su105.01 human tumor immunology · 1. the practice on patients of clinical techniques to evaluate...

336

SU105.01 HUMAN TUMOR IMMUNOLOGY

In-Depth Location: CHS____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Rishab K. Gupta, Ph.D. (310) 449-5265

SUPPORTING FACULTY:Drs. R.F. Irie, D.S.B. Hoon, M.H. Karuturi, Z. Ferzad, M.H.Ravrindranath, M. Cabot

STUDENT COORDINATOR: PHONE #:Rishab K. Gupta, Ph.D. (310) 449-5265

REPORT TO: Rishab K. Gupta, M.D., John Wayne CancerInstitute, Rm 229, 2200 Santa Monica Blvd., CA 90404

AVAILABLE TO EXTERNS: Yes

PREREQUISITES: Immunology

STUDENTS / PERIOD: max 4 min 1

DURATION: 3, 6 weeks

2001-2002 ELECTIVES BEGIN WEEKS:By Arrangement

COURSE OBJECTIVES (in order of importance)1. To relate the laboratory results to clinical situations in

cancer patients.

2. To provide an exposure to the laboratory research relatedto human cancer for students considering an academicresearch career.

DESCRIPTION: Students will discuss research projects with faculty members involved in this elective. They will choose to work inone of the following areas of human tumor immunology: serology, detection of tumor-associated antigens in urine of cancerpatients, quantitation of circulating immune complexes, cellular cytotoxicity, lymphokines, and hybridoma technology, molecularbiology.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Test blood samples from cancer patients for

the presence of tumor markers andcorrelating

results with presence or absence of cancer(solid tumors particularly) in the body.

INPATIENT: NA%OUTPATIENT: NA%

CONSULTATION:NA%

CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWS

RESIDENTSINTERNS

X OTHER Basic Scientists

APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: N/A

TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: N/A

TYPICAL WEEKLY SCHEDULEHour Monday Tuesday Wednesday Thursday Friday

AM

Discussion andDirected Readings

Research 8:00 - 9:00Clinical Conference

Research

Research Research

PM

Research Research Research

5:30 - 6:30Research Conference

Research

Discussion

Research

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : None

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:

2001-20023/9/2001

337

2001-20023/9/2001

SU164.02 PHYSIOPATHOLOGICAL BASIS OF VESTIBULAR DISORDERS

In-Depth Location: CHS____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Vicente Honrubia, M.D. (310) 825-5241

SUPPORTING FACULTY:None

STUDENT COORDINATOR: PHONE #:Haya Leiner (310) 825-5241

REPORT TO:Vicente Honrubia , M.D., CHS 62-129.


PREREQUISITES: None


DURATION: 3, 6 weeks


COURSE OBJECTIVES (in order of importance)1. The practice on patients of clinical techniques to evaluate

vestibular function.

2. Emphasis on method of evaluation for differentialdiagnosis of vestibular disorders.

3. Review of the physiopathological principles underlying thedisorders of the vestibular system, including thephysiological basis of transduction in the labyrinth organs.

4. Review of the neuroanotomical pathways.

5. Review of the characteristics of neural coding of motion bythe nerve cells of the vestibulo-ocular reflex arc.

6. Review of identification of the main vestibular reflexes.

DESCRIPTION:

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Dizziness2. Tinnitus3. Hearing loss4. 5. 6. 7. 8.

INPATIENT: 0%OUTPATIENT: 100%

CONSULTATION:100%

CLOSE CONTACT WITH:X FULL TIME FACULTY

CLINICAL FACULTYX FELLOWSX RESIDENTS

INTERNSX OTHER Engineer/Programmer

APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 20-40

TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 20-40


AM

Neurotology Clinicwith Dr. Vicente

Honrubia

Laboratory includesone or several of thefollowing: Vestibular

testing in patients:neuroanatomy of the

vestibular system,hair cell

regeneration

Research Laboratory(see Tuesday AM)

Laboratory(see Tuesday AM)

Research Conference

PM

1:00 WeeklyNeurology Patient

Review(3:00 Laboratory

staff meeting)


Head & NeckSurgery Conference

Schedule


ON-CALL SCHEDULE & WEEKEND ACTIVITIES :


338

2001-20023/9/2001

SU206.04 DISEASES OF THE BREAST

Advanced Clinical Clerkship Location: CHS____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Helena R. Chang, M.D., Ph.D. (310) 794-9515

SUPPORTING FACULTY:D. Hiyama, D. McFadden, M. Nguyen, P. Schmidt, R.Bennion

STUDENT COORDINATOR: PHONE #:Sherry Goldman (310) 794-9515

REPORT TO:Call Breast Center - Mary @ 825-2144- to arrange start time


PREREQUISITES: Surgery Clerkship


DURATION: 3 weeks

2001-2002 ELECTIVES BEGIN WEEKS:1,5,8,11,14,17,20,27,30,33,36,39,42,45,48

1. Increase the knowledge of presentation, clinical evaluation,and appropriate treatment of diseases of the breast,including cancer, lumps, cysts, etc.

2. Provide emphasis on the surgical treatment of breastcancer, including preoperative, intraoperative, andpostoperative decision making.

3. Improve understanding of the systemic treatment of breastcancer.

4. Increase the student’s knowledge of breast cancerscreening.

5. Provide exposure to multidisciplinary clinics andconferences.

6. Increase the student’s confidence and ability to performbreast examination.

7. Provide interpretation of common radiologic studies usedin the evaluation of breast disease.

DESCRIPTION: The UCLA Breast Center has a comprehensive and multidisciplined program for women with all forms of breastproblems. The diagnostic program is designed for evaluation of lumps, cysts, breast pain, nipple discharge and mammographicabnormalities. The high risk program enrolls women who have a family history of breast cancer or other factors which significantlyincrease their risk. The multidisciplinary program is for women who have a diagnosis of breast cancer or are at a major decision intheir treatment.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Breast Cancer2. Breast Lumps3. Breast Cysts4. Mammographic Abnormalities5. Breast Pain6. Nipple Discharge7. Breast Reconstruction8. Breast Cancer Screening


CONSULTATION:100%

CLOSE CONTACT WITH: X FULL TIME FACULTY X CLINICAL FACULTY FELLOWS X RESIDENTS

INTERNS X OTHER Nurse Practitioner

APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 30 (2 per clinic)

TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 200


AM

8:30 – 12:00Diagnostic Breast

Clinic

7:30 - 12:00Operating Room


8:30 - 12:00Follow-up Program


8:30 - 12:00High Risk Program

8:30 - 12:00Diagnostic Breast

Clinic

PM

12:00 – 5:00Diagnostic Breast

Clinic


Program

12:00 - 5:00MultidisciplinaryBreast Program

3:00 - 4:00Multidisciplinary

Breast Conference


Program

1:00-5:00Diagnostic Breast

Clinic



339

2001-20023/9/2001

SU240.01 COMPREHENSIVE ONCOLOGY

Advanced Clinical Clerkship Location: HARBOR____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Hernan Vargas, M.D. (310) 222-6715

SUPPORTING FACULTY:Drs. J. Block, R. Chlebowski, P. Eubanks, S. French, S. Klein, H. Lin, B.Stabile, M. Stamos, M. Vargas, R. Venegas, S. Weinstein, & A.Zimmerman

STUDENT COORDINATOR: PHONE #:Juanita Navarette (310) 222-2760

REPORT TO: Hernan Vargas, Harbor-UCLA Medical Center,@ 8:00 am


PREREQUISITES: Medicine and Surgery, 3rd Year ClinicalClerkships


DURATION: 3 weeks

2001-2002 ELECTIVES BEGIN WEEKS:11,14,17,20,27,30,33,36,39,42,45,48

COURSE OBJECTIVES (in order of importance)1. Knowledge of the complexity of cancer diseases.

2. Understanding some of the new developments in molecular oncologyand medical genetics.

3. History and physical exam skills relevant to oncology. Interpretationof CT scans, MRIs, and mammography. Learning to apply T.N.M.staging.

4. Learn to analyze available data in order to plan an appropriatetreatment for oncology patients.

5. Involvement in the surgical care of cancer patients by participating inmultiple operative procedures, including abdominal surgery, breastsurgery, endocrine surgery, and soft tissue surgery.

6. Knowledge of the more commonly used chemotherapeutic drugs.

7. Knowledge of the performance of research in the oncology field,particularly in the evaluation of current oncology practice.

8. To appreciate and understand the doctor/patient relationshipestablished between the doctor and the oncology patient.

DESCRIPTION: Our interest in organizing this course is based on the current multimodality approach to cancer patients. Recentadvances in medical genetics, chemotherapy, surgery, and radiation therapy have changed the practice of oncology. It is essentialnow to have a broad view and comprehensive approach to the field of oncology and to oncology patients. It is in this light that wewould like to offer a course where patients are seen as part of a multidisciplinary approach. Students will be exposed to patient careand discussions about a multidisciplinary approach to oncology. Also, evaluation of the current practice of oncology byparticipation in ongoing research protocols is encouraged.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Breast cancer2. Colon cancer3. Stomach cancer4. Soft Tissue tumors5. Melanoma6. Endocrine tumors7. 8.


CONSULTATION:40%

CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNS

OTHER


TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 800 outpatients, 60 inpatients


AM

8:00 OperatingRoom Surgical

Oncology

8:00 Breast OncologyClinic

8:00 RadiationOncology

1. Implants2. Clinic

8:00 O.R. SurgicalOncology

8:00 MedicalOncology Clinic

PM

Operating RoomBreast Oncology

12:00 Breast SpecificTumor Board

Cancer GeneticsReview of

MultidisciplinaryApproach to Specific

Tumors

12:00 General TumorBoard

2:00 GeneralSurgical Oncology

Clinic

O.R. ColorectalSurgery

2:00 PathologyReview

2:00 Review andAssessment of the

Week



340

2001-20023/9/2001

SU290.01 OTOLARYNGOLOGY/HEAD & NECK SURGERY

Advanced Clinical Clerkship Location: HARBOR____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Rinaldo Canalis, M.D. (310) 222-2737

SUPPORTING FACULTY:Eliot Abemayor, M.D., Ph.D., Joel Sercarz, M.D.

