College of Medicine MD Curriculum

SICU/Acute Care Surgery

Title of Clerkship: SICU/Acute Care Surgery

Elective Type: Acting Internship

Department: Surgery

Type of Elective: Clinical

Clerkship Site: Trinity Health, Ann Arbor, Michigan

Course Number: SURG 738

Blocks available: All

Number of students per block: 2

Faculty: Dr. Roy Golden

Elective Description/Requirements:
Students will be integral members of the Acute Care Surgery and SICU service caring for the critically ill general surgery and trauma surgery patients. Students will work intimately with the surgical team assigned to the SICU and Acute Surgery Service and attendings who round daily. Students attend daily rounds, respond to critical consults, participate in the operating room, and attend conferences.  Students will gain experience in modern diagnosis and treatment of surgical disease and related professional skills such as the patient’s personal reaction to disease and recognition of social personal factors contributing to disease, particularly in a trauma setting.  Student 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. Develop and formulate 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. (EPOs: IPC-1, IPC-2, PC-1, PC-3)
  5. Discuss a working knowledge of how to care for the critically ill surgical patient. (EPOs: PC-5, PC-6, MK-4, MK-6, MK-7)
  6. Perform less complex procedures. (EPOs: PC-5)
  7. Participate in surgical procedures respecting sterile technique and universal precautions. (EPOs: PC-5)
  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. Discuss prioritizing the management of therapeutic options along with managing the pre and post operative patient. (EPOs: MK-4, MK-6, PC-4 PC-6, PC-7, PC-8)
  11. Demonstrate proficiency at performing trauma protocol. (EPOs: IPC-1, IPC-2, PC-2, PC-3, PC-8, PC-9)
  12. List the most common causes of traumatic injuries and surgical problems and learn how to treat them. (EPOs: PC-8, PC-9, MK-7)
  13. Manage a patient pre and post operatively. (EPOs: PC-8, MK-2)
  14. Prioritize management of therapeutic options. (EPOs: PC-8, PC-9, MK-2)
  15. Communicate concise pertinent information at the time of hand off post trauma call. (EPOs: PC-7, PC-8)

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. Students must apply and be accepted by completing the application form.

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
June 2023

Last Updated: 9/28/23