Sub-Internship

For any Add/Drop forms to be processed with or without signatures please forward paperwork to:
Mr. Darryl Wilson, the Program Coordinator for the Department of Surgery.
Phone: 718 270-2306. Fax: 718 221-6139.


SURG 4600 - Surgery SubInternship HSCB

HSCB: Clinical experience in the surgical service at SUNY Downstate's University Hospital of Brooklyn and the Kings County Hospitals. More active participation and greater responsibility than during the required Clerkship. Student expected to participate in all conferences at both hospitals and participate in operative experience. Open to students who have completed the third year.
Long Island College Hospital: This one-month surgical rotation is for fourth-year students who have completed their required Clerkship in Surgery.

The student will have increased responsibilities and will be considered an integral part of the surgical team. Abundant clinical activity will be available as well as significant didactic teaching. Conferences include: morbidity and mortality conference, grand rounds, journal club, chief's rounds, vascular surgery conference, radiology conference, and trauma conference. Exposure to the surgical research laboratory with practical experience in the dog laboratory will also be made available to the student. (4.000 Credit hours)

Procedure for Evaluation of Students: Participation and Observation, Clinical evaluation.

SURG 4601 - Gastro. (SUNY Downstate Medical Center)
The goal of this course is to provide an understanding of the particular surgical problems in gastrointestinal surgery. Emphasis is placed on both-inpatient and out-patient services provided by office hours, clinics, ward rounds, and OR experience. Particular emphasis will be placed on complicated colorectal, hepatobiliary and pancreatic surgeries.

Students will be encouraged to work on case reports or individual projects suitable for publication. The instructor's permission must be obtained before taking this elective.

Procedure for Evaluation of Students: Participation and Observation
Special permission is required to take this elective. 4.000 Credit hours

Levels: Doctor of Medicine
Schedule Types: Elective Surgery Department
Course Attributes: Elective

SURG 4603 - Surgical Critical Care LENX

Daily walk rounds and week conferences. Students learn to be familiar with mechnical ventilators, invasive monitors, hyperalimentation, arrhythmia management and fluid/electrolyte problems.
Procedure for Evaluation of Students: Participation and Observation
4.000 Credit hours;
Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Elective

SURG 4604 - Surgical ICU KING
Two or four weeks clinical experiences in the surgical intensive care unit (SICU) expose the student to problem-solving and patient management responsibility for the critically ill surgical patient. Emphasis is on fluid and electrolyte disorders, critical care drugs, respiratory physiology, ventilatory management, surgical nutrition, hemodynamic monitoring, and postoperative complications. Daily work and attending rounds, X-ray conferences and participation in procedures (arterial catheterization, endoctracheal intubation, CVP and Swan-Ganz catheterization, and bronchoscopy). Twice weekly seminars to review pertinent topics (e.g. burns, shock, nutrition, sepsis, ARDS). Emphasis is placed on patient safety issues. Procedure for Evaluation of Students: Written evaluation by senior resident or course director.
2.000 TO 4.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective

Medical students get the opportunity for progressive responsibility in the pre-operative and post-operative management of surgical procedures. Participation in the operating room and presentation at departmental conferences is encouraged. Procedure for Evaluation of Students: Participation and Observation
4.000 Credit hours
Levels: Doctor of Medicine
Course Attributes: Elective

SURG 4613 - Ped. Surgery HSCB KING
Clinical experience in the pediatric surgical service, including ward work, operative experience and experience in the pediatric surgical emergency.

room and clinics. Emphasis is placed on pre- and post-operative therapy in infants and children. Procedure for Evaluation of Students: Participation and Observation For any add/drop forms to be processed please contact Mr. Darryl Wilson the Program Coordinator. Phone: 718 270-2306 Fax: 718-221-6139 Email: darryl.wilson@downstate.edu
2.000 TO 8.000 Credit hours

Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Elective

SURG 4615 - Transplan. Surgery HSCB
Clinical experience in solid organ transplantation surgery, including diagnosis, therapy, ward procedures, and special operative procedures. Students will participate in all conferences, operating sessions, ward rounds, outpatient clinics, patient evaluations, lectures and journal club meeting. Procedure for Evaluation of Students: Participation and Observation, Fellow and faculty evaluations. 4.000 Credit hours

Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Elective

SURG 4616 - Trauma Surgery KING
Inpatient trauma services and SICU. Emphasis on resuscitation and management. Includes didactic sessions. The Trauma Service runs the SICU. Resuscitation is coordinated with Emergency Medicine. Senior students participate in resuscitation, operative assistance, OPD evaluation as well as critical care management post-op. Ward rounds are once or twice weekly and a weekly conference is mandatory.

Senior students may be assigned more evening shifts to participate actively in trauma management rather than doing A.M. work rounds, etc. Procedure for Evaluation of Students: Participation and Observation
Credit hours: 4.000
Levels: Doctor of Medicine
Schedule Types: Elective Surgery Department
Course Attributes: Elective

SURG 4620 - Surgical Nutrition HSCB
Students will be active members of the surgical nutrition team where they will make daily rounds with the Parenteral Nutrition Team and participate in nutritional assessments and planning. Students will also observe and assist in procedures related to nutrition including central line placement for Total Parenteral Nutrition and Upper Endoscopy for PEGS and other feeding tubes.

