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Winthrop University Hospital

Surgery

S101
S101A
Bariatric Surgery
Collin Braithwaite, MD

Course Description: This is a 2 wk or 4 wk rotation designed to provide a concentrated experience in Metabolic and Bariatric Surgery. The student is expected to follow patients on the service, round with the fellow in the morning, attend office hours in the Mineola office as well as the Patchogue office and participate in the operating room. The student is expected to also attend at least one of two monthly educational seminars in the held in the evenings for patients in Nassau and Suffolk County. The student is expected to learn the pre-op and post-op care of the bariatric surgery patient as well as gain a basic knowledge of the metabolic consequences of the various procedures. The student will gain sensitivity for the care of the morbidly obese patient as well as an understanding of the social, financial and medical impact of this disease. The student will be expected to give a short presentation on some aspect of the treatment of morbid obesity during the rotation.

Duration: 2 or 4 weeks
Max: # Students: 2
Pre-requisite: Completion of the General Surgery Clerkship


S103
S103A
Colorectal Surgery
Sanjay Jobanputra, MD

Course Description: The student will spend their time on the colorectal service in a combination of the outpatient, inpatient and endoscopy setting. They will have the opportunity to work with faculty in the division of colorectal surgery, and take part in educational conferences. They will participate in outpatient clinic, inpatient rounds, and going to the operating room or endoscopy suite. Students will have exposure to the range of operative procedures performed by colorectal surgeons.

Duration: 2 or 4 weeks
Max: # Students: 1
Pre-requisite: Completion of the General Surgery Clerkship


S104
S104A
Plastic Surgery
Thomas Davenport, MD

Course Description: Exposure to the field of aesthetic surgery with some experience in the management of ordinary minor surgical problems, reconstructive surgery of trauma and congenital anomalies, and tissue transplantation techniques. Student will be instructed in basic techniques of complex wound management within the general area of plastic surgery including hand, facial trauma, reconstructive, microvascular, and aesthetic surgery. At completion of the course, students will have obtained a better understanding and a balanced perspective of plastic surgery.

Duration: 2 or 4 weeks
Max: # Students: 1
Pre-requisite: Completion of the General Surgery Clerkship


S105
S105A
Surgical Intensive Care

Course Description: The Student will be exposed to Cardio-Pulmonary physiology in action as well as a multi-system approach to Critically Ill surgical patients. The goal of this four week course is to provide the students with the opportunity to apply the basic physiology learned in their initial three years to the critically ill patient. Issues that will be addressed include: Ventilator Management, Fluid Resuscitation, Blood Gas Analysis, Management of ARDS, Electrolyte and Acid Base Diseases, Nutritional Support, Renal Replacement Therapy, Pain Management, Spinal Cord Injury Management, Head Injury Management. The student will participate in daily work and teaching rounds. This outstanding elective gives students the opportunity to perform procedures under direct supervision.
Research Opportunities are available if the Course director is given at least 4 weeks advance notice.

Duration: 2 or 4 weeks
Max: # Students: 2
Pre-requisite: Completion of the General Surgery Clerkship


S107
Subinternship in Surgery

Course Description: This is a course in which the fourth year medical student is treated and expected to function at or near the level of the first year resident.  Daily activities will include operating room time to assist at various surgical procedures, clinical bedside teaching rounds, the opportunity to participate in office practice in consulting surgery. The student will be assigned to one of the surgical staff services , including general surgery and vascular surgery.  The student will follow patients under close supervision as an integral part of the surgical team.  The student will be involved in the initial emergency evaluation of acutely ill surgical and acutely injured patients. 
The student will, under supervision, have the opportunity to develop surgical skills, as appropriate, in the context of patient care, including first assist on basic cases, central line and chest tube placement and suturing techniques.  Attendance and participation is expected at regularly scheduled surgical conferences, Surgical Morbidity and Mortality Conference, local surgical meetings and student level lectures.

Duration: 4 weeks
Max: # Students: 2
Pre-requisite: Completion of the General Surgery Clerkship


S108
S108A
Trauma Surgery

Course Description: The Student will round with the Trauma service and be assigned to follow trauma patients. The student will be exposed through clinical exposure and didactics to the fundamentals of trauma care. For students on 4 week elective, exposure to SICU can be arranged. Research projects can be assigned if the student contacts course director at least4 weeks prior to beginning the rotation.

Duration: 2 or 4 weeks
Max: # Students: 2
Pre-requisite: Completion of the General Surgery Clerkship


S109
S109A
Undersea and Hyperbaric Medicine
Scott Gorenstein, MD

Course Description: The student will develop a knowledge base and clinical skills necessary to evaluate patients with all the medical conditions accepted by the Undersea and Hyperbaric Medical Society as amenable to treatment, manage patients during hyperbaric treatment, evaluate wound care patients with diabetic foot ulcers, venous ulcers, pressure ulcers, vascular ulcers and difficult to heal wounds. The student will provide basic wound care including bedside debridment, topical wound care, VAC dressing application, and assist in the application of synthetic skin substitutes. Students will participate in hyperbaric clinical operations by monitoring daily treatments, and will attend wound care clinic. Required reading will be supplied to the resident. At least one day will be spent offsite observing multi-place chamber operations.

Duration: 2 or 4 weeks
Max: # Students: 2
Pre-requisite: Completion of the General Surgery Clerkship


S110
S110A
Wound Healing Surgery and Clinical Diabetes Research
Harold Brem, MD

Course Description: Outstanding experience for anyone interested in hands on experience in the operating room and clinical research. Students will rotate on the clinical wound healing service where they will assist in operative procedures. Focus for patient care is utilizing Regenerative Medicine such as growth factors and cellular therapy to heal wounds. The team consists of Vascular Surgeons, Emergency Medicine doctors, Plastic Surgeons, and General Surgeons. The clinical training includes in patients with complex wounds as well as a consult service. The student will assist in full evaluation of the patients including diagnosis and treatment. Students will rotate spend at least one day per week in the outpatient wound center as well as learning hyperbaric medicine. All students will be given the option of tailoring their rotation to publishing one manuscript regarding clinical research for patients with diabetic foot ulcers (www.diabeteslimbsalvage.org). This will involve research on one of our three IRB approved and NIH supported diabetic foot ulcer studies.

Duration: 2 or 4 weeks
Max: # Students: 4
Pre-requisite: None


S111
Surgery Research

Course Description: The student will work with a faculty mentor. The student will be expected to speak/meet with the potential mentor prior to approval of the elective, and to select an appropriate project or projects. The student will spend the month in the Hospital/Department working on the project, and the student will also attend as departmental meetings and teaching conferences. Given the constraints of completing a meaningful project in one month, the student may continue to work with the mentor until the project is completed.

Duration: 4 weeks
Max: # Students: 2
Pre-requisite: None
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