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Department of Anesthesiology




ANE1-4010/F CLINICAL ANESTHESIOLOGY

Course Coordinator: Christopher Sharp, MD

Location: Regional One Health/UTHSC Department of Anesthesiology

Size: 3

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Teaching and Learning Activities

100% attendance is required for all learning activities.

Three methods are available to aid the students in meeting the course objectives and learning the basics of clinical anesthesia.



Clinical – The students will be assigned to a clinical preceptor for each day. Preceptors will be nurse anesthetists and physician anesthesiologists working in the care team model. The students are expected to participate in all anesthetics and related activities in which his or her preceptor is involved. 


Didactic – Attendance at weekly departmental afternoon (3PM) conference is required. In addition, the Outpatient Surgery Center or Trauma attending physician anesthesiologist will hold a daily discussion on basic anesthesia topics for the students (typically based on a chapter from Miller’s Basics of Anesthesia). These will occur in the morning, usually around 11:30am, either in the Outpatient Surgery Center anesthesia office or Trauma lounge. Attendance at monthly departmental Grand Rounds/M&M Conference, held in the Anesthesia Conference Room, 6th Floor Chandler, on the 4th Wednesday of each month at 7:00 am, is also required.
Reading/Learning Resources – Free time during the day should be spent reading. The

student will receive a list of reading assignments for each day, based on the next day’s discussion topic. Each assignment should be read the night before your conference with the Second Call staff anesthesiologist.


For more advanced reading or for special topics, students should refer to Miller’s Anesthesia, Clinical Anesthesia by Barash, or Chestnut’s Obstetric Anesthesia, Principles and Practice. Access to these textbooks is available.
DAILY ASSIGNMENTS -

Student should arrive at the Outpatient Surgery Center at 7:00 am on weekdays, except for the fourth Wednesday of the month, where they will arrive at 7:00 am to the Anesthesia Conference Room, Chandler 6th Floor, for the Grand Rounds/M&M Conference. Following the conference, students will report to the Outpatient Surgery Center or alternate anesthetizing location as directed for clinical duties that day.

At 7:00 am, students should report to the attending physician anesthesiologist to receive daily assignments.


ANE9-4010/F VISITING ELECTIVE IN ANESTHESIOLOGY

Course Coordinator: Department Chair

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This course number is used by UTHSC students only for scheduling a visiting elective at another medical school for which credit is granted at UTHSC.
DEPARTMENT OF FAMILY MEDICINE

Junior Internship Rotation’s JI’s
FME1-3001/F FAMILY MEDICINE CLERKSHIP

Course Coordinators: Dr. Muneeza Khan

Location: Memphis

Size: 25


This is a face to face clinical rotation offered in the fall and spring and receiving 14 credit hours.

Core Clerkship in Family Medicine (14 credit hours). The Family Medicine Clerkship is an eight-week clinical experience during which time students participate in a unique breadth of patient care in the context of family and community.

Students experience traditional office-based practice under the supervision of UT Family Medicine preceptors. With the office practice as a base, the family physician serves all aspects of patient care involving both inpatient and outpatient settings, ranging from the hospital to the nursing home. Students are placed with family physicians that practice the full breadth of the discipline, including obstetrical care, whenever feasible. Typically, students spend four weeks in an outpatient setting, and four weeks in an inpatient setting.

The department maintains a wide array of approved clinical training sites throughout the state of Tennessee and works closely with students to identify mutually agreeable clinical assignments. The clerkship is a full-time learning experience, typically mirroring the family physician preceptor and may include weekend responsibilities and night call. During the eight weeks, students have several assignments to complete including an Evidence-Based Medicine PowerPoint presentation, as well as assigned readings.

For additional information, please contact Sharon Tabachnick, Ph.D., Preceptor Coordinator (stabachn@uthsc.edu, 901-448-7574). This clerkship is also offered in Knoxville (FME2–3001/F) and Chattanooga (FME3-3001/F).

FME1-3010/F JI ANY - SENIOR CLERKSHIP

JUNIOR INTERNSHIP IN FAMILY MEDICINE


UT/ST. FRANCIS HOSPITAL RESIDENCY PROGRAM*

Course Coordinators: Dr. Muneeza Khan

Location: Memphis, TN

Size: 2


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This rotation will allow students to obtain a broad-based experience in Family Medicine. Students on the inpatient hospital service will function as junior interns and admit patients, design treatment plans and follow these patients throughout their hospital stay. Students generally spend one week on the medicine service, one week on the obstetric service, one week on the night float service, and one week in the Family Medicine Clinic, with Family Medicine residents and supervisors. Students will also spend time in our ambulatory procedures clinic, learning an introduction to office ultrasound, colposcopy, and office based surgical procedures. Attendance at teaching conferences and night call enhance the experience of an active family practice. For additional information, please contact Sharon Tabachnick, Ph.D., Preceptor Coordinator (stabachn@uthsc.edu, 901-448-7574).
FME1-3012/F JI ANY - SENIOR CLERKSHIP-JUNIOR INTERNSHIP IN FAMILY MEDICINE COMMUNITY-BASED CLINICS*

