Undergraduate Medical Education

Undergraduate Medical Education

General Information
Junior surgical clerks and seniors taking surgical electives are given maximum responsibility and opportunity to participate, consistent with safety and high standards, in the care of patients. There is a schedule of visiting faculty from institutions in and outside the Chicago area and a full complement of qualified professionals in other medical and allied fields. Patients at the affiliated hospitals present challenging problems in the management of all states of surgical care. Faculty in the department are currently engaged in research in the areas of shock and critical care, surgical nutrition, neurosurgery, and education.

Required Course
MSUR 700 Surgery Clerkship

The Surgical Clerkship Program is an eight-week rotation in one of six affiliated hospitals: Mount Sinai Hospital Medical Center, Illinois Masonic Medical Center, Condell Hospital, John H. Stroger, Jr., Hospital of Cook County, Lutheran General Hospital, and Swedish Covenant Hospital, under the supervision of Internal Coordinators who are faculty members. Six weeks are assigned to general surgery, and two weeks of one of the following electives: anesthesiology, emergency room, metabolic care, orthopedic surgery, trauma, urology and vascular surgery. As an integral part of the surgical team, the clerks gain clinical experience by participating in clinics, rounds, operative procedures, and on-call duties. They attend the following regularly scheduled surgical conferences: radiology, pathology, tumor, morbidity and mortality, grand rounds, surgical GI conference, vascular, journal club, critical care, surgical indications, basic science, cardiothoracic, orthopedic, surgical nutrition and trauma. The main didactic aspect of the Surgical Clerkship, the weekly Core Lecture Series, correlates with the Core Curriculum and is required by all clerks. The Core Lecture Series is supplemented by tutorials at each hospital. At these sessions, small groups of students meet with an instructor to discuss and correlate clinical and basic science aspects of the current lecture.

Clerkship Director

Lecia Apantaku, M.D.

Internal Coordinators

Mt. Sinai Hospital – Allen Fredland, M.D.

Lutheran General Hospital – Richard Caldwell, M.D.

Condell Hospital – Michael Zdon, M.D.

Swedish Covenant Hospital – James Boffa, M.D.

Illinois Masonic Hospital –

Stroger Hospital - Vivek Chaudhry, M.D.

Sophomore Elective Courses MSUR 600 Electives in Cardiovascular Surgery The student, under the direction of the cardiovascular surgeon, will observe history, exam, and surgery. Relevant clinical correlations to basic science courses will be evident. Some examples of procedures that will be observed: coronary bypass, valve repair and replacement, implantable devices, anti-arrhythmia and revascularization procedures. The student will arrange scheduled visits to the cardiovascular office in Libertyville, so as not to conflict with his or her academic schedule. Spring quarter, 10 weeks. Dr. Phillip Faraci (1 credit).

MSUR 601 Elective in Orthopedics The student under the direction of the orthopedic surgeon will observe history, exam and surgery. Fractured bones, osteoarthritis, rheumatoid arthritis, strains, low back discomfort, and carpal tunnel syndrome are examples of some of the conditions that will be observed. Relevant clinical correlations to basic science courses will be evident. The student will arrange scheduled visits to the orthopedic office in Long Grove, IL, not to conflict with the academic schedule.

Senior Elective Courses

MSUR 800 Acting Internship in General Orthopedics Fourth-year medical students applying for orthopedic residency programs will be given the opportunity to work one-on-one with a practicing general orthopedic surgeon at the Great Lakes Naval Hospital. Students will be given exposure to clinic, inpatient rounds, and the operating room. The level of responsibility will be equivalent to an intern. Students will be given daily lectures to cover general orthopedic topics with an emphasis on sports medicine and arthritis. Students will be expected to present one topic at the end of the rotation selected from patients seen in clinic and will be evaluated on their presentation skills and content. 4 weeks. Dr. Robert M. Tamurian, Dr. Dominick Paparella, and Dr. William Lutes. United States Navy Hospital, Great Lakes.

MSUR 806 Trauma The Department of Surgery at Mount Sinai Hospital Medical Center offers a four-week elective on the Trauma Service that allows the fourth-year student an in-depth opportunity to care for the acutely injured patient.

MSUR 808 General Urology This elective will introduce the student to the principles of urology, basics of urologic disease, diagnostic approaches, and the treatment of urologic problems. Emphasis will be placed on giving the student a working knowledge of urologic problems, i.e., urinary tract infections, obstructive uropathy, urolithiasis, tumors, and congenital defects. The Urology Service at Mt. Sinai Health System of Chicago will be utilized. 2 weeks. Dr. Lynn Blunt, Jr.

