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ANESTHESIOLOGY

Course Code: ANECLNI.005.U

Instructors: Dr. Brian Woodcock, Dr. Jeffrey Rosenthal

Responsible Agents: Drs. Brian Woodcock, Jeffrey Rosenthal;
1G323 University Hospital; 936-4280

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 8 Maximum (There may be a total of 8 between this rotation and the junior career elective rotation).

Distribution of student's time:
30% Inpatient Care
50% Outpatient Care
20% Conferences/Lectures

Average number of patients seen each week: 14-16

On-call responsibility: Every 28 days

Where to Report First Day of Clerkship: 1G323 University Hospital; 8:45 a.m.

Clerkship Objectives

To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.

Procedures:
IV placement, arterial line placement, possible central line or
Swan Ganz placement.
Airway management including mask ventilation and endotracheal
intubation.
Spinal anesthesia (lumbar puncture), possible other regional
anesthetic techniques.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc.
by having students:
Present patients and/or patient data.
Participate as a member of the audience.
Tutorials specifically for the medical students.

To increase student use/review of the medical literature:
As a part of patient care (report to attending).

Additional objectives:
Teach principles of acute care and resuscitation.
Emphasize applied physiology and pharmacology.
Introduction to various anesthetic techniques and anesthetic risk.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.
Skills Assessment/oral tests.

PREOPERATIVE AND PERIOPERATIVE ASSESSMENT OF THE SURGICAL PATIENT

Course Code: ANEPREP.001.U

Instructor: Dr. Patrick Benedict

Responsible Agent: Dr. Brian Woodcock; 1G323 University Hospital; Box 0048; 936-4280

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 1 Maximum

Distribution of student's time:
30% Inpatient Care
60% Outpatient/Specialty Care
10% Conferences/Lectures

Average number of patients seen each week: 14-16

On-call responsibility: None

Where to Report First Day of Clerkship: Department of Anesthesiology 1G323 University Hospital; 8:00 a.m.

Clerkship Objectives:

To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical assessment and judgment.
Therapy and advice to patients on intraoperative or preoperative problems, concerns as well as postoperative pain management. Assessment of evaluation of the patient from a cardiovascular and pulmonary standpoint.
Ability to attend the Difficult Airway evaluations.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As a part of patient care (report to attending).
As part of the conference.
Books utilized will be selected articles, Anesthesia and Co-existing Disease.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance in conferences.
Level of knowledge including new knowledge.
Ability to interact with other health care professionals as part of the team.

Methods to be used in student evaluation include:
Observation of performance by faculty, house officers and fellows.
Assessment of write-ups/reports.

Course Description: This is an experience in the preoperative evaluation of preoperative patients in an outpatient clinic as well as an inpatient consultation service. The student will receive instruction and exposure to the management of common preoperative medical and surgical problems. Students will also be involved in difficult airway evaluations.


Acute Pain Management,
University Hospital

Course Code: ANEPRXI.001.U

Instructor: Dr. Carmen Green

Responsible Agent: Dr. Carmen R. Green; 1G323 University Hospital; Box 0048; 936-4280

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 1 Maximum

Distribution of student's time:
90% Inpatient Care
10% Outpatient Care

Average number of patients seen each week: 100

Where to Report First Day of Clerkship: Multidisciplinary Pain Center; C233 Med Inn Building; 7:30 a.m.

Clerkship Objectives

To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions. Interpretation of data.
Clinical judgment.
Procedures.
Observe and assist in a variety of nerve blocks
Therapy and advice to patients.
Evaluation of patients in the postoperative period for acute pain management.
Management of epidural analgesia and patient control analgesia.
Evaluation of inpatient consults for both acute and chronic pain management.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of the conference or journal club.
Text Books utilized will be selected articles, Massachusetts General Handbook on Pain Management, Acute Pain Mechanisms and Management.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgement)
Participation and performance in conferences.
Level of knowledge including new knowledge.
Ability to interact with other health care professionals as part of the team.

Methods to be used in student evaluation include:
Observation of performance by faculty, house officers and fellows.
Assessment of write ups and reports.

Course Description: The student will also receive instruction and exposure to the management of acute pain mainly for postoperative patients. This experience will provide experience in evaluation, diagnosis, and management of acute pain patients as well as the inpatient acute and chronic pain consultation service.

Advanced Anesthesiology, University Hospital

COURSE CODE: ANEADVP.001.U

Instructors: Dr. Brian Woodcock, Dr. Jeffrey Rosenthal

Responsible Agents: Drs. Brian Woodcock, Jeffrey Rosenthal; 1G323 University Hospital; 936-4280

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
35% Inpatient Care
55% Outpatient/Specialty Care
l0% Conferences/Lectures

Average number of patients seen each week: 14-16

Prerequisites: Previous Anesthesiology rotation

Where to Report First Day of Clerkship: 1G323 University Hospital; 8:00 a.m.

