Surgery 900 Junior Surgery Clerkship Primary Course Syllabus

Surgery 900 - is the basic Surgery Clerkship taken by all MS3 students at the Kansas City campus. The faculty and staff of the Surgery Department are dedicated to providing Medical Students with a rewarding educational experience.

The University of Kansas School of Medicine

Surgery 900, Junior Surgery Clerkship Primary Course Syllabus CLASS 2018 Rev 1 Aug 16

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OFFICE OF MEDICAL EDUCATION OFFICE OF STUDENT AFFAIRS

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Page 2 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

University of Kansas School of Medicine

Surgery 900 Junior Surgery Clerkship Primary Course Syllabus Mission and Vision Statement

Mission The Mission of the Surgery Clerkship at the University of Kansas Medical Center is to provide an environment in which the medical students may develop the knowledge, skills, attitude and behaviors necessary in the achievement of the goals of the Graduation Competencies of the University of Kansas School of Medicine Vision The Surgery Clerkship will achieve its Mission in an environment in which the student and faculty seek continuous learning, teaching and service. The Surgery Clerkship will use evidence based methods, up-to-date technology and reasonable expectations of faculty and students in its quest to serve the mission. The Learning Environment The KU School of Medicine (SOM) is committed to educating students in an environment that fosters optimal learning, a spirit of collegiality, mutual respect, and open communication (i.e. a positive “learning environment”). While the vast majority of KU SOM students experience a positive learning environment, you may either experience or witness events that run counter to this goal. KU takes violations of our learning environment standards (see web links below) seriously. Any faculty member, the KU SOM administration (specifically the OSA), the Vice Chancellor of Students, or the Equal Opportunity Office can be approached with concerns about mistreatment or an adverse learning environment. http://www.kumc.edu/school-of-medicine/osa/policies-procedures-and-manuals/faculty-student-relationship-standards.html http://www.kumc.edu/school-of-medicine/osa/academic-standards/academic-and-professional-behavior.html

Academic Accommodations It is the policy of KUMC to accommodate students with disabilities, pursuant to federal and state law. Any student with a disability who needs an accommodation, for example in arrangements for exams, note taking, or access to events should contact, Cyn L Ukoko @ cukoko@kumc.edu, in the Academic Accommodations Services Office (G020 Dyes Libruary), 913-945-7035, as soon as possible to better ensure that such accommodations can be implemented in a timely fashion. Online appointments may also be made at https://medconsult.kumc.edu For online information about academic accommodations, please go to www.kumc.edu/accommodations.

Page 3 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

University of Kansas School of Medicine

Surgery 900 Junior Surgery Clerkship Primary Course Syllabus

Description of Course and Materials, Objectives and Competencies, and Grading

Description of Course and Materials: Surgical problems and diseases are studied utilizing didactics, skills laboratory experiences, simulations, assigned readings, clinical rotations and operating room participation. This course prepares the student to meet competencies and objectives of the University of Kansas School of Medicine during the third year of Medical School. The skills taught in this course are in the hospital setting and through simulation. The student is expected to have successfully completed Phase I of Medical School, which includes the ability to demonstrate competent understanding of normal and abnormal body structure and function, ability to competently perform and document a History and Physical Examination, and the ability to competently record diagnoses and procedures Students are assigned two four-week rotations.

Texts distributed/checked out at orientation: Lawrence, Peter F., Essentials of General Surgery, Williams and Wilkins, Baltimore, MD Lawrence, Peter F., Essentials of Surgical Subspecialties, Williams and Wilkins, Baltimore, MD Jarrell, Bruce E. and Carabasi, III, Anthony R., NMS National Medical Series for Independent Study

Other Resources: Video Tapes/DVD’s of Skills Demonstrations may be checked out from the Surgery Education Office. Surgery Education Website, JayDocs, Didactic Lectures and Labs links to Lecture Podcasts and links to

the Association for Surgical Education (ASE) PowerPoint Teaching Modules.

Clerkship Objectives:

Patient Care:

Students will acquire History and Physical Exam skills, which lead to accurate assessment and planning of Surgical Care (PC1,PC2,PC3,PC4,PC5,PC6).

