STUDENT ELECTIVES

MED 545-W Sub-Internship in Critical Care Medicine (MICU/SICU/CVICU)

I.  Pre-requisite:  Credit for Medicine 541

    Duration:  4 weeks (available all blocks)

    Number of Students:  Minimum - 1; Maximum -3

    Location: 

        Queen's Medical Center Intensive Care Unit - Dr. Scott Gallacher

        Hawaii Medical Center-East - Dr. Emilio Ganitano

    Coordinator:  Laurie Tam, M.D.

II. Objectives:

Queen's Medical Center

The fourth-year student will learn and understand the necessary skills, attitude and knowledge to coordinate the evaluation, and management of patients in the ICU setting. The student will learn to diagnose and manage patients with acute medical illnesses requiring intensive care and will learn about those procedures required to support those patients.

Hawaii Medical Center-East

By the end of this four week elective:

1.  The student will gain a detailed introduction to Critical Care problems in the Medical, Surgical and Cardiovascular Intensive Care Setting.

2.  The student will gain a comprehensive introduction to the multi-specialty approach to critical care medicine.

3.  The student will be able to efficienty gather comprehensive and complete data for their critical care patient on a daily basis.

4.  The student will be able to document daily clinical data in the form of daily ICU progress notes.

5.  The student will be familiar with the workup and treatment of the following basic critical care problems:

• Respiratory Failure
• Hypotension
• Shock
• Sepsis
• Renal Failure

6. The student will be introduced to the following critical care topics:

• Mechanical Ventilation
• Vasopressors and Inotropes
• Invasive Hemodynamic Monitoring
• ICU Nutrition
• ARDS
• Imaging in ICU
• Sedation and Analgesia
• CU Endocrinology
• Patient Safety in ICU
• Brain Death
• Care of the post operative CABG patient
• End of Life Care

7.  The students will have participated in the following critical care procedures:

• Airway Management - Bag Mask Ventilation
• Endotracheal Intubation
• Central Line Placement
• Arterial Line Placement
• CPR and ACLS

III.     Method:

Queen's Medical Center

            The student will function as a subintern assigned to the ICU team at Queen's, taking intimate part in the care of acutely ill patients, learning to do those procedures required in intensive patient care.  On-call roster will be arranged with ICU team.  The student will function under the direct supervision of the medical ICU residents (QMC).

Hawaii Medical Center-East

The student will function as a subintern assigned to the ICU team at Hawaii Medical Center-East, taking intimate part in the care of acutely ill patients, learning to do those procedures required in intensive patient care.  The student will function under the direct supervision of a senior medical resident (when available) or attending physician.  There are no call requirements.

IV.   Evaluation

           1. The evaluation is accomplished by observation of the physicians supervising the sub-intern.

           2. There will be a formal examination.

           3. To obtain credit for this elective, all students must complete and return the elective evaluation form to the Department of Medicine.

V. Non-University of Hawaii medical students will be accepted on a space-available basis with the approval of the Program Director and the supervising intensivist. Such students must be able to demonstrate that they have competently completed a minimum of four (4) weeks on an inpatient internal medicine clerkship or elective.

VI.  Contacts

Queen's Medical Center

Please contact site coordinator Scott Galalcher, MD, via Stacey Teramae - (808) 547-4381 steramae@queens.org.  Students should arrange for CARE*Link Training prior to start of rotation by calling the CARE*Link Training Office at 537-7271.

Hawaii Medical Center-East

Please contact site coordinator Emilio Ganitano, MD at eganitanomd@yahoo.com at least one week prior to the start of the elective to receive the orientation packet. 

VII. Awards

Students who complete this elective may be eligible for the Maurice Brodsky Memorial Award.

   1. Eligibility criteria:

       a. Completed an elective in Pulmonary Diseases or MICU

       b. Demonstrated excellence in pulmonary medicine during the elective and   have letter(s) of recommendation written by the elective preceptor(s)

       c. Write a 3-5 page summary on a clinical topic in pulmonary medicine

   2. Selection:

       a. by a committee chaired by Dr. Bruce Soll

       b. in April of the 4th year

   3. Award amount: $500

Revised February 2008  MED 545-W