Surgical Intensive Therapy (SICU / SIT)

Location

Rush

# Weeks

4

Hours/week on site

21-30, 71-80, 51-60

Open to M3s?

yes, no

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0, 1

Prerequisites

medicine, surgery, anesthesia

Interviewing/Step 2 flexibility

2 days off

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

no, yes

Teaching hours/day

1-3

Teaching style

Patient rounds, Morning report/Case conference, Lecture given by resident or attending, student presentations

Suggested reading/pocket contents

The anesthesia dept does a great job in providing essential readings on your first day.

Massachusetts General Hospital Critical Care Medicine

Structure of rotation

Team-based

Amt/quality of time residents/attendings

You work nearly the whole day with the residents and maybe 4 hours with the attending.  It is team based so you and the residents do procedures and go on all the codes.  Attendings instruct on rounds.

Attending 2hrs per day, excellent quality  Residents 2-3hrs per day, excellent quality 

Proportion of time evaluating pts alone

50-75%, 75%-100% (2)

# pts evaluated/day

2-6

Procedures

Once a day, A few times/day, Once a week

Typical day

Show up around 8 am and pre-round on my patients (never more than 4) and then round as a team - usually bedside.  Excellent instruction throughout rounds.  After that the residents put in orders, etc. and then the team does all the needed procedures for the day.  Afternoon rounds usually begin 1pm and then leave once they are done.

This is a good rotation, as the residents will let you assist with placing central lines.  (I placed several A-lines, swans, IJ's, a cordis, etc.  The residents are very helpful.  Just watch out for Laredo.

Preround starting at 0630, round at 0730 until 0900. finish notes/procedures untill noon. noon-1300 lecture daily. check on patients/new admits until 1500. 

Usefulness for any residency (# stars/5)

4, 5, 5

Usefulness for this residency (# stars/5)

5, 5, 5

Useful for other specialties

Surgery, of course.  Anesthesia, definitely.  Medicine - I did more medicine here than anywhere in the hospital (granted I didn't do the MICU).

Anesthesiology, general surgery, critical care, internal medicine 

Overall rating (# stars/5)

5, 5, 5

Recommended to other students (# stars/5)

5, 5, 5

Other comments

Try to schedule your rotation to coincide with Dr.Rothenberg being on.  He will insure you have a great experience!

Loved it.