ANESTHESIOLOGY

and
REANIMATOLOGY

Hospital or Medical Institution where the course was studied:

Causasus Medical Centre

University Confirmation:

Dean (Signature, Stamp)

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 Anesthesiology and Reanimatology

The study course content covered during the departmental meetings and classes
attended:

DATE TOPIC SIGNATURE

Evaluating the patient before Anesthesia
Airway Management
Monitoring ( including central vein, artery and pulmonary artery catheterization)
Administration of Anesthesia (Safety in Anesthesia, Types of Anesthesia,
Pharmacology of Basic Anesthetics, Anesthesia for the surgery of Specific Organs
and Systems)

Mechanical ventilation (ARDS)

Fluid replacement and Transfusion Therapy; Shock
Cardiopulmonary resuscitation
Pain management and ethical issues
Stroke
Cardiovascular Emergencies
Trauma

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 LEARNING OUTCOMES

Anesthesiology
Knowledge:
- Students have knowledge of basic anesthetics pharmacology, are familiar with the
indications and contraindications for anesthetic agent administration.
- understand the structure and function of the Anesthesia Machine and know the rules of
preoperative inspection of the machine.
- are aware of intraoperative complications.

Practical skills:
 Routine preoperative examination of the patient
 Airway Assessment

Teacher's name and Signature: Date:

Critical Care Medicine

Knowledge
Students are capable of making a differential diagnosis and know the basic principles of
management of the following pathologic conditions: shock, arrhythmias, myocardial
infarction, pulmonary embolism, obstruction of the upper respiratory tract, status
asthmaticus, acute neurologic conditions, craniocerebral trauma, acute renal failure, acute
abdomen, acute gastrointestinal bleeding, coagulopathies, infectious diseases .

Practical skills
 Informing family, colleagues, and other personnel
 Informing patient and the relatives of poor diagnosis
 Providing complete information to recieve informed consent.
 Medical record (Written documentation of patient medical history)
 Medical record at patient discharge or transfer.
 Pain management, palliative care and terminal stage of life.
 Death Certificate
 Probable diagnosis outline, raising urgent problems and planning medical
management .
 Diagnosis coding.
 Precisely instructing nursing personnel about supervision over a
patient and criteria for calling a doctor
 Current algorithms and national Protocols & Guidelines

Teacher's name and Signature: Date:

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 Physical examination:

 Assessment of vital functions(temperature, pulse, arterial pressure, heart

rate, respiration).
 patient condition assessement in emergency care, polytrauma.
 Assessment of indication and contraindication for surgical intervention.
 Evaluation of alcohol and drug intoxicated patients
 Clinical diagnosis of Deaths
 Fixation of death time (rigor mortis, rectal temperature)
 Measurement of central and peripheral pulse, arterial murmur.
 Assessment of a patient’s conscious state by Glasgow scale
 Orientation in space and time
 Emergency primary life support in the adolescent

Teacher's name and Signature: Date:

After completing the course students are supposed to have acquire /improved basic
knowledge and developed valuable medical skills specified by the course program ( see the
contents) as follows:.

Procedures:
 Airway monitoring,
 Peripheral vein catetherization;
 Trauma immobilization
 Intepretation of mechanical ventilation alarms and adequate
response (Ventilator Troubleshooting);
 External defibrillation/cardioversion)
 Urgent decompression of the thoracic cavity

Teacher's name and Signature: Date:

Unified Form for Assessment of Student Performance

Student: Nidhi Chndran Faculty: MD

Clerkship/Course: 6TH YEAR Date: 20/10/2023

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 MEDICAL KNOWLEDGE Insufficient
Knowledge of Pathophysiology and Clinical Topics: Rarely Sometimes Usually Always
Contact
1 Demonstrates knowledge of pathophysiology, diagnosis, and management

2. Integrates knowledge from a variety of resource

Diagnostic Reasoning / Differential Diagnosis:

1. Develops a comprehensive differential diagnosis

2. Synthesizes clinical presentation with understanding of disease

PATIENT CARE Insufficient

Rarely Sometimes Usually Always
Contact
History Taking:
1. Has an organized and focused system for obtaining information

2. Interprets important information about symptoms and problems

3. Displays sensitivity to patient’s concerns

Physical/Mental Status Exam:
1. Has an organized and thorough approach

2. Displays sensitivity to patient’s comfort

3. Correctly identifies and interprets major findings

Initial Assessment, Progress Notes, Management
Plans:
1. Uses thorough, focused, concise, and organized documentation

2. Formulates a focused, detailed, and insightful management plan

Ability To Prioritize and Organize Patient Care:
1. Recognizes need for urgent management

