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Fourth Year Medical Students

Pediatric Surgery

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Description:

During the rotation through Surgery, the medical student will:

 

1. Become familiar with the pathogenesis, diagnosis, and management of common conditions requiring surgery in the pediatric patient, such as inguinal- scrotal conditions, appendicitis, and other gastrointestinal inflammatory and obstructive states, airway problems, and congenital anomalies amenable to surgical correction.

 

2. Gain an appreciation of the effect of anesthetics, surgical procedures, and critical illnesses on the pediatric patient.

 

3. Become familiar with parenteral fluid management using the meter square basis and the philosophy of oral and parenteral nutritional needs for the stressed patient, neonate, or youth.

 

4. Observe the common surgical skills in venesection, intubation, and management of surgical devices

 

5. Participation in all conferences, including patient presentations at rounds and clinics, and act an integral part of the pediatric surgical service sharing experiences with two surgical and one medical resident rotators.

 

 

Methodology:

The medical student will round with the attending surgeon and staff, submitting a diagnosis and treatment plan. The student will also evaluate patients with the surgical resident in the emergency room when on call and attend the surgical clinic twice weekly.

 

Students in this program will be assigned cases to work up with similar duties as those of junior residents (PL-l). As in the case of PL-ls, students will be supervised by the senior resident. They will also participate in clinic work, helping one of the PL-ls in that service.

 

Daily rounds with an experienced attending pediatrician will be carried out. In these rounds the student will present the patients and give his/her opinion as to diagnosis and therapy. The quality of the history and physical will be evaluated by the attending. Questions related to these patients will be asked. During the duration of the program, the students will attend all conferences and lectures offered to the general pediatric house staff. These include grand rounds, x-ray conferences, and noon conferences.

 

 

Evaluation:

During the work with inpatients, in the clinics, and in the office of a pediatrician, the performance of the medical student will be evaluated. Emphasis will be placed on efficiency of interviewing and ability to perform physical examinations.