The University of Tennessee Health Science Center
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KNOXVILLE ELECTIVESDepartment of AnesthesiologyANE2-4010/F CLINICAL ANESTHESIOLOGY - KNOX Course Coordinator: Audie Smith, MD Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 3 students This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. This elective provides an opportunity to experience the many facets of the practice of anesthesiology while emphasizing the role of the anesthesiologist as a perioperative physician. The main focus of the rotation is centered on supervised practical experience in the administration of intravenous, inhaled and regional anesthesia. Exposure to the anesthesiologist's role in critical care medicine, acute and chronic pain management, obstetrical anesthesia and pre-operative evaluation is also provided. During the rotation, medical students will have multiple opportunities to improve clinical skills in airway management, central venous and arterial cannulation. Department of Emergency MedicineEME2-4030/F EMERGENCY MEDICINE – KNOXCourse Coordinator: Leo Lamsen, M.D. Location: University of Tennessee Medical Center Max. Class Size: 2 students
Department of Family MedicineFME2-3010/F JI ANY - FAMILY PRACTICE PRECEPTORSHIP – KNOX Course Coordinator: M. David Stockton, M.D., M.P.H. Location: University of Tennessee Medical Center Max. Class Size: 2 students This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. Medical students at the M4 level may negotiate their learning activities with the course coordinator, as MANY options are available. Here is just one choice (traditional): University Family Practice (UFP), adjacent to the University of Tennessee Medical Center in Knoxville, is a 30 year old family medicine practice staffed by residents and faculty. Students provide patient care for a patient population that is diverse and challenging in their health care needs under the direct supervision of family medicine residents and faculty. Various procedures are performed in the office including colposcopy, LEEP, OB ultrasound, minor surgery, “no-scapel” vasectomy, and others. Students may assist on procedures under direct faculty supervision. Students are also integrated into the UFP Inpatient Team, admitting and managing University of Tennessee Medical Center inpatients. Patient care activities with family physicians at the Community Free Clinic and West Hills Nursing Home round out the learning experience. The student’s clinical interests are definitely integrated into the curriculum of their elective. Rotation sites in the local or adjacent rural area with a board certified family physician in our area will be considered for approval. FME2-4003/F AMBULATORY PEDIATRICS – KNOX Course Coordinator: Larry Rodgers, M.D., F.A.A.P. Location: Pediatric Consultants of East Tennessee, North 100 Tech Center Drive; Knoxville, TN Max Class Size: 1 student
Department of MedicineMED2-3002/F REQUIRED MEDICINE CLERKSHIP (JUNIOR INTERNSHIP)-KNOX Course Coordinator: Janet L. Purkey, M.D. Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 3 Students This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. Students develop skills of patient evaluation, daily management, and discharge planning on hospitalized patients with a wide variety of pathology. Work as part of a team consisting of a resident and interns with attending supervision. The JI works most closely with the upper level resident providing the mainstay of care for their assigned patients. Opportunity is provided to perform procedures such as thoracentesis, lumbar puncture, paracentesis, etc. as the need arises. Students also find time to gain teaching credits by working with third year students in the Simulation Lab. MED2-3003/F REQUIRED SENIOR AMBULATORY CLERKSHIP IN MEDICINE-KNOX Course Coordinator: Janet L. Purkey, M.D. Location: University of Tennessee Medical Center (Knoxville) Maximum Class Size: 4 Students This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. Students learn skills and develop knowledge of outpatient internal medicine. Patients are seen in a private practice office with experienced clinicians with one-on-one teaching. A variety of ambulatory experiences are provided, including general medicine, rheumatology, cardiology and gastroenterology. SPE2-3001/F SPECIALTY CLERKSHIP - KNOX Course Coordinator: Janet Purkey, M.D. Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 3 Students Note: Offered in Blocks 10, 2, 4 and 5 This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. SPECIALTY CLERKSHIP will be offered four times per year. The fourth year student is required to spend one week on the “Palliative” service which involves seeing patients with the Hospice/Palliative Nurses through Home Health. Students also spend time with the chaplains and the Palliative Physican. The other weeks are to include anesthesia, ICU and Radiology, however, if a student is going into any of these areas or rotating a full block in these areas, they may request one week of Pathology where the student spends one day in each area of the Pathology Department. We are able to accommodate other paths of diversity if requested early enough. This is a PASS/FAIL rotation. Attendance is required. BIO2-4011/F MEDICAL GENETICS-KNOX Course Coordinators: Drs. Karla Matteson and Ilse Anderson Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 2 students