Preceptors: Ken Sutin, MD and Elie Geara, MD, Michaela Klesitz, MD
Contact: Katie Tenety, Ekaterina.Tenety@NYULangone.org
Telephone: 212-562-6571

Prerequisites: None

Who should enroll in this elective?

• Students who are considering Anesthesiology as a career
• Students who are entering an allied field, such as a surgery-related field, Emergency Medicine or Intensivist
• Students who are simply interested in this clinical area

Clinical sites

Tisch/Kimmel Hospital, Bellevue Hospital, NYU Orthopedic Hospital, Pain Medicine at Tisch Hospital

Description

This is an introductory 2-week elective that seeks to introduce the student to the field of Anesthesiology. As an introductory elective, the student will be expected to gain a broad understanding of the core principles, foundational knowledge, and essential skills relevant to the specialty through encounters with a diverse range of cases reflective of this specialty. Students will gain this experience through an introduction to student preoperative evaluation, intraoperative management and postoperative routine and critical care. Emphasis is placed on scientific foundations of anesthesia, including organ-system pathophysiology, autonomic and anesthetic pharmacology, and hemodynamic monitoring. Morning case conferences and afternoon topical lectures will supplement operating room patient care responsibilities. In the operating room, there is a one-to-one teaching by both anesthesia residents and faculty. The student may elect to do a one-week rotation in a specialty field of anesthesia, e.g., obstetrics, neurosurgery, cardiothoracic or pediatrics. On-call responsibilities at Bellevue Hospital are elective and will be one evening per week during which time the student will work with the Bellevue Team Captain.

Objectives of the Elective

By the end of this elective, through daily contact with patients and didactics, you will:

1. Gain an understanding of the field of anesthesiology, building on your pre-clerkship and clerkship experiences
2. Develop skills in preoperative evaluation, intraoperative management and postoperative care under the supervision of anesthesiology residents and attendings
3. Acquire a basic understanding of routine airway management and use of airway devices, face mask, laryngeal mask airway, and video laryngoscopy
4. Begin to obtain a basic understanding of anesthesia, including organ-system pathophysiology, autonomic and anesthetic pharmacology, and hemodynamic monitoring
5. Gain insight into the interdisciplinary nature of this specialty and how our clinicians interact with other medical disciplines to provide comprehensive patient care
6. Explore the option of anesthesiology as a career choice

Key Responsibilities of the student while on Elective

By enrolling in this introductory elective, you have agreed to:

1. Participate in at least 35 contact hours of education each week
2. Follow the course syllabus
3. Provide communication of any excused absences to the Office of Student Affairs (excused absence form) and to the elective coordinator, in a timely fashion 
4. Arrive in a timely fashion to all locations to which you are assigned  
5. Assist the anesthesia resident in setting up the operating room in the morning and participate in the case management during the day
6. Participate in the care of patients followed by the team, under the direction of the anesthesia resident and attending
7. Attend all didactics provided for trainees, as outlined below
8. Prepare and present a chosen topic of interest at the completion of the rotation

Key Responsibilities of the preceptor/residents/faculty while you are on Elective

By accepting your enrollment in this introductory elective, the department has agreed to:

1. Clearly communicate their expectations of you
2. Maintain a supportive clinical learning environment 
3. Ensure that you have access to a broad case mix and clinical experience  
4. Provide the education necessary for you to gain an understanding of the patients and pathology reflective of this specialty
5. Provide feedback on your clinical skills

Didactic Program

Lectures given during this rotation:

• Basic anesthesia pharmacology
• Airway management
• Obstetric anesthesia
• Shock & resuscitation
• Regional anesthesia
• Spinal and epidural anesthesia
• Other topics as scheduled

Weekly Schedule

Monday	Tuesday	Wednesday	Thursday	Friday
6:45AM Grand rounds/Visiting professor lecture	7:00A-4PM: Assist in the OR	6:45-7:10AM Anesthesia management conference at Bellevue	6:45-7:10AM Anesthesia management conference at Bellevue	7:00AM-4PM: Assist in the operating room
7:30AM-4PM: Assist in the OR	2:00PM: Daily WeBex lecture	7:10AM-4PM: Assist in the operating room	7:10AM-4PM: Assist in the operating room	2:00PM: Daily WeBex lecture
2:00PM: Daily lecture	4:00PM: Pre/postop patient evaluations	2:00PM: Daily WeBex lecture	2:00PM: Simulation at Manhattan VA Hospital	4:00PM: Pre/postop patient evaluations
4:00PM: Pre/postop patient evaluations	5:00PM Departmental PBLI	4:00PM: Pre/postop patient evaluations	4:00PM: Pre/postop patient evaluations

Method of Evaluation

Evaluation is based on performance and participation during the rotation, knowledge and growth, patient interaction, ability to work as a team member, conference attendance, your presentation at the end of the rotation, and completed evaluation forms. Students receive feedback both during the elective and during the exit interview at the end of the elective.

Scheduling Information

Months offered: August–June
Duration: 2 weeks
Students per Period: 8
Student point of contact before start of elective: Ken Sutin, MD, Elie Geara, MD, Michaela Klesitz, MD
On day 1, students report to: Bellevue Hospital, Room 12E12, Anesthesia conference room at 6:45AM