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;

 

COMPETENCIES:

 

INSTRUCTIONAL FEATURES:  The methods employed to meet the objectives include the following experiences.  At  daily patient care rounds, each patient will be presented by the resident or medical student.  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. Regular assignment of reading material will be given to the student.  The student is expected to participate in various surgery and intensive care conferences regularly conducted each week. These activities are directly supervised by the faculty, and include multidisciplinary conference, Faculty lectures, Board Review sessions, Journal Club, and video sessions.  . The student will work with the surgical critical care fellow (PGY 6) and/or the second year surgery and anesthesiology residents and will follow patients closely, assisting in various diagnostic, monitoring and therapeutic procedures such as  endotracheal intubations, management of ventilators, interpretation of complex blood gas problems, placement of arterial and  central venous catheters, cardiac output measurements, therapeutic bronchoscopy, thoracentesis,  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 8 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  Assistant Program Director: Phyllis Napoles, M.D.

Emails:  ksriram@cookcountyhhs.org  and  pnapoles@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)  will then help coordinate.

After obtaining a valid ID, students should report to the Surgical Critical Care Fellow at the  Surgical Critical Care  Unit on the 3rd floor, East side. The SICU Director/ Division Chair (Dr. Alex Sauper, asauper@cookcountyhhs.org, 312-864-3130),  Dr. Phyllis Napoles (SICU attending and Assistant Program Director) or  Fellowship Program Director (Dr.K.  Sriram)  will later meet with the student for further orientation. ID badges will be issued by Marcia Smalley, Clerkship Coordinator.  All students must attend Operating Room Orientation (held every Monday and Tuesday at 1:00 pm) before allowed to report to rotation.

Updated:  10/9/14