SURG 600 Career Exploration in Vascular Surgery

[3 credit hours]

This course is designed to give M3 students the opportunity to explore their career expectations, comparing and contrasting these with a career in Vascular Surgery. M3 students will spend approximately 2 weeks experiencing the elements of a career in Vascular Surgery. Students will be incorporated into the team, allowing a closer investigation of the student’s’ career expectations including work hours, work settings, required tasks, and work-life balance. Students should reflect on how their career goals parallel the expectations and demands of a career in Vascular Surgery.

Term Offered: Spring, Summer, Fall

Third Year Med Elective

SURG 601 Career Exploration Elective in Hepatobiliary Surgery

[3 credit hours]

This course is designed to give M3 students the opportunity to explore their career expectations, comparing and contrasting these with a career in Anesthesiology. M3 students will spend approximately 2 weeks experiencing the elements of a career in Hepatobiliary Surgery. Students will be incorporated into the team, allowing a closer investigation of the student’s’ career expectations including work hours, work settings, required tasks, and work-life balance. Students should reflect on how their career goals parallel the expectations and demands of a career in Hepatobiliary Surgery.

Third Year Med Elective

SURG 602 Career Exploration Elective in Endocrine Surgery

[3 credit hours]

This course is designed to give M3 students the opportunity to explore their career expectations, comparing and contrasting these with a career in Psychiatry. M3 students will spend approximately 2 weeks experiencing the elements of a career in Psychiatry. Students will be incorporated into the team, allowing a closer investigation of the student’s career expectations including work hours, work settings, required tasks, and work-life balance. Students should reflect on how their career goals parallel the expectations and demands of a career in Psychiatry.

Third Year Med Elective

SURG 702 Cardiothoracic Surgery - UTMC

[3 credit hours]

Students will be give an individualized opportunity to participate in the activities of the Division of Cardiothoracic Surgery. Opportunities may be available for clinical experience in the operating room, in management of adult and pediatric cardiac surgical patients, or in clinical research. The focus will be the development of an understanding of the basic and clinical sciences as they pertain to cardiovascular surgical procedures and pulmonary resection.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 703 Surgery

[1-15 credit hours]

Surgery (10 weeks)

Term Offered: Spring, Summer, Fall

SURG 704 Cardiothoracic Surgery - UTMC

[6 credit hours]

Students will be given an individualized opportunity to participate in the activities of the Division of Cardiothoracic Surgery. Opportunities may be available for clinical experience in the operating room, in management of adult and pediatric cardiac surgical patients, or in clinical research. The focus will be the development of an understanding of the basic and clinical sciences as they pertain to cardiovascular surgical procedures and pulmonary resection.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 706 Trauma Surgical Intensive Care

[0-6 credit hours]

Students will be integral members of the SICU and Trauma service caring for the critically ill general surgery and trauma surgery patients. Students will work intimately with surgical and anesthesia residents assigned to the Trauma/SICU Service and the Trauma/SICU Attendings who round daily. Students attend daily rounds, trauma alerts, as well as M&M Conference and Grand Rounds. Studenst will gain experience in modern diagnosis and treatment of surgical disease and related professional skills such as the patient's personal reaction to disease and recognition of social personal factors contributing to disease, particulary in a trauma setting.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 707 Trauma Night Shift Elective – TTH

[6 credit hours]

This is a trauma night shift rotation. Students will be integral members of the Level 1 Trauma service caring for the critically ill general surgery and trauma surgery patients on night shifts. Students will work intimately with surgical attendings, residents, and PA’s assigned to Trauma nights. The schedule will be Tuesday-Saturday. The goal is to develop the knowledge, skills, and attitudes necessary to evaluate, diagnose, and manage trauma patients that come in overnight. Students will be involved in resuscitations, emergency management, ICU/urgent inpatient management, and assisting with procedures in the OR.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 712 General Surgery - UTMC

[6 credit hours]

Students will be integrated into the general surgery service as a member of the surgical team, participating in all aspects of patient management, both inpatient and outpatient, which includes daily rounding on inpatients, completing both history and physicals on clinic patients, working up the preoperative patient, assisting in the operating room and endoscopy. The student will be expected to complete at least 40 hours per week on the service.

