Surgery

This rotation is a busy service treating the complete spectrum of vascular diseases including aneurysmal disease, cerebrovascular disease, mesenteric vascular disease, renovascular disease, and peripheral vascular disease. Students will get intensive exposure to both open surgeries and endovascular procedures treating a variety of vascular diseases under the direct supervision of vascular surgery attendings and fellows. Students will learn and actively participate in (a) performing a comprehensive vascular history and physical exam, (b) seeing and evaluating vascular consults in the emergency department and throughout the hospital, (c) pre-operative evaluation and case planning alongside residents and attendings, (d) assisting with surgeries including angiography, peripheral bypass, carotid endarterectomy, aortic aneurysm repair, and arteriovenous access.

Phase 3 students will have the opportunity to gain in-depth experience in thoracic physiology, pathophysiology, and the surgical treatments for such conditions.

This busy surgical service will allow the medical student the opportunity to care for surgical problems in the pediatric population.

This elective offers the opportunity to learn and practice operative techniques in the Minimally Invasive Surgical Training and Education (MISTE) Center. Students will review assignments from classic texts in surgical technique as well as operative videos prior to performing the same skills in high-fidelity simulation. Emphasis will be placed on open surgical skills and emergency procedures. The goal of this elective is for students to arrive to surgical residency with operative skills, experience, and confidence that exceeds expectations for their level of training.

This advanced anatomy selective course is offered to the NextGen Phase 3 Miller School of Medicine students who have a strong interest in deepening their knowledge of surgical anatomy and developing their surgical dissecting skills. Learning will be accomplished through self-directed on-demand lectures (“flipped classroom”), practical demonstrations by Anatomy faculty, proctored dissection of human donors, and real-time, hands-on exposure in the operating rooms. In addition, workshops that are designed to teach the students the foundational skills of surgical knot tying, instrument handling and suturing techniques. These workshops will be given twice during the rotation and these skills will be tested at the end of the rotation.

This advanced anatomy selective course is offered to the NextGen Phase 3 Miller School of Medicine students who have a strong interest in deepening their knowledge of surgical anatomy and developing their surgical dissecting skills. Learning will be accomplished through self-directed on-demand lectures (“flipped classroom”), practical demonstrations by Anatomy faculty, proctored dissection of human donors, and real-time, hands-on exposure in the operating rooms. In addition, workshops that are designed to teach the students the foundational skills of surgical knot tying, instrument handling and suturing techniques. These workshops will be given twice during the rotation and these skills will be tested at the end of the rotation.

The sub-internship (Sub-I), a 4-week experience, offered during Phase 3 of the NextGen curriculum is intended to provide a learning experience for the student that prepares them to serve as competent interns and effective members of an interdisciplinary team. The burn service offers a complete approach to the care of thermally injured patients. The team cares for patients from the acute resuscitative phase to outpatient follow-up, including reconstruction. As such, clinical encounters include intensive care unit, operating room, medical-surgical floor and clinic. Principles of critical care, infection control, nutritional support, wound care, and rehabilitation are emphasized. There are also opportunities to participate in clinical research.

The Department of Surgery’s Division of Oral and Maxillofacial Surgery offers the student an intense experience in Head and Neck Reconstructive Surgery, Oral and Maxillofacial Pathology, Facial Trauma and Head and Neck Anatomy. The attending and resident staff is committed to providing the student with a valuable educational experience. This is the only exposure the medical student receives regarding the problems related to the oral cavity and to oral and maxillofacial surgery, which may confront him/her at a later date in his/her career. This is an advantageous rotation for those interested in ENT, Plastic Surgery, and Ophthalmology.

This rotation provides comprehensive exposure to all facets of aesthetic plastic and reconstructive surgery at UM affiliated clinical institutions and educational venues.

