USU Records and Registration

Fourth Year Course Descriptions by Department- Surgery

GENERAL SURGERY AT WILFORD HALL MEDICAL CENTER TO CONTACT, MS. FOY AT 210-916-0439. SHE IS THE GENERAL SURGERY COORDINATOR AT BAMC AND WILL APPROVE THEIR ROTATION.

Course #: SUR4400, General Surgery Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

NOTE: At the Landstuhl Regional Medical Center, Germany, this elective is a competitive rotation. Students wishing to take this elective at Landstuhl should apply directly to the USUHS Department of Surgery, Office of the Surgical Clerkship Director, Stanley Minken, M.D.; SMinken@usuhs.mil; 301-295-9832.

Description: Participate as a member of Surgical team in treatment of elective/emerg cases. Full spectrum of care will include pre/post op, clinical followup, consult svc. Must scrub and assist in all open and endoscopic procedures in OR. Formal teaching will include grand rounds, daily lectures, journal clubs, teaching conf. and bedside clinical instruction.

Comments: Gain experience in procedures for their level and improve manual dexterity in sur tech.

ARMY……….WRAMC, BAMC, MAMC, EAMC, TAMC, WBMC, LRMC
NAVY……….NNMC, SDMC, PNMC
AIR FORCE…WHMC, MGMC, KEESLER, WRIGHT-PAT, DGMC
CIVILIAN…..SEE CIVILIAN LIST

Course #: SUR4420, Cardiothoractic Surgery Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Participate in treating patients w/ wide spectrum of heart and pulmonary diseases including open heart surgery. Students evaluate patients preoperatively and assist as member of OR team under close supervision and teaching by the intern, resident, and staff physicians.

ARMY……….BAMC, MAMC, TAMC, WRAMC
NAVY………. NNMC, SDMC
AIR FORCE… WHMC
CIVILIAN…. SEE CIVILIAN LIST

Course #: SUR4440, Burn Intensive Care Unit
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Introduction to diagnosis and treatment approaches. Participate in total care of burn patients involving invasive monitoring, fluid resuscitation, metabolic/nutritional support, and surgical therapy of wounds.

EAMC, WASH HOSP CTR, MAMC, TAMC, MIEMS, WHMC, , WRAMC
WASH HOSP CTR, BAMC

Course #: SUR4460, Vascular Surgery Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Evaluate clinic patients and participate in their preoperative, operative, and post operative management. Daily contact with staff members at rounds, conferences, and clinics provides close supervision.

ARMY………. MAMC, TAMC, WRAMC
NAVY………. SDMC
AIR FORCE… WHMC
CIVILIAN…. SEE CIVILIAN LIST

Course #: SUR4480, Renal Transplantation Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Students participate as members of a multidisciplinary patient care team, including nephrologists, surgeons, transplant nurse, social workers, dialysis nurse, and immunologists. Includes exposure to transplation, immunology, histocompatibility, surgical, and immuno-suppression.

Sites: WRMC

Course #: SUR4510, Pediatric Surgery Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Participate as a member of the surgical team with exposure to various aspects of pediatric surgical care. Involvement includes the care of neonatal surgical problems. Supervision is by a pediatric surgeon with teaching by residents and interns.

WASH CHILDRENS, KEMC, PNMC, BAMC/WHMC, WRAMC/NNMC

Course #: SUR4530, Sports Orthopedics Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Students master a thorough examination of extremities; in-depth discussions concerning response to soft tissue injury, fractures, and orthopedic traumatology will be presented.

Sites: KHNY, OCTR, USNA

Course #: SUR4550, General Opthalmology Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Examination techniques taught by lecture, demonstration and practice. Material covered includes external exams, visual acuity measuring techniques, intraocular pressure measurement, neurologic examination, slit lamp examination, fundoscopy, and ocular examination in eye injuries.

