medportal CDB | Taxonomy | Discipline / Surgery

Taxonomies

Discipline

Surgery

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Activities

Bruno Silva MF2 Endocrinology and Metabolism (Archived)
Tutorial

Part 2 / Medical Foundation 2

Common Urological Problems (Archived)
Clinical Pathology Conferences (CPC)

Part 3 / Medical Foundation 3 / Renal / Week 1

Osteoarthritis (Archived)
Large Group Session

Part 4 / Musculoskeletal Medicine

Ethel MacConkey IF Host Defence and Neoplasia
Tutorial

Integration Foundation / Host Defense and Neoplasia / Week 1

Integration Foundation Rapid Fire Cases: Medical decision making in the acute care setting
e-Learning Module

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 4

Adrian Scholtz Part 2
Tutorial

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 4

Claudication
Clinical Skills Sessions

Part 5 / Integration Foundation / Complexity and Chronicity / Week 3

Knot tying and Perineal Trauma
Large Group Session

Clerkship / Obstetrics and Gynecology Rotation

Patient History
Clinical Skills Practice Sessions

Clerkship / Surgery Rotation

Examination
Clinical Skills Practice Sessions

Clerkship / Surgery Rotation

Patient History
Clinical Exposure

Clerkship / Surgery Rotation

Examination
Clinical Exposure

Clerkship / Surgery Rotation

Order and Interpret Laboratory Investigations
Clinical Exposure

Clerkship / Surgery Rotation

Order and Interpret Imaging Investigations
Clinical Exposure

Clerkship / Surgery Rotation

Professional competencies
Clinical Exposure

Clerkship / Surgery Rotation

Professional Competencies in Surgery
Large Group Session

Clerkship / Surgery Rotation

Pre and Post operative care
Large Group Session

Clerkship / Surgery Rotation

Urology
Large Group Session

Clerkship / Surgery Rotation

Neurosurgery
Large Group Session

Clerkship / Surgery Rotation

Acute Abdominal pain
Clinical Exposure

Clerkship / Surgery Rotation

Bowel Obstruction
Clinical Exposure

Clerkship / Surgery Rotation

Gastrointestinal Bleeding
Clinical Exposure

Clerkship / Surgery Rotation

Fever in Postoperative Patient
Clinical Exposure

Clerkship / Surgery Rotation

Shortness of breath/chest pain in postoperative patient
Clinical Exposure

Clerkship / Surgery Rotation

Vomiting, diarrhea and constipation
Clinical Exposure

Clerkship / Surgery Rotation

Urinary complaints
Clinical Exposure

Clerkship / Surgery Rotation

Breast mass/inflammation/discharge
Clinical Exposure

Clerkship / Surgery Rotation

Inguinal/Scrotal complaints
Clinical Exposure

Clerkship / Surgery Rotation

Fluid management in the surgical patient
Clinical Exposure

Clerkship / Surgery Rotation

Flank pain
Clinical Exposure

Clerkship / Surgery Rotation

Head injury/Altered Neurological status
Clinical Exposure

Clerkship / Surgery Rotation

Benign/Malignant skin lesions
Clinical Exposure

Clerkship / Surgery Rotation

Insertion of nasogastric tube
Clinical Exposure

Clerkship / Surgery Rotation

Venipuncture
Clinical Exposure

Clerkship / Surgery Rotation

Intravenous start
Clinical Exposure

Clerkship / Surgery Rotation

Closure of wound (skin)
Clinical Exposure

Clerkship / Surgery Rotation

OR sterile technique/Assisting
Clinical Exposure

Clerkship / Surgery Rotation

Patient History
Clerkship Teaching Session

Clerkship / Surgery Rotation

Plastic Surgery
Large Group Session

Clerkship / Surgery Rotation

Examination
Clerkship Teaching Session

Clerkship / Surgery Rotation

Abdominal pain, acute (< 48 hrs)
Essential Clinical Experience

Emergency Medicine Rotation / Surgery Rotation

Breast mass/inflammation/discharge
Essential Clinical Experience

Surgery Rotation

Dyspnea/chest pain in postoperative patient
Essential Clinical Experience

Surgery Rotation

Urinary complaints
Essential Clinical Experience

Surgery Rotation

Vomitting, Diarrhea & Constipation
Essential Clinical Experience

Surgery Rotation

Fever in postoperative patient
Essential Clinical Experience

Surgery Rotation

Fluid management in the surgical patient
Essential Clinical Experience

Surgery Rotation

Gastrointestinal bleeding
Essential Clinical Experience

Surgery Rotation

Inguinal/scrotal complaints
Essential Clinical Experience

Surgery Rotation

Bowel obstruction
Essential Clinical Experience

Surgery Rotation

Nasogastric tube, Insert
Essential Clinical Experience

Surgery Rotation

IV start, Peripheral
Essential Clinical Experience

Emergency Medicine Rotation / Surgery Rotation

Suture removal
Essential Clinical Experience

Surgery Rotation

Urinary catheter, Insert
Essential Clinical Experience

Surgery Rotation

Venipuncture
Essential Clinical Experience

Surgery Rotation

Wound cleansing / dressing
Essential Clinical Experience

Emergency Medicine Rotation / Surgery Rotation

Participate in a discussion in which "bad news" is communicated to a patient or family.
Essential Clinical Experience

Emergency Medicine Rotation / Surgery Rotation

Communicate with a patient or family when there is a language or cultural barrier (not necessarily using an interpreter).
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Family Medicine Rotation / Surgery Rotation

Participate in a discussion in which aspects or limits of confidentiality are explored.
Essential Clinical Experience

Emergency Medicine Rotation / Psychiatry Rotation / Surgery Rotation

Participate in a discussion regarding decisional capacity.
Essential Clinical Experience

Emergency Medicine Rotation / Surgery Rotation

Participate in a discussion, or prepare a written analysis, in regards to an ethical dilemma.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation / Surgery Rotation

