Department of Surgery

SURY 403	Acting Internship in Surgery, Wake Medical Center
Faculty:	Drs. Dale W. Oller and William Sullivan
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods, except 6
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Surgery Office, Suite 304 Andrews Center, Wakemed
Meeting Times:	7:30 a.m.
Credit Hours:	6
Learning Objectives:	1. This program is designed to give one medical student the opportunity to directly participate in the total surgical management of the sick patient with an experienced surgical team. The person need NOT be surgically oriented. 2. The student will operate with skilled surgeons in a busy practice entailing ambulatory general surgery, inpatient trauma and general surgery, and hospital patient management technical skills. 3. The student will participate in patient care planning with nurses and social workers in order to develop total resource skills.
Learning Activities:	1. Daily team patient care, rounds, and conferences. 2. Emergency department and main OR surgical management (includes trauma). 3. Night call with senior residents, no more than one in four. 4. Reading assignments.
Evaluation:	1. Clinical participation 2. Presentations 3. An orgainzed conference led by the students 4. An obvious perceived willingness to learn where are all the major aspects of this fun rotation.
Date Updated:	2/7/2006

SURY 404	Acting Internship in Trauma, Carolinas Medical Center, Charlotte NC
Faculty:	Drs. Michael Thomason, David Jacobs, Ronald Sing, William Miles, and Toan Huynh
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	Department of General Surgery, Medical Education Bldg. Suite 601, Carolinas Medical Center
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (III5, V5, V1) 3. interact with patients appropriately (III) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (II4) 6. make concise and comprehensive patient presentations. (VI1) 7. generate complete and timely write-ups for assigned patients. (IV1, II5, 6)8. use evidence-based medicine in the development of advanced directives and treatment plans. (I8, IV3)
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families. Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities.
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills. This evaluation will be assessed on the student's ability to assimilate knowledge of trauma principles and to apply their principles to the trauma patient. Presentation at rounds and conferences will be included in the assessment. Evaluation of histories and physicals and progress notes will also be done.
Special Notes:	Contact person Sandra Dubard 704-355-2641
Date Updated:	10/22/2007

SURY 405	Acting Internship in Trauma and Emergency General Surgery
Faculty:	Drs. Elizabeth Dreesen, A. Meyer, P. Rich, H. Marshall, R. Stafford, A Charles, H. Hojman
Prerequisites:	Completion of third year surgery clerkship
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	SICU. Contact Trauma Senior Resident to confirm
Meeting Times:	6:00 a.m.
Credit Hours:	6
Learning Objectives:	1. Utilize the skills of patient history and physical diagnosis to diagnose and manage acute surgical emergencies and trauma resuscitations from presentation in the ER through stabilization and treatment. 2. Gain proficiency in the basic procedures required for the management of the acutely ill or traumatized patient. Procedures include arterial puncture, suturing, central line placement, chest tube placement and use of ultrasound in the ER and ICU. 3. Develop accurate and succinct communication skills for oral presentations and consultations which provide comprehensive information transfer in a team setting. 4. Integrate evidence-based medicine practices into the routine diagnosis and management of patients in the ICU. 5. Develop an awareness of the complex ethical issues involving the practice of trauma and emergency general surgery.
Learning Activities:	1. The student will be primarily responsible for seeing ICU patients admitted to the Trauma team. 2. The student will participate in clinic, supervised by an attending, once a week. 3. The student will go to the operating room to follow his/her patients. 4. The student will participate in conferences including critical care conference, trauma teaching conference, joint ER/Trauma conference, morbidity and mortality. 5. Each student will do a 20-minute presentation at the end of the rotation. 6. Each student will do three formal patient write-ups with an appropirate literature review.
Evaluation:	Students will be evaluated by attendings and residents based on the following: Quality of patient write-ups, fund of knowledge, ability to synthesize and present complex information in the ICU setting, ability to work with ALL team members (including nurses, EMS providers, OR staff, residents, attendings and third year medical students) and ability to set priorities and efficiently coordinate clinical tasks.
Date Updated:	3/10/2008
Clinical:	Y

