SU391.04 PLASTIC AND RECONSTRUCTIVE SURGERY
SU391.04PLASTIC AND RECONSTRUCTIVE SURGERYSubinternship2008 2009Revised: 11/26/08Location: OVHCOURSE CHAIR:James Bradley, M.D.PHONE #:(818) 364 3194COURSE OBJECTIVES (in order of importance)1.Knowledge in the assessment of plastic surgery related de formities.2.Knowledge in the possibilities of reconstruction.3.Knowledge in the assessment of acute hand injuries andinfections.4.Knowledge regarding the management of cutaneous malig nancies.5.Knowledge in the assessment of functional deformities of thehand.6.Practice in the care of traumatic and surgical wounds, withemphasis on proper tissue handling and wound closure.7.Practice in obtaining history and physical for patients withplastic surgical problems, to have the opportunity to first handevaluate functional and aesthetic deformities.8.Knowledge regarding the various aspects of superficial anat omy, especially the hand and the face.PREREQUISITES: Medicine and Surgery9.Knowledge regarding the evaluation and management ofvarious facial injuries, including fractures.AVAILABLE FOR EXTERNS: Yes10.Observance of evaluation and team approach for facial cleftdeformities.E MAIL:SUPPORTING FACULTY:Drs. Prosper Benhaim, James Bradley, Reza Jarrahy,and Neil Jones.STUDENT COORDINATOR:Lorena PoncePHONE #:(818) 364 3198E MAIL: loponce@dhs.lacounty.govREPORT TO: Olive View Medical Center, 14445 Olive ViewDrive, Sylmar, CA 91342, Room 2B 156.STUDENTS / PERIOD: max 2 minDURATION:31weeks2008 2009 ROTATIONS BEGIN WEEKS:By ArrangementDESCRIPTION: This elective provides the student an opportunity to assist in managing patients with plastic surgery problems at a countyhospital. The student activities in this course closely parallel the daily journey of the plastic surgery resident, usually also fully trained ingeneral surgery. The student assumes responsibilities that are appropriate in the context of this close partnership.COMMON PROBLEMS/DISEASES1. Head and Neck defects and deformities2. Hand Injuries3. Hand infections4. Cutaneous malignancies & benign tumor5. Breast deformities6. Scars7. Facial Injuries, including fractures8. Other soft tissue injuriesSTUDENT :PRIMARY CARE:CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYFELLOWSX RESIDENTSINTERNSOTHER:40%60%APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT:5TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE:18TYPICAL WEEKLY 30 – 7:30Rounds6:30 – 7:30Rounds6:30 – 7:30Rounds7:30 – 1:00Postop Clinic1st Wednesday Cranio faciial Clinic7:15 – 8:15Grand Rounds atOVMC (last week)6:30 – 7:30Rounds7:30 a.m. – 4:00 p.m.Hand Clinic/OR7:30 a.m. – 3:30 p.m.OR at OVMCAM6:30 – 7:30Rounds7:30 a.m. – 3:30 p.m.OR at OVMCPMOR when availableor Clinic1:00 – 4:00Plastic Surgery Clinic5:30 p.m. – 7:30 p.m.Grand Rounds —Plastics at UCLAON CALL SCHEDULE & WEEKEND ACTIVITIES: Rounds and on call responsibilities determined in conjunction with the Plastic SurgeryResident rotating through OVMCADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: This rotation requires that the student have access to a car, as he/she will need to go from one hospital to another.340
SU391.05COMPREHENSIVE WOUND MANAGEMENTSubinternship/InpatientCOURSE CHAIR:J. Brian Boyd, M.D.PHONE #:(310) 222 2760COURSE OBJECTIVES (in order of importance)SUPPORTING FACULTY:Jay Granzow, M.D.STUDENT COORDINATOR:Juanita NavarettePHONE #:(310) 222 27601.Gain an understanding of wound healing according to tissuewounded.2.Describe current concepts of wound healing.3.Describe the reconstruction ladder as it applies t wound heal ing4.Demonstrate the ability—by a full history and physical exami nation—to properly assess a wound and formulate a plan forits closure.5.Apply medical evidence to support decision making—particularly with regard to timing of intervention—when plan ning therapy.6.Interpret the results of tests, specifically wound culture(qualitative and quantitative), bacterial sensitivities, plain X Rays, CT and MRI scans and indicators of nutrition; and thenintegrate these data in formulating the overall management ofa wounded patient.7.Perform the simple techniques of layered wound closure, skingrafting, and application of VAC devices under supervision.8.Assist at complex surgerires for wound repair such as muscu locutaneous flaps