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Physician ID:
244
Hours:
Monday - Friday 8 AM to 5 PM
Hours have been provided by the preceptor. Hours are subject to change at the preceptor’s discretion, but the minimum total hours will remain approximately the same.
Location: Austin
This inpatient and outpatient experience will take place approximately 60 miles from downtown Austin.
Inpatient/Outpatient US Clinical Experience in General Surgery in Austin
Specialties: General Surgery
Location: Austin
Price:
Hospital Letterhead: Yes
Faculty Appointment: No
Information about this clinical experience:
This is an inpatient and outpatient rural general surgery experience during which you will be under the supervision of a board-certified general surgeon. In the 1990s, over 25% of rural general surgeons in the U.S. were international medical graduates. Today, IMGs continue to play an important role in providing surgical care to rural populations.
According to the American College of Surgeons, there are 15 general surgery residency programs that have a special focus or track related to rural surgery:
Rural General Surgery Residency Programs
Residency Training in Rural Surgery
Rural Surgery Training Programs in the United States: A Review of the Literature
Rotators will spend most of their time in the operating room scrubbed in with the surgeon or the surgeon's colleagues. On Tuesday and Thursday mornings, the cases will be focused on general surgery and will include breast surgery (biopsy, mastectomy, lumpectomy), cholecystectomy, appendectomy, hernia repair, excision of larger masses, and other procedures. On Mondays and Wednesdays, there will be opportunities to scrub into orthopedic cases (total shoulder, hip, knee replacement; knee/shoulder arthroscopy, fractures). Friday mornings will be spent in the OR performing endoscopies.
When you are not in the operating room, you will be in the outpatient clinic. At times, you will be able to observe procedures in the office, including biopsies and excisions. Patients will also be seen for initial consultations and follow-up visits. Of note, many patients will be seen for wound care.
The attending recommends that students read about the next day's cases to make the most of the learning opportunity in the operating room. Per the attending, a useful resource is Surgical Recall.
During your experience, you will learn the following U.S. medical practices under the preceptor’s supervision:
Taking patient histories.
Performing physical exams under the physician's supervision.
Presenting patients.
Spending time in the operating room (per hospital policy, rotators are permitted to scrub in).
Have opportunities to research the literature to answer clinical questions at the point of care.
Spending time with other healthcare professionals to understand their roles and responsibilities.
The activities above will mostly take place in the outpatient setting. As a result of hospital policies, inpatient activities will be more observational.
Who should consider this rotation:
International medical graduates (IMGs) and students seeking US clinical experience in surgery.
How to obtain a letter of recommendation:
The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft.
During the rotation:
Our team will be checking in periodically with you to ensure that you are having an optimal experience. We encourage you to contact us if you have any questions during the rotation.
Testimonials
Dr. X is an excellent mentor who is truly interested in your learning experience, providing valuable feedback. The doctor likes to discuss relevant Internal Medicine topics, including those that arise from patient encounters and the ones students would like to learn about. In this rotation I was able to see patients with the doctor in the inpatient setting with common infectious diseases like bacterial pneumonia, URIs, C. difficile infection, and UTIs. I also learned about nausea/vomiting, constipation and pain management for hospitalized patients, and attended multidisciplinary rounds where I could see how patient care and discharge involves the teamwork of all services. In the outpatient setting I had the opportunity to see patients independently with common chronic medical conditions like hypertension, diabetes, and hyperlipidemia, as well as perform a preventive evaluation regarding immunizations and screenings for adult patients. When interviewing patients, Dr. X encourages students to ask specific questions that are relevant for the diagnosis and/or treatment plan. The doctor also teaches how to present patients in an organized
manner and write notes in a way that the information is clear to the reader.
JR