ANESTHESIOLOGY
PRESBYTERIAN HOSPITAL
| AS01P Clinical Pain Management |
| Course Director: |
Dr. Michael Weinberger, (212) 305-7114, mlw45@columbia.edu |
| Coordinator: |
Ms. Carol Solomon, (212) 342-4142, cs15@columbia.edu |
| Given: |
All year |
| Maximum: |
1 student per month |
| Start Date/Time: |
First day of the month, 8:00 AM |
| Site/Location: |
Columbia University Medical Center, Presbyterian Hospital 5 East |
| Description: |
Provides training in recognition and management of acute and chronic pain.
Objectives: Student should be able to evaluate a patient with chronic pain from history and physical exam, interpret diagnostic data and organize a treatment plan.
Students should also become familiar with the modalities used to control acute postoperative pain.
Learning Experience: Students will participate in all pain center activities including outpatient clinic, inpatient consultations, and acute postoperative pain service rounds.
Working with a resident/fellow and an attending they will evaluate patients and follow them through various aspects of treatment including drug therapy, physical therapy, nerve blocks, and psychological evaluation.
Feedback: Students will receive performance feedback regularly during daily rounds.
The student will receive reading recommendations and articles and will be expected to give a 15-20 minute talk at the end of the rotation on a topic agreed upon between student and the preceptor.
Evaluation: Students will be evaluated on progress made in learning to evaluate patients and make recommendations. Students are not expected to master any nerve block techniques but should become familiar with the major blocks used. |
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| AS02P Preceptorship in Anesthesiology |
| Course Director: |
Dr. Saundra Curry, (212) 305-8361, sc42@columbia.edu |
| Coordinator: |
Ms. Nina Luciano, (212) 305-3226, nkl3@columbia.edu |
| Given: |
August through May |
| Maximum: |
3 students per month |
| Start Date/Time: |
First weekday of the month, 7:30 AM |
| Site/Location: |
CUMC, Milstein Hospital Building, 4 Garden North |
| Description: |
Objective: Students develop skills and knowledge related to the safe administration of general and regional anesthetics.
In addition, students develop their ability to use oxygen therapy devices, mechanical ventilators, and monitoring.
Learning Experience: Under the direct, one-to-one supervision of an attending anesthesiologist and a senior resident, students administer anesthesia in the operating room, usually with endotracheal intubation, for two weeks.
For these two weeks, the student is not an observer, but actually manages cases in a "hands-on" sense.
During the third and fourth week, the student observes other operating room settings where anesthesiologists function: open-heart surgery, neurosurgery, obstetrics, pediatric surgery.
Several "hands-on" demonstration sessions are given to teach the principles and techniques of pulmonary artery monitoring, oxygen therapy, mechanical ventilation, and blood gas analysis.
Students are asked to prepare and present a short topic on some area of anesthesia that interests them.
This includes a review of the literature on the subject.
There is no on-call duty or weekend duty though this can be arranged if desired. Students can expect to work between 7:00 AM and 5:00 PM, Monday through Friday.
Feedback: Continuous on a daily basis.
Evaluation: Will be based on a consensus of all faculty members involved in the student's education in this course. |
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| *AS03P Cardiothoracic-Surgical Intensive Care Unit Advanced Clerkship |
| Course Director: |
Dr. Robert Sladen, (212) 305-8633, rs543@columbia.edu |
| Coordinator: |
Anke Freude, (212) 305-8633, af2409@columbia.edu |
| Given: |
All year |
| Maximum: |
6 students per month |
| Start Date/Time: |
First weekday of month, 7:30 AM |
| Site/Location: |
Columbia University Medical Center, Milstein 4, SICU |
| Description: |
Students will spend half of the month in the Cardiothoracic Intensive Care Unit (CTICU) and the other half in the Surgical Intensive Care Unit (SICU). In the CTICU students will care for patients recovering from major cardiothoracic surgery, including heart and lung transplantation, coronary revascularization and ventricular assist device (VAD) placement. In the SICU the patient mix consists of thoracic, liver transplant, vascular, abdominal, orthopedic, ENT, urologic and gynecologic patients requiring postoperative critical care. Under the supervision of the ICU attendings, fellows and residents from the Departments of Anesthesia and Surgery, students will share in the responsibility for direct day-to-day patient care.
Objectives: It is anticipated that students will develop a working understanding of: resuscitation and endotracheal intubation; mechanical ventilation; hemodynamic monitoring using arterial, central venous pressure and pulmonary artery catheters; nutritional support including total parenteral nutrition and monitoring; interpretation of blood gas and other monitoring data; management of major postperative problems such as bleeding and sepsis, and an understanding of organ system failure and shock.
Learning Experience: Students will have an opportunity to develop the skills of analysis and judgement important in the optimal management of complex critically ill patients. Rounds are held twice daily with ICU attendings during which patients and their laboratory and x-ray findings are carefully analyzed and plans are made to clarify and resolve management problems. Three days each week an hour-long seminar is given by ICU attendings and fellows. Each Thursday students attend Critical Care Grand Rounds, a conference representing all staff involved in Critical Care at CPMC. Consultants in Infectious Disease, Cardiology, Renal Disease, Neurology, and Pulmonary Medicine make daily rounds within the Unit and review problems relevant to their special fields with the house staff and sub-interns.
