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Midland Regional Campus Electives

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Family Medicine

Human Medicine

Internal Medicine

Neurology

OB/GYN

Pediatrics & Human Development

Psychiatry

Radiology

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MRC -  Family Medicine Electives

FMP Outpatient: FMP 610

Prerequisite:   Open only to fourth year medical students who have completed the core/basic Family Medicine clerkship (FM 608) or its equivalent. 

Students are assigned to either the Midland Family Practice clinic or to a private office (if taken at the Midland Regional Campus). This elective provides the opportunity to perform initial patient interviews and physical examinations, assist with procedures, enhance presentation skills and learn cost effective management of patients. Didactic teaching sessions are held each week.  The student will be able to create a personalized learning experience in family medicine. Pre-rotation planning with a full-time family medicine faculty member will ensure that goals and objectives are accomplished. A month-long rotation can be created from a long list of experiential learning opportunities. The student can choose to: spend time in the Family Practice Center with full-time family medicine faculty mentors; experience a resident’s typical day; become the house officer and manage the ICU and CCU; spend a shift in the emergency department or on labor and delivery with a resident; choose a faculty mentor with a Certificate of Added Qualifications in geriatrics or sports medicine; spend time in the procedures suite with faculty and residents, learning OB ultrasound, flexible sigmoidoscopy, vasectomy, colposcopy, and dermatologic procedures; spend time on the family medicine service, an inpatient adult medicine service run by the faculty, first, and third year residents; make nursing home rounds, home visits, or assist in hospice care. The student can emphasize what is most important by creating his/her own experience. The options are limitless.
Upon completion of the elective the student should:

  • Understand continuity of care in context of the family
  • Be familiar with the evaluation and management of common primary care health problems in a primary care practice
  • Understand the bio-psychosocial model in health care
  • Be able to apply basic principles of prevention

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Geriatrics:  FMP 611

Prerequisite:   Open only to fourth year medical students who have completed the core/basic Family Medicine clerkship (FM 608) or its equivalent. 

Participate in interdisciplinary team evaluation of geriatric patient; gain experience in recognition, diagnosis, and treatment of geriatric problems; and understand the process of advance care directives. This elective may be taken as a four-week block experience.

Upon completion of the elective the student will:

  • Understand and participate in the interdisciplinary team evaluation of the geriatric patient with multiple complex bio-psychosocial problems
  • Gain experience in the recognition, diagnosis, and treatment of congestive heart failure, osteoporosis, and diabetes mellitus in a variety of long term care settings
  • Gain experience in the recognition, diagnosis, and treatment of dementia and geriatric depression
  • Understand the process of advance care directives and to assess how the current health care systems respond to such directives
  • Develop an approach to the evaluation of falls, unintended weight loss, and insomnia in the elderly
  • Gain experience in the interdisciplinary evaluation of urinary incontinence
  • Gain knowledge of regulatory issues related to long term care in various settings and its impact on clinical practice
  • Gain additional experience in gero-pharmacology
  • Develop and present an in service to the nursing staff on a topic to be determined through the continuous quality improvement process at the facility.

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

FMP Inpatient: FMP 612 

Prerequisite:   Fourth Year Medical Student who has completed the core/basic Family Medicine clerkship (FM 608) or its equivalent. 

This four week clerkship introduces students to the role of the family physician in caring for hospitalized patients. While most of the work-load and many of the distinctive skills of the family physicians are centered in the office practice, some of the patients seen in the office must from time to time be admitted to the hospital. For the hospitalized patients, the family physician remains the primary physician. Compared to patients seen in the office, however, a greater proportion of the problems of hospitalized patients require consultations with and referrals to other specialists. Management of the care of the hospitalized patient, and especially of the relationships among physicians and other health care providers in the hospital, is the major focus of attention in this clerkship. This elective clerkship may be taken as a four-week experience. The student will be able to create a personalized learning experience in family medicine. Pre-rotation planning with a full-time family medicine faculty member will ensure that goals and objectives are accomplished. A month-long rotation can be created from a long list of experiential learning opportunities. The student can choose to: spend time in the Family Practice Center with full-time family medicine faculty mentors; experience a first, second, or third year resident’s typical day; become the house officer and manage the ICU and CCU; spend a shift in the emergency department or on labor and delivery with a resident; choose a faculty mentor with a Certificate of Added Qualifications in geriatrics or sports medicine; spend time in the procedures suite with faculty and residents, learning OB ultrasound, flexible sigmoidoscopy, vasectomy, colposcopy, and dermatologic procedures; spend time on the family medicine service, an inpatient adult medicine service run by the faculty and residents; make nursing home rounds, home visits, or assist in hospice care. The student can emphasize what is most important by creating his/her own experience. The options are limitless.

