Liesen, MD Vista

(847)360‐2551 Vista Email Dr. Liesen at [email protected]

TJ Heilezer, MD Saints Mary and Elizabeth Medical Center

(312)770‐2858 Saints Mary and Elizabeth Medical Center

Email Jennifer Ueunten at [email protected]

Fahad Vossoughi, MD Little Company of Mary (LCOM)

(708)229‐5687 LCOM Email Geri Kieffer at [email protected]

Charles Komen Brown, MD Cancer Treatment Center of America (CTCA)

(847)872‐4888 CTCA Email Lisa Bibian at

Lisa.Bibian@ctca‐hope.com

Don Waxler, MD (Interim) Advocate Good Shepherd (GSH)

(847)842‐4143 GSH Email Dr. Waxler at [email protected]

George Salti, MD Edward‐Elmhurst Healthcare

(630)527‐3788 Edward‐Elmhurst Email Alex Howard at [email protected]

Stephen Boghossian, MD Elmhurst Memorial Hospital Email Mary Schmalz at [email protected]

Paperwork and First Day of Rotation - Orientation Day by Site

Site: Time: Address: Advocate Condell

801 S. Milwaukee Avenue Libertyville, IL 60048

Link on D2L Course to Forms and Department info

Medical Student Information Form Immunization Clearance Form Confidentiality Agreement Care Connection Form (Non‐

Employee System Access Request Form)

Flu Shot Records

Site specific orientation time 8:00 am Tuesday

Main Lobby

Paperwork and reporting to: Ms. Theresa Knar or Ms. Mary Roper Phone (847) 990‐5259 Fax 847‐362‐8031 E‐mail: [email protected] or

[email protected] Parking Information will be given when you report there for orientation and ID’s.

Advocate Good Shepherd Hospital (GSH)

450 West Highway 22 Barrington, IL 60010

Link on D2L Course to Forms and Department info

Medical Student Information Form Immunization Clearance Form Confidentiality Agreement Care Connection Form (Non‐

Employee System Access Request Form)

Flu Shot Records

Site specific orientation time 8:00am Tuesday

Paperwork and reporting to: Ms. Bonnie Boodee Phone (847) 842‐4447 Fax: (847)842‐4193 E‐mail: [email protected] Parking Parking is available by the Cardiology Outpatient Center – please park in spaces marked “associates”.

Advocate Lutheran General

Hospital (LGH) 1775 Dempster Street, 6 South

Park Ridge, IL 60068

Link on D2L Course to Forms and Department info via site website

Medical Student Information Form Confidentiality Agreement

Site specific orientation time will be sent by the site coordinator

via email the week before the rotation start date

Paperwork and reporting to: Ms. Marisol Hernandez‐Martinez Phone (847) 723‐6464 Fax 847‐723‐5029 E‐mail: marisol.hernandez‐[email protected] Parking All medical students must park in the open surface lot on the north side of Dempster Street at the Luther Lane traffic light. Public Safety will remotely open the gate to the North Garage when the surface lot is full. If you are not able to find parking and the North Garage is not open, you should be able to find parking near the water tower on the west end of the surface lot and/or the gravel lot on the far east end.

Advocate Illinois Masonic Hospital (AIMMC)

Medical Education Office 836 W. Wellington, Suite 4813

Chicago, IL 60657

Link on D2L Course to Forms and Department info via site website

Medical Student Information Form Immunization Clearance Form Confidentiality Agreement Care Connection Form (Non‐

Employee System Access Request Form)

Flu Shot Records All paperwork should be sent to Maria Garcia

Site specific orientation time 8:30 a.m. (Tuesday)

Paperwork and reporting to (first): Ms. Maria Garcia Phone (773) 296‐5945 Fax (773‐296‐5051 E‐mail: Maria‐[email protected]

Then report to: Ms. Eloisa Buenaventura Phone (773) 296‐7465 Fax (773‐296‐5570

Email: [email protected] Parking There is a small gravel lot on the corner of Sheffield and Wellington, but this usually fills up around 6am, but a few spots open when the nurses leave at 7am. (You will need a parking permit from the parking office for this lot. You can park on the streets in the neighborhoods near the hospital from 6am‐6pm without a zone parking permit. Kenmore in between Barry and Wellington is usually open. The last option is parking in the garage at the hospital. You can buy 5 passes for $20.00 from the parking office with your Masonic ID badge.

Vista Health System

1324 N. Sheridan Road Waukegan, IL 60085

Proof of drug screening Copy of driver’s license Student Information Form Immunization records will be sent by the school.

Site specific orientation time 8:00am Tuesday

Paperwork and reporting to: Ms. Brenda Montes Phone (847) 360‐2555 Fax (847) 360‐4067 E‐mail: [email protected]

John H. Stroger, Jr. Hospital of Cook County (CCH)

1900 W. Polk Street, Room 290 Chicago, IL 60612

Current immunization forms including an updated 2‐Step PPD and flu vaccination record.