SURY 406	Precepteeship in Abdominal Transplant Surgery
Faculty:	Drs. Jeffrey Fair, David Gerber, Mark Johnson, and Kenneth Andreoni
Prerequisites:	Completion of Surgery clerkship
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Times:	Contact chief resident prior to the rotation
Credit Hours:	6
Learning Objectives:	1. Utilize the skills of obtaining the patient history and physical examination to diagnose and manage patients with end stage diseases such as cirrhosis and renal failure. 2. Develop accurate and succinct communication skills for oral presentations which provide a comprehensive information transfer involving complex, critically ill, post-transplant patients. 3. Integrate evidence-based medicine practice into the routine diagnosis and management of patients on the transplant service. 4. Gain proficiency in the basic procedures required for the management of transplant patients. Such procedures include, but are not limited to, central line placement, suturing, and tissue dissection. 5. Develop an awareness of the complex issues involving the practice of transplantation. This rotation will teach the student to evaluate, treat, and determine appropriate clinical management of the transplant patient as it pertains to their immunosuppressed condition, infectious issues, organ dysfunction, and develop a differential diagnosis, evaluation, and treatment plan.
Learning Activities:	Students will participate in: 3 - 5 hours of weekly didactic conferences which include: hepatobiliary conference, pathology directed conference, transplant education conference series, and M&M conferences. Direct observation experience with a full history and physical exam along with continuation of care presentations. Surgical procedures including transplant operations, organ procurement procedures, and related surgical procedures.
Evaluation:	Students will be evaluated by: Each attending with whom the student is scheduled to work clinically. This evaluation is collated and summarized into one overall summary. Attendance and participation at conferences. Direct observation assessment.
Date Updated:	2/7/2006

SURY 409	Acting Internship in Vascular Surgery
Faculty:	Drs. Blair A. Keagy, Robert Mendes, Mark Farber,and William Marston
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	SICU - Contact Chief Resident prior to rotation
Meeting Times:	6:30 am
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (III5, V5, V1) 3. interact with patients appropriately (III) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (II4) 6. make concise and comprehensive patient presentations. (VI1) 7. generate complete and timely write-ups for assigned patients. (IV1, II5, 6) 8. use evidence-based medicine in the development of advanced directives and treatment plans. (I8, IV3)
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families. Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities. Conference: 4 hours, Ward: 12 hours, OR: 10 hours, Clinic: 8 hours, Read: 6 hours
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills. This assessment will be done by observing administering procedures, interviewing patients, presentation at case conferences, participation on rounds and patient write-ups.
Date Updated:	4/26/2006

SURY 410	Acting Internship in Abdominal Transplant Surgery
Faculty:	Drs. Jeffrey H. Fair, David A. Gerber, Kenneth Andreoni, Tomasz Koslowski
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	SICU - Contact Chief Resident prior to rotation
Credit Hours:	6
Learning Objectives:	1) Understand the impact of end stage organ disease (e.g. renal failure, cirrhosis) on a patient with respect to surgical interventions. 2) Develop an in-depth knowledge base of gross anatomy of the peritoneal cavity. 3) Develop insight into the hemodynamics of the critically ill transplant patient and how this impacts medical management. 4) Understand immunosuppressive management and the common drug: drug interactions. 5) To gather and interpret essential and accurate information about the patient's health status. 6) To learn the principles of pre-operative and post-operative management including fluid and electrolyte management, pain control, wound care, drain management, aftercare, etc. 7) To do simple procedures including intravenous line placement, urinary catheter placement, central line placement, . 8) To expand the student's fund of knowledge from medical textbooks, journals, and electronic media. 9) To participate in the educational activities associated with the service. 10) To communicate effectively with other house staff, service attendings, other physicians, medical students, nurses, and paramedical personnel. 11) To demonstrate compassion and integrity through respectful patient care, family interactions, and communication with other care providers. 12) To understand when expert medical advise is necessary. 13) To function as a part of the larger health team environment by respecting the opinion of others. 14) To present new and interesting ideas using the latest technology to provide high quality patient care and education.
Learning Activities:	Weekly: Surgery Grand Rounds - 7:30 am in the 4th Floor Old Clinic Auditorium Liver Check Out Rounds - 3:00 pm in the 3010 Old Clinic Conference Room Surgery M & M Conference - 5:00 pm on Wednesdays in the OR Classroom Transplant Educational Conference Series (TECS) 11:00 am Wednesday (1st - 4th of the month) Bi-Weekly: Pathology Conference - 1:00 pm on the 1st and 3rd Tuesdays, 1st Floor in Cytopathology Monthly: Hepatobiliary Conference - at noon 1st and 3rd Tuesdays in the Radiology Conference Rm in the hospital (2nd floor) The students will be expected to take call with the intern on the transplant service (a minimum of 1x/week). The student will be available for procurements and transplantation 6 days/nights per week and have one day off per week (to be coordinated with the chief resident/fellow).
Evaluation:	Students are evaluated by the faculty. The senior resident participated in the evaluation of the medical students. End-of-the-rotation faculty meetings assess the strengths and weakness of the students. Evaluation forms are completed and the students are encouraged to meet with the faculty at the conclusion of the rotation. Feedback is distributed during the rotation such that a student can address deficiencies. The faculty takes into account patient care, operative techniques, attitude, and communication with others. The opinions of paramedical personnel, patients, families, and others are considered during the evaluation process. The students are encouraged to provide feedback to the faculty regarding the strengths and weakness of the surgical experience on the Transplant Surgical service.
Date Updated:	4/26/2006

