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Electives

 

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INTERNAL MEDICINE

COURSE CODE: MEDALLO.002.U

Responsible Agent: Dr. James R. Baker, Jr.; 3918 Taubman Health Center; 936-5634

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
72% Outpatient/Specialty Care
8% Outpatient/Primary Care
20% Conferences/Lectures

Average number of patients seen each week: 20

On-call responsibility: None

Where to Report First Day of Clerkship: 3918 Taubman Health Center; 8:30 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.

Procedures: Immediate skin test.
Interpretation of expiratory spirograms.
Therapy and advice to patients.

To increase student use/review of the medical literature:
Syllabus and handouts are provided.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
The number of patients given care.
Participation and performance in conferences.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Assessment of write-ups/reports.
Didactic Examination.

Course Description:
With staff supervision, students have the opportunity to identify, evaluate and treat immunologic conditions in adults and children at the UMH and U of M Student Health Service Allergy Clinics. Besides the atopic diseases (asthma, allergic rhinitis and eczema) experience is gained in managing urticaria, reactions to drugs and diagnostic agents, and stinging insect allergy.Immunodeficiencies and additional clinical immunological disorders give variety to the problems encountered. Practical environmental approaches to allergic disease and proper application of laboratory resources are stressed. Outpatient clinical experience is supplemented by involvement in inpatient consultations and opportunities to observe and perform laboratory procedures, as well as the weekly Grand Rounds and teaching seminars of the Allergy Division.



OUTPATIENT AMBULATORY INTERNAL MEDICINE, University Hospital

COURSE CODE: MEDGENO.002.U

Responsible Agent: Ray Hobbs, M.D.; Livonia Internal Medicine
20321 Farmington Rd, Livonia, MI 48152; (313) 266-9419

Duration: 4 weeks

Periods Offered: 1-6

Enrollment/Period: 1 Maximum

Distribution of student's time: 100% Outpatient/Primary Care

Average number of patients seen each week: 40

On-call responsibility: None

Where to Report First Day of Clerkship: Livonia Internal Medicine,
20321 Farmington Rd, Livonia MI 48152; 8:30 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.
Therapy and advice to patients.
Increasing teaching skill and ability.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
The number of patients given care.
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Assessment of write-ups/reports.

Course Description:
The student will spend four weeks in a small but very busy UM outpatient clinic in Livonia, Michigan (M-F).
The experience is focused on all aspects of primary outpatient medicine including patient care, practice management and planning, marketing, community involvement and community teaching. Outpatient procedures such as cryotherapy, skin punch biopsy, simple excisions, etc. will be taught. The student will be expected to be involved with community teaching through publication of a newspaper article on an aspect of primary care. Additionally, the student will be expected to prepare a brief clinical vignette for submission to the Society of General Internal Medicine for presentation at their annual meeting. The student will also examine patients in a separate clinic at a local retirement apartment complex. The experience here is one of outpatient healthy and stable
geriatrics. In terms of teaching, the students will assist in teaching a class in the college of Literature, Science and the Arts. The class, taught to freshman undergraduates, is entitled ³Medicine and the Media² and explores both the history of medicine and its perception through the media.

RHEUMATOLOGY CONSULTATION SERVICE, University Hospital

COURSE CODE: MEDARTO.002.U

Responsible Agent: Robert W. Ike, M.D.; 3918 Taubman Health Center; 936-5560

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
20% Inpatient Care
70% Outpatient/Specialty Care
l0% Conferences/Lectures

Average number of patients seen each week: 6

On-call responsibility: None

Where to Report First Day of Clerkship: 3918 Taubman Health Center; 8:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.

Procedures:
Arthrocentesis.
Synovial fluid exam.
Arthroscopy (observation: optional).
Needle muscle biopsy (observation: optional).
Minor salivary gland biopsy (observation: optional).
Closed synovial biopsy (observation: optional).
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending)
As part of a conference or journal club.

