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 705 General/Trauma Surgery

[0-6 credit hours]

Students will be designated as an Acting Intern with increased responsibility for patient management ¿ under supervision.

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 708 Ophthalmology

[0-6 credit hours]

The student will have the opportunity to evaluate eye disorders in the outpatient setting. Techniques for eye examination will be stressed with special emphasis on diagnosis of diabetic retinopathy, macular degeneration, cataract, and glaucoma. Viewing a series of slides will also be a part of the rotation

SURG 709 Cardiothoracic Surgery

[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 or SURG 740 with a minimum grade of P

Term Offered: Spring, Summer, Fall

ACGME/Clinical Med Elective

SURG 710 Pediatric Surgery

[6 credit hours]

SURG 711 Plastic Surgery

[6 credit hours]

The focus will be to develop a more sophisticated understanding of basic and clinical sciences as they pertain to reconstructive and cosmetic surgical procedures. Evaluation of pre and post operative management of the plastic surgical patient.

SURG 712 General 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.

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 715 Emergency Medicine

[0-6 credit hours]

Students will be designated as an Acting Intern with increased responsibility for patient management ¿ under supervision.

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 726 Cardiothoracic Surgery - SAHEC

[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 730 Ophthalmology

[0-3 credit hours]

The student will have the opportunity to evaluate eye disorders in the outpatient setting. Techniques for eye examination will be stressed with special emphasis on diagnosis of diabetic retinopathy, macular degeneration, cataract, and glaucoma. Viewing a series of slides will also be a part of the rotation

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 740 Surgery: Required Remediation

[9 credit hours]

SURG 745 Surgery Clinical Training for MD/PhD Students during Graduate Research Years

[1-2 credit hours]

In the summer after the second year of medical school, MD/PhD students will identify a clinical mentor. This faculty member will be responsible for the clinical training program of the student, and will provide formative and summative feedback concerning the development of clinical skills and a foundation for subsequent clinical clerkship training. The mentor may change during the course of the student¿s graduate school years, but any change should occur after the end of a semester. Although students may choose a clinical mentor from any department, the following specialties are particularly suited to training MD/PhD students with limited prior clinical training and restricted hours of availability: Emergency Department: Students schedule specific hours (which may include evenings or weekends) with their clinical mentor. Patients will be assigned to the student for evaluation, and students will be involved in all aspects of emergency patient care. Contact: Dr. Kris Brickman, Director of Emergency Medicine. Student time commitment: Students are expected to spend 8 hours per month in clinical training. This can be divided into weekly 2 hour session, biweekly 4 hour sessions or an 8 hour day per month. Students are encouraged to discuss the most appropriate schedule with their laboratory mentor to ensure that the clinical experience does not interfere with graduate coursework or research progress. The program should be formalized in writing, and submitted to the MD/PhD Director for approval. Students should see about one patient per hour of training. Students should keep a log of their patients, their diagnoses, and any procedures performed. An electronic logging system for patient experiences will be developed. Credit: Upon completion of 3 years of graduate training, assuming 40 weeks per year of participation, students will have accumulated about 300 hours of clinical experience. This is approximately equivalent to 2 months of clinical electives (8 h/d X 5 d/w X 4 weeks = 160 h/mo), and students will be awarded 2 months of 4th year elective credit for this training upon re-enrolling in the College of Medicine. This credit should allow further flexibility in 4th elective scheduling, enabling additional research months, off site rotations, etc. If students require more than 3 years of graduate work, continued participation in the clinical training program is strongly encouraged, but no more than 2 months of elective time will be awarded.

Term Offered: Spring, Summer, Fall

SURG 750 Surgery Away Elective

[0-6 credit hours]

SURG 751 Surgery Away Elective

[0-3 credit hours]

SURG 755 International Health

[0-6 credit hours]

SURG 760 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: INDI 795 with a minimum grade of S

Term Offered: Spring, Summer, Fall

Third Year Med Elective

SURG 761 General Surgery - UTMC

[6 credit hours]

The student will be integrated on a general surgery service and will be exposed to a wide variety of General Surgery conditions, including, but not limited to: cholecystitis, colon disease, breast disease, hernias, appendicitis, traumatic injuries. Teaching will be conducted in both an inpatient and outpatient setting. Students will round on inpatients in the hospital, see patients in an ambulatory setting in clinic and participate in the operating room. Students will also take overnight call.