Prerequisites: SURG 703 with a minimum grade of P or SURG 740 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 713 SICU AI

[6 credit hours]

Students will be integral members of the SICU service caring for the critically ill general surgery and trauma surgery patients. Students will work closely with surgical, emergency medicine, and anesthesia residents assigned to the SICU Service and the SICU Attendings who round daily. Students attend daily rounds as well as Quality Improvement Conference and Grand Rounds. Students will gain experience in modern diagnosis and treatment of surgical disease and related professional skills such as the patient’s personal reaction to disease and recognition of social personal factors contributing to disease. Required to perform 3 H&P’s and participate in the discharge/transfer of the patient to step down unit.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 714 Vascular Surgery

[6 credit hours]

Exposure to the surgery of vascular disease process with the physiological approach to understanding the pre and post-operative patient with vascular disease. Particular emphasis is on fluid, clotting mechanisms, renal, pulmonary, and cardiac status. The student will spend time in the vascular lab to learn techniques and interpretation of vascular studies. Students will be required to perform at least 3 full H&P’s and 3 discharge summaries.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 716 General Surgery AI - UTMC

[6 credit hours]

Students will be integrated into the service as a member of the surgical team, participating in all aspects of patient management, both inpatient and outpatient. The student will be expected to complete at least 40 hours per week on the service.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 717 Vascular Surgery

[3 credit hours]

Exposure to the surgery of the vascular disease process with the physiological approach to understanding the pre and post operative patient with vascular disease. Particular emphasis is on fluids, clotting mechanisms, renal, pulmonary, and cardiac status. The student will spend time in the vascular lab to learn techniques and interpretation of vascular studies. Each acting intern must complete two online modules to prepare the acting intern for their roles as teachers of junior medical students.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 719 Colorectal Surgery

[3 credit hours]

Students will be integrated into the service as a member of the surgical team, participating in all aspects of patient management, both inpatient and outpatient. The student will be expected to complete at least 40 hours per week on the service.

Prerequisites: SURG 740 with a minimum grade of P or SURG 703 with a minimum grade of P

ACGME/Clinical Med Elective

SURG 720 Colorectal Surgery

[6 credit hours]

Students will be integrated into the service as a member of the surgical team, participating in all aspects of patient management both inpatient and outpatient. The student will be expected to complete at least 40 hours per week on the service.

Prerequisites: SURG 703 with a minimum grade of P or SURG 740 with a minimum grade of P

ACGME/Clinical Med Elective

SURG 721 General Surgery - Adrian

[6 credit hours]

Students will be integrated into the general surgery service as a member of the surgical team, participating in all aspects of patient management, both inpatient and outpatient, which includes daily rounding on inpatients, completing both history and physicals on clinic patients, working up the preoperative patient, assisting in the operating room and endoscopy. The student will be expected to complete at least 40 hours per week on the service.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 722 Vascular Surgery Wound Care

[3 credit hours]

Students will be assigned to work with wound care faculty and midlevels on the Vascular Surgery Service. Students will learn the different types of wounds, how to treat them, the etiology and how to manage them. They will be overseen by the vascular surgery fellows, surgical residents, and Vascular, Infectious disease, Podiatry and Plastics faculty. There will be exposure to a wide variety of wound care. Students will work up and manage acute and chronic wounds. Students will spend time in the wound care clinic at The Toledo Hospital to understand the techniques of wound care dressing and how to manage them. Students will also participate in the OR when wound care requires anesthesia.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 723 Vascular Surgery - Toledo Hospital

[3 credit hours]

Students will be exposed to the vascular disease process with the physiological approach to understanding the pre and post-operative patient with vascular disease. There will be exposure to the full spectrum of vascular disease with particular emphasis on fluids, clotting mechanisms, renal, pulmonary, and cardiac status. The student will spend time in the vascular lab to learn techniques and interpretation of vascular studies. Students should understand the pathophysiology of both arterial and venous disease by the competition of their rotation.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 724 Vascular Surgery Wound Care BAHEC

