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Internal Medicine, Intensive Care Unit (Florida)


The Critical Care Service (CCS) includes a core of physicians who care for critically ill patients in the medical and surgical intensive care units. The CCS consists of a staff consultant, fellows, and residents. The group is assisted by critical care nurses, dietitians, respiratory therapists, physical therapists and pharmacists. Daily activities include morning and afternoon rounds, didactic lectures and tutorials, and bedside clinical teaching. The staff consultants come from the disciplines of anesthesiology, pulmonary medicine, and surgery.

Specific goals

  1. Learn about the diagnosis and management of acute organ failure, with particular emphasis on the cardiorespiratory system.
  2. Gain experience dealing with a wide variety of acute emergencies and all aspects of respiratory care, including principles of ventilator management and airway management issues.
  3. Become familiar with interpreting hemodynamic data, caring for postoperative surgical patients and managing critically ill medical patients.
  4. Become familiar with the initial management of various forms of shock.
  5. Become familiar with acid-base, fluids, electrolytes, and resuscitation end-points.
  6. Become familiar with sedation and analgesia in the ICU.

Activity outline

While on the Critical Care Service, students are expected to take part in all activities of the service, including patient admission and workup, pre-rounding, presentation of patients during formal rounds, and attendance of conferences. Didactic participation includes:

  • Didactic presentation includes core curriculum conference three days weekly.
  • Didactic sessions with critical care consultants and fellows during work rounds.
  • Critical Care Journal Club
  • Medical Ground Grounds
  • Morbidity and Mortality Conference
  • NeuroCritical Care Conference

Suggested reading list includes:

  • The ICU Book, 3rd edition, by Paul R. Marino, 2006, Lippincott Williams and Wilkins.
  • Critical Care Secrets, 4th edition, Parsons/Wiener-Kronish, 2007, Mosby.

Method of evaluation

Consultants who supervise the student will provide verbal feedback and a written evaluation of the student's performance.