2013-2014 Electives Catalog

Explore each category of elective offered by USF Health MCOM by clicking on its name. Please reference the Course Key for further information.

It is the students' responsibility to verify where and to whom they report before the start of each course no later than the Friday before the start of the rotation.

Anesthesiology

	Periods	Pre-requisite	Sites & Slots	Hours	Weeks
MEL 7320Z: Externship in Anesthesiology Externship form required.	1,2,3,4,5,6,7	Year 4 status	no limit @USFMS	FT, 44 hr wk	4
MEL 7760: Anesthesiology Elective Dr. Malcolm Klein Location: Second floor Anesthesia Department James A. Haley VA Medical Center 13000 Bruce B. Downs Blvd., Tampa, FL 33612 Objective The primary objective of this course is to introduce the student(s) to the practical/hands on approach to anesthesiology with emphasis on airway management, respiratory physiology, cardiovascular physiology, perioperative management, and invasive procedures. Medical students are expected to make preoperative rounds with the anesthesiology staff on patients scheduled for surgery. Preoperative examinations and assessments of patients are expected. Participation in the decisions of anesthetic drugs and anesthesia choice are required. Students will assist in the preparation of the patients for surgery which include starting IV’s, connecting monitoring equipment, learning the pharmacology of various anesthestic agents, and learn to problem solve basic anesthetic situations. Emphasis on airway management include placement of LMAs, LTDs, masking patients, and intubation via direct laryngoscopy and video laryngosocpy. Invasive procedures include arterial line insertions and central line placement. An introduction to peripheral regional blocks will be included for those students that express an interest. Students will follow their patients throughout the anesthetic care into the postoperative recovery for continuity of care. The course is directed towards medical students who plan to enter Anesthesiology, Critical Care Medicine, or Emergency Medicine. The course emphasis will be tailored to the medical specialty the extern expects to enter and the skill set of the student. Excellent hand-eye coordination is a must for this course, since students are expected to perform procedures on patients. Evaluation Oral, practical, and/or written evaluations of medical students will include clinical performance, medical knowledge, professionalism, motivation, and ability to problem solve. 1st Contact Person: Layne Jackson Telephone: 1-813-978-5946 E-mail: Layne.Jackson@va.gov Room: 2D-207 2nd Contact Person: Dr. Lee Telephone: 1-813-972-2000 ext. 5157 E-mail: Leland.Lee@va.gov Room: 2C-207	1,2,3,4,5,6,7,8,9,10,11	Year 4 status	1@MCC 1@TVAH	FT, 50 hr wk	4

Basic Science Selectives

	Periods	Pre-requisite	Sites & Slots	Hours	Weeks
BMS 8187: Advanced Human Anatomy Dr. Arslan and Faculty This course entails supervised regional dissection, discussion of the clinical relevance of the identified structures, participation in gross anatomy laboratory sessions and independent case-based presentations. Objectives This course is designed to provide senior students with the opportunity to perform an in-depth study of anatomy in relation to surgical fields and other clinically relevant disciplines such as radiology and emergency medicine. It enables students to master the delicate relationships of anatomical structures through supervised step-by-step dissections. It is expected, that prospective students will be able to correlate structural organization of human body to the interpretation of disease processes. Students will be able to participate in teaching anatomy to junior medical students in an interactive laboratory environment. Evaluation Evaluation is based on completion of the assigned dissection and active participation in anatomy laboratory teaching. Minimum of 5 PowerPoint presentations detailing a series of clinical vignettes with complete history, laboratory values, differential diagnosis and discussions are required. These vignettes must emphasize the importance of structural relationships of the affected organs and the anatomic basis of the conditions discussed. Students should contact Dr. Arslan to receive permission in advance and to insure proper coordination. Orhan E. Arslan, DVM, PhD Director of Anatomy Department of Pathology and Cell Biology, University of South Florida College of Medicine 12901 Bruce B Downs Blvd MDC 2012 Tampa, FL 33612 (813) 974-0636 Track Required for Radiology One of the options for Emergency Medicine, and Family Medicine Note: This course is also listed under Internal Medicine.	1,2,3,4,5,6,7,8,9,10,11	none	No limit@USF-MS	FT, 44 hr wk	2,4
MDE 8163: Ob/Gyn Back to Basics Drs. Nagwa Dajani and James Mayer THIS ELECTIVE IS NOT AVAILABLE TO VISITING STUDENTS The goals of this course are to review various aspects of basic anatomy, physiology, pathology, and genetics that are found within the daily clinical care setting. Students will be asked to provide a summary power point presentation based on a clinical patient management topic. The topic will focus on the underlying fundamental basic science knowledge and skills required to fully utilize the clinical decision making process. This course will be held over a two week period. It will be approved first for those students designated on the Ob/Gyn track and then be available to a limited number of students on a first come, first serve basis.	9A,11A	Year 4 status	5@USF MS	FT, 40 hr wk	2
