The University of Tennessee Health Science Center
|
|  Yüklə 1 Mb.
|
Department of Medicine“The Department of Medicine will only accept visiting student applications through the VSAS system. No others will be considered.” MED3-3001/F MEDICINE CLERKSHIP-CHATT Clerkship Director: Gary Malakoff, MD Course Contact: Joyce Poke Joyce.Poke@erlanger.org Location: Erlanger Health System Size: 6 This is a face to face clinical rotation offered in the fall and spring and receiving 14 credit hours. The objective for the M-3 Internal Medicine Medical student education is for students to acquire a fundamental knowledge of internal medicine while developing skills of physical examination, history taking, case presentation and various procedures: starting IV’s, venipuncture, paracentesis, and lumbar punctures. Students will be expected to demonstrate an adequate basic fund of knowledge, interest in learning, technical skills, ability to organize data and formulate hypothesis, ability to relate to patients, staff, and other physicians. The goals, objectives and projects for the Internal Medicine Clerkship are the same at all UT sites (Memphis, Knoxville, and Chattanooga). Students are assigned to a Service Medicine Team, typically consisting of an attending physician, one resident, and two interns. Rounds occur daily and students are expected to be active participants. Each Service Medicine Team is “on daytime call” every fourth day. The Internal Medicine Residency utilizes a special “Night Float” Team of residents and interns to handle night time call from Sunday through Thursday. This allows the medical student to leave the hospital around 5 PM on most days and by 8 PM on the day the Team is on “call.” Students usually have one weekend day off duty. Students also attend all Department of Medicine Conferences (daily Morning Report, Noon Conferences and Grand Rounds once each week) as well as specific medical student lectures (two to three times per week) on a wide variety of internal medicine topics. Three days during the Clerkship are designated for skills training to allow students to become proficient in starting IV’s, drawing blood and blood gases. The UT College of Medicine Chattanooga, through the generosity of the hospital, provides living arrangements (modestly furnished apartments) and meals for all students who participate in rotations in Chattanooga – all at no cost to the student. The Department of Internal Medicine in Chattanooga sponsors one of eight residency programs based at Erlanger Health System. We offer ten positions at each of three levels of training. Our Internal Medicine Residency is specifically designed to educate good general internists whose goal is to practice general internal medicine or pursue subspecialty training. Clinical training occurs at Erlanger Medical Center, a modern health care facility offering residents experience in primary, secondary, and tertiary medical care under the supervision of outstanding faculty. Our residency is dedicated to providing a superior learning environment for training residents to practice the highest quality of internal medicine. Our Program is fully accredited and is designed to provide optimum, first-hand experience and didactic education in the broad field of internal medicine. More than 6,000 patients are admitted annually by general internal medicine faculty, related subspecialty faculty, residents, and students.
Course Coordinator: Dr. Gary Malakoff Course Contact: Joyce Poke Joyce.Poke@erlanger.org Location: Erlanger Health System Minimum: 2 Size: 3
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. Must confirm space available with course coordinator at joyce.poke@erlanger.org Students taking this inpatient rotation function as a junior intern. Students must assume responsibility for patient care similar to that of an intern but under the more close and direct supervision of an assigned physician and resident team leader. Emphasis will be placed on improving diagnostic and therapeutic planning and extending patient management skills acquired during the junior Medicine Clerkship. The junior intern should acquire basic problem-solving skills covering a broad spectrum of medical problems encountered in the practice of internal medicine. MED3-3003/F REQUIRED SENIOR AMBULATORY CLERKSHIP IN MEDICINE-CHATTCourse Coordinator: Gary Malakoff, MD Course Contact: Joyce Poke Joyce.Poke@erlanger.org Location: Erlanger Health System Size: 3
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. The student will see patients in the General Internal Medicine Clinic, the offices of private practitioners, and subspecialty clinics, such as Endocrinology, GI, Cardiology, Pulmonary Medicine, Rheumatology, and AIDS. MED3-3010/F JI ANY - SENIOR CLERKSHIP IN MEDICINE-CHATTCourse Coordinator: Gary Malakoff, MD Course Contact: Joyce Poke Joyce.Poke@erlanger.org Location: Erlanger Health System Size: 2
