Anesthesiology
TITLE:
Pediatric Anesthesia
Students are exposed to all aspects of pediatric anesthesia, including evaluation and management throughout the immediate and perioperative period.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26980373 (SURGERY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)
Since anesthesia on children is more complex and complicated than adults, we are requiring students to complete an anesthesia elective or AI prior to taking this elective. We are also reserving this elective for students going into Anesthesia.
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GENERAL INFORMATION
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
STATUS:
Full-Time
OFFERED AS FULL-TIME AND PART-TIME:
NO
ALLOWS OVERLAP:
NO
COURSE LENGTH:
This will be a 2 week, full time elective.
DIRECTOR:
Ji Yeon Kang, MD
JiYeon.Kang@cchmc.org
558-2426
Children's Hospital
ADMINISTRATIVE SUPPORT PERSON:
Julie Karpe
Julie.Karpe@uc.edu
558-2426
MSB, 3504
SITE(S):
CCHMC - Cincinnati Children's Hospital
ROTATIONS:
Rotation |
Dates |
Max |
8 |
11/18/2024 - 11/29/2024 |
1 |
8 |
12/02/2024 - 12/13/2024 |
1 |
10 |
01/27/2025 - 02/07/2025 |
1 |
11 |
02/10/2025 - 02/21/2025 |
1 |
11 |
02/24/2025 - 03/07/2025 |
1 |
12 |
03/10/2025 - 03/21/2025 |
1 |
12 |
03/24/2025 - 04/04/2025 |
1 |
13 |
04/07/2025 - 04/18/2025 |
1 |
13 |
04/21/2025 - 05/02/2025 |
1 |
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:
Monday through Friday 6:30 am - 5:00 pm
REPORT 1ST DAY:
The medical student program manager will email schedule/who to contact prior to the start of the rotation.
COMMENTS:
An online course and quiz will be required prior to beginning the rotation.
INSTRUCTION
LEARNING ACTIVITIES:
- Case-Based Instruction/Learning
- Clinical Experience - Ambulatory
- Clinical Experience - Inpatient
- Conference
- Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
- Independent Learning (Instructor-guided learning activities to be performed by the learner outside of formal educational settings.)
- Lecture
- 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 |
15% |
Senior Resident |
20% |
Other Allied Health Professional(s) |
15% |
Fellow Physician |
ASSESSMENT:
Through evaluation and participation.
ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Exam, Institutionally Developed, Written/Computer-based
Participation
FINAL GRADE:
GRADE ASSIGNED BY:
OBJECTIVES
Curricular Resources :
Manual of Pediatric Anesthesia - Jerrold Lerman, Charle J.
Cote, David J. Steward.
A Practice of Anesthesia for Infants and Children- Charles
Cote, Jerrold Lerman, Brian Anderson
Litman’s Basics of Pediatric Anesthesia- Ronald S.
Litman, Aditee Ambardekar
Instructional Methods:
All students will be required to complete a module and quiz prior to entering the OR. In the OR the student will be assigned to a room. The Anesthesia personnel in the room (Attending, Nurse Anesthestist, fellow or resident) will guide the student through induction, airway management, LMA/intubation, maintanence of anesthesia and emergence of pediatric patients
Knowledge/Skills:
The student will be able to:
PREOP:
Assist
in the performance of a focused history and physical with attention to the
anesthetic implications of pediatric physiology and pathology
Formulate and discuss a plan with the anesthesia team
(resident/ fellow/ attending).
Demonstrate appropriate skills in patient preoperative
management and preparation for anesthesia.
Understand how to communicate with developmentally
delayed patients and age-appropriate communication. Practice techniques to
decrease patient and caregiver anxiety.Illustrate different methods of premedication prior to induction.
INTRAOP:
Assist in management of inhalation induction. Evaluate and assist in the management of airway (including bag-mask management), breathing and circulation
of unconscious pediatric patients of different ages and
sizes.
Discuss the concepts of recognizing signs of a
difficult pediatric airway and managing upper airway obstruction.
Demonstrate manual dexterity in LMA
insertion and intubation in pediatric patients. Intubate using appropriate size blades and
tubes.
Understand when a non-verbal patient is
appropriate for extubation. Understand the management of laryngospasm and
bronchospasm.
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.
PHARMACOLOGY:
Demonstrate knowledge of pharmacology, including drugs and doses utilized in Pediatric
anesthesia. Recognize the treat common
complications of anesthesia in children (e.g., postoperative nausea/vomiting,
pruritis, respiratory depression)
Main Course Topics :
- Pre-Operative Evaluation and Medications
- IV Agents
- Inhalation Anesthetics
- Airway Management
- Muscle Relaxants
- Local Anesthetics
- Laryngospas
- Pediatric
Remediation Plan:
Will work out a customized plan as needed (SIM Center time and self-directed assignments).
SAMPLE WEEK
Monday:
6:30AM |
5:00PM |
Clinical Anesthesia |
Tuesday:
6:30AM |
4:00PM |
Clinical Anesthesia |
4:00PM |
6:00PM |
Fellow Lecture |
Wednesday:
7:00AM |
8:00AM |
Conference |
8:00AM |
5:00PM |
Clinical Anesthesia |
Thursday:
6:30AM |
5:00PM |
Clinical Anesthesia |
Friday:
6:30AM |
5:00PM |
Clinical Anesthesia |
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.