At the end of the rotation, students will be expected to be able to assess a patient for nutritional risk and needs as well as the indications and use of Parenteral Nutrition. Procedure for Evaluation of Students: Participation and Observation, and brief presentation at the end of the rotation. Special permission is required by Dr. Schulze to take this elective.
Credit hours: 2.000
Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Elective

SURG 4621 - Writing in Medicine HSCB
This one-month elective course will consist of biweekly sessions in which we write about our experiences, observations, and interpretations of the clinical practice of medicine. We may use various forms including the essay, short fiction, poetry, and narrative fiction. At least one session will be devoted to each form. The goal of the course is to develop a regular habit of writing and to integrate the writing process into the life and career of the student doctor. Further individual goals for the student attainable in the course may include exposure to a stimulating and encouraging peer community of writers, or preparation of material for submission to a literary journal or competition.

Each class will begin with a brief discussion followed by an in-class writing assignment which may be continued outside of class. Students will be expected to submit a final work at the end of the course. We will share our work in a supportive and constructive environment. Students will be asked to keep a journal throughout this course that may provide resources for future writing ideas. Student learning outcomes will include an enhanced ability to reflect on the challenges of medical training and practice as well as a greater ability to understand the experiences of the patients we care for.

A background in writing is not required. A commitment to developing a regular habit of writing is. The course is open to all genres of writing, though emphasis will be placed on the narrative form.
Levels: Doctor of Medicine
Course Attributes: Reading

SURG 4622 - Wilderness Medicine
Wilderness Medicine focuses on the care of patients in remote and austere environments. While the field shares interests and methods with trauma, critical care, and emergency medicine, all fields of medicine are within its domain. However, wilderness medicine encompasses a unique set of topics which validate it as a separate field of study.

The purpose of offering a Wilderness Medicine course in medical school is to teach fourth year medical students to identify common illnesses and injuries in wilderness and recreational environments. The course will build on anatomy, physiology and clinical medicine which has been learned in the first three years of medical school. We will offer students an opportunity to experience hands-on learning outside of the traditional setting.

Skills stations will be employed and students will work together to assess, stabilize, and manage injured and ill patients in case scenarios. The curriculum will consist of seminars and hands-on scenarios. Topics will include: wilderness trauma emergencies, high altitude medicine, toxic plants, marine medicine (drowning and diving medicine), injury from aquatic animals, envenomations and management of illness in special populations(children, elderly, pregnant women), and traveler's illnesses.

The simulation laboratory of the Emergency Department will provide an opportunity to practice resuscitations, management of the unresponsive victim, management of life threatening conditions including shock, flail chest, surgical abdomen,impaled objects, and eviscerated organs. Management of major orthopedic injuries such as cervical spine fractures, extremity fractures and dislocations will be taught.

Suturing techniques and complex wound management will be learned. Instructors will include surgeons and emergency medicine physicians. 2.000 Credit hours

Levels: Doctor of Medicine
Schedule Types: Elective

SURG 7001 - Tailor-made Surgery Elective
This is a Tailor-made elective. Special permission is required. 2.000 TO 4.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Surgery

SURG 8015 - Surgery Research
This is a Surgery research elective. Special permission is required. 2.000 TO 8.000 Credit hours

Levels: Doctor of Medicine
Course Attributes: Research, Surgery

SURG 9003 - Cardiothoracic Surgery

This is an away elective and must be registered for by the Extramural (Away) Elective application. 4.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Away Elective

SURG 9004 - Surgery, International Elect
This is an International Extramural ( Away) elective. Special permission is required. 2.000 TO 4.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Away Elective, International Elective, Surgery

SURG 9005 - Thoracic Surgery
This is an Extramural (Away) elective. 4.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Away Elective

SURG 9006 - Head and Neck Surgery Away
This is an Extramural (Away) elective. Special permission is required. 4.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Away Elective, Surgery

SURG 9009 - General Surgery Away
This is a Extramural (Away) elective which can only be registered for by completing the appropriate application. 4.000 OR 8.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective Surgery
Course Attributes: Away Elective, Surgery Subinternship

SURG 9181 - Plastic Surgery Away
2.000 TO 6.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Away Elective

SURG 9656 - PEDS Surgery Away
This is an Extramural (Away) elective. 4.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective
Course Attributes: Away Elective

SURG 9752 - Translant Surgery Away
This is an Extramural (Away) elective.
4.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective Surgery Department
Course Attributes: Away Elective

SURG N180 - Surgical Research
Participation in clinical and/or basic research by investigators among the faculty of the Department of Surgery. Projects employ a wide array of methods from patient record analyses, interviews, wet-lab techniques in molecular biology, drug trials, to studies of animal operations, animal behavior, and integrative physiology. The elective provides unique opportunities to learn about experimental design in clinically relevant hypothesis-driven research, conduct of studies and critical evaluation of findings. All projects are inter-disciplinary, thus providing windows into varying fields of medicine including,service, specialties such as imaging, clinical chemistry, statistics and documentation Procedure for Evaluation of Students: Participation and Observation, Research and Written Performance Max Students: 3 Research: Available Course Director: Chongmin Huan, M.D.
Tel: 718 270-6772
4.000 Credit hours
Levels: Doctor of Medicine
Schedule Types: Elective Surgery Department