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VISITING: Open to visitors. TYPE OF CLERKSHIP: Elective. DESCRIPTION: This clerkship provides an introduction to the perioperative anesthetic management of the surgical patient. In this clinical setting, and under close faculty and resident supervision, students have an opportunity to learn and apply the principles of preoperative evaluation of patients, intraoperative monitoring techniques, assessment of vital organ status, pharmacology of anesthetic and related drugs, and immediate postoperative management. In addition, students have ample opportunity to learn and practice a variety of technical skills, including airway management and intravenous cannulation, which will be of value in any clinical specialty. Students are assigned to the operating room at the SUMC. Didactic lectures and clinical conferences will be offered throughout the rotation. Students will work closely with pre-assigned faculty and residents during the two-week clerkship. Please note: visiting students must obtain approval from Ms. Yun Tao prior to applying for this clerkship. Please email requests to yuntao@stanford.edu. PREREQUISITES: A major clerkship in medicine or surgery is strongly recommended. PERIODS AVAILABLE: 3-12, full-time for 2 weeks. 5 students per period. CLERKSHIP DIRECTOR: Patrick Sullivan, M.D., psulliv@stanford.edu and Lei Xu, M.D., leixu@stanford.edu. CLERKSHIP COORDINATOR: Yun Tao, yuntao@stanford.edu, 650-724-1706, H-3586, Stanford Hospital. REPORTING INSTRUCTIONS: Where: Anesthesia library (300P, Room H3570) Time: Mon 7:45 am. CALL CODE: 0. OTHER FACULTY: Stanford Department of Anesthesia Faculty. LOCATION: SUMC.

VISITING: Open to visitors. TYPE OF CLERKSHIP: Elective. DESCRIPTION: Exposes students to the administration of anesthetics to surgical patients in the operating room. In this clinical setting, at the PAVAMC and under close faculty and resident supervision, students have an opportunity to learn and apply the principles of preoperative evaluation of patients, intraoperative monitoring techniques, assessment of cardiovascular and respiratory status, and the pharmacology of anesthetic and related drugs. In addition, students have ample opportunity to learn and practice a variety of technical skills, including airway management, endotracheal intubation, and intravenous and intra-arterial cannulation which would be of value in any clinical specialty. Students who wish to do this clerkship MUST get pre-approval from Ms. Yun Tao before registering. Please email requests to yuntao@stanford.edu. PREREQUISITES: A major clerkship in medicine or surgery is strongly recommended. PERIODS AVAILABLE: 3B-12, full-time for 2 weeks, 2 students per period. CLERKSHIP DIRECTOR: Natasha Funck, M.D. (650-493-5000 ext 64216). CLERKSHIP COORDINATOR: Yun Tao (650-724-1706), H-3583, Stanford Hospital. REPORTING INSTRUCTIONS: Where: PAVAHCS, Building 101, Room A3-205, 3rd Floor; Time: 8:30 am. CALL CODE: 0. OTHER FACULTY: VAPAMC Anesthesia Faculty. LOCATION: VAPAHCS.

VISITING: Open to visitors. TYPE OF CLERKSHIP: Elective. DESCRIPTION: This clerkship is an introductory course to anesthesiology at the Santa Clara Valley Medical Center. Clerkship students will be active participants during anesthesia cases and perform airway managements, intravenous cannulations, and administration of anesthetic agents. Students should expect considerable experiences with vascular cannulation during the first week of this clerkship. The second week will focus on airway management and administration of anesthesia. Please note: This clerkship accepts students from other medical institutions. In order to avoid overbooking, students who wish to do this clerkship MUST get pre-approval from clerkship director Dr. Lin before registering. Please email requests to yuntao@stanford.edu. PREREQUISITES: A major clerkship in medicine or surgery is strongly recommended. PERIODS AVAILABLE: 4B-12, full-time for 2 weeks or 4 weeks. 1 student per period (This clerkship is not available until September of 2024). CLERKSHIP DIRECTOR: Mark Lin, M.D. (408-885-2604), mark.lin@hhs.sccgov.org. CLERKSHIP COORDINATOR: Yun Tao (650-724-1706), H-3580, Stanford Hospital. REPORTING INSTRUCTIONS: Where: SCVMC Department of Anesthesia Room 2M106, Kit Hardin (408) 885-3109; Time: 8:00 am. Please email a short statement explaining what you would like to get out of the rotation and what is your interest in Anesthesia to the Director prior to starting rotation. CALL CODE: 0. OTHER FACULTY: SCVMC Anesthesia Faculty. LOCATION: SCVMC.