SURY 411	Acting Internship in Gastrointestinal Surgery
Faculty:	Drs. Mark J. Koruda, Timothy Farrell, John Martinie
Prerequisites:	Completion of Surgery and Medicine clerkships
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	SICU - GI Surgery Rounds
Meeting Times:	6:30 a.m.
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (III5, V5, V1) 3. interact with patients appropriately (III) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (II4) 6. make concise and comprehensive patient presentations. (VI1) 7. generate complete and timely write-ups for assigned patients. (IV1, II5, 6) 8. use evidence-based medicine in the development of advanced directives and treatment plans. (I8, IV3)
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families.Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities. The student's primary focus will be on the manag4ement of GI surgery patients located in the ICU and step-down units.
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills. Fund of knowledge, overall interest, participation in rounds, medical record documentation and team work will also be considered for the evaluation.
Date Updated:	4/26/2006

SURY 414	Clinical Surgery, Veteran's Administration Hospital, Fayetteville
Faculty:	Dr. Frank Y. Yang and Staff
Prerequisites:	Completion of Surgery clerkship
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	Chief of Surgery office, VAH, Fayetteville, NC
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	The student will be associated with an attending and will become involved in the care of his cases. Continuity of patient care is stressed by following the patient from the clinic through pre-admission work up, admission studies, operative intervention and post-discharge clinic follow-up. Basic surgical principles including X-ray, laboratory, and pathologic data will be stressed through informal conferences and discussions. Students will be supervised in the performance of certain diagnostic and therapeutic procedures, formal conferences, and specific responsibilities. The student may assume an active part in the treatment of patients with surgical emergencies.
Learning Activities:	Conference: 5 hours, Ward: 10 hours, Clinic: 4 hours, OR: 4 hours, ER: 4 hours, Library: 5 hours, Lab: 2 hours, and Lecture: 1 hour.
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations.
Date Updated:	2/7/2006

SURY 415	General Surgery, Carolinas Medical Center, Charlotte NC
Faculty:	Dr. Frederick L. Greene and Staff
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	Dept of Surgery - Medical Education Building 6th floor, suite 603
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	Students will work as clinical clerks under supervision of house and attending staff, including a Director of Surgical Training. Work will consist of histories and physical examinations, observing and assisting with pre-operative and treatment of hospitalized patients, and acting as a second assistant during operations on these patients.
Learning Activities:	Daily teaching rounds, morning work rounds at 6:00 a.m., frequent operating room exposure, assists with procedures, surgery clinic 4 hours (Monday, Tuesday, or Wednesday - depending on surgery service). Conferences are held Tuesday, Thursday, and Friday. Average every third to fourth night call to assist house officers with nocturnal surgical activities.
Evaluation:	Attending surgeon assigned to the teaching service and Resident working with the medical students will perform and evaluation. This evaluation will be assessed on the student's ability to assimilate knowledge of surgical principles and to apply their principles to the surgical patient. Presentation at rounds and conferences will be included in the assessment. Evaluation of histories and physicals and progress notes will also be evaluated.
Special Notes:	Contact person - Sandra Dubard 704-355-3641
Date Updated:	10/22/2007

SURY 417	General Surgery, Watauga Surgical Group, Boone
Faculty:	Dr. Harold Frazier, Jr.; Dr. Paul Dagher; Dr. Tim Edmisten; Dr. William Rucker
Prerequisites:	Completion of Surgery clerkship
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Watauga Surgical Group at 965 State Farm Rd. in Boone
Meeting Times:	7:30 a.m.
Credit Hours:	6
Learning Objectives:	Student will be able to learn the practical and clinical aspects of a general, vascular, thoracic and endoscopy practice.
Learning Activities:	Student will be able to attend all conferences, rounds, office hours, operating room and on-call activities.
Evaluation:	The student will be evaluated by the above faculty at the end of the elective and will present several patient cases.
Date Updated:	2/2/2006

