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Anesthesiology

Medical Students

The Department of Anesthesiology participates in teaching a required course for third year medical students, and offers a number of elective rotations for fourth year students. Medical students who have an early interest in anesthesiology may join our Resident Assistant Program as early as their second year of school. This affords them the opportunity to spend additional time in the OR under the tutelage of our anesthesia residents and faculty, thereby confirming their interest in anesthesiology.

Learn more about the programs we have to offer to interested medical students

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M3 - Required rotation

Course Directors: Ilene Lewis, MD and Stylianos Voulgarelis, MD

Course Description: In this course students will learn about the care of perioperative patients throughout all phases of perioperative care. The focus will be on performing a preoperative evaluation and identifying risk factors, intraoperative management (including management of common problems) and post-operative care (including acute pain management). Procedural skills taught will include venipuncture, peripheral IV placement, and basic airway management (mask ventilation and intubation). Students will be introduced to invasive monitoring (arterial lines/central venous lines) and regional anesthesia procedures (spinal/epidural/nerve blocks).

Location: Froedtert, Veterans Hospital and Children's Hospital of Wisconsin

Time commitment: 2 weeks

M3 - 2 Week Electives

IV Placement & Airway Management for Eye Surgery

Course Director: Lourdes Burgos, MD

Description: In this course students will learn to develop skills of IV placement and basic airway management in the operating room of the Froedtert Hospital Eye Clinic. Students will also learn to do preoperative evaluations of ophthalmological patients and identify risk factors by taking the patient's history and performing physical examinations, with integrating preoperative laboratory work-up. Students will be involved in all aspects of the peri- and post-operative period of ophthalmological patients.

Location: Froedtert Hospital Eye Clinic

Time Commitment: 2 weeks, Mon-Fri, 6:45 am-5:00 pm, no night call, no weekends


Post-Anesthesia Care Unit (PACU)

Course Director: Suneeta Gollapudy, MD

Description: In this course students will learn postoperative care of surgical patients. Students will be introduced to the postoperative phase including pain management and knowledge of fluid management, arrhythmias, renal function, anaphylaxis, ventilator management, airway management, and differential diagnoses of postoperative weakness and somnolence.

Location: Froedtert Hospital

Time Commitment: 2 weeks, Mon-Fri, 6:45 am-5:00 pm, no night call, no weekends


Anesthesiology Outside the Operating Room

Course Director: Zafar Iqbal, MD

Description: In this course students will learn about the perioperative care of in- and out-patients outside the main operating room, e.g. the Eye Clinic, GI Lab, the interventional radiology suite, MRI, etc. The focus will be on the unique aspects of preoperative care, identifying risk factors, intraoperative procedures, anesthetic management, postoperative care including acute pain management and care of the perioperative patient while in a procedure room setting away from the main Operating Room. Procedural skills taught will include venipuncture, peripheral IV placement, basic airway management, and other skills necessary for sedation and/or general anesthesia.

Location: Veterans Affairs Medical Center

Time Commitment: 2 weeks, Mon-Fri, 6:45 am-5:00 pm, no night call, no weekends


Pre-Operative Anesthesiology Clinic

Course Director: Jutta Novalija, MD, PhD

Description: In this course students will learn how to refine clinical skills including history taking, physical examination, and oral presentation. A comprehensive and concise preoperative evaluation provides the critical information necessary to develop an appropriate plan of anesthetic management as well as to anticipate potential problems and prepare contingency plans. It also provides the opportunity to discuss anesthetic options and plans with the patient and patient's family, and answer any questions. The student will have the ability to follow interesting cases on their day of surgery to see how the preoperative planning affects clinical practice.

Location: Veterans Affairs Medical Center

Time Commitment: 2 weeks, Mon-Fri, 8:30 am-3:30 pm, no night call, no weekends


Introduction to Pain Management

Course Director: Stacy Peterson, MD

Description: Students will be involved in initial consultations and follow up visits for patients with chronic pain. Experience will provide multiple opportunities to learn physical exam skills, specifically exams pertaining to the neck and low back.

