Surgery

Boston University Medical Center
Fourth-Year Elective Rotations in Surgery

Directors for BU Surgical Electives: Cullen Carter, M.D., Associate Professor of Surgery

Coordinator for BU Surgical Electives: Lana Ketlere-Student Coordinator, Office of Surgical Education, Room C515, 617 638-8442

The elective listed below are administered through the Office of Surgical Education.  These are all four-week rotations.  An application which is required for these electives can be obtained from Ms. Ketlere by telephoning her at 617 638-8442 or visiting her office, C515.

Learning Objectives for the Fourth-Year General Surgery Rotations:

At the end of this rotation the student will be able to:

1) Participate fully in the activities of the surgical team, including rounds, conferences, clinics, and operating room;

2) Take individual responsibility for patient care with appropriate supervision, including initial patient assessment, daily care, participation in surgery, and accurate notes;

3) Assist residents with their night time call responsibilities, including consults and ward care;

4)  Communicate patient information to the surgical team in an accurate and organized way at rounds and conferences;

5) Research patient issues and provide education to the surgical team, especially the third year students;

6) Demonstrate a professional appearance and courteous behavior in the workplace.

Grading Criteria for the Fourth-Year Rotations:

Students will be graded by the surgical faculty at their site with input from chief residents. Evaluation will emphasize the student’s ability to assume responsibility as a member of the surgical team, as demonstrated by reliable participation, punctuality, and willingness to help when needed.

All fourth year students doing sub-internships will be expected to take call with the residents. Sub-interns will take at least three nights of overnight in-house call during the rotation. Students will have the day off after overnight call.  Taking overnight call will be optional for fourth-year students on electives that are not sub-internships.

Students will be assessed on knowledge base and improvement of knowledge.  All fourth year students will be expected to provide weekly five-minute teaching sessions to the surgical team on topics of interest.

Students will be graded on their ability to document a thorough history and physical, write accurate progress notes, and present patient information in a succinct and organized way.  Organizational skill and attention to detail will be emphasized.

Sub-internships in General Surgery Course Description:

The Department of Surgery offers fourth year students four-week sub-internships at our major teaching hospitals. The student will be assigned patients to admit and follow during their hospital course. The student will work with the resident and attending staff in managing the patient’s surgical problems in the operating room, on the inpatient wards and in the ambulatory setting. Attendance at morning and afternoon rounds, morbidity and mortality conferences, and other teaching conferences is required in the rotation, as well as taking call with residents. Instruction will focus on pathophysiology of surgical disease, pre- and post-operative care, indication for surgical intervention, and procedural skills. This elective is especially suitable for any student wishing more intensive training in surgery than is possible during the required third year clerkship.

Sub-internship Sites and Services:

Boston Medical Center – Newton Pavilion

General Surgery (Vascular Service)(400.1a)
Instructors: Jeffrey Siracuse, M.D. and Staff
Number of Students: One
Period to be offered: One Month

Mozden Service (Surgical Oncology, Endocrine Surgery and Colorectal Surgery)(400.1b)
Instructors: Teviah Sachs, M.D. and Staff
Number of Students: One
Period to be offered: One Month

 

Boston Medical Center – Menino Pavilion

Acute Care and Trauma Surgery (400.3)
Instructor: Tejal Brahmbhatt, M.D.
Number of Students: One
Period to be offered: One Month

SICU Menino Pavilion (403.1)
Instructors: Robert Schulze, M.D, and Staff
Number of Students: Three
Period to be offered: One Month

 

VA Boston Healthcare System (West Roxbury VAMC)

General Surgery and SICU (400.2)
Instructors: Patrick O’Neal, M.D. and staff
Number of Students: One
Period to be offered: One Month

Note: Elective 400.2 requires completion of an additional VA Healthcare System application and fingerprinting. Please obtain contact information from elective coordinator upon sign-up.

 

Cape Cod Hospital (not available in the 2017/2018 academic year)

General Surgery (400.00)
Instructor: Stephen W. Brooks, M.D.
Number of Students: One
Period to be offered: One month

*The above electives satisfy the sub-internship requirement

 

Other Fourth Year Elective Rotations in Surgery

 

403.1 Surgical Intensive Care Unit

Instructors: Robert Schulze, M.D. and Staff

Location:Boston Menino Pavilion

Telephone: 638-8442, Lana Ketlere, C-515

Number of Students: 3

Period to be Offered: One month

Description of Elective:

Fourth year medical students are eligible to participate in the Surgical
Intensive Care Unit elective at Boston Medical Center. This can be a one or two month elective which will be spent at the Menino Pavilion surgical intensive care unit. Students will be active members of the team and will participate in daily rounds and will be responsible for presenting in detail, all patients whom they have called on previously. He/she will defend the therapy initiated and propose a comprehensive treatment plan. Additionally, the student will participate in all procedures performed in the surgical intensive care unit. The Section on Critical Care offers daily teaching rounds as well as didactic lectures. It is hoped at the conclusion of this elective the student will have an appreciation of the problems and care of the critically ill patient.

Note: This elective satisfies the sub-internship requirement

 

403.2   BMC Bootcamp: Getting Ready for Surgery Internship

Course  Director: Alik Farber, M.D.

