College of Medicine MD Curriculum

Acute Care Surgery-Gen A

Title of Clerkship: Acute Care Surgery-Gen A

Elective Year(s): Fourth-Year Elective

Department: Department of Medical Education

Department: Surgery

Type of Elective: Clinical

Clerkship Site: Toledo Hospital

Course Number: SURG 739

Blocks available: All

Number of students per block: 1

Faculty: Dr. Al-Jubouri, Dr. Cotterman, Dr. Kidner, Dr. Benson

Elective Description/Requirements:
Students will be integral members of the Acute Care Surgery service caring for the general surgery and acute care surgery patients.   Students will work intimately with the surgical team assigned to the Acute Care Surgery Service responding to daytime emergent inpatient consults.  Students will gain experience in modern diagnosis and treatment of emergent general surgery patients.   Students will participate in all aspects of patient management both in and outpatient, attend daily rounds and participate in the operating room.  Will function as an intern and be assigned patients to work up.  Students are required to perform at least 3 full H&P’s and 3 discharge summaries.  Students will participate in overnight call.

Length of Clerkship: 4 weeks

Educational Course Objectives and Links to EPOs:

  1. Perform a detailed history and physical exam under routine and emergent circumstances. (EPOs: PC-1, PC-2, PC-3, PC-4)
  2. Discuss the principles of resuscitations and hemodynamic monitoring management. (EPOs: PC-5, PC-6, MK-4, MK-6, MK-7)
  3. Implement a plan for diagnostic evaluation. (EPOs: MK-1, MK-4, MK-6, MK-7, PC-6)
  4. Interpret significant findings of laboratory and diagnostic studies to formulate a differential diagnosis. (EPOs: IPC-1, IPC-2, PC-1, PC-3)
  5. Discuss a working knowledge of how to care for an emergent surgical patient. (EPOs: PC-5, PC-6, MK-4, MK-6, MK-7)
  6. Perform basic OR skills to perform less complex procedures including suturing. (EPOs: PC-5)
  7. Implement a plan and assist in wound care management. (EPOs: PC-6, MK-8)
  8. Accurately present patient information concerning the patient’s condition, progress and results of laboratory and imaging studies. (EPOs: PC-6, MK-7, PC-1, PC-3, IPC-1, IPC-2)
  9. Write a complete and accurate daily progress note including interpretation of results of laboratory and radiographic/imaging studies. (EPOs: IPC-1, IPC-2, PC-1, PC-3)
  10. Prioritize and triage management of therapeutic options. (EPOs: PC-8, PC-9, MK-2)
  11. Manage a patient pre and post operatively. (EPOs: PC-8, MK-2)
  12. Discuss and develop a discharge plan of treatment and follow up. (EPO’s: MK-1, MK-4, MK-6, MK-7, PC-6)

Professionalism: Students will meet or exceed the institutional standards for professionalism as stated in the current Educational Program Objectives and the current Educational Course Objectives for the Sponsoring Department.

Instructional Methods:

  1. Interpretation of lab data
  2. Diagnostic tests-use/interpretation
  3. Small group discussions
  4. Case studies
  5. Ambulatory care experience
  6. Grand rounds
  7. Teaching rounds
  8. Residency program/departmental conferences

Evaluation methods employed:

  1. Clinical competency evaluations
  2. Faculty/Resident observation
  3. Professional assessments
  4. Attendance
  5. Case write up

Prerequisites: Successful completion of required Surgery clerkship.

Clerkship Director: Stephanie Pannell, M.D.

Clerkship Coordinator: Claudia Davis
Phone Number: 419.383.3580

Special Requirements: Participation in night call is recommended because many cases come in after hours.  A call schedule may be arranged per individual faculty member.

ECC Approved
December 2023

Last Updated: 3/6/24