[3 credit hours]

Students will be assigned to work with Wound Care Solutions medical director Dr. George Magill. Students will learn the different types of wounds, how to treat them, the etiology and how to manage them. There will be exposure to a wide variety of wound care. Students will work up and manage acute and chronic wounds. Students will spend time in the wound care clinic at Community Hospitals and Wellness Centers to understand the techniques of wound care dressing and how to manage them. Students will also participate in the OR when wound care requires anesthesia.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 725 Cardiothoracic Surgery - TTH

[3 credit hours]

Students will be given an individualized opportunity to participate in the activities of the Division of Cardiothoracic Surgery. Opportunities may be available for clinical experience in the operating room, in management of adult and pediatric cardiac surgical patients, or in clinical research. The focus will be the development of an understanding of the basic and clinical sciences as they pertain to cardiovascular surgical procedures and pulmonary resection.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 727 Cardiothoracic Surgery - TTH

[6 credit hours]

Students will be given an individualized opportunity to participate in the activities of the Division of Cardiothoracic Surgery. Opportunities may be available for clinical experience in the operating room, in management of adult and pediatric cardiac surgical patients, or in clinical research. The focus will be the development of an understanding of the basic and clinical sciences as they pertain to cardiovascular surgical procedures and pulmonary resection.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 729 Vascular Surgery AI - TTH

[6 credit hours]

Students will be assigned to one of two clinical vascular services. Students will function at an intern level and work up patients on their own, which will then be overseen by the vascular surgery fellows, surgical residents, and faculty rotating on the Vascular Service. There will be exposure to the full spectrum of vascular disease. Students should understand the pathophysiology of both arterial and venous disease by the competition of their rotation. Students will spend time in noninvasive vascular laboratory to understand the techniques and the basics of interpreting noninvasive vascular studies. Students will be required to take 2 overnight calls per month. Students will be required to perform at least 3 full H&P’s and 3 discharge summaries.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 732 General Surgery Acting Internship - Toledo Hospital

[6 credit hours]

Students will be integrated into the service as a member of the surgical team and function as an intern on the service under the supervision of faculty and resident staff. Students will participate in all aspects of patient management, both inpatient and outpatient. Attend daily rounds, participate in the OR, and see patients in the clinic/outpatient setting. Students will be required to perform 3 H&P’s and 3 discharge summaries.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 733 General Surgery Acting Internship - St. Joseph's Mercy

[6 credit hours]

Students will be integrated into the service as a member of the surgical team, participating in all aspects of patient management, both inpatient and outpatient. The student will be expected to complete at least 40 hours per week on the service.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 734 General Surgery Acting Internship - Riverside

[6 credit hours]

Students will be integrated into the service as a member of the surgical team, participating in all aspects of patient management, both inpatient and outpatient. The student will be expected to complete at least 40 hours per week on the service.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 735 Surgical Oncology/Endocrinology Surgery - Toledo Hospital

[3 credit hours]

Students will be integrated into the service as a member of the surgical team, participating in all aspects of Endocrine Surgery and HPB (hepatobiliary and pancreatic) Surgical Oncology patient management, both inpatient and outpatient settings. This includes performing surgical histories, surgical physical exams, presenting patients on rounds, selecting diagnostic studies, suturing and assisting in the OR. Students should prepare a 15 minute teaching presentation based on a topic or case that interests them. Examples might include: Genetic Syndromes, pancreatic cancer, liver masses, thyroid cancer, thyroid nodules, hyperthyroidism, hyperparathyroidism, adrenal nodules, etc.). This rotation is best suited for students with an interest in pursuing surgery as a career option. Students will have the opportunity of practicing on the robot simulator and may have the option to help writing manuscripts and abstracts.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 736 Colorectal Surgery - Trinity Health

[6 credit hours]