SURY 418	Pediatric Surgery
Faculty:	Drs. Daniel von Allmen, Bill Adamson, Helmrath, Lange, Duncan Phillips and Tim Weiner
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Credit Hours:	6
Learning Objectives:	1. The student will develop patient care skills specific to the pediatric population. 2. The student will develop an understanding of the differences between adult and pediatric physiology. 3. The student will gain an understanding of the scope of pediatric surgical diseases 4. The student will participate actively in the clinical service.
Learning Activities:	The student will participate in the initial assessment, peri-operative surgical management and subsequent follow-up of patients through the pediatric surgical clinic. Further, the student will be given appropriate responsibilities on the ward for the pediatric surgical patients and be responsible to a Chief Resident and the surgical attendings. There will be didactic experiences in the form of conferences and lectures. The student will focus on more complex patients on the service and be involved in their pre-operative, operative (if necessary) and post-operative course. The student will have the opportunity to participate in several multi-disciplinary conferences including pediatric tumor board, maternal-fetal medicine conference, morbidity and mortality conferences and general surgery grand rounds.
Evaluation:	Students will be evaluated by the attending staff based on their clinical presentations, participation in the operating room, and attendance in clinic. In addition, students will give a brief didactic presentation on a topic they select.
Special Notes:	Page the Chief Resident the day before you start the rotation, plan to meet the team for rounds around 6:30 a.m. in PICU; Page Dr. Lange if you are unable to reach the Chief Resident.
Date Updated:	4/3/2008
Clinical:	Y

SURY 419	Cardiovascular Surgery, Carolinas Medical Center, Charlotte NC
Faculty:	Drs. Eric Skipper, Joseph Cook, Francis Robicsek, Mark Stiegel, Mark Reames, Larry Watts, Jeremiah Holleman, Tim Roush
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods-Student should discuss plans with Dr. Skipper -(704) 444-3914
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Carolinas Heart Institute, CMC, 6th Floor Conference Room
Meeting Times:	6:30 a.m.
Credit Hours:	6
Learning Objectives:	Students will participate in all phases of an active cardiovascular surgical service. They will complete a limited number of preoperative evaluations, attend operative procedures and actively participate in postoperative care. The student will attend morning conferences with the attending surgeons and cardiovascular residents to discuss patient care. Following this, they will attend a 30-40 minute conference with the cardiologists and surgeons to make treatment decisions regarding complex cases. Operative observation and participation will be available on a daily basis. The student will be expected to attend daily rounds with the attending surgeon and also attend the out-patient clinic one-half day per week. Case material is covered during 5-6 one-hour lectures per week. The course is designed to give interested 4th year medical students an understanding of current cardiovascular practice. They will closely observe and participate in most cardiovascular operative procedures and gain an understanding of the postoperative management of acutely ill patients.
Learning Activities:	Ward: 10 hours, Conference: 5 hours, OR: 20 hours, Lecture: 2 hours, Rounds: 8 hours, and Clinic: 10 hours.
Evaluation:	1. Ability to comprehend and organize data, present patients on rounds and at selected case conference. 2. Ability to demonstrate operative skill and participate in surgery. 3. Ability to interact with other allied healthcare personnel.
Special Notes:	Contact Dr. Skipper 704-444-4015
Date Updated:	10/22/2007

SURY 420	Acting Internship in Cardiothoracic Surgery
Faculty:	Drs. Michael R. Mill, Richard Feins, Thomas Egan, Brett Sheridan, Craig Selzman, Robert Stewart, Benjamin Haithcock and Benson Wilcox
Prerequisites:	Completion of surgery clerkship
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	3040 Burnett-Womack Building
Meeting Times:	To be arranged
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (III5, V5, V1) 3. interact with patients appropriately (III) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (II4) 6. make concise and comprehensive patient presentations. (VI1) 7. generate complete and timely write-ups for assigned patients. (IV1, II5, 6) 8. use evidence-based medicine in the development of advanced directives and treatment plans. (I8, IV3) 9. identify those clinical parameters critical in caring for the acutely ill patient. 10. demonstrate ability to identify and solve problems in the ward, OR and intensive care area.
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families. Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities. Conference: 6 hours, Clinic: 2 hours, Read: 4 hours, Ward: 5 hours, and OR 10 hours.
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills, as well as participating in rounds and patient write-ups.
Date Updated:	3/10/2008

SURY 421	Research Elective in Cardiothoracic Surgery
Faculty:	Drs. Michael R. Mill, Craig Selzman, Richard Feins, Thomas Egan, and Brett Sheridan
Prerequisites:	Admission to Medical School
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	Division of Cardiothoracic Surgery, 3040 Burnett-Womack Bldg.
Meeting Times:	8:00 a.m.
Credit Hours:	12
Learning Objectives:	The student will: 1. demonstrate perserverance in execution of project-related endeavors (II) 2. collaborate with other professionals (team members) 3. interact with patients and/or colleagues appropriately (III) 4. exhibit advanced project management and communication (oral and written) skills 5. demonstrate familiarity with pertinent current and historical literature 6. use appropriate methodology as designed in collaboration with the mentor 7. apply and demonstrate understanding of appropriate statisical procedures 8. produce a written summary appropriate for a scientific presentation/publication 9. acquaint the student with laboratory methods used to investigate ischemia reperfusion injury
Learning Activities:	The student will participate in research seminars, conduct literature searches, collaborate on student or investigator initiated projects. Conference: 5 hours and Lab: 35 hours per week
Evaluation:	The faculty mentor will evaluate the student on the design and execution of the project, including analyses. All members of the reserach team will contribute to the evaluation of the student's skills in communicating and collaborating as part of a team. Students will be expected to assemble some od the data collected for presentation at student research day.
Date Updated:	3/10/2008

