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Monday – Friday 8 AM to 6 PM (On Wednesday, the preceptor is on call so it is possible that the day could end well after 6 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.
This combined inpatient/outpatient US clinical experience will take place two hours southwest of downtown Houston.
Inpatient/Outpatient US Clinical Experience in General Surgery
What you will do:
You will be under the supervision of a board-certified general surgeon who is a dedicated teacher. Every year, the general surgery residency program at McGovern Medical School at UT Health Science Center sends a resident to rotate with this attending for a period of two months. This attending also teaches and mentors premedical students and PA students.
Although this attending has multiple hospital staff appointments, 90% of the work is performed at a single hospital in Victoria, Texas. This hospital serves not only the patient population of Victoria but serves as a catchment area for the approximately 200,000 patients spread throughout the region surrounding the city, an area that has limited access to surgical care.
Rotators will have the opportunity to spend time in the outpatient clinic, operating room, and on call with the attending. Typical OR cases include laparoscopic cholecystectomy, hernia repair (inguinal, incisional, umbilical), breast biopsy and other procedures, thyroid surgery, and colon resection. Every Wednesday, the doctor is on call. What this means is that the attending is available for emergency cases (e.g., cholecystectomy, colon perforation). While on call, new patient consultations will also be performed, a wonderful opportunity for the rotator to learn how to perform an evaluation of urgent surgical issues. The surgeon is also on call for acute care and trauma cases.
After one week of observation, you will take on an increasing role in patient care (please note that this is not a shadowing observership; you will be actively involved in patient care). This includes the following:
Taking patient histories.
Performing physical exams under the physician's supervision.
Researching the literature to answer clinical questions at the point of care.
Spending time with other healthcare professionals to understand their roles and responsibilities.
Observing a variety of surgeries in the operating room (rotators will be permitted to scrub in).
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. IMGs seeking careers in surgery will find this rotation particularly useful.
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.
This rotation being completely hands on provided a holistic US clinical experience covering major domains like skill development, electronic health records usage, patient communication and reinforcing your hard work to give your best for your residency application. The preceptor is enthusiastic and fun to work with at the same time being encouraging, patient. The attending connected information to broader concepts, communicates goals and expectations, provides accurate evaluation where the learner can improve at regular intervals.