This elective is designed to:

  • Provide an opportunity to assume increased patient management responsibilities for hospitalized patients
  • Enhance patient evaluation, case presentation, team management and discharge planning skills
  • Gain familiarity with the use of consultants

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

FMP Rural Medicine: FMP 616

Prerequisite:   Fourth Year Medical Student who has completed the core/basic Family Medicine clerkship (FM 608) or its equivalent. 

Completion of core/basic Internal Medicine and Pediatric clerkships is highly recommended.

This clerkship is designed to enhance the medical student's ability to integrate clinical medicine with experience in rural medical communities. Students are assigned to a family physician practice and have the opportunity to participate in patient care in a rural setting.  An emphasis of the clerkship is on patient care management by family physicians in rural settings. Two separate settings are available for this clerkship: rural communities or Native American communities. The location of the clerkship will be decided between the community administrator and the medical student. This elective clerkship may be taken as a four-week block experience. Call responsibilities vary.

Upon completion of the elective the student will:

  • Understand continuity of care in a rural setting
  • Be familiar with the evaluation and management of common primary care health problems in a rural setting
  • Understand the bio-psychosocial model in health care
  • Be able to apply basic principles of prevention
  • Participate in Family Medicine and provide patient care in rural communities.
  • Gain experience and understanding of the rural community.
  • Manage patients in limited medical care resource areas.
  • Demonstrate an expanded understanding of Native American focused health systems.
  • Gain experience and understanding of Native American culture.
  • Understand Native American traditional healing.

Methods of Evaluation: Pass/Fail.  A three page or less report of the experience completed by the medical student within 1 week of the completion of this clerkship.

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

FMP SubInternship: FMP 620

Prerequisite:  Open only to fourth year medical students who have completed the core/basic Family Medicine clerkship (FM 608) or its equivalent.  Completion of core/basic Internal Medicine and Pediatric clerkships is highly recommended.

The Family Medicine Sub-Internship Elective Clerkship is in Community Practices and Community Health Centers (CP-CHC) for the underserved throughout Michigan. The purpose of this clerkship is to give the fourth year medical student the opportunity to be involved in the care and management of patients. Medical students will select the site of the clerkship in coordination with the Family Medicine Department (FM) in East Lansing. All sites must be pre-approved through FM, prior to the start of the clerkship. Relocation may be necessary for many of the CP- CHC. Some sites are able to help with relocation lodging. The student will be involved in providing first line care for patients for seven half-days per week. The remaining three half-days will be used for a complementary, mentored scholarly project (with FM faculty supervision through distance technology) where the student will be studying how to better the health and medical conditions of patients in the clinic. This project will be presented to FM faculty.

Upon completion of the elective the student will:

  • Perform the diagnoses and understand the medical management necessary of patients at an entry residency level that will improve the medical student’s transition into residency.
  • Manage a small number of patients as the first line of care
  • Provide experiences, knowledge, and understanding of medical services to the underserved.
  • Conduct appropriately focused history and physical exams.
  • Develop, prioritize and justify differential diagnoses.
  • Develop treatment plans that include clinical evaluation, treatment and follow-up that meet the patient and family preferences.
  • Understand and use principles of evidence based medicine as it applies to patient care.
  • Understand and apply concepts of population medicine in the care of a community and its medical and health concerns; and, to develop a population health improvement project that addresses critical community medical problems.
  • Understand and utilize other disciplines in the appropriate patient care.

Text: Roadmaps for Clinical Practice: A Primer on Population-Based Medicine by KE Peters and AB. Elester. Chicago, IL: American Medical Association. 2002. (available in department office in East Lansing, see Joy Hull)

Methods of Evaluation: Pass/Fail.  Clinical performance with patients, staff and faculty.  Oral presentation of the population-based medicine project

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

MRC – Human Medicine Electives

Pathology: HM 610

Prerequisite:   Open only to fourth year medical students.

Student rotations may be tailored to the student's areas of interest. The following areas offer educational potential for medical students: anatomic pathology (including surgical and autopsy pathology); and clinical pathology (including blood bank, microbiology, virology, hematology, clinical chemistry and toxicology).  The student may attend pathology conferences including adult and pediatric tumor boards, breast cancer multidisciplinary conference and autopsy conference.  During the rotation, the student is expected to select an interesting pathology case for in-depth study and give a 15 minute case presentation to the pathologists at the conclusion of the rotation.

