ANESTH 441C
Subinternship in SICU
James Taylor Herbert
Description from DukeHub
Students engaging in the Surgical Intensive Care Unit (SICU) sub-internship will gain hands-on experience and broad-based knowledge in managing critically ill surgical and trauma patients. Students will take ownership of a panel of patients under the supervision of Anesthesia and Trauma/Surgical Critical Care attendings and housestaff and actively participate in daily rounds as part of the SICU team. Didactics will include multiple weekly scheduled and informal lectures. Students work on a one-on-one basis with SICU house staff in the supervised management of critically ill patients in the DMP 6 West ICU (trauma, vascular surgery, liver-kidney-pancreas transplantation, general surgery). Instruction on the rotation will include particular emphasis on procedures and techniques necessary for Critical Care, including hemodynamic assessment and monitoring, cardiovascular resuscitation and use of vasoactive drugs, ventilator management such as ARDS, prevention and management of nosocomial infections, and ethical decision making in the ICU. Students are formally evaluated by the SICU house staff and the attending physician. Contact person is Elliah Reyes. C-L: SURGERY 441C. Credit: 5. Enrollment: max 2. Course Directors: J. Taylor Herbert, MD, PhD; Adjoa Boateng Evans, MD. Faculty: Suresh Mitu Agarwal, MD; Sandy An, MD, PhD; Ioana Antonescu, MD; Yuriy Bronshteyn, MD; Kelli Brooks, MD; Bryan Chow, MD; Kathleen Claus, MD; Desiree Coutinho, MD; Tiffany Dong, MD; Joe Fernandez-Moure, MD; Patrick Georgoff, MD; Daniel Gilstrap, MD; Krista Haines, DO; Nazish Hashmi, MBBS; Rebecca Himmelwright, MD; Vijay Krishnamoorthy, MD, PhD; John Lemm, MD; Patricia Martinez Quinones, MD, PhD; Nitin Mehdiratta, MD; Virginia Parker, MD; Jamie Privratsky, MD, PhD; Omar Al-Qudsi, MD; Karthik Raghunathan, MD; Christopher Reed, MD; Amy Rezak, MD; Vanessa Schroder, MD; Mara Serbanescu, MD; Madhu Subramanian, MD; Miriam Treggiari, MD, PhD; Keith VanDusen, MD; Cory Vatsaas, MD; Paul Wischmeyer, MD; Miguel Yaport, MD.
Skills
- clinicalSchool of Medicine clinical course
AI-resilient: 4 of 5
- Yes: Physical, lab or field work · "subinternship"
- Yes: Live work with people · "patients"
- Yes: Judgment someone is accountable for · "ethical"
- Yes: A craft you practice with your hands or body · "surgical"
- No: Small, in-person format
The checks lean on Microsoft Research, Working with AI (2025), which found generative AI applies least to physical work and hands-on work with people. A signal, not a promise. How the score works
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