CHICAGO MEDICAL SCHOOL - Amazon S3 MEDICAL SCHOOL _____ Surgery Clerkship MSUR 700 12 Credit Hours...

CHICAGO MEDICAL SCHOOL

____________________________________________________

Surgery Clerkship MSUR 700

12 Credit Hours

SYLLABUS

2017-2018 ACADEMIC YEAR

Surgery Education Director Michael Zdon, MD

[email protected]

Clinical Education Specialist Jessica Taylor, MSN, APN, CNS, CEN [email protected]

Undergraduate Medical Education Specialist

Vernell Williams [email protected]

Phone 847-578-3291 Location CLC 1.096

mailto:[email protected]



SURGERY CLERKSHIP DESCRIPTION The 3rd Year Surgery Clerkship is an 8 week rotation that is conducted at 13 affiliated hospitals: Advocate Condell, Advocate Illinois Masonic (AIMMC), Advocate Lutheran General (ALGH), John H. Stroger Jr. at Cook County (CCH), Vista Health System, Cancer Treatment Centers of America (CTCA), Presence St. Mary of Nazareth, Little Company of Mary, Advocate Good Shepherd Hospital (AGSH), Edwards Hospital, Elmhurst Memorial Hospital and Ambulatory Surgical Center, Centegra Health System, 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 respective site directors, 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 are either incorporated into surgical teams, which include residents, or they are directly precepted by attending surgeons. Students document their activities by maintaining a log of the patients they see in the tracking program, One45. Feedback is given by the site director and by supervising house staff and attendings. Clinical evaluations are collated by site directors and final clinical grades are assigned by the site director, utilizing the Clinical Evaluation Standards for all clerkship rotations. An NBME shelf exam for surgery is given at the end of the rotation. SURGERY CLERKSHIP OBJECTIVES LINKED TO CMS COMPETENCIES AND OBJECTIVES

1. Upon completion of the clerkship, students will be able to: 2. Describe the normal and abnormal structure and function of the body, distinguish the causes and underlying mechanisms of disease,

including epidemiology of common illnesses, and describe the principles and methods of diagnostic and therapeutic decision-making in each of the surgical cases listed in the required patient encounters. This includes distinguishing the preoperative factors which influence the advisability and timing of operative interventions and recognizing common postoperative complications. (1.1, 1.2, 1.3, 1.4, 1.5)

3. Apply the medical knowledge described in course objective #1 through performance of an accurate History, Physical Exam, routine technical procedures, as well as the accurate ordering and interpretation of diagnostic and therapeutic needs of the surgical patient. (2.1, 2.2, 2.3, 2.4, 2.5)

4. Demonstrate professionalism through ethical decision making, respectful care and treatment of surgical patients and families, and through active participation on the surgical care team. (3.1, 3.2, 3.3, 3.4)

5. Demonstrate analytical and critical thinking to solve clinical issues in the context of surgical patient care by using evidence-based medicine, current technology, and reflective practice to foster improvement of self and patient outcomes. (4.1, 4.2, 4.3)

6. Recognize one’s own role on the health care team, the resources available and how to utilize them to work collaborative to improve patient care, patient outcomes, and team performance along with reducing health care disparities and prevention of medical errors. (5.1, 5.2, 5.4, 5.5)

7. Perform effectively on the surgical team through clear communication, respectful and response actions, collaboration with the surgical team as well as the patient and family, and document in a clear and timely manner. (6.1, 6.2, 6.3, 6.4)