Location: MCW Pain Management Center

Time Commitment: 2 weeks, Mon-Fri, 8:00 am-4:00 pm, no night call, no weekends

M3 - 4 Week Electives

Expanded Introduction to Anesthesiology

Course Director: Catherine Kuo, MD

Description: In this course students will learn about peri-operative medicine, including the preoperative evaluation and optimization for patients with medical disease, intraoperative, and postoperative management. Principles of airway management, resuscitation, critical care, and pain management will be introduced. Cardiac and pulmonary physiology will be emphasized.

Students will have exposure to a wide variety of anesthetic types (general, sedation, regional) for patients undergoing a variety of surgeries and other procedures in the operating room. This may include anesthetics for cardiac surgery, neurosurgery, obstetric surgery, general surgery, orthopedic surgery, as well as for other surgical subspecialties.

Opportunities may also include time in the Pre-Anesthesia Clinic, Regional and Acute Pain Service, Froedtert Birth Center, and Pain Management Clinic.

Location: Froedtert Hospital

Time Commitment: 4 weeks, Mon-Fri, 6:45 am-5:00 pm, 1 night call, 1 weekend 12 hour shift


General Anesthesiology at Community Memorial Hospital

Course Director: Yogesh Patel, MD

Description: This 4-week elective will introduce M3 students to the practice of Anesthesiology within a community hospital setting. Students will be expected to learn about their patients preoperatively, including performing a focused preoperative evaluation with risk stratification, developing an anesthetic plan (including fluid management, drug dosing, and anticipation of issues common to the surgical procedure or disease processes of the patient), and postoperative care (including analgesia).

Procedural skills will be taught as the student becomes comfortable with the operating room setting and include IV placement and basic airway management. Additional airway management techniques, invasive monitoring, regional anesthesia, and labor analgesia will also be introduced.

Location: Community Memorial Hospital

Time Commitment: 4 weeks, Mon-Fri, 6:45 am-5:00 pm, no night call, no weekends


General Anesthesia

Course Director: Nathan Gabler, MD

Description: In this course students will learn all phases of perioperative care: preoperative assessment, intraoperative management, and postoperative care in the private practice setting of the Aurora West Allis Medical Center. Student will learn and deepen the following skills: peripheral IV placement, airway management, invasive monitoring, and peripheral/regional/neuraxial procedures.

Location: Aurora West Allis Medical Center

Time Commitment:  4 weeks, Mon-Fri, 7:00 am until cases are complete, no night call, no weekends


Introduction to Obstetric Anesthesiology

Course Director: Jessica Rock, MD

Description: In this course students will learn the unique elements of anesthetic care for obstetric patients. The rotation focuses on learning normal physiology of pregnancy and common pregnancy-related pathophysiology, as well as understanding changes in anesthetic planning based on pregnancy-related physiologic changes.

Students will learn to perform an appropriate pre-anesthetic evaluation and identification of risk factors to develop a plan for anesthetic management of labor, cesarean delivery, and other surgical procedures related to pregnancy. Emphasis will be given to understanding the effects of anesthetics on both maternal and fetal physiology.

Students will be introduced to the differences between neuraxial techniques for analgesia and anesthesia (spinal/epidural/combined spinal epidural) and to anesthesia for obstetrical emergencies (cord prolapse/bleeding previa/abruption/fetal bradycardia).

This rotation is suited for students interested in obstetrics and/or anesthesiology.

Location:  St. Joseph Hospital and Froedtert Birth Center

Time Commitment:  4 weeks, Mon-Fri, 6:45 am-4:00 pm, no night call, no weekends.


