Your Surgery Clerkship is an eight-week rotation, split into one month on General Surgery and two 2-weeks on subspecialty services. I am positive that this time in your medical education has been eagerly anticipated by some, and feared by others. It is our sincere hope, however, that you will have not only gained new and useful knowledge after your 2 months with us, but that you will actually have enjoyed yourself and had some fun.
- Surgical Pathways
- Clinical Surgery Introduction
- Plastic Surgery Research Elective
Your first day on your rotation is a day of lectures in which you will be tested on the material. The second day of your rotation is a lab day in which you have, first thing in the morning, a TEAM course (a mini ATLS for students course); then you will rotate between stations of knot tying, suturing, laparoscopic skills training, OR orientation, and foley cath insertion, etc.
All students are required to complete 2 weeks in the outpatient surgery setting either on your 3rd or 4th year. It is advised to complete your general surgery rotation first. Two week electives at any accredited academic health center that meets the objectives will also satisfy this requirement. During this time we endeavor to broaden the students experience in evaluating surgical patients and to increase their understanding of the different environments in which surgery is performed.
Sub-Internships provide the student with experience and preparation for inpatient medical care, similar to that of a first year house officer. When students are performing their Sub-Internship, they should act in all capacities as an intern, albeit with a smaller number of patients and greater supervision.
The goals of the sub-internship are for students to:
- Be the "first evaluator" of patients
- Perform complete history and physical examinations on new admissions
- Independently establish a differential diagnosis
- Write admitting and daily patient diagnostic and therapeutic orders, under the supervision of a resident and/or attending physician
- Evaluate patients on a daily basis on morning rounds, and serve as the principle care giver, under the direct supervision of a resident and attending physician
Students can fulfill the requirement to complete their sub-internship at any of the major Tulane affiliated hospitals or at another Academic Health Center with prior approval from the Office of Student Affairs. Students cannot complete this requirement at a community hospital except in Family Medicine.
Because of the responsibilities involved in patient care, students are expected to provide appropriate care for patients, even on designated school holidays (e.g. July 4th, Martin Luther King Day, Mardi Gras, etc.). Sub-Internships should not be taken during months in which the student is interviewing extensively for residency positions. Students who are present fewer than twenty (20) days will be required to make up the time missed during these excused absences. The student will not receive a grade for the sub-internship until this time is made up. The amount and timing of the makeup will be at the discretion of the attending staff and the clerkship office. All anticipated absences must be cleared with the attending physician prior to the rotation.
Note To Tulane Seniors Regarding Extramural Clerkships In General Surgery
Tulane students interested in applying for special surgical clerkships at other schools (extramurals) should note our medical school's requirements for extramural clerkships stated on pages v., vi. and vii. of the Tulane senior's version of this brochure and the additional requirements of the Tulane School of Medicine, Department of Surgery, which specifies:
- Only students who have had an excellent performance in their scholastic studies to date will be given approval for such special clerkships.
- Extramural clerkships must be shown to provide exposure in special interest areas, which might not otherwise be available at Tulane University School of Medicine.
- With regard to the Medical School requirement that the clerkship must be served in an institution which is an integral part of a medical school teaching program, it must be emphasized that preceptorships will not be approved.
- Credit will be given for one month of clerkship.
- The Chairman of the Department of Surgery, or his designated representative, reserve the prerogative to communicate personally with the designated Program Director and to solicit a grade for the student's work.
- Pediatric Cardiothoracic Surgery (Course Code: MDSR CT TMC)
- Plastic Surgery Clerkship: Tulane Medical Center (Course Code: MDSR PLS C/T)
Plastic Surgery Clerkship: OLOL (Baton Rouge)
Breast Surgery Clerkship: Tulane Medical Center (Course Code: MDSR ONC TMC)
Surgery Research Fellowship - Tulane Medical Center (Course Code: MDSR SRF TMC)
Honors General Surgery Clerkship - Tulane Medical School (Course Code: MDSR ADV TMS)
Pediatric Surgical Clerkship: Tulane Medical Center (Course Code: MDSR PED TMC)
Surgical Critical Care: Tulane Medical Center or University (Course Code: MDSR ICU TMC)
Senior Surgery Selective: Centreville, Mississippi (Course Code: MDSR GEN CEN)
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