Students will demonstrate competent skill in basic surgical techniques and know the proper application of those skills. See the SoM Competencies for Graduation Appendix B and the Surgery 900 Target Procedures Tracking Log and Skills Verification Form (PC6).

Medical Knowledge:

Students will acquire knowledge of common disease processes in which standard treatment includes surgical considerations. See the SoM Competencies for Graduation Appendix A, Surgery 900 Core Curriculum Learning Objectives and the Surgery 900 Target Diagnosis Tracking Log (MK1,MK2,MK3).

Professionalism:

Students will demonstrate professional appearance, attendance and behavior consistent with that expected of a physician-in-training (P1,P2,P3,P4).

Interpersonal & Communication Skills:

Students will communicate and collaborate with peers, mentors and allied health care personnel in an effective and professional manner (ICS1,ICS2,ICS3,ICS4).

Systems-Based Practice:

Students will understand the roles of medical students on the Surgery Clerkship and the role of Surgeons in health care delivery (SBP1,SBP2,SBP3,SBP4,SBP5).

Practice-Based Learning:

Students will develop knowledge, skills, attitudes and behaviors toward learning, which perpetuate lifelong learning, inquisitiveness and evidenced based practice (PBL1,PBL2,PBL3,PBL4).

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Surgery Core Curriculum Learning Objectives: In accordance with the Association for Surgical Education (ASE) and its Manual of Surgical Objectives, 4th Edition, the following topic areas define the core curriculum of this course.

At completion of the course, the student will be able to identify, evaluate, assess and manage patients with:

1. Abdominal Mass

a) Abdominal Wall Mass

Gastroschisis/Omphalocele

Hernias

b) Intra-abdominal Mass Lesions

Colon Cancer

Liver Mass

c) Retroperitoneal Masses

Adrenal Mass

2. Acute Abdominal Pain

a) Diverticulitis

b) Acute Cholecystitis/Biliary Colic

c) Intussusception

d) Mesenteric Ischemia

e) Acute Pancreatitis

f) Incarcerated Abdominal Wall Hernia

Inguinal

Femoral

Umbilical

Incisional

g) Right Lower Quadrant Pain

Crohn’s Disease

Mesenteric Adenitis

Acute Appendicitis

Meckel’s Diverticulum

h) Bowel Obstruction

Small Bowel Obstruction

Colonic Volvulus

i) Bowel Perforation

3. Altered GI Function

a) Constipation

b) Vomiting in the Newborn

Pyloric Stenosis

Malrotation

c) Bowel Obstruction

d) Ileus

4. Altered Neurologic Status

a) Unconscious patient in trauma

b) Concussion /Closed Head Injury

c) TIA/Stroke

5. Asymptomatic Patient/Positive Test/Finding

a) Lung Mass (new)

b) Mammogram

c) Carotid Bruit

d) Aortic Aneurysm

e) Unequal/Absent Pulses

f) Abnormal Pre-op EKG

6. Ano-rectal Disease

a) Peri-rectal Abscess

b) Thrombosed Hemorrhoid

c) Anal Fissure

d) Anal Fistula (fistula in ano)

7. Back Pain

a) Cervical and lumbar disc disease

b) Radiculopathy

8. Breast Conditions

a) Abnormal Mammogram

b) Breast Mass

Benign – Fibroadenoma, Fibrocystic Disease

Malignant – Breast cancer

c) Mastitis

9. Chest Pain/Shortness of Air/Cardiac Disease

a) Gastroesophageal Reflux Disorder (GERD)

b) Pulmonary Embolus

c) Aspiration Pneumonitis

d) Cardiac Valvular Disease/Cardiac Valve Replacement

e) Coronary Artery Disease/Coronary Artery Bypass Graft (CABG)

