PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Open to students who have completed the M3 Core Clerkship in Surgery and Medicine.
PURPOSE: The intensive care unit at Michael Reese Hospital is a multi-disciplinary unit that cares for patients with medical, surgical and neurosurgical problems. The unit is staffed by seven full-time critical care physicians from the departments of medicine, surgery, and anesthesia. Thus students can expect a broad exposure to the management of critically ill patients.
COMPETENCIES: Upon completion of this rotation it is expected that students will be familiar with:
• The basic principles of critical care cardiopulmonary pathophysiology that are required for the management of patients with respiratory and/or hemodynamic instability;
• The basic principles of ventilator management of patients with respiratory failure;
• Central venous and arterial catheterization (including Pulmonary Artery catheterization);
• The basic management concepts required for the care of patients with hemodynamic instability, acid-base and fluid and electrolyte disorders, single and multiple organ system dysfunction, acute neurologic and neurosurgical emergencies;
• The pre- and post-operative management of high risk surgical patients;
• The basic concepts of critical care nutrition.
INSTRUCTIONAL FEATURES: Students rotating through this service should expect an intensive month of critical care medicine that includes every third night call. Students will be expected to admit 1-2 new patients each night on ca ll. Students will be on call with house officers from the departments of medicine, surgery and anesthesia. The critical care team functions as the primary service for all of the patients in the ICU and as such it is expected that students will write all orders, progress notes, and perform all necessary procedures on their patients. Attending work rounds are conducted daily from to with one or more of the attending staff. Rounds include "x-ray rounds" with an attending radiologist and a 30-40 minute talk pertinent to basic critical care pathophysiology. Students will be responsible for the presentation of their patients on rounds. Morning rounds are structured to be an interactive teaching forum that elicits input from all members of the critical care team. A critical care syllabus is provided and recent critical care textbooks are available in the ICU call room. Current critical care articles are available in the critical care offices. Meals are provided when on call.
Program Number: ELEC 676
Program Director: D. Schwartz, MD
Duration: 4 Weeks
Lectures/Conferences/Faculty contact: 25
Night Call: Q4
Students accepted: 1-2
Housestaff used as Faculty: No
Total hours/week: 70*