MSUR 809 Surgical Critical Care Offered at Mount Sinai Hospital Medical Center, the clinical clerkship in multidisciplinary critical care provides the senior student an opportunity to serve as an active member of a fellow-student team intimately involved in the critical care of patients in the medicalsurgical intensive care units. The clinical experience exposes the student to a wide variety of medical and surgical problems for which the clerk is responsible for diagnosis and treatment under the direct supervision of the critical care fellow and attending physician. The full teaching program includes daily attending rounds, daily critical care conferences, and weekly medical and surgical grand rounds. The clerkship is intended to permit the student to serve as an “acting intern” as a means of enhancing his or her knowledge, skills and judgment in critical care medicine.

MSUR 820 Surgical Subinternship The clerkship is designed to continue surgical training as an extension of the Junior clerkship and is offered at Mount Sinai Hospital Medical Center. The Student Externship provides the senior student an opportunity to serve as an active member of a residentintern- student team intimately involved in the acute care of patients on the surgical service and care of patients in the outpatient department. The clinical experience exposes the student to a wide variety of problems for which the clerks are responsible for diagnosis and treatment under the direct supervision of the resident and attending physician. The full teaching program includes attending rounds, specialty conferences, morbidity & mortality conferences, journal club, and Surgical Grand Rounds. The clerkship is intended to permit the student to serve as an “acting intern” as a means of enhancing his or her knowledge, skills and judgment in clinical surgery.

MSUR 823 Orthopedics Students work directly with the attending and resident staff at Mount Sinai Hospital Medical Center. Management of acute injuries, such as fractures, dislocations and tendinous injuries, is the focus. Students are responsible for the pre- and post-operative care of patients, as well as the principles of rehabilitation. They learn the proper techniques of fracture immobilization (casting, traction, internal fixation). They are expected to perform an in-depth examination and evaluation of the extremities and spinal column.

MSUR 824 Trauma and Critical Care Surgery This is a four-week clinical rotation on an inpatient service at Illinois Masonic Medical Center. The exposure is to the acutely traumatized patient and the critical care, follow-up, and management of these patients. The student functions at an extern level with close observation by the attending staff. Two full-time trauma faculty make rounds seven days a week. Conferences and lectures are primarily clinically based on topics relating to the patient load.

MSUR 825 Otolaryngology This four-week clinical elective gives the student firm foundation for the recognition and appropriate course of action of problems of otolaryngology head and neck surgery. Students are included in all the clinical activities of the instructor. This includes initial and follow-up office visits of all ENT population as well as observation and assistance in the operating room. Topics of general otolaryngology are assigned to the students. Following their readings on the topics, formal and informal discussions are held.

MSUR 842 General Surgery (Lutheran General Hospital) The student will participate as a subintern on an academic General Surgery Teaching Service in which a broad spectrum of surgical diseases are encountered. The student will have the opportunity to provide preoperative, intraoperative, and postoperative care for approximately 75 to 80 operative patients per month. The student will be a member of the team providing care in the Surgical Intensive Care Unit, as well as the step down units. The student will be afforded the opportunity to attend daily SICU teaching rounds. The student will participate in weekly surgical grand rounds, M&M conferences, morning presentations of patient case scenarios, and trauma conferences. The student will be a regular contributor to the case presentations, and will be a key member of the academic team.

MSUR 844 Adult Cardiac Surgery (Lutheran General Hospital) The student will experience full exposure to the general cardiologic surgery disease processes. He or she will encounter inpatient and outpatient care of patients with congenital and adult heart disease, to include valvular and coronary artery disease. The student will function as a subintern on the Academic Cardiac Surgery Service, and will be exposed to the outpatient evaluation and decision-making process regarding preoperative assessment and surgical recommendations following cardiac catheterization, angioplasty, etc. The student will be in the outpatient cardiac surgery office approximately two one-half days per week. There will be no in-hospital call.

MSUR 845 Orthopedic Surgery (Lutheran General Hospital) A senior elective in Orthopedic Surgery includes exposure to an active Emergency Room and patients with variable degrees of orthopedic trauma, preoperative patient evaluation, and intense postoperative care experiences in patients following orthopedic trauma and reconstructive surgery. Two formal teaching conferences are held weekly, and some exposure to orthopedics in an office setting is also included. The student will work closely with an orthopedic resident staff under the guidance of an active faculty of attending orthopedists. Appropriate readings and references will be suggested.

MSUR 847 General Plastic and Reconstructive Surgery (Lutheran General Hospital) The student will be exposed to the full spectrum of General Plastic Surgery in the Outpatient Ambulatory Surgery Center. The spectrum of disease will include congenital, reconstructive, and cosmetic. The student will see patients in the plastic surgeon's offices (adjacent to the hospital), and will be involved in diagnostic and therapeutic decisions prior to surgical intervention. The student will see patients in the plastic surgeon's offices post-operatively. The office hours will be approximately two to two-and-one-half to three days per week with the faculty plastic surgeon in the operating room. Occasional inpatient reconstructive surgical problems will be included. There will be no night call.

