CurriculumforMedicalIntensiveCareUnit-Mass.Gov.docVIP

Educational goals and objectives by rotation: Rotation name: Medical Intensive Care Unit (MICU) Location: Lahey Clinic Program Director: Elizabeth Nilson, M.D. Faculty Representatives: Andrew Villanueva, M.D., Carla Lamb, M.D. Length of Rotation: 4 weeks Overview The Tufts Transitional Year Resident can spend 1 month of elective time at the Medical Intensive Care Unit (MICU) at Lahey Clinic. This elective needs to be planned ahead of time at least 2 months in advance. Role of the Transitional Year Residents in the MICU TY Residents rotating through the MICU are an integral part of a team that includes an attending physician, a Pulmonary and Critical Care Medicine fellow, Lahey Medical Residents, nurses, nursing assistants, respiratory therapists, nutritionists and unit managers. While the attending physician has ultimate responsibility for the care rendered, each member of the medical team has important responsibilities. Most of the direct patient care is provided by the residents, including the physical assessment of patients, the performance of procedures and the writing of all orders. The second- or third-year resident also should act as a supervisor and teacher, and should assist the fellow and attending in evaluating patients being considered for transfer to the MICU. The fellow works closely with the attending in coordinating and supervising the care rendered and in deciding who is admitted to and discharged from the MICU. All major patient care decisions should be discussed with the fellow or attending. All procedures by residents should be supervised by the fellow or attending until the resident demonstrates competence in performing a particular procedure. The insertion of pulmonary artery catheters should always be supervised by a fellow or attending. Non-physician members of the MICU team are valuable resources and provide useful recommendations on a variety of patient care issues, including ventilator management, nutrition, pharmaco