Cardiothoracic Surgery Junior Medical Student Elective

Goal:

The goal of this elective is to provide the student with the opportunity to observe common conditions that effect heart, lung, esophagus and intrathoracic contents that are treated in a surgical fashion. Most commonly, this will involve coronary artery disease and mitral valve disease, lung cancer, emphysema, esophageal cancer, and esophageal reflux.

Objectives:

At the conclusion of this week, the student will be able to:

1. Perform a comprehensive history and physical exam pertaining to the cardiac and pulmonary systems. 2. Describe the management of common cardiothoracic surgical problems. Specifically, coronary artery disease, aortic stenosis, mitral insufficiency, lung cancer and emphysema.
3. Understand the unique perioperative management skills required of the post-operative cardiac patient, including understanding of the Swan-ganz catheter and its use.

Participating Faculty:

• Stephen R. Hazelrigg, M.D.,
• Jacquelyn Quin, M.D.,
• Richard Embrey, M.D.,
• William Pyle, M.D.,
• Carl Arentzen, M.D.,
• William Stevens, M.D.

Course Description:

During the elective, the student will follow the team in the Division of Cardiothoracic Surgery, which includes a third-year general surgery resident, a physician assistant, and the nurses, as well as the CT surgeon, on rounds and in managing inpatient problems. They will also attend surgical clinics to see the patients as outpatients and will scrub in and observe all operations performed in the operating room.

Number of Students: up to 3
Evaluation: The student will be asked to submit a history and physical examination on one of the patients seen during the week. This will be reviewed, returned to the student and discussed. In addition, the student will be evaluated at the end of the week using the standard evaluation form based upon performance in all of the areas, inpatient, outpatient, and operating room.
Call Requirement: None
Contact Person: Tony Grasch, PA-C, MPAS or the third year surgical resident on the service.
Hotline: The next day’s surgery schedule is available via the “hotline” to each hospitals’ cardiac surgery area. St. John’s gets recorded after 4:00 pm. Memorial’s gets recorded after 8:00 pm.

We operate in the cardiac surgery suites on 6D at Memorial Medical Center and the 3rd floor of the Prairie Heart Institute at St. John’s Hospital. If you are not in the operating room we encourage you to join us in the clinic setting or on rounds. Below is the clinic schedule and location:

Monday at 9:00 Drs. Hazelrigg & Quin 1st floor of the Baylis Building
Monday at 9:00 Dr. Stevens 5th floor of the Prairie Heart Institute
Tuesday at 8:00 Dr. Pyle 5th floor of the Prairie Heart Institute
Tuesday at 9:00 Drs. Christy & Quin 2nd floor of the SIU clinics rm 2100
Wednesday at 8:00 Dr. Embrey 2nd floor of the SIU clinics rm 2100
Wednesday at 8:00 Dr. Arentzen 5th floor of the Prairie Heart Institute