MD Courses — Surgery

Third year

M95 790 INTEGRATED SURGICAL DISCIPLINES CLERKSHIP
During the 12-week surgery clerkship, students are assigned to three 4-week rotations, one of which is a required 4-week general surgery rotation at Barnes-Jewish Hospital (plus one option at the Veterans Administration Medical Center). In addition to the general surgery rotation, each student is assigned two four-week elective rotations from a variety of surgical specialties and/or related disciplines. The 12-week clerkship focuses on the diagnosis, care, and management of surgical patients. The student is an active participant in the daily care of patients on each service and attends clinics, rounds, operating rooms, call nights, and teaching conferences. Central to the 12-week clerkship are small-group didactic sessions with assigned faculty members and a lecture/workshop series that covers a wide range of surgical topics and specialties as well as provides opportunity for practice of basic clinical skills in simulated settings.

Fourth year

There is ample opportunity for fourth-year students to participate in elective rotations within each division of the Department of Surgery. Many of the fourth-year surgery electives are structured to allow the student to participate as a “subintern,” facilitating experiences in preoperative, intraoperative and postoperative patient management. Generally, the minimum duration of a fourth-year elective rotation in the Department of Surgery is four weeks. Research electives are also available.

Electives

M95 814 / ACTING INTERNSHIP, TRAUMA SERVICE
Instructor(s): Stephen Eaton, MD; John Kirby, MD; Douglas Schuerer, MD;  and Kareem Husain, MD
Location: 1411 Queeny Tower
Elective Contact: Jennifer Richter, 314-362-7775

Other Information: This is NOT a “preceptor” elective. However, students may elect to make prior arrangements to work more closely with particular attendings on this service (based on availability).
Enrollment limit per period: 1
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

The student on this elective will function as a subintern on the Trauma and Acute Care Surgical Service within the Section of Acute and Critical Care Surgery. Student involvement in all aspects of clinical surgery is accomplished by student attendance in the outpatient office, preoperative patient evaluation, in-hospital patient management, and postoperative outpatient follow-up after discharge. Practical experience will focus on the initial evaluation and resuscitation of traumatized patients and other emergency care patients. The student will also participate in regular rounds, conferences, and in-house call. Note: If a student desires to work more closely with a “specific attending,” he/she must make special arrangements with the faculty member prior to beginning this elective. If you have any questions regarding this notice, please call Doug Brown in the Surgical Education Office 314-362-8029.

Student time distribution: Inpatient 80%, Outpatient 10%, Conferences/ Lectures 10%; Primary Care 20%, Subspecialty Care 80%
Major teaching responsibility: Attendings, residents and fellows
Patients seen/weekly: 30
On call/weekend responsibility: Yes

M95 818 / SURGICAL NIGHT FLOAT & ER SUBINTERNSHIP
Instructor(s): John Kirby, MD; and L. Michael Brunt, MD
Location: ER
Elective Contact: Doug Brown, 314-362-8029

Other Information: Student should contact instructor prior to first day of elective.
Enrollment limit per period: 2
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This subinternship is specifically designed to give senior medical students an intern level experience in managing acute on-call problems in surgical patients and in evaluating urgent and emergent problems in the ED.  The rotation will be divided into two, two week segments – one segment in the ED and the second on night float call on the surgical floors.  Students will gain experience evaluating and managing the types of acute problems they will encounter as surgical interns as first responders to patients with acute abdominal pain, chest pain, hypotension, mental status changes, and other ER/on-call type problems.  They will be assigned to the on call surgical resident and will have a structured experience in order to maximize development of their diagnostic, management, and case presentation skills in the acute care setting so that they may more smoothly make the transition to a surgical internship.

