SURU-4042 - Plastic Surgery Elective in Houston

SURU-4042 - Plastic Surgery Elective in Houston

Elective Type: clinical
Plastic Surgery Elective in Houston
Course Number
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
C Form is required to enroll, sent to Fran Dawe,
Responsible Faculty Director:
Donald R. Collins, Jr. MD
Other Faculty:
Location to Report on First Day
1315 St. Joseph Parkway, #900
Periods Offered
including holiday period 8
Maximum Enrollment

1. Achieve a basic level of understanding of plastic surgery disease processes, procedures, and pre- and post-operative care
2. Gain a basic level of training in suturing techniques and in sterile procedures around the operating room
3. Learn basic principles of wound healing and the management of wounds involving skin and subcutaneous tissue
4. Become familiar with the basics of skin grafting, reconstructive surgery, aesthetic surgery, breast reconstruction and craniofacial surgery, among others

Rotation objectives include gaining experience and exposure in the following specialties:

Plastic Surgery

The objectives of this rotation are to gain experience and participate in cosmetic procedures involving the face, breast, and body. The rotating student will be part of a team which includes an upper level resident.

Description of course activities
1. Students will be responsible for helping with management of the plastic surgery patients; admission, history, and physical will be obtained in conjunction with the residents.
2. Students will be accountable to the Chief Resident on the service and to the faculty members who are staffing the case.
3. Students will be expected to participate in call responsibilities with the plastic surgery residents, except for overnight calls.
4. Students will be involved in surgical cases and will be required to attend all residency and fellowship lectures and conferences related to the Plastic Surgery Residency Program.

There will about 30 hours a week with faculty and about 10 hours a week for self-directed study.

Type of students who would benefit from the course
Those exploring Plastic Surgery or other surgical specialty as a career.

Weekly Schedule
  Clinical Activities (estimated schedule)
  Day of Week AM PM
  Monday 7:00 a.m. 5:00 p.m.
  Tuesday 7:00 a.m. 5:00 p.m.
  Wednesday 7:00 a.m. 5:00 p.m.
  Thursday 7:00 a.m. 5:00 p.m.
  Friday 7:00 a.m. 5:00 p.m.
   Average number of patients seen per week: 20  
   Call Schedule:   No overnight call  

Research Activities (estimated schedule)
Activity Hours per Week
Faculty Contact-Time
Self-Directed Study

Method of Student Evaluation
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient Service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
  B. Frequency / Duration of Presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    H&Ps daily. Some may be complete H&Ps and some will be progress notes.
  B. Format - What guidelines are set for the student's written work?
    Will be written on paper charts.
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
  F. Audience - Who assesses the student's written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    Rounds with residents and faculty; conference each week

6.  Additional Costs
  Please list any additional costs and/or purchases (books, materials, movies to watch, etc.) that are required for this course. Include an estimated total cost. If there are no additional costs, please enter "None".

7.  Other Modes of Evaluation
  Please explain below.

8.  If this course is an Acting Internship, please complete the following:
  A. Objectives for the AI should relate directly to the Entrustable Professional Activities (EPAs). Each AI should describe how the four key Year-4 EPAs that our school has identified as being Year-4 skills are assessed. The Year-4 objectives are:
1. Entering and discussing orders/prescriptions.
2. Give or receive patient handover to transition care responsibility.
3. Recognizing a patient requiring urgent or emergent care and initiating management.
4. Obtaining informed consent for tests and procedures.
Specify how the student will be given formative feedback on their clinical skills.

Year-4 students should demonstrate mastery of EPAs they developed in the clerkship year, including recommending and interpreting common diagnostic and screening tests, and performing general procedures of a physician. They should be able to demonstrate masterfully and independently skills they mastered in Years 2-3, including efficiently performing comprehensive admission-notes and succinct daily progress notes and perform accurate, concise, and hypothesis-driven clinical presentations, form clinical questions and retrieve evidence to advance patient care. They should be able to demonstrate basic understanding of and beginning mastery of collaborate as a member of the interprofessional team and identify system failures and contribute to a culture of safety improvement.

List advanced clinical skills that a student will be assured an opportunity to practice.

How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?

What opportunities will typically be available to all students who take this AI (procedures, required presentations, etc.)? What opportunities may be available based on patient load/presentation or student initiative (ie. Writing a case report)?

An AI should have expectation of a minimum of 32 hours per week of clinical responsibilities. Duty hours should be capped at ACGME limits for an intern, thus up to 24 hours followed by 4 hours of activities related to patient safety, education, and handoff. Students cannot work more than 80 hours per week averaged over 4 weeks. They can only have 1 day off in a 7-day work week with 8 hours off between shifts.

Clinical responsibilities will vary depending on specialty, but how is the student functioning with work commensurate to a PGY1 with an appropriate level of training?

How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?

How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?

Acting Internship students often seek letters of recommendation following their experience. How many different Faculty will work directly with the student and have knowledge of the student's abilities to detail in a written evaluation? Describe the degree of supervision and interaction with faculty vs. residents or other providers and how feedback will be obtained if more direct work is with residents or other providers.