Students will be integrated onto the colorectal service as an integral member of the surgical team, participating in all aspects of patient management, both inpatient and outpatient. Students will be expected to complete an accurate H&P, attend rounds and accurately present patients, manage the pre and postoperative patient. Students will also participate in endoscopic procedures and learn the management of those patients.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 737 Vascular Surgery - Acting Internship Trinity Health

[6 credit hours]

This course is designed to further enhance the M4 student’s knowledge of vascular disease process with the physiological approach to understanding the pre and post-operative patient with vascular disease. Particular emphasis is on fluid, clotting mechanisms, renal, pulmonary, and cardiac status. The student will spend time in the operating room and the vascular lab to learn techniques and interpretation of vascular studies. Students will be required to perform at least 3 full H&P’s and 3 discharge summaries.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 738 SICU/Acute Care Surgery - Acting Internship Trinity Health

[6 credit hours]

Students will be integral members of the Acute Care Surgery and SICU service caring for the critically ill general surgery and trauma surgery patients. Students will work intimately with the surgical team assigned to the SICU and Acute Surgery Service and attendings who round daily. Students attend daily rounds, respond to critical consults, participate in the operating room, and attend conferences. Students will gain experience in modern diagnosis and treatment of surgical disease and related professional skills such as the patient’s personal reaction to disease and recognition of social personal factors contributing to disease, particularly in a trauma setting. Student required to perform at least 3 full H&P’s and 3 discharge summaries. Students will participate in overnight call.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 739 Acute Care Surgery-Gen A

[6 credit hours]

Students will be integral members of the Acute Care Surgery service caring for the general surgery and acute care surgery patients. Students will work intimately with the surgical team assigned to the Acute Care Surgery Service responding to daytime emergent inpatient consults. Students will gain experience in modern diagnosis and treatment of emergent general surgery patients. Students will participate in all aspects of patient management both in and outpatient, attend daily rounds and participate in the operating room. Will function as an intern and be assigned patients to work up. Students are required to perform at least 3 full H&P’s and 3 discharge summaries. Students will participate in overnight call.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 740 Surgery: Required Remediation

[9 credit hours]

SURG 741 Elective General and Bariatric Surgery-Gen B

[6 credit hours]

Elective Description/Requirements: Students will be integral members of the elective general surgery and bariatric surgery service caring for the general surgery and bariatric surgery patients. Students will work intimately with the surgical team of attendings and residents assigned to the elective and bariatric general surgery B service. Students will participate in the work up of both elective general surgery patients and bariatric surgery patients from the preoperative assessment in the clinic to the operating room followed by the post operative follow up in the clinic. Students will function as interns on the service under the supervision of the attendings and residents. Students will gain experience in modern diagnosis and treatment of elective and bariatric patients. Students will participate in all aspects of patient management both in and outpatient, attend daily rounds and participate in the operating room. Students are required to perform at least 3 full H&P’s and 3 discharge summaries. Students will participate in overnight call.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 742 General Surgery and Breast Care

[3 credit hours]

Students will be integral members of the elective general surgery and breast care surgery service caring for the general surgery and breast cancer surgical patients. Students will work intimately with the Dr. Jessica Burns and residents assigned to the service. Students will participate in the work up of both elective general surgery and breast care patients from the preoperative assessment in the clinic to the operating room followed by the post operative follow up in the clinic. Students will gain experience in modern diagnosis and treatment of the breast care patient. Students will participate in all aspects of patient management both in and outpatient, attend daily rounds and participate in the operating room.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 743 General Surgery GI and Bariatrics

[3 credit hours]

Students will be integral members of the elective general surgery and bariatric surgery service caring for the general surgery and bariatric surgery patients. Students will work intimately with the Dr. Sarah Pratt and residents assigned to the bariatric and GI service. Students will participate in the work up of both elective general surgery/GI patients and bariatric surgery patients from the preoperative assessment in the clinic to the operating room followed by the post operative follow up in the clinic. Students will gain experience in modern diagnosis and treatment of GI surgery and bariatric patients. Students will participate in all aspects of patient management both in and outpatient, attend daily rounds and participate in the operating room.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 744 Acute Care/Trauma Night Shift

