ME538M.3

Intensive Care Unit Medicine

Sites: MGH
Director(s): Kathryn Hibbert, Alberto Puig
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month. Not offered July and August.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: US/Canadian
Description: The rotation takes place in a very busy 18 bed intensive care unit in a tertiary care hospital. The student will be exposed to critically ill patients with a broad range of medical illnesses including sepsis, respiratory failure, and heart failure. In addition there is some exposure to critically ill surgical trauma, and neurology patients. The student will be a working member of the intensive care unit. He/she will be teamed up with a second year resident, and take call with the resident every fourth night. The student will admit 1 patient each call night, participate in all procedures where appropriate, and present their patients on daily rounds (7 days a week, 3 hrs a day). The student will be expected to attend the morning critical care lecture series, which covers important aspects of critical care medicine and evidence-based best practice. This series is updated and repeated monthly. The student is also expected to engage in tutorial work and literature reviews with the residents, fellows and attending intensivists.
Incorporation of Basic Science Content and Evidence-Based Medicine:
There is a daily lecture series that discusses basic mechanisms of disease and evidence-based medicine approaches in the ICU.
Grade Criteria:
Honors with Distinction: Superior fund of knowledge and management of critically ill patients. Must also give outstanding presentations and work very well with patients/families and with the healthcare team. Limited to less than 10% of students who take the rotation. Honors: Outstanding fund of knowledge and management of critically ill patients. Works well with the healthcare team and with patients/families. Satisfactory: Average fund of knowledge and handled the management of critically ill patients well. Works well with the healthcare team and with patients/families. Unsatisfactory: Below average fund of knowledge and could not successfully manage critically ill patients even after several weeks. Could also have problems working with the healthcare team and with patients/families.