IU School of Medicine

Elective Title: 49MP714 — PULMONARY/CRITICAL CARE ELECTIVE

Description:

This elective emphasizes diagnosis and management of critically ill patients with emphasis on medical and pulmonary diseases. The primary patient population are inpatients at a large tertiary care center with a diverse intensive care patient population (cardiac critical care, post surgical critical care, neuro critical care, cardiovascular critical care, and respiratory critical care). There will be exposure to pulmonary diagnostic procedures, critical care procedures, and ventilator management. Hands on closely supervised critical care procedures will include central line and arterial line placement, thoracentesis, intubation, and bedside noninvasive hemodynamic monitoring and point of care ultrasound. The student will function as an active member of a critical care team working directly with the pulmonary/intensivist staff and residents. Attendance at teaching conferences including didactic ICU lectures, journal club, and chest conference is expected. The student has no weekend or overnight responsibility. Night call on this elective is optional.

Elective Details:

Primary Contact for Add/Drops: Denise Monday (Dmonday@iuhealth.org)

Director: Robert Weller, M.D.

Campus: Indianapolis

Location: IU Health Methodist Hospital (Indianapolis)

Other Faculty: Chris Naum M.D., Tyson Neumann M.D., Farzad Loghmani M.D., Scott Roberts M.D., Rajat Kapoor M.D.,

Learning Objectives

  • 1) Function as an integral part of a care team working directly with Pulmonary-Critical Care staff as well as critical care residents, fellows, nurses, and clinical pharmacists in a multidisciplinary approach to care (SBP1)
  • 2) Demonstrate proper use of critical care check lists in managing complex medical patients (MK4)
  • 3) Apply critical thinking skills to the management of respiratory failure, shock, sepsis, ARDS, and multiple organ failure (MK5)
  • 4) Demonstrate basic skills in ventilator management, and appropriate interpretation of advanced hemodynamic monitoring data (PC5)
  • 5) Communicate complex care issues and important end of life care issues during family conferences (P3)

Assessment

  • Clinical Performance Evaluation Form; (Clinical Observation, Lecture Attendance)

Enrollment Information

Prerequisites: 4th year status

Availability with Max Students per Month:

JuneJulyAugSeptOctNovDecJanFebMarAprMay
222222222222

Duty Hours: 50

Time Distribution: 75% Clinical; 15% Lecture/Seminar; 10% Library

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Add/Drop Contact Person: Denise Monday (Dmonday@iuhealth.org) This course may be dropped or added up to the 15th day of the month preceding the elective month. Any student wanting to drop or add this elective after the initial computer scheduling should contact Denise Monday at 317-962-8116 or DMonday@iuhealth.org.

Third Year Elective? No

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description: The elective does provide opportunities for inter professional collaboration. The very nature of our rounding in the intensive care units now involves multidisciplinary care rounds which including bedside nurses, respiratory therapists, clinical pharmacist, speech and physical therapists and social workers. On some units this takes the form of 3 times a week physical rounding of the entire team at the patient's bedside. On other units there is a daily "huddle" at a central conference room involving the various disciplines .

Service Learning Included: None