Student time distribution: Inpatient 50%, Outpatient 50%, Conferences/ Lectures TBD; Primary Care 100%
Major teaching responsibility: John Kirby, MD and Surgical Residents
Patients seen/weekly: 20-30 each week
On call/weekend responsibility: No weekend call, rotation is nighttime based Tuesday through Friday for Floor two-week component and Tuesday, Wednesday, and Friday for ED two-week component

M95 820 / CARDIOTHORACIC SURGERY
Instructor(s): Hersh Maniar, MD; Michael Avidan, MBBCH; Umar Boston, MD; Stephen Broderick, MD; Traves Crabtree, MD; Ralph Damiano, MD; Charl De Wet, MD; Pirooz Eghtesady, MD, PhD; Dan Kreisel, MD, PhD; Sasha Krupnick, MD; Jennifer Lawton, MD; Bryan Meyers, MD; Marc Moon, MD; Michael K. Pasque, MD; G. Alexander Patterson, MD; Varun Puri, MD; Stephano Schena, MD; and Scott Silvestry, MD
Location: 3106G Queeny Tower
Elective Contact: Hersh Maniar, MD; Secretary, Leslie Wiley at 314-362-7431

Other Information: Students should contact Leslie Wiley at 314-362-7431 prior to the first day of elective. Students should report to 3106G Queeny Tower, 9:30 a.m. first day of elective.
Enrollment limit per period: 3
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37 and 41.

The senior elective in cardiothoracic surgery is a four-week clinical rotation with two week blocks divided between adult cardiac, pediatric cardiothoracic, and general thoracic surgery according to the student’s preference. Students will participate in morning work rounds, attend the operative procedures of their choice, and attend weekly conferences and teaching rounds. Students will be introduced not only to the surgical procedures but also to the postoperative care of the surgical patients.

On the pediatric and adult cardiac services, students will be introduced to the principles of cardiopulmonary bypass, repair of congenital heart defects, ventricular assist devices, cardiac transplantation, coronary artery bypass surgery (on and off pump), valve repair and replacement, complex aortic surgery, the MAZE procedures and others.

On the adult cardiac surgery service, students will function as subinterns under the direct supervision of a faculty member.

On the thoracic surgical rotation students will have the opportunity of performing bronchoscopy, esophagoscopy, gastroscopy, and participate in surgical resections of lung cancer and esophageal cancer, as well as surgery for emphysema and for benign esophageal conditions.  Students will also participate in lung transplantation surgery.

Student time distribution: Inpatient 80%, Outpatient 10%, Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Attendings and residents
Patients seen/weekly: 20
On call/weekend responsibility: One in three, no weekend call

M95 830 / PLASTIC RECONSTRUCTIVE SURGERY
Instructor(s): Kamlesh Patel, MD
Location: 11th Floor Northwest Tower
Elective Contact: Mary Darden, 314-747-1193

Other Information: Mary will e-mail the student a schedule approximately 10 days before the start date. The student will meet with Dr. Patel @ 6:30 a.m. on the first day of the rotation unless other arrangements have been made. Enrollment limit per period: 4 per block weeks 1-13; 2 per block weeks 17-41
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

The period on plastic surgery may either be spent as a clinical clerkship or conducting a research project. The purpose of the clinical clerkship is to familiarize the student with the basic principles of Plastic Surgery. The student will have successive assignments to each of the attending staff and the ward resident services during the four weeks. This will expose the student to the breadth and depth of plastic surgery. Alternatively, if the student has identified a focus of interest, the student may participate on those services of special interest, such as hand or pediatric plastic surgery. The student will assume an active role on the plastic surgery service and will participate in the total management of a wide variety of surgical problems including congenital anomalies, microvascular surgery, surgery of the upper extremity, peripheral nerve surgery, cosmetic surgery, and general reconstructive plastic surgery. Research projects should be student-motivated and need to be approved prior to scheduling and confirming the research rotation. Student will perform a 10-15 minute case presentation.

Student time distribution: Inpatient 70%, Outpatient 20%, Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Attendings and residents
Patients seen/weekly: 12
On call/weekend responsibility: One day per week, one weekend per month.