Period Offered:   Block 18

Administrative Contact:

Lana Ketlere

Surgical Education Program Coordinator

Boston Medical Center

88 E. Newton Street, C515

Boston, MA 02118

Tel #    617-638-8442

Fax#    617-638-8841

Description of Elective:

In this elective, 4th year medical students are given the opportunity to delve deeper into the surgical management of patients.  This rotation is for individuals who are going into general surgery or a surgical subspecialty, and is designed to prepare them for their internship.

This rotation will expose students to crucial concrete knowledge and technical skills important for a surgical internship as well as for a surgical career. It includes focused didactic lectures, hands-on skills laboratory, a mock pager experience, and focused rotations; these activities are all designed to augment a student’s exposure to real-life scenarios one would expect in a surgical internship and beyond.

Grading:

Students will be graded based on the following:

  1. Final examination based on lecture materials (60% of grade)
  2. Practical skills set examination (20% of grade)
  3. Evaluation of mock page experience (20% of grade)

Grading will be: Pass/Fail.  A passing grade will be a minimum 50% overall score using the elements listed above.  The grade will be supplemented by written evaluations completed by Dr. Olshaker, Dr.Ortega, and nurse evaluator (for the mock page experience).

 

404.1 Surgery Subspecialty

Contact: Lana Ketlere

Location: Boston Medical Center, C-5

Telephone: 638-8442

Description of Elective:

The Surgical Subspecialty clerkship is a four-week rotation that consists of two two-week sessions in two different surgical specialties.  Students will provide their preferences for specialties to the Surgical Education coordinator, and will be assigned to two specialties based on availability.  The different surgical sessions and individual learning objectives are described below.

Anesthesia (BMC or VA)

Cardiac Surgery (VA)

Neurosurgery (BMC)

Ophthalmology (BMC or VA)

Orthopedics (BMC or VA)

Otolaryngology (BMC)

Plastic Surgery (BMC)

Urology (BMC or VA)

 

GRADING CRITERIA

Each student will receive an evaluation from each of the subspecialty sessions.  The scores in each field of the evaluation will be averaged to create a final score, from which the grade will be determined.

Students in all sessions will be graded on their participation, willingness to take responsibility as a member of the surgical team, and professional appearance and manner.

Additional grading criteria for many of the sessions are included in the complete course description.

Course restricted to 4th year BUSM students only.

 

404.2  Minimally Invasive Surgery

Dept. of Surgery-Boston University School of Medicine

Instructor:  Donald Hess, M.D., FACS

Faculty: Brian Carmine, M.D. and Cullen Carter, M.D.

Contact: Lana Ketlere, C515   Telephone: 617 638-8442

Period to be Offered: Four Weeks

Description of Elective:

The minimally invasive surgery elective at Boston University Medical Center is a combined clinical and research program with a strong focus in laparoscopic bariatric surgery and additional experience in laparoscopic foregut, endoscopic and robotic surgery.  The elective is four weeks in duration and is designed to develop the surgical, educational and research skills of the medical student.  The goals of the elective include:

  • Provide exceptional care for surgical patients
  • Learn pre-operative and post-operative management of bariatric surgery
  • Obtain introductory training in minimally invasive surgery with special focus in bariatric surgery

Students should report on the first day of the rotation to morning rounds at 6:00 a.m., on 8 west Floor of the East Newton Pavilion

 

410.2 Cardiothoracic Surgery

Instructors:  Hiran Fernando, M.D. and Virginia Litle., M.D.

Location: Boston Medical Center, Newton Pavilion, B-4

Contact: Lana Ketlere    Telephone: 617 638-8442

Number of Students: One

Period to be Offered: One month

Description of Elective:

Students participate in the clinical activities of the Cardiothoracic Surgery team. Students are instructed in the diagnosis and surgical treatment of cardiovascular, pulmonary, esophageal, mediastinal and chest wall diseases, thoracic trauma and endoscopic diagnostic procedures. About two-thirds of the clinical work of this service is comprised of cardiovascular disease and one-third, non-cardiac thoracic surgery. Students learn about surgical treatment of cardiovascular disease, and participate in care of a large group of seriously ill and intensively monitored patients. Students can learn about diagnosis and management of problems occurring in each of the organ systems after major surgery. Students will also become familiar with monitoring techniques to assess the post-operative hemodynamic state, and treatment interventions such as catecholamine drugs and the intra-aortic balloon.

Students may have the opportunity to observe technologically advanced surgical procedures in both cardiac and general thoracic surgery, using minimally invasive approaches and use of robotic assisted surgery.

 

430.3 Pediatric Surgery

Instructor: Catherine Chen, M.D.

Location: Pediatric Surgery, Dowling 2 South

Telephone: 638-8442    Contact: Lana Ketlere, C-515

Number of Students: One

Period to be Offered: One month

Description of Elective:

This elective on the Pediatric Surgical Service will provide a broad experience in the evaluation and operative management of neonatal and childhood surgical problems. It is geared toward those with an interest in surgery, pediatrics, or both. Ward round with the attending are made daily. Elective operative cases are performed all day Monday, Wednesday and Friday. Clinics are held Tuesday and Thursday afternoons. During the clinics, children who are seen for surgical conditions are discussed and scheduled for surgery; follow-up is provided for those who have recently undergone surgery. Every Thursday morning teaching rounds are held on a selected topic.

