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Medicine

MED-911 Cardiology EKG and Consult Rotation

Faculty:  Cardiology Division
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  4 weeks
Offered year round
Enrollment Maximum: 4

Hospital:  U of L, VA Medical Center
Area: Coronary Care Unit    Time: 8:00 a.m.

Prerequisite: 
This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
This is an introduction to bedside cardiology and to non-invasive and invasive techniques in cardiovascular disease.  For two weeks the student will interpret a large volume of electrocardiograms daily under the supervision of the cardiology fellow and faculty.  The other two weeks, the student will round with the cardiology team and will see consultations independently, to be supervised by the cardiology fellow and faculty.  The focus will be on care of patients with cardiovascular disease, including ischemic heart disease, arrhythmias, valvular heart disease and congestive heart failure.  Students will:

  1. Evaluate and examine patients and review findings with cardiology attendings as part of cardiology rounds;
  2. Read ECG's on cardiology patients;
  3. Gain an introduction to non-invasive studies, in particular echocardiography;
  4. Observe cardiac catheterization and review data and angiogram with fellows and attendings;
  5. Attend cardiology conferences.

Goals:
On completion, the students acquire knowledge of the basic facts related to diagnosis and management of patients with cardiovascular disease, improve skills in physical examination and understand the basics of interpretation and use of invasive and non-invasive data.

Method of Evaluation:
Regular attendance at all conferences, teaching and patient care activities.  Evaluation of clinical knowledge, skills and attitude is by observation of performance by faculty preceptors.  To pass the course, student must achieve a minimum of 70 on their clinical evaluation.


MED-912 EKG Interpretation

Faculty:  Cardiology Division           
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  2, 3 or 4 weeks
Offered year round
Enrollment Maximum: 6(3/hospital)

Hospital:  U of L, VA Medical Center
Area:  Cardiology Unit    Time: 8:00 a.m.

This elective must be scheduled through the Medicine Undergraduate Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
The student in this course will learn EKG interpretation.  Students will:

  1. Have intensive sessions and EKG reading with fellow and attending.  These will include reading the bulk of EKG's in the particular hospital; and
  2. Attend cardiology conferences.

Goals:
The student will learn to interpret electrocardiograms under the supervision of cardiology fellows and faculty.

Method of Evaluation:
Regular attendance at all conferences and teaching sessions and observation of performance.


MED-913 Consultation

Faculty:  Cardiology Division
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  4 weeks
Offered year round
Enrollment Maximum:  2 at each site

Hospital:  U of L, VA Medical Center
Area:  Cardiology Unit
Time: 8:00 a.m.
                                  
Prerequisite: 
This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
Medical students electing to take this cardiology elective will center their activities on a consult service that would include the Coronary Care Unit patients.  The student will provide the initial diagnostic history and physical examination on the patients and with the guidance of the resident and the overseeing of the fellow will prepare a presentation for the faculty assigned to the service.  The students will have the responsibility for the graphics area associated with the cardiology service and render initial electrocardiographic interpretations to be checked by the house officer and the fellow and ultimately in a session with the attending faculty.

Goals:
To acquire knowledge of basic facts related to management of patients with cardiovascular diseases; to gather clinical data for medical interviewing and histories; perform physical examinations; to be able to prepare a presentation; and to be responsible for reading and interpreting ECG's.

Method of Evaluation:
Regular attendance at all departmental and cardiology conferences and clinics.  Evaluation of clinical knowledge, skills and attitude is by observation of faculty preceptors.  To pass the course, students must achieve a minimum of 70 on their clinical evaluation.



MED-925 Dermatology

Faculty:  Dr. Callen and staff   
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  4 weeks consecutively
Offered year round
Enrollment Maximum:  4

Hospital:  ACB, Kosair Children's, VA Medical Center
Area:  Dermatology

Prerequisites: OB&G-901, PSY-901, SURG-901

This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
This course offers a clinical experience in dermatology.  The student will see dermatologic patients mainly in the clinics at Ambulatory Care Building, Veterans Administration Medical Center and Kosair Children's Hospital, but also in the office of the dermatologic consultants.

Goals:
At the end of this rotation we would hope that the student:

  1. Could appreciate the intricacies of cutaneous medicine;
  2. Would be able to communicate linguistically with the dermatologic consultant; and
  3. Would know when to obtain appropriate dermatologic consultation.

Method of Evaluation:
Based on interest demonstrated, attendance and observation of clinical activities by the residents and staff.  To pass the course, students must achieve a minimum of 70 on their clinical evaluation.


