Surgery (VS)

This subinternship allows the student to learn about the multi-disciplinary approach to bariatric surgery, its indications, types of bariatric surgery, post-operative care of these patients, and evaluation and management of complications thereof. During this subinternship, the student will gain a familiarity with the anatomy and pathophysiology of conditions addressed by and related to bariatric surgery. The student also has the opportunity for exposure to non-bariatric cases, with minimally invasive foregut surgeries and hernia repairs. The student will learn the principles and applications of laparoscopy. Many cases include upper endoscopy. Students will have the opportunity to assist in the care of patients in the hospital ward, the emergency room, the operating room, and clinic. This subinternship takes place at the Saint Raphael Campus, with a few scheduled cases occurring at the York Street Campus.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: N/A  

Student's Class Level: 4th, 5th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes

Learning Objectives

This rotation provides students with an intensive exposure to preoperative and postoperative management of adult and pediatric cardiac surgical patients and to intraoperative conduct of surgical procedures, with active participation in the operating room and in regular conferences. Students attend regular seminars covering major areas of cardiac surgery with members of the faculty, and may be required to present a seminar on a subject in cardiac surgery to faculty and resident staff.

Length of Rotation: 4 weeks (maximum-4 students)

Scheduling Restriction: N/A 

Student's Class Level: 3rd, 4th, 5th years

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes

Learning Objectives

This elective entails an intensive exposure to laboratory and clinical aspects of cardiac transplantation. Special emphasis will be placed on the relationship between ongoing laboratory studies and clinical practice in this field. Students will be involved in the pre-operative assessment of prospective transplant candidates, donor procurement, intra-operative management and postoperative immuno suppression.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: N/A 

Student's Class Level: 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes 

Learning Objectives

The colorectal surgery subinternship affords the student the chance to learn about the surgical care of colon and ano-rectal diseases. This includes infectious, inflammatory, neoplastic, and mechanical pathologic processes. Students will assist in the evaluation and management of patients with colorectal and anorectal disease. There is routine use of endoscopy and laparoscopy during cases. Students will have the opportunity to assist in the care of patients in the hospital ward, the emergency room, the operating room, and clinic. Students may also participate in a precepted experience, with increased responsibility for patient care on the hospital ward, acting as the intern for select weekends. This subinternship takes place at the York Street Campus. 

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: N/A  

Student's Class Level: 4th, 5th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes

Learning Objectives

Students will actively participate in the diagnosis, treatment and operative and postoperative management of patients with congenital heart disease. Daily rounds on adult and pediatric cardiothoracic patients. Students will receive a large exposure to pediatric and adult surgical cardiac ICU care.

Length of Rotation: 4 weeks (maximum-2 students)

Scheduling Restriction: N/A 

Student's Class Level: 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

This elective exposes the student to in-depth clinical and surgical aspects of endocrine surgery. Special emphasis will be placed on the multi-disciplinary approach to the endocrine patient, understanding the laboratory and radiologic studies, cytopathology, biochemical analysis and stabilization of patients preoperatively, intraoperative decision making, as well as postoperative follow-up and outpatient evaluations of patients. Technical skills will be emphasized as well for students interested in improving their surgical hands.

Length of Rotation: 4 weeks (maximum – 2 students)

Scheduling Restriction: N/A 

Student's Class Level: 4th, 5th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes (visiting students must have completed third year clerkships)

Learning Objectives:

  1. History skills. Gather the important information that is needed for endocrine surgery patients history and complete a history in the medical record for at least 5 patients.
  2. Physical examination skills. Complete a pertinent physical examination for the evaluation of thyroid disease. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common endocrine surgical conditions.
  4. Procedural skills. Perform orogastric intubation and Foley catheter placement.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the endocrine surgical team, patients and families.
  6. Career/context: Know the training/career pathway for surgery / endocrine surgery.

Experience the rewarding and meaningful rotation that is the General Thoracic Surgery Subinternship! There is a lot of teaching in the operating room, on the floors, and in the clinics when you are with us. In return, the Subintern will be expected to be a valuable contributing team member during daily rounds, in the operating room, in the outpatient clinics and at conferences. The majority of the patients under the care of the thoracic surgery service include patients with lung, esophageal, and mediastinal malignancies and infections, and many present both diagnostic and therapeutic challenges. In addition to the enriching interactions with the thoracic oncology patients, students will have the opportunity to understand the multidisciplinary approach that is undertaken in the management of these complex patients. If the subinterns are interested, clinical research projects and papers can also be pursued while on the service.

Length of Rotation: 4 weeks (maximum-2 students)

Scheduling Restriction: N/A 

Student's Class Level: 4th, 5th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes

Learning Objectives:

  1. History skills. Gather the important information that is needed for a thoracic surgery history and complete a history in the medical record for at least 6 patients.
  2. Physical examination skills. Complete a pertinent physical examination for 5 preoperative, a postoperative, and nonoperative patients each with lung cancer. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common thoracic surgical issues.
  4. Procedural skills. Actively assist and scrub in thoracic surgery procedures and operations.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the Thoracic Oncology Program care team, patients and families.
  6. Career/context: Know the training/career pathway for thoracic surgery.