and free tissue transfer.9.Identify the costs of managing wounds as inpatients versusoutpatients with visiting nurse support.10.Demonstrate an effective Doctor Patient relationship11.Analyze the use of the health care team in caring for patientsin reconstructive surgery.E MAIL: jnavarette@labiomed.orgREPORT TO: Building E1, Harbor UCLA Medical Center, 7:30a.m., to Juanita NavarettePREREQUISITES: Internal Medicine and SurgeryAVAILABLE FOR EXTERNS: YesSTUDENTS / PERIOD: max 1 minDURATION:32007 2008Revised: 11/26/08Location: HARBOR1weeks2007 2008 ROTATIONS BEGIN WEEKS:2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48DESCRIPTION: The course focuses on the many wounds seen by a busy plastic surgery service in a major county hospital. These may includedecubitus ulcers, limb trauma, meningomyelocele, burns, surgical would infections, gunshot injuries to the face, work related hand injuries, andsimple facial lacerations. The student will learn to assess and treat each and how to integrate knowledge of the individual’s underlying diseases,socioeconomic/family milieux with the wounding process. S/he will become familiar with bandaging and dressings, the choice of suture and nee dle, and the timing of suture removal. The individual will see in patients, OR, ER, and clinic patients and will gain a “soup to nuts” appreciation ofhow the body essentially heals itself. There is 1 resident on the service and 2 interns. The elective student will be placed in the front line and whenon call will generally be the first on the service to evaluate a patient. The student’s hours will stay within ACGME guidelines for resident training.STUDENT EXPERIENCESINPATIENT:50%OUTPATIENT:50%COMMON PROBLEMS/DISEASES1. Complex lacerations, face and hands2. Traumatic soft tissue loss3. Major wound dehiscence4. Compound wounds of the lower limb5. Decubitus ulceration6. Gunshot injuries7. Burns8. Neonatal/pediatric problemsCONSULTATION:PRIMARY CARE:CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSOTHER:50%50%APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT:15 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE:60TYPICAL WEEKLY ayClinicSurgical roundsLaptop roundsCraniofacial/PediatricClinicClinicIntern and StudentPresentationsORTeaching Ward roundIntern and StudentPresentationsWard workORWard workWard workORORON CALL SCHEDULE & WEEKEND ACTIVITIES: Student on call Tuesday & Thursday and for 1 Friday Sunday weekend in the rotation.ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: This is not a ’top heavy’ service: the student will enjoy a high levelof responsibility and involvement in patient care.341
SU394.01MINIMALLY INVASIVE AND BARIATRIC SURGERYSubinternship2008 2009Revised: 12/6/07Location: CHSCOURSE CHAIR:Amir Mehran, M.D., FACSPHONE #:(310) 206 7235COURSE OBJECTIVES (in order of importance)1.To participate in the rapidly evolving field of laparoscopicsurgery, both in the clinic as well as the operating room.2.To understand the advantages and limitations of minimallyinvasive surgery as compared to traditional 'open' procedures.3.To improve technical skills such as laparoscopic suturing andknot tying.4.To perform limited robotic assisted surgery on inanimate mod els.E MAIL:SUPPORTING FACULTY:Erik Dutson, M.D.STUDENT COORDINATOR:Iris MauPHONE #:(310) 206 2567E MAIL: imau@mednet.ucla.eduREPORT TO: Externs report to Iris @ 7:30 a.m. in 72 229CHS. UCLA students contact Iris one week before startingthe clerkship.PREREQUISITES: Surgery and MedicineAVAILABLE FOR EXTERNS: YesSTUDENTS / PERIOD: max 2 minDURATION:31weeks2008 2009 ROTATIONS BEGIN WEEKS:2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48DESCRIPTION: This rotation is primarily for students interested in pursuing a career in general surgery. It is intended to supplement (andnot replace) a general surgery subinternship. Students are expected to participate in the care of surgery patients both in the hospital/clinic and the operating room. Although a formal presentation or paper is not required, students will be required to investigate and leaddiscussions on controversial/unusual topics. Students can participate in didactic and hands on teaching sessions offered to the surgicalhouse staff at the Center for Advanced Surgical and Interventional Technology (CASIT). Students