Course Coordinators: Dr. Muneeza Khan

Location: Varies

Size: 2


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

Note: Not available in Block 12
This clerkship allows students to function as junior interns by assuming substantial patient responsibility on an outpatient and/or inpatient teaching service. Also available to students may be office exposure to colposcopy, flexible sigmoidoscopy, and endoscopy, Ob-Gyn, and office surgical procedures. Responsibilities may include admissions, histories, physicals, daily notes, treatment plans, and written orders to fulfill treatment plans. Students will be supervised by family practice clinical faculty. They will also be required to attend rounds, conferences, and take call. For additional information, please contact Sharon Tabachnick, Ph.D., Preceptor Coordinator (stabachn@uthsc.edu, 901-448-7574).
FME5-3010/F JI ANY - SENIOR CLERKSHIP-JUNIOR INTERNSHIP IN FAMILY MEDICINE-JACKSON-MADISON HOSPITAL RESIDENCY PROGRAMS*

Course Coordinators: Dr. Gregg Mitchell, Dr. Keith Ellis and Dr. David L. Maness

Location: Jackson, TN

Size: 3


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
NOTE: "Enrollment for this requires approval by faculty at Jackson TN. Please email Heather Cavness at hgreenwa@uthsc.edu for details."
This clerkship allows students to function as junior interns by assuming substantial patient responsibility on an inpatient teaching service. Also available to students may be office exposure to colposcopy, dermatology evaluations, and office surgical procedures. Responsibilities may include admission, histories, physicals, daily notes, treatment plans and written orders to fulfill treatment plans. The inpatient experience will be complemented with ambulatory patient care in the Family Medicine centers. Students will be supervised by residents and Family Medicine faculty. They will also be required to attend rounds, conferences and take call.
FME5-3033/F JI – SENIOR CLERKSHIP IN EMERGENCY MEDICINE

Course Coordinators: Dr. Gregg E. Mitchell, Dr. Keith Ellis, Dr. Mike Revelle, and Emergency Medicine Fellows

Location: Jackson, TN

Size: 2


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
NOTE: "Enrollment for this requires approval by faculty at Jackson TN. Please email Heather Cavness at hgreenwa@uthsc.edu for details."

This clerkship provides medical students the opportunity to gain clinical primary care training under Family Physicians supervision in the hospital emergency department for the care of ambulatory patients with emergency and life threatening problems. We have a one year fellowship program to train family physicians in emergency medicine care that the student will work closely with. The number of patients per week for whom the student will have some responsibility is 25-50. The student will be able to formulate assessments of patients and present to the emergency department staff physician along with plan of treatment and disposition. Students will be exposed to adult medicine, pediatrics, OB/GYN, surgical, and behavioral emergencies. Patient selection will be determined by supervising faculty to conform to all emergency department regulations. Attending physician faculty and emergency medicine fellows will always be present and provide direct supervision. The students will perform appropriate logs and course evaluation reports. The usual schedule may vary, but will include a total of 160 contact hours by working 10 to 12 hour shifts.


FME1-4010/F FAMILY MEDICINE COMMUNITY PRECEPTORSHIP

Course Coordinators: Dr. Muneeza Khan

Location: Varies

Size: 2


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
The primary purpose of this preceptorship is to allow fourth year medical students active participation in ambulatory and/or hospital patient care in a family practice setting. These settings may include rural or urban areas of Tennessee. They will share in the care of the preceptor's patients through the clinical management of family practice patients. Students’ responsibilities will include patient workups, histories, physical examinations, and review of laboratory and diagnostic data. The student will be directly supervised and guided through this process by members of the clinical faculty and approved preceptors. Students can expect opportunities for "hands on" experiences and for improving their clinical skills, both in history taking and physical and laboratory examination as these pertain to medical problems common to Family Medicine. For additional information, please contact Sharon Tabachnick, Ph.D., Preceptor Coordinator (stabachn@uthsc.edu, 901-448-7574).
FME9-4010/F VISITING ELECTIVE IN FAMILY MEDICINE

Course Coordinators: Dr. Muneeza Khan



This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This course number is used by UTHSC students only for scheduling a visiting elective at another medical school for which credit is granted at UTHSC. UT Family Medicine Department is happy to share resources and provide personal assistance in locating and scheduling off campus electives in Family Medicine at other medical schools and Family Medicine Residency Training Programs throughout the nation. For additional information, please contact Sharon Tabachnick, Ph.D., Preceptor Coordinator (stabachn@uthsc.edu, 901-448-7574).

