SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Pediatric Surgery in Austin
Course Number
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Successful completion of Surgery Clerkships Cform submitted to Judy Terlik at
Responsible Faculty Director:
Tory Meyer, M.D.
Other Faculty:
Jeffrey Horwitz, M.D. Michael Josephs, M.D. Julie Sanchez, M.D. Robert Schlechter, M.D. Nilda Garcia,M.D. Erich Grethel,M.D. Ankur Rana, M.D., David Tuggle, M.D.
Location to Report on First Day
Contact Judy Terlik at or call 512-324-7860
Periods Offered
including Period 12 (June), NOT including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 Learn about common pediatric surgical problems and the preop evaluation, intraoperative decision making, and postoperative care. Be familiar with intitial evaluation of acute abdominal pain in different age groups, common surgical emergencies in newborns, and principles of trauma management in children.

 To perform a pediatric surgical initial and subsequent assessments; write appropriate notes and orders; and to develop appropriate diagnostic and management plans. Gain technical skills in examination, diagnosis, and operative technique in pediatric surgical patients. Demonstrate an understanding of the initial evaluation and mechanisms of injury of pediatric trauma management. Discuss physiologic differences between children and adults relevant to surgical issues. Develop familiarity with pediatric indications and techniques of thoracoscopic and laparoscopic surgery.

Description of course activities
 Attendance in office, hospital rounds, inpatient and outpatient surgery. Evaluation of patients in emergency department (including trauma); caring for hospitalized pediatric surgical patients; and performing consultations with attending pediatric surgeon. Participation in operative cases, including major and minor cases, laparoscopy, and thoracoscopy. Writing of notes on pediatric surgical patients. Attending conferences.

Type of students who would benefit from the course
 Students interested in careers in Pediatrics (especially hospital and office-based General Pediatrics, Pediatric Subspecialties, Neonatology, Gastroenterology), Surgery, and Emergency Medicine. To enroll, UTMB students should submit a C-form to Judy Terlik at for approval. Visiting students should submit an application through VSAS: Select UTMB at Galveston as the host institution and indicate you wish to take PEDU 4062 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 7:00 to1:00-Surgery or office 1:00 to 6:00-office, rounds
  Tuesday 7:00 to1:00-Surgery 1:00 to 6:00-office, rounds
  Wednesday 7:00 to1:00-Surgery or office 1:00 to 6:00-conference, office
  Thursday 7:00 to1:00-Surgery or office 1:00 to 6:00-office, rounds
  Friday 7:00 to1:00-Surgery or office 1:00 to 6:00-rounds
  Saturday 7:00 to1:00-Surgery , rounds
  Average number of patients seen per week: 30  
  Call Schedule:   Once every four days  

  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?
  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?
    Pediatric surgeons
  B. Frequency / duration of presentation(s)?
    Variable on rounds, biweekly at conference
  C. Format - What guidelines are set for the student's presentation?
    Informal but organized (No Powerpoint, please!)
  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)?
    Progress Notes on patients followed by student.
  B. Format - What guidelines are set for the student's written work?
  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.?
    Related to cases
  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)?
    Students are expected to have read and be knowledgeable before all OR cases. They should be self motivated and aggressive about following patients and seeking learning opportunities. They should attend Grand Rounds, Trauma Conference, Resident teaching conference, Cancer conference, and Journal Club. Arrangements can be made to attend adult general surgery conferences at Brackenridge Hospital if desired.

6.  Other Modes of Evaluation
  Please explain below.
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.