are required to attend monthly journalclubs and other resident teaching conferences. Observation of other services. Services’ laparoscopic cases is highly encouraged.COMMON PROBLEMS/DISEASES1. Bariatric surgery2. Benign disorders of the biliary tract3. Hernias: inguinal, ventral, incisional4. Nonbariatric gastric and intestinal sur gery5. Benign & malignant colorectal disease6. Solid organ surgery (liver, spleen, adre nal)STUDENT :PRIMARY CARE:CLOSE CONTACT WITH:FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSOTHER:75%25%APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT:5TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE:20TYPICAL WEEKLY SCHEDULEHourAMPMMondayResearch1:00 – 5:00ClinicTuesdayWednesday7:30 – 5:00Operating Room7:00 – 10:00Resident Conference/Grand Rounds10:00 – 5:00Operating RoomON CALL SCHEDULE & WEEKEND ACTIVITIES: Call is encouraged but not mandatory.ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:342Thursday8:00 – 10:00Research ClinicalMeetingFridayResearch10:00 12:00Teaching Rounds1:00 – 5:00ClinicResearch
SU394.02MINIMALLY INVASIVE SURGERYSubinternshipCOURSE CHAIR:Shirin Towfigh, M.D.PHONE #:(310) 423 8350COURSE OBJECTIVES (in order of importance)STUDENT COORDINATOR:Sheila YancyPHONE #:(310) 423 3544E MAIL: sheila.yancy@cshs.orgREPORT TO: . Report to Sheila Yancy8730 Alden Drive, 2W, Room 221 @ 8:30 am.PREREQUISITES: All third year core clerkshipsTake an accurate, focused patient history as it relates to thesurgical disease process2.Ability to perform a focused physical exam3.Ability to concisely make a patient presentation at the bedsideand in the clinic setting4.Knowledge of common presentations of gastro osophagealreflux disorder5.Knowledge of chronic medical problems associated with obe sity6.Knowledge of common presentations of pheochromocytomaand other adrenal disorders7.Knowledge of precipitating factors for developing hernias andrisk factors associated with hernia surgery8.Knowledge of indications and contraindications of minimallyinvasive surgery9.Knowledge of indications and contraindications to weight losssurgery10. Knowledge of appropriate use of imaging modalities, such asplain x ray, ultrasound, MRI, CT scan, nuclear medical scan todiagnose or follow up on common solid organ disordersAVAILABLE FOR EXTERNS: YesSTUDENTS / PERIOD: max 1 min31.E MAIL: shirn.towfigh@cshs.orgSUPPORTING FACULTY:Drs. Scott Cunneen, Ted Khalili, Gregg Kai Nishi, EdwardPhillips.DURATION:2008 2009Revised: 12/1/08Location: CS111. Knowledge of abdominal anatomyweeks12. Knowledge of inguinal anatomy2008 2009 ROTATIONS BEGIN WEEKS:2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48DESCRIPTION: This sub internship is intended to provide the student with in depth knowledge of general surgery and weight loss surgeryusing minimally invasive techniques. The student is expected to function at the level of an intern, including pre operative assessment ofpatient in the clinic setting, participation in the operating room and post operative care of the patient either in the intensive care unit or onthe wards. In addition, the student is involved in formal bedside presentations, journal club presentations, and case presentations, whichare teaching sessions that are held weekly or bi weekly.COMMON PROBLEMS/DISEASES1. Gastro esophageal reflux disorder2. Inguinal and abdominal wall hernias3. Morbid obesity4. Adrenal mass5. Splenomegaly6. CholedocholithiasisSTUDENT :PRIMARY CARE:5%95%APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT:20TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE:200CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSOTHER:TYPICAL WEEKLY SCHEDULEHourMondayTuesdayAM7:00 noonOR (Bariatric)7:00 noonOR (MIS)Wednesday7:00 Grand Rounds8:00 –noon(Baraiatric)ThursdayFriday7:00 Educational Conf.8:00 M M Matrix7:00—noonOR (Bariatric)09:00 (Baraiatric)1:00 4:00 OR (MIS)1:00 –4:30 Clinic (MIS)PM4:00 Education Conf.1:00 5:00 OR (Bariatric)1:00 4:30 Clinic (MIS)4:1:00 4:30 Clinic (MIS)5:00 –6:00MIS/ Bariatric M MON CALL SCHEDULE & WEEKEND ACTIVITIES: No on call.ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: No on call, however, the student is expected to participate inweekend rounds for routine patient care. NOTE: 4 week rotations are available. Please inquire.