MDE 8381: Pharmacogenomics and Psychosocial Aspects of Patient Care Drs. Lynn Wecker PhD and Michelle Mattingly PhD Understanding the basis for differences in both drug responses and psychosocial therapies forms the basis for treatment selection in psychiatric disorders. This course will explore and expand knowledge and applications of (a) why specific medications may have either a therapeutic benefit treatment emergent adverse effect for some, but not all individuals; (b) genetic polymorphisms of neurotransmitter-associated proteins including enzymes, transporters and receptors that mediate chemical neurotransmission, and the possible role of these alterations in the manifestation of behavioral disorders; (c) how psychosocial factors influence the manifestation of both positive and negative health related behaviors; and (d) the utility of empathy with patients and its impact on differential therapeutics inclusive of integrating pharmacotherapy and psychotherapy in optimal care. Goals and Objectives The goals and objectives of this course are to complement the basic and clinical information gained during their first three years of medical school and provide students a solid understanding of both pharmacogenomics and the behavioral aspects of patient care. Specifically, Pharmacogenomics and Psychosocial Aspects of Patient Care is designed (a) to provide an understanding of the interactions between genetic inheritance, drug actions and the body’s response to drugs; and, (b) to expand on personalized medicine and patient centered care that were previously learned or encountered by the medical student during the first three years in medical school. A working knowledge that psychiatric treatments (either psychopharmacological or psychosocial) can be tailor made and adapted to the individual is essential as these issues have implications for patient health, adherence to treatment and patient-physician relationship. Teaching faculty USF faculty of Psychiatry Evaluation Students will be evaluated based on faculty evaluation of interaction, participation, and presentation on a current issue in pharmacogenomics. Track One of the options for Emergency Medicine, Family Medicine, Psychiatry, and Pediatrics	10A,10B	Year 4 status	2-6@USFMS	FT, 40 hr wk	2
MDE 8521: Applied Head and Neck Anatomy Dr. Orhan E. Arslan, DVM, PhD The course will demonstrate and enforce the interface between clinical and foundational science, and reinforce skills of literature review and mechanistic thinking about clinical problems. Specifically, students will review the anatomy of the head and neck through online materials, lectures, and dissection. Students will learn of common clinical correlates, imaging studies, and surgical procedures through lectures by clinical faculty. Goals and Objectives The overall goal of this course is to provide a thorough review of human head and neck anatomy from a clinical perspective. Topics covered during the elective will include anterior and posterior triangles of the neck, the larynx and pharynx, the face, the infratemporal fossa, the oral cavity and submandibular triangle, the eye and orbit, the ear, the cranial base, the blood supply and venous drainage of the brain, the cranial nerves, the meninges, and major gross brain structures. The objective is to enable students to recognize the anatomical background of common clinical problems and surgical procedures. Teaching Faculty Summer Decker, PhD and other USF Health faculty Evaluation Students will be evaluated on the basis of their course participation in discussions and dissection and on their oral presentation of a chosen and approved research project. Track One of the options for Neurology, Neurosurgery, Orthopaedics, Emergency Medicine, Family Medicine, and Pediatrics	1,2,3,4,5,6,7,8,9,10,11	Year 4 status	6-30@USFMS	FT, 40 hr wk	2
MDE 8522: Applied Anatomy of the Musculoskeletal System Dr. Orhan E. Arslan, DVM, PhD Students will review the anatomy of the back and extremities through the use of assigned online materials, lectures, and dissections. Students will learn of the clinical correlation, common imaging studies, and common surgical procedures of the musculoskeletal system. Goals and Objectives The overall goal of this course is to provide a thorough review of human osteology and musculoskeletal anatomy from a clinical perspective. The objective is to enable students to recognize the anatomical background of common clinical problems and surgical procedures. Specifically, the gross anatomy of the back and limbs will be reviewed, and the clinical relevance of this anatomy will be emphasized. Teaching faculty Summer Decker, PhD, and other USF Health faculty Evaluation Evaluation of the student’s final oral presentation with respect to knowledge of the anatomical basis to clinical practice, the incorporation of the topic of basic sciences and the references cited Track One of the options for Emergency Medicine, Family Medicine, Orthopaedics, and Pediatrics	1,2,3,4,5,6,7,8,9,10,11	Year 4 status	6-30@USFMS	FT, 40 hr wk	2
