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: 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 beoffered through ALGH to medical students, and will be a closed unit experiencein our ICUA student will be assignedto two of the teams that currently take care of patients in the ICU. A teamconsists of up to 5 senior residents, two interns, and one medical student. Thestudent will see patients of either intern on his/her team to allow for agreater patient mix. Students will be expected to work up approximately fournew patients per week and carry no more than eight patients on their service.The students are expected to pre-round with their interns and seniors. Theywill then present their patients on multi-disciplinary rounds to the attendingon service. They will be allowed to follow their patients from the ICU to thestep down units located on the same floor. Patients span the spectrum ofmedical illnesses. Medical students will have two days off per week. Studentswill also have a separate didactic teaching session with Arvey Stone, MD, oncea week. During this time they will be expected to present cases and be able todiscuss management with Dr. Stone. A core of ten lectures have been selectedfor the students and interns while on the ICU rotation. These lectures willinclude: Ventilator Support, Acute Renal Disease, Fluid Balance, Electrolytes,Infectious Disease, Neurological Emergencies, Acute GI Bleeding, Acute CardiacCare, 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 therotation. Noon lectures are part of the resident’s core curriculum in internalmedicine 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 274
Location: ALGH
Tara Murphy;
Telephone: 847-723-6479

Duration: 4 Weeks
Night Call: Q4
Weekends: Yes
Students Accepted: Min. 1 Max. 1
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 11
Laboratory/Independent Study: 0
Outpatient: 0
Inpatient: 40
Total Hours /Week: 51

Reporting Instructions:

Reporting instructions will be emailed to the student the week prior to the start of the rotation.

Immunization & Compliance forms can be found here.

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

Updated:  10/12/15