VISITING: Closed to visitors. TYPE OF CLERKSHIP: Elective. DESCRIPTION: Three weeks are spent learning theoretical and practical anesthetic fundamentals under the supervision of the anesthesiology staff at the Kaiser Permanente Medical Center, Santa Clara. The student will rotate with several anesthesiologists and thus receive a diverse exposure to anesthesia techniques and plans. Teaching during this rotation is intensive, didactic, and most importantly individualized; resulting in a rotation of value both to those considering anesthesiology as a future subspecialty and those who are not. Students on this clerkship are expected to prepare and deliver a presentation at one of the Departmental Noon Conferences, to prepare on a daily basis a topic for informal discussion with the attending anesthesiologist, and to attend all educational conferences offered by the Stanford University Hospital Anesthesiology Department. Basic textbook and supporting materials will be loaned to the student. An exit interview from the clerkship will be conducted to mutually exchange feedback regarding the rotation. PREREQUISITES: A major clerkship in medicine or surgery is required. Please note: students who wish to do this clerkship MUST get pre-approval from Yun Tao before registering. Please email requests to yuntao@stanford.edu. PERIODS AVAILABLE: THIS CLERKSHIP IS NOT OFFERED DURING 2021-22, For 2022-23, 1-12, full-time for 2 weeks or 4 weeks, 1 student per period. CLERKSHIP DIRECTOR: Se A Shin, M.D., Sea.X.Shin@kp.org. CLERKSHIP COORDINATOR: Yun Tao, 650-724-1706, H-3583, Stanford Hospital. REPORTING INSTRUCTIONS: Where: KPMC, 710 Lawrence Expressway, Dept 384, Santa Clara, CA 95051, 408-851-3836. Report to Susan Krause; Time: 8:00 am. CALL CODE: 2. OTHER FACULTY: Kaiser Santa Clara Anesthesiologist. LOCATION: KPMC.

VISITING: Open to visitors. TYPE OF CLERKSHIP: Elective. DESCRIPTION: The Anesthesia 300E clerkship exposes students to the fundamentals of anesthetic practice in a variety of clinical settings. Students will work one on one with private practitioners from the Palo Alto Medical Foundation at Sequoia Hospital in Redwood City, as well as several outpatient surgery centers throughout the community. A wide variety of cases (including all specialties) will give students exposure to general and regional anesthetic techniques in both adult and pediatric patients. Personalized discussion on topics including applied physiology, pharmacology, and pathophysiology of the surgical patient will take place on a daily basis. Students will need to arrange transportation to the various workplaces. The clerkship is open to all students given prior approval by Dr. Kurt Fink. Please email requests to yuntao@stanford.edu. PREREQUISITES: A major clerkship in medicine or surgery is strongly recommended. PERIODS AVAILABLE: 1-12, full-time for 2 weeks. 1 student per period. CLERKSHIP DIRECTOR: Kurt Fink, M.D., kfink75@gmail.com. CLERKSHIP COORDINATOR: Yun Tao, 650-724-1706, yuntao@stanford.edu, Stanford Hospital. REPORTING INSTRUCTIONS: Where: Contact Dr. Kurt Fink one week prior; Time: TBA. CALL CODE: 0. OTHER FACULTY: Palo Alto Medical Clinic Anesthesiologist. LOCATION: Palo Alto Medical Foundation.

VISITING: Closed to visitors. TYPE OF CLERKSHIP: Required. DESCRIPTION: During this rotation, students provide care for critically ill children at Packard Children's Hospital. The rotation consists of a 4-week block in the NICU or the PICU. The Pediatric Intensive Care Unit (PICU) is a busy 36-bed academic unit that teaches students to recognize and care for critically ill children. The patients are comprised of medical, surgical, and trauma patients from within LPCH or by referral from other hospitals throughout Northern California. The medical admissions cover a broad range of disease processes and the surgical patients represent diverse pathologies from general and sub-specialty focused procedures. Students will learn the pathophysiology of critical illness in children, understand the many monitoring devices used in the ICU, and become familiar with the various treatment modalities available for organ failure ranging from mechanical ventilation to ECMO. The basic differences in both pathophysiology and management of critically ill children as compared to adults should also become apparent. The Neonatal Intensive Care Unit (NICU) offers an intensive experience in the management of premature and acutely ill term neonates admitted from the delivery room, community physicians' offices, and an active referral service that draws from throughout Northern and mid-coastal California. The rotation emphasizes delivery room experience and newborn resuscitation skills, daily management of common newborn problems, and the special follow-up needs of NICU graduates. Exposure to advanced therapies including mechanical ventilation, extracorporeal membrane oxygenation, nitric oxide therapy, and hypothermia occurs routinely. An active maternal-fetal medicine service, pediatric surgery, and various pediatric subspecialty services support the NICU. Education in both units will occur via daily morning rounds, caring for patients, scheduled didactic sessions, and interactions with ICU attendings, fellows, and residents. Absences during the 306P clerkship: Students must contact the 306P Clerkship Director to obtain explicit advance approval for any planned absence from the clerkship. Students who anticipate missing a week (i.e., 5 weekdays) or more of the 306P Clerkship are encouraged to reschedule this clerkship during a different period. Unanticipated absences for illness or emergency must be communicated to the Clerkship Director as promptly as possible. Students with more than 2 days of unexcused absences (i.e., 3-5 days) will be required to make up one week at a later date. If the absence is longer, the time will be proportionately increased. Taking extra night or weekend call may not be considered a suitable substitute for missing weekdays during the clerkship. Arrangements to make up missed time must be made by the student with the 306P Clerkship Director. Students who miss either of the half-day-long ICU Medical Student Simulator courses will need to make these experiences up at a later date in order to receive a passing grade for this clerkship. Students who are absent from the Death-and-Debriefing required didactic will need to make up this aspect of the curriculum in order to receive a passing grade for this clerkship. PREREQUISITES: Peds 300A and Surg 300A. PERIODS AVAILABLE: 1-12, full-time for 4 weeks. Maximum 4 students per period (2 PICU, 2 NICU). CLERKSHIP DIRECTOR: Nicole E. Arkin, M.D. & Juliana Barr, M.D., 650-493-5000 X64452, PAVAMC (112A), Building 101, Room A-321. CLERKSHIP COORDINATOR: Bernadette F. Carvalho, berniec@stanford.edu. REPORTING INSTRUCTIONS: Where: PICU: If assigned to Team-A, report to on service Attending physician / PICU fellow in PICU, LPCH Main 420 Team room 4th floor; If assigned to Team-B, report to on service Attending physician / PICU fellow in PICU, LPCH Main 320 Team room 3rd floor, NICU: Report to on service Attending physician / NICU fellow in NICU, LPCH West 2nd floor; Time: 6:00 AM. CALL CODE: 4. OTHER FACULTY: Staff. LOCATION: LPCH.