Participate in the development of a discharge plan for a hospitalized patient.
Essential Clinical Experience

Internal Medicine Rotation / Pediatrics Rotation / Surgery Rotation

Participate in a discussion that involves issues pertaining to patient safety.
Essential Clinical Experience

Anesthesia Rotation / Surgery Rotation

Rectal Exam
Essential Clinical Experience

Surgery Rotation

Acute Abdomen
Round Table Discussion

Clerkship / Surgery Rotation

Breast Diseases
Round Table Discussion

Clerkship / Surgery Rotation

Pediatric Surgery
Round Table Discussion

Clerkship / Surgery Rotation

ENT (Ears, Nose, Throat)
Round Table Discussion

Clerkship / Surgery Rotation

Colorectal
Round Table Discussion

Clerkship / Surgery Rotation

Hernia / Bowel Obstruction
Round Table Discussion

Clerkship / Surgery Rotation

Biliary Tract Diseases
Round Table Discussion

Clerkship / Surgery Rotation

GI Bleed
Round Table Discussion

Clerkship / Surgery Rotation

Trauma
Round Table Discussion

Clerkship / Surgery Rotation

Trauma
Large Group Session

Clerkship / Surgery Rotation

Pediatric Surgery
Large Group Session

Clerkship / Surgery Rotation

Ear, Nose and Throat
Large Group Session

Clerkship / Surgery Rotation

Head and Neck
Large Group Session

Clerkship / Surgery Rotation

Oncology
Large Group Session

Clerkship / Surgery Rotation

Ophthalmology
Large Group Session

Clerkship / Surgery Rotation

Vascular Surgery
Large Group Session

Clerkship / Surgery Rotation

Abdominal aortic aneurysms
e-Learning Module

Clerkship / Surgery Rotation

Adrenal adenoma
e-Learning Module

Clerkship / Surgery Rotation

Anorectal disease
e-Learning Module

Clerkship / Surgery Rotation

Appendicitis
e-Learning Module

Clerkship / Surgery Rotation

Bariatric surgery and obesity
e-Learning Module

Clerkship / Surgery Rotation

Bowel obstruction
e-Learning Module

Clerkship / Surgery Rotation

Breast cancer surgery
e-Learning Module

Clerkship / Surgery Rotation

Burn management
e-Learning Module

Clerkship / Surgery Rotation

Cartoid stenosis
e-Learning Module

Clerkship / Surgery Rotation

Cholecystitis
e-Learning Module

Clerkship / Surgery Rotation

Colon cancer
e-Learning Module

Clerkship / Surgery Rotation

Diverticulitis
e-Learning Module

Clerkship / Surgery Rotation

Inguinal Hernia
e-Learning Module

Clerkship / Surgery Rotation

Lung cancer
e-Learning Module

Clerkship / Surgery Rotation

Pediatric Hernia
e-Learning Module

Clerkship / Surgery Rotation

Pediatric surgery: pyloric stenosis
e-Learning Module

Clerkship / Surgery Rotation

Skin cancer
e-Learning Module

Clerkship / Surgery Rotation

Thyroid nodule
e-Learning Module

Clerkship / Surgery Rotation

Trauma resuscitation
e-Learning Module

Clerkship / Surgery Rotation

Professional Competencies in Surgery
Small Group Session

Clerkship / Surgery Rotation

Informed Consent
e-Learning Module

Clerkship / Surgery Rotation

Surgery Clerkship
Clinical Exposure

Clerkship / Surgery Rotation

Closure of wound (skin)
Essential Clinical Experience

Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

OR sterile technique/Assisting
Essential Clinical Experience

Surgery Rotation / Orthopedic Surgery Rotation

Communicate information about diagnosis, prognosis or therapy using lay language.
Essential Clinical Experience

Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Collaborate with the interprofessional team around the care of a patient.
Essential Clinical Experience

Anesthesia Rotation / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Obtain informed consent for a procedure or treatment.
Essential Clinical Experience

Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Access evidence-based information/resources relevant to a clinical problem and discuss with supervisor or team.
Essential Clinical Experience

Anesthesia Rotation / Emergency Medicine Rotation / Internal Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Apply evidence-based information to inform decision making and share with patient or family.
Essential Clinical Experience

Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Pre-operative Surgical Safety checklist
Essential Clinical Experience

Surgery Rotation / Orthopedic Surgery Rotation

Peri-Operative Care
Concept Integration and Review

Post-clerkship / Concept Integration and Review / Week 4

General Surgery
Concept Integration and Review

Post-clerkship / Concept Integration and Review / Week 5

Intro to Neoplasia 101 (Archived)
Large Group Session

Philippe LaCologne Part 1 MF4 Neoplasia (Archived)
Tutorial

GI CPC (Archived)
Clinical Pathology Conferences (CPC)

Breast (Archived)
Clinical Pathology Conferences (CPC)

Colon Cancer (Archived)
Clinical Pathology Conferences (CPC)

Allyson Purdon MF4 Neoplasia (Archived)
Tutorial

Skin Cancer Detection Tools and Surgical Treatment Options (Archived)
Large Group Session

Introduction to Otolaryngology and Head and Neck Surgery (Archived)
Large Group Session

Principles of Surgical Oncology (Archived)
Large Group Session

Head, Neck and ENT Malignancy (Archived)
Clinical Pathology Conferences (CPC)

Assessments

Order and interpret laboratory investigations
Clerkship Multiple Choice Question Exam

Clerkship / Surgery Rotation

Order and interpret imaging investigations
Clerkship Multiple Choice Question Exam