STUDENT COORDINATOR: PHONE #:Catalina Carreon (310) 222-2737

REPORT TO: Head and Neck Clinic - 8:30 Main Hospital -Second Floor, Room 2F6.


PREREQUISITES: Surgery


DURATION: 3 weeks

2001-2002 ELECTIVES BEGIN WEEKS: 1,5,8,11,14,17,20,27,30,33,36,39,42,45,48

COMMON PROBLEMS/DISEASES1. Neck infections2. Otitis media3. Head and Neck cancer4. Maxillofacial fractures5. Laryngeal disorders6. Pediatric problems7. 8.

COURSE OBJECTIVES (in order of importance)1. Practical exposure to clinical otolaryngology.

2. Development of diagnostic skills and management ofroutine otolaryngological problems.

3. Improve basic surgical skills by direct surgical exposure tomajor cases and by undertaking minor procedures underdirect supervision.

4. Improved understanding of the roles of audiology andspeech pathology in the management of head and neckrelated problems.

DESCRIPTION: The student will be able to see and evaluate, under direct supervision of both the housestaff and faculty, a largevariety of ENT problems. The service is very active. Conferences are held on Wednesdays. GrandRounds at Harbor are followed bythe Head and Neck Professor’s conference and the Otological conference at UCLA.

STUDENT EXPERIENCESINPATIENT: 0%OUTPATIENT: 100%

CONSULTATION:10%

CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTY

FELLOWSX RESIDENTS

INTERNSOTHER

APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 100



AM

7:30 Rounds

9:00-10:00Audiology

10:00 – 12:00Clinic

7:30 Rounds

9:00 - 10:00Operating Room.

10:00 - 12:00Clinic

7:30 Rounds

9:00 - 10:00Problems Conference

Special Lecture

7:30 Grand Rounds


7:30 Rounds

9:00 - 10:00Clinic

PM

1:00 - 4:00Clinic

4:30 Rounds

1:00 - 4:00Clinic

4:30 Rounds

1:00 - 4:00Tumor Board -UCLA Otology

Conference

1:00 - 4:00Clinic

4:30 Rounds

1:00 - 4:00Clinic

4:30 Rounds


ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS : For 4-week course, list 2 consecutive time blocks in anInclusion Group.

341

2001-20023/9/2001

SU290.03 HEAD AND NECK SURGERY

Advanced Clerkship Location: OVH____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Akira Ishiyama, M.D. (818) 364-1555 ext6221

SUPPORTING FACULTY:Dan Castro, M.D.

STUDENT COORDINATOR: PHONE #:Ed Caron (818) 364-3194

REPORT TO: Judy Cruz, Olive View Med. Ctr. - Dept. ofSurgery, Rm 2B156 at 8:00 am


PREREQUISITES: Surgery


DURATION: 2 weeks

2001-2002 ELECTIVES BEGIN WEEKS:1,3,5,7,9,11,13,15,17,19,21,23,25,27,29,31,33,35,37,39,41,43,45,4

COURSE OBJECTIVES (in order of importance)1. Knowledge of frequently encountered disorders of the head

& neck, including congenital anomalies, infections, &neoplasms.

2. Thorough evaluation of patients w/head & neck diseases,including pertinent history & complete examination of thehead & neck. Instruction in the use of head mirror,fiberoptic endoscopes, & microscopic otoscopy.

3. Appropriate work-up, diagnosis, & treatment of patientswith cancer of the head & neck.

4. Interpretation of basic head & neck X-Ray studies,audiograms, common microbiology lab results, &pathology.

5. Participation in surgical cases as an integral part of theoperating team. Knowledge of basic techniques of directlaryngoscopy, wound closure, & knot-tying. Observationof a variety of operations performed by the head & necksurgery team during the clerkship.

DESCRIPTION: The Head and Neck Surgery service at OVH-Medical Center has a busy outpatient clinic as well as OR schedule.Consultations are also done from all services in the hospital. A variety of disorders are seen, ranging from common ear, nose, andthroat diseases to rare tumors and infections. Emphasis is placed on learning to perform a complete head and neck evaluation andexamination through the use of head mirrors and fiberoptic scopes. Teaching conferences with Rad. & Path. are held.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Tonsillitis2. Otitis media and externa3. Hearing loss4. Sinusitis, acute and chronic5. Allergic rhinitis6. Epistaxis7. Cancer of head and neck8. Facial trauma, and reconstructive problems


CONSULTATION:75%


CLINICAL FACULTYFELLOWS

X RESIDENTSINTERNSOTHER




AM

8:00-12:00ENT Clinic

8:00-12:00ENT Clinic and/orOperating Room

8:00-l0:00ENT Clinic

10:00-11:00Teaching conference

radiology orpathology



PM

1:00-5:00Operating Room;

Inpatient and ConsultRounds

1:00-4:00Operating Room

4:00-5:00Attending Rounds

1:00-3:00Tumor Board, UCLA200 Medical Plaza

Ste. 550

3:00-5:00Basic Science

Lecture series, CHS

1:00-5:00Clinic and/or MinorProcedure Room;

Inpatient andConsults Rounds

1:00-4:00Operating Room

4:00-5:00Attending Rounds

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : NONE

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: This clerkship provides an outstanding opportunity for theinterested student to evaluate and manage a wide variety of head and neck disorders. The county population served by OVH-UCLA Medical Center manifestsboth common disease (ear, sinus infections, t onsillitis) and unusual tumors (parotid neoplasms, cancer of the aerodigestive tract, congenital anomalies).There are only 2 head and neck residents assigned to this hospital so there is ample opportunity for students to participate actively in both the clinic and theO.R. This course will be useful for students interested in pursuing both.

342

Location: ASSOC ( S.M. Hoefflin Office)2001-20023/9/2001

SU291.01 OFFICE PLASTIC SURGERY, ELECTIVE

Advanced Clerkship____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Steven M. Hoefflin, M.D., F.A.C.S. (310) 451-4733

(310) 451-4954

SUPPORTING FACULTY:

STUDENT COORDINATOR: PHONE #:Ed Sorourian (310) 451-4733

REPORT TO: Dr. Hoefflin, The Hoefflin Bldg., 1530 ArizonaAve, Santa Monica @ 9:00 am


PREREQUISITES: Medicine and Surgery


DURATION: 3 weeks (6 weeks by arrangement)


1. To learn basic wound care skills

2. To learn basic suturing techniques

3. To observe a large private plastic surgical office setting andcoordination of a 26-member healthcare team of plasticsnursing, anesthesia, surgical, fellows, secretarial staff, andO.R., and to be a part of that team.

4. To learn the proper preoperative preparation of a patient,especially emotional as well as physical.

5. To learn the factors in providing patients with an enjoyableanesthesia and surgical experience.

6. To learn to eliminate pain both during and after surgerywith the proper use of local anesthesia and nerve blocks

7. To learn proper intraoperative care of patients (warmingfluids, anesthesia techniques, postop care, etc.)

8. To learn clinical photography techniques

9. To complete at least one clinical paper in a voluminouspublication setting

10. Time for reading and research

11. Utilization of health care team

12. Cost effectivenessDESCRIPTION: Students will learn assessment and management of patients in a plastic surgery office surgical facility setting.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Facial Dermatochalasis2. Bilateral Blepharochalasis3. Lipomatosis, various sites4. Mastodynia; Micrognathia5. Caring for preop prep. of elective patients6. Treating common intraoperative problems7. Managing wound car and scarring problems8. Optimizing patient’s total experience


CONSULTATION:10%


CLINICAL FACULTYFELLOWSRESIDENTSINTERNSOTHER




AM


8:00 - 12:00Patient Consultations




PM






ON-CALL SCHEDULE & WEEKEND ACTIVITIES : None


343

2001-20023/9/2001

SU299.01 BAROMEDICINE

Advanced Clinical Clerkship Location: ASSOC____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Michael B. Strauss, M.D (562) 933-6951

SUPPORTING FACULTY:George B. Hart, M.D., F.A.C.S

STUDENT COORDINATOR: PHONE #:Celia Loney (562) 933-6951

REPORT TO:Celia Loney, Long Beach Memorial Medical Center, 6th




DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Recognize the indications for, complications of, hazards of,

and contraindications to hyperbaric oxygen (HBO).

2. Understand the application of and time for HBO in life andlimb treating diseases.

3. Learn the optimal management of complex wounds.

4. Continue to develop skills in acquiring and recordinghistory and physical examinations, progress notes, andprocedures with special emphasis on the baromedicalevaluation.

5. Understand the gas laws and physiology of oxygen,nitrogen, carbon dioxide, and carbon monoxide.

6. Learn the pharmacological effects of HBO and which drugsare antagonistic or synergistic with HBO.

7. Gain an understanding of diving medical conditions.

8. Demonstrate knowledge and hands on operation of ahyperbaric chamber with adaptation of physiologicalmonitoring and life support systems.

DESCRIPTION: Long Beach Memorial Medical Center's Baromedical Department has five monoplace hyperbaric chambers, threeof which are adapted to support the critically ill patient. The Department treats 200-350 patients per year and carries ongoingprojects in clinical and basic research in hyperbaric oxygen therapy. Students are expected to be knowledgeable in medicine,surgery, physiology, and bacteriology. They will assist in the management of critically ill patient as well as those suffering fromchronic disorders, especially non-healing wounds.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Non-healing wounds, osteomyelitis2. Carbon monoxide poisoning3. Burns and compromised flaps4. Radiation injuries5. Crush injuries, compartment syndrome6. Neurological disorders7. Diving accidents8.


