Surgery

IU Student Electives
Surgery

General Surgery Research	Breast Cancer Surgery
Prep for Internship	Plastic Surgery
Campus Electives in General Surgery	Community Electives in Surgery
Pediatric Surgery	Special Elective in Surgery
Thoracic and Cardiovascular Surgery

GENERAL SURGERY RESEARCH

93SG860	SURGICAL RESEARCH
*Course Director:* Dr. C.M. Schmidt *Other Faculty:* All Surgical faculty	*Description: This rotation exposes the medical student to ongoing bench, translational, and clinical research projects in the Department of Surgery. The research focus of each lab will vary among investigators. The research may involve in-vitro, in-vivo, as well as human clinical trial and retrospective case review models. The student may be exposed to and perform basic biochemical techniques including ELISA, Western Blot, etc. In addition, after appropriate training, the student may participate in animal studies which may involve surgical procedures. The student may participate in clinical studies that are ongoing at the time of the rotation. Finally, the student will participate in at least weekly group lab meetings and also have individual meetings with the investigator or a qualified member of the research faculty several times weekly. The student will also attend the Surgical Research Forum and any other conferences deemed by the investigator to be important for the research being conducted for the student's academic enrichment. Through exposure to the rigorous and meticulous approach to scientific investigation, the student will develop an understanding of the role of a clinician scientist in the field of surgery. Students will meet with the course director prior to the planned research month in order to choose a research mentor from the listed course instructors. Specifics of the research experience will then be outlined for the student prior to the beginning of the elective. Students completing 2 months of surgical research and a clinical elective through the IU Department of Surgery at an Honors level will be considered for the Surgical Honors Designation. Objectives: Through the exposure of a medical student to basic and/or clinical research during this rotation, the student will be able to: Develop a focused research hypothesis and outline techniques to test the research question. Perform the necessary methodology or techniques relative to the student research project (if applicable). Discuss relevant data in the context of the student research project. Prepare a summation of the clinical/basic science research project in abstract and manuscript form. Research Faculty:* Susan Clare: Investigation into a.) the development of the normal breast particularly with regard to the role of progenitor cells, b.) the effect of surgical extirpation of a primary breast cancer on the growth of micro-metastatic disease, and c.) the delivery of nanostructures to malignant lesions. Travis Day: Elucidate the molecular mechanism(s) of chemotherapeutic drug-induced apoptosis in cancer cell. Michael G. House: Epigenetic silencing of tumor suppressor genes to predict tumor behavior and chemoresponsiveness of gastrointestinal malignancies. Thomas Howard: Translational research involving pancreatic cancer, acute and chronic pancreatitis. Linda Malkas: The laboratory is dedicated to the identification and validation of new diagnostic markers for the detection of cancer as well as the discovery of novel molecular targets that can be further developed for the therapy of the disease. Mary Maluccio: Investigation on the impact of the liver microenvironment on the malignant behavior of liver cancer. Daniel Meldrum: Investigates the roles that stem cells and sex hormones play in myocardial cytokine production and apoptosis following ischemia or endotoxemia. Steve Miller: Investigating mechanisms that regulate pathological and compensatory vascular remodeling during aging. Michael Murphy: Role of endogenous stem cell populations in the pathophysiology of vascular disease and Stem Cell mediated angiogenesis. Harikrishna Nakshatri: Chemotherapy and anti-estrogen resistance in breast cancer; breast cancer stem cells and organ-specific metastasis. Mark Pescovitz: Investigating the immunobiology of organ rejection and type 1 diabetes. Henry Pitt: Pathogenesis of cholelithiasis and the influence of obesity and diabetes. Mark Rodefeld: Investigates single ventricle physiology using a large animal surgical model (sheep) with the long term goal of improving treatment strategies for children born with single ventricle cardiac defects. C. Max Schmidt: Dr Schmidt’s research is focused on pancreatic and liver neoplasia, early detection and molecular targeting for prevention and therapy. Don J Selzer: Clinical research in laparoscopic surgery including hernia repair, splenectomy, colectomy, single port surgery, and natural orifice surgery or NOTES. Hongmiao Sheng: Signaling mechanisms of colorectal neoplasia. Jim Sitzman: Cellular signaling in vascular and hepatic tissues caused by chronic, acute, or malignant diseases involving either or both cardiovascular and/or gastrointestinal organ systems. Laura Torbeck: Medical education research involving student and/or resident areas of interest. Christopher Touloukian: Cancer immunotherapy and basic mechanisms of immune tolerance and autoimmunity. Joe Unthank: Investigates the mechanisms by which the major risk factors for vascular disease impair compensatory collateral growth and therapies to reverse this impairment and enhance collateral artery development. Nicholas J Zyromski: The lab looks at basic and clinical research into pancreatitis and pancreatic cancer. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP	*Hospital(s):* Indiana University Medical Center
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* unlimited
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 85% Research; 5% Presentations; 10% Library
		*Competency offered:* I: Effective Communication

93SG770	RESEARCH - ORGAN TRANSPLANTATION
*Course Director:* Dr. Tector *Other Faculty:* Dr. Fridell Dr. Goggins Dr. Milgrom Dr. Powelson Dr. Vianna	*Description: This is a two or three month elective for the student genuinely interested in basic or clinical research and a career in academic medicine. Currently there are several areas of research in the Transplantation Program Laboratories at the Center which can provide a basis for the student's initiation into research. Areas of basic research are: 1. Organ Preservation involves animal surgery, ex vivo perfusion of organs and cryopreservation techniques organs currently under investigation, i.e., kidney, heart, liver, and pancreas. 2. Immunochemistry - involves development and use of monoclonal antibody technology, ELISA, cell sorting, etc. Current projects are evaluating use of Mono AB in diagnosis and treatment of allograft rejection. 3. Cellular Immunity - involves lymphocyte culture and function assay techniques. The objective of this elective is to provide an opportunity for the student to actively participate in an ongoing transplantation immunology or related areas, but will also participate in ongoing projects and protocols to familiarize himself/herself with cellular immunologic techniques. 4. Islet cell transplantation project involves isolation, purification, culturing, and reimplementation of human and lower animal pancreatic islets. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP*	*Hospital(s):* Indiana University Medical Center
		*Availability*: All year
		*Number of units:* 2-3 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed; interest in research.
		*Course components:* 75% Research; 5% Lecture; 20% Library
		*Competency offered:* None