Department of Medicine

 

MED1-3001/F MEDICINE CLERKSHIP

Clerkship Director: Dr. Amado X. Freire
Location: Memphis

This is a face to face clinical rotation offered in the fall and spring and receiving 14 credit hours.
NOTE: Must pass core clerkship to schedule any senior clerkship in medicine

Core Clerkship in Medicine (14 credit hours). The clinical clerkship in medicine is designed to provide the medical student with an opportunity to learn by experience in patient care and by the examples set by the faculty and house staff. The student is a participating member of the clinical team responsible for patient care which includes residents and the attending physician. A student is expected to: (1) acquire skill and efficiency in history taking and physical examinations, in technical procedures, in the assembly and interpretation of laboratory data, and in patient diagnosis and management; (2) apply to clinical problems the knowledge and facts acquired in the biomedical sciences; and (3) read current medical journals as well as textbooks. Each student is assigned to the University Medical Services at the Veterans Affairs Medical Center, the Regional One Health or Methodist University Hospital for the eight-week rotation. At the mid-point of the clerkship, each student will switch from one hospital assignment to another. Alternatively, students may rotate through Baptist Hospital in Nashville for four weeks of their rotation (Nashville MED4-3001/F). This clerkship is also offered in Knoxville (MED2-3001/F), and Chattanooga (MED3-3001/F).

 

SENIOR CLERKSHIPS IN MEDICINE (3000 SERIES)

Senior Clerkships Coordinator: Dr. Amado X. Freire

 

The student will be introduced to responsibility for inpatient care in a setting where the student is the initial evaluator of the patient's problems as outlined in the general instructions. The student is expected to develop conceptual and manual skills for evaluation and care of internal medicine patients and become more familiar in dealing directly with hospital and other paramedical personnel with appreciation of the team approach to patient care. The student will participate in rounds at least four days per week with the attending physician assigned to the service and will consult daily with the resident house staff on each assigned patient.



 

The student will attend Medical Grand Rounds every Wednesday and House Staff conferences on Monday, Tuesday, Thursday and Friday. The student will have responsibility for attending patients admitted to his or her assigned service and their on-going care while in the hospital. Where assignments involve subspecialty services, the student will be responsible for all medical aspects of patient's care which will be the primary goal of this experience. For in-depth study of a medical subspecialty students should refer to individual specialty listings of preceptorships or research electives. NOTE: Not available in December as only senior clerkship.

 

 

MED1-3002/F MEDICINE REQUIRED SENIOR CLERKSHIP (INTERNAL MEDICINE)



Size: 11

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: Student can also complete these required clerkships at the Chattanooga, Knoxville or Nashville units.

 

 



MED1-3003/F MEDICINE REQUIRED SENIOR AMBULATORY CLERKSHIP

Size: 14

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

 



JI ANY

These are face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 


MED1-3029/F JI ANY - CRITICAL CARE MEDICINE (ICU)

Location: Methodist

Size: 3

MED1-3030/F JI ANY - EMERGENCY MEDICINE

Location: Methodist

Size: 2

MED1-3035/F JI ANY - CRITICAL CARE MEDICINE (ICU)

Location: Regional One Health

Size: 2

MED1-3036/F JI ANY - CRITICAL CARE MEDICINE (ICU)

Location: VAMC

Size: 2

MED1-3062/F JI ANY - CARDIAC INTENSIVE CARE UNIT

Location: VAMC

Size: 1

MED1-3063/F JI ANY - CARDIOLOGY

Location: VAMC

Size: 1

MED1-3067/F JI Any – Cardiac Acute Intensive Care

Location: Regional One Health

Size: 2

MED1-3110/F JI ANY – HEMATOLOGY/ONCOLOGY

Location: Methodist

Size: 1

 

 

GENERAL DESCRIPTION OF ELECTIVES

 

The Department of Medicine electives are designed not only for those who wish to pursue a career in internal medicine or general practice but for all students who wish to ensure a firm grounding in clinical skills and in the comprehensive workup of patients. There are three types of rotations offered as indicated below:



 

1. Required Senior Clerkship in Internal Medicine (MED1-3002/F)

This required clerkship is an in-patient rotation in which the student functions as a junior intern. The student will assume responsibility for patient care under the supervision of their resident and attending physician. Emphasis will be placed on improving diagnostic and therapeutic planning and extending patient management skills acquired during the junior medicine clerkship. The outpatient and inpatient medicine rotations will be complementary, allowing the student to experience and benefit from the full spectrum of internal medicine.

 

2. Required Senior Ambulatory Clerkship in Medicine (MED1-3003/F)

This 4-week required clerkship will be an opportunity for the student to learn more about the evaluation, management, and long term clinical course of common medical problems handled by Internists in an ambulatory setting. The primary objectives are: 1) to provide guidelines for recognizing clinical problems which may be handled in an ambulatory setting versus those which require hospitalization and/or referral for specialty or subspecialty care; 2) to provide instruction in the unique principles of successfully providing medical care in the ambulatory setting; and 3) to provide instruction in health maintenance, disease prevention, and relevant clinical epidemiology. The student will have the opportunity to work in a variety of clinical areas including general medicine clinics at Regional One Health and Veterans Administration Hospital. There will also be opportunities to spend time in the private offices of internists practicing in the community, and to interact with other health care providers that are instrumental in the delivery of medical care in an ambulatory setting. The student can also complete this required clerkship at the Chattanooga, Nashville, or Knoxville medical units.