This clinical experience is independent of the third-year Surgery/Otolaryngology rotation and takes place on an individual basis.  It includes experience in the operating room, wards, outpatient clinics, conferences, didactics, and tumor board.  The rotation is divided into two-week blocks, including the Head and Neck Service (H&N Cancer/Reconstructive Surgery, Laryngology) and the ENT Specialty Service (Neurotology, Pediatrics, Sinus/Skull Base, Facial Plastics, General). At the end of the rotation, students are expected to give a seven-minute presentation on a topic of their choice at ENT grand rounds.  By the end of the rotation, students should become comfortable performing a thorough but efficient head and neck examination, interpreting diagnostic tests and procedures that can be useful in all medical and surgical subspecialties, and improve their suturing skills.

Length of Rotation: 4 weeks (maximum-2 students)

Scheduling Restriction: N/A 

Student's Class Level: 4th, 5th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes 

Learning Objectives:

  1. History skills. Gather the important information that is needed for the Otolaryngology/ Head and Neck Surgery (Oto/HNS) history and complete a history in the medical record for at least 10 patients.
  2. Physical examination skills. Complete a pertinent physical examination for the evaluation of Oto/HNS on at least 10 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common ear, nose, and throat conditions.
  4. Procedural skills. Perform or assist in: 1) fiberoptic examination, 2) treating epistaxis, 3) draining a peritonsillar abscess, 4) removing foreign bodies, 5) inserting a tracheotomy tube, and 6) reading sinus and neck CT scans.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the Oto/HNS care team, patients, and families.
  6. Career/context: Know the training/career pathway for Oto/HNS.

This clinical experience is similar to the Otolaryngology Subinternship but is only two weeks in duration and allows more flexibility to the student to participate in operations and clinics of their specific interest.  It includes experience in the operating room, wards, outpatient clinics, conferences, didactics, and tumor board.  The rotation is divided into one-week blocks, including the Head and Neck Service (H&N Cancer/Reconstructive Surgery, Laryngology) and the ENT Specialty Service (Neurotology, Pediatrics, Sinus/Skull Base, Facial Plastics, General). At the end of the rotation, the students may (but are not required) to give a seven-minute presentation on a topic of their choice at the ENT grand rounds.  By the end of the rotation, students should become comfortable performing a thorough but efficient head and neck examination, interpreting diagnostic tests and procedures that can be useful in all medical and surgical subspecialties, and improve their suturing skills. 

Length of Rotation: 2 weeks (maximum-2 students)

Scheduling Restriction: N/A 

Student's Class Level: 4th, 5th year

Prerequisite: Completion of third-year clerkships

Accept Visiting Students: yes

Learning Objectives

This subinternship allows students an in-depth exposure to the broad spectrum of pediatric surgical problems.  Specific attention is given to identifying the pediatric patient in crisis, a relevant skill whether or not the student pursues a career in surgery.  Objectives include understanding the correction of major congenital anomalies, management of trauma, care of the critically ill child, and management of solid tumors.  Experience includes in-depth exposure to the pediatric OR, training in neonatal and pediatric critical care, and experience in the pediatric surgical outpatient clinic.  The sub-intern is an integral part of the pediatric surgical team.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: N/A 

Student's Class Level: 4th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes (International visiting students must be fluent in English; this subinternship is under the Department of Surgery and Pediatrics)

Learning Objectives:

  1. History skills. Gather the important information that is needed for the Pediatric Surgery history and complete a history in the medical record for at least 3 patients.
  2. Physical examination skills. Complete a pertinent physical examination for the evaluation of abdominal pain on at least 2 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common pediatric surgical conditions.
  4. Procedural skills. Perform one of the following procedures on at least 5 patients: NG placement, I&D, suturing.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the pediatric surgery care team, patients and families.
  6. Career/context: Know the training/career pathway for pediatric surgery.

This subinternship is a practical experience in the diagnosis and management of vascular disease, including pre- and post-operative care. The scope of the experience includes orientation to the non-invasive vascular diagnostic laboratory, out patient care in the Yale Vascular Center, and in-patient management (including patients in the OR, ICU, and the vascular surgery unit)

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: N/A 

Student's Class Level: 4th, 5th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes

Learning Objectives

The subinternship is designed to provide the student an opportunity to participate in the evaluation and reconstructive surgery of deformity of congenital, traumatic and neoplastic origin. Students will be exposed to patients in the inpatient and outpatient settings as well as operating room experiences supplemented by regular conferences.

Length of Rotation: 4 weeks (maximum-2 students)

Scheduling Restriction: N/A 

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes

Learning Objectives:

  1. History skills. Gather the important information needed for the Plastic Surgery history and complete a history in the medical record for at least 4 (patients/wk).
  2. Physical examination skills. Complete a pertinent physical examination for the evaluation of wounds, hand injury, facial trauma and melanoma (pigmented nevi) on 8 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common conditions: management of open wounds, suspicious nevi, hand & face trauma and requests for cosmetic surgery.
  4. Procedural skills. The student will perform suturing, assisting in the operating rooms, assist in applying splints for fractured digits, change wound dressings, timing and removal of sutures.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the plastic surgery service care team.
  6. Career/context: Know the training/career pathway for Plastic Surgery.

