SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
Term (e.g., Fall 200X)
Meeting times and location
SURG 839 CCT, Surgical Intensive Care Unit
All Year
Page the resident on SICU rotation for times and locations
Course Description and Prerequisites
Course Description (from HSC Course Catalogue) and Overview
http://www.tamhsc.edu/education/catalog/
The Faculty will strive to:
1. Provide the student with increasing responsibility for assessing and managing critically
ill surgical patients.
2. Assist the student in learning hemodynamic monitoring and other aspects of critical care
in surgical patients
3. Allow the student to assist and perform procedures on their patients when indicated.
VI. Course Objectives and Evaluation Method
1. Participate in patient care in the SICU at the level of a PGY-1 resident, including daily
progress notes.
2. Have a better understanding of critical surgical illness and their management; particularly
patients on ventilators.
3. Know the indications for, and interpret the results of invasive testing, such as arterial
catheters, pulmonary artery catheters, and intra-cranial pressure monitors.
4. Become more familiar with the techniques of central line insertion, intubation, placement of
pulmonary artery catheters, and chest tubes.
Evaluation
1. Clinical evaluation form
2. Clinical Skills Competency Checklist
Upon completion of the course, students will be able to:
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Instructor Information
Name
Telephone number
Email address
Office hours
Elective Director
Randall Smith, David
Ciceri
(254) 935-4934,
(254)724-2408
rsmith@sw.org ,
dciceri@sw.org
By appointment
2nd Floor of the SICU
Office location
Name
Telephone number
Email address
Office hours
Office location
Coordinator
Terri Okun, Cynthia De
La Rosa
(254)935-4934,
(254)724-2408
tokun@sw.org ,
cdelarosa@sw.org
8am-5pm
McLanes Subspecialty
Clinic, CAM by the STC
3 elevators (D-304).
Learning Outcomes & Objectives
1.
Daily rounds with staff, residents and medical students. The student will be assigned
their own patients and be responsible for them.
2. Periodic lectures on ventilators, hemodynamic monitoring infections, and other ICU
topics.
3. Formulation of daily progress notes using ICU worksheet.
4. Student will be required to take one night of call with the residents on service.
COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/
Principles and Guidelines for Curriculum Development:
http://medicine.tamhsc.edu/policies/pdf/curriculum-principles-guidelines.pdf
Course Objective:
Participate in patient care in the
SICU at the level of a PGY-1 resident,
including daily progress notes.
Have a better understanding of
critical surgical illness and their
management; particularly patients
on ventilators.
Know the indications for, and
interpret the results of invasive
testing, such as arterial catheters,
pulmonary artery catheters, and
intra-cranial pressure monitors.
COM Competency
Based Learning
Objectives
(CBLO):
PC3: Develop
appropriate
differential
diagnoses by
integrating
collected clinical
information
PC3: Develop
appropriate
differential
diagnoses by
integrating
collected clinical
information
PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
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Taught (T)
and/or
Evaluated (E):
Evaluation:
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Become more familiar with the
techniques of central line insertion,
intubation, placement of pulmonary
artery catheters, and chest tubes.
Click here to enter text.
PC9: Perform
technical
procedures
including:
venipuncture and
arterial puncture;
insertion of
intravenous,
central venous,
and urethral
catheters;
insertion of a
nasogastric tube;
lumbar puncture;
basic suturing;
and basic airway
management
Choose an item
Taught AND
Evaluated
Choose an item
Clinical
Performance
Rating/Checklist
Choose an item
Textbook and/or Resource Material
1. Textbook of Critical Care in the main library or the surgical library.
2. Articles associated with SICU protocol.
3. Temple College HSC Simulation Laboratory
Grading Policies
GRADING SCALE
Satisfactory
70-100
Unsatisfactory
69 and below
Should the course director determine remediation is required, the remediation plan will be at the
discretion of the course director and on a case by case basis depending on the issues involved.
Remediation plans could entail some (or all) of the following examples: Additional clinical shifts,
research papers, presentations, article reviews, exams, directed reading, web-based modules, etc. If the
student performance results in a failure of the elective, it will be recommended that the elective be taken
again in its entirety.
Attendance and Make-up Policies
A component of professionalism is to be present, prepared, and punctual. In the event of a
personal illness, critical illness within your immediate family, family death, or other
extenuating events, please communicate this to the clerkship director or administrator in a
timely manner. TAMHSC – COM student handbook states: Students who miss more than 20%
of a 4th year elective for any reason (2 weekdays during a two-week rotation or 4 weekdays for
4 week rotation) will require a remediation plan. Elective director will consider students
attendance and remediation if the student is requesting extended time off during interview
season.
Students will adhere to the same work schedules as the attendings and/or residents. Students
are required to attend morning report, patient rounds and Journal review.
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Resources: Texas A&M Health Science Center Medical Student Handbook.