 

 

3. Senior Clerkships in Medicine (3000 Series) (Non-Required)



Senior Clerkships in Medicine are intended to put the student in a more direct role in patient care similar to internship but closely supervised and directed. It is expected that the senior clerkship student will be responsible for recording the principal data base (with resident or faculty review and counter signature), developing an evaluation and treatment plan, and writing orders on patients (to be reviewed, altered if necessary, and signed by the resident or faculty prior to their implementation). These senior clerkships may be either in general internal medicine, an experience similar to the required senior medicine clerkship, or in subspecialty medicine (MED1-3029/F to MED1-3110/F); however, whether on general medicine or subspecialty ward, the student's responsibility is for learning about the care of patients from the overall viewpoint of internal medicine rather than specifically studying a particular internal medicine subspecialty.

 

4. Preceptorial Electives (4000 Series) To obtain closer rapport with members of the department's faculty, preceptorial electives are strongly recommended, not only for learning a categorical specialty or discipline but to study with an older more experienced student of medicine, namely a member of the full-time faculty or other selected faculty who can teach evaluation, investigation, and integration of medical information. Thus, the major goal of this experience is for students to learn how the faculty member studies medicine and to begin to be an independent student in the clinical setting. Students will see and study patients on an inpatient or outpatient basis will attend conferences, will participate in research, or some combination depending upon the student and faculty member's agreement. The student will also be expected to carry out a review of a clinical topic, mechanism of disease, therapy, or something related to the preceptor's field and to make a pre­sentation to the faculty member or in a seminar or other appropriate forum.

 

5. Fellowships in Research (4000 Series ending in 9) The purpose of these electives are to introduce students at an early stage in their career to the methodology of clinical investigation. Students should apply to one of the faculty supervisors listed under the divisional subspecialty programs for this elective to develop a specific project. Students can consider linking this scheduled elective in tandem with off-quarter research stipend supported work if a longer period to develop a research project is desired. However, only the scheduled elective time (without stipend) can be given formal academic credit.

 

Research electives (Fellowships) in the Department of Medicine are available in all subspecialty divisions, for one to three months in duration. Arrangements should be made directly with the preceptor at least one month prior to the rotation. Course numbers are as follows:



 

MED1-4119/F Infectious Diseases

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

MED1-4129/F Nephrology







For more information about any of the electives or for information about when and where to report call:

Required Senior Clerkship 448-6809

Required Ambulatory Clerkship 448-6820

VA Medical Service 577-7255

Methodist Hospital Education Office 516-8255

Nashville Baptist Hospital (615)284-2522

Cardiology 448-5750

Dermatology 448-5795

Endocrinology 448-5318

Gastroenterology 448-5813

Hematology/Oncology 448-5798

Infectious Disease 448-5770

Nephrology 448-5764

Pulmonary/Critical Care Medicine 448-5757

Rheumatology 448-5774

Physical Medicine 722-5885

 
 

 

EME1-4010/F EMERGENCY MEDICINE AND TOXICOLOGY

Course Coordinator: Dr. Chantay Smartt

Location: The Med Emergency Department

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
The medical student will gain supervised hands on experience in the practice of emergency medicine. There will be opportunities to learn both about clinical and research opportunities in the field. The student will be involved in the rapid assessment and initial management of patients presenting to the emergency department. They will be able to design treatment plans and interact with emergency room personal including house staff, EMT’s and nurses. Based on availability the student will have the opportunity to do procedures common to the emergency department, including thorecentesis, lumbar puncture, central line placement, parecentesis, blood gas collection, intubation and suturing. All student assessments, procedures and other activities will be directly supervised by full time emergency medicine department attending physicians. Emergency medicine morning reports and conferences are held in the emergency department 3 to 4 days per week (8am-8:30am). Students are also encouraged to attend general medicine conferences as their schedule allows. Upon request, the department research director can provide information and/or hands on experience in both clinical and basic research in emergency medicine and toxicology. The clinical experience will be approximately 36-40 hours per week. The bulk of the shift will be week days (7am-3pm) or evenings (3pm-11pm) based on the schedules of the full time staff.

EME1-4033/F EMERGENCY MEDICINE ELECTIVE - MUH

Course Coordinators: Alan Taylor, MD and Richard Walker, MD

Location: Methodist University Hospital (MUH)

Size: 4


This is a face to face clinical rotation offered in all blocks except 2, 3, and 7
Patient Care: Demonstrate compassionate care of the patient and professional interaction with the patient and family. Demonstrate the ability to take a focused but complete H&P, formulate a differential and order appropriate studies to confirm the diagnosis. There are opportunities for common Emergency Medicine procedures, including: endotracheal intubation, lumbar puncture, central and peripheral venous access, tube thoracostomy, paracentesis, NG placement, regional blocks, G-tube replacement, Foley catheter placement, nasal packing, suturing, splinting, diagnostic and procedural ultrasound use, and other basic and extraordinary procedures deemed appropriate by attending staff. At all times, your attending physician will be present to provide demonstrations, teaching and supervision.
Medical Knowledge: Demonstrate core knowledge of common Emergency Medicine complaints such as altered mental status, chest pain, abdominal pain, difficulty breathing, etc. during the rotation. Attend and participate in weekly conferences. Successfully complete the student clerkship written examination with greater than 80% accuracy. There is a weekly small conference with lectures available to the students. They are expected to attend at least 75% of the conferences, though special exemption by the clerkship coordinator(s) may be made for scheduling reasons.
Practice Based Improvement- Demonstrate the application of evidence based medicine to patient care to improve patient safety, reduce unnecessary expense, facilitate ED flow and provide internal improvement of patient care by formal review process. Students will choose one patient interaction to review with a faculty member formally, after instruction with a prior similar chief complaint, to determine if their care could be improved and would meet "standard of care" within the setting of the Emergency Department.
Inter-professional and Communications Skills: Directly contact consultants and admitting services giving appropriate Situation reports, Background of the case, and Recommendations for care. Work with these services to facilitate flow of patient care within the hospital. All of these interactions will be supervised by an attending and, where applicable, a resident. One interaction will be formally graded after the student has had a chance to receive instruction and has had opportunity to provide case presentations to consulting services.
Professionalism:

