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ventilation and intubation, placing intravenous and arterial access and additional appropriate monitoring as dictated by the type of surgery and the patients' co-morbidities. They will also learn the principles of anesthetic management and the interactions between surgical trauma, anesthesia and the patient's baseline medical issues including appropriate pre-operative evaluation, intra-op management and post-op transition. Hemodynamic management including intravenous fluid therapy, vasopressor use and transfusion practice will be emphasized. Students will learn how anesthetic management varies based on patient age, co-morbidities, and the specific surgical procedure such as abdominal surgery and intracranial surgery. ADVANCED CLINICAL CLERKSHIP IN ANESTHESIOLOGY Course Type: Advanced Clinical Clerkship Department/Division: Anesthesiology and Critical Care Medicine Course Director: Dr. Tina Tran and Dr. Jed Wolpaw Course Coordinator: Emily Jensen, ejense11@jhmi.edu Faculty: Department of Anesthesiology faculty and staff Availability/Duration: 4 weeks Prerequisite(s): Basic Anesthesiology Clerkship Drop Period: 2 months Description: This clerkship will allow students who have completed a Basic Anesthesiology Clerkship to expand their experiences in anesthesia practice. Students may create their own experience by either choosing to spend the clerkship doing general operating room cases or by seeking to gain experience in sub-specialty areas of anesthesiology including cardiac anesthesia, obstetrics anesthesia, neuroanesthesia, pediatric anesthesia and pain management. The amount of time a student chooses to spend in any one or more of these sub-specialty areas is customizable to meet the student's interests. This elective is recommended for students who are interested in applying to an Anesthesiology residency program. Note: ICU is now a separate elective and no longer available through this course previously neurocritical care and cardiac-surgical critical care were available as an advanced elective through the Anesthesiology and Critical Care Medicine Dept. You must register for an ICU clerkship separately through Dr. Scott Stephens’ office. COMBINED SUBINTERNSHIP IN EMERGENCY MEDICINE AND ANESTHESIOLOGY Course Type: Subinternship Department/Division: Anesthesiology and Critical Care Medicine and Emergency Medicine Course Director: ACCM: Tina Tran, MD, Jed Wolpaw, MD EMed: Sharon Bord, MD Amelia Pousson, MD Course Coordinator: ACCM: Tina Tran, ttran32@jhmi.edu - clerkship co-director Jed Wolpaw, jwolpaw@jhmi.edu - clerkship co-director Emily Jensen, ejense11@jhmi.edu - sr. administrative coordinator Priyanka Dwivedi, pdwived1@jhmi.edu - medical training program manager Emed: Sharon Bord, sbord1@jhmi.edu, Course Director Amelia Pousson, apousso1@jhmi.edu, Course Associate Director Pam McCann, pmccann3@jhmi.edu, Course Coordinator Faculty: Anesthesiology and Emergency Medicine faculty Availability/Duration: 3 weeks Prerequisite(s): prior Anesthesiology clerkship, prior Emergency Medicine clerkship, evidence of observership, letter of intent/interest by medical students Drop Period: 1 month Description: The combined EM/ACCM Advanced Clerkship will provide students with the opportunity to rotate and have clinical experiences in both departments. The fields of EM and anesthesiology have significant overlap in terms of airway management and management of critically ill patients in the ED, OR and ICU settings. This clinical rotation will highlight some of the overlap between these specialties as well as their unique aspects and will help prepare students for the combined EM/Anesthesia residency program. Emed: 17 ANESTHESIOLOGY AND CRITICAL CARE MEDICINE This course is about key concepts in the assessment, management, and disposition of patients in the Emergency Department. It builds on what you learned in your prior rotation in Emergency Medicine, allowing you to apply those concepts by serving as the primary provider for acutely ill and injured patients in the ED. What you learn in this clerkship will prepare you not only to evaluate and manage patients in the ED setting, but also to address acute concerns that arise in the care of hospitalized and ambulatory patients. The course primarily focuses on supervised clinical practice, though you will also complete an academic writing exercise, and participate in didactics and Residency Conference. Overall Course/Clerkship Objectives: By the end of this clerkship, all students will be able to: 1. Perform a focused history and physical examination based on an emergent chief complaint. 2. Present clinical findings, assessment, and plan in an organized and cohesive fashion. 3. Describe the differential diagnosis, evaluation, and management of common ED presentations including but not limited to: Chest pain, Vaginal bleeding or discharge, Shortness of breath, GI bleeding, Headache, Hyperglycemia, Abdominal pain, Fever, Altered mental status, Seizure, Minor trauma, Acute weakness, Syncope. 4. Interpret common emergency diagnostic tests, including laboratory studies, electrocardiograms, plain films, and CT scans. 5. Manage all aspects of care for assigned patients in the ED, including ordering tests and treatments,
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