PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Open to students who have completed the M3 Core Clerkship in Surgery.

 

PURPOSE: Objectives:

•  To help the student understand the mechanism of development of critical illness in the surgical

patient;

•  To recognize any organ system failures as they present in the surgical patient;

•  To provide exposure to the various diagnostic, monitoring, and therapeutic methods used in the management of critically ill patients, including cardiac surgery patients;

•  To provide opportunity for the student to develop maturity and become comfortable with observing and managing critically ill patients, including cardiac surgery patients.

 

COMPETENCIES:

 

INSTRUCTIONAL FEATURES: The methods employed to meet the objectives include the following experiences. Twice daily patient care rounds in the surgical intensive care unit. Each patient will be presented. The surgical illness, other underlying medical disease, and methods of monitoring will be discussed. Potential complications, their recognition and management will be explained. Problem oriented discussions will be carried out periodically. Regular assignment of reading material and didactic discussions will be carried out once a week. In addition, the student will be expected to participate in the various surgical and intensive care conferences regularly conducted each week. These activities are directly supervised by the faculty. The student will work with the surgical critical care fellow (PGY 6) and/or the second year surgical resident(s) assigned to the SICU and will follow patients closely, assisting in various diagnostic, monitoring and therapeutic procedures such as laryngoscopy, endotracheal intubations, management of ventilators, interpretation of complex blood gas problems, placement of monitoring intra-arterial and Swan-Ganz catheters, cardiac output measurements, therapeutic bronchoscopy, etc. She/he will participate in various therapeutic decisions made in the management of ICU patients. She/he will be involved in the management of about 12 patients each week. All these activities are directly supervised by the house staff and the faculty.

 

ASSESSMENT:

 

ADMINISTRATIVE INFORMATION

Program Number: ELEC 676                   

Location: CCH/Stroger                

Program Director: Krishnan Sriram, M.D.

Email: ksriram@cookcountyhhs.org

Coordinator: Marcia Smalley-Watkins  Email:  msmalley@cookcountyhhs.org

Telephone: 312-864-2128

Duration: 4-8 Weeks                                 

Lectures/Conferences/Faculty contact: 20

Night Call: No                                        

Laboratory: 0

Weekends: Yes                         

Outpatient: 0                     

Inpatient: 40

Students accepted: Min. 1 Max. 2 

Housestaff used as Faculty: Yes

Total hours/week: 40

Reporting Instructions:

Students must have a valid Stroger Hospital ID after the paperwork is initially processed through the Graduate Medical Education Department, Hektoen Building, 8th floor (Contact person: Ms Rita Coleman (rcoleman@cookcountyhhs.org).  Ms. Marcia Smalley,  Student coordinator, Dept of Surgery (msmalley@cookcountyhhs.org) (312-864-2128)  Assistant, will then help coordinate.
After obtaining a valid ID, students should report to the Surgical Intensive Care Unit on the 3rd floor, East side and report at 7:00 AM to the Surgical Critical Care fellow. The SICU Director/ Division Chair (Dr. Alex Sauper, asauper@cookcountyhhs.org, 312-864-3130),   Fellowship Program Director (Dr.K.  Sriram) or Dr. Phyllis Napoles (SICU attending) will later meet with the student for further orientation.