Advanced Critical Care ICU

MED 634

PREREQUISITE:

Required Medicine Clerkship

INSTITUTION:

Sparrow Hospital

DESCRIPTION:

The medical critical care rotation for the medical student is an excellent opportunity to see, examine, discuss, and treat critically ill patients. The student will be part of a multidisciplinary team consisting of an intensivist, house staff physicians, ICU nurses, physical/occupational/speech therapists, and a dietician. In addition to a knowledge-based focus on hemodynamics and cardiopulmonary disease, the student will develop communication skills necessary to coordinate the multidisciplinary care of complicated patients.

The degree of knowledge and experience gained at the end of the rotation is directly related to the amount of effort the student puts into the rotation. The student should be available in the unit, work closely with the medical house staff, and be willing to accept patients for evaluation and workup. Didactic lectures, bedside teaching, and self-directed learning about core topics will provide a knowledge base for medical critical care.

Students rotating on a critical care service will be expected to write daily notes, present the patient’s history, physical, assessment, and plan during rounds, and be present to observe any procedure or consultation. One or two patients will be followed by the student each day, with assignments based on continuity and learning potential. The core team of intensivists and house staff physicians are available at all times, 24 hours a day, and weekends. The student will have one weekend day off each week.

The primary goal of the medical critical care rotation is to provide the student with exposure to the management of critically ill patients in a multidisciplinary team setting. Instruction in the interpretation of physical examination findings, radiographic and laboratory data, EKGs, and bedside echocardiography will be provided. Procedures such as central line placement, endotracheal intubation, arterial line placement, and bronchoscopy can be observed.

EVALUATION:

Preceptor(s) will submit a written evaluation at the conclusion of the clerkship. Faculty are encouraged to provide ongoing feedback throughout elective rotations.