93SG780	SURGICAL RESEARCH PROGRAM
*Course Director:* Dr. T.J. Howard	*Description: This elective course is for students interested in exploring surgical research as a means for broadening their educational experience, supporting their application to general surgery training programs, or as a start toward a career in academic surgery. Objectives: To expose the student to complex hepatobiliary and pancreatic surgery clinically and reinforce this exposure through case conferences, reading, and a research project. The course can be tailored to the student's interests and aptitudes. There is ample opportunity for operative experience opening and closing abdomens, practicing suturing techniques, participating in perioperative patient management. Students may opt to use the time on this rotation to explore a clinical research project of their choosing. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP*	*Hospital(s):* IUMC
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 80% Clinical, 20% Research; OR 80% Research, 20% Clinical
		*Competency offered:* I: Effective Communication II: Basic Clinical Skills

93SG940	ADULT COLERECTAL SURGERY
*Course Director:* Dr. Virgilio George	*Description: This course is designed to familiarize the fourth-year medical student with the study of colon and rectal surgery through a four-week rotation that includes the colon and rectal clinic, endoscopy suite, and the operating rooms. One-half of the elective time will be spent at Wishard Hospital and the other half will be at the VA Hospital. The student will have the opportunity to, and be expected to, assist with abdominal procedures for benign and malignant disease with a focus on minimally invasive techniques. The student will also assist with procedures for the treatment of anorectal diseases, including inflammatory bowel disease, ulcerative colitis, and Crohn’s disease. Objectives*: · Be able to assess how he/she makes decisions in common clinical situations · Have increased knowledge of the latest findings in the field of colon and rectal surgery · Have expanded his/her knowledge of colorectal disease · Be able to obtain most of the important historical and physical data, able to formulate a reasoned differential diagnosis and plan for the colorectal patient · Demonstrate some initiative towards performing minor procedures · Be able to relate basic medical principles and pathophysiology to the colorectal patient’s problems	*Hospital(s):* VA and Wishard Hospitals
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status; must have completed 3rd year surgical clerkship
		*Course components:* 90% Clinical; 10% Library
		*Competency offered:* II: Basic Clinical Skills

PREPARATION FOR INTERNSHIP

93SG830	PREPARATION FOR SURGICAL RESIDENCY
*Course Director:* Dr. A. Ladd *Other Faculty:* Dr. D. Canal Dr. J. Emhardt Dr. S. Engum Dr. D. Matthews Dr. L. R. Scherer Dr. D. Selzer Dr. C. Simmons Dr. E. Streib Dr. L. Torbeck Dr. C. Touloukian	*Description: This course is designed to provide knowledge and instruction on topics and skills that are clinically relevant to students pursuing a surgical residency or related technical fields. A combination of didactic sessions, small group discussions, and skills laboratory sessions are incorporated to provide the student with essential core material in the care and management of the surgical patient. Objectives: To give the student a more focused view of the principles and practice of surgery as they relate to the upcoming years of residency and to ease the transition from medical school to the intern year. Upon completion of this rotation, students will have gained experience in:* 1. triaging and evaluating trauma patients 2. constructing an advanced knowledge base of didactic sessions: anesthetic issues/agents post-operative analgesic regimens and routes of administration fluid/electrolyte management in reference to the ICU patient nutritional support of the peri-operative patient antibiotic prophylaxis for surgery wound assessment and care principles coagulation disorders/DVT prophylaxis endocrinologic pathophysiology relating to the ICU patient obtaining informed consent blood product transfusion Advanced Trauma Life Support (ATLS) Principles Advanced Cardiac Life Support Principles 3. patient management through vignettes on ICU emergencies and nursing calls. 4. discussing and evaluating surgical complications in the frame of quality improvement. 5. medical literature evaluation and grading 6. assessing medical literature for surgical technique and outcome 7. differentiating and communicating own viewpoints regarding end-of-life care, do not resuscitate controversies, and transfusion dilemmas. The student will have gained proficiency in: 8. demonstrating appropriate skills in preparing for surgery (OR protocol) 9. applying surgical principles to operative and clinical scenarios. 10. performing various surgical procedures including: suturing and knot tying Bovie and Harmonic scalpel utilization bronchoscopy endoscopy basic laparoscopy skills ultrasonography Central Venous Line chest tube placement NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. To be placed on the waitlist for this course, please contact Rhonda (rbrock@iupui.edu or 317-274-7201). Vacancies will be filled on a first come, first served basis. TOP	*Hospital(s):* N/A
		*Availability*: April only
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 15
		*Prerequisites:* 4th year status
		*Course components:* 5% Clinical; 40% Lecture, 5% Library, 50% Skills Lab
		*Competency offered:* II: Basic Clinical Skills

CAMPUS ELECTIVES IN GENERAL SURGERY

University Hospital

93SG750	PANCREATIC, HEPATOBILIARY SURGERY, A-TEAM
*Course Director:* Dr. T. Howard *Other Faculty:* Dr. M. Maluccio Dr. H. Pitt Dr. M. Schmidt Dr. N. Zyromski	*Description: Medical students participating in this surgical elective will be given a broad overview of the practice of academic surgery at a university-based hospital. The student will participate in the preoperative, surgical and post-operative management of complex surgical diseases, including hepatic, biliary, pancreatic, gastrointestinal, and oncologic surgery. A student will function at a sub-intern level in aspects of patient care as a member of the surgical team. The elective will offer an exposure to the complexity and challenge of tertiary-care surgery. Objectives:* Upon completion of this elective the student should be able to: Understand the basic pathophysiology, to efficiently evaluate, and to apply basic surgical concepts to hepatic, biliary, gastrointestinal and pancreatic disorders. Efficiently and thoroughly interview and examine patients with complex surgical diseases and to formulate basic patient care plans. Identify the rigors and rewards of a general surgery residency and career while participating as a member of the health care team. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP	*Hospital(s):* University Hospital A Team General Surgery Service
		*Availability*: All year
		*Number of units:* 1
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 85% Clinical; 10% Research; 5% Library
		*Competency offered:* II: Basic Clinical Skills

