Elective Title: 49MI754 — ADULT CRITICAL CARE MEDICINE
The course will provide an introduction to the care of the critically ill adult in one of the nations largest ICUs with emphasis on multidisciplinary care. The student will be an active member of an ICU team working directly with the staff medical intensivist and resident or fellow. Teaching rounds thoroughly cover current concepts of: airway management and mechanical ventilation; hemodynamic monitoring; enteral and parenteral nutrition; management of shock; fluid and electrolyte therapy. The student will participate in multidisciplinary rounds drawing on the expertise of clinical pharmacists, dietitians, social workers and care managers and emphasizing the importance of communication in implementing care plans. The student will be encouraged to enter computer orders on rounds and assume an active role in communicating with bedside nurses, patients and family members. The student will gain an awareness of cost containment issues and the medical, legal, and ethical dilemmas of critical care. A core curriculum for senior students will provide the basis for teaching on ICU rounds, clinical conferences, and didactic lectures.
Primary Contact for Add/Drops: Denise Monday (Dmonday@iuhealth.org)
Director: Robert Weller, M.D.
Location: IU Health Methodist Hospital (Indianapolis)
1) Function as an integral part of a care team working directly with Critical Care staff as well as critical care residents, fellows, nurses, and clinical pharmacists in a multidisciplinary approach to care (SBP1)
- 2) Demonstrate proper use of critical care check lists in managing complex medical patients (PC3)
- 3) Apply critical thinking skills to the management of respiratory failure, shock, sepsis, ARDS, and multiple organ failure (MK4)
- 4) Demonstrate basic skills in ventilator management, and appropriate interpretation of advanced hemodynamic monitoring data (PC5)
- 5) Communicate complex care issues and important end of life care issues during family conferences (P3)
Clinical Performance Evaluation Form; (Clinical Observation, Lecture Attendance)
Prerequisites: 4th year status
Availability with Max Students per Month:
Duty Hours: 50
Time Distribution: 85% Clinical; 10% Lecture/Seminar; 5% Library
Elective Type Category: AC - Advanced Clinical
Notes and Enrollment Information:
Add/Drop Contact Person: Denise Monday (Dmonday@iuhealth.org) This course may be dropped or added up to the 15th day of the month preceding the elective month. Any student wanting to drop or add this elective after the initial computer scheduling should contact Denise Monday at 317-962-8116 or DMonday@iuhealth.org..
Third Year Elective? No
Interprofessional Skills and Service Learning
Interprofessional Collaborative Skills: Yes
The elective does provide opportunities for inter professional collaboration. The very nature of our rounding in the intensive care units now involves multidisciplinary care rounds which including bedside nurses, respiratory therapists, clinical pharmacist, speech and physical therapists and social workers. On some units this takes the form of 3 times a week physical rounding of the entire team at the patient's bedside. On other units there is a daily "huddle"" at a central conference room involving the various disciplines ."
Service Learning Included: None