MED-930 Endocrinology and Metabolism

Faculty:  Drs. Winters, Ewart, Villafuerte
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  3 or 4 weeks
Offered year round
Enrollment Maximum: 1

Hospital:  U of L, VA Medical Center, Jewish, Nortons

This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 days prior to the start of the rotation.

Course Description:
Clinical experience dealing with a wide spectrum of endocrine and metabolic problems as seen on both in-patient consultative as well as out-patient clinic settings.  Students will be given reading assignments from major textbooks of endocrinology as well as literature reviews on the subjects commonly encountered in clinical practice and of current research interest.

Goals:

  1. Students will revisit endocrine physiology and its application to clinical situations;
  2. To provide an overview of the relationships of clinical laboratory (radio assay, nuclear medicine) to the care of patients with endocrine problems and enhance the student's skills in interpretation of laboratory data;
  3. The student will understand the appropriate utilization of laboratory tests for endocrine patients;
  4. Experience in the diagnosis of endocrine and metabolic disorders and their management.

Method of Evaluation:
The performance of each student is evaluated by direct observation of interest and enthusiasm, depth of knowledge and the progress made during the rotation, problem solving ability and acceptance of responsibility.  To pass the course, students must achieve a minimum of 70 on their clinical evaluation.


MED-935 Division of Hematology

Faculty:  Dr. Yam
Contact Person:  Betty Bailey
Telephone Number: 852-5755

Length:  4 weeks
Offered year round
Enrollment Maximum:  4

Hospital:  VA Medical Center
Time: 8:00 a.m.    

Prerequisites: OB&G-901, PSY-901, SURG-901

This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
The elective program in Hematology will allow the student to encounter many patients with hematological disorders.  The student will be encouraged to work up the patients and participate in a detailed discussion with the staff member the same day.  The student will also be given selected references concerning the problem.  By the end of the program, the student is expected to have a clear understanding of common hematological disorders in the field of medicine.

Goals:

  1. To teach the student the basic hematologic techniques essential for the initial approach to patients with hematological disorders;
  2. To teach the student the basic morphology of blood cells and malignant cells systematically;
  3. To emphasize the basic knowledge of physiology and pathophysiology of the hematopoietic system; and
  4. To train the student to develop a physiological and pathophysiological approach in the diagnostic and treatment of patients with hematological disorders.

Method of Evaluation:

Based upon observation of performance during daily discussion of patient problems and comprehension of the assigned reading.  To pass the course, students must achieve a minimum of 70 on their clinical evaluation.


MED-940 Division of Infectious Diseases

Faculty:  Drs. Ramirez, Huang, Raff, Arnold, Nakamatsu, Schulz
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  4 weeks
Offered year round
Enrollment Maximum: 4

Hospital:  U of L, VA Medical Center

Prerequisites: OB&G-901, PSY-901, SURG-901

This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
Elective designed to allow students to acquire familiarity with and expertise in dealing with diagnostic and therapeutic problems in infectious diseases.  Students will answer clinical infectious diseases consultative requests with extensive patient evaluations resulting in coherent concise problem lists, recommendations for diagnosis and therapy modalities and appropriate references to the literature.  Students will be expected to become familiar with clinical presentations of bacterial, viral, fungal rickettsial, spirochaetal and parasitic infections as well as with the clinical microbiology and immunology.  Instruction in the above and on a wide range of antimicrobial agents used in the treatment of infections, including clinical indications, pharmacology and toxicology will be offered.  Aspects of preventive medicine and epidemiology will be included.  Students will be expected to act independently and to read extensively on subjects pertinent to the diseases seen on clinical daily rounds and will learn to present patients to the fellow and attending concisely, and to follow patients' clinical progress.

Goals:
To gain a solid backing of the etiology of infections and the pathophysiology of infectious diseases and their therapy.  To learn about the approach to antibiotic therapy and its attendant risk.

Method of Evaluation:
Evaluation of clinical knowledge, skills and attitude is by observation of performance by faculty preceptors.  To pass the course, students must achieve a minimum of 70 on their clinical evaluation. Honors are contingent upon completion of an original paper for publication.


MED-945 Respiratory & Environmental Medicine

Faculty:  Drs. Kelley, Guardiola, Draw, Cirino, Shaib, Saad
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  4 weeks
Offered year round
Enrollment Maximum:  2      

Hospital:  U of L, VA Medical Center

This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
Practical clinical experience in pulmonary disease and applied physiology will be provided.  Patients from the wards as well as clinics will be utilized.  Students will have the opportunity for correlation of history, physical examination and physiological roentgenographic studies.  They will be expected to be present for invasive diagnostic procedures including bronchoscopy.  The student will learn how to approach the patient with respiratory complaint, take an adequate history, do an adequate physical examination, observe x-rays and come up with a logical differential diagnosis and suggest practical and cost effective diagnostic procedures.  The patients will be followed on a daily basis as consultant.  The important objective of this course is to teach the students how to act as consultants rather than primary care physicians.  Attendance and participation in Journal Club and teaching conferences are part of the elective experience.  The student will have sufficient time for reading in conjunction with the clinical experience.  Students will be expected to attend Thursday P.M. Sleep Clinic at VAMC.

