Clinical experience is available to students at several Brown affiliated hospitals (Rhode Island, Miriam, and Veterans Administration.) Students are assigned to various surgical services, and will interact very closely with surgical residents and faculty in all activities on that particular service (ward rounds, operating rooms, outpatient clinic, teaching conferences, etc.) Upper level residents (PGY 2 to 5 levels) are the residents the student is to spend time with /and or follow when a service. During this time, you should improve your abilities in history and physical exams, progress notes, pre- and post-operative care, and operative care.

The rotations outlined below will vary in sequence:

General Surgery	5 weeks	RIH, VAMC, TMH
Vascular Surgery	1 weeks	RIH
*Trauma or SICU	2 weeks	RIH

STUDENT ASSIGNMENT ROTATION RESPONSIBILITIES

SERVICE ROTATION/ASSIGNMENT
Each student will be assigned to a service/team for each rotation through general surgery, vascular surgery, trauma or SICU. The Chief/senior resident of each service/team will be responsible for assigning and orienting the student to the daily service activities unique to that service at the beginning of the rotation.

PATIENT ASSIGNMENT
The Chief/senior resident of each service/team will be responsible for assigning 1-2 patients to each student on the service. Patients will be assigned daily for the subsequent day. Students are expected to pre-round on the assigned patients and be prepared to present those patients assigned during morning rounds.

OR CASE ASSIGNMENT
The Chief/senior resident of each service/team will be responsible for assigning OR cases to each student on the service. Students will be assigned to a variety of cases, and are expected to follow those patients assigned throughout the patient's course on the service. OR cases will be assigned daily for the subsequent day, and the variety of the case assigned are subject to case availability. Students should prepare for each OR case by reading applicable chapters in their texts.

LOGBOOKS
All students are required to maintain a patient logbook on all patients assigned to them over the course of the eight weeks. The information in the logbook will be utilized during the oral examination given at the end of the clerkship.

ATTENDING OFFICE HOURS ASSIGNMENT
Each student will be scheduled to participate in an attendings office hours at least one time per week.

FEEDBACK
The Chief/senior resident of each service/team will be responsible to meet with students one time per week in order to provide feedback to students regarding their progress on the service. Students are expected to actively solicit verbal feedback throughout all clinical activities in which they participate and from all faculty and residents with whom they interact with on the service.

SURGICAL CLERKSHIP ROTATIONS

GENERAL SURGERY ROTATIONS

Surg I, Surg II, RIH, VAMC, TMH
The role of the medical students on rounds is to assist in the physical examination and wound care of service patients. Students are assigned patients to -pre-round and present on morning and afternoon rounds. Students are expected to be familiar with the events of each assigned patient's day including laboratory and radiology studies.

VASCULAR
RIH
Students should acquire basic skills of history taking and physical diagnosis of peripheral vascular disease as well as the management of complex wounds. Students will have opportunities to observe and participate in carotid, aortic and peripheral vascular procedures.

TRAUMA
RIH
The student role on this rotation is to observe and participate in a limited fashion in the assessment and management of acutely injured individuals. There will be opportunities for suturing of lacerations, and exposure to orthopaedic and neurosurgical injuries. Students are expected to attend all traumas.

SICU
RIH
Students are exposed to the management of critically ill surgical patients. They will observe all phases of acute surgical care from resuscitation through management of complications including multiple organ system failure. There will be opportunities for students to participate in procedures including placement of central and arterial lines.