The Department of Anesthesiology and Critical Care Medicine welcomes both Johns Hopkins medical students and students visiting from outside institutions. We offer several different electives and our basic anesthesiology clerkship has been very popular; getting a position is sometimes competitive. There are both 2 and 4-week electives. The 2-week elective is an introduction to the field of anesthesiology. The 4-week elective gives a more comprehensive look at the field of anesthesiology. Both electives are clinical electives that help students develop a knowledge base of the science of anesthesiology, technical skills and compassionate patient care delivery. The hands-on learning experience is complemented by a lecture series designed just for medical students. By the end of 4 weeks, the student will have acquired an overview of anesthesiology and will have been exposed to the subspecialties as well as a private practice experience in anesthesiology.
A typical day on the elective begins when the student and resident preceptor prepare the operating room for the day's cases. The first patient is then interviewed, examined and brought into the room to begin the anesthetic. The student is expected to participate in every aspect of the patient's care including airway management, intravascular catheter placements, anesthetic delivery and planning for emergence, and post-operative care and pain management.
The resident and attending physicians provide informal teaching sessions during the course of the day. Topics of teaching include anatomy, physiology, pharmacology, pharmacodynamics, anesthetizing strategies, patient safety, resuscitation, etc. The day ends after the patient has been awakened and taken to the appropriate post-anesthesia care unit. The student and the resident will then prepare for the next day's case(s) by reviewing the patient's history, physical exam, surgical procedure and then deciding on an anesthetic plan. Students are welcomed to the elective with reading materials, earpieces, and snacks and beverages at each lecture.
Advanced, or specialty electives can be arranged after students have completed the basic anesthesiology elective. These are pre-arranged, custom-made electives that offer students the opportunity to explore areas of particular interest. The specialty electives are usually 4 weeks in duration but can be 3-6 weeks. The specialty elective can be either a clinical or research topic. A very popular elective is the Surgical Intensive Care Unit rotation. It is an excellent learning experience but is very competitive and reservations should be made at least 6 months in advance. The electives course list is available for viewing on the Johns Hopkins InfoNet.
Contact us for more information about student electives in the Department of Anesthesiology and Critical Care Medicine.
Goals of The Anesthesiology Rotation
The practice of anesthesiology includes:
- preoperative evaluation and optimization of the patient's medical condition prior to surgery · intraoperative management for adult and pediatric patients undergoing regional or general anesthesia or local anesthesia with our without sedation
- post-operative care in the PACU (post-operative acute care unit) in the ICU (intensive care unit)
- care of patients with acute and chronic pain problems.
Regardless of your ultimate career plans, the skills that you will learn on this rotation may help you save a life in the future.
- Understand how to evaluate a patient to assess appropriateness of a patient's condition prior to anesthesia and surgery.
- Understand how to optimize a patient's condition prior to anesthesia and surgery.
- Understand how to determine options for anesthetic management for individual surgical procedures.
- Understand how to evaluate airway anatomy and assess for appropriateness for the different types of available airway management techniques.
- Understand the pharmacology and pharmacodynamics of anesthetic agents (intravenous, inhalational and regional).
- Understand appropriate fluid management techniques during surgery.
- Understand how to management common intraoperative complications including:
- cannot intubate / cannot ventilate situation
- vomiting during induction of anesthesia
- delayed emergence
- intra-vascular local anesthetic administration.
- Understand how to manage common post-operative complications including:
- emergence delerium
- post-extubation stridor
- decreased urine output
- reduced oxygen saturation
- Answer all questions in packet with the help of your residents.
- Deliver concise, organized case presentations on ASA I or II patients to an attending or resident.
- Formulate and describe a plan of anesthetic management for and ASA I or II patients.
- Improve skills for intravenous access.
- Improve skills for bag - mask airway management.
- Improve skills for endotracheal intubation.
- Improve skills for arterial catheter placement.
The Johns Hopkins Medical Institutions
Department of Anesthesiology and Critical Care Medicine
Johns Hopkins University School of Medicine
Sheik Zayed Tower
1800 Orleans Street
Baltimore, MD 21287
Bradford J. Winters, MD, PhD
Director, Medical Student Education Program
Director, Medical Emergency Response Teams Project
Assistant Professor, Department of Anesthesiology/CCM & Surgery