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1.
GENERAL SURGERY SUB-INTERNSHIP:
Program Coordinator: Danny Takanishi, Jr., MD
Locations: General Surgery - Kuakini
Medical Center, Queen's Medical Center,
Straub Clinic & Hospital, Hawaii Medical Center East; Cardiovascular Surgery - Queen's Medical
Center
Objectives: This clerkship consists of a 4-week experience
on a busy Surgical Service in one of the participating hospitals.
The major objective is to provide the student with additional
experience in the surgical disciplines concomitant with graded
responsibility (commensurate with level of competency) beyond
that of his/her third year clerkship experience.
Method: The student will be integrated into the surgical
team at a position analogous to PGY-1 level ("Intern"). His/Her
service assignment and evaluation will be monitored by the coordinator
for this sub- internship at the selected hospital. He/She will
be assigned an appropriate number of hospital patients whom he/she
will evaluate by a complete history and physical examination,
and will initiate management by writing initial orders. He/She
will perform those duties and procedures reasonably expected of
the PGY-1 level resident. He/She will make rounds with the Staff
according to established routine and will be expected to write
progress notes at appropriate, timely intervals. He/She will attend
scheduled outpatient clinics and will see new or emergency patients
as the initial physician as often as possible, as designated by
the Chief or Senior Resident of the Service as deemed appropriate.
The student will observe or assist in all major and minor operations
upon his/her patients as well as ward procedures. He/She will
attend all clinical meetings and conferences that his/her team
attends and will present at these meetings at the discretion of
his/her Chief or Senior Resident or Surgical Preceptor. He/She
will be expected to take in-house night call on a rotation basis,
as would be reasonable and appropriate and expected for a PGY-1
level resident. The level of graded responsibility delegated to
each student will progressively increase during the course of
the rotation, in accordance with degree of proven competency,
based on assessment by the supervising Resident and Preceptor.
Evaluation: Students will be evaluated on a daily basis
by immediate superiors and a subjective evaluation will be made
concerning their performance at the completion of the clerkship.
2.
PEDIATRIC SURGERY SUB-INTERNSHIP:
Program Coordinator: Walton Shim, MD
Location: Kapiolani Medical Center for Women & Children
Objectives: This clerkship will consist of a four-week
experience on a busy, surgical service. The major objective is
to allow the student to further his/her introduction into the
surgical fields on a plane of responsibility higher than that
of his/her third year experience.
Method: The student will be integrated into the surgical
team at a position analogous to L-1 level (Intern). His/Her assignment
and evaluation will be monitored by the coordinator for this sub-
internship at each hospital. He/She will be assigned an appropriate
number of hospital patients whom he/she will evaluate by a complete
history and physical examination, and will initiate management
by writing initial orders. He/She will perform those procedures
normally allotted to the L-1 level resident. He/She will make
rounds with the staff per routine and will make progress notes
at appropriate intervals. He/She will attend patients as the initial
physician as often as possible. The student will observe or assist
at all major and minor operations upon his/her patients as well
as ward procedures that are time convenient. He/She will attend
all clinical meetings and conferences that his/her team attends
and will present at these meetings at the discretion of his/her
superiors. He/She will be assigned night call on a rotation basis
per routine.
Evaluation: Students will be evaluated on a daily basis
by immediate superiors and a subjective evaluation will be made
concerning their performance at the completion of the clerkship.
3.
SURGICAL INTENSIVE CARE:
Program Coordinator: Mihae Yu, MD
Location: Queen's Medical Center
Objectives: This clerkship will consist of a four-week
experience as a member of the Surgical Intensive Care Service,
providing cardiopulmonary care and life support to pre- and post-
operative patients. Under supervision, the student will learn
hemodynamic monitoring, pulmonary pathophysiology and ventilator
management, renal dysfunction, nutritional support, and treatment
of all types of shock: septic, hemorrhagic, neurogenic and myocardial
shock. The goal of this rotation is to transform a 4th year medical
student into a functional resident able to handle life threatening
situations.
Method: The student will be integrated into a Surgical
Intensive Care Service team at a position analogous to L-1 level.
His/Her assignment and evaluation will be monitored by the ICU
coordinators. He/She will perform those procedures normally allotted
to the L-1 level resident (Intern). He/She will make rounds with
the staff per routine and will make progress notes at appropriate
intervals. He/She will obtain the physiologic measurements required
for evaluation of hemodynamic, pulmonary and renal function and
use the minicomputer to analyze the data. Using clinical information
and monitoring parameters, he/she will assess life-support requirements
including ventilator support, pharmacologic manipulation of cardiovascular
function and parenteral nutrition and initiate appropriate therapy
after senior team-member concurrence. All phases of his/her evaluation
and orders will be checked and countersigned by a L-2 or L-5 resident
or staff physician. He/She will attend all meetings and conferences
that his/her team attends and will present at these meetings at
the discretion of his/her superiors. He/She will be assigned night
call on a rotation basis per routine.
