UC COM :: M3/M4 Course Syllabi

M3/M4 Course Offerings

2023-2024 M3/M4 Course Syllabi

Anesthesiology

COURSE NUMBER:

02 01 01

TITLE:

ANESTHESIA -ICE
Students are exposed to all aspects of anesthesia and their subspecialties, including evaluation and management throughout the immediate perioperative period.

PREREQUISITES:

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

Schedules are emailed prior to the start of your rotation.
Four weeks is standard rotation length.
Elective must be taken as four-week block to fulfill ICE requirement. Cannot take two weeks and have it count toward ICE requirement.

expand all

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: NO

COURSE LENGTH:

2, 4 wks

DIRECTOR:

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

ADMINISTRATIVE SUPPORT PERSON:

Julie Karpe
Julie.Karpe@uc.edu
558-2426
MSB, 3504

SITE(S):

CCHMC - Cincinnati Children's Hospital
UC Health West Chester Hospital
UCMC - University of Cincinnati Medical Center

MAX ENROLL:

ROTATIONS:

Rotation	Dates	Max
1	05/29/2023 - 06/09/2023	4
1	05/29/2023 - 06/23/2023	4
1	06/12/2023 - 06/23/2023	4
2	06/26/2023 - 07/07/2023	3
2	06/26/2023 - 07/21/2023	3
2	07/10/2023 - 07/21/2023	3
3	07/24/2023 - 08/18/2023	0
4	08/21/2023 - 09/01/2023	3
4	08/21/2023 - 09/15/2023	3
4	09/04/2023 - 09/15/2023	3
5	09/18/2023 - 09/29/2023	2
5	09/18/2023 - 10/13/2023	2
5	10/02/2023 - 10/13/2023	2
6	10/16/2023 - 10/27/2023	3
6	10/16/2023 - 11/10/2023	3
6	10/30/2023 - 11/10/2023	3
7	11/13/2023 - 11/24/2023	3
7	11/13/2023 - 12/08/2023	3
7	11/27/2023 - 12/08/2023	3
8	12/11/2023 - 12/22/2023	3
8	12/11/2023 - 01/05/2024	3
8	12/25/2023 - 01/05/2024	3
9	01/08/2024 - 02/02/2024	0
10	02/05/2024 - 02/16/2024	3
10	02/05/2024 - 03/01/2024	3
10	02/19/2024 - 03/01/2024	3
11	03/04/2024 - 03/15/2024	4
11	03/04/2024 - 03/29/2024	4
11	03/18/2024 - 03/29/2024	4
12	04/01/2024 - 04/12/2024	4
12	04/01/2024 - 04/26/2024	4
12	04/15/2024 - 04/26/2024	4

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:

You will receive an email with detailed information prior to the elective.

INSTRUCTION

LEARNING ACTIVITIES:

Case-Based Instruction/Learning
Clinical Experience - Inpatient
Conference
Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
Patient Presentation--Learner
Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
Simulation

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.

TEACHING:

50%	Attending Physician
25%	Senior Resident
15%	Junior Resident
10%	Other Allied Health Professional(s)

FEEDBACK:

ASSESSMENT:

We are utilizing the College of Medicine evaluation.

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Oral Patient Presentation
Participation

FINAL GRADE:

GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :

o Anesthesia Secrets, 6th Edition, B. Keech and R. Laterza

o Miller and Pardo: Basics of Anesthesia, 7th edition. Can provide a copy upon request.

o Daniel E. Becker, Morton B. Rosenberg, and James C. Phero (2014) Essentials of Airway Management, Oxygenation, and Ventilation: Part 1: Basic Equipment and Devices. Anesthesia Progress: Summer 2014, Vol. 61, No. 2, pp. 78-83.

o M. B. Rosenberg, J. C. Phero, and D. E. Becker (2014) Essentials of Airway Management, Oxygenation, and Ventilation: Part 2: Advanced Airway Devices: Supraglottic Airways. Anesthesia Progress: Fall 2014, Vol. 61, No. 3, pp. 113-118.

Instructional Methods:

Clinical Experience - may include both Inpatient and Outpatient.

Knowledge/Skills:

Knowledge/Skills:

The student will be able to:

Evaluate and assist in the management of 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.
Assist in all aspects of intraoperative 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 risk/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

Procedures:

Procedures:

The student will be able to discuss and may 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 neuraxial and peripheral nerve blocks.

Remediation Plan:

Meet with the Medical Education Director to create an individualized remediation plan.

SAMPLE WEEK

Monday:

6:00AM

5:30PM

Clinical Anesthesia

Tuesday:

6:00AM

5:30PM

Clinical Anesthesia

Wednesday:

6:00AM

5:30PM

Clinical Anesthesia

Thursday:

6:00AM

5:30PM

Clinical Anesthesia

Friday:

6:00AM

5:30PM

Clinical Anesthesia

SCHEDULE NOTE:

The Medical Student Program Manager will email schedule prior to the beginning of your rotation. Please come to MSB 3504 a few days before your rotation begins or on the first day to pick up your Anesthesia badge.

If taking for 4 weeks, one weekend (7a-12 p.m.) call per rotation required.

If you should have any questions, please feel free to call the Medical Student Program Manager at 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.