Perioperative Clinic Rotation
Catalog Description: This is a 4-week advanced elective that takes place in the Preoperative Anesthesia Clinic with the department of Anesthesiology faculty. The goal of this elective is for medical students to gain experience evaluating medically complex patients and optimizing them prior to their procedures.
This elective is geared towards medical students planning to go into the primary care fields, surgery, or anesthesiology. Primary care physicians routinely perform the preoperative history and physical examinations for patients’ procedures. They will gain a greater understanding of the anesthetic and procedural considerations that affect their patients.
Medical students will work closely with the Preoperative Anesthesia Clinic faculty and anesthesiology residents. Initially, the medical student will shadow residents/faculty, then they will progress to see patients independently and present to staff pertinent history and physical, assessment, and plan of action. They will also assist in the coordination of the patient’s care which involves contacting primary care providers, surgical teams, and consultants.
The medical student will have the opportunity to follow select medically complex patients from a patient-centered, longitudinal perspective including coordination of care; application of evidence based, best practice protocols and pathways; observation of the anesthetic care of the patient intraoperatively; observation of the recovery and rehabilitation of the patient post operatively; and finally return of the patient to his or her primary care physician. This is a unique, all encompassing view of a complex health care event not typically afforded trainees in traditional rotations.
Over the course of 4 weeks, the medical student will have ten one-on-one didactic sessions in journal club format with faculty to cover topics related to the pre-operative assessment including evaluation of cardiovascular risk and testing, pulmonary testing, diabetes, and frailty.
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Required session attendance: Orientation, 10 didactic sessions
Typical weekly schedule/Delivery Mode: Monday through Friday; 8:00-4:00PM
Direct patient care: Yes
Consent Requirement: Open to student scheduling
Course Objectives: By the end of the course, students will be able to....
- Independently evaluate patients and synthesize an assessment and plan for optimization of medically complex patients undergoing procedures
- Present a focused history and physical and convey the assessment and plan effectively
- Identify risk factors including cardiovascular and respiratory for perioperative morbidity and mortality
- Recognize the predictive value of the lab work and tests ordered in the preoperative period
- Facilitate communication and multidisciplinary approach (surgeons, primary care provider, geriatrician, etc.) during the optimization of the patient
- Develop their patient advocacy skills while following select patients longitudinally
Graded Components: Daily verbal feedback frm anesthesiology attending will be provided to the medical student. Cummulative evaluation from anesthesiology attendings, who worked directly with the medical students will be the primary means of evaluating the medical student's clinical performance. Feedback from other members of the perioperative team will be taken into account for the final grade. At the end of the rotation, the medical student will present what they learned while following a patient longitudinally. They will also have the opportunity to develop a quality improvement project.
Grading Scale: H/E/S/N
Allow repetition of course: No
Limited to Student Type: N/A
Course equivalency: N/A
Related curricular experience: N/A
Course evaluation: MedHub