MICU Rotation for 4th Year Students
Length: 4 Weeks
To meet the objectives of increasing knowledge and skills and developing professional
attitudes and behavior while caring for adult patients on MICU service.
The student should demonstrate ability to evaluate and manage patients with the following
Acute Respiratory Failure
Severe Metabolic Disorders
Acute Abdominal Condition as Pain etc
Acute Neurological Condition as seizures etc
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 as central line placement, endotracheal
intubation, ABGs, NG tube insertion, lumbar puncture.
Develop skills in ventilator management and weaning protocols.
Should be able to accurately perform and record history and physicals with assessment,
differential diagnosis and plan independently.
Interpretation of lab tests as ABGs, EKGs, CXR, Electrolytes etc.
The student should be able to learn effective communication skills with patients and
families using 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 staff including other physicians,
nurses, respiratory therapists 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 patients
• Case presentation during rounds with complete assessment, differential diagnosis
• Case presentation in MICU conference once a week with literature search
on evidence based patient care.
• Maintain patient log seen by the student to assess meeting the above mentioned
• Read core articles in MICU handbook.
• Presentation and attendance in morning reports and journal clubs.
• Mandatory attendance in noon 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.
Review of mock ventilator management scenario.
Student satisfaction assessment on a weekly basis with appropriate feedback to assure
individual needs are met.
RESPONSIBILITIES AND SUPERVISION
The student will be:
• Responsible for patient managed by him/her under the guidance of senior
• On call at night at least 3-4 nights a month.
• Responsible for transfer summaries and communication with the receiving
• Demonstrating highest standards of professionalism with patients and colleagues.
• Student must be meeting with Dr. Jumper in her office once a week. Please contact
Debbie Schalles to set up this meeting. Her number is 743-3107.
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 form
on rotation and faculty.