PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Students must have completed their M3 Core Clerkships in Medicine and Surgery.
PURPOSE: The primary goal of the clerkship is to develop the students' basic knowledge, clinical skills, and judgment needed to understand the management of patients during the perioperative period so that anesthetic/surgical risk is minimized. Attempts will be made to facilitate an understanding of the pre-, intra-, and post-operative care of patients that the student may specialize in. The student will gain sufficient knowledge to be able to predict the difficulty of an airway, the specific risks of different surgeries, and potential intraoperative complications (ie hemodynamic and cardiac). The basic skills of maintaining an airway in numerous situations will be taught and practiced thus learning the ASA algorithm for managing a difficult airway. The student can opt to spend more time in the subspecialty of his/her choosing including cardiac anesthesia, pediatric anesthesia, neuroanesthesia, orthopedic, regional anesthesia, obstetric anesthesia and robotic surgery.
COMPETENCIES: In the process of completing this course, the student should be able to manage an airway with mask ventilation, laryngeal mask airway or endotracheal tube. He/she should also be able to understand the risks of anesthesia for individual patients and recognize which patients require further workups prior to surgery. There should also be an understanding of the drug classes that are used in the OR on a regular basis and how they can affect the patient post-operatively. Students will understand the difference of general, regional, and monitored anesthesia care (MAC) anesthesia. The student should gain a knowledge base of the numerous therapies for the treatment of acute pain.
INSTRUCTIONAL FEATURES: All students receive access to Blackboard for assignments. All students assemble at the UIC Clinical Performance Center on Tuesday and Anesthesia department conference room on Thursday for a 1:00 PM lecture series with faculty. The first meeting is an orientation and introduction to Anesthesia. Students are expected to attend all didactic lectures that the site has to offer (different sites have different times, UIC lectures at 6:30). These conferences include M&M, journal club, case management discussions, drugs, and subspecialty conferences such as neuro, peds, cardiac and regional. Each day the students are assigned to a particular OR or division of anesthesiology such as Pain, OB, and Regional. They will work with the assigned resident or CRNA in that room and assist to the degree that the student is able. Preop H&P, placement of monitors, airway maintenance, hemodynamic control and anesthetic technique are all part of the usual day. Adjunctive IV skills can be practiced in the Surgicenter whenever requested. Half way through the rotation, experiences will be reviewed and any questions answered. On the final day of the rotation, a written exam will be given. Dr. Nishioka has an open door policy and is easily accessible in his office or by e-mail or phone throughout the entire rotation to answer all questions and address all difficulties or problems.
ASSESSMENT: Outstanding, Advanced, Proficient, and Unsatisfactory are the range of grades. To pass the course, the student must obtain at least 15 evaluations from >2 different members of the Department i.e. faculty, residents and CRNAs. They must also complete a minimum of 50% of the task sheet which is given at the beginning of the rotation and obtain a grade of 40% or above on the written exam which covers the reading, and classroom discussions and participation in the 1:00 PM conferences. Any person that has more than 4 excused absences during this 4 week period will be subject to an incomplete or failure. These absences include interview days. As the groups are large, we may not be able to provide additional make up time during another rotation to compensate. If more than 4 days are missed, then the student will be required to make up the day(s) during the rotation. Any more than 5 missed days without make up, the student will receive a failure. We are unable to offer any more compensation at that point and the student will need to arrange to retake the entire course at a later time when the student can free up the 4 weeks to take the course. This policy is non-negotiable except in the extremes of personal hardships such as a significant illness or injury or death in the family.
Program Number: ELEC 601
Program Director: Hokuto Nishioka, M.D
Coordinator: Sherri Cunningham Email: email@example.com
Duration: 4 weeks
Night Call: Optional or for make up
Students Accepted: Min. 0 Max. UIC-2 or 4, JBVA-1 or 2
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 10
Laboratory/Independent Study: 0
Total Hours /Week: 40
Students are also required to have their Medical Center ID before the first day of rotation. Please report at 6:55 AM to the Anesthesiology Department Room 3200W, 3rd floor at the University of Illinois Hospital 1740 W. Taylor Chicago, IL 60612.
KEY WORDS: anesthesiology, elective
Note: Clinical electives at Advocate hospitals (ACMC, AIMMC) are only available to students from LCME and AOA accredited institutions.