Additional Objectives:
Introduction to procedures appropriate to service, i.e., arthrocentesis.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance in conferences.
Level of knowledge (including new knowledge).re
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.

Course Description:
This elective will provide experience in the evaluation, diagnosis, and care of patients with suspected and established rheumatic diseases. The Rheumatology Consultation service at University Hospital evaluates patients on Internal Medicine, Surgery, Ob/Gyn, Dermatology, Neurology and other services. Consultation for inpatients at Veterans Hospital provided on "as needed" basis. Students on service will also see outpatients in the Rheumatology Clinic under the direction of a division faculty member.

 

PREVENTIVE CARDIOLOGY OUTPATIENT CONSULTATION, University Hospital

COURSE CODE: MEDCARO.001.U

Instructor: Drs. Andrew J. Zweifler and Shawna Nesbitt

Responsible Agent: Dr. Shawna Nesbitt; 3918 Taubman Health Center; 936-4795

Duration: 4 weeks

Periods Offered: 1 - 10

Enrollment/Period: 1 Maximum

Distribution of student's time:
20% Inpatient Care
30% Outpatient/Specialty Care
20% OUtpatient/Primary Care
20% Conferences/Lectures
10% Research

Average number of patients seen each week: 12

On-call responsibility: None

Where to Report First Day of Clerkship: 3918 Taubman Health Center; 8:30 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.
In-depth review of a topic with written and oral presentation.

To increase student use/review of the medical literature:
As part of a conference or journal club.

Additional objectives:
Refinement of counseling skills for behavior change.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
The number of patients given care.
Participation and performance in conferences.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Assessment of write-ups/reports.
Quality of written/oral topic review.

Course Description:
This elective stresses development of knowledge and skills relevant to the prevention of coronary heart disease in clinical practice. The management of hypertension and hyperlipidemia will be emphasized. This is an ideal rotation for those interested in primary care medicine.

 

DIALYSIS, University Hospital

COURSE CODE: MEDGENO.001.U

Responsible Agent: Drs. R.D. Swartz, J.M. Messana

Duration: 4 Weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
25% Inpatient Care
60% Outpatient/Specialty Care
15% Conferences/Lectures

Average number of patients seen each week: 10 - 20

On-call responsibility: None

Where to Report First Day of Clerkship: 3914 Taubman Center, Division of Nephrology; 8:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data
Clinical judgment
Therapy and advice to patients

Procedures:
Central lines
Peritoneal dialysis catheters
Hemodialysis and Peritoneal dialysis

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
The number of patients given care.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.

Course Description:
Direct patient care, under supervision of dialysis staff, for inpatient and outpatient setting.
Patients include all hemodialysis and peritoneal dialysis clients at University Hospital, including patients followed on home-care regimens.

 

ENDOCRINOLOGY & METABOLISM OUTPATIENT CONSULTATION, University Hospital

COURSE CODE: MEDE&MO.001.U

Instructors: Dr. Robert Lash and Endocrinology & Metabolism Faculty

Responsible Agent: Dr. Robert Lash; 3920 Taubman Center; 936-8279

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
20% Inpatient Care
60% Outpatient/Specialty Care
l5% Clinical Rounds
5% Conferences/Lectures

Average number of patients seen each week: 10-12

On-call responsibility: None

Where to Report First Day of Clerkship: Dr. Robert Lash; 3920 Taubman Center; 936-8279;
Please call in advance to schedule appointment

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.
Discuss patients at clinical conference.
Discuss subject matter.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of a conference or journal club.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.

Course Description:
Evaluation and follow-up of patients with all types of endocrine and metabolic diseases and diabetes mellitus. Students will work up patients in the E&M Clinics and take an active part in the inpatient consultation service. They will also participate in clinical conferences and teaching rounds.