Note: Must confirm space available with course coordinator This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. This course would be an elective rotation as a junior intern in Internal Medicine after the student has already completed the Required Senior Clerkship in Internal Medicine. This rotation places the student in a more direct role in patient care in advanced medicine, similar the role of an intern, but under the close and direct supervision of an assigned resident and staff physician. The student is expected to acquire basic problem-solving skills covering a broad spectrum of medical problems encountered in the practice of internal medicine. MED3-3031/F JI ANY – CRITICAL CARE MEDICINE-CHATTFaculty: John Gunter, MD, John Boldt, MD Course Contact: Joyce Poke Joyce.Poke@erlanger.org Maximum number of students per rotation: 2
The critical care rotation is a one-month elective rotation for fourth year medical students in which the principles of critical care medicine and evaluation and treatment of critically ill patients are emphasized. Critical illness does not respect socioeconomic boundaries, however, many critically ill patients do present with additional complications of substance abuse or lack of timely medical care. Ethical issues concerning the intensity of care are often encountered. The appropriate environmental precautions and hazards are frequently discussed when isolation of patients is required. Aspects of care unique to the intensive care unit are also emphasized. Teaching Methods: The critical care team generally consists of one or two upper level residents, one or two interns, and the medical students allowing the team to structure different tasks according to individual team member skills. The upper level residents teach the interns and students; the attending intensivist teaches the entire team during didactic sessions as well as during daily rounds. Reading assignments are distributed based on rotation goals as well as particular disease entities encountered. During these rounds and conferences, the pathogenesis of conditions is reviewed and the particular skills needed for evaluation and management of critically ill patients are reviewed. The importance of including family members in these discussions and compassionate care for individuals is emphasized. Disease Mix: All aspects of critical illness may be evaluated and managed by the team on this rotation. Particular emphases include: A. Consultation and management of critically ill patients. B. Ventilator and airway management. C. Management of acute respiratory failure, including adult respiratory distress syndrome. D. Systemic inflammatory response states, including sepsis. E. Nutrition in the critically ill patient. F. Interventions to decrease the risk of secondary complications in the critically ill patient. Patient Characteristics and Types of Clinical Encounters: In this rotation, students evaluate patients for whom consultation is requested in intensive care units. These patients generally manifest high illness acuity in a wide range of pulmonary, cardiac, neurologic and infectious problems. Resident supervision is constantly present in the hospital for students; attending supervision likewise is constantly present within the hospital and through daily team rounds. Procedures and Services: The critical care team often performs procedures in the intensive care unit which include central line placement, thoracentesis, chest tube placement, bronchoscopy, and tracheotomy management. Students will be invited to observe and possibly assist in these procedures. Reading List: 1. MKSAP 14. Pulmonary and Critical Care. 2. Snow V, et al. Evidence base for management of acute exacerbations of COPD. Ann Intern Med 2001;134:595-9. 3. Rivers E, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. NEJM 2001;345:1368-77. 4. Lange RA, Hillis LD. Cardiovascular complications of cocaine use. NEJM 2001;345:351-8. 5. Jacobi J, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med 2002;30:119-41. 6. Recommended Text: The ICU Book by Paul Marino 7. Current literature as assigned by the faculty supervisor
Students are encouraged to review the results of diagnostic biopsies and therapeutic procedures. If an autopsy is performed on a patient for whom they have been providing consultation, they are encouraged to view the autopsy. Method of Evaluation of Student Performance: A. Attending and resident evaluation of clinical performance at the end of the month. B. Required completion of reading assignments. C. Completion of assigned learning topics by attending. MED3-4060/F JUNIOR FELLOWSHIP IN CARDIOLOGY-CHATTCourse Coordinator: Dr. Charles Campbell Location: Erlanger Health System Size: 2
Course Director: Asma Khan, MD Location: Academic Endocrinology and Erlanger Health System Size: 1
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. Must confirm space available with course coordinator at joyce.poke@erlanger.org This elective is designed to provide an opportunity for students to observe both inpatient and 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 participate in patient care, evaluation, and management, and requested inpatient consults. Students will work under the direct supervision of a clinical endocrinologist. Students can observe patients undergoing thyroid ultrasounds and U/S-guided fine needle biopsies of thyroid nodules. Students will be able to gain experience in evaluation and intensive outpatient management of diabetic patients using insulin pumps, continuous glucose sensing, and multiple daily injection regimens. MED3-4080/F Gastroenterology-CHATT Course Director: Louis Lambiase, MD Location: Erlanger Health System Size: 1