Clerkship / Surgery Rotation

Surgery Clerkship
Essential Clinical Experience Completion

Surgery Rotation

WISE MD Surgical Module completion
e-Learning Module Completion

Clerkship / Surgery Rotation

Professional Competencies in Surgery
Clerkship Reflection Paper

Clerkship / Surgery Rotation

Informed Consent
e-Learning Module Completion

Clerkship / Surgery Rotation

Primary Presenations (Surgery Clerkship)
Clerkship Multiple Choice Question Exam

Clerkship / Surgery Rotation

Surgery Clerkship
Clerkship Multiple Choice Question Exam

Clerkship / Surgery Rotation

Surgery Rotation
Mid-Rotation Assessment

Clerkship / Surgery Rotation

General Surgery
CIR Attendance

Post-clerkship / Concept Integration and Review

Objectives

Upon completion of this problem, students will be able to explain how skin forms an integral component of the immune system and the consequences of breaches in this barrier. They will be able to describe the composition of normal host flora, the classification of bacteria and explain how these bacteria can lead to infections, such as those at surgical sites, especially when facilitated by the presence of prosthetic material.
Global Objectives

Part 5 / Integration Foundation / Host Defense and Neoplasia

Discuss the diagnosis and treatment of compartment syndrome.
Clerkship Objectives

Clerkship

Indications for medical and surgical treatment of uterine leiomyomas
Framework Objectives

Obstetrics and Gynecology Rotation

To recognize normal and abnormal pelvic surgical anatomy.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To develop an understanding of surgical principles as they relate to gynaecologic procedures.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To demonstrate skills required to assist at gynaecologic surgery.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

Abdominal pain, acute (< 48 hrs)
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation

Breast mass/inflammation/discharge
Essential Clinical Experience

Clerkship / Surgery Rotation

Dyspnea/chest pain in postoperative patient
Essential Clinical Experience

Clerkship / Surgery Rotation

Urinary complaints
Essential Clinical Experience

Clerkship / Surgery Rotation

Vomitting, Diarrhea & Constipation
Essential Clinical Experience

Clerkship / Surgery Rotation

Fever in postoperative patient
Essential Clinical Experience

Clerkship / Surgery Rotation

Fluid management in the surgical patient
Essential Clinical Experience

Clerkship / Surgery Rotation

Gastrointestinal bleeding
Essential Clinical Experience

Clerkship / Surgery Rotation

Inguinal/scrotal complaints
Essential Clinical Experience

Clerkship / Surgery Rotation

Bowel obstruction
Essential Clinical Experience

Clerkship / Surgery Rotation

Nasogastric tube, Insert
Essential Clinical Experience

Clerkship / Surgery Rotation

IV start, Peripheral
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation

Suture removal
Essential Clinical Experience

Clerkship / Surgery Rotation

Urinary catheter, Insert
Essential Clinical Experience

Clerkship / Surgery Rotation

Venipuncture
Essential Clinical Experience

Clerkship / Surgery Rotation

Wound cleansing / dressing
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation

Communicate with a patient or family when there is a language or cultural barrier (not necessarily using an interpreter).
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Family Medicine Rotation / Surgery Rotation

Participate in a discussion in which aspects or limits of confidentiality are explored.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Psychiatry Rotation / Surgery Rotation

Participate in a discussion regarding decisional capacity.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation

Participate in a discussion, or prepare a written analysis, in regards to an ethical dilemma.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Family Medicine Rotation / Obstetrics and Gynecology Rotation / Surgery Rotation

Participate in the development of a discharge plan for a hospitalized patient.
Essential Clinical Experience

Clerkship / Internal Medicine Rotation / Pediatrics Rotation / Surgery Rotation

Participate in a discussion that involves issues pertaining to patient safety.
Essential Clinical Experience

Clerkship / Anesthesia Rotation / Surgery Rotation

Rectal Exam
Essential Clinical Experience

Clerkship / Surgery Rotation

Discuss the most frequently encountered benign hepatic tumors and their management.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the most frequently encountered malignant hepatic tumors and their management.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the causes of splenomegaly.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the most common signs and symptoms associated with hypersplenism.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the short and long term complications associated with surgical removal of the spleen.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the differential diagnosis of a pancreatic mass.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the management of cystic lesions of the pancreas.
Clerkship Objectives

Clerkship / Surgery Rotation

How do you differentiate a pancreatic pseudocyst from a cystadenoma or true cyst?
Clerkship Objectives

Clerkship / Surgery Rotation

Which patients with a pancreatic cyst need surgery and when?
Clerkship Objectives

Clerkship / Surgery Rotation

Know the major complications of pancreatic necrosis and pseudocyst formation?
Clerkship Objectives

Clerkship / Surgery Rotation

Characterization of abdominal pain (location, severity, character, pattern).
Clerkship Objectives

Clerkship / Surgery Rotation

Temporal sequence of abdominal pain (onset, frequency, duration, progression).
Clerkship Objectives

Clerkship / Surgery Rotation

Alleviating and exacerbating factors of abdominal pain (position, food, activity, medications).
Clerkship Objectives

Clerkship / Surgery Rotation

Associated signs and symptoms of abdominal pain (nausea vomiting, fever, chills, anorexia, wt. loss, cough, dysphagia, dysuria/frequency, altered bowel function diarrhea, constipation, obstipation, hematochezia, melena, etc.).
Clerkship Objectives

Clerkship / Surgery Rotation

Pertinent medical history: prior surgery or illness, associated conditions (pregnancy, menstrual cycle, diabetes, atrial fibrillation or cardiovascular disease, immunosuppression). Medications: anticoagulation, steroids etc. (for abdominal pain).
Clerkship Objectives

Clerkship / Surgery Rotation

Demonstrate the components of a complete abdominal examination including rectal, genital and pelvic examinations.
Clerkship Objectives

Clerkship / Surgery Rotation

Relate the significance of the various component examinations: observation, auscultation, percussion, palpation as they apply to common abdominal pathologic processes. Examples: distention, visible peristalsis, high pitched or absent bowel sounds, tympany, mass, localized vs. generalized guarding and/or rebound tenderness.
Clerkship Objectives