 

PREOPERATIVE AND PERIOPERATIVE MEDICAL CONSULTATION, University Hospital

COURSE CODE: MEDGENP.001.U

Responsible Agent: Dr. Jane McCort; 3116K Taubman Center; Box 0376; 936-7296

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 1 Maximum

Distribution of student's time:
40% Inpatient Care
40% Outpatient/Specialty Care
20% Conferences/Lectures

Average number of patients seen each week: 15+

On-call responsibility: None

Where to Report First Day of Clerkship: 3113 Taubman Center; 8:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Principles and methods of effective consultation.
Preoperative risk assessment and management.
Peri -and post operative medical care.
Evaluation and therapy of common and uncommon inpatient medical problems.

Students will be evaluated on each of the following:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Mastery of principles of medical consultation.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.

Course Description:
You will spend 3-4 mornings per week in an outpatient clinic learning about and performing preoperative medical assessment with particular attention given to cardiovascular risk. Afternoons and other mornings you will see inpatient consultations. We are asked by non-medical services to see patients for a variety of reasons including: Preoperative assessment for urgent or emergent surgery, difficulty breathing, chest pain, electrolyte abnormalities, fever, mental status changes, and various other medical issues. You will participate in several informal, small group conferences where cases and literature are reviewed. This rotation will be very helpful if you plan to be a surgeon or if you will be involved in direct adult patient care.

 

GERIATRIC MEDICINE AMBULATORY CARE, University Hospital

COURSE CODE: MEDGERO.001.U

Responsible Agent: Dr. Neal Persky; Turner Geriatric Clinic, 1111 Cancer/Geriatrics Center; 764-2266

Duration: 4 or 8 weeks

Periods Offered: All

Enrollment/Period: 1 Maximum

Distribution of student's time:
40% Outpatient/Specialty Care
40% Outpatient/Primary Care
20% Lectures

Average number of patients seen each week: 30

On-call responsibility: None

Where to Report First Day of Clerkship: Call Dr. Persky two weeks in advance to arrange 764-2266.

Clerkship Objectives: To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions. Interpretation of data.
Clinical judgment.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.

To increase student use/review of the medical literature:
As part of patient care (report to attending) and through a library project of interest to the student.

Additional Objectives:
To provide exposure to comprehensive geriatric assessment and to the unique manifestations of clinical problems in the elderly.

Students will be evaluated on each of the following:
Quality of care given.
Participation and performance in conferences.
Motivation and ability to learn.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Assessment of write-ups/reports.

Course Description:
Outpatient experience at Turner Geriatric Clinic and community based senior care facilities. Assignments include Geriatric Medicine, Cognitive Disorders, Movement Disorders and Geropsychiatry clinics in the Geriatrics Center. Additionally, time can be spent at Glacier Hills nursing home, Outreach clinics in senior apartment buildings and in other settings upon request. The student will learn to perform cognitive, psychosocial and functional assessments on elderly patients. Exposure to common problems such as confusion, incontinence, falls and polypharmacy will be provided. Several weekly conferences are open to students as well.

HOSPICE/PALLIATIVE CARE, University Hospital

COURSE CODE: MEDGENO.003.U

Instructor: Susan Urba, M.D.

Responsible Agent: Susan Urba, M.D.; Comprehensive Cancer Center, Room 1366; Box 0922; 936-5281

Duration: 4 weeks

Periods Offered: 1-5, 7-11

Enrollment/Period: 1 Maximum

Distribution of student's time:
75% Inpatient Care
20% Outpatient Care
5% Conferences/Lectures

Where to Report First Day of Clerkship:
Arbor Hospice Residence; 2366 Oak Valley, Ann Arbor, MI 48103; 8:30 a.m.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment)
Level of knowledge (including new knowledge).
Participation and performance in conferences.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Assessment of write-ups/reports.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Clinical judgment.