Goals:

  1. Clinical correlations with applied respiratory physiology;
  2. Diagnosis and treatment of patients with respiratory disease;
  3. Recognition and management of patient with lung masses and the appropriate work-up of the same.

Method of Evaluation:
Student performance will be evaluated by direct observation by fellows and faculty.  Depth of knowledge, clinical problem solving ability, acceptance and discharge of patient responsibilities are the primary attributes to be evaluated.  To pass the course, students must achieve a minimum of 70 on their clinical evaluation.
 

MED-950 Hematology/Medical Oncology

Faculty:  Drs. Miller, Hendler, Herzig, Bhupalam, Laber, Kloecker, Sharma
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  4 weeks
Offered year round
Enrollment Maximum:  1

Hospital:  U of L, James Graham Brown Cancer Center

Prerequisites:  OB&G-901, PSY-901, SURG-901

This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
This program is designed to permit students to gain clinical experience dealing with all aspects of the treatment of adult malignancies.  Students will be expected to round with the attending/fellow and to evaluate consults referred to the Hematology/Oncology Service.

Goals:

  1. To become familiar with the principles of diagnosis and treatment of oncology disorders;
  2. To understand the role of the consultant in patient management; and
  3. To understand the importance of, and techniques for critical evaluation of medical literature.


The student will participate in ambulatory care of patients with attending staff at the Brown Cancer Center and in weekly conferences: the Cancer Center Tumor Board, Radiation Oncology/Medical Oncology Conferences, Hematology Conferences and Hematology/Oncology Journal Club.

Method of Evaluation:
Assessment by individual faculty members as the student is observed on rounds, critique of histories and physicals. Standard evaluation forms are used.  To pass the course, students must achieve a minimum of 70 on their clinical evaluation.


MED-951 Bone Marrow Transplantation

Faculty:  Dr. Herzig
Contact Person:  Betty Bailey
Telephone Number: 852-5755

Length:  4 weeks (an abbreviated 3-week course can be arranged)
Offered year round
Enrollment Maximum:  2

Hospital:  U of L        

Prerequisite: Permission of the Course Faculty

This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
This course will provide an in-depth experience in Bone Marrow Transplantation for leukemias, lymphomas and solid tumors.  The student will follow patients from preparative regimen to engraftment and participate in bone marrow harvesting in the operating room.  Additionally, the student will gain experience in intensive care hematology/oncology; and management of the immunocompromised neutropenic and thrombocytopenic patients.

Goals:

  1. To understand the role of both autologous and allogeneic marrow transplantation in the treatment of advanced malignation; and
  2. To gain experience in the management of patients with complex medical problems.

Method of Evaluation:
Students will be evaluated on the basis of patient management, write-ups and participation on rounds.  To pass the course, students must achieve a minimum of 70 on their clinical evaluation.


MED-955 Renal Service

Faculty:  Drs. McLeish, Aronoff, Jacobs, Klein, Lederer, Ouseph
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  2, 3 or 4 weeks
Offered year round
Enrollment Maximum:  3

Hospital:  U of L, VA Medical Center, And Jewish Time: 7:30 a.m.

Prerequisites: SURG-901

This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
Principles of renal and electrolyte physiology and hypertension mechanisms will be introduced as they apply to clinical situations.  This will be accomplished by direct observation and management of renal service patients, many of who will undergo acute and chronic dialysis for renal failure, urine sediment analysis and interpretation of renal biopsies.  Opportunity will exist to participate in the hemodialysis, transplant and hypertension programs.  The pathophysiology and treatment of fluid, electrolyte and acid-base disorders will be stressed.

Goals:
To have the student develop a more complete understanding of the pathophysiology and treatment of patients with kidney disease.

Method of Evaluation:
Evaluation of the performance is accomplished by daily contact with the students, questions and observation of performance in relation to the stated objectives.  To pass the course, students must achieve a minimum of 70 on their clinical evaluation.