93SG820	ADVANCED GI AND CANCER SURGERY SUBINTERNSHIP, B-TEAM
*Course Director:* Dr. E. Wiebke *Other Faculty:* Dr. Blom Dr. Canal Dr. Selzer	*Description: This elective for fourth year medical students with an interest in pursuing residency training in general surgery. Students will function at the intern level on a busy clinical service, with exposure to advanced oncologic, gastrointestinal, and laparoscopic surgery. Individual clinical research projects will be encouraged. Objectives:* To introduce students to rigors of general surgery internship and to the latest techniques of preoperative, surgical, and postoperative management of complex surgical diseases. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP	*Hospital(s):* University Hospital Surgical B Team
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Library; 10% Research
		*Competency offered:* VIII: Problem Solving II: Basic Clinical Skills

93SG730	GENERAL SURGERY SUB-INTERNSHIP, C-TEAM
*Course Director:* Dr. A. Nakeeb *Other Faculty:* Dr. M. Falimirski Dr. G. Gomez Dr. T. Hayward Dr. L. Jacobsen Dr. K. Lillemoe Dr. C. Simons Dr. E. Streib	*Description: Medical students participating in this surgical elective will be given a broad overview in the practice of academic surgery at a university-based hospital. This course provides students with extensive exposure to hepatobiliary, pancreatic, gastrointestinal, and laparoscopic surgery. Aspects of surgical oncology, inflammatory bowel disease, and other complex surgical problems will be encountered. The student will participate as a sub-intern in the preoperative, operative and post-operative management of surgical patients on the Indiana University C-Team. Additionally, the student is offered an option of taking trauma call at Wishard Memorial Hospital, a Level 1 Trauma Center. Objectives:* During the course of this elective the student will: Improve their ability to acquire a patient history and physical exam while focusing on aspects of surgical pathophysiology. Formulate patient care plans under the guidance of faculty and residents, considering a patient's pathophysiology. Improve their knowledge base of the preoperative, surgical and post-operative management of complex surgical diseases, including hepatic, biliary, pancreatic, gastrointestinal, trauma and oncologic surgery. Demonstrate their ability in basic knot-tying and wound closure. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP	*Hospital(s):* University Hospital Surgical C Team
		*Availability*: All year
		*Number of units:* 1
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* II: Basic Clinical Skills

93SG850	GENERAL SURGERY D-TEAM ELECTIVE
*Course Director:* Dr. R. Goulet *Other Faculty:* Dr. S. Clare Dr. Misklin Dr. C. Touloukian	*Description: Medical students participating in this surgical elective will be given a broad overview of the practice of academic surgery at a university-based hospital. The student will participate in the preoperative, surgical and post-operative management of surgical disease processes, including breast malignancies, endocrinopathies and dermatologic malignancies. A student will participate in all aspects of patient care as a member of the resident surgical team. Objectives:* During the course of the rotation the student will: Improve their ability to acquire a patient history and physical exam while focusing on aspects of mammary, dermatologic and endocrine surgical pathophysiology. Formulate patient care plans considering a patient's pathophysiology. Improve their knowledge base of the preoperative, surgical and post-operative management of simple and complex surgical processes, including malignancy of the breast, skin, and thyroid. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP	*Hospital(s):* University Hospital (IUMC)
		*Availability*: All year
		*Number of units:* 1
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 95% Clinical; 5% Library
		*Competency offered:* II: Basic Clinical Skills

93SG760	CLINICAL - ORGAN TRANSPLANTATION
*Course Director:* Dr. Tector *Other Faculty:* Dr. Fridell Dr. Goggins Dr. Milgrom Dr. Pescovitz Dr. Powelson Dr. Vienna	*Description: This one month (optional two month) elective will provide the student with an exposure to the field of organ transplantation. Although it is a surgical service, patient problems have both medical and surgical applications and provide the student with a unique opportunity for learning. Special emphasis is given to transplantation, immunology, immunosuppressive therapy and renal physiology. Problems generally encountered in the management of transplant patients will provide additional exposure in the areas of infectious diseases, complications of immunosuppressive therapy as well as peripheral vascular and general surgical problems in the ESRD patient. The student will actively participate in the overall patient care in a day-to-day close working relationship with the faculty and house staff. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP*	*Hospital(s):* University Hospital, Transplant Unit, C430 (IUMC)
		*Availability*: All year
		*Number of units:* 1-2
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 75% Clinical; 10% Lecture; 15% Library
		*Competency offered:* None

93SG840	SURGICAL CRITICAL CARE-IU
*Course Director:* Dr. M. Falimirski *Other Faculty:* Dr. P. Gibbs Dr. T. Hayward Dr. C. Simons Dr. E. Streib	*Description: (This course is cross-listed under Anesthesia) The Surgical Intensive Care Unity (SICU) at University Hospital provides the setting for a student's participation in patient care. The fourth year student is expected to participate in the comprehensive evaluation and management of the critically ill/injured patient. He/she will have independent responsibilities including team communication, patient presentation, perform invasive procedures (under supervision) and research disease related topics. These include: 1) performing and documenting a daily comprehensive history and physical examination pertaining to the cope of critical care medicine, 2) performing vascular access procedures, 3) interpreting data related to invasive monitoring, respirator management and laboratory values and 4) intelligently discuss critical care issues in a systematic format. He/she will be the principle/first responder to a critically ill/injured patient while in the Surgical Intensive Care Unit. Each student will be required to perform 1 call per week in-house. Objectives:* During the course of the rotation the student will: Develop a systematic and thorough approach to ICU patient evaluation and management. Develop an understanding of the indications, technical aspects, and complications for vascular access procedures and airway control. Interpret invasive monitoring data as pertains to patient management. Develop an understanding of respirator management for the adult patient. Recommended references for the course: The ICU Book by Paul L. Marino NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP	*Hospital(s):* University Hospital 6611 (IUMC)
		*Availability*: All year
		*Number of units:* 1
		*Max Students/Unit:* 4
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 5% Lecture; 5% Library
		*Competency offered:* II: Basic Clinical Skills