Course Description:
The student will be part of the patient care team at Arbor Hospice Inpatient Residence. The team includes a physician, nurse, social worker, child development specialist/art therapist, bereavement counselor, and chaplain. The student will interact with the hospice patients and their families; the patients' problems typically involve pain management, symptom control, and psychosocial issues that surround death and dying.

 

HYPERTENSION OUTPATIENT & INPATIENT CONSULTATION, University Hospital

COURSE CODE: MEDHYPP.001.U

Instructors: Drs. Shawna Nesbitt, Ken Jamerson, Alan Weder

Responsible Agent: Dr. Ken Jamerson; 3918 Taubman Health Center; 936-4795

Duration: 4 weeks

Periods Offered: 1 - 10

Enrollment/Period: l Maximum

Distribution of student's time:
40% Outpatient/Specialty Care
10% Outpatient/Primary Care
25% Clinical Rounds
25% Conferences/Lectures

Average number of patients seen each week: 12

On-call responsibility: None

Where to Report First Day of Clerkship: 3918 Taubman Health Center; 8:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions. Interpretation of data.
Clinical judgment.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of a conference or journal club.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance in conferences.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Assessment of write-ups/reports.

Course Description:
In-depth experience and instruction in the care of patients with a common, treatable chronic disease.

CLINICAL INFECTIOUS DISEASES INPATIENT CONSULTATION, University Hospital

COURSE CODE: MEDID-I.004.U

Instructors: Drs. Kauffman, Braun, Engleberg, Markovitz, Bradley, Chenoweth, Kazanjian, Barg, Clark

Responsible Agent: Dr. Engleberg; 3116 Taubman Health Center; 936-5205

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 4 Maximum

Distribution of student's time:
50% Inpatient Care
25% Clinical Rounds
25% Conferences/Lectures

Average number of patients seen each week: 1-2

On-call responsibility: None

Where to Report First Day of Clerkship: 3116 Taubman Health Center; 816 Taubman Health Center; 8:45 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance on rounds.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.

Course Description:
Students who participate in the consultation rotation will learn from hands-on experience managing hospitalized patients. As members of the consultation service, students will perform the initial evaluation on new patients with infectious problems and will be supervised by the Infectious Diseases Fellow and the Attending Physician in generating the appropriate clinical data base and in formulating a management plan. Each day, students will present new patients and discuss the follow-up of ongoing patients with the Attending at afternoon rounds. Some reading to supplement case discussions may be assigned, but the students are expected to increase their knowledge base on each problem they confront by independent reading. Students can expect to evaluate three to five patients per weekthroughout the course of the rotation.

 

MOLECULAR MEDICINE & GENETICS, University Hospital

COURSE CODE: MEDHUMO.001.U

Instructors: Dr. Elizabeth Petty

Responsible Agent: Dr. Petty; 4301 MSRBIII; 764-1549; e-mail: epetty@umich.edu

Duration: 4 weeks

Periods Offered: All (for optimal exposure, students are not encouraged to rotate during summer months)

Enrollment/Period: 2 Maximum

Prerequisite: Successful completion of 3rd year Internal Medicine clerkship, motivation & ability for independent study.

Distribution of student's time:
5% Inpatient Care
50% Outpatient Care
l5% Conferences/Lectures
30% Research

Average number of patients seen each week: 8-10

On-call responsibility: Every weekday; no night or weekend call

Where to Report First Day of Clerkship: 4301 MSRB III; Arrange with Dr. Petty 2 weeks prior to start date.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.

Procedures:
Pedigree analysis.
Genetic counseling.
Molecular genetic testing.
Therapy and advice to patients.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance in conferences.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Assessment of write-ups/reports.
Assessment of conference presentations and preparation.

