Curricula Descriptions
Intensive Care Unit Curriculum
| Goals: |
- The resident will develop a capacity to work efficiently and effectively with a complex and critically ill panel of patients.
- The resident will communicate effectively and compassionately with patients and families, regarding severity and prognosis of the illness or condition.
- Support the individual and family through consultation, evaluations, treatment and rehabilitation.
- Be familiar with team concept of care and become a member of the ICU team.
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| Objectives: |
The resident will develop knowledge, skills, and attitudes to:
- Perform a thorough history and physical examination on a critically ill patient.
- Develop a diagnostic impression and differential diagnosis. Be able to support it.
- Design a comprehensive problem list using a systems-based approach.
- Order and understand results of appropriate laboratory, imaging, and ancillary testing.
- Interact with patients, staff, attending physicians, consultants and family members in a professional manner.
Knowledge in recognition and management of the following topics, with special emphasis placed on what the family physician needs to know and interaction with consultants:
- Acute Cardiac Syndromes (ST elevation MI, non-ST elevation MI, unstable angina)
- Heart Failure and Pulmonary Edema
- Arrhythmias
- Respiratory Failure
- Shock
- Fluid, electrolyte and acid base abnormalities
- Cerebrovascular accidents
- Diabetic Ketoacidosis/Coma
- Sepsis
- Routine post-operative care for thoracic, neurologic, and vascular surgical procedures
- Enteral and parental nutrition support
- Preventive Care – stress ulceration, deep venous thrombosis, pressure ulcers, deconditioning
- Acute Renal Failure
- Hematologic abnormalities and transfusion therapy
- Poisonings
- Hypertensive urgencies and emergencies
- Endocrine disturbances
- Neurologic disturbances, including coma, status epilepticus, cerebral hemorrhage, motor disorders, acute mental status changes
- Psychiatric emergencies
Procedures
- Central Venous Access
- Mechanical Ventilation
- Oxygen Therapy
- Chest X-ray Evaluation
- Arterial pH and Blood Gas Analysis
- Lumbar Puncture
- Arterial Access
- Code Blue Management
- Endotracheal Intubation
- Paracentisis
- Chest Tubes
- Thorancentisis
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Teaching Strategies—rotations, tactics, resources
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| Noon Lectures |
Rotation/Cycle |
Responsible Faculty |
| Oxygen Therapy |
Yearly |
Respiratory Therapist |
| Pressure Support Therapy |
Yearly |
Respiratory Therapist |
| Acute Renal Failure |
18 months |
Nephrologist |
| Fluid Electrolyte Acid Base Problems |
Yearly |
Dr. Kruse |
| Congestive Heart Failure |
Yearly |
... |
| TPN |
... |
Miller |
| Sepsis |
36 Months |
... |
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Rotation Experiences/Activities (Items marked with * address other curriculum goals and objectives but are integrated during this rotation.)
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| Continuity of Care Clinic |
- Senior residents will provide care to their continuity patients with intensive care needs. Residents on Family Practice Inpatient Service will care for patients in Intensive Care Units.
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| Emergency Room |
- Many patients in the emergency settings will need intensive care. The resident should manage these difficult patients appropriately.
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| Rotation Mechanics |
- Review Code Blue Management before starting this rotation.
- Discuss with Respiratory Therapist Mechanical Ventilation Management – Dr. Miller will arrange a discussion with them.
- The following attendings do not desire resident coverage for their ICU patients: Drs. John Scott, Kirkpatrick, Patel, Chaudhry, Leimbach, & Westerhoff
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| In-training exam |
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| Resources |
- ICU Book, Marino (available in QFP Library and Blessing Hospital Resident Lounge)
- Procedures for Primary Care Physicians, Pfenninger (also available on www.mdconsult.com)
- Various websites including www.uptodate.com, www.mdconsult.com, www.acc.org, http://sccm.org/professional_resources/guidelines/table_of_contents/index.asp
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QFMR Contact: Thomas Miller, M.D
Last updated: 8/17/07
back to Block Curricula
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