IU School of Medicine

Elective Title: 93SG950 — SURGICAL CRITICAL CARE

Description:

This course is designed to provide the student with experience and participation in the complete management of the critically ill or injured surgical patient in the Trauma/Surgical Intensive Care Unit at Eskenazi Health. The student will participate with residents and faculty in the care of a broad spectrum of patients and will gain experience in resuscitation and monitoring technology, ventilator management, nutritional support, the workup and management of sepsis and invasive procedures commonly performed in the ICU ICU (Hemodynamic monitoring, arterial lines, chest tubes, central venous catheters, ultrasound). Daily teaching rounds, supplemented by lecture and review of current literature, will form the basis of faculty instruction.

Elective Details:

Primary Contact for Add/Drops: Megan Rendina (mrendina@iupui.edu)

Director: Erik Streib, M.D.

Campus: Indianapolis

Location: Eskenazi Health Services - ICU (Indianapolis)

Other Faculty: Clark Simons, M.D., Thomas Hayward, M.D., Katie Stanton-Maxey, M.D., Oscar Viegas M.D., Christopher Eddy, M.D., Michelle Laughlin, M.D., Ben Zarzaur, MD

Learning Objectives

  • COGNITIVE OUTCOMES 1) Evaluate, diagnose, and manage critically ill surgical patients including patients with (MK, PC): organ failure; shock (hypovolemic, cardiogenic, distributive, toxic, anaphylactic heat); electrolyte and acid-base disorders; common poisonings (pesticides, caustic agents, drug overdoses (MK4)
  • 2) identify when a patient requires an ICU (MK,PC) (PC2)
  • 3) Plan and provide with input from resident/attending, the postoperative care and follow up (PC) (SBP1)
  • 4) Construct an appropriate knowledge base in (MK): the physiology of pre and post-op care; nutrition; hemodynamics; pain management; ventilator management; sedation; proper infection control techniques; surgical procedure (tubes placed, drains placed, lines placed, etc)); end-of-life issues (MK3)
  • 5) Access and evaluate medical literature related to patients' health problems (PBLI1)
  • 6) Demonstrate the ability to assume primary care for patients on the service on a day-to-day basis (PC1)
  • AFFECTIVE OUTCOMES 1) Put into practice self-directed learning habits (PBLI1)
  • 2) Demonstrate professional judgment in caring for patients (P1)
  • 3) Put into practice appropriate communication skills with patients, family members, and other primary teams (ie neurosurgery, vascular) (ISC1)
  • 4) Show the ability to function as a member of a surgical care team (SBP1)
  • 5) Demonstrate reliability and dependability for patient care (P2)
  • 6) Discuss patient management plans effectively with house staff/attending (SBP1)
  • 7) Judge when to seek available backup from house staff and attending (P1)
  • PSYCHOMOTOR OUTCOMES 1) Perform effective CPR and managing codes (PC5)
  • 2) Interpret data from monitoring devices (PC3)
  • 3) Show appropriate written documentation skills (ISC5)
  • ) 4) Observe and/or perform various surgical procedures including (PC): Arterial line placement; Central line placement; Pulmonary artery catheter; Surgical tracheostomy; Bronchoscopy; Gastrostomy; Tracheal intubation; Pericardiocentesis; Cardioversion; Transcutaneous pacing; Thoracentesis; Lumbar puncture; Ultrasound; Filters (PC5)

Assessment

  • Clinical Performance Evaluation Form; (Observations)

Enrollment Information

Prerequisites: 3rd or 4th year status; Surgery clerkship must be completed

Availability with Max Students per Month:

JuneJulyAugSeptOctNovDecJanFebMarAprMay
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Duty Hours:

Time Distribution: 70% Clinical; 20% Lecture; 10% Library

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Add/Drop Contact Person: Megan Rendina (mrendina@iupui.edu) THIS ELECTIVE DOES NOT PARTICIPATE IN THE INITIAL SENIOR MATCH : "Permission only" please contact: Megan Rendina, Surgery Clerkship Coordinator at 274-7201 ormrendina@iupui.edu.

Third Year Elective? Yes

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: None

Service Learning Included: None