Reference D2L for SURGERY CLERKSHIP COMPETENCY MAP CLERKSHIP-SPECIFIC REQUIREMENTS *Any late assignment (or attendance, where applicable) will account for a 0.25 point decrease in the student’s Professionalism grade* OSCE: At the end of the 8-week rotation students will participate in a 30-minute OSCE to demonstrate their ability to evaluate and plan care for a patient presenting with post-surgical complications. Each student will have 10 minutes to evaluate their patient and 10 minutes to write a note. Basic information about the patient and a grading rubric will be provided. This will be worth 20% of the Medical Knowledge/Patient Care portion of the student’s grade. Assignments: Descriptions of, and instructions for, all assignments are posted on D2L. The following assignments have solid due dates. 6 CLER Reflection posts (see CLER Instructions.pdf on D2L for multiple due dates) 7 Reflection Questions (on D2L) about Interprofessional Team Retreat (due within 2 weeks of participation) 1 Mid-Clerkship Critical Self-Evaluation (due at the end of the 4th week) 1 Mid-Clerkship Preceptor Form (due at the end of the 6th week) 1 H&P Observation Sheet (due by the end of the 4th week) 20 Patient Encounters (16 due by end of the 3rd week; rest due by beginning of the 7th week) 15 Operative Procedures (due by the NBME Exam date) 7 Wise-MD computer cases (one due each week, weeks 1-7) 7 mandatory didactic sessions every Thursday (weeks 1-7) at Advocate Lutheran General Hospital Attendance is MANDATORY for both Interprofessional Team Training at RFUMS (on your assigned date) and the didactic days at Lutheran General Hospital (every Thursday). As per the CMS grading policy, unexcused absence from any clerkship required activity, for this and all clerkships, will decrease the Professionalism portion of your grade an ENITRE LEVEL. It is YOUR RESPONSIBILITY to ensure you give yourself adequate travel time to these sessions. For the Interprofessional Team Training at RFUMD, students arriving any more than 10 minutes late, or leaving more than 10 minutes early will not get credit for attending, and will have to make the session up or they will receive an INCOMPLETE for the clerkship. Additionally, once the session has been made up, a deduction of 0.25 points will be taken from your Professionalism grade as this assignment will be considered late.

Didactic Days: Students are required to attend EVERY didactic day at Advocate Lutheran General Hospital, located at 1775 Dempster Street, Park Ridge, IL 60068. Students are expected to be present for lectures at the assigned times. Students arriving after the assigned time without a valid excuse approved by the Education Director, will have a deduction of 0.25 points, per occurrence, from their originally received clinical Professionalism grade (where 6=Honors, 4=High Pass, 2=Pass). Topics may 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. Confirmation of topic, time, and room location will be emailed to students, weekly by the Clerkship Coordinator. 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. MINIMUM REQUIRED PATIENT ENCOUNTERS

Type of Patient/ Clinical Condition

Clinical Setting

Level of Student Responsibility Benchmark/Explanation Alternative

CV/Thoracic (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 two (2) Cardiovascular/Thoracic clinical encounters by the mid-clerkship evaluation, then the attending will arrange and supervise a patient encounter, or student will complete one of the following WiseMD cases: Abdominal Aortic Aneurysms, Carotid Stenosis, Lung Cancer.

Endocrine (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 two (2) endocrine clinical encounters by the mid-clerkship evaluation, then the attending will arrange and supervise a patient encounter, or student will complete one of the following WiseMD cases: Thyroid Nodule, Adrenal Adenoma.

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

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 a patient

diagnostic and therapeutic plan, along with or under the guidance of an attending physician or resident.

encounter, or student will complete one of the following WiseMD cases: Appendicitis, Anorectal Disease, Bariatric Surgery and Obesity, Bowel Obstruction, Cholecystitis, Colon Cancer, Diverticulitis, Pyloric Stenosis.

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 encounters.

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 two (2) hernia clinical encounters by the mid-clerkship evaluation, then the attending will arrange and supervise additional patient encounters or student will complete one of the following WiseMD cases: Hernia, Hernia & Hydrocele.

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 one of the following WiseMD cases: Adrenal Adenoma, Breast Cancer Surgery, Colon Cancer, Lung Cancer, Skin Cancer.

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 a patient encounter, or the student will complete the D2L mini trauma exam or the Trauma Resuscitation case module on WiseMD.

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

If a student has not had the opportunity to achieve one (1) Evaluation of Abdominal Pain procedure by the mid-clerkship evaluation, then the attending will arrange and supervise a patient

diagnostic and therapeutic plan, along with or under the guidance of an attending physician.

encounter, or student will complete one of the following WiseMD cases: Abdominal Aortic Aneurysms , Appendicitis, Bowel Obstruction, Cholecystitis, Colon Cancer, Diverticulitis, Hernia.

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 attending will arrange and supervise the procedure.

REQUIRED OPERATIVE PROCEDURES (THIS IS IN ADDITION TO THE PATIENT ENCOUNTER MINIMUMS) Students must scrub in on a minimum of 15 operative procedures. The type of operative procedures are to meet the minimum requirements of the categories listed within the chart in the following section. *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 (one patient can be counted twice in such cases). EVALUATION, EXAMINATION, AND REMEDIATION POLICIES

Refer to D2L for: CMS Excused Absence Policy document for examination and other clinical experience remediation guidelines. CMS Clerkship Grading Policy Clinical Evaluation Standards CMS Clerkship Remediation/Rescheduled Exam Policy document for specific make-up/retake examination guidelines. CMS Exam Conduct Policy RFUMS Exam Loaner Laptop Policy

NBME Online Shelf Exam The NBME Online Shelf Exam is typically held at the RFUMS Campus on the last Friday of the rotation from 9:00 a.m. to 12:00 p.m. However, please refer to D2L for the most recent updates.

