SURGERY 441C

Sub-Internship in Surgical Intensive Care

Duke University · UGRD · Fall 2026

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This course is designed to broaden the student's knowledge and experience in dealing with a wide array of critically ill patients. Under supervision, students function as sub-interns in the Surgical Intensive Care Unit (SICU). Students are assigned their own patients and actively participate in daily rounds as part of the SICU team which includes intensivists, fellows, APPs, and residents. There are on-line didactic lectures which are expected to be completed during the month on core aspects of critical care, as well as weekly Critical Care Grand Rounds and ICU fellow conferences. Students rotate among the different teams with typically 3 weeks of daytime service coverage and a week of overnight coverage to maximize your education and experience. Shifts are 12 hours not including sign out of the service to the oncoming team. Students will work with SICU attending, fellows and house staff in the supervised management of critically ill patients. Four weeks are spent in the SICU at Duke University Medical Center (trauma, vascular surgery, liver-kidney-pancreas transplantation, general surgery, surgical subspecialties, MICU and NICU overflow). There is emphasis on teaching of procedures and techniques necessary for the management of all critically ill patients including hemodynamic assessment and monitoring, cardiovascular resuscitation and use of vasoactive drugs, ventilator management including ARDS, prevention and management of nosocomial infections, and nutritional support. Students are formally evaluated by the SICU house staff and the attending physician. For more information, please contact Dr. Madhu Subramanian at 681-3784 or via email, [email protected]. Further information and direction may be provided by the SICU fellow and attending of the week. The schedule is available in the SICU or by calling the SICU at 681-2241 to find out who is rounding that…

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Class #duke-SURGERY441CFall 2026UGRD5 credits
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