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OFFICE OF STUDENT AFFAIRS 655 W. Baltimore Street, M-004 Baltimore, MD 21201 Phone: (410) 706-7476 Fax: (410) 706-8311

SENIOR ELECTIVES CATALOG 2007-2008

UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE

Updated 10/22/07


CONTENTS Department

Prefixes

Pages

Anesthesiology

ANES

3

Dermatology

DERM

5

Emergency Medicine – Mercy Medical Center

EMER

7

Epidemiology & Prev. Medicine

PREV

11

Family Medicine

FAPH

15

Cardiology

CARD

19

Endocrinology

ENDC

26

Gastroenterology

GAST

30

Hematology

HEMA

33

Infectious Disease

INFE

36

Rheumatology/Clinical Immunology

MEDC

41

Hypertension

MEDC

43

Internal Medicine – St. Agnes

MEDC

45

Ambulatory – Franklin Square

MEDC

46

Geriatrics - VA

MEDC

47

Geriatrics – Union Memorial

MEDC

48

Internal Medicine – MD General

MEDC

49

Geriatrics – Franklin Square

MEDC

50

Nuclear Medicine – Franklin Square

MEDC

51

Critical Care

MCCU

52

ICU – Critical Care

MICU

54

Nuclear Medicine – St. Agnes

MICU

55

Nephrology

NEPH

56

Medicine

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Consultative Medicine

NCID

59

Oncology

ONCO

61

Pulmonary Disease

PULM

63

Rehabilitation

REHB

67

Neurology

NEUR

68

Neurosurgery

NSUR

70

Obstetrics-Gynecology

OBST

71

Ophthalmology

OPTH

79

Orthopaedics

OSUR

80

Pathology

PATH

81

Pediatrics

PEDI

87

Physiology

MPHY

102

Psychiatry

PSYH

104

Radiology (Diagnostic)

RADL

115

Trauma / ICU

GSUR

127

Minimally Invasive Surgery

GSUR

128

Surgical Research

GSUR

129

Plastic Surgery

PLAS

130

Trauma Plastic Surgery

TPSR

131

Cancer Care

TSUR

132

Urologic Surgery

USUR

134

Longitudinal Individualized Research

RSCH

135

Longitudinal Individualized Clinical

SPCL

136

Physician Scientist Clinical Elective (MD/PhD)

PSCL

137

Medical Spanish

SPAN

139

Surgery

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ANES 541-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Anesthesiology

TITLE OF COURSE:

Anesthesiology at University of Maryland Medical Systems (UMMS)

DESCRIPTION AND GOALS OF COURSE: 1) Active, "hands-on", clinical participation, to provide broad insight into the practice of anesthesiology and the background and relevancy to virtually all aspects of patient care. 2)

To demonstrate the functions of this specialty in preoperative evaluation, intraoperative management and post anesthesia care as well as consultation services in pain management and respiratory care.

3)

To develop and cultivate an understanding of the significance and application of the basic sciences in this branch of medical practice.

The time devoted to each aspect of the specialty will be individualized to meet the career goals of each student. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

3

Location:

University of Maryland Hospital/VA

Time of Year Available:

Academic weeks 5-44 - University of Maryland

Faculty Responsible:

Sheryl Nagle, M.D. and Anesthesiology Staff (410) 328-6120

Contact Person:

Mrs. Maria Purcell 22 S. Greene Street, Room S8B12 Baltimore, MD 21201 Phone: (410) 328-1239 Fax: (410) 328-0546 E-mail: mpurcell@anes.umm.edu

Prerequisites:

None Scrubs are required

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ANES 542-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Anesthesiology

TITLE OF COURSE:

Pain Management Center at UMMS

DESCRIPTION AND GOALS OF COURSE: Pain is among the most common complaints motivating patients to seek medical care. Despite this fact, ample data demonstrates that pain complaints are often inadequately treated. This elective will offer students broad exposure to strategies and techniques employed in pain management. Such experience would be valuable to students entering either primary care or medical/surgical subspecialties. 1.

At the University of Maryland Pain Management Center, students will participate in the evaluation and management of patients with chronic pain syndromes. In this multi disciplinary center, physicians, psychologists, physical therapists and nursing work collaboratively to address the needs of these patients.

2.

Students will participate in daily morning rounds on the Acute Pain Management Service. This consult service assists in the management of hospitalized patients with particularly challenging post operative and/or medical pain syndrome. Students will become familiar with the appropriate use of opioids in pain management. Adjunctive pain medications such as antidepressants and anticonvulsants will be reviewed in detail.

3.

Students will also get exposure to a range of interventional techniques used in pain management including a wide variety of nerve blocks, spinal cord stimulation and intrathecal drug delivery.

Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

1

Location:

University of Maryland Hospital, University of Maryland Pain Management Center at The James Lawrence Kernan Hospital (2200 Kernan Drive)

Time of Year Available:

Academic weeks 9 - 49

Faculty Responsible:

Dr. Joel Kent (410) 448-6622

Contact Person:

Mrs. Maria Purcell 22 S. Greene Street, Room S8B12 Baltimore, MD 21201 Phone: (410) 328-1239 Fax: (410) 328-0546 E-mail: mpurcell@anes.umm.edu

Prerequisites:

None

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DERM 541-01

SITE:

University of Maryland Outpatient Facility and Hospital

DEPARTMENT:

Dermatology

TITLE OF COURSE:

Dermatology

DESCRIPTION AND GOALS OF COURSE: Emphasis in this course will be made on the methods of diagnosis and treatment of conditions in which skin eruptions play a major role. Both outpatient and inpatient dermatological cases will be studied. Constant reference will be made to the relationship of cutaneous lesions to systemic disease. The student who elects dermatology will participate in the clinic and some of the seminars held for the residents each day. Opportunity will also be afforded to study the laboratory procedures used in this specialty and any current research. A brief oral presentation (on a topic of the student's choosing) and a final examination are required. Duration:

4 weeks

Hours of Participation:

8 hours (Whole day) 8:00 a.m. - 5:00 p.m.

The morning will be spent at the University of Maryland Outpatient Facility and Hospital. The mid-day (11:30 to l:30) will be assigned in various conferences. Afternoon sessions are spent in the Dermatology clinic of the Veterans Affairs Medical Center or on the in-patient Dermatology Consult Service. Those who elect this course may attend the monthly clinical session of the Maryland or D.C. Dermatological Societies as guests of the University of Maryland. Number of Students:

2

Location:

405 W. Redwood St, 6th Floor

Time of Year Available:

Year Round

Faculty Responsible:

Anthony Gaspari, M.D. (410) 328-5766

Contact Person:

Roni Williford 405 W. Redwood Street, 6th Floor Phone: (410) 328-5766 Fax: (410) 328-0098

Prerequisite:

Junior Internal Medicine Rotation

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DERM 541-02 SITE:

University of Maryland Outpatient Facility and Hospital

DEPARTMENT:

Dermatology

TITLE OF COURSE:

Advanced Dermatology

DESCRIPTION AND GOALS OF COURSE: During this elective the student will plan an in-depth experience focusing on one or two of the Dermatology subspecialties such as dermatopathology, immunohistochemistry, immunofluorescence, dermatological surgery, occupational or cutaneous environmental dermatology, or individual research. During the course a comprehensive report of one of the above subjects will be made by the student. As a prerequisite students enrolled should have completed their required third year course in an exemplary manner. Duration:

4 weeks

Hours of Participation:

8 hours (Whole day) 8:00 a.m. - 5:00 p.m.

The morning will be spent at the University of Maryland Outpatient Facility and Hospital. The mid-day (11:30 to l:30) will be assigned in various conferences. Afternoon sessions are spent in the Dermatology clinic of the Veterans Affairs Medical Center or on the in-patient Dermatology Consult Service. Those who elect this course may attend the monthly clinical session of the Maryland or D.C. Dermatological Societies as guests of the University of Maryland. Number of Students:

1-2 (variable dependent upon faculty availability)

Location:

405 W. Redwood St, 6th Floor

Time of Year Available:

Year Round

Faculty Responsible:

Variable – dependent upon subspecialty chosen Anthony Gaspari, M.D., Chairman & Program Director (410) 328-5766

Contact Person:

Roni Williford 405 W. Redwood Street, 6th Floor Phone: (410) 328-5766 Fax:

(410) 328-0098

Prerequisite: Junior Internal Medicine Rotation This elective MUST be approved and coordinated directly with a faculty member BEFORE A STUDENT CAN REGISTER FOR THE ADVANCED ELECTIVE. STUDENTS MUST HAVE A SPONSORING FACULTY BEFORE THEY ARE ABLE TO REGISTER FOR THIS ELECTIVE. Which faculty member will depend upon the dermatology specialty in which the student is interested, ie dermatoimmunology, dermatopathology, etc. Students interested in this elective must first contact the department so that we know exactly what they want to do and determine when and if a faculty member is available to supervise the student.

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EMER 543-28

SITE:

Bon Secour Hospital

DEPARTMENT:

Emergency Medicine

TITLE OF COURSE:

Emergency Medicine at BSH (Bon Secour Hospital)

DESCRIPTION AND GOALS OF COURSE: Students will participate in the care of medical and surgical patients in a high acuity inner city community hospital. Students will receive one on one teaching and supervision from emergency medicine attendings with faculty appointments in the University of Maryland Department of Surgery/Division of Emergency Medicine. Students will gain hands on experience in the diagnosis and management of a variety of acute patient presentations including cardiac, asthma, overdoses, stroke, seizures, minor and major trauma, lacerations, GI bleeding, complications of intravenous drug use, common gynecological and urologic problems. Students will have the opportunity to gain technical experience in placing IVs and drawing bloods. ABGs, lumbar punctures, splinting, abscess I & D suturing lacerations, NGT and foley placement, EKG and x-ray interpretation. Students will attend Grand Rounds, conferences and lectures by the University of Maryland Division of Emergency Medicine. Students will participate in special labs (suture and cadaver) at University of Maryland. In addition pre-hospital emergency care exposure will be gained from scheduled rides with paramedics and EMTs. Duration:

4 weeks

Number of Students:

2

Hours of Participation:

Full time

Time of Year Available:

Academic weeks 1-44

Contact Person:

Nina VanCleave nvancleave@smail.umaryland.edu 110 South Paca Street 6th Floor, Suite 200 Phone: (410) 328-8025 Fax: (410) 328-8028

Prerequisites:

Junior Internal Medicine and Surgery Clerkships

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EMER 543-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Emergency Medicine

TITLE OF COURSE:

Emergency Medicine at UMMS

DESCRIPTION AND GOALS OF COURSE: The University of Maryland Emergency Department is the main clinical site for the Department of Emergency Medicine. The core emergency medicine experience for students at The University of Maryland School of Medicine is centered on this rotation. University of Maryland Emergency Medicine Faculty in the Department of Emergency Medicine at The University of Maryland School of Medicine work one on one with students and are directly responsible for teaching medical students. Students will be exposed to a variety of acute and urgent medical and surgical problems and will learn how to assess, stabilize, and diagnose the patient with undifferentiated complaints. Students will be exposed to all types of patient problems, including medical, surgical, obstetric and gynecological, and trauma. Students are supervised by Emergency Medicine faculty and residents. Students will receive a lecture series in the first week of the rotation and will have several lab experiences, including a cadaver procedure lab, simulation lab, suture lab, splint lab, and ultrasound lab. Students on emergency medicine rotations at other sites also receive this lab and didactic experience. Duration:

4 weeks

Hours of Participation:

Full-time, 15-8 hour shifts evenly distributed between days, evenings, and overnight shifts. Clinical schedule handed out during orientation.

Number of Students:

10

Location:

University of Maryland Hospital Emergency Department. Additional shifts at Maryland General and the Baltimore VAMC Emergency Departments.

Time of Year Available:

Academic week 1-44

Faculty Responsible:

Robert Rogers, M.D., FAAEM, FACEP, FACP (410) 328-8025 www.umem.org email: robrogers2@verizon.net

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Contact Person:

Nina VanCleave www.umem.org email: nvancleave@smail.umaryland.edu 110 South Paca Street 6th Floor, Suite 200 Phone: (410) 328-8025 Fax: (410) 328-8028

Prerequisites:

Internal Medicine and General Surgery Clerkships

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EMER 543-02 SITE:

Mercy Medical Center

DEPARTMENT:

Emergency

TITLE OF COURSE:

Emergency Medicine

DESCRIPTION AND GOALS OF COURSE: This rotation offers a unique and exceptional learning experience. Mercy’s emergency department is staffed by board certified emergency physicians who are faculty at the University of Maryland and as such are committed to excellence in teaching and research. The student is actively involved in the evaluation and treatment of adult patients in the emergency department. Students work under the direct supervision of attending physicians. Disease processes encountered are typical of emergency medicine spanning medical, surgical and gynecological emergencies. In addition to learning the management of a variety of urgent and emergent medical conditions, students will have the opportunity to learn many vital skills including intravenous access, incision & drainage, laceration repair, medical resuscitation, tube thoracostomy, central venous access, bed side ultrasonography, fracture splinting, joint dislocation reduction among others. Students attend the same lectures and labs (cadaver, splint, ultrasound, suture & simulation labs) as the UMMS EM rotation. The distinguishing features of this rotation include working each shift directly with a designated attending and exposure to the practice of emergency medicine in a community hospital setting that has strong academic affiliations. Duration:

4 weeks

Hours of Participation:

Full-time, 40 hours per week. Day and evening shifts and possibly 1 weekend (1-2 shifts). Schedule to be determined on the first day of elective.

Number of Students:

3

Location:

Mercy Medical Center

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Siamak Moayedi, M.D. Phone: (410) 332-9477 Fax: (410) 343-3235 Email: smoay001@yahoo.com

Website:

http://umem.org/res_student_mercy.php

Contact Person:

Nina VanCleave nvancleave@smail.umaryland.edu 110 South Paca Street, 6th Floor, Suite 200 Baltimore, MD 21201 Phone: (410) 328-8025 Fax: (410) 328-8028

Prerequisite Courses:

Internal Medicine and General Surgery Clerkships

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PREV 589-01

&

PREV 599-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Epidemiology and Preventive Medicine

TITLE OF COURSE:

Research Epidemiology & Preventive Medicine

DESCRIPTION AND GOALS OF COURSE: Students will work under the supervision of one or more faculty members on research projects pertaining to important public health problems. Possible areas of interest include cardiovascular disease, birth defects, medical informatics, and musculoskeletal disorders. The goal of the rotation is for students to become familiar with the essential elements of the conduct of epidemiological research from formulation of a research question through data analysis and interpretation. Details will be arranged individually with interested students. Duration:

PREV 589-01 = 4 or 8 weeks PREV 599-01 = Longitudinal

Hours of Participation:

Various

Number of Students:

2

Location:

Department of Epidemiology and Preventive Medicine

Time of Year Available:

Any time by arrangement

Faculty Responsible:

J. Rubin, M.D., MPH (410) 706-2864 E-mail: Jrubin@epi.umaryland.edu

Contact Person:

Becky Ramsing Academic Coordinator Howard Hall, Room 134 Phone: (410) 706-3338 Fax: (410) 706-4425 E-Mail: rramsing@epi.imaryland.edu Contact for permission to register

Prerequisites:

None

NOT OFFERED TO VISITING STUDENTS

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PREV 541-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Epidemiology and Preventive Medicine

TITLE OF COURSE:

Introduction to Public Health Practice

DESCRIPTION AND GOALS OF COURSE: Students will rotate in local, state, or federal public health agencies, where they will participate in activities pertaining to communicable disease control, environmental health, maternal and child health, mental health, or health care administration. There may be opportunities for work in health department clinics, exposure to legislative and regulatory procedures, and conduct shortterm research projects to study specific public health problems. Details will be arranged individually with interested students. Duration:

4 or 8 weeks

Hours of Participation:

8:30 am - 4:30 PM (approximately)

Number of Students:

2

Location:

Various

Time of Year Available:

Weeks - 9-12, 13-16, 17-20, 21-24, 29-32, 37-40

Faculty Responsible:

J. Rubin, M.D., MPH (410) 706-2864 E-mail: jrubin@epi.umaryland.edu

Contact Person:

Katherine Pazdernik Academic Coordinator Howard Hall, Room 134 Phone: (410) 706-3338 Fax: (410) 706-4425 E-Mail: Kpazdernik@epi.umaryland.edu Contact for permission to register

Prerequisites:

None

NOT OFFERED TO VISITING STUDENTS

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PREV 542-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Epidemiology & Preventive Medicine

TITLE OF COURSE:

Tropical Medicine & International Health

DESCRIPTION AND GOALS OF COURSE: The course will be given full time during July and August. It will be a combined lecture/seminar, laboratory demonstration and site visits of the major diseases of the developing world. Faculty from UMAB Medical School, Johns Hopkins School of Medicine, and the Johns Hopkins School of Hygiene and Public Health will stress the transmission, pathogenesis and control of selected viral, bacterial, fungal, and parasite infections of particular importance in the tropics. Seminars will touch upon nutrition, sanitation/water engineering and some of the socioeconomical aspects of health care delivery as well as the approach to clinical problem solving in the tropics. Laboratory sessions will introduce students to the diagnosis of parasitic infections and the identification of insect vectors. The course will be given at the Johns Hopkins School of Hygiene and Public Health. This course takes advantage of an 8-week course (July 6 through August), which is given to train physicians in tropical public health. Since Dr. Strickland teaches extensively in this course, our medical students are allowed to participate gratis. The student may take the course for the entire 8 weeks or for a shorter period. This course is an ideal mechanism to prepare a student for a professional experience in a developing country. They will learn about medical problems in developing countries, and meet faculty who have projects in developing countries. Duration:

8 weeks

Hours of Participation:

9:00 am - 4:00 PM

Number of Students:

10

Location:

Johns Hopkins School of Medicine

Faculty Responsible:

Dr. G. T. Strickland, (410) 706-7550

Time of Year Available:

Academic weeks 1-8

Contact Person:

Becky Ramsing Academic Coordinator Howard Hall, Room 134 Phone: (410) 706-3338 Fax: (410) 706-4425 E-Mail: rramsing@epi.umaryland.edu

Prerequisites:

None

NOT OFFERED TO VISITING STUDENTS

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PREV 545-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Epidemiology & Preventive Medicine

TITLE OF COURSE:

Health Problems in Developing Countries

DESCRIPTION AND GOALS OF COURSE: Students will be assisted in arranging 8-week electives working in Egypt. Dr. Strickland offers advice and suggestions and writes official letters to potential sponsors, which may be mission hospitals, medical university hospitals or ministry of health primary care providers. In addition, arrangements may be made for an 8-week elective working on one of his research projects on schistosomiasis or viral hepatitis in Egypt. Duration:

8 weeks

Hours of Participation:

Full-time

Number of Students:

2

Location:

Egypt

Time of Year Available:

Academic weeks 1 - 44

Faculty Responsible:

G.T. Strickland, UMAB (410) 706-7550

Contact Person:

Becky Ramsing Academic Coordinator Howard Hall, Room 103C Phone: (410) 706-3338 Fax: (410) 706-8013 E-Mail: rramsing@epi.imaryland.edu

Additional Comments:

Must receive approval from Dr. Strickland. The student may give an oral presentation or write a report on return from the elective. Evaluations will be requested from local preceptors.

Prerequisites:

None

NOT OFFERED TO VISITING STUDENTS

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FAPH 547-01 SITE:

University Family Medicine and Other Clinical Sites

DEPARTMENT:

Family and Community Medicine

TITLE OF COURSE: Family and Community Medicine Ambulatory Elective DESCRIPTIONS AND GOALS OF COURSE: 1. Receive in depth training and experience in seeing a broad breadth of patients commonly seen in family medicine 2. Develop a greater appreciation for the ways in which a family physician can help his/her community, e.g. outreach efforts to serve the underserved, making house calls, working in a drug rehabilitation center, and a medical clinic for the homeless. 3. Gain a greater appreciation of the versatile ways in which family physicians practice medicine, including sports medicine and low risk obstetrics for example 4. Experience the practice of family medicine under the tutelage of several community physician leaders who manage busy practices with high expertise. Students will also attend departmental learning activities, including AM morning report, Core and Grand Rounds. Duration:

4 weeks

Hours of Participation:

Full-time (Including rare evening hours)

Number of Students:

1

LOCATION: University Family Medicine and other sites, including: Tuerk House, Health Care for the Homeless, University of Maryland at College Park training room, and select family doctors practices in the community Time of Year Available:

Academic weeks

Faculty Responsible:

Richard Colgan, M.D.

Contact Person:

Richard Colgan, M.D. 29 So. Paca St Baltimore, Maryland 410- 328-3525 rcolgan@som.umaryland.edu

Prerequisites:

Completion of all third year clerkships

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FAPH 544-01

SITE:

University of Maryland at Kernan Hospital

DEPARTMENT:

Family Medicine - Complementary Medicine Program

TITLE OF COURSE:

Introduction to Complementary and Alternative Medicine (CAM)

DESCRIPTION AND GOALS OF COURSE: The purpose of the elective is to: 1. Provide an introduction to complementary and Integrative Medicine 2. Provide a basic understanding of each of the following complementary disciplines, Acupuncture, Mind-body medicine, Homeopathy, Herbal medicine, Manual medicine, Nutrition, Spirituality and Healing and Research issues related to complementary and alternative medicine. 3. Look at the evidence base for CAM 4. Evaluate the benefits and safety of CAM 5. Cultivate an increased awareness about the therapies in an objective and open minded way 6. Improve student’s ability to communicate with patients, colleagues, and CAM practitioners about CAM. 7. Gain clinical experience of CAM 8. Produce a research paper, such as a literature review, and present it to the class. Duration:

4 weeks

Hours of Participation:

Full time

Number of Students:

10

Location:

UMB: Complementary medicine program at Kernan Hospital Clinic. Private CAM practices within the area

Time of Year Available:

Academic weeks: 13-16 (Oct.1 - 28) and 28-32 (Jan.28 - Feb 24)

Faculty Responsible:

Maggie Covington, M.D.

Contact Person:

Maggie Covington, M.D. Phone: (410) 884-0303 or (410) 303-4400 Fax: (410) 884-0304 E-mail: memcornwell@comcast.net 2200 Kernan Drive Kernan Hospital Mansion Baltimore, MD 21207-6697

Prerequisites:

None

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FAPH 545-01

SITE:

University Family and Community Medicine and Kernan Hospital

DEPARTMENT:

Family and Community Medicine

TITLE OF COURSE:

Ambulatory Sports Medicine

DESCRIPTION AND GOALS OF COURSE: 1) Active clinical participation to provide broad insight into the practice of sports medicine and the nuances of caring for male and female athletes. 2) To demonstrate the functions of this specialty in on field management, preoperative evaluation, intraoperative management; post-surgical care and rehabilitation as well as preventative care of the injured athlete. 3) To develop and cultivate an understanding of the medical/ non-surgical management of illnesses encountered by athletes. 4) Participation in sports medicine conferences and case discussions. The time devoted to each aspect of the specialty will be individualized to meet the career goals of each student. Duration:

4 weeks

Hours of Participation:

Full-time (included evening and weekend game coverage)

Number of Students:

1

Location:

University Family and Community Medicine and University of Maryland Orthopedics at The James Lawrence Kernan Hospital and Texas Station; University of Maryland at College Park training room.

Time of Year Available:

Academic weeks 5-44 - University of Maryland

Faculty Responsible:

Yvette Rooks, M.D. and Craig Bennett, M.D.