MDE 8554: The Pathobiology of Ocular Disorders Dr. Curtis E. Margo, MD, MPH This course is an introduction into the pathophysiology of common vision-threatening disorders with emphasis on the scientific foundations of this knowledge. Clinical methods sessions are to complement the basic science review. Teaching Faculty USF and VHA faculty of Ophthalmology Evaluation Students will be evaluated by direct observation of their participation in didactic sessions and clinics, their understanding of the correlation between the science foundations of ophthalmology and clinical utility, and a student project. Track Required for Ophthalmology One of the options for Emergency Medicine and Family Medicine	10A	Year 4 status	2-5@USFMS	FT, 40 hr wk	2
MDE 8811: Integration of Brain Networks, Dimensions of Behavior, and Modern Therapeutics Dr. Gabriel A. de Erausquin, MD,PhD The course will provide a conceptual framework to think about brain disease following the National Institutes of Mental Health Strategic Plan agenda seeking new ways of classifying psychopathology based on dimensions of observable behavior and neurobiological measures. Specifically, this interdisciplinary course is designed to provide students with basic science lectures integrating state of the art knowledge about how brain networks integrate into dimensions of behavior spanning the spectrum of health to disease, with the experimental and clinical application of therapeutic techniques (neurostimulation and optogenetics). Students will learn in depth about dynamic integration of networks and functional brain anatomy in week one, and about therapeutic and experimental applications in week two. Classroom lectures during the morning, will be integrated with laboratory and neurotherapies clinic attendance in the afternoon. At the end of the course, all students will be required to present a small conceptual paper on a topic of their choice related to course materials. Goals and Objectives At the end of the course students will: Understand the concept of dimensions of behavior with different classes of variables (or units of analysis) including genes, molecules, cells, neural circuits, physiology, behaviors, and self-reports Describe the circuits that represent the core aspect of these classes of variables – as central to the various biological and behavioral levels of analysis Understand the selection, implementation and limitations of modern treatment modalities for brain disorders (neuromodulation and optogenetics) Integrate the basic science knowledge described with clinical applications and laboratory research problems Critically evaluate the pertinent literature to one topic of their choice and summarize it into a 20 minute conceptual presentation Teaching Faculty Dr. Patrick Marsh, Dr. Jamie Fernandez, Dr. Andrew Kozel, Dr. Lucia Alba-Ferrara, Dr. Sandra Stock Evaluation Students will be evaluated based on faculty evaluation of interaction, participation, peer evaluation, and a final scholarly project. Track One of the options for Emergency Medicine, Family Medicine, and Psychiatry	10A,10B	Year 4 status	2-8@USFMS	FT, 40 hr wk	2
MDT 8200A: Infectious Diseases Drs. Charurut Somboonwit MD, Beata Casanas DO, Sally Alrabaa MD, and Susan Pross PhD Clinical experiences are directed by the 3 section leaders – Drs. Somboonwit, Casanas, and Alrabaa with 2 students max per section. Students would be together for didactic material and presentations. Goals and Objectives This course will combine evidenced-based didactic lectures on infectious diseases (including antibiotics, infection, and epidemiology), interaction with the clinical laboratory, and rounding with patients exemplifying diseases and principles discussed. Topics include pathophysiology of common infections as well as those prevalent in hospitals and the immunocompromised. Relevant immunology and microbiology principles will be stressed. Students will have opportunities and responsibilities for self-study and scholarly/case presentation. Evaluation Students will be evaluated based on literature research for clinical rounds, presentations, and discussions. Teaching Faculty USF and Moffitt faculty Track One of the options for Dermatology, Emergency Medicine, Family Medicine, Internal Medicine, and Pediatrics	10A,10B,11A,11B	Year 4 status	2@USFMS	FT, 40 hr wk	2
MDT 8200B: The Genetics of Channelopathies and Cardiomyopathies Dr. Sanders H. Chae The course will have 3 components: Didactics Basic Science Lectures Clinical Lectures Journal Clubs Teaching Conferences Clinical Activity USF Cardiology Clinic Research/Presentations Goals and Objectives This course is designed is designed to demonstrate and enforce the interaction between clinical and foundational science, reinforcing skills of literature review and mechanistic thinking. Specifically, this course will introduce and review clinical cardiac disorders that have a predominantly genetic etiological component. The course will review diagnosis and management of genetically inherited channelopathies and cardiomyopathies, particularly those which increase the risk of sudden cardiac death, and address the relationship between basic electrophysiological principles on a molecular and cellular level to their clinical manifestations. Teaching Faculty USF Department of Cardiology, Eric Bennett PhD, Craig Doupnik, PhD, and Jiashin Wu, PhD Evaluation Students will be evaluated based on interaction with the faculty, a research project, and oral or written presentations. Track One of the options for Emergency Medicine, Family Medicine, Internal Medicine, and Pediatrics	8A,8B	Year 4 status	2-4@USFMS	FT, 40 hr wk	2
