Lectures & Notes

Because hospital experiences and site patient populations differ greatly you are required to attend a series of reading seminars to level the playing field (Seattle sites only). Topics will encompass the most important surgical problems you will encounter in the future. Even with the reading seminar, however, in order to acquire enough cognitive information about surgery, it will be essential to read the text of your choice to assure that you have sufficient information to pass the final written examination. The reading you do should be completed prior to the seminars for maximum benefit.

The lecture schedule will be distributed on the first day of the clerkship. Please watch your email, as Josh will advise you of any changes that occur midstream.

Acute Abdomen Hepatobiliary
Bowel Obstruction Pediatric Surgery
Breast Disease Peripheral Vascular
Cardiothoracic Plastic Surgery
Endocrine / Melanoma Shock, Resuscitation & Burns
GI Hemorrhage Trauma

Topics to be covered at individual hospitals:
  • Fluid and Electrolytes: Dr. Gary Mann
  • Daily requirements, choice of fluids (composition of saline vs ringer's lactate) with risk and benefits of each, blood gas determinations, common acid base problems and their treatment (including examples of metabolic acidosis and alkalosis, and respiratory acidosis and alkalosis)
  • Pre-operative assessment
  • Cardiac risk: pre-op evaluation of patients with cardiac disease including angina, congestive heart failure, significance of previous myocardial infarction or previous cardiac surgery, activity level, need for medications
  • Pulmonary risk: use of pulmonary function tests
Miscellaneous notes you may find helpful:
Work Hours Policy
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The goals of the medical students and the faculty of the School of Medicine are one and the same: to get the best medical education possible while not ignoring overall health and happiness. Attention needs to be paid to both duty/work hours and personal time.

Work hours rules have been developed for residents, but similar rules have not been developed for medical students. There are obvious differences in terms of goals, reimbursement, and responsibilities between residents and students. Nonetheless, some guidelines for students apply.