Introduction

Surgery is a broad discipline encompassing many subspecialties. Exposure to general surgery and these specialties is limited in the third year of medical school. Further experience in the fourth year of training is designed to enhance the students' knowledge of surgery and also expose the student to an environment that will prepare them to enter and successfully complete resident training following graduation.

Students will participate in both inpatient and outpatient settings with the emphasis on outpatient experience, particularly in the orthopedic AI. Night and weekend call will be expected as part of the AI as it would be for any residency.

4th Year Required General Surgery/Orthopedic Split Acting Internship
Bismarck	Fargo	Grand Forks	Minot
9198	9297	9395	9495
9197		9396

Objectives

A. General Surgery

1. To expose the student to a learning environment that will prepare the student for residency training.
2. To gain a perspective of general surgery at it relates to other disciplines, particularly primary care.
3. Gain experience in the recognition of surgical diseases and their management.
4. Expose the student to technical aspects of surgery and improve their basic surgical skills.
5. Expose students to the management aspects of a surgical practice.

B. Orthopedic Surgery

1. Provide an experience in orthopedic surgery that will help the student understand the relationships of orthopedics with other areas of medical practice.
2. Familiarize the student with the recognition, diagnosis and management of common orthopedic and musculoskeletal problems.
3. Participate in the care of orthopedic problems in the outpatient, inpatient and emergency room.
4. Enhance the technical skills of students, particularly as it applies to the management of orthopedic trauma.

Orthopedic Educational Objectives

Orthopedic Exam

Criteria for Grading

Criteria are similar for both general surgery and orthopedic surgery and will include the following:

1. Assessment of history and physical exam skills.
2. Preparation for clinical encounters with preceptors including those in the operating room.
3. Demonstration of skills relating to the diagnosis and management of patients.
4. Professional conduct including interactions with other medical personnel such as nursing, physical therapy, etc.
5. Availability for and participation in clinical activities as determined by the preceptor.
6. Demonstration of sensitive patient interaction skills and ethical behavior.

Grading will follow recommendations of the School of Medicine and Health Sciences.

August 2008