The medical student will receive teaching and supervision on the wards, in the operating room and in the pediatric emergency room. The student will assist in the operating room depending on his/her technical skills, and may be permitted to first assist or perform minor procedures with the attending.

Every Thursday teaching rounds are held with the attending and staff usually discussing one topic in depth. The medical student will also attend the numerous conferences available on the Pediatric and Pediatric Surgical Services.

 

434.2 Cardiovascular Research

Instructors: Oz Shapira, M.D., Harold Lazar, M.D., and Virginia Litle, M.D.

Location: Boston Medical Center, Newton Pavilion, B-4

Number of Students: Two

Description of Elective:

Current ongoing projects in the laboratory include reversal of reperfusion damage following cardioplegic arrest, evaluation and design of cardioplegic solutions, the use of lasers in coronary surgery, evaluation of arrest devices for the failing heart, prolonged storage of hearts for transplantation, and cryopreservation of tissue valves for transplantation and decreasing the inflammatory response of ischemia and cardiopulmonary bypass and their effect on endothelial function. All the laboratories are located on the medical school campus.

Our goal is to create an environment in the laboratory which will serve as a catalyst for learning and teaching. The student will work closely with the research fellow and technician, and will work both in large animal research projects, assisting in the open heart surgical procedures, and in an isolated heart laboratory where myocardial metabolism and endothelial function will be emphasized. Cardiopulmonary physiology will be stressed and the student will learn about designing and analyzing experimental data, and encouraged to create her/his own projects. There will be a two hour weekly research conference where data from the diverse research projects will be discussed. Students will be given background bibliographical information so that they are well versed in all ongoing areas of the research projects.

 

435.0 Private Community Vascular and General Surgery

Instructor: Dennis Begos, M.D.

Contact: Susan Mansur

Location: Lawrence Memorial/Winchester Hospitals

Telephone: 781-279-1123

Number of Students: One

Period to be Offered: One month

Description of Elective:

This is a unique and outstanding opportunity for a student to experience the world of private practice surgery. The student will be given the opportunity to round on private patients in the community setting, work-up selected problems and be an integral part of the total post-operative care including ICU support. The student will be able to scrub on all cases, and in the majority of instances, become the first assistant. During this elective, students have usually scrubbed on 30 to 40 major vascular, general and advanced laparoscopic operations, and have played a major role in each case. This is a hands-on rotation. The student will also be able to assist on minor cases, participate in out-patient surgery and colonoscopy, and see private consultations.

After morning cases are complete, the student will be able to go to Commonwealth Surgical Associate’s private offices and see patients,  whether pre-op, post-op or nonoperative. This offers an unrivaled opportunity to follow patients from the office through the OR, and postoperatively. It is a one-on-one rotation with Commonwealth Surgical Physicians, allowing personal instruction and direct participation. Each student may choose to take as much responsibility for direct management of the patient as he/she desires, up to the level at which the rotation becomes similar to a subinternship. There is no requirement for night or weekend call, but availability for rounds and cases is encouraged. A strong emphasis is placed on surgical education, personally taught, with special units in anatomy, fluids and electrolytes, vascular diagnosis and treatment and intensive care.

This rotation is ideal for any student planning to become a surgeon or desiring a more personal insight into the field of community surgery. At the conclusion of this elective, the student will have had extensive hands-on operative experience, and an in-depth understanding of surgery and its practice in the community setting. Prerequisite: Completion of a clinical clerkship in Surgery.

Participation in this elective requires submission of the following materials to Dr. Bego’s office at Commonwealth Surgical Associates:

  1.   letter of good standing from the Office of the Registrar
  2.   copy of current immunization records
  3.   certificate of liability coverage

 

465.2 Plastic & Reconstructive Surgery

Instructor: Nilton Medina, M.D.

Location: Boston Medical Center, Newton Pavilion and Menino Pavilion

Telephone: 638-8442    Contact: Lana Ketlere, C-515

Number of Students: Two

Period to be Offered: 1 month

Description of Elective:

The elective in Plastic and Reconstructive Surgery will consist of a two week period with exposure to general plastic surgery with an emphasis on the aesthetic aspects of the field. This will provide the student with a broad basis in the area of elective plastic surgery.

All arrangements for electives must be made through the Medical Student Coordinator at Boston Medical Center.

 

Surgical Specialties: Anesthesiology

505.2 Anesthesiology

Instructor: Sharma E. Joseph, M.D.

Location: Boston Medical Center, Newton Pavilion, Second Floor, Rm. 2817

Telephone:  (617) 638-6950

Rotation Coordinator: Ms. Alicia Sorrell  email: alicia.sorrell@bmc.org

Number of Students: Two BU 4th year medical students

Period to be Offered: 2 weeks and 4 weeks

Description of Elective:

The Anesthesiology four week elective rotation is an opportunity for BUSM 4th year medical students to become well versed in the principles and concepts of the practice of Anesthesiology, and to identify the multiple roles the anesthesiologist plays in areas other than the operating room.

Learning will primarily occur in the Boston Medical Center operating rooms, where medical students will be paired with residents and attending faculty.  The experience will involve the perioperative evaluation and care of the surgical patient.  Students will participate in the management of patients undergoing general surgery, head and neck surgery, neurosurgery, thoracic and cardiac surgery, obstetrics and gynecology procedures, orthopedic surgery, pediatric surgery, urologic procedures and vascular surgery.  Additional educational sites include the East Newton Pavilion Surgical ICU and the Pain Clinic.

