Management of the Patient for Anaesthesia and Surgery

Sites: MGH
Director(s): Alexander Kuo, Alberto Puig
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: Yes (may be restricted for international students)
Description: This course offers an opportunity to learn about the practice of anesthesiology and its role in the peri-operative care of the surgical patient. In addition, the student will begin to learn how to effectively manage critically ill patients. Teaching is based on hands-on experience in the operating room where the student will have progressive participation and responsibility for the administration of anesthesia care to patients. The first 1-2 weeks of the rotation is spent providing anesthesia for general surgical, day care and gynecological operations where the skills of pre-operative evaluation, choosing an anesthetic plan and the basics of airway management will be taught. Subsequently, students will participate in the anesthetic management of patients undergoing thoracic, neurosurgical, vascular, orthopedic and cardiac procedures where advanced pharmacologic/physiologic principles and monitoring techniques are reviewed in the context of caring for these complex patients. Lastly, the student with spend one day in the Harvard Anesthesia Simulator and when the course is scheduled, the student will participate one day in the Advanced Trauma Life Support Lab. The student is expected to attend our; weekly Departmental Grand Rounds and Case Conference, weekly resident education lecture, bi-weekly medical student lecture / literature / case review conference.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic Science is a designed component of at least one of four Departmental Grand Rounds. In addition, basic science and evidence-based medicine are integrated into our biweekly medical student lecture /discussions.
Grade Criteria:
Honors with Distinction: Student demonstrates exception medical knowledge regarding the practice of anesthesia which he / she is able to synthesize, prioritize and apply appropriately to the management of complex patients. The student demonstrates clear and effective communication skills and excellent interpersonal skills. Honors: The student demonstrates excellent medical knowledge regarding the practice of anesthesia. With a little guidance, they are able to apply this knowledge and construct a reasoned anesthetic plan for moderately complex patients. Satisfactory: The student demonstrates that they understand the basic physiologic and pharmacologic principles of the anesthetic management of patients. With guided supervision, the medical student is able to make appropriate anesthetic management decisions. Unsatisfactory: The student does not meet the standards of professional conduct and responsibility. The student does not understand the pharmacologic and physiologic principles of the anesthetic management of patients.