Wishard Hospital

93SG930	GENERAL SURGERY, WISHARD TEAM 1
*Course Director:* Dr. C. Simons *Other Faculty:* Dr. Hayward	*Description: This course is designed to provide the student with experience and participation at a subintern level in the management of general surgical problems. The student will take part in the diagnosis, treatment, and convalescent care of patients on one of the two general surgical services. In-house call is expected to allow exposure to emergency cases. Clinical experience will be correlated with tutorial and reading assignments. A special conference with the faculty will occur weekly. Opportunity is available for a special research project, depending on the interest of the student. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP*	*Hospital(s):* Wishard General Surgery Team 1 (IUMC)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* II: Basic Clinical Skills

93SG720	TRAUMA SURGERY
*Course Director:* Dr. Simons *Other Faculty:* Dr. Falimirski Dr. Hayward Dr. Jacobson Dr. Simons Dr. Streib	*Description: This course is designed to provide clinical experience in the evaluation and management of victims of blunt and penetrating trauma in a Level I Trauma Center. The student will be assigned to the Trauma Service and will be able to participate in the workup and follow the hospital course of the patients including participation in Shock Room resuscitation and any operative procedures. Weekly conferences include Trauma Conference, ER Conference, Departmental M&M, and Faculty Rounds. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP*	*Hospital(s):* Wishard Memorial Hospital (IUMC)
		*Availability*: All Year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* II: Basic Clinical Skills

93SG950	SURGICAL CRITICAL CARE
*Course Director:* Dr. Streib *Other Faculty:* Dr. Falimirski Dr. Hayward Dr. Simons Dr. Viegas	*Description: This course is designed to provide the student with experience and participation in the complete management of the critically ill or injured surgical patient in the Trauma/Surgical Intensive Care Unit. The student will participate with residents and faculty in the care of a broad spectrum of patients and will gain experience in resuscitation and monitoring technology, ventilator management, nutritional support, the workup and management of sepsis and invasive procedures commonly performed in the ICU (Swan Ganz catheters, arterial lines, chest tubes, central venous catheters, ultrasound). Daily teaching rounds, supplemented by lecture and review of current literature, will form the basis of faculty instruction. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP*	*Hospital(s):* Wishard Memorial Hospital (IUMC) ICU
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 70% Clinical; 20% Lecture; 10% Library
		*Competency offered:* II: Basic Clinical Skills

93SG870	ORAL & MAXILLOFACIAL SURGERY
*Course Director:* Harry Papadopoulos, DDS, MD	*Description: This elective is designed to accomplish the following: To provide the fourth-year medical student in-depth exposure to oral & maxillofacial surgery. To provide the student interested in a career in another field with complimentary clinical experience in oral & maxillofacial surgery. To train the student in specific diagnostic and clinical skills in oral & maxillofacial surgery as related to trauma, pathology, craniofacial deformities, and reconstruction of the oral & maxillofacial region. To enhance the student’s understanding of the relationships that exist among the oral cavity associated oral, maxillofacial structures and systemic functions. Achieve Level 3 competency III: Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention. Objectives*: On completion of the elective, the student should be able to: Perform a focused oral & maxillofacial history and physical examination Perform an oral cancer screening Suture a simple oral and facial laceration Provide local anesthesia in preparation for suturing a laceration as described above, and to provide relief for dental pain Diagnose maxillofacial fractures by performing a focused examination as described above, and interpreting maxillofacial imaging Construct an intelligent differential diagnosis for various maxillofacial pathologies Identify and understand the growth and development of various craniofacial deformities	*Hospital(s):* Wishard Hospital
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status only *Course components:* 90% Clinical, 10% Presentations *Competency offered:* III: Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention.

VA Hospital

93SG790	GENERAL SURGERY, VA HOSPITAL
*Course Director:* Dr. D. Matthews *Other Faculty:* Dr. D. Selzer Dr. E. Wiebke	*Description: Students participating in this surgical elective will be given a broad overview of the practice of general surgery at a university-based, veteran's hospital. The student will participate in the preoperative, surgical and post-operative management of complex surgical disease processes, including colorectal cancer, gastrointestinal maladies, and inguinal pathology. A student will participate in all aspects of patient care as a member of the resident surgical team. Objectives:* · Improve ability to acquire a patient history and physical exam while focusing on specific aspects of general surgical pathophysiology. · Formulate patient care plans considering a patient's pathophysiology. · Improve knowledge base of the preoperative, surgical and post-operative management of complex surgical processes, from gastrointestinal malignancy to routine outpatient general surgery. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP	*Hospital(s):* VA Hospital
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 95% Clinical; 5% Library
		*Competency offered:* II: Basic Clinical Skills

Methodist Hospital

49SG724	GENERAL SURGERY
*Course Director:* Dr. D. A. Rouch *Other Faculty:* Surgical Staff	Note: This course may be dropped or added up to the 15th day of the month preceding the elective month. *Description: Student will gain experience in caring for surgical patients on a Chief Resident Service. They will be supervised by a chief surgery resident and the surgical faculty. Students will be involved in pre- and post-operative care and operating room procedures on assigned patients. Students will learn to write orders and perform basic surgical procedures. The course will include didactic sessions and conferences with frequent contact between the student and the principal surgery teaching staff. The student will not be required to take night call on this elective. Any student wanting to drop or add this elective after the initial computer scheduling should contact Mia Mimms at 962-3369 or mmimms@clarian.org. Objectives:* Work at a PGY-1 Level with supervised management of patients Gain experience and demonstrate improvement in surgical technique (basic suturing skills) Demonstrate ability to work as team member *Goals:* The student will demonstrate ability to work up patients, formulate a differential diagnosis, offer a plan of management and alternative approaches to the problem. The student will learn basic surgical skills. The student will demonstrate ability to function as a team member in caring for patients with complex surgical problems. TOP	*Hospital(s):* Methodist Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 20% Conferences
		*Competency offered:* None