On the first day,  students will receive an orientation from the rotation director.  During the elective, medical students will attend a series of lectures and case conferences.  These will serve to enhance their knowledge, skills and understanding of the field.  Students will also attend Departmental Grand Rounds, held most Fridays.

 

Logistics:

1- Students will receive a packet of information via e-mail prior to the start of the rotation.
2- Students must report to the Anesthesiology Office at 6:15 AM on the first day for orientation. (Location: Newton Pavilion, Second Floor, Room 2817)
3- Students are expected to be present for all departmental academic activities.
4- There are no call responsibilities for this rotation.

For further details, please refer to the welcome packet.

Absences: All scheduled absences need prior approval from the rotation director Sharma Joseph, M.D.

 

506.2 Anesthesiology Critical Care Elective

Department of Anesthesiology

Boston University School of Medicine

Instructor: Gerardo Rodriguez, MD

Location: Boston Medical Center

Telephone: East Newton Pavilion 2817A  (617)638-6955

Rotation Coordinator: Ms. Susan Peterson-susan.peterson@bmc.org

Number of Students: Two BU 4th year medical students

Length of Rotation: 4 weeks (all blocks)

Description of Elective:

The Anesthesiology Critical Care Medicine rotation is an opportunity for BUSM 4th year medical students to become familiar in the recognition and management of patients with the set of medical and surgical problems that require Critical Care (CC). The East Newton Pavilion (ENP) SICU patient population include many elderly patients with preexisting physiological derangements presenting for elective and emergency surgery. Major vascular, thoracic, neurosurgery, and general surgery patients comprise the majority of patients in the ENP SICU. Multisystem disease states (diabetes, cardiac, and peripheral vascular) are common in this ICU. Many patients require critical care before their surgical procedures.

Students will be active members of the team, will participate in daily rounds, present new consultations or admissions, actively collaborate with work related to the patients care and will be responsible for presenting in detail, all patients whom they have called on previously. The student will defend the therapy initiated and propose a comprehensive treatment plan. Opportunities to participate in procedures performed in the SICU will be available. The Critical Care Anesthesiology Faculty offers daily teaching rounds as well as daily didactic lectures. The students will participate in both the Monday morning conferences as well as the Tuesday afternoon resident didactic series provided by the Department of Anesthesiology. It is expected at the conclusion of this elective that the student will have an appreciation of the issues present and the management of the critically ill patient.

Logistics:
1-Students will receive a packet of information via e-mail prior to the start of the rotation.
2-They must report to the Anesthesiology Office (second floor ENC) at 06:50 AM to Ms. Susan Peterson (extension 86955) on the first day of the rotation for further instructions. Anesthesiology Critical Care – 4th Yr.
3-Students will receive patient assignments during this rotation and will work with the Anesthesiology ENC SICU team, which always includes an attending.
4-Students are expected to be present for all academic activities of the Department (see times below) with a release time of approximately 4:00 pm (or after the Tuesday 6:30 lecture concludes).
5-There are no call duties in this rotation, but if desired, student can assume call responsibilities.
6-Daily performance in rounds and the final presentation will be all part of the evaluation process.
7-Failure to obtain daily evaluations will preclude the course director’s ability to do student evaluations.
For further details, please refer to the welcome packet.

 

507.2 Anesthesiology Research Elective

Course Director: Christopher Connor, M.D., Ph.D.

Rotation Coordinator: Ms. Susan Peterson- susan.peterson@bmc.org

Location: Boston Medical Center-Newton Pavilion 2817A

Telephone: (617)638-6955

Number of Students: Two BU 4th year medical students per four week block

Period to be Offered: 4 weeks

Description of Elective:

The Anesthesiology Research elective will allow medical students to pursue a research project in anesthesiology. The students will select a research project as defined by a scientist mentor who will serve as the project’s advisor. The research project will be sufficiently well defined and the required supporting infrastructure well developed so that the students will be able to start with data acquisition and/or data analysis on day one, and complete data analysis by the fourth week. This will require the medical students to identify the advisor, define an appropriate project to complete during this block, and have IRB or IUCAC approvals at least 8 weeks prior to the rotation. The students will write a report in the standard format of a scientific publication, including the Introduction, Materials and Methods, Results, and Discussion sections. The goals of this elective are to train medical students in anesthesiaresearch and to give them the opportunity to publish in the scientific literature.

The students will meet with the faculty member who is overseeing the project, prior to the start of the elective to meet the above approval deadlines.  At that time they will agree to a plan of operations and a research timeline to be followed during the elective. This is a mandatory step in order to allow the students to participate in this rotation. The plan of operations includes a mutually agreed number of work hours per week to satisfy the BUSM minimum of 40 hours per week, a description of the specific research activities to be performed by the student, and the required deliverables of the rotation. Finally, in this preparatory meeting, they will also agree on completing all operational project pre-requirements to be fulfilled prior to the elective’s start date, including any animal or human subjects training as well as IRB or IUCAC approvals.

To participate in a research study for which IRB approval has already been obtained, or for which IRB approval is not required, the student should make contact with the department no later than 3 months before the anticipated start date of the rotation so that necessary credentialing steps can be performed. If the student wishes to pursue an entirely novel project, it is essential to make contact with the department at the earliest possible time in order to determine the feasibility of the project and to arrange the necessary approvals.