Site specific orientation time: 8:45am Tuesday

Paperwork and reporting to: Ms. Rita Coleman, 627 S. Wood, Room 832A Phone (312) 864‐0392 Fax (312‐864‐9919) E‐mail: [email protected] 2nd Report to: Ms. Maria Rodriguez, Medical Student Coordinator Phone (312) 864‐ 2128 Parking There is parking at the Juvenile Detention Center for $2.00 per day. A free shuttle bus runs from 5am‐8pm and 11pm‐12:30am from Monday through Friday. You usually have to wait 10‐15 minutes for the shuttle. There is also parking in the Stroger Hospital Garage for evenings and weekends for $5.00. You must enter to park after

Centegra Health Systems –

McHenry 4200 Medical Center Drive (Route

31 & Bull Valley Road) McHenry, IL 60050

Link on D2L Course to Forms and Department info via site website

Current Immunization Records CPR card Mask fit test Flu shot (after Oct 1st – March 31st) Housing is a done deal – you don’t have to contact Edie to arrange. Email T Shirt size and if you want Ortho, ENT or Urology as part of your rotation. Choose one and you will rotate on this service for 2 weeks only.

Site specific orientation time 8:00am Tuesday

Paperwork and Reporting to: Ms. Edie Best Phone (815) 759‐8151 Fax E‐mail: [email protected] Parking At McHenry, there is ample parking with no cost or permit required. You are NOT allowed to park in patient parking for any reason.

Saints Mary and Elizabeth Medical Center

1127 N. Oakley Blvd. 2nd Floor, Room 256

Chicago, IL 60622

Drug Screen Student Information Form Health Insurance Card CPR Card Copy of HIPPA and BSIS completion Immunization records will be sent by the school.

Site specific orientation time 8:00am Tuesday

Paperwork and reporting to: Ms. Nadia Kalam Phone (312) 770‐2858

Fax (312) 770‐3204 E‐mail: [email protected] (Once you get off the elevators on the second floor, they will enter the clinic and take a right and walk down the hall. Take a left at the end of that hall, into another hall. Our offices are in that hall)

Parking: Visitor parking lot next to the Medical Professional Office Building, 2222 W. Division St. for the first day. After that, their badges should give them access to the employee lot.

Little Company of Mary (LCOM)

2800 W. 95th Street Evergreen Park, IL 60805

Link on D2L Course to Forms and Department info via site website

Drug Screen 90 days prior to start Application for Clinical Rotation Copy of Current CPR card Copy of health insurance card Completion of Direct Patient Care

Trainee Competency Test Copy of HIPPA and BSIS certificates

(taken during clinical skills). Immunization records will be sent by the school.

Site specific orientation time 8:00am Tuesday

Paperwork and reporting to: Ms. Geri Kieffer Phone (708) 229‐5687 Fax (708) 422‐2042 E‐mail: [email protected] Parking No information has been provided

Cancer Treatment Center of America (CTCA)

2500 Elisha Avenue Zion, IL 60099

Cancercenter.com

Drug Screen Health Insurance Card CPR Card Copy of government issued ID card Student Information Form Scrub Size (they provide) Immunization records will be sent by the school

Site specific orientation time 1:00pm Monday

Paperwork and reporting to: Ms. Lisa Bibian Phone (847) 872‐4888 FAX (847) 872‐5716 E‐mail: Lisa.bibian@ctca‐hope.com Parking No information has been provided

Edward-Elmhurst Healthcare

120 Spalding Drive

Link on D2L Course to Forms and Department info via site website

Student Information Packet Immunization records will be sent by the school

Site specific orientation time 8:00 a.m. (Tuesday)

Paperwork and reporting to: Alex Howard Phone (630) 646‐6150 Fax E‐mail: [email protected] Parking No information has been provided

CLERKSHIP Schedule for 2016-2017

Simulated Patient Retreat

The surgical clerkship will be conducting a Simulated Patient Retreat held at the Rosalind Franklin Campus. The entire clerkship will be divided into groups (consisting of Pharmacy and Physician Assistant students) that will come to the Simulation Lab in IPEC Building/Room 1.807. You all should come with stethoscope, clean white lab coat and dressed professionally. You will be emailed your day and time the first day of the rotation

Lectures

TBD

Topics will include fluids and electrolytes, shock, colon and inflammatory bowel disease, pediatric surgery, vascular disease, breast disease, neurosurgery, urology, trauma, orthopedics, thyroid/parathyroid, adrenal/surgical hypertension, biliary tract/duodenum /pancreas, stomach/small bowel and acute abdomen.

Call

Call is site specific and students will be notified at their orientation by the site if and when they have call.