SU410.01GENERAL SURGERY: VASCULARSubinternship/Inpatient2008 2009Revised: 12/13/07Location: CHSCOURSE CHAIR:Peter F. Lawrence, M.D.PHONE #:(310) 267 0182COURSE OBJECTIVES (in order of importance)1.Work up at least three patients/week and caring for a minimumof four patients at a time as inpatients. Patients are presentedto the team initially and on teaching ward rounds with thefaculty.2.Scrubbing on an average of at least one case per day.3.Presenting patients on morning walk rounds.4.Presenting patients in vascular teaching conferences.5.Attending vascular clinic at least once per week.6.Observing the performance of diagnostic tests on patients inthe noninvasive vascular lab.7.Attending all teaching conferences organized by the depart ment of surgery.8.Attending all vascular surgery teaching conferences.9.Learning to use the computer system in patient care.E MAIL:SUPPORTING FACULTY:Wesley Moore, M.D., William Quinones, M.D., David Rigberg,M.D, Hugh Gelabert, M.D., Brian DeRubertis, M.D., and JuanCarlos Jimenez, M.D.STUDENT COORDINATOR:Iris MauPHONE #:(310) 206 2567E MAIL: imau@mednet.ucla.eduREPORT TO: Externs report to Iris @ 7:30 a.m. in 72 229CHS. UCLA students contact Iris one week before startingthe clerkship.PREREQUISITES: Medicine, Surgery, PediatricsAVAILABLE FOR EXTERNS: YesSTUDENTS / PERIOD: max 2 minDURATION:31weeks2008 2009 ROTATIONS BEGIN WEEKS:2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48DESCRIPTION: This program is designed for the student interested in advanced study in Surgery. The student functions essentially as asubintern, participating in rounds, operating room responsibilities, surgical ward responsibilities, teaching conference, and special tutori als.COMMON PROBLEMS/DISEASES1. Aorto iliac occlusive disease2. Femoral popliteal occlusive disease3. Cerebrovascular insufficiency4. Aneurysm disease abd. & peripheral5. Deep venous insufficiency6. Thoracic outlet syndrome7. Vasospastic disease8. Varicose Veins9. Wound CareSTUDENT :PRIMARY CARE:CLOSE CONTACT WITH:X FULL TIME FACULTYX CLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSOTHER:5%95%APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT:10TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE:38TYPICAL WEEKLY SCHEDULEHourMondayAM7:00 – 8:00Ward Rounds(1st Monday 7:00 Rad.Conference)8:00 – 12:00Vascular Surgery Clinic1:00 – 3:30Vascular Surgery ClinicPM4:00 – 5:00 Conference5:00 General SurgeryM&MTuesday6:30 – 7:15Ward Rounds7:45Operating Room/Vascular Surgery ClinicOperating Room/Vascular Surgery ClinicEvening RoundsWednesdayThursday6:00 – 7:00Ward Rounds7:00 – 10:00 SurgeryGrand Rounds10:00 Operating Rm/Vascular Surgery Clinic6:45 – 7:30Ward RoundsOperating Room/Vascular Surgery ClinicEvening Rounds6:00 (2nd Wednesday)Journal Club7:45Operating Room/Vascular SurgeryClinicOperating Room/Vascular SurgeryClinic4:00 – 4:30 Pre OpConference4:30 – 5:30 Conf.Friday6:45 – 7:30Ward Rounds7:45Operating RoomOperating RoomEvening RoundsON CALL SCHEDULE & WEEKEND ACTIVITIES: Variable according to case load. Monday, 5:00 p.m. Morbidity and Mortality Confer ence.ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:344
SU410.02CARDIAC SURGERYSubinternship/Inpatient2008 2009Revised: 10/8/08Location: CHSCOURSE CHAIR:Mary Maish, M.D.PHONE #:(310) 206 8232COURSE OBJECTIVES (in order of importance)1.Progressive patient responsibilities with capability of evaluat ing and participating in the care of critically ill patients.2.Capability of interpreting chest x rays, pulmonary functionstudies, and cardiac catherization data.3.Familiarity with techniques for monitoring cardiopulmonaryevents, i.e., evaluation of CVP, pulmonary wedge pressure,and blood gases.4.Develop an appreciation for the role of surgery in the patientwith cardiac, pulmonary, esophageal, and other thoracic ab normalities.5.Participate in operative procedures for cardiothoracic diseasesand learn operative techniques.E MAIL: mmaish@mednet.ucla.eduSUPPORTING