The research elective will take place in the general facilities applicable and available to the overseeing faculty. During the elective, the students will meet with the faculty at least once a week to review research progress. Furthermore, a mid-clerkship review by the faculty will be performed, which will be submitted to the course director. This review will be documented, with any points for improvement relayed, and will include a statement on whether or not the student is at the expected timeline for the project. If the student is not meeting the expected timeline, then the reviewer needs to provide a plan (which may be as short as a statement or longer depending on the needs) on how to get the student back on the timeline if possible. If getting back on track with the project is not possible, an alternate plan will be defined where the student can meet research project objectives and hourly requirements to receive credit for the rotation.

The rotation will be graded using an Honors, High Pass, Pass, Fail scale depending on the degree of success with the research project’s goal and course objectives. As part of determining the grade, an Honors grade requires submission of a first draft manuscript to the faculty and the course director. A Pass grade requires successful completion of data acquisition and analysis.

 

508.2 Anesthesiology Multimedia Elective

Course Co-Directors: Rafael Ortega, M.D. and Ruben J. Azocar, M.D.

Rotation Coordinator: Ms. Susan Peterson-speterso@bu.edu

Location: Boston Medical Center-East Newton Pavilion 2817A

Telephone: (617)638-6955

Number of Students: Two BU 4th year medical students per four week block

Period to be Offered: 4 weeks

Description of Elective:

The Department of Anesthesiology manages a multimedia laboratory in which students become familiar with computer-assisted instruction, digital media applications for educational purposes, and image and video editing.  The materials produced in collaboration with the students may lead to presentations at national meetings and publication in peer-reviewed journals and textbooks. The Anesthesiology four week scholarly elective rotation is an opportunity for BUSM 4th year medical students to be introduced to script development, storyboard building, instructional design, digital photography and video, and computer applications used for the creation of digital media for medical education.

A 4-week elective allows students to become familiar with filming procedures, collecting digital assets, and designing computer-based educational projects.  The students will learn digital photography and video editing using industry standard software such as Photoshop, Premiere, and Illustrator.  The student will meet with the technical advisor 4 weeks in advance prior to the start of the elective for one hour at which time they will agree to a plan of operations and a learning timeline to be followed during the elective.  The plan of operations includes an agreed upon number of work hours per week to satisfy the BUSM minimum of 40 hours per week, a description of the specific activities to be performed by the student, and the required deliverables of the rotation.  Finally, in this preparatory meeting, they will also agree on completing all operational project pre-requirements to fulfill prior to the elective’s start date.

The multimedia elective will take place in the Department of Anesthesiology Media Laboratory.

During the first few days of the rotation, the student will be trained on the specific photographic and video equipment (including cameras, computers, and software) by the technical advisor or by a senior member of the laboratory.  During the elective, the student will meet with the technical advisor daily to review the project progress.  Furthermore, a mid-clerkship review by the technical advisor will be performed, which will be submitted to the course director.  This review will be documented, with any points for improvement relayed, and will include a statement on whether or not the student is at the expected timeline for the project.  If the student is not meeting the expected timeline, then the reviewer will provide a plan (which may be as short as a statement or longer depending on the needs) on how to get the student back on the timeline if possible.  If getting back on track with the project is not possible, then an alternate plan need to be defined where the student can meet project objectives and hourly requirements to receive credit for the rotation.  The rotation will be graded according to an Honors, Pass, Fail scale depending on the performance and accomplishments of the student.

Students must report to the Anesthesiology Office (second floor ENC) at 6:50 AM to Ms. Susan Peterson (extension 86955) on the first day of the rotation for further instructions.

Students are expected to be present for all academic activities of the Department and a release time of approximately 4:00 PM (on Tuesdays, release time is 6:30 PM after lecture concludes).

 

Surgical Specialties: Neurosurgery

510.2 Neurosurgery

Instructors: James Holsapple, M.D., Justin Massengale, M.D., Emanuela Binello, M.D., Ph.D., Keith Davies, M.D., and Katherine Cronk, M.D., Ph.D.

Location: Boston Medical Center

Telephone: 638-8442   Contact: Lana Ketlere, C-515

Number of Students: 1-4

Period to be Offered: One month

Description of Elective:

Fourth year students electing Neurosurgery will have an opportunity to make daily ward rounds with an attending neurosurgeon, perform clinical examinations, discuss differential diagnosis and diagnostic procedures. Under direct supervision, the student may participate in patient management and follow up. The student will also have the opportunity to review and learn about the interpretation of different diagnostic tests, such as angiograms, CT and MRI of the central nervous system. The student will be able to attend and participate in weekly neurosurgical teaching conferences. Ongoing research projects within the department are available to stimulate the student’s academic interest. In the operating room, the student will be instructed about the duties of a surgical assistant and will be exposed to the surgical anatomy of the brain and spine. The student will also be encouraged to evaluate the patients post-operatively, especially in the setting of the intensive care unit.