Upon completion of the elective the student will:

  • Have completed a review of the basic concepts of pathology and histology through a study of disease processes in current and archived patient material
  • Understand the basic principles and patterns of histopathology used in evaluation of patient specimens in surgical pathology
  • Obtain skills in the interpretation of various clinical laboratory studies for Chemistry, Immunopathology, and Hematology/Blood Bank
  • Understand the basic principles of histology with application to the basic pathology and organ systems
  • Demonstrate basic microscopy skills in the areas of hematology, bacteriology and tissue pathology
  • Develop an appreciation for the interface between laboratory science and clinical medicine
  • Be able to assist in autopsy, surgical pathology and cytopathology
  • Participate with pathologists during performance of frozen sections
  • Have a basic understanding of immunohematology including ABO and Rh typing, transfusion reaction patterns and their evaluation and guidelines for blood product usage
  • Demonstrate a basic understanding of microbiology including specimen processing, gram staining, bacterial identification and antimicrobial susceptibility testing
  • Understand the basic principles of clinical hematology including perpheral blood/body fluids smear review, bone marrow evaluation and coagulation studies
  • Participate with pathologists in review and interpretation of electrophoresis studies including hemoglobin electrophoresis, serum protein electrophoresis and immunofixation

Methods of Evaluation: Pass/Fail.  During the rotation, the student is expected to select an interesting pathology case for in-depth study and give a 15 minute case presentation to the pathologists at the conclusion of the rotation.

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Emergency Medicine: HM 630

Prerequisite:   Open only to fourth year medical students.

This elective introduces the principals, practice, and procedures of Emergency Medicine. Upon completion of this rotation, students will have acquired a basic approach to the undifferentiated patient, with an emphasis on identifying or excluding emergent and urgent conditions. They will have opportunities to increase their proficiency with many of the following procedures commonly carried out in the ED: starting peripheral IV lines, placing splints, suturing, I&D of soft tissue skin abscesses, pelvic examinations, placement of Foley catheters, and lumbar puncture; other procedures may be available on a less consistent basis. Guidance will be provided on how to perform a problem-focused history and physical, generate a differential diagnosis including urgent and emergent conditions, and then generate a management plan and follow-through on this plan until appropriate final patient disposition has been made. Students will also gain an understanding of how the ED interacts with other departments and specialties. Student patient care will be supervised by Emergency physicians with a faculty appointment in the College of Human Medicine.

This clinical exposure will total 120 hours during the rotation (e.g. 15 eight hour shifts or 12 ten hour shifts), with exceptions made for campuses with very low clinical volumes, to allow for an adequate number of patient exposures. Clinical hours may include one or two “tech” shifts during which students will focus on performing basic procedures (IV, Foley, EKG, cardiac monitoring, splinting) under the supervision of ancillary staff; students will be required to maintain a procedure log.

 Upon completion of the elective the student will:

  • Demonstrate a basic understanding of pre-hospital emergency medical services and how they interface with hospital departments
  • Understand the basic principles of emergency wound care and demonstrate appropriate closing technique
  • Demonstrate a sound approach to the patient presenting with chest pain, abdominal pain and headache including an appropriate differential diagnosis, diagnostic and therapeutic plan for each
  • Demonstrate a competent approach to the febrile child, including an appropriate differential diagnosis, diagnostic and therapeutic plan
  • Understand the emergency evaluation and treatment of both minor musculoskeletal injury as well as major trauma and shock

Methods of Evaluation: Pass/Fail.  Students will be assigned selected readings from an introductory textbook in Emergency Medicine (Mahadevan and Garmel). They will also be provided patient case scenarios with questions associated with the assigned reading that will be reviewed in small discussion groups facilitated by an attending or upper level resident. There will be a minimum of six hours of such student-oriented didactic teaching during the rotation.

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Research: HM 691

Prerequisite:   None.  The elective is also available to students from other institutions.

The focus of this elective is the development and, if possible, execution of a relatively independent research project as a means of understanding the entire research process in depth. The course will also stress the integration of research into medical practice. Appropriate readings and periodic discussions will be used to augment the guided project development effort. Michigan State University students who have completed the third year research curriculum may use this course to further enhance their skills.  The final goal of this elective is to finish and publish one paper in a peer-reviewed journal.