SURY 422	Acting Internship in Surgical Critical Care
Faculty:	Drs. Renae Stafford, Philip Boysen, Anthony Meyer, Peter Rock, Chip Rich, and Jeff Abrams
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	SICU
Meeting Times:	7:30 a.m.
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (III5, V5, V1) 3. interact with patients appropriately (III) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (II4) 6. make concise and comprehensive patient presentations. (VI1) 7. generate complete and timely write-ups for assigned patients. (IV1, II5, 6) 8. use evidence-based medicine in the development of advanced directives and treatment plans. (I8, IV3)
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families. Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities.
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills.
Date Updated:	4/24/2007

SURY 430	Acting Internship in Neurosurgery
Faculty:	Dr. Matthew Ewend and Staff
Prerequisites:	Completion of surgery clerkship
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	3
Duration:	One elective period
Meeting Place:	NSICU, Report to Chief Resident via Paging Operation
Credit Hours:	6
Learning Objectives:	Student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (III5, V5, V1) 3. interact with patients appropriately (III) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (II4) 6. make concise and comprehensive patient presentations. (VI1) 7. generate complete and timely write-ups for assigned patients. (IV1, II5, 6) 8. use evidence-based medicine in the development of advanced directives and treatment plans. (I8, IV3) 9. perform a thorough examination of the nervous system. 10. indicate the appropriate indications for neurosurgical intervention.
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families. Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities.
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills. Evaluation will be based on participation in the in-patient clinical care, progress notes, and participation on rounds.
Special Notes:	Contact the Chief resdient prior to rotation
Date Updated:	2/2/2006

SURY 433	Research in Neurological Surgery
Faculty:	Dr. Matthew Ewend and Staff
Prerequisites:	Completion of second year
Offered:	All elective periods
Min. Enrollment:	2
Max. Enrollment:	4
Duration:	One elective period
Meeting Place:	Neurosurgery Office, 2154 Bioinformatics Building
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	The student will be permitted to select one of the ongoing neurosurgical research laboratory activities and to participate actively in any one of these areas of ongoing research: Molecular biological treatment of brain tumors, immunological approaches to brain tumor therapy, head injury, spinal cord injury, nerve regeneration, clinical studies in subarachonoid hemorrhage, brain injury and spinal cord injury.
Learning Activities:	Library: 6 hours and Laboratory: 34 hours.
Evaluation:	Evaluation will be by the research lab director. Consideration will be given to degree of participation initiative, execution of protocols, and literature preparations.
Date Updated:	8/15/2006

SURY 434	Acting Internship - Surgery, New Hanover Regional Medical Center, Wilmington NC
Faculty:	Drs. Clancy, Kotwall and Hughes
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods (except June)
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	See Laurie Meadows in ORPCE
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (III5, V5, V1) 3. interact with patients appropriately (III) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (II4) 6. make concise and comprehensive patient presentations. (VI1) 7. generate complete and timely write-ups for assigned patients. (IV1, II5, 6) 8. use evidence-based medicine in the development of advanced directives and treatment plans. (I8, IV3)
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families. Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities. 1. minimum of 15 eight-hour clinical shifts 2. six hours of weekly didactic conferences 3. direct observation experience with a full history and phsyical exam 4. direct observation experience in the OR
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills.
Date Updated:	10/22/2007

SURY 462	The Burned Patient
Faculty:	Dr. Bruce Cairns and Samuel Jones
Prerequisites:	Completion of second year
Offered:	All elective periods
Max. Enrollment:	2
Duration:	One to two elective periods
Meeting Place:	Burn Center, UNC Hospitals
Meeting Times:	To be arranged
Credit Hours:	6
Learning Objectives:	Students will be assigned to the Burn Unit of the UNC Hospitals where they will participate as members of the clinical team involved with the total management of burned patients. Experience will be provided and gained in the areas of physiological monitoring, the treatment of burns, bacteriology, drug therapy, and physical therapy of the burned patient. Participation in the acute, operative and chronic management of burned patients will be intensive. Opportunity for participation in on-going clinical and laboratory research projects is available and is encouraged.
Learning Activities:	Conference: 2 hours, Read: 5 hours, and Ward 20 hours.
Evaluation:	Evaluation is observed by performance of performance, participation on morning rounds, and evaluation and management of out-patients.
Date Updated:	6/30/2008