 

 

512.2 Transplant Surgery

Instructor: Matthew Nuhn, M.D. (matthew.nuhn@bmc.org or 617 638-8430)

Location: Boston Medical Center/Lahey Hospital and Clinic

Telephone: 638-8442    Contact: Lana Ketlere, C-515

Number of Students: One

Period to be Offered: One month

Description of Elective:

Students will make daily rounds with the transplant team and attend all outpatient clinics at Boston Medical Center (BMC) and be expected to attend all meetings, including selection, clinical case conference, pathology conference and QAPI.  In addition the student will be able to attend selection meetings at Lahey Hospital and Clinic.  Students on the transplant service will be expected to scrub into all transplants and associated procedures, assuming these do not interfere with medical school hour requirements.  Kidney transplants take place on the East Newton Campus of BMC and liver transplants will take place at the Lahey Clinic (Burlington, MA).  During their rotation the student will also be asked to give a 15 minute powerpoint presentation on some transplant related topic.  The student will also have the opportunity to accompany the surgeon on any procurements that occur, assuming this is approved by the medical school.

 

Surgical Specialties: Ophthalmology

514.2 Ophthalmology (Clinical/Surgical Elective)

Instructors: Hyunjoo Lee, M.D. and faculty and residents of the BUSM Department of Ophthalmology

Contact: Valerie Worrell-617 638-4552

Location: Boston Medical Center YACC Eye Clinic

Number of Students: Maximum of 4 students at BMC

Period to be Offered: Four weeks (graded) Two weeks (pass/fail only)

Eligibility:  BUSM IV students applying to an ophthalmology residency will be given priority during Blocks 9 -11.

Outside fourth year medical students whose schools do not  offer an ophthalmology elective may apply for Blocks 10-20 , all other outside students may apply for Blocks 12-20.

Description of Elective:

Students will work with residents and faculty at BMC. Activities will involve examining patients in the outpatient clinic and the in-patient consultation service. A clinic work sheet will be used to guide the student in the development of examination skills and to ensure that the student participates with faculty in a discussion of selected ophthalmic topics. Opportunities will be available, depending on student interest, to spend time on subspecialty services such as triage, consults, neuro-ophthalmology, retina, glaucoma, pediatric ophthalmology, cornea, and oculoplastics. Students will also have the opportunity to attend ophthalmic procedures in the office and surgical procedures in the operating room, such as cataract and glaucoma surgery, retinal detachment repair, and oculoplastic procedures.
Students enrolled in the 4-week rotation will be required to prepare a short (15 minute) Powerpoint presentation on a case relevant to his or her anticipated area of interest.

At the end of the elective the student should:
(1) Be acquainted with basic anatomy and physiology of the eye
(2) Be able to take a basic history for eye-related chief complaints
(3) Perform a basic ocular examination
(4) Diagnose independently and begin emergency treatment for urgent conditions
(5) Recognize the need for urgent referral
(6) Diagnose and articulate the initial treatment of ocular conditions
(7) Diagnose and recognize the need for routine referrals

Methods: Clinical sessions, lectures, case conferences, assigned text book, Powerpoint case presentation

Evaluation for BUSM students:

4 week rotation: Honors / High Pass / Pass / Fail /Incomplete

2 week rotation: Pass/Fail

 

516.1 Laboratory Investigation into Eye Diseases

Instructors: Faculty of the Department of Ophthalmology

Course Coordinator: Andrew W. Taylor, Ph.D.

Location: BUMC L-9/Boston Medical Center YACC Eye Clinic

Telephone: 638-4550

Number of Students: One per faculty member

Period to be Offered: Rotation of 8 weeks minimum

Description of Elective:

This course requires a minimum commitment of 8 weeks of full time research under the direction of any faculty member of the Department of Ophthalmology.  Longer term projects are available.  Areas of investigation include ocular ultrastructure, corneal wound healing and repair, infection and uveitis, stem cells, genetics, glaucoma, age-related macular degeneration, diabetic retinopathy, ocular surface inflammation and ocular immunobiology.  The course is designed to provide students with the opportunity to learn and use research techniques to study current eye research.  Students must contact the course coordinator to assign an instructor to design an individual research project to fit the student’s interests.  A project that is mutually satisfactory to both the student and the instructor must be designed before a student will be accepted for this course.  Students are required to make a presentation at the end of the course.

 

Surgical Specialties: Orthopedic and Fracture Surgery

550.3 Trauma and Fracture (Shortell Service)

Supervisor: Paul Tornetta III, M.D.

Instructors: William R. Creevy, M.D. and Paul Tornetta III, M.D.

Location: Boston Medical Center

Telephone: 638-8934, Contact: Lynnette St. Louis

Number of Students: Three

Period to be Offered: One month

Description of Elective:

The elective will be shaped according to the individual student’s future objectives. In particular, there is access to pediatric and adult trauma as well as hand trauma and spine trauma. As an orthopaedic team member, the student will participate actively in the care of patients seen in the operating rooms, emergency rooms, clinics, and on the floors. Most of the time will be spent in the emergent care of patients, fracture reduction, application of casts and splints, and participating in the daily work effort.

Students are encouraged to go to the operating room to scrub on cases. The basic schedule begins with ward rounds, followed by a conference at 6:15 am in which the attending staff reviews all of the patients treated the previous day and their x-rays. There are teaching conferences on Monday, Wednesday, Thursday, Friday and some Tuesdays. These conferences include grand rounds, didactic lectures and a weekly case review of all operations performed during the week.  Attending physicians run all conferences.  Guest lecturers are frequently present for grand rounds presentations.

