AE504M.3

Intraoperative & Postoperative Mgmt of the Cardiac Surgical Pati

Sites: MGH
Director(s): Alberto Puig, Man Wong
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time one month.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: Yes (may be restricted for international students)
Description: Intraoperating & Postoperative Management of the Cardiac Surgical Patient provides an opportunity for an advanced medical student to gain further insight into the pre-operative, interoperative, and post-operative management of patients presenting for cardiac surgery including coronary artery bypass grafting, valve replacement, aortic procedures, and transplantation. The medical student will be exposed to preoperative evaluation, central and arterial line placement, intubation, hemodynamic monitoring, resuscitation, echocardiography, the principles of cardiac surgery, and patient transport. The student will be exposed to cardiac anatomy, pharmacology, and physiology. The student will be expected to attend the established resident and fellow lecture series, Morbidity and Mortality Conferences, department wide Thursday morning conference, and multiple issue discussions. The resident is invited to attend the Advanced Trauma Operative Management Course when offered and any other conferences in which our trainees participate. Call is optional allowing the student to choose to remain with a case if interested. The student is free of duties if involved with a case late into the evening.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The student will be taught the basics of cardiac anatomy, physiology, and pharmacology. Evidence-based medicine is oncorporated into all lectures and discussed while caring for the patient at hand. A series of handouts are provided to all students at the beginning of the rotation.
Grade Criteria:
Honors with Distinction:
High honors is awarded to the student that demonstrates a level of knowledge or cardiac anatomy, physiology, and pharmacology that is well above the average student. The individual demonstrates an ability to learn the principles of cardiac anesthesia including pre-operative evaluation, monitoring, and interoperative management. The student will demonstrate a high level of technical skill in procedures such as intubation, arterial line placement, and central line placement. Additionally the student will demonstrate a work ethic and dedication to learning and the service that is clearly above expectations.
Honors:
Honors is awarded to the student that demonstrates a level of knowledge or cardiac anatomy, physiology, and pharmacology that is above the average expected level for a student. The individual demonstrates an ability to learn the principles of cardiac anesthesia including pre-operative evaluation, monitoring, and interoperative management appropriate for their level. The student will demonstrate a high level of technical skill in procedures such as intubation, arterial line placement, and central line placement. The student will demonstrate a level of dedication to the service that shows their understanding of the importance of any individual on the team.
Satisfactory:
A grade of satisfactory is reserved for the student that demonstrates a basic understanding of cardiac anatomy, physiology, and pharmacology at the expected level for a 4th year student. The student will complete all required tasks and be a functioning member of the team. At a minimum the student will demonstrate on time arrival, completion of tasks, interest in the service, and honesty.
Unsatisfactory:
A grade of unsatisfactory will be assigned to any student that demonstrates a lack of professionalism, honesty, punctuality, or does not consistently contribute to the service. A grade of unsatisfactory may also be assigned to any student whose knowledge level or technical skills are clearly below our minimum standards and does not demonstrate appropriate improvement over the course of the rotation.