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Surgery Block Evaluation
Clerkship and Electives Committee
June 21st , 2004
Presented By: Nina Ghosh, Dina Popovic
Surgery Electives
Anesthesia Cardiac Surgery General
Surgery Neurosurgery Orthopedics Ophtho/ENT
Pediatric Surgery Plastic Surgery Thoracic Surgery Urology Vascular Surgery
Survey Results
1. Objectives and expectations were clearly detailed from the start of the rotation with an
initial orientation.
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2. The supervisors were well aware of the learning objectives appropriate for a clerk within the rotation.
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3. There was an optimal amount of formal teaching sessions (modalities may include rounds, rotation
packages, web-based tutorials, etc) to cover major topics in the specialty.
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4. There was optimal amount of informal clinical teaching surrounding patient encounters.
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5. As a clerk, I had an appropriate level of independence in seeing/treating patients.
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6. Evaluation methods were clearly detailed.
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7. Evaluation methods were at an appropriate level of difficulty for clerkship training.
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8. Feedback was given either formally or informally throughout the rotation.
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10. The rotation focused largely on education rather than service.
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11. The rotation has provided me with a firm background in this field of medicine.
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12. The rotation consisted of an excellent variety of patient problems.
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13. The patient-centred approach was modeled by the faculty on this rotation.
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14.Teachers in this rotation model exemplary attitude towards gender and diversity issues.
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15. Overall this rotation was an excellent educational experience.
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General Comments
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.
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.
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
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
Specific Comments/Suggestions
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
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.
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
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
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.
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
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
Specific Comments/Suggestions
Urology Excellent teaching by consultants and residents Excellent student involvement in ward, clinic and
OR
Specific Comments/Suggestions
Vascular Surgery Excellent teaching by consultants and residents Excellent student involvement
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.
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)
General Recommendations
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
Thank you!