Students will be evaluated on their interactions with the patient, family, nursing and support staff, fellow emergency practitioners, and consultants and admitting services. A professional, courteous, and dedicated work ethic is required. Students are expected to show up for shifts on time and see a reasonable number of patients. Students are expected to see and follow through on a minimum of 5 new patients per ten hour shift.


Systems Based Practice:

The Emergency Department is the most integrated rotation for systems based practice. Interaction with all medical services in the hospital occurs, but, as importantly, so does interaction with bed control, support services (such as respiratory therapy), nursing administration, general administration, environmental services, and every other logistical component of the hospital. Students will get an introduction to the proper use of consultants as well as the proper triage of patients to ensure, firstly the patient's safety, but also the flow of patient care in the hospital as whole. No other rotation emphasizes system wide resource utilization and allocation of resources quite like the Emergency Department.


Summary:

The student will have the initial contact with the patient, obtain and evaluate their chief complaint, perform a focused medical history, present this case to an attending physician or resident physician and develop a differential diagnosis and plan for the patient under the direct supervision of the attending physician who will be available at all times. The differential diagnosis will be investigated with the appropriate studies approved by residents and attending, and treatment will be provided based on active attending oversight. Students are expected to perform a routine H&P on non-critical patients without the attending present at the bedside, but this will always be verified by the attending and reviewed in every case with the student. Students will participate in care from initial contact to final disposition of the patient. There is no call schedule. Students are expected to be scheduled for 16 shifts per month; none longer than 10 hours in duration with up to 2 hours overflow to complete paperwork if needed. They are expected to attend lecture and simulation/lab teaching session. Shifts may be a mix of day, evening, and night. This rotation will provide useful skills and techniques to all medical students preparing for their intern year, not just future Emergency Medicine physicians.



MED1-4020/F CLINICAL DERMATOLOGY

Course Coordinator: Dr. Kathryn Schwarzenberger

Location: Varies

Size: 4


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

Students will spend full time with dermatology residents and staff. After attending dermatology clinics, rounds, and conferences, and after an estimated 20 hours of home study, the student should be able to cope with all skin problems normally encountered in family practice and should be able to provide definitive care for at least half of them.



 

 

MED1-4021/H SKIN ONCOLOGY

Course Coordinators: Frances K. Lawhead, MD, F.A.A.D. and Courtney S. Woodmansee, MD, F.A.A.D.

Location: 1455 Union

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 credit hours.

 

This clinical elective in skin oncology will instruct the student in the recognition, treatment, and prevention of malignancies of the skin. Instruction will be offered in conventional surgical excision, electrodessication and curettage, cryosurgery and Mohs micrographic surgery. Training in a clinical setting will be provided as it relates to anatomy, pathology, oncology, histochemical techniques, and local anesthesia.



  
MED1-4060/F PRECEPTORSHIP IN CLINICAL CARDIOLOGY

Course Coordinator: Dr. Karl Weber

Location: Regional One Health

Size: 2


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

This elective is designed to introduce the student to the wide array of diagnostic and therapeutic techniques used in contemporary cardiology practice. The elective will emphasize increasing knowledge in the areas of cardiac history-taking and physical examination of the cardiovascular system by working with faculty to provide cardiology consultations. The student will also have time in the electrocardiographic, exercise testing, ambulatory ECG, echocardiographic and nuclear cardiology laboratories. An introduction to cardiac catheterization, interpretation of catheterization data and the management of cardiovascular intensive care unit patients will also be provided. Conferences will include 3 weekly cardiology conferences (Monday, Tuesday, and Friday), Medical Grand Rounds (Wednesday) and cardiac catheterization conference (Tuesday).



 

 

MED1-4065/F PRECEPTORSHIP IN CARDIAC PHYSICAL DIAGNOSIS AND NONINVASIVE TESTING

Course Coordinator: Dr. Otis Warr

Location: Baptist East

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

The principle objective of this elective is to learn to read electrocardiograms and develop interpretative proficiency. In addition, the student will learn the indications for and application of other non-invasive cardiologic testing modalities including exercise testing, echocardiography, and nuclear cardiology. Conferences will include both general medicine and cardiology conferences each week.



