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Medical Student
Clerkship Program
SURGERY(C12A 001)
DEPARTMENT OF SURGERY
FACULTY OF MEDICINE - UNIVERSITAS PADJADJARAN
Dr. Hasan Sadikin Hospital - Bandung
2014
1
Guidebook Medical Student Clerkship Program in Surgery, April 2014
INTRODUCTION
Medical clerkship or clinical rotation is a university based professional
education after completion of bachelor degree in medicine. The
purpose of medical clerkship is to train medical student for medical
andclinical skills, to produce skilled and competent medical doctor.
Profession define as a paid occupation that involves prolongedtraining
and formal qualification, which include development in ethical
reasoning and building a positive attitude.
The goals of medical clerkship professional education is to create
professional medical doctor, with capabilities for self improvement and
enhancement, highly-skilled, ethical and full of compassion to patient,
full responsibility, as well as always up to date in technology. After the
completion of all training, it is expected that the end-product would be
a highly competitive and internationally recognized medical doctor.
During hospital clerkship, it is expected that the student practicing the
Indonesian code of medical ethics, as well as practicing good medical
practice, good surgical practice, and the international code of medical
ethics.
Surgery is a medical knowledge which study not only surgical skills,
but include learning ethics, etiology, epidemiology, pathology,
pathophysiology, treatment and management of disease or
anomalies, holistically, which include medicine or non-surgical
management as well.
The scope of surgery is divided into nine division:
Digestive surgery, Oncologic surgery, Vascular Surgery, Pediatric
surgery, Plastic surgery, Cardiothoracic surgery, Neurosurgery,
Urology, and Orthopaedic.
TMD
2
Guidebook Medical Student Clerkship Program in Surgery, April 2014
CONTENTS
Introduction
Chapter I Preface
Program
description
Vision
and
Mission
.
.
General
objectives
...
Specific
objectives
..
.
Clerkship
duration
...
Clerkship
location
...
.
General
rules
...
.
Night
shift
rules
...
.
Sanction
...
.
Exchange
/
Visiting
Medical
Student
Precautions
...
Chapter II Department Faculties
Teaching
staff
..
.
Medical
Student
Affairs
...
Facilities
.
...
Chapter III Materials and Subjects
Basic competencies in general surgical knowledge
..
Psychomotor
competencies
.
.
List of competencies based on surgical division
List
of
competencies
based
on
clinical
skills
..
List of clinical skills given in undergraduate program
1
4
4
4
5
5
6
6
6
7
8
8
9
10
10
12
12
13
13
13
14
20
24
3
Guidebook Medical Student Clerkship Program in Surgery, April 2014
Teaching
and
Learning
method
......................
Weekly
activities
..
Activity
location
..
..
Weekly Schedule for each Division ....
.
Digestive
surgery
..
Oncologic
surgery
...
..
Pediatric
surgery
.
..
Plastic
surgery
.
.
Urology
...
Vascular
surgery
.
.
Orthopaedic
.
.
Neurosurgery
...
.
Cardiothoracic
surgery
.
Chapter V Evaluation
Mini
Clinical
Examination
..
.
Direct Observational Procedural Skills (DOPS) .
Final
Examination
...
.
Professional
behavior
evaluation
..
Scoring
..
Mark
conversion
..
25
25
25
26
27
28
28
29
30
31
32
33
34
35
36
37
37
38
38
38
39
40
40
40
4
Guidebook Medical Student Clerkship Program in Surgery, April 2014
40
Chapter I Preface
5
Guidebook Medical Student Clerkship Program in Surgery, April 2014
Program description
Medical clerkship in surgery (Program studi profesi dokter PSPD,
code C12A 001) is part of medical clerkship program in Faculty of
Medicine Unpad. This is one of four major 9 weeks clerkship rotation
program. In this surgery rotation, the student will learn knowledges
and basic skills in surgery, with the hope it will fulfilled the
competencies for medical doctor based on Indonesian standardized
medical doctor competencies (standar kompetensi dokter Indonesia SKDI).
Vision and Mission
In accordance with faculty of medicine's vision: To become center of
education and research with superiority in the field of medicine and
health, as well as holistically integrated community service, which
lead to enhance the dignity of people and country.