MED-957 Nephrology Research

Faculty:  Drs. McLeish, Aronoff, Jacobs, Klein, Lederer, Ouseph
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  4-12 weeks
Offered year round
Enrollment Maximum:  2

Prerequisites: SURG-901; Permission of Division Chief

This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
The Nephrology Division faculty members are all actively engaged in research.  Research activities include: second messenger function as it is involved with signal transduction, biological transport, drug disposition in patients with uremia, renal drug metabolism, nephrotoxicity and research with artificial membranes used in dialysis.  The student will choose a principle investigator.  In his laboratory the student will spend 1-3 months.  When possible, students will be assigned individual projects under the close supervision of their mentor.  Students will be involved in study design, data collection and preparation of abstracts and manuscripts of the data as appropriate.

Goals:
Students will be introduced to the process of investigational design and scientific method.  The student will learn methods of data collection and analysis.  At the end of the rotation the student will prepare an abstract of the research and present the data to our research group.

Method of Evaluation:
Students will be evaluated subjectively by the principle investigator and the Chief of the Division.


MED-960 Physical Medicine & Rehabilitation

Faculty:  Dr. Bloom & Staff
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  4 weeks consecutively
Offered year round except the last week in June and the month of July

Enrollment Maximum:  2 per month       
Hospital:  Frazier Rehabilitation Center, 3rd floor, nursing unit
Time: 7:30 a.m.

Prerequisites: OB&G-901, PSY-901, SURG-901

This elective must be scheduled through the Department of Medicine Undergraduate Medical Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
The rotation is hospital based at Frazier Rehab Center but includes outpatient evaluation with additional observation of electromyography and nerve conduction studies, urodynamic evaluation and cinefluroscopic swallowing assessment.  Rotations are divided among the traumatic brain injury unit, stroke unit, spinal cord injury unit, orthopaedic unit, general rehab unit and cardiopulmonary unit.  Instruction is by both the attending and resident physician on the unit.  Emphasis is on history and physical examination with physiatric application, therapeutic exercise and modality prescription writing, equipment and assistive device assessment, daily rounding and participation in weekly multi discipline team conferencing and family teaching.  Introductory lectures and observation of the allied disciplines of Physical Therapy, Occupational Therapy and Speech Therapy are interspersed during the rotation.

Goals:

  1. To gain knowledge of skills needed in the field of physiatry;
  2. To perform a thorough history and physical with physiatric emphasis;
  3. To gain knowledge in diagnostic procedures of urodynamic evaluation, EMG, NCS, cinefluroscopic swallowing assessment;
  4. To become familiar with the scope of allied health disciplines important to the field of Physical Medicine and Rehabilitation; and
  5. To become familiar with therapeutic approaches in treating patients with debilitating injury and/or illness.

Method of Evaluation:

  1. Attendance and active participation in patient care;
  2. Thoroughness of history, physicals and progress notes;
  3. Conciseness of oral presentation of evaluated patients and formulation of treatment plan, including factors that affect disposition planning; and
  4. Demonstrated knowledge of general physiatric principles and related allied health disciplines.      

Numeral grading system utilized.   To pass the course, students must achieve a minimum of 70 on their clinical evaluation.


MED-965 Gastroenterology/Hepatology

Faculty:  Dr. Wright & Division Members
Contact Person:  Betty Bailey
Telephone Number:  852-5755

Length:  4 weeks
Offered year round
Enrollment Maximum: 1 per site

Hospital:   U of L, VA Medical Center, Jewish Hospital

Prerequisite: 
This elective must be scheduled through the Department of Medicine Undergraduate Education Office.  Any schedule change must be made 20 school days prior to the start of the rotation.

Course Description:
This elective will allow the student to obtain clinical experience with disorders of gastrointestinal tract, liver, pancreas and nutrition.  The student will be assigned patients for whom consultation from the Division is requested.  After performing a history and physical examination and after presentation to the supervisor, the student will outline the diagnostic impression and recommendation.  This activity will be supervised by the attending team in Gastroenterology including a faculty member of the Division.  The student will participate in all rounds of the Division as time allows, including work rounds and formal Division teaching conferences such as GI grand rounds, Pathology, Radiology, Research Conferences and Journal Club.  The student will have exposure to endoscopic, intubation and biopsy procedures and an attempt to teach how to perform sigmoidoscopy.  Outpatient exposure for follow-up of patients will occur in ACB and VAMC settings.

Goals:

  1. To allow student to gain clinical experience with disorders of gastrointestinal tract, liver and nutrition;
  2. To allow student to become familiar and/or proficient with proctosigmoidoscope; and
  3. To allow student to learn the diagnostic work up of common GI/liver disorders.

Method of Evaluation:

  1. Oral examinations are given;
  2. Proficiency of case presentation, diagnostic formation and case write up will be reviewed by attending physicians;
  3. A formal evaluation at end of course will be made and discussed with student.  Department of Medicine evaluation form will be completed and signed.

To pass the course, students must achieve a minimum of 70 on their clinical evaluations.

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