 

 

MED1-4066/F PRECEPTORSHIP IN CLINICAL CARDIOLOGY

Course Coordinator: Dr. Ajay Dalal

Location: Methodist

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. 
This preceptorship will afford the student the opportunity to participate in the evaluation and management of patients with cardiology problems. The student will have the opportunity to participate in the care of the acute patient in the Coronary Care Unit as well as observe special diagnostic procedures carried out through the diagnostic cardiology service. The student will be encouraged to participate in the weekly cardiology conferences as well as the other general medicine conferences held at the Methodist Hospital.

 


MED1-4070/F PRECEPTORSHIP IN CLINICAL ENDOCRINOLOGY AND DIABETES

Course Coordinators: Dr. S. Solomon and Staff

Location: VAMC

Size: 2


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

This elective is designed to provide students with hands-on experience in dealing with patients with various endocrine disorders. The experiences include inpatient work-ups of endocrine cases, at the Regional One Health or at the VA Hospital. Inpatient care at the VA includes private patients of the endocrine faculty and consultations from other services for endocrine management. The Regional One Health inpatient care consists of consultations from various departments for management of patients with endocrine-metabolic problems. These include at both hospitals patients with brittle diabetes, pre- and post-operative management of diabetic patients with pancreas-kidney transplants, and diabetic patients who have had kidney or liver transplants. Other cases include work-up and management of patients with pituitary tumor, thyroid disorders, hypoglycemia, hyper- and hypocortisolism, hirsuitism with insulin resistance, metabolic bone disease and disorders of calcium, and pregnant patients with diabetes or thyroid problems. Since this elective is designed as a comprehensive course in clinical endocrinology, the students also participate in out-patient clinics at the Regional One Health (once a week) and at the VAMC (once a week), where an average of 1-2 patients are evaluated by the students at each clinic. In addition, there are about 12 lectures on major endocrine topics/month (three times weekly), walking rounds, two conferences weekly, weekly Interhospital Rounds, Journal Club, and Lipid Conference conducted by the faculty and/or fellows. At the end of this elective, the students should be familiar with most of the common endocrine problems and particularly cognizant in the management of patients with diabetes. No weekend or evening call.



 

 

MED1-4073/F AMBULATORY ENDOCRINOLOGY

Course Coordinators: Dr. S. Solomon and staff

Location: VAMC

Size: 2

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

This elective is designed to provide students exposure to ambulatory patients with a broad spectrum of endocrinopathies. The daily schedule will include VA conference on Tuesday, 8:15 to 9:15 a.m. Interhospital rounds on Thursday, 11 to 12, UT conferences on Thursday, 8:15 to 9:15 a.m., and tutorials 8 to 9 a.m. on Monday, Wednesday and Friday. From 9 a.m. to noon daily they will work with the course faculty in seeing their private patients or attend outpatient Regional One Health Plex and VA clinics. The experiences will include problems in growth and development, diabetes, and lipids mineral metabolism, and reproductive endocrinology, thyroid disorders, hypothalamic pitvitary disorders, and diseases of adrenal glands.



 

 

MED1-4080/F PRECEPTORSHIP IN GASTROENTEROLOGY

Course Coordinator: Dr. Colin Howden

Location: UT Teaching Hospitals

Size: 2

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

This elective is designed to provide the student with a broad exposure to the subspecialty of general clinical gastroenterology (including hepatology). About 40% of the student’s time will be spent in the out-patient setting, where he/she will learn how to diagnose and manage a variety of common gastrointestinal complaints seen in the ambulatory patient. About 40% of the elective will be spent on an in-patient service at one of the UT Teaching Hospitals, where the educational emphasis will be on general consultative gastroenterology and in the management of acute GI disorders. The remaining time will be spent in the endoscopy suite, where the student will be exposed to the technical aspects of gastroenterology, and in didactic teaching sessions, which will include pathology, pathophysiology, and clinical conferences. During the month, students will work closely with GI fellows and attendings, being exposed to the expertise of many different UT gastroenterology and hepatology faculty members during the course of the elective. Our goal is to provide the student with an appreciation for the breadth of the subspecialty of gastroenterology and an understanding of how to rationally approach the patient with a gastrointestinal complaint.



 
MED1-4102/F PRECEPTORSHIP IN HEMATOLOGY/ONCOLOGY

Course Coordinator: Dr. Michael Martin

Location: Methodist Inpatient

Size: 1


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
The preceptorship at Methodist Hospital will aid the student in gaining expertise in the examination, diagnosis and management of patients with hematological and oncological disorders. The student at Methodist Hospital will participate in daily rounds with an attending physician, a medical resident and two medical interns. In addition, the student will have some patient care responsibilities depending on his or her level of clinical training and expertise. The student will participate directly in patient care, learning not only current hematological and oncological techniques of diagnosis and treatment but general principles of practice of internal medicine. In addition, the student will review peripheral blood and bone marrow specimens. Each student should become familiar with the various procedures and practices consistent with quality patient care in the Division of Hematology/Oncology. Students should also attend general medicine conferences, hematology conferences, and medicine journal club.
MED1-4103/F CLINICAL HEMATOLOGY-ONCOLOGY