49SG774	TRAUMA SERVICE
*Course Director:* Dr. S. Bjerke *Other Faculty:* Dr. T. Pohlman Dr. G. Rodman	Note: This course may be dropped or added up to the 15th day of the month preceding the elective month. *Description: This elective will provide the student with clinical exposure to a surgical curriculum which deals exclusively with the comprehensive care of seriously injured patients. The student will develop knowledge and skill in the E.R. phase (initial assessment and resuscitation), surgical phase (operative procedures), critical care phase (ICU) and continuing care phase (rehabilitation principles) of Trauma Care. The student will learn and perform under attending supervision invasive diagnostic and therapeutic procedures related to Trauma patient care. Any student wanting to drop or add this elective after the initial computer scheduling should contact Mia Mimms at 962-3369 or mmimms@clarian.org. TOP*	*Hospital(s):* Methodist Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status
		*Course components:* 75% Clinical; 15% Lecture; 10% Library
		*Competency offered:* None

St. Vincent Hospital

49SG746	GENERAL SURGERY
*Course Director:* Dr. Edwards *Other Faculty:* Dr. T. A. Glass Dr. J. A. Isch Dr. Kaderabek Dr. Tigges	*Description: The objective of this course is to provide a student with experience in all aspects of general surgery. Students will participate actively in preoperative, intra-operative and postoperative management of surgical patients seen in very active general surgical practice. Since St. Vincent does not have a surgical resident program, the student will first assist in surgery and work one-on-one with the attending surgeon. TOP*	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* None

49SG786	COLON AND RECTAL SURGERY
*Course Director:* Dr. Pittman	*Objectives: 1. To teach the anatomy and physiology of the colon, rectum and anus. 2. To teach the diagnosis, pathophysiology and treatment of diseases of the colon, rectum, and anus. 3. To give the apprentice experience depending on his level of training and specialty, in techniques and procedures in diagnosing and treating colon, rectal, and anal diseases. 4. The doctor in training will know about hemorrhoids, fissures, abscess and fistulas, IBD, lower GI cancers, diverticulosis and diverticulitis, and other common diseases. Description: The doctor in training will see patients in the office, hospital, and operating room under the direct supervision of Dr. J. Scott Pittman. The doctor in training will participate in the diagnostic and therapeutic procedures consistent with his type and level of training and skill. TOP*	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* II: Basic Clinical Skills

49SG796	GENERAL AND THORACIC SURGERY
*Course Director:* Dr. C. Davis *Other Faculty:* Dr. M. Arregui Dr. Kirpal Singh	*Description: This is a busy general and thoracic surgery service. There will be a good volume of typical general surgery cases such as cholecystectomies, hernia repairs (laparoscopic and open), intestinal operations, and appendectomies. The thoracic part of the rotation includes pulmonary resections, esophageal surgery, and surgery for benign intra-thoracic conditions. GI endoscopy, including ERCPs, is part of the experience. Office and intra-operative ultrasound are an integral part of this practice as well. Objectives: Student will build knowledge in managing patients pre-operatively and post-operatively. Build on knowledge of surgery acquired in Junior year. Manage patients pre-operatively and post-operatively First-assist for all operations Opportunity for clinical research or case reports as student interest dictates. Be able to articulate clearly the management of common general and thoracic surgical problems TOP*	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All months
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 85% Clinical; 5% Lecture; 5-10% Library; 0-5% Research
		*Competency offered:* None

PEDIATRIC SURGERY

93SK700	PEDIATRIC SURGERY - CLINICAL ELECTIVE
*Course Director:* Dr. A. Ladd *Other Faculty:* Dr. D. Billmire Dr. S. Engum Dr. F. Rescorla Dr. T. Rouse Dr. L. R. Scherer Dr. K. West	*NOTE: This elective may be dropped/added within 15 days notice to the Dean's Office.* *Description: The objectives of the elective are to allow students interested in general surgery, pediatric surgery and/or pediatrics to have a significant exposure to this discipline. This experience will include participation in patient care, teaching rounds, outpatient clinics, attendance at didactic lectures, and operating room experience. Students should gain experience in the management of infants and children with congenital anomalies, cancer and trauma, and learn the qualitative and quantitative differences between infants and children as compared to the adult in regard to surgical management. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP*	*Hospital(s):* Riley Hospital (IUMC)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 3
		*Prerequisites:* 3rd or 4th year status; surgery clerkship must be completed
		*Course components:* 80% Clinical; 20% Lecture
		*Competency offered:* II: Basic Clinical Skills

49SK706	PEDIATRIC SURGERY
*Course Director:* Dr. Denis Bensard *Other Faculty:* Dr. R. Hendrickson Dr. J. Careskey	*Description: The goal of this rotation is to develop the ability of the student to evaluate, stabilize, and treat patients with a broad range of surgical problems of varying complexity and acuity. In addition to the operating suite, this rotation takes place in various settings within a tertiary care hospital, including the pediatric emergency ward, inpatient pediatric floors, PICU, and NICU. The medical students will work closely with other team members, including pediatric residents, attending pediatric surgeons, nurses, and support staff to care for patients both pre-operatively and post-operatively. TOP*	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year only
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* III: Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention

THORACIC & CARDIOVASCULAR SURGERY

93ST710	THE SURGERY OF CONGENITAL HEART DISEASE
*Course Director:* Dr. J. Brown *Other Faculty:* Dr. Rodefeld Dr. Turrentine	*NOTE: Course may be dropped/added within two weeks of the beginning of the elective month.* *Description: To increase the student's knowledge of the general principles of surgery and of congenital cardiac disease treated by surgery. To enable the student to learn to assume the responsibilities of a house officer in a teaching hospital setting. Students will make rounds with the residents, assist at operations, and attend cardiac surgery conferences. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP*	*Hospital(s):* Indiana University Medical Center
		*Availability*: Not during December
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status; surgery clerkship must be completed
		*Course components:* 90% Clinical; 10% Conferences & Rounds
		*Competency offered:* None