M95 832 / PLASTIC SURGERY EXTERNSHIP  (Visiting Students Only)
Instructor(s): Kamlesh Patel, MD, 314-747-0541
Location: 11th Floor Northwest Tower
Elective Contact: Mary Darden, 314-747-1193

Other Information: Mary will e-mail the student a schedule approximately 10 days before the start date. The student will meet with Dr. Patel at 6:30 a.m. on the first day of the rotation unless other arrangements have been made.
Enrollment limit per period: Varies
Flexible start days for 3 to 4-week blocks are available beginning
July 1, through December 31. Certain rotation dates/weeks may be limited depending on the number of students requesting rotations.

Students rotate on four different Plastic Surgery Services for one week each to maximize exposure to all faculty. If the student has transportation, they will travel to Barnes West County office on two days. Services include: breast reconstruction, hand, nerve, cosmetic and general reconstruction. Participation in conferences is expected. Student will perform a 10-15 minute case presentation.

Student time distribution: Inpatient 70%, Outpatient 20%, Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Attendings and residents
Patients seen/weekly: 12
On call/weekend responsibility: one day per week, one weekend per month

M95 850 / UROLOGY
Instructor(s): Gerald Andriole, MD, 314-362-8212
Location: Wohl Hospital
Elective Contact: Sally Wahlbrink, 314-362-8212

Other Information: Students should contact Dr. Andriole’s office at 314-362-8212 prior to first day for room assignment.
Enrollment limit per period: 2
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

A four-week clinical clerkship in pediatric and/or adult urology will offer the interested student experience with a spectrum of problems in clinical urology. The student will learn the basic diagnostic procedures and management of surgical and non-surgical aspects of patient care under the supervision of the attending staff and house staff. Clinical conferences are held three days per week.

Student time distribution: Inpatient 65%, Outpatient 25%, Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Several attendings, chief resident and resident staff
Patients seen/weekly: >20
On call/weekend responsibility: Two Saturdays per month

M95 862 / ACTING INTERNSHIP, COLON AND RECTAL SURGERY
Instructor(s): Steve Hunt, MD; Elisa Birnbaum, MD; Matthew Mutch, MD; Paul Wise, MD; Matthew Silviera, MD; and Sekhar Dharmarajan, MD  314-747-6156
Location: 14102 Queeny Tower, South Campus
Elective Contact: Emily Stroisch, 314-454-7182

Other Information: This is NOT a “preceptor” elective. However, students may elect to make prior arrangements to work more closely with a specific attending on this elective (based on availability).
Enrollment limit per period: 1
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This subinternship elective is designed to give students in-depth experience in the clinical management of patients on the Colorectal Surgery Service. Students work closely with the attendings within the Section of Colon and Rectal Surgery, and clinical exposure is focused on a wide range of benign and malignant colorectal diseases. There is exposure to radiation oncology and the specialized areas of nursing related to care of patients with colorectal cancer and inflammatory bowel disease. The course will offer opportunities for students to gain experience in preoperative, intraoperative and postoperative, patient management under house staff, fellows, and faculty guidance, as well as ample opportunity to attend and participate in conferences. Notice: If a student desires to work more closely with a specific attending, he/she must make special arrangements with the Colorectal Surgery Office prior to beginning this elective.

Student time distribution: Inpatient 75%, Outpatient 20%, Conferences/ Lectures 5%; Subspecialty Care 100%
Major teaching responsibility: Steven Hunt, MD, and colorectal fellows
Patients seen/weekly: 25-50
On call/weekend responsibility: Every fifth night or negotiable

M95 863 / ACTING INTERNSHIP, SURGICAL ONCOLOGY AND ENDOCRINE SURGERY
Instructor(s): Timothy Eberlein, MD; Rebecca Aft, MD;  Amy Cyr, MD;  William Gillanders, MD; Julie Margenthaler, MD; and Jeffrey Moley, MD
Location: 11th Floor Northwest Tower
Elective Contact: Doug Brown, 314-362-8029; Amy Cyr, MD, 314-747-8708