Students participating in a General Surgery elective rotation become an integral part of the residency program as a student member of the resident team and are supervised by the Chief Resident and Attendings on the service. During this rotation, students are fully integrated into the service and are expected to participate in all teaching conferences, Grand Rounds, clinics and attend core curriculum conference two hours per week. Under the supervision of the Chief Resident and faculty, students participate in the management of general surgical in-patients, preoperative evaluations, and outpatient clinics. Our goal is to provide an educational experience that will be of value to the student's eventual practice, regardless of which specialty he or she enters.

Length of Rotation: 4 weeks (maximum-2 students)

Scheduling Restriction: N/A 

Student's Class Level: 4th year 

Prerequisite: N/A

Accept Visiting Students: 

US - yes; International - no

Learning Objectives

This rotation allows students the opportunity of an intensive exposure to surgical aspects of the treatment of cancer in the clinic, hospital and operating room. The interaction between surgery, medical oncology and radiation therapy will be experienced by following patients receiving multiple forms of therapy.

Length of Rotation: 4 weeks (maximum-4 students)

Scheduling Restriction: N/A   

Student's Class Level: 4th, 5th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes

Learning Objectives:

1. History skills: Gather the important information that is needed for the Surgical Oncology history and complete a history in the medical record for at least 5 patients.

2. Physical examination skills: Complete a pertinent physical examination for the evaluation of a breast, liver, pancreas or GI tract problem on at least 3 patients in the pre or post operative setting. The student should demonstrate the ability to perform this pertinent

    physical examination while being observed by at least one attending or resident.

3. Knowledge/diagnostic and treatment skills: Know about common surgical oncology conditions.

4. Procedural skills: Perform skin closure on at least 10 patients undergoing major surgery and foley catheter placement on at least 3 men and 3 women.

5. Attitude:  Demonstrate professional responsibility in working as a team member with other members of the Surgical Oncology care team, patients and families.

6. Career/context:  Know the training/career pathway for the specialty of Surgical Oncology.

This intensive clinical experience emphasizes the preoperative assessment, intraoperative care, and post-operative management of patients suffering end stage organ system failure who are cared for by transplantation. Emphasis also includes the management of immunosuppressive medication regiments and the care of post-transplant problems.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: N/A 

Student's Class Level: 4th, 5th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes

Learning Objectives:

  1. History skills. Gather the important information that is needed for the solid organ transplantation in liver kidney and pancreas history and complete a history in the medical record for at least 5 patients.
  2. Physical examination skills. Complete a pertinent physical examination for the evaluation end stage liver disease on at least 10 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common conditions with liver cirrhosis.
  4. Attitude: Demonstrate professional responsibility in working as a team member with other members of the transplant care team, patients and families.
  5. Career/context: Know the training/career pathway for Transplant Surgery.

The Trauma and Emergency General Surgery Subinternship is a four-week exposure to the urgent surgical care of the critically ill and injured patient including those with penetrating and blunt injuries, surgical emergencies including mesenteric ischemia, bowel perforation, abdominal sepsis, necrotizing soft tissue infections and other urgent surgical conditions. Students will be exposed to the evaluation, medical and surgical management of patients with traumatic and surgical emergencies in the Emergency department, surgical floors, operating rooms and outpatient clinics, and assume supervised primary responsibility for these patients throughout their pre-, intra- and postoperative courses. Options for involvement in clinical research projects are also available.

Length of Rotation: 4 weeks (maximum-2 students)

Scheduling Restriction: N/A 

Student's Class Level: 4th, 5th year

Prerequisite: Completion of third year clerkships

Accept Visiting Students: yes (completion of third year clerkships required for visiting students, section chief's approval for visiting students)

Learning Objectives

This subinternship may be found in Urology under the Elective Catalog Listing.
Students considering this specialty should consider the following electives or subinternships:

Dermatology

  • EL Dermatology Electives

Emergency Medicine

  • EL Emergency Medicine Electives

Frontiers in Medicine

  • EL Frontiers in Medicine Elective

Internal Medicine

  • EL Internal Medicine Analytical Clinical Cardiology Elective
  • EL Internal Medicine Cardiology Elective (VAMC)
  • EL Internal Medicine Cardiology Elective (YNHH)
  • EL Internal Medicine Geriatric Medicine Elective
  • EL Internal Medicine Geriatric Medicine Elective (YNHH/SRC)
  • EL Internal Medicine Palliative/Hospice Medicine Elective (Branford, CT)

Obstetrics & Gynecology

  • EL Obstetrics & Gynecology Outpatient Elective

Orthopaedics and Rehabilitation

  • SI Orthopaedics and Rehabilitation Subinternship

Pediatrics

  • EL Pediatrics Electives
  • EL Pediatrics Cardiology Elective

Surgery

  • SI Surgery Plastic and Reconstructive Surgery Subinternship