Contact Person:

Yvette Rooks MD 410-328-5012 29 South Paca Street Baltimore Maryland 21201

Prerequisites:

Completion of all third year clerkships

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FAPH 546-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Department of Medicine

TITLE OF COURSE: Primary Care Sports Medicine Longitudinal Elective Description and Goals of Course: The 4th year medical student will be exposed to many aspects of sports medicine and musculoskeletal medicine throughout the academic year. Due to the nature of the professional and collegiate sports seasons, a cumulate elective will allow the student to see a wide variety of both the healthy and the injured/ill athlete throughout the year. The 4th year student will participate in one half day of sports medicine/musculoskeletal clinic throughout the academic year from August to April. The student will travel with their preceptor to several college training rooms (Coppin State, UMBC, UMCP) to assist the Team Physician in the care of student athletes as well as becoming an active participant in sporting event coverage. The student will be expected to be able to take an appropriate history and pertinent to the athlete’s complaint, perform the appropriate exam; order diagnostic testing and develop a working assessment and plan. The student will significantly improve their musculoskeletal exam skills as well as gain knowledge into the 1) Athletic Heart 2) Female Athlete Triad 3) Exercise Induced Bronchospasm and 4) Performance Anxiety. The 4th year student will be expected to attend and participate in the Journal Club bi-weekly after their clinical session. The student will keep a log of patient care experiences. The student will need to document attendance at 40 sessions through the year to receive full credit for the elective. The student will be excused when they are on their Sub-I; AHEC or post call. Duration of Course:

August thru April

Hours of Participation:

1 half day/week plus some weekend activities and game coverage.

Number of Students:

With special permission ONLY

Faculty Responsible:

Yvette Rooks, M.D. Director, Primary Care Sports Medicine Fellowship 29 S. Paca Street Lower Level Baltimore, MD 21201

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CARD 545-24

SITE:

Franklin Square Hospital Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Cardiovascular Disease

DESCRIPTION AND GOALS OF COURSE: The medical student after completing a core medicine rotation will have an opportunity to spend up to four weeks rounding daily in the Coronary Care Unit and telemetry units as part of teaching rounds, attend daily didactic sessions on an aspect of cardiovascular disease, such as acute coronary syndromes, management of atrial fibrillation, congestive heart failure, adult presentation of congenital heart disease, thrombolitic therapy, platelet II b and III a inhibitors. This will be followed by an hour of EKG interpretation supervised by a teaching cardiologist, and one to two consultations daily under the supervision of the teaching attending cardiology staff. This will be followed by daily reading and topics appropriate to the patients seen that day. Hours of Participation:

8:30 a.m. – 5:00, weekdays, no night call

Number of Students:

1

Time of Year Available:

July - June

Faculty Responsible:

Steven J. Mason, M.D., FACC Section Chief, Cardiology

Contact Person:

Carol Leonard Administrative Coordinator 443-777-6346 carol.leonard@medstar.net

Additional Information: Teaching conferences include: Didactic Noon Conference, Medical Grand Rounds, Journal Club, Mortality and Morbidity Conference. Weekly Core Lectures/Presentations are offered to students. Students have access to the Knowledge-Based-Network point-of-care computer system. This computer-based reference material is available 24 hours a day, 7 days a week, and includes multiple CD-ROM textbooks with search capability as well as direct Internet access. The hospital provides a wide range of ancillary services allowing students to focus their time primarily on patient care and education. Free parking provided.

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CARD 541-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Department of Medicine, Division of Cardiology

TITLE OF COURSE:

Cardiology Elective at UMMS

DESCRIPTION AND GOALS OF COURSE: This unified elective combines the strengths of both the University and V.A. cardiology services. The goal is to learn basic principles of cardiology diagnosis and therapy via: 1.

The Cardiology consultation services at either the University Hospital or V.A. Hospital.

2.

Regular EKG readings at the student level, three times/week.

3.

Attendance at regularly scheduled cardiology conferences (echocardiography, catheterization, and grand rounds).

The goals of the course are to expose the student to the current practice, and techniques of Cardiology. The use and limitations of testing modalities will be emphasized. The cardiac history and physical exam will be stressed. Assignment to either the V.A. or University Consultation Services will be random. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

5

Location:

University of Maryland Hospital/V.A. Medical Center

Time of Year Available:

Academic weeks 1-52

Faculty Responsible:

Gary D. Plotnick, M.D. Phone: (410) 328-4394 Fax: (410) 328-3530 E-mail: gplotnic@medicine.umaryland.edu

Contact Person:

Millie Bileck Phone: (410) 328-4394 Fax: (410) 328-3530 mbileck@medicine.umaryland.edu

Prerequisite:

Junior Internal Medicine or Pediatrics

Note:

Elective must be dropped no less than one month prior to the start date of the elective (due to the large number of students who need to be accommodated)

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CARD 541-02 SITE:

Mercy Medical Center

DEPARTMENT:

Division of Cardiology, Department of Medicine, Mercy Medical Center

TITLE OF COURSE:

Cardiology Elective

DESCRIPTION AND GOALS OF COURSE: The goals of this elective are to familiarize the student with the common cardiac diseases, to improve his abilities at bedside diagnosis and to permit an understanding of the proper role of non-invasive and invasive cardiac tests in the evaluation and management of these patients. Students may perform consultations as requested on patients with cardiac disorders under the direction of a member of the Division of Cardiology. The student will be expected to follow these patients. There may also be opportunity to see outpatients who have cardiac disease in a private practice setting. Students will be encouraged to master the fundamentals of electrocardiographic interpretation. To this end, they are asked to analyze electrocardiograms and to review these tracings with members of the Division of Cardiology. The student will also have an opportunity to become familiar with the use of non-invasive (echocardiography exercise testing, continuous EKG recording) and invasive (cardiac catheterization) testing in the patient with cardiac disease. Non-invasive radionuclide cardiac studies are also emphasized. Duration:

4 weeks

Hours of Participation:

8:00 a.m. to 5:00 p.m.

Number of Students:

1

Location:

Mercy Medical Center

Time of Year Available:

Academic weeks 1-49

Faculty Responsible:

Mark M. Applefeld, M.D. Phone: (410) 332-9752 FAX: (410) 332-0626

Contact:

Beverly Vance Burke Bldg., Suite 310 301 St. Paul Place Baltimore, MD 21202-2165 Phone: (410) 951-7906 FAX: (410) 332-0626 bvance@mdmercy.com

Prerequisites:

Junior Medicine and either Pediatrics or Internal Medicine

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CARD 542-08 SITE:

Union Memorial Hospital

DEPARTMENT:

Division of Cardiology and Critical Care Medicine

TITLE OF COURSE:

Student Internship (Clerkship) in Critical Care

DESCRIPTION AND GOALS OF COURSE: The student will receive intensive exposure to both cardiac patients in the cardiac care unit (CCU) and critically ill medical patients in the intensive care unit (ICU). The student will function at an internship level and will be responsible, under the supervision of the senior medical resident and attending physician, for the day-to-day management of their patients. The student will be an active participant in daily critical care teaching rounds. During these rounds the students will present and discuss their cases with board certified pulmonary/critical care intensivists and cardiologists. The emphasis will be on the physical findings, differential diagnosis, and management strategies in critically ill patients. The student will also actively participate in the ongoing educational program in the department of medicine. This will include daily radiology conference where ICU and CCU films will be reviewed, daily noon conferences, weekly clinicopathological conference, weekly grand rounds, journal club and informal small group teaching sessions with upper level residents and the pulmonary/critical care intensivists, discussing their patient in a one-to-one setting with residents and the attending staff. Duration:

4 weeks

Hours of Participation:

Full-time along the same schedule of house staff with every fourth night on call. The day begins at 7:45 a.m. with morning report. On-call rooms are provided.

Number of Students:

1

Location:

The Union Memorial Hospital

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Philip C. Buescher, M.D., Director, Intensive Care George W. Moran, M.D., Chief, Division of Cardiology Robert P. Ferguson, M.D., Chief of Medicine

Contact Person:

Marge Wolford (410) 554-2284 Marge.wolford@medstar.net Department of Medicine 201 E. University Parkway Balto., MD 21218

Parking:

Free off site (shuttle provided)

Library: Prerequisite:

Full service Med Line computer search & photocopying privileges Internal Medicine Clerkship

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CARD 542-11 SITE:

St. Agnes Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

CCU Cardiology

DESCRIPTION AND GOALS OF COURSE: The student works with the three (3) Medical Residents assigned to the Coronary Care System. The CCU Resident rotates every third night; is in charge of all resuscitations in the hospital; evaluates patients for possible admission to the CCU; manages the acute care in Phase I where a computerized arrhythmia monitor is available, and temporary pacemakers and Swan-Ganz catheters etc., are available. Later, students may become involved in the rehabilitation phase in which the patient is prepared for possible cardiac catheterization in the St. Agnes Cath lab and/or for cardiac surgery. Non-invasive cardiac testing is available such as Echocardiography, Holter monitoring, Vectorcardiography, Phonocardiography, etc. A Cardiac Nuclear Scan is planned. The whole spectrum of the care of the patient with coronary artery disease is covered, as well as heart disease in general. The student acquires confidence in the application of coronary care concepts and is surrounded by various arrhythmia problems that he helps solve. He also becomes knowledgeable in the parameters used to monitor the critically ill patients and directs their care by close interaction with the well-trained CCU nurses. He is allowed to write orders provided they are supervised by the Director or a CCU Resident. A wide range of opportunities for research is available in terms of pathology, data collection, data analysis, pacemaker clinic, measuring the effectiveness of the pharmacologic agents used for cariogenic shock, etc. The CCU also has a Chest Pain Emergency Room for the early entry of patients into the system early in the course of their myocardial infarction. The C.P.E.R. serves as an early intervention center for anginal patients as well as for the use of Streptokinase in the early stage of a myocardial infraction. Duration:

4 weeks

Hours of Participation:

Full-time. Evening coverage every third night is recommended.

Number of Students:

3

Location:

St. Agnes Hospital, Coronary Care System (CCU, Progressive Care Unit, and the Chest Pain Emergency Room).

Time of Year Available:

Academic weeks 1-44

Contact Person:

Cathy Poetschan Administrative Secretary, Department of Medicine Phone: 410-368-3120 Fax: 410-368- 3525 Email: cpoetsch@stagnes.org

Additional Comments: Students may also have the opportunity to become involved in the in-house exercise program for high-risk patients as well as with the P.A.C.E. Program at the Catonsville Community College. Additionally there is a pacemaker clinic, Home-Care Nursing for

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follow-up of the patients with congestive heart failure, arrhythmias, etc. Students become involved in the CPR programs and can become involved with the Speakers Bureau whose main objective is to educate the community about the Early Warning Signs of a heart attack. Each student is provided with a book of meal tickets free of charge. There is free parking available for the student. Lodging is provided for night rotations. Prerequisite:

Internal Medicine Clerkship

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CARD 544-08

SITE:

Union Memorial Hospital

DEPARTMENT:

Medicine - Cardiology

TITLE OF COURSE:

Primary Care Cardiology Practice

DESCRIPTION AND GOALS OF COURSE: Unique opportunity to participate in high quality ambulatory and office practice cardiology in a busy community teaching hospital. The rotation is designed to improve clinical skills and understanding of pathophysiologic concepts needed to manage a broad spectrum of cardiovascular disease in the primary care setting. The elective may be tailored with emphasis to meet individual needs from optional components listed below. Most components involve direct supervision by a board certified cardiologist. Options: Non-invasive, clinical cardiology practice (3 days/week); Cardiology Clinic (weekly); EKG interpretation (2 half-day/week); Cardiology Laboratory - Cardiac catheterization & electrophysiology studies (1/2 day/week); M&M conference, and Noon Housestaff Conference in Internal Medicine. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

1

Location:

Division of Cardiology The Union Memorial Hospital

Time of Year Available:

Academic weeks 1 - 44

Faculty Responsible:

George W. Moran, M.D., Chief, Div. of Cardiology Robert P. Ferguson, M.D., Chief of Medicine

Additional Comments:

Parking: Library:

Contact Person:

Marge Wolford (410) 554-6502 Marge.wolford@medstar.net Department of Medicine 201 E. University Parkway Balto., MD 21218

Prerequisite:

Internal Medicine Clerkship

Free parking off site (shuttle provided) Full services with Med Line computer search and photocopying.

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ENDC 542-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Medicine/Division of Endocrinology, Diabetes and Nutrition

TITLE OF COURSE:

Nutrition Elective for 4th Year Medical Student

DESCRIPTION AND GOALS OF COURSE: Medical students/residents should engage in learning about nutrition and nutrition assessment. The goals are to gain skills in: 1) patient medical history, including diet history, a) complete a 24 hour diet recall, b) assess a 3 day diet history and c) obtain pertinent information about OTC supplement use; 2) perform nutrition assessment, a) assess nutritional/dietary composition, b) assess patient nutrient needs, c) assess nutrient drug interactions and d) use electronic databases to perform dietary analysis; 3) gain understanding of the changing nutrient needs of the individual throughout the lifecycle with emphasis on: a) pregnancy and lactation, b) pediatrics, c) normal adult nutrition and d) ageing/geriatrics; 4) be aware of special needs during disease states with emphasis on: a) obesity and diabetes, b) cardiovascular disease, c) renal disease, d) critical care and surgical care, e) enteral and parenteral nutrition and f) complimentary medicine. Duration:

4 weeks

Hours of Participation:

Full Time

Number of Students:

1 per rotation

Contact Person:

Nanette Steinle, M.D. Assistant Professor of Medicine 660 W. Redwood Street, Room 467 Baltimore, Maryland 21201 Phone: 410-706-1512 Fax. 410-706-1622 or 410-706-6146 e-mail: Nsteinle@medicine.umaryland.edu

Additional Information: Students choosing this elective will rotate weekly in clinics/clinical rounds as and be supervised as follows: ) Monday 1. *Division of Endocrinology – Nanette Steinle 2. --Attend nutrition education sessions and observe Registered Dieticians providing consultation to patients with diabetes and obesity 3. --VA-------GRECC-------learn principles of body composition analysis 4. --Ergometer/metabolic studies 5. --Dexa scans 6. --Case studies/didactics

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) Tuesday 1. Joslin Diabetes Center, Baltimore Washington Medical Center—Nanette Steinle 2. Adolescent Diabetes Nutrition—Joslin UMMS—Susan Shultz ) Wednesday: 1. In-Patient Clinical Nutrition Rounds—Clinical Nutrition Staff— Ellen Lorek 2. Pediatric Weight Management—Mt. Washington Pediatric Hospital—Michelle Demeule ) Thursday 1. Out Patient Nutrition Clinic—Laila Roth 2. Growth and Nutrition—Pam Cureton ) Friday 1. Lipid Clinic—Mike Miller 2. Celiac Clinic—Pam Cureton 3. Self study/mentoring In addition to attending clinic, students will choose a nutrition topic to research and complete an independent research project. Case studies will be provided, as will selected review articles and reference material. Each participant will complete a diet/nutrient analysis based on his/her own daily food intake. Each student/resident will be asked to complete 4-6 nutrition in medicine education modules (CD ROM) topics of choice. Prerequisite:

Completion of 3rd Year Junior Clerkships

- 27 -


ENDC 540-24

SITE:

Franklin Square Hospital Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Endocrinology (Ambulatory)

DESCRIPTION AND GOALS OF COURSE: This rotation is offered in a private practice setting and offers students a wide variety of endocrine patients, consisting of 50% diabetes, 40% thyroid disorders and 10% miscellaneous endocrinopathies including, osteoporosis and other disorders of bone metabolism. The initial evaluation and ongoing management of both Type 1 and Type 2 diabetes and thyroid disorders will be the main focus, with pituitary, adrenal, calcium and bone metabolism disorders also received. The goals include understanding the pathophysiology and treatment of these endocrine disorders, including multi-system management of the diffuse pathologies induced by these conditions. Expectations also include a 2 hour-long didactic session per week. Duration:

July - June

Hours of Participation:

8 per day

Number of Students:

1

Faculty Responsible:

Marie Bellantoni, M.D. Section Chief, Endocrinology

Contact Person:

Carol Leonard Administrative Coordinator 443-777-6346 carol.leonard@medstar.net

Additional Information: Teaching conferences include: Didactic Noon Conference, Medical Grand Rounds, Journal Club, Mortality and Morbidity Conference. Weekly Core Lectures/Presentations are offered to students. Students have access to the Knowledge-Based-Network point-of-care computer system. This computer-based reference material is available 24 hours a day, 7 days a week, and includes multiple CD-ROM textbooks with search capability as well as direct Internet access. The hospital provides a wide range of ancillary services allowing students to focus on their time primarily on patient care and education. Free parking provided.

- 28 -


ENDC 541-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Medicine, Division of Endocrinology, Diabetes and Nutrition

TITLE OF COURSE:

Clinical Endocrinology and Diabetes

DESCRIPTION AND GOALS OF COURSE: This course is designed to provide the senior student with broad clinical exposure to all major endocrinopathies during a 4-week elective involving both in-patient and outpatient consultations. Students will learn comprehensive diabetes management from the interdisciplinary team at the Joslin Diabetes Center. A series of selected topics will be treated didactically during the 4-week rotation to provide current knowledge of the major areas of current endocrinology. The pathophysiological basis for the diagnosis and management of endocrine disorders will be given special emphasis. Students will participate in the day-to-day management of patients under the supervision of faculty and endocrine post-doctoral fellows. Participation in daily rounds and weekly endocrine grand rounds, conferences and seminars conducted by senior staff members of the Division will assist in offering the student broad clinical exposure. Students will also be encouraged to explore these clinical problems in depth through guided reading and library research projects. The student will also be exposed to a broad range of endocrinology basic and clinical research being performed in the Division. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

1

Location:

University of Maryland Hospital, Room N3W130

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Drs. Shuldiner, Donner, Hamilton, Valente, Cheikh, Silver, Streeten, Sheehan, Lender, Steinle, Celi, Sabra (410) 3286219

Contact Person:

Delores Anderson University of Maryland School of Medicine 660 W. Redwood Street, Howard Hall, Room 469 Phone: (410) 706-4749 Fax: (410) 706-6146 E-mail: danderso@medicine.umaryland.edu

Prerequisite:

None Please call department to obtain weekly schedule of teaching rounds, clinics and conferences.

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GAST 544-03

SITE:

Maryland General Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Gastroenterology

DESCRIPTION AND GOALS OF COURSE: The Division of Gastroenterology of Maryland General Hospital is divided into three components; a clinical unit, a diagnostic laboratory and an endoscopic section. The clinical unit is a close association of geographical, full-time physicians, attending doctors, and Elective Residents all dedicated to patient care and teaching. Upper and lower tract endoscopy, polypectomy, endoscopic retrograde cholangiopancreatography, esophageal variceal sclerosing and esophageal dilatations are routinely performed. Duration:

4 weeks

Hours of Participation:

8 hours a day, 5 days a week.

Number of Students:

1

Location:

Maryland General Hospital

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Morkath Unni, M.D. Division Head, Gastroenterology (410) 225-8787

Contact Person:

Regina Azu Department of Medicine Maryland General Hospital 827 Linden Avenue Baltimore, MD 21201 Phone: (443) 552-2420 Fax: (410) 225-8910 razu@marylandgeneral.org

Prerequisite:

None

Additional Comments:

Students are encouraged to and expected to become involved with patient care and familiarize themselves with all diagnostic procedures.

- 30 -


GAST 544-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Gastroenterology

DESCRIPTION AND GOALS OF COURSE: The student serves as a member of a busy consult team and is exposed to a wide range of patient problems and techniques. He/she will work closely with the fellows in seeing new consults, following old patients, and staffing the weekly outpatient clinics. The student will have the opportunity to observe all GI procedures including upper endoscopy, colonoscopy, ERCP, percutaneous endoscopic gastrostomy, liver biopsy, esophageal manometry, and laser endoscopy. The student will have the opportunity to be instructed in the basics of flexible sigmoidoscopy. Attending rounds are held daily Monday through Friday. The student will learn how to use endoscopic, radiographic, and biopsy methods in diagnosing and managing GI disorders and will have the opportunity to correlate and compare the obtained information with the patient's clinical course. The student will be expected to attend and participate in all activities of the GI Division. The day begins with endoscopic procedures at 8 a.m. and rounds are usually over by 6 p.m. Conferences include weekly grand rounds, patient management, pathology, and radiology conferences. By the end of the rotation, the student should feel comfortable in evaluating patients presenting with jaundice, atypical chest pain, abdominal pain, GI bleeding, diarrhea, and alcohol abuse. He/she will learn the fundamentals of how to manage patients with reflux esophagitis, peptic ulcer disease, pancreatitis, inflamma-tory bowel disease and hepatitis and be able to work up patients suspected of having malabsorption, gastrointes-tinal cancer and functional bowel disease. He/she should also begin to understand the indications, benefits and limitations of endoscopy and liver biopsy. Duration:

4 weeks

Hours of Participation:

8:00 a.m. - 5:30 p.m.

Number of Students:

3

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Bruce D. Greenwald, M.D. UMMS, N3W62 Phone: (410) 328-8731 Fax: (410) 328-8315 E-mail: bgreenwa@medicine.umaryland.edu

Contact Person:

Pat Phoebus UMMS, N3W62 Phone: 8-8731 E-mail: pphoebus@med.umaryland.edu

Prerequisite:

Junior Internal Medicine

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Additional Comments:

For students with more specific interests, a wide range of expertise is available among the GI faculty. Staff has interests in motility of the esophagus, gastroesophageal reflux disease, H. Pylori and peptic ulcer disease, pancreatic function, liver disease, gastrointestinal malignancies, and inflammatory bowel disease. Research opportunities in these areas are available.

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HEMA 541-08

SITE:

Union Memorial Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Hematology/Oncology

DESCRIPTION AND GOALS OF COURSE: The purpose of the elective is to give the student exposure to both hematology and oncology with the emphasis on outpatient activities. Emphasis is placed on the diagnostic evaluation and management of hematological and oncological problems, together with the discussion of the natural history of these illnesses. The student will also learn about chemotherapeutic agents and their associated indications and toxicities. Free parking is available in the hospital lot; full service library with Medicine computer search and photocopying available. The students will work with an assigned attending and resident when on service. They will be directly involved in patient care and management. No night calls or weekends are expected. The student will also spend one half day a week in the outpatient hospice program, and one half day a week in the outpatient radiotherapy unit. 1. 2. 3. 4. 5. 6.

Daily didactic lectures Weekly Journal Club Bi-weekly hematological slide course review Bi-weekly coagulation conference Bi-weekly Tumor board presentation Daily outpatient hematology-oncology clinic activity

Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2

Time of Year Available:

Academic weeks 1-44

Location:

Division of Hematology/Oncology

Faculty Responsible:

Stanley Walker, M.D., Director, Medical Oncology

Contact Person:

Marge Wolford (410) 554-2284

Prerequisites:

None

Additional Comments:

1 month drop period

- 33 -


HEMA 540-24

SITE:

Franklin Square Hospital Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Hematology/Oncology

DESCRIPTION AND GOALS OF COURSE: Franklin Square Hospital has the 4th greatest number of cancer patients of hospitals in Maryland with significant numbers of lung, breast, colorectal, melanoma and gynecologic cancers. The students will participate in the initial evaluation of patients with a cancer diagnosis (staging, psychosocial impact of diagnosis), differential diagnosis, general discussions of therapies (multimodality approach), some understanding of how investigational drugs are evaluated, some understanding of clinical trial design, microscopic evaluation of peripheral blood and bone marrow, evaluation of the patient with anemia and other issues. This rotation is primarily in the new FSHC Cancer Institute that sees some 20 patients daily in a model state-of-the-art multidisciplinary oncology center. Consultations on the inpatient unit are also encouraged. It is the expectation that the student will attend 2 didactic conferences of an hour each per week. Hours of Participation:

8 per day

Time of Year Available:

July - June

Number of Students:

1

Faculty Responsible:

William McGuire, M.D., Director of Oncology William Waterfield, Chief Section of Oncology Sein Aung, M.D., Chief of Hematology Yvonne Ottaviano, M.D.