This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. (Course is not offered in Blocks 3, 7 and 8) This elective course combines clinical experience in the evaluation of genetic disorders with basic understanding of medical genetics. The clinical experience involves assisting in obtaining family pedigree, physical examinations of patients, investigative tests, differential diagnosis and genetic counseling. The course includes a rotation through the CytogeneticsLaboratory and the Biochemical and Molecular Genetic Laboratory with emphasis on the application of new cytogenetics and molecular genetic discoveries to clinical genetic practice. The topics to be discussed are: 1) Clinical case reports; 2) Disorders of inborn errors of metabolism; 3) Chromosomal syndromes (cytogenetic, molecular cytogenetic diagnosis, and comparative hybridization arrays) and 4) Molecular diagnosis. A short presentation on a case of interest is required. MED2-3010/F – VISITING SENIOR CLERKSHIP IN MEDICINE-KNOX (Visiting Elective Only) Course Coordinator: Dr. Janet L. Purkey Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 1 student This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. This clinical elective in internal medicine affords the visiting medical student opportunity to develop advanced skills in comprehensive patient evaluation and management under daily supervision of medical faculty through the care of patients admitted to the housestaff service at UTMCK. MED2-3030/F JI ANY - CRITICAL CARE INTERNAL MEDICINE-KNOX Course Coordinator: Dr. Paul Branca Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 2 students This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. The objective of this course is to learn about pathophysiology, the appropriate diagnostic process, and the best management techniques for common medical problems and acute medical emergencies in the Critical Care Internal Medicine setting. Our goals include learning the technical and interpretative skills of common procedures performed in a Medical ICU (ventilator management, arterial lines, Swan'Ganz catheters, etc.) The student will be expected to be the primary care provider for one or two critically ill patients under the supervision of an upper level medicine resident and critical care attending. The student will perform the admission history and physical examination and write the admission orders (under the supervision of the upper level resident). In addition, the student will present the patient on rounds in a problem and organ-oriented fashion. Daily orders will be written by the student on management rounds with the critical care attending. The student will also write problem-orientated daily notes and will be responsible for seeing that therapeutic plans are carried out. MED2-4060/F CLINICAL CARDIOLOGY-KNOX Course Coordinators: Drs. James Cox and Stuart Bresee Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 2 students This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. This is a clinical elective offering the student an intensive experience in clinical cardiology under a single preceptor cardiologist for a four to five week period of time. During that time, the student will evaluate and follow a number of the cardiologist's patients, participate in their care, and accompany them to the cardiovascular laboratory and cardiac surgery as indicated.
Students will attend cardiology conferences, twice-weekly teaching rounds, weekly EKG teaching sessions and review a prepared sampling of the literature. Other literature reviews will be suggested as clinical material warrants. MED2-4070/F CLINICAL ENDOCRINOLOGY-KNOX (NOT AVAILABLE IN BLOCKS 7, 8 OR 12) Course Coordinator: Bill Law, Jr. M.D., FACE/FACP, Chief, Section of Endocrinology Location: University of Tennessee Medical Center; clinical experience occurs in the private office of Endocrinology Consultants of East Tennessee, located 5 miles from University of Tennessee Medical Center Max. Class Size: 1 student This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. (REQUIRES ADVANCED REGISTRATION) Advance registration required - students must call Knoxville Student Affairs at least 3 blocks prior to registering. This elective is designed to provide an opportunity for students to observe the outpatient evaluation and management of patients with a wide variety of endocrine disorders, including thyroid and parathyroid disease, osteoporosis, multiple endocrine neoplasia, pituitary disorders, etc. Students will work under the direct supervision of nine BC practicing clinical endocrinologists. Students can observe patients undergoing thyroid ultrasounds, U/S-guided fine needle biopsies of thyroid nodules, radioactive iodine therapies, and bone density testing. Additional experience in evaluation and intensive outpatient management of diabetic patients using insulin pumps, continuous glucose sensing, and multiple daily injection regimens will be incorporated through time spent with several specialized physician extenders and Certified Diabetes Educators in our office. MED2-4080/F CLINICAL GASTROENTEROLOGY-KNOX Course Coordinator: Dr. Thomas Young Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 2 students This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. This elective is designed to acquaint the student with the clinical approach to the patient presenting with a GI illness including a