VISITING: Open to visitors. TYPE OF CLERKSHIP: Elective. DESCRIPTION: Designed to give medical students an in-depth exposure to critical care medicine focusing on advancement to the manger level for complex, critically ill patients. It offers students an opportunity to apply physiologic and pharmacologic principles utilizing sophisticated monitoring techniques to the care of critically ill patients. Students will gain exposure to a variety of primary principal problems. Students will participate in daily rounds in which they will serve as the primary provider for their patients. Students will also spend time with the triage team in which they will respond to rapid response calls, code sepsis calls, and code blues. This component of the rotation will allow the student to experience caring for the undifferentiated patient. Students are closely supervised in total patient care and gain experience in a variety of technical skills including bedside ultrasound, venous access, and arterial access. Students will participate in bedside sedation procedures with the perioperative anesthesia service as needed for the care of their patients. Although pulmonary, hemodynamic, and renal aspects of care are stressed, experience in all phases of surgical and medical patient care are provided. Students wishing to do this clerkship must get approval from Bernadette Carvalho first before registering. PREREQUISITES: Anesthesia 306A for Stanford medical students; Internal Medicine and Surgery core clerkship for visiting students. PERIODS AVAILABLE: 1-12, full time for 4 weeks, 1 student per period. CLERKSHIP DIRECTOR: Nicole E. Arkin, M.D. CLERKSHIP COORDINATOR: Bernadette F. Carvalho, berniec@stanford.edu. REPORTING INSTRUCTIONS: Where: E2 300P (Medical-Surgical ICU at Stanford); Time: 6:00 am. CALL CODE: 4. OTHER FACULTY: Staff. LOCATION: SUMC.

VISITING: Open to visitors. TYPE OF CLERKSHIP: Elective. DESCRIPTION: This clerkship provides experience managing adult patients in a critical care unit at the Palo Alto Veterans Administration Hospital Medical-Surgical ICU Service. Students learn how to optimize care for the acutely ill patient and the multidisciplinary approach to complex patients. The patients admitted to the ICU represent a variety of service lines including primary medicine, neurolology, neurosurgery, general surgery, and cardiothoracic surgery. Teaching emphasizes the review of basic organ physiology, the ability to determine the pathophysiologic mechanisms involved in critical illness, and the formulation of a physiologic based treatment plan. Students gain experience with the implementation of monitoring and therapeutic devices used in the intensive care units and begin to become adept at the evaluation, stabilization and management of the most critically ill patients expected to be encountered in today's acute care hospitals. Ward rounds, bedside evaluation and treatment, and individual interactions with attending, fellows and residents are part of the educational process. Students will participate in emergency teams, code teams, and in-situ simulation events. Students wishing to do this clerkship must get approval from Bernadette Carvalho first before registering. PREREQUISITES: Anesthesia 306A for Stanford medical students; Internal Medicine and Surgery core clerkship for visiting students. PERIODS AVAILABLE: 1-12, full time for 4 weeks, 1 student per period. CLERKSHIP DIRECTOR: Juliana Barr, M.D., 650-493-5000 x64452, Building 1, Room F315, PAVAMC 112A. CLERKSHIP COORDINATOR: Bernadette F. Carvalho, berniec@stanford.edu. REPORTING INSTRUCTIONS: Where: PAVAMC, MSICU, 3rd Floor; Time: 8:00 AM. CALL CODE: 4. OTHER FACULTY: Staff. LOCATION: PAVAMC.

In this course students will engage with the anthropology of science and medicine to explore the how cultural norms shape scientific understandings. Through a series of diverse global case studies, seminar participants will assess how historical conditions yield political possibilities that inflect discoveries. Lastly, students will probe how cultural understandings of nature, human difference and national esteem influence how scientific facts come to cohere as reflections of the societies in which they emerge.