SURY 463	Acting Internship in Burn Trauma
Faculty:	Dr. Bruce Cairns and Samuel Jones
Prerequisites:	Completion of second year
Offered:	All elective periods
Max. Enrollment:	2
Duration:	One to two elective period
Meeting Place:	Burn Center, UNC Hosptials
Meeting Times:	7:00 a.m.
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (III5, V5, V1) 3. interact with patients appropriately (III) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (II4) 6. make concise and comprehensive patient presentations. (VI1) 7. generate complete and timely write-ups for assigned patients. (IV1, II5, 6) 8. use evidence based medicine in the development of advanced directives and treatment plans. (I8, IV3)
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families. Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities. Conference: 2 hours, Read: 5 hours, and Ward: 20 hours.
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills.
Date Updated:	6/30/2008

SURY 465	Plastic & Reconstructive Surgery, New Hanover Regional Medical Center, Wilmington NC
Faculty:	Dr. Dennis Nicks
Prerequisites:	Completion of surgical clerkship
Offered:	All elective periods except period 7
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Cameron Building, New Hanover Regional Medical Center
Meeting Times:	8:30 a.m.
Credit Hours:	6
Learning Objectives:	Student will exhibit patient care skills appropriate for a first-year resident. Student will be able to do complex wound closures. Student will improve hand-eye coordination as it relates to surgical skills.
Learning Activities:	This course offers intensive involvement in a busy plastic surgery practice with five physicians (trauma, burns, hand, head and neck, congenital, esthetic, microsurgery) with 200-250 cases per month and 250-300 clinic visits per week. Students will gain OR experience; as first assistant in most cases, plus active participation in the emergency room. This course is an excellent introduction to private practice with time divided between office and the 450 bed hospital
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and interpersonal relations. Members of the health care team will evaluate the student's communication and collaboration skills.
Date Updated:	3/12/2008
Clinical:	Y

SURY 466	Plastic Surgery, Carolinas Medical Center, Charlotte NC
Faculty:	Dr. Stanley Getz
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Carolinas Plastic and Cosmetic Surgery, 900 East Blvd., Charlotte NC 28203. 704-446-6810
Meeting Times:	Contact Plastic Surgery Division at UNC in advance
Credit Hours:	6
Learning Objectives:	1. Gain an appreciation for wound healing and the various pathological states of wound healing and their management. 2. Experience a wide variety of reconstructive situations in both the craniofacial area and extremity reconstruction. 3. Obtain an understanding and an appreciation for anatomy as it relates to muscle flap reconstruction and craniofacial trauma. 4. Be exposed to the largest plastic surgery group in the country with a wide diversity of approaches to similar problems. 5. Experience both hospital based and office based surgical procedures of both the reconstruction and cosmetic nature. 6. Gain an appreciation of cosmetic surgery and its various aspects. Observe a wide variety of cosmetic and reconstructive procedures and have the ability to prepare preoperatively for these cases so as to maximize the understanding and learning.
Learning Activities:	Students will participate in: 1. A weekly teaching conference and journal club attended by attendings and UNC plastic surgery residents. 2. Observe reconstructive and cosmetic procedures in both the hospital based operating room, as well as the office surgical suite. 3. Have the ability to scrub and assist on these procedures as able. 4. Participate in office hours and appreciate the evaluation and care of reconstructive and cosmetic surgery patients. 5. Gain a better understanding of facial and muscle anatomy as it relates to reconstructive procedures.
Evaluation:	The students will be evaluated by: 1. The Director of Resident Education, Dr. Stanley Getz. 2. Evaluations by other partners of the group with whom the student rotates. Evaluations will be based on participation and presentation and conferences and in quality of preparation for cases which the student observes and participates in. A significant portion of the evaluation will be direct observation and assessment based on evaluation of the students interest and enthusiasm for the topic.
Date Updated:	2/5/2008

SURY 467	Acting Internship in Plastic Surgery
Faculty:	Drs. Lynn Damitz, Scott Hultman, and H. W. Losken
Prerequisites:	Admission to Medical School, Completion of first and second year, and completion of specific course of clerkship - Core Surgery
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	7040 Burnett-Womack Building or call (919) 966-4446
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (III5, V5, V1) 3. interact with patients appropriately (III) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (II4) 6. make concise and comprehensive patient presentations. (VI1) 7. generate complete and timely write-ups for assigned patients. (IV1, II5, 6) 8. use evidence-based medicine in the development of advanced directives and treatment plans. (I8, IV3) 9. develop a conceptual understanding of wound healing, of the needs and options for the reconstructive patient, of tissue transfer, and evaluation and management of hand injuries, emphasis on rehab and function.
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families. Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities.
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills.
Date Updated:	2/7/2006