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. Must confirm space available with course coordinator at joyce.poke@erlanger.org This elective is designed to acquaint students with clinical problems in Gastroenterology. Students will participate in patient care, evaluation, management, and requested in- and outpatient consults and endoscopic procedures and biopsies. Basic concepts in pathophysiology and therapy will be stressed. Students will be expected to actively participate in all GI rounds and patient discussions. Expect extensive exposure to acute and chronic GI disorders including the full spectrum of liver diseases. MED3-4110/F JUNIOR FELLOWSHIP IN INFECTIOUS DISEASES-CHATTCourse Coordinator: Jay Sizemore, MD Location: Erlanger Health System Size: 2
MED3-4120/F JUNIOR FELLOWSHIP IN NEPHROLOGY-CHATTCourse Coordinator: Christopher Poole, MD Location: Erlanger Health System Size: 2
MED3-4131/F PULMONARY MEDICINE-CHATTFaculty: Suresh Enjeti, MD Maximum number of students per rotation: 1 This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. Educational Purpose: The pulmonary rotation is a one-month elective rotation for fourth year medical students in which the principles of pulmonary medicine are emphasized. Socioeconomic issues such as complications of substance abuse or lack of timely medical care will be addressed. Ethical issues concerning the intensity of care are often encountered. The appropriate environmental precautions and hazards are frequently discussed when isolation of patients is required. Teaching Methods: The pulmonary team generally consists of one upper level resident, one or two interns, and the medical student allowing the team to structure different tasks according to individual team member skills. The upper level resident teaches the interns and student; the attending teaches the entire team during didactic sessions as well as during daily rounds. Reading assignments are distributed based on rotation goals as well as particular disease entities encountered. Disease Mix: All aspects of pulmonary diseases may be evaluated and managed by the team on this rotation. Particular emphasis includes consultation and management of patients with acute and/or chronic pulmonary conditions. These include but are not limited to chronic obstructive pulmonary disease, pulmonary embolism, pulmonary fibrosis, obstructive sleep apnea, pneumonia, and asthma. Patient Characteristics and Types of Clinical Encounters: In this rotation, students evaluate patients for whom consultation is requested on the ward. There is minimal intensive care unit exposure on this rotation. When patients decompensate on the floor, the pulmonary team would be responsible for timely and efficient hand over of the patient to the critical care team. Also, pulmonary clinic occurs once a month and will give the student exposure to pulmonary issues in the outpatient setting. Students are required to attend with their residents. Procedures and Services: The pulmonary team often performs procedures which include central line placement, thoracentesis, chest tube placement, bronchoscopy, and tracheotomy management. Students will be invited to observe and possibly assist in these procedures. Reading List: 1. MKSAP 14. Pulmonary and Critical Care. 2. Snow V, et al. Evidence base for management of acute exacerbations of COPD. Ann Intern Med 2001;134:595-9. 3. Current literature as assigned by the faculty supervisor Pathological Material and Educational Resources: Students are encouraged to review the results of diagnostic biopsies and therapeutic procedures. If an autopsy is performed on a patient for whom they have been providing consultation, they are encouraged to view the autopsy. Method of Evaluation of Student Performance: A. Attending and resident evaluations of your clinical performance at the end of the month. B. Required completion of reading assignments.
C. Completion of assigned learning topics by attending.MED3-4140/F RHEUMATOLOGY-CHATTCourse Coordinator: Michael Britt, MD Course Contact: Joyce Poke Joyce.Poke@erlanger.org Location: Erlanger Health System Size: 1
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. Must confirm space available with course coordinator This elective is designed to acquaint students with clinical problems in Rheumatology. They will participate in patient care, evaluation, management, and patient consults. Basic concepts in pathophysiology, systematic evaluation, and therapy will also be stressed. Students will be expected to actively participate in all Rheumatology rounds and patient discussions. NEUROLOGY CLERKSHIP (See Other Rotations at the end of this section) |