93ST750	CARDIOVASCULAR SURGICAL CLINICAL RESEARCH
*Course Director:* Dr. J. Brown *Other Faculty:* Dr. Meldrum Dr. Rodefeld	*Description: Students will explore in-depth a specific topic of current clinical interest from the literature and review the clinical records of patients who either have a specific cardiac or vascular problem or who have undergone a specific surgical procedure. The intent of the research project will be to give the student an opportunity to research a particular surgical topic, examine patients and patient records as they pertain to the topic and possibly co-author a publication for the literature. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP*	*Hospital(s):* Indiana University Medical Center
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 20% Clinical; 40% Research; 10% Lecture; 30% Library
		*Competency offered:* None

93ST790	ADULT THORACIC SURGERY
*Course Director:* Dr. K. Rieger *Other Faculty:* Dr. K. Kessler	*Description: Students participating in this surgical elective will be given a broad overview of the practice of academic surgery at a university-based hospital. The student will participate in the preoperative, surgical and post-operative management of complex surgical diseases, including pulmonary and esophageal oncologic surgery. A student will participate in all aspects of patient care as a member of the surgical team. The elective will offer an exposure to the complexity and challenge of tertiary-care, thoracic surgery. Objectives:* · Improve ability to acquire a patient history and physical exam while focusing on specific aspects of thoracic surgical pathophysiology. · Formulate patient care plans considering a patient's pathophysiology. · Improve knowledge base of the preoperative, surgical and post-operative management of complex surgical diseases, including basic oncologic surgical principles for pulmonary and esophageal cancer. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP	*Hospital(s):* University Hospital
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 95% Clinical; 5% Library
		*Competency offered:* II: Basic Clinical Skills

93ST770	PERIPHERAL VASCULAR SURGERY
*Course Director:* Dr. M. Dalsing *Other Faculty:* Dr. R. Nachreiner Dr. A. Sawchuk Dr. S. Shafique	*Description: This course is designed to provide student experience and participation in the total care of patients with vascular disease. The student will take part in the diagnosis, treatment, and convalescent care of patients. The weekly Monday conference involves discussion of interesting patient cases and proper management. Wednesday morning conferences center on pertinent vascular surgical literature and core knowledge data. The student is welcome to participate in all conferences. Ward rounds with specific patient responsibility, well clinics, and attendance in surgery is expected for optimal experience. Opportunity is available for a direct research project if the student is interested. Objectives:* To have a familiarity with how patients present with vascular disease (know what a bruit sounds like, feel an abdominal aortic aneurysm, etc.), how to confirm the diagnosis, and then what can be done to help the patient. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP	*Hospital(s):* Clarian- Methodist (IUMC)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status only
		*Course components:* 80% Clinical; 10% Lecture; 10% Library/Research
		*Competency offered:* VIII: Problem Solving

93SG980	PERIPHERAL VASCULAR SURGERY
*Course Director:* Dr. D. Cikrit	*NOTE: THIS COURSE MAY BE DROPPED/ADDED WITHIN 15 DAYS OF THE START OF THE ELECTIVE MONTH.* *Description: The aim of the course is to provide the student with the opportunity to participate as a member of the vascular surgery team. The exact content of the month will depend upon the student's goals. The student can choose to spend the majority of the rotation on clinical activities or may spend time on research activities in the vascular lab. Students should expect to do procedures commensurate with their technical skill ability. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. TOP*	*Hospital(s):* IUMC (Wishard, VA)
		*Availability*: All Year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Surgery clerkship must be completed
		*Course components:* 60% Clinical; 20% Research; 10% Lecture; 10% Library
		*Competency offered:* None

49ST704	CARDIOVASCULAR AND THORACIC SURGERY
*Course Director:* Dr. Hormuth *Other Faculty:* Dr. Beckman Dr. Coffey Dr. Fehrenbacher Dr. Halbrook Dr. Herod Dr. McCready Dr. Wozniak	*Note: This course may be dropped or added up to the 15th day of the month preceding the elective month.* *Description: This course exposes the student to a large number of patients with diseases of cardiovascular and pulmonary systems that are treatable by surgery. This busy service encourages active participation of the student in the operating room and in ward procedures. At least two related weekly conferences add to educational experience. The service will expose the student to a large number of patients treated surgically for cardiovascular and pulmonary diseases and encourage active participation in the treatment. The student will not be required to take night call on this elective. Any student wanting to drop or add this elective after the initial computer scheduling should contact Mia Mimms at 962-3369 or mmimms@clarian.org. TOP*	*Hospital(s):* Methodist Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status only
		*Course components:* 85% Clinical; 5% Laboratory; 5% Lecture; 5% Library
		*Competency offered:* None

49ST706	CARDIOVASCULAR SURGERY AND/OR PERIPHERAL VASCULAR SURGERY
*Course Director:* Dr. Freeman *Other Faculty:* Dr. Allen Dr. Cooke Dr. Feldman Dr. Griffith Dr. Heimansohn Dr. Paris Dr. Robison Dr. Schier	*Description: This surgically based elective provides a broad exposure to the surgical fields of cardiovascular, thoracic, and peripheral vascular disease. Student responsibilities are divided between operative work and pre and postoperative patient evaluation and assessment. A significant amount of responsibility is provided both in the operating room and in primary patient evaluation and care. Time is made available for participation in teaching rounds, clinical conferences, and appropriate related subspecialty areas of cardiology, anesthesiology, pulmonary medicine, nephrology, endocrinology, neurology, hematology, etc., as they relate to patient care. The rotation is available in blocks of one to three months with increasing levels of responsibility offered with longer rotations. The student will relate directly to the attending staff without intermediary house staff intervention. No in-house night call will be required but students will be encouraged to participate in interesting emergency care when appropriate. Goals:* · To become familiar with the scope and practice of modern cardiac and thoracic surgery at a busy referral center. · To develop basic skills in assessing patients with cardiothoracic diseases. · To enhance basis technical surgical skills. TOP	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status only
		*Course components:* 85% Clinical; 15% Conferences & review of the literature
		*Competency offered:* None