Evaluation: He/She will be evaluated on a daily basis by
his/her immediate superiors and a subjective evaluation will be
made concerning his/her performance at the completion of the clerkship.
4.
SURGICAL SPECIALTY - OPHTHALMOLOGY:
Program Coordinator: Malcom Ing, MD
Objectives: This block of instruction is designed to give
the student an added exposure to the field of ophthalmology. This
will be an experience on a broader and more involved plane than
the student was exposed to in his/her third year yet will still
be given with the premise that the student is seeking knowledge
in this field in order to perform more effectively as a "generalist"
and is not necessarily interested in ophthalmology as a career.
Method: This block of instruction will be managed much
as a preceptorship. The student will be assigned to a member of
the ophthalmology faculty and will pretty much mimic his/her daily
routines. The students will see patients in the offices, work
up pre-operative patients, attend the surgical procedures, make
daily rounds and write appropriate progress notes. There will
be no night or weekend call schedule.
Evaluation: A final summary of student performance will
be submitted at the end of the clerkship by faculty.
5. SURGICAL SPECIALTY
- ORTHOPAEDICS:
Program Coordinator: Robert E. Atkinson, MD
Objectives: This block of instruction is designed to give
the student an added exposure to the field of orthopaedics. This
will be an experience on a broader and more involved plane that
the student was exposed to in his/her third year yet will still
be give with the premise that the student is seeking knowledge
in this field in order to perform more effectively as a "generalist"
and is not necessarily interested in orthopaedics as a career.
Method: This block of instruction will be managed much
as a preceptorship. The student will be assigned to a member of
the orthopaedics faculty and will pretty much mimic his/her daily
routines. The students will see patients in the offices, work
up pre-operative patients, attend the surgical procedures, make
daily rounds and write appropriate progress notes. There will
be no night or weekend call schedule.
Students interested in Orthopaedics as a career are encouraged
to spend 2 of their 4 weeks on the Orthopaedic Surgery Service
at the Queen’s Medical Center. The student will be integrated
into the Orthopaedic team at a position analogous to PGY-1 level
(“Intern”). His/Her service assignment will be monitored by the
Chief Orthopaedic Resident. He/She will be assigned an appropriate
number of hospital patients whom s/he will evaluate. He/She will
make rounds with the Staff and will be expected to write progress
notes at appropriate, timely intervals. He/She will attend scheduled
outpatient clinics and see new or emergency patients as often
as possible. The student will observe or assist in all major and
minor operations as well as ward procedures. He/She will attend
all scheduled clinical meetings and conferences that his/her team
attends. He/She will be expected to take in-house night call.
The level of graded responsibility delegated to each student will
progressively increase during the course of the rotation, in accordance
with degree of proven competency, based on assessment by the supervising
resident and preceptor.
Evaluation: A final summary of the student’s performance
will be submitted at the end of the clerkship by the preceptor
and/or supervising resident.
6. SURGICAL SPECIALTY
- OTOLARYNGOLOGY (E.N.T):
Program Coordinator: Alfred Liu, MD
Objectives: This block of instruction is designed to give
the student an added exposure to the field of otolaryngology.
This will be an experience on a broader and more involved plane
that the student was exposed to in his/her third year yet will
still be given with the premise that the student is seeking knowledge
in this field in order to perform more effectively as a "generalist"
and is not necessarily interested in otolaryngology as a career.
Method: This block of instruction will be managed as much
as a preceptorship. The student will be assigned to a member of
the otolaryngology faculty and will pretty much mimic his/her
daily routines. The stunts will see patients in the offices, work
up pre-operative patients, attend the surgical procedures, make
daily rounds and write appropriate progress notes. There will
be no night or weekend call schedule.
Evaluation: A final summary of student performance will
be submitted at the end of the clerkship by faculty.
7. SURGICAL SPECIALTY
- UROLOGY:
Program Coordinator: D. Gary Lattimer, MD
Objectives: This block of instruction is designed to give
the student an added exposure to the field of urology. This will
be an experience on a broader and more involved plane than the
student was exposed to in his/her third year yet will still be
given with the premise that the student is seeking knowledge in
this field in order to perform more effectively as a "generalist"
and is not necessarily interested in urology as a career.
Method: This block of instruction will be managed as a
preceptorship. The student will be assigned to a member of the
urology faculty and will mimic his/her daily routines. The students
will see patients in the offices, work up pre-operative patients,
attend surgical procedures, make daily rounds and write appropriate
progress notes. There is no night or weekend call.
Evaluation: A final summary of student performance will
be submitted at the end of the clerkship by faculty.
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