Elective in Plastic Surgery

Overall Objectives

To gain a basic understanding of common problems encountered by the Plastic surgeon, including their relevant presentation, pathophysiology, investigations and management.

Specific Objectives

The following is a list of common problems seen by the plastic surgeon. For each problem listed by the end of your rotation, you should be familiar with their clinical presentation, pathophysiology indicated investigations and basic management.

  • Elective hand and peripheral nerve diseases: Dupuytrens Contracture, Trigger finger, Carpal tunnel Syndrome, Cubital Tunnel syndrome, Tumors of the hand, arthritis
  • Emergency Hand and nerve diseases: Tendon lacerations, infections, fractures, amputations, nerve injuries
  • Benign and malignant skin lesions: cysts, lipomas, nevi; basal cell, squameous cell, malignant melanomas
  • Facial trauma: soft tissue and musculoskeletal
  • Burns
  • Acute and chronic wound care
  • Post-traumatic and cancer reconstruction: breast cancer, head and neck, upper-extremity, lower-extremity, chest wall, hand
  • Microsurgery for nerve, vessel and flap reconstruction

Important Information About the Rotation

  • Ambulatory clinics are held by one or two plastic surgeons on Wednesdays and Fridays beginning at 0830, Module K at the Ottawa General Hospital.
  • Operating rooms for plastic surgery run most M, T, T, F beginning every morning at 0800, at the General or Riverside Hospitals. Check with the main OR desk for specific surgeon's room assignment or case list. Call 78409.
  • The Divisions of Plastic Surgery and Orthopedics conducts didactic teaching rounds on upper extremity issues every Friday morning. These are usually held at 0715 in the Conference Room Othopedics ward 6 th floor OGH, but check the schedule to confirm.
  • National Capital Society Meetings are held monthly with an opportunity to present a seminal or research project. Please check schedule to confirm and arrange with the research coordinator Dr Rockwell. 613-736-6555.
  • Ward rounds to be arranged with the on-service resident through locating at 78222.

Rotation recommendations

  • For 2 week rotations, spend at least 4 out of your 10 days in clinic. Clinic provides the opportunity to see and review many patients with a plastic surgeon.
  • Before going to clinic in the morning and after clinic is completed in the early afternoon, return to the wards to round with the team. This will give you the opportunity to see more acute problems that have required hospitalization or see clinic patients who have been brought in for elective surgery.
  • Try hard to get to the operating room to see surgeries and learn technical skills.
  • Attend all scheduled rounds .

Location: The Ottawa Hospital, General Campus; and CHEO

Duration: 2 4 weeks

No. of Students: 1-2

Available for: 1st, 2nd, 3rd and 4th year students

Evaluation

Evaluations will be based on your attendance, enthusiasm and willingness to learn and participate in day to day activities while rotating through plastic surgery..

References

The following is a list of reference information:

  • Plastic Surgery (section for students and residents)
    • Information about procedures
    • Red Plastics Handbook for Students e-version
  • eMedicine
    • Plastic Surgery, Hand Surgery, Dermatology Sections

Most topics covered in detail

  • Grab & Smith Textbook of Plastic Surgery (available in the library)
  • General Basic Plastics Text
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