SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Acting Internship in Pediatric Neurosurgery in Austin
Course Number
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
c form submitted to Judy Terlik at
Responsible Faculty Director:
Timothy M. George, M.D.
Other Faculty:
Mark R. Lee, M.D.
Location to Report on First Day
Judy Terlik at or 512-324-7860.
Periods Offered
NOT including Period 12 (June), NOT including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 1) To gain experience in the evaluation and treatment of pediatric patients with central and peripheral nervous system problems 2) To gain experience in the skills and work habits desirable to function as a house officer on a Neurosurgery service

 1) Perform initial and subsequent patient assessments, write appropriate admission and subsequent orders, and develop management and diagnostic plans for patients with central and peripheral nervous system problem. 2) Gain technical skills in examination, common diagnostic and technical procedures, and operative technique. 3) Present one disease process during weekly teaching rounds.

Description of course activities
 Duties include the work-up and care of inpatients, work-up of clinic patients, work up and care of neurosurgical patients in the emergency room, assistance in the operating room and daily inpatient rounds. There is opportunity for night call. The student is expected to attend teaching rounds attend Neurosurgery related conferences.

Type of students who would benefit from the course
 This course is particularly valuable for students interested in Critical Care, Neurology, Neurosurgery, Orthopedics, Anesthesia, Neuroradiology, Emergency Medicine, Craniofacial Surgery, Pediatrics, Trauma Care, and Otolaryngology. 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 4063 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday Rounds, Clinic, OR Rounds, Clinic, OR
  Tuesday Rounds, Clinic, OR Rounds, Clinic, OR
  Wednesday Rounds, Clinic, OR Rounds, Clinic, OR
  Thursday Rounds, Clinic, OR Rounds, Clinic, OR
  Friday Rounds, Clinic, OR Rounds, Clinic, OR
  Saturday n/a n/a
  Sunday n/a n/a
  Average number of patients seen per week:  
  Call Schedule:   One week day and one weekend day on call per week; no overnight call.  

  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?
    Residents and faculty
  B. Frequency / duration of presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
    Standard patient presentation.
  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)?
    Chart notes daily
  B. Format - What guidelines are set for the student's written work?
    Standard physician documentation in the hospital chart
  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)?
    The student is expected to attend the monthly Pediatric Neurosciences Meeting, Neuro-Oncology Case Management Conference, Surgical Epilepsy Conference, Tumor Board, Brain and Spine Clinical Rounds, and other Neurosurgery-related conferences and lectures. Student participation is expected and encouraged. It is expected that students have an interest in the clinical neurosciences and will be self motivated, adult learners.

6.  Other Modes of Evaluation
  Please explain below.
    Clinical evaluation by 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.
    During rounds, the students evaluation of the patient will be reviewed.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
    Patient history and physical examination in outpatient, inpatient and emergency room settings. Will be able to attend specialty clinics in surgical epilepsy, neuro-oncology, spina bifida, craniofacial malformations, and spasticity. They will read basic MRI and CT scans of the brain and spine.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
    Performing basic surgical skills, making incisions, suturing fascia and skin.
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
    SIMILAR TO PGY1: Perform the initial consultation in the inpatient or emergency room. Perform daily patient rounds on specific patients wan write progress notes. DIFFERENT FROM PGY1: PGY1 would need to to round on all patients on service, perform discharge dictations, ensure proper patient transfers and write transfer summaries.
  E. How will this course help prepare a student enter an internship in this field or a related field?
    Student will be exposed to the diversity of pediatric neurosurgical conditions and treatments. Learn proper triage and treatment guidelines. Learn basic principles of reading imaging studies.
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
    Will plan to have biweekly meeting to review performance.
  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.
    There are 4 faculty. They student will be exposed to all four during each week. They will also work with the midlevel providers. The students will have daily supervision by the attending.