Medical Students

Anes 850 A - Clinical Clerkship

Course Number: ANS 850 A
Title of Course: Clinical Clerkship in Anesthesiology
Location: University of Kentucky Medical Center, Shriner's Hospital
Course Director: Dung Nguyen, MD
Room #: A.02.406
Phone #: (859)323-5956
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Course Description:
This clerkship is designed for the senior  medical student to gain cognitive and motor skills in anesthesiology, perioperative medicine, management of acute respiratory and circulatory problems, and acute and chronic pain management. Specific objectives are for the student to:

  • Learn pertinent issues in pre-operative evaluation
  • Become skilled in airway management
  • Progress toward performing a simple general anesthetic
  • Experience applications of cardiac physiology
  • Learn about obstetric analgesia
  • Become familiar with concepts in acute and chronic pain management
  • Effectively utilize invasive monitors

Evaluation Method: Written exam contributes 30% to the final grade. The balance comes from evaluation of clinical performance in the OR. 
Duration: Four weeks
Max. Number of Students per Period: 4 (except with special permission)
Prerequisite: Promotion to Fourth Year
Report To: After training and orientation with Renee Seidel, visiting students report to Medical Student Coordinator in N-234 (first day only). For UK students, first day instructions will be provided by Medical Student Coordinator approximately one week before the first day of rotation.

Anes 851 - Critical Care

Course Number: ANS 851
Title of Course: Critical Care Unit
Location: University of Kentucky Medical Center
Course Director: Kevin Hatton, M.D.
Room #: N259
Phone #: (859)218-0115

Course Description:
Students are expected to be available and responsible for full-time duty on the critical care anesthesiology service. Students gain experience with critical care patients on this service which includes, but is not limited to, neurocritical care and cardiothoracic intensive care unit along with residents. This rotation is designed to provide exposure and hands-on experience with critical care physiology, interventions and technologic procedures. The philosophy of this course is to integrate science, physiology and pharmacology of the critically ill and patient exposure in an intensive exposure. 
The primary goal for students in this rotation is familiarization with current advances and practices in critical care medicine.  Students are expected to follow patients and become familiar with critical care aspects of the patient's disease, treatments and progress on morning rounds. Didactics include bedside teaching, supplemented with presentations. The student is expected to become familiar with hemodynamic monitoring and ventilator management as well as the technical procedures involved in the placement of invasive monitoring techniques, endotracheal tubes, chest tubes, and indications and contraindications for the use of these devices. It is expected that by the end of this month students have a working knowledge of the management of critical care issues which may include shock, hemorrhage, and respiratory distress syndrome. 

Evaluation Method: No written exams. Student is qualitatively evaluated by quality of presentation, knowledge of patient care issues and ability to digest and discuss the actions and rationale of critical care cognitive practice.

Duration: Four weeks
Max. Number of Students per Period: 2
Prerequisite: Two clerkships of Medicine, Surgery, Pediatrics, or OB/GYN
Report To: After training and orientation with Renee Seidel, visiting students report to Medical Student Coordinator in N-234 (first day only). For UK students, first day instructions will be provided by Medical Student Coordinator approximately one week before the first day of rotation.

Anes 853 - Pain Management

Course Number: ANS 853
Title of Course: Clinical Clerkship in Pain Management
Location: University of Kentucky Medical Center; Interventional Pain Associates
Course Director: Shelly Ferrell M.D.
Room #: N225
Phone #: (859)323-5956
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Course Description:
Students participate actively in the Acute Peri-operative Pain Service, the Cancer Pain Management Program, and the Behavioral Medicine Division dealing with chronic pain management as well as the Chronic Pain Clinic. In combination, these various divisions within the Pain Management Center provide for the comprehensive and multi-disciplinary pain management of all post-operative patients as well as patients visiting the Pain Management Center with chronic pain syndromes and cancer-related pain.  Students participate in patient evaluation, intake interviews, perform admission histories and physicals, and round with the Peri-operative Pain Service as well as the in-patients on the Chronic Pain Service. The patient volume seen by the Pain Management Center is in excess of 500 patients per month. This constitutes the largest pain service in the country and this rotation presents a unique opportunity to learn many of the skills associated with the management of these complex patients.      
During this rotation, students work under the supervision of attending Anesthesiologists, pain fellows, Anesthesiology residents, Clinical Psychologists, Nurse Specialists, and Physical Therapists. This course is recommended for all students regardless of specialty interests, as pain in one form or another is the most common presenting complaint for any clinician.
The Pain Management Clerkship enables the student to learn not only comprehensive patient evaluation, but also the application of the health-care team concept to complex patient care problems that are not entirely within the domain of medical practice, but extend into related professional areas as well. Students also learn various invasive pain management techniques inducing infiltration and nerve block, intravenous anesthesia, peridural anesthesia, and other invasive techniques based on the demonstrated interest and abilities of the individual student.