f) Pneumothorax

10. ENT Problems

a) Zenker’s Diverticulum

b) Oral/Upper Airway/Upper Digestive Cancer

c) Indications for Tracheostomy

11. Fluid/Electrolyte Problems

a) Hypo/Hyperkalemia

b) Hypo/Hypernatremia

c) Hypo/Hypercalcemia

d) Acute Renal Failure/Azotemia

e) Hypo/Hyperglycemia

12. GI Bleeding

a) Upper GI Bleed

Duodenal Ulcer

Gastritis

Mallory Weiss Tear

b) Lower GI Bleed

Ulcerative Colitis

Diverticulitis

Colon Cancer

13. Jaundice

a) Common Bile Duct Obstruction

b) Hepatitis

c) Cholangitis

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14. Leg Pain

a) Claudication

Vascular

Neurogenic

Musculoskeletal

b) Compartment Syndrome

c) Deep Vein Thrombosis (DVT)

d) Acute Arterial Occlusion/Embolus

15. Lung Nodule

a) Solitary Pulmonary Nodule

b) Lung Cancer

16. Neck Mass

a) Thyroid Nodule/Goiter/Cancer

b) Hyperparathyroidism

c) Thyroglossal Duct Cyst

d) Lymphadenopathy

17. Peri-operative Care

a) Abnormal Chest X-ray

b) Abnormal EKG

c) Abnormal Urinalysis

c) Abnormal Blood Test

18. Post-operative Care/Occurrences

a) Wound Infection

b) Wound Drainage

c) Prosthesis Infection

d) Wound Bleeding/Wound Hematoma

e) Peripheral Nerve Dysfunction

f) Wound Dehiscence/Evisceration

g) Low Urine Output/Intake-Output Imbalance

h) Sepsis

i) DVT/Pulmonary Embolus

j) Atelectasis/Pneumonitis

k) Post Operative Pain

l) Cardiac Arrhythmias

19. Scrotal Pain/Swelling

a) Inguinal Hernia (with scrotal extension)

b) Hydrocele

c) Varicocele

d) Testicular Torsion

e) Epididymitis

20. Shock

a) Hypovolemic/Hemorrhagic Shock

b) Cardiogenic

c) Neurogenic

d) Septic

e) Anaphylactic

21. Skin/Soft Tissue Lesions

a) Skin Lesion

Melanoma

Squamous Cell Carcinoma

Basal Cell Carcinoma

b) Lipoma

c) Epidermal Inclusion Cyst/Sebaceous Cyst

22. Swallowing Problems/Dysphagia/Mediastinal Problems

a) Esophageal Cancer

b) Hiatal Hernia

c) Paraesophageal Hernia

d) Mediastinal Masses

23. Transplantation

a) Liver transplant

b) Kidney transplant

24. Trauma

a) Burns

b) Chest Trauma

Cardiac Tamponade

Tension Pneumothorax

Hemothorax

Open Pneumothorax

Traumatic Thoracic Aortic Injury

c) Hemoperitoneum

d) GI Tract Laceration

e) Transfusions of Blood Products

f) Acute Airway Obstruction

g) Unconscious Patient in Trauma

h) Spinal Injury/Fracture/Paraplegia

i) Long Bone Fracture

j) Closed Head Injury

k) Crush Injury

25. Urinary Complaints

a) Pain with Urination

b) Hematuria

c) Urinary Tract Stones

26. Various

a) Ethical Considerations

Situations needing informed consent

Patients refusing blood/blood products

b) Bariatrics

c) Malnourished Surgical Patients

d) Conversion of peri-operative oral medications to parenteral form and the reverse

f) Order Writing

g) Note Writing

Pre-op Note

Post-op Note

History and Physical

SOAP Note

Page 6 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

Grading:

Your grade is determined by your performance in the following areas:

Areas Evaluated: Percent of

Final Course Grade

Cognitive Skills 35%

Final Exam (NBME “Shelf” Exam)

Oral Case Presentation and Examination (OCP&E) 15%

Oral Case Presentation (OCP) …………………………… 5%

Oral Examination ……………………………………………. 10%

Clinical Performance Rating (Competency Evaluation) 50%

Patient Care Student is learning the skills necessary to provide care that is compassionate, appropriate and effective.

Medical Knowledge Student is learning to apply their knowledge to biomedical, clinical, and social sciences effectively to patient care.

