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Department: MESUR-Surgery
Course: 520-Congenital Heart Surgery

Course Director: Bindi Jayendra Naik-Mathuria, M.D.
Course Faculty: Emmett Dean McKenzie, M.D.,Jeffrey Stephen Heinle, M.D.,Charles D. Fraser, Jr., M.D.,Iki Adachi, M.D.,Lauren Kane, M.D.,Carlos Miguel Mery, M.C.
Elective Location: TCH
Elective Offered Terms:
Months: 1A,1B,1C,2A,2B,2C,3A,3B,3C,4A,4B,4C
Min. Number of Students:Max: 1
Elective Type: Clinical
Credit: 8
Pre-requisites: Surgery
Visiting Student Elective: Yes
Open to International Students: Yes
Grading: H,HP, P, MP, F Narrative Evaluation
Faculty Approval: Yes

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): 5 days/wk Inpatient Ward:
Night Call: Optional Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: Yes Surgery:
Statement of Goals:
The rotation at Texas Children's Hospital (TCH) is designed and organized to introduce the medical student to congenital heart surgery in a setting of optimum patient care. Medical students will participate in all aspects of the assessment, management plan formulation, surgery, and peri-operative care of children and adults with complex congenital heart disease. They will as well have the opportunity to participate in our active pediatric cardiothoracic transplant and assist device programs, which are amongst the most active in the world. The students will be exposed to the many different specialties (i.e. pediatric cardiology, pediatric critical care, pediatric critical care, etc.) that make up our team and have the opportunity to spend time and learn from them as well. Students will be educated in the medical student in the basic anatomy and physiology of the majority of congenital cardiac lesions, and to provide for the medical student with a basis of surgical and non-surgical diagnosis and treatment proficiency for common, uncomplicated congenital heart defects.
Learning Activities
The medical student will be provided with specific reading material. The medical student will be expected to be prepared for rounds starting at 6:30 a.m. and will be permitted to leave once clinic or the OR cases are completed, unless arrangements are made in advance. The lectures and continuing education are important components to the practice of congenital heart surgery; therefore, the student will be expected to attend a variety of ongoing lectures and conferences. The medical student will also be expected to observe cases in the operating theater, assist in the CHS outpatient clinic, attend rounds in the CVICU and on the 15th floor, and assist with research activities (as available). The medical students will not be required to take call, although attendance at CVICU weekend rounds when possible is recommended. Observerships with related specialties, such as pediatric cardiology, echo and CV anesthesia can be arranged upon request. Students will have the opportunity to go on procurement trips to other hospitals in the U.S. if they are interested and see organ retrieval as well as implantation for pediatric heart, lung, & heart-lung transplants.
Evaluation Methods
The medical student will be given the Congenital Heart Surgery Service Clinical Terminology Exam twice during the rotation to assess the student's progress. The exam will be a take home exam, and will be reviewed with Dr. Morales in one of two bi-weekly meetings to take place during the rotation. The exam is used as a guide to determine comprehension and is not graded but to ensure the student has grasped the basic concepts around congenital heart disease. The medical student will also be evaluated based on conduct in the operating theater, respect for departmental and hospital guidelines, attendance, interaction with staff and written work, such as a small research project or physician supervised consult notes. BCM students will receive an evaluation form from the Registrar’s Office with instructions on the completion and submission process. Visiting elective students should provide the Clerkship Coordinator and or the Visiting Elective Coordinator with a required evaluation form from their institution. If the student does not have an evaluation form, Baylor will provide one and have the student evaluated.
When and Where to report on first day of service:
6:30 am; 19th Floor; TCH West Tower
For additional information regarding this elective contact:
Contact Name: Ashley Crummedyo
Contact Phone: 713-798-4163
Contact Fax: 713-798-8941
Contact Location: Cullen Building, Jewish Wing Suite 404D - Surgery Education Office

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