surgery residents
Medical Students

4th Year Electives

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.

 


 

Last reviewed/updated on May 13, 2008

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