ARMY……….BAMC, MAMC, TAMC, WRAMC
NAVY……….CPMC, JAMC, NNMC, PNMC, SDMC
AIR FORCE…DGMC, MGMC WHMC,
CIVILIAN…. SEE CIVILIAN LIST

Course #: SUR4570, ENT Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Students will participate in outpatient and inpatient care for ENT patients, including infections and inflammatory diseases of the head and neck, head and neck oncology, traumatology, reconstructive surgery, and otologic diseases and rehabilitation thereof.

ARMY……….BAMC, EAMC, LRMC, MAMC, TAMC, WRAMC
NAVY………. NNMC, PNMC, SDMC
AIR FORCE…DGMC WHMC
CIVILIAN…. SEE CIVILIAN LIST

Course #: SUR4590, EENT Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Outpatient care for ENT patients including infections and inflammatory diseases of the head and neck. Examination technigues taught by lecture, demonstration and practice. Outpatient orientation of the Ophthalmology specialty with and emphasis on outpatient primary eye care.

Comments: Two weeks spent in ENT department and two weeks spent in Ophthalmology department.

Sites: MGMC

Course #: SUR4610, Thoracic Oncology Surgery Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Treat patients with a wide spectrum of heart/lung diseases, including open heart surgery. Students evaluate patient preoperatively, assist as member of OR team; close supervision and teaching by intern, resident and staff physicians. Includes management of respiratory care, diagnosis and treatment of arrythmias.

Sites: NIHB

Course #: SUR4620, Urology Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Participate in daily ward rounds, scrub and assist in open surgical/endoscopic procedures in OR. Informal one-on-one lectures/discussions on prelisted topics, perform primary interviews on new patients to formulate differential diagnosis, workup sequence and presentation to staff. Student will gain procedural skills.

ARMY……….BAMC, MAMC, TAMC, WRAMC
NAVY………. NNMC, PNMC, SDMC
AIR FORCE… MGMC, WHMC,
CIVILIAN ….SEE CIVILIAN LIST

Course #: SUR4625, Urology Research
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: The student will work in the Dept. of Surgery, USUHS in the center for Prostate disease research activity. Student will be exposed to molecular biologists and learn basic laboratory techniques. The student will be exposed to an academic surgeon - urologic oncologist and be exposed and participate in clinical urological oncology research.

Sites: USUB

Course #: SUR4640, Orthopedic Surgery Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Didactic and bedside/clinical intruction; tasked special study according to clinical material encountered or basic science review.

ARMY……….BAMC, EAMC, LRMC, MAMC, TAMC, WBMC, WRAMC
NAVY………. NNMC, PNMC, SDMC
AIR FORCE… DGMC, KEMC, MGMC, WHMC
CIVILIAN….. SEE CIVILIAN LIST

Course #: SUR4660, Plastic Surgery Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Ample exposure to the field of aesthetic surgery with some experience in the management of ordinary minor surgical problems, reconstructive surgery of trauma and congenital anomalies, and tissue transplantation techniques.

ARMY……….BAMC, EAMC, TAMC, WBMC, WRAMC
NAVY………. NNMC, SDMC
AIR FORCE…DGMC, KEMC, WHMC,
CIVILIAN… SEE CIVILIAN LIST

Course #: SUR4690, Trauma Surgery Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Member of trauma team. Full spectrum of care will include initial evaluation and resuscitation, operative/post care, clinical follow-up and consult svc. Scrub and assist in resuscitation/OR. Formal teachings: grand rounds, clinical lecture, journal clubs, conferences, bedside instruction. Wide perspective of trauma care/systems from epidemiology standpt of injury to life-saving procedures.

Comments: Improve manual dexterity in surg tech and gain experience in procedures for student level.

EAMC, WASH HOSP CTR, MAMC, TAMC, MIEMS, WHMC, , WRAMC

Course #: SUR4720, Surgical/Med ICU Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Member of Critical Care Team. Formal teaching: grand rounds, clinical lecture, journal club, teaching conf, beside instruction. Participate in daily presentations, formulate mgmt decisions: care issues such as ethical considerations. Experience in mgmt of ventilators, ongoing resuscitations, gain knowledge w/ drugs used in ICU setting. Placement of invasive lines for monitoring.

