PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Medicine Core Clerkship.
PURPOSE: The clinical objectives are for the student to understand the presentation, evaluation, diagnostic testing and therapy of the critically ill adult.
COMPETENCIES: Specifically, it is hoped that the ten major diagnoses listed above would present themselves during the four-week rotation for the student to reach these objectives. There are no formal technical skills expected of the medical student; however, the student who is interested in performance of arterial line insertion, central venous catheterization, or other diagnostic procedures may be allowed to assist and perform them.
INSTRUCTIONAL FEATURES: A one month ICU senior student rotation will be offered through ALGH to medical students, and will be a closed unit experience in our ICU . A student will be assigned to two of the teams that currently take care of patients in the ICU. A team consists of one senior resident, two interns and one student. The student will see patients of either intern on his/her team to allow for a greater patient mix. Students will be expected to work up approximately four new patients per week and carry no more than eight patients on their service. They will be allowed to follow their patients from the ICU to the step down units located on the same floor. Patients span the spectrum of medical illnesses. Medical students will have two days off per week. Students will also have a separate didactic teaching session with Arvey Stone, MD, once a week. During this time they will be expected to present cases and be able to discuss management with Dr. Stone. A core of ten lectures have been selected for the students and interns while on the ICU rotation. These lectures will include: Ventilator Support, Acute Renal Disease, Fluid Balance, Electrolytes, Infectious Disease, Neurological Emergencies, Acute GI Bleeding, Acute Cardiac Care, Acute MI, Hemodynamics, Arrhythmias, Hematological Problems in the ICU. The bulk of these lectures will be given during the first week of the rotation. The remainder of the lectures will be given at varying times during the rotation. Noon lectures are part of the resident’s core curriculum in internal medicine and are elective for the medical student.
SUGGESTED TEXT: Critical Care Medicine – Parillo, Bone Editors
ASSESSMENT: Clinical skills will be evaluated by the instructor during both work rounds and attending rounds.
Program Number: ELEC 611
Coordinator: Tara Murphy; firstname.lastname@example.org
Duration: 4 Weeks
Night Call: Q4
Students Accepted: Min. 1 Max. 1
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 11
Laboratory/Independent Study: 0
Total Hours /Week: 51
All M3s and M4s report to the Medical Student Office on their first day. M3s and M4s report on Monday (M3s at 8:00 AM) and (M4s at 8:30 AM).