Senior Elective: Critical Care Medicine
Coordinator: Steven Miles, M.D.
Duration: One month
Maximum number of student per four-week period: Two
Candidates: Senior students of approved medical schools
Evaluation: Written pre and post tests
Description:
This rotation is designed to acquaint the fourth-year medical student with clinical problems frequently observed in intensive care units as well as therapeutic interventions routinely used in the care of critically ill and injured patients. The entire period is spent in the Intensive Care Unit where the student is assigned patients. The student works under the direct supervision of one of the four intensivists. He/she is expected to participate in the care of the patient, including performance of invasive procedures.
The emphasis is placed on comprehensive aspects of critical care, e.g., pathophysiology of shock, respiratory failure, neurologic and septic complications, and moral and legal aspects of life-sustaining treatments. The student is expected to participate in discussions related to hemodynamic data, vasopressor/vasodilator drugs, blood gases, 0² transport and utilization, ventilator management and nutritional support, etc.
Daily Schedule
7:00 - 9:00 a.m
10:00 - 11:00 a.m.
11:00 - 12:00 Noon
1:00 - 4:00 pm
4:00 - 4:30 pm Patient workup
Teaching rounds/radiology rounds
Lecture/case discussion
Patient workup
Sign-out rounds
Recommended reading material:
" "Textbook Critical Care Medicine" by W. Shoemaker 4th Edition 1998
