DEPARTMENT OF
SURGERY
William P. Reed, Jr., M.D.
Chairman,
Department of Surgery
Professor of Surgery
SUNY at Stony Brook
SURG 701
Plastic and Reconstructive Surgery
Vincent DiGregorio, M.D.
Chief, Section of Plastic and Reconstructive Surgery
Clinical Assistant Professor
SUNY at Stony Brook
This elective course will provide a general overview of all the varied aspects of Plastic and Reconstructive Surgery as practiced with inpatients at Winthrop-University Hospital and outpatients at the Day-Op Ambulatory Surgery Center of the nearby Long Island Plastic Surgical Group. Both are sites for teaching in the only residency program in Plastic and Reconstructive Surgery on Long Island. Students will participate in assessment of patients preoperatively, in surgical procedures, postoperative evaluations, case conferences, and lecture series. Included will be illustrations of the treatment of congenital deformities, traumatic injuries, neoplasms and post-neoplastic reconstructions, hand injuries, microvascular reconstruction, cranofacial reconstruction, and cosmetic surgery.
SURG 702
Surgical ICU
Siva Vithiananthan, M.D.
Director, Surgical Residency Program
Assistant Professor of Clinical Surgery
SUNY at Stony Brook
Bruce Simon, M.D.
Associate Professor of Clinical Surgery
SUNY at Stony Brook
The student will function as an integral part of the Surgical ICU team under the direct supervision of the Surgical ICU attending. He/she will actively participate in morning and afternoon ICU rounds, and attend surgical mortality/morbidity and grand rounds conferences. Along with the house staff, he/she will be responsible for care in the Surgical ICU and Step Down units.
Under supervision, the student will learn and be expected to perform duties and carry out the daily tasks and interventions required in the treatment of the critically ill patient: history and physicals, daily system based progress notes, mechanical ventilation modalities, weaning and management of patients on ventilators, cardiac monitoring, management of pulmonary artery catheters, use of appropriate cardiac medications, antibiotic usage, blood gas analysis, nutrition and fluid resuscitation, placement of central and pulmonary artery lines, arterial lines, chest tube insertion, diagnostic peritoneal lavage, endotracheal intubation, and bedside percutaneous tracheostomy placement. The focus will be on management of the critically ill surgical patient with multiple trauma, sepsis, pulmonary contusion, ARDS, pneumonia, ischemic bowel, renal failure, GI bleeding, pancreatitis, hepatic failure, DIC, malnutrition, or other abdominal pathology.
Towards the end of the rotation, the student, under the direct supervision of the ICU attending, will function as a sub-intern and will be assigned as the primary medical caregiver to an ICU patient. At the end of the rotation the student will be required to give a 30 minute presentation on a critical care topic of interest.
Course Objectives: To develop skills and knowledge in treating critically ill surgical patients; to enhance acquired knowledge in evaluating and treating surgical and trauma patients in a critical care setting; to provide hands-on exposure to bedside interventional and access techniques; to provide a solid background in airway management and mechanical ventilation as well as cardiac monitoring. Upon completion, students will be able to function at a more advanced level on the surgical and medical floors and be better prepared to function as a PGY 1 in an ICU setting.
Additional Information:
Availability: All year
Night call: averages 5-6 times per rotation
Maximum: ONE student per rotation
Prerequisite: Third-year clerkships in General Surgery and Internal Medicine.
Length: 4 weeks