pertinent history and physical, intelligent selection of laboratory, x-ray, and endoscopic studies to the ultimate culmination of diagnosis. Clinical management of the patient and therapy will be emphasized. MED2-4090/F NARRATIVE MEDICINE IN CLINICAL PRACTICE-KNOX COURSE OFFERED ON VARIABLE SCHEDULE – Students must contact the Office of Student Affairs for prior approval Course Coordinator: Dr. Ronald Lands Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 1 student This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. The general objective of the course is to allow a senior student medical student to learn more of what an illness means to a patient while building on what they have already learned about what a disease is. During the inpatient rotation, the student will participate on rounds with the House Staff Medicine Team allowing an opportunity to be exposed to 15-20 patients daily. The hematology clinic is two days per week, and the schedule averages 8-10 returns and 2-3 new patients per clinic session. The student will not have primary care responsibility for patients or the inpatient service, and therefore, will not compete with M-3 students doing their core clerkship or M4s doing their Junior Internship. They will participate with the attending in a consulting role in the hematology and palliative care rotations. The primary supervision will be one to one with attending. The student will only see patients that the attending evaluates, either in the clinic, on the internal medicine inpatient service. The student will follow the Department of Medicine Residency conference schedule including morning report, clinical-pathologic conferences, morbidity and mortality conference, safety and quality improvement, and the noon didactic lecture series. The student will be assigned readings relevant to patients encountered in the rotation and prepare one 15-minute presentation about any aspect of narrative medicine relevant to a patient encountered on the house staff medicine service. The student will practice reflective writing, including one page nightly during the rotation regarding something that touched, inspired or surprised him/her during that day. He or she may or may not share the details of this writing as desired. The student will complete one reflective work worthy of submission to a refereed journal. The student will see patients during the daytime only while working on the inpatient service and during the remaining two weeks of work in the hematology clinic. There will be no call schedule for the student during this rotation. MED2-4100/F HEMATOLOGY - CLINICAL AND RESEARCH-KNOX Course Coordinator: Dr. Wahid T. Hanna Location: University of Tennessee Medical Center (Knoxville) Max. Class Size: 1 student This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. This elective introduces the student to disease of the hematopoietic system/Oncology, their diagnosis and management by combining clinical experience and introduction to relevant research in hematology oncology. Students will spend part of their time on the clinical service and part in clinical trials. MED2-4110/F INFECTIOUS DISEASES CLINICAL BLOCK-KNOX Course Coordinator: Drs. Russell Smith, John Narro and Mark Rasnake Location: University of Tennessee Medical Center Max. Class Size: 1 student
Max. Class Size: 2 students This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. This is a clinical preceptorial type elective in pulmonary disease. The student will have opportunity to evaluate, follow, and participate in the management of patients in the office and when admitted to the University of Tennessee Memorial Hospital by the faculty of the Knoxville Pulmonary Group. In addition to improving clinical skills in history taking and physical examination, the student will have an intensive experience in the application and interpretation of blood gases, pulmonary function testing, radiologic study, and other diagnostic modalities in medical chest diseases. Lectures on Pulmonology topics will be available. MED2-4140/F CLINICAL RHEUMATOLOGY -KNOX Course Coordinator: Dr. Gary Klipple Location: University of Tennessee Medical Center (Knoxville) Max.Class Size: 2 students This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. Medical clerks in their senior year may elect a one or two month rotation in University Rheumatology. The purpose of this elective is to develop an approach to the assessment and management of articular diseases such as osteoarthritis or rheumatoid arthritis and of systemic rheumatic disease such as systemic lupus erythematosus. This includes an understanding of and proficiency in the musculoskeletal exam. The format of this rotation is that of a clinical preceptorship. Students will have the opportunity to evaluate, present, discuss, document and participate in the management of private patients in the office setting and hospital consults. In these activities students work one on one with experienced faculty. Teaching will include brief clinical lectures, case discussions, musculoskeletal x-ray reviews and demonstration of routine joint procedures such as aspiration and injection. At the beginning of the rotation, students will be given the 700 page Primer on the Rheumatic Diseases with suggested reading selections. In addition, students will participate in the Department of Medicine conference schedule including noon didactic lectures. |