ME538M.11

Intensive Care Medicine Clerkship

Sites: Mount Auburn Hospital
Director(s): Peter Clardy, Mary Hewitt, David Miller
Offered: Full time every month. Except July and December.
Location: MTAH - Mount Auburn Hospital (11)
Open to Exclerks: US/Canadian
Description: The student will function as an integral member of the ICU team in a busy 20-bed mixed medical, surgical, and cardiac ICU where at least half the patients are on the medical service. The student´┐Żs primary role will be caring for medical ICU patients under the supervision of the medical resident and the Pulmonary and Critical Care attending. There is also opportunity to participate in the care of critically ill patients on the surgical and cardiothoracic surgical services. The unique setting of Mount Auburn Hospital allows for the diagnosis and management of common and uncommon life-threatening illness presenting from the community. Management of respiratory failure, sepsis, shock, cardiac injury and stroke will be emphasized. The student will stay for a longer call, and admit one patient every third day with an intern and resident team. The student will have one day off per week. In addition to participating in patient care, the student will attend a regular ICU didactic lecture series and medical grand rounds, and will also present a short talk at the end of the rotation.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Evidence-based medicine is incorporated into every day patient care (discussed on rounds, for example) and into the ICU didactic lecture series. Basic science content is incorporated into the ICU didactic lecture series.
Grade Criteria:
Honors with Distinction: Functions most often above appropriate level in 8 or more of the following areas: history taking, physical examination, fund of knowledge, technical/procedural skills, clinical evaluation and management skills, interpersonal skills, presentation skills, professionalism, cultural/social/systems awareness, initiative and desire to learn. Furthermore, there cannot be any evaluation that places the student consistently below appropriate level and the supervisory attending comments must be supportive of the final grade. Honors: Functions appropriate to level of training in 8 or more of the following areas: history taking, physical examination, fund of knowledge, technical/procedural skills, clinical evaluation and management skills, interpersonal skills, presentation skills, professionalism, cultural/social/systems awareness, initiative and desire to learn. Furthermore, there cannot be any evaluation that places the student consistently below appropriate level and the supervisory attending comments must be supportive of the final grade. If the student's evaluation is not consistently "appropriate to level of training," the final grade will be determined by the course co-directors based upon the individual marks and comments from clinical attendings. Satisfactory: Functions occasionally below appropriate level in at least 8 of the following areas: history taking, physical examination, fund of knowledge, technical/procedural skills, clinical evaluation and management skills, interpersonal skills, presentation skills, professionalism, cultural/social/systems awareness, initiative and desire to learn. If the student's evaluation is not consistently "occasionally below appropriate level," the final grade will be determined by the course co-directors based upon the individual marks and comments from clinical attendings. Unsatisfactory: Functions consistently below appropriate level in 8 or more of the following areas: history taking, physical examination, fund of knowledge, technical/procedural skills, clinical evaluation and management skills, interpersonal skills, presentation skills, professionalism, cultural/social/systems awareness, initiative and desire to learn. If the student's evaluation is not consistently "consistently below appropriate level," the final grade will be determined by the course co-directors based upon the individual marks and comments from clinical attendings.