This elective offers multiple opportunities in the clinical and academic environment from which the student can draw. The elective is a busy one but should be extremely educational. The opportunity to get involved in research also exists.

 

554.0 General Orthopedic Surgery

Instructor: Mark Lemos, M.D.

Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805

Telephone: 617-638-8934  Contact: Lynnette St. Louis

Number of Students: One

Period to be offered: One Month

Description of Elective:

This elective is for fourth year medical students interested in pursuing a career in Orthopaedic Surgery. This elective can be focused on: adult reconstruction, hand surgery, sports medicine, foot and ankle surgery, spine surgery, or orthopaedic research. Students will participate in the care of patients treated in the outpatient clinics, emergency room, hospital, and operating room. Students will work as members of the orthopaedic resident team. In addition, medical students will participate in resident lectures and have the opportunity to do orthopaedic research.

 

554.1 Orthopedic Pediatric, Foot and Ankle and Hand Surgery (Cotton Service)

Supervisor: Andrew Stein, M.D.

Instructors: T. Desmond Brown, M.D. and Andrew Stein, M.D.

Location: Boston Medical Center

Telephone:(617) 638-8934  Contact: Lynnette St. Louis

Number of Students: Two

Period to be Offered: One month

Description of Elective:

Boston Medical Center has an active orthopaedic staff with the majority of operative procedures being reconstructive operations. The student will work with three orthopaedic surgeons specializing in foot and ankle, pediatric, and hand surgery. The student will act in the capacity of a junior resident with regular patient responsibilities, clinic and operating room duties. He/she will attend teaching conferences and rounds of the orthopaedic staff. It is not intended that the student act as an observer in this elective but as an integrated part of the patient care team.

Students are encouraged to go to the operating room to scrub on cases. The basic schedule begins with ward rounds, followed by a conference at 6:15 am in which the attending staff reviews all of the patients treated the previous day and their x-rays. There are teaching conferences on Monday, Wednesday, Thursday, Friday and some Tuesdays. These conferences include grand rounds, didactic lectures and a weekly case review of all operations performed during the week. Attending physicians run all conferences. Guest lecturers are frequently present for grand rounds presentations.

 

554.2 Orthopaedic Sports Medicine, Adult Reconstruction and Spine (Leach Service)

Supervisor: Robert Nicoletta, M.D.

Instructors: Xinning Li, M.D., Eric Smith, M.D., Tony Tannoury, M.D. and Chadi Tannoury, M.D.

Location: Boston Medical Center

Telephone:(617)638-8934  Contact: Lynnette St. Louis

Number of Students: Three

Period to be Offered: One Month

Description of Elective:

This elective is for fourth year medical students interested in pursuing a career in orthopaedic surgery or a sports medicine related field. The student will be involved with inpatient/outpatient as well as on the field evaluation and treatment of athletic injuries. This includes sports medicine clinics at Boston Medical Center and Boston University. The student will also be involved closely with inpatient care of the orthopaedic service patients and with the surgical procedures performed by the preceptor. Furthermore, the student will be expected, at the appropriate time of year, to attend intercollegiate athletic events with the preceptor for on-the-field management and care of athletic injuries.

Students are encouraged to go to the operating room to scrub on cases. The basic schedule begins with ward rounds, followed by a conference at 6:15 am in which the attending staff reviews all of the patients treated the previous day and their x-rays. There are teaching conferences on Monday, Wednesday, Thursday, Friday and some Tuesdays. These conferences include grand rounds, didactic lectures and a weekly case review of all operations performed during the week. Attending physicians run all conferences. Guest lecturers are frequently present for grand rounds presentations.

 

555.0 Pediatric Orthopedics

Supervisor: David M. Drvaric, M.D.

Location: Shriners Hospital for Children, 516 Carew St., Springfield, MA 01104-2396 (413) 787-2057

Telephone:(617)638-8934  Contact: Lynnette St. Louis

Number of Students: One

Period to be Offered: One month

Description of Elective:

The student will work at Shriners Hospital for Children in Springfield, Massachusetts. This institution has 400 inpatient beds, three operating rooms, extensive outpatient clinics, a Gait Analysis Laboratory, and a Department of Orthotics and Prosthetics. The student will participate in Outpatient and inpatient activities as well as daily teaching conferences. Time will be allowed for clinical research. The elective will be quite valuable for future orthopaedic surgeons, pediatricians, radiologists, and family practitioners.

 

Surgical Specialties: Otolaryngology

560.1 Otolaryngology – Head and Neck Surgery

Instructors: Jessica Levi, M.D. and Kenneth Grundfast, M.D., Chairman

Location: Boston Medical Center, Children’s Hospital Medical Center

Contact: Paige Strecker

Telephone: 617 414-4939

Number of Students: Two

Period to be Offered: One month

Description of Elective:

This elective provides an intense learning experience for students interested in a career in Otolaryngology – Head and Neck Surgery, and for others with specific interest in head and neck cancer, facial plastic and reconstructive surgery, allergy involving the nose and sinuses, and the auditory system. Students observe and work with faculty and residents in the Department of Otolaryngology – Head and Neck Surgery at the Boston Medical Center or the Boston Children’s Hospital. Approximately half of the time is devoted to learning how to evaluate and treat ambulatory outpatients with otolaryngic disorders. The other half of the time is spent observing and assisting in the operating room and evaluating hospitalized patients. Students are encouraged to attend weekly teaching conferences including Monday morning case conference, Pathology conference, Radiology conference, Audiology conference, Tumor Board conference, and structured Wednesday afternoon didactic lectures.

