2023 Summer Internship Progran
Division of Chest Medicine /Pulmonary and Critical CareMedicine
Internship Department |
Division of Chest Medicine /Pulmonary and Critical CareMedicine |
Internship Duration |
from 26thJune 2023
to 21stJuly 2023 |
Instructor |
Chest: Dr. Kuan-Li Wu
MICU: Dr. Wei-An Chang |
Contact Information |
Kuan-Li Wu ：
980448kmuh@gmail.com
Wei-An Chang：
960215kmuh@gmail.com
cc: chest@ms.kmuh.org.tw
886-7-3121101 ext 5651 |
I. Summer Internship Department Introduction
The Division of Pulmonary and Critical Care Medicine in KMUH, with 22 attending physicians, is incharge of three outpatient clinics, a 72-bed inpatient ward, a 30-bed medical intensive care unit(MICU), a 12-bed respiratory care center (RCC), a pulmonary function lab, a pulmonary rehabilitationcenter, and a team of respiratory therapists. We diagnose and treat a wide range of pulmonary diseases,including lung cancer, airway diseases, interstitial lung diseases, pulmonary infection such aspneumonia and pulmonary tuberculosis. Our critical care team serving the MICU is among the topcritical care teams in Taiwan. In collaborate with Department of Neurology, Department ofOtolaryngology, and Department of Dentist, we also care for patients with sleep-disordered breathing.Our recent research interests include clinical trials of lung cancer treatments, molecular mechanisms oflung cancer, molecular and genetic epidemiology of ARDS, and other clinical studies of criticalillnesses, airway diseases, interstitial lung diseases, and pulmonary infection.
II. Summer InternshipLearning Objective and Training Program Outline
When you finish this course, you would have excellent experiences on:
Image studies (chest X-ray and CT scan) of lung diseases
Pulmonary function test
Bronchoscopy、pleuroscopy、chest echo
Bedside techniques including thoracentesis, pleural biopsy, chest tube placement, andbronchoscopy-guided percutaneous dilational tracheostomy
Diagnosis and Treatment of common pulmonary diseases, including lung cancer, pulmonarytuberculosis, community-acquired and hospital-acquired pneumonia, airway diseases such as asthmaand COPD
Management of critical illness, including sepsis/septic shock, acute respiratory failure, acuterespiratory distress syndrome, and mechanical ventilation
III. Summer Internship Activities and Schedule
Internship Stage |
Schedule |
Estimated Progress and Internship Assignments |
Internship Activities and Procedures |
Instructor |
Notes |
Internship
Introduction
Stage 1 and 2 |
24 Jul-28 Jul |
- Introduction to theenvironment, facilities, lablocations, and members ofMICU.
- Introduction to the physicalexams, lab, image examscommonly used in MICU.
- Introduction to theommonly seen diseases inMICU such as sepsis, acuterespiratory failure, ARDSand pneumonia.
|
- Orientation organized by thechief resident.
- Core curriculum includingpulmonary physicalexaminations, chest X-rayinterpretation, mechanicalventilation, sonography, etc.
- Observation and learning inMechanical ventilation,Bronchoscopy Lab,bronchoscopy-guidedpercutaneous dilationaltracheostomy and Chestsonography Lab.
|
Wei-An
Chang |
|
Practical Operation Stage 3 |
- Jul-28 Jul
|
- Patient-based discussion,for practicing the basiccritical care knowledge andskills.
- Understanding theindications of ICUprocedures such as CVC,endotracheal intubation,chest tube andbronchoscopy.
|
- Daily discussion with themedical team about theprimary care patient.
- Attending the main coursesof ICU: pneumonia inARDS, pneumonia in ICU,mechanical ventilation, etc.
- Hands-on chest sonography
|
Wei-An
Chang |
|
Comprehensive Internship
Stage 4 |
31 Jul-4Aug |
- Understanding the basicapproach methods andevaluation of criticalpatients.
- Realize the commonlyprescribed medication inMICU.
- 3. Realize the theory andoperating skills of invasiveprocedures in ICU.
|
- Daily discussion with themedical team about theprimary care patient. Thestudent needs to collectsubjective and objectivefindings and try to makedifferential diagnoses andmanagement planning.
- Case report and presentation,accompanied with discussionwith colleague.
|
Wei-An
Chang |
|
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