Surgery Block Evaluation

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


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


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.


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


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


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.


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


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


Urology Excellent teaching by consultants and residents Excellent student involvement in ward, clinic and

OR


Vascular Surgery Excellent teaching by consultants and residents Excellent student involvement


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.


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!

Health & Medicine

Surgery Block Evaluation