I. Course Objectives:

A. Student will be instructed in basic techniques of complex wound management within the general area of plastic surgery including hand, facial trauma, reconstructive, microvascular, and aesthetic surgery.  At completion of the course, students will have obtained a better understanding and a balanced perspective of plastic surgery.

B. Medical Student Educational Goals and Objectives

Students will rotate through four separate facilities while with our department University Hospital-Zale Lipshy; University Hospital St. Paul, UT Southwestern’s Outpatient Surgery Center; Parkland Health & Hospital System, and Children’s Medical Center Dallas

1. Parkland Health & Hospital System

A 1,000 bed hospital district facility with an extensive out patient department with more than 330,000 patient visits and a very active emergency room (more than 122,000 patients per year) and carries a designation of a level-1 trauma center.  Parkland is a primary teaching hospital and offers an excellent grade of responsibility for student education.

a. Rotation objectives at Parkland Hospital provides include: 

Gaining experience and exposure in: hand and microsurgery; craniomaxillofacial trauma management; lower extremity trauma management and reconstruction; plastic surgery of the breast (including immediate and delayed breast reconstruction and breast reduction/ mastopexy); oncological reconstruction;  a broad range of overall reconstructive surgery including burn reconstruction, pressure sores, chest wall reconstruction; aesthetic surgery via the resident cosmetic clinic; service management with faculty, co-residents, medical students and staff.

The Parkland rotation is mixed resident faculty responsible service with a close daily supervision including nights and weekends by the assigned faculty operating room and call schedule.

b. ParklandClinics: 

i. Monday mornings - Hand Clinic

ii. Thursday mornings - General Plastic Surgery Clinic

2. Children’s Medical Center

A 450 bed hospital is the principle pediatric teaching hospital immediately adjacent to Parkland Memorial Hospital.  A resident is assigned to this institution on a full time basis.  Each resident spends six-weeks of his/her junior year and six week of his/her chief year at Children’s.

a. Rotation objectives at Children’s Medical Center provides includes: 

Gain experience and exposure in: broad range of congenital anomalies with significant emphasis on cleft-lip palate; pediatric craniofacial surgery; pediatric trauma/reconstruction management including facial fractures; lower extremity trunk reconstruction and vascular malformation management; service management with faculty, co-residents, medical students and staff.

b. Children’s Clinics: 

 i. Tuesday PM&R clinic

ii. Wednesday afternoon craniofacial clinic

iii. Friday afternoon CMC Hand clinic

3. University Medical Center Hospitals/Ambulatory Clinics; Outpatient Surgery Center; University Hospitals - St. Paul and Zale Lipshy

A 606 bed academic teaching hospital staff exclusively by the full-time faculty offers a wide experience outpatient and same day surgery.  At University Medical Center Hospitals/Ambulatory Clinics a resident is assigned to the institution on a full-time basis.  The hospital is the private university hospital for UT Southwestern Medical Center faculty.

a. Rotation objectives at St. Paul and Zale Lipshy University Hospitals provides includes: 

Gain experience and exposure in: cosmetic and reconstructive breast surgery reconstruction; microsurgery; management of complex wounds; in secondary upper extremity hand reconstruction; laser surgery; cosmetic procedures including facial rejuvenation and body contouring; service management with faculty, co-residents, medical students and staff.

II. Methods of Instruction:

A. Didactic

1. Dr. Kenkel meets with all of the student rotators every Monday morning at 7:30 am in his office WA4.216. 

2. Hand Conferences – Students are required to attend the Plastic Surgery Hand Conferences held Mondays at 6:30 AM in E Bldg., 6^th Floor, E6.224)

3. Additional Plastic Surgery faculty meet with the students on Wednesday mornings at 6:30am to review addition topics related to Plastic Surgery. 

III. Student Responsibilities:

A. Students will be responsible for helping with ward management of the Plastic Surgery patients, admission, history and physical will be obtained in conjunction with the residents. 

B. Students will be accountable to the chief resident on the service and to the faculty members who are staffing the case. 

C. Students will be expected to participate in call responsibilities with the Plastic Surgery residents. 

IV. Students will be involved in surgical cases and will be required to attend all residency and fellowship lectures and conferences related to the residency program.

IV. Method of Evaluation:

A. One written evaluation on each student will be completed by the Faculty Coordinator.  This evaluation shall be a compilation of input provided by all residents, faculty, and ancillary staff with whom the student comes into contact.