Other Information: This is NOT a “preceptor” elective. However, students may elect to make prior arrangements to work more closely with a specific attending (based on availability).
Enrollment limit per period: 1
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This subinternship elective is designed to give students in-depth experience in the clinical management of patients on the Endocrine and Surgical Oncology Service (Unit I Service). Students will serve as clerks and will be responsible for patient management with house staff under the guidance of the chief resident and attending surgeons. Clinical exposure is focused on thyroid, parathyroid and adrenal surgery, as well as breast oncology, melanoma, and soft-tissue sarcomas. The course will offer opportunities for students to gain experience in preoperative, intraoperative, and postoperative patient management. There will be opportunity for students to evaluate patients, decide on a diagnostic and management strategy and provide care under house staff and faculty guidance, as well as ample opportunity to attend and participate in conferences. Note: If a student desires to work more closely with a “specific attending,” he/she must make special arrangements with the faculty member prior to beginning this elective. If you have any questions regarding this notice, please call Doug Brown in the Surgical Education Office 314-362-8029.

Student time distribution: Inpatient 75%, Outpatient 15%, Conferences/ Lectures 10%
Major teaching responsibility: Attendings, chief resident, and junior residents
Patients seen/weekly: 20-40 (varies)
On call/weekend responsibility: Every third or fourth night with a resident who will directly supervise

M95 864 / ETHICAL CHALLENGES IN SURGERY AND MEDICINE
Instructor(s): Mary Klingensmith, MD
Location: Surgical Education Office – 9th Floor Wohl
Elective Contact: Douglas Brown, PhD, 314-304-8638

Other Information:
Enrollment limit per period: 1
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This elective will involve exploration of the ethical challenges discussed during didactic conferences and in clinical settings within the Department of Surgery at Washington University in St. Louis School of Medicine.  The student will by guided through readings, discussions, and projects by department faculty members with expertise in clinical ethics.  The elective will result in a finished manuscript to be published, with the student as co-author, in the journal Surgery.  This elective provides the opportunity to work closely with faculty mentors and should appeal to any student interested in the ethical and humanitarian challenges facing physicians in particular and society in general.

Student time distribution: Conferences/Lectures 100%
Major teaching responsibility:
Patients seen/weekly: NA
On call/weekend responsibility: NA

M95 871 / ACTING INTERNSHIP, VASCULAR SURGERY
Instructor(s): Chandu Vemuri, MD; Nanette Reed, Luis A. Sanchez, Gregorio A. Sicard, Mohammed Zayed, Jeffrey Jim, Patrick J. Geraghty, Brian G. Rubin and Robert W. Thompson, 314-362-3511
Location: 5103 Queeny Tower
Elective Contact: Students should contact Dr. Vemuri’s office prior to the start of this rotation at 314-362-3511
Assistant: Theresa Belgeri, 314-362-5707, belgerit@wudosis.wustl.edu

Other Information: This is NOT a “preceptor” elective. However, students may elect to make prior arrangements to work more closely with Dr. Vemuri 314-362-7841 or other attendings on this service (based on availability).
Enrollment limit per period: 1
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This subinternship elective is designed to give students in-depth experience in the clinical management of patients on the Vascular Surgery Service. The elective will offer opportunities for students to gain experience in preoperative, intraoperative and postoperative, management of patients with surgically treated vascular diseases/conditions. Students will serve as clerks and will be responsible for patient management with house staff under the guidance of the chief resident and attending surgeons. There will be opportunity for students to evaluate patients, decide on a diagnostic and management strategy and provide care under house staff and faculty guidance, as well as ample opportunity to attend and participate in conferences. Notice: If a student desires to work more closely with a “specific attending,” he/she must make special arrangements with the faculty member prior to beginning this elective. If you have any questions regarding this notice, please call Doug Brown in the Surgical Education Office 314-362-8029.