The NBME is responsible for grading exams. No challenges are accepted for NBME exams. Scores will be available approximately 1-2 weeks after the exam has been completed, but will not be published until clinical evaluations have been received.

ALTERNATIVE ASSIGNMENTS Every attempt should be made to obtain the minimum number of operative procedures (20) and patient encounters (15). In extenuating circumstances, when these numbers cannot be met, the student can do one of the following assignments where each can replace 1 operative procedure or 1 patient encounter, due by the end of Week 7:

- A WISE-MD module for any given category not met. - Write a 1-page/300-word paper on a patient category found in the Minimum Patient Requirements (chart in following section) until the

minimum of 35 is met. This will be written directly on your case notes in the patient log. You must log the remediation in the patient logs to get credit.

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 & Education.

Please reference the following additional Polices and Guidelines posted to D2L: SEPAC Handbook SEPAC Policy Clinical Grade Appeal Policy Clerkship/Sub-Internship Grade Appeal Form Student Policies Handbook Testing Accommodations Guidelines CMS Learner Mistreatment Policy and Procedures Medical Student Work Hours Policy Off-Site Secure Storage Policy Teacher-Learner Expectations CMS Professionalism Policy and Procedures CMS Dress Code Policy

Ebola Virus Policy Exposure Incidents Policy Alcohol and Drug Use 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.

ACADEMIC ACCOMMODATION STATEMENT Rosalind Franklin University of Medicine and Science is committed to providing equal access to learning opportunities for students with documented disabilities. To ensure access to this class and your program, please contact the ADA Coordinator, Elizabeth Friedman at 847.578.8482 or [email protected] to engage in a confidential conversation about the process for requesting accommodations in the classroom and clinical settings.

Accommodations are not provided retroactively. Students are encouraged to register with the ADA Coordinator as soon as they begin their program. Rosalind Franklin University of Medicine and Science encourages students to access all resources available. More information can be found on the Academic Support InSite page or by contacting the ADA Coordinator.

RECOMMENDED CLERKSHIP MATERIALS Textbooks: **Are available through the Boxer Library**

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


SITE-SPECIFIC FACULTY AND STAFF

Site Faculty Coordinator

Advocate Condell 801 S. Milwaukee Avenue Libertyville, IL 60048

Michael Zdon, MD [email protected] (847) 578-8714

Ms. Theresa Knar or Ms. Mary Roper Phone (847) 990-5259 Fax (847) 362-8031 E-mail: [email protected] or [email protected]

Advocate Good Shepherd Hospital (GSH) 450 West Highway 22 Barrington, IL 60010

Don Waxler, MD (Interim) [email protected] (847) 842-4143

Ms. Bonnie Boodee Phone (847) 842-4447 Fax (847) 842-4193 E-mail: [email protected]

Advocate Lutheran General Hospital (LGH) 1775 Dempster Street, 6 South Park Ridge, IL 60068

Sanja Nikolich, MD [email protected]

Ms. Marisol Hernandez-Martinez Phone (847) 723-6464 Fax (847) 723-5029 E-mail: [email protected]

Advocate Illinois Masonic Hospital (AIMMC) Medical Education Office 836 W. Wellington, Suite 4813 Chicago, IL 60657

Nicholas Dallas, MD [email protected] (773) 296-7465

Ms. Maria Garcia Phone (773) 296-5945 Fax (773) 296-5051 E-mail: [email protected] Then report to: Ms. Eloisa Buenaventura Phone (773) 296-7465 Fax (773-296-5570 Email: [email protected]

John H. Stroger, Jr. Hospital of Cook County (CCH) 1900 W. Polk Street, Room 290 Chicago, IL 60612

Shabir Abadin, MD [email protected]

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













Site Faculty Coordinator

Centegra Health Systems – McHenry 4200 Medical Center Drive (Route 31 & Bull Valley Road) McHenry, IL 60050

Amir Heydari, MD [email protected] (815) 444-2949

Ms. Edie Best Phone (815) 759-8151 Fax (815) 759-8154 E-mail: [email protected]