To anticipate the rapid change in the field of health science and
technology, as well as new paradigm in management of higher
education, faculty of medicine universitas padjadjaran reveal its
mission:
a. To enforce integrated medical education and health system, with
the end results skilled and virtuous physician with superiority in
molecular technology.
b. To increase quality and quantity of health and medicine research
which nationally and internationally competitive.
c. To deploy and apply medical science and technology for public
welfare and to enforce professional community service with a goal to
increase national health
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
2.
to other day.
On the working day, night shift starts at 04:00pm to 07:00am
the next day.
4. Night shift on Saturday, Sunday, or public holiday, divided into
two shift: first shift started at 07:00am 07:00pm, and second
shift at 07:00pm 07:00am the next day.
5. If the student must leave the duty for important purpose,
he/she must ask permission to the chief resident on duty.
6. If the student arrive late more than 15 minutes without any
notes (preceptorship, or involved in surgery), student are not
allowed to join the night shift and must reschedule the night
shift on other day.
7. Student must fill the logbook
8. During the night shift student must wear night shift attire
(scrub suit). Student are not allowed to wear scrub suit
outside the hospital.
9. Night shiftJockey is strictly prohibited
10. The night shift consultant surgeon is the on-duty surgeon.
11. Night shift free only allowed one night before the final
examination; The last night shift is on the last Sunday which
ended at 07:00pm.
3.
Sanctions
1. The maximum absent is 3 day (not necessarily consecutive).
Absent for more than 3 day (with permit letter or doctor reference)
will be considered as resignation from clerkship in surgery.
Student must start the clerkship from the beginning.
2. Depend on the division, preceptor might give an assignment to
replace the absent day.
3. Student who is absent for more than 1 day without permit letter or
doctor reference will be considered as resignation, and need to
report to faculty clerkship coordinator.
4. If the student involved in indisciplinary action, against the
academic norm or if the student involved in crime (including
jockey), student will be expel from the clerkship and returned to
the faculty clerkship coordinator.
5. Late attendance: 10-30 minutes, subjected to assignment. More
than 30 minutes late will be considered not present
of medicine Unpad.
Exchange or visiting student are not subjected to the above rules, but
student with unaccepted behaviour will be ask to resign from the
department.
Precautions
Hasan Sadikin is a large hospital with thousands of people in and out
every day. In this matter, organize or unorganized crime by unknown
people is highly possible. For your protection, please:
1. Take care of your own personal belonging. It is very common for
medical staff, student, or nurses losses their personal belonging
such as cell phone, tablet, laptop, or even their large backpack
in extreme way. Please Do not left personal belonging
unattended.
2. Please wear your identification card, and your white coat inside
the hospital during working time, or your scrub suit during night
shift.
3. Do not charge your electrical device in medical purpose
electrical outlet (such as in emergency room, operating room,
etc.), to prevent electrical shortcut.
4. Please report to the hospital security (do not directly report to
the police) if you witnessing or experiencing any criminal act.
5. If you are dealing with any patients or family with aggressive
behaviour or highly emotional, please do not confront it by
yourself. In some circumstances, report to the security for any
unaccepted behaviour
Health Precaution
In Department of Surgery, it is very likely that you will be expose to
wounded patients or performing invasive procedure to any patient. We
do not know if our patient suffered from infectious disease such as TB,
Hepatitis B, C, or HIV. Please always be CAUTIOUS:
1. Hepatitis B vaccination is highly recommended
2. Consistent in performing Universal Precaution (UP)
3. Wear a mask if there is suspected air-borne disease
10
Guidebook Medical Student Clerkship Program in Surgery, April 2014
Chapter II Staff
Chair
Head of Department
Dr. Dimyati Achmad, dr., SpB(K)Onk
Head of Surgical Residency Program
Dr. Kiki Lukman, dr., SpB-KBD.