Course Description:
The goal of this clerkship is to provide an intensive experience in molecular and medical genetics to students interested in molecular medicine. Students will participate fully in all clinical activities including the evaluation of patients with a variety of genetic conditions including chromosomal syndromes, connective tissue disorders, neurogenetic diseases, and cancer predisposition syndromes. During some periods it may be possible for students to participate in other UM genetics clinics as arranged through Oncology, Pediatrics, and Obstetrics/Gynecology. Depending on the students¹ interests and background, students will be encouraged to observe laboratory activities that familiarize them with various techniques that are used in molecular genetics. Additionally, students will be encouraged to do in-depth literature searches about clinical genetic cases that are seen during the course of the rotation and will be encouraged to write a case report. Through these opportunities, it is anticipated that students will gain broad perspectives and important insights relevant to Molecular Medicine and Genetics.

 

NUCLEAR MEDICINE: CLINICAL, University Hospital

COURSE CODE: MEDNUCP.001.U

Instructors: Dr. J. Sisson and Staff

Responsible Agent: Dr. J. Sisson; B1G505 Hospital; 936-5387

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
40% Inpatient Care
50% Outpatient/Specialty Care
l0% Conferences/Lectures

Average number of patients seen each week: 30

On-call responsibility: None

Where to Report First Day of Clerkship: B1G505 Hospital; 8:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.

Procedures:
Setting up imaging procedures.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of a conference or journal club.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance in conferences.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Students will prepare a handout and review of the literature for a conference.

Course Description:
The student will learn 1) the scope of the practice of Nuclear Medicine, diagnostic and therapeutic; 2) the general principles of the medical application of radiopharmaceuticals: physics, instrumentation, image production and radiobiology; 3) the clinical uses of quantitative studies and visual images including planar scintigraphy, single photon emission tomography and positron emission tomography (PET) for diagnosis; and 4) the prescription of radiopharmaceutical therapy.

 

PULMONARY INPATIENT CONSULTATION, University Hospital

COURSE CODE: MEDPULI.0l0.U

Instructors: Drs. D.A. Arenberg, J. Beck, W.F. Bria, P.J. Christensen, M.J. Coffey, J.L. Curtis, C.M. Grum, M.R. Gyetko, M. Keane, J.P. Lynch, F.J. Martinez, T. Ojo, R. Paine, M.L. Peters-Golden, R.H. Simon, T. Sisson, R.G. Sitrin, T.J. Standiford, R.M. Strieter, G.B. Toews, C.M. Watts, J.G. Weg

Responsible Agent: Dr. Galen Toews; 6301 MSRB III; 936-5010

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 2 Maximum

Distribution of student's time:
40% Inpatient Care
35% Clinical Rounds
25% Conferences/Lectures

Average number of patients seen each week: 5-6

On-call responsibility: None

Where to Report First Day of Clerkship: 3916 Taubman Health Center; 8:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of a conference or journal club.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.

Course Description:
This elective with a wide scope of chest diseases seen in consultation emphasizes: History, physical and diagnostic techniques; physiologic, roentgenographic and pathologic correlations and treatment. Students independently evaluate pulmonary referrals prior to personal bedside review with house officers, fellows and faculty. Daily rounds are made with our Respiratory Care Service on all patients in UMH requiring mechanical ventilation. Students participate in diagnostic procedures and conferences.

 

MEDICAL TRANSPLANTATION, University Hospital

COURSE CODE: MEDTSPI.001.U

Responsible Agent: Drs. A. Leichtman, A. Ojo, 3914 Taubman Center; 936-4890

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 1 Maximum

Distribution of student's time:
50% Inpatient Care
20% Outpatient/Specialty Care
20% Outpatient/Primary Care
10% Conferences/Lectures

Average number of patients seen each week: 15 inpatients, 25 outpatients

On-call responsibility: None

Where to Report First Day of Clerkship: 3914 Taubman Center; 8:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data
Clinical judgment
Therapy and advice to patients

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).

Additional objectives:
To learn about kidney and kidney and pancreas transplant.
To learn the appropriate use of immunosuppressive medications and management of immunosuppressant related complications.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Assessment of write-ups/reports.

