General:
Senior Surgery is a required 4 week rotation, with multiple options for students. Students typically do their clerkship at one rotation. They have the choice of working at UH, VA, Kosair, Norton or Jewish. Depending on the service, each team consists of a Chief Resident, 1-2 upper level residents, an intern, 2-3 3rd year students, 1-3 4th year students. Senior students are mostly reponsible for ICU patients, unless they are on a subspecialty service. Patient load is usually 3-5 patients. Students are also responsible for scrubbing in cases.

Service options:
UH General Surgery
UH Trauma
Norton General Surgery
Kosair Pediatric Surgery
Jewish General Surgery
VA General Surgery
Jewish Transplant Surgery
Otolaryngology
Urology
Plastic Surgery
Ophtholmology
Orthopedic surgery

Call:
Students on subspecialty services might not be required to take call- ENT, urology, Plastics, Ophtholmology, Orthopedics. Those on services that require call typicall take call q4-7 with their teams, unlike Junior Surgery where q4 is mandatory. Call days usually begin about 5am, when students arrive at the hospital to see their patients in the ICU and write SOAP notes. During the day, they are responsible for scrubbing cases. During the call night, they help the intern with new admissions H&P notes and floor duties. Post-call morning, students are responsible for writing daily SOAP notes and are usually dismissed around 9am.

Outpatient exerience:
Most of the services have an outpatient clinic component that is required by students. These clinic days are usually 1/2- 1 day/week. Students see a patient, perform physical exam, write a SOAP note and present the case either to a residents or an attending at the clinic. Most patient encounters are either pre-op evaluation or post-op follow ups.

Days off:
Patients are given 4 days off during the 4 week rotation. The surgery department is aware of interview season (November-February). Students have to be aware that 4 interview days overlap their days off. However, most chief residents are flexible to grant a couple more days for interviews if needed.

Grand Rounds: ACB Auditorium
Friday mornings 7am

Residents Conference: ACB Auditorium, following Grand Rounds
Fridays 8am

Quality Improvement Conference (previously, M&M conference): ACB Auditorium
Mondays 4pm

Exam:
There is now an NBME Surgery Examination for the Senior Surgery clerkship. It is the same exam required for the junior clerkship. It is usually on the Thursday of the final week of the rotation. This exam consists of 100 multiple choice questions and is 2 hours and 10 minutes.