Anesthesiology
TITLE:
ELECTIVE AI IN ANESTHESIA -ICE
Students are exposed to all aspects of anesthesia and some subspecialties, same day surgery, and PACU, 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)
expand all
GENERAL INFORMATION
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
STATUS:
Full-Time
OFFERED AS FULL-TIME AND PART-TIME:
NO
ALLOWS OVERLAP:
NO
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):
University of Cincinnati Medical Center
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 |
0 |
6 |
09/23/2024 - 10/18/2024 |
0 |
7 |
10/21/2024 - 11/15/2024 |
0 |
8 |
11/18/2024 - 12/13/2024 |
0 |
9 |
12/16/2024 - 01/10/2025 |
0 |
10 |
01/13/2025 - 02/07/2025 |
0 |
11 |
02/10/2025 - 03/07/2025 |
0 |
12 |
03/10/2025 - 04/04/2025 |
0 |
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:
6:00 am - 5:00 pm
REPORT 1ST DAY:
You will receive an email with detailed information prior to the elective.
INSTRUCTION
LEARNING ACTIVITIES:
- Case-Based Instruction/Learning
- Clinical Experience - Inpatient
- 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) |
ASSESSMENT:
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. Have electronic copies 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:
1. Evaluate and assist in the management of the airway of an
unconscious patient using bag-mask ventilation, bag-supraglottic airway
(laryngeal mask airway) ventilation, and bag-endotracheal tube
ventilation
2. Describe and demonstrate the use of laryngoscope for intubation
3. Describe and demonstrate the use of anesthesia monitors for management of patient circulation
4. Describe and demonstrate the use of the anesthesia monitors for management of patient oxygeneation and ventilation
5. Describe and demonstrate venous access via task trainer and/or patient
6. Describe and demonstrate intraosseous via task trainer and/or patient
7. Describe and demonstrate leadership and the concepts of crisis
resource management (CRM) in basic and advanced cardiopulmonary
resuscitation based on the American Heart Association's Guidelines for
BLS and ACLS in the simulation education clinical skills lab
8. Describe and demonstrate patient preoperative evaluation, preparation, and management in the same Day Surgery setting
9. Describe and demonstrate all aspects of intraoperative patient
management in the operating room including: drug selection and
administration, fluid management, and intraoperative vital sign
evaluation and management -- for operating room rotations
10. Describe and demonstrate the management of patients in the post-operative setting
11. Describe and demonstrate knowledge of the pharmacology of drugs utilized in anesthesia
12. Describe and discuss the risk/benefit of currently used anesthetic
drugs and the risk/benefit issues related to techniques and choice of
agents
13. Describe and review outpatient v. inpatient pharmacology and optimizing patient care for each setting
14. 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:
- Starting an IV
-
Use ultrasound in central line placement
-
Use of ultrasound in regional anesthesia
-
Anesthesia machine check
-
Direct laryngoscopy and intubation
-
Mask ventilation
-
Arterial line placement
-
Assist in epidural placement (thoracic and lumbar)
-
Assist in peripheral nerve block
Remediation Plan:
Meet with the Medical Education Director to create an individualized remediation plan.
SAMPLE WEEK
Monday:
6:00AM |
5:00PM |
Clinical Anesthesia |
Tuesday:
6:00AM |
5:00PM |
Clinical Anesthesia |
Wednesday:
6:00AM |
5:00PM |
Clinical Anesthesia |
Thursday:
6:00AM |
5:00PM |
Clinical Anesthesia |
Friday:
6:00AM |
5:00PM |
Clinical Anesthesia |
SCHEDULE NOTE:
The Medical Student Program Manager
will email the schedule prior to the beginning of your rotation. Please
come to MSB 3504 a few days before or on your first day to pick-up your
anesthesia badge.
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.