Surgery (SURG)

Courses

SURG 3005. Surgery Clerkship. 8 Credit Hours.

The 12-week clerkship is divided into two 6-week rotations, one on general surgery and one on surgical specialties. Each of these rotations is then subdivided into two 3-week sessions with the general surgery rotation consisting of sessions on each of two different surgical services and the surgical specialties rotation including sessions on two different specialty services chosen electively from among seven surgical specialties. During this surgical clerkship, the student is afforded the opportunity to participate actively in the diagnosis and therapy of patients suffering from both acute and chronic surgical illness including both ambulatory and bedridden patients. The clerkship is interwoven with teaching ward rounds, clinical conferences, symposia, and a reading program with weekly examination and reviews on all aspects of surgery and the surgical specialties. The goals of the surgical clerkship are to provide students the opportunity to develop adequate knowledge, basic manual skills, and attitudes about surgical disease that should be encompassed by every practicing physician.

SURG 4000. Special Topic. 4 Credit Hours.

This is a self-designed course created by both the student and the department to cover a specific topic. A Course Approval Form must be completed along with documentation of the designed course description.

SURG 4002. Surgical Oncology. 4 Credit Hours.

Senior students must function as "interns" on the surgical oncology service. They admit and discharge surgical oncology patients. They perform history and physical examinations, and keep daily records on surgical oncology patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units and on general wards. They participate in operations for their patients. They participate in pre-and post-operative care of surgical oncology patients. They present cases, attend all conferences, and take call as designated by the surgical oncology service. They mentor third-year medical students on the surgical oncology service. They may participate in basic science research projects in the surgical oncology laboratory and in ongoing clinical trials of cancer diagnosis and management.

SURG 4004. Supervised Basic Science Research. 4 Credit Hours.

Senior students are required to participate in a basic science project in a research laboratory. Before students enroll in the course, they must contact a surgery faculty member with whom they want to conduct a basic science research project. In order to receive credit for this elective, a student must write a brief synopsis of the basic science research project including: research purpose, methodology, and project (report, abstract, presentation, experiments). The students must submit the synopsis with paperwork for approval of the elective. Midway during the elective {2 (or 4) weeks}, a student must submit a progress report to the Director of Surgical Education and the supervising surgery faculty member. At the end of the elective, a student will submit a final report to the Director of Surgical Education and to the supervising faculty member, Texas Diabetes Institute.

SURG 4006. Supervised Clinical Science Research. 4 Credit Hours.

Senior students are required to participate in a clinical science project. Before students enroll in the course, they need to contact a surgery faculty member with whom they want to conduct a clinical science research project. In order to receive credit for this elective, a student must write a brief synopsis of the clinical science research project including: research purpose, methodology, and project (report, abstract, presentation, clinical protocol). A student must submit the synopsis with paperwork for approval of the elective. Midway during the elective {2 (or 4) weeks}, a student must submit a progress report to the Director of Surgical Education and the supervising surgery faculty member. At the end of the elective, the student must submit a final report to the Director of Surgical Education and to the supervising faculty member.

SURG 4007. General Surgery Selective-BAMC/Burn Unit. 4 Credit Hours.

Senior students may take a general surgery clerkship at BAMC. They may also take a clerkship at the Burn Unit at the U. S. Army Institute of Surgical Research at Fort Sam Houston. Senior students function as "interns" on each service. They admit and discharge surgical patients. They perform history and physical examinations, and keep daily records on surgical patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of surgical patients. They present cases, attend all conferences, and take call as designated by the service. Students who participate on the Burn Unit have good exposure to the diagnosis, resuscitation, and treatment of critically ill patients.

SURG 4012. Oral Maxillofacial Surgery. 4 Credit Hours.

Senior students function as "interns" on the oral maxillofacial surgery service. They admit and discharge oral maxillofacial patients. They perform history and physical examinations, and keep daily records on oral maxillofacial patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of oral maxillofacial issues including outpatient sedation and anesthesia, dentoalveolar surgery, facial fractures, facial aesthetic and reconstructive surgery, management of facial and dental pain, and management of facial infections.

SURG 4026. Plastic Surgery Selective. 4 Credit Hours.

Senior students function as "interns" on the plastic surgery service. They admit and discharge plastic surgery patients. They perform history and physical examinations, and keep daily records on plastic surgery patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of plastic surgery patients. They present cases, attend all conferences, and take call as designated by the plastic surgery service. They mentor third-year medical students on the plastic surgery service. They have exposure to a wide range of plastic surgery issues including complex wound management, aesthetic plastic surgery, facial fractures, reconstructive surgery of the head and neck, and breast, hand, and extremity.

SURG 4031. Transplant Surgery Selective. 4 Credit Hours.

Senior students function as "interns" on the transplant surgery service. They admit and discharge transplant patients. They perform history and physical examinations, and keep daily records on transplant patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate actively in live renal and liver donor evaluation. They participate in operations for their patients, including liver resection and renal, pancreas, and liver transplants. They participate in the evaluation and procurement of the multiorgan cadaveric donor. They participate in pre- and post-operative care of transplant patients. They present cases, attend all conferences, and take call as designated by the transplant service. They present patients at formal multidisciplinary transplant rounds daily. They mentor third-year medical students on the transplant service. They have much contact with gastroenterologists and nephrologists who care for patients on the transplant service. The students rotate at University Hospital and Santa Rosa Northwest Medical Center.

