2024-2025 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 07 26
TITLE:
MED INTENSIVE CARE UNIT - CHRIST HOSPITAL -ICE
The student will be part of an interdisciplinary team and supervised by internal medicine residents and faculty in the care of patients transferred for ICU level of care with severe medical illness, respiratory failure, multi-system failure, and post-procedural monitoring. This rotation best suits students who are motivated self-starters who can assimilate easily into team care and adapt to the learning style and needs of an interdisciplinary team. This rotation does not provide one-on-one supervision. Team learning skills are a must. Schedules are typically made available on the first day of the rotation.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26931472 (ACTING INTERNSHP-INT MEDICINE), 26931472 (ACTING INTERNSHP-INT MEDICINE)

Must have passed the Internal Medicine Acting Internship and the Internal Medicine Core Clerkship.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
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:
4 weeks
DIRECTOR:
Mary Oyerokun
Mary.Oyerokun@thechristhospital.com

ADMINISTRATIVE SUPPORT PERSON:
Gabriela Ionascu
ionascgi@ucmail.uc.edu
513-558-2592
MSB, 6055A
SITE(S):
Christ Hospital
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 0
2 06/03/2024 - 06/28/2024 0
3 07/01/2024 - 07/26/2024 0
4 07/29/2024 - 08/23/2024 0
5 08/26/2024 - 09/20/2024 1
6 09/23/2024 - 10/18/2024 1
7 10/21/2024 - 11/15/2024 1
8 11/18/2024 - 12/13/2024 1
9 12/16/2024 - 01/10/2025 0
10 01/13/2025 - 02/07/2025 1
11 02/10/2025 - 03/07/2025 1
12 03/10/2025 - 04/04/2025 1
13 04/07/2025 - 05/02/2025 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:
Shift work, hours vary, includes weekends & nights
REPORT 1ST DAY:
Please meet Tena Toft at her office (Christ Hospital, room 6151) at 8 am and then you will proceed to MICU on the 7th floor and meet the senior resident.

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)
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
  • Ward Rounds
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:
10% Attending Physician
15% Senior Resident
15% Junior Resident
30% Other Faculty
30% Other Allied Health Professional(s)
FEEDBACK:
ASSESSMENT:

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Narrative Assessment
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
  1. Irwin and Rippe's Intensive Care Medicine, 9th Edition, 2023
  2. Resident's file, 6-North, TCH, on Critical Care Medicine
Instructional Methods:
  • Experience - Inpatient
  • Discussion-Small Group (Small Group (=12)
  • Independent Learning
  • Patient Presentation--Learner
  • Self-Directed Learning
  • Ward Rounds
Knowledge/Skills:
  1. Evaluate and manage unstable angina, myocardial infarction, arrhythmias.
  2. Evaluate and manage respiratory failure, mechanical ventilator, CoPD, pneumonia.
  3. Evaluate and manage septic shock, GI bleeding, DKA and other ICU medical problems.
  4. Evaluate and manage drug overdose.
  5. Evaluate and manage at least five patients with angina, MI, respiratory failure, by the end of the rotation.
Main Course Topics :
  • respiratory failure
  • pulmonary edema
  • hemoptysis
  • septic shock
  • myocardial infarction
  • ARDS
  • common pharmaceutical agents used in ICU, i.e., cardiac pressors, sedative agents, antibiotics, pharmacodynamics
  • overdose management and toxicology
Procedures:
  Become familiar with and possibly perform:

   1. central venous access.
   2. arterial line placement.
   3. endotracheal intubation.
Remediation Plan:
 N/A

SAMPLE WEEK

Monday:
7:00AM 10:00AM Patient management, Admissions, Procedures
10:00AM 12:00PM Bedside rounds with Attending
1:00PM 3:00PM Critical Care Teaching and presentations
3:00PM 5:00PM Patient care, Admissions, Procedures
Tuesday:
7:00AM 10:00AM Patient management, Admissions, Procedures
10:00AM 12:00PM Bedside rounds with Attending
1:00PM 3:00PM Critical Care Teaching and presentations
3:00PM 5:00PM Patient care, Admissions, Procedures
Wednesday:
7:00AM 10:00AM Patient management, Admissions, Procedures
10:00AM 12:00PM Bedside rounds with Attending
1:00PM 3:00PM Critical Care Teaching and presentations
3:00PM 5:00PM Patient care, Admissions, Procedures
Thursday:
7:00AM 10:00AM Patient management, Admissions, Procedures
10:00AM 12:00PM Bedside rounds with Attending
12:00PM 3:30PM Academic Half Day
3:30PM 5:00PM Patient Care
Friday:
7:00AM 10:00AM Patient management, Admissions, Procedures
10:00AM 12:00PM Bedside rounds with Attending
1:00PM 3:00PM Critical Care Teaching and presentations
3:00PM 5:00PM Patient care, Admissions, Procedures
SCHEDULE NOTE:
  • Some patient care may be required after AHD on Thursday afternoon
  • Shift work may include overnight weekday and weekends and late night shifts if desired. If you want to gain night shift experience on this elective, discuss with the senior resident about working 1 or 2 Saturday nights during the rotation.

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.




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