The Critical care selective is mandatory for Phase 3 students who have successfully completed their clerkships. The purpose of this selective is to provide the student a robust and educational introduction to critical care concepts; aligned with their career of choice. This selective is designed to allow students to recognize the early signs of a critically ill patient who would benefit from specialized care and learn the necessary interventions to stabilize a patient during the initial critical phase of their illness. Advanced physiological concepts will be introduced in a critical care setting, building upon concepts taught in Phase 1. In addition to being introduced to the critical care environment students will be exposed to a wide array of surgical pathologies as well as the management of both pre and post-operative patient. This management will include recognizing and treating post-operative complications in a wide variety of post-operative patients from transplant to emergency general surgery patients. In addition the student will be introduced to and exposed to the advanced life sustaining modalities that exist in the ICU. These devices range from hemodynamic monitoring to dialysis to ECMO.

The student will have responsibilities similar to a junior house officer, under strict supervision of the Transplant Team because of the critical care of these patients. The student will be present at the operation for vascular access surgery, general surgery on transplantation patients and chronic renal failure patients, which would include bilateral native nephrectomies (usually for difficult to control hypertension), kidney, liver, pancreas, and pancreatic islet transplants, and related surgery. In addition, issues related to native organ disease – kidney, pancreas, liver, leading to need for transplantation – will be covered. There will be weekly conferences and seminars in research and clinical problems in kidney, liver, and pancreas transplantation and participation in weekly immunobiology transplant conferences.

The sub-internship (Sub-I), a 4-week experience, offered during Phase 3 of the NextGen curriculum is intended to provide a learning experience for the student that prepares them to serve as competent interns and effective members of an interdisciplinary team. This 4-week rotation will expose the Next Gen phase 3 student to the comprehensive world of trauma that will include exposure to patients in all areas of trauma care. These areas will include the trauma resuscitation bays, the trauma operating rooms, the trauma floors, clinics and ICU. Students will develop an understanding of the complexities of managing both blunt and penetrating trauma across all age groups and all demographics. The Sub-intern will also learn how to develop collaborative skills and strong interpersonal communication skills as well as the development of professionalism in all facets of the rotation. This is an ideal opportunity for the Sub-I to function as an integral member of the trauma team on par with the intern.

The Critical care selective is mandatory for Phase 3 students who have successfully completed their clerkships. The purpose of this selective is to provide the student a robust and educational introduction to critical care concepts; aligned with their career of choice. This selective is designed to allow students to recognize the early signs of a critically ill patient who would benefit from specialized care and learn the necessary interventions to stabilize a patient during the initial critical phase of their illness. Advanced physiological concepts will be introduced in a critical care setting, building upon concepts taught in Phase 1. In addition to being introduced to the critical care environment students will be exposed to a wide array of both surgical and trauma pathologies / injuries. Students will in addition to becoming familiar with the management of post-operative patients will also be introduced to the complexities of managing polytrauma patients. This management can include recognizing and treating post-operative complications in both acute care surgical patients as well as trauma patients. In addition the student will be introduced to and exposed to the advanced life sustaining modalities that exist in the ICU. These devices range from hemodynamic monitoring to dialysis to ECMO as well as many other forms of life sustaining equipment.

This advanced anatomy selective course is offered to the NextGen Phase 3 Miller School of Medicine students who have a strong interest in deepening their knowledge of surgical anatomy and developing their surgical dissecting skills. Learning will be accomplished through self-directed on-demand lectures (“flipped classroom”), practical demonstrations by Anatomy faculty, proctored dissection of human donors, and real-time, hands-on exposure in the operating rooms. In addition, workshops that are designed to teach the students the foundational skills of surgical knot tying, instrument handling and suturing techniques. These workshops will be given twice during the rotation and these skills will be tested at the end of the rotation.

This advanced anatomy selective course is offered to the NextGen Phase 3 Miller School of Medicine students who have a strong interest in deepening their knowledge of surgical anatomy and developing their surgical dissecting skills. Learning will be accomplished through self-directed on-demand lectures (“flipped classroom”), practical demonstrations by Anatomy faculty, proctored dissection of human donors, and real-time, hands-on exposure in the operating rooms. In addition, workshops that are designed to teach the students the foundational skills of surgical knot tying, instrument handling and suturing techniques. These workshops will be given twice during the rotation and these skills will be tested at the end of the rotation.