02ST701	CARDIOVASCULAR SURGERY AND TRANSPLANTATION
*Course Director:* Dr. Ladowski *Other Faculty:* Dr. Deschner	*Description: The course is intended for students with a serious interest in primary care, thoracic surgery, and/or cardiology, and wish to expand their knowledge of the rapidly changing aspects of the surgical treatment of cardiovascular diseases. The student will serve essentially as a house officer on a busy Thoracic and Cardiovascular Surgical Service encompassing two excellent private hospitals. He or she will assist and participate in operations for acquired heart disease, peripheral vascular disease, pulmonary disease, and other conditions treated by thoracic surgeons. The student will also be intimately involved in the preoperative evaluation and postoperative care of the patients, and will participate in the Transplant Clinic at the Northern Indiana Heart Institute. Approximately 12 open-heart operations and a like number of non-cardiac vascular and thoracic operations are performed each week on this Service. At least one transplant is performed in the typical month. Course Director and his associates will personally tutor and supervise students on a daily basis. TOP*	*Hospital(s):* Ft Wayne Center for Medical Education
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status only
		*Course components:* 85% Clinical; 15% Conferences and review of the literature
		*Competency offered:* None

71ST703	THORACIC AND CARDIOVASCULAR SURGERY
*Course Director:* Dr. Kelly *Other Faculty:* Dr. Halloran Dr. Hughes Dr. Lamb Dr. Steinberg	*Description: The course is organized to provide a comprehensive understanding of acquired cardiovascular, pulmonary and upper gastrointestinal diseases, cardiovascular and respiratory pathophysiology, and the physiology and technology of extracorporeal circulation. Student will participate in all clinical activities, teaching conferences and a lecture series specifically designed for this course. Involvement in clinical and laboratory investigative work is encouraged. TOP*	*Hospital(s):* Memorial Heart Institute (South Bend)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 3
		*Prerequisites:* 4th year status only
		*Course components:* 65% Clinical; 5% Research; 20% Lecture; 10% Library
		*Competency offered:* None

BREAST CANCER SURGERY

93ZO710	BREAST CANCER TREATMENT CENTER
*Course Director:* Dr. Goulet *Other Faculty:* Dr. Cathy Miller Dr. Morphis Dr. Mary Nichols Carol Huntley, R.N.	*Description: This course will expand the student's fund of knowledge regarding the principals of breast cancer biology, diagnosis, and treatment of patients with breast cancer. It will be presented as a series of four one-week components: diagnostic radiology, surgery, medical oncology, and radiation oncology. The student will participate in service clinical activities, informal teaching sessions, weekly breast tumor board, and independent study. NOTE: All on-campus surgery electives will be handled through the match. Post-match results, all additions and drops for surgery electives must be approved through Rhonda Brock, Surgery Clerkship Coordinator at 274-7201 or rbrock@iupui.edu. This course is cross-listed under Interdisciplinary Medicine. TOP*	*Hospital(s):* IUMC (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status
		*Course components:* 60% Clinical; 10% Research; 10% Lecture; 20% Library
		*Competency offered:* None

COMMUNITY ELECTIVES IN SURGERY

18SG711	GENERAL SURGERY
*Course Director:* Dr. Paul Stewart *Other Faculty:* Dr. Sprunger	*Description: Course objective will be to provide the student with exposure to a variety of general surgical problems, procedures and operative techniques. Emphasis will be on preoperative and postoperative care as well as actual assistance in the operating room. The clerk will be assigned to one staff surgeon per unit to whom he will be primarily responsible but will also participate in the regular education program of the hospital. Goals:* This course will expose the student to a busy private General Surgery Practice. Students who are drawn to surgery but are not sure they want the lifestyle that is associated with it should consider this rotation and see how fun and rewarding a surgical practice can be. TOP	*Hospital(s):* Ball Memorial Hospital (Muncie)
		*Availability*: All year except June & December
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 95% Clinical; 5% Lecture
		*Competency offered:* None

27SG712	GENERAL SURGERY
*Course Director:* Dr. R. Jackson	*Description: This course will provide an opportunity for the senior medical student to participate in a busy surgical practice and develop skills in diagnosis, surgical techniques, and postoperative care of the surgical patient. A basic understanding of the pathophysiology and management of surgical diseases will be stressed with ample opportunity to research surgical material in-depth, if the student is so inclined. The student can expect to first assist on many major operative procedures. Major emphasis will be in the areas of general and cosmetic surgery but experience in other related surgical fields can be arranged. Goals:* Student should have a good understanding of surgical practice including general and cosmetic surgery at the end of this rotation. The student should have a good understanding of pre and post-operative workup. The student should learn good surgical technique at the operating table during this rotation. Basic surgical principles should be well ingrained by the end of this rotation. TOP	*Hospital(s):* Marion General Hospital (Marion)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 75% Clinical; 10% Research; 10% Lecture; 5% Library
		*Competency offered:* None

30SG701	GENERAL SURGERY ELECTIVE AT A COMMUNITY HOSPITAL
*Course Director:* Dr. Ted Gabrielsen *Other Faculty:* Dr. S. Cam	*Description: The student will be encouraged to participate actively in preoperative, intra-operative, and postoperative management of surgical patients seen in an active general surgery practice located approximately 30 minutes from the Indiana University Medical Center. Procedures experienced will include endoscopy (including laparoscopic cholecystectomy) and GYN surgery as well as a broad scope of general surgery. Both inpatients and outpatients will be seen. TOP*	*Hospital(s):* Hancock County Memorial Hospital (Greenfield)
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* None

34SG711	GENERAL SURGERY
*Course Director:* Dr. Seekri *Other Faculty:* Dr. DeSanto	*Description: Introduce the student to a broad range of surgical diseases and procedures encountered in a small town setting, including surgical subspecialties. Living accommodations are provided. TOP*	*Hospital(s):* Howard Community Hospital (Kokomo)
		*Availability*: Aug-Oct, Jan-May
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 100% Clinical
		*Competency offered:* None

