Cardiac Surgery
Staff: Dr. Herman Heck
Dr. Nick Moustoukas
Dr. Eugene Kukuy
Dr. Jared Gilmore
Hospital: University Hospital
What is the work week like for students on this rotation?
Students will participate in patient rounds every morning, in the ICU and on the floor. Students are assigned patients on a rotating basis for initial workup, subsequent attendance at surgery and post op follow-up. They should evaluate patients in the morning on pre-rounds with PGY3 resident and write individual notes. If not in surgery with assigned patient, they should be available to take new consults for subsequent consult rounds with faculty attending or PGY3 after surgery and in the afternoon. This would involve reviewing angiograms, echos, and other cardiac workup with faculty attending, seeing and examining the patient and making a subsequent disposition. The student would also would be responsible for obtaining pending tests results on patients discussed on morning rounds, discharging patients in conjunction with PGY3, etc. Students will attend S. Roman street clinic on Friday. Night and weekend OR call availability and weekend rounds are not obligatory. Brief research and subsequent discussion of a specific topic in cardiac or thoracic surgery may be assigned.
What are the expectations of the students?
Students are expected to workup, attend at surgery, and perform post-op follow-up evaluations of their assigned patients in conjunction with the PGY3 resident. Students should be assertively engaged in quick rounds before surgery re: pertinent and relevant data and brief concerns regarding their patients postoperative course (pre/post op weight, BP, P, accucheck trends, medications, labs, heart rhythms, etc). Students are expected to attend their patient's surgery and act as second assistant (at times, first assistant), and to follow them to the ICU and be engaged in their immediate post op evaluation. Students are expected to attend consult rounds in the afternoon, when not in obligatory didactic conferences. Students are, above all, expected to ask questions and extract explanations from their mentors if an order, procedure, decision, intervention, or patient event is not understood. Because of the time constrained nature of this service re: tasks to be accomplished, formal, classical, didactic teaching rounds are infrequent and the value obtained from rotating on this service will be primarily that of observation, participation, and assimilation.
How are students evaluated?
Students will be evaluated on their initiative, interest, and availability in various aspects of the service. Active and interested participation in surgery, clinic and rounds, appropriate questions indicating thoughtful assessment of patients or circumstances, quality and pertinent content of patient presentations and written notes, and demonstration of enthusiasm as a member of the team will generally score a high pass.
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Last Update: 1/9/2008