Course Coordinator: Dr. Lee Schwartzberg

Location: West Clinic Outpatient

Size: 1


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
The student will acquire skill and efficiency in history taking and physical examination of a patient with hematologic or neoplastic disorder. Formulate a problem list. Apply knowledge and facts acquired in the biological sciences to a clinical problem in hematology or oncology. Learn the approach to staging and prognostication in cancer. The student will have some responsible for 10 (2 per day) patients. Students will participate in evaluation and managements of outpatients in an office setting with ample opportunity for closely supervised participation in direct patient care with an attending physician. There will be opportunity for reviewing blood smears, radiographic studies and discussion about candidacy of patients for participation in clinical research studies. Students will work closely with an attending physician who will be physically present in the clinic and will see all patients with the student. There are at least 5 weekly conferences varying from didactic sessions to disease-specific multi-disciplinary tumor boards as well as journal clubs.
   

MED1-4110/F PRECEPTORSHIP IN INFECTIOUS DISEASES

Course Coordinator: Dr. James Dale

Location: Regional One Health/VAMC

Size: 2


This is a face to face clinical rotation offered in the fall and spring and receiving 3.50 or 7 credit hours. Note: This elective can be half-time (MED1-4110/H)

 

During the preceptorship, students will gain practical experience in the diagnosis and management of infectious diseases under the supervision of attending physicians, postdoctoral fellows and medicine residents. They will participate in all rounds and seminars of the section and perform histories and physical examinations on selected patients on the consultation service. Students will be directed to pertinent literature regarding patients being cared for on the service.



 

 

MED1-4111/F PRECEPTORSHIP IN INFECTIOUS DISEASES

Course Coordinator: Dr. Michael Gelfand

Location: Methodist University

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours. Note: This elective can be half-time (MED1-4111/H)

 

This elective is designed to familiarize students with the evaluation and management of adult infectious diseases, and antimicrobials and their clinical use. Elements of clinical microbiology and epidemiology (especially hospital epidemiology) will be incorporated in the preceptorship, including review of stains, cultures, susceptibility, data, etc. The student will be responsible for initial evaluation of all patients. They will follow the patients daily, formulate plans of management and, under the supervision of a resident and attending, will write orders and notes on all infectious disease service patients. They will review stains, cultures, etc. daily on all patients.



 

 

MED1-4119/F FELLOWSHIP IN INFECTIOUS DISEASES

Course Coordinator: Dr. James Dale

Location: VAMC

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: 1 to 3 Blocks

 

By special arrangement individual students can work as research trainees under the supervision of a faculty member of the infectious diseases division. Generally, student projects will be closely related to the studies pursued concurrently in the preceptor's laboratory. A report of accomplishments may be required at the end of the elective.



 

 

MED1-4120/F PRECEPTORSHIP IN NEPHROLOGY

Course Coordinator: Dr. Barry Wall

Location: Regional One Health and MUH

Size: 2

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
The student will be exposed to a wide variety of renal diseases of varying stages of severity. Individual patients will be assigned for each student to follow during the rotation. Experience in managing patients with fluid and electrolyte problems, acid-base problems and various aspects of hypertension also will be provided. The student will have the opportunity to observe patients receiving hemodialysis, peritoneal dialysis and who have had renal transplantation. Daily conferences and rounds will be conducted by the nephrology staff. Regular conferences include journal club, biopsy conference, physiology seminar and general nephrology conferences (case orientation). Outpatient experience will include weekly renal clinic.

 

 



MED1-4121/F PRECEPTORSHIP IN NEPHROLOGY

Course Coordinator: Dr. Barry Wall

Location: VAMC

Size: 2


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
See MED1-4120/F for course description

 

 



MED1-4122/F PRECEPTORSHIP IN NEPHROLOGY

Course Coordinator: Dr. Bobby Kelley

Location: Baptist East

Size: 1


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

See MED1-4120/F for course description

 

 

MED1-4123/F ELECTIVE IN FLUID, ELECTROLYTE, AND ACID-BASE MANAGEMENT



Course Coordinator: Dr. Barry Wall

Location: Nephrology Section VAMC

Size: 2

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Students will see patients with fluid, electrolyte, and/or acid-base problems with an attending nephrologist who will review and discuss the pathophysiology of the disorders encountered on a clinical basis. Participation in ongoing research studies in fluid and electrolyte problems is optional but suggested. Students will be expected to do a complete medical work-up (history, physical examination and clinical assessment) prior to presentation of each case to the attending nephrologist. These exercises will be complimented by didactic sessions in which the major fluid, electrolyte, and acid-base disturbances will be reviewed by faculty in the Nephrology Section. Each student will be assigned a specific topic for presentation in a seminar session at the end of the elective. Guidance in the preparation of seminar topics will be provided by a faculty member. Presentations will be informal, but must cover the assigned topics in a comprehensive manner. This elective will extend the student knowledge in the pathophysiology of fluid, electrolyte, and acid-base disorders and gain additional experience in the evaluation and management of complex clinical problems.