Introduction to Pediatric Anesthesiology

Course Director: Rose Campise-Luther, MD

Description: In this course students will learn a comprehensive overview of the preoperative, intraoperative and postoperative care of pediatric surgical patients. The students will have the opportunity to participate in a variety of surgical procedures requiring different types of anesthesia, as well as examine and interview patients in the preoperative evaluation clinic, experience a truly private practice type of outpatient anesthesia while observing at the surgicenter and spend time in the Pain Clinic along with different out of the operating room sites. They will learn the difference between adult and pediatric physiology, pharmacology and anesthetic management.

Learn clinical skills like mask ventilation, intubation, intravenous catheterization and diverse anesthetic management practices.

Location:  Children's Hospital

Time Commitment:  4 weeks, Mon-Fri, 6:30 am-5:00 pm, no night call, no weekends.

M3 - 4 Week Research Electives

Cardiac Extracellular Matrix

Course Director: Dorothee Weihrauch, DVM, PhD

Description: In this course students will learn how to conduct and participate in basic science research in Anesthesiology. The research revolves around the role of the extracellular matrix in inflammatory diseases and how altered extracellular matrix influences cell signaling. By the end of this rotation the student would be expected to have developed a basic understanding as well as basic skills in the area of cardiovascular research regarding the role of the extracellular matrix in signaling processes and his or her work to have contributed in part to a publishable project.

Location: Medical Education Building, Anesthesiology Laboratory

Time Commitment: 4 weeks, Mon-Fri, 8:00 am-5:00 pm, no night call, no weekends, 90% laboratory research


Mitochondrial Signaling in Cardioprotection

Course Director: Amadou KS Camara, PhD

Description: In this course students will learn the basic overview into how to conduct and discuss basic research in cardiovascular anesthesia. Specifically, the research will examine how cellular and mitochondrial calcium dynamics are altered and the concomitant changes in mitochondrial bioenergetics and redox potential during and after volatile anesthetics exposure and how this may be involved in anesthetic cardioprotection against acute ischemia and reperfusion injury. By the conclusion of this rotation, the student should be able to have a basic understanding of cardiovascular changes at the organ, cellular and subcellular levels during ischemia and reperfusion injury and how volatile anesthetics and other drugs confer protection by differential modulation at the different levels of organizational complexity.

Location: Medical Education Building, Anesthesiology Laboratory

Time Commitment: 4 weeks, Mon-Fri, 8:00 am-5:00 pm, no night call, no weekends, 90% laboratory research

M4 - Required Acting Internships

Anesthesiology Acting Internship

Course Director: Rachel Budithi, MD

Description: The Anesthesiology Acting Internship's goal is to refresh and broaden the knowledge of Anesthesiology gained during the Junior year. Learn advanced hemodynamic monitoring and application of physiology and pharmacology with an emphasis on cardiovascular anesthesiology. This is done with hands on experience in the technical aspects of Anesthesiology, e.g. airway management, tracheal intubation, placement of venous and arterial catheters and management of pulmonary artery catheters, along with understanding the risks and benefits of various anesthetic techniques.

Location: Froedtert Hospital

Time Commitment: 4 weeks, 6:30 am until cases are complete, 1 week of in-house night float with additional home call of 1-2 times per rotation, 2 weekend shifts


Anesthesiology for Trauma and Emergencies

Course DirectorOlga Kaslow, MD, PhD

Description: The student will work as a member of the Trauma Anesthesiology Team and will respond to all emergent intubations and CODE 4 with the anesthesiology staff and the residents. Student involvement begins in the Emergency Department with a "Trauma Alert" page. All Students taking this course must have a working pager.

Location: Froedtert Hospital

Time Commitment: 4 weeks, 6:30 am-4:00 pm, 6 on-call nights 7:00 pm to 7:00 am, up to 2 weekend call nights or days


High Risk Anesthesia Consultation

Course Directors: Megan O'Connell, MD and Carolyn Pinkerton, MD

Description: High-Risk Anesthesia Consultation is a four-week M4 ambulatory rotation with the high-risk anesthesia consult service at Froedtert Hospital. The focus will be on performing a comprehensive and concise preoperative history and physical exam, evaluating the patient's current medical status, and assessing the clinical risk profile to help guide the perioperative plan (additional preoperative testing or consultations, intraoperative anesthetic plan, and postoperative pain management plan).

