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Electives for Medical Students

An important educational mission of the Department of Anesthesiology is teaching medical students. We have a vibrant department faculty dedicated to introducing students to our specialty. Students are able to choose two and four week electives in their third or fourth year of medical school. If the elective experience then piques a deeper interest in our specialty, students can choose a month long sub-internship in OR Anesthesia or Critical Care. Students who choose our electives work closely alongside attending staff, residents, and CRNAs.

During the elective, medical students are assigned to work with an attending anesthesiologist each day. With the staff, students participate in every aspect of patient care before, during, and after surgery. The students receive many different and effective modalities of teaching. These include didactic teaching in operating rooms, lectures and case conferences, and much hands-on experience. Students who are self motivated will receive a rich experience which can greatly impact their choice of specialty.

The main objective of the elective in anesthesiology is to provide students with an understanding of how medical knowledge in addition to modern anesthetic and perioperative care can effect positive outcomes for patients undergoing surgery. Within this primary objective, many critical skills are also taught which can be applied to many specialty areas. These skills include basic airway techniques, fluid management, invasive monitoring, regional anesthesia, pain control and familiarity with commonly used anesthetic drugs.

After completing an elective rotation, a few students pursue a more intense month long sub-internship. Since the elective is a requirement for this rotation, these students are already familiar with basic anesthetic concepts and have an opportunity to really add depth to their knowledge of our specialty. The students not only receive more teaching and hands on exposure to the management of cases, but also have an opportunity to be “on call” one night per week with the residents. Thus they have an “inside view” of what residency is like, and have an opportunity to essentially function as a junior resident. This is a valuable experience especially for those students who are contemplating a career in anesthesiology.

Due to much student interest in our specialty at earlier points in their medical school years, Dr. Jinny Hartman started the Anesthesia Interest Group (AIG) for all Geisel School of Medicine Students. It was created to share our Department’s enthusiasm for the specialty of Anesthesiology. The AIG provides a forum to expose students to the rich spectrum of clinical practice in Anesthesiology. It is a student driven endeavor with faculty mentors, and the students choose what topic to pursue. Topics in the past have included airway management, IV and invasive monitor placement, and pediatrics. All lectures and learning are in a relaxed format and are driven by student interest and motivation

AIG Faculty Advisors: Johnathan Arbogast, MD and Marnie Welch, MD

Our main goal and hope for student education is that medical students who work with us come away with an appreciation of the breadth, depth, and creativity of our specialty. We want students to appreciate how anesthesiologists integrate knowledge of human physiology and pathophysiology, pharmacology, and cutting edge technology quickly and thoroughly to provide safe and compassionate care to all patients who are entrusted to us.

Anesthesiology #501

Description: Clinical experience in the Operating Room, PACU, Labor & Delivery, and Pain Clinic providing exposure to all types of anesthetic practice. Students should expect significant hands on experience and anesthesia team member responsibility.

Goals/Objectives: Gain an understanding of modern anesthetic involvement in and contribution to patient care, including pre-operative assessment and plan, intra-operative, and post-operative care. Identify, support, and stimulate students with an interest in anesthesiology as a career.

For more information about this elective or to schedule a time please contact: Katherine.A.Gaudette@hitchcock.org

Anesthesiology #503 - Critical Care Medicine

Description: The Critical Care Service (CCS) is a multidisciplinary service made up of faculty and house officers from the Departments of Anesthesiology, Medicine, and Surgery. The medical student on the CCS will join the group to participate in the care of critically ill patients from all of the primary disciplines. The two week elective provides exposure to many aspects of this care. Opportunities to participate in life support maintenance and resuscitation efforts are common.

Goals/Objectives: Introduction to critical care medicine as a multidisciplinary specialty. To provide a knowledge base for the evaluation and management of issues unique to critically ill patients. This includes techniques of invasive monitoring, hemodynamic and respiratory support, airway management, basic cardiovascular, pulmonary renal physiology and pharmacology, as well as exposure to ethical and cost/benefit issues of intensive care medicine.

For more information about this elective or to schedule a time please contact: Katherine.A.Gaudette@hitchcock.org

Anesthesiology #504 - Pain Medicine

Description: A clinical and didactic exposure to all aspects of pain medicine in a tertiary care medical center; includes exposure to acute, chronic, and cancer pain in an adult population.

Goals/Objectives: To acquaint the student with a multidisciplinary approach to pain management. The student will become familiar with the options for treatment of pain and gain instruction for the use opioids, NSAIDs, and other agents in the treatment of pain.

For more information about this elective or to schedule a time please contact: Cynthia.L.Loseby@hitchcock.org

Anesthesiology #410 - Subintership in Anesthesiology

Description: The student will work closely with members of the Anesthesiology faculty in a capacity paralleling that of an intern/CA-1. Exposure will encompass subspecialty areas of anesthesia, general areas of anesthesia, pain management, and ICU.

Goals/Objectives:

  • Teach crucial aspects of clinical physiology and pathophysiology. Common problems encountered include pulmonary disease, cardiac disease, renal disease, neurological disease, and issues within OB/Gynecology, Critical Care, and Pain Management.
  • Teach principles of clinical pharmacology, and familiarize students with commonly used inhalational agents, sedatives, narcotics, and local anesthetics.
  • Teach how to prepare patients for anesthesia, how to manage patients intra-op and post-op.
  • Teach principles and practical aspects of airway management (face mask, tracheal intubation, and laryngeal mask airway).
  • Teach techniques of general and regional anesthesia.
  • Teach various monitoring techniques both non-invasive (EKG, BP Pulse Oximetry) and invasive.
  • Expose students to invasive monitoring with hands on experience with arterial lines, CVPs and PA catheters.
  • Expose students to the management of critically ill patients (CPR, IV fluid resuscitation, and mechanical ventilation).
  • Expose student to the management of various pain syndromes.

For more information about this elective or to schedule a time please contact: Katherine.A.Gaudette@hitchcock.org

Anesthesiology #411 - Subintership in Anesthesiology

Description: Critical Care Medicine is a multidisciplinary service composed of Attending and house staff from the Departments of Anesthesiology, Medicine and Surgery. The medical students will join the Critical Care Teams in the Adult Intensive Care Unit to participate in the care of critically ill patients from all of the primary disciplines. This four week rotation provides exposure to the many aspects of Critical Care Medicine. Participation in life support maintenance and resuscitation efforts are common. Students participating in the Sub Internship elective will be acting at the level of an Intern. Call will be 1-2 times per week, and each student may be expected to stay until 8pm with an Attending at least once per week. Each student will carry at least two patients, including new admissions.

Goals/Objectives:

  • Introduction to Critical Care Medicine as a multidisciplinary specialty.
  • To provide a knowledge base for the evaluation and management of issues unique to critically ill patients including techniques of invasive monitoring, hemodynamic and respiratory support, airway management, basic cardiovascular, pulmonary renal physiology and pharmacology.
  • Exposure to ethical and cost/benefit issues of Intensive Care Medicine.

For more information about this elective or to schedule a time please contact: Katherine.A.Gaudette@hitchcock.org

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