MDT 8200C: Advanced Concepts in Gastroenterology Dr. Patrick Brady, MD This course is designed to give students an appreciation for the relationship between basic science and clinical gastroenterology. It will focus on four major areas: inflammatory bowel disease, irritable bowel syndrome, viral hepatitis, and gastroesophageal reflux. The basic science basis for diagnosis and therapy will be given in a series of lectures by faculty. Students will then have the opportunity to see patients with these disorders in the Gastroenterology Clinics, the Swallowing Center, and the Endoscopy Center at the Morsani Center for Advanced Health Care. Students will participate in GI Journal Club, Basic Science Conference, Research Conference, Clinical Conferences, and gastroenterology seminars. Students will be given the option of participation in a research project if they desire to do so. Goals and Objectives This course will address the relationship of innate and acquired immunity to the disordered immune response in inflammatory bowel disease, the brain/gut interaction in irritable syndrome, the viral genome and the immune system in viral hepatitis, and the pathophysiology of gastroesophageal reflux and Barrett's esophagus. Teaching faculty Drs. Joel Richter, MD, Jay Mamel, MD, Soojong Hong-Chae, MD, and Yasser Saloum, MD Evaluation Students will be evaluated based on direct faculty observation and feedback from patients and families during patient interactions, participation in conferences and seminars, questions by the faculty to determine base knowledge, and the ability to formulate differential diagnoses and propose solutions. Track One of the options for Emergency Medicine, Family Medicine, Internal Medicine, and Pediatrics	10A	Year 4 status	6@USFMS	FT, 40 hr wk	2
MDT 8200D: Molecular Biology of Cancer and Personalized Cancer Care Dr. Alberto Chiappori, MD The course is a review of the signaling transduction pathway that in “recent” years have become relevant to the study, but most important to the treatment of cancer and are the basis for the new paradigm of personalized medicine in oncology that Moffitt is championing. Morning didactic lectures as well as journal club presentations and faculty case presentations will be held in the Moffitt FOB1 Conference Room. Laboratory and specialty outpatient clinic rotations will take place at their corresponding locations in the Moffitt Campus. The course consists of: Basic science didactic lectures that describe the pathways and how they are relevant as targets to treat cancer (theory behind personalized medicine) Didactic lectures that review the methods to analyze those pathways like IHC, FISH, gene analysis (microarray, DNA sequencing,), proteomics, etc… Rotations through some of the Moffitt laboratories to see first hand how these technologies work. Outpatient clinic rounds to see patients that are benefiting of the therapeutic options provided by these advances (practice and reality behind personalized medicine) Independent Research Project will consist of a project where the students will be first provided, in advance, seminal basic science articles as background references. Students will review the literature, identify, analyze and present clinical publications (minimum 2) relevant to the application of the personalized medicine concept to the care of the oncologic patient. Interactive case presentation where the Faculty will present real cases of their own practice where the students will be asked to evaluate the patient (decision making of diagnosis and treatment) with real time faculty feed back (labs, x rays, scans, path, molecular studies). Goals and Objectives The goal of this course is the re-introduction to the pathophysiology of common solid and hematologic malignancies with emphasis on the basic scientific foundations (molecular and technologic) currently available to better understand them and treat them. Clinical methods sessions are to complement the basic science review. Teaching Faculty Faculty at Moffitt Cancer Center and the USF Dept of Oncologic Science Evaluation Students will be evaluated on case presentations, journal club presentations, and interaction in clinic and didactic sessions. Track One of the options for Dermatology, Emergency Medicine, Family Medicine, Internal Medicine, and Pediatrics	10A	Year 4 status	5-10@USFMS	FT, 40 hr wk	2
MDT 8200E: Advanced Respiratory Pathophysiology Dr. Kendall F. Morris, PhD This course is specifically designed to enhance student competency in Respiratory Pathophysiolgy. It will provide an overview of key concepts and present the clinical significance of principles of pulmonary physiology. Particular emphasis will be placed on recent advances in the understanding of pulmonary physiology. The course consists of a in-depth reading, didactic sessions and case scenario experience. Students will prepare and present a case report. Goals and Objectives The goal of the course is to provide a review of pulmonary physiology as applied to clinical scenarios. Topics will include but are not limited to Adult Respiratory Distress Syndrome (ARDS), asthma, hyperbaric medicine and airway inflammation. Teaching faculty Dominic P. D’Agostino, PhD, Jay B. Dean, PhD, Bruce Schnapf, MD, and Thomas Taylor-Clarke, PhD Evaluation Students will be evaluated on oral presentations, application of the principles of pulmonary physiology to clinical scenarios, the incorporation of historical and recent basic science discovery in oral case reports, and the use of references and judgment of evidence in case reports. Track One of the options for Emergency Medicine, Family Medicine, and Pediatrics	11A	Year 4 status	5-