Critical Care Medicine Subinternship
Director:
Jay Steingrub, M. D.
Duration: 4 weeks
Students per month: 2
The aim of this clerkship is to familiarize the student with
the multi-disciplinary approach to patients who are critically
ill. The broad range of problems includes trauma, shock,
major surgery, burns, drug overdose, respiratory failure, and
sepsis. The student will participate in teaching rounds
with full-time faculty intensivists. The student will
attend the patient-oriented lecture series on Critical Care
Medicine as well as Medical and Surgical Grand Rounds and function
as an active member of the surgical and medical team.
As such, they will follow selected patients throughout their
ICU course. Participation in clinical evaluation and patient
care is mandatory. Emphasis is placed on the physiologic
basis for and clinical application of:
-
Mechanical Ventilation
-
Invasive Hemodynamic Monitoring
-
Physiological & Metabolic profiles
-
Intracranial Pressure Monitoring
-
Nutritional Support
-
Acute Poisonings
-
Antimicrobial Therapy
-
Acid-base Chemistry
-
Fluid & Electrolyte Balance
-
Pulmonary Physiology
-
Vasoactive Therapy
-
Trauma Pathophysiology
-
Contemporary Issues & Ethics
-
Pharmacoeconomics
The ICU consists of 24 beds. Medical students rotating through the ICU will become proficient in diagnostic and monitoring procedures, including pulmonary arterial catheterization, arterial cannulation, thoracentesis, lumbar puncture, abdominal paracentesis, and brain death evaluations.
Rotation requirements
include preparation of a conference pertaining to the pathophysiology
and therapy of a critical care problem and a clinically oriented
oral examination.
Students will be required to be on call 2 nights within a seven day period. Not open to fourth year students teaching in the problem-based learning program at Tufts.
If you are interested in our 4th year elective, please submit an application.