Dr. Virginia Apgar

Medical students are a critical component of our teaching mission. We are involved with teaching in the medical school throughout all four years of the curriculum and offer both required and elective courses.

During the first year students are invited to participate in a weekend elective called the Unsung Hero. Students can pick a Saturday or Sunday to come to the operating rooms in Milstein and observe anesthesiologists at work. They stay throughout the morning and afternoon if they wish, and are asked to fill out an evaluation form of their experience.

During the second year, the Department has lectures in the pharmacology division, focusing on anesthetic drugs and pain management issues. This includes small group sessions focusing on specific cases.

The third year features a one-week clerkship as part of a five-week surgical subspecialty block. All students rotate through, receiving lectures on pharmacology, pain management, oxygen therapy and assessment of sick patients. Most of the students' time is spent in the OR's, where they get a chance to see their pharmacology and physiology knowledge applied in real life to patients. They also have a chance to practice placing intravenous lines and work on airway management skills. Professionalism is reviewed by asking students to observe behaviors in the OR's and peri-operative areas and to later discuss "good" and "bad" behaviors/alternatives. The department also teaches a half day invasive workshop as part of the surgical rotation. This workshop features lectures on shock, ECG interpretation and mannequin practice of IV, arterial line and central line placement.

The Department offers three month-long electives in the fourth year. First is an OR elective where the student spends two weeks in the general OR's, honing IV placement and airway management skills. The rest of the month is spent in the subspecialty areas, such as cardiac, neuro pediatrics, etc. This can be tailored to the particular student's interest or be very generalized. The second offering is a pain rotation, where the student spends one month with the pain team, working in the outpatient clinic on chronic pain issues and the inpatient acute setting. The month includes observing and participating in block procedures as well as rounds and conferences. The final elective is one month in the surgical or cardiothoracic intensive care unit. This sub-I elective has been consistently the most popular elective in the curriculum as students get the chance to follow critically ill patients throughout the month and have critical input into their care. All of the fourth year electives are available to students from outside institutions, space permitting. Requests should be made through the Dean’s Office, 1-212-305-1642, and through the Department; sc42@columbia.edu.

Research is constantly going on in the Department and students can get the opportunity to work with a researcher over the summer or throughout the school years, as time permits. Much work is done in conjunction with basic science departments, allowing students to see and participate in both bench and clinical research. If a student was the primary researcher on a project the Department will sponsor them to go to the appropriate meeting for presentation.

Various members of the Department participate in other teaching throughout the four years and in all areas of the curriculum. This runs the gamut from isolated lectures to running full courses. Faculty also serve as advisors to students interested in careers in anesthesiology. Dr. Marc Dickstein (Associate Professor of Anesthesiology) is course director for the Science Basic to the Practice of Medicine, an integrated and interdisciplinary basic science course.  In 2006, he received the Presidential Award for Outstanding Teaching.  Dr. Saundra Curry (Clinical Professor of Anesthesiology) is one of the schools five Advisory Deans.

Finally, students serve an important function for our residents and faculty. Residents and attendings need to develop teaching skills throughout their stay in the Department and students are the ones they teach. Through one-on-one work in the OR's to small group teaching on rotation, students offer themselves as eager learners and astute evaluators of our teaching program.

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