Student time distribution: Inpatient 70%, Outpatient 20%, Conferences/ Lectures 10%; Primary Care 10%, Subspecialty Care 90%
Major teaching responsibility: Attending, fellows, chief resident, and junior residents
Patients seen/weekly: 100+ (varies)
On call/weekend responsibility: Student’s option

M95 879 / ACTING INTERNSHIP, HEPATOBILIARY PANCREATIC SURGERY
Instructor(s): Steven Strasberg, MD; William Hawkins, MD; Ryan Fields, MD; and Majella Doyle, MD
Location: 11th Floor Northwest Tower
Elective Contact: Chelsey Hermann, 314-454-5625

Other Information: This is NOT a “preceptor” elective. However, students may elect to make prior arrangements to work more closely with a specific attending on this service (based on availability).
Enrollment limit per period: 1
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This subinternship elective is designed to give students in-depth experience in the clinical management of patients on the Hepatobiliary/Pancreatic (Unit II) Service. The Unit II Service is a busy upper gastrointestinal service with a focus on hepatobiliary and pancreatic diseases and their treatment. The course will offer opportunities for students to gain experience in preoperative, intraoperative, and postoperative patient management. Students will serve as clerks and will be responsible for patient management with house staff under the guidance of the fellow, chief resident and attending surgeons. There will be opportunity for students to evaluate patients, decide on a diagnostic and management strategy, and provide care under house staff and faculty guidance, as well as ample opportunity to attend and participate in conferences. Note: If a student desires to work more closely with a specific attending, he/she must make special arrangements with the faculty member prior to beginning this elective

Student time distribution: Inpatient 75%, Outpatient 15%, Conferences/ Lectures 10%; Primary Care 100%
Major teaching responsibility: Attending, chief resident, fellow and junior residents
Patients seen/weekly: Varies
On call/weekend responsibility:  Every third or fourth night with a resident who will directly supervise.

M95 880 / PEDIATRIC SURGERY
Instructor(s):  Kate Bernabe, M.D;  Martin Keller, M.D.; Jacqueline Saito, M.D.; Pat Dillon, M.D.; Brad Segura, MD, and Brad Warner, MD.
Location: 5S40 St. Louis Children’s Hospital
Elective Contact: Stacy Pokorny,  454-4169

Other Information: Students should report at 6:00 a.m. on the first day of the rotation.
Enrollment limit per period: 1
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

The student will participate as a subintern in all aspects of pediatric surgical patient care and will be exposed to a wide variety of pediatric surgical cases.  This includes the preoperative and postoperative evaluation of patients as well as the care of pediatric trauma patients.  Daily rounds are made with both the resident and attending staff and active participation is expected in the pediatric surgery clinic and the operating room.  Weekly conferences include Mortality and Morbidity, Radiology, Pathology and case presentations with the student expected to prepare a conference presentation on a topic of interest.

Student time distribution: Inpatient 60%, Outpatient 30%, Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Attendings
Patients seen/weekly: 35
On call/weekend responsibility: Optional

M95 891 / ORGAN TRANSPLANTATION
Instructor(s): William Chapman, MD; Surendra Shenoy, MD, PhD; Majella Doyle, MD; Yiing Lin, MD;  and Jason Wellen, MD
Location: Barnes-Jewish Hospital
Elective Contact: Mary Hampton 314-362-7792, Kiesha Cleark  314-747-2456

Other Information: Student should contact instructor if interested in scheduling elective.
Enrollment limit per period: 2
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

The care of transplant patients requires the integration of multiple diverse medical and surgical disciplines. This elective clerkship in organ transplantation encompasses the preoperative evaluation and management of adult and pediatric recipients of liver, kidney, and pancreas. Students participate in procurement of allografts from cadaveric or living donors, organ preservation, and transplantation. Emphasis is also placed on postoperative care, multimodality immunosuppression and management of allograft rejection. Basic hepatic and renal physiology, fluid and electrolyte balance, and transplantation immunology are stressed. Rotation provides an elaborate exposure to different facets of management of end stage renal and liver disease. Management of the complications of diabetes, hypertension, portal hypertension, and infectious problems are an integral part of pre- and post-transplant care. This course is designed to offer the student an overview of the field of organ transplantation, however, in addition to transplant surgery, students will also get some exposure to vascular access and hepatobiliary surgery. The student functions as a member of the transplant team and assumes appropriate responsibilities under supervision.

