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Surgery Clerkship

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PCOM students should follow all guidelines established by the PCOM clinical education department.

Below is some general information pertaining to Surgical Grand Rounds.

PCOM students rotating at a home location are required to attend weekly Surgical Grand Rounds at PCOM. You should plan on going to your assigned rotation site in the morning before Grand Rounds and returning there following Grand Rounds unless you are instructed otherwise by your rotation site director.

Students are expected and encouraged to participate in discussions, journal club and be prepared to answer questions regarding the lectures presented. The majority of the Surgery Clerkship Exam comes from information presented at Surgical Grand Rounds and the Group Leader for each rotation group should make arrangements to email copies of the journal articles discussed and notes from the lectures given to each person in their group.

Each student is required to present at least once during their 8 week surgical rotation. This will consist of a case presentation that you were personally involved with during your surgery rotation.


Required Reading Assignments

All assignments are from Greenfield's Surgery: 4th Ed

This book is available free online to PCOM students through the PCOM Library webpage.

Ch. 8: Shock

Ch. 24: Chest Trauma

Ch. 25: Abdominal Trauma

Ch. 50: lleus & Bowel Obstruction

Ch. 54: Acute Pancreatitis

Ch. 62: Calculous Biliary Disease

Ch. 63: Biliary Injuries & Strictures & Sclerosing Cholangitis

Ch. 70: Colorectal Cancer

Ch. 71: Diverticular Disease

Ch. 73: Abdominal Wall Hernias

Ch. 76: Breast Disease



Grand Rounds Case Presentation Guidelines


Case presentations should be approximately 10 minutes long (10- 15 powerpoint slides for most cases) and be a case pertinent to the field of General Surgery or an appropriate subspecialty (Vascular, Trauma, Plastics, Colorectal, etc). Presentations should be reviewed with a Resident or Attending prior to being presented at Surgical Grand Rounds.

Here are some things to remember about your presentation:

1. Present a case which you were a part of, ie: admitted patient, examined the patient yourself, participated in the operation, followed the patient post-operatively.

2. Have pertinent medical history, labs and imaging studies available. Ideally, copies of the patients own imaging studies should be incorporated when appropriate rather than "examples" of similar films.

3. Highlight the surgical management and the postoperative course of the patient. Keep non-essential details to a minimum.

4. Do Not Teach! This is an opportunity for you to present a CASE, not give a lecture.

5. Be prepared to answer questions not only about your particular patient and your presentation but also about the disease/pathology that your patient has.

6. Dress appropriately for your presentation. Remember you are giving a presentation to an audience that consists of not only your peers, but often times guest clinicians.

7. Cite resources as appropriate.

Failure to follow these guidelines may result in an incomplete grade for your Surgery Clerkship and you will be required to repeat the assignment.

Below you will find cases presented by PCOM students at past Surgical Grand Rounds. These are concise and complete presentations and should be used as examples for your own presentation.

Student Presentation 1

Student Presentation 2

Student Presentation 3