Year Four Courses

SURG 710 - General Surgery Acting Internship


Credits: 5


Program Directors:

  • Brian Saunders, M.D.


Administrative Coordinator:

Nancy White, (nwhite@hmc,, 717-531-4345


Contact Information:



Third year core clerkships.


Maximum Number of Students:

See additional information below


When Offered:

All Rotations


Length Of Course:

1 month



7:00 AM, SICU Conference Room



This course is designed to reinforce and expand the principles of General Surgery in the inpatient, outpatient, trauma bay and operating room settings. The 4th year medical student is expected to assume a much greater role in the care and assessment of patients, than occurred during the 3rd year Clerkship. It is anticipated that the 4th year medical student will essentially function as an intern. Emphasis is placed on clinical problem solving in the clinics, on the wards, in the Emergency Department and in the Surgical Critical Care unit. Indications, contraindications, morbidity and mortality associated with various frequently performed operative procedures are to be known by the 4th year medical student by the completion of the rotation. The 4th year medical student is also expected to even more familiar with the pertinent anatomy and the principles of the various operative procedures on which he/she scrubs. Emphasis is also given to teaching the appropriate way to present a patient to colleagues comprehensively and in an articulate and logical way. 


Course Objectives:

1. To solidify the basic knowledge of surgical diseases and trauma acquired during the third year clerkship. This involves the evaluation of patients in the Emergency Department, the Surgical Intensive Care unit and on the wards.
2. To expand the fund of knowledge acquired during the third year clerkship, including pathophysiology, anatomy, and surgical principles.
3. To expand the recognition of clinical presentations of a variety of surgical diseases and develop a broad differential diagnosis.
4. To critically design an appropriate diagnostic plan to rule in or rule out diseases in the differential diagnosis.
5. To know the medical and surgical options to treat surgical diseases and trauma.
6. To understand the principles of evidence based therapeutic options for patients with surgical diseases and trauma patients.
7. To assume the care of several patients with a variety of surgical diseases, to observe the course of the disease and how it is modified by medical or surgical intervention.
8. To assume the total care, as appropriate, of patients initially seen in the clinic or Emergency Department and admitted to the hospital: attending to their needs, developing rapport with them, being with them in the operating room and participating in their disposition at discharge.
9. To further develop interpersonal skills with patients, students, residents, and faculty.
10. To understand the financial aspects and ramifications of surgical intervention and the concept of "best practice".


Additional Information:

Hershey - Totaling 6 slots: 2 Surg. Oncology, 1 Trauma, 1 Emergency General Surgery, 1 MIS (Minimally Invasive Surgery) , & 1 Colorectal Surg.

Lehigh 1 student with prior approval
York 1 student with prior approval

Report To:

NOTE: Students are to contact Nancy White the Friday prior to the start of your A. I. to obtain pager for course.