We are pleased to welcome you to the Individualization Phase Critical Care/Emergency Medicine Selective. We hope to provide an environment which acquaints you with a variety of both acute and chronic diseases which are addressed by critical care management.
Intensivists are involved in the comprehensive care of their patients. Specialties included in this course are: emergency care, surgical, pediatric, neurosurgical, neurological, medical, cardiac and cardiothoracic specialties. On some of the available rotations, you will be exposed to more than one of these fields in a single critical care environment.
Rotations are offered primarily on the UNC campus, however, they are also offered in Wilmington, Charlotte and Asheville. Away rotations may be approved on a limited basis by the course director.
It is not our intention on this rotation to turn all of you into critical care practitioners. It is our hope that you will establish an appreciation for critical and emergency care. We hope you will appreciate the proper management algorithms for common as well as uncommon diseases as well as quality and safety issues related to intensive care.
Although the faculty has the ultimate responsibility for providing education during the clerkship, your education is very much a team effort involving our house staff, nurses, mid-level providers and fellows. We hope you will establish close relationships with the entire ICU team and join them in the care of patients. The ICU can be a stressful environment where you are faced, often for the first time, with life threatening situations. These should be reflected upon by yourself and discussed with faculty, residents and peers to allow you to process some of these life events.
In addition, be aware that as an adult learner, you are equally responsible for your education. You should be intellectually curious, read, seek out knowledge and participate in all educational conferences while on your rotation. We also encourage you to learn by discovery, which implies independent reading, study and discussion of new experiences and diseases that you will encounter. We think the process of self-education is especially important to learning.
Grading policy: With the new TEC curriculum beginning 3/6/17, we have introduced a revised grading policy based on Entrustable Professional Activities (EPAs). EPAs are tasks or responsibilities you will be expected to perform, without direct supervision, at the beginning of residency. The assessment form consists of 16 items, each scored from 1 to 5. A score of 5 is considered to fully meet the EPA criteria, while a score < than 3 will be considered as not meeting the EPA criteria. You will receive a suggested letter grade from your evaluator. Your performance on the EPAs will determine an EPA-based letter grade. Should there be a discrepancy between your EPA-based letter grade and evaluator letter grade, the course director will review and determine final grade.
Your EPA-based letter grade (Honors, High Pass, Pass, Fail) will be determined from the sum of your item scores as a percentage of the maximum possible total score (i.e. if all items are scored 5, the sum of scores is 80 (or 100%):
Honors: > 91.0%
High Pass: 70.0-90.9%
Fail: < 51.0%
You will be ably assisted in the logistics of the course by Ms. Stacey Owen. She will provide you with the information you need for your rotation and be available as a resource person for questions of any kind (966-4781). However, please note that the scheduling of your Critical Care Selective, or any changes you need to make to your schedule, should be done through the School of Medicine Student Affair's Office. They will then communicate those changes to our office.
Again, we want to extend to you our enthusiasm for your presence and hope your experience in critical care will be challenging, stimulating and rewarding.
Sofia Aliaga, MD