Feedback: Through the daily rounds and close contact with the attending, fellows, and residents, regular and immediate feedback is provided to the students regarding their progress in achieving the skills expected.
Evaluation: At the end of each week the ICU attending or fellow will review the sub-intern’s performance and help design a subsequent week’s program which might remedy any shortcomings. At the end of the rotation the sub-intern will have an opportunity to discuss their performance with the ICU attending before their evaluation is submitted to the Dean’s Office. |
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RESEARCH
| AS90P Research in Anesthesiology |
| All interested Columbia P&S students MUST have approval from the course director for this elective. |
| Course Director: |
Dr. Carol Hirshman, (212) 305-9373, cah63@columbia.edu |
| Coordinator: |
Lisa Gonzalez, (212) 305-7308, lg2496@columbia.edu |
| Given: |
All year, for 1 or 2 month duration |
| Maximum: |
2 students per rotation |
| Start Date/Time: |
First weekday of month, 9:00 AM |
| Site/Location: |
CUMC, Presbyterian Hospital |
| Description: |
After consultation with the Course Director(s), students select a research program within the Department and a Preceptor is assigned.
Objective: In general, students will be assigned to ongoing projects and every attempt will be made to have them contribute to publications reflecting work performed during the elective. Students who are interested in a career in academic medicine are particularly encouraged to apply and a course of study can be designed that would be applicable to a continuum of research activity during eventual residency and fellowship.
Learning Experiences: Opportunities are available in a wide range of basic science bench research, as well as clinical studies in the operating room, Intensive Care Unit, labor and delivery suite, pain clinic and other venues where anesthetic care is delivered, such as cerebral and cardiac angiography suites. The range of current research includes studies or programs in environmental toxicology and anesthetic morbidity; pharmacology and physiology of nitric oxide therapy in critical care medicine; clinical pharmacology of anesthetic and vasoactive agents; molecular effects of local anesthetics; placental transmission of drugs and developmental pharmacology; use of information technology to improve patient outcomes; molecular mechanisms of pain; molecular basis of general anesthesia; cocaine pharmacology and toxicology; computer modeling of cardiac biomechanics; computer modeling of the cerebral circulation; neuropsychiatric complications of cardiac and cerebrovascular surgery; protection of the brain from stroke; control mechanisms of the cerebral circulation; epidemiology and natural history of cerebrovascular disease. Although these projects are primarily in the Department of Anesthesiology, most of the projects are interdisciplinary and involve a number of surgical and non-surgical collaborations, including the Departments of Electrical Engineering, Medicine, Neurology, Neurological Surgery, Obstetrics and Gynecology, Pediatrics, Pharmacology, Physiology, Radiology and Surgery.
Feedback is continuous on a daily basis.
Evaluation: Student evaluation will be based on a consensus of all faculty members involved in the student’s education in this course.
Faculty: Dr. Margaret Wood, the Department Chairman and Dr. Carol Hirshman, and the Departmental Research Coordinator Lisa Gonzalez, are available to discuss individual programs and projects with prospective students. |
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ST. LUKE'S – ROOSEVELT HOSPITAL CENTER
ST. LUKE'S & ROOSEVELT SITES
| AS50L Clinical Anesthesiology |
| Course Director: |
Dr. Donna Castello, (212) 523-6121, dcastello@chpnet.org |
| Given: |
All year except July and August |
| Maximum: |
2 students per month |
| Start Date/Time: |
Start date and time flexible (contact Course Director via email) |
| Site/Location: |
St. Lukes-Roosevelt Hospital Center, site flexible (contact Course Director via email) |
| Description: |
The clinical anesthesiology elective provides students with hands-on experience with anesthesia patient care.
Objectives: At the end of the one month elective, the student will understand the basics of pre-anesthetic evaluation, intra-operative and postoperative management.
Learning Experience: The perianesthetic care of patients for surgery, obstetrics and pain management are included in the 4-week experience.
Students will devote one week each to obstetric anesthesiology and pain management and 2 weeks (1 each at St Luke's Hospital and Roosevelt Hospital) to operating room anesthesiology.
The student will work directly with faculty members as well as interacting with residents and fellows.
Students will participate in a) pre-anesthetic evaluation and preparation of patients, b) hands-on anesthesia care of patients in the operating room and obstetric suite and c) care of patients with acute and chronic pain problems.
Conferences, seminars and journal club provide an excellent didactic environment for the student that compliments their clinical anesthesia hands-on experience.
Students will be provided a basic anesthesiology text from which they will have assigned readings.
Students will be expected to make one oral presentation of a topic of their choice.
This will be completed under the guidance of the course director.
Feedback: Students work closely with faculty members who provide on-going assessment and encouragement.
Evaluation: Each student will have an exit interview with the course director that will summarize the evaluation of the student's performance and allow for the student to critique the course. |
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