Contact Person:

Carol Leonard 443-777-6346 carol.leonard@medstar.net

Additional Information: Teaching conferences include: Didactic Noon Conference, Medical Grand Rounds, Journal Club, Mortality and Morbidity Conference, Cancer Conference. Weekly Core Lectures/Presentations are offered to students. Students have access to the Knowledge-Based-Network point-of-care computer system. This computer-based reference material is available 24 hours a day, 7 days a week, and includes multiple CD-ROM textbooks with search capability as well as direct Internet access. The hospital provides a wide range of ancillary services allowing students to focus their time primarily on patient care and education. Free parking provided.

- 34 -


HEMA 541-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Medicine - Division of Hematology

TITLE OF COURSE:

Hematology Elective

DESCRIPTION AND GOALS OF COURSE: Fourth year medical students may elect to rotate on the clinical hematology service for a minimum of one month. A student must have completed a clinical clerkship in Medicine prior to participating in a Hematology elective. The thrust of the rotation will be to introduce the fourth year student to major disorders of red cell, white cells and platelets as well as disorders of the coagulation system. Experience with frequently encountered hematologic malignancies will also be provided. The student will be expected to evaluate both inpatients and outpatients followed in the Division of Hematology under close supervision of the Hematology attending. Students will also be expected to participate in providing hematologic consultation to other hospital services. Special instruction in cytopheresis, plasmapheresis, and transfusion medicine can be arranged on an individual basis. Instruction will also be provided in the interpretation of bone marrow aspirates and biopsies. Students will also have an opportunity to learn the technique of percutaneous bone marrow aspiration and biopsy. Students may also avail themselves of a number of conferences both of a didactic and patient management nature including the weekly Hematology/Oncology Grand Rounds, as well as the weekly Solid Tumor and Leukemia/Lymphoma conferences held in conjunction with the University of Maryland Cancer Center. Topics of interest to students of hematology are also presented frequently at UMCC Grand Rounds. Students may also attend weekly research conferences in various disciplines if they so desire, and may elect to carry on clinical research projects within the Division under the direction of the Hematology faculty. Duration:

4 weeks

Hours of Participation:

Students are expected to be available for clinical duties a minimum of 5 days a week.

Number of Students:

1

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Meyer Heyman, M.D., Associate Professor (410) 328-2594 mheyman@umm.edu

Contact Person:

Bonita Chandler UMMS S9D06 Bchandler@umm.edu Phone: (410) 328-7394 Fax: (410) 328-6896

Prerequisites:

Internal Medicine Clerkship

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INFE 545-24

SITE:

Franklin Square Hospital Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Infectious Disease

DESCRIPTION AND COURSE DESCRIPTION: This rotation will teach the student with the 1) management of patients with infections 2) to acquire an approach to various infections 3) to introduce the antimicrobial and supportive therapy required to treat infectious diseases 4) to review basic literature in the area of infectious disease 5) to understand the interaction required with the microbiology laboratory in providing infectious disease care. Students will be asked to initially see the patient, review the history, physical examination and laboratory data, formulate and assess problems and plan a diagnostic and therapeutic approach. He/she will then present the patient to the attending and write a consultant note. In addition, the student will be expected to read both the basic text and some of the current literature pertinent to the patient. Books and selected articles are provided. Duration:

4 weeks

Hours of Participation:

8:30 a.m. – 5:00 p.m., no weekend call

Number of Students:

1 or 2

Time of Year Available:

July - June

Faculty Responsible:

Marcos Wolff, M.D. Section Chief, Infectious Disease

Contact Person:

Carol Leonard Administrative Coordinator 443-777-6346 carol.Leonard@medstar.net

Additional Information: Attendance at the monthly ID conference and weekly microbiology rounds is required. Attendance at the weekly ID conference and Grand Rounds at Johns Hopkins Hospital is encouraged, but optional. Teaching conferences include: Didactic Noon Conference, Medical Grand Rounds, Journal Club, Mortality and Morbidity Conference. Weekly Core Lectures/Presentations are offered to students. Students have access to the Knowledge-Based-Network point-of-care computer system. This computer-based reference material is available 24 hours a day, 7 days a week, and includes multiple CD-ROM textbooks with search capability aw well as direct Internet access. The hospital provides a wide range of ancillary services allowing students to focus their time primarily on patient care and education. Free parking provided.

- 36 -


INFE 541-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Infectious Diseases

DESCRIPTION AND GOALS OF COURSE: The discipline of infectious diseases is uncommon in internal medicine in that it is not restricted to a single organ system. Indeed the Infectious Disease Consultative Service serves patients in virtually all departments of the hospital. Many of these patients are among the most acutely ill and they often pose the most difficult diagnostic enigmas. These presentations are more than an academic challenge; many infectious diseases can be cured and the patient restored to previous health. A practical working knowledge of clinical infectious diseases has become absolutely critical for the following reasons: (1) there has been a huge increase in the numbers of immunosuppressed people, not only from HIV infection but also from the substantial increase in bone marrow and solid organ transplant recipients, the more aggressive use of cytotoxic chemotherapy and more invasive and life-sustaining ICU modalities; (2) the explosion of new antiviral, antifungal and antibacterial agents requiring familiarity with their spectrum of action and toxicities; (3) the proliferation of multiple-antibiotic resistant pathogens which presents virtually untreatable infections; and (4) the focus upon infection control, cost containment and quality of practice which have arisen with the increased attention to the economics of health care. The diagnosis of infections and proper management of patients with these diseases are taught by exposing students to a broad spectrum of clinical problems. The appropriate use of microbiology, virology and serology laboratories is stressed. The student sees consultations under the supervision of a full-time attending at the University Hospital and at the Greenebaum Cancer Center. A clinical infectious disease conference for faculty, house staff and students is held weekly. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

3

Location:

University of Maryland Hospital Room N3W48

Time of Year Available:

Academic weeks 1 - 44

Faculty Responsible:

Bruce Gilliam, M.D.

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Contact Person:

Jennifer Klein, Administrative Assistant Institute of Human Virology 725 W. Lombard St., Room N550 Phone: (410) 706-6594 Fax: (410) 706-1992 E-mail: kleinj@umbi.umd.edu

Fax: 410-706-1992 Prerequisite:

Junior Medicine and Junior Surgery Clerkships

- 38 -


INFE 541-03

SITE:

Maryland General Hospital

DEPARTMENT:

Infectious Disease

TITLE OF COURSE:

Infectious Disease

DESCRIPTION AND GOALS OF COURSE: Students rotating on this elective will gain first-hand experience in the diagnosis and management of patients hospitalized with infectious diseases. Students will work one on one with the infectious disease attending and will see patients at several Baltimore community hospitals. During the rotation the student may attend the weekly infectious disease rounds at University of Maryland Hospital and Johns Hopkins University. Duration:

4 weeks

Hours of Participation:

10 hours daily, 5 days a week. No night or weekend call.

Number of Students:

1

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Chandralekha Banerjee, M.D., Head, Division of Infectious Disease Phone: (410) 225-8404 Fax: (410) 225-8086

Contact Person:

Regina Azu Department of Medicine Maryland General Hospital 827 Linden Avenue Baltimore, MD 21201 Phone: (443) 552-2420 Fax: (410) 225-8910 razu@marylandgeneral.org

Prerequisite:

Junior Medicine and Junior Surgery Clerkships

Additional Comments:

There will be ample opportunity for the student to spend time reading about selected topics in infectious disease. Upon completion of this rotation, the student should be well prepared for the Internal Medicine Board section on infectious disease. Prospective students should call Dr. Anthony's office at Maryland General Hospital (410) 2258790 to inquire about the rotation.

- 39 -


INFE 541-08

SITE:

Union Memorial Hospital

DEPARTMENT:

Medicine - Division of Infectious Disease

TITLE OF COURSE:

Clinical Clerkship in Infectious Disease

DESCRIPTION AND GOALS OF COURSE: Infectious diseases present the most challenging problems in clinical medicine. Practicing physicians need to understand the diversity of potential pathogens, recognize those pathogens with predilection for susceptible hosts, appreciate the role of community and the hospital in the epidemiology of infectious illness, have knowledge of how to use the microbiology and immunology laboratories, and be facile in the appropriate prescribing of antibacterial, antifungal and antiviral agents. Many of these issues are not taught in medical school. They are often learned in a random and unfocused fashion on traditional medicine clerkships. Students that find the discipline of infectious disease interesting, or plan on careers in family practice, general medicine or surgery are strongly encouraged to spend time dedicated to the study of patients with acute and chronic infectious diseases. Students will perform both inpatient and outpatient infectious disease consultations. This work will be done under the direct supervision of the clerkship director. Patient problem oriented reading is expected and core readings will be supplied. Formal instruction will occur both through individual time spent with the faculty preceptor and through attendance at infectious disease clinical conferences. Duration:

4 weeks

Hours of Participation:

Full-time - five days a week. There are no weekend responsibilities.

Number of Students:

1

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Wayne C. Campbell, M.D., Chief, Division of Infectious Diseases Robert P. Ferguson, Chief of Medicine

Contact Person:

Marge Wolford (410) 554-2284

Prerequisite:

Junior Medicine and Junior Surgery Clerkships

Additional Comments:

Parking: Free off site parking Library: Full services with MEDLINE computer literature searches and photocopying without charge.

- 40 -


MEDC 540-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Rheumatology/Clinical Immunology Elective

DESCRIPTION AND GOALS OF COURSE: Students will participate in all the inpatient and outpatient activities of the Rheumatology Consult service, including the weekly half-day Rheumatology clinics at the University Health Center and the VA Hospital. Patients worked up by students will be presented to the attending staff. When time permits, students will also be involved in the care of patients in the private practice offices of the Rheumatology faculty. Goals and Objectives: 1. Students will be expected to learn how to take an appropriate rheumatologic history, how to examine the musculoskeletal system in an efficient manner, and how to recognize common rheumatologic findings. 2. Students will learn an approach to the differential diagnosis of rheumatologic syndromes and classification of symptoms into a type of illness (i.e., inflammatory vs. noninflammatory, etc.) 3. Students should learn the underlying pathophysiologic mechanisms of the major rheumatologic syndromes. This will include an understanding of the function of the immune system and its role in autoimmune diseases and the role of urate metabolism in gout. 4. Students will be expected to understand the role of laboratory and radiologic studies in the evaluation of patients, and the role of rheumatoid factors, anti-nuclear antibodies and complement. They should learn the indications for, and general techniques of, arthrocentesis; how to identify urate and calcium pyrophosphate crystals; and how to perform an arthrocentesis of the knee. They should learn the common radiologic manifestations of rheumatoid arthritis, osteoarthritis, spondylitis, and the microcrystalline diseases. 5. They should learn the general outline of treatment for common rheumatologic diseases; the differences and similarities among the nonsteroidal anti-inflammatory drugs; and their common side effects, interactions and toxicities. 6. They will learn the common rheumatologic manifestations of systemic diseases. Duration:

4 weeks

Hours of Participation:

Full-Time

Number of Students:

1

Location:

University Hospital, UHC, Baltimore VAMC, and FPO

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Dr. Raymond Flores Room MSTF 834 (410) 706-6474 (410) 706-0231

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Contact Person:

Prerequisite:

Shelle Brown Department of Medicine 2200 Kernan Drive Baltimore, MD 21207 Telephone: (410) 448-6398 Fax: (410) 448-6382 Junior Medicine Clerkship

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MEDC 542-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Hypertension Elective

DESCRIPTION AND GOALS OF COURSE: To learn basic principles of evaluating and treating the hypertensive and (related risk factors) patient for essential and/or secondary hypertension and follow-up of medical consequences of this disease process. National Guidelines on hypertension prevention, detection, evaluation and treatment are followed. The diagnosis and treatment of concomitant diseases are include in this elective. During this elective, students learn how hypertension relate to cardiovascular and renal disease from an etiologic, therapeutic and outcomes point of view. 1. Faculty Practice Office Hours 2. Hypertension Section (Division of Cardiology) lectures, conferences, and resident, intern, student morning report and ambulatory rounds 3. Hypertension and Vascular Biology (Heart and Kidney Disease)Center rounds, conferences, and lectures (research oriented) 4. Twenty-four Hour Ambulatory Blood Pressure Monitoring for hypertension diagnosis and treatment 5. Observation and possible participation in ongoing clinical research - doing drug studies to test the efficacy and safety of new anti-hypertensive drugs prior to and after FDA approval 6. Participation (if desired) in an ongoing NIH research program called The Baltimore Partnership to Reduce Racial Disparities in Hypertension and Diabetes Control. The partnership grant is between the University of Maryland and Bon Secour Health System (a local community hospital). Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2

Location:

Faculty Practice Office (419 Redwood St., Suite 620)

Time of Year Available:

Academic weeks 9-44 University of Maryland Professional Bldg.

Faculty Responsible:

Elijah Saunders, M.D. Professor of Medicine Division of Cardiology Head, Section of Hypertension Phone: (410) 328-4366 Fax: (410) 328-5745 E-mail: esaunder@medicine.umaryland.edu

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Contact Person :

Denise Brown Administrative Assistant Division of Cardiology 419 W. Redwood Street, Suite 620 410-328-4366 Email : dbrown@medicine.umaryland.edu

Prerequisite: It is desirable, but not required, that the student should have had Family Medicine or Internal Medicine.

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MEDC 543-11

SITE:

St. Agnes Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

General Internal Medicine

DESCRIPTION AND GOALS OF COURSE: St. Agnes Hospital is a 402 bed community hospital located in Southwest Baltimore near I-95 exit. The Department of Medicine has an active teaching program consisting of 21 full and parttime physician educators, 39 house officers, several active out patient general and medical specialty clinics and two large primary care internal medicine practices. St. Agnes has a deep commitment to teaching and sponsors the annual American College of Physicians Associates Meeting for area wide house officers. The medical service is divided into four general medical services, each with responsibility for their intermediate care ICU patients, a large ICU service of medical and surgical patients and a very active CCU with on site acute intervention using the CPORT angioplasty/stent waiver. The rotation is designed to develop a wide range of basic clinical skills, procedural skills and exposure to vascular interventionalists. Morning work rounds start in the intermediate ICU at 7:30.Daily morning report is held at 8:30 AM followed by Attending rounds. There is a daily mid day conference and medical subspecialty conference. Emphasis is placed on general concepts of medical care, case presentation skills, individual attending teaching and team care. St. Agnes is noted for cardiac, endocrine and oncologic care centers of excellence. Duration:

4 weeks

Hours of Participation:

7:30 am until sign out rounds, limited night call due to Night Float coverage. Long call every fourth night until 10 PM. Weekend call rotation follows in rotation as it falls with the only overnight call on Saturday 1-2 a month. When on call, the students are paired with the senior resident.

Number of Students:

4

Time of Year Available:

All academic weeks

Faculty Responsible:

William A.Valente, M.D. FACP, Chairman Richard Rees, M.D., Program Director

Contact Person:

Cathy Poetschan Administrative Secretary, Department of Medicine Phone: 410-638-3120 Fax: 410-368- 3525

Comments:

Free Parking, lockers, on call rooms Internet on line services 24 hours day- residents office

Prerequisite:

Junior Clerkship in Medicine

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MEDC 544-24

SITE:

Franklin Square Hospital Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Ambulatory Medicine

DESCRIPTION AND GOALS OF COURSE: The primary site for this elective is the Primary Care Center. A patient population that is diverse demographically characterizes the practice. The student will have the opportunity to see patients in the practice under the supervision of the faculty. Clinical learning skills include: familiarity with the common clinical problems presenting in the primary care setting; familiarity with important aspects of the medical interview; familiarity with an evidenced-based approach to patient assessment and treatment. The clinical experience is combined with case conferences and didactic sessions that cover the broad array of internal medicine problems. The student will also have the opportunity to undertake a project in conjunction with a faculty member during the elective. This may be a case report; literature review; oral presentation or another type of project that may interest students. Duration:

4 weeks

Hours of Participation:

8:30 a.m. – 5:00 p.m., Monday - Friday

Time of Year Available:

July - June

Number of Students:

1

Faculty Responsible:

Philip Panzarella, M.D., Director, Ambulatory Services

Contact Person:

Carol Leonard Administrative Coordinator 443-777-6346 carol.leonard@medstar.net

Additional Information: Teaching conferences include: Didactic Noon Conference, Medical Grand Rounds, Journal Club, Mortality and Morbidity Conference. Weekly Core Lectures/Presentations are offered to students. Students have access to the Knowledge-Based-Network point-of-care computer system. This computer-based reference material is available 24 hours a day, 7 days a week, and includes multiple CD-ROM textbooks with search capability as well as direct Internet access. The hospital provides a wide range of ancillary services allowing students to focus their time primarily on patient care and education. Free parking provided.

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MEDC 545-07

SITE:

Baltimore VA Medical Center

DEPARTMENT:

Medicine, Division of Gerontology

TITLE OF COURSE:

Clinical Geriatrics Elective

DESCRIPTION AND GOALS OF COURSE: The elderly comprise the fastest growing portion of the U.S. population. Physicians must know and understand normal and pathologic aspects of aging, and the impact these processes have on the individual’s ability to function in the world around them. Diminishing the effects of age and disease on health of the elderly requires an interdisciplinary solution. The student will participate in an interdisciplinary team consisting of physicians, nurses, social workers, pharmacists, rehabilitation therapists and other allied heath professionals. Students in this rotation will assess the elderly in a number of clinical settings. Outpatient experiences include the outpatient Geriatrics Assessment Program, Geriatrics Assessment clinic, and Preventive Medicine Clinic at the Baltimore VA Medical Center. Students will have the opportunity to make home visits with Hospital Based Home Care. The inpatient components of this rotation include geriatric medicine consults, and participation in inpatient rehabilitation of older individuals at the Geriatric Evaluation and Management Unit (GEMU) at the Baltimore VA Medical Center. Students will also round on medical and geropsychiatry patients at the Baltimore Rehabilitation and Extended Care Center at Loch Raven. To further enhance the didactic training in geriatrics and gerontology, the students will participate in the weekly clinical geriatrics, geropsychiatry, and division research conferences. This rotation will provide the student with additional insight into the pathophysiology and management of complex diseases in the elderly. Duration:

4 weeks

Hours of Participation:

9:00 a.m. - 5:00 p.m., Monday - Friday

Number of Students:

1

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Leslie I. Katzel, M.D., Ph.D. and Conrad May, M.D. VAMC, 4B189 (410) 605-7248

Contact Person:

Bonnie Berman VAMC, 4B183 bberman@grecc.umaryland.edu 410-605-7183

Prerequisites:

Junior Internal Medicine

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MEDC 545-08 SITE:

Union Memorial Hospital

DEPARTMENT:

Internal Medicine

TITLE OF COURSE:

Geriatric Medicine Elective

DESCRIPTION AND GOALS OF COURSE: During this elective students will learn the approach to the care of the older adult in the ambulatory, inpatient and nursing home setting. Students will participate in our comprehensive Geriatric Assessment Program (G.A.P.) to learn principles of multi-disciplinary geriatric assessment. The GAP program evaluates older adults with geriatric syndromes such as Alzheimer's disease and other dementias, recurrent falls, osteoporosis, frailty, and incontinence. Students also will do consults as part of the Geriatric Consultation Service, and participate in interdisciplinary rounds on the inpatient Geriatric Evaluation and Management Unit (a specialized inpatient unit for frail older adults). Students will learn Principles of Palliative Care as well. In addition, students will make rounds at Keswick Multi-Care Center, a long-term care facility and retirement home near UMH. Interesting patients are discussed every Wednesday at our Case Conference with other trainees and attending geriatricians from Franklin Square Hospital Center and Union Memorial Hospital. In addition, on the third Wednesday of every month we sponsor Geriatric Grand Rounds for Franklin Square Hospital Center, the Baltimore Veterans Medical Center, and UMH. UMH faculty direct the mandatory geriatric medicine rotations for first year UMH internal medicine residents and second year University of Maryland Family Medicine residents. Also, Geriatric Medicine Fellows from the University of Maryland/Baltimore Veterans Medical Center Fellowship Program each spend 3 months at UMH. The rotation takes place at Union Memorial Hospital, a major affiliate of University of Maryland School of Medicine, in Baltimore City. Free parking is available in the hospital lot. We have a full service library with Medline computer search and photocopy services. In addition, students are welcome to participate in other didactic sessions of the Department of Medicine, including morning report and our residency’s noon teaching conferences. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

1 or 2

Location:

Division of Geriatrics

Time of Year Available:

Year round (with prior approval)

Faculty Responsible:

James P. Richardson, M.D., M.P.H., Chief of Geriatric Medicine Christopher D. Kearney, M.D., Medical Director, GEM Unit Robert P. Ferguson, M.D., Chief of Medicine, UMH

Contact Person:

Lisa Andreasik-Turner - 410-554-2923 Marge Wolford - 410-554-2284 or Dr. James Richardson - 410-554-2923 None

Prerequisite:

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MEDC 547-03 SITE:

Maryland General Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Internal Medicine

DESCRIPTION AND GOALS OF COURSE: In addition to our core rotation in Internal Medicine, the Department of Medicine also provides a broad experience to senior student's elective in the field of Internal Medicine and those ancillary areas necessary for its function as a primary care subspecialty. This elective is the provision of a well-supervised, progressive educational experience for all senior students. It provides an intellectual environment for appropriate teaching and learning skills and attitudes, which are essential for patient care. The social and economic impact of the diseases of the patients and society as well as the efficient delivery of superior cost-effective medical care are also emphasized. The student intern is an integral part of the patient care team of interns supervised by a medical resident and a teaching-attending physician. There is active bedside teaching and there are numerous conferences covering the subspecialty areas of medicine. The responsibility of the student is similar to the first postgraduate year intern but with more supervision and support from the resident and attending physician. Duration:

4 weeks

Hours of Participation:

The work day begins with morning report at 8:00 a.m. All students and interns are subject to every fourth night on call depending upon the schedule. Weekend days are covered as they fall on every fourth night scheduled.

Number of Students:

2

Time of Year Available:

All Year. Academic weeks 1 - 44

Faculty Responsible:

William Anthony, M.D. Chairman, Dept. of Medicine (410) 225-8790

Contact Person:

Regina Azu Department of Medicine Maryland General Hospital 827 Linden Avenue Baltimore, MD 21201 Phone: (443) 552-2420 Fax: (410) 225-8910 razu@marylandgeneral.org

Prerequisites:

Junior Students call Dr. Anthony to determine eligibility.