Sites: BAMC, DGMC, EAMC, MAMC, MGMC, TAMC, WBMC, WHCW, WHMC, WRMC

Course #: SUR4750, Neurosurgery Rotations
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Participate in activities of the service/surgical applications, ward rounds, lectures/seminars; patient responsibilities under supervision of ward officer; evaluate patients w/variety of neurological complaints in order to enhance their skill in performing neurological exams and in formulating/evaluating appropriate differential diagnostic possibilities.

Comments: This is an elective and does not fulfill neurology requirements.

ARMY……….MAMC, TAMC, WRAMC
NAVY……….NNMC, PNMC, SDMC
AIR FORCE…DGMC, KEMC
CIVILIAN…. SEE CIVILIAN LIST

Course #: SUR4770, Surgical Research
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Participate as a member of surgical research team. Experience basic science research by becoming involved with ongoing research projects. They will learn the techniques and methods associated with that project. Students will be encouraged with proper counseling to generate hypothesis, develop methods to test hypothesis and formulate conclusions. Opportunities to present findings and basic knowledge gained will be sought.

Comments: Possible participation w/ projects to be published will also be available.

Sites: INSR, NIHB, USNA, USUB, WRMC

Course #: SUR4780, Head & Neck Surgical Anatomy
Course Type: C
Department: SUR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: During the first 2/5 weeks students will perform al lnine head and neck dissections as outlined in the MS-1 dissector. Thereafter, this basic knowledge base will be complemented by a clinical anatomic experience. Students will perform at least ten basic surgical procedures such as neck dissection, superficial parotidectomy, submoandibular gland resection, thyroidectomy, cricopharyngeal myotomy, cricoidthyrotomy, mandibular advancement, osteoplastic flap approach to the frontal sinus, midfacial degloving, blepharoplasty, open rhinoplasty, rhytidectomy.

Comments: This is a MS IV elective course.

Sites: ATL, USUHS-A3030

Course #: SUR4410, General Surgery S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Member of Surgical team. Full spectrum of care will include pre/post op care, clinical followup and consult svc. Scrub and assist in all open and endoscopic procedure in OR. Formal teaching: grand rounds, clinical lectures, journal clubs, etc. Gain experience in procedures that are appropriate for their level and should improve their manual dexterity in surgical techniques.

Comments: Increased responsibility and function at near intern level during later aspects of S.I.

Sites: BAMC, CPMC, DGMC, EAMC, KEMC, LAND, MAMC, MGMC, NNMC, PMMC, SDMC, TAMC, WBMC, WHMC, WRMC

Course #: SUR4430, Cardiothoractic Surgery S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Participate in treating patients w/ wide spectrum of heart and lung diseases including open heart surgery. Students evaluate patients preoperatively and assist as member of OR team under close supervision and teaching by the intern, resident and staff physicians. Students may gain experience in procedures appropriate for their level and may gain dexterity in surgical techniques.

Comments: Increased responsibility and function at near intern level during later aspects of S.I.

Sites: BAMC, NNMC, SDMC, WHMC, WRMC

Course #: SUR4450, Burn Intensive Care Unit S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Introduction to diagnosis and treatment approach. Participate in total care of burn patients involving invasive monitoring, fluid resuscitation, metabolic/nutritional support, and surgical therapy of wounds. Students will gain some manual dexterity in surgical techniques and will be expected to function at a near intern level during later phases of the subinternship.

Sites: WHCW

Course #: SUR4470, Vascular Surgery S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Evaluate clinic patients and participate in their preoperative, operative, and post operative management. Daily contact with staff members at rounds, conferences and clinics provides close supervision. Students may gain manual dexterity in surgical techniques and are expected to function at near intern level during the later phases of the subinternship.

Sites: MAMC, WRMC

Course #: SUR4520, Pediatric Surgery S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Participate as a member of a pediatric surgical team. Exposure to various aspects of pediatric surgical care includes involvement in the care of neonatal surgical problems. Students may gain experience in procedures appropriate for their level of training and should improve their manual dexterity. Students will be expected to perform at near intern level by the end of the rotation.