CONSULTATION:80%

CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSX OTHER Pharmacists,Dietitians,Wound Care Nurse Specialists,Hyperbaric Nursing Specialist




AM

8:00 Report in10:00 Entrance

Inter-.view & ObjectivesRounds (Patient

Allocation)11:00 Research/Project Meeting

7:30 HBO/Woundcare Rounds

Tutorial:(Osteomyelitis)Noon: SurgeryGrand Rounds

8:00 OrthopaedicRounds (H/UCLA

MC)Patient Review and

Service ReportPreceptorship

(Outpatient WoundCare)

8:00 Work RoundsPatient Review and

Service ReportPreceptorship

(Outpatient WoundCare & HBO)

8:00 PediatricGrand Rounds

Patient Review andService ReportMini-Rounds

Tutorial:(Infections)

Noon: LunchMeeting

PM

1:00 Tutorial: (HBOIndications and Side

Effects)

2:00 Preceptorship(Outpatient Wound

Care and HBO)

1:00 Tutorial:(Crush injury)

2:00 Reading, WorkRounds, Research

Projects

1:00 Tutorial:(Complicated

Wounds)2:00 Visitations: Dr.

Borer’s Lab3:00 Reading, WorkRounds, Research

Projects

Surgery, Reading,Research or Work

Rounds

Tutorial: (COPoisoning, Neuro

conditions)

Tutorial: (DivingMedicine)

Reading, WorkRounds, Research,

Projects; ExitInterviews

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Elective on-call for the students’ special interest(s), e.g., carbon monoxidepoisoning, diving accidents.

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Grand Rounds are held weekly on Tuesday mornings.They expose students to a multidisciplinary approach to wound care and the other uses of hyperbaric oxygen. There areopportunities for both clinical and basic research in this field. Those interested in such projects should contact the department priorto rotation in order to make the best use of their time. Attempts are made to schedule the clerkship with our quarterly OrientationCourse in Hyperbaric Medicine.

344

SU310.02 GENERAL VASCULAR SURGERY2001-20023/9/2001Subinternship Location: Harbor

COURSE CHAIR: PHONE #:Christian de Virgilio, M.D. (310) 222-2531

SUPPORTING FACULTY:Drs. Carlos Donayre & Rodney White

STUDENT COORDINATOR: PHONE #:Loren Miyamoto (310) 222-2702

REPORT TO: Dr. Christian de Virgilio, Harbor-UCLAMedical Center, 1 - East Surgery Bldg., Rm. 1, 9:00 a.m.




DURATION: 3 weeks

2000 - 2001 ELECTIVES BEGIN WEEKS: 1,5,8,11,14,17,20,30,33,36,39,42,45,48

COURSE OBJECTIVES (in order of importance)1. To develop skills in the pre- and postoperative managmenet

of vascular surgery patients.

2. To develop knowledge in the diagnosis and management ofclaudication, carotid disease, aneurysms, acute limbaschemia and diabetic foot infections.

3. To develop an understanding of radiographicinterpretation of vascular disease.

4. To develop an understanding of cardiac risk assessmentand risk/benefit ratios of various vascular surgicalprocedures through twice weekly didactic sessions andliterature review.

INTRODUCTION: The course is primarily designed for students interested in advance study in vascular disease, particularly forthose planning a surgical career. However, the course welcomes other students, especilally those planning primary care careers,who wish to gain more knowledge of common vascular disorders. The course will be appropriately tailored to the student's careergoals.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Aortic aneurysm (endovascular)2. Diabetic foot infections3. Acute limb ischemia4. Cerebrovascular disease5. Claudication6. Hemodialysis acess7.8.


CONSULTATION:10%


CLINICAL FACULTYFELLOWS

X RESIDENTSX INTERNS

OTHER




AM

6:30 – 7:30Ward Rounds

8:00 – 4:00Operating Room


8:00 – 2:00Endovascular Suite

6:30 – 7:30Ward Rounds7:30 – 8:30

Grand Rounds8:30 – 10:00

M&M Conference10:00 – 11:00

Vasc. /Rad. Conference


8:00 – 2:00Endovascular Suite


PM Evening Rounds

2:00 – 3:00Didactic Session

Evening Rounds

1:00 – 5:00Vas/Surgery Clinic

Evening Rounds Evening Rounds

2:00 – 3:00Didactic Session

Evening Rounds

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Variable according to case load.


346

2001-20023/9/2001

SU320.01 GENERAL SURGERY-TRAUMA & EMERGENCY

Subinternship Location: KDMC____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Arthur W. Fleming, M.D. (310) 668-4521

SUPPORTING FACULTY:Delford G. Williams III, M.D.

STUDENT COORDINATOR: PHONE #:Delford G. Williams III, M.D. (310) 668-4419

REPORT TO:MLK, Room #1053 A & B - 7:00 AM.

AVAILABLE TO EXTERNS: No



DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Ability to perform a thorough evaluation of the traumatized

and emergency patient, to establish priorities ofmanagement.

2. Patient evaluation and pre- and post-operativemanagement.

3. Perform initial and follow-up outpatient evaluation.

4. Demonstration of proper knowledge of important aspects ofdiagnosis and operative procedures on patients personallyevaluated.

5. Demonstration of proficiency for the diagnosis andmanagement of common emergency surgical problem.

DESCRIPTION:

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Multiple trauma2. Gunshot wounds and stab wounds3. Blunt abdominal trauma4. Appendicitis5. Perforated ulcer6. Acute cholecystitis7. Intestinal obstruction8.


CONSULTATION:10%

CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSX OTHER Physician Assistants




AM

6:00 Ward Roundsw/ Resident Team

7:00 Morning reportRoom 1053 MLK

8:00 - 11:00 Ward


7:00 Morning ReportRoom 1053 MLK

8:00 - 11:00 Ward



MS Primary CareClinic or Wardresponsibilities



MS Primary CareClinic or Wardresponsibilities


Morning Report Pre/Post Op Conf.-

Hudson AuditoriumGrand Rounds M &

MConference Room

MS Attending WardRnds

PM

12:00 Lunch

1:00 - 4:00Ward Responsibilities

5:00 - 6:00Anatomy MLK Rm.

1053

12:00 Lunch


12:00 Lunch


Journal Club 3006MLK (Every 3rd

Wed.)

12:00 Lunch


12:00 Lunch

Tutorial Rm 3006MLK

2:00 WardResponsibility

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : On call 2 nights/week as integral part of a general surgery trauma team.

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: In a County Hospital environment, this rotation willhighlight trauma care and emergency surgical problems of the socio-economically disadvantaged people.

347

2001-20023/9/2001

SU320.02 INTRODUCTION TO TRAUMA PATIENT MANAGEMENT

Subinternship Location: HARBOR____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Stanley Klein, M.D. (310) 222-2795

SUPPORTING FACULTY:Marianne Gausche, M.D.

STUDENT COORDINATOR: PHONE #:Teresa Scanlon (310) 222-2795

REPORT TO:Harbor-UCLA Main Unit, 3rd floor, Room 36, 0830 on 1st


PREREQUISITES: Completion of 3rd year Medicine &Surgery Electives


DURATION: 3 weeks

2001-2002 ELECTIVES BEGIN WEEKS: 1,5,8,11,14,17,20,27,30,33,36,39,42,45,48

COURSE OBJECTIVES (in order of importance)1. Ability to perform a thorough evaluation of the traumatized

and emergency patient; to establish priorities ofmanagement.

2. To increase knowledge and skills in patient evaluation andpre- and post-operative management.

3. Demonstration of proficiency for the diagnosis andmanagement of the multiply injured patient.

4. Learn to evaluate the injured patient in the pre-hospitalsetting. This includes triage of the patient to the inpatientphase of care.

5. Students will learn the concepts stated in Advanced TraumaLife Support from the American College of SurgeonsCommittee on Trauma

DESCRIPTION: This elective will give the student the opportunity to study comprehensive care of the surgical patient. There will beexposure to all phases by working in the field with paramedics and analyzing patient management at several conferences.Concomitantly the student will be assigned to the Orange (Trauma) Surgery Service to assist in the management of patients duringtheir in-hospital phase. Course didactic material will emphasize principles outlined in the Advanced Trauma Life Support (ATLS)manual. During the course and the rotation, the student will attend several weekly conferences where the care and outcome ofpatient management is reviewed.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Blunt traumatic injury2. Motor vehicular accidents3. Falls4. Penetrating injury5. Gunshot wounds6. Stab wounds7. 8.

INPATIENT: 80%OUTPATIENT: 20%(field)CONSULTATION:

0%


CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNS

OTHER




AM

Rounds

Clinical work

Rounds

Trauma Call

Critical CareConference

MorbidityConference

Rounds

Rounds Rounds

PM

Paramedic TapeReview

Paramedic RideAlong

Clinical work Paramedic RrideAlong

Clinical Work

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Will follow in-patients and be on-call as scheduled. Paramedic ride alongwill include weekend activity.

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS : None.

348

2001-20023/9/2001

SU350.02 GENERAL SURGERY

Subinternship Location: OVH____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Jesse E. Thompson, M.D. (818) 364-3194

SUPPORTING FACULTY: Drs. Robert Bennion, C. Chandler, O. Joe Hines, DarrylHiyama, Michael Farooq, Paul Schmit & Holly Williams


REPORT TO: Olive View Medical Center, Dept. of Surgery,14445 Olive View Dr., Sylmar, CA 91342, Rm 2B156.


PREREQUISITES: Medicine, Surgery


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Management and evaluation and therapy of common

surgical problems and diseases.

2. Improvement in surgical judgment and indications forsurgery.

3. Knowledge of appendicitis, cholelithiasis, breast masses,thyroid masses, atherosclerosis, GI problems in both adultsand children.