Course Description:
Two nephrology transplant outpatient clinics and one pretransplant evaluation clinic each week. One month of inpatient rounding on nephrology transplant service. Two transplant related conferences each week.

 

GASTROENTEROLOGY OUTPATIENT & INPATIENT CONSULTATION, University Hospital

COURSE CODE: MEDGI-P.001.X

Instructors: G.I. Faculty

Responsible Agent: Dr. Timothy Nostrant; 3912 Taubman Health Center; 936-4775

Duration: 4 or 8 weeks

Periods Offered: All

Enrollment/Period: 6 Maximum

Distribution of student's time:
30% Inpatient Care
20% Outpatient/Specialty Care
40% Clinical Rounds
10% Conferences/Lectures

Average number of patients seen each week: 10

On-call responsibility: None

Where to Report First Day of Clerkship: 3912 Taubman Health Center; Page GI Fellow on Call; 8:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.
Therapy and advice to patients.

To increase student involvement in conferences, journal clubs, etc. by having students:
Participate as a member of the audience.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
The number of patients given care.
Participation and performance in conferences.
Level of knowledge (including new knowledge).
Level of skills.

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.
Written/oral tests.

Course Description:
Course is designed to allow students to assume gradually increasing responsibility in the care of inpatient and outpatient patients with Gastroenterological problems. Integration of basic internal medicine skills with subspecialty GI patients is emphasized. Basic lectures covering GI topics will give fundamental skills to the students. Assignment to the VA or University Hospital will be done on the first day of the clerkship.

 

RENAL INPATIENT & OUTPATIENT CONSULTATION, University Hospital, Veterans Administration Medical Center

COURSE CODE: MEDNEPP.001.X

Instructors: Dr. Roger C. Wiggins and Nephrology Faculty

Responsible Agent: Dr. Roger C. Wiggins; 3914 Taubman Health Center; 936-5645

Duration: 4 weeks

Periods Offered: All

Enrollment/Period: 3 Maximum

Distribution of student's time:
35% Inpatient Care
10% Outpatient Care
38% Outpatient/Specialty Care
4% Outpatient/Primary Care
15% Conferences/Lectures

Average number of patients seen each week: 10-17

On-call responsibility: None

Where to Report First Day of Clerkship: 3914 Taubman Health Center; 8:00 a.m.

Clerkship Objectives:
To enhance knowledge and skills pertaining to:
Interviewing, physical examination and other patient interactions.
Interpretation of data.
Clinical judgment.

To increase student involvement in conferences, journal clubs, etc. by having students:
Present patients and/or patient data.
Participate as a member of the audience.

To increase student use/review of the medical literature:
As part of patient care (report to attending).
As part of a conference or journal club.

Students will be evaluated on each of the following:
Quality of care given (including clinical judgment).
The number of patients given care.
Participation and performance in conferences.
Level of knowledge (including new knowledge).

Methods to be used in student evaluation include:
Observation of performance by faculty.
Observation of performance by house officers.
Assessment of write-ups/reports.

Course Description:
The student will encounter a wide range of clinical nephrolog problems during this elective. This will include acute and chronic renal failure, abnormalities of electrolyte, acid base and water metabolism, and glomerular and tubulointerstitial renal diseases caused by immune dysregulation, diabetes and toxins. Students will also learn to examine and interpret the urine sediment and about the various methods of managing renal failure including different methods of dialysis, transplantation and immunosupression regimens.

 



Outpatient Ambulatory

Rheumatology

Preventive Cardiology

Dialysis

Endocrinology & Metabolism

Preoperative & Perioperative

Geriatric Medicine

Hospice/Palliative Care

Hypertension Outpatient & Inpatient

Clinical Infectious Diseases

Molecular Medicine & Genetics

Nuclear Medicine

Pulmonary Inpatient

Medical Transplantation

Gastroenterology

Renal Inpatient & Outpatient

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