Additional Comments:

On call facility: Rooms available for all students while on night and weekend duty Lockers: Lockers are available for personal belongings

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MEDC 550-24 SITE:

Franklin Square Hospital Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Geriatric Medicine

DESCRIPTION AND GOALS OF COURSE: Students will learn geriatric medicine in several settings: house calls, nursing home, office and hospital (optional). The curriculum covers topics in gerontology, health promotion, geriatric syndromes and rehabilitation, care of the frail elderly, advance directives and ethics among others. Students will acquire skills of geriatric assessment and care of nursing home residents and to an interdisciplinary model of house calls. Participation in hospice care is optional as well as learning via a CD-ROM in geriatric medicine. Didactic sessions are held on a regular basis to include advance directives, end-of-life-care, geriatric assessment, delirium, Medicare and pressure ulcers. Texts and pertinent scientific literature are provided to each student. Hours of Participation:

8 hours per day, Monday – Friday

Time of Year Available:

July - June

Number of Students:

2

Faculty Responsible:

Thomas Edmondson, M.D.,C.M.D. Section Chief, Geriatric Medicine

Contact Person:

Carol Leonard Administrative Coordinator 443-777-6346 carol.leonard@medstar.net

Additional Information: Teaching conferences include: Didactic Noon Conference, Medical Grand Rounds, Journal Club, Mortality and Morbidity Conference. Weekly Core Lectures/Presentations are offered to students. Students have access to the Knowledge-Based-Network point-of-care computer system. This computer-based reference material is available 24 hours a day, 7 days a week, and includes multiple CD-ROM textbooks with search capability was well as direct Internet access. The hospital provides a wide range of ancillary services allowing students to focus their time primarily on patient care and education. Free parking provided.

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MEDC 551-24 SITE:

Franklin Square Hospital Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Nuclear Medicine

DESCRIPTION AND GOALS FOR COURSE: This elective is designed to teach the student to have a basic understanding of the physiologic processes involved in tissue uptake and distribution of clinically useful radiopharmaceuticals in health and disease, know the indications for common nuclear medicine procedures, and gain the ability to detect gross abnormalities on common nuclear medicine procedures and construct a nuclear medicine report to the corresponding images. On the first day of the rotation, the student is provided with a list of procedures performed at Franklin Square Hospital Center including procedure names, radiotracer used and main indications. This list is reviewed with the student by the teaching Nuclear Medicine attending. The student is also provided with a copy of the book “A Clinician’s Guide to Nuclear Medicine”. The student is involved with the daily reading of the scintigraphic studies in a busy Nuclear Medicine Department under the supervision of a physician board certified in Nuclear Medicine. The population mix includes inpatients and outpatients with a wide range of clinical problems. The student is prompted to describe the imaging findings and discuss their meanings in the clinical context of the patient and participates in the entire process of evaluation of study request for appropriateness, customization of test according to indication, beside evaluation of patients, diagnostic interventions, and correlation of the images with clinical, laboratory and other imaging data. The medical student is occasionally asked to follow up on further diagnostic or therapeutic interventions performed on the patient to develop perspective. Hours of Participation:

8:30 a.m. – 5:00 p.m., Monday - Friday

Time of Year Available:

July - June

Number of Students:

1

Faculty Responsible:

Gabriel Soudry, M.D. Section Chief, Nuclear Medicine

Contact Person:

Carol Leonard Administrative Coordinator 443-777-6346

Additional Information: Teaching conferences include: Didactic Noon Conference, Medical Grand Rounds, Journal Club, Mortality and Morbidity Conference. Weekly Core Lectures/Presentations are offered to students. Students have access to the Knowledge-Based-Network point-of-care computers system. This computer-based reference material is available 24 hours a day, 7 days a week, and includes multiple CD-ROM textbooks with search capability was well as direct Internet access. The hospital provides a wide range of ancillary services allowing students to focus their time primarily on patient care and education. Free parking provided.

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MCCU 540-24

SITE:

Franklin Square Hospital Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Critical Care

DESCRIPTION AND GOALS OF COURSE: Franklin Square Hospital has a sixteen bed Intensive Care Unit. A full-time intensivist, housestaff and physician assistants staff this unit. The patient population is diverse, with a wide range of medical and surgical illnesses. This elective is supervised by experienced board certified intensivists who provide an intellectual environment for learning about the pathophysiology and diseases present. The student will become an integral part of the ICU team during this rotation. Aside from the active teaching within the Intensive Care Unit, there are other opportunities for learning, including didactic sessions within the institution covering many of the facets of the ICU experience. The student will be supervised by a Medical Resident and the ICU Attending. Duration:

4 weeks

Hours of Participation:

8 per day

Number of Students:

1

Time of Year Available:

July - June

Faculty Responsible:

Stephen R. Selinger, M.D. Director, Critical Care

Contact Person:

Carol Leonard Administrative Coordinator 443-777-6346 carol.Leonard@medstar.net

Additional Information: The student will round daily in the Intensive Care Unit from 9:00 a.m. until 11:00 a.m. At that time there will be bedside teaching regarding basic ICU principles. The student will participate in the management of selected patients in the Intensive Care Unit. Relevant literature will be provided to students. Students will attend Noon Conference lectures. The intensive will provide additional 1:1 teaching. Teaching conferences include: Didactic Noon Conference, Medical Grand Rounds, Journal Club, Mortality and Morbidity Conference. Weekly Core Lectures/Presentations are offered to students. Students have access to the Knowledge-Based-Network point-of-care computer system. This computer-based reference material is available 24 hours a day, 7 days a week, and includes multiple CD-ROM textbooks with search capability as well as direct Internet access.

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The hospital provides a wide range of ancillary services allowing students to focus on their time primarily on patient care and education. Free parking and on-call rooms are provided by the hospital. Meal tickets are provided.

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MICU 540-11 SITE:

St. Agnes Hospital

DEPARTMENT:

ICU - Critical Care Medicine

TITLE OF COURSE:

ICU-Critical Care Medicine Elective

DESCRIPTION AND GOALS OF COURSE: St. Agnes Hospital is a 402 bed community hospital located in Southwest Baltimore near I-95 exit. The Department of Medicine has an active teaching program consisting of 21 full and parttime physician educators, 35 house officers, several active out patient general and medical specialty clinics and two large primary care internal medicine practices. St. Agnes has a deep commitment to teaching and sponsors the annual American College of Physicians Associates Meeting for area wide house officers. The ICU service is a active 16 bed unit combining acutely ill general medical and occasional surgical patients under the direction of a dedicated group of ICU attending physicians from the NIH critical care service. There is a very active CCU with on site acute intervention using the C-PORT angioplasty/stent waiver. The rotation is designed to develop a wide range of basic clinical skills, procedural skills and exposure to ventilators, vascular interventionalists. Morning work rounds start in the ICU at 7:30 followed by attending rounds daily. Mid day conference is held daily with the chief residents and core medical attendings, followed by lunch and medical subspecialty conference at 4PM as desired. Emphasis is placed on general concepts of medical care, case presentation skills, individual attending teaching and team care. Duration:

4 weeks

Hours of Participation:

7:30 am until sign out rounds, every third to sixth night with weekend rotation as it falls. When on call, the students are paired with the senior resident

Number of Students:

1-2

Time of Year Available:

All academic weeks

Faculty Responsible:

Anthony Martinez, M.D. – Director of Critical Care William A.Valente, M.D. FACP, Chairman

Contact Person:

Cathy Poetschan Administrative Secretary, Department of Medicine Phone: 410-638-3120 Fax: 410-368- 3525

Comments:

Free Parking, lockers, on call rooms Internet on line services 24 hours day- residents office

Prerequisite:

Junior Clerkship in Medicine

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MICU 541-11 SITE:

St. Agnes Hospital

DEPARTMENT:

Nuclear Medicine

TITLE OF COURSE:

ICU - Critical Care Medicine

DESCRIPTION AND GOALS OF COURSE: St. Agnes Hospital is a 402 bed community hospital located in Southwest Baltimore near I-95 exit. The Department of Medicine has an active teaching program consisting of 21 full and parttime physician educators, 35 house officers, several active out patient general and medical specialty clinics and two large primary care internal medicine practices. St. Agnes has a deep commitment to teaching and sponsors the annual American College of Physicians Associates Meeting for area wide house officers. The nuclear Medicine Department is very active with a wide range of imaging techniques with daily interaction with the Cardiology, Oncology, Surgical and General Medical Service. There is a very active CCU with on site acute intervention using the C-PORT angioplasty/stent waiver. Cardiac Nuclear imaging is heavily used. The rotation is designed to develop a range of basic clinical and nuclear laboratory skills, procedural skills and exposure to interdisciplinary medicine. Daily work with the attendings centers around the Nuclear Medicine unit on the Ground floor. The rotation includes heavy emphasis on cardiac imaging with participation in exercise testing. Participation with PET imaging is now integral to the elective and is a regular part of weekly GI, tumor board and lymphoma conferences Duration:

4 weeks

Hours of Participation:

8 Am to 4 Pm

Number of Students:

1-2

Time of Year Available:

All academic weeks

Faculty Responsible:

Ethan Spiegler, M.D.- Director of Nuclear Medicine William A.Valente, M.D. FACP, Chairman

Contact Person:

Cathy Poetschan Administrative Secretary, Department of Medicine Phone: 410-638-3120 Fax: 410-368- 3525

Comments:

Free Parking, food allowance, lockers, on call rooms, internet on line services 24 hours day- residents office

Prerequisite:

Junior Clerkship in Medicine

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NEPH 542-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Transplant Medicine - Nephrology

DESCRIPTION AND GOALS OF COURSE: The student will see patients in consultation and follow-up visits under the supervision of a faculty member and renal fellow on the inpatient transplant services at University Hospital. A coordinated plan for recommendations and actions is required on every consultation. He or she will make rounds on all patients seen on the Transplant Service. Presentations and discussions with attending faculty are held daily. During this period of clinical exposure, the student is expected to learn: 1. The appropriate medical management of subjects who have received a kidney transplant. Students will participate in the care of kidney, and pancreas transplant patients. 2. The differential diagnosis and therapy of acute allograft dysfunction, to include acute rejection. 3. The current approach to the unique infectious disease issues in transplant recipients including prophylactic strategies, differential diagnosis and therapy. 4. Potential procedures that the student will observe include hemodialysis, continuous renal replacement therapy (to include continuos veno-venous hemodiafiltration & peritoneal dialysis) as well as both transplant pancreas and transplant kidney biopsies. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

David K. Klassen, M.D. (410) 328-5720

Contact Person:

Teresa Chiapparelli N3W143 Tchiappa@medicine.umaryland.edu

Prerequisites:

None

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NEPH 541-01 SITE:

University of Maryland Hospital, Shock Trauma and VA

DEPARTMENT:

Medicine

TITLE OF COURSE:

Nephrology Elective

DESCRIPTION AND GOALS OF COURSE: The student will be exposed to the world of consult nephrology. When nephrology is consulted to see a patient, the student will be asked to evaluate the subject, complete the consult H&P, and then present the data to the renal fellow and faculty. After formulating a set of recommendations, the student will continue to round on their patient, observing diagnostic & therapeutic interventions. Potential procedures that the student will observe include hemodialysis, continuous renal replacement therapy (to include continuos veno-venous hemodiafiltration & peritoneal dialysis) as well as both native and transplant kidney biopsies. The nephrology consult team consists primarily of a renal fellow and attending, and has daily presentations and discussions of patient issues. The student will present patients at these conferences, and may be asked to make a presentation based on his/her readings on one aspect of a specific disorder that they saw in consultation. During this period of clinical exposure, the student is expected to learn: 1) The principles of the approach to subjects with acute renal failure, chronic kidney disease, acute & chronic glomerulonephritis, acid-base disorders and fluid & electrolyte abnormalities. 2) How to properly perform and interpret urinalysis. 3) The major indications for and risks of the various types of renal replacement therapy. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Daniel Salzberg, M.D. (410) 328-5720

Contact Person:

Teresa Chiapparelli N3W143 Phone: (410) 328-5720 Tchiappa@medicine.umaryland.edu None

Prerequisites:

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NEPH 541-03 SITE:

Maryland General Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Nephrology Elective

DESCRIPTION AND GOALS OF COURSE: The Division of Nephrology of Maryland General Hospital is organized as a diagnostic unit for renal disease with facilities for treatment of acute and chronic renal failure. This elective exposes students to the practice of clinical nephrology and to the management of acute and chronic renal failure. Participants in this program become familiar with the diagnostic approach to hypertension, renal disease, renal function testing, the urinary sediment, and the treatment of renal diseases and hypertension. Experience is gained in the treatment of terminal renal failure including peritoneal dialysis and hemodialysis. Duration:

4 weeks

Hours of Participation:

8 hours a day, 5 days a week

Number of Students:

1

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Michael Yen, M.D. Cedric Bryan, M.D. Division of Nephrology (410) 225-8480

Contact Person:

Regina Azu Department of Medicine Maryland General Hospital 827 Linden Avenue Baltimore, MD 21201 Phone: (443) 552-2420 Fax: (410) 225-8910 razu@marylandgeneral.org

Prerequisites:

Junior Students please call Dr. Bryan to determine eligibility

Additional Comments:

Individual literature research is encouraged, but not required.

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NCID 540-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE: Condensed Medicine Subspecialties (Nephrology, Cardiology, Infectious Disease) DESCRIPTION AND GOALS OF COURSE: This course is specifically designed to provide those students who choose to enter a nonmedicine field with an exposure to Internal Medicine that allows them to more comfortably care for their patients. This elective encompasses training in the most frequently encountered comorbidities of many adult surgical patients. Students will rotate on the nephrology, cardiology and infectious disease services as a member the consult teams for ten days each. He/she will be exposed to a wide range of patient problems and procedures uniquely managed by an Internist prior to surgery. The student will work closely with the fellows in evaluating new consults, managing existing inpatients, and staffing the weekly outpatient clinics. While on the nephrology service, the student will be expected to adequately assess the needs for renal replacement therapy, know the basic treatment tenets of acute renal failure, and understand and manage acid/base and electrolyte abnormalities. In the cardiac portion of the rotation, the student will learn the basics of the preoperative cardiac evaluation. They will be familiarized with common cardiac diseases, improve bedside diagnostic skills, and glean an understanding of the proper role of non-invasive and invasive cardiac tests in the evaluation and management of these patients. During the infectious disease component of the rotation, the diagnosis of infections and proper management of patients with these diseases are taught by exposing students to a broad spectrum of clinical problems. The appropriate use of microbiology, virology and serology laboratories is stressed. Didactic Teaching: Formal lectures on acute renal failure, pre-operative cardiac stress testing, and antibiotics will initiate the student on the first day of the rotation. Evaluation: The student will operate under the direct supervision of a full-time attending at the University of Maryland Hospital at all times. They will be required to complete an on-line evaluation at the end of the course. The attending physicians will be required to submit an online evaluation within 4 weeks of the completion of the rotation, in order to comply with the LCME requirements. Duration:

4 weeks (3 rotations X 10 days each)

Hours of Participation:

8:00 a.m. - 5:30 p.m.

Number of Students:

3

Time of Year Available:

Academic weeks 1-44

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Faculty Responsible:

Dr. Donna Hanes, M.D., FACP Associate Professor of Medicine Clerkship Director, Internal Medicine UMMS, N3W143 Phone: (410) 328-5720 Fax: (410) 328-5685 E-mail: dhanes@medicine.umaryland.edu

Prerequisite:

Junior Internal Medicine, Junior Surgery

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ONCO 549-01 SITE:

Marlene and Stewart Greenebaum Cancer Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Multidisciplinary Clinical Elective in Cancer Care

DESCRIPTION AND GOALS OF COURSE: Multidisciplinary experience including observations and didactic presentations intended to expose the student to the continuum of oncology care from diagnosis through hospice and palliative care. The schedule will consist of successive weeks on 4 different services, which may be done in any order. Schedule: 1.

Surgical Interventions in Cancer Care The student has the option of observing different surgical services, or confining him/herself to one service. ♦ One day of OR observation and shadowing residents in thoracic oncology. ♦ One day of OR observation and shadowing residents in GYN oncology. ♦ One day of OR observation and shadowing residents in GU oncology. ♦ One day of OR observation and shadowing residents in OMFS (Ord) ♦ One day of OR observation and shadowing residents in GI oncology. Experience will include: ♦ Attendance at multidisciplinary conferences/tumor boards ♦ Attendance on morning rounds

2.

Medical Interventions in Cancer Care During this week, the student will see patients in the Medical Oncology outpatient clinic. The student can see patients in different subspecialty areas (Thoracic, Genitourinary, Breast, Gastrointestinal, Hematologic Malignancies, Head and and Neck), or concentrate on one of these areas. Participation in a single medical oncology subspecialty and the corresponding surgical subspecialty (particularly Thoracic or Breast) can be particularly useful, allowing the student to see the same diseases from two different viewpoints. Experience will include: ♦ Attendance at the Multidisciplinary conferences. ♦ Attendance at Grand Rounds (12N Monday) ♦ Attendance on consultations (inpatient and outpatient)

3.

Radiation Therapy in Cancer Care Experience will include: ♦ Exposure to teletherapy, radiosurgery, and brachytherapy. ♦ Attendance at new patient and dosimetry conferences ♦ Attendance at radiation oncology grand rounds

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ONOC 549-01 (Continued) 4.

Multidisciplinary Clinics, Palliative and Home Care in the Treatment of Cancer Patients ♦ Rotation for up-to one week with palliative care team ♦ Attendance on consultations (inpatient and outpatient) ♦ Individualized curriculum, to build upon palliative and hospice care required 3rd year rotation, and to meet specific agreed upon learning objectives ♦ Equivalent of two day observation in multidisciplinary clinics (BEP, thoracic oncology, pigmented lesion, etc.)

Evaluation:

Students will be asked to complete a written evaluation at the completion of the elective.

Duration:

4 weeks

Hours of Participation:

See Schedule

Number of Students:

2

Location:

UMMS

Elective Coordinator:

Ann Zimrin, M.D.

The role of the coordinator will be to facilitate the student’s experience and arrange specific scheduled observational opportunities. An attending from the student’s primary area of interest will serve as a mentor/preceptor throughout the course.

Faculty Responsible:

Ann Zimrin, M.D. UMMS, S9-D15 Phone: (410) 328-2594 Fax: (410) 328-6836 Dvanecho@umm.edu

Contact Person:

Tonya Winn Phone: (410) 328-2594 Fax: (410) 328-6836 twinn@umm.edu

Prerequisites:

Completion of Junior Required Rotations

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PULM 541-08 SITE:

Union Memorial Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Pulmonary Diseases and Critical Care Medicine

DESCRIPTION AND GOALS OF COURSE: The Pulmonary elective involves the study with exposure to pulmonary medicine and critical care medicine on a daily basis. The student is involved with pulmonary consultations on an inpatient and outpatient basis with faculty supervision. The student is also involved with pulmonary and critical care procedures to include interpretation of pulmonary function tests arterial blood gases and observation of bronchoscopy. The student will also be exposed to a monthly pulmonary conference, an outpatient Chest Clinic, daily teaching rounds and radiology rounds. Duration:

4 or 8 weeks

Hours of Participation:

Full-time

Number of Students:

1

Time of Year Available: Academic weeks 1 - 44 Faculty Responsible:

Raja E. Ayash, M.D., Chief, Div. of Pulmonary Medicine Philip C. Buescher, M.D., Director, Intensive Care Robert P. Ferguson, M.D., Chief of Medicine

Prerequisite:

Junior Medicine Clerkship

Additional Comments:

Parking: Free Parking off site Library: Full services with Med Line computer search and photocopying. Questions & Scheduling: Contact Marge Wolford (410) 554-2284, margewo@helix.org.

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PULM 540-24 SITE:

Franklin Square Hospital Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Pulmonary Medicine

DESCRIPTION AND GOALS OF COURSE: The student will learn the general assessment of patients with a wide array of respiratory illness. They will learn to initiate the management of acute respiratory illness, to access patients with pneumonia (particularly risk stratification and appropriate treatment algorithms), to initiate long treatment algorithms for hospitalized patients with chronic lung disease, understand the acute management of patients with chronic obstructive lung disease, participate in routine pulmonary procedures for non-pulmonary practitioners, assess patients with hemoptysis, understand the role of bronchoscopy and when it may be indicated, interpret basic chest radiographs, become comfortable with interpretation of basic spirometry and how to integrate it into the care of patients with both acute and chronic lung disease, learn the assessment of acutely hypoxemic patients, understand the management of acute hypercapnia prior to ICU care, initiate the initial evaluation of patients with suspected interstitial lung disease and to learn the importance of the interaction between all members of the respiratory care team (pulmonary physicians, nonphysicians, respiratory therapists, PFT tech and nursing staff). Duration:

4 weeks

Hours of Participation:

8 per day

Number of Students:

1

Time of Year Available:

July - June

Faculty Responsible:

Jason Birnbaum, M.D. Education Coordinator, Pulmonary Medicine

Additional Information: Teaching conferences include: Didactic Noon Conference, Medical Grand Rounds, Journal Club, Mortality and Morbidity Conference. Weekly Core Lectures/Presentations are offered to students. Students have access to the Knowledge-Based-Network point-of-care computer system. This computer-based reference material is available 24 hours a day, 7 days a week, and includes multiple CD-ROM textbooks with search capability as well as direct Internet access. The hospital provides a wide range of ancillary services allowing students to focus their time primarily on patient care and education. Free parking is provided. Contact Person:

Carol Leonard Administrative Coordinator 443-777-6346 carol.leonard@medstar.net

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PULM 541-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Pulmonary Disease

DESCRIPTION AND GOALS OF COURSE: A student successfully completing this course should be able to: 1. Interpret a wide variety of abnormal chest X-rays in the context of a complete consultation. 2. Interpret pulmonary function tests (spirogram, arterial blood gas analysis), and exercise studies. 3. Determine which pulmonary function tests are appropriate for a clinical situation. 4. Choose appropriate diagnostic and therapeutic actions when given clinical problems such as tuberculosis, asthma, chronic bronchitis and emphysema, solitary nodule, pulmonary neoplasm, sarcoidosis, pleural effusion and empyema, pulmonary complications etc, pulmonary complications of transplantation, etc. 5. Diagnose and manage a patient with uncomplicated acute respiratory failure, including the appropriate use of artificial airways, mechanical ventilation and weaning. The activity of the student in this elective is centered about the University Hospital's non-medical intensive care units, pulmonary function laboratory, and medical and surgical inpatient services. The student examines patients as a consultant and reviews his cases with the pulmonary fellows and faculty. Through attendance at combined medical-surgical conferences at University and VA Hospitals, the interrelationship with Thoracic Surgery is appreciated. The weekly Inter-disciplinary chest medicine conference and physiology series provide a degree of academic challenge. The course is flexible in that the needs of the individual student can be met by emphasizing some of these varied activities. The faculty and pulmonary fellows enjoy the tutorial relationships with students. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2

Location:

University of Maryland Hospital, Division of Pulmonary Diseases

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

E. James Britt, M.D.

Contact:

Debbie P. Jackson Phone: 410-706-3463 Fax 410-706-8162 Email: djackson@umaryland.edu

Prerequisites:

None

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PULM 541-07 SITE:

Baltimore V.A. Medical Center

DEPARTMENT:

Medicine

TITLE OF COURSE:

Pulmonary Disease

DESCRIPTION AND GOALS OF COURSE: A student successfully completing this course should be able to: 1.

Interpret chest X-rays

2.

Interpret pulmonary function tests

3.

Determine appropriate diagnostic and therapeutic actions when given clinical problems such as tuberculosis, asthma, chronic bronchitis and emphysema, solitary nodule, pulmonary neoplasm, sarcoidosis, pleural effusion and empyema, etc.

4.

Diagnose and manage a patient with uncomplicated acute respiratory failure, including the appropriate use of artificial airways, mechanical ventilation and weaning.

5.

Organize a complicated medical intensive care plan so as to set appropriate priorities to the patient's multiple medical problems.