Prerequisites: INDI 795 with a minimum grade of S

Term Offered: Spring, Summer, Fall

Third Year Med Elective

SURG 762 Vascular Surgery - UTMC

[6 credit hours]

The student will be integrated on the vascular surgery service and will be exposed to the surgery of the vascular disease process with the physiological approach to understanding the pre and post-operative patient with vascular disease. Students will work with vascular surgery residents and attending physicians. The focus will be the development of understanding the pathophysiology of both venous and arterial diseases. Students will spend time in the noninvasive vascular laboratory to understand the techniques and the basics of interpreting noninvasive vascular studies. Students will also round on inpatients in the hospital, see patients in an ambulatory setting in clinic and participate in the operating room.

Prerequisites: INDI 795 with a minimum grade of S

Term Offered: Spring, Summer, Fall

Third Year Med Elective

SURG 763 General Surgery

[6 credit hours]

The student will be integrated into the general surgery service and will be exposed to a wide variety of General Surgery conditions, including, but not limited to: cholecystitis, pancreatitis, colon disease, breast disease, hernias, appendicitis, and traumatic injuries. Teaching will be conducted in both an inpatient and outpatient setting. Students will round on inpatients in the hospital, see patients in an ambulatory setting in clinic and participate in the operating room and endoscopy.

Prerequisites: INDI 795 with a minimum grade of S

Term Offered: Spring, Summer, Fall

Third Year Med Elective

SURG 764 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: INDI 795 with a minimum grade of S

Term Offered: Spring, Summer, Fall

Third Year Med Elective

SURG 765 Cardiothoracic Surgery - SAHEC

[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: INDI 795 with a minimum grade of S

Term Offered: Spring, Summer, Fall

Third Year Med Elective

SURG 766 General Surgery - Toledo Hospital

[6 credit hours]

The student will be integrated on a general surgery service and will be exposed to a wide variety of General Surgery conditions, including, but not limited to: cholecystitis, pancreatitis, colon disease, breast disease, hernias, appendicitis, traumatic injuries. Teaching will be conducted in both an inpatient and outpatient setting. Students will round on inpatients in the hospital, see patients in an ambulatory setting in clinic and participate in the operating room. Students will also take overnight call.

Prerequisites: INDI 795 with a minimum grade of S

Term Offered: Spring, Summer, Fall

Third Year Med Elective

SURG 767 Vascular Surgery - Toledo Hospital

[6 credit hours]

The student will be integrated on the vascular surgery service and will be exposed to various conditions associated with vascular disease. Students will work with vascular surgery fellows, residents and attending physicians. The focus will be the development of understanding the pathophysiology of both venous and arterial diseases. Students will spend time in the noninvasive vascular laboratory to understand the techniques and the basics of interpreting noninvasive vascular studies. Students will also round on inpatients in the hospital, see patients in an ambulatory setting in clinic and participate in the operating room.

Prerequisites: INDI 795 with a minimum grade of S

Term Offered: Spring, Summer, Fall

Third Year Med Elective

SURG 768 Surgical Oncology/Surgical Endocrinology - Toledo Hospital

[6 credit hours]

Students will be exposed to a broad range of inpatient, outpatient and operative management of Surgical Endocrinology and Surgical Oncology patients. Students will learn to perform surgically focused history and physical exams, present patients in clinic and on rounds, learn about selecting diagnostic studies. Students may participate by performing basic suturing and may assist in the operating room. This rotation is appropriate for both students who are interested in adult primary care or general surgery as career choices. Students will be expected to give a 10-15 minute presentation based on a case or topic that interests them during the rotation. Example, thyroid nodules, pancreatic cancer, retroperitoneal sarcoma, hyperparathyroidism, Multiple endocrine neoplasia, hyperthyroidism, goiter, adrenal nodules, liver masses etc.

Third Year Med Elective

SURG 789 Independent Study in Surgery

[0-6 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: 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: Summer