The Fourth Year Sub-internship is a 4 week course in Colon and Rectal Surgery designed to immerse the 4th year student in all aspects of Colon and Rectal Surgery at Boston Medical Center. This rotation will provide students with the basic components of colon and rectal disorders and surgeries and the care of patients with these disorders. The student will be an integral part of the surgical team in the inpatient unit, the operating room, and the surgical clinic. The acquisition of knowledge and skills in the care of the colorectal patient will be conducted in the following setting and activities. Colon and Rectal surgery clinic – Shapiro 6th floor 1. evaluation of new and established patients 2. follow-up of medically and surgically treated patients 3. assist in basic endoscopy including anoscopy and proctoscopy 4. assist in office procedures such as drainage of abscesses, excision of thrombosed MASernal hemorrhoids and tags, rubber band ligation 5. assist in wound care 6. assist in ostomy care Emergency department – as above Surgical inpatient service – comprehensive perioperative management The 4th year student will be an integral part of the surgery team on the inpatient units, outpatient clinic, and in the operating room during the 4-week sub-internship. The student will function as acting interns responsible for the evaluation and continued management of their own patients, under the direct supervision of the attending physicians, residents and physician assistants. Specifically, the student will take on the management of at least three new patients each week, and will assume primary responsibility for the care of these patients, with appropriate supervision. In addition, the student will be expected to do the following: perform initial history and physicals, write orders, assist in coordinating care, assist with or perform supervised procedures as applicable and appropriate for the sub-intern, present cases, use evidence-based medicine principles to help guide patient care, participate in teaching sessions, and take at least 2 weekend calls during the 4 week rotation alongside residents and attending physicians. With supervision, the student will also perform or assist procedures as appropriate to educational level and patient safety including venipuncture, IV line placement, arterial blood gas, foley catheter placement, nasogastric tube insertion, preparing and draping for surgery, assisting with surgery, and closure of surgical wounds. All Sub-I activities will be performed under appropriate supervision which can include attendings, residents, APP’s or other qualified individuals on the Service.

Note that this information may change at any time. Please visit the MyBU Student Portal for the most up-to-date course information.