Vista Health System 1324 N. Sheridan Road Waukegan, IL 60085

Daniel Liesen, MD [email protected] (847)360-2551

Ms. Melissa Bourgord Phone (847) 360-2555 Fax (847) 360-4067 E-mail: [email protected]

Saints Mary and Elizabeth Medical Center 1127 N. Oakley Blvd. 2nd Floor, Room 256 Chicago, IL 60622

TJ Heilezer, MD (312) 770-2858

Ms. Nadia Kalam Phone (312) 770-3192 E-mail: [email protected]

Little Company of Mary (LCOM) 2800 W. 95th Street Evergreen Park, IL 60805

Farhad Vossoughi, MD Ms. Geri Kieffer Phone (708) 229-5687 Fax (708) 422-2042 E-mail: [email protected]

Cancer Treatment Center of America (CTCA) 2500 Elisha Avenue Zion, IL 60099

Charles Komen Brown, MD Ms. Lisa Bibian Phone (847) 872-4888 FAX (847) 872-5716 E-mail: [email protected]

Edward-Elmhurst Health 120 Spalding Drive Naperville, IL 60540

George Salti, MD (630)527-3788

Grace Sachanda Phone (630) 646-6150 E-mail: [email protected]

Elmhurst Memorial Hospital Stephen Boghossian, MD (630) 834-7590

Email Diane Landahl at [email protected]

Billings Clinic 2800 10th Avenue North Billings, MT 59101

Michael Hill, MD (406) 435-5406

Ms. Kristina McComas Phone (406) 238-5059 E-mail: [email protected]







mailto:Lisa.bibian@ctca%E2%80%90hope.com




Surgery Clerkship Competency Map 2017-2018 with IPEC Competencies 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, students must:

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 and abnormal structure and function of the body, distinguish the causes and underlying mechanisms of disease, including epidemiology of common illnesses, and describe the principles and methods of diagnostic and therapeutic decision-making in each of the surgical cases listed in the required patient encounters. This includes distinguishing the preoperative factors which influence the advisability and timing of operative interventions and recognizing common postoperative complications.

Participation in the following required patient encounters: CV/Endocrine; GI/Biliary/Pancreatic; Patient Evaluation; Hernias; Oncologic; Trauma/Shock; Abdominal Pain.

Required attendance to lectures on weekly didactic day.

Completion of WISEMD cases.

Direct observation and summative written end of clerkship evaluation by faculty, H&P Evaluation form with narrative feedback, Mid-clerkship evaluation form.

NBME Performance.

Faculty review of attendance for required didactic sessions.

1.2 Distinguish the causes and underlying mechanisms of disease.

Describe the normal and abnormal structure and function of the body, distinguish the causes and underlying mechanisms of disease, including epidemiology of common illnesses, and describe the principles and methods of diagnostic and therapeutic decision-making in each of the surgical cases listed in the required patient encounters. This includes distinguishing the preoperative factors which influence the advisability and timing of operative interventions and recognizing common postoperative





NBME Performance.

Faculty review of attendance for required didactic

Updated: 4/19/17 Surgery Clerkship Competency Map 2017-2018 Page 1

complications. sessions.

1.3 Identify the epidemiology of common illnesses.






NBME Performance.


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






NBME Performance.


1.5 Describe the principles of therapeutic decision-making.

Describe the normal and abnormal structure and function of the body, distinguish the causes and underlying mechanisms of disease, including epidemiology of common illnesses, and describe

Participation in the following required patient encounters: CV/Endocrine; GI/Biliary/Pancreatic; Patient Evaluation; Hernias;

Direct observation and summative written end of clerkship evaluation by faculty, H&P Evaluation form


the principles and methods of diagnostic and therapeutic decision-making in each of the surgical cases listed in the required patient encounters. This includes distinguishing the preoperative factors which influence the advisability and timing of operative interventions and recognizing common postoperative complications.

Oncologic; Trauma/Shock; Abdominal Pain.



with narrative feedback, Mid-clerkship evaluation form.

NBME Performance.


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)



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

Apply the medical knowledge described in course objective #1 through performance of an accurate History, Physical Exam, routine technical procedures, as well as the accurate ordering and interpretation of diagnostic and therapeutic needs of the surgical patient.

Participation in 15 operative procedures and 20 Patient Evaluations.


OSCE.

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





OSCE.

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




OSCE.

2.4 Perform routine technical procedures.




OSCE.

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




OSCE.

2.6 Provide effective education to patients and their families.

N/A N/A N/A


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)



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

Demonstrate professionalism through ethical decision making, respectful care and treatment of surgical patients and families, and through active participation on the surgical care team.


