ANES340B

VISITING: Open to visitors. TYPE OF CLERKSHIP: Elective. DESCRIPTION: This clerkship provides experience managing adult patients in a critical care unit at the Palo Alto Veterans Administration Hospital Medical-Surgical ICU Service. Students learn how to optimize care for the acutely ill patient and the multidisciplinary approach to complex patients. The patients admitted to the ICU represent a variety of service lines including primary medicine, neurolology, neurosurgery, general surgery, and cardiothoracic surgery. Teaching emphasizes the review of basic organ physiology, the ability to determine the pathophysiologic mechanisms involved in critical illness, and the formulation of a physiologic based treatment plan. Students gain experience with the implementation of monitoring and therapeutic devices used in the intensive care units and begin to become adept at the evaluation, stabilization and management of the most critically ill patients expected to be encountered in today's acute care hospitals. Ward rounds, bedside evaluation and treatment, and individual interactions with attending, fellows and residents are part of the educational process. Students will participate in emergency teams, code teams, and in-situ simulation events. Students wishing to do this clerkship must get approval from Bernadette Carvalho first before registering. PREREQUISITES: Anesthesia 306A for Stanford medical students; Internal Medicine and Surgery core clerkship for visiting students. PERIODS AVAILABLE: 1-12, full time for 4 weeks, 1 student per period. CLERKSHIP DIRECTOR: Juliana Barr, M.D., 650-493-5000 x64452, Building 1, Room F315, PAVAMC 112A. CLERKSHIP COORDINATOR: Bernadette F. Carvalho, berniec@stanford.edu. REPORTING INSTRUCTIONS: Where: PAVAMC, MSICU, 3rd Floor; Time: 8:00 AM. CALL CODE: 4. OTHER FACULTY: Staff. LOCATION: PAVAMC.