Student time distribution: Inpatient 80%, Outpatient 10%, Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Full attending and resident staff
Patients seen/weekly: 40
On call/weekend responsibility: Yes

M95 893 / ACTING INTERNSHIP, MINIMALLY INVASIVE SURGERY
Instructor(s): L. Michael Brunt, MD 314-454-8877
Location: 11th Floor Northwest Tower
Elective Contact: Student should contact Dr. Brunt at 314-454-8877 prior to the first day of the elective

Other Information: This is NOT a “preceptor” elective. However, students may elect to make prior arrangements to work more closely with Dr. Brunt on this elective (based on availability).
Enrollment limit per period: 1
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This subinternship elective in minimally invasive surgery is offered by  L. Michael Brunt, MD, a member of the Section of Minimally Invasive Surgery in the General Surgery Division. Surgeons in the Minimally Invasive Surgery group regularly perform the following procedures laparoscopically: cholecystectomy, splenectomy, adrenalectomy, hiatal hernia repair, inguinal hernia repair, ventral hernia repair and gastric bypass for morbid obesity. The medical student electing this rotation will participate in the outpatient office and direct patient care, assist and observe in a wide range of laparoscopic procedures and participate in teaching rounds and conferences. During this rotation, the student will also have the opportunity to observe and participate in minimally invasive surgical procedures performed by various surgeons within the Division of General Surgery and will function as an acting intern. Notice: If a student desires to work more closely with a “specific attending,” he/she must make special arrangements with the faculty member prior to beginning this elective. If you have any questions regarding this notice, please call Doug Brown in the Surgical Education Office 314-362-8029.

Student time distribution: Inpatient/Operating Room 60%, Outpatient 30%, Conferences/ Lectures 10%; Subspecialty Care 100%
Major teaching responsibility: Attending and residents
Patients seen/weekly: ~25 (varies)
On call/weekend responsibility: One call weekend which consists of morning rounds and home call. No in-house call.

M10 820 / CRITICAL CARE
Instructor(s): Heidi Atwell, DO, 314-362-1196, Course Master; Walter Boyle, MD; Grant Bochicchio, MD; Stephanie Bonne, MD; Anne Drewry, MD; Stephen Eaton, MD; Daniel Emmert, MD; Alex Evers, MD; Brian Fuller, MD; Thomas J. Graetz, MD; Richard Hotchkiss, MD; Kareem Husain, MD; Jacob Keeperman, MD; Paul Kerby, MD; John Kirby, MD; Isaac Lynch, MD; John Mazuski, MD; Tiffany Osborn, MD; Patricia Penkoske, MD. Adnan Sadiq, MD; Doug Schuerer, MD; Jessica Smith, MD; Robert Southard, MD; George Tseng, MD; Brian Wessman, MD; and Robert Winfield, MD
Location: Barnes-Jewish Hospital, South Campus
Elective Contact: Barbara McKinney, 314-747-3581

Other Information: Students should meet in the 4400 Surgical Intensive Care Unit, 4th Floor of Barnes-Jewish Hospital, at 7:30 a.m. on the first day of the elective.
Enrollment limit per period: 4
Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

Students on this rotation are integral members of the multidisciplinary intensivist-led critical care team in the Surgical Intensive Care Unit (SICU). Students learn an organ systems-based approach for evaluation and management of critically ill and injured patients, and application of evidence-based principles in delivery of state-of-the-art critical care. Emphasis is placed on critical care knowledge and techniques used at the bedside in the clinical management of serious traumatic and surgical conditions. Students become familiar with resuscitation and cardiopulmonary support, including methods for non-invasive and invasive hemodynamic monitoring, and techniques for airway management and pulmonary support in respiratory failure. Basic knowledge and skills in the management of neurologic injuries, liver and/or renal failure, and life-threatening infections in the surgical patient are also taught, as is the importance of treatments to alleviate anxiety and pain, maintain fluid and electrolyte balance, and provide adequate nutrition. Practical experience is gained in placement of vascular access devices, interpretation of laboratory data, and use of guidelines, protocols and quality assurance tools in the management of critically ill patients.

Student time distribution: Inpatient 80%, Conferences/Lectures 20%; Subspecialty Care 100%
Major teaching responsibility: ICU Attendings
Patients seen/weekly: 50
On call/weekend responsibility: Variable