Urology
Head of Division
Dr. Bambang Sasongko Nugroho, dr., SpB., Sp.U
Staff
Prof. Dr.Suwandi Sugandi, dr., SpB., Sp.U
Tjahjodjati, dr., SpB., Sp.U
Dr. Ferry Safriadi, dr. SpU
Ricky Ardiansyah, dr., Sp.U
Safendra, dr., Sp.U
Kuncoro Adi, dr., Sp.U
Aaron Tigor Sihombing, Sp.U
Jupiter Sibarani, dr., SpU
Sawkar Vijay Pramod, dr., SpU
Vascular Surgery
Head of Division
Prof. Dr. Hendro Sudjono Yuwono, dr., SpB-(K)V.
Staff
Teguh Marfen Djajakusumah, dr., SpB-(K)V., Mkes
Putie Hapsari, dr., SpB
Cardiothoracic Surgery
Head of Division
Rachim Sobarna, dr., Sp.B., Sp.BTKV(K)
Staff
Dr.Tri Wahyu, dr. Sp.B. Sp.BTKV(K)., M.Hkes
Rama Nusjirwan, dr., Sp.BTKV
Euis Maryani, dr., Sp.B
Plastic Surgery
Head of Division
Hardi Siswo, dr., SpBP
Staff
Lisa Y. Hasibuan, dr., SpBP
Irra Rubianti, dr., SpB., SpBP(K)RE
Ali Sundoro, dr., SpBP
Department of Neurosurgery
Head of Department
Dr. M. Zaffrullah Arifin, dr., SpBS(K)
Staff
12
Guidebook Medical Student Clerkship Program in Surgery, April 2014
Facilities
Facilities in Department of Surgery:
1. Conference room R. Koestedjo, commonly used for emergency
report, journal reading, case report, lecture for medical student
2. Internet through Wi-Fi
3. Discussion room in each division
4. Learning facilities: Surgery clinics (9 clinics division and 1 general
surgery clinic), Surgery Wards (Kemuning, Kana, Anthurium,
and Aglonaema), Central Operating Theater (Emergency, Elective
13
Guidebook Medical Student Clerkship Program in Surgery, April 2014
Level
of
16
competency
Primary
Venous malformation
Capillary malformation
1
1
2
2
2
1
2
4A
2
3A
2
2
3A
3A
3A
2
-
4A
4A
4A
4A
4A
3
3
17
3
3
3
2
4A
3
4A
3
3
2
2
3B
3A
3A
2
3A
3B
2
-
4A
4A
4A
4A
4A
3
2
2
4A
3
4A
3
18
Oxygen therapy
Digestive surgery:
Abdominal wall
1.
Reponible and ireponible hernia (inguinal,
femoral, scrotal)
2.
Incarcerated or strangulated hernia
3.
Umbilical hernia
Acute abdomen
4.
Acute appendicitis
5.
Appendicular abscess
6.
Peritonitis, due to:
4A
2
3B
3B
3A
3B
3B
3B
2
3B
2
2
3A
3A
2
3A
4A
3A
3A
2
2
3A
3B
3B
4A
4A
4A
4A
4A
19
4A
2
4A
4A
4A
4A
2
2
3
2
3B
2
2
2
2
2
2
2
2
3B
2
2
4A
4A
2
2
4A
4A
4A
4A
3
2
2
4A
3
4A
20
Plastic surgery
1.
Cleft lip and Palate
2.
Angina ludwig
3.
Lacerated wound
4.
Perforated, penetrated wound
5.
Maxillofacial trauma *
6.
Peritonsillar abscess
7.
Hidradenitis supurativa, carbuncle
8.
Ingrowing toenails
9.
Ganglion cyst
10. Lipoma
11. Burn, 1st and 2nd degree
12. Burn, 3rd degree
13. Burn, chemical
14. Burn, electrical
List of Clinical Skills:
Infiltration anesthesia
Local nerve block
Topical anesthesia
Wound suturing
Suture removal
Analgesic administration
Incision and drainage of abscee
Excision of benign skin tumor
Wound care
Rozerplasy
Bandaging
Urology
1.
Benign Prostatic Hyperplasia
2.
Urethral rupture
3.
Bladder rupture
4.
Kidney rupture
5.
Torsion of Testis
6.
Urethral stricture
7.
Varicocele
8.
Hydrocele
9.
