FOR MEDICAL SCHOOL USE ONLY



PLASTIC SURGERY

SUR 809

Course Department, Number & Title: SUR 809, Plastic Surgery

Course credit or length: Two - Four weeks

Course director and contact information (office phone and e-mail):

Dr. Adel Faltaous, 304.691.8910; faltaous@marshall.edu

Course coordinator and contact information (office phone and e-mail):

Lisa Clagg-Blizzard, 304.691.1281; Clagg@marshall.edu

Course location: Cabell Huntington Hospital; St. Mary’s Medical Center; VA Medical Center, Marshall Plastic Surgery Office, 5185 US Route 60, Ste 26

Brief Course Description:

This elective in plastic surgery will acquaint the senior medical student with the overall breadth and variety of plastic and reconstructive surgery. The course will enable students to better understand wound healing and the management of injured tissues, as well as basic pre-operative and post-operative evaluation and management of plastic surgery patients.

Institutional Objective

Patient Care - Students must demonstrate the ability to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

Course Objectives

The student will be able to: 1) take a history to appropriately assess the injury or condition; 2) complete an appropriate physical examination; and 3) formulate a management plan based on the assessment of the injury or condition.

Outcome Measures

The student will orally present to a faculty member at least five cases to: 1) demonstrate the ability to complete an appropriate physical examination and to assess the injury or condition; and 2) describe an appropriate management plan. The student will make a formal case presentation to the faculty member and peers at the end of the rotation.

Course Objectives

The student shall perform routine technical procedures using sterile technique.

Outcome Measures

The student shall perform at least three cases of laceration suturing using sterile technique. The performances shall be documented by a faculty member.

Interpersonal and Communication Skills- Students must demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals.

Course Objective

At the end of this course, students will be able to:

1. Demonstrate interpersonal and communication skills that assist in effective information exchange and be able to team with patients, patients’ families, and professional associates.

2. Elicit and provide information using effective listening, non-verbal, explanatory, questioning, and writing skills.

3. Maintain comprehensive, timely, and legible medical records.

Outcome Measure

Faculty and residents will directly observe the students:

1. Communicating patient information to assist in the transition of care to and from the on-call teams.

2. Communicating patient information to faculty.

3. Documenting patient information in the form of history and physical examinations, progress notes, operative notes, discharge summaries, and other documentation as assigned.

4. Obtaining patient histories in the ambulatory and inpatient setting

5. Communicating findings and plans of care with patients and families.

The students’ performance will also be assessed via the evaluation form.

Institutional Objective

Professionalism- Students must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.

Course Objective

Students will demonstrate professionalism by:

1. Maintaining confidentiality of patient information.

2. Demonstrating punctuality in completing assignments.

3. Maintaining positive attitude and good work ethic.

4. Demonstrating respect, compassion, integrity, and responsiveness to the needs of patients.

5. Promptly responding to the needs of nursing and support staff.

Outcome Measure

The faculty and residents of the Department of Surgery will evaluate the student’s abilities of the above professionalism standards and Institutional Objective.

Course Objective

The student must behave in an ethical, responsible, reliable and dependable manner.

Outcome Measure

The student will be directly observed by faculty to determine ethical behavior, reliability and level of dependability.

Basic Science Objectives

| |

|Course Objective |

|The student will learn basic fundamentals of basic science as they apply to the clinical practice of plastic and reconstructive surgery. |

| |

|Outcome Measures |

|Examples will include the anatomy, physiology, pathophysiology of tissue flaps and grafts, the physiology and pathophysiology of wound healing; the effect |

|of diseases on the physiology of wound healing will be assessed. The Outcome Measure for the above objective would be faculty assessment and questions on |

|the final exam. |

| |

|Course Objective |

|The student will be familiar with the advantages, disadvantages, uses and contraindications to split-thickness and full-thickness skin grafts. |

| |

|Outcome Measures |

|The Outcome Measure for the above objective would be faculty assessment and questions on the final exam. |

| |

|Course Objective |

|The student will be familiar with the advantages, disadvantages, uses and contraindications to the different types and modalities of reconstruction using |

|flaps and free tissue grafts. |

| |

|Outcome Measures |

|The Outcome Measure for the above objective would be faculty assessment and questions on the final exam. |

|Course Objective |

|The student will be able to recognize the different types of facial fractures and facial nerve anatomy and physiology, and indications for surgical |

|intervention. |

| |

|Outcome Measures |

|The Outcome Measure for the above objective would be faculty assessment and questions on the final exam. |

|Course Objective |

|The student will understand the basic anatomy, pathophysiology and basic clinical features of common pediatric plastic surgical problems. |

| |

|Outcome Measures |

|The student will be expected to understand examples such as cleft lip/palate, craniosynostosis, and myelomenignocele . The Outcome Measure for the above |

|objective would be faculty assessment and questions on the final exam. |

|Course Objective |

|The student will be able to utilize and interpret diagnostic laboratory testing. |

| |

|Outcome Measures |

|The student will be expected to understand appropriate tests including tumor markers, serum chemistries, liver function tests, thyroid function tests, |

|tests of adrenal and parathyroid hyperfunction, arterial blood gas analysis, hematological profiles and coagulation tests. The Outcome Measure for the |

|above objective would be faculty assessment and questions on the final exam. |

Self-Directed Learning

As a medical student, you are encouraged to use any unstructured time as a time to read about your patients, research questions that arise during the day, prepare for case conferences, and prepare for student-faculty rounds. Preceptors have been specifically asked to look for evidence that you have read articles and books between clinic sessions. Use this time to build your knowledge of medicine and learn from your patients

ASSESSMENT METHODS

Mid Point Evaluation

In accordance with LCME standard ED-30, the Course Director will evaluate student performance at mid-point to review the student’s professional, clinical and academic performance up to that point. The formative evaluation must be reviewed with the student and the student will have an opportunity to discuss with the Course Director. The form must be signed by the student and returned to the Course Director. The Course Director shall then forward a copy of the form to the Office of Academic Affairs. The form will NOT however be included in the student’s official academic record. For two week electives, oral feedback will be provided at the end of the first week.

Case Presentation- 25%

The student will be required to give a 10 -15 minute case presentation at a pre-arranged time during their clinical rotation. The presentation will be given to the course director and medical students. Students will be notified of the date and time of their presentation one week in advance. The course director will assess the presentation and assign a percentage score. See Case Presentation Form under General Information for grading details.

Preceptor Evaluation- 75%

Grading H – Honors P – Pass F – Fail

The preceptors’ evaluation will be based upon, but are not limited to, the following factors:

• Attendance and participation in tutorials

• Conference attendance

• Maturity and Professionalism

• Oral Case Presentation/Patient Workup

• Participation in call

• Participation in Clinic and OR Hours

• The demonstration of basic knowledge of patient care during clinic

Each Assessment Component listed above (on-line final, case presentation and preceptor evaluation) must be passed in order to successfully complete the course.

MUJCESOM Policies: All medical students taking this course will comply with School of Medicine policies given at .

Individual policies can be found at the following websites:

Student Infectious Material Exposure:



MS-IV Attendance:



Academic Dishonesty Policy:



Academic Standards Policy:



Policy for Students with Disabilities:



University Computing Services’ Acceptable Use Policy:



Affirmative Action Policy:

pp. 16-17



Inclement Weather Policy:



Notification of delays and cancellations of classes are posted on the Medical Education Home Page when Marshall University Main Campus is not in session



Required Reading: Essentials of Surgical Specialities, 3rd Edition, Peter Lawrence, MD

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