Clerkship / Surgery Rotation

Demonstrate and relate the significance of various maneuvers utilized in evaluating acute abdominal pain. Examples: iliopsoas sign, Rovsing's sign, obturator sign, Murphy's sign, cough tenderness, heel tap, cervical motion tenderness.
Clerkship Objectives

Clerkship / Surgery Rotation

Develop a differential diagnosis for various patients presenting with acute abdominal pain. Differentiate based on: Location (RUQ, epigastric, LUQ, RLQ, LLQ, Flank) and Symptom complex (examples: periumbilical pain localizing to RLQ, acute onset left flank pain with radiation to the testicle etc).
Clerkship Objectives

Clerkship / Surgery Rotation

Explain the rationale for utilizing various diagnostic modalities in the evaluation of abdominal pain.
Clerkship Objectives

Clerkship / Surgery Rotation

Explain the rationale for utilizing various diagnostic modalities in the evaluation of abdominal pain: Laboratory: CBC, amylase, electrolytes, BUN, creatinine, glucose, urinalysis, beta-HCG, liver profile.
Clerkship Objectives

Clerkship / Surgery Rotation

Explain the rationale for utilizing various diagnostic modalities in the evaluation of abdominal pain: Diagnostic imaging: Flat and upright abdominal radiographs, upright chest X-ray, ultrasound, CT scan abdomen and pelvis, GI contrast radiography, angiography.
Clerkship Objectives

Clerkship / Surgery Rotation

Explain the rationale for utilizing various diagnostic modalities in the evaluation of abdominal pain: Special diagnostic/Interventional techniques: upper endoscopy, procto-sigmoidoscopy, colonoscopy, laparoscopy.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differential diagnosis of inguinal pain, mass or bulge. consider hernia, adenopathy, muscular strain.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the anatomic differences between indirect and direct hernias.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relative frequency of indirect, direct and femoral hernias by age and gender.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the clinical conditions that may predispose to development of inguinal hernia.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the potential sites for abdominal wall hernias. Consider incisional, umbilical, inguinal, femoral, Spigelian, and epigastric. Differentiate diastasis recti from abdominal hernia.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the physiology of intracerebral pressure (ICP) and cerebral perfusion pressure (CPP), including the effects of blood pressure, ventilatory status, and fluid balance on ICP and CPP.
Clerkship Objectives

Clerkship / Surgery Rotation

Recognize the Cushing reflex and its clinical importance (brain herniation).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the signs, etiology and treatment of intracranial hemorrhage (subarachnoid hemorrhage and intracerebral hemorrhage).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the relative incidence and location of the most common brain tumors, their clinical manifestations, their diagnosis, and general treatment strategies.
Clerkship Objectives

Clerkship / Surgery Rotation

Differentiate TIA, RIND, and CVA.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the presentation and management of hydrocephalus. Compare and contrast adult and pediatric hydrocephalus.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the commonly used local anesthetics.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the advantages and disadvantages of epinephrine in the local anesthetic.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss special precautions needed on the digits.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss safe dosage ranges of the common anesthetics and the potential toxicities of these drugs.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the common benign skin lesions and their treatment (papillomas, skin tags, subcutaneous cysts, lipomas).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the characteristics, typical location, etiology and incidence of basal cell and squamous skin cancers.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relationship (of benign and malignant skin lesions) to solar irradiation, ethnicity, previous tissue injury, and immunosuppression.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the characteristics of malignant skin lesions which distinguish them from benign lesions.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the characteristics, typical locations, etiology and incidence of malignant melanoma.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relationship of melanoma to benign nevi and characteristics which help differentiate them.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss risk factors for melanoma.
Clerkship Objectives

Clerkship / Surgery Rotation

What are the lesions which have high potential for malignant transformation?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the various types of melanoma and prognosis for each type.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relationship of size and thickness to prognosis. (melanoma)
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the usual treatment for cutaneous melanoma including margins, depth and lymph node management including sentinel node mapping.
Clerkship Objectives

Clerkship / Surgery Rotation

Develop a differential diagnosis for a 20-year-old patient with breast mass and a 45- year-old patient with breast mass. Consider benign vs. malignant, abscess.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the diagnostic work-up and sequence: Discuss importance of the patient's history: estimated duration of illness, nipple discharge, breast cancer risk factor assessment. Discuss physical findings to look for.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnosis and management of the patient with an abnormal mammogram (consider microcalcifications).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the rationale for management with specific emphasis on: Staging of breast CA; The role of incision and drainage and antibiotics in breast abscess treatment; Current recommendations for screening mammography.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the causes, diagnosis, and treatment of spontaneous pneumothorax.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the risks of pneumothorax which could prove life-threatening.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the underlying pulmonary pathology you might expect to find. (pneumothorax)
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the role of: Observation; Tube thoracostomy; Chemical sclerosis; Surgical management of this condition (pneumothorax).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the common etiologies for hemothorax.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss an appropriate diagnostic evaluation for a patient with hemothorax.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the appropriate management of blood in the pleural cavity.
Clerkship Objectives

Clerkship / Surgery Rotation

Which patients (with hemothorax) need an operation?
Clerkship Objectives

Clerkship / Surgery Rotation

What are the risks in leaving the blood diagnostic in the chest?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the most common non-traumatic causes of hemothorax.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the presentations, etiologies and management of pulmonary embolus.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the predisposing factors which may lead to Pulmonary Embolus.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the main points in the evaluation for pulmonary embolus.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss management options for pulmonary embolus: Who needs anticoagulation with heparin? Who needs lytic therapy? Who needs vena caval filter protection? Discuss the indication for open thoracotomy and pulmonary embolectomy to treat massive embolism.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differential diagnosis of ear pain (otalgia). Consider infection, trauma, neoplasm, inflammation, vascular contrast etiologies in children versus adults.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnosis, treatment and complications of acute and chronic otitis media. Include indications for myringotomy tube placement.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the evaluation of a patient presenting with tinnitus. Describe the potential etiologies and management.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the risk factors, diagnosis and management of epistaxis. Describe the indications and techniques for nasal packing.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the indications for tonsillectomy.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the evaluation of a patient with a salivary gland mass. Describe the potential etiologies. Describe the common tumors of the salivary gland and their management.
Clerkship Objectives