Urinary stone disease or urinary calculi
10. Priapism
11. Renal colic
12. Asymptomatic urinary tract stone disease
13. Urinary tract infection
2
3A
4A
3B
3A
4
4
4
4A
4A
3B
3B
3B
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
2
3B
3B
3B
3B
3A
2
2
3A
3B
3A
3A
4A
21
4A
4A
4A
4A
3
1
3
4A
3
3
4A
4A
4A
2
1
2
4A
2
1
4A
4A
3A
2
2
2
1
2
2
1
1
1
2
22
22. Lymphadenopathy
23. Lymphadenitis
List of Clinical Skills:
General and Breast Examination
Self-Breast examination education
Thyroid palpation
Axillary lymphatic node palpation
Salivary gland palpation
Lymph node examination
Orthopaedic surgery
Trauma
1.
Open fracture, close fracture
2.
Clavicle fracture
3.
Pathologic fracture
4.
Fracture and disclocation of vertebrae
5.
Extremity disclocation
6.
Join trauma
7.
Achilles rupture
Degenerative
8.
Osteoarthritis
9.
Osteoporosis
10. Spondilitis
Others
11. Primary and secondary bone tumor
12. Osteomyelitis
13. Congenital malformation
14. Carpal tunnel syndrome
15. Tarsal tunnel syndrome
List of Clinical Skills:
Gait inspection
Supine-backbone inspection
Moving-backbone inspection
Extremity muscle tone inspection
Extremity join inspection
Inspection of backbone and pelvic postural
Inspection of scapular position
Inspection of spine flexion and extension
Assesment of lumbal flexion
Assesment of flexion, extension, adduction, abduction
and rotation of Hip
Assesment of muscle atrophy
3A
4A
4A
4A
4A
4A
4A
4A
3B
3A
2
2
2
3A
3A
3A
3A
2
2
3B
2
3A
3A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
23
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
4A
3
4A
3
4A
2
3
2
2
2
3B
2
3A
3A
4A
4A
4A
4A
2
4A
4A
4A
24
3
4A
4A
4A
4A
4A
3
4A
Surgical scrubbing
Gowning
Gloving
Antiseptic technique
Equipment treatment
10. History taking and physical examination in patients with thyroid
disease
11. History taking and physical examination of acute abdomen
12. Nasogastric tube insertion
13. IV catheter insertion
14. History taking and physical examination of jaundice patient
15. History taking and physical examination of groin lump
16. Digital Rectal Examination
17. Urinary catheterization
18. Suprapubic puncture
25
Guidebook Medical Student Clerkship Program in Surgery, April 2014
19.
20.
21.
22.
23.
24.
Circumcision
History taking and physical examination in orthopaedic
Wood splinting and bandaging
Skin traction
Wound toilet and debridement of open fracture
Basic Surgical Skills
BSS instrument and knotting
Local anesthesia
Suturing
Minor surgery
the division / department. Each week, the group will rotate to another
division / department, and will have different preceptor following the
division / department.
In the 3rd or 4th week of rotation, all students will take turns to sattelite
hospital. Each group in division will be divided half; in the first 3 day the
first half will be in sattelite hospital, and the last 2 days will be in Hasan
Sadikin, and vice versa.
Note: in sattelite hospital, the working day is 6 days a week. Students
who are in the sattelite hospital in the last 2 days must present in the
sattelite hospital in Saturday (3 days in sattelite hospital).
The preceptor will at least meet the student 2 hours a day for BST,
CRS, or CSS.
The meeting with preceptor should be with an appointment or
scheduled. It is mandatory for student to have preceptors contact
number.
Place of activities
Learning activities will be conducted in each division / department;
student must adhere to each division / department schedule (except for
general activities such as emergency report).