Location: Pre-Admission Testing Clinic, Preoperative Clinic, CFAC building, Froedtert Hospital

Time Commitment: 4 weeks, 7:30 am-4:30 pm or until all patients have been seen, no nights or weekends


Ambulatory Anesthesiology

Course Director: Thomas Stekiel, MD

Description: The shift from hospital based to less expensive surgery center settings (for appropriate patients) continues to grow. This course will provide the opportunity for senior medical students to expand on and enhance their previous experience with perioperative anesthetic management of adult patients, with particular emphasis on considerations relevant to the ambulatory setting.

During the 4 week rotation, the students will be assigned to work directly with anesthesia providers on cases that will provide the greatest learning opportunity. Students will learn about what is unique with regard to patient management in a free standing surgery center setting (as it relates to other types of surgical management). They will participate in preoperative screening and evaluation, inoperative (hands on) delivery of anesthesia and postoperative management in preparation for discharge to home.

Location: Sargeant Health Center

Time Commitment: 4 weeks, 6:30 am at earliest to 5:00 pm at latest, no nights or weekends


Pain Management

Course Director: Stacy Peterson, MD

Description: Students will acquire knowledge that will be useful and applicable to any chosen medical specialty. Students will learn the assessment and management of patients in a variety of pain states, including chronic pain in a multidisciplinary setting, as well as acute and cancer pain whenever the opportunity arises. The students learn through active participation in patient care. Student will also learn about many different types of pain syndromes and the use and risks of opiod medication. The pharmacology of pain treatment and pain medications will be an integral part of the experience. Text material will be available.

Location: MCW Pain Management Center

Time Commitment: 4 weeks, 7:30 am until scheduled patients are seen, no nights or weekends

M4 - Electives

Clinical Anesthesiology

Course Director: Christopher Plambeck, MD

Description: This course will provide the student the opportunity to participate as a member of the anesthesia care team. The student will participate in the preoperative evaluation, intraoperative management, and postoperative care of patients undergoing surgeries in a multitude of surgical disciplines.

Location: Froedtert Hospital

Time Commitment: 4 weeks, Mon-Fri, 6:30 am until scheduled patients are seen, no call or weekends


General Anesthesia

Course Directors: Emmeline O'Leary

Description: This fourth year elective is intended to give senior medical students an expanded exposure to the field of Anesthesiology as well as a greater understanding of perioperative medicine and increased opportunity to refine technical skills.

Location: Froedtert Hospital

Time Commitment: 4 weeks, Mon-Fri, 6:45 am until scheduled patients are seen, optional 5:30 pm-7:00 am night float to replace clinical duties for remainder of that day


Anesthesiology

Course Director: Sweeta Gandhi, MD

Description: In this course students will formulate an anesthetic plan for a healthy patient and conduct an anesthetic with assistance of the anesthesia care team. They will gain experience with invasive techniques and develop skills in airway management, while gaining knowledge of the risks and benefits of various anesthetic techniques.

Location: VA Medical Center

Time Commitment: 4 weeks, Mon-Fri, 6:30 am-3:00 pm, night call and weekends


Pediatric Anesthesiology / Pain Management

Course Directors: Susan Staudt, MD and Steven Weisman, MD

Description: The 4 week rotator will divide their clinical time between the operating rooms at the Children's Hospital of Wisconsin, and focused block time spent with both the acute inpatient pain service and the outpatient chronic pain management program. We offer a flexible schedule with more or less time dedicated to operative vs pain experiences based on the students personal goals and objectives.

A pre-rotation discussion with a course director preceding or on the first day to guide autonomous learning and set individualized objectives and time allocations within the course parameters is mandatory.