FACULTY:Drs. A. Ardehali, G. Buckberg, R. Cameron, F. Esmailian, H.Laks, M. Plunkett, R. Beygui, D. Marelli, R. Mahidhara, M.Maish and HolmesSTUDENT COORDINATOR:Maria RileyPHONE #:(310) 825 9820E MAIL: mariley@mednet.ucla.eduREPORT TO: Cardiothoracic Surgery 62 182 CHS.PREREQUISITES: All clerkshipsAVAILABLE FOR EXTERNS: YesSTUDENTS / PERIOD: max 2 minDURATION:31weeks2008 2009 ROTATIONS BEGIN WEEKS:2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48DESCRIPTION: This elective provides an opportunity to participate actively in the care of both pediatric and adult cardiac patients, as wellas those with lung, esophageal, mediastinal diseases. This clinical exposure will be enhanced by didactic lectures and teaching ses sions with the surgical faculty.COMMON PROBLEMS/DISEASES1. Coronary artery disease2. Congenital heart defects3. Lung cancer4. Benign lung lesion5. Acquired valvular heart disease, eso phageal lesions, benign and malignantheart block requiring pacemaker inser tion.6. Mediastinal tumorsSTUDENT PRIMARY CARE:CLOSE CONTACT WITH:X FULL TIME FACULTYCLINICAL FACULTYX FELLOWSX RESIDENTSX INTERNSX OTHER: Nurses5%95%APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT:5TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE:25TYPICAL WEEKLY tion Roundswith residents(4E Nurses Station)6:45 – 7:30 M & M Conf.(62 173)7:30 – 8:30 CT Conf.(63 105)8:30 – 12:00OR/Ward/Library7:00 – 8:00Surgical Grand Rounds(73 105)1:00 – 4:00OR/Ward/Library1:00 – 4:00OR/Ward/Library1:00 – 4:00OR/Ward/Library8:30 –12:00OR/Ward/Library4:00 – 5:00Student Tutorial(Surgeon’s office)4:00 – 5:00Student Tutorial(Surgeon’s Office)4:00 – 5:00Student Tutorial(Surgeon’s Office)1:30 – 2:30Thoracic Tumor Board(B2 161)PM1:00 – 5:00OR/Ward/LibraryThursday8:00 – 12:00OR/Ward/Library8:00 – 12:00OR/Ward/LibraryON CALL SCHEDULE & WEEKEND ACTIVITIES: None. Weekend Rounds—Sat./Sun. A.M.ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:345Friday7:00 – 8:15Transplant meeting(14 214)7:00 – 8:00Thoracic M&M Conf.(Last Fri/mo. 62 173)
SU410.03ADVANCED CARDIOTHORACIC SURGERYSubinternship/Inpatient2008 2009Revised: 12/2/08Location: HARBORCOURSE CHAIR:Bassam Omari, M.D.PHONE #:(310) 222 2747COURSE OBJECTIVES (in order of importance)E MAIL:SUPPORTING FACULTY:Bassam Omari, M.D.STUDENT COORDINATOR:Lilia Stuart, R.N.PHONE #:(310) 222 27471.Understanding of basic cardiovascular physiology.2.Understanding of basic pulmonary physiology and pulmonaryfunction tests.3.Application of basic principles to the intensive care of criticallyill patients with cardiorespiratory disease.4.Understanding of the major categories of cardiac disease:ischemic, acquired valvular, and congenital.5.Understanding of invas
2. Describe current concepts of wound healing. 3. Describe the reconstruction ladder as it applies t wound heal ing 4. Demonstrate the ability — by a full history and physical exami nation—to properly assess a wound and formulate a plan for its closure. 5.
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plastic surgery as a subspecialty, plastic and reconstructive procedures at Duke University were performed by both Dr. Deryl Hart and Dr. Clarence Gardner. In 1934, Dr. Randolph Jones was appointed as the first chief of the division of Plastic Surgery after completing his general surge
Founder New England Society of Facial Plastic and Reconstructive Surgery - Member of the Founders Club, American Academy of Facial Plastic and Reconstructive Surgery. - Sixth International Facial Plastic Surgery Meeting Organizing Committee, Orlando 1998.
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the methods described in ASTM-C181 [4] and ISO 1927-3 [5]. From these results, the WI (based on the four first rams, calculated in Eq. (1) ), the extended WI (based on all 100 rams, calcu- lated in Eq. (2)) and changes in height and changes in density per ram as reported by the auto- mated sand-rammer. The density calculation is based on the .