Practice Based Learning and Improvement Student is learning to use evidence and methods to investigate, evaluate, and improve patient care.

Interpersonal and Communication Skills Student is learning to use effective communication skills and maintains professional and therapeutic relationships.

Systems-Based Practice Student is learning to understand and demonstrate knowledge of optimal health care delivery.

Professionalism: Student demonstrates behaviors that reflect ongoing commitment to continuous professional development, ethical practice, and sensitivity to diversity.

Overall Clinical Performance Rating ______%

Comments (by rating faculty/resident)

Other evaluations which contribute to the assessment of professionalism in Surgery 900, include items which are not graded on a percentage scale. These include completion of Surgery 900 Target Diagnosis Tracking Log, Surgery 900 Target Procedures Tracking Log, Surgery 900 Skills Verification Form, the Mid-Clerkship Feedback & Progress Report with an attending, and timely recording of patient encounters.

Student Expectations: Expectation

Satisfactory Attendance: All absences from the clerkship must be approved by the Dean of Student Affairs. Approved absence from the following will result in an Incomplete grade until remediation is completed:

Required

Orientation

Skills Labs (9)

Mid-Clerkship Feedback Session

Oral Case Presentation & Exam

Final Exam (Shelf Exam)

Unapproved absence will be addressed on a case-by-case basis.

Professional Attire: Dress in appropriate street clothes each day and remember scrubs are appropriate attire for the OR and for times spent on-call, see following Surg 900-Student Professional Attire Policy / OR Guidelines

Required

Mid-Clerkship Evaluation: In preparation for the Mid-Clerkship Feedback Session, students must meet face-to-face with an attending to complete the “Mid-Clerkship Feedback and Progress Report”. Non-compliance will require remediation.

Required

Page 7 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

Maintain a Timely Recording of Patient Encounters Required

Target Diagnosis Tracking Log: Students are required to meet assigned targets. Required

Target Procedures Tracking Log: Students are required to meet assigned targets. Required

Skills Verification Form: It is the student’s responsibility to obtain the confirmatory signatures as they experience the required skills.

Required

Printable Forms are available for download by visiting JayDocs or the Surgery Education Website

Surg 900-Review Card (consists of following 4 forms)

Surg 900-Target Diagnosis Tracking Log

Surg 900-Target Procedure Tracking Log

Surg 900-Skills Verification Form

Surg 900-Mid-Clerkship Feedback and Progress Report

Surg 900-Mid-Clerkship Feedback Self Reflection

Surg 900-Clinical Performance Rating

Surg 900-Failed Shelf Self Assessment and Recommendations

Surg 900-Faculty Resident Time Tracking Log

Page 8 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

University of Kansas School of Medicine

Surgery 900-Student Professional Attire Policy / OR Guidelines

In addition to KUMC Student Dress Code standards Surgery Education has adopted the ACS Guidelines for appropriate Attire for Student Health Care Professionals.

Statement on Operating Room Attire

The Board of Regents of the American College of Surgeons (ACS) approved this statement in July 2016. https://t.co/yk9UDfbPey

The tenets of the American College of Surgeons (ACS) include professionalism, excellence, inclusion, innovation, and introspection. Appropriate attire is a reflection of professionalism and facilitates establishing and maintaining a patient-physician rapport based on trust and respect. In addition, in so far as clean and properly worn attire may decrease the incidence of health care-associated infections, it also speaks to a desire and drive for excellence in clinical outcomes and a commitment to patient safety.

The ACS guidelines for appropriate attire are based on professionalism, common sense, decorum, and the available evidence. They are as follows:

Soiled scrubs and/or hats should be changed as soon as feasible and certainly prior to speaking with family members after a surgical procedure.

Scrubs and hats worn during dirty or contaminated cases should be changed prior to subsequent cases even if not visibly soiled.

Masks should not be worn dangling at any time.

Operating room (OR) scrubs should not be worn in the hospital facility outside of the OR area without a clean lab coat or appropriate cover up over them.

OR scrubs should not be worn at any time outside of the hospital perimeter.

OR scrubs should be changed at least daily.