Sites: WRMC

Course #: SUR4540, Sports Medicine S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Students master a thorough examination of extremities; in-depth discussions concerning response to soft tissue injury, fractures, and orthopedic traumatology will be presented. By the end of the rotation students will be expected to perform at near intern level with close supervision by a sports medicine specialist.

Sites: KHNY

Course #: SUR4630, Urology S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Participate in daily ward rounds, scrub and assist in open surgical/endoscopic procedures in the OR, informal one-on-one lectures/discussions on prelisted topics, perform primary interviews on new patients to formulate a differential diagnosis, workup sequence and presentation to staff. Student will gain procedural skills and manual dexterity.

Comments: Student expected to perform at near intern level by end of the subinternship.

Sites: BAMC, MGMC, NNMC, PMMC, SDMC, WRMC

Course #: SUR4650, Orthopedic Surgery S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Participate as a member of the surgical team with didactic and bedside/clinical instruction, tasked special study according to clinical material encountered or basic science review. Student will gain procedural skills and will be expected to function at near intern level by the end of the subinternship.

Sites: BAMC, DGMC, EAMC, KEMC, MAMC, MGMC, NNMC, PMMC, SDMC, TAMC, USNA, WBMC, WHMC, WRMC

Course #: SUR4670, Plastic Surgery S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Ample exposure to the field of aesthetic surgery with some experience in the management of ordinary minor surgical problems, reconstructive surgery of trauma and congenital anomalies, and tissue transplantation techniques. Students will gain manual dexterity in surgical procedures and will be expected to function at near intern level by the latter phases of the S.I.

Sites: BAMC, DGMC, EAMC, MGMC, NNMC, SDMC, WBMC, WHMC, WRMC

Course #: SUR4700, Trauma Surgery S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Member of trauma team. Full spectrum of care will include initial evaluation & resuscitation, operative/post care, clinical followup. Scrub & assist in resuscitation/OR. Formal teaching: grand rounds, clinical lecture, journal clubs, teaching conferences, beside instruction. Gain wide perspective of trauma care/systems from the epidemiology standpoint of injury to life saving procedures.

Comments: Increased responsibility & function at near intern level during later aspects of S.I.

Sites; UMDB, WHCW

Course #: SUR4710, Surgical ICU S.I.
Course Type: S
Department: SUR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Member of Critical Care Team. Formal teaching: grand rounds, clinical lecture, journal club, teaching conf, bedside instruction. Participate in presentations, formulate mgmt decisions: care issues such as ethical considerations. Gain experience in mgmt ventilators, ongoing resuscitations, gain knowledge w/drugs used in ICU setting. Placement of invasive lines for monitoring.

Comments: Increased responsibility & function at near intern level during later aspects of S.I.

Sites: MGMC, WHCW, WRMC

CIVILIAN Sites

WASH CHILDRENS, WASH HOSPITAL CTR, GW, GEORGETOWN, HOWARD U, FAIRFAX HOSP, U OF MARYLAND, JHH, BAYVIEW, WASH VA, BALTO VA, U OF VIRGINIA, MCV, EASTERN VIRGINIA, HERSHEY MED SCHOOL, U OF PENN, TEMPLE, NIH (ENT ONLY), SHOCK-TRAUMA (BALTIMORE)

Contact Information

Office of the Registrar
Uniformed Services University of the Health Sciences
4301 Jones Bridge Road
Room A1041
Bethesda, Maryland 20814

FAX: 301.295.3545

Office of the Registrar

Fourth Year Course Descriptions by Department- Surgery

GENERAL SURGERY AT WILFORD HALL MEDICAL CENTER TO CONTACT, MS. FOY AT 210-916-0439. SHE IS THE GENERAL SURGERY COORDINATOR AT BAMC AND WILL APPROVE THEIR ROTATION.

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