The University of Tennessee Health Science Center
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SUR3-4010/F GENERAL SURGERY-CHATTCourse Coordinators: R. Phillip Burns, MD (Chair) and Michael Greer, MD (Clerkship Director) Course Contact: Gwen Fryar Gwen.Fryar@universitysurcial.com or Maggie Hamblen Maggie.Hamblen@universitysurgical.com Location: Erlanger Health System Size: 2
SUR3-4060/F PERIPHERAL VASCULAR SURGERY-CHATTCourse Coordinator: Michael Greer, MD Course Contact: Gwen Fryar Gwen.Fryar@universitysurcial.com or Maggie Hamblen Maggie.Hamblen@universitysurgical.com Location: Erlanger Health System Size: 2
SUR3-4061/F THORACIC SURGERY-CHATTCourse Coordinator: J. Robert Headrick, MD Course Contact: Gwen Fryar Gwen.Fryar@universitysurcial.com or Maggie Hamblen Maggie.Hamblen@universitysurgical.com Location: Erlanger Health System Size: 1
OTHER ROTATIONSIDE1-4020/F HEALTH SYSTEM LEADERSHIP Course Coordinator: Kevin Spiegel, President and CEO, Erlanger Health System, and Adjunct Faculty, Department of Medicine, UT College of Medicine Chattanooga Location: Erlanger Health System Size: 1-2
Course Directors: Dr. Mukta Panda and Dr. Robert Fore Course Contact: Liz Jones Liz.Jone@erlanger.org 423-778-6956 Maximum-15 Minimum-5 Grading-P/F This is a face-to-face clinical rotation offered in Block 2 and awards 7 credit hours. The Course includes: Back to Basics.edu- more opportunities to review basic science concepts in the framework of clinical cases; Business of Medicine- TBL’s using the HealthCare Handbook written by medical students Askin and Moore. Faculty will discuss topics such as health care reform, insurance, and regulatory agencies; EBM-Improve your skills in searching the literature to answer clinical questions; Intern school-Focus on skills to prepare students for life as a house officer, including radiology review, ECG review, what to do on call, line placement and intubation skills, and other skills important for internship and residency; legal issues in medicine; Teaching-Academy- learn teaching and learning techniques for residency and beyond NEU3-3001/F NEUROLOGY CLERKSHIP-CHATT Clerkship Directors: Abdelazim Sirelkhatim, MD (Neurology) Course Contact: Joyce Poke Joyce.Poke@erlanger.org Location: Erlanger Health System Size: 3
Attendance at lectures and teaching conferences is required. Student’s final grade is based 50% on an internally written examination and 50% on the attending neurologist’s evaluation of their clinical performance. Students will have required didactic sessions to include teleconferencing such sessions from Memphis. Use of shared resources will be key. An internal video series will be included in the curriculum. Daily mini-presentations will also be required. Students will have significant exposure to patients both in the hospital and in the outpatient clinic. A good portion of patient care will involve neurology consultations. Ultimate responsibility for patient care rests with the attending neurologist who leads the treatment team. Medical students will have limited responsibility but will be allowed to conduct supervised interviewed with patients, and in accordance with hospital bylaws, all responsibilities for inpatient chart documentation rests with the treatment team. Students will have ample opportunity to present written reports and sample chart notes as part of their learning experience. Students will assist with neurology procedures should the need arise (LP, carotid dopplers, EMG/NCT) Neurology faculty will supervise students directly. Students will be expected to attend the regularly scheduled rounds, clinics, video lecture series and participate in the Neurology Clerkship teleconferences run by the Neurology Clerkship in Memphis. They can expect at least two or three formal didactic lectures each week. They may attend weekly Grand Rounds at Erlanger hospital. They should attend any ad hoc conferences. Students will be expected to participate in “Word of the Day” assignments (students will be assigned a one-word neurology topic and present a brief talk about the topic). There is no student overnight call requirement; however, attendance at weekend/holiday rounds and admissions duty (observation/participation) is offered. Established duty hour rules for students will be followed. NEU3-3010/F SENIOR CLERKSHIP IN NEUROLOGY - CHATTANOOGA Course Coordinator: Abdelazim Sirelkhatim, MD Course Contact: Joyce Poke Joyce.Poke@erlanger.org Location: Erlanger Health System Size: 1 Note: Offered in Blocks 7,9,12, and 3 This is a face to face clinical rotation offered in the fall and spring semesters Patient Care Obtain a complete and reliable neurological history and physical examination. Understand the workup and treatment of common neurological disorders, (CVA, seizures, for example)
Develop the skills necessary for performing a proper neurological exam Practice Based Improvement Application of neuroanatomic principles for lesion localization in the nervous system; understand the use of evidence-based medicine and published clinical guidelines in generating appropriate management plans. Interprofessional and Communications Skills Deliver a clear, concise and thorough oral presentation of a patient’s history and exam; demonstrate effective communication skills with staff, physician, nurses and patients. Professionalism Students must behave in a professional manner and demonstrate an appropriate demeanor and compassionate care towards all patients. Treat all staff and colleagues with respect. Systems-Based Practice Understand optimizing patient care within the healthcare system. Understand the appropriate use of system resources such as imaging of the CNS. Work with multi-disciplinary teams to provide optimal patient care. The numbers of patients per day for whom the student will have some responsibility are 3-5. Responsibility will include inpatients, outpatients, and limited neurology night call/weekend call. The student will follow 3-5 patients and will be responsible for H&P daily orders, daily notes, on service