UCLA Acute Care College:

1. UCLA Acute Care College: The ACC !

2. The Colleges are… • Communities of faculty and students, for purposes of study and instruction They provide the curricular structure to: • Update new scientific and medical findings relevant to medical practice • Enhance clinical reasoning • Provide individual feedback, career advising & mentorship • Promote habits of inquiry

3. Each college is headed by a faculty member selected for experience in career advising and excellence in teaching. • College activities will account for roughly 50% of your scheduled time and include: • Career mentoring and advising • Core Education Block • “Foundations Week” • Longitudinal experiences • College seminars • “Scholarly Project”

4. The Acute Care College Wendy C. Coates, M.D. Chair, Acute Care College Professor of Medicine Director, Medical Education Harbor-UCLA DEM E-Mail: coates@emedharbor.edu College Coordinator: Jason Bergschneider Phone: 310-267-0442 E-Mail: jbergschneider@mednet.ucla.edu

5. Typical Careers in Acute Care • Anesthesiology • Emergency Medicine • Adult Critical Care • Intensivist, Cardiologist, Pulmonologist, Hospitalist • Pediatric Critical Care • Intensivist, Cardiologist, Neonatologist

6. Acute Care College ObjectivesOur Mission Statement The Acute Care College focuses on the knowledge and skills needed to make rapid decisions on acutely ill patients with a focus on the clinical correlation of physiology, anatomy, and pharmacology to acute care.

7. Overview of Requirements Fulfillment of educational requirements in harmony with the ACC mission • 9 weeks of specific electives for the College • Scholarly Project • Attendance and participation • Foundations Week (July 28 – August 1, 2008) • Transition to Internship course (throughout the year )

8. Elective and Course Requirements • Nine weeks total • Time-based Decision Making: 6 weeks

9. Time-based Decision Making: 6 weeks (two sub-internships) • One Intensive Care Unit course 3 weeks • One Emergency Medicine, Trauma or Anesthesiology course, or a second ICU course3 weeks • Consult Services do not satisfy this requirement These sub-internships satisfy graduation requirements

10. Elective and Course Requirements • Nine weeks total • Time-based Decision Making: 6 weeks • Clinical Correlation of Physiology, Anatomy, & Pharmacology:3 weeks

11. Clinical Correlation: 3 weeks • One elective emphasizing acutecare • Examples of acceptable courses: cardiology, pulmonary, renal, infectious diseases, GI electives. Adult or pediatric options. • Examples of courses unlikely to meet this objective: dermatology, rheumatology, radiology, EKG reading • Consult services canqualify to satisfy this elective requirement • This requirement represents typical 4th year electives

12. Mentoring

13. Mentoring • Multidisciplinary team from CHS, Harbor, Olive View, CS & other sites as needed • Available throughout the year • Structured advisor sessions • Transition to Internship course

14. ACC students are assigned a mentor based on “best match” of student’s strongest interests and faculty specialty • Students may change mentors at any time

15. Student Outreach Committee • Student-run outreach to 1st, 2nd, and 3rd year medical students about Acute Care specialties • ACC supported interest groups • Anesthesiology Interest Group • EM Interest Group • Wilderness Medicine Interest Group

16. ACC Scholarly Project • Research ideas, photography/artwork may be allowed as well • Oral or poster presentation • Required by all ACC specialty residencies • Modeled on honors thesis presentation venue • May even inspire polished work for national presentation or publication!

17. Senior Scholarship Day – March 20, 2009

18. Transition to Internship

19. Transition to Internship course • 6 - 8 per academic year, usually in the evening • Meet with mentors • Learn useful information • Get together with college members

20. Transition to Internship: Themes • Preparation for residency • Meet with Faculty and Class of 2005 seniors for scheduling advice in the spring • CV/personal statement workshop in July • Interview preparation workshop in October • Rank list workshop in February

21. Transition to Internship: Themes • Academic • Simulation of Acute Care Scenarios • Legal issues in clinical practice • Specialty specific learning • Anesthesia, EM, Critical Care • How to prepare and present a poster

22. Transition to Internship: Themes • Preparation for life • Transition to Internship • Life skills • Moving to a new city • Disability insurance • Buying real estate • Dealing with debt

23. Foundations Week

24. Foundations Week: July 28-August 1, 2008 • Case-based format with interactive stations, workshops and an emphasis on procedures and critical thinking • AM didactic sessions, e.g.: chest pain, shortness of breath, altered mental status • Workshops and stations are intensive

25. ACC Foundations Week Schedule

26. Didactic Sessions

27. Student working in the “Simulator Session” during Foundations Week, 2005

28. Simulation

29. Students and faculty meeting to discuss “Simulator Session” scenarios in real-time as they unfold

30. At Harbor during Foundations Week, 2005

31. ACC student Scott as EMT, Harbor, 2005

32. Cadaver dissection focuses on the anatomical correlation and teaching of common acute care procedures

33. Need help with college selection? • E-mail: coates@emedharbor.edu • Appointments: contact Jason Bergschneider, College Coordinator Phone: (310) 267-0442 or Email: jbergschneider@mednet.ucla.edu