UC COM :: M3/M4 Course Syllabi

M3/M4 Course Offerings

2017-2018 M3/M4 Course Syllabi

Anesthesiology

COURSE NUMBER:

02 01 01

TITLE:

ANESTHESIA -ICE
Students are exposed to all aspects of general and regional anesthesia, including evaluation and management throughout the immediate perioperative period. Didactic lectures and interactive sessions dealing with physiologic, pharmacological and clinical situations are also stressed. In addition, the students will have the option of rotating in the critical care unit under the supervision of a critical care anesthesiologist.

PREREQUISITES:

26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26980373 (SURGERY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

1. Schedules are emailed to two weeks prior to the start of your rotation.

2. Four weeks is standard rotation length. If signing up for 2 weeks, contact Shannon Foote (558-2426) prior to enrollment for approval or state in "comments" section on MedOneStop.

Elective must be taken as four-week block to fulfill ICE requirement. Cannot take two weeks and have it count toward ICE requirement.

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GENERAL INFORMATION

COURSE YEAR:

CREDIT HOURS:

CREDIT WEEKS:

DOMESTIC VISITING:

YES

INTERNATIONAL VISITING:

GRADED:

Honors/High Pass/Pass/Fail

COURSE QUALIFICATIONS:

ICE

COURSE TYPE:

Clinical

STATUS:

Full-Time
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES

COURSE LENGTH:

2, 4 wks

DIRECTOR:

Thomas James, MD
jamesto@ucmail.uc.edu
558-4194
MSB, 3504

ADMINISTRATIVE SUPPORT PERSON:

Jessica Sloniker
CHARLEJI@ucmail.uc.edu
558-2426
MSB, 3054

INSTRUCTOR:

Thomas James, MD

SITE(S):

CCHMC - Cincinnati Children's Hospital
UC Health West Chester Hospital
University Hospital

MAX ENROLL:

ROTATIONS:

Rotation	Dates	Max
1	07/03/2017 - 07/14/2017	7
1	07/03/2017 - 07/28/2017	7
1	07/17/2017 - 07/28/2017	7
2	07/31/2017 - 08/11/2017	8
2	07/31/2017 - 08/25/2017	8
2	08/14/2017 - 08/25/2017	8
3	08/28/2017 - 09/08/2017	7
3	08/28/2017 - 09/22/2017	7
3	09/11/2017 - 09/22/2017	7
4	09/25/2017 - 10/06/2017	7
4	09/25/2017 - 10/20/2017	7
4	10/09/2017 - 10/20/2017	7
5	10/23/2017 - 11/03/2017	7
5	10/23/2017 - 11/17/2017	7
5	11/06/2017 - 11/17/2017	7
6	11/27/2017 - 12/08/2017	7
6	11/27/2017 - 12/22/2017	7
6	12/11/2017 - 12/22/2017	7
7	01/02/2018 - 01/12/2018	8
7	01/02/2018 - 01/26/2018	8
7	01/16/2018 - 01/26/2018	8
8	01/29/2018 - 02/09/2018	7
8	01/29/2018 - 02/23/2018	7
8	02/12/2018 - 02/23/2018	7
9	02/26/2018 - 03/09/2018	6
9	02/26/2018 - 03/23/2018	6
9	03/12/2018 - 03/23/2018	6
10	03/26/2018 - 04/06/2018	7
10	03/26/2018 - 04/20/2018	7
10	04/09/2018 - 04/20/2018	7
11	04/23/2018 - 05/18/2018	7
12	05/21/2018 - 06/22/2018	0

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)

WORKING HOURS:

6:30 a.m. - 5:00 p.m. Monday-Friday, plus one weekend call

REPORT 1^ST DAY:

TBA - see schedule sent via email TBA TBA

INSTRUCTION

LEARNING ACTIVITIES:

Case-Based Instruction/Learning
Clinical Experience - Inpatient
Clinical Experience - Inpatient (Nights)
Conference
Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
Interactive human anesthesia simulation with faculty (small groups)
Patient Presentation--Learner
Research

LEARNING ENVIRONMENT POLICIES:

UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.

ORIENTATION:

A general Orientation will be hosted by Dr. Thomas James and Shannon Foote during the first week of your rotation.

TEACHING:

65%	Attending Physician
25%	Senior Resident
10%	Other Allied Health Professional(s)

FEEDBACK:

Faculty

ASSESSMENT:

FINAL GRADE:

55%	Clinical work performance evaluations
20%	Attitude, e.g., professionalism, motivation etc
15%	Topic presentation
10%	Simulation

GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

Professional Attitudes/Behaviors:

The student will exhibit the following:

Demonstrate patient, staff and faculty rapport in a sincere, caring manner.

Demonstrate enthusiasm, interest and self-motivation for learning the didactic and clinical course objectives.

Curricular Resources :

Miller and Pardo: Basics of Anesthesia, 6th edition will be provided at the beginning of the rotation.

Knowledge/Skills:

Knowledge/Skills:

The student will be able to:

Evaluate and manage airway, breathing and circulation of unconscious patients.