4. Technical training in minor surgical procedures, handlingof tissue, intubation, sigmoidoscopy.

DESCRIPTION: This elective is on a very busy general surgery service in a county hospital setting. All aspects of general surgeryincluding pediatric, vascular, and thoracic are included in the patient base. This course is designed for the student interested in acareer in surgery or family practice who desires further exposure to fundamental surgical problems. The course will be tailored tomeet each individual student’s goals, expectations, and plans.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Appendicitis2. Cholelithiasis3. Acute abdomen4. Rectal, colon5. Pediatric problems6. Claudication, other vascular problems7. Breast masses8. Trauma


CONSULTATION:25%


FELLOWSX RESIDENTS

INTERNSOTHER




AM

6:30 Ward Rounds


or Pediatric surgeryClinic

6:30 Ward Rounds

7:30 AttendingRounds

9:00 - 12:00 Clinic(Vascular or Rectal)

12:00 FacultyLecture

6:30 Ward Rounds


7:30 AttendingConference

10:00 Tutorial orIndependent Study

12:00 - 1:00 GIConference(alternate)

6:30 Ward Rounds


PM

1:00 - 4:00General Surgery

Clinic

1:00 - 4:00Breast Clinic

3:00 -4:00Chest Conference

(alternate)

1:00 - 2:00Tumor Board


Clinic Clinic

Operating Room.Or

Independent Study

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Flexible

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: The Surgical Service provides a spectrum of opportunitiesin General, Pediatric, Vascular, and Thoracic Surgery, and the student is encouraged to utilize any and/or all aspects of the serviceto make this rotation meaningful and pertinent to his/her ultimate career plans. Regularly scheduled conferences, Rounds, lecturesand tutorials are available to supplement the clinical exposure.

349

SU350.03 ELECTIVE GENERAL SURGERY2001-20023/9/2001Subinternship Location: KAISER.SUN

____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Theodore X. O'Connell, M.D. (323) 783-4924

SUPPORTING FACULTY:Drs. Richard Donazio, J. Michael Guenthen, HarryApplebaum,

STUDENT COORDINATOR: PHONE #:Hilma Balaian (323) 783-5442

REPORT TO: Hilma Balaian, 4747 Sunset, 3rd Floor, Dept.of Surgery, at 8:00 a.m.




DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Improve medical judgement, analysis of medical data and

synthesis of information

2. Diagnosis and management of primary surgical problemsand tertiary cases.

3. Provide in-depth understanding and practical applicationof the prinicples of general surgery.

4. Learn wound management.

5. Learn to mangage post op pain.

6. Evaluate acute surgical emergencies.

DESCRIPTION: The elective is designed for those students who wish a greater in-depth understanding and practical application ofthe principles of general surgery. This is accomplished by a high volume general surgical service, including a unique mixture ofboth primary surgical problems such as hernia, gallbladder, etc. and tertiary care cases referred from other Kaiser hospitals,including sarcomas, major pediatric surgery, hepatic resections, etc. Students will be fully integrated to our ACGME approvedSurgical Residency Training Program. Each of these services is small generally consisting of one attending, one senior resident, onejunior resident and a medical student when available. These small services make for maximum communication interaction and an

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Breast carcinoma2. Colon carcinoma3. Inguinal hernia4. Cholecystitis5. Appendicitis6. Peripheral vascular disease7. Pediatric surgical problems8. Lung cancer


CONSULTATION:100%

CLOSE CONTACT WITH:FULL TIME FACULTY

X CLINICAL FACULTYFELLOWS

X RESIDENTSX INTERNS

OTHER




AM

Work Rounds

Attending Rounds

Surgical OutpatientClinic

Work Rounds

Conferences:1. Medical Conf.2. Grand Rounds3. M&M

Work Rounds

Attending Rounds

Surgery Clinic

Work Rounds

Operating Room

Attending Rounds

GI Conference

Work Rounds

Attending Rounds

Surgery Clinic

PM

Operating Room

Work Rounds

Attending Rounds

Operating Room

Work Rounds

Ambulatory Surgery

Work Rounds

Surgery Clinic

Work Rounds

Operating Room

Work Rounds

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : On-call with team assigned approximately 4-5 nights. Saturday A.M. roundsand conference.

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: No stipends on housing. On-call rooms, parking, andmeals provided.

350

2001-20023/9/2001

SU362.01 NEUROSURGERY

Subinternship Location: CHS____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Donald P. Becker, M.D (310) 206-8093

SUPPORTING FACULTY:Drs. Batzdorf, Bergsneider, DeSalles, Edelman, Feldman, Filler, Frazee,Fried, Hovda, Johnson, Kelly, Lazareff, Lee, Liau, Martin, Mathern,McBride, Rubino & Vespa

STUDENT COORDINATOR: PHONE #:Patricia Macdonald (310) 206-8093

REPORT TO:Patricia Macdonald’s office, Room 17-382 NPI


PREREQUISITES: Medicine, Surgery, Radiology


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Acquisition of knowledge of neurosurgical conditions

expanded beyond the core clerkship exposure.

2. Improvement in the assessment of neurosurgical problems.

3. Development of understanding of surgical treatment ofneurological disease, including pain.

4. Development of judgment of selection of operativetreatment.

5. Familiarity with diagnostic armamentarium.

6. Understanding of risks and complications of neurosurgicalprocedures.

7. Training in pre- and post-operative care with emphasisupon common problems.

8. Preparation of short scientific presentations, both writtenand oral.

DESCRIPTION:

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Spinal degenerative joint disease2. Intracranial masses3. Pain problems4. CNS trauma5. Congenital defects6. Hydrocephalus7. Intracranial vascular disease8.


CONSULTATION:0%

CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSX OTHER Nurse practitioners


TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 175+


AM

5:45 - 7:00Rounds

OR 7:30 followingAttend Out-Patient

Clinic

5:45 - 7:00RoundsOR 7:30 followingattend Out-Patient

Clinic10:00 - 11:00

Brain Tumor Board200MP, B2 Conf.

Rm

5:45 - 7:00Rounds7:15 Case

Presentations

Surgery GrandRds**

11:00 ICU TeachingRounds

Noon Chief ResidentMeeting

5:45 - 7:00RoundsOR 7:30 followingattend Out-Patient

Clinic

5:45 - 7:00 RoundsOR 7:30

8:00 NeurovascularConference

Radiology ReadingRoom,

B level CHS

PM

5:00 Spine Conference6:00 Rounds

Attend OP Clinic

Neuromuscular Conf.Room 18-126 BRI;

4:00 - 6:00Brain Slicing Rm.

18-126 BRI6:00 Rounds

1:00 - 4:00Resident’s Clinic 300

MP, B2004:30 - 6:00

Neurosurgery GrandRounds***

6:00 Rounds

5:30 Pituitary Conf.1x month

6:00 Rounds

6:00 Rounds

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : On-call every 3rd- 4th day. Saturday and Sunday 6:15 -7:00a.m. and 6:00 -7:30 p.m. Rounds in addition to 9:30 Resident’s conf. Saturdays 1S conf. room.

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: *M & M conf 2nd Wed of every month, 1S conf. room;**Surgery grand rds 73-105 CHS; ***Neurosurgery Grand Rounds – 7th floor classroom (73-105 CHS)

351

2001-20023/9/2001

SU362.02 NEUROSURGERY

Subinternship Location: HARBOR____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Duncan Q. McBride, M.D (310) 222-2754

SUPPORTING FACULTY:UCLA Neurosurgery Faculty

STUDENT COORDINATOR: PHONE #:Lucia Miller (310) 222-2754

REPORT TO:Chief Resident, Main Building, 6th West, 6:30 AM.


PREREQUISITES: Surgery, Neurology, Medicine


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Perform adequate neurological examination.

2. Formulate plan for treatment in patients with acuteneurological disease.

3. Learn indications for and basic interpretations ofspecialized neuroradiological procedures.

4. Learn pre-operative, postoperative, and intra-operativecare.

DESCRIPTION:

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Head Injury2. Subarachnoid Hemorrhage3. Spine Injury4. Cerebrovascular disease5. Brain Tumors6. Nervous System Infections.


CONSULTATION:20%

CLOSE CONTACT WITH: X FULL TIME FACULTY X CLINICAL FACULTY

FELLOWS X RESIDENTS X INTERNS

OTHER




AM

6:30 – 8:00 Ward Rounds





8:30 – 10:00 Patient Evaluations



8:00 – 9:00Neuroradiology

Conf.9:00 –11:00Neurology/

Neurosurgery Conf.11:00 - 12:00

NeuropathologyConf.

PM

1 - 4 Work up of newAdmissions

4 - 6 AttendingRounds

1 - 3 Work up of newAdmissions

4 - 6 EveningRounds

4 - 6 NeurosurgeryConference UCLA


12:00 Journal Club

1:00 – 4:00Neurosurgery Clinic

4:30 – 6:00Attending RoundsON-CALL SCHEDULE & WEEKEND ACTIVITIES : On-call every 3rd day and night along with neurosurgery resident. Saturday

and Sunday Neurosurgery Rounds, 9:00 - 11:00 a.m.ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:

352

2001-20026/5/2001

SU386.01 PEDIATRIC SURGERY


COURSE CHAIR: PHONE #:Eric W. Fonkalsrud, M.D. (310)-825-6712

SUPPORTING FACULTY:James B. Atkinson, M.D., Holly Williams, M.D.,Anthony Shaw, M.D. James Ounn, M.D.

STUDENT COORDINATOR: PHONE #:Rebecca Bernstein (310)-825-6643

REPORT TO:Rebecca Bernstein, 72-229 CHS @ 7:30 a.m.




DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. To provide experience/knowledge of out-patient and in-

patient pediatric surgical care.

2. Knowledge of pediatric pre- and post-operative care ofmost common and important disorders including:anomalies of the inguinal canal, newborn malformations,gastrointestinal disorders, neoplasms, and a variety ofthoracic disorders.

3. Knowledge of clinical background and physicalexamination.

4. Knowledge of appropriate diagnostic techniques.

5. Knowledge of pediatric operative management of mostcommon disorders.

6. To provide exposure to pediatric surgery research.

DESCRIPTION: An individual study in Pediatric Surgery at the UCLA Medical Center. The student will participate in lectures,conferences, clinics, ward Rounds, and assist in patient care, including emergency call responsibilities. The student may alsoparticipate in ongoing research projects being carried out by Research Fellows in the Division of Pediatric Surgery.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Hernias2. Newborn intestinal and thoracic

malformations3. Gastroesophageal reflux4. Inflammatory bowel disease5. Appendicitis6. Pediatric thoracic disorders7. Abdominal & thoracic neoplasms


CONSULTATION:90%


FELLOWSX RESIDENTSX INTERNSX OTHER Administrator




AM

6:30 - 7:30Rounds w/ Pediatric

Housestaff

Outpatient Clinic


Housestaff

7:30 OperatingRoom


Housestaff

7:15-8:15Dept. Surgery Conf.