Written reflections on personal clinical experience as applied to the 6 CLER Pathways.

Participation in Interprofessional team simulation.

Attendance and punctuality at mandatory didactic activities.

Timely submission of required assignments.

Appropriate attire at all clerkship related activities.



Tracking of assignment submission.

Faculty assessment with documented feedback on CLER Pathways reflections with required responses to faculty questions.

Faculty assessment with documented feedback on written responses to IP Team experience.

3.2 Demonstrate respect, shared values, dignity, compassion and integrity when engaging patients, their families, peers, the



Written reflections on personal

Direct observation and summative written end of clerkship evaluation by faculty, H&P Evaluation form with narrative feedback,


university community and other healthcare providers.

IPEC Competency 1 (Values/Ethics)

clinical experience as applied to the 6 CLER Pathways.





Mid-clerkship evaluation form.





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







Appropriate attire at all clerkship




Faculty assessment with documented feedback on CLER Pathways reflections


related activities. with required responses to

faculty questions.


3.4 Seek and respond appropriately to performance feedback.














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)



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

Demonstrate analytical and critical thinking to solve clinical issues in the context of surgical patient care by using evidence-based medicine, current technology, and reflective practice to foster improvement of self and patient outcomes.


Required reflective journaling of clinical experiences which are used to create SMART goals for the mid-clerkship evaluation.




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

Demonstrate analytical and critical thinking to solve clinical issues in the context of surgical patient care by using evidence-based medicine, current technology, and reflective practice to foster improvement of self and patient outcomes.






4.3 Develop the ability to self-assess and demonstrate

Demonstrate analytical and critical thinking to solve clinical issues in the context of surgical

Participation in 15 operative procedures and 20 Patient

Direct observation and summative written end of


a willingness to engage in reflective practice.

patient care by using evidence-based medicine, current technology, and reflective practice to foster improvement of self and patient outcomes.

Evaluations.



clerkship evaluation by faculty, H&P Evaluation form with narrative feedback, Mid-clerkship evaluation form.


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

N/A N/A N/A

V. Systems-based, Interprofessional Practice: Demonstrate an 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)



5.1 Identify one’s own role on the healthcare team and how it is complementary to other health professionals to appropriately assess and address the healthcare needs of patients and to promote and advance the health of populations.

Recognize one’s own role on the health care team, the resources available and how to utilize them to work collaborative to improve patient care, patient outcomes, and team performance along with reducing health care disparities and prevention of medical errors.



Participation in preoperative,


Direct observation and summative written end of clerkship evaluation by faculty, H&P Evaluation form


IPEC Competency 2 (Roles/Responsibilities)

operative, and postoperative care of the surgical patients in conjunction with other healthcare professionals.

with narrative feedback, Mid-clerkship evaluation form.

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




Participation in preoperative, operative, and postoperative care of the surgical patients in conjunction with other healthcare professionals.



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.

IPEC Competency 4 (Teams and Teamwork)

N/A N/A N/A

5.4 Identify systematic interprofessional practices that improve patient safety,

Recognize one’s own role on the health care team, the resources available and how to utilize them to work collaborative to improve patient

Written reflections on personal clinical experience as applied to the

Faculty assessment with documented feedback on CLER Pathways reflections


minimize error, and contribute to continuous quality improvement.

care, patient outcomes, and team performance along with reducing health care disparities and prevention of medical errors.

6 CLER Pathways.



with required responses to faculty questions.


5.5 Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan, deliver and evaluate patient/population-centered care and population health programs and policies that are safe, timely, efficient, effective and equitable.

IPEC Competency 4 (Teams and Teamwork)








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)



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

Perform effectively on the surgical team through clear communication, respectful and response actions, collaboration with the surgical team as well as the patient and family, and document in a clear and timely manner.

Participation in 15 operative procedures.





6.2 Use effective listening, questioning, verbal, nonverbal, and writing skills when communicating with patients and their families in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease.





Faculty assessment with documented feedback on CLER Pathways reflections with required responses to


IPEC Competency 3 (Interprofessional Communication)

faculty questions.


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







6.4 Use effective verbal presentation and written skills when communicating with colleagues, superiors, communities and other members of the healthcare team in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health and the prevention and





Faculty assessment with documented feedback on CLER Pathways reflections with required responses to


treatment of disease.

IPEC Competency 3 (Interprofessional Communication)

faculty questions.



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