Clerkship / Surgery Rotation

List the normal range of Na+, K+, HCO3-, Cl- in serum and indicate how these ranges change in perspiration, gastric juice, bile and ileostomy contents.
Clerkship Objectives

Clerkship / Surgery Rotation

List least six symptoms or physical findings of dehydration.
Clerkship Objectives

Clerkship / Surgery Rotation

List and describe the objective ways of measuring fluid balance.
Clerkship Objectives

Clerkship / Surgery Rotation

List the electrolyte composition of the following solutions: normal (0.9%) saline; half normal saline; one third normal saline; 5 percent dextrose in water; Ringer's lactate.
Clerkship Objectives

Clerkship / Surgery Rotation

In the following situations, indicate whether serum Na, K, HCO3, Cl and blood pH will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--): excessive gastric losses; high volume pancreatic fistula; small intestine fistula; biliary fistula; diarrhea
Clerkship Objectives

Clerkship / Surgery Rotation

In the following situations, indicate whether serum and urine Na, K, HCO3, Cl and osmolality will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--): acute tubular necrosis; dehydration; secretion (SIADH); diabetes insipidus; congestive heart failure
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the possible causes, appropriate laboratory studies needed, and treatment of the following conditions: hypernatremia; hyponatremia; hyperkalemia; hypokalemia; hypochloremia
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the concept of a “third space” and list those conditions that can cause fluid sequestration of this type.
Clerkship Objectives

Clerkship / Surgery Rotation

List the physiological limits of normal blood gases.
Clerkship Objectives

Clerkship / Surgery Rotation

List the factors that effect oxygen delivery and consumption.
Clerkship Objectives

Clerkship / Surgery Rotation

Indicate the mechanisms, methods of compensation, differential diagnosis, and treatment of the following acid base disorders: acute metabolic acidosis; acute respiratory acidosis; acute metabolic alkalosis; acute respiratory alkalosis.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the potential etiologies of hematuria.
Clerkship Objectives

Clerkship / Surgery Rotation

Consider age and character of bleeding (hematuria): initial, terminal, total.
Clerkship Objectives

Clerkship / Surgery Rotation

Consider microscopic vs. gross hematuria.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnostic modalities available for evaluation of hematuria.
Clerkship Objectives

Clerkship / Surgery Rotation

Consider CT, cystoscopy, IVP, ultrasound, cystourethrogram, and retrograde pyleography (hematuria).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the staging and management of renal cell carcinoma, and transitional cell carcinoma.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss renal and ureteral calculi.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the clinical presentation of renal and ureteral calculi.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the etiologies and diagnostic evaluation of a patient with UTI.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the etiologies and work-up of a patient with pneumaturia.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the initial evaluation of patients presenting with urinary frequency, nocturia, urgency or urinary retention.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the initial management of a patient with an acute GI hemorrhage. Discuss indications for transfusion, fluid replacement, and choice of fluids.
Clerkship Objectives

Clerkship / Surgery Rotation

Differentiate upper vs. lower GI hemorrhage. Discuss history and physical exam abnormalities. Discuss diagnostic studies.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differences in evaluation and management of the patient presenting with: hematemesis, melena, hematochezia, guaiac positive stool.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss management for: peptic ulcer, variceal hemorrhage, Mallory-Weiss tear gastric ulcer (benign vs. malignant), Meckel's diverticulum , intussusceptions, diverticulosis , ulcerative colitis, colon cancer, rectal cancer, hemorrhoids, AV malformation.
Clerkship Objectives

Clerkship / Surgery Rotation

Gallstones.
Clerkship Objectives

Clerkship / Surgery Rotation

Cholecystitis
Clerkship Objectives

Clerkship / Surgery Rotation

Biliary Colic
Clerkship Objectives

Clerkship / Surgery Rotation

Choledocolithiasis
Clerkship Objectives

Clerkship / Surgery Rotation

Colangitis
Clerkship Objectives

Clerkship / Surgery Rotation

Pancreatitis
Clerkship Objectives

Clerkship / Surgery Rotation

Pancreatic Pseudocyst
Clerkship Objectives

Clerkship / Surgery Rotation

Carcinoma of the Pancreas
Clerkship Objectives

Clerkship / Surgery Rotation

Hepatomegaly/Splenomegaly
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the differential diagnosis of a patient with jaundice.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss, prehepatic, intrahepatic (both non-obstructive) and posthepatic (obstructive) etiologies (for jaundice).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss importance of the patient's history: estimated duration of illness, associated symptoms (pain and its characteristics), and risk factors.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss important physical exam findings: hepatomegaly; palpable mass; Courvoisier's sign; Murphy's sign; scleral icterus; abdominal tenderness; lymphadenopathy; Charcot's triad; Reynold's pentad.
Clerkship Objectives

Clerkship / Surgery Rotation

Explain the rationale for using these diagnostic tests in the evaluation of a patient with jaundice: Liver function tests, including hepatitis profile, peripheral blood smear, Coombs tests, etc. Hepatobiliary imaging procedures (ultrasound, CT scan, ERCP, PTHC, HIDA).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe atherosclerosis, its etiology, prevention and sites of predilection.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss neurological vs. vascular etiologies of walking induced leg pain.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss musculoskeletal etiologies (of leg pain).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the pathophysiology of intermittent claudication.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnostic work-up of chronic arterial occlusive disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss risk factors associated with arterial occlusive disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the etiologies and presentation of acute arterial occlusion.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss embolic vs. thrombotic occlusion.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the signs and symptoms of acute arterial occlusion (the "P's").
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the medical and surgical management (of acute arterial occlusion).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the complications associated with prolonged ischemia and revascularization.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the differential diagnosis, location, appearance and symptoms of leg ulcers due to: Arterial disease; Venous stasis disease; Neuropathy; Infection; Malignancy.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss how to differentiate lymphedema from venous stasis.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the factors that lead to venous thrombosis and embolism.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the common invasive and noninvasive diagnostic tests for DVT.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss methods for DVT prophylaxis and identify high-risk patients.
Clerkship Objectives

