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Intensive Care Unit
Overview
The Intensive Care Unit exposes
the resident to a wide variety of medical problems in patients who are
critically ill.. Residents will function within teams consisting of a teaching
attending, upper year resident, intern and medical students. Residents will be
expected to evaluate and manage patients, enter orders and be responsible for
the day to day care of patents on their teams with the oversight of the
attending physicians.
Principle Teaching/Learning
Activities
Morning Report
This conference occurs from 8:30
to 9:30AM (M,T,TH,F) in the resident resource room. Residents present cases to
either a subspecialty attending or to a core faculty. Generalist. Residents
are expected to prepare educational bullets tp share with the group.
Grand Rounds
This conference is a lecture
driven format and occurs on Wednesday mornings in the Beardwood classroom.
Attending Rounds
Attending rounds occur at least
three times a week for 1 ˝ hours (total 4 ˝ hours per week). Residents present
cases to the primary teaching attending and receive both didactic and bedside
teaching.
Noon Conference
This conference occurs daily from
12 to1PM. A variety of presentations occurs during this sessions including but
not limited to: journal club, autopsy rounds, management conference, clinical
didactics, communication video tape review, ethics topics etc.
Principle Educational Goals by
Competency
In the tables below the principle
educational goals for the General Medical Floors are outlined by competency.
The second column of the table indicates the teaching activity
|
Patient Care- Principle Educational Goals |
Learning Activities |
|
Refine skills in history taking and physical
examination |
AR, DPC |
|
Care for patients presenting with critical medical
illnesses |
DPC |
|
Evaluate and manage patients that have undergone
invasive procedures |
DPC |
|
Refine skills in ordering and interpreting diagnostic
tests |
AR, DPC, MR, NC |
|
Care for patients requiring intravenous vasoactive
agents and hemodynamic monitoring |
DPC |
|
Care for patients requiring ventilatory support |
DPC |
|
Medical Knowledge –Principle Educational Goals |
Learning Activities |
|
Increase clinical medical knowledge acute and critical
medical diseases |
DPC, AR, NC, MR |
|
Increase basic science knowledge and its application to
patients with acute and critical medical problems |
AR, NC |
|
Demonstrate ability to find and apply relevant medical
literature |
AR, DPC, NC |
|
Practice Based Learning and Improvement -Principle
Educational Goals |
Learning Activities |
|
Identify areas that need improvement in medical
knowledge, decision making, and communication in regards to the care of
critically ill hospitalized patients |
AR, DPC |
|
Develop mechanisms to improve on identified areas of
weakness |
AR, DPC |
|
Interpersonal Skills and Communication-Principle
Educational Goals |
Learning Activities |
|
Communicate plan of care with patients and family |
DPC |
|
Communicate effectively with nursing |
DPC |
|
Communicate effectively with other physicians involved
in the care of critically ill hospitalized patients |
DPC |
|
Present cases to other members of the care team and in
educational conferences |
AR, MR, DPC |
|
Professionalism -Principle Educational Goals |
Learning Activities |
|
Behave professionally with patients and other members
of the care team |
DPC |
|
Systems Based Practice –Principle Educational Goals |
Learning Activities |
|
Gain an understanding on how best to utilize and access
hospital resources for the care of the critically ill hospitalized patients |
AR, DPC, MR |
|
Use evidence based and cost conscious strategies to
care for critically ill hospitalized patients |
AR, DPC, MR, NC |
|
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Specific Clinical Content Areas:
|
|
|
Altitude illness |
|
Burns, smoke inhalation |
|
Cardiac |
|
Acute myocardial infarction |
|
Acute pericarditis |
|
Acute valvular disruption |
|
Aortic dissection |
|
Cardiopulmonary arrest |
|
Congestive heart failure |
|
Dysrhythmias |
|
Hypertensive crisis |
|
Myocardial contusion |
|
Shock |
|
Decompression illness, air embolism |
|
Drug
or alcohol overdose |
|
Drug
or alcohol withdrawal |
|
Endocrine |
|
Adrenal insufficiency |
|
Diabetic ketoacidosis, hyperosmolar nonketotic diabetic |
|
coma |
|
Thyroid storm, myxedema coma |
|
Gastrointestinal |
|
Acute pancreatitis |
|
Gastrointestinal bleeding |
|
Hepatic failure |
|
Hematologic |
|
Bleeding disorder |
|
Disseminated intravascular coagulation |
|
Thrombotic thrombocytopenic purpura |
|
Hypothermia, hyperthermia |
|
Infectious |
|
Nosocomial infection |
|
Septic shock |
|
Management of critical illness |
|
Multi-organ failure |
|
Prognosis/outcomes |
|
Withdrawal of support |
|
Multi-organ failure |
|
Near
drowning |
|
Neurologic |
|
Acute spinal cord injury |
|
Coma |
|
Delirium |
|
Head trauma |
|
Meningitis |
|
Neuroleptic malignant syndrome |
|
Neuromuscular disease with respiratory failure |
|
Status epilepticus |
|
Stroke |
|
Nutrition |
|
Pulmonary |
|
Airway management (intubation, tracheostomy) |
|
Status asthmaticus |
|
Upper airway obstruction |
|
Ventilator management |
|
Renal |
|
Acid-base disturbances |
|
Acute renal failure |
|
Electrolyte imbalance |
|
Indications for dialysis |
|
Respiratory |
|
Adult respiratory distress syndrome |
|
Chest trauma |
|
Chronic obstructive pulmonary disease (exacerbated) |
|
Hemoptysis |
|
Hypercapnia |
|
Hypoxia |
|
Pneumonia |
|
Pneumothorax |
|
Pulmonary embolism |
|
Tuberculosis |
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