Upon completion of the elective the student will:

  • Be able to search the research literature efficiently and use the literature to frame a research project
  • Understand the process of experimental design and recognize the importance of research design in the success of a project
  • Be able to determine appropriate statistical analysis techniques for the most widely used experimental designs
  • Be able to plan and carry out a research project from concept development through data analysis and report writing
  • Understand and appreciate the complexities of both cost-benefit and ethical issues in research
  • Develop an appreciation for the entire research process and the planning/coordination it entails

Methods of Evaluation: Pass/Fail. 

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

MRC – Internal Medicine Electives

Hematology-Oncology: MED 609

Prerequisite:  Fourth year medical students who have successfully completed their Internal Medicine clerkship (MED 608) or its equivalent.

Students are assigned to a clinical hematology-oncology service and round daily with staff oncologist and possibly a resident. An approach to the comprehensive management of the cancer patient with multiple medical problems is stressed. Students work up and manage hematologic and malignant disorders, perform procedures and have the opportunity for blood smear and bone marrow review.

This elective is designed to:

Provide the student with the opportunity to become proficient in the comprehensive evaluation/physical exam skills for new patients with hematologic or oncologic disorders

Enhance familiarity with the interpretation of laboratory, procedural and diagnostic data as it relates to hematologic or oncologic diseases

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Cardiology: MED 611

Prerequisite:  Fourth year medical students who have successfully completed their core Internal Medicine clerkship (MED 608) or its equivalent.

Students are assigned to a Consultation Cardiology Service and are involved in the management of acute and chronic cardiology problems. The rotation includes time spent on both the invasive and non-invasive cardiovascular units and exposure to transvenous pacemaker insertion. Daily rounds are made in conjunction with both the resident and cardiologist. Students also attend a weekly cardiology conference.

Upon completion of the elective the student will:

  • Be proficient in the comprehensive evaluation/physical exam skills for new patients with cardiac disorders
  • Be familiar with the interpretation of laboratory, procedural and diagnostic data as it relates to cardiac diseases

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Dermatology: MED 613

Prerequisite:  Fourth year medical students who have successfully completed their Internal Medicine clerkship (MED 608) or its equivalent.

This elective will provide students the opportunity to examine patients under the direction of an office physician.  The student will perform a physical examination and will be expected to learn the basic techniques for examination of the cutaneous system.  The student will have the opportunity to learn classification of skin diseases and understand the basic principles of diagnosis and treatment; and if the opportunity permits the student will be exposed to therapeutic modalities of treatment.  The student will be exposed to outpatient surgery of skin tumors.

Upon completion of the elective the student will:

  • Have an introduction to the diagnosis and treatment of dermatologic diseases
  • Obtain first hand knowledge of the significance of skin biopsy and histopathological interpretation of clinical pathological relationships
  • Be familiar with the classification of dermatologic diseases useful in diagnosis and patient treatment
  • Have a better understanding of the relationship of dermatology in general medicine

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Pulmonary Medicine: MED 614

Prerequisite:  Fourth year medical students who have successfully completed their Internal Medicine clerkship (MED 608) and Basic Surgery Clerkship (SUR 608) or its equivalent

Students are assigned to a pulmonary service and participate in daily rounds with the resident and pulmonologists. Treatment of acute pulmonary infection and care of the critical care patient with multiple medical problems are covered. Students also assist in procedures such as chest tube insertion, central line insertion and endotracheal intubation.

Upon completion of the elective the student should:

  • Be proficient in the comprehensive evaluation/physical exam skills for new patients with pulmonary disorders
  • Be familiar with laboratory, procedural and diagnostic data as it relates to pulmonary diseases

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Gastroenterology: MED 615

Prerequisite:  Fourth year medical students who have successfully completed their Internal Medicine clerkship (MED 608) or its equivalent.

Students are assigned to a Gastroenterology service and round daily with the gastroenterologist and possibly a resident. Exposure to both primary and consultative gastroenterology cases is included. Students also attend the endoscopy suite and may be given the opportunity to participate in endoscopies.

Upon completion of the elective the student should:

  • Be proficient in the comprehensive evaluation/physical exam skills for new patients with gastrointestinal disorder
  • Be familiar with the interpretation of laboratory, procedural and diagnostic data as it relates to gastrointestinal diseases

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Infectious Disease: MED 618

Prerequisite:  Fourth year medical students who have successfully completed their Internal Medicine clerkship (MED 608) or its equivalent.
Students are assigned to an infectious disease specialist, work up consultations and round daily with an attending physician. Students will become comfortable with managing common infections seen in the inpatient setting. They will also hone their differential diagnosis skills to identify uncommon and rare infections seen in the inpatient setting.

