Residency Educational Objectives

KNOWLEDGE

During the rotation the residents should become familiar with the following topics as they apply to ICU patients:

• General ICU topics: nutritional support, upper GI bleeding, venous thromboembolism, coagulation disorders, acid-base balance, neuromuscular blockade, analgesia, sedation, pharmacokinetics, transport of the critically ill, CPR, ethical issues in continuing, witholding or withdrawing care.
• Respiratory system: airway management in the critically ill, chronic airway management, management of mechanical ventilation, weaning from mechanical ventilation, management of chest tubes.
• Cardiovascular system: diagnosis and treatment of dysrhythmias, ischemia, valvular heart disease, support of the failing circulation.
• Renal system: renal failure, renal replacement therapy
• Infectious disease: antibiotic therapy and prophylaxis, infectious pathogens, sepsis, management of the immunocompromised patient.
• Special topics: toxicology and drug overdose, solid organ transplant, trauma management, burn management, critical care obstetrics, metabolic and endocrine abnormalities.

SKILLS

• Airway management and intubation in ICU setting
• Placing and changing invasive monitors
• Diagnostic procedures (e.g.: lumbar puncture, paracentesis)
• Interpretation of radiologic studies

PERFORMANCE

• Ability to formulate and implement a diagnostic and management plan for complex, critically ill patients. This is assessed during presentations at rounds and at the bedside throughout the day.