During invasive procedures, the mouth, nose, and hair (skull and face) should be covered to avoid potential wound contamination. Large sideburns and ponytails should be covered or contained. There is no evidence that leaving ears, a limited amount of hair on the nape of the neck or a modest sideburn uncovered contributes to wound infections.

Earrings and jewelry worn on the head or neck where they might fall into or contaminate the sterile field should all be removed or appropriately covered during procedures

The ACS encourages clean appropriate professional attire (not scrubs) to be worn during all patient encounters outside of the OR.

The skullcap is symbolic of the surgical profession. The skullcap can be worn when close to the totality of hair is covered by it and only a limited amount of hair on the nape of the neck or a modest sideburn remains uncovered. Like OR scrubs, cloth skull caps should be cleaned and changed daily. Paper skull caps should be disposed of daily and following every dirty or contaminated case. Religious beliefs regarding headwear should be respected without compromising patient safety.

Many different health care providers (surgeons, anesthesiologists, CRNAs, laboratory technicians, aids, and so on) wear scrubs in the OR setting. The ACS strongly suggests that scrubs should not be worn outside the perimeter of the hospital by any health care provider. To facilitate enforcement of this guideline for OR personnel, the ACS suggests the adoption of distinctive, colored scrub suits for the operating room personnel.

The ACS emphasizes patient quality and safety and prides itself on leading in an ever-changing and increasingly complex health care environment. As stewards of our profession, we must retain emphasis on key principles of our culture, including proper attire, since attention to such detail will help uphold the public perception of surgeons as highly trustworthy, attentive, professional, and compassionate.

Page 9 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

Final Exam:

The NBME Surgery Subject Exam (“Shelf” Exam) is the final exam for this course and is given on the final Friday of the 8-week course (unless changed by the Office of Medical Education). This scale identifies the key breakpoints in the conversion of the EPC (Equated Percent Correct) to the KUMC Scaled Percentage used for final course grade calculation.

NBME EPC

(Equated Percent Correct Equivalent)

KUMC Scaled Percentage

(used in final course grade calculation) Descriptive Grade

2014 2015 Academic Year Norm

≥ 79 ≥ 90.00% Superior 77%ile – 100%ile 71 - 78 80.00 – 88.75% High Satisfactory 42%ile – 73%ile 57 - 70 65.00 – 78.75% Satisfactory 5%ile – 37%ile

≤ 56 ≤ 64.99% Unsatisfactory ≤5%ile A complete conversion chart can be viewed on page 9 or by clicking Surgery 900 Grading Conversion Scale. A minimum EPC Score of 57 must be achieved on the NBME Surgery Subject Exam to successfully pass the course. Students who do not score at least 57 on this exam will be graded “Incomplete” until the exam is retaken and a “Shelf” grade of 57 or more is achieved. It is highly recommended that the student who fails the “Shelf” Exam view the Surgery 900 Failed Shelf Self Assessment and Recommendations under Printable Forms in JayDocs or by visiting the Surgery Education Website.

Students who fail the “Shelf” Exam will be required to retake it on the date indicated on the NBME Shelf Exam Schedule (see School of Medicine’s Policies and Procedures “NMBE Shelf Exam Policy”). Students who pass the "Shelf" Exam on the second attempt will be assigned a course grade of Satisfactory. Students who fail the exam on the second attempt, or who do not take the exam within the required time period, will receive an Unsatisfactory course grade and will be required to repeat the Surgery Clerkship. Grade determination for other reasons leading to repeating the Surgery Clerkship (illness, other hardship) will be considered on a case-by-case basis. Students who fail a required clerkship twice are eligible for dismissal. The Academic Committee will review the case and make a final determination. This NBME Surgery Subject Exam conversion scale was determined by consensus of the Kansas City, Wichita, and Salina Clerkship Directors in April 2016.