SURG 4037. Pediatric Surgery Selective. 4 Credit Hours.

Senior students function as "interns" under private practice pediatric surgeons who are clinical faculty at the Health Science Center. They admit and discharge pediatric surgery patients. They perform history and physical examinations, and keep daily records on pediatric surgery patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of pediatric surgery patients. They present cases, attend all conferences, and take call as designated by the pediatric surgery service. They mentor third-year medical students on the pediatric surgery service. This rotation is intended for students who seek a career in pediatric surgery or primary care pediatrics. Opportunities for clinical research projects are available. The students rotate at Santa Rosa Children's Hospital.

SURG 4038. Rural Surgery Elective. 4 Credit Hours.

In this rotation, senior students work with a private practice general surgeon in a rural setting. Senior students function as a "junior partners" on this general surgery service. They admit and discharge general surgery patients. They perform history and physical examinations, and keep daily records on general surgery patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of general surgery patients. They take call as designated by the surgeon. The objectives of this rotation are: to introduce students to the socioeconomic problems that rural patients face with access to care, to discover how the internet and distance learning decrease isolation in rural communities, to encourage students to consider surgical practice in underserved rural communities. Housing for the student will be provided during the rotation.

SURG 4040. Surgical Critical Care Selective. 4 Credit Hours.

This course provides senior students with a broad exposure to surgical critical care. Students rotate through the surgical trauma ICU and have the opportunity to gain a great understanding of the principles and practice of surgical critical care. The student will have good exposure to cardiovascular and pulmonary physiology. They will have the opportunity to learn about modern concepts of resuscitation, ventilator management, vasopressor support, nutritional support, and infection control. They will have opportunity to place central lines, PA catheters, arterial lines, and perform intubation and bronchoscopy. They will have opportunity to examine and manage critically ill and injured patients in the ICU and keep medical records daily. They will have opportunity to present patients on formal rounds daily and participate in didactic critical care conference and trauma morbidity and mortality conference. They will have opportunity to take call as designated by the service.

SURG 4042. General Surgery (UH). 4 Credit Hours.

Students function as "interns" on this broad-based general and laparoscopic surgery service. They admit and discharge general surgical patients. They perform history and physical examinations, and keep daily records on general surgical patients. They follow general surgical patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of general surgical patients. They present cases, attend all conferences, and take call as designated by the general surgical service.

SURG 4043. General Surgery (Minimally Invasive Surgery- MIS). 4 Credit Hours.

Students function as "interns" on this broad-based general and laparoscopic surgery service. They admit and discharge general surgical patients. They perform history and physical examinations, and keep daily records on general surgical patients. They follow general surgical patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of general surgical patients. They present cases, attend all conferences, and take call as designated by the general surgical service.

SURG 4044. General Surgery VA. 4 Credit Hours.

Senior students function as "interns" on this broad-based general surgery VA service. They admit and discharge general surgical VA patients. They perform history and physical examinations, and keep daily records on general surgical VA patients. They follow general surgical VA patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of general surgical VA patients. They present cases, attend all conferences, and take call as designated by the service. They mentor third-year medical students on the general surgical VA service.

SURG 4047. Emergency Surgery. 4 Credit Hours.

Senior students function as "interns" on this emergency and trauma surgery service. They admit and discharge surgical patients. They perform history and physical examinations, and keep daily records on surgical patients. Although students will examine most patients in the emergency department, students will also examine patients in outpatient clinics, in intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of emergency and trauma surgical patients. They present cases, attend all conferences, and take call as designated by the service. They mentor third-year medical students on the emergency and trauma surgery service.

SURG 4048. Vascular Surgery University Hospital/VA Hospital. 4 Credit Hours.

Senior students function as "interns" on each vascular surgery UH/VA service. They admit and discharge vascular surgery UH/VA patients. They perform history and physical examinations, and keep daily records on vascular surgery UH/VA patients. They follow vascular surgery UH/VA patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of vascular surgery UH/VA patients. They present cases, attend all conferences, and take call as designated by the service. They mentor third-year medical students on the vascular surgery UH/VA service. Students have the opportunity to learn to perform a complete vascular physical examination and learn to interpret vascular diagnostic studies. They will have the opportunity to learn the finer details of endovascular treatment of vascular diseases.

SURG 4049. Surgical Internship Readiness. 4 Credit Hours.

The purpose of this elective is to prepare senior medical students who are interested in a surgical career for their surgery internship. This elective is a surgical "boot camp" to provide practical "hands on" experience for students. Prerequisites: general surgery subinternship; critical-care rotation. Students can do a critical care rotation in the SICU, MICU, PICU, or CCU. These mandatory prerequisites can occur at the Health Science Center or at a remote site.