The activity of the student in this elective is centered about the V.A. Hospital's intensive care units, pulmonary function laboratory, and medical and surgical inpatient services. The student examines patients as a consultant and reviews his cases with the pulmonary fellows and faculty. Through attendance at Inter-disciplinary conferences at University and VA Hospitals, the interrelationship with other services is appreciated. The weekly chest medicine conference and physiology series provide a degree of academic challenge. The course is flexible in that the needs of the individual student can be met by emphasizing some of these varied activities. The faculty and pulmonary fellows enjoy the tutorial relationships with students. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2

Time of Year Available: Academic weeks 1-44 Faculty Responsible: Contact:

Prerequisites:

E. James Britt, M.D. Debbie P. Jackson Phone: 410-706-3463 Fax 410-706-8162 Email: djackson@umaryland.edu None

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REHB 541-01 SITE:

University of Maryland at Kernan Hospital

DEPARTMENT:

Rehabilitation Medicine

TITLE OF COURSE:

Rehabilitation Elective

DESCRIPTION AND GOALS OF COURSE: Students will gain first hand exposure to Physical Medicine and Rehabilitation. This is a specialty wherein physicians help improve the functional status of patients with physical disability, use physical modalities to treat neuromuscular impairment, and evaluate subjects with peripheral nerve dysfunction by using electrodiagnostic studies (electromyography and nerve conduction studies). Rehabilitation Medicine deals with patients in all age groups, whose physical impairments may be neurological, developmental, traumatic, or musculoskeletal in origin. Students will acquire knowledge and skill in the rehabilitation evaluation and management of inpatients and outpatients of all ages and disabilities. This will include history taking, performing a neuromusculoskeletal examination, evaluating functional deficits, formulating rehabilitation goals, and therapeutic prescription writing. As a member of the rehabilitation team, the student will work with and learn the roles of the physiatrist, rehabilitation nurse, physical therapist, occupational therapist, speech therapist, psychologist, social worker, and vocational counselor. The student will attend all teaching conferences. The typical rotation will involve inpatient rotations on the general rehabilitation, spinal cord, head injury, orthopedic trauma and stroke units. The program is flexible, however, and can be individually structured to emphasize any special interests of a student. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2

Time of Year Available:

Academic weeks 9-44

Faculty Responsible:

Neil C. Porter, M.D., (410)328-6484; (nport001@Umaryland.edu) Peter Gorman, M.D. Kernan Hospital Rehabilitation Medicine

Secretary:

Veronica DeLoatch Department of Neurology UMMS, N4W46 Phone: (410) 328-6483; Fax: (410) 328-5899 Email: vdeloatch@som.umaryland.edu

Prerequisites:

None

Please note: Contact Dr. Gorman one week before the elective begins to obtain a schedule.

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NEUR 541-01

NEUR 544-01

NEUR 544-07

SITE:

University Hospital and Baltimore VA Medical Center

DEPARTMENT:

Neurology

TITLE OF COURSE:

Neurology Electives

DESCRIPTION AND GOALS OF COURSE: Student should increase their mastery of taking neurological histories, performing neurological examinations, and formulating treatment plans for patients with neurological disturbances. Students on the University of Maryland Ward Service will function as acting interns with responsibility for their own patients. Students on the Neurology Consultation Services will work directly with the Neurology Resident and Attending. 1. 2. 3.

University of Maryland Neurology Service, (Ward) - 1 student. (NEUR 541-01 - Neurology Elective) University of Maryland - Consultation Service - 1-2 students. (NEUR 544-01 - Neuro Consul. Elec.) V.A. Medical Center - Neurology Consultation Service – 1-2 students. (NEUR 544-07 - Neuro Consul. Elec.)

Duration:

4 weeks

Hours of Participation:

Full-time

Time of Year Available: Academic weeks 1-44 Faculty Responsible:

Neil C. Porter, M.D., (nport001@Umaryland.edu) and Neurology faculty (410) 328-6485

Contact:

Veronica DeLoatch Department of Neurology UMMS, N4W46 (410) 328-6485; Fax: (410) 328-5899

Prerequisite:

Junior Neuro/Psych Rotation

Additional Comments:

These rotations are recommended for those interested in Neurology, Neurosurgery, Internal Medicine, Family Medicine, and Geriatrics.

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NEUR 589-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Neurology

TITLE OF COURSE:

Neurology Research Elective

DESCRIPTION AND GOALS OF COURSE: Student will have the opportunity to work on research projects with individual faculty members of the department as follows: Movement Disorders (Dr. Lisa Shulman); Cerebrovascular Disease (Dr. Marion Lamonte); Neuromuscular Disease (Drs. Charlene Hafer-Macko and Lee Koski); Nerve and Muscle Interactions, Muscle Regeneration; Biochemical Studies of Nerve and Muscle (Dr. Koski); Viral and Immunological Disease of the Nervous System (Dr. Kenneth Johnson); Neurolinguistics (Dr. Rita Berndt); Computer-Assisted Decision Making in Neurology (T.B.A.); Neurotrauma and Regeneration (Dr. Paul Fishman); Neuroepidemiology (Dr. Steven Kittner); Epilepsy and EEG (Dr. Barry); Immunologic Changes in Multiple Sclerosis (Dr. Bever); Epilepsy and Status Epilepticus (Dr. Krumholz) Students will learn the principles and methods of investigating problems. They may be involved with ongoing research or their own individual projects. Duration:

12 weeks recommended. Other periods may be arranged

Hours of Participation:

Full-time

Number of Students:

1 per faculty advisor

Location:

To be arranged by faculty member

Time of Year Available: Academic weeks 1-44. Faculty approval required prior to registration. Faculty Responsible:

As listed above depending on project. (410) 328-6485

Contact Person:

Neil C. Porter, M.D. (Nport001@Umaryland.edu) Veronica DeLoatch Department of Neurology UMMS, N4W46 (410) 328-6485

Prerequisites:

None

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NSUR 544-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Neurosurgery

TITLE OF COURSE:

Neurotrauma

DESCRIPTION AND GOALS OF COURSE: The Neurotrauma Service at the Shock Trauma Center treats many head injured and spinal cord injury patients with various degrees of multi-system injury (approximately 1000/yr). Patient care is primarily in our special bed Neurotrauma Intensive Care Unit. The emphasis is on patient management, including intracranial pressure control. Physician team management rounds are held daily, after which there are clinical assignments. Also, twice a week, there are special educational conferences. Students are also involved in the operating room participating in craniotomies and spinal operations, many of which require internal instrumentation. Duration:

4 to 8 weeks

Hours or Participation:

Full-time

Number of Students:

2

Location:

Shock Trauma Center

Time of Year Available:

Academic weeks 1 - 44

Faculty Responsible:

Bizhan Aarabi, M.D. UMMS S12D Phone: (410) 328-7371 FAX: (410) 328-0756 E-mail: baarabi@smail.umaryland.edu

Contact Person:

Anasia Finley Phone: (410) 328-8621 Fax: (410) 328-0756 UMMS, S12D

Prerequisite:

Internal Medicine and General Surgery Clerkships

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OBSTETRICS AND GYNECOLOGY ELECTIVES DEPARTMENT:

Obstetrics/Gynecology and Reproductive Sciences

TITLE OF COURSE:

Senior Electives in Obstetrics/Gynecology and Reproductive Sciences

DESCRIPTION AND GOALS OF COURSE: The student must spend at least 40 hours weekly in clinical experience or educational activities. Each student may select one of the six major areas in the department. The areas are: High Risk Obstetrics, Ambulatory Women’s Health, Reproductive Endocrinology, Gynecologic Surgery, Gynecologic Oncology and Family Planning/Reproductive Health. The goal of the course is to help the student become more familiar with the various aspects of obstetrics, gynecology and reproductive sciences in order to evaluate his or her interest and make career choice decisions. A second goal is to provide practical experience for those who feel they may find confidence in basic clinical obstetrics and gynecology a desirable part of their background. Duration:

The student may participate full time for a period of four weeks or longer, which are multiples of four weeks.

Hours of Participation:

Full-time

Number of Students:

1 per elective

Location:

See specific elective descriptions

Time of Year Available: See specific elective descriptions Prerequisites:

Please note prerequisites for individual courses.

OBST 541-01:

Reproductive Endocrinology Elective Howard D. McClamrock, M.D. Phone: (410) 328-2304

OBST 542-01

Family Planning Elective Michelle Fox, M.D, M.P.H Phone: (410) 328-5963

OBST 544-01:

High Risk Obstetrics Elective Lindsay S. Alger, M.D. Phone: (410) 328-5960

OBST 545-01:

Ambulatory Women’s Health Elective Andrea Kwong, M.D. Phone: (410) 328-3813

OBST 543-02:

Gynecologic Oncology Elective Neil Rosenshein, M.D. Phone: (410) 332-9200

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OBST 550-02:

Gynecologic Surgery Elective Kevin Audlin, M.D. Phone: (410) 321-8452

Elective Coordinator:

Kerry Allen 22 S. Greene St., Rm. #N6E04 Baltimore, MD 21201

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Phone: (410) 328-7164 FAX: (410) 328-0279 kallen@umm.edu


OBST 541-01

SITE:

University of Maryland

DEPARTMENT:

Obstetrics/Gynecology and Reproductive Sciences

TITLE OF COURSE:

Reproductive Endocrinology

DESCRIPTION AND GOALS OF COURSE: The Division of Reproductive Endocrinology is a comprehensive clinical service with an emphasis on infertility therapy. Objectives include the following: 1. To be able to understand and perform a basic infertility evaluation. 2. To understand the indications for and the management of ovulation induction with both clomiphene citrate and injectable gonadotropins. 3. To observe intrauterine insemination and, if desired, to have exposure to the laboratory preparation of the specimen. 4. To participate in the management of in-vitro fertilization patients and to have exposure to all contemporary therapies including intracytoplasmic sperm injection, assisted hatching and preimplantation genetic diagnosis. 5. To be exposed to other hormonal disorders such as polycystic ovary syndrome. Private reproductive endocrinology clinics are held on Monday, Tuesday and Thursdays and students are welcome. Ultrasounds for ovulation induction and in-vitro fertilization are performed daily at the beginning of the day. Patients undergoing in-vitro fertilization are treated in groups, which run quarterly for approximately 5-6 weeks. Therefore, exposure to in-vitro fertilization procedures cannot be guaranteed. Duration:

4 weeks

Hours of Participation:

7:00am – 6:00pm (variable)

Number of Students:

1

Faculty Responsible:

Dr. Howard McClamrock hmcclamrock@umm.edu 410-328-2304

Time of Year Available: Year round Prerequisite:

Junior Clerkship in OB/GYN

Contact Person:

Kerry Allen 22 S. Greene St., Rm. #N6E04 Baltimore, MD 21201 Phone: (410) 328-7164 FAX: (410) 328-0279 kallen@umm.edu

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OBST 542-01

SITE:

University of Maryland Medical Center

DEPARTMENT:

Obstetrics/Gynecology and Reproductive Sciences

TITLE OF COURSE:

Family Planning

DESCRIPTION AND GOALS OF COURSE: This outpatient elective will expose students to all aspects of family planning including contraception, pregnancy options counseling, elective pregnancy termination, and sterilization. Students will have the opportunity to observe and assist with all types of family planning procedures and will be active participants in the family planning counseling sessions. Duration:

4 weeks

Hours of Participation:

8:00am to 4:30pm

Number of Students:

1

Location:

University of Maryland Hospital, North Building 6th floor, Women’s Center

Time of Year Available:

Year-round

Faculty Responsible:

Michelle Fox, MD, MPH Mfox1@umm.edu (410) 328-5963

Contact Person:

Kerry Allen 22 S. Greene Street Rm. #N6E04 Baltimore, MD 21201 Phone: (410) 328-7164 FAX: (410) 328-0279 kallen@umm.edu

Comments:

A stipend to assist with expenses is available through Medical Students for Choice.

Prerequisite:

Junior Clerkship in OB/GYN

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OBST 544-01

SITE:

University of Maryland Medical System

DEPARTMENT:

Obstetrics/Gynecology and Reproductive Sciences

TITLE OF COURSE:

High Risk Obstetrics

DESCRIPTION AND GOALS OF COURSE: The Senior Elective in Obstetrics is centered around the diagnosis and management of medical complications in pregnant patients. In addition, the student will evaluate patients with pregnancy related illnesses which place the patient at high risk. The fourth year student serves as an intern assisting the third year obstetrical resident in the management of all high risk in-patients. High Risk patients include those with diabetes mellitus and other endocrinopathies, preeclampsia, acute infectious processes, cardiovascular disease, sickle cell disease, etc. The student also attends the High Risk Clinics, which are held Tuesdays and Fridays. This provides exposure to long-term out-patient management of complicated pregnancies. The student is responsible for presenting the patients he or she manages at daily work rounds. The objective of this elective is to improve skills in medical management of pregnant patients and therefore the format does not offer the opportunity to increase surgical skills. It is designed for students either committed to or considering a career in Ob/Gyn. Duration:

4 weeks

Hours of Participation:

7:00am – 6:00pm (variable)

Number of Students:

1

Faculty Responsible:

Dr. Lindsay Alger lalger@umm.edu 410-328-5960

Time of Year Available: Year round Prerequisite:

Junior Clerkship in OB/GYN and Medicine

Contact Person:

Kerry Allen 22 S. Greene St., Rm. #N6E04 Baltimore, MD 21201 Phone: (410) 328-7164 FAX: (410) 328-0279 Email: kallen@umm.edu

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OBST 545-01

SITE:

University of Maryland Medical System

DEPARTMENT:

Obstetrics/Gynecology and Reproductive Sciences

TITLE OF COURSE:

Ambulatory Women’s Health

DESCRIPTION AND GOALS OF COURSE: The senior Elective in Ambulatory Women’s Health includes routine Obstetrics, Gynecology, and health maintenance. It will cover a broad range of topics including care of the obstetric patient, family planning, health maintenance for women, sexually transmitted disease, vaginitis, pelvic pain and gynecologic problems. Care of the menopausal patient including hormone replacement, pelvic relaxation, urinary incontinence and breast cancer screening will be included. Students will evaluate the patient, form an assessment and plan, then present the case for review to the chief resident and/or attending physician. The team will then refine the assessment and develop a plan of management. Duration:

4 weeks

Hours of Participation:

8:00am – 6:00pm (variable)

Number of Students:

1

Location:

University of Maryland Hospital, Penn Street Clinic

Faculty Responsible:

Dr. Chandra Graham cgraham@umm.edu 410-328-3615

Time of Year Available: Year round Prerequisite:

Junior Clerkship in OB/GYN

Contact Person:

Kerry Allen 22 S. Greene St., Rm. #N6E04 Baltimore, MD 21201 Phone: (410) 328-7164 FAX: (410) 328-0279 kallen@umm.edu

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OBST 543-02

SITE:

Mercy Medical Center

DEPARTMENT:

Obstetrics/Gynecology and Reproductive Sciences

TITLE:

Gynecologic Oncology

DESCRIPTION OF GOALS OF COURSE: The Gynecologic Oncology service at Mercy Hospital is covered by two residents (a 3rd year and a 2nd) and one or two 3rd year medical students. As part of your elective, you will be assisting in surgeries to treat gynecologic conditions, both benign and malignant; you will help manage the patients post-operatively; and you will attend office hours. In addition, as part of the Gyn-Onc team, you will be involved in seeing consultations both in the hospital and in the emergency room and you will see patients who have been directly admitted to the hospital. You will be working with Drs. Rosenshein and Im. Dr. Rosenshein operates on Tuesdays, Thursdays, and every other Friday; Dr. Im operates on Mondays and Wednesdays. You will attend office hours with Dr. Im on Wednesdays. Duration:

4 weeks

Hours of participation:

variable

Number of students:

1

Location:

Mercy Medical Center

Faculty Responsible:

Neil Rosenshein, M.D. 410-332-9200

Time of Year Available: Year round Prerequisite:

Junior Clerkship in OB/GYN and Internal Medicine

Elective Coordinator:

Kerry Allen 22 S. Greene St., Rm. #N6E04 Baltimore, MD 21201 Phone: (410) 328-7164 FAX: (410) 328-0279 kallen@umm.edu

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OBST 550-02

SITE:

Mercy Medical Center

DEPARTMENT:

Obstetrics/Gynecology and Reproductive Sciences

TITLE OF COURSE:

Gynecologic Surgery

DESCRIPTION AND GOALS OF COURSE: The student participating in this elective will be involved in the care of patients in the operating room as well as pre- and post-operatively. The student will attend clinic at Mercy Hospital observing and assisting with office hysteroscopy and urodynamics. The student will also attend urogynecology clinic at the VA Hospital. The student will participate in a wide variety of surgeries to treat benign gynecologic conditions and will then be involved in their post-operative care in the hospital. Attendance at rounds and conferences on Gynecology is also part of the elective. Duration:

4 weeks

Hours of Participation:

7:00 am - 6:00 pm (variable)

Number of Students:

1

Time of Year Available: Year round Faculty Responsible:

Dr. Kevin Audlin, M.D. 410-321-8452

Prerequisites:

Junior Clerkships in OB/GYN and General Surgery

Contact Person:

Kerry Allen 22 S. Greene St., Rm. #N6W104D Baltimore, MD 21201 Phone: (410) 328-7164 FAX: (410) 328-0279 kallen@umm.edu

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OPTH 541-01 SITE:

University of Maryland Medical System

DEPARTMENT:

Ophthalmology

TITLE OF COURSE:

Ophthalmology Elective

DESCRIPTION AND GOALS OF COURSE: This course is designed to introduce the student to the basics of the ocular examination and the management of common ophthalmic problems through intensive participation in all aspects of the resident outpatient clinic and specialty clinics. Time is also available to observe a variety of ocular surgical procedures and to learn the general practice of ophthalmology. Students are expected to attend Grand Rounds and all other regularly scheduled conferences and lectures. Student evaluation is based on a written examination, clinic performance, and, for those interested in obtaining an "honors" grade, a presentation and case discussion in Grand Rounds. Duration:

4 weeks

Hours of Participation:

8:00 a.m.- 6:00 p.m. weekdays

Number of Students:

2

Location:

University of Maryland Hospital Professional Building, Suite 420

Time of Year Available: Academic weeks 1-44 Faculty Responsible:

Steven Burnstein, M.D. Phone: (410) 706-3712 Fax: (410) 328-1178

Contact Person:

Nancy Cook University of Maryland, Professional Building 419 W. Redwood Street, Suite 580 ncook@som.umaryland.edu Phone: (410) 328-5929 Fax: (410) 328-6346

Prerequisites:

None

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OSUR 540-01

SITE:

University of Maryland Medical System

DEPARTMENT:

Orthopaedics

TITLE OF COURSE:

Elective in Orthopaedics

DESCRIPTION AND GOALS OF COURSE: This elective is designed to give the Senior student broad exposure to all phases of orthopaedics and progressive responsibility in the management of patient care. An extensive conference and didactic program supplements this clinical experience. Over the course of the elective the student will be provided with an introduction to fracture recognition and management, trauma surgery, total joint replacement, spinal injury stabilization procedures, out-patient orthopaedics, sports medicine, tumor reconstructive surgery, and musculoskeletal science. This elective is recommended for all interested students who desire a strong foundation in musculoskeletal medicine and physical diagnosis. Duration:

4 weeks

Hours of Participation:

Full clinical and academic schedule with elective night call approximately 2 days per week.

Number of Students:

4 per rotation

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Vincent D. Pellegrini, Jr., M.D. James L. Kernan Professor and Chair (410) 328-6040

Contact Person:

Nannette Catterton Phone: (410) 328-8915 Fax: (410) 328-0534 UMMS S11B ncatterton@umoa.umm.edu

Prerequisite: Successful completion of Junior Internal Medicine and Junior Surgery Clerkships.

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PATH 551-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Pathology

TITLE OF COURSE:

Autopsy Pathology

DESCRIPTION AND GOALS OF COURSE: This is an intensive experience in the principles of human pathology as studied at autopsy supported by special examinations on tissues and fluids as practiced in a teaching institution. The student will participate with the team to perform autopsies, to review the results, and to furnish a discussion case. The most recent cases are presented 3 times a week to all members of the division for review. In addition, there are 4 interdepartmental conferences where detailed discussions of clinical aspects of the case take place. Duration:

4 weeks

Hours or Participation:

Full-time or by arrangement by the Department of Pathology

Number of Students:

2

Location:

University of Maryland, North Wing Department of Pathology, Room NBW72

Time of Year Available: Academic weeks 1-44 Faculty Responsible:

Dr. C. Sun For further information see: Dr. Raymond Jones Pathology Education Programs Room NBW43, Telephone: (410) 328-1221 E-mail: rjones@som.umaryland.edu.

Contact Person:

Melinda Tillman MSTF, 600 E Email: Mtillman@som.umaryland.edu Phone: (410) 706-6300 Fax: (410) 706-8414

Prerequisites:

None

Additional Comments:

Clinical research projects related to autopsy material can be carried out in conjunction with other departments such as Pediatric Cardiology, Preventive Medicine, Adolescent Cardiology, etc.

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PATH 542-01

SITE:

University of Maryland Medical System

DEPARTMENT:

Pathology

TITLE OF COURSE:

Surgical Pathology

DESCRIPTION AND GOALS OF COURSE: This is an opportunity to study disease process as seen in surgical specialties and to study medical biopsies from clinical services. The student may do the gross and microscopic examination of surgical pathology specimens. This is done on a routine with the residents in the Surgical Pathology Laboratory. Cases are signed out on the microscope and final diagnosis is given with a senior staff pathologist. The student may participate in those conferences in the Pathology Department and in those conferences done with the clinical service. Duration:

Minimum 4 weeks with a maximum of 12 weeks

Hours of Participation:

Full-time

Number of Students:

2

Location:

Surgical Pathology, University Hospital, Room NBW43B

Time of Year Available: Academic weeks 1-44. Faculty Responsible:

J. Papadimitriou, M.D., Ph.D. For further information see: Dr. Raymond Jones Pathology Education Programs Room NBW43, Telephone: (410) 328-1221 E-mail: rjones@som.umaryland.edu.

Contact Person:

Melinda Tillman MSTF, 600 E Email: Mtillman@som.umaryland.edu Phone: (410) 706-6300 Fax: (410) 706-8414

Prerequisites:

None

Additional Comments:

Must meet with Course Director prior to starting rotation.

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PATH 543-03

SITE:

Maryland General Hospital

DEPARTMENT:

Pathology - Maryland General Hospital

TITLE OF COURSE:

Community Hospital Pathology

DESCRIPTION AND GOALS OF COURSE: The Department of Pathology at Maryland General Hospital is staffed by two full-time pathologists who are board certified in anatomic and clinical pathology. An elected rotation through pathology gives the student exposure to all phases of the clinical laboratory including blood bank, hematology, coagulation, chemistry, microbiology and cytology. The student is involved in the daily processing of surgical specimens, including gross and microscopic examination. Autopsy pathology is a feature of this rotation, however, autopsies are sporadic and the Department cannot be guaranteed to have one in any given time period. Duration:

4 weeks

Hours of Participation:

8 hours a day, 5 days a week

Number of Students:

2

Faculty Responsible:

Philip J. Whelan, M.D., Chief, Dept. of Pathology (410) 225-8460

Time of Year Available: Academic weeks 1-44. Contact Person:

Regina Azu Department of Medicine Maryland General Hospital 827 Linden Avenue Baltimore, MD 21201 Phone: (443) 552-2420 Fax: (410) 225-8910 razu@marylandgeneral.org

Prerequisites:

Junior Students please call Dr. Whelan at Maryland General Hospital.

Additional Comments:

Student is encouraged to review current pertinent literature during the rotation.