Responsibilities during the Pain Management Rotation are:

  • To make rounds and present assigned cases.
  • Take call on a rotating schedule with the house officers.
  • Follow assigned patients.
  • Presenting at least one conference to other members of the pain management team on a topic related to pain management.
  • Actively assist house officers, fellows, and staff with patient care.
  • To be present at all conferences.
  • Do invasive procedures under supervision.

Evaluation Method: Multiple choice test at the end of rotation
Duration: Four weeks
Max. Number of Students per Period: 2
Prerequisite: Two clerkships of Medicine, Surgery, Pediatrics, or OB/GYN, and permission of the clerkship coordinator.
Report To: After training and orientation with Renee Seidel, visiting students report to Medical Student Coordinator in N-234 (first day only). For UK students, first day instructions will be provided by Medical Student Coordinator approximately one week before the first day of rotation.

Anes 850B: Anesthesiology Acting Internship

Course Number: ANS 850B
Title of Course: Anesthesiology Acting Internship?
Location: University of Kentucky Medical Center?Course 
Director: Dung Nguyen M.D.
Room #: A.02.406
Phone #: (859)323-5956
Email:  This email address is being protected from spambots. You need JavaScript enabled to view it.  

Course Description: 
The AI will:

  • Prepare anesthetizing locations under the supervision of a CA-2 or CA-3 anesthesiology resident or attending anesthesiologist.
  • Perform a patient medical record review and when possible perform a preoperative history and physical examination of the patients for whom they are scheduled to provide care the following day.
  • Contact the Anesthesiology faculty or Anesthesiology resident to present the data and anesthetic plan for the following day.
  • Adhere to ACGME duty hour requirements for interns.
  • Attend the Anesthesiology intern educational activities including didactics, General Competencies Conference, subspecialty conferences, and journal clubs.
  • Utilize a supplied procedural check off list and un-identified patient experience record documenting experiences during the AI.

Evaluation Method: 
The AI will:

  • Submit their month long procedure/experience log to the Course Director for review on the last day of the rotation.
  • Review three ASA I/II cases including preoperative evaluation and intraoperative anesthetic record with the Course Director for evaluation.
  • Demonstrate and document ability to perform a complete airway examination on at least 3 patients.
  • Demonstrate ability to successfully perform bag-mask-ventilation and endotracheal intubation on at least 5 patients.
  • Demonstrate ability to follow the difficult airway algorithm and utilize difficult airway tools on a simulated difficult airway simulation scenario utilizing a patient simulator.
  • Demonstrate ability to obtain intravenous access on 3 or more patients.
  • Take a written examination at the conclusion of the rotation and correct all wrong answers including a complete explanation with reference.
  • Meet with the course director or another faculty designated by the course director at middle of the rotation and end of the rotation to evaluate, discuss, and document the student’s progress.

Grading Policy:
Clinical: 75% (A performance evaluation will be sent to every resident/attending that the AI has worked with. The results of these evaluations will be reviewed by the Course Director to determine the clinical portion of the grade.) ?MCQ: 25%

Duration: Four weeks?
Max. Number of Students per Period:
 1?
Prerequisite: UK student, must schedule ANS 850A for a period prior to the one requested for ANS850B, and Dr. Nguyen's permission
Report To: First day instructions will be provided by Medical Student Coordinator approximately one week before the first day of rotation.

 

Anes 890 - Off Site

Course Number: ANS 890
Title of Course:
 Anesthesiology Off-Site
Location:
 Lexington, Kentucky
Course Director:
 Dung Nguyen M.D.
Room #:
A.02.406
Phone #:
 (859)323-5956
Email:  This email address is being protected from spambots. You need JavaScript enabled to view it.

Course Description:
The clerkship is designed for the senior medical student who wishes to explore the role of the anesthesiologist in a community hospital. Students participate in clinical anesthesiologist in a community hospital. Students participate in clinical anesthesiology including pre-operative, intra-operative and post-operative management of patients requiring surgery. Besides learning motor skills, this clerkship offers the opportunity to learn and apply the basic sciences of physiology and pharmacology to the clinical situation.

Evaluation Method: Evaluation completed by preceptor. 
Duration: Four weeks
Max. Number of Students per Period: At discretion of preceptor, with a max. of two.
Prerequisite: Promotion to 4th year and permissions of course coordinator.
Report To: The assigned preceptor at previously determined time and location.