Rotations for Medical Students
Electives
Requests from outside students for Anesthesiology electives should be made through the Office of Student Affairs, Wake Forest University School of Medicine.
ANE01 Clerkship
Program Director: Randy Calicott, M.D.
Program Outline: The program is a flexible one and can be tailored to the needs of the individual student. The entire period will be spent in the inpatient and outpatient operating room setting, including labor and delivery. Students will gain experience with general and regional anesthetic techniques. Emphasis will be placed on the physiology of the cardiovascular, respiratory and central nervous systems in health and disease and on how various anesthetics alter the function of these systems. Students will learn about airway management and tracheal intubation, and other issues related to the care of the unconscious patient. The clinical pharmacology of many classes of drugs will be stressed including general anesthetic agents, local anesthetics, narcotic agonists and antagonists, vasopressors, muscle relaxants, tranquilizers, sedatives, anticholinergics, ganglionic blockers and anticholinesterases.
Objective: The goal of the Unit VI 4th year medical student elective is to allow the student to gain familiarity and facility with thought process and procedures which anesthesiologists bring to bear on their care of patients.
Therefore the objectives are as follows:
1. Understand and practice individualized anesthetic care according to a patient's medical condition.
2. To practice preoperative evaluation of patients and to follow those patients' care into the intraoperative and postoperative periods.
3. To become familiar with the pharmacology of a variety of anesthetic agents and the appropriate uses and potential side effects of each.
4. To become familiar with airway management including mask ventilation and endotracheal intubation in the environment of the operating room.
5. To become familiar with different anesthetic delivery systems and standard anesthetic monitoring devices.
Prerequisites: Completion of Units I - V
Length of Program: 4 weeks
Maximum Number of Students: 4 per rotation
When Offered: All rotations except 1
Report To: OR Holding Room at 7:00 a.m.
ANE02 Critical Care Consults
Program Director: David Bowton, M.D.
Program Outline: This intensive care rotation provides the student with a four week exposure to consultative critical care medicine in the 66-bed intensive care unit of North Carolina Baptist Hospital. The goal of this clinical rotation is to acquaint the student with techniques of intensive care medicine, and in particular the respiratory and hemodynamic support of the critically ill patient. This is done by combining daily bedside rounds with ongoing didactic lectures covering the essentials of respiratory and cardiovascular physiology, intracranial pressure control, hemo- and peritoneal dialysis, acid-base and fluid balance, mechanical ventilation, and common acute medical emergencies. In addition to the numerous and varied consultations offered in the ICU on a daily basis, the student may gain additional knowledge of critical care medicine by playing an active role in various services offered by the intensive care staff, including primary management of the difficult-to-wean patient, enteral and parenteral hyperalimentation, and support of the cardiovascular system. Future development includes "hand-on" interaction with the patient simulator.
Objectives:
1. The student will obtain a history, perform a clinical exam, and develop a treatment plan for patients in the ICU.
2. The student will perform a daily evaluation of assigned patients, present these patients on rounds, and propose changes in care.
3. The student will attend daily lectures which discuss various topics relevant to ICU management of patients.
4. By the end of the rotation, the student will be capable of discussing the essentials of: respiratory and cardiovascular support, intracranial pressure control, management of intracranial hemorrhage, acid base balance and interpretation of blood gases, interpretation of electrolyte abnormalities, diagnosis and treatment of renal failure, nutritional support, diagnosis and treatment of infection, and evaluation of altered mentation.
Prerequisites: Completion of Unit I - V
Length of Program: 4 week blocks
Maximum Number of Students: 5 per rotation
When Offered: All rotations
Report To: ICU Medical Director=s secretary two to three days before rotation begins (716-6533) to pick up manual, etc. Office is located in the ICU on the 5th floor of the North Tower.
ANE03 Pediatric Critical Care
note: This course is identical to PED12. Final permission to take this course must come from the Office of Student Affairs.
Program Director: Thomas Nakagawa, M.D.
Program Outline: Daily rounds will begin at 7:00 a.m. The student gathers necessary clinical information to present and discuss patients in the Pediatric ICU in an established format at morning rounds. Students will acquire necessary clinical information about the patient's clinical status and aid in the execution of treatment plans. An assigned reading list and articles relevant to the care of the current patients are provided and should be reviewed by the students prior to the completion of this elective. Participation in the resident course lecture series is also expected. The student may choose to make one formal presentation on a subject of his or her choosing as arranged with the Pediatric ICU attending.
Objectives:
1. The student will be able to collect and present clinical information about patients in the Pediatric ICU in a clear and concise fashion.
2. The student will learn the diagnostic hallmarks and management priorities for early and late respiratory failure, hypovolemic and septic shock, and cardiopulmonary failure.
3. The student will be expected to read the Pediatric Advanced Life Support course material and will have the opportunity to demonstrate skills in airway management, gaining vascular access, intravascular volume administration, and dysrhythmia management.
4. The student will develop and demonstrate the use of Medline searches for clinically relevant issues regarding the care of the Pediatric ICU patients.
Prerequisites: Unit V
Length of Program: 4 weeks
Maximum Number of Students: 2 per rotation
When Offered: All rotations excluding June through August
Report To: Program Director at 7:00 a.m. in the Pediatric Intensive Care Unit, 6th Floor, North Tower