VIII. Policies and Procedures (generic information for all campuses)
Responsibilities and Expectation of Students
Students are expected to be present for the various clerkship activities that will be
noted by your residents and staff.
Attendance is expected at the various clinical activities including morning ward rounds,
operating room when assigned, third year lecture series, afternoon rounds,
conferences, and any activity specifically requested by your attending.
Students are expected to be punctual for all of the various activities noted on the
weekly schedule. Failure to adhere to the schedule will result in undue delays and
inconveniences to patients, students and faculty. However, your tolerance of any last
minute schedule changes in lectures is asked. Sometimes trying to arrange a lecture
series with surgeons is full of unforeseen scheduling changes
Dress and Appearance: In order to be accepted as a member of the health care team, it is
important to assume the same basic manner of dress, appearance and conduct as the other
members of the team. A picture name identification tag must be readily visible on your shirt or
coat collar, with introduction of your full name including “Ms.” or “Mr.” or “medical student”.
If the parent/patient refers to the student as a “doctor”, it is the student’s duty to correct this
error. One should not misrepresent his/her role.
Resource: Texas A&M Health Science Center Medical Student Handbook.
Course Topics, Calendar of Activities, Major Assignment Dates
Course Schedule (may include in Appendices if available)
SICU is a 2 or 4 week rotation. Students will adhere to the same work schedule as the attending
and/or resident.
Other Pertinent Course Information
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Clerkship Courses MUST include patient encounter and Log Information here. Actual log list can be
included in the appendix. Include information that is pertinent to ALL campus locations here like
processes and procedures. If there are campus specifics, include those locally not in this syllabus.
Indicate where course materials can be accessed for example Blackboard, One45, etc.)
Americans with Disabilities Act (ADA)
The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides
comprehensive civil rights protection for persons with disabilities. Among other things, this legislation
requires that all students with disabilities be guaranteed a learning environment that provides for
reasonable accommodation of their disabilities. If you believe you have a disability requiring an
accommodation, please contact Disability Services, in Cain Hall, Room B118, or call 845-1637. For
additional information visit http://disability.tamu.edu
Any student with a disability who needs accommodation should inform the instructor at the beginning of
the course.
Academic Integrity
For additional information please visit: http://aggiehonor.tamu.edu
“An Aggie does not lie, cheat, or steal, or tolerate those who do.”
College of Medicine
Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All College of Medicine students are required to comply with the student code of conduct and the academic integrity and
honesty standards published in each component’s Student Handbook. Disciplinary action will be taken in accordance with
the policies of each component. Students found guilty of Academic Dishonesty will receive an “F”/Unsatisfactory in the
course. For a full list of actions qualifying as academic dishonesty, please review the College of Medicine Student
Handbook at http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf.
According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another person's ideas,
processes, results, or words without giving appropriate credit. Intentionally, knowingly, or carelessly presenting the work of
another as one’s own (i.e., without crediting the author or creator). Plagiarism and other academic misconduct definitions
can be viewed on the Aggie Honor System Office website;
http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions.
E-mail Access and FERPA
The College of Medicine is communicating all official information to students through the students’ TAMHSC e-mail
accounts. Please check the account frequently during the semester for updates.
This course is supported with web-based and/or e-mail activities. In order to take advantage of these additional resources
and participate fully in the course, you have been assigned an e-mail address by the Texas A&M Health Science Center.
This e-mail address is for internal use only, so that faculty may communicate with you and the entire class. By registering
for this course, you are agreeing to allow your classmates to have access to this e-mail address. Should you have any
questions, please contact the TAMU’s Office of the Registrar at 979-845-1031.
The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is intended to protect the
privacy of education records, to establish the rights of students to inspect and review their education records and to
provide guidelines for the correction of inaccurate or misleading data through informal and formal hearings. Students also
have the right to file complaints with the Family Educational Rights and Privacy Act Office of the Department of Education
in Washington, D.C., concerning alleged failures by the HSC to comply with the act.
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Mistreatment of Students
The College of Medicine is committed to providing a positive learning environment in which students can meet their
academic goals based on mutual respect in the teacher/learner relationship. Both parties must be sensitive to the needs
of others and differences in gender, race, sexual orientation, religion, age or disability. As outlined in the Student
Handbook under the section titled Standards of Conduct in the Teacher-Learner Relationship, belittlement, intimidation
and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches involving student
mistreatment may result in a faculty or staff member being sanctioned or the loss of faculty and/or staff appointment.
These policies address student mistreatment involving College of Medicine employees, residents, affiliate staff, or
patients. Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or through
an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html. For a full list of reporting avenues,
please refer to the Student Handbook under the Mistreatment Policy.
Exposure and Occupational Hazard
The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be accessed in the
Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
Note: More information is available on the aforementioned topics to all students on the College of Medicine website.
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