Dana Gurvitch, M.D.
Lori Rubin, M.D.
The Anesthesia clerkship is a comprehensive one week clinical rotation with the goal of applying the basic physiologic and pharmacologic principles learned in the basic science courses to patient management in the clinical arena.
The clinical clerkship builds upon previously learned medical knowledge with first hand exposure to patient care and management. The students spend the entire week at New York-Presbyterian Hospital, where they are assigned to different operating rooms and anesthesia teams each day. Students learn to preoperatively evaluate patients, assist with initiation of anesthesia, understand basic monitoring principles, observe maintenance of the hemodynamic state of the surgical patient, and transfer of patient care to the post-anesthesia care unit.
Under the close supervision of faculty and residents, students are actively involved in the anesthetic care of patients from all surgical services.
The core concepts focused upon during the Anesthesia clerkship include: preoperative assessment, airway assessment and maintenance, cardiovascular physiology and management, pain management, and postoperative care. Each afternoon the students meet with an attending to discuss the core concept of the day with practical applications in a case based discussion. The SAIL center is used to facilitate didactics as well as skills acquisition.
- Exhibit suitable operating room etiquette, including proper self-introduction to OR team, appropriate dress code, and respectful demeanor
- Perform preoperative assessment and evaluation of surgical patients with the anesthesia team
- Assist in preparation of anesthesia equipment, including: anesthesia machine, pharmacologic agents, intravenous lines, airway equipment, and suction apparatus
- Demonstrate basic skills of airway assessment and management, including mask ventilation, oral airway placement, and intubation
- Assess patients with cardiovascular comorbidities
- Identify patients with pain and modalities or intervention
- Identify commonly treated issues in the Post Anesthesia Care Unit, including hyper/hypotension, changes in urine output, tachy/bradycardia, and agitation/delirium
In the Anesthesia clerkship, student responsibilities include:
- Attend all operating room sessions
- Patient care write up each day
- Attendance of all afternoon didactic sessions
- Completion of Px/Dx
- Completion of self-assessment exam
Each student follows one patient from the OR to the recovery room where they are to provide 'transfer of care' sign out to accepting nurse, assist with taking of postoperative vital signs, observe assessment/management of clinical issues (including but not limited to assisting Xray techs, PAs, and others related to patient's care). Student documents recovery room experience with formal write up and submission.
Evaluation and Examinations
The Anesthesia clerkship is pass/fail. Each student shall be evaluated twice by an attending or resident they worked closely with in the operating room. A self-assessment is completed by each student at the end of the clerkship.