Handbook> Electives > Anesthesiology > ACE- Externship in Critical Care Medicine

Electives - Anesthesiology

ACE - Externship in Critical Care Medicine (SICU)

Elective Number: (Oasis E04b) 1002

Rotation Supervisor: Dr. Stuart M. Lowson

Duration: Maximum 4 weeks, Minimum 2 weeks

Available: all Rotations

Report to: STICU residents/fellows and Attendings

Time to Report: 6:00 am

Place to Report: Surgical ICU - 5th floor West

Typical day: 6:00 am - 5:00 pm

Suggested Preparatory Reading: Marino J. ICU Handbook

Attendance: A student may not take time off during an ACE.

Attendance at elective activities is mandatory.

  • Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.
  • Students are allowed to take off up to 1 day per week to interview between November 1 and February 1.
    • Specific days missed must be approved by the Attending on Service.

Number of students per rotation:

Course Description: This elective is designed to give senior medical students experience in the management of critically ill surgical patients. The student's primary experience will be gained in the Surgical Trauma Intensive Care (STICU) setting. The student will work closely with the resident on call for that day. Patients should be seen and clinical notes recorded prior to the 0800 STICU rounds. The students are expected to present their patients on the STICU attendings rounds. They will then assist the on-call resident in patients care. While night and weekend call are not enforced, the students are encouraged to actively participate in patient management at all times and should be present in the STICU in the evenings if a learning opportunity arises. Students will attend didactic lectures given by the attendings, respiratory therapy, pharmacy and nutrition support staff.

Specific learning objectives:

  1. The management of ventilated patients and an understanding of different ventilator modes.
  2. An understanding of the indications and uses of invasive hemodynamic monitoring.
  3. An understanding of hemodynamic support for the critically ill patient.
  4. An understanding of infectious diseases pertaining to the STICU population.
  5. A knowledge of antibiotics and their uses.
  6. Immunosuppression as it relates to the transplant population.
  7. Nutrition of the STICU patient.

Specific technical skill objectives (these may not all be available depending upon the patient acuity):

  1. Placement of arterial lines.
  2. Placement of central venous lines and pulmonary artery catheters.
  3. Changing of central lines in the diagnosis of fever.