Critical Care Electives are offered in the course catalog across five specialties, and each Critical Care Elective utilizes a set of objectives that is tailored to its clinical setting, patient population, and student experience.
Critical Care Elective Objectives:
Professionalism (PR)
- Participate respectfully in a basic family meeting to discuss goals of care including discussing code status. (PR1)
- Describe best practices for informed consent for diagnostic and therapeutic tests and procedures including verbalization of risks, benefits and alternatives. (PR2)
- Demonstrate professionalism and model ethical behavior in completing clinical and other rotation tasks. (PR 5)
Patient Care and Procedural Skills (PC)
- Demonstrate skills in bedside Point-of-Care ultrasound for diagnosis in appropriate ICU patients. (PC2)
- Assess a critically ill patient and develop a timely, prioritized, and evidence-based plan for initial stabilization. (PC3)
- Observe, participate in, or perform procedures under direct supervision, including placement of arterial lines and central venous catheters while learning proper sterile technique. (PC7)
Medical Knowledge (MK)
- Demonstrate an understanding of the pharmacology of sedation in the ICU including the prevention and treatment of pain, agitation, and delirium (MK1)
- Describe the basic aspects of antimicrobial treatment and rational use of anti-infective therapeutic agents, as well as the negative consequences of antimicrobial overuse. (MK1)
- Apply knowledge to evidence-based clinical plans for critically ill patients, including appropriate use of hemodynamic monitoring, application of ventilator modes and settings, and initiation and titration of vasopressor support. (MK2)
Interpersonal and Communication Skills (IC)
- Demonstrate empathy in discussing serious illness or end of life issues with ICU patients or surrogates. (IC1)
- Collaborate with members of the interprofessional team such as nurses, respiratory therapists, pharmacists. (IC2)
- Concisely summarize a patient’s critical illness and hand off important clinical information efficiently to other team members and consultants. (IC2)
- Write complete and succinct H&Ps and daily progress notes in the electronic medical record. (IC2)
Practice-Based Learning and Improvement (PL)
- Identify relevant information in the primary medical literature as well as other references regarding their patients’ disease states and incorporate that information into presentations and documentation. (PL2)
Systems-Based Practice (SP)
- Describe the ICU team’s role in reducing hospital acquired infections such as VAP, CAUTI, CLASBI, etc. (SP3)
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Crit Care DIAGNOSES:
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| Acid Base Disorder |
| Acute Kidney Injury/Acute Renal Failure |
| Acute Respiratory Failure |
| Acute Infection |
| Altered Mental Status/Encephalopathy/Seizure |
| Acute Congestive Heart Failure/Pulmonary Edema |
| Arrhythmia (atrial fibrillation, atrial flutter, SVT, ventricular tachycardia, etc.) |
| Coagulopathy or acute bleeding |
| Fever |
| Hyperglycemia |
| Sedation Management |
| Sepsis |
| Shock |
| Vasopressors |
