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MEDICAL INTENSIVE CARE UNIT (MICU) Inpatient Sub-I

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MEDICAL INTENSIVE CARE UNIT (MICU) Inpatient Sub-I MEDICAL INTENSIVE CARE UNIT (MICU) Inpatient Sub-I GENERAL INFORMATION COURSE OBJECTIVES COURSE CHAIR: Isabel Pedraza, M.D. 1. Knowledge of the pathophysiology, differential diagnosis, and STUDENT COORDINATOR’S CONTACT INFORMATION: medical management of critical illnesses. PHONE #: (310) 423 7946 * E-MAIL: [email protected] 2. Clinical skills: medical interviewing, physical examination, and STUDENTS / PERIOD: max 3 min 1 integration of data obtained from invasive hemodynamic and respiratory monitoring. DURATION: 3 weeks 3. Medical decision making: analysis of medical risk benefit ROTATIONS WILL BE OFFERED AS FOLLOWS: ratios and understanding of ethical and legal issues. • 05/27/2019 - 06/14/2019 4. Diagnosis and management of complex in-patient problems, • 06/17/2019 - 07/05/2019 including pre and post-operative surgical care. • 07/08/2019 - 07/26/2019 5. Oral presentations of clinical cases. • 07/29/2019 - 08/16/2019 • 08/19/2019 - 09/06/2019 6. Knowledge of pharmacology of cardioactive drugs, • 09/09/2019 - 09/27/2019 bronchodilator therapy, parenteral nutrition, and antibiotics • 09/30/2019 - 10/18/2019 • 10/21/2019 - 11/08/2019 7. Familiarity with hemodynamic monitoring equipment, • 11/11/2019 - 11/29/2019 mechanical ventilators, and dialysis devices • 01/06/2020 - 01/24/2020 • 01/27/2020 - 02/14/2020 8. Basic science and pathophysiology of critical illness. • 02/17/2020 - 03/06/2020 • 03/23/2020 - 04/10/2020 9. Interaction with critically ill patients and their families. • 04/13/2020 - 05/01/2020 REQUIREMENT(S): DESCRIPTION • USMLE Step 1 Score The Cedars-Sinai MICU is a 10-bed critical care facility that is fully STUDENT EXPERIENCES equipped for hemodynamic monitoring, dialysis, and respiratory support. Students are expected to be knowledgeable in medicine, COMMON PROBLEMS/DISEASES obstetrics, surgery, and physiology and to have a major interest in the medical management of the critically ill. 1. Acute Respiratory Distress Syndrome 2. Septic shock 3. GI hemorrhage 4. Complicated respiratory failure 5. CNS catastrophes 6. Drug intoxications 7. Acute renal failure 8. Acid-based and electrolyte imbalance 9. Acute liver failure 10. Acute myocardial infarction & failure INPATIENT: 100% PRIMARY CARE: 100% CLOSE CONTACT WITH • Full Time Faculty • Clinical Faculty • Fellows • Residents • Interns • Other: Pharmacists Internal Medicine • 2019-2020 MEDICAL INTENSIVE CARE UNIT (MICU) TYPICAL SCHEDULE Approx. # of Patients Eval./Each Week by 25 Service Typical Monday 6:30 am - Work Rounds 8:00 am - ICU Rounds 12:00 pm - Dept. of Med Conf. 4:30 pm - ICU Sign-out Rounds Typical Tuesday 6:30 am - Work Rounds 8:00 am - ICU Rounds 12:00 pm - Dept. of Med Conf. 4:30 pm - ICU Sign-out Rounds Typical Wednesday 6:30 am - Work Rounds 8:00 am - ICU Rounds 12:00 pm - Dept. of Med Conf. 4:30 pm - ICU Sign-out Rounds Typical Thursday 6:30 am - Work Rounds 8:00 am - ICU Rounds 12:00 pm - Dept. of Med Conf. 4:30 pm - ICU Sign-out Rounds Typical Friday 6:30 am - Work Rounds 8:00 am - ICU Rounds 12:00 pm - Dept. of Med Conf. 4:30 pm - ICU Sign-out Rounds On-Call Schedule Students on this elective will be on call every third night and will participate during weekend rounds. Weekend Activities Students on this elective will be on call every third night and will participate during weekend rounds. Additional Comments/Special Requirements Each student will be assigned to a team consisting of a resident and an intern on-call every third night. The students will be under the supervision of full-time attendings and private physicians. Daily work rounds are held with the attending physician and fellow in critical care medicine. Numerous subspecialty consultants from the private and full-time attending staff are available. In addition, formal didactic conferences will be given four times weekly. Internal Medicine • 2019-2020 .
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