28
Guidebook Medical Student Clerkship Program in Surgery, April 2014
Tue
Wed
Thu
Time
06-07
07-08
08-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
Activities
Resident round
Emergency report
Daily activities
Break
BST
Night shift
Resident round
Resident presentation
Patients parade
Daily activities
Break
CSS
Night shift
Resident round
Emergency report
Resident case report
Daily activities
Break
CRS
Night shift
Resident round
Grand round
Place
Ward
Koestedjo room
Clinic or OR
Preceptor
ER
Ward
Digestive room
Digestive room
Clinic or OR
Preceptor
ER
Ward
Koestedjo room
Digestive room
Clinic or OR
Preceptor
ER
Ward
Kemuning L. 4
29
Fri
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-11
11-13
13-15
15-09
General Lecture
Daily activities
Break
Mini-Cex
Night shift
Resident round
Emergency report
Daily activities
Break, Friday pray
Daily activities
Night shift
Koestedjo room
Clinic or OR
Preceptor
ER
Ward
Koestedjo room
Clinic or OR
Clinic or OR
ER
Tue
Wed
Thu
Time
06-07
07-08
08-09
09-10
10-12
12-13
13-15
15-06
06-07
07-08
08-12
12-13
13-15
15-06
06-07
07-08
08-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
Activities
Resident round
Emergency report
Patients parade
Grand round
Daily activities
Break
BST
Night shift
Resident round
Referat Residen
Daily activities
Break
CSS
Night shift
Resident round
Emergency report
Daily activities
Break
CRS
Night shift
Resident round
Residen presentation
General Lecture
Daily activities
Break
Place
Ward
Koestedjo room
Onkology room
Kemuning L. 3
Clinic or OR
Preceptor
ER
Ward
Konfrens Onkologi
Clinic or OR
Preceptor
ER
Ward
Koestedjo room
Clinic or OR
Preceptor
ER
Ward
Onkology room
Koestedjo room
Clinic or OR
30
Fri
13-15
15-06
06-07
07-08
08-11
11-13
13-15
15-09
Mini-Cex
Night shift
Resident round
Emergency report
Daily activities
Break, Friday pray
Daily activities
Night shift
Preceptor
ER
Ward
Koestedjo room
Clinic or OR
Clinic or OR
ER
Tue
Wed
Thu
Time
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
Activities
Resident round
Emergency report
Resident presentation
Daily activities
Break
BST
Night shift
Resident round
Pediatric EMG Report
Resident presentation
Daily activities
Break
CSS
Night shift
Resident round
Emergency report
Resident presentation
Daily activities
Break
CRS
Night shift
Resident round
PatientsParade
General Lecture
Daily activities
Break
Mini-Cex
Place
Ward
Koestedjo room
Pediatric Surgery room
Clinic or OR
Preceptor
ER
Ward
Pediatric Surgery room
Pediatric Surgery room
Clinic or OR
Preceptor
ER
Ward
Koestedjo room
Pediatric Surgery room
Clinic or OR
Preceptor
ER
Ward
Pediatric Surgery room
Koestedjo room
Clinic or OR
Preceptor
31
Fri
15-06
06-07
07-08
08-09
09-11
11-13
13-15
15-09
Night shift
Resident round
Emergency report
Grand round
Daily activities
Break, Friday pray
Daily activities
Night shift
ER
Ward
Koestedjo room
Kemuning L. 2
Clinic or OR
Clinic or OR
ER
Tue
Wed
Thu
Fri
Time
06-07
07-08
08-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
Activities
Resident round
Emergency report
Daily activities
Break
BST
Night shift
Resident round
Plastic EMG report
Case report
Daily activities
Break
CSS
Night shift
Resident round
Emergency report
Daily activities
Break
CRS
Night shift
Resident round
Referat Residen
General Lecture
Daily activities
Break
Mini-Cex
Night shift
Resident round
Place
Ward
Koestedjo room
Clinic or OR
Preceptor
ER
Ward
Plastic surgery room
Plastic surgery room
Clinic or OR
Preceptor
ER
Ward
Koestedjo room
Clinic or OR
Preceptor
ER
Ward
Plastic surgery room
Koestedjo room
Clinic or OR
Preceptor
ER
Ward
32
07-08
08-09
09-11
11-13
13-15
15-09
Emergency report
Patients parade
Grand round
Break, Friday pray
Daily activities
Night shift
Koestedjo room
Plastic surgery room
Kemuning L. 4
Clinic or OR
ER
Division of Urology
