Registrar Office

Department of Surgery

A400 Vascular Surgery (Montefiore Medical Center) 
This four week clinical experience is meant to provide an in-depth exposure to vascular medicine and surgery for the medical student who has completed the require Junior year clerkship in general surgery. The student will be an integral part of the vascular surgical service and act as a sub-intern with patient exposure in the hospital through daily rounds and the operating room, and in the office seeing outpatients. Students will participate in vascular surgical procedures, angioplasties, and other newer interventions performed on the service including the management of arterial and venous disease of both the upper and lower extremities. Students will gain a broad experience in caring for patients with lower extremity occlusive disease, carotid Disease, aortic disease and dialysis access. An introduction for the non-invasive vascular laboratory and vascular radiology will also be a part of this elective.

Measurable learning objectives of elective:  
- Be able to take a thorough history and physical exam specifically tailored to Vascular Surgery patients
- Gain a basic understanding of non-invasive Vascular Lab imaging
- Begin to interpret other Vascular imaging
- Be able to formulate a differential diagnosis
- Begin to formulate a treatment plan for patients with Vascular disease

Suggested Textbook(s) information:  
ISBN: 9781455753048
Cost: $409
Title: Rutherford’s Vascular Surgery
Edition: 9th
Author: Cronenwet & Johnston
ISBN: 9781455746019
Cost: $200
Title: Vascular and Endovascular Surgery, Edition: 8th
Author: Moore

Evan Lipsitz, MD
Modules: All
Maximum: 2 students
On the first day students report to MAP 4 at 9:00 am.  Students should call the week prior to confirm.  


A403 Subinternship in Surgery (Montefiore Medical Center) 
**Not offered to International Exchange Students** 
The Department of Surgery Subinternship is a 4th year rotation intended for students planning to pursue surgery as a career. This rotation is focused on preparing students for their surgery internship following completion of medical school.  During the 4 or 8 week rotation students will function as a PGY-1 on the surgery services at the Montefiore Medical Center divisions of Weiler and Moses.  Students can choose between the Weiler and Moses general surgery, trauma surgery and surgical critical care services and may choose to split the rotation into 4 week blocks at two of the three sites depending on particular interests and availability. If the 4 week rotation is selected, students will only rotate on one service.  The rotation options are listed below by site and service. During the subinternship students will have an in-depth exposure to the surgery services which will include seeing patients on the in-patient wards, in the emergency room and in the outpatient clinics. Students will participate in operative cases appropriate for the PGY-1 level of experience and will take call overnight on the general surgery or trauma surgery services averaging once weekly during the rotation.  As a subintern, students will be called first for patient issues on the inpatient wards and will work closely with the overnight consult resident. Subinterns will be responsible for the primary evaluation of some patients and for presenting these patients to chief residents and attendings. Attendance at surgical morbidity and mortality conference and specialty-specific conferences will also be required

Learning objectives of elective: 
The objective of this subinternship is to prepare fourth year students both practically and intellectually for the first year of all surgical residencies. Additional surgery 4th year electives are available to explore the surgical specialties in addition to this subinternship.

Learning experience: 
Responsibilities and duties will include seeing consultations and new patients in the inpatient and outpatient setting, participating in operative cases and following patients both pre- and post-operatively. As a subintern students will function at the level of a first year surgery resident and will be the first call for patient issues on their respective service. Attendance at surgical morbidity and mortality conference and specialty-specific conferences will also be required. In-house call will be required on a regular rotation basis (generally once per week) where the student will see consultations from the in-patient wards and the emergency room. Basic technical skills including suturing, abscess drainage, chest tube placement, venipuncture, IV placement, arterial line placement, (assisting with) central line placement (in the SICU) and first and second assisting in the operating room will be taught and practiced throughout the rotation.

Method of student feedback and evaluation:
Students will be evaluated and given feedback at the mid-rotation for formative purposes by the attendings on their rotation using the Einstein form for mid-rotation evaluation. At the completion of the rotation students will be evaluated by the members of the faculty on the services which they rotated and can solicit letters of recommendation for applications to surgery residency programs.

Modules: All, except 4AZ
Maximum: TBD

Sub-Internship Director
General Surgery
Francis B. Baccay, MD

Subspecialty general surgery
Minimally invasive, bariatric, colorectal, endocrine, upper GI and pancreas, general surgery
Acute care general surgery
General surgery and emergent surgery

Sofia Naz, MD 

Subspecialty general surgery
Minimally invasive, bariatric, colorectal, endocrine, upper GI and pancreas, surgical oncology, general surgery
Acute care general surgery
General surgery and emergent surgery

Prashanth Sreeramoju 

Once registration is finalized it is absolutely essential that the student MUST contact the Course Director for the sites where they will be rotating at least two weeks prior to the rotation start date to allow for specialty assignment and to complete arrangements of computer access, OR scrubs and ID/pass.


A404 Trauma/Acute Care Surgery and Surgical Critical Care (Jacobi Medical Center)
This is a 4 week elective open to 4th year students interested in surgical critical care and trauma/acute care surgery.  During this 4 week elective, the student will get an introduction to the management of the complex critically ill surgical patient or severely injured patient by rotating 2 weeks on in the Surgical Intensive Care Unit (SICU). Students will then rotate 2 weeks on the busiest trauma service in NYC where they will be involved in the surgical and nonsurgical management of injured patients and emergency general surgery (acute care) patients. A student can choose to do the full 4 weeks in the SICU if interested  Since most trauma and emergency general surgery admissions happen at night, the sub intern will do at a least a week of night float while on the trauma service.

Students who have been registered for the elective MUST contact the Administrative Assistant and Course Director at least two weeks prior to the rotation start date to complete arrangements for computer access, ID/pass and when/where to start on first day of rotation.

Melvin Stone, MD
Jacobi SICU Director and Associate Director of Trauma and Surgical Critical Care Services    
Contact: Ms. Evelyn Ramos,, 718-918-5590  
Modules: All
Max: 2 students


A604 Transplantation and Hepatobiliary Surgery (Montefiore Medical Center - Moses)
The student will participate in the inpatient and outpatient care of transplantation surgery and hepatobiliary surgery patients. The student's responsibilities will include:1. Participation in the operating room based upon the student's technical skills. Activities will include multiple organ harvesting, living related and cadaveric transplantation, non transplant hepatic surgery, as well as dialysis access surgery.2. Patient work-ups with day to day follow-up allowing for continuity of care.3. Attendance at outpatient Hepatobiliary and Transplant clinics where patients will be examined and assessed, and reviewed with residents and attending surgeons.4. Attendance at transplant conferences which include a weekly didactic lecture, team selection committee meetings, and hepatic tumor board. During this rotation the student will take call on a regular rotation and function as a PGY-1. By the end of the rotation it is expected that the student will have a good understanding of all aspects of liver and kidney transplantation, including workup of a prospective candidate, management of immunosuppression, post-operative management of transplant patients, and dynamics of multi-organ donation.

Milan Kinkhabwala, MD 
All Modules
Maximum: 1

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