notes, discharge summaries, and an up to date list of discharge medications. The student is expected to read about his/her patients and discuss cases daily with attending. The student will spend two weeks on the inpatient service and two weeks in the outpatient setting. Inpatient will be in the hospital seeing/admitting patients. The outpatient weeks will consist of 1 week each in epilepsy, neuromuscular, sleep, or general neurology clinic. The student will receive informal feedback from his/her attending after two weeks and then a summative evaluation at the completion of the clerkship. The student will attend all neurology and other relevant conferences during the rotation. From time to time, there may be late consults. Students are expected to comply with working no more than an 80 hour work week on average. PSY3-3002/F PSYCHIATRY CLERKSHIP-CHATT Clerkship Director: Terry Holmes, MD, MPH & TM Course Contact: Crystal Champion Crystal.H.Champion@tn.gov Location: Moccasin Bend Mental Health Institute and Erlanger Health System Size: 4
By the end of the clerkship, the student should be able to recognize and be able to formulate a differential diagnosis; including the possibility of comorbid or co-occurring diagnoses. Students should know commitment criteria and be able to complete a certificate of need for involuntary hospitalization, and have a working knowledge of the mechanics of hospitalization. Students should be able to develop an understanding of when and where to refer patients for further evaluation and treatment. Student will be assigned to a 25 bed acute or sub acute ward and will participate with the treatment team in development of a comprehensive treatment plan. Each student will have some responsibility for 6-8 patients in the 25-bed acute or sub acute ward at Moccasin Bend on a daily basis. They will also have a similar number of patients in the Geri-Psych inpatient and outpatient services at Erlanger North. Each student will also have exposure to a half-day with a Pediatric Psychiatrist during the rotation as a well as another day with a local psychiatrist who provides electroconvulsive therapy (ECT). Ultimate responsibility for patient care rests with the attending psychiatrist who leads the treatment team. Medical students will have limited responsibility but will be allowed to conduct supervised interviews with patients, and in accordance with hospital bylaws, all responsibilities for inpatient chart documentation rests with the treatment team. Students will have ample opportunity to present written and sample chart notes as part of their learning experience. Moccasin Bend faculty and treatment team professionals will supervise students directly (physicians, psychologists, nurses, nurse practitioners, psychiatric technicians responsibilities for inpatient chart documentation rests with the treatment team. Students will have ample opportunity to present written reports and sample chart notes as part of their learning experience. Students will service in an observing role during the pediatric psychiatry and ECT portions of the clerkship. Moccasin Bend faculty and treatment team professionals will supervise students directly (physicians, psychologists, nurses, nurse practitioners, psychiatric technicians. Erlanger North faculty will directly supervise students at that site. Students will attend training sessions conducted by the course supervisor and other assigned professional staff. They will be expected to attend the regularly scheduled Nurse practitioner training scheduled twice monthly. They will have at least two or three formal didactic lectures each week, including several that will be available via videoconference from the UT Memphis Psychiatry Clerkship. Students will attend weekly Internal Medicine Grand Rounds at Erlanger Medical Center. They should attend any ad hoc case conference and sit in and participate in treatment Review Committees conducted in accordance with Tennessee Law. Students will also rotate through the on-site Medical Clinical to help treat psychiatric patients with acute and chronic medical problems. There is no student overnight call requirement; however, attendance at weekend/holiday rounds and admissions duty (observation/participation) is offered. Established duty hour rules for students will be followed. PSY3-3010/F JI ANY–SENIOR CLERKSHIP IN ADULT PSYCHIATRY-CHATTANOOGA Course Coordinator: Dr. Terry Holmes Location: Moccasin Bend Mental Health Institute Size: 1
Not available on the scheduler. Available only through prior arrangement by course director, and only during certain months of the year! Patient Care Assume care of psychiatric patients that is commensurate with the level of training of a beginning Intern Medical Knowledge Consolidate and apply knowledge (differential dx and treatment of mental disorders), acquired during the M-2 Integrated Psychopathology/Psychopharmacology Course, and the M-3 Clerkship Practice Based Improvement Refine skills in case work-up, presentation, and in recommending management options Interprofessional and Communications Skills Work as an integral member of the team Professionalism Establish rapport with patients, families, and colleagues while also observing appropriate professional boundaries and etiquette Systems Based Practice Learn about the Mental Health system, as well as community resources The student will have responsibility for 4-6 patients per week depending on census. Students will do the initial workup and present their findings to their Attendings and/or residents. Students will take ownership of their patients, but maintain close supervision. Daily team meetings; other teaching conferences as available on each site. The residents are taking call only from home; students will not be assigned to night call. However, students are welcome to join faculty and on-site staff for emergency triage and evaluation activities, if available. Weekend duties (rounds) will be determined by the individual sites.
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