SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Acting Internship - General Surgery in Austin
Course Number
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
Responsible Faculty Director:
John Sabra, MD
Other Faculty:
Location to Report on First Day
Contact Tricia M. McElligott at or 512-324-7860
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 1. To gain experience in the evaluation and treatment of patients with clinical problems in general surgery. 2. To gain experience in the skills and work habits necessary to function as a houseofficer on a General Surgery service.

 1. Should be able to perform initial and subsequent patient assessments, write appropriate admission and subsequent orders, and develop management and diagnostic plans for patients with general surgery problems. 2. Should gain technical skills in examination, common diagnostic and technical procedures, and operative technique.

Description of course activities
 Within limits set by law and hospital rules, will function with the same responsibilities and duties as an intern or first year house officer. Students will have same hours and call responsibilities as an intern. Students will function as a member of the adult general surgery team. They will be expected to follow patients in the intensive care units and make daily reports on rounds regarding their condition. Such reports are expected to include an assessment of the patientís condition with recommendations for further evaluation or changes in therapy based on that assessment. All senior students are expected to assist in the operating room and attend all outpatient clinics. Senior students will be expected to see inpatient consults and present to residents and faculty. wellbutrin online cozaar advil zithromax phentermine online purchase phentermine order soma online naproxen generic zyrtec buy ultram generic lipitor phentermine online generic wellbutrin generic xanax buy soma diflucan order cialis prevacid viagra online allegra wellbutrin online hoodia online norvasc lorazepam ambien online purchase viagra soma buy phentermine generic prevacid cheap adipex phentermine online cetirizine lasix viagra generic phentermine famvir imovane augmentin order valium online celecoxib zestril generic prozac buy xenical order phentermine cheap alprazolam purchase valium zyrtec tylenol cheap viagra online buy ultram online generic cialis buy propecia order soma viagra online buy hydrocodone metformin

Type of students who would benefit from the course
 This course will be especially useful for those students planning careers in surgery in general, General and Thoracic Surgery specifically, Intensive Medicine and Anesthesiology. To enroll, UTMB students should submit a C-form to Tricia McElligott via e-mail at or fax at 512-324-7988 for approval. Visiting students should submit an application through VSAS: Select UTMB at Galveston as the host institution and indicate you wish to take SURU 4032 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday Round / OR breast clinics
  Tuesday Round / OR Clinic
  Wednesday Round / OR Clinic
  Thursday Round / OR Clinic
  Friday Round / OR
  Saturday Call with assigned attending
  Sunday Call with assigned attending
  Average number of patients seen per week: 20-30  
  Call Schedule:   Students are on-call an average of 1-2 nights/week.  

  Research Activities (please insert estimated schedule here)
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
    4 days weekly.
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Rotating residents and faculty.
  B. Frequency / duration of presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
    Same guidelines used by doctor.
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    Notes in patient charts.
  B. Format - What guidelines are set for the student's written work?
    Same as used by physicians.
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
  F. Audience - Who assesses the studentís written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    They are to participate in those conferences and activities that the surgical team to which they are assigned participates.

6.  Other Modes of Evaluation
  Please explain below.
    Clinical evaluation by upper level residents and faculty.
7.  If this course is an Acting Internship, please complete the following:
  A. Specify how the student will be given formative feedback on their clinical skills.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
  E. How will this course help prepare a student enter an internship in this field or a related field?
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
  G. Acting Internship students often seek letters of recommendation following their experience. How many different faculty are they likely to encounter during this course? What is the usual number of working days they can expect to encounter the same individual faculty member? Describe the degree of supervision and interaction with faculty vs. residents or other providers.