Clerkship / Surgery Rotation

Create an algorithm for the evaluation of a patient with a lung nodule on chest x-ray.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the common risk factors and clinical symptoms of lung cancer.
Clerkship Objectives

Clerkship / Surgery Rotation

List the most common sources of malignant metastases to the lungs.
Clerkship Objectives

Clerkship / Surgery Rotation

Compare and contrast the management and prognosis of metastatic vs. primary lung malignancies.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the most common diagnostic procedures used to evaluate pulmonary and mediastinal lesions.
Clerkship Objectives

Clerkship / Surgery Rotation

List the common tumors of the anterior, posterior and superior mediastinum.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the embryologic origin of these lesions (neck mass) and the anatomic implications to consider when resecting them.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the signs, symptoms & etiologies of inflammatory neck masses.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss Ludwig's angina and why it may be life-threatening.
Clerkship Objectives

Clerkship / Surgery Rotation

What is appropriate treatment for cervical adenitis?
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the most common neoplastic neck masses and their origin.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the role of fine-needle cytology, open biopsy, CT scan, MRI, thyroid scan, and nasopharyngeal endoscopy in the diagnostic work up of a neck mass.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the evaluation and differential diagnosis of a patient with a thyroid nodule.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the common thyroid malignancies, their cell of origin and their management. Which has the best prognosis? The worst?
Clerkship Objectives

Clerkship / Surgery Rotation

Which (common thyroid malignancies) are associated with MEN syndrome?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relationship of radiation exposure to thyroid malignancy.
Clerkship Objectives

Clerkship / Surgery Rotation

Which malignancies frequently metastasize to the neck?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the common non-neoplastic thyroid diseases that could present as a mass.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the symptoms associated with hyperthyroidism and discuss treatment options.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss diagnosis and management of thyroiditis.
Clerkship Objectives

Clerkship / Surgery Rotation

Define "non-healing" wounds.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss a differential diagnosis, evaluation, and treatment of a patient with: non-healing lower extremity wound; non-healing wound of the torso; body area other than the lower extremity.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the pathophysiology involved for each of the diagnostic possibilities (for non-healing wounds). Consider: pressure; ischemia; infection; malignancy; foreign body.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss wound infection, seroma, hematoma, wound dehisance.
Clerkship Objectives

Clerkship / Surgery Rotation

Red eye: Traumatic; Infectious; Inflammatory; Chronic
Clerkship Objectives

Clerkship / Surgery Rotation

Common retinal problems
Clerkship Objectives

Clerkship / Surgery Rotation

Cataracts
Clerkship Objectives

Clerkship / Surgery Rotation

Pterygium
Clerkship Objectives

Clerkship / Surgery Rotation

Chalazion
Clerkship Objectives

Clerkship / Surgery Rotation

Hernias/Hydroceles
Clerkship Objectives

Clerkship / Surgery Rotation

Neck Masses
Clerkship Objectives

Clerkship / Surgery Rotation

Bowel obstruction: Adhesions, hernias, intussusception, Meckel's diverticulum, Volvulus, Hirschprung's disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Develop a differential diagnosis for a patient with perianal pain. (Be sure to include benign, malignant and inflammatory causes.)
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the characteristic history findings for each of the above (perianal pain) including: character and duration of complaint, presence or absence of associated bleeding, relationship of complaint to defecation.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe physical exam findings for each diagnosis of perianal pain. Indicate in which part of exam (external, digital, anoscopic or proctoscopic) these findings are identified.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss treatment plan for each diagnosis listed in objective one (for perianal pain), including non-operative interventions and role and timing of surgical interventions.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the differential diagnosis of a patient having postoperative fever. For each entity, discuss the clinical manifestations, appropriate diagnostic work-up, and management: Within 24 hours: response to surgical trauma; atelectasis; necrotizing wound infections. Between 24 and 72 hours: pulmonary disorders (atelectasis, pneumonia); catheter related complications (IV-phlebitis, Foley-UTI). After 72 hours: infectious (UTI, pneumonia, wound infection, deep abscess, anastomotic leak, prosthetic infection, parotitis); noninfectious (deep vein thrombosis).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the following wound complications in terms of predisposing risk factors (patient condition, type of operation, technique), as well as their recognition, treatment, and prevention: hematoma and seroma; wound infection; dehiscence; incisional hernia.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the various causes of respiratory distress and respiratory insufficiency that may occur in the postoperative patient. For each complication, describe the etiology, clinical presentation, management, and methods of prevention: atelectasis; pneumonia; aspiration; pulmonary edema; pulmonary embolism (including deep venous thrombosis); fat embolism.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnostic work-up and treatment of oliguria in the postoperative period. Include pre-renal, renal, and post-renal causes (including urinary retention).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the possible causes of hypotension which may occur in the postoperative period. For each etiology describe its pathophysiology and treatment: hypovolemia; sepsis; cardiogenic shock - including postoperative myocardial infarction; fluid overload; arrhythmias; pericardial tamponade; medication effects
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the management of postoperative chest pain.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe factors which can lead to abnormal bleeding postoperatively, and discuss its prevention and management: Surgical site - inherited and acquired factor deficiencies; DIC; transfusion reactions; operative technique; gastroduodenal (i.e. stress ulcerations)
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss disorders of alimentary tract function following laparotomy which may produce nausea, vomiting, and/or abdominal distension: paralytic ileus; acute gastric dilatation; intestinal obstruction; fecal impaction
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the factors which can give rise to alterations in cognitive function postoperatively, as well as their evaluation and treatment. Alterations in cognitive function: hypoxia; metabolic; alcohol withdrawal; hyponatremia
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the most frequently encountered retroperitoneal masses.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the appropriate imaging studies and work up for retroperitoneal masses.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the evaluation and management of abdominal aortic aneurysms.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss appropriate imaging studies for aneurysms.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss how to determine which patients need surgical repair of the aneurysm.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the risks of surgical treatment and the risks of the aneurysm left untreated.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the following: Testicular tumor; Testicular torsion; Epididymitis; Torsion of the appendix testis; Orchitis; Trauma; Hydrocele; Varicocele
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss emergent vs. non emergent causes of (scrotal pain and swelling).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss presentation and physical findings of each (loss of cremasteric reflex, high or transverse lie, blue dot sign etc.)
Clerkship Objectives