Location: Children's Hospital of Wisconsin

Time Commitment: 4 weeks, Mon-Fri, 6:30 am-5:00 pm, no call or weekends


Cardiac Anesthesia

Course Director: Sweeta Gandhi, MD

Description: In this course students will be exposed to the principles and practices of cardiothoracic anesthesia, applied cardiovascular physiology and pharmacology, and the management of cardiothoracic surgery patient in intraoperative setting. The course will provide the student a clinical experience in performing the preoperative assessment, and understanding the intraoperative management of the cardiothoracic surgical patient from the perspective of the cardiac anesthesiologist. The student will work with the cardiac anesthesia fellow, residents and faculty members who are assigned to patients undergoing major cardiothoracic procedures.

Location: VA Medical Center

Time Commitment: 4 weeks, Mon-Fri, 6:30 am until scheduled patients are seen, no night call or weekends


 

Obstetric Anesthesiology

Course Director: Shreema Sawlani, MD

Description: Students will observe the practice and execution of obstetric anesthesia. They will be expected to take focused histories and discuss the patients with OB Anesthesia attendings. They will read and discuss topics pertinent to OB Anesthesia, and prepare and present a discussion of a related topic or case analysis. Please note that it is not the expectation that students will physically perform the regional anesthetics.

Location: Wheaton Franciscan / St. Joseph Labor and Delivery

Time Commitment: 4 weeks, Mon-Fri, 6:30 am-4:00 pm or until cases are complete, no night call or weekends


Advanced Anesthesia

Course Director: Stylianos Voulgarelis, MD

Description: For students with proven interest in anesthesia in the previous years. In this rotation, the student is going to be exposed in subspecialties of anesthesiology. It will consist of two weeks of adult general and cardiac anesthesiology and two weeks of pediatric anesthesiology. The student will be required to perform a preoperative evaluation of the patient and discuss the cases with the attending or resident. Will be taught IV placement, arterial line placement, airway management of adults and pediatrics, and transesophageal echocardiography (TEE) performance and interpretation. The rotation will be an overview of the anesthetic considerations of a broad spectrum and variety of surgical procedures.

The rotation is an opportunity of students interested in anesthesia to be exposed in more advanced cases and function as a member of the team.

Location: Children's Hospital of Wisconsin or VA Medical Center

Time Commitment: 4 weeks, Mon-Fri, 7:00 am until assigned cases are completed, weekends and night call highly encouraged if available


Neuroanesthesiology

Course Director: Suneeta Gollapudy, MD

Description: In this course students will be assigned to the Neurosurgical cases along with the anesthesia residents on their Neuroanesthesiology rotation. They will be directed in the OR by several Neuroanesthesiology faculty. Students will be introduced to the anesthetic care in all phases of Neurosurgical care (intracranial as well as spine surgery).

Location: Froedtert Hospital

Time Commitment: 4 weeks, Mon-Fri, 6:45 am until cases are complete, one late call day until 10:00 pm and one weekend


General Anesthesiology

Course Director: Cindy Zhang, MD, PhD

Description: Apply basic physiology and pharmacology to acute clinical scenarios of perioperative care of patients. Deliberately practice the necessary skills including effective communication, time management and problem solving with increasing autonomy. Demonstrate integrity and respect in all interactions daily.

Location: Columbia St. Mary's Milwaukee Campus

Time Commitment: 4 weeks, Mon-Fri, 7:00 am-3:00 pm or until cases are complete, no call or weekends


Cardiac Anesthesia

Course Director: Anil Aggarwal, MD

Description: This course will broaden the knowledge of anesthesiology gained during the junior year. Learn advanced hemodynamic monitoring and application of physiology and pharmacology with emphasis on cardiac and cardiovascular anesthesia. Hands on experience in technical aspects of anesthesiology, e.g. airway management, intubation, management of pulmonary artery catheters.

Location: Community Memorial Hospital

Time Commitment: 4 weeks, Mon-Fri, 7:00 am-5:00 pm or until scheduled patients are seen, no call or weekends.


