91PORN

To meet the objectives of increasing knowledge and skills and developing professional attitudes and behavior while caring for adult patients on MICU service.

1. Knowledge:
• The student should demonstrate ability to evaluate and manage patients with the following conditions:
• Acute Respiratory Failure
• Hemodynamic Instability
• Severe Metabolic Disorders
• Acute Abdominal Condition as Pain etc
• Acute Neurological Condition as seizures etc
• Hypertensive Emergency
• Understand the etiology, diagnosis and treatment of the conditions being managed while reading necessary texts and articles simultaneously making evidence based care decisions.
• The student should become competent in performing and accurately recording complete history and physical with assessment, differential diagnosis and plan independently.
2. Skills:
• The student should participate in procedures as central line placement, endotracheal intubation, ABGs, NG tube insertion, lumbar puncture.
• Develop skills in ventilator management and weaning protocols.
• Should be able to accurately perform and record history and physicals with assessment, differential diagnosis and plan independently.
• Interpretation of lab tests as ABGs, EKGs, CXR, Electrolytes etc.
• The student should be able to learn effective communication skills with patients and families using appropriate language and avoiding jargon and medical terminology.
3. Behavior:

The student should be

• Able to provide compassionate and empathic patient care in acute care settings.
• Sensitive to the diverse factors affecting patients and their health care beliefs and needs including race, culture, income and ethnicity.
• Develop effective communication skills with the staff including other physicians, nurses, respiratory therapists and social workers for better patient care delivery. 
4. Attitude:

The student should be able to

• Practice and respect patient privacy and confidentiality while maintaining highest standards of professionalism.
• Discuss ethical issues including end of life care.

• Adult patient care with above described disease mix aiming at two patients per day.
• Case presentation during rounds with complete assessment, differential diagnosis and plan.
• Case presentation in MICU conference once a week with literature search on evidence based patient care.
• Maintain patient log seen by the student to assess meeting the above mentioned objectives.
• Read core articles in MICU handbook.
• Presentation and attendance in morning reports and journal clubs.
• Mandatory attendance in noon conferences.
• Dictate/write discharge and/or transfer summaries.

Review of student’s case presentations, documentation, professionalism and counseling skills during management rounds and conferences.

End of rotation evaluation forms.

Review of mock ventilator management scenario.

Student satisfaction assessment on a weekly basis with appropriate feedback to assure individual needs are met.

The student will be:

• Responsible for patient managed by him/her under the guidance of senior resident.
• On call at night at least 3-4 nights a month.
• Responsible for transfer summaries and communication with the receiving team.
• Demonstrating highest standards of professionalism with patients and colleagues.
• Student must meet with Dr. Jumper in her office once a week.  Please contact Debbie Schalles to set up this meeting.  Her number is 743-3107.

The student should sit with the 4th year director at the end of the rotation to discuss and fill out an evaluation form on rotation and faculty.