SURG 4052. Bariatric Surgery (DHR). 4 Credit Hours.

Senior students function as "interns" under Bariatric surgeons at the Doctor's Renaissance Hospital (DHR). They admit and discharge surgical patients. They perform history and physical examinations, and keep daily records on surgical patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of surgical patients. They present cases, attend all conferences, and take call as designated by the surgical service. They may mentor third year medical students on the surgical service.

SURG 4053. Colorectal Surgery (DHR). 4 Credit Hours.

Senior students function as "interns" on this broad-based general and laparoscopic surgery service at the Doctor's Renaissance Hospital (DHR). They admit and discharge general surgical patients. They perform history and physical examinations, and keep daily records on general surgical patients. They follow general surgical patients in the outpatient clinics, in the emergency department, in the intensive care units and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of general surgical patients. They present cases, attend all conferences, and take call as designated by the general surgical service. They may mentor third year medical students on the service.

SURG 4054. General Surgery (DHR). 4 Credit Hours.

Senior students function as "interns" under private practice general surgeons who are clinical faculty at the Doctor's Renaissance Hospital (DHR). They admit and discharge surgical patients. They perform history and physical examinations, and keep daily records on surgical patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of surgical patients. They present cases, attend all conferences, and take call as designated by the surgical service. They may mentor third year medical students on the surgical service.

SURG 4055. Surgical Critical Care (DHR). 4 Credit Hours.

This course provides senior students with a broad exposure to surgical critical care at the Doctor's Renaissance Hospital (DHR). Students will rotate through the surgical trauma ICU and gain a great understanding of the principles and practice of surgical critical care. The student will have good exposure to cardiovascular and pulmonary physiology. They will learn about modern concepts of resuscitation, ventilator management, vasopressor support, nutritional support, and infection control. They will have opportunity to place central lines, PA catheters, arterial lines and perform intubation and bronchoscopy. They will examine and manage critically ill and injured patients in the ICU and keep medical records daily. They will present patients on formal rounds daily and participate in didactic critical care conference and trauma morbidity and mortality conference. They will take call as designated by the service.

SURG 4056. Surgical Oncology (DHR). 4 Credit Hours.

Senior students function as "interns" on the surgical oncology service at the Doctor's Renaissance Hospital (DHR). They admit and discharge surgical oncology patients. They perform history and physical examinations, and keep daily records on surgical oncology patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units and on general wards. They participate in operations for their patients. They participate in pre-and post-operative care of surgical oncology patients. They present cases, attend all conferences, and take call as designated by the surgical oncology service. They mentor third year medical students on the surgical oncology service. They may participate in basic science research projects in the surgical oncology laboratory and in ongoing clinical trials of cancer diagnosis and management.

SURG 4057. Vascular Surgery (DHR). 4 Credit Hours.

Senior students function as "interns" on the vascular surgery service at the Doctor's Renaissance Hospital (DHR). They admit and discharge vascular surgery patients. They perform history and physical examinations, and keep daily records on vascular surgery patients. They follow vascular surgery patients in the outpatient clinics, in the emergency department, in the intensive care units and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of vascular surgery patients. They present cases, attend all conferences, and take call as designated by the service. They mentor third year medical students on the vascular surgery service. Students learn to perform a complete vascular physical examination and learn to interpret vascular diagnostic studies. They will learn the finer details of endovascular treatment of vascular diseases.

SURG 4201. General Surgery-Harlingen. 4 Credit Hours.

Senior students function as "interns" under private practice general surgeons who are clinical faculty at the Regional Academic Health Center. They admit and discharge surgical patients. They perform history and physical examinations, and keep daily records on surgical patients. They follow patients in the outpatient clinics, in the emergency department, in the intensive care units, and on general wards. They participate in operations for their patients. They participate in pre- and post-operative care of surgical patients. They present cases, attend all conferences, and take call as designated by the surgical service. They mentor third-year medical students on the surgical service.

SURG 5001. Oral Maxillofacial Surgery Clinical Skills Course. 8 Credit Hours.

The goal of Clinical Skills module is to develop the student's bedside diagnostic skills. As a result of course lectures, readings, labs, longitudinal preceptor experience, and other Clinical Skills (CS) activities, you will be able to:(1) Perform a full history and physical and recognize specific abnormalities; (2) Record the history and physical examination in a coherent, standardized manner; (3) Construct a problem list and differential diagnosis based on the history and physical exam findings; (4) Deliver a concise organized oral presentation of the history and physical and interpretation of the findings in a standardized format.

SURG 7000. Off Campus. 4 Credit Hours.

All off campus rotations must be approved by the designated faculty member prior to the beginning of the rotation (at least one week before the course begins). Credit will not be given for any rotation that has not been approved in advance. Required paperwork includes: "Course Approval" form, a written letter or email for acceptance form the physician preceptor with the start and end dates of the course/rotation, and a course description of your learning objectives and responsibilities during the rotation. Forms must include a complete address and telephone number for the off campus location or residence address for the student while at the off campus site. Forms will not be approved after the rotation has already begun. Contact the department for assistance with enrolling in this course.