Operating Room


Housestaff

7:30 OperatingRoom


Housestaff

8:00 PediatricGrand Rounds

9:00 OperatingRoom

PM

1:00 Outpatients inSurgery

3:30 Tutorial5:00 M&MConference

Outpatient Clinic

4:30 – 6:00Pediatric Surgery

Conference

Outpatient Clinic

Operating Room

Outpatient Clinic

Operating Room

Surgery Clinic

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Participate in Emergency operations and surgical care. Morbidity andMortality Conference Mon. 5:00 p.m. General Surgery Education Conference, Sat. 8:00-10:00 (General Surgery Grand Rounds)

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS : The student will give a brief oral presentation on sometopic of his/her choosing in Pediatric Surgery during the last week of his/her rotation.

353

DURATION: 2, 3, 6 weeks (By Arrangement for 3 or 6 weeks)

2001-20023/9/2001

SU390.01 HEAD & NECK SURGERY


COURSE CHAIR: PHONE #:Gerald S. Berke, M.D. (310) 825-5179

SUPPORTING FACULTY:Drs. Elliot Abermayor, Thomas Calcaterra, and others

STUDENT COORDINATOR: PHONE #:Gale Shornick (310) 825-4551

REPORT TO:Anne Clerke, R.N. (Head Nurse), 200 Medical Plaza, Suite




2001-2002 ELECTIVES BEGIN WEEKS:1,3,5,7,9,11,13,15,17,19,21,23,25,27,29,31,33,35,37,39,41,43,45,47

COURSE OBJECTIVES (in order of importance)1. Increase skills in physical examination of the head and

neck.

2. Become familiar with benign and malignant neoplasms ofthe head and neck.

3. Learn the most efficient methods of diagnosing andevaluating head and neck neoplasms.

4. Learn how to do a thorough history, physical examination,and laboratory evaluation of the dizzy patient.

5. Learn how to do a thorough history, physical examination,and laboratory evaluation of the hearing loss patient.

6. Learn to recognize and treat common ear diseases andinfectious diseases of the head and neck.

7. Learn the basic principles of facial cosmetic surgery.

8. Learn how to evaluate pediatric airways.

9. Learn how to evaluate common pediatric problems relatedto the upper aerodigestive tract.

DESCRIPTION: Students participate on the active in- and out-patient Services in Head and Neck Surgery as well as in the care ofpatients seen in the Operating Room at UCLA. Didactic training on Wednesday afternoons includes Tumor Board and Otology,Audiology, Oncology, Facial Plastic and Reconstruction conferences..

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Ears2. Sinuses3. Neoplasias of the Head and Neck4. Bronchoesophagology5. Laryngology6. 7. 8.


CONSULTATION:50%


CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSX OTHER Nursing staff




AM

6:30 6W Round

8:00 Clinic

6:30 6W Round

8:00 Surgery

6:30 6W Teaching Rounds with Dr.

Berke

7:30 Surgery Grand Rounds

8:00 Clinic

6:30 6W Round

8:00 Clinic

6:30 6W Round

8:00 Clinic

PM

1:00 Clinic

5:00 Rounds

1:00 Clinic

5:00 Rounds

1:00 - 6:00Conferences

1:00 Clinic

5:00 Rounds

1:00 Clinic

5:00 Rounds

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Fourth year students are not required to be on-call. Basic Science coursesare held on Wednesday afternoons.

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS : In case of student overload, expect to be rotated toanother hospital facility in order to benefit student.

354

2001-20023/9/2001

SU390.02 ADVANCED OTOLARYNGOLOGY CLERKSHIP

Subinternship Location: KDMC____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Gus Gill, M.D (310) 668-4536

SUPPORTING FACULTY:

STUDENT COORDINATOR: PHONE #:Jimmy J. Brown, M.D. (310) 668-4536

REPORT TO:MLK Hospital, ENT Clinic - 5004, 8:00 AM.


PREREQUISITES: Otolaryngology Clerkship, Surgery andMedicine


DURATION: 2 weeks


COURSE OBJECTIVES (in order of importance)1. Knowledge of the pathogenesis, diagnosis, and

management of common otolaryngology problems, e.g.,sinusitis, epistaxis, dizziness, head and neck cancer: facialplastic surgery.

2. Interpretation of laboratory aids, CT, routine sinus x-rays,audiograms, etc.

3. Medical judgment, analysis and synthesis of information

4. Detailed history and physical examination

5. Management of minor trauma to face,nasal fracture, faciallacerations

6. Appreciation of spectrum of disease managed byotolaryngologist

DESCRIPTION: This course will allow the student to further enhance knowledge and skills in Otolaryngology. Patientresponsibility will be increased and a broader range of diseases will be discussed.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Sinusitis2. Hearing loss3. Nose bleed4. Dizziness5. Head and neck surgery6. Facial plastic surgery7. Tonsillitis8. Chronic ear disease


CONSULTATION:20%


FELLOWSX RESIDENTSX INTERNSX OTHER PA, Audiologist, Speech

therapist




AM

7:00 Rounds

9:00 - 12:00Clinic/Surgery

7:00 Rounds

9:00 -12:00Clinic/Surgery

7:00 Rounds

8:00 - 10:00Resident Staff

Lecture

10:00 - 12:00Grand Rounds

7:00 Rounds

9:00 -12:00Clinic/Surgery

7:00 Rounds

8:00 Radiology,Pathology, M.M.

PM

1:00 - 4:00Clinic Patient

Workups

1:00 - 4:00Clinic Audiology

Examinations

1:00 - 2:00Tumor Board

2:00 - 4:00UCLA Conference

1:00 - 4:00Clinic Speech

Pathology

1:00 - 4:00Clinic



355

2001-20026/5/2001

SU391.01 PLASTIC, RECONSTRUCTIVE & MAXILLOFACIAL SURGERY


COURSE CHAIR: PHONE #:William Shaw, M.D. (310) 794-9726

SUPPORTING FACULTY:Drs. P. Benhaim, A. Dalio, M. Hedrick, N. Jones, H. Kawamoto,M. Lesavoy, T. Miller, B. Markowitz, G. Rudkin, J. Watson, & P.

STUDENT COORDINATOR: PHONE #:Rebecca Bernstein (310) 825-6643

REPORT TO:Rebecca Bernstein 72-229 CHS, 7:30am


PREREQUISITES: Surgery and Medicine


DURATION: 3 weeks


COURSE OBJECTIVES (in order ofimportance)1. Exposure to scope of problems encountered in the field of

plastic and reconstructive surgery: head & neckreconstruction, management of burns, hand injuries,congenital deformities, breast reconstruction, aestheticsurgery, microvascular surgery.

1. Knowledge in basic surgical sciences: wound healing,suturing techniques, skin grafting, cutaneous andmusculotaneous flaps.

2. Surgical judgment in deciding appropriate treatment of in-and out-patients.

4. Assume responsibility, under supervision, for the total careof selected patients.

DESCRIPTION: This elective offers exposure to a wide variety of plastic surgery problems and operative techniques, from complexcraniofacial or microsurgical reconstructions to routine out-patient cosmetic surgery. Extern's role can be flexible depending uponinterest and background. Some experience in plastic surgical suturing is likely in the OR and in the ER.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Congenital anomalies2. Trauma3. Microsurgery4. Hand surgery5. Head & Neck reconstruction6. Breast Surgery7. Aesthetic surgery8. Wound healing


CONSULTATION:40%

CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSX OTHER




AM

7:30 OperatingRoom

7:30 OperatingRoom

7:00 IntegratedTeaching Rounds

Surgery GrandRounds

Operating Room

7:30 OperatingRoom

7:30 OperatingRoom

PM

1:00 OperatingRoom

1:00 OperatingRoom

5:00 - 6:00Combined Plastic &

Orthopedic HandConference

Craniofacial Clinic Clinic

5:30 - 7:30Weekly Conference

Plastic SurgeryClinic

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Saturday & Sunday morning Rounds and scheduled conferences. On-callschedule will be given by the chief resident.

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS : Informal oral presentations. Attendance at teachingRounds and conferences. Assisting with patients in the plastic surgery clinic course curriculum available upon request.

356

2001-20023/9/2001

SU391.02 PLASTIC & RECONSTRUCTIVE SURGERY

Subinternship Location: WEST LA VA____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Timothy Miller, M.D. (310) 825-5644

(310) 268-3427

SUPPORTING FACULTY:George Rudkin, M.D


REPORT TO:Chief Plastic Surgery Resident @ VA Medical Center


PREREQUISITES: Surgery & Medicine (Must pick uphandout material on first day of rotation.)



COURSE OBJECTIVES (in order of importance)1. The instruction of an approach to the management of large

surgical defects and their closure by all varieties ofmethods; In particular, the selection of flaps, includingmyocutaneous, random and arterial flaps.

2. Emphasis is placed on surgical anatomy and its relevanceto the performance of aesthetic and reconstructive surgery.

3. An appreciation of the scope of plastic surgery and allvarieties of reconstruction of large defects created byexcision of cancers of the head and neck, extremities as wellas aesthetic surgery is emphasized.

DESCRIPTION: Elective is flexible. Primary emphasis is on the approach to reconstructive surgery and cosmetic surgery. Therotation can include emergency call schedule to provide experience with suturing of lacerations and wound management. Thiscourse is designed in a flexible manner to supply the goals in individual students who desire a greater appreciation of reconstructivesurgery and actively participate in surgery at West Los Angeles VA Medical and UCLA. A wide variety of reconstructive products andcosmetic surgrey and techniques is offered.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Cosmetic surgery2. Reconstruction following skin cancer3. Defects requiring pedicle flap closure4. General reconstruction5. 6. 7. 8.


