CICU Rotation for 4th Year Students
Length: 4 Weeks
To meet the objectives in strengthening knowledge, skills, attitude and behavior while
managing patients in CICU.
The student should demonstrate ability to evaluate and manage patients with the following
Acute myocardial infarction Acute coronary syndrome Hemodynamic instability Hypertensive
Acute rhythm disturbances: ventricular and atrial
Congestive heart failure: systolic and diastolic
Understand the etiology, diagnosis and treatment of the conditions being managed while
reading necessary texts and articles simultaneously making evidence based care decisions.
The student should become competent in performing and accurately recording complete
history and physical with assessment, differential diagnosis and plan independently.
The student should participate in procedures such as ECG performance, central line
placement, endotracneal intubation.
Develop skills in ECG, CXR and echocardiogram interpretation.
Should be able to accurately perform and record history and physicals with assessment,
differential diagnosis and plan independently.
Interpretation of lab tests.
The student should be able to learn effective communication skills with patients and
familieslising appropriate language and avoiding jargon and medical terminology.
The student should be:
Able to provide compassionate and empathic patient care in acute care settings.
Sensitive to the diverse factors affecting patients and their health care beliefs
and needs including race, culture, income and ethnicity.
Develop effective communication skills with the team including other physicians, nurses,
respiratory therapists, case managers and social workers for better patient care delivery.
The student should be able to:
Practice and respect patient privacy and confidentiality while maintaining highest
standards of professionalism.
Discuss ethical issues including end of life care.
EDUCATIONAL METHODS AND RESOURCES
• Adult patient care with above described disease mix aiming at two new patients
• Case presentation during rounds with complete assessment, differential
diagnosis and plan.
• Case presentation in CICU conference once a week with literature search on
evidence based patient care.
• Maintain patient log seen by the student to assess meeting the above
• Read core articles in CICU rotation handbook.
• Presentation and attendance in daily conferences.
• Dictate/ write discharge and/or transfer summaries.
Review of student's case presentations, documentation, professionalism and counseling
skills during management rounds and conferences.
End of rotation evaluation forms.
Student satisfaction assessment once every two weeks with appropriate feedback to
ensure individual needs are met.
RESPONSIBILITIES AND SUPERVISION
The student will be
• Responsible for patient managed by him/her under the guidance of senior resident.
• Responsible for transfer summaries and communication with the receiving
• Demonstrating highest standards of professionalism with patients and colleagues.
EVALUATION OF ROTATION
The student should sit with the 4th year director at the end of the rotation to discuss and fill out an evaluation forms
for rotation and faculty.