Clerkship / Surgery Rotation

Laboratory investigations of scrotal swelling and pain: normal urinalysis, normal or minimally elevated white blood cell count.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss role of scrotal ultrasound / transillumination.
Clerkship Objectives

Clerkship / Surgery Rotation

Define shock.
Clerkship Objectives

Clerkship / Surgery Rotation

Differentiate the signs, symptoms, and hemodynamic features of shock: hemorrhagic; cardiogenic; septic; neurogenic; anaphylactic.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss priorities and specific goals of resuscitation for each form of shock: define goals of resuscitation; defend choice of fluids; discuss indications for transfusion; discuss management of acute coagulopathy; discuss indications for invasive monitoring; discuss use of inotropes; afterload reduction in management
Clerkship Objectives

Clerkship / Surgery Rotation

Inflammatory Bowel Disease (Crohn’s Disease/Ulcerative Colitis)
Clerkship Objectives

Clerkship / Surgery Rotation

Appendicitis
Clerkship Objectives

Clerkship / Surgery Rotation

Diverticulitis
Clerkship Objectives

Clerkship / Surgery Rotation

Enterocolitis
Clerkship Objectives

Clerkship / Surgery Rotation

Small Bowel Obstruction Partial/Complete
Clerkship Objectives

Clerkship / Surgery Rotation

Large Bowel Obstruction
Clerkship Objectives

Clerkship / Surgery Rotation

Carcinoma Bowel
Clerkship Objectives

Clerkship / Surgery Rotation

Volvulus
Clerkship Objectives

Clerkship / Surgery Rotation

Fecal Impaction
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the priorities and sequence of a trauma patient evaluation (ABC's).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the four classes of hemorrhagic shock and how to recognize them.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the appropriate fluid resuscitation of a trauma victim.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss choice of IV access (of a trauma patient).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the choice of fluid and use of blood components (for a trauma patient).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differences between adult and pediatric resuscitation.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the types, etiology and prevention of coagulopathies typically found in patients with massive hemorrhage.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the appropriate triage of a patient in a trauma system.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the diagnostic evaluation, differences between blunt and penetrating mechanisms of injury and the initial management of: Spine injury; Thoracic injury; Abdominal injury; Urinary injury.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the early management of a major burn.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss estimation of total body surface burn and burn depth.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss fluid resuscitation, choice of fluid and monitoring for adequacy of resuscitation (rule of 9's, differences in pediatric and adult management).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss options for topical antimicrobial therapy.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss inhalation injury, CO poisoning and triage of patients to burn centers.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the basic principles of wound coverage, skin grafting, and timing.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the assessment and need for escharotomy.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the common presenting symptoms associated with gastro-esophageal reflux.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the relationship of reflux to chronic asthma and aspiration.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the appropriate diagnostic work-up of a patient with suspect reflux. What is the role of: barium swallow; endoscopy; manometry; 24 hour pH testing.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the evaluation of dysphagia.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the treatment of esophageal stricture.
Clerkship Objectives

Clerkship / Surgery Rotation

What are the risks of dilation?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss Barrett’s esophagus and its implications. What are the risks of malignancy? Who needs surgical management?
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the pathophysiology and treatment of achalasia and diffuse esophageal spasm. (Mallory-Weiss tear; Achalesia; Variceal Bleeding; Zenker’s Diverticulum; Perforation)
Clerkship Objectives

Clerkship / Surgery Rotation

Peptic Ulcer disease
Clerkship Objectives

Clerkship / Surgery Rotation

Perforation
Clerkship Objectives

Clerkship / Surgery Rotation

Gastritis
Clerkship Objectives

Clerkship / Surgery Rotation

Gastric outlet Obstruction
Clerkship Objectives

Clerkship / Surgery Rotation

Carcinoma
Clerkship Objectives

Clerkship / Surgery Rotation

Upper and Lower GI hemorrage
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the initial management of a patient with an acute GI hemorrhage.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss indications for transfusion, fluid replacement, and choice of fluids.
Clerkship Objectives

Clerkship / Surgery Rotation

Differentiate upper vs. lower GI hemorrhage.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss history and physical exam abnormalities (stomach).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss diagnostic studies (stomach).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differences in evaluation and management of the patient presenting with: hematemesis, melena, hematochezia, guaiac positive stool.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss in general, the differential diagnosis for a patient with emesis. Consider timing and character of the emesis and associated abdominal pain. Contrast etiologies in infants, children and adults.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the clinical presentation and etiologies of gastric outlet obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnosis and management of obstructive ulcer disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the signs and symptoms of small bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the common etiologies of mechanical small bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the potential complications and management of small bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the initial management of a patient with mechanical small bowel obstruction, including laboratory tests and x-rays.
Clerkship Objectives