CONSULTATION:100%


FELLOWSX RESIDENTSX INTERNSX OTHER Nurses


TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE:


AM

Operating RoomWest LA VA

Assist with SurgeryDr. Miller (UCLA)

All Day

Assist with SurgeryWest LA VA

Assist with Out-Patient Surgery

Dr. Miller (UCLA)

IndicationsConference Dr.Miller’s Office

Assist with SurgeryDr. Miller -

Wadsworth, VA(until noon)

PM

Wadsworth LA VAPlastic Surgery

Clinic

Wadsworth, VAPlastic Surgery

Clinic

Plastic SurgeryGrand Rounds 5:30

pm

Hand Surgery Clinic(optional)

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : A call schedule is encouraged(although not required) with general surgeryresident to obtain exposure to a variety of E.R. problems which involve primary suturing of facial lacerations and management of

DURATION: 2, 3, 6 weeks


357

2001-20023/9/2001

SU391.04 PLASTIC & RECONSTRUCTIVE SURGERY

Subinternship Location: OVH____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Bernard Markowitz, M.D. (818) 364-3194

SUPPORTING FACULTY:Drs. Prosper Benhaim, Marc Hedrick, Neil Jones, andPeter Lorenz


REPORT TO: Olive View Medical Center, 14445 Olive ViewDrive, Sylmar, CA91342, Room 2B156.


PREREQUISITES: Medicine and Surgery I


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance) 1. Knowledge in the assessment of plastic surgery related

deformities

2. Knowledge in the possibilities of reconstruction.

3. Knowledge in the assessment of acute hand injuries andinfections.

4. Knowledge regarding the management of cutaneousmalignancies.

5. Knowledge in the assessment of functional deformities ofthe hand.

6. Practice in the care of traumatic and surgical wounds, withemphasis on proper tissue handling and wound closure.

7. Practice in obtaining history and physical for patients withplastic surgical problems, to have the opportunity to first-hand evaluate functional and aesthetic deformities.

8. Knowledge regarding the various aspects of superficialanatomy, especially the hand and the face.

9. Knowledge regarding the evaluation and management ofvarious facial injuries, including fractures

10. Observance of evaluation and team approach for facialDESCRIPTION: This elective provides the student an opportunity to assist in managing patients with plastic surgery problems at a

County hospital. The student activities in this course that closely parallel the daily journey of the plastic surgery resident, usuallyalso fully trained in general surgery. The student assumes responsibilities that are appropriate in the context of this closepartnership.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Head and Neck defects and deformities2. Hand Injuries3. Hand infections4. Cutaneous malignancies & benign tumors5. Breast deformities6. Scars7. Facial Injuries, including fractures8. Other soft tissue injuries


CONSULTATION: 40%PRIMARY CARE: 60%


FELLOWSX RESIDENTS

INTERNSOTHER




AM

6:30 - 7:30Rounds

7:30 am - 3:30 pmOR at OVMC

6:30 - 7:30Rounds

7:30 - 1:00Postop Clinic

6:30 - 7:30Rounds

8:00 am - 4:00 pmPlastic Surgery

Clinic(On 1st Wednesday,Cleft Palate Clinic)

6:30 - 7:30Rounds

7:15 - 8:15Grand Rounds atOVMC (last week)

7:30 am - 4:00 pmHand Clinic/OR

(alternate)

6:30 - 7:30Rounds


PM


OR when available 5:30 pm - 7:30 pmGrand Rounds -Plastics at UCLA

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Rounds and On-Call responsibilities determined in conjunction with thePlastic Surgery Resident rotating through OVMC

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: This rotation requires that the student have access to acar, as he/she will need to go from one hospital to another.

358

2001-20023/9/2001

SU410.01 GENERAL SURGERY: VASCULAR

Subinternship\Inpatient Location: CHS____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Julie Freischlag, M.D. (310) 267-0182

SUPPORTING FACULTY:Full-time attending faculty on Gold Surgical Service(Vascular)


REPORT TO:Chief Resident Surgeon (Gold Surgical Service), Surgery


PREREQUISITES: Medicine, Surgery, Pediatrics


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. To develop skills in the pre- and post-operative

management of surgical patients.

2. To have exposure to the spectrum of peripheral vasculardisease problems.

3. To develop skills in examination of patients with peripheralvascular disease and knowledge of the essential laboratorydata.

4. To become familiar with the use of the vascular diagnosticlaboratory & interpretation of test results.

5. To develop basic knowledge in angiographic anatomy andpathology.

DESCRIPTION: This program is designed for the student interested in advanced study in Surgery, particularly a student planning acareer in Surgery and most specifically, any student wishing to apply to the General Surgery Residency Program. However, non-surgery applicants are welcome.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Aorto-iliac occlusive disease2. Femoral-popliteal occlusive disease3. Cerebrovascular insufficiency4. Aneurysm disease-abd. & peripheral5. Deep venous insufficiency6. Thoracic outlet syndrome7. Vasospastic disease8.


CONSULTATION:5%


OTHER




AM

7:00 - 8:00Ward Rounds

(1st Monday-7:00Rad. Conference)

8:00 - 12:00Vascular Surgery

Clinic


7:45Operating Room/Vascular Surgery

Clinic

6:45 - 7:30Ward Rounds7:30 - 8:30

Surgery GrandRounds

8:30 OperatingRoom/

Vascular SurgeryClinic


7:45Operating Room/Vascular Surgery

Clinic


7:45Operating Room

PM

1:00 - 3:30Vascular Surgery

Clinic4:00 – 5:00Conference

5:00 GeneralSurgery M&M

Operating Room/Vascular Surgery

Clinic

Evening Rounds


Clinic

Evening Rounds

6:00 (2nd

Wednesday) JournalClub


Clinic4:00 – 4:30

Pre-Op Conference4:30 – 5:30Conference

Operating Room

Evening Rounds

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Variable according to case load. Saturday: 8:00 a.m. General SurgeryEducation Conference (this used to be General Surgery Grand Rounds). Monday, 5:00 p.m. Morbidity and Mortality Conference.

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: The student functions essentially as a subintern,participating in Rounds, operating room responsibilities, surgical ward responsibilities, teaching conference, and special tutorials.

359

2001-20023/9/2001

SU410.02 THORACIC & CARDIAC SURGERY


COURSE CHAIR: PHONE #:Donald G. Mulder, M.D. (310) 825-0857

SUPPORTING FACULTY:Drs. A. Ardehali, G. Buckberg, R. Cameron, F. Esmalian, E.C. Holmes, H. Laks, D. Marelli, and M. Plunkett

STUDENT COORDINATOR: PHONE #:Faye Turner (310) 825-0857

REPORT TO:Cardiothoracic Surgery 62-249 CHS.


PREREQUISITES: All Clerkships


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Progressive patient responsibilities with capability of

evaluating and participating in the care of critically illpatients.

2. Capability of interpreting chest x-rays, pulmonary functionstudies, and cardiac catherization data.

3. Familiarity with techniques for monitoringcardiopulmonary events, i.e., evaluation of CVP,pulmonary wedge pressure, and blood gases.

4. Develop an appreciation for the role of surgery in thepatient with cardiac, pulmonary, esophageal, and otherthoracic abnormalities.

DESCRIPTION: This elective provides an opportunity to participate actively in the care of both pediatric and adult cardiacpatients, as well as those with lung, esophageal, mediastinal diseases. This clinical exposure will be enhanced by didactic lecturesand teaching sessions with the surgical faculty.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Coronary artery disease2. Congenital heart defects3. Lung cancer4. Benign lung lesion5. Acquired valvular heart disease,

esophageal lesions, benign & malignantheart block requiring pacemaker insertion.

6. Mediastinal tumors


CONSULTATION:5%


CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSX OTHER: Nurses




AM 6:00 IndoctrinationRounds with

residents(4E Nurses Station)

6:45 - 7:30M & M Conf.(62-173) 7:30 - 8:30CT Conference8:30 – 12:00

OR/Ward/Library

7:00 -8:00Surgical Grand

Rounds (53-105)

8:00 - 12:00OR/Ward/Library


7:00 - 8:15Transplant meeting

(14-214)7:00 – 8:00

Thoracic M&MConf.

(1st Friday/mo.-62-173)

8:30 -12:00OR/Ward/Library

PM



4:00 -5:00Student Tutorial

(Surgeon’s office)

1:00 -4:00OR/Ward/Library

4:00 - 5:00Student Tutorial

(Surgeon’s Office)


4:00 - 5:00Student Tutorial

(Surgeon’s Office)

1:30 - 2:30Thoracic TumorBoard (B2-161)

2:00 - 4:00Lecture Series

(72-181)ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Saturday OR/Ward/Library; Sunday Rounds with Dr. Laks & residents 4E

ICU (5:00 pm time approximate)ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:

360

2001-20023/9/2001

SU410.03 ADVANCED CARDIOTHORACIC SURGERY

Subinternship\Inpatient Location: HARBOR____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Bassam Omari, M.D. (310) 222-2747

SUPPORTING FACULTY:Bassam Omari, M.D.

STUDENT COORDINATOR: PHONE #:Michelle Lane (310) 222-2747

REPORT TO : Harbor-Ucla Medical Center, 3rd floor, Room#3l2, at 9:00 am




DURATION: 3 weeks

2001-2002 ELECTIVES BEGIN WEEKS: 5,8,11,14,17,20,27,30,33,36,39,42,45,48

COURSE OBJECTIVES (in order of importance)1. Understanding of basic cardiovascular physiology.

2. Understanding of basic pulmonary physiology andpulmonary fraction tests.

3. Application of basic principles to the intensive care ofcritically ill patients with cardiorespiratory disease.

4. Understanding of the major categories of cardiacdiseaseischemic, acquired valvular, and congenital.

5. Understanding of invasive and non-invasive data in themanagement of cardiac disease.

6. Knowledge of the evaluation and surgical management ofpatients with bronchogenic cancer and other pulmonarydisease.

7. Exposure to basic skills including thoracentesis, chest tubeinsertion, and the placement of monitoring lines (arterial,Swan-Ganz, CVP).