41SG702	GENERAL, THORACIC, AND ADVANCED LAPAROSCOPIC SURGERY IN A COMMUNITY HOSPITAL
*Course Director:* Dr. T. Small	*Description: This course is to provide the student with a well-rounded experience in a smaller community hospital dealing with primary surgical care. Opportunities include surgical office practice, emergency cases, assistance with all surgical procedures, and a wide range of clinical exposure on the hospital ward. The range of disciplines are encountered include pulmonary and gastrointestinal endoscopy, abdominal and thoracic diseases, with a special emphasis on endoscopic surgical procedures. TOP*	*Hospital(s):* Johnson Memorial Hospital (Franklin), Community Hospital South (Indianapolis)
		*Availability*: Not during Nov or Dec
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 90% Clinical; 10% Library
		*Competency offered:* None

45SG703	GENERAL SURGERY
*Course Director:* Dr. J. Jones *Other Faculty:* Dr. P. Stanish Dr. D. Streeter	*Description: Surgical Program: A one to three month program designed to offer the student broad general surgical training and clinical experience. The large volume of traumatic injuries seen at this hospital will offer the student a considerable volume of emergency trauma surgery. Progressive experience and responsibility is given throughout the student's training. Under close personal supervision, the student is able to develop and refine his technical and diagnostic skills. Emphasis will be placed on continuity of care for individual patients. This will include: 1. Preoperative and postoperative care 2. Operating room procedures 3. Performing basic surgical procedures 4. Daily patient rounds with assigned attending physician 5. Practical emergency room experience (optional) 6. Weekend physician/student patient rounds (optional) 7. Attendance at medical education conferences TOP*	*Hospital(s):* The Methodist Hospital, Inc. (Gary, IN)
		*Availability*: All year (Gary and Merrillville)
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 4
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Lecture and Laboratory
		*Competency offered:* None

49SG725	COLON AND RECTAL SURGERY
*Course Director:* Dr. Bridget Sanders *Other Faculty:* Dr. Olaf Johansen Dr. Fred Lane Dr. Dipen Maun Dr. Barry Melbert	*Description: The Colon and Rectal Surgery Elective will allow senior medical students the opportunity to observe and participate in the evaluation and surgical treatment of patients experiencing disorders and diseases of the anus, rectum, and colon. Students will rotate with Dr. Bridget Sanders from Kendrick Regional Center for Colon and Rectal care for 4 weeks. The rotation will primarily take place at St. Francis Hospital in Mooresville, South campus, and Clarian West. Students will assist with rounding on surgical inpatients, taking part in office and inpatient consultations and assisting/observing in outpatient and inpatient surgery. There are no call requirements for this rotation. TOP*	*Hospital(s):* Kendrick Regional Center for Colon and Rectal Care, St. Francis Hospital
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 95% Clinical, 5% Lecture
		*Competency offered:* II: Basic Clinical Skills

53SG701	GENERAL SURGERY
*Course Director:* Dr. Jesseph *Other Faculty:* Dr. Greene	*Description: One-on-one surgeon and student interaction in the office, on the wards and in the operating room. The student will share in the daily conduct of a busy general surgery practice. Little to no scut. All learning and experience. TOP*	*Hospital(s):* Bloomington Memorial Hospital
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Library
		*Competency offered:* None

71SG703	GENERAL SURGERY
*Course Director:* Dr. Credi *Other Faculty:* Surgery Staff	*Description: The student is assigned to specific surgeon, and participates in the pre-operative evaluations and workups, assists in the operation room and helps with post-operative care. In addition the student will see patients with the surgeon in his office. The student will be expected to achieve an understanding of pre and post-operative care and become a capable surgical assistant. The student will be exposed to a full range of busy general and vascular surgical practice. TOP*	*Hospital(s):* Memorial Hospital of South Bend
		*Availability*: All Year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* None

79SG714	GENERAL SURGERY
*Course Director:* Dr. G. Smith *Other Faculty:* Dr. Francis Dr. Jefson Dr. O’Connor Dr. Summer	*Description: The primary objectives are to provide an exposure to the private practice of general surgery, to teach the student the responsibility toward the community concerning general surgery, and to provide insight into the management of common general surgery problems, as well as some of the many non-medical problems of private practice. The student will be involved with the writing of orders and performing diagnostic studies under the direct supervision of a general surgeon. The student will be expected to utilize the St. Elizabeth Hospital Library in which there is a good representation of medical journals, textbooks, and audio-digest tapes. It is hoped that the student will have a better understanding of the management of common problems as seen by the practicing general surgeon when he completes the elective. TOP*	*Hospital(s):* 2403 Ferry Street (Lafayette)
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 95% Clinical; 2.5% Lecture; 2.5% Library
		*Competency offered:* None

84SG722	GENERAL SURGERY: SURGICAL GASTROENTEROLOGY
*Course Director:* Dr. E. Garcia	*Description: The student will have an opportunity to participate in an active general surgical practice, within a medium-sized city. The student will be encouraged to participate in the preoperative, intra-operative and post-operative management of patients in a non-university oriented surgical practice. The student will be exposed to a valuable practical experience in general surgery, laparoscopic surgery, and endoscopy. Other subspecialties are also available on arrangement, such as neurosurgery, ophthalmology, ENT, gynecology, plastic surgery, and cardiovascular surgery. The student will have a broad range of opportunity to develop skills in diagnosis, pre-operative care and follow-up of patients in an office and hospital setting. TOP*	*Hospital(s):* Terre Haute Regional Hospital
		*Availability*: All Year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* None

SPECIAL ELECTIVE IN SURGERY

93SG990

SPECIAL ELECTIVE IN SURGERY

Description:

The student should refer to the section of the Preface entitled "Special Electives" for information concerning the availability of elective opportunities especially designed to meet his/her needs and interests. The "Special Electives" section will also identify the procedures for arranging and scheduling special elective courses.

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