Goals and Objectives
Goals and Objectives of the Acute Care Clerkship
I. The student will learn pre-anesthetic patient evaluation and risk stratification.
A. The medical student will understand how patient co-morbidities can affect the anesthetic plan.
B. The medical student will be able to understand potential anesthetic options for a given surgical procedure.
C. The medical student will be able to plan an anesthetic for a basic surgical procedure.
D. The student will understand risk stratification of a patient undergoing anesthesia.
II. The medical student will understand postoperative care and management and some of the most common postoperative complications and their potential etiologies.
III. The student will learn management of the airway and use of equipment to ensure airway patency.
IV. The student will spend time learning the technical skills of how to perform intravenous access.
V. The student will learn about local anesthetics and regional / neuraxial anesthesia options.
VI. The student will learn about different options for pain management including oral, intravenous, epidural, and regional as discussed above.
VII. The medical student will be able to list and understand the basic ASA-required patient monitors.
VIII. The students will be exposed to crisis resource management and team training.
IX. The medical student will understand basic pharmacologic principles regarding the utilization of intravenous induction agents, neuromuscular blockers, local anesthetics, volatile anesthetic agents, and vaso-active medications.
X. The student will learn to manage patients in acute cardiac arrest, following well-established protocols for recognition and emergent intervention as outlined by the American Heart Association.
XI. The student will learn to interpret electrocardiograms during management of patients with acute, undifferentiated chest pain.
XII. The student will learn and perform bedside diagnostic tests including blood pressure measurement, pulse oximetry, finger stick glucose, ECG, intravenous fluid resuscitation, peak flow, cardiac monitoring and oxygen supplementation, among others.
XIII. The student will learn and perform simple therapeutic procedures in the acute care setting including arterial and venous cannulation, basic wound care and suturing, joint immobilization and naso-gastric access, among others.
XIV. The student will learn basic principles and procedures for injury care.
XV. The student will learn radiographic interpretation skills of plain films and other modalities.
XVI. The student will have exposure to emergent bedside diagnostic and procedural ultrasonography.
XVII. Students will learn emergency triage and principles of management of Mass casualty Incidents (MCI/Disaster medicine).
XVIII. The student will have exposure to pre-hospital emergency care.
I. Perform and observe airway management including mask ventilation, laryngeal mask airway placement, and endotracheal intubation in both simulation and patients.
II. Intravenous access - Perform peripheral intravenous catheter placement on patients, as well as central venous access in simulation.
III. Students will complete interactive high fidelity simulation sessions to learn basic skills and patient management
A. Students will perform simulation in various shock scenarios.
B. Students will participate in team training and crisis resource management.
C. The students will complete interactive simulation sessions in cardiac and trauma resuscitation.
IV. The students will perform specific bedside diagnostic procedures on patients in the Emergency Department setting while being observed by faculty and housestaff.
V. Medical students will practice doctor-patient communication skills with patients receiving acute medical care.
VI. Students will practice cultural sensitivity and appropriate interactions with special patient populations in the acute setting, including pediatric patients, prisoners, elderly, mentally-challenged, psychiatric and the indigent and uninsured patients.
VII. The students will complete skills passports prior to completion of the rotation.
VIII. Medical students will participate in an un-graded oral examination in order to practice verbal articulation skills and demonstrate mastery of knowledge.
IX. All students will complete a Student Case Report that will be presented the final Friday of the Clerkship.
X. All students will take a test on the final Friday of the Clerkship.