Anesthesiology for Medical Students
The Department of Anesthesiology at The Mount Sinai Medical Center is committed to the education of medical students. The operating room provides an ideal setting for one-on-one teaching and our attending staff is highly motivated in this regard. The Department's Human Patient Simulator provides the unique opportunity to apply physiologic and pharmacologic principles to the clinical setting. In addition, the atmosphere and camaraderie within the Department allow medical students to immediately feel part of the team.
In achieving our academic goals, the Department of Anesthesiology is involved in student education throughout all four years of the medical school curriculum.
- Basic Integrated Simulator Labs
An integral component of the first year physiology course. The Human Patient Simulator is utilized for hands-on practical review of physiology. There are two sessions, one for pulmonary physiology and one for cardiovascular physiology. Each session is 1½ hours long and accommodates five to seven students. The pulmonary lab includes discussions of shunting, dead space, compliance, blood gas interpretation, oxygen-hemoglobin dissociation curve, pulse oximetry, and capnography. The cardiovascular lab includes such topics as rate, rhythm, EKG interpretation, preload, afterload, and contractility.
- Shadowing an Attending Anesthesiologist
A course offered for first- and second-year medical students during their elective time, usually one afternoon a week. The student is assigned to one attending anesthesiologist for the afternoon. This provides the student an excellent opportunity to review physiology and pharmacology, to learn airway management, to practice procedures such as intravenous access and to gain clinical experience during their preclinical years.
- Clinical Clerkship in Anesthesiology
This is a required week-long clerkship in the third year of medical school. Each student is assigned to one or two attending preceptors for the week. The majority of the time is spent in the operating rooms, where clinical skills such as airway management and intravenous cannulation are emphasized and one-on-one teaching with the attending preceptor concentrates on applied physiology and pharmacology. During the course of the week, time is also spent in didactic sessions, which include an overview of anesthesia and a practice session on airway management. In addition, there are two human patient simulator sessions. The second session is devoted to acting out a real case scenario. Case-based medicine is emphasized, both in the operating rooms and in the simulator sessions.
- Basic Course in Anesthesiology
A four-week course designed for students contemplating a career in anesthesiology or desiring a more in-depth exposure than that provided during their one-week rotation. Students are assigned to an attending anesthesiologist for their elective time. They are involved in all aspects of anesthesia care from Preoperative assessment to intraoperative management and postoperative care. In addition, the student will participate in a simulator curriculum which incorporates both lecture and simulator scenarios that illustrate perioperative hypoxia, hypotension, ischemia, and dysrhythmias. This elective can also be tailormade to incorporate some of the subspecialties of anesthesiology, such as cardiac, obstetrics, and pain management.
Contact: Michael Chietero, MD
- Anesthesia for Neurosurgery
An intensive four-week course in the anesthetic care of patients undergoing neurosurgery. Emphasis is placed on the understanding of normal neurophysiology, how various disease states interfere with this and how the anesthesiologist needs to manipulate various physiologic parameters in order to restore and maintain adequate cerebral function. The course includes exposure to the monitoring of sensory- and motor-evoked potentials, EEG, and bispectral index. Also included is review of videotaped and printed materials and case presentations.
Contact: Irene Osborn, MD
- Anesthesia in Cardiac Surgery
An intensive four-week course in cardiothoracic anesthesia. Emphasis is placed on advanced cardiovascular and pulmonary physiology, as well as invasive monitoring techniques, including transthoracic echocardiogram. Included are weekly case presentations, seminars, and a review of videotapes.
Contact: Marc Stone, MD
- Anesthesia for Labor and Delivery
An intensive four-week course in the management of anesthesia and analgesia for labor and delivery, as well as for cesarean section. Instruction in the resuscitation and stabilization of the newborn will also be included.
Contact: Yaakov Beilin, MD
- Anesthetic Management of Acute Trauma
This four-week course is offered at Elmhurst Hospital Center. Elmhurst is the designated trauma center for Queens. Students will be involved in the perioperative management of patients presenting with trauma. Emphasis will be placed on the Preoperative assessment and resuscitation of patients with multiple trauma, their intraoperative management including invasive monitoring techniques, and postoperative follow-up.
Contact: Prithi Pal Singh, MD
- Intensive Care of the Critically Ill Patient
During this four-week elective, students will be involved in the continuing assessment and management of acutely ill postsurgical patients, usually with multisystem disease. Active participation in ward rounds, decision making, and therapeutic procedures is encouraged.
Contact: Andrew Leibowitz, MD
- The Management of Acute and Chronic Pain
A four-week exposure to the rapidly growing field of acute and chronic pain management. Students will learn about patient-controlled analgesia and the use of continuous epidural infusions of narcotics to control postoperative pain. Time will also be spent in the Outpatient Pain Clinic where students will be exposed to the diagnosis and management of chronic pain problems. Analgesics, nerve blocks, and psychotherapy are among the modalities of therapy employed.
Contact: Stelian Serban, MD
- Human Simulation and Anesthesia
This integrated two- to four-week course of human simulation, patient care, and lectures will expose the student to the principles of simulation and perioperative physiology and pharmacology. By spending time in the operating room and the simulator lab, students will "create" their own simulated patients based on actual cases. They can then experiment with various anesthetic agents, vasoactive drugs, and physiologic events. In addition, the student will participate in a simulator curriculum which incorporates both lecture and simulator scenarios that illustrate perioperative hypoxia, hypotension, ischemia, and dysrhythmias.
Contact: Adam Levine, MD