PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Open to students who have completed their core rotations in Medicine and Surgery.
PURPOSE: The primary goal of the clerkship is to develop the student’s basic knowledge, clinical skills, and judgment needed to understand the management of patients during the perioperative period so that anesthetic/surgical risk is minimized. Attempts will be made to facilitate an understanding of the pre-, intra-, and post-operative care of patients that the student may specialize in. The student will gain sufficient knowledge to be able to predict the difficulty of an airway, the specific risks of different surgeries and potential intraoperative complications esp. hemodynamic and cardiac. The basic skills of maintaining an airway in numerous situations will be taught and practiced thus learning the ASA algorithm for managing a difficult airway. Students will also be exposed to all aspects of Anesthesiology including OB, Preoperative evaluation, ICU and Pain management. The student will also be exposed to the different intraoperative specialties including cardiac, pediatric, neuro, orthopedic and robotic surgery. It is here that the student can opt to spend more time in the subspecialty of his /her choosing.
COMPETENCIES: In the process of completing this course, the student should be able to manage an airway with mask, LMA or ETT during critical events. He/she should also be able to understand the risks of anesthesia for individual patients and recognize which patients require further workups prior to surgery. There should also be an understanding of the drug classes that are used in the OR on a regular basis and how they can affect the patient post-operatively. Understand the difference of general, regional and MAC (sedation) anesthesia. Also the basics of high risk anesthesia should be understood which includes monitors, special anesthetic techniques, transfusions and inotropic infusions. The student should have an excellent knowledge base of the numerous therapies for the treatment of acute pain.
INSTRUCTIONAL FEATURES: All students assemble at UIC Anesthesia conference room on M-W-F for a 2 pm lecture series with faculty. The first meeting is an orientation and introduction to Anesthesia. Students are expected to attend all didactic lectures that there site has to offer (different sites have different times). At UIC conferences are held every weekday morning at 6:30 am and the topics are posted for that week in the glass case near the front desk. These conferences include journal club, case management discussions, drugs, and subspecialty conferences such as neuro, peds, cardiac and regional. Each day the students are assigned to a particular OR or division of anesthesiology such as ICU, Pain, OB and Pre-op. They will work with the assigned resident or CRNA in that room and assist to the degree that the student is able. Preop H&P, placement of monitors, airway maintenance, hemodynamic control, anesthetic technique and mechanical features of anesthesia are all part of the usual day. Adjunctive IV skills can be practiced in the Surgicenter whenever requested. Reading assignments and videos of procedures are required information for the student to know. On the last day before the exam rotation experiences will be reviewed and any questions answered. Exam grades will be posted outside the conference room after the exam. Dr. Gramling-Babb has an open door policy and is easily accessible in her office or by e-mail or phone throughout the entire rotation to answer all questions and address all difficulties or problems.
ASSESSMENT: Pass, fail and incomplete are the range of grades. To pass the course the student must obtain 3 evaluations from 3 different members of the Department - that is faculty, residents and CRNAs. They must also complete 70% of the task sheet which is given at the beginning of the rotation and obtain a grade of 70% or above on the written exam which covers the reading, video and class room discussions and participation in the 2 pm conferences. Any person that has more than 2 excused absences for interviewing during this 2 week period will be subject to an incomplete or failure. As the groups are large we are unable to provide additional make up time to compensate. If 3 days are missed then a 2 page report will be required to make up for the missed additional day – subject matter will depend on student and what information was missed. Any more than 3 missed days the student will receive a failure. We are unable to offer any more compensation at that point and the student will need to arrange to retake the entire course at a later time when the student can free up the 2 weeks to take the course. This policy is non- negotiable except in extremes of personal hardships such as a significant illness or injury or death in the family. Completion of an on-line College of Medicine "Final Course Evaluation" is required before receiving a final grade.
ADMINISTRATIVE INFORMATION
Program Number: SPEC 712
Location: AIMMC/UICMC/ACMC/JBVA
Program Director: Patricia Gramling-Babb, MD
Telephone: 312/996-4022
Duration: 2 Weeks Full Days
Night Call: No
Weekends: No
Students Accepted: 8 UIC/ 3 JBVA/AIMMC/ACMC
Housestaff Used as Faculty: In OR
Inpatient/Faculty Contact: No
Laboratory/Independent Study: No
Outpatient: No
Total Hours /Week:
NOTE: This Specialty is not offered during the months of July, August and September.
|