Students will spend a month in the Surgical Intensive Care Unit (SICU). In the SICU, the patient mix consists of thoracic, vascular, abdominal, neurologic, orthopedic, ENT, urologic and gynecologic patients requiring postoperative critical care. Under the supervision of the ICU attendings and residents from the Departments of Anesthesia and Surgery, students will share in the responsibility for direct day-to-day patient care.
It is anticipated that students will develop a working understanding of: resuscitation and endotracheal intubation; mechanical ventilation; hemodynamic monitoring using arterial, central venous pressure and pulmonary artery catheters; nutritional support including total parenteral nutrition and monitoring; interpretation of blood gas and other monitoring data; management of major postperative problems such as bleeding and sepsis; and an understanding of organ system failure and shock.
As integral members of the SICU team, students will have an opportunity to develop the analytic and judgment skills necessary in the optimal management of complex critically ill surgical patients. Rounds are held once daily with ICU attendings during which patients and their laboratory and x-ray findings are carefully analyzed and plans are made to clarify and resolve management problems. Students will take call once per week.
Feedback and Evaluation
Daily interaction. Evaluation at the completion of the subinternship.