Clerkship Objectives

To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions. Interpretation of data.
Clinical judgment.
Procedures -IV placement, arterial line placement, possible central line or Swan Ganz placement.
Airway management including mask ventilation and endotracheal intubation. Regional Anesthesia techniques including lumbar puncture.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).

Students will be evaluated on each of the following:
Quality of care given.
Participation and performance in conferences.
Level of knowledge including new knowledge.
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Skills assessment/oral tests.

Pediatric Anesthesia, C.S. Mott Hospital

Course Code: ANEPEDI.001.U

Instructors: Dr. Paul Reynolds & other faculty at Mott Hospital

Responsible Agents: Drs. Brian Woodcock, Jeffrey Rosenthal; 1G323 Adult General Hospital; 936-4245

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: l Maximum

Distribution of student's time:
35% Inpatient Care
55% Outpatient/Specilaty
l0% Conferences/Lectures

Prerequisites: Previous Anesthesiology rotation

Where to Report First Day of Clerkship: F3900 Mott Hospital; 8:00 a.m.; 763-2435

Course Description: This clerkship will be tailored to meet the individual needs and interests of the students. Previous anesthesia experience is therefore essential. The administration of anesthesia will include opportunities for learning techniques of intravenous and intraarterial cannulation and endotracheal intubation, regional anesthesia, outpatient anesthesia, and other special problems of anesthetic management in children. There are special opportunities for studying physiology, pharmacology and patient monitoring in neonates and children during surgery and there are possibilities for research projects.

Chronic Pain Management - A Multidisplinary Approach, University Hospital

Course Code: ANEPRXO.001.U

Instructor: Dr. Vildan Mullin

Responsible Agent: Dr. Vildan Mullin; C233 Med Inn Bldg.; 763-5459

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 1 Maximum Distribution of student's time:
10% Inpatient Care
65% Outpatient Care
25% Conferences/Lectures

Average number of patients seen each week: 10-15 (one new patient per day)

On-call responsibility: None

Where to Report First Day of Clerkship: C233 Med Inn Bldg; 7:30 a.m.

Clerkship Objectives

To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.
Procedures - Observe and assist in a variety of nerve blocks.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature: As part of patient care (report to attending). As part of a conference or journal club. Students will be evaluated on each of the following: Quality of care given (including clinical judgment). Participation and performance in conferences. Level of knowledge (including new knowledge). Ability to interact with other health care professionals as part of a team. Methods to be used in student evaluation include: Observation of performance by faculty. Observation of performance by house officers. Assessment of write-ups/reports. Course Description: Experience in the evaluation, diagnosis and management of chronic pain patients in an outpatient clinic as well as in inpatient consultation service. The student will also receive instruction and exposure to the management of acute pain mainly for post-operative patients.

Obstetrical Anesthesia, University Hospital

Course Code: ANEOBGI.001.U

Instructor: Dr. Norah Naughton

Responsible Agent: Dr. Brian Woodcock; 1G323 University Hospital, Box 0048; 936-4280

Duration: 4 weeks

Periods Offered: All

Distribution of student's time:
90% Inpatient Care
10% Conferences/Lectures

Average number of patients seen each week: 50 - 100

On-call responsibility: None

Enrollment/Period: 1 Maximum

Where to Report First Day of Subinternship: Obstetrical Anesthesiology Workroom at 7:00 a.m.

Clerkship Objectives

To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other obstetrical patient interactions. Interpretation of data.
Clinical assessment and judgment.
Therapy and advice to obstetrical patients on intraoperative, preoperative concerns as well as postoperative pain management.
Assessment and evaluation of the physiologic changes of pregnancy from obstetrical anesthesia viewpoint including cardiovascular and pulmonary.

To learn how to provide different options of anesthesia for Cesarean Section, complicated delivery, high riskpregnancy as well as for labor analgesia.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care while reporting to the attending.
As part of conferences.
Books utilized will be Anesthesia for Obstetrics by Schneider and Anesthesiology Hand Book.

Students will be evaluated on each of the following:
Quality of care given including clinical judgment.
Participation and performance in conferences.
Level of knowledge including new knowledge.
Ability to interact with other health care professionals as part of a team.

Methods to be used in student evaluation include:
Observation of performance by faculty, house officers and fellows.
Assessment of write-ups/reports.

Course Description: This is an experience in the evaluation and diagnosis and management of obstetrical patients in an inpatient unit at the University Hospital. The student will receive instruction and exposure to the management of common preoperative medical and surgical problems affecting the parturient as well as acute postoperative pain management. Students will be involved in the evaluation of patients.

 

Preoperative/Perioperative Assessment

Acute Pain Management

Advanced Anesthesiology

Pediatric Anesthesia

Chronic Pain Management

Obstetrical Anesthesia

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