Upon completion of the elective the student will:

  • Be proficient in the comprehensive evaluation/physical exam skills for new patients with infectious diseases
  • Be familiar with the interpretation of laboratory, procedural and diagnostic data as it relates to infectious diseases

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Rheumatology: MED 627

Prerequisite:  Fourth year medical students who have successfully completed their Internal Medicine clerkship (MED 608) or its equivalent.
The student is assigned to a rheumatology service and evaluates new consults and manages chronic patients in both the hospital and ambulatory settings. Areas covered include the approach to the patient with monoarthritis and polyarthritis; recognition, evaluation and initial management of rheumatoid arthritis, SLE, PSS, MCTD, spondyloarthropathies, vasculitides and crystal induced disease; the physical exam related to rheumatologic problems; and radiologic and laboratory interpretation of common rheumatologic problems.

Upon completion of the elective the student should:

  • Be proficient in the comprehensive evaluation/physical exam skills for new patients with rheumatologic disorders
  • Be familiar with the laboratory, procedural and diagnostic data as it relates to rheumatologic problems

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Advanced Internal Medicine/Critical Care: MED 628

Prerequisite:  Fourth year medical students who have successfully completed their Internal Medicine clerkship (MED 608) or its equivalent.

Students function as an intern-equivalent on a critical care team in conjunction with a resident and attending physicians. Students round daily with the critical care team and have the opportunity to perform procedures common to the critical care unit. Call is strongly suggested.

Upon completion of the elective the student will:

  • Be proficient in the comprehensive evaluation/physical exam skills for a critically ill hospitalized patient
  • Be familiar with the interpretation of laboratory, procedural and diagnostic data as it relates to critically ill patients

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Advanced Internal Medicine/Sub-I: MED 628

Prerequisite:  Fourth year medical students who have successfully completed their Internal Medicine clerkship (MED 608) or its equivalent.

Students function as an intern equivalent on a general internal medicine service, and senior residents and attending physicians supervise the students as they manage patients throughout their hospitalization. Students attend morning report, teaching rounds and conferences in accordance with the internal medicine curriculum.

Upon completion of the elective the student will:

  • Function as an intern equivalent on a hospital ward team

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Advanced Internal Medicine/Outpatient: MED 628

Prerequisite:  Fourth year medical students who have successfully completed their Internal Medicine clerkship (MED 608) or its equivalent.
This elective offers the student an opportunity to refine diagnostic and intervention skills in general internal medicine as supervised in an outpatient setting by assuming increased management responsibilities (compared to those assumed in the required clerkship) for a small number of patients.  The experience is somewhat variable and could include some exposure to Geriatrics upon special request.

Upon completion of the elective the student will:

  • Perform a comprehensive work-up of new patients
  • Demonstrate effective problem solving, planning and follow up
  • Establish good doctor/patient relationships and concern for patient interests
  • Demonstrate appropriate use of consultants and allied health personnel
  • Demonstrate a willingness to give and receive constructive criticism
  • Use appropriate medical literature

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

MRC – Neurology Electives

Neurology: NOP 617

Prerequisite:  Fourth year medical students who have successfully completed their Internal Medicine clerkship (MED 608) or its equivalent.

This elective is offered primarily in the outpatient setting, although in-hospital consultations may be included. Review of the neurologic examination and discussion of common neurological problems are covered. The student also has the opportunity to become familiar with electromyography, electroencephalography, magnetic resonance imaging and CT scanning through affiliated hospital services. Special projects may be arranged based on individual student interests.

Upon completion of the elective the student will:

  • Be proficient in the comprehensive evaluation/physical exam skills for new patients with neurological disorders
  • Be familiar with the interpretation of laboratory, procedural and diagnostic data as it relates to neurological diseases

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

MRC – Obstetrics & Gynecology Electives

Advanced Gynecology: OGR 609

Prerequisite: Open only to fourth year medical students who have successfully completed their OGR 608 clerkship.

This clinical elective will allow the student to follow a specific preceptor in the private office and/or hospital clinic setting including surgery. Students will have the opportunity to participate in specialized Gyn procedures and to learn about private practice by working directly with a Gyn practitioner.  Students are encouraged to attend weekly Gyn lectures and seminars whenever possible.  Some call required. May include maternal and fetal medicine.

Upon completion of the elective the student will:

  • Gain in-depth experience in the management of the gynecological patient in private office settings
  • Develop basic clinical skills related to the care of female patients
  • Recognize high risk and complex gynecological patients
  • Be exposed to common gynecological problems both surgical and non-surgical
  • Have observed specialized gyn procedures, as available

Methods of Evaluation: Pass/Fail.  Completion of a patient log and written or oral presentation relative to an elective topic that is mutually agreed upon by the student and his/her elective preceptor.