8. Ability to assess a patient with penetrating or blunt chest

DESCRIPTION: This course is designed to allow the student to function as a member of the patient care team on a busycardiothoracic surgical service in a hospital with an active trauma center. The role as a sub-intern will require a student withmotivation, responsibility, and diligence.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Coronary artery disease2. Valvular heart disease3. Bronchogenic carcinoma4. Congenital heart disease5. Penetrating thoracic trauma6. Blunt thoracic trauma7. Thoracic inflammatory disease8. Pericardial disease


CONSULTATION:5%


OTHER




AM


8:00 - 3:30Patient Care,

Operating Room orReading




6:30 - 7:30Ward Rounds7:30 - 9:00Morbidity &

Mortality Conference9:00 -3:00

Patient Care, O.R. orReading







PM

5:00 - 6:00Attending Rounds

1:00 - 4:00Out-Patient Clinic

4:00 - 5:00 Medical/Surgical Chest Clinic

6:00 - 7:30 ThoracicGrand Rounds

(CHS)

4:30 - 5:00Adult Cardiology

Conference

5:00 - 7:00Attending Round



ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Surgical grand Rounds, Saturday, 8:30 - 10:00 am. On call every thirdnight.ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:

361

2001-20023/9/2001

SU420.01 EMERGENCY AND TRAUMA SERVICE


COURSE CHAIR: PHONE #:H. Gill Cryer, M.D. (310) 825-6643

SUPPORTING FACULTY:Attending Surgeons on the Pink Emergency Surgical Service


REPORT TO:Chief Resident Surgeon on Pink Service, Page 825-6301.




DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. To develop skills in preoperative evaluation of the patient

with multiple trauma.

2. To gain exposure to techniques of resuscitation.

3. To evaluate the hospitalized patient who develops an acutesurgical condition.

4. To develop an in-depth knowledge of the pathophysiologyand treatment of shock and sepsis.

5. To become familiar with the principles of outpatientsurgical diagnosis and treatment.

6. To learn principles of critical care medicine in the surgicalICU.

DESCRIPTION: Students will function as subinterns on the service. Students will assist in operations performed in the minoroperating room suite. They will also participate in emergency evaluation of trauma victims and will manage critically ill patients inICU.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Appendicitis2. Biliary tract disease3. Multiple Trauma4. Multiple Organ System Failure5. Shock6. 7. 8.


CONSULTATION:25%


FELLOWSX RESIDENTSX INTERNS

OTHER




AM

6:30 Rounds

7:45 ElectiveSurgery

Rounds

Elective Surgery

Rounds

Dept. of SurgeryGrand

Rounds, 53-105 CHSClinic

Rounds

Trauma patientreview

Ward Work

Rounds

Ward Work &Emergency

Surgery

PM

1:00 ElectiveSurgery

4:00 Ward Rounds

Elective Surgery

Ward Rounds

2:00 TeachingRounds with

Dr. Cryer

2:00 Ward Work

Ward Rounds

2:00 Ward Work &Emergency Surgery

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : On-call every third night. Saturday, 8:00 a.m. General Surgery EducationConference (this used to be General Surgery Grand Rounds).

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS : Students will participate in clinics, conferences, Rounds,and other teaching activities. Monday, 5:00 p.m. Morbidity and Mortality Conference (previously held Saturdays).

362

2001-20023/9/2001

SU420.02 TRAUMA AND EMERGENCY SURGERY

Subinternship\Inpatient Location: CS____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Alan T. Lefor, M.D., M.P.H. (310) 423-5874

SUPPORTING FACULTY:General Surgery Staff

STUDENT COORDINATOR: PHONE #:Chris Bice (310) 423-5849

REPORT TO:Chris Bice, Dept. of Surgery, Suite 8215, North Tower, 9:00


PREREQUISITES: Medicine, Surgery, and Pediatrics


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Ability to resuscitate the injured patient using advanced

trauma life support protocol.

2. Initiate urgent assessment of the trauma patient utilizingsequential diagnostic studies.

3. Management of chest tubes, cutdowns, and endotrachealintubation.

4. Interpretation of x-rays, CT Scans, and blood gases.

5. Critical care record keeping and chart maintenance.

6. Use of such agents as steroids, Manitol, and bloodcomponent therapy.

7. Operative management of blunt and penetrating thoraco-abdominal trauma.

8. Evaluation of the acute abdomen and other urgent andemergent general surgery conditions.

DESCRIPTION: The emphasis is on initial resuscitation, urgent diagnostic evaluation, and rapid operative management ofcritically injured patients brought to this Level I Trauma Center. The clerk will follow the patient from the Emergency Department tothe Scan/Angiography suite, the operating room, and the SIC.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Multi-organ system trauma2. Major extremity fractures3. Isolated closed head trauma4. Major arterial disruption5. Massive soft tissue injuries6. Foreign bodies7. Acute abdomen8. Thoracic Problems


CONSULTATION:20%

CLOSE CONTACT WITH: X FULL TIME FACULTY X CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER Radiologists, RespiratoryTherapists, Clinical Pharmacy




AM

6:00 Work Rounds6:45 Surgical

Principles

7:30 TraumaConference

6:00 Work Rounds

7:15 OperatingRoom

6:00 Work Rounds

7:15 SurgicalProceduresWorkshop

7:00 Basic Science8:00

Morbdty/Mortlty9:00 Clinic

Noon Grand Rounds

6:00 Work Rounds

7:15 Operating Room

PM



1:00 Chief Rounds

3:00 Work Rounds

4:00 SurgicalPathologyConference

4:00Breast/Colorectal

Conference

1:00 “This Week inSurgery”

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Night and weekend call with team member every third night. Will respond toE.R. for all Trauma Runs; will follow patients to X-ray, O.R., and SIC.

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Advanced reading assignments and conferencepresentations are expected. On Call room, meal tickets, and operating room orientation will be provided. Students will participatein all educational activities of the surgical residency, including the Surgical Procedures Workshop, work Rounds at 0700 onSaturday mornings, and the Basic Science Conference at 0800 every Saturday morning, September to December each year.

363

2001-20023/9/2001

SU430.01 GENERAL SURGERY: GASTROINTESTINAL


COURSE CHAIR: PHONE #:Howard Reber, M.D. (310) 825-4976

SUPPORTING FACULTY:Full-time attending surgeons on the Blue Surgical Service


REPORT TO: Chief Resident Attending on Blue SurgicalService, Ward 6 West Nursing Station, CHS.




DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Knowledge of pathogenesis, diagnosis, natural history, and

surgical management of gastrointestinal diseases.

2. Management of the pre and post-operative care of patientshaving operations for gastrointestinal diseases.

3. Improved knowledge of sterile technique, assistance in theoperating rooms, and care of postoperative incisions.

4. The fundamental techniques and interpretation ofendoscopic procedures.

5. Knowledge of the role of the surgical gastroenterologist andthe relationship of this specialty to medicalgastroenterology.

6. Interpretation of x-rays, ultrasound, and CAT scan studiesof gastrointestinal diseases.

7. The technical, psychological, and sociologicalmanagement of patients with temporary and permanentintestinal stomas.

8. Knowledge of the principles and techniques of assessmentof state of nutrition and the enteral and parenteralmanagement of nutritional repletion.

DESCRIPTION: This program is designed for the student interested in advanced study in Surgery, particularly a student planning acareer in Surgery and, most specifically, any student wishing to apply to the General Surgery Residency Program. The studentfunctions essentially as a subintern. Students will participate in Rounds, operating room responsibilities, teaching conferences, andspecial tutorials.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Acute & chronic cholecystitis2. Inflammatory Bowel Disease3. Liver tumor, bile ducts, pancreas & intest.

tract4. Benign diseases obstructing the biliary tree5. Peptic ids. of esophagus, stomach &

duodenum6. Esophageal motor disorders


CONSULTATION:15%


OTHER




AM

RoundsOperating Rooms

7:00 - 8:30Professor’s Rounds

9:00 -3:00Clinic

7:15 - 8:15Department ofSurgery Grand

Rounds

Operating Rooms



9:00 - 10:00G.I. X-Ray Rounds

PM

Operating Rooms


M&M Conference

5:00 - 6:00G.I. SurgeryConference

3:00 - 6:00Rounds

Operating Rooms Patient Work-upor

Operating Rooms

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Variable, according to case load. Saturday, 8:00 a.m. General SurgeryEducation Conference (this used to be General Surgery Grand Rounds). Mon., 5:00 p.m. Morbidity and Mortality Conference

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS : UCLA non-surgical residency applicants are welcome.

364

2001-20023/9/2001

SU440.01 GENERAL SURGERY:ONCOLOGY


COURSE CHAIR: PHONE #:Fred R. Eilber (310) 825-7086

SUPPORTING FACULTY:Full-time attending surgeons on White Surgical Service(Oncology)


REPORT TO:Chief resident surgeon (White Surgical Service), 4 East Ward,


PREREQUISITES: Surgery, Medicine, Pediatrics, Ob/Gyn


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Understand basic principles of multidisciplinary approach

(surgery, radiation therapy, chemotherapy,immunotherapy) to treatment of solid human cancers.

2. Understand modes of clinical presentations and evaluationof common adult tumors.

3. Participate in patient care management, both on the wardand in the operating room.

DESCRIPTION: This program is designed only for the student interested in advanced study in Surgery, particularly a studentplanning a career in Surgery and, most specifically, any student wishing to apply to the General Surgery Residency Program.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Melanoma2. Sarcoma3. Colon carcinoma4. Breast Carcinoma5. Benign breast disease6. Gastric carcinoma7. Thyroid carcinoma8. Immunotherappy


CONSULTATION:20%


OTHER




AM

6:30Ward Rounds

Operating Room

6:30Ward Rounds

Operating Room

6:30Ward Rounds

7:15Department ofSurgery Grand

Rounds

6:30Ward Rounds

6:30Ward Rounds

Operating Room

PM

4:00Ward Rounds

5:00Ward Rounds

1:00 White ClinicOncology ClinicMultidisciplinary

Breast Center

4:00 TumorConference

4:30 Musculo-Skeletal Conference

5:00Ward Rounds

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Varied according to case load. Saturday, 8:00 a.m. General SurgeryEducation Conf. (this used to be General Surgery Grand Rounds). Mon., 5:00 p.m. Morbidity and Mortality Conference (previously

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: The student functions essentially as a subintern,participating in Rounds, operating room responsibilities, teaching conferences, and special tutorials.

