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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 esp. 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 will be exposed to the different intraoperative specialties including cardiac, pediatric, neuro, orthopaedic, and robotic surgery. It is here that the student can opt to spend more time in the subspecialty of his/her choosing.

COMPETENCIES: In the process of the completing this course, the student should be able to manage an airway with mask, LMA or ETT during critical events. 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. Understand the difference of general, regional and MAC (sedation) anesthesia. The student should have a knowledge base of the numerous therapies for the treatment of acute pain.

INSTRUCTIONAL FEATURES: All students receive access to Blackboard for reading assignments. All students assemble at UIC Clinical Performance Center on Monday and Anesthesia conference room on Firday 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). All UIC conferences are held every weekday morning at 6:30 AM and the topics are posted for that week in the glass case near the front desk. These conferences include 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 ICU, Pain, OB and Pre-op. 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, anesthetic technique and mechanical features of anesthesia are all part of the usual day. Adjunctive IV skills can be practiced in the Surgicenter whenever requested. Reading assignments and videos of procedures are required information for the students to know. On the last day before the exam rotation, experiences will be reviewed and any questions answered. Dr. Paisansathan has an open door policy and is easily accessible in her office or by e-mail or phone throughout the entire rotation to answer all questions and address all difficulties or problems.
   
ASSESSMENT: Outstanding, satisfactory and incomplete are the range of grades. To pass the course, the student must obtain 2-4 evaluations from 2-4 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 70% 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 2 excused absences for interviewing during this 2 week period will be subject to an incomplete or failure. As the groups are large, we are unable to provide additional make up time to compensate. If 3 days are missed, then the student will be required to make up the day. Any more than 3 missed days, 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 2 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.

ADMINISTRATIVE INFORMATION:

Program Number: ELEC 601
Location: UICMC/ACMC
Program Director: C. Paisansathan, M.D., Sherri Cunningham (Coordinator), sherrim@uic.edu
E-Mail: oon@uic.edu
Telephone: 312-996-4020
Duration:  2 weeks - 4 weeks
Night Call: Optional
Weekends: No
Students Accepted: Min. 0 Max. UIC-1, JBVA-1
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 10
Laboratory/Independent Study: 0
Outpatient: 0
Inpatient: 30
Total Hours /Week: 40

Reporting Instructions: The UI Hospital utilizes scrub dispensing machines. Access to the machine is controlled via I-card. Students on this rotation must complete the Scrub Suit Request Form and fax it to the Department of Anesthesiology at least (1) week prior to their clinical activity start date. All medical students are required to be in the scrub system before their first day in the OR. FAX 312-996-4019. Completed Form to Attn: Sherri Cummingham.

Students are also required to have their Medical Center ID before the first day of rotation. Please report to the 3rd floor of the Anesthesiology Department Room 3200W at 6:55 AM at the University of Illinois Hospital 1740 W. Taylor Chicago, IL 60612.

KEY WORDS:
Note: Clinical electives at Advocate hospitals (ACMC, AIMMC) are only available to students from LCME and AOA accredited institutions.