Day
Mon
Tue
Wed
Thu
Time
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
Activities
Resident round
Emergency report
Patients parade
Daily activities
Break
BST
Night shift
Resident round
Urology EMG report
Patients parade
Daily activities
Break
CSS
Night shift
Resident round
Emergency report
Patients parade
Daily activities
Break
CRS
Night shift
Resident round
Grand round
General Lecture
Daily activities
Break
Mini-Cex
Place
Ward
Koestedjo room
Urology room
Clinic or OR
Preceptor
ER
Ward
Urology room
Urology room
Clinic or OR
Preceptor
ER
Ward
Koestedjo room
Urology room
Clinic or OR
Preceptor
ER
Ward
Kemuning L. 4
Koestedjo room
Clinic or OR
Preceptor
33
Fri
15-06
06-07
07-08
08-11
11-13
13-15
15-09
Night shift
Resident round
Emergency report
Daily activities
Break, Friday pray
Daily activities
Night shift
ER
Ward
Koestedjo room
Clinic or OR
Clinic or OR
ER
Tue
Wed
Thu
Time
06-07
07-08
08-10
10-12
12-13
13-15
15-06
06-07
07-10
10-12
12-13
13-15
15-06
06-07
07-08
08-10
10-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
Activities
Resident round
Emergency report
Science session
Daily activities
Break
BST
Night shift
Resident round
Science session
Daily activities
Break
CSS
Night shift
Resident round
Emergency report
Science session
Daily activities
Break
CRS
Night shift
Resident round
Science session
General Lecture
Daily activities
Break
Mini-Cex
Night shift
Place
Ward
Koestedjo room
Vascular surgery room
Clinic or OR
Vascular surgery room
ER
Ward
Vascular surgery room
Clinic or OR
Vascular surgery room
ER
Ward
Koestedjo room
Vascular surgery room
Clinic or OR
Vascular surgery room
ER
Ward
Vascular surgery room
Koestedjo room
Clinic or OR
Vascular surgery room
ER
34
Fri
06-07
07-08
08-10
10-11
11-13
13-15
15-09
Resident round
Emergency report
Science session
Daily activities
Break, Friday pray
Science session
Night shift
Ward
Koestedjo room
Vascular surgery room
Clinic or OR
Vascular surgery room
ER
Tue
Wed
Thu
Time
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-10
10-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
Activities
Resident round
Emergency report
Resident presentation
Daily activities
Break
BST
Night shift
Resident round
Orthopaedic EMG report
Grand round
Daily activities
Break
CSS
Night shift
Resident round
Emergency report
Science session
Daily activities
Break
CRS
Night shift
Resident round
Orthopaedic EMG report
General Lecture
Daily activities
Break
Mini-Cex
Place
Ward
Koestedjo room
Orthopaedic room
Clinic or OR
Preceptor
ER
Ward
Orthopaedic room
Anthurium/Aglonaema
Clinic or OR
Preceptor
ER
Ward
Koestedjo room
Orthopaedic room
Clinic or OR
Preceptor
ER
Ward
Orthopaedic room
Koestedjo room
Clinic or OR
Preceptor
35
Fri
15-06
06-07
07-08
08-11
11-13
13-15
15-09
Night shift
Resident round
Emergency report
Daily activities
Break, Friday pray
Daily activities
Night shift
ER
Ward
Koestedjo room
Clinic or OR
Clinic or OR
ER
Division of Neurosurgery
Day
Mon
Tue
Wed
Thu
Time
06-07
07-08
08-10
10-12
12-13
13-15
15-06
06-07
07-10
10-12
12-13
13-15
15-06
06-07
07-08
08-10
10-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
Activities
Resident round
Emergency report
Science session
Daily activities
Break
BST
Night shift
Resident round
Science session
Daily activities
Break
CSS
Night shift
Resident round
Emergency report
Science session
Daily activities
Break
CRS
Night shift
Resident round
Science session
General Lecture
Daily activities
Break
Mini-Cex
Place
Ward
Koestedjo room
Neurosurgery room
Clinic or OR
Preceptor
ER
Ward
Neurosurgery room
Clinic or OR
Preceptor
ER
Ward
Koestedjo room
Neurosurgery room
Clinic or OR
Preceptor
ER
Ward
Neurosurgery room
Koestedjo room
Clinic or OR
Preceptor
36
Fri
15-06
06-07
07-08
08-09
09-11
11-13
13-15
15-09
Night shift
Resident round
Emergency report
