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Course Requirements


Course Requirements

This is an eight week Clerkship that introduces students to basic principles of general surgery, subspecialty surgery, anesthesia, and other peri-operative related problems. Daily rounds and faculty/preceptor interactions give students the opportunity to discuss patient problems in detail. Faculty members and residents provide students with regular feedback, advice, and direction.

Students are expected to function as a part of their assigned clinical team. Participation and attendance are essential components of the course. 


Assessment & Grading

The grade is broken down between Clinical Performance and Cognitive Performance: 

Clinical Performance (50%)

    • Clinical Team Assessment 50% 

Cognitive Performance (50%)

  • Written Exam                             20%
  • Informed Consent Thread           10%
  • Long Case Report                       7.5%
  • Student Presentation                  7.5%
  • Professionalism                          5%

                                              

The Block Co-Directors use the combination of clinical assessment and cognitive assessment to assign the overall course grade.

  • Students should achieve Honors designation for the clinical assessment to qualify for a final grade of Honors. Students should achieve High Pass designation for the clinical assessment to qualify for a final grade of High Pass. A written exam minimum score above the national mean is required in order to receive either honors or high pass.
  • Students receive a final composite evaluation which includes a breakdown of clinical and cognitive performance and summary evaluation comments.
  • Grade assignments will be distributed as up to 20% Honors and 20% High Pass.

 

CLINICAL PERFORMANCE 

Clinical Team Assessment 50%

Members of your clinical teams provide assessments and comments about your performance on the clinical rotations. These assessments reflect your ability to work effectively with peers, residents, staff, and patients. General surgery and anesthesia knowledge, as well as your ability to apply the knowledge to clinical problems, is evaluated. Tardiness and absences from your clinical rotations will affect how your evaluators assess your performance. 

The clinical evaluation grade is determined by several components: 

  • General Surgery:  60%
  • Anesthesia:  30% for students completing one week of anesthesia

                         35% for students completing two weeks of anesthesia

  • Surgical Subspecialties:  5% for one subspecialty and 10% for two subspecialties

The course grading committee will determine the Clinical Team Assessment grade, using the assessments as completed by your evaluators. The grades are: 

H-Student demonstrates advanced level of clinical performance and competency based on assessments of clinical course activities

HP-Student demonstrates above expected level of clinical performance and competency based on assessments of clinical course activities

P-Student demonstrates expected level of clinical performance and competency based on assessments of clinical course activities

F-Student does not demonstrate level of clinical performance and competency based on assessments of clinical course activities

PR-Student demonstrates expected performance/competency in the course requirements after remediation.

IP-Student is unable to or does not complete course requirements during time allotted for the course. 

To be eligible for overall Honors, student must have Clinical Honors in General Surgery or in both Anesthesia and Surgical Subspecialties. 

School of Medicine policy limits the number of students awarded Honors and High Pass to no more than 50% over the academic year. 

The School of Medicine uses the RIME model of assessment. This assessment is designed to demonstrate a student's growth developmentally during the clinical years. Beginning third year students will fall in the range of Novice Reporter to Reporter stage. Students achieve the level of Interpreter to Novice Manager by the end of their 4th year. 

COGNITIVE PERFORMANCE 

Written Examination - 20%

The NBME Shelf Exam for Surgery and surgical subspecialties is taken on the computer on the last day of the course.  It is 100 questions and the student must get 55% of the questions correct in order to pass.  The NBME Surgery Shelf exam allows you two and one-half hours for the exam.  

There is an Anesthesia quiz (23 questions) which is taken on Canvas between 6 am Saturday to Midnight Sunday the weekend after your first week of Anesthesia.  The exam is Pass/Fail and the student must get 50% of the questions correct in order to pass the quiz.  There is one opportunity to retake the quiz if the student fails.  Failure of quiz may influence overall grade.

Professionalism – 5%

Participation and attendance are essential components of this course. Course activities requiring your on time attendance include but are not limited to:

  • Orientation
  • Monday morning didactics
  • Breast clinic at UCH, if assigned
  • Assigned time at Denver Health emergency room
  • Mid-Point Feedback meeting/end of course Town Hall meeting
  • Informed consent session
  • Simulations and small group sessions
  • Written exam

Students are expected to:

  • Contact the appropriate block faculty and student life for all voluntary and involuntary absences.
  • Check email and Canvas regularly for communication about block activities and updates.  Respond within 24 hours to all block emails requiring individual student response.
  • Attend all block conferences and required events and arrive on time to these events.
  • Complete all required coursework and evaluations.
  • Use smart phones and electronic tables with discretion.
  • Wear professional dress. 

Informed Consent – 10%

Required Written Assignment: - Case Presentation Outline -worth up to 10 points

Student must pass this element (receive 6/10) to pass the Perioperative Block.  Assignments receiving a 5 or below must be rewritten and the final grade can only receive a total of 8/10 (2 points will be deducted for the rewrite.).  Specific rubric located on Canvas. 

GRADE REVIEW:

After all grades are assigned for the academic year, the course directors and co-directors will meet in June 2015 to review grades for the past academic year to determine IF grades can be raised for some students. If you wish to have your grade reviewed, please email the course coordinators within thirty days after you receive your grade notification.  Include any information you wish to be considered. This grade review is different and separate from the grade appeals process, covered in the next section below. Requesting a grade review does not constitute a formal grade appeal.

 

Schedule

Sample Course Schedule--times may differ throughout the year 

First Day of Course  Surgery or Anesthesia Grand Rounds 7 a.m. to 9 a.m.
First Day of Course Orientation 9:15 a.m. to 5:15 p.m.
Second Day of Course Complete paperwork at assigned hospitals 7 to 8:00 a.m.
Second Day of Course  Orientation 8:30 a.m. to 5:15 p.m.
Third day of Course Travel to AHEC sites, report to Metro Denver clinical sites As directed by clinical team
Second Week of Course Some students begin anesthesia rotations As directed by clinical team
Third Week of Course Students on electives or anesthesia begin next rotation As directed by clinical team
Fourth Week of Course Students on electives or anesthesia begin next rotation As directed by clinical team
Fourth Friday of Course Mid-rotation meetings with course directors.  AHEC students via phone and fax.  Take your printed log and mid-course review form to your mid-rotation meeting, signed by preceptor/chief resident. 1 p.m. to 5 p.m.
individual times to be determined
Fifth Week of Course Students begin new assignments As directed by clinical team
Sixth Week of Course Students on electives or anesthesia begin next rotation As directed by clinical team
Seventh Week of Course Students on electives begin last rotation As directed by clinical team
Eighth Wednesday Last clinical day for Denver Metro students.  Students at AHEC sites return to Denver.   
Eighth Thursday Informed Consent Session; Informed Consent paper due
No clinical duties
8:30 to 11 a.m.
Eighth Thursday Simulation Sessions at CAPE 11:30 a.m. to 6 p.m.
Eighth Friday Standardized Patient Sessions at CAPE; 
No clinical duties
8 to 11:30 a.m.
Eighth Friday

Written Exam
long case report, anesthesia book, pager, and list of evaluators due

12 to 2 p.m.
Eighth Friday End of course meetings with course directors.  Take your printed log to the meeting.​