Demonstrate manual dexterity in the technical aspects of venous access and intubation.

Discuss the concepts of advanced cardiopulmonary resuscitation.

Demonstrate appropriate skills in patient preoperative management and preparation for anesthesia.

Perform all aspects of intraoperatively management of the patient undergoing surgery, including, drug administration, fluid management, and intraoperative evaluation and management of emergency situations.

Discuss knowledge of cardiac and pulmonary physiology as it pertains to general and regional anesthesia.

Demonstrate knowledge of pharmacology, including drugs utilized in anesthesia and in "acute care medicine."

Discuss cost/benefit of currently used anesthesia drugs and risk/benefit issues related to technique and agent choices.

Review and discuss outpatient vs. inpatient pharmacology and optimal patient care.

Discuss ethical and medical issues pertaining to drug addiction in relation to patient anesthesia selection and administration.

Main Course Topics :

Pre-Operative Evaluation and Medications

IV Agents

Inhalation Anesthetics

Airway Management

Muscle Relaxants

Local Anesthetics

Objectives:

Objectives:

Students will have a minimum of forty (40) patient clinical encounters in their rotation and meet the established standards for completion of the Minimum Competency Form. Students will be required to submit a written case summary.

Other Resources - Audiovisuals:

Lecture presentations using Power Point and clinical anesthesia simulations on SimMan.

Other Resources - Computer resources:

Blackboard

Advanced Cardiac Life Support Simulator - Sim Man (Laerdal human simulator)

Anesthesia Explorer - resource and reference for anesthesia machine use

Anesthesia Simulator Consultant - interactive anesthetic simulator

Critical Care Simulator - reference and interactive simulator for critical care

Drugs, Diseases and Anesthesia - pharmacology resource and reference

Electronic Reference and Clinical Lecture Guide - anesthesia reference

Hypertext of Regional Anaesthesia for Obstetrics - an International Perspective - obstetrics reference

Mosby’s Anesthesia Library - reference source

Perioperative Management of the Coronary Artery Disease Patient - reference resource

Internet Websites

http://www.asahq.org - American Society of Anesthesiologists

http://apsf.med.yale.edu - Anesthesia Patient Safety Foundation

http://www.painnet.com - Pain Net

http://gasnet.med.yale.edu - Gas Net

http://gasnet.med.yale.edu/vat/VAT.html - Virtual Anesthesia Textbook

Other Resources - Other :

N/A

Procedures:

Procedures:

The student will be able to discuss and perform the following:

Airway management including endotracheal tube placement, LMA placement, mask ventilation and oral and nasal airway placement.

Use anesthetic vaporizers to produce inhalation anesthesia.

Select and administer intravenous (IV) agents including induction agents (to produce patient unconsciousness), maintenance agents (to maintain patient unconsciousness), opioids and analgesics (to maintain appropriate analgesia), and vasoactive agents (to maintain homeostasis).

Select and administer intravenous fluids including crystalloids, colloids and blood products.

Place and use monitors including electrocardiogram, pulse oximeter, capnography and EEG.

Appropriately choose and use muscle relaxants including competitive and depolarizing agents.

Select and administer postoperative pain control, including PCA (patient controlled analgesia), epidural and infusions.

Choose and administer agents for postoperative nausea management.

Discuss and choose appropriate regional anesthesia including Bier, spinal, epidural and axillary blocks.

SAMPLE WEEK

Monday:

6:00AM	2:00PM	Clinical Anesthesia
2:00PM	4:30PM	Didactic Lectures: 2 per rotation

Tuesday:

6:00AM	4:00PM	Clinical Anesthesia
4:00PM	6:00PM	Case Presentation by student on last Tuesday of rotation

Wednesday:

6:00AM	2:00PM	Clinical Anesthesia
2:00PM	4:30PM	Simulator Session: Basic/Advanced (2 per rotation)

Thursday:

6:00AM	5:00PM	Clinical Anesthesia
5:00PM	6:00PM	Late/Overnight Call (1 per rotation)

Friday:

6:00AM

2:00PM

Clinical Anesthesia

SCHEDULE NOTE:

FYI: Shannon Foote will email schedule two weeks prior to the beginning of your rotation. Please come to MSB 3504 the week before your rotation begins to receive your course materials. The forms you will receive are necessary for your rotation. If you do not fill out the required forms, you will not be given a grade for your rotation. Also, please call the hospital you are assigned to the Friday before your rotation begins to make sure all paperwork has been received and they are prepared for your rotation to begin.

Please note: If you are assigned to CCHMC or St. Elizabeth, please read the instructions attached to your schedule regarding your rotation as they have specific instructions.

If you should have any questions, please feel free to call Shannon @ 558-2426.

ATTENDANCE AND ABSENCE POLICY

Session Attendance for M4 Students

Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
Excused Absences - The following will be considered excused absences:
- Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
- Personal illness, accident or a major catastrophic event
- Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
The following items are explained in detail in the Medical Student Handbook:
- Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.