The Anesthesiology Department at Maine Medical Center offers four-week clerkships to third and fourth year medical students at Tufts, UVM, UNE, and other medical schools approved by the American Association of Medical Colleges (AAMC) and the American Association of Colleges of Osteopathic Medicine (AACOM). The rotation is offered ten months a year, September through June. The rotation is not offered in July or August.
The student works one-on-one with an attending anesthesiologist and resident anesthesiologist, both of whom are committed to teaching. The setting is a busy, 24-room OR that conducts 50 to 90 surgeries a day. A day-by-day outline of topics is provided as a guide for reading and for discussion with the staff anesthesiologist and resident anesthesiologist.
The curriculum covers the following: the pharmacology and clinical use of local anesthetics, pressors, inotropes, muscle relaxants, sedatives, and analgesics; the physiology and delivery of general anesthesia, mechanical ventilation, and regional anesthesia; methods of patient monitoring (noninvasive and invasive); fluid and transfusion therapy; the intra-operative management of co-existing diseases such as hypertension, coronary artery disease, asthma, diabetes, and renal insufficiency; and aspects of anesthesia for surgical subspecialties such as vascular and neurosurgery. The staff guides the student through all phases of anesthetic care from pre-operative patient evaluation and preparation for surgery to OR management and planning for post-operative analgesia. The staff instructs the student in the techniques of intravenous line placement and airway management including mask ventilation and endotracheal intubation. When appropriate, the staff may also teach arterial and central venous cannulation.
A pocket handbook of anesthesia is provided to each student for reference during the rotation. For additional texts and current journals, students have access to the department library. Students are invited to attend the anesthesiology residents' lecture series that takes place each Tuesday afternoon at 1:30 p.m., as well as Anesthesiology Grand Rounds each Thursday morning at 7:00 a.m.
The student should, by the end of the month, be able to outline a reasonable anesthetic plan for a healthy patient undergoing general anesthesia for outpatient surgery. Additionally, the student should demonstrate progress in his or her techniques for intravenous line placement and airway management.
Students' clinical responsibilities are from Monday through Friday from 7:00 a.m. to 4:00 p.m., unless arranged differently with the attending and/or resident anesthesiologist. No overnight call or weekend hours are expected.