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PATH 545-01

SITE:

University of Maryland Medical Systems

DEPARTMENT:

Pathology

TITLE OF COURSE:

Laboratory Medicine Pathology Elective

DESCRIPTION AND GOALS OF COURSE: The course focuses on selected areas in laboratory medicine that are encountered frequently by practicing physicians in many fields. The student will rotate through several divisions of the clinical laboratories under the supervision of pathology faculty and residents. Goals for each portion of the rotation are as follows. HEMATOLOGY: Interpret cell counts and indices, peripheral smears, bone marrow aspirates and aspirated fluids; diagnose hemoglobinopathies. BLOOD BANK: Understand the preparation and use of blood components by participating in product utilization decisions and following the course of selected patients receiving component therapy; work-up of suspected transfusion reactions. MICROBIOLOGY: Interpret gram stains and acid-fast preparations; learn to recognize the morphology of frequently encountered parasites and fungi; learn methods for the rapid, presumptive diagnosis of common bacterial pathogens. CHEMISTRY: Interpret serum protein electrophoresis, immunoelectrophoresis and isoenzyme analyses; perform and interpret microscopic urinalysis; participate in an overview of toxicology and therapeutic drug monitoring procedures with emphasis on their utility and limitations. Duration:

4 weeks

Hours of Participation:

Half-time (4 hours per day) or full-time

Number of Students:

4

Faculty Responsible:

Dr. Edelman and Colleagues For further information see: Dr. Raymond Jones Pathology Education Programs Room NBW43, Telephone: (410) 328-1221 E-mail: rjones@som.umaryland.edu.

Contact Person:

Melinda Tillman MSTF, 600 E Email: mtillman@som.umaryland.edu Phone: (410) 706-6300 Fax: (410) 706-8414

Time of Year Available: Academic weeks 1-44 Prerequisites:

None

Additional Comments:

Assignments in other sub-specialties laboratory may be available.

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PATH 546-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Pathology

TITLE OF COURSE:

Forensic Pathology Elective

DESCRIPTION AND GOALS OF COURSE: Students interested in forensic pathology and legal medicine take active participation in all routine functions of this office, particularly the Autopsy Room. Special emphasis is placed on teaching the students medical-legal autopsy techniques and the preparation of a medical-legal protocol. Each morning rounds are conducted at which time each individual case is discussed and the significance of injuries and other findings are evaluated. Autopsies are performed by the staff and residents and the students will be encouraged to participate. When the student feels capable, he will be encouraged to perform autopsies under the direction of the staff pathologists. In the past some students have performed as many as 35 autopsies during a 10week period. Students also attend lectures and seminars conducted for the benefit of the residents. Each student will be encouraged to participate in a current research project being conducted by one of the members of the staff. The student will also be able to participate in on-the-scene investigations and will have the opportunity to observe one of the staff members give testimony in court. Duration:

4 weeks

Hours of Participation:

8:30 a.m. – 4:30 p.m.

Number of Students:

1

Location:

Medical Examiner's Office, 111 Penn Street, Baltimore

Time of Year Available: Academic weeks 1-44. Faculty Responsible:

Dr. David Fowler For further information see: Dr. Raymond Jones Pathology Education Programs Room NBW43, Telephone: (410) 328-1221 E-mail: rjones@som.umaryland.edu.

Contact Person:

Eleanor Thomas Medical Examiner’s Office Email: ethomas@haps.name Phone: (410) 333-8159 or (410) 333-3250 Fax: (410) 333-3063

Prerequisites: None Additional Comments: The program offers a unique opportunity for students to acquire first-hand knowledge of legal medicine and the investigation of violent and unnatural deaths.

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PATH 547-07 SITE:

Veterans Administration Medical Center

DEPARTMENT:

Pathology

TITLE OF COURSE:

Laboratory and Anatomic Pathology

DESCRIPTION AND GOALS OF COURSE: Working experience in clinical pathology and surgical pathology are offered as separate areas of participation. Students electing laboratory medicine will work closely with a resident pathologist and attending pathologist to participate with day-to-day problems in effective laboratory management. The students will be exposed to problems concerning proper test selection, test reliability, relationship of laboratory services to diagnostic procedures performed in other departments and costs involved in proper and improper use of the laboratory. Case records and literature reviews will be required for assigned case work-ups. Students electing surgical pathology will be assigned to resident pathologists who will supervise the student in working-up current surgical pathology cases of interest. The student will attend all departmental surgical sign out conferences and will be expected to prepare one or several interesting cases for presentation to the department staff. The student will be exposed to a wide variety of problems that pathologists deal with and will have the opportunity to actively participate in the diagnostic process. Exposure to special techniques such as electron microscopy and immunoperoxidase can be arranged. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

1

Location:

Veterans Administration Hospital

Time of Year Available: Academic weeks 1 - 44 Faculty Responsible:

Doug Lee, M.D. Chief, Laboratory Service For Course Information - (410) 605-7000 ext. 5328 For further information see: Dr. Raymond Jones Pathology Education Programs Room NBW43, Telephone: (410) 328-1221 E-mail: rjones@som.umaryland.edu.

Contact Person:

Melinda Tillman MSTF, 600 E Email: Mtillman@som.umaryland.edu Phone: (410) 706-6300 Fax: (410) 706-8414

Prerequisites: Additional Comments:

None Preliminary Registration in Pathology Teaching Office Room 700-A, MSTF, (410) 706-7072

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PEDI 560-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Academic Medicine Experience

DESCRIPTION AND GOALS OF COURSE: This elective program is designed to provide fourth year medical students who have strong career interests in academic pediatrics a participatory experience in the day-to-day activities of an academic physician. The student will be broadly exposed to the multiple roles of the pediatric academic physician as educator, investigator, clinician and administrator. Students are expected to be present at 8 a.m. on the first day of the rotation. Duration:

4 weeks

Hours of Participation:

Weekdays, 8 a.m. – 5 p.m.

Number of students:

1 per rotation

Location:

University Hospital North Hospital, 5th Floor, Room N5E17

Time of Year Available:

By special arrangement with Dr. Czinn. This elective is NOT offered through the scheduling process. Not available April September.

Faculty Responsible:

Steven J. Czinn, M.D. Chairman of Pediatrics

Contact Person:

Sally Gibson 22 S. Greene Street, Room N5E17 Baltimore, MD 21201 Phone: (410) 328-6777 FAX: (410) 328-8742 E-mail: sgibson@peds.umaryland.edu

Additional Comments:

You MUST schedule an interview with Dr. Czinn and get his approval before doing this elective. This elective will not be available through the regular scheduling process.

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PEDI 543-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Adolescent and Young Adult Medicine Elective

DESCRIPTION AND GOALS OF COURSE: The specific goals of this elective in Adolescent Medicine are: (1) to gain competence in interviewing and examining adolescent patients; (2) to gain an understanding of the physical, psychological, and cognitive aspects of growth and development unique to adolescents; and (3) to gain experience in evaluating a variety of adolescent medical, gynecological, and psychological disorders. The primary teaching area is the Adolescent Clinic, an ambulatory clinic where patients are seen on an appointment basis five days per week. Teaching conferences highlighting common adolescent problems are held during the rotation; a special laboratory course for evaluating sexually transmitted diseases is a regular part of the elective if interested. In addition, students may work one session per week in the Sports Medicine clinic; one session per week in the Juvenile Justice system; and have opportunities to participate in community outreach activities involving health education including HIV testing and counseling. The student will be required to select a research journal article of interest during the rotation and conduct a short evidence-based journal club presentation. A 30-day prior notice is required to drop this elective once scheduled. Duration:

4 weeks

Hours of Participation:

Weekdays, 9:00 a.m. – 5:00 p.m.

Number of Students:

1 per rotation

Location:

Adolescent Clinic 120 Penn Street

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Dr. Ligia Peralta, M.D. Chief, Division of Adolescent and Young Adult Medicine Dr. Arik Marcell, M.D., M.P.H. Medical Director, Adolescent and Young Adult Center (410) 706-1950 amarcell@peds.umaryland.edu

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Prerequisite:

Junior Internal Medicine and Junior Pediatric Clerkship

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PEDI 544-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Pediatric Neurology Elective

DESCRIPTION AND GOALS OF COURSE: The neurologic examination of infants and children will be reviewed and selected ambulatory and inpatient topics in child neurology will be discussed. The student will make rounds, attend pediatric neurology clinic and see patients in consultation with a faculty member. Students will receive exposure to Pediatric epilepsy, cerebral palsy and developmental disabilities. Duration:

4 weeks

Hours of Participation:

Weekdays, 9:00 a.m. – 5:00 p.m.

Number of students:

1 per rotation

Location: Time of Year Available:

Academic Weeks 1 - 44

Faculty Responsible:

Stephen Kinsman Director of Neurology (410) 706-6091

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Additional Comments:

Of interest to students planning to do Primary Care, Pediatrics, Neurology, Neurosurgery or Psychiatry.

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PEDI 546-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Infectious Diseases Elective

DESCRIPTION AND GOALS OF COURSE: This elective is on the consultative service of Pediatric Infectious Diseases. By evaluating patients (ambulatory and hospitalized) and by participating in conferences and attending rounds, the student can learn principles of approach to and management of children with infection. Supervision is provided by one of the Pediatric Infectious Disease attendings. 30 day prior notice is required before dropping elective. Duration:

4 weeks

Hours of Participation:

Weekdays, 8:30 a.m. - 5:00 p.m.

Number of Students:

1 per rotation

Location:

Health Science Facility 685 W. Baltimore Street Room 380

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

James Nataro, M.D. Director of Infectious Disease (410) 706-5328

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Prerequisite:

Junior Internal Medicine and Junior Pediatric Clerkship

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PEDI 547-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Pediatric Emergency Medicine Elective

DESCRIPTION AND GOALS OF COURSE: This elective will allow the student to more independently identify and manage actively ill pediatric patients. Clinical skills will be instructed which will clarify the approach to the acutely ill child. In addition, differential diagnosis and pathophysiology of pediatric conditions will be reviewed. The student will be given the opportunity to engage in the dynamics surrounding illness and coping mechanisms of the family with the acutely ill child. The student will have the opportunity of performing procedures such as: IV insertion, venipuncture, lumbar puncture, suture repair, incision and drainage, and simple splinting. Patients seen by the student will be directly supervised by an attending Pediatrician assigned to the Pediatric ER. Teaching conferences are held daily and include general pediatric problem management and presentation of Pediatric Emergency Medicine topics. The student will be responsible to present a conference during the rotation. Also, the student will be expected to take night and weekend call. Duration:

4 weeks

Hours of Participation:

Weekdays, 8:15 a.m. - 5:00 p.m. Night call is from 6:00 p.m. - 11:00 p.m. Some overnight shifts may be assigned Hours can be flexible to suit special needs

Number of Students:

1 per rotation

Location:

Weinberg Building (attached to Hospital) Corner of Lombard and Penn Street Ground level

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Richard Lichenstein, M.D. Director of Pediatric Emergency (410) 328-6677

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Prerequisite: Junior Internal Medicine and Junior Pediatric Clerkship

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PEDI 549-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Pediatric Gastroenterology and Nutrition Elective

DESCRIPTION AND GOALS OF COURSE: Pediatric Gastroenterology rotation provides the student with clinical experience in both an inpatient and outpatient setting. Participants will be actively involved in the evaluation and care of patients with disorders of the gastrointestinal tract, liver and pancreas as well as those referred with problems related to parenteral and enteral nutrition. All activities are conducted under the direct supervision of the Pediatric Gastroenterology attending, with involvement of the pediatric house-staff caring for in-patients on the pediatric gastroenterology service. Students are encouraged to attend all endoscopic procedures and will be involved in performing other diagnostic procedures such as pH probe studies and breath hydrogen testing. Students will attend the weekly clinical/pathology meetings. Duration:

4 weeks

Hours of Participation:

8:00 – 5:00 p.m.

Number of Students:

1 per rotation

Location:

Subspecialty Clinic North Hospital, 5th Floor, Room N5W40

Time of Year Available:

Academic weeks 9 - 44

Faculty Responsible:

Angelic Malkani, M.D. Gastroenterology and Nutrition (410) 328-0812

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Prerequisite:

Junior Internal Medicine and Junior Pediatric Clerkship

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PEDI 550-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Pediatric Cardiology Elective

DESCRIPTION AND GOALS OF COURSE: The Pediatric Cardiology Rotation combines an experience in the out-patient clinic, seeing patients under the supervision of the attending physician, with involvement with the Pediatric Housestaff caring for cardiac in-patients. Students will be able to evaluate infants and children admitted for diagnostic cardiac catheterization through their physical diagnosis, non-invasive evaluation (including reading of the electrocardiogram and exposure to real-time echocardiography), and attend all diagnostic catheterizations. If desired, exposure to surgical therapy can be arranged. Duration:

4 weeks

Hours of Participation:

Weekdays, 8am-5pm

Number of Students:

1 per rotation

Location:

Subspecialty Clinic North Hospital, 5th Floor, Room N5W40

Time of Year Available:

Academic weeks 1-44

Principle Preceptor:

Mubadda Salim, M.D. Director of Cardiology (410) 328-6666

Contact (Coordinator):

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Prerequisite:

Junior Internal Medicine and Junior Pediatric Clerkship

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PEDI 552-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Pediatric Immunology /HIV/ Rheumatology Elective

DESCRIPTION AND GOALS OF COURSE: This elective offers the student the opportunity for concentrated clinical experience and guided review of the literature in one of two areas of clinical emphasis: 1. Immunology and Rheumatology Emphasis: Attend outpatient clinics and participate in inpatient consultations focusing on evaluation and care of children with primary immunodeficiency syndromes two half days per week, rheumatologic disorders 1½ days per week (one day off campus), and HIV disease one-two half days per week. Based on guided literature review, an oral case presentation and discussion is required. Laboratory experience focusing on flow cytometry and other immunologic assessments is optional. 2. Pediatric HIV Emphasis: Attend outpatient clinics focusing on evaluation and care of children with or at risk for perinatal HIV four-five half days per week and participate in multidisciplinary care team meeting weekly. Attend perinatal clinic focusing on the care of HIV infected pregnant women one half day per week. Based on guided literature review, an oral case presentation and discussion is required. Laboratory experience focusing on virologic and immunologic assessments, home visits, and observation of clinical research activities are optional. Duration:

4 weeks

Hours of Participation:

Weekdays 8:30 a.m. - 5:00 p.m.

Number of Students:

1 per rotation

Location:

University Hospital Pediatric Subspecialty Clinic 22 S. Greene Street, Room N5W40

Time of Year Available:

Academic weeks 1- 44

Faculty Responsible:

Doug Watson, M.D. (410) 706-7666

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Additional Comments:

Students should contact the principle preceptor at least one week in advance. Junior Internal Medicine and Pediatrics Clerkships

Prerequisites:

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PEDI 553-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Pediatric Endocrinology Elective

DESCRIPTION AND GOALS OF COURSE: A research or clinical elective may be chosen. In the clinical elective the participant will receive an introduction to diagnosis, evaluation and management of hormonal disorders in childhood. Research opportunities are available in the areas of growth hormone physiology, diabetes, and mineral metabolism. Duration:

4 weeks

Hours of Participation:

8:30 a.m. – 5:00 p.m.

Number of Students:

1 per rotation

Location:

University Hospital North Hospital, 6th Floor Joslin Center – clinics in multiple sites

Time of Year Available:

Academic Weeks 1-44

Principle Preceptor:

Debra Counts, M.D. Director of Endocrinology (410) 328-3410

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Prerequisite:

Junior Internal Medicine and Junior Pediatric Clerkship

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PEDI 554-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Allergy/Pulmonology Elective

DESCRIPTION AND GOALS OF COURSE: This elective offers the student the opportunity to attend clinics four-five days/week devoted primarily to allergy, asthma, and other chronic lung disorders in children (bronchopulmonary dysplasia, recurrent pneumonia, chronic cough, apnea/bradycardia, obstructive sleep apnea, chronic respiratory insufficiency). Children undergoing evaluations for congenital immune deficiencies are also seen in the Allergy Practice. Students will participate in Inpatient consults and rounds in both Allergy and Pulmonology. Students will also have the opportunity to participate in the Breathmobile, a mobile asthma clinic that provides specialty services at Baltimore schools. The remainder of the time can be spent in guided literature review pertinent to cases evaluated during the elective. The goals of the course are to offer the student a diverse clinical experience in Allergy and Pulmonary Medicine. Duration:

4 weeks

Hours of Participation:

Weekdays 8:30 a.m. - 5:00 p.m.

Number of Students:

1 per rotation

Locations:

Pediatric Subspecialty Clinic 22 South Greene Street, Room N5W40 2 offsite clinics in Belair and Millersville, MD 1 private allergy office (Dr. Goldman) in Ellicott City and

Catonsville The Breathmobile (Various Baltimore City School locations) Time of Year Available:

Academic weeks 1 - 44

Faculty Responsible:

Mary Beth Bollinger, D.O. Director of Allergy (410) 706-2443

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Prerequisites:

Junior Internal Medicine and Pediatrics Clerkships

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PEDI 556-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Pediatric Hematology/Oncology Elective

DESCRIPTION AND GOALS OF COURSE: To gain a broad clinical and scientific background in Pediatric Hematology/Oncology. To develop skills in intensive investigation of clinical and scientific issues, and the presentation of the results of those studies as well as the formulation of plans for therapy and/or management. The student will participate in the daily clinical work of the Division, including rounding, working up new patients in clinic, helping take care of patients returning to clinic for therapy and evaluation, and seeing new inpatient consultations. The student will also participate in psycho/social rounds and other conferences as appropriate. Students will be asked to investigate a specific topic (of their choice or by assignment) for presentation. Students are not expected to take call. Students should report to North Hospital, 5th Floor, Room N5E16 at 9:00 am on the first day of the rotation. Duration:

4 weeks

Hours of Participation:

Weekdays, 9:00 am - 5:00 pm

Number of Students:

1 per rotation

Location:

University Hospital North Hospital, 5th Floor, Room N5E16

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Neil Grossman, M.D. (410) 328-2808

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Prerequisite:

Junior Internal Medicine and Junior Pediatric Clerkship

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PEDI 557-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Clinical Pediatric Genetics

DESCRIPTION AND GOALS OF COURSE: The student will learn general principles of medical genetics with special emphasis on pediatric genetics and genetic counseling. Objectives: To learn the steps in a genetic evaluation and basic skills involved in genetic history taking, physical examination and counseling, as well as the diagnosis and management of genetic disorders. To explore the role of clinical genetics in medical practice, especially in the area of pediatrics and prenatal diagnosis. Method: The student will participate in pediatric genetic clinics, be involved in inpatient consultations, and be a member of the clinical genetics team. Participation in genetics conferences, seminars, and rounds is expected. Presentation of a topic of the student's choice at the Division's clinical meeting will be required. Assessment: The student will become a member of the Genetics team, and will participate in its clinical functions under the direct supervision of faculty members. Quality of the presentation, daily interactions with members of the Division, and assimilation of the didactic material presented by the faculty will form the basis of the assessment. Duration:

4 weeks

Hours of Participation:

8:00 a.m. - 5:00 p.m., weekdays

Number of Students:

1 per rotation

Location:

737 W. Lombard Street, 1st Floor

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Carol Greene, M.D. (410) 328-3335

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Prerequisite:

Junior Internal Medicine and Junior Pediatric Clerkship

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PEDI 558-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Pediatrics

TITLE OF COURSE:

Pediatric Behavioral and Developmental Elective

DESCRIPTION AND GOALS OF COURSE: The goals of the elective include increasing the students' awareness and understanding of normal and abnormal development; facilitating the students' appreciation of the many and varied influences on a child's development (the biopsychosocial model); and exposing the students to various developmental and behavioral disorders, their evaluation and treatment. The students will be offered a variety of experiences, some of which can be tailored to the individual's particular interest. The students will accompany staff and fellows as they perform developmental and behavioral assessments and treatment planning on the pediatric inpatient service, in the pediatric subspecialty clinic, and at outlying sites such as infant and toddler programs, Maryland School for the Blind and County Health Departments. The students may also participate in consultation to Baltimore County and Baltimore City public schools. Students will attend developmental and behavioral rounds and, by arrangement, may accompany a Fellow or Intern as they provide consultation-liaison services to the in-patient service. Some teaching activities will include a guided curriculum to accompany videos. Didactic seminars, journal club, and other teaching sessions taking place during the students' elective time will be open to the students. There will be no night call expected for this elective. Duration:

4 weeks

Hours of Participation:

8:30 am – 5:00 pm

Number of Students:

1 per rotation

Location:

University of Maryland 737 W. Lombard Street 1st Floor

Time of Year Available:

Academic weeks 1-4, 9-44

Faculty Responsible:

Linda Grossman Director of Behavioral and Developmental (410) 706-6538

Contact Person:

Pat Schmidt UMMS, Room N5W56 Phone: (410) 328-6662 Fax: (410) 328-0646 E-mail: pschmidt@peds.umaryland.edu

Prerequisite:

Junior Internal Medicine and Junior Pediatric Clerkship

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PEDI 561-01 SITE:

Hospital Gabriel-Touré, Bamako, Mali

DEPARTMENT:

Pediatrics

TITLE OF COURSE: Tropical Pediatrics Elective in Mali DESCRIPTION AND GOALS OF COURSE: 1) 2) 3)

To exercise active, hands-on participation in the evaluation and management of children presenting for care to the Hospital Gabriel-Touré (HGT) in Bamako To learn the differential diagnosis of common problems affecting children in a desperately poor clinical setting To understand the importance of prevention and targeted case management in global health

Time and experience can be individualized according to the interests and needs of the student. Elective available all year round. Student will work with University of Maryland faculty on site. Ability to speak French is desirable. Duration:

4 weeks

Hours of participation:

Full-time

Number of students:

Up to 6 per year

Location:

Bamako, Mali

Time of year:

All year

Faculty Responsible:

James P. Nataro, M.D., Ph.D., Samba Sow, M.D. Division of Infectious Diseases and Tropical Pediatrics, and Center for Vaccine Development

Contact person:

Dr. J. Nataro 685 W. Baltimore St., Room 480 HSF1 Baltimore, MD 21201 Telephone: (410) 706-5328 Email: jnataro@medicine.umaryland.edu

Prerequisites:

Junior Pediatrics

Additional information: This elective is coordinated by Samba Sow, M.D., who is School of Medicine Faculty and Director of the University of Maryland Center for Vaccine Development – Mali (CVD-Mali). Dr. Sow lives full time in Bamako, and works out of the HGT. Dr. Sow maintains a comfortable guest house in Bamako, which will be made available for visiting students. Note, because of the potential hazards which may accompany illness and medical treatment in developing nations, the School of Medicine requires that students purchase traveler’s medical insurance that includes emergency evacuation. Also, students are required to visit the University of Maryland Traveler’s Clinic prior to traveling to Mali (call 410-706-5328 for

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an appointment). Support for transportation to Mali and the modest living expenses can be acquired through various sources; the Center for Vaccine Development will make every effort to defray costs associated with this elective.