Final Course Grade:

The Final Course Grade is determined by adding the component scores from the 3 main areas: Cognitive Skills, Oral Case Presentation & Examination (OCP&E), and Clinical Performance Rating (Competency Evaluation). Final Course Grade for Surgery 900 is determined by the following scale:

Superior 90.00 - 100% High Satisfactory 80.00 - 89.99% Satisfactory 65.00 - 79.99% Unsatisfactory 64.99% and below

Policy for Challenging Borderline Grades:

If the student’s Final Course Grade is one that is borderline (i.e. slightly below the threshold for the next higher grade) and the student seeks consideration for the next higher grade, the following policy applies:

1. To be considered a borderline grade, the student’s calculated Final Course Grade at the time grades must be submitted to the Registrar’s Office must be within 2.00 percentage points of the next higher grade threshold. KU SoM policy requires that grades be finalized and submitted from Clerkships within 4 weeks of the end of the block.

Page 10 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

2. To be eligible for consideration of the next higher grade, the student must have achieved, on first attempt, an NBME Shelf Exam score which is in the range to which the student wishes to have his/her final grade elevated. (i.e. if the student’s grade is borderline to superior and the student wishes his/her grade to be elevated to superior, the student must have achieved a “Shelf” score in the superior range using the KU % conversion scale).

3. The student must attend 75% of live lectures offered during the Clerkship to be eligible for consideration.

4. If conditions 1, 2 and 3 are met, the student may request a grade elevation. If a grade change occurs, the Surgery Education office will notify the Registrar’s Office.

DISCLAIMER: All course material will be covered as time and circumstance permit.

Page 11 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

University of Kansas School of Medicine

Surgery 900 Grading Conversion Scale

EPC (Equated

Percent Correct) Effect Aug 2015

KUMC Conversion Scaled

Percentage (used in final course grade calculation)

Overall Course Grading Scale

2014 2015 Academic Yr

Norms

Descriptive Overall Course Grading Scale

Class 2018 effective 05/31/16

UN

Superior 90.00 - 100% High Satisfactory 80.00 - 89.99%

52.00 2 %ile Satisfactory 65.00 - 79.99% 55.00 Unsatisfactory 64.99% and below 56.00 4 %ile

57.00 65.00

Sati

sfac

tory

5 %ile 58.00 66.25 60.00 67.50 61.00 68.75 62.00 70.00 63.00 71.25 65.00 - 79.99 64.00 72.50 65.00 72.50 66.00 73.75 67.00 75.00 68.00 76.25 69.00 77.50 70.00 78.75 37 %ile

71.00 80.00

Hig

h S

atis

fact

ory

42 %ile 72.00 81.25 73.00 82.50 74.00 83.75 80.00 - 89.99 75.00 85.00 76.00 86.25 77.00 87.50 78.00 88.75 73 %ile

79.00 90.00

Sup

eri

or

77 %ile 80.00 91.25 81.00 92.50 82.00 93.75 83.00 95.00 90.00 - 100.00 84.00 96.25 85.00 97.50 86.00 98.75 87.00 100.00 88.00 89.00 89.00 90.00

100.00

Page 12 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

University of Kansas School of Medicine

Surgery 900 Target Diagnosis Tracking Log

Present this form at Mid-Clerkship Feedback Session and End of Clerkship

Student’s Name: Date of Rotation:

# of Target Encounters Required at

Minimum

# of Actual Encounters At Feedback

Session

# of Actual Encounters

At Clerkship

Completion

Alternative Activities

Which Count

Target Met? (this column for

clerical use only) Target Diagnosis

Skin/Subcutaneous 2 Didactic/Lab

Cardiovascular 2 Didactic/Lab

Breast 1 Didactic/Lab

Esophagus/Stomach/Duodenum 2 Didactic/Lab

Small/Intestine/Colon/Anorectal 3 Didactic/Lab

Liver/Biliary/Pancreas/Spleen 4 Didactic/Lab

Abdominal Pain/Acute Abdomen 1 Didactic/Lab

Nutrition Problems 1 Didactic/Lab

Hernia 2 Didactic/Lab

Renal/Urologic Male Reproductive 1 Didactic/Lab

Endocrine/Metabolic 1 Didactic/Lab

Wound Infection 1 Didactic/Lab

Cancer 1 Didactic/Lab

Injury/Trauma 5 Didactic/Lab

Wound healing post-operatively 1 Didactic/Lab

In order to count as an encounter, participation in the role of an observer, active participant, under supervision or via an alternative activity is acceptable. Students should strive for as much active participation with live patients as possible.

