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DEPARTMENT OF MEDICINE
SURGICAL MEDICAL INTENSIVE CARE UNIT SUB-INTERNSHIP CLERKSHIP

MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE.  One (1) , two (2) on a case-by case basis.

LENGTH OF ROTATIONS.  Four (4) to six (6) weeks.

WILL TAKE STUDENTS FOR TWO WEEKS ONLY?  No.

LEVEL OF STUDENTS ACCEPTED  Fourth year.

TIME OF YEAR OFFERRED.  Flexible start dates throughout the year, excluding December.

PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.

  • Yes.
  • Offered primarily to medical students with an Army obligation (HPSP and USUHS).
  • Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
  • All students (except USUHS and University of Hawai'i) will apply using the Clerkship Application form.
  • USUHS fourth year students will apply using USUHS Form No. 1304.
  • The Student Coordinator will obtain permission from the appropriate clerkship official upon receipt of the application/form and will then inform the student of approval/disapproval via e-mail.

OBJECTIVES/DESCRIPTION OF CLERKSHIP.

  • The SMICU rotation attempts to provide the student with a framework for the care of critically ill and injured patients.
  • The student will learn the terminology and technology utilized in the ICU.
  • The main educational outcomes of the course are the diagnosis and management of respiratory failure, the diagnosis and management of shock, the management of life threatening electrolyte and metabolic disorders, communication with the critically ill patient and their families, critical thinking (clinical reasoning) in the ICU, and professionalism in the ICU.

FREQUENCY OF CALL.  Each student will take SMICU call with a resident once each week.

REQUIRED READINGS.

  • There is no required reading for the SMICU rotation.
  • Students who are interested may read Marino's The ICU Book for a good introduction to the principles of critical care.
  • A link to multiple recommended critical care articles will be provided at the start of the rotation.

OTHER REQUIREMENTS.  Students will attend all critical care lectures (daily at noon) and other educational opportunities that the interns and residents attend.

HOW ARE STUDENTS EVALUATED?

  • Students will be evaluated based on their ability to master the learning outcomes stated in the description of the clerkship.
  • In addition patients will be evaluated on their ability to report on rounds on how their patients are doing, how they interpret the data they report, whether they are able to provide any management decisions involving their patients, and their ability to educate their patients and peers about medical problems.

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