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Advanced Obstetrics: OGR 614

Prerequisite: Open only to fourth year medical students who have successfully completed their OGR 608 clerkship (or its equivalent)
Additional exposure to Obstetrics in the preceptor mode.  Participation in ambulatory and inpatient obstetrical care, including surgery.  Some call required. May include maternal-fetal medicine.  The student will gain in‐depth experience in the management of obstetrical patients in a community hospital setting.

Upon completion of the elective the student will:

  • The student will further develop basic clinical skills related to the care of female patients.
  • The student will learn to recognize high risk and complex obstetrical patients.
  • The student will have frequent exposure to common gynecological problems both surgical and nonsurgical.
  • The student will gain experience in the total care of postpartum patients.

Methods of Evaluation: Pass/Fail.  Completion of a patient log and written or oral presentation relative to an elective topic that is mutually agreed upon by the student and his/her elective preceptor.

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

MRC – Pediatrics & Human Development

Pediatrics/Human Development – Inpatient: PHD 601

Prerequisite:  Open only to fourth year medical students who have successfully completed their PHD 600 clerkship.
Students taking this elective will function as intern equivalents, in terms of patient assignments and on call responsibilities.  Supervision will be provided by supervising pediatric faculty and family medicine residents assigned to the inpatient service.

Upon completion of the elective the student will:

  • Become familiar with the approach to diagnosis and management of an acutely ill and hospitalized child, with greater responsibility for critical thinking about the evaluation and management plan
  • Understand appropriate use of laboratory, radiology and other ancillary services.
  • Be responsible for ongoing updating of management plans for individual patients critical review of the pediatric literature as it relates to patients assigned to the student.

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Pediatrics/Human Development – Ambulatory: PHD 602

Prerequisite:  Open only to fourth year medical students who have successfully completed their PHD 600 clerkship.

This elective will offer the student an opportunity to expand upon the ambulatory aspects of the Pediatric clerkship and to attain a measure of independence and responsibility beyond that possible during the required clerkship. The elective offers outpatient experiences under the supervision of pediatric faculty members and will have an emphasis on history and physical examinations, comprehensive differential diagnosis, and the deductive development of a diagnostic and therapeutic plan for management of patients.

Upon completion of the elective the student will be familiar with:

  • Community resources available to children and their families.
  • Problem solving techniques and management of community resources.
  • Delivery of infant and child health care in a physician’s office (includes physical exam, acute and chronic illness).
  • Rationale and content of child health supervision visits.

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

MRC – Psychiatry Electives

Psychiatry - Adult: PSC 609

Prerequisite:  Open only to fourth year medical students who have successfully completed their PSC 608 clerkship.

This elective will expand the introductory psychiatric experience and will provide students with the opportunity to participate in the in‐depth care of patients.  The experience is designed either for students who are planning to enter clinical fields other than Psychiatry or for those students who are interested in Psychiatry and wish to gain further experience before deciding on their specialization.

This elective will allow the student an opportunity:

  • To obtain further experience in the diagnosis, management and care of acutely ill psychiatric patients.
  • To improve skills in interviewing and to facilitate interaction with patients.
  • To increase acuity in clinical judgment.
  • To acquire additional skills in utilization of psycho‐tropic medication.
  • To become acquainted with the facilities and personnel available for the care and treatment of a hospitalized psychiatric patient, such as, Occupational Therapy, Recreational Therapy, and Social Services

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Psychiatry - Child: PSC 610

Prerequisite:  Open only to fourth year medical students who have successfully completed their PSC 608 clerkship.

This elective will offer students experience in the evaluation, management and treatment of emotionally disturbed children and their families. The student could be exposed to either inpatient or outpatient experiences and will have the opportunity to attend and participate in teaching sessions and seminars. This elective is designed for students planning to enter either Psychiatry or fields of clinical specialty other than Psychiatry, particularly Pediatrics and/or Family Practice.

This elective will allow the student an opportunity:

  • To obtain experience in the delivery of care to emotionally disturbed children and their families.
  • To improve skills in interviewing, diagnosis and interaction with children and their families.
  • To increase acuity in clinical judgment.
  • To gain experience in the concept of working collaboratively with Psychologists, Social Workers, Nurses and volunteers in the evaluation and management of patients and their families.
  • To become further acquainted with some of the basic rationale and methods utilized in child psychiatry.

