Intensive Care Medicine

Sites: BIDMC
Director(s): Katharyn Atkins, Virginia Brady
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month. Not offered December.
Location: BIDMCE - BI-Deaconess Med Ctr-East (1)
Open to Exclerks: US/Canadian
Description: The student will serve as a sub-intern in the Medical Intensive Care Unit at BIDMC, functioning as an integral part of the intensive care team with direct responsibility for patient care. The student will be involved in the primary evaluation and management of patients, and will be under the direct supervision of the medical resident, the critical care fellow, and the attending physician (one of the full-time staff physicians of the Pulmonary and Critical Care Division). The student, as the primary physician, will admit up to one patient every other day, and will be expected to be on call in the unit every fourth night. The student will be responsible for the initial work-up and the management of the patient, including performing bedside procedure, and will manage the patient for the duration of the patient's ICU care. All patients will also be evaluated by the medical resident, and will be presented by the student to the attending physician. The student will participate in daily work rounds and attending rounds in the intensive care unit.
Incorporation of Basic Science Content and Evidence-Based Medicine:
During the course of these teaching rounds, the attending physician and fellow will provide evidence-based didactic sessions on topics relevant to the care of critically ill patients, in addition to the daily discussion of patient management problems during work rounds focused on the application of general pathophysiological concepts to inform a specific plan of care. The student will also be expected to supplement the above experiences with relevant reading and presentations.
Grade Criteria:
Honors with Distinction: Exceeds expectations in all areas, functions at the level of an experienced intern. Aware of all details of patient's history and current clinical situation. Reads independently and in detail. Exceptional verbal and written presentations, collaborative and professional in all interpersonal interactions. Active participant in conferences, prepares presentations for the team based on outside reading relevant to ongoing patient care issues. Honors: Exceeds expectations in many areas and meets expectations in all others, able to meaningfully participate in the management of critically ill patients. Aware of major issues related to patient's past medical history and current situation. Reads from outside sources and is able to work collaboratively with the health care team. Active participant in conferences. Satisfactory: Meets but does not exceed expectations in most areas. Able to participate in patient care with close supervision. Aware of most major issues central to the management of the patient. Attends all conferences. Unsatisfactory: Does not meet expectations in multiple areas, unable to safely care for patients even with close supervision, unaware of central issues related to patients, fails to attend conference or read about patients, demonstrates unprofessional behavior.