Kansas City University of Medicine and Biosciences - Stethoscope Yearbook (Kansas City, MO)

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The Senlor Year SURGICAL Extern is on a rotating schedule with surgeons in the various specialties. Here he ac- quaints himself with abdominal and thoracic surgery, EENT, obstetrical and orthopedic surgery. The student is responsible for adequate outside preparation on in- dications ior surgery and procedures to be used for surgeries the following day. The extem's day begins promptly at 7:00 PLM. From 7:00 until noon he is scrubbed-in with his assigned surgeon where he is instructed in the proper use oi instruments and surgical techniques. Following the moming surgery the extern accom- panies his assigned surgeon on ward rounds. There he is given instruction on post-operative care and the hazards of post-operative complications. In the afternoons there are regularly scheduled seminars and assignments pertinent to surgery, anes- thesiology, and roentgenology. Time is devoted to history taking and physical examinations on all surgi- cal patients. The student's surgery duty justifies the long ardu- ous hours spent in pouring over the books during his basic science years by helping him realize the import- ance oi a basic knowledge of the human body and correlating this knowledge with the practical applica- tion oi surgery and the other clinical sciences. Surgical Externship

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The Student Doctor ' l- z at ,F , ,H PON entering into clinic duty the student becomes Doctor to his patients. At last one is ready to begin applying the knowledge acquired during the previous three years. I The first day is filled with mixed emotions. The student doctor is ready and he hears the main desk page, Student Doctor Iones, desk please. He hurries with hesitancy to the desk and to his first real patient. After the necessary charts and medical records are secured, the student doctor and the patient report to one of the general clinicians to get the admitting diagnosis. From there the student doctor takes the patient to one of the many examination rooms. An accurate history and a complete physical is taken of the clinic patient. The student doctor 'is now ready to outline therapy for the patient. This may mean further consultation with one of the many certified specialists at the clinic which include intemal medicine, surgery, proctology, derma- tology, pediatrics, gynecology, obstetrics, orthopedics, physical medicine and rehabilitation, radiology, cardi- ology, urology, psychiatry, opthalmology, and otorhi- nolaryngology. After consultation, the student doctor outlines therapy and re-consults with the clinician to study and discuss the proposed treatment. Therapy is began fol- lowing this careful study and consideration. Once the initial therapy has begun the patient is carefully watched by the student doctor of Osteopathy and the course of the disease and treatment is carefully recorded or evaluated by the watchful and careful eye of the doctors of Osteopathy who make up the staff of the clinic. . It does not take long for the student doctor of Osteopathy to realize his great potential in the field of Osteopathic medicine.

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011 Hospital Duty THE day begins at 7:00 ILM. and ends a long twelve hours later for the medical extern. Breakfast from 7:30 to 8:00 then to the respective floor for the daily on- slaught of history and physicals. As part of the educa- tional training program, the student, while doing his- tories and physicals records his findings, makes his diagnosis, suggests his treatment and the patients pro- nosis and later compares his ideas with a member of the department of medicine. Every morning, the extern makes rounds with the staff doctors and various members of the department of internal medicine. Here again, there is much for the embryonic physician to learn under the guidance of a qualified and experienced D.O. In addition to H. and P.'s, there are multiple and varied duties which again are designed to make the senior student better prepared for his entrance into general practice as an Osteopathic Physician. 'l'he duties include such procedures as I.V. medications, dressing changes, O.M.T., assisting field doctors with examinations and personalized patient care. The latter is one of the most important features of hospital duty: that is, the intimate contact between student doctor and the patient. Here is where patient-doctor rapport begins. Seminars are held daily for all extems from 3:00 to 4:00 P.M. The student must prepare a paper dealing with the topic of that day. In addition, student doctors are invited to witness imusual cases or procedures. Pediatric Seminars are held Tuesdays and Thursdays by members of the Department of Pediatrics. Wednes- day afternoon is devoted to the Cancer Detection Clinic under the auspices of Dr. L. R. Hall. To make the extem training program more resili- ent, students are encouraged to follow specific cases of their choosing, from their inception until a final diagnosis and treatment have been completed. Often times this will involve such procedures as radiology, cystoscopy, and orthopedics. The highlights of the senior's thirteen week tour of hospital duty as a medical extern begins when he learns the procedure of the Emergency Room. Here extems observe and assist the interns in emergency treatment of those acutely ill. It is here he begins to apply his years of medical training in practical appli- cation, whether it means suturing a minor laceration or giving extemal cardiac massage. Another fascinating tour in the world of medicine comes with night duty. As an extern progresses in ability and confidence, he begins to assume more responsibility. It is his job as night man to make periodic rounds of the entire hospital. He must be in frequent contact with the charge nurse of every floor and any undue complications are reported to the surgical or medical resident on call. This has been but a bird's eye picture of the fascinating and exciting world we live in as medical extems. Medical Externship ,wg 1 , .335 f - Li -5 , .- f ? -f 1 4, ,ag