This anatomy integrated science selective (AISS) course is offered to the NextGen Phase 3 Miller School of Medicine students who have a strong interest in deepening their knowledge of surgical anatomy and developing their surgical dissecting skills. Learning will be accomplished through self- directed on-demand lectures (“flipped classroom”), practical demonstrations by Anatomy faculty, Surgery Faculty and Surgery residents in proctored dissection of human donors, and real-time, hands- on exposure in the operating rooms. In addition, workshops that are designed to teach the students the foundational skills of surgical knot tying, instrument handling and suturing techniques. These workshops will be given twice during the rotation and these skills will be tested at the end of the rotation.

The sub-internship (Sub-I), a 4-week experience, offered during Phase 3 of the NextGen curriculum is intended to provide a learning experience for the student that prepares them to serve as competent interns and effective members of an interdisciplinary team. This 4-week rotation will expose the Next Gen phase 3 student to the comprehensive world of General and Vascular Surgery that will include exposure to patients in all areas of the various hospital services from medical to surgical. Students will develop a comprehensive understanding of the complexities of managing patients that present with a multitude of surgical pathologies. The VA deals with all adult patients 18 years and older and all demographics. The Sub-intern will also learn how to develop collaborative skills and strong interpersonal communication skills as well as the development of professionalism in all facets of the rotation. This is an ideal opportunity for the Sub-I to function as an integral member of the surgical team on par with the intern.

This elective will consist of a 2-week block at the Taylor Breast Health Center. During this time, the student will have the opportunity to participate in the diagnosis and follow-up of patients with the full spectrum of breast diseases, most importantly breast cancer.

The primary objective of this rotation is to promote the development of clinical core plastic, aesthetic, and reconstructive competencies and to review common reconstructive and cosmetic conditions. The practice of evidence-based medicine is promoted by encouraging students to conduct literature search for current guidelines and accepted practices.

The sub-internship (Sub-I), a 4-week experience, offered during Phase 3 of the NextGen curriculum is intended to provide a learning experience for the student that prepares them to serve as competent interns and effective members of an interdisciplinary team. This 4-week rotation will expose the Next Gen phase 3 student to the comprehensive world of Acute Care Surgery (ACS) that will include exposure to patients in all areas of the various hospital services from medical to surgical. Students will develop a comprehensive understanding of the complexities of managing acutely ill patients that present with a multitude of surgical pathologies. ACS deals with all adult patients 18 years and older and all demographics. The Sub-intern will also learn how to develop collaborative skills and strong interpersonal communication skills as well as the development of professionalism in all facets of the rotation. This is an ideal opportunity for the Sub-I to function as an integral member of the trauma team on par with the intern.

This 2-week rotation will expose the Phase 3 student to a wide array of cancer problems and teach an integrated interdisciplinary approach to their management. Esophageal, hepatic, breast, and gastric carcinomas will be seen and treated in addition to melanomas and soft tissue sarcomas.

This elective surgery service predominantly treats and cares for patients with endocrine diseases. Patients predominantly with thyroid, parathyroid and adrenal tumors, both benign and malignant conditions are seen and treated. Advanced laparoscopic skills can also be seen treating a whole spectrum of surgical problems.

This elective service deals primarily with diseases of the colon, rectum, and anus. Benign disease, such as hemorrhoids, anal fistulae, anal fissures, diverticulitis, gastrointestinal bleeding and inflammatory bowel disease among others, will be seen and thoroughly discussed and learned. In addition, the entire spectrum of colon and rectal cancer will be seen and treated.

This 2-week rotation will expose the 4th year student to several unique, yet related, surgical disciplines: laparoscopic surgery, surgical endoscopy, and the surgical management of morbid obesity.