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Anesthesiology (M10)  (Dept. Info)Medicine  (Policies)YR2023

M10 Anesth 819CTICU: Cardiothoracic Intensive Care Unit (Clinical Elective)0.0 Unit
Description:This clinical elective offers practical experience in the postoperative management of cardiothoracic patients. The student will be fully integrated into one of the intensive care teams and have the opportunity to contribute to the management of critically ill patients. Students will have the opportunity to follow specific patients over the course of their stay in the ICU, during which time they will gain insight into holistic management of patients with multi-organ dysfunction.

The CTICU environment is both challenging and exciting. Students will gain unique insight into cardiorespiratory physiology and pharmacology which will be demonstrated at the patients' bedside, an invaluable and unforgettable learning experience. Students will have opportunities to learn and sometimes assist with procedures, such as central lines, chest tubes, bronchoscopy and pulmonary artery catheter insertion as well as bedside ultrasound including TTE and TEE. Principles of management and resuscitation of hemodynamically unstable patients following surgery will be emphasized as well as ventilator management. Students will also see and help manage patients with unique physiology such as those patients on ventricular assist devices, and on ECMO. We also have a very busy and heart and lung transplantation program at the hospital - all of these patients are cared for in the CTICU.

At the conclusion of the rotation, the student will have a better understanding of shock, sepsis, multi-organ failure, organ system support and compassionate withdrawal of life support. In addition to bedside teaching, there will be informal teaching sessions on a wide variety of topics as well as teaching on interpreting hemodynamic data and waveforms, and cardiac echo exams. Students will be encouraged to present on their patient at morning rounds, during which constructive feedback and interactive teaching will occur. Medical students will be asked to present a short discussion on a topic of their choice. This should be a short 20 - 30 minute presentation followed by a discussion on the topic which will be moderated by the attending. Discuss the time and topic of choice with the attending of service.

Student time distribution: Inpatient 100%; Subspecialty Care 100%
Patients seen weekly: 30 total bed capacity split between 2 attending-services: 56 ICU service (15 patients) and the 83 ICU service (15 patients). The 83 service (15 patients) has 9 beds in 83 ICU and 6 beds in 56 ICU. Students will be assigned to one service for 2 weeks and the other service for 2 weeks. ECMO, LVAD and IABP patients are usually placed in 56 ICU.
On-call/weekend responsibility: None required; however, if a student would like to work overnight, they will have the next day off. They also have the option of taking one or two "swing shifts" if they so choose (e.g. noon until 10 pm, etc.). The day following a swing shift will be a half-day (excused after 2 pm).
Attributes:MedVISP, WUSMEC
Instruction Type:Internship/Practicum Grade Options:P Fees:
Course Type:HomeSame As:N/AFrequency:None / History
SecDays       TimeBuilding / RoomInstructorFinal ExamSeatsEnrollWaits
01TBATBARidleyDefault - none9960
Desc:Location: Barnes-Jewish Hospital (5600 CTICU, Southwest Tower)
Elective contact: Kendra Gregory, k.gregory@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 4
Reporting information: Meet in the Cardiothoracic Intensive Care Unit Physician Workroom (Southwest Tower, Fifth Floor, 5600 ICU) Physician Workroom at 7:30 am on the first day.


A course may be either a “Home” course or an “Ident” course.

A “Home” course is a course that is created, maintained and “owned” by one academic department (aka the “Home” department). The “Home” department is primarily responsible for the decision making and logistical support for the course and instructor.

An “Ident” course is the exact same course as the “Home” (i.e. same instructor, same class time, etc), but is simply being offered to students through another department for purposes of registering under a different department and course number.

Students should, whenever possible, register for their courses under the department number toward which they intend to count the course. For example, an AFAS major should register for the course "Africa: Peoples and Cultures" under its Ident number, L90 306B, whereas an Anthropology major should register for the same course under its Home number, L48 306B.

Grade Options
C=Credit (letter grade)
S=Special Audit
Q=ME Q (Medical School)

Please note: not all grade options assigned to a course are available to all students, based on prime school and/or division. Please contact the student support services area in your school or program with questions.