Grand round
Daily activities
Break, Friday pray
Daily activities
Night shift
ER
Ward
Koestedjo room
NCCU
Clinic or OR
Clinic or OR
ER
Tue
Wed
Thu
Time
06-07
07-08
08-09
09-10
10-12
12-13
13-15
15-06
06-07
07-09
09-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
13-15
15-06
06-07
07-08
08-09
09-12
12-13
Activities
Resident round
Emergency report
Patients Parade
Grand round
Daily activities
Break
BST
Night shift
Resident round
Resident presentation
Daily activities
Break
CSS
Night shift
Resident round
Emergency report
Grand round
Daily activities
Break
CRS
Night shift
Resident round
Resident presentation
General Lecture
Daily activities
Break
Place
Ward
Koestedjo room
Cardiothoracic room
Ward
Clinic or OR
Preceptor
ER
Ward
Cardiothoracic room
Clinic or OR
Preceptor
ER
Ward
Koestedjo room
Ward
Clinic or OR
Preceptor
ER
Ward
Cardiothoracic room
Koestedjo room
Clinic or OR
37
Fri
13-15
15-06
06-07
07-08
08-11
11-13
13-15
15-09
Mini-Cex
Night shift
Resident round
Emergency report
Daily activities
Break, Friday pray
Daily activities
Night shift
Preceptor
ER
Ward
Koestedjo room
Clinic or OR
Clinic or OR
ER
Chapter V Evaluation
Students evaluation will be regularly conducted in the form of BST,
CRS, CSS, and Mini-Cex or DOPS (Direct Observation of Procedural
Skills) by preceptor each meeting time.
Mini Clinical Examination
Mini Clinical Examination (Mini-Cex) evaluation will be conducted by
each preceptor each meeting session with the student.
Mini-Cex rules:
Mini-Cex only allowed to be conducted after student had done
the BST, CRS, and CSS.
All student must have Mini-Cexonce by the preceptor
Timing or schedule for Mini-Cex determined by the preceptor
Mini-Cex procedure:
1. Preceptor determine the Mini-Cex material and case
2. The case for examination will be a real case, and it could be
taken from clinic, ward, or emergency room. The case will be
within SKDI competency.
3. Preceptor will observe and score the student
4. Each student has at least 20 minutes to complete the Mini-Cex,
and after the Mini-Cex student will have feedback from
preceptor.
5. Preceptor will observe and score the following activities:
a. History taking
b. Physical examination
c. Humanism and professionalism
d. Decision in clinical diagnosis
e. Skills and education
38
Guidebook Medical Student Clerkship Program in Surgery, April 2014
During OSCE, bystander resident will assist and help the examiners.
Evaluation of Professional Behavior
This evaluation is not an examination, but is a part of education. The
evaluation will be conducted everyday by behavior observation. The
observation will be conducted by resident, nurses, preceptor, and other
consultant. Behavior to be evaluated:
1. Altruism, Caring, Compassion
2. Respect, Cultural Competence
3. Honesty, Honor, Integrity
4. Excellence & scholarship
5. Dutifulness & Responsibility
6. Communication
Weighted(%)
50%
2. Final Examination
Logbook
50%
*
Professional behavior
Total
30
25
25
10
10
Explanation
Cumulative of 9
preceptors
Behavior,
attitude,
ethics,
discipline
(absent), night shift
OSCE
*Logbook (filled) is a
requirement for judicium
*Observed
Behaviors.
Some
unaccepted
behavior will affect the
judicium
100%
Score
Feedback
In the last rotation day, students will be ask to fill a feedback form.
Please help us to improve the clinical clerkship in surgery by
participating to fill in the feedback form. The form is anonym (we dont
know who write the feedback). Please be honest when filling the form;
there will be no punishment for telling something bad or negative about
the education process.
References
1. Schwartzs Principles of surgery, 9th Ed., McGraw-Hills, 2010.
41
Guidebook Medical Student Clerkship Program in Surgery, April 2014
42
Guidebook Medical Student Clerkship Program in Surgery, April 2014