Electives - General Surgery

ACE - A. I. in Postoperative Cardiovascular Surgical Care (ICU)

Elective Number: (Oasis E76k) 3010

Rotation Supervisors: Dr. Ivan Crosby

Designated signer: Christine Morrison, 4072 University Hospital Expansion, 982-0332, PIC 3226

Evaluation should be given to: Attending on service

Duration: 4 weeks

Available: Rotations 2 - 13

Report to: Cardiac Surgery Chief Resident

Time to Report: 6:00 am

Place to Report: TCV Post Operative Unit

Typical day: 6:00 am - 6:00 pm

Attendance: A student may not take time off during this rotation.

Suggested preparatory reading: Elefteriades, Geha, Cohen 1996, House Officer Guide to ICU Care, Bojar, Robert, 1999, Manual of Perioperative Care in Cardiac Surgery, 3rd Ed..

Number of students per rotation: 2

Course Description: This elective is designed to give the senior medical student post surgical intensive care patient experience in the TCV Postoperative Unit. The students will take call with the resident on the TCV PO rotation and will be expected to present patients during teaching rounds which occur each morning with the TCV surgery attending/ Anesthesia attending. The rotation emphasizes post operative care of the cardiovascular and thoracic surgical patients. The students will obtain patient care experiences in post operative hemodynamics, ventilatory management, cardiac pharmacology, and overall post surgical recovery of patients. The students will develop technical skills in bedside monitoring and learn invasive procedures such as central line placement, Swan-Ganz catheter insertion and chest tube insertion and removal. Exposure to mechanical assist devices (intra-aortic balloon pumps and/or ventricular assist devices) is possible. The patients seen will include all major lung and esophageal surgery patients, and all lung and heart transplant patients. Most re-explorations for bleeding after cardiac surgery are preformed in the TCV PO, converting the patient's room to a small OR. There may be night rotation and weekend rounds.

The experience exposes the students to a high volume of post surgical ICU patients, under the supervision of the Chief Cardiothoracic Surgery Residents and the four cardiac surgery attendings (Drs. Kron, Kern, Peeler and Ailawadi).

Additional objectives beyond those listed above, include improving patient encounter skills, perform physician assessments on post surgical patients, participate in daily teaching rounds (M, T, Th, F) each week and present a topic as assigned, attend weekly educational conferences on service, and experience first-hand the surgical experience of cardiac surgery. Visiting students should follow the directions in their acceptance email to schedule MIS and CARECAST training.

 

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