Student Responsibilities – Fourth year medical students are required to do the following:

  1.  Be present and on time for clinics, rounds, surgeries, conferences
  2.  Acquire specified knowledge and skills (as delineated in “Otolaryngology Student Knowledge/ Skills  Checklist”)
  3.  Assist residents in providing patient care
  4.  Prepare a ten-minute talk/seminar on a chosen topic and submit a two to three page summary of the talk with references

Participation, Expectations of Performance, and Grading
The Department of Otolaryngology uses elements adapted from the ACGME Residency Review Committee Guidelines for General Competencies in Medical Education as a basis for student evaluations. Because the clinical rotation can be considered an opportunity to begin learning skills that a medical school graduate will be expected to acquire, we shall judge student performance in the categories of the six ACGME1 competencies listed below:

  1. Patient care that is compassionate, appropriate, and effective for the treatment of health   programs and the promotion of health
  2. Medical Knowledge about established and evolving biomedical, clinical, and cognate sciences, as well as the application of this knowledge to patient care
  3. Practice-based learning and improvement that involves the investigation and evaluation of care for their patients, the appraisal and assimilation of scientific evidence, and improvements in patient care
  4. Interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and other health professionals;
  5. Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to patients of diverse backgrounds;
  6. Systems-based practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.

Requests to drop this elective must be submitted in writing to Ms. Paige Strecker Fineberg, Education Program Coordinator at least 30 days prior to the start of the elective. Students who wish to drop the elective less than 30 days prior to the start must request special permission from Anand Devaiah,M.D., Director of Medical Education. All requests must be in writing.

 

560.11 Research Elective in Otolaryngology-Head and Neck Surgery

Supervisor: Jeffrey H. Spiegel, M.D. and Ann Marie Egloff, M.D.

Location: Boston Medical Center, D608, 88 E. Newton St.

Contact: Paige Strecker

Telephone: 617 414-4939

Number of Students: Two

Period to be offered: One Month

Description of Elective:

This elective is designed for students willing to take the initiative and devote time to planning, investigating, and implementing an independent study that will culminate in preparation of a manuscript for publication in a peer reviewed medical journal. The student is required to meet with Dr. Egloff two months prior to beginning the elective to review potential projects and arrange a mentor. Although most projects should be designed for completion within the four week elective, students may need to devote additional time to complete the independent study project after conclusion of the one month elective rotation. Students who have taken this elective have had high success at having completed projects presented at a national Otolaryngology meeting and subsequently published.

 

Surgical Specialties: Urology

570.1 Urology

Instructor: Mark Katz, M.D.

Location: Boston Medical Center, Shapiro 3B

Telephone: 638-8451 Contact: Karen Clements

Number of Students: Three

Period to be Offered: One month

Description of Elective:

Full-time clerkship of one month’s duration offered by the Urology Department for three students during each month. Students will be assigned to one primary hospital (Boston Medical Center or Boston Veterans Administration Medical Center). Students will be able to participate in all departmental activities at both hospitals. Students will participate in all aspects of general urology, functioning as integral members with the urology resident staff. They will be assigned to perform primary urologic consultations on patients from other services; in addition they will participate in the evaluation and management of urology service patients. Students of exceptional excellence may be assigned to striker positions during their elective. They will become proficient in the evaluation of a variety of urologic problems, including urologic neoplasms, neurogenic bladder, renal transplantation, reconstructive urologic surgery, urinary calculus disease and obstructive uropathy. Students will be direct participants in all department conferences and will be expected to contribute to the didactic teaching program of the department.

 

571.2 Clinical Elective in Sexual Medicine

Instructor: Ricardo Munarriz, M.D.

Location: Center for Sexual Medicine,Shapiro Building-725 Albany St., Suite 3B

Contact: Karen Clements   617 638-8451

Number of Students Per Block: One (Fourth Year Medical Students)

Period to be offered: One Month

Description of Elective:

Students will learn about the specialty of Sexual Medicine and what makes Sexual Medicine unique in regard to patient care. Sexual Medicine is the medical discipline that embraces the study, diagnosis and treatment of sexual health concerns of men and women. It is based on knowledge primarily from the areas of endocrinology, gynecology, neurology psychology and urology, but incorporates other disciplines as well.

The elective is primarily an outpatient experience. Students choosing this elective will observe patients being evaluated and treated and potentially participate in ongoing clinical research at the Center for Sexual Medicine. Students will have the opportunity to observe patient examinations and patient surgeries, and accompany physicians on rounds. They will learn how to 1) generate a sexual health history, 2) perform an appropriate physical exam, 3) make an assessment and 4) develop a plan of therapy. They will be invited to attend ongoing educational programs including but not limited to rounds and sexual medicine information sessions for the general public.

The student must demonstrate that he or she is not embarrassed discussing sexual health issues, is comfortable using the vocabulary of the genital anatomy, and is not judgmental about the sexual practices of others.

This elective is offered only to students attending Boston University School of Medicine or medical schools with established exchange programs with Boston University.