2. Uses time effectively

Case Presentations:
8. Gives clear, complete, organized presentations

2. Demonstrates sophisticated level of reasoning and differential diagnosis

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INTERPERSONAL & COMMUNICATION SKILLS
Insufficient
Communication with Patients and their Families: Rarely Sometimes Usually Always
Contact
1. Establishes rapport with patients and families
2. Uses non-technical language

3. Listens attentively and checks for understanding

Communication with Health Care Team:

1. Displays regard for the opinions of others

2. Communicates effectively

3. Engenders confidence
Response to Ethnic, Gender, Language Barriers to
Care:
1. Considers patient’s cultural background, customs

2. Seeks out and analyzes different views and concerns

PROFESSIONALISM Insufficient
Rarely Sometimes Usually Always
Responsibility and Reliability: Contact
1. Accepts and actively takes on responsibilities
2. Demonstrates industrious work habits

3. Completes tasks carefully and thoroughly

Participation and Initiative:
1. Is motivated and active in patient care and learning

2. Shows interest and takes initiative

Honesty and Integrity
1. Demonstrates trustworthiness

2. Is considered credible

3. Accepts responsibility for own actions and those of colleagues

PRACTICE-BASED LEARNING Insufficient

Rarely Sometimes Usually Always
Self-Directed Learning: Contact
1. Critically evaluates information

2. Chooses high quality resources

3. Demonstrates recognition of knowledge gaps

Receptivity to Feedback:
1. Uses feedback to improve performance

2. Does extra reading and practice when suggested

SYSTEMS-BASED PRACTICE Insufficient Rarely Sometimes Usually Always

Work with Members of the Health Care Team: Contact

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1. Seeks the knowledge and opinions of others

2. Negotiates and compromises when disagreements occur

3.Builds good rapport within the team

Work Within the Wider Health Care System:
1. Responds to impact of health care system on patient

2. Identifies and facilitates follow-up needs

3. Responds to issues that might improve or obstruct patient care

Please comment on this student’s strengths and weaknesses addressing the following
competencies:
Medical Knowledge, Patient Care, Interpersonal & Communication Skills,
Professionalism, Practice-Based Learning, Systems Based Practice:

YOUR RECOMMENDATION FOR STUDENT’S FINAL GRADE IN THIS CLERKSHIP/ELECTIVE:

FAIL LOW PASS PASS HIGH PASS HONORS

Other (please specify) □

Head of the CourseDr.

………………………………………………
SIGNATURE

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 SUMMARY OF CASE (AS IN DISCHARGE SUMMARY)

CASE No. 1

Name: __ Mari Chelidze

Age: ______ 4 yrs. ______________ Sex:__________ Female ______________

CC: - High Fever and cough

HPI: - Parents of the child informs us that she is having high fever and cough, the fever started 3
days ago 1week ago she had sore throat

Physical Examination: -

Temperature: - 38.5 C, SpO2 87%

Blood Pressure:- 120/70 mmHg, H.R: - 110/min, R.R: - 35/min

On HEENT: - there is hyperemia of the larynx

On Lung auscultation there is wet crepitus and inspiratory crackles heard on the base of the
right lung ego-phony heard , also on percussion there was dull note at the base on the right lung

Diagnosis and Management: -

Patient is diagnosed with Community Acquired Pneumonia
On X-Ray there is consolidation lower segment of the right lung and there is right side pleural
effusion of 350cc.
TLC: - 25,000/L, Pro-calcitonin was elevated 1.2 indicates infection
Treatment: - For the pneumonia Ceftriaxone with moxifloxacin is started with the insertion of
chest tube at the rt. 5th intercostal space
After 3 days the patient feels better and we continue the antibiotics for the next 7 days .

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 SUMMARY OF CASE (AS IN DISCHARGE SUMMARY)

Case No: - 2

Name: ___ NIKA MEPRASHVILLI ___

Age: __________10 MONTHS OLD __________ Sex: _________ Male ______________

CC: cough with difficulty in breathing

HPI: The child presents with fever and respiratory distress, born VSD, and is diagnosed
with Down syndrome

Physical Examination:

Child is in severe respiratory distress with a rate of 46/min the SpO2 80%

On X-ray we see that there is lower bilateral infiltrates on both sides with a
characteristic feature of RVH

On TTE: - there is over-riding aorta with sub-pulmonic stenosis and RVH holosystolic

ON auscultation bilateral crepitus on the base of the both lungs,

Diagnosis and Management:

The patient is diagnosed with pulmonary edema due Tetralogy of Fallot given high flow mask O2
for pulmonary edema furosemide is given
Long term sequel of this condition is Pulmonary Artery HTN so we give lanostroprost

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