SURY 470	Acting Internship in Urology
Faculty:	Drs. Culley C. Carson, John Lavelle, Richard Sutherland, Eric Wallen, Heather Gottlieb, and Raj Pruthi. Clinical Instructor Sue Furloines-Lynn RN, MSN, ANP-C
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	4 (UNC students have priority)
Duration:	One elective period
Meeting Place:	5 West Main Hospital
Meeting Times:	7:00 a.m.
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (III5, V5, V1) 3. interact with patients appropriately (III) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (II4) 6. make concise and comprehensive patient presentations. (VI1) 7. generate complete and timely write-ups for assigned patients. (IV1, II5, 6) 8. use evidence based medicine in the development of advanced directives and treatment plans. (I8, IV3)
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families. Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities Conference: 5 hours, Ward: 30 hours, and Read: 5 hours.
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills.
Date Updated:	4/30/2007

SURY 471	Basic Clinical Urology
Faculty:	Drs. Culley C. Carson, John Lavalle, Timothy Bukowski, Eric wallen, Raj Pruthi, and Richard Sutherland. Clinical Instructor Sue Forloines-Lynn RN, MSN, ANP-C
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	5 West Main Hospital
Meeting Times:	7:00 a.m.
Credit Hours:	6
Learning Objectives:	Students work under the close supervision of the attending and resident staff two days a week in the Urology Outpatient Clinic. In addition to the clinic work, the students evaluate all consultations directed to the Urology service. Each consultation is then closely reviewed with a member of the attending staff. Students perform a number of basic urological procedures including cystoscopy, prostatic needle biopsy and urethral dilation.
Learning Activities:	Conference: 5 hours, Ward: 18 hours, Clinic: 12 hours, and Read: 5 hours.
Evaluation:	Participation in the operating room, clinic, rounds, and conferences.
Date Updated:	2/2/2006

SURY 472	Lower Urinary Tract Dysfunction
Faculty:	Drs. John P. Lavelle and Heather Gottlieb
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	Urophysiology Lab, Second Floor APCF
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	Multidisciplinary evaluation, including invasive testing and analysis of patients with voiding dysfunction, incontinence, and erectile dysfunction. Appropriate for 4th year students planning careers in OB/GYN, Urology, Family Practice, Internal Medicine, Neurology, Geriatrics, or Psychiatry.
Learning Activities:	Conference: 4 hours, Ward: 4 hours, Clinic: 8-12 hours, OR: 4 hours, Read: 4 hours, Lab: 20 hours, and Lecture: 3 hours.
Date Updated:	2/7/2006

SURY 474	Research in Urology
Faculty:	Drs. Culley C. Carson, John Lavalle, Timothy Bukowski, Eric wallen, Raj Pruthi, and Richard Sutherland. Clinical Instructor Sue Forloines-Lynn RN, MSN, ANP-C
Prerequisites:	Completion of first year of medical school
Offered:	Elective periods 1,2 and 3
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	TBA
Meeting Times:	TBA
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perserverance in execution of project-related endeavors (II) 2. collaborate with other professionals (team members) 3. interact with patients and/or colleagues appropriately (III) 4. exhibit advanced project management and communication (oral and written) skills 5. demonstrate familiarity with pertinent current and historical literature 6. use appropriate methodology as designed in collaboration with the mentor 7. apply and demonstrate understanding of appropriate statisical procedures 8. produce a written summary appropriate for a scientific presentation/publication
Learning Activities:	The student will participate in research seminars, conduct literature searches, collaborate on student or investigator initiated projects. Conference: 2 hours, Library: 8 hours, and Lab: 32 hours.
Evaluation:	The faculty mentor will evaluate the student on the design and execution of the project, including analyses. All members of the research team will contribute to the evaluation of the student's skill in communicating and collaboratig as part of a team. Observed research effort, motivation and outcome will all play a role as well.
Date Updated:	4/25/2006

SURY 476	Acting Internship in Urology, Wake Medical Center, Raleigh NC
Faculty:	Dr. Bob Matthews
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Please call (919) 350-6712 or email matthews@wakemed.org to set up time and place to meet.
Meeting Times:	(see below)
Credit Hours:	6
Learning Objectives:	Student will learn how to evaluate and manage a wide range of patients in a community based urology practice. Additionally, student will get a significant exposure to operative urology with hands on opportunities in both endoscopic and open cases.
Learning Activities:	1. Four half day clinics. 2. Four half days in the operating room. 3. Teaching/work rounds each day. 4. Formal conferences each week (1).
Evaluation:	Student performance will be judged by faculty after observing the student in the clinic, OR, rounds, and in conference. Student will be expected to give a ten to fifteen minute talk during his final week on the rotation.
Date Updated:	10/22/2007