Setting

Inpatient admission 5 N/A

Inpatient initial follow-up 20 N/A

Inpatient subsequent follow-up 20 N/A

Outpatient initial encounter 20 N/A

Outpatient subsequent encounter 10 N/A

Other encounter 5 N/A

Role

Observed 20 N/A

Active 20 N/A

Completed under supervision 40 N/A

Page 13 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

University of Kansas School of Medicine

Surgery 900 Target Procedures Tracking Log

Present this form at Mid-Clerkship Feedback Session and End of Clerkship

Student’s Name: Date of Rotation:

# of Target Encounters Required at Minimum

# of Actual Encounters At Feedback

Session

# of Actual Encounters At

Clerkship Completion

Alternative Activities Which

Count

Target Met? (this column for clerical use only) Target Procedures

ABG Analysis 1 Case File #23

See Coordinator

Apply Wound Dressing 5 Video

Digital Rectal Exam/Test Stool for Blood 1● N/A

Draw Arterial Blood 1 Video

Draw Venous Blood 1 Didactic/Lab

Endoscopy 2 Didactic/Lab

Immobilize Neck/Extremity 1 Didactic/Lab

Insert Endotracheal Tube 1 Video

Insert Foley Catheter 1 Video

Insert Nasogastric Tube 1 Video

Intravenous Line Insertion 1 Didactic/Lab

Nutritional Support 1 Didactic/Lab

Ostomy Care 1 Video

Perform Focused H & P observed by an attending

1● N/A

Present/Diagram Surgical Anatomy in OCP&E

1● N/A

Record SOAP Note 10● N/A

Remove Wound Closure 5 Video

Sterile Technique 5 OR Orientation

Suture Repair Wound/Laceration 5 Didactic/Lab

Abdominal Exam 1● Simulation

In Neis Skills Lab

Incision and Drainage 1●

Simulation in Neis Skills Lab

Record Focused H & P, Procedure Note 1●

Obtain Informed Consent 1●

Record Pre-op and Post-op Diagnosis 1●

In order to count as an encounter, participation in the role of an observer, active participant, under supervision or via an alternative activity is acceptable in all cases except where noted with ●. In those cases denoted with ●, the student must do/perform the skill.

Page 14 of 14 Surgery 900, Junior Surgery Clerkship KC Campus CLASS 2018 081016

University of Kansas School of Medicine

Surgery 900 Skills Verification Form

Present this form at Mid-Clerkship Feedback Session and End of Clerkship

Student’s Name: Date of Rotation:

Activity for Completing Skill

Signature of verifying official attesting to student’s

participation or performance

Skills Demonstrated in the presence of an attending

Perform a focused H&P observed by an attending.

Skills Demonstrated at Didactic/Lab or in a Clinical Setting

Insert Endotracheal Tube Airway Lab

Immobilize Neck/Extremity Urgent Thoracic Didactic

Cricothyroidotomy Urgent Thoracic Didactic

Suture Repair Wound/Laceration Suture Lab

Endoscopy Laryngoscopy Lab

Head & Neck Exam Head & Neck Exam Lab

Skills Demonstrated via video or during Orientation

Insert Nasogastric Tube Video

Insert Foley Catheter Video

Sterile (aseptic) Technique OR Orientation

Draw Arterial Blood Video

Ostomy Care Video

Apply/Change Wound Dressing Video

Remove Wound Closure Video

Intravenous Line Insertion Video

Draw Venous Blood Video

Skills Performed at Neis Skills Lab Simulation

Abdominal Examination Abdominal Exam Practicum

Perform H & P (focused or complete) observed by Skills Lab Faculty (recorded)

SP Session

Incision and Drainage SP Session

Record H & P findings and procedure note including pre and post-op diagnosis

SP Session

Obtain informed consent SP Session

One signature verifies participation in the skills of Standardized Patient (SP) Session