Clerkship / Surgery Rotation

Contrast the presentation and management of partial vs. complete small bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Differentiate the signs, symptoms and radiographic patterns of paralytic ileus and small bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the differential diagnosis of diarrhea in adults. Consider chronicity, absence or presence of blood and associated pain. Consider infectious causes.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the presentation and potential complications of ulcerative colitis and Crohn’s disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Contrast the pathology, anatomic location and pattern, cancer risk and diagnostic evaluation of ulcerative colitis and Crohn’s disease.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the clinical manifestations, risk factors, diagnosis and management of pseudomembranous colitis.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the risk factors, presentation, diagnosis and management of ischemic colitis.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the potential etiologies of constipation in adults and children. Consider chronic vs. acute.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the clinical presentation and etiologies of large bowel obstruction.
Clerkship Objectives

Clerkship / Surgery Rotation

List the diagnostic methods utilized in the evaluation of potential large bowel obstruction, including contraindications and cost effectiveness.
Clerkship Objectives

Clerkship / Surgery Rotation

Outline the diagnosis and management of colonic volvulus, diverticular stricture, fecal impaction and obstructing colon cancer.
Clerkship Objectives

Clerkship / Surgery Rotation

Indications for and methods of screening for colorectal carcinoma.
Clerkship Objectives

Clerkship / Surgery Rotation

Use of surveillance endoscopy in ulcerative colitis.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the importance of such breast imaging studies as ultrasound and mammography.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the causes and mechanisms of chronic rhinitis/rhinorrhea. Outline the evaluation and management of chronic rhinitis.
Clerkship Objectives

Clerkship / Surgery Rotation

The student will build on their basic science, physiology, and clinical examination skills as it pertains to the structure and function the bones, joints, muscle, and connective tissues.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Fractures (Growth plate fractures).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Axial and soft tissue joint disorders: neck and back pain; Myelopathy/claudication; Disc herniation; Scoliosis; Spondylolisthesis.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Club Foot.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Flat feet (Tarsal coalition).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Bone and soft tissue tumours: Benign (osteochondromas); Malignant (osteosarcoma); Metastatic (breast cancer).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Patellofemoral disorders
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Lower extremity malalignment (in-toeing).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Understand new history and physical examination techniques to formulate a differential diagnosis.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Understand the judicious use of laboratory, radiographic, and other investigations to rule in and rule out each diagnosis.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Compartment Syndrome, Cauda equina syndrome, Limb Ischemia
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Interpret the information provided and synthesize an appropriate basic management plan including:
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Drug therapy (oral and topical analgesics, nonsteroidal anti-inflammatories, injections, narcotics, etc.) with an understanding of serious side-effects and addiction potential.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will be able to explain the techniques of joint aspiration and joint injections.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will understand the principles and techniques of antisepsis in the operating room.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Brace, walking aid, and orthotic prescription.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Communicate in an appropriate fashion to colleagues, other heath care professionals, patients, and family members.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Demonstrate respect and appreciate the roles of other health care professionals.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Practice appropriate medical resource management.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Always behave as a professional with honesty, integrity, commitment, compassion, efficiency, competency, and altruism.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Closure of wound (skin)
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

OR sterile technique/Assisting
Essential Clinical Experience

Clerkship / Surgery Rotation / Orthopedic Surgery Rotation

Participate in a discussion in which "bad news" is communicated to a patient or family.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Communicate information about diagnosis, prognosis or therapy using lay language.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Collaborate with the interprofessional team around the care of a patient.
Essential Clinical Experience

Clerkship / Anesthesia Rotation / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Obtain informed consent for a procedure or treatment.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Access evidence-based information/resources relevant to a clinical problem and discuss with supervisor or team.
Essential Clinical Experience

Clerkship / Anesthesia Rotation / Emergency Medicine Rotation / Internal Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Apply evidence-based information to inform decision making and share with patient or family.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Pre-operative Surgical Safety checklist
Essential Clinical Experience

Clerkship / Surgery Rotation / Orthopedic Surgery Rotation

The student will learn the relevant surgical anatomy for a variety of musculoskeletal conditions.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Indications for surgery and general surgical principles.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Brace, walking aid, and orthotic prescription.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Indications for surgery and general surgical principles.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will identify the major sensory and motor nerves in the extremity and apply this knowledge to examination of the extremities.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will recognize the importance of compound fractures and their management.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Formulate an immediate and long-term management plan for the injury (fracture) including brace or cast; Indications for surgery and the general surgical principles; Rehabilitation prescription (physiotherapy, massage therapy, etc.).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Perform focused history as part of the general medical history, including: chief complaint, present illness, surgical history, family history, and social history
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation

Interact with patient in order to gain his & her confidence and cooperation, to assure comfort and modesty, and to develop an understanding of age, race, culture & SES on the patient's health.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation

Communicate results of the history in well organized written and oral reports
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Perform a general physical examination with emphasis on:
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Chest & breast examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Abdominal examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Inguinal & scrotal examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Rectal examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Communicate the relevant results of the examination in well organized written & oral reports
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Share results of the physical examination.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Order appropriate laboratory investigations
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Interpret laboratory investigations
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Order appropriate imaging investigations
Clerkship Objectives

Surgery TTR / Transition to Clerkship / Clerkship / Surgery Rotation

Interpret imaging investigations
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Consistently fulfill the clerkship expectations of professional behaviour.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Deepen their understanding of Informed Consent and Disclosure of Adverse Events.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Broaden their Procomp experience by observing a discussion obtaining consent for surgery with a patient, an explanation of an adverse event or ‘bad news’ to a patient, and/or positive examples by mentors dealing with challenges to ethics, communication or professionalism.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Identify, reflect on, and discuss with peers a “Procomp Moment” during your surgical clerkship that involved communication, consent, adverse event, professional behavior, personal health, or medical student role in the hierarchy.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

What are the goals of surgery in cancer patients?
General Objectives

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