SU514M.1

Plastic and Reconstructive Surgery

Sites: BIDMC
Director(s): Katharyn Atkins, Bernard Lee, Samuel Lin
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. January is closed.
Location: BIDMCE - BI-Deaconess Med Ctr-East (1)
Open to Exclerks: Yes (may be restricted for international students)
Description: This course teaches the basic principles of plastic and reconstructive surgery. The heavy caseload at BIDMC offers the student the opportunity to participate in plastic surgical procedures that span the entire specialty including hand surgery, free tissue transfers, breast reconstruction, microsurgery, cranio-facial surgery, and cosmetic surgery. Students will be integrated into the resident team, consisting of 4 senior plastic surgery residents and two interns. They will participate in daily rounds, the OR, the ER, in two weekly clinics (hand and plastic surgery), and in weekly didactic sessions including a combined Ortho / Plastic Surgery Hand Indications Conference, Plastic Surgery Division Rounds, and the Combined Harvard Plastic Surgery Grand Rounds, and Core Curriculum. One afternoon a month, a lymphedema clinic also takes place. Student clerks will be regarded as regular members of the resident team. Night call, every third night, is encouraged. In weekly clinics, in consultation with attendings and senior residents, students will be encouraged to see and consult with patients, also following up with these cases in the OR, and on rounds. In the OR, students will learn suturing skills and participate in cases, as appropriate, for their expertise and educational level. Residents are also offered an opportunity to present a 15-20 minute Power Point presentation on plastic surgery to the Division on the final week of their rotation. Resident and attending help is available to help in the preparation of this presentation.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Although we are a clinical rotation, basic Science is incorporated during weekly didactic sessions, which also utilizes the historical and current literature reviews of plastic surgical developments, alternatives, and principles. It is incorporated into the weekly surgical hand indications conference (BIDMC) and the core curriculum / journal club sessions of the Harvard Plastic Surgery Resident Program. Each month, morbidity and mortality and evidence-based case presentations are also presented both in Divisional rounds at the BIDMC, as well as the Grand Rounds of the Harvard Plastic Surgery Residency Program.
Grade Criteria:
Honors with Distinction:
Final Presentation must be exceptional and of high quality. Student must have a majority of their marks in the highest level in the Peer Comparison Evaluation, consisting of the following categories: 1) Desire to Learn; 2) History & Patient Evaluation; 3) Use of Knowledge/Judgment; 4) Writing Skills; 5) Verbal Skills; 6) Patient Rapport; 7) Professional Relationship; and, 8) Progress and Growth in Patient Management.
Honors:
Final Presentation is of good quality. Student must have a majority of their marks in the second highest level in the Peer Comparison Evaluation, consisting of the following categories: 1) Desire to Learn; 2) History & Patient Evaluation; 3) Use of Knowledge/Judgment; 4) Writing Skills; 5) Verbal Skills; 6) Patient Rapport; 7) Professional Relationship; and, 8) Progress and Growth in Patient Management.
Satisfactory:
Presentation is fair. Student must have a majority of their marks in the third highest level in the Peer Comparison Evaluation, consisting of the following categories: 1) Desire to Learn; 2) History & Patient Evaluation; 3) Use of Knowledge/Judgment; 4) Writing Skills; 5) Verbal Skills; 6) Patient Rapport; 7) Professional Relationship; and, 8) Progress and Growth in Patient Management.
Unsatisfactory:
Presentation is poorly conceived, organized, and presented. Student did not adequately participate in the rotation through "too many" unexcused absences, or displays chronically unprofessional behavior(s) to patients and/or team members. Student must have a majority of their marks in the lowest level in the Peer Comparison Evaluation, consisting of the following categories: 1) Desire to Learn; 2) History & Patient Evaluation; 3) Use of Knowledge/Judgment; 4) Writing Skills; 5) Verbal Skills; 6) Patient Rapport; 7) Professional Relationship; and, 8) Progress and Growth in Patient Management.