Surgery Block Evaluation
- 1. Surgery Block Evaluation Clerkship and Electives Committee June 21 st , 2004 Presented By: Nina Ghosh, Dina Popovic
- 2. Surgery Electives Anesthesia Cardiac Surgery General Surgery Neurosurgery Orthopedics Ophtho/ENT Pediatric Surgery Plastic Surgery Thoracic Surgery Urology Vascular Surgery
- 18. General Comments
- 19. General Comments – PRO’S resident teaching - a significant strength good block organization excellent teaching sessions the consultants, residents and even fourth year elective students were all very helpful.
- 20. General Comments – CON’S the hours were absolutely gruelling I only had cold site calls More feedback would have been appreciated. The consultants were not all too interested in teaching outside of the teaching sessions (over cases, in the OR, etc). The definite emphasis on this part of the rotation was on service not on education.
- 21. Suggestions Buddy system with enthusiastic residents who like to teach No lectures for clerks on resident teaching days, because it’s our only chance to do extra stuff in the OR, and if we’re in teaching we miss the chance. Ensure that clerks have security of their belongings. Ensure that clerks have desks in their sleep rooms. More teaching at rounds rather than being a scribe Supervisors and residents should be encouraged to quiz clerks more in the OR
- 22. General Comments - Windsor Surgery in Windsor was excellent in terms of the OR experiences excellent hands-on training and one-on-one teaching with the consultant videoconferencing leaves a lot to be desired - it was frustrating, poorly organized and not a good use of time some residents are just unacceptable; not just unwilling to do informal teaching sessions, but unwilling to answer questions in general should be able to do more in the OR on some services it would be useful to have spent time in some clinics- more applicable to general practitioner training
- 24. Specific Comments/Suggestions General Surgery Excellent 2-week elective Students actively involved in all aspects of patient care Important adjunct to alternative core rotations On-call experience is extremely valuable Strained team relationships among the other members of the team prior to my arrival also made this a rotation. Clerks were overall bored in the OR because lack of involvement in cases
- 25. Specific Comments/Suggestions Anesthesia Students enjoy active involvement Consider making this a required rotation Efforts should be made to have the clerks active in as many cases as possible - Especially when the bulk of what we can do is intubating 5-6 hour cases are boring and not much learning occurs in these settings. Clerks should be assigned to OR’s that have short cases.
- 26. Specific Comments/Suggestions Cardiac Surgery Enthusiastic consultants and residents were very eager to teach Students involvement in the OR is limited due to the type of procedures and the number of operators
- 27. Specific Comments/Suggestions Neurosurgery Students involved in initial patient assessment (i.e. clinics) very valuable Students involvement in the OR is limited due to the type of procedures and the number of operators Consideration of student option to observe long procedures OR participate in “floor work” OR pursue self-directed learning
- 28. Specific Comments/Suggestions Orthopedic Surgery Great exposure to trauma surgery and initial management of the trauma patient (SSC) Some students felt they received limited (informal) teaching and little involvement in patient care.
- 29. Specific Comments/Suggestions Plastic Surgery Good exposure to diversity of plastic surgery Residents should make an effort to include clerks in ward involvement Limited operative involvement Some residents were less willing to teach
- 30. Specific Comments/Suggestions Thoracic Surgery Very valuable introductory package and list of objectives provided to students Excellent teaching by consultants and residents Excellent student involvement in ward, clinic and OR Very busy service requires students to sink or swim – although significant encouragement from staff and resident
- 31. Specific Comments/Suggestions Urology Excellent teaching by consultants and residents Excellent student involvement in ward, clinic and OR
- 32. Specific Comments/Suggestions Vascular Surgery Excellent teaching by consultants and residents Excellent student involvement
- 33. Specific Comments/Suggestions Emergency Medicine Exposure to a wide variety of medical/surgical problems Excellent student involvement in initial work-up of patients Consultants should be encouraged to allow students to formulate an assessment and treatment plan instead of just obtaining a history and physical.
- 34. Specific Comments/Suggestions Ophtho/Otolaryngology Introductory lecture was very well received Proper use of otoscope and ophthalmoscope was well taught Consultants and residents were very eager to teach Some students were unable to assess patients on their own and present to consultants/residents Restriction from attending formal teaching is a deterrent. A two-week elective in either ophtho or ENT should be an option (missing teaching sessions wouldn’t be such an issue in this circumstance)
- 36. General Recommendations Each elective/selective should try to provide students with a list of core objectives, a schedule, and a description of how the elective/selective works Consultants and residents should actively encourage student learning and participation in the OR Consider making Anesthesia a mandatory rotation Consider making Otolaryngology and Ophthalmology independent two-week electives
- 37. Thank you!