Acute Care Surgery-Gen A Acting Internship
Title of Course: Acute Care Surgery-Gen A Acting Internship
Elective Year(s): Fourth-Year Elective
Department: Surgery
Type of Elective: Clinical
Course 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 Course : 4 weeks
Educational Course Objectives and Links to EPOs:
- Perform a detailed history and physical exam under routine and emergent circumstances. (EPOs: PC-1)
- Discuss the principles of resuscitations and hemodynamic monitoring management. (EPOs: PC-5, PC-6, MK-4, MK-6, MK-7)
- Implement a plan for diagnostic evaluation. (EPOs: MK-1, MK-4, MK-6, MK-7, PC-5)
- Interpret significant findings of laboratory and diagnostic studies to formulate a differential diagnosis. (EPOs: IPC-1, IPC-2, PC-1)
- Discuss a working knowledge of how to care for an emergent surgical patient. (EPOs: PC-5, MK-4, MK-6, MK-7)
- Perform basic OR skills to perform less complex procedures including suturing. (EPOs: PC-5)
- Implement a plan and assist in wound care management. (EPOs: PC-5, MK-6)
- Accurately present patient information concerning the patient’s condition, progress and results of laboratory and imaging studies. (EPOs: PC-5, MK-7, PC-1, IPC-1, IPC-2)
- 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)
- Prioritize and triage management of therapeutic options. (EPOs: PC-7, PC-8, MK-1)
- Manage a patient pre and post operatively. (EPOs: PC-7, MK-1)
- Discuss and develop a discharge plan of treatment and follow up. (EPO’s: MK-1, MK-4, MK-6, MK-7, PC-5)
- Participate in evening or weekend clinical care to support continuity of patient care and demonstrate professionalism in varied clinical settings. (EPO: IPC-2)
- Conduct structured patient handoffs using an evidence‑based communication approach to ensure safe and accurate transfer of care. (EPO: SBP-1)
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:
- Interpretation of lab data
- Diagnostic tests-use/interpretation
- Small group discussions
- Case studies
- Ambulatory care experience
- Grand rounds
- Teaching rounds
- Residency program/departmental conferences
Assessment Methods:
- Acting Internship Assessment
- Case write up
Prerequisites: Successful completion of required Surgery clerkship.
Special Requirements:
- As part of the acting internship, students are required to participate in at least one evening or weekend clinical experience. This experience ensures exposure to the full spectrum of patient care responsibilities and supports readiness for residency-level schedules and work environment.
- Students are expected to participate in structured patient handoffs as part of their clinical responsibilities. This includes observing and contributing to the sign-out processes to ensure safe, effective transitions of care.
- Participation in night call is recommended because many cases come in after hours. A call schedule may be arranged per individual faculty member.
Clerkship Director: Stephanie Pannell, M.D.
Clerkship Coordinator: Alyx Wiley
Phone Number: 419.383.3580
Email: bwiley3@rockets.utoledo.edu
ECC Approved
March 2026