MSUR 848 Trauma/Critical Care (Lutheran General Hospital) The student will participate as a subintern on the Trauma Service, and will be responsible for the implementation of diagnostic and therapeutic decisions regarding seriously ill trauma victims, to include those requiring ventilatory support, nutritional therapy, and optimization of hemodynamic parameters. The student will participate in daily morning conferences, weekly trauma conferences, grand rounds, and M&M conferences as they relate to trauma patients and critically ill surgical patients. The student will provide formal presentations of patients to the Trauma academic group on a frequent and regular basis. Student will attend daily SICU rounds.

MSUR 849 Neurosurgery (Lutheran General Hospital) The student will act as a subintern on the academic Neurosurgery Service. The student will be exposed to a broad spectrum of general neurologic diseases involving surgical intervention as a therapeutic modality. The spectrum of patients includes those with neurotrauma, neuro-oncology, congenital neurologic disease, and disease of the spine and peripheral nerves. The student will focus on neuroanatomy, neurophysiology, preoperative and operative decision-making, and the management of neurologic patients pre- and post-operatively.

MSUR 850 General Surgery and Gynecologic Oncology The fourth-year elective student would report and have a relationship with the general surgery attendings who participate in clinical sessions at the Caldwell Breast Cancer Center, Monday through Friday mornings. The student would also interact with Dr. J. Dolan, Director of the Breast Center on Monday afternoons. The fourth-year student would be actively involved in all clinical activities regarding the Breast Center. The student would be expected to attend morning surgical rounds, all 7:00 a.m. surgical conferences, all breast conferences, as well as the Gynecology-Oncology Tumor Conference. The student would also view the diagnostic work-ups for patients who are being seen and evaluated in the Caldwell Breast Center with the attending surgeon, resident staff, and attending radiologists. The student would also participate in assisting at breast as well as Gynecology-Oncology surgical procedures in the main operating room as well as observing the minimally invasive biopsy techniques that are undertaken in the Caldwell Breast Center. All of the activities would take place at Advocate Lutheran General Hospital. 4 weeks. Dr. Bruce J. Stoehr.

MSUR 853 Urology Students will work closely with a urologist in outpatient and inpatient settings, performing physical examinations and assisting in surgery. This elective will introduce students to the principles of urology, basic of urologic disease, diagnostic approaches and the treatment of urologic problems. Emphasis will be placed on giving students a working knowledge of urologic problems such as urinary tract infections, obstructive uropathy, urolithiasis, tumors, and congenital defects. Dr. Peter Vaselopulos. Prerequisite: Successful completion of the third-year surgical clerkship.

MSUR 854 Otolaryngology The student will work closely with the otolaryngologist in outpatient and inpatient settings, performing examinations and assisting in surgery. This elective will introduce the student to the principles of otolaryngology, basics of otolaryngologic disease, diagnostic approaches and the treatment of otolaryngologic problems. Objectives include: 1) function under the supervision of a practicing otolaryngologist; 2) perform examinations on otolaryngologic patients; 3) discuss findings and treatment plans with the supervising physician; and 4) develop and awareness of the various factors and complexities of the patient’s specific conditions that need to be addressed in order to provide optimal care. Dr. Daoud Nissan. Prerequisite: successful completion of the third-year surgical clerkship.

Faculty and Associated Staff

Frank Apantaku, MD, Clinical Assistant Professor
Lecia Apantaku, MD, Associate Professor
Kathryn Bass, MD, Lecturer
Richard Caldwell, MD, Lecturer
Vivek Chaudhry, MD, Lecturer
Raymond Firfer, MD, Clinical Professor
Allan Fredland, MD, Associate Professor
Mark Hill, MD, Clinical Professor
Michele Holevar, MD, Professor
Nedra Joyner-Triplett, MD, Clinical Assistant Professor
Orhan Kaymakcalan, MD, Clinical Assistant Professor
Sung-Tao Ko, MD, Clinical Professor
Hasmukh Patel, MD, Clinical Assistant Professor
Jayantibhai Patel, MD, Clinical Instructor
Prahlad Pyati, MD, Clinical Professor
Robert Richardson, MD, Clinical Professor
Arthur Ross, III, MD, MBA, Professor
Marek Rudnicki, MD, PhD, Lecturer
Hernando Torres, MD, Clinical Professor
Thomas Vargish, MD, Professor and Interim Chair
Stephen Wise, MD, Associate Professor
Robert Yario, MD, Clinical Associate Professor
Phillip Zaret, MD, Associate Professor
Michael Zdon, MD, Professor

 

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