 

 



MED1-4129/F FELLOWSHIP IN NEPHROLOGY

Course Coordinator: TBA

Location: 920 Madison, Suite 200. 448-5764

Size: 1


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: 3 Blocks

Research rotation arranged with course director

 

 



MED1-4130/F PRECEPTORSHIP IN PULMONARY MEDICINE

Course Coordinator: Dr. Amado Freire

Location: Regional One Health

Size: 1


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

This elective emphasizes applied respiratory physiology and concentrates on exposure to pulmonary function testing and principles of respiratory therapy and respiratory critical care. The student will have an opportunity to correlate the history and physical findings in chronic lung disease with the pathophysiology as revealed by pulmonary physiologic studies.



 

 

MED1-4132/F PRECEPTORSHIP IN PULMONARY MEDICINE

Course Coordinator: Dr. Muhammad K. Zaman

Location: VAMC

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours. 
This elective emphasizes applied respiratory physiology and concentrates on exposure to pulmonary function testing and principles of respiratory therapy and respiratory critical care. The student will have an opportunity to correlate the history and physical findings in chronic lung disease with the pathophysiology as revealed by pulmonary physiologic studies. The general Rheumatology preceptorship provides in-depth clinical experience in Rheumatology. This is supplemented by attendance at all teaching rounds and conferences which include: seminars, consultation rounds, primer reviews and clinical and radiology conferences. An opportunity for in-depth study of a clinical and/or laboratory problem is also available under the direct supervision of one of the rheumatology faculty according to the interests of the student and the faculty preceptor (connective tissue, biochemistry, immunology and therapeutic trials). The student is responsible for the evaluation and care of inpatient consultations, and the care of out-patients with arthritis and connective tissue diseases.

 

 



MED1-4140/F PRECEPTORSHIP IN RHEUMATOLOGY

Course Coordinators: Dr. Debendra Pattanaik

Location: Regional One Health/VAMC/UTMG

Size: 1


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

The general Rheumatology preceptorship provides in-depth clinical experience in Rheumatology. The student will attend all teaching rounds and conferences including primer reviews and radiology conferences. Interested students may student a clinical and/or laboratory problem under the direct supervision of one of the rheumatology faculty. The student is responsible for the evaluation and care of inpatient consultations, and the care of outpatients with arthritis and connective tissue diseases. The student will learn how to approach examinations, diagnosis and treatment of patients with rheumatic diseases. Students will be trained in joint aspiration and injection by the staff or rheumatology fellow. The focus is on ambulatory care of common rheumatic problems.



MED1-4142/F RHEUMATOLOGY

Course Coordinator: Dr. Charles R. Arkin

Location: Rheumatology & Osteoporosis Center of Memphis, PC

Size: 1


This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This elective will teach the student how to approach examinations, diagnosis and treatment of patients with rheumatic diseases and to teach evaluation of X-rays on rheumatic patients. The student will be responsible for seeing patients in the office, performing a limited number of histories and physicals. The student will write appropriate progress notes and formulate an assessment based upon information gathered. Students will be trained in and/or observe joint aspirations and injections by the staff.

 

 



MED1-4150/F PRECEPTORSHIP IN REHABILITATION MEDICINE

Course Coordinator: Dr. Robert W. Greene

Location: Varies

Size: 2


This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours. Note: This elective can be a half-time elective (MED1-4150/H)

 

This elective is designed to provide the student with a knowledge of the evaluation and treatment services provided by the Division of Rehabilitation Medicine and their role in total management of both inpatients and outpatients. Students will work directly under the supervision of physicians of the Division of Rehabilitation Medicine and will learn to perform functional evaluations and design rehabilitation treatment programs for patients referred to the Division. Students will also learn the indications and uses for Physical and Occupational Therapy in a large variety of conditions. The student will spend time at the Regional One Health, Campbell Clinic, VA Hospital, HealthSouth, and Methodist Hospital. Each of these rehabilitation programs has a somewhat different emphasis due to the nature of the patient referral load. The student will also be provided an opportunity to participate in the ongoing research programs of the Division of Rehabilitation Medicine. This elective will be of great value to students who are considering a career in those specialties which utilize Rehabilitation Medicine services extensively. These include the specialties of orthopaedic surgery, neurosurgery, neurology, rheumatology, and family practice.



 

 

MED9-4000/F SERIES - VISITING ELECTIVE IN A MEDICINE SUBSPECIALITY

Course Coordinator: Department Chair

These are face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.

 

The following course numbers are to be used by UTHSC students only for scheduling a visiting elective at another medical school for which credit is granted at UTHSC.


EME9-4010/F Emergency-MED 

MED9-4010/F General Medicine

MED9-4080/F Gastroenterology

MED9-4011/F Internal Medicine

MED9-4090/F Geriatrics

MED9-4020/F Dermatology

MED9-4100/F Hematology/Oncology

MED9-4028/F Epidemiology

MED9-4030/F Emergency Medicine



MED9-4110/F Infectious Diseases

MED9-4120/F Nephrology



MED9-4035/F Critical Care Medicine

MED9-4130/F Pulmonary

MED9-4040/F Ambulatory Medicine

MED9-4140/F Rheumatology

MED9-4050/F Allergy-Immunology

MED9-4150/F Rehabilitation Medicine

MED9-4060/F Cardiology




MED9-4070/F Endocrinology






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