MS-IV Surgical Selective – Anesthesiology

The MS-IV rotation is open to UT Health San Antonio students as well as students from other medical schools requesting a visiting student rotation. UT Health San Antonio students should apply for the rotation through Student Services. Visiting students should apply through the Senior Academic Year Catalog.

ANES 4001 – CLINICAL ANESTHESIOLOGY

Course Director: Kelly Gardner, M.D.
Period Duration: 4 Weeks
Students per Period: 2
Students will participate in Anesthesiology at one of the general hospitals affiliated with UT Health San Antonio with supervised, graded responsibility for anesthetic management during all phases of the peri-operative period. Objectives are to develop skills in physical assessment; choice of anesthetic management; administration of anesthesia; airway management; and basic life support of the anesthetized patient.

ANES 4002 – CRITICAL CARE ANESTHESIOLOGY

Course Director: Varun Goyal, M.D.
Period Duration: 4 Weeks
Students per Period: 4
Students will participate in the adult surgical intensive care unit at Audie L. Murphy VA Hospital. Emphasis will be placed on the diagnosis and treatment of all aspects of acute respiratory failure, especially that occurring in the post-operative state, including post-cardiac surgery. The principles of pulmonary, renal, cardiac and nutritional support will be discussed. The ethics of life support are also discussed.

ANES 4003 – ANESTHESIOLOGY RESEARCH

Course Directors: Maxim Eckmann, M.D.
Period Duration: 4-8 Weeks – arranged with individual instructor(s)
Students per Period: 3
Research experiences are in either the clinical or basic sciences. Clinical research includes developing an understanding of clinical study design, procedures involved in the clinical study and data analysis. Studies are carried out largely in the operating room environment. Basic research can include studies of vascular control, studies on anesthetic agent interactions with the central nervous and cardiovascular systems, CNS ischemic or traumatic injury, electrophysiologic monitoring and drug kinetics across the human maternal/fetal placental barrier.

ANES 4004 – OBSTETRICAL ANESTHESIOLOGY

Course Director: Paulina Cardenas, M.D
Period Duration: 4 Weeks
Students per Period: 2
Sub-internship in Obstetric Anesthesiology at University Hospital. Teaching will emphasize practical care with the student taking an active part in the monitoring of and assisting in the anesthetic care of healthy or complicated women in labor, as well as those undergoing a cesarean section. Students will have the opportunity to perform intubations, epidurals, and spinals. Management of GYN outpatient anesthesia will also be included. Emergency resuscitation for hypotension, convulsions, aspiration and respiratory cardiac arrest may be reviewed as well as prophylactic measures for the prevention of these conditions.

ANES 4005 – PAIN MANAGEMENT

Course Director: Matthew Mcclure, M.D.
Period Duration: 4 Weeks
Students per Period: 2
Students participate in the management of chronic pain patients in the University Center for Pain Medicine in the Westgate Medical Center using a multi-disciplinary approach. They are exposed to areas of pain management that include operative vs. non-operative options for chronic pain patients including physical therapy, mobilization techniques, and interventional drug therapies. Student’s responsibilities include evaluating new patients with a focused and detailed physical exam, seeing follow-up patients for medication management, and managing patients scheduled for interventional procedures from prep through post-procedure follow up. The student will become proficient in accurately evaluating back pain, neuropathies, radiculopathies, and pain diseases including regional complex pain syndromes. This rotation is designed for any student who has an interest in learning how to deal with patients with chronic pain but especially those interested in primary care, anesthesiology, orthopedics, neurology, neurosurgery, or physical and rehabilitation medicine.

ANES 4008 – CARDIOTHORACIC ANESTHESIA

Course Director: Michael Little, M.D.
Period Duration: 4 Weeks
Students per Period: 1
Students will participate in Anesthesia at University Hospital with the supervision of the CT faculty. Emphasis will be on anesthesia for patients with cardiovascular and thoracic disease, cardiopulmonary physiology and pharmacology, and invasive hemodynamic monitoring.

ANES 4009 – REGIONAL ANESTHESIA & ACUTE PAIN

Course Director: Mahammad N. Hussain, M.D.
Period Duration: 4 Weeks
Students per Period: 1
Students will be involved in the care of patients on the acute pain service and of regional anesthesia patients at University Hospital with direct supervision by the acute pain and regional anesthesia faculty. Emphasis will be on orthopedic procedures requiring regional blocks, surgeries, requiring epidural or spinal placement, and management of an acute pain service, including medication management. Students will also have an option for 1 week exposure to chronic pain at the UT Medicine Pain Clinic with 3 weeks on the acute pain service, if interested. The student would need a basic understanding of the sedation used for blocks, along with medications used for pain during and after surgery. The student should have an understanding of anesthetic requirements for surgery and have context on when blocks may be indicated, as well as having seen successful blocks used in the ORs. Prerequisite: This course is recommended for students who have a strong career interest in Anesthesiology and have completed at least one MS3 or MS4 rotation in Clinical Anesthesiology.

ANES 4103 – CRITICAL APPRAISAL OF THE MEDICAL LITERATURE

Students will initially be introduced to the principles of evidence-based medicine through online lectures. They will participate in online activities and discussions to further facilitate learning. Throughout the course, students will be preparing for a final small group presentation at Journal Club, which will take place at the end of the course. At Journal Club, students will present their article and participate in discussion of their peers’ articles.

ANES 6081 – ANESTHESIA ROTATION

Students rotate through the operating room and peri-operative patient areas of the hospital to evaluate patients undergoing general anesthesia and deep conscious sedation. Primary purposes of this clinical rotation are to allow the student to become comfortable with airway management and patient monitoring.

ANES 7000 – OFF CAMPUS

All off campus rotations must be approved by the designated faculty member prior to the beginning of the rotation (at least one week before the course begins). Credit will not be given for any rotation that has not been approved in advance. Required paperwork includes: “Course Approval” form, a written letter or email for acceptance form the physician preceptor with the start and end dates of the course/rotation, and a course description of your learning objectives and responsibilities during the rotation. Forms must include a complete address and telephone number for the off campus location or residence address for the student while at the off campus site. Forms will not be approved after the rotation has already begun. Contact the department for assistance with enrolling in this course.