Critical Care

Course Director: Christofer Barth, MD

Description: The 4th year medical student will rotate through the Critical Care Services at Aurora St. Luke's Medical Center. The student will act clinically at the level of a post-graduate year one resident in regard to evaluating the patient's medical history, performing an admission physical exam, and formulating an organ system based approach to optimize the health of the critical ill patient.

Location: Aurora Medical Respiratory ICU

Time Commitment: 4 weeks, Mon-Fri, 6:45 am-5:45 pm, optional night call, 11 weekend hours

M4 - Research Electives

Cardiovascular and Respiratory Regulation During Anesthesia

Course Director: Thomas Ebert, MD, PhD

Description: In this course, students will earn how to conduct and to participate in clinical research in Anesthesiology. The lab's primary area of interest is the frail, elderly population considering elective surgery. The research intervention is a nutritional supplementation and exercise program designed to improve frailty status prior to surgery, and consequently improve surgical outcomes.

Other areas of interest are the vascular effects of anesthetic drugs in a human model, the influence of anesthetic agents on neuro-cognitive function in the morbidly obese and geriatric patient populations, and the autonomic effects of sedative doses of anesthetics in volunteers and patients.

Location: VA Medical Center

Time Commitment: 4 weeks, Mon-Fri, 8:00 am-5:00 pm, no night call or weekends

Resident Assistant Program

The goal of our Resident Assistant program is to increase awareness and interest in the field of Anesthesiology early on in medical school. Anesthesiology Resident Assistants have the opportunity to participate in the supervised administration of anesthesia, gain in-depth experience and a better understanding of the science and practice of anesthesiology, and learn more about MCW’s Anesthesiology residency program.

About the program

  • Twelve positions (four per class) are offered. Interested medical students from M-2, M-3, and M-4 years may apply.
  • Resident assistants will work closely with the resident on call, with supervision and guidance of faculty on in-house call, in order to maximize the learning experience.
  • The schedule consists of approximately three shifts per month, with the understanding that the student’s academic responsibilities take priority.
  • Resident Assistants will assist with operating room set-up and turnover; preparing the patient for surgery (i.e. helping start peripheral IV or assisting in the placement of arterial lines and central venous lines); gathering preoperative data such as laboratory results, vital signs, etc.; performing of regional nerve blocks. Resident Assistants will be involved in the entire perioperative management of the patient as deemed appropriate by the anesthesiology resident and faculty.

What you'll learn

(Commensurate with student’s academic level, abilities and training)

  • Arterial and intravenous catheter placement, interpretation and implications of invasive hemodynamic monitoring
  • Airway management skills
  • Resuscitation and fluid management
  • Anesthetic-related pathophysiology and pharmacology
  • Interpretation of laboratory studies such as arterial blood gas tensions and management of abnormal results

Available shifts

  • Monday, Tuesday, Wednesday, Thursday: 6:00 pm-12:00 pm
  • Friday: 7:00 pm-7:00 am
  • Saturday: 7:00 am-7:00 pm or 7:00 pm-7:00 am
  • Sunday: 7:00 am-7:00 pm or 6:00 pm-12:00 pm

Applying for the program

  1. Submit a CV and cover letter describing interest in the program.
  2. Candidates will be scheduled for an interview.
  3. Acceptance to the program will be determined by a committee, in consultation with the Senior Associate Dean for Academic Affairs to insure that participation in the program will not compromise the student’s academic standing.

Student Loan Reduction Program

Participants in the Anesthesiology Resident Assistant Program who match into the MCW Anesthesiology Residency are eligible to receive a grant of $3,600 for student loan reduction for each year of completion of the Resident Assistant Program.

For more information

Please contact:

Lourdes G. Burgos, MD
Dept. of Anesthesiology
(414) 805-6100
Pager: (414) 407-9514
lburgos@mcw.edu

Christopher J. Plambeck, MD
Dept. of Anesthesiology
(414) 805-2715
Pager: (414) 407-2114
cplambec@mcw.edu