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Elective Title: 18MI731 — CRITICAL CARE


This rotation is based at a community teaching hospital and private practice office and will provide exposure to a broad range of patients and problems in pulmonary and critical care. Teaching will take place through daily work rounds in the hospital and office. Consultations will be provided for critically ill patients in the intensive and coronary care units in addition to patients on the wards. Commonly encountered syndromes include respiratory failure, shock, sepsis, organ failure, pleural effusions, pneumonia, and various chronic and acute lung diseases. Emphasis is placed on bedside imaging with focused critical care ultrasound to extend physical exam and allow better understanding of pathophysiology. Students will be given the opportunity to image pleural effusions, atelectasis, normal lung sliding, basic focused cardiac ultrasound including assessment of volume status, and studies for DVT and hydronephrosis.

Elective Details:

Primary Contact for Add/Drops: Elaine Wisner (ewisner@iuhealth.org)

Director: Daryl Gene Morrical, M.D., FACP, FCCP

Campus: Muncie

Location: IU Health Ball Memorial Hospital (Muncie)

Other Faculty:

Learning Objectives

  • 1) Explain some basic physics of critical care ultrasound (PC5)

  • 2) Distinguish pleural effusion from consolidation by ultrasound (PC3)
  • 3) Explain the significance of absent lung sliding on thoracic ultrasound (PC3)
  • 4) Correlate findings from chest imaging (e)g) chest x-ray, CT scan) with patient history and physical exam (PC1)
  • 5) Distinguish obstructive from restrictive patterns on pulmonary function testing (PC3)
  • 6) Develop an appropriate initial treatment strategy for acute respiratory failure and hypotension (MK4)


  • Clinical Performance Evaluation Form (IUSM-MSA); (Presentation of cases; Formulation of clinical plan base on evidence; Daily review by faculty and residents)

Enrollment Information

Prerequisites: 4th year status

Availability with Max Students per Month:


Duty Hours: Average work week would be 40-50 hours with opportunity to help with patient evaluation and management on call with the preceptor Dr Morrical.

Time Distribution: 75% Clinical; 10% Library/Research; 15% Lecture/Seminar

Elective Type Category: AC- Advanced Clinical

Notes and Enrollment Information:

Add/Drop Contact Person: Elaine Wisner (ewisner@iuhealth.org) Every effort will be made to provide housing; arrangements will be made prior to arrival.

Third Year Elective? No

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description:

As part of rounds we quite intentionally work with nurses, pharmacy, dietary, and respiratory therapy to develop care plans for our patients

Service Learning Included: None