Visiting Students

This surgical acting internship is offered at University Hospitals - Case Medical Center in General Surgery. The fourth year elective student will participate actively in the assessment of selected patients on the general surgery service. Student will have the responsibility for pre-operative and post-operative care and will assist with the operative procedures. Each acting intern will be expected to take one weekend on-call shift during their month under the supervision of the resident on-call for that night. The student will participate in regular surgical conferences. The diagnosis and management of patients will be supplemented by educational activities and conferences on a daily basis. Student must have completed all core clerkships to apply for this prearranged Acting Internship. This AI is for students interested in doing a General Surgery residency.

DESCRIPTION: This Surgical Acting Internship is offered at University Hospitals - Case Medical Center in Vascular Surgery. The 4th year elective student will participate actively in the assessment of selected patients on the vascular surgery service. Students will have the responsibility for pre-operative and post-operative care and will assist with the operative procedures. Student will rotate on vascular surgery inpatient service at UH/CMC. Acting interns will be expected to take one weekend on-call shift during their month under the supervision of the resident on-call for that night. The student will participate in regular surgical conferences. The diagnosis and management of patients will be overseen by vascular surgery staff and will be supplemented by educational activities and conferences on a daily basis. Student must have completed all core clerkships to apply for this prearranged Acting Internship. This AI is for students interested in doing a vascular surgery residency. OBJECTIVES: 1. Students will enhance their physical examination with particular attention to the vascular system. 2. Students will gain experience with and basic understanding and interpreting non- and interventional vascular studies including vascular lab studies (ultrasound and noninvasive physiologic studies), CT scan, MRI, and Angiography. 3. Students will improve knowledge of common vascular pathologies including carotid artery stenosis, aortic aneurysm, and peripheral vascular occlusive disease. 4. Students will be build on core surgical clerkship skills and improve basic open and endovascular surgical skills.

Description: This is an Acting Internship (AI), to follow the CWRU AI policy and its definitions, general guidelines, learning objectives, workload, and assessments. Students will be paired with an attending physician and a bariatric fellow for a series of 5-day assignments. Students will rotate with their colleagues and take on-call on a schedule predetermined by their team. They will follow the attending bariatric surgeon, the bariatrician (weight loss medical doctor), dietitian, and psychologist during their daily clinic routines (primarily inpatient) and occasional office hours. This includes; taking a focused history, a physical exam, and specific obesity evaluations and tests. Students will participate in operative notes, write-ups, progress notes, and discharge summaries. Students will attend patients' seminars, workshops, and support groups. All students will scrub for surgeries and actively participate in laparoscopic bariatric procedures, gastric banding adjustments, fluoroscopies, and endoscopies. Students will participate in didactic sessions with attendings and fellows, including weekly fellows' research and clinical conferences, journal clubs, M&M, and minimally invasive and bariatric surgery international videoconferences. Students are permitted to present on selected topics. Students will be allowed to attend metabolic and bariatric surgery research groups, be actively involved in ongoing projects, as well as able to submit new research ideas and grant proposals. Students will have access to metabolic and bariatric research and animal labs. They may also participate in full research rotations to complete their projects and present them in conferences and publications. Objectives: To describe worldwide incidence, prevalence, demography and clinical and socioeconomic impact of obesity. Moreover, it is the objective of the rotation to understand prophylaxis, lifestyle modification, and public education of obesity. Define obesity and explain how to assess: Obesity grading, measurements of body-mass-index, body composition, and waist-hip ratio.Explain the medical management of obesity: Diet and drugs, behavioral modifications, exercise, physiological and nutritional evaluation. Explain the surgical management of obesity: National Institute of Health and American Society for Metabolic and Bariatric Surgery guidelines for bariatric surgery, patient selection, preoperative preparation, peri- and post-operative care. Compare and contrast bariatric surgical procedures and their outcomes, complications, metabolic consequences and effects on the absorption and disposition of nutrients and drugs. Explain the risk-benefit ratios of current approaches to obesity management, including behavioral changes, pharmaceutical therapies, and surgery. Basic Science, (including disciplines such as, pathology, microbiology). Explain the etiology, pathophysiology, pathology, energy metabolism and biochemistry of obesity. Describe the effects of recent research on the models of obesity causes, including genetic and biologic factors. Explain the physiologic effect of obesity on cardio-metabolic factors. Assess the impact of weight loss and hormonal changes from various therapies on comorbidities associated with obesity, primarily type II diabetes, hyperlipidemia, and heart disease.

This Acting Internship in Cardiothoracic Surgery seeks to enhance the skills acquired during third-year clerkships and provide the fourth-year student with the opportunity to function as a first-year surgical resident in Cardiothoracic Surgery. Students are required to participate in patient care daily. Students will round daily with attending surgeons; participate in the pre, peri, and post-operative care of patients, undergoing cardiac and/or thoracic surgery; be prepared to participate in emergent cases occurring overnight. Objectives: - Describe anatomy and physiology of the cardiopulmonary system - Understand surgical indications for cardiac and thoracic diseases as well as their natural courses - Describe and understand surgical outcomes including complications and risk/benefit ratio - Develop skills in interpretation of cardiac imaging (echocardiography, electrocardiography, angiography)