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

MRC – Radiology Electives

Radiology - Diagnostic: RAD 609 

Prerequisite: Only open to Fourth Year Medical Students.

This elective includes an overview of diagnostic imaging procedures and interpretation. Emphasis is placed on understanding the indications, contra-indications, limitations and complications of various imaging studies. Students are assigned to a hospital radiology service and spend time with the staff radiologists. Time is also spent in image review, in file case review and reading.

Upon completion of the elective the student will:

  • Be familiar with imaging procedures, including indications, limitations and possible complications
  • Be familiar with the development of appropriate algorithms or decision steps in applying imaging procedures to the solution of clinical problems

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

MRC – Surgery Electives

Otolaryngology:  SUR 609 

Prerequisite:  Open only to fourth year medical students who have successfully completed their Required Junior Surgery Clerkship (SUR 608).

This elective will provide the student with insight into what an Otolaryngologist does in evaluating and treating patients. The student will gain experience in head and neck examination and will be able to treat common problems that relate to Family Practice, Pediatrics, or Internal Medicine. The student will observe and/or practice skills in tracheotomy and myringotomy techniques, suturing, x‐ray interpretation (sinuses, nasopharynx, laryngopharynx) and placement of anterior and posterior nasal packs. Opportunities will be provided for students to see patients in an initial evaluation and in follow-up. The student will develop judgments concerning the proper time for patient referral to Otolaryngologists.

Upon completion of the elective the student will:

  • Gain experience in history and physical examination as it relates to otoscopy, rhinoscopy, indirect laryngoscopy and head and neck examination.
  • Learn to recognize and treat otolaryngologic emergencies.
  • Be introduced to common otolaryngologic disorders, the current knowledge concerning diagnosis and treatment, and sources of new information concerning these disorders.
  • Observe and assist in surgical procedures related to otolaryngology.

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Urology:  SUR 611 

Prerequisite: Open only to fourth year medical students who have successfully completed their Required Junior Surgery Clerkship (SUR 608).

This elective is designed to demonstrate clinical manifestations of genitourinary disease, investigate methods and techniques of diagnosis and management and provide the student with familiarity of urologic emergencies.  The student will have the opportunity to perform basic urologic skills during the elective and will become familiar with the interpretation and indication of urologic disease problems.  The student will become proficient in the physical examination of rectums and prostate and the rest of the GU tract. 

Upon completion of the elective the student will:

  • Observe and participate in the pre-operative evaluation, surgical management and postoperative care of urologic patients
  • Increase his/her skills in interviewing and examining patients with urologic disorders
  • Increase his/her clinical judgment in urology, selection of diagnostic tests and common ward procedures as they pertain to the urologic patient.

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Sub-Internship:  SUR 612 

Prerequisite: Open only to fourth year medical students who have successfully completed their Required Junior Surgery Clerkship (SUR 608).

This elective is designed to familiarize the student with a broad range of surgery including trauma, nutrition, critical care, GI, endocrine, breast, oncology, and vascular procedures. The pathophysiology, pre-operative evaluation and post-operative management of problems are stressed.

Upon completion of the elective the student will:

  • Understand the approach to the preoperative and postoperative management of the surgical patient
  • Have an increased understanding of the pathophysiology of surgical disease
  • Have an increased understanding of ambulatory surgical care
  • Develop greater experience and independance managing the surgical patient

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Orthopedic:  SUR 613 

Prerequisite:  Open only to fourth year medical students who have successfully completed their Required Junior Surgery Clerkship (SUR 608).

This clerkship is designed to provide an understanding of the broad scope of orthopedics with emphasis placed on diagnostic and management skills including emergencies.  The student will be given an understanding of orthopedics and trauma, a basic understanding of pathophysiology of common orthopedic problems, how to identify the problems, and initiate good treatment.  This elective will offer students exposure to musculoskeletal injuries and reconstructive surgery.  The student will assist on a variety of orthopedic procedures with subsequent post-operative follow-up.  Attempts are made to tailor the orthopedic experience, to maximize the student’s exposure to possible future areas of endeavor.  Includes both house and home call and daily rounding on patients (including weekends when scheduled for call).

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Neurosurgery:  SUR 614

Prerequisite: Open only to fourth year medical students who have successfully completed their Required Junior Surgery Clerkship (SUR 608).

Students will gain a general familiarity with the field of neurosurgery and develop an understanding of the contribution neurosurgery makes to medicine in general.  The elective will expand the neurosurgery experience and give the student considerable responsibility in neurosurgical areas.  The student will perform general and neurological examinations on patients admitted to the neurological service of instructive value or those designated by staff and the student will make daily rounds on his/her patients.  The student may have the opportunity to research literature and present an appropriate subject during conference. Students may attend periodic conferences with other medical staff to discuss pertinent literature and patient problems which they are involved in.  An emphasis will be given to problem solving approach for handling neurological problems.

Upon completion of the elective the student will:

  • Be able to evaluate the pre-operative patient in both the physical and psychological status, and be able to determine whether the procedure is an elective or acute emergency
  • Be able to intubate most children and adults
  • Be able to describe the anatomy and physiology involved in the intubation and the techniques used for intubation
  • Be able to monitor patients under anesthesia, recognize cardiac arrests and institute basic CPI techniques
  • Be able to describe open, closed, and semi-closed anesthetic systems

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Thoracic:  SUR 616

Prerequisite: Open only to fourth year medical students who have successfully completed their Required Junior Surgery Clerkship (SUR 608).

This elective is designed to introduce the student to patients with cardiac and thoracic diseases and to observe the management of patients before and after surgery.  This will consist of performing history and physical examinations and recognition of symptoms and signs of the disease process.  The student will understand the logical protocol for necessary lab tests, special procedures, etc. for complete evaluation of the patient.  The student will have the opportunity to review pulmonary and cardiovascular anatomy and physiology at the beginning and throughout the elective.  The student will come to understand the principles and use of cardiovascular bypass and should be able to continue improving his/her basic clinical and surgical skills utilizing these opportunities during this elective.

Upon completion of the elective the student will:

  • Have gained a clinical working knowledge of cardiac and thoracic disease processes and their management
  • Have gained exposure to surgical procedures related to cardiothoracic surgery and become aware of postoperative management of patients
  • Become familiar with pre and post-operative care of thoracic and cardiovascular surgical patients
  • Become acquainted with the use of reliability, interpretation of results, risks and complications of diagnostic modes frequently used in thoracic and cardiovascular surgery

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Anesthesia:  SUR 618

Prerequisite: Open only to fourth year medical students who have successfully completed their Required Junior Surgery Clerkship (SUR 608).

This elective will serve as an introduction to the more common anesthetic agents, and survey drugs and anesthetic techniques.  The experience of preoperative evaluation of the physicial and psychosocial status of patients is a primary importance in the clerkship.  Every student will be able to evaluate each of the patients under the care of the teaching anesthesiologist and present in writing his plan of management for the patients.  The student will perform anesthetic procedures under the immediate supervision of the attending anesthesiologist and following surgery, he/she will follow these patients through their progress notes. 

Upon completion of the elective the student will:

  • Be able to evaluate the preoperative patient in both the physical and psychological status, and be able to determine whether the procedure is an elective or acute emergency
  • Be able to intubate most children and adults
  • Be able to describe the anatomy and physiology involved in the intubation and describe the techniques used for intubation
  • Be able to describe the anatomy and physiology involved in the intubation and describe the techniques used for intubation
  • Be able to monitor patients under anesthesia, recognize cardiac arrests and institute basic CPI techniques
  • Be able to describe open, closed, and semi-closed anesthetic

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Cardiovascular:  SUR 619 

Prerequisite:  Open only to fourth year medical students who have successfully completed their Required Junior Surgery Clerkship (SUR 608).

This elective is designed to familiarize the student with the basic principles and techniques of cardiovascular surgery.  Cardiac and pulmonary physiology are strongly emphasized and students receive extensive exposure to the cardiac surgical intensive care unit.  Students should learn the indications for referral to cardiothoracic surgery.

Upon completion of the elective the student should:

  • Be familiar with the management of patients in a cardiac surgical intensive care setting
  • Understand the approach to the pre-operative evaluation and preparation of a patient for cardiac surgery
  • Have increased knowledge of cardiac and pulmonary physiology
  • Have gained practical experience with invasive hemodynamic monitoring

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.

Colon/Rectal:  SUR 619 

Prerequisite:  Open only to fourth year medical students who have successfully completed their Required Junior Surgery Clerkship (SUR 608).

The elective clerkship in Colon and Rectal Surgery will carry an emphasis on data collection, physical examination, and problem formulation, as related to colon and rectal disease. Involvement in special techniques, examination, and attendance at surgical procedures are important aspects of this experience.  The continuous experience in ambulatory patient care is an essential component.

Methods of Evaluation: Pass/Fail

When Offered:  Fall, Spring and Summer semesters, depending on the availability of faculty.