This selective/elective utilizes patients admitted to the intensive care units within various teaching hospitals. The student will gain experiences in managing common medical emergencies, including cardiopulmonary arrest, drug overdose, hypertension, acute myocardial infarction, cardiogenic shock, congestive heard failure, renal failure, and diabetic ketoacidosis. The student is also expected to become proficient in the evaluation and management of common chest problems, including asthma, chronic obstructive pulmonary disease, pleural effusions, peri-operative complications, pneumonia, atelectasis, respiratory failure, pulmonary function tests, and chest x-rays, and to become familiar with the various types of mechanical ventilators, oxygen delivery systems, and methods of delivering inhaled medication.

The student will gain experience in managing common medical emergencies, including cardiopulmonary arrest, hypertension, acute myocardial infarction, cardiogenic shock, and congestive heart failure. The student will also become familiar with the various types of mechanical ventilators, aortic balloon pumps, cardiac valve replacement surgeries, extracorporeal membrane oxygenation, oxygen delivery systems, and methods of delivering inhaled medication.

The student will gain experience in managing common medical emergencies, including cardiopulmonary arrest, drug overdose, hypertension, acute myocardial infarction, cardiogenic shock, congestive heart failure, renal failure, and diabetic ketoacidosis. The student is also expected to become proficient in the evaluation and management of common chest problems. These include asthma, chronic obstructive pulmonary disease, pleural effusions, peri-operative complications, pneumonia, atelectasis, respiratory failure, pulmonary function tests, and chest x-rays. The student will also become familiar with the various types of mechanical ventilators, oxygen delivery systems, and methods of delivering inhaled medication.

The student will be exposed to all pediatric critical care: Sepsis, Trauma, ARDs, and all potentially or life-threatening illnesses. The student will act as an acting intern with direct patient care responsibilities. There will be no outpatient, ward, or clinic responsibilities except Continuity Clinic. The student will make daily rounds with the attending physicians. The student will have an opportunity to perform procedures such as spinal taps, A-line, central lines, chest tubes, intubation, and catheter placement. Emphasis will be placed on physiology, recognition of common acute life-threatening injuries-illnesses, and ventilator management.

This selective/elective is designed to familiarize the student with perinatal-neonatal physiology, high-risk factors associated with neonatal disease pathophysiology diagnosis and management of common neonatal problems, dealing with acute neonatal emergencies, and communicating with parents of high-risk neonates. The students’ primary responsibility will be the total management and supervision of assigned patients. Students will also be expected to participate in daily rounds, night call, weekly discussion group on neonatal-perinatal disease and presentation of a review on a selected aspect of neonatal-perinatal medicine towards the end of the rotation.

This elective exposes the fourth year medical student to the most critically ill and injured surgery patients. The student will be an integral part of a team of residents from surgery, anesthesia and other departments, led by an attending specialized in intensive care medicine. Medical student will be assigned patients appropriate for their level of training and under direct supervision of the attending, will learn to thoroughly evaluate their overall condition, develop a management plan, and get experience to round twice a day with the attending and the team, attend daily multidisciplinary conference and take in house call once a week including one weekend day. The student is expected to participate in educational activities including ICU lectures, M&M and Ground Rounds within the Department of Surgery.

During this rotation, the fourth year medical student will become intimately involved with the management and care of burn patients ranging from the most severe injury with life threatening burns to the less severe, both adult and pediatric patients.

This rotation exposes the fourth-year medical student to the most critically ill patients with neurological pathology. The student will be an integral part of a team from neurosurgery, anesthesia, and other departments, led by an attending physician. Medical students will be assigned patients appropriate for their level of training. The students will learn to thoroughly evaluate the overall condition of the patient and develop and implement a management plan. The students will become familiar with common neurological conditions including vascular pathology and hemorrhage, closed and open head trauma, and increased intracranial pressure, as well as neuro-oncology and management of intracranial pressure monitors and external ventricular drains. Additionally, the student will become familiar with common ICU management practices including central lines, arterial lines, and ventilator management. The student will be expected to round daily with the attending and the team. The student may participate in additional educational activities within the Departments of Surgery including ICU lectures, Morbidity and Mortality conferences and Grand Rounds.