[6 credit hours]

This is an acute care/trauma night shift rotation. Students will be integral members of the Acute Care and Trauma service caring for the critically ill general surgery and trauma surgery patients on night shifts. Students will work intimately with surgical attendings, residents, and PA’s assigned to Acute Care/Trauma nights. The schedule will be Monday-Friday 6:30p-6:30a. The goal is to develop the knowledge, skills, and attitudes necessary to evaluate, diagnose, and manage trauma patients that come in overnight. Students will be involved in resuscitations, emergency management, ICU/urgent inpatient management, and assisting with procedures in the OR.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 746 Acute Care/Trauma Night Shift

[3 credit hours]

This is an acute care/trauma night shift rotation. Students will be integral members of the Acute Care and Trauma service caring for the critically ill general surgery and trauma surgery patients on night shifts. Students will work intimately with surgical attendings, residents, and PA’s assigned to Acute Care/Trauma nights. The schedule will be Monday-Friday 6:30p-6:30a. The goal is to develop the knowledge, skills, and attitudes necessary to evaluate, diagnose, and manage trauma patients that come in overnight. Students will be involved in resuscitations, emergency management, ICU/urgent inpatient management, and assisting with procedures in the OR.

Prerequisites: SURG 703 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 747 ENT - Head and Neck Surgery Acting Internship

[6 credit hours]

This course is designed for students pursuing Otolaryngology residency to further enhance their knowledge of common disease processes of head and neck surgery, and to explore management of disease process with the physiological approach to understanding the pre and post-operative patient with these disorders. The student will spend time in the operating room and the office to learn surgical techniques and inpatient and outpatient care. Students will be required to perform at least 3 full H&P’s and 3 discharge summaries.

Prerequisites: SURG 703 with a minimum grade of P

ACGME/Clinical Med Elective

SURG 748 General Surgery UTMC

[3 credit hours]

Students will be integrated into the general surgery service as a member of the surgical team, participating in all aspects of patient management, both inpatient and outpatient, which includes daily rounding on inpatients, completing both history and physicals on clinic patients, working up the preoperative patient, assisting in the operating room and endoscopy. The student will be expected to complete at least 40 hours per week on the service.

Prerequisites: SURG 740 with a minimum grade of P or SURG 703 with a minimum grade of P

ACGME/Clinical Med Elective

SURG 749 General Surgery St Vincent's

[6 credit hours]

Students will be integrated into the general surgery service as a member of the surgical team, participating in all aspects of patient management, both inpatient and outpatient, which includes daily rounding on inpatients, completing both history and physicals on clinic patients, working up the preoperative patient, assisting in the operating room and endoscopy. The student will be expected to complete at least 40 hours per week on the service.

Prerequisites: SURG 740 with a minimum grade of P or SURG 703 with a minimum grade of P

ACGME/Clinical Med Elective

SURG 750 Surgery Away Elective

[0-6 credit hours]

SURG 751 Surgery Away Elective

[0-3 credit hours]

SURG 6010 Leadership in Health Care

[3 credit hours]

Seminar course conducted on a weekly basis with the goal of developing skills and knowledge related to leadership. The seminars are based around guest moderators, selected pre-class readings, in class group discussion, supplemental blackboard discussion, and/or online video discussions.

Term Offered: Spring, Summer

SURG 6020 Medical Research, Simulation, Innovation, and Education

[3 credit hours]

Students will gain expertise in the areas of clinical, medical education, and simulation research through team-based learning and mentorship. Students will design and execute the steps of an education and/or simulation-based research project during the course, or alternatively a medical research question, culminating in production of an abstract reporting preliminary results. Specific learning in regards to qualitative-style research will be provided. Research can address any problem of the student’s choice, provided it adequately demonstrates understanding of research theory, proper statistics and analysis, and manuscript writing.

Prerequisites: PUBH 6000 with a minimum grade of C and PUBH 6010 with a minimum grade of C

Term Offered: Spring, Summer