365

2001-20023/9/2001



COURSE CHAIR: PHONE #:Alan T. Lefor, M.D., M.P.H. (310) 423-5874



REPORT TO:Chris Bice, Dept. of Surgery, Suite 8215, North Tower, 9:00


PREREQUISITES: Medicine & Surgery


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Improve history and physical examination skills.

2. Knowledge of congenital gastrointestinal anomalies.

3. Ability to acquire relevant clinical data, analyze andsynthesize data, and develop surgical judgment.

4. Interpretation of x-rays, invasive diagnostic studies, andmedical parameters.

5. Technical skills, such as sigmoidoscopy, laparotomy woundclosure, and intestinal intubation.

6. Knowledge of visceral malignancies, surgical nutrition,surgical infection, metabolic derangements, and volumeassessment.

7. Oral presentations at conferences and Rounds.

8. Surgical record keeping and chart maintenance.

DESCRIPTION: Students will be team members on a general surgical service with responsibilities and learning experiences closelyapproximating those of first year residents. The student will participate in elective and emergency surgery on those patients assignedto him.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Carcinoma of breast2. Anorectal disorders3. Carcinoma of thyroid4. Colon carcinoma5. Small bowel obstruction6. Inguinal hernia7. Appendicitis8. Laperoendoscopic surgery


CONSULTATION:10%

CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSX OTHER *




AM

6:00 Work Rounds6:45 Surgical

Principles

7:30 Trauma Conf.

6:45 Work Rounds

8:15 OperatingRoom

6:45 Work Rounds

8:15 SurgicalProceduresWorkshop

7:00 Basic Science8:00 Morb/Mortality

9:00 Clinic

Noon Grand Rounds

6:45 Work Rounds

8:15 Operating Room

PM 5:00 TraumaConference

2:00 Chief Rounds3:00 Work Rounds

4:00 SurgicalPathologyConference

4:00 Colorectal/Breast Conference*(*Alternate weeks)

1:00 “This Week inSurgery”


ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS : On-call room and operating room orientation will beprovided. Case presentations and advanced reading will be assigned. Students will participate in all educational activities of thesurgical residency, including the Surgical Procedures Workshop, work Rounds at 0700 on Saturday mornings, and the Basic Science

366

2001-20023/9/2001


Subinternship\Inpatient Location: HARBOR____________________________________________________________________________________________________________________________

COURSE CHAIR: PHONE #:Fred Bongard, M.D. (310) 222-2768

SUPPORTING FACULTY:

STUDENT COORDINATOR: PHONE #:Teresa Scanlon (310) 222-2795

REPORT TO:Dept. of Surgery, 3 East, Room 36, 8:00 a.m.


PREREQUISITES: Surgery, Medicine


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Familiarity with the treatment and diagnosis of patients

who have general surgical diseases, particularly of the liverand biliary system, the pancreas, the gastrointestinal tract,breasts, and vascular system.

2. Learn to manage patients with trauma.

3. Opportunity for performing minor technical proceduresunder supervision.

4. Intensive care unit experience..

DESCRIPTION: This elective will give the student the opportunity to participate, as a subintern, in the care of the general fusrgicalpatient. The student should choose between working two weeks on two of the services, which is preferred, (including vascular,colorectal, GI, oncology, and trauma-critical care) or four weeks on any one service, pending availability. You will function as asubintern, taking care of patients particularly assigned to you. Inhouse call one night in four, including weekends.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. The acute abdomen2. Trauma victims3. Critical care4. Carcinoma colon & GI tract5. Inflammatory bowel disease6. Breast disease7. Obstructive jaundice & other biliary

problems


CONSULTATION:25%

CLOSE CONTACT WITH:X FULL TIME FACULTY CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSX OTHER 3rd year students




AM

Ward Rounds7:30 Trauma/ICU

ConferenceWard Rounds

Operating Room

9:00 Breast Clinic12:00 Breast Conf.

Ward RoundsMortality/MorbidityConference (7:30)

10:00 Trauma Conf.11:00 GI Conf.

12:00 Tumor Board


Ward Rounds

Operating Room

7:30 Surgery GrandRounds

OperatingRoom

PM

Operating Room

1:00 Breast Clinic

Clinics

1:00 GI OncologyClinic

1:00 Trauma Clinic

6:30 Journal Club

OperatingRoom

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : Call schedule: Every fourth night. Required conferences - Surgery GrandRounds, 8:30 - 10:00 a.m., Saturday.


367

2001-20023/9/2001

SU455.02 SURGICAL INTENSIVE CARE


COURSE CHAIR: PHONE #:M. Michael Shabot, M.D. (310) 423-5873



REPORT TO : Chris Bice, Dept. of Surgery, Suite 8215, NorthTower, at 9:00 a.m.


PREREQUISITES: Medicine & Surgery


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Knowledge of principles of surgical critical care physiology.

2. Management of deranged hemodynamics and severerespiratory abnormalities, including ARDS.

3. Management of major trauma.

4. Interpretation of laboratory and blood gas data, x-rays,nuclear and CT scans.

5. Resuscitation of sepsis and all types of shock.

6. Critical care record keeping, including knowledge of acomputerized critical care data management system.

7. Technical skills including S-G and A-line placement,intubation, closed thoracostomy, and percutaneoustracheostomy.

8. Use of vasoactive drugs.

DESCRIPTION: The emphasis is on the care of critically ill and unstable patients from all surgical services. Activities are confinedto the Surgical Intensive Care Units, although operating room participation is permitted.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Multisystem trauma2. Major resectional procedures3. Liver transplantation4. Pulmonary resection5. Vascular reconstruction6. Post-operative organ failure7. Hepatobiliary procedures8. Intestinal obstruction


CONSULTATION:100%

CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSX OTHER All ancillary service

personnel




AM

6:45 SurgicalPrinciples

Conference

7:30 TraumicConference

8:30 FacultyRounds

8:00 Faculty Rounds 8:00 Faculty Rounds 8:00 Morbidity/Mortality

9:00 FacultyRounds

12:00 SurgicalGrand Rounds

8:00 Faculty Rounds

PM3:00 Team Rounds

2:00 SICU TeachingConference

4:00 Team Rounds

3:00 Team Rounds

4:00 CoreCurriculumConference

3:00 Team Rounds

SIC U Journal Club(4th Friday is also

PerformanceImprovement

Comm.)

4:00 Team RoundsON-CALL SCHEDULE & WEEKEND ACTIVITIES : Night and weekend call with team member every 4th night.

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS : As an integral member of a house staff team supervised by a full-time faculty member, the student will function at the level of a first-year resident in the care of patients in two 10-bed surgical critical care units. All patientsare surgical and include a wide computerized spectrum of acute surgical illness and injury. Students will be assigned a wide range of bedside procedures toperform with resident supervision. Students will also participate in all educational activities of the surgical residency, including the Basic ScienceConference at 0800 every Saturday morning, September to December each year.

368

2001-20023/9/2001

SU499.01 LIVER TRANSPLANTATION


COURSE CHAIR: PHONE #:Ronald W. Busuttil, M.D., Ph.D (310) 825-5318

SUPPORTING FACULTY:Liver Transplantation Faculty


REPORT TO:6E - SIC, CHS Building UCLA, 7:00 a.m.


PREREQUISITES: Surgery and Medicine


DURATION: 3 weeks


COURSE OBJECTIVES (in order of importance)1. Knowledge of the pathogenesis, natural history, diagnosis

and management of patients with acute and chronic liverfailure.

2. Management and care of the orthotopic liver transplantpatient.

3. Knowledge and insight into the immunological problems oftransplantation (i.e., rejection).

4. Diagnosis and management of the complicationsassociated with liver transplantation.

5. Ability to examine and cost effectively evaluate patients withliver failure.

6. Knowledge and experience in managing critical carepatients.

7. Awareness of the indications for liver transplantation.

8. Management of pediatric patients with liver failure.

9. Participation in operative procedures, including all aspectsof the liver transplant

DESCRIPTION: This elective provides an excellent opportunity to learn about and manage patients with liver failure. In addition,this elective allows the student to experience the problems and complexity of transplantation. The student is responsible, underproper guidance, for managing patients with liver failure from the initial evaluation through the transplant operation and into thepost-operative period. The student will be exposed to critical care medicine in both adult and pediatric patients.

STUDENT EXPERIENCESCOMMON PROBLEMS/DISEASES1. Chronic liver failure2. Acute liver failure3. Immunosuppressed patients4. Multiorgan failure5. Hepatic tumors6. Portal hypertension7. Biliary problems8. Opportunistic infections


CONSULTATION:0%


OTHER




AM

7:00 - 8:00Work Rounds


8:00 - 12:00Elective or Cases


9:00 - 12:00Adult Transplant

Clinic


9:00 - 12:00Pediatric transplant

Clinic


8:00 - 12:00Elective or Cases

PM

2:00 - 3:00Teaching Rounds

3:00 - 4:00X-Ray and

Pathology Rounds


3:00 - 4:00X-Ray and

Pathology Rounds


Dr. Busuttil

3:00 - 4:00X-Ray and

Pathology Rounds


3:00 - 4:00X-Ray and

Pathology Rounds

3:00 - 4:00Live Transplant

Teaching Conference

ON-CALL SCHEDULE & WEEKEND ACTIVITIES : On Call every 3rd night with resident. Available nights for liver transplantsand harvests..


su105.01 human tumor immunology · 1. the practice on patients of clinical techniques to evaluate...

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