2024-2025 M3/M4 Course Syllabi
Surgery
COURSE NUMBER:
22 01 71
TITLE:
SURGICAL INTENSIVE CARE UH -ICE
This elective includes formal didactic lectures on critical care topics as well as daily teaching rounds. Students participate daily in Attending rounds. This course offers a unique insight in multidisciplinary care; with meaningful interactions with APP's, respiratory therapists and social workers. They gain experience in collaborative care with consultive services as this is an open ICU. They are assigned their own patients, receive hands on experience inserting invasive monitoring lines (central lines, A lines, NGT tubes, Dobhoff tubes, etc.). Educational priorities are for understanding critically ill patients, management of hemodynamic instability up to and including ventilator management. They are expected to be able to excel at patient presentations and integrating their reporting skills with their differential diagnosis skills to present comprehensive plans.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26980373 (SURGERY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Successful completion of third year Surgery core clerkship and Internal medicine.
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
DIRECTOR:
Latifa Silski
sagesila@ucmail.uc.edu

Jennifer Colvin
colvinjs@ucmail.uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Nicole Norman
normanno@ucmail.uc.edu
513-558-2134
MSB, 1586
SITE(S):
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 2
2 06/03/2024 - 06/28/2024 2
3 07/01/2024 - 07/26/2024 2
4 07/29/2024 - 08/23/2024 2
5 08/26/2024 - 09/20/2024 2
6 09/23/2024 - 10/18/2024 2
7 10/21/2024 - 11/15/2024 2
8 11/18/2024 - 12/13/2024 2
9 12/16/2024 - 01/10/2025 2
10 01/13/2025 - 02/07/2025 2
11 02/10/2025 - 03/07/2025 2
12 03/10/2025 - 04/04/2025 0
13 04/07/2025 - 05/02/2025 2

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:
8-5 with eight call days, average
REPORT 1ST DAY:
SICU

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--Learner
  • Research
  • Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
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:
60% Attending Physician
25% Senior Resident
10% Junior Resident
5% Other Allied Health Professional(s)
FEEDBACK:
ASSESSMENT:
 Clinical Preceptor Assessments

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Principle instructor

OBJECTIVES

Curricular Resources :
  1.   Course syllabus
  2.   Optional text: Surgical ICU, Marino
Instructional Methods:
  • Clinical Experience - Inpatient
  • Conferences
  • Lectures.
Knowledge/Skills:
1.  Display familiarity with the basic physiologic and pharmacologic concepts necessary for the care of the critically ill surgical patient. 
2.  Assimilate and interpret data in order to plan for the critically ill surgical patient.
3.  Display familiarity with the basic components of invasive monitoring and ventilatory techniques.
Main Course Topics :
  •   Cardiovascular: physiology, pharmacology, monitoring
  •   Respiratory: failure, support
  •   Acid-base/fluid and electrolytes: physiology, interpretation, management (or therapy)
  •   Nutrition: assessment, treatment, panenteral, enteral
  •   Trauma: assessment, stabilization
  •   Infectious diseases: antibiotic therapy, antifungal therapy
Procedures:
  1. Insert a nasogastric tube
  2. Insert an arterial line
  3. Insert a central venous pressure (CVP) line
  4. Insert a pulmonary artery catheter and interpret the wave forms
Remediation Plan:
 Specific components of the course will be remediated as necessary on an individual basis per University policy and course Syllabi.

SAMPLE WEEK

Monday:
8:00AM 12:00PM Morning Rounds
12:00PM 5:00PM Patient Care
5:00PM 6:00PM PM Rounds
Tuesday:
8:00AM 11:00AM Morning Rounds
11:00AM 12:00PM Lecture
12:00PM 5:00PM Patient Care
5:00PM 6:00PM PM Rounds
Wednesday:
7:00AM 8:00AM Grand Rounds
8:00AM 12:00PM Morning Rounds
12:00PM 5:00PM Patient Care
5:00PM 6:00PM PM Rounds
Thursday:
8:00AM 11:00AM Morning Rounds
11:00AM 12:00PM Lecture
12:00PM 5:00PM Patient Care
5:00PM 6:00PM PM Rounds
Friday:
8:00AM 11:00AM Morning Rounds
11:00AM 12:00PM Lecture
12:00PM 5:00PM Patient Care
5:00PM 6:00PM PM Rounds
SCHEDULE NOTE:

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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