SURY 478	Acting Internship in Pediatric Urology
Faculty:	Dr. Richard Sutherland and Dr. Timothy Bukowski
Prerequisites:	Completion of all clinical clerkships, an AI in Urology, and permission of Dr. Sutherland
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	UNC Children's Hospital Pediatric Clinic
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	At the end of the rotation, the student will be able to: perform pediatric urological patient care skills appropriate for a first-year resident; demonstrate competence in appropriate procedural skills; make concise and comprehensive patient presentations; generate complete and timely write ups for assigned patients.
Learning Activities:	The student will assume responsibilities of an intern on the Pediatric Urologic Service working under the close supervision of the resident and attending staff. The student will participate in all weekly activities which include pediatric urologic clinics and pediatric urology surgeries. The student will also participate actively in pre and postoperative care. There will be ample opportunity to perform selective surgical procedures under supervision. There will also be opportunity to perform clinical or basic research when the rotation is planned ahead of time.
Evaluation:	Evaluation: Students will be evaluated by but not limited to: Observation of procedure administration Interviewing patients Presentation at case conferences Participation in rounds Patient write ups, etc.
Date Updated:	5/3/2006

SURY 481	Acting Internship in Surgical Oncology
Faculty:	Drs. Michael Meyers, Nancy DeMore, HondJin Kim, and David Ollila
Prerequisites:	Completion of all required clinical clerkships
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	SICU - Contact Donna Cavallo at (919) 966-5221 prior to rotation.
Meeting Times:	6:30 am
Credit Hours:	6
Learning Objectives:	The student will: 1. demonstrate perseverance in care of patients (II) 2. collaborate with other health care professionals (team members) (1115. V5, V1) 3. interact with patients appropriately (111) 4. exhibit advanced evaluation and communication skills in patient care. 5. demonstrate competence in appropriate procedural skills. (114) 6. make concise and comprehensive patient presentations. (V11 ) 7. generate complete and timely write-ups for assigned patients. (IV1, 115, 6) 8. use evidence-based medicine in the development of advanced directives and treatment plans. (18, IV3)
Learning Activities:	In the role of a first-year resident, students will participate in all aspects of patient care including admissions, developing an assessment and management plan and communicating with patients and their families. Daily rounds, weekly conferences, frequent operating room exposure, departmental rounds and taking call are required activities. Conference: 4 hours, Ward: 15 hours, Clinic: 12 hours, OR: 20 hours, Library: 4 hours, and Read: 4 hours.
Evaluation:	The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills.
Date Updated:	6/26/2008

SURY 485	Oral and Maxillofacial Surgery
Faculty:	Timothy A. Turvey, MD
Prerequisites:	Completion of third year Surgery clerkship
Offered:	All elective period
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	OMFS office, 105 Brauer Hall UNC School of Denistry. Please contact Dr. Turvey prior to rotation.
Meeting Times:	7:00 am
Credit Hours:	6
Learning Objectives:	Oral and Maxillofacial surgery is a surgical specialty which primarily manages patients affected with disorders of oral cavity , craniofacial region, head and neck. This elective will be beneficial to those student interested in expanding their knowledge base and technical skills in congenital, acquired, developmental, and traumatic deformities and pathology of these regions. Students will be expected to participate in the care of patients with odontogenic and facial infections, facial fractures, soft tissue injuries of the face, resection and reconstruction of facial tumors, cleft lip and palate, craniofacial syndromes, temporomandibular joint disorders, facial pain syndromes, and microneurosurgery. Students will be exposed to out-patient anesthetic techniques and will gain skills in the routine administration of local anesthetic including regional blocs within the head and neck as well as minor surgery of the oral cavity and face including extraction of teeth. Also, an appreciation will be gained of the impact of systemic disease on the face and oral cavity. This elective is appropriate for all medical students because of the wide scope of the specialty but may be especially helpful for those students interested in pursuing residency training in oral and maxillofacial surgery, otolaryngology, plastic surgery, neurosurgery, general surgery, emergency medicine, family practice, dermatology, radiology, pathology, and pediatrics.
Learning Activities:	Per week: Clinic: 25 Hours, OR: 15 hours, ER: 5 hours, Lecture: 5 hours, and Call: Every 4th night.
Evaluation:	Outpatient write-ups, procedures observation, participation on rounds, one short oral presentation on a topic of interest from the rotation.
Date Updated:	10/24/2007