Third year clerks spend 8 weeks on the Surgical services at MMC. The rotation is split between time on a general surgical service (3 weeks), surgical ICU, subspecialty service and night float. Students are expected to gain an understanding of the care of the general surgery patient, pre-round on 1-3 patients each morning and present these patients on team rounds, learn basic bedside procedures under supervision, and scrub in on operations as assigned by the service chief. There will be outpatient experiences on each rotation. From one to three times a week the student will spend a half-day in either the surgical clinic or in a private surgeon's office.
During the clerkship there will be lectures, student case presentations and clinical case presentations. The lectures are in general surgical topics and introductions to surgical subspecialties. Many of the lectures are interactive and the students are expected to read relevant chapters in the general surgery text prior to the lecture. Student case presentations are conferences where the students bring cases to present to an attending and their fellow students. Clinical case discussions are conferences where an attending will bring a case to be presented to the students and to be managed by the students.
Final grade is based on evaluations filled out by the Attendings, Residents, PA's and Nurse Practitioners with whom the student works, on a written exam, and on an oral exam. A mid-term review of the student's work is provided. There will be an exit interview at the end of the rotation to provide an opportunity for feedback from the students and to go over the student's performance.
Surgical Acting Internships at MMC are open to any student enrolled in an ACGME-approved Medical School in the United States. An Acting Internship offers students the opportunity to experience MMC and the Portland community while making career decisions. We offer this opportunity on all of our general surgical services, which are listed under description of the program. Regardless of service, however, all AIs will have similar requirements.
Acting Interns at MMC are expected to be integral members of their resident teams, gaining diagnostic and therapeutic skills by starting to manage basic general surgical patients. Please note, MMC provides free housing to all visiting medical students.
Acting Interns will be asked to:
- Pre-round on a small subset of patients each morning and to present these patients on formal team rounds.
- See a basic general surgery consult patient and discuss the diagnosis, further workup and subsequent management with the team and/or the attending.
- See patients in surgical clinics and present them to attendings.
- Scrub as a first assist on at least one case per week.
- Perform basic bedside procedures such as abscess drainage or chest tube placement under close supervision.
- Give a formal presentation on a topic related to their patient care while on service at the completion of their rotation.
- Attend all Department of Surgery teaching conferences, including the Tuesday afternoon resident conference, Thursday morning specialty conference, M&M and Grand Rounds and all service-specific conferences.
- Take call on a roughly q4 schedule.
If you have any questions or would like further information, please contact the Department of Surgery's student coordinator, Karen Breton or (207) 662-6395.
The general surgery residency program utilizes a night float system. Our philosophy allows continuity of care and excellent learning but also emphasizes the need for growth and development outside of residency training. We take duty hours seriously and believe that adequate rest is integral to safe patient care and excellence in education.
Night float residents are on from 5:30 p.m. until 6 a.m. Sunday through Friday. Night float averages 1 month in 4 until the chief year. Chiefs do not participate in night float. There is a Saturday day call team, a Saturday night call team and a Sunday day call team. Residents not on night float take call 2 weekends out of the month. Maine Medical Center utilizes nurse practitioners to assist during transitional time and for protected educational time.
We monitor resident duty hours weekly in order to achieve compliance with the ACGME's new duty hour’s requirements. We support these new requirements wholeheartedly.
Read the commentary published in the Archives of Surgery by the Program Director entitled "Of Puppies and Dinosaurs: Why the 80-Hour Work Week Is the Best Thing That Ever Happened in American Surgery".