Students are required to keep daily logs of operative cases. While students choose which cases they view each day, these logs are periodically reviewed to ensure that each student's surgical experience is of adequate breadth. In addition to cases, students should log any other activities they participate in (e.g., clinics, procedures, radiologic studies, pathology review). Logs are to be posted in the team rooms at all times.
In addition, summary logs of operative cases, cases seen in the ER, and cases seen on consult should be recorded.
Wednesday Afternoons Lectures and Case Presentations
On Wednesday afternoons, students attend Attending Lectures (1-5 P.M.) or Case presentations. These sessions take priority over any other activity. The Attending lecture schedule is in the orientation packet. Students are expected to return for afternoon rounds afterwards (except students at Elmhurst).
Students present Case Presentations to the Teaching Resident. Student prepare a formal case presentation with the assistance of the teaching resident and present it their classmates, along with a discussion. The student's goal is to organize a clear and concise summary of a clinical case, present it, and lead a discussion on the critical points in the case's pathophysiology and management. Students are given guidelines for this by their teaching resident.
The Teaching Residents
Teaching residents are important to students for their guidance and instruction. These senior surgical residents help students learn the basics of knot tying and sewing. They also guide students through their clerkships and assist with any problems that arise. Teaching residents evaluate students based on their preparation and presentation and their overall participation in the discussions.
Each student is assigned a mentor during his or her three-week rotation at Mount Sinai. This Faculty Member or Fellow meets with their student at least three times during the Sinai rotation. Activities vary at the mentor's discretion, but typically range from small group case discussions to shadowing in private faculty clinic to mock oral exams to lectures. Students are responsible for contacting their Mentor by the third day of their rotation. Students who cannot contact their mentor in this timeframe MUST bring this to the attention of the Teaching Resident or Instructor of record. Students should ask their mentors to accompany them in their outpatient clinics. This is an invaluable experience.
At Elmhurst, mentoring is less formal. One or more of the faculty on your team will informally act as your mentor.
In addition to Teaching Resident Case Presentation, students are expected to present at the team conferences. Most often, this is a patient presentation, but occasionally students are asked to add a short didactic afterwards. The conference presentation schedule is determined at the beginning of the rotation by the chief resident.
The ethic project is described separately. Students should begin looking for an ethical issue to base their project on from the start of their clerkships, and begin to organize their thoughts about it as soon as possible. The ethical issue chosen should reflect the student's own experience, and not be hypothetical. Students are required to lead a 10-minute discussion about the issue, and provide a brief (half-page) write-up.