SOUTHWEST CAMPUS

ICU

Medcenter One Health System

IMED 9130 (elective)    IMED 9196 (AI)

Participating Faculty:    Anthony Tello, M.D.
                                      Andreas Sarrigiannidis, M.D.
                                      Shaher Samrah, M.D.

Offered:   All periods; 2 student/period

Objectives of the Elective:

  1. Learn basic cardiopulmonary/critical care physiology and aply it in the ICU setting.
  2. Learn how to evaluate patients with critical illness, how to stabilize them, and perform daily care under direct supervision of the ICU attending.
  3. Learn how to perform initially under direct supervision, and later alone, critical care procedures, such as central lines, arterial lines, and thoracentesis.
  4. Learn basic principles of critical care monitoring.
  5. Understand the principle of ventilatory support.
  6. Understand and appreciate how multidisciplinary care from different subspecialties is integrated into patient's care under the management of the intensivist.

Instructional Activities:

  1. The student will evaluate all new ICU admission--perform history and physical examination and consultation.  He/she will be directly supervised by the ICU attending with constant feedback and detailed discussion of the consultation.
  2. Daily rounds and follow-up of established ICU patients.  The student will present on daily rounds the case of every patient he/she is following to include history, physical exam, laboratory data, imaging studies, ventilator settings, and overnight events;  present his/her diagnosis, formulate a differential diagnosis, and propose changes in medications, ventilator settings, etc., in conjunction with the ICU attending.
  3. The student will learn how to present critical care topics.
  4. The student will  perform calls in the ICU shere he/she will be managing patients initially in conjunction with the attending on call.  Attending is on call 24/7 and will be evaluating patients in conjunction with the student.
  5. The student will be given a list of reading materials and resources in critical care.
  6. Daily didactic conferences will be short (20-25 minutes) regarding theoretic principles, as the emphasis will be on bedside teaching of critical care principles as they directly apply to patient care.

Standards of Performance (Outcomes) Indicating Attainment of Objectives:

  1. The student will be evaluated on a daily basis by the ICU attending on his/her basic understanding of physiologic principles and formulation of diagnosis and management decision.
  2. Ability to stabilize and formulate a differential diagnosis on a critically ill patient.

Criteria for Grading:

  1. Knowledge of basic physiologic principles, ability to work as a team member with fellow health care personnel, presentation of cases, interest, and ability to learn.
  2. Following completion of the Acting Internship, the standard evaluation form will be completed by the preceptor and sent to the assistant dean of the southwest campus.