Faculty Contact: Carol Swayze, MD
Rotation Location: Ascension Providence Hospital, Southfield Campus
31500 Telegraph Rd, Bingham Farms, MI 48025
Duration of the Rotation: 2 or 4 weeks
Students Per Month: 2
Work Hours: Monday-Friday, 7 a.m. to 3 p.m., generally
Prerequisites: 2 years of medical school; MCE completion for MSUCHM students; surgery clerkship completion required for students from other schools
General: The goal of the elective rotation in Ambulatory Medicine is to prepare students to effectively engage in their clinical experiences.
MSUCHM Course #: SUR 618
A key developmental stage for medical students is the transition from structured medical science courses to unstructured clinical experiences. During this transition, students must accomplish three key tasks: (1) progress from novice to acceptable performance on the skill set of gathering and reporting clinical information (2) develop new strategies for mastering clinical knowledge and (3) evolve their identity from a student, in a student-centered environment, to a professional, in a patient-centered environment.
General: The general purpose of this clinical rotation in anesthesiology is to enhance the cognitive and procedural skills of students participating in the performance of anesthesia on patients undergoing surgical or endoscopic procedures. The goal is for students to learn the basics of emergent management of cardiopulmonary resuscitation including intubation, risks and complications of anesthesia in patients of advanced age, those with multiple co-morbidities, and individuals with polypharmacy. Students will be able to participate in the preoperative, operative, and post-operative management of patients alongside the anesthesiologist and nurse anesthetist.
Recommended selective reading from Basics of Anesthesia (Stoelting & Miller), available to borrow at the beginning of the rotation.
Goals & Objectives:
The student will report to the anesthesiologist and continue to work with an anesthesiologist and a nurse anesthetist during a normal working day.
- Technical Skills: Students will observe or perform the following in the OR and/or Simulation and Education Center:
- Mask ventilation - simple endotracheal intubation using direct laryngoscopy and glidescope techniques
- Placement of arterial lines, central lines, spinals, epidurals and other critical processes during the anesthesia rotation
- Intubation of the difficult airway
- Fluid and electrolyte management - preoperative, operative, and post operative
- Anesthetic involvement with the management of the patients with specific types of surgery such as heart surgery, thoracic surgery, pediatric surgery, caesarean section, neurosurgery, ENT surgery and craniofacial surgery
The student should demonstrate development of professional competency, which is based on integration of theory and practice, application of pain management skills, use of clinical thinking, exercise of ethical judgment, use of appropriate communication, recognition of teaching responsibilities, development of management responsibilities, and teaching and learning for a lifetime.
At the end of the rotation, the Rotation Director will collect data from the supervising physician and other medical team members and complete a written evaluation of the student that is reflective of the student’s academic competence, procedural proficiency and professional attributes. The standard medical school form from the student’s medical school will be used. If required, the student should complete a case log and an evaluation of the rotation and submit them to their medical school.