Pulmonary Elective

Pulmonary and Critical Care Student Elective Rotation

MICU Elective

The members of the Pulmonary and Critical Care Section hope you will find this a very rewarding experience both clinically and educationally. Our faculty is available throughout the day and night should any questions or concerns regarding patient care arise. Please do not ever hesitate to contact one of us regarding our patients or other patients. We would much rather be informed than uninformed about any problems in the unit or in the ward.

Rounds:
Generally, work rounds will start at 7:00 a.m. with the fellow assigned to the Medical Intensive Care Unit joining you to review old patients and assess the status of new patients. Formal rounds will begin each day at 9:00 a.m. with the Critical Care attending. Concise, problem-oriented reviews of old patients and comprehensive presentations of new patients are anticipated. We would like rounds to allow time for educational discussions in addition to the work that must be done. Brief afternoon rounds will occur after 4:00 p.m. and will involve the on-call resident reviewing with the fellow and attending the day's progress and putting together the game plan for the night.

Consult Elective

Inpatient consultation
Outpatient pulmonary clinics

The Pulmonary Consult Service is composed of one Attending, one Fellow, one Resident and one to two Students.

Students are expected to:

Work-up all inpatient consults under the supervision of the resident.
Interpret all PFT's under the supervision of the fellow.
Attend one outpatient Pulmonary clinic per week.
Attend all mandatory Department of Medicine and Pulmonary Division conferences

Expectations

In the course of your month here the attending, fellow and senior resident on our service will attempt to assure that you have all of the basic cornerstones for this rotaion covered with formal and informal discussions. However, it is your responsibility to bring forth any areas that you feel have not been covered adequately.

While general reading of internal medicine textbooks will serve you well, we recommend that you read one or more of the following specialized texts:

West JB. Respiratory Physiology, Williams & Wilkins, Baltimore.
West JB. Pulmonary Pathophysiology, Williams & Wilkins, Baltimore.
Critical Care Pearls. Hanley & Belfus, Inc, Philadelphia,1998.
Pulmonary Pearls II. Hanley & Belfus, Inc, Philadelphia,1998.
Marino PL. The ICU Book. Lea & Febiger, Malvern, Pennsylvania, 1998.

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