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MPHY 589-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Physiology

TITLE OF COURSE:

Research Physiology Elective

DESCRIPTION AND GOALS OF COURSE: Provides student with opportunity to do research in selected field of Physiology. Duration:

15 weeks minimum

Hours of Participation

Full-time

Number of Studen ts

4

Location:

Bressler Research Laboratories, Fifth Floor

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Paul A. Welling, M.D. Professor, Dept. of Physiology Bressler Research Building, 5th Floor (410) 706-3851 (410) 706-8341 pwelling@umaryland.edu

Prerequisites:

None

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MPHY 542-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Physiology

TITLE OF COURSE:

Physiology Seminars

DESCRIPTION AND GOALS OF COURSE: Advanced graduate seminars in selected fields of physiology (e.g. cardiovascular, renal, endocrine, and neural) are offered, usually two or three in the fall semester. Contact Department for information on courses to be offered in any given year. Duration:

15 weeks (one semester)

Hours of Participation:

1 to 3 hours per week

Number of Students:

12

Location:

Bressler Research Laboratories, 5th floor

Time of Year Available:

Academic weeks 9-24 and weeks 29-40

Faculty Responsible:

Physiology Faculty (See Graduate School Catalogue) Dept. of Physiology Bressler Research Building, 5th Floor (410) 706-3345

Prerequisites:

None

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PSYH 541-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Psychiatry

TITLE OF COURSE:

General Psychiatry Elective

DESCRIPTION AND GOALS OF COURSE: This is a 4 week senior medical student elective in inpatient, adult general psychiatry at the University of Maryland Hospital, Ward 3F. The student will function as a subintern in Psychiatry, however, this does not count towards the medical school’s sub-internship requirement. Specific responsibilities will include following 3 patients under the supervision of the ward attending from the time of admission to discharge and directing all aspects of patient care, including diagnostic evaluation, pharmacotherapy and non-biological psychotherapy. Duration:

4 weeks

Hours of Participation:

Full-Time

Number of Students:

2

Locations:

University of Maryland Hospital, Ward 11W or 12W

Time of Year Available:

All year

Faculty Responsible:

Dr. Barrett

Contact Person:

Gina Perez, M.D. (410) 328-6325 gmandrina@psych.umaryland.edu

Prerequisites:

Junior Neuro/Psych Rotation

Additional Comments:

Not an approved Sub-Internship for Graduation Requirements

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PSYH 542-06

SITE:

Sheppard and Enoch Pratt Hospital

DEPARTMENT:

Psychiatry

TITLE OF COURSE:

Eating Disorders

DESCRIPTION AND GOALS OF COURSE: The medical students will become an active member of an Eating Disorder Treatment Team. They will be involved in the development and implementation of treatment plans; participating in group therapy, clinical rounds, diagnostic interviews, and attending case conferences. Goals of the elective include development of an in depth understanding of anorexia nervosa and bulimia nervosa: diagnostic criteria, associated features, epidemiology, prognosis, predisposing factors, medical complications as well as a differential diagnosis. Also the student will become familiar with recommendations for treatment, i.e., when would inpatient versus outpatient treatment be indicated as well as when psychopharmacologic intervention should be prescribed. As patients with eating disorders frequently have a mood disorder the student will also have an opportunity to become familiar with the relationship of the effects of starvation, and the symptoms of major depression and bipolar disorder. Additionally, the student will develop a comprehensive awareness of the psychopharmacology of affective disorders. Duration:

4 weeks

Hours of Participation:

Monday-Friday approximately 8:00 am - 5:00 pm

Number of Students:

2

Location:

Center for Eating Disorders

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Steve Crawford, M.D.

Contact Person:

Gina Perez, M.D. (410) 328-6325 gmandrina@psych.umaryland.edu

Prerequisite:

Junior Neuro/Psych Clerkship

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PSYH 543-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Psychiatry

TITLE OF COURSE:

Consult-Liaison

DESCRIPTION AND GOALS OF COURSE: The student will become an integral member of the Consultation-Liaison team, participating in all of the team's scheduled meetings and rounds. This consists of morning walk rounds once a week, Wednesday didactic rounds, and attending rounds. Additional supervision with the attending will be available on an as needed basis. The student will work closely with the psychiatry residents on the service in performing both emergency and routine consults. One half-day per week the student will have the option of rotating to Kernan Rehabilitation Hospital to see consults there with a resident and an attending psychiatrist. In addition to these clinical activities, the student will attend classes of interest with the psychiatry residents on Thursdays. The option of spending a half-day on rounds with the substance abuse team exists as well. The goals of this elective are to provide the student with experience in doing psychiatric consultations in a variety of settings - the general hospital, shock trauma, emergency room, and in a rehabilitation hospital. The student will have the opportunity to: (1) learn when to obtain psychiatric consultations; (2) work with multiple specialties and in interdisciplinary settings; (3) identify the psychiatric components of medical, surgical, and traumatic illnesses; (4) learn to distinguish psychiatric illness which poses as organic, psychiatric illness which causes or complicates organic disease, and medical illnesses which present as psychiatric; (5) refine his or her skills in taking a psychiatric history, performing mental status exams, and formulating cases; (6) treating patients in non-psychiatric settings; and (7) working with the referring team to optimize patient care. This elective is particularly suitable for those students who plan to pursue a career in a specialty other than psychiatry, and who would like to know how to make the best use of psychiatric consultations. Duration:

4 weeks

Hours of Participation:

Full-time (Monday-Friday approximately 8:00 am – 5:00 pm)

Number of Students:

1

Location:

Room P1H08, IPHB

Time of Year Available:

Academic weeks 5-24 Academic weeks 29-44

Faculty Responsible:

Dr. Mark Ehrenreich

Contact Person:

Gina Perez, M.D. (410) 328-6325 gmandrina@psych.umaryland.edu Junior Neuro/Psych Clerkship

Prerequisites:

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PSYH 544-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Psychiatry - Division of Alcohol and Drug Abuse

TITLE OF COURSE:

Addiction Psychiatry: Out-Patient Drug and Alcohol Treatment

DESCRIPTION AND GOALS OF COURSE: This medical student elective provides an intensive clinical experience in a broad spectrum of substance abuse programs. The goals are: 1 To provide each medical student with an intensive clinical experience in a selection from a variety of substance abuse treatment sites. 2. To familiarize each medical student with the divers patient population in substance abuse. 3. To familiarize medical students with the multiple levels of care involved in treating substance abusers, including the primary care setting. 4. To introduce to each medical student the important role-played by physicians in the treatment of substance abuse. Duration:

4 weeks

Hours of Participation:

Full-time - 40 hours per week

Number of Students:

Open

Location:

Multiple sites (according to interest and availability)

1 2 3. 4.

UMMS Substance abuse consultation/liaison service (includes general hospital and trauma care) Perry Point VAMC (includes all levels of care: detox, inpatient tx., and outpatient tx.) UMAB drug tx center (includes methadone tx., maternal acupuncture, federal offenders tx., program and the intensive outpatient tx. program.) Baltimore VAMC (intensive outpatient tx., methadone tx., outpatient tx.)

*Other sites are available, to be arranged by request and interest Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Chris Welsh, M.D.

Contact Person:

Gina Perez, M.D. (410) 328-6325 gmandrina@psych.umaryland.edu

Prerequisites:

Neuro/Psych Clerkship

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PSYH 545-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Psychiatry

TITLE OF COURSE:

Geropsychiatry and Electroconvulsive Therapy Elective

DESCRIPTION AND GOALS OF COURSE: The student will become an integral member of the Gero Day Hospital. The Day Hospital provides assessment and treatment of acutely unstable psychiatric patients in a voluntary and open environment, and experience here provides a contrast to inpatient care. The student will be able to follow his/her own team under the supervision of the Attending Psychiatrist, and will gain experience in differential diagnosis, psychopharmacology, brief psychotherapy, and group psychotherapy. The student will become a member of the multidisciplinary team and learn about milieu and administration issues. The elective also includes experience in the evaluation of patients for ECT and the administration of ECT to inpatients at IPHB and referred outpatients. ECT has been shown to be an effective treatment for patients with affective and psychotic disorders and is also useful for selected neurological disorders. The student will gain experience in evaluating patients in terms of appropriateness for ECT and also will learn the administration of ECT, including the use of anesthetics, neuromuscular blocking agents, seizure-enhancing agents, the parameters of ECT, and complications of ECT. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

1

Location:

University of Maryland Medical Center (Ward 12E and ECT suite), BVAMC

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

William T. Regenold, M.D.C.M.

Contact Person:

Gina Perez, M.D. (410) 328-6325 gmandrina@psych.umaryland.edu

Prerequisites:

Junior Neuro/Psych Clerkship

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PSYH 546-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Psychiatry

TITLE OF COURSE:

PACT Elective

DESCRIPTION AND GOALS OF COURSE: This elective provides students with the opportunity to spend five days a week with the University of Maryland’s Program of Assertive Community treatment, a mobile, intensive psychiatric outreach program serving persons with severe and chronic psychiatric illnesses whose needs have not been met in traditional mental health settings. The program is staffed by two full-time attendings and two part-time attendings as well as residents and fellows. Students will have closely supervised clinical experience in field and home as well as office settings. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

1

Location:

University of Maryland (program based in Walter P. Carter Center)

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Ann L. Hackman, M.D.

Contact Person:

Gina Perez, M.D. (410) 328-6325 gmandrina@psych.umaryland.edu

Prerequisites:

Neuro/Psych Clerkship

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PSYH 549-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Psychiatry

TITLE OF COURSE:

Intensive Elective in Psychiatry

DESCRIPTION AND GOALS OF COURSE: The Geropsychiaty Inpatient Service has 13 beds and shares 12E with our Geropsychiatry Day Hospital. In general, our patients are over the age of 50 and may be treated for the full spectrum of psychiatric and substance abuse disorders as well as coexisting medical disorders. Commonly, we treat Bipolar Disorder, Major Depression, Schizophrenia, Delirium, and the psychiatric complications of Alzheimer’s Disease, Parkinson’s Disease and stroke. Our treatment team consists of nurses, occupational therapists, a social worker, a Psychiatry R-2, a MED III and sometimes a Geropsychiatry fellow. Although this rotation is NOT OFFICIALLY a Sub-internship, the experience will be intensive and the high level of responsibility will be reflected in the evaluation. Our teaching goals are: 1. To support residents and student is functioning as the primary provider for patients by integrating clinical data and consultation into a medical-psychiatric treatment plan. 2. To engender an appreciation for the psychiatric complications of medical illness and interventions as well as the medical complications of psychiatric illness and interventions. 3. To encourage the art of history-taking and exam (psychiatric and neurological) as the primary sources of clinical information. 4. To impart an understanding of the elderly patient as a person in a specific developmental and social context. Responsibilities: 1. To take R-1 level of responsibility for patient care under the supervision of the attending psychiatrist. 2. To take overnight one-in-six call with the service R-2. 3. To continue to follow patient into the Day Hospital 4. To write and prepare a case report or small paper suitable for publication (for Honors). Number of Students:

1

Faculty Responsible:

William T. Regenold, M.D.

Contact Person:

Gina Perez, M.D. (410) 328-6325 gmandrina@psych.umaryland.edu

Prerequisite:

Neuro/Psych Clerkship

Additional Comments:

Not an approved Sub-Internship for Graduation Requirements

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PSYH 550-01

SITE:

Maryland Psychiatric Research Center

DEPARTMENT:

Psychiatry

TITLE OF COURSE: Schizophrenia

Introduction to Clinical and Basic Science Research in

DESCRIPTION AND GOALS OF COURSE: This is a 4 to 8-week medical student elective in clinical or basic science research in schizophrenia. Students are introduced to the principles and methods of schizophrenia research. Students participate in ongoing research in the diverse and complementary MPRC programs: 1) Neuroscience program – investigation of the molecular and cellular basis of schizophrenia brain dysfunction and animal models of schizophrenia. 2) The Maryland Brain Collection – studying aspects of human post-mortem brain structure and function. 3) The Functional Neuroimaging Laboratory – study functional connectivity of the brain and the effects of psychotropic medications on regional activity using fMRI and PET scanning. 4) The Outpatient Research Program, and 5) The Treatment Research Program – conduct clinical trials in treatment-resistant schizophrenia and investigate novel drugs for the treatment of persistent negative symptoms and neurocognitive impairments in schizophrenia. 6) The Schizophrenia Related Disorders Program – examining the pathophysiology of schizophrenia-related endophenotypes such as eye tracking dysfunction, Pre-Pulse Inhibition, and P50; family studies in schizophrenia genetics, and specialist clinics (First Episode Psychosis Clinic, Motor Disorders Clinic, and Children’s Antipsychotic Medication Side-Effects Clinic). Students participate in diagnostic evaluations, attend journal clubs and research seminars presented by faculty and visiting scientists, and learn to review the scientific literature. Specialized didactic seminars in research design, measurement and statistics, and ethics are held. Interested students can develop a small research project. An 8 week elective is recommended, though not required. Duration: weeks)

4 to 8 week rotation (Only one grade received if taken for 8

Hours of Participation:

9:00 AM - 5:00 PM

Number of Students:

Up to 6 (1 per MPRC Program)

Location:

Maryland Psychiatric Research Center

Time of Year Available:

All year. Visit to MPRC Programs required before registration.

Faculty Responsible:

Ikwunga Wonodi, MD

Contact Person:

Gina Perez, M.D. Dept of Psychiatry Director of Medical Student Education (410) 328-6325 gmadrina@psych.umaryland.edu

Prerequisites:

None

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PSYH 556-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Psychiatry

TITLE OF COURSE:

Child Psychiatry Elective

DESCRIPTION AND GOALS OF COURSE: This elective will provide direct clinical experiences with children ages 6-12 in hospital setting. This elective aims at developing skills in interviewing children; evaluation of behavioral or learning problems and some consultation techniques. Patients are seen in hospital ward and in school areas, allowing involvement in all modalities of evaluation, diagnosis and treatment. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2 (One student only academic weeks 5-9)

Locations:

University of Maryland Medical Center, Ward 4G – Child Psychiatry Inpatient Unit

Time of Year Available:

Academic Weeks 1-44

Faculty Responsible:

Jason Jones, M.D.

Contact Person:

Gina Perez, M.D. (410) 328-6325 gmandrina@psych.umaryland.edu

Prerequisites:

Neuro/Psychiatry Clerkship

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PSYH 557-07

SITE:

Baltimore V.A. Medical Center

DEPARTMENT:

Psychiatry

TITLE OF COURSE:

Geriatric Psychiatry Elective

DESCRIPTION AND GOALS OF COURSE: This elective provides students with an opportunity to spend three to four days per week learning to diagnose and treat elderly patients with psychiatric disorders in a number of treatment settings. Option A:

Students will work in the following programs: dementia clinic, outpatient mental health clinic, multidisciplinary out-patient geriatric clinic, nursing home, and home visits.

Option B:

Students will work on the geriatric psychiatry in-patient/day hospital unit at UMMS. Included within this option is exposure to ECT and to a gero-psychiatric clinic in a senior center. Students are closely supervised by faculty and fellows in geriatric psychiatry.

Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2

Location:

Baltimore V.A. Medical Center , UMMS

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Paul E. Ruskin, M.D.

Contact Person:

Gina Perez, M.D. (410) 328-6325 gmandrina@psych.umaryland.edu

Prerequisite:

Neuro/Psych Clerkship

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PSYH 574-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Psychiatry

TITLE OF COURSE:

Forensic Psychiatry

DESCRIPTION AND GOALS OF COURSE: Forensic Psychiatry deals with various aspects of human behavior as they apply to the law. The court psychiatrist assists the court in evaluating an individual so true justice can prevail, society can be protected, and the individual rehabilitated. This course is totally flexible in time, is based at the Medical Office in the Court House in downtown Baltimore. The course covers lectures on the structure of the courts and various psychiatric-legal tests, visits to courtrooms, correctional institutions, maximum security hospitals, examinations of offenders, staff conferences, etc. Reading as assigned. Duration:

4 weeks

Hours of Participation:

Part time (Monday - Friday, approximately 8:45 a.m. – 1:00 p.m.)

Number of Students:

1

Location:

Medical Service, Room 100, Court House East, 111 N. Calvert Street, Baltimore

Time of Year Available:

Academic weeks 1-44.

Faculty Responsible:

Thomas J. Oglesby, M.D.

Contact Person:

Gina Perez, M.D. (410) 328-6325 gmandrina@psych.umaryland.edu

Prerequisites:

Nuerology/Psychiatry Clerkship

Additional Comments:

Obtain approval from faculty before registering through the computer. Contact Dr. Oglesby/Paula Shrader at (410) 396-5013.

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RADL 551-03

SITE:

Maryland General Hospital

DEPARTMENT:

Diagnostic Radiology

TITLE OF COURSE:

Diagnostic Radiology Elective

DESCRIPTION AND GOALS OF COURSE: The Division of Radiology of Maryland General Hospital consists of general diagnostic radiology and traumatology, angiography, and CT scanning. Time may also be allocated to Ultrasound or Radioisotopes, if elected. Participants in this elective are taught basic radiological principles with emphasis on film interpretation and traumatology. Emphasis is placed on understanding the various radiographic diagnostic and special procedures, and their usefulness in clinical practice, as well as the risks to the patient of various interventional modalities. The program can be structured to the student's individual needs and time may be adjusted during the elective period to focus on one modality such as CT scanning. Daily film reading sessions with the staff radiologists are provided. Radiology/Oncology lectures are presented monthly. Students may also attend the numerous teaching conferences in other clinical departments, at Maryland General Hospital, during the time spent in Radiology. Duration:

4 weeks or by arrangement

Hours of Participation:

8 hours a day, 5 days a week

Number of Students:

1

Location: Time of Year Available:

Academic weeks 1-44.

Faculty Responsible:

Dharmendra Kumar, M.D., Chief of Radiology (410) 225-8080

Contact Person:

Regina Azu Department of Medicine Maryland General Hospital 827 Linden Avenue Baltimore, MD 21201 Phone: (443) 552-2420 Fax: (410) 225-8910 razu@marylandgeneral.org

Prerequisite:

None

Additional Comments:

The elected time in the Department of Radiology may be tailored to the individual needs of each student, after consulting with the staff radiologists, to outline a program. Students must report to the Medical Affairs Office the first day of the rotation.

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RADL 540-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Diagnostic Radiology

TITLE OF COURSE:

Basic Radiology

DESCRIPTION AND GOALS OF COURSE: This elective is for medical students who desire an understanding of the basic principles of diagnostic imaging interpretation, the application of imaging to clinical practice and an appreciation of the nature and scope of modern imaging procedures. The content of the elective includes both knowledge and skills. In real and simulated small group image reading environments, the students will have an opportunity to learn and use the fundamentals of morphologic analysis and imaging differential diagnosis. They will have brief observation periods in selected imaging sub-specialties. In addition to the use of self instruction materials, and a student teaching file of full size images, the faculty will guide seminars divulging the diverse nature of the Radiology sub-specialty examinations, diagnostic process, the role of the Radiologist as a consultant, the appropriateness of imaging studies and the reciprocal relationship of referring physicians with the Radiologist. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

15

Location:

Department of Diagnostic Radiology, N2E30

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Robert Pugatch, M.D.

Contact Person:

Rose Clarke 22 S. Greene Street, Room N2E08 Baltimore, MD 21201 Phone: (410) 328-3141 Fax: (410) 328-9118

Prerequisite:

None

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RADL 541-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Diagnostic Radiology

TITLE OF COURSE:

Thoracic Radiology Elective

DESCRIPTION AND GOALS OF COURSE: This elective is primarily for those students who desire more intensive study of the radiologic evaluation and diagnosis of chest diseases. The goals of the elective are for the student to learn the proper methods to request imaging studies, to learn the radiographic anatomy of the chest, to recognize the proper position of tubes and to identify common gross pulmonary abnormalities. This includes reading sessions using plain chest radiographs, computed tomography and magnetic resonance imaging. The student may observe CT guided lung and mediastinal biopsies and pleural drainages. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2

Location:

Dept. of Diagnostic Radiology, Weinberg, Rm W1L061

Time of Year Available:

Academic weeks 1-49

Faculty Responsible:

Robert D. Pugatch, M.D.

Contact Person:

Rose Clarke 22 S. Greene Street, Room N2E08 Baltimore, MD 21201 Phone: (410) 328-3141 Fax: (410) 328-0641

Prerequisite:

RADL 540-01 Basic Radiology Course

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RADL 542-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Radiation Oncology

TITLE OF COURSE:

Radiation Oncology Elective

DESCRIPTION AND GOALS OF COURSE: This elective program is designed to provide medical students with exposure to the practical aspects of radiation oncology and the management of cancer patients. The students will receive a broad exposure to new patients, patients under treatment, and follow-up cases, participating fully with the staff in their evaluation and treatment. Students will get an opportunity to observe and participate in Gamma Knife Radiosurgery treatments and various Brachytherapy procedures. Exposure to computerized treatment planning using CT’s and MRI’s will be available. Students will also have the opportunity to work on a clinical project if prior arrangements with faculty have been made. This is an excellent opportunity to improve physical exam skills, and to get a feel for what the field of radiation oncology has to offer. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

2

Location:

Radiation Oncology, University of Maryland Hospital, Ground Floor Gudelsky Building, Room GGJ84

Time of Year Available:

Academic weeks 5-44

Faculty Responsible:

Dr. Pradip P. Amin, M.D. (410) 328-8995 E-mail: pamin@umm.edu

Contact Person:

Charlotte Anderson canderson@umm.edu 22 S. Greene Street - Gudelsky Bldg Baltimore, MD 21201 Phone: (410) 328-2324 Fax: (410) 328-5279

Prerequisite:

None

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RADL 543-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Diagnostic Radiology

TITLE OF COURSE:

Advanced Musculoskeletal Radiology

DESCRIPTION AND GOALS OF COURSE: This elective is primarily for those students who desire more preparation in imaging for a career in Radiology or Orthopaedic Surgery. The goals of the elective are for the student to learn to appreciate the role of the Radiologist as a consultant to the Orthopaedic Surgeon and to recognize common musculoskeletal injuries and diseases. Responsibilities include assisting with organization of the service. Grade depends on evaluation of day-to-day performance. Duration:

4 weeks

Hours of Participation:

Full-time

Number of Students:

1

Location:

Department of Diagnostic Radiology, Gudelsky, Rm C122

Time of Year Available:

Academic weeks 1-49

Faculty Responsible:

Charles Resnik, M.D.

Contact Person:

Rose Clarke 22 S. Greene Street, Room N2E08 Baltimore, MD 21201 Phone: (410) 328-3141 Fax: (410) 328-9118 Email: rclarke@umm.edu

Prerequisite:

None

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RADL 544-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Diagnostic Radiology (Imaging)

TITLE OF COURSE:

Nuclear Medicine Clinical Elective

DESCRIPTION AND GOALS OF COURSE: To gain an appreciation of the fundamental clinical applications of advanced molecular imaging (PETCT/SPECT) to solving diagnostic and therapeutic problems. Students will participate in the evaluation of nuclear medicine procedures and learn the basis of radiopharmaceuticals; physiologic molecular imaging; and radio-immunotherapy. The focus of experience will be primarily in nuclear oncology, nuclear cardiology and in hybrid imaging (PET/CT). The student should gain an appreciation of the appropriate clinical use of general nuclear medicine studies as well as an introduction to advanced image processing, clinical investigation, and molecular imaging in clinical diagnosis. Duration:

4 weeks

Hours of Participation:

Clinical Elective, usually 8:00 A.M. - 5:00 P.M.

Number of Student:

2

Location:

Diagnostic Radiology, Division of Nuclear Medicine Gudelsky, Rm G-2J31

Time of Year Available:

Academic weeks 1 - 49

Faculty Responsible:

Bruce R. Line, M.D. Professor and Head Division of Nuclear Medicine

Contact Person:

Rose Clarke 22 S. Greene Street, Room N2E08 Baltimore, MD 21201 Phone: (410) 328-3141 Fax: (410) 328-9118 Email: rclarke@umm.edu

Prerequisite:

None

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RADL 545-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Diagnostic Radiology

TITLE OF COURSE:

Pediatric Radiology - Diagnostic Imaging

DESCRIPTION AND GOALS OF COURSE: The elective is designed to provide practical experience in the interpretation of Pediatric Radiographs and exposure to more sophisticated Pediatric Imaging modalities. The senior student participates with Radiology residents in daily x-ray review, and observes the performance of other cross-sectional modalities in the Department. The aim is to provide individual assistance in the approach to Pediatric film interpretation as well as to provide better understanding of indications and limitations of more sophisticated and costly modalities. Duration:

4 weeks

Hours of Participation:

Elective hours are 8:30 a.m. - 4:30 p.m. daily. Conferences that are targeted Pediatrics Conferences; mandatory attendance is required.

Location:

Dept of Diagnostic Radiology, Weinberg, W1L021

Number of Students:

1

Time of Year Available:

Academic weeks 1-49

Faculty Responsible:

George W. Gross, M.D. (410) 328-9239

Contact Person:

Rose Clarke 22 S. Greene Street, Room N2E08 Baltimore, MD 21201 Phone: (410) 328-3141 Fax: (410) 328-9118 Email: rclarke@umm.edu

Prerequisite:

Radiology 540-01 Basic Radiology Course or its equivalent is strongly suggested.

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RADL 546-11 SITE:

St. Agnes Hospital

DEPARTMENT:

Medicine

TITLE OF COURSE:

Radiation Oncology

DESCRIPTION AND GOALS OF COURSE: The Radiation Oncology section of the Cancer Center at St. Agnes HealthCare typically sees 40 consults and 75 follow up patients per month. The Cancer Center houses a twelve room clinic with patients being seen by medical, radiation and surgical oncologists. This unique “sharing of space� facilitates multi-disciplinary care of the patients and learning for students. The tumor board sites include: Breast Tumor Board, Head & Neck Tumor Board, Thoracic Tumor Board, GYN Tumor Board, Genitourinary Tumor Board, General Tumor Board, GI/Colorectal Tumor Board. The student will also participate in the weekly multi-disciplinary breast clinic where each patient is seen in tandem by a medical, radiation and surgical oncologist and plastic surgeon. All site specific Tumor Boards will be attended by the student and two presentations required. Clinical research opportunities are available. Emphasis is placed on general concepts of oncology, case presentation skills, individual attending teaching and team care. St. Agnes is noted for its oncologic center of excellence. Duration:

4 weeks

Specialty Procedures Include:

3-D Treatment Planning, IMRT, High and Low dose Rate Brachytherapy, Prostate Seed Implant, Dedicated CT Simulations, Stereotactic radiosurgery, and Tomotherapy

Hours of Participation:

7:30 a.m. until 5:00 p.m., Monday through Friday

Number of Students:

1

Location:

Cancer Center at St. Agnes HealthCare Caton and Wilkens Avenue Baltimore, Maryland 21229

Time of Year Available:

All academic weeks

Faculty Responsible:

Richard S. Hudes, M.D., Chief of Radiation Oncology Sylvester J. Dziuba, M.D. Timothy Holmes, Ph.D. Mark Hall, RTT, CMD

Contact Person:

Cathy Poetschan Administrative Secretary Department of Medicine Phone: 410-368-3120 Fax: 410-368-3525

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Comments:

Free Parking. Internet on line services 24 hours day - residents office

Prerequisite:

Junior Clerkship in Medicine

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RADL 547-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Diagnostic Radiology

TITLE OF COURSE:

Abdominal Imaging

DESCRIPTION AND GOALS OF COURSE: This elective is designed for students who wish to obtain a more comprehensive understanding of the methods of cross-sectional imaging and of its role in the management of patients. The student will be an observer in the US/CT/MRI and fluoroscopy sections and will attend case readouts in these sections on a daily basis. The student will have a daily designated subsection emphasis, however, he/she will be free to participate in all other areas as well. The student will be able to observe ultrasound and interventional procedures such as biopsies. Teaching will consist of basic and cross-sectional anatomy, pathology and clinical medicine with an emphasis on the appropriate use of imaging techniques. The student should also attend 7:30 a.m. and 12:30 p.m. daily resident conferences and other conference or work rounds as recommended by the supervising Attendings. Attendance at the daily noon conference and at the weekly imaging conference is expected. The student shall present one educational or interesting case at the end of the four week period at the imaging conference. If interested, research projects can be arranged. Duration:

4 weeks

Number of Students:

2

Location:

Dept of Diagnostic Radiology, Gudelsky, Rm G1K133

Time of Year Available:

Academic weeks 1-49

Faculty Responsible:

Drs. Barry Daly, Jade Wong, Fauzia Vandermeer, David Vining and Anita Hawkins

Contact Person:

Rose Clarke 22 S. Greene Street, Room N2E08 Baltimore, MD 21201 Phone: (410) 328-3141 Fax: (410) 328-9118

Prerequisite:

RADL 540-01 Basic Radiology Course

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RADL 549-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Diagnostic Radiology

TITLE OF COURSE:

Diagnostic and Interventional Neuroradiology

DESCRIPTION AND GOALS OF COURSE: The Division of Diagnostic and Interventional Neuroradiology offers an elective rotation for senior medical students which is intended to provide interested individuals with the opportunity to gain additional experience with brain and spine imaging and image-guided procedures. This includes training in the interpretation of Computed Tomography, Magnetic Resonance Imaging and Special Procedures (Angiography, Endovascular Therapy, Myelography, Discography, and Percutaneous Biopsies). The student will get a broad exposure to state-of-the-art neuroimaging as well as an opportunity for exposure to interventional nadiology (INR), a dynamic new array of treatment opportunities for vascular diseases that affect the neuroaxis. Duration:

4 weeks

Hours of Participation:

Full-time

Location:

Dept. of Diagnostic Radiology, Gudelsky, Rms, C118 & C120

Number of Students:

2

Time of Year Available:

Academic weeks 1-49

Faculty Responsible:

Gregg H. Zoarski, M.D. Director, Diagnostic and Interventional Neuroradiology

Contact Person:

Rose Clarke 22 S. Greene Street, Room N2E08 Baltimore, MD 21201 Phone: (410) 328-3141 Fax: (410) 328-9118 Email: rclarke@umm.edu

Prerequisite:

RADL 540-01 Basic Radiology Course

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RADL 550-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Diagnostic Radiology

TITLE OF COURSE:

Trauma-Emergency Radiology

DESCRIPTION AND GOALS OF COURSE: This course will review imaging modalities used in the management of acute injury as seen at the Maryland Shock-Trauma Center. Imaging modalities include radiography, computed tomography, MRI, and angiography. In addition, diagnostic imaging of complications occurring in the intensive care setting will be studied. The student will be expected to learn which imaging procedures are most appropriate to perform for a given clinical situation and the advantages and limitations of each imaging modality. Students planning a career in Emergency Medicine, Radiology, or Surgery would find the course of benefit for future application. Reading will be assigned from articles and short texts. A brief case report emphasizing diagnostic imaging studies will be expected. Grading depends on daily participation in read-out rounds and the quality and timeliness of completion of reading assignments and the case report. Diagnostic interpretation skills will not assessed. Duration:

4 weeks

Number of Students:

1

Location:

Shock-Trauma Radiology 2nd Floor - Shock Trauma Center (CT Reading Room)

Time of Year Available:

Weeks 1-44

Faculty Responsible:

Stuart E. Mirvis, M.D. Professor of Radiology and Director of Trauma Radiology

Contact Person:

Rose Clarke 22 S. Greene Street, Room N2E08 Baltimore, MD 21201 (410) 328-3141 (410) 328-9118

Prerequisite:

RADL 540-01 Basic Radiology Elective

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GSUR 553-01 SITE:

University of Maryland Hospital

DEPARTMENT:

Surgery

TITLE OF COURSE:

Trauma/ICU Elective

DESCRIPTION AND GOALS OF COURSE: The goal of this course is to provide the students with the opportunity to apply the basic physiology learned in their initial three years to the critically ill patient. Issues that will be addressed in a one-on-one fashion include: • • • • • • • • •

Fluid Resuscitation Blood Gas Analysis Management of ARDS Electrolyte and Acid Base Diseases Nutritional Support Renal Replacement Therapy Pain Management Spinal Cord Injury Management Head Injury Management

The student will participate in daily work and teaching rounds in the MTU/NTU ICU. Students will be given an opportunity to perform procedures under direct supervision. Duration:

4 weeks

Hours of Participation:

Monday through Friday; morning and afternoon rounds, morning rounds on the weekends; Optional in-house call.

Number of Students:

2

Location:

Multitrauma ICU, Neurotrauma ICU at R Adams Cowley Shock Trauma Center

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Dr. Carnell Cooper

Contact Person:

Regina Ruffin Shock Trauma Center, Room S4D13 Phone: (410) 328-1205 FAX: (410) 328-0687 E-mail: rruffin@umm.edu

Additional Comments:

An outstanding elective that provides an opportunity to apply basic

physiology to the critically ill patients. It will also provide an opportunity for the student to become comfortable doing basic procedures such as central lines, arterial lines, and pulmonary artery catheter insertion with direct supervision. - 127 -


GSUR 554-01

Site:

University of Maryland

Department:

Surgery

Principal Preceptor:

Dr. Steven Kavic (410) 328-5878

Title of Course:

Elective in Minimally Invasive Surgery

Description and Goals: The senior student will serve as an integral team member on the Minimally Invasive General Surgery Service at the University of Maryland Hospital. These services treat patients with elective surgical procedures of the abdomen and chest employing advanced minimally invasive techniques. Course content emphasizes gastrointestinal diseases, biliary diseases, and surgical endocrinology. The student will participate in pre-operative evaluation, surgery, post-op care and clinic follow-up. Training in laparoscopic skills is available in the simulation center. Duration:

4 weeks

Hours of participation:

Full time

Number of Students:

1 per rotation

Availability:

Academic weeks 1-44

Prerequisites:

Completion of Internal Medicine and General Surgery Clerkships

Contact Person:

Diana Thomas 22 S. Greene Street, Rm N4E27 Baltimore, Maryland 21201 Phone: 410-328-5878 Fax: 410-328-5919 Email: dthomas@smail.umm.edu

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GSUR 589-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Surgery

TITLE OF COURSE:

Surgical Research

DESCRIPTION AND GOALS OF COURSE: The Department of Surgery has extensive laboratory facilities offering students the opportunity to participate in both basic and clinical research. Faculty members welcome students interested in learning techniques of investigation, methods of experimental design and critical preparation of presentations and manuscripts. Location:

University of Maryland

Duration:

4 to 8 weeks, opportunity to continue part-time as schedule allows, if desired

Hours of Participation:

Full-time

Number of Students:

2 per laboratory

Time of Year Available:

Year round

Faculty Responsible:

Stephen Jacobs, M.D. Head, Division of Urology (410) 328-5544

Contact Person:

Diana Thomas 22 S. Greene Street, Rm N4E27 Baltimore, Maryland 21201 Phone: 410-328-5878 Fax: 410-328-5919 Email: dthomas@smail.umm.edu

Prerequisite Courses:

None

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PLAS 540-01

SITE:

University of Maryland Hospital

DEPARTMENT:

Surgery

TITLE OF COURSE:

Plastic Surgery at UMMS

DESCRIPTION AND GOALS OF COURSE: This elective will involve a rotation on the Plastic Surgery Service at the University of Maryland Hospital. The student will be an active member of the team involved in the care of patients with facial and hand trauma, burns, congenital anomalies, as well as, cosmetic and post ablation reconstructions. The student will learn to manage complex wounds and actively participate in skin grafting, lesion excision, and serve as an assistant in more complex operations. Duration:

4 weeks

Hours of Participation:

Full time

Number of Students:

1 per rotation

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Ronald Silverman, M.D. (410) 328-2360

Contact Person:

Barbara Carson UMMS, Rm. # S8D12 Baltimore, Maryland 21201 Phone: 410-328-2360 Fax: 410-328-0638 Email: bcarson@smail.umaryland.edu

Prerequisite:

Successful completion of Junior Internal Medicine and Junior Surgery Clerkships

- 130 -


TPSR 541-01

SITE:

R. Adams Cowley Shock Trauma Center

DEPARTMENT:

Surgery

TITLE OF COURSE:

Trauma Plastic Surgery Elective

DESCRIPTION AND GOALS OF COURSE: This one-month elective will involve a rotation on the Plastic Surgery Service at the R Adams Cowley Shock Trauma Center. This elective provides broad experience in all aspects of plastic surgery, stressing basic techniques and wound care. The student participates in the formal educational activities of the Division of Plastic Surgery. Students are introduced to the treatment of patients with the following acute and secondary conditions: Acute: • • •

Severe facial injuries with complex skeletal fractures and/or soft-tissue injuries. Complex extremity fractures with loss of soft-tissue coverage requiring local and/or free microvascular reconstruction. Intricate trunk or head/neck injuries requiring local and/or free microvascular tissue reconstruction.

Secondary/Chronic: • Complex craniofacial skeletal nonunions and/or malunions. • Infection and/or osteomyelitis of the craniofacial skeleton. • Complex infections and/or osteomyelitis of other skeletal structures requiring a combined effort between orthopedics and plastic surgery. Specifically, bony debridement and a local or microvascular free tissue reconstruction. • Challenging scar deformities involving the head/neck, extremities and/or trunk. • Complex secondary deformities requiring local and/or free microvascular reconstruction. Duration:

4 weeks

Hours of Participation:

Full time

Number of Students:

2 per rotation

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Eduardo Rodriguez, DDS, M.D.

Contact Person:

Stacy Laumann Phone: (410) 328-3058 Fax: (410) 328-8862 Email: slaumann@umm.edu

Prerequisite:

Successful completion of Junior Internal Medicine and Junior Surgery Clerkships.

- 131 -


TSUR 540-01

SITE:

UMMS

DEPARTMENT:

Surgery

TITLE OF COURSE: Multidisciplinary Clinical Elective in Cancer Care

DESCRIPTION AND GOALS OF COURSE: Multidisciplinary experience including observations and didactic presentations intended to expose the student to the continuum of oncology care from diagnosis through hospice and palliative care. Schedule: 1. First Week: Surgical Interventions in Cancer Care • OR observation and shadowing residents in thoracic oncology. *Observations may be expanded to include GY, Gyn, or General Surgical Oncology if the student has an expressed interest in theses clinical area. Experience will include: Attendance at Multidisciplinary conferences/tumor boards Attendance on morning rounds 2. Second week Medical Interventions in Cancer Care • One week with Medical Oncology Inpatient and/or Outpatient Team • Observations may be limited to one surgical discipline if the student has an expressed interest in one surgical discipline if the student has an expressed interest in one clinical area. Experience will include: Attendance at Grand Rounds (12N Monday) Attendance at Directors Conference (4PM Tuesday) Attendance on consultations (inpatient and outpatient) 3. Third Week: Radiation Therapy in Cancer Care Experience will include: Exposure to teletherapy, radiosurgery, and branchytherapy. Attendance at new patient and dosimetry conferences Attendance at radiation oncology and grand rounds 4. Fourth Week: Thoracic Surgery & Multidisciplinary Clinics Further experience available in Palliative and Home Care in the treatment of Cancer Patients Evaluation: Students will be asked to complete a written evaluation at the completion of the elective.

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Duration:

4 weeks

Hours of Participation:

See Schedule

Number of Students:

2

Location:

UMMS

Elective Coordinator:

Richard Battafarno, M.D. The role of the coordinator will be to facilitate the student’s experience and arrange specific scheduled observational opportunities.

Faculty Responsible:

Richard Battafarano, M.D. Phone: (410) 328-6366 Fax: (410) 328-0693 e-mail: rbattafarano@smail.umaryland.edu

Prerequisites:

Completion of Junior Rotations

- 133 -


USUR 540-01

SITE:

UMMS & Baltimore V.A

DEPARTMENT:

Surgery

TITLE OF COURSE:

Urologic Surgery

DESCRIPTION AND GOALS OF COURSE: The Division of Urology offers a four week rotation, which will afford the Senior Student an indepth exposure to all aspects of clinical urology. The student will be assigned the clinical responsibility of direct patient care compatible with a PG-1 and assume “on call” rotation with the Urology residents. Daily activities will include outpatient clinic, where the student will participate in the diagnostic evaluation and management of urologic problems and the operating room where the student will assume the role of an assistant. The range of urologic exposure will include pediatric and adult urology as well as transplantation. In order to learn urologic principles and recognition of urologic disease as related to general medical practice, each senior student will participate in the care of patients and in the following conferences: Thursday: 7:30 – 8:30 a.m. - Urology Grand Rounds. Case conference Monday: 4:00 p.m.– 5:00 p.m. Urology Oncology Conference, Monday: 5:00 p.m., Journal Club. Duration:

4 weeks

Hours of Participation:

Full time

Number of Students:

2 per rotation

Time of Year Available:

Academic weeks 1-44

Faculty Responsible:

Michael Phelan,, M.D. Division of Urology 410-328-5544

Contact Person:

Diana Thomas 22 S. Greene Street, Rm. N4E27 Baltimore, Maryland 21201 Phone: 410-328-5878 Fax: 410-328-5919 Email: dthomas@smail.umm.edu

Prerequisites:

Successful completion of Junior Internal Medicine and Junior General Surgery Clerkships

Additional Comments:

Conferences are held with the Medical Oncology, Radiation Oncology, Radiology, and Pathology Services

- 134 -


RSCH 599-01

SITE:

University of Maryland Medical System

DEPARTMENT:

Various

TITLE OF COURSE:

Longitudinal Individualized Research Elective

DESCRIPTION AND GOALS OF COURSE: • It is designed for students who require an individualized course of study for a portion of their 4th year of medical school. • This curriculum may assist students in preparing for USMLE exams, provide an opportunity for them to revisit block materials, and/or provide time for them to participate in lab activities. • This elective must be approved by an Associate or Assistant Dean in the Office of Student Affairs. In general, this elective will not fulfill one of the four required electives in the fourth year, since its longitudinal nature is difficult to quantify. Duration:

3 - 12 months

Faculty Responsible:

Donna Parker, M.D. Associate Dean for Student Affairs (410) 706-7476 dparker@som.umaryland.edu

NOTE: Students MUST meet with an Associate or Assistant Dean prior to registering for this elective.

- 135 -


SPCL 599-01

SITE:

University of Maryland Medical System

DEPARTMENT:

Various

TITLE:

Longitudinal Individualized Clinical Elective

DESCRIPTION AND GOALS OF COURSE: •

• • •

It is designed for students who require a personalized clinical experience during a time of an abbreviated academic curriculum. The clinical work will be evaluated and graded by a designated faculty member in the department agreeing to accept the student on this rotation. In this elective, students participate in a longitudinal individualized clinical experience over 4 – 8 weeks. This elective must be approved by an Associate or Assistant Dean in the Office of Student Affairs. Senior elective credit will be awarded as determined by the Associate or Assistant Dean for Student Affairs at the time of registration for the course.

Duration:

4 – 8 weeks.

Faculty Responsible:

Donna L. Parker, M.D. Associate Dean for Student Affairs (410) 706-7476 dparker@som.umaryland.edu

NOTE: Students must meet with an Associate or assistant Dean prior to registering for this elective.

- 136 -


SPCL 598-01 SITE:

University of Maryland

DEPARTMENT:

Medicine MD/PhD Program Office and Clinical Departments

TITLE OF COURSE:

Physician Scientist Clinical Elective

BACKGROUND AND RATIONALE: This elective is designed to provide MD/PhD students with integrative clinical experiences that will enhance their training as physician scientists. The elective includes a longitudinal clinical experience during the Ph.D. years. In order to maintain a continual exposure to the principles and practice of medicine, students will be linked with a clinician investigator who works in an area related to the student’s research and/or clinical interests. The student will accompany this faculty mentor in a patient care contact experience over the course of an academic year for at least 100 hours of hands-on contact time. Students will also participate in the Physician Scientist Seminar series throughout all their years of training. This combined theoretical and practical exposure to clinical medicine will provide the student with a solid foundation of the pathophysiology and clinical presentation of a variety of human diseases that reinforce the clinical relevance of their research projects. The student will gain insight into the thought processes underlying the formation of a differential diagnosis as well as an appreciation for the evolution of diseases over time. This clinical experience will illuminate an important link between the student’s ongoing basic/translational research and clinical medicine. An additional benefit of this course is the presentation of the clinician investigator as a role model to aid the student in career planning decisions Timeframe:

MSI through 4th Year of Graduate School – Total of six years MSI : Monthly Physician Scientist Seminars – 16 hrs MSII: Monthly Physician Scientist Seminars – 16 hrs GSI:

Monthly Physician Scientist Seminars – 16 hrs

GSII:

Monthly Physician Scientist Seminars – 16 hrs

GSIII: Monthly Physician Scientist Seminars – 16 hrs Longitudinal Clinical Rotation – a mentorship with clinical faculty member upon approval of course masters – 100 hrs minimum GSIV: Monthly Physician Scientist Seminars – 16 hrs MSIV: Monthly Physician Scientist Seminars – 16 hrs Selection process: MD/PhD Students will select this elective at the time they initiate the Longitudinal Clinical Rotation Requirement. Size limit:

NA

- 137 -


Course Masters:

Terry B. Rogers, Ph.D., Ronald Gartenhaus, M.D.

Evaluations:

Course masters and Longitudinal Clinical Rotation Preceptor. Preceptor will submit a completed evaluation form with grade for clinical experience

Credit:

One-month elective credit given towards fourth year academic requirements upon successful completion of the all of the above components.

Prerequisites:

Must be a student in MD/PhD Program THIS COURSE IS NOT OFFERED TO VISITING STUDENTS

- 138 -


SPAN 547-01 SITE:

University of Maryland Baltimore

DEPARTMENT:

School of Medicine

TITLE OF COURSE:

Medical Spanish Elective

DESCRIPTION OF COURSE: The demand for health professionals to learn Spanish has increased dramatically in the last twenty years. Hispanic Americans continue to be the fastest growing ethnic minority in the United States. In the state of Maryland, especially in the Baltimore/Annapolis/Washington and Eastern Shore areas, there has been a dramatic increase in the Spanish-speaking population during the last ten to fifteen years. Furthermore, this population is composed mainly of workers whose families are not fluent in English and or their knowledge of English is extremely limited. Consequently, health-care providers in all major areas of the country and in the State of Maryland in particular, are more than ever aware of the need for knowledge of Spanish particularly for basic and advanced conversational medical Spanish. At the same time, students and professionals in all health fields find themselves with increasing demands on their time. Therefore, they can truly benefit from a course that is specifically tailored to their needs and time constraints. Particular emphasis will be given to vocabulary acquisition, communication skills and cultural nuances. Goal: To enable 1st and 2nd year medical students to improve communication skills in Spanish, specifically in the medical setting. Objectives: By the end of the elective, all students should be able to: • Understand the culture of the Hispanic/Latino population and its effect on their interactions with health care providers • Initiate a conversation/interview in Spanish Intermediate II and Advanced students should be able to: • Initiate and maintain conversations in Spanish • Interview Spanish speaking patients in their own language Duration:

80 hours per semester for 4 semesters

Students must additionally complete and document 80 hours of language practice in order to ultimately receive senior elective credit. Hours of Participation:

1 hour per week

Number of Students:

20 per section

Time of Year Available:

Academic weeks 10-20

Faculty Responsible:

Donna L. Parker, MD Associate Dean for Student Affairs

Contact Person:

Valerie Reynolds Phone: (410) 706-7476 Email: vreynolds@som.umaryland.edu

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http://medschool.umaryland.edu/uploadedFiles/Medschool/Offices_of_the_Dean/Office_of_Student_Affairs  

http://medschool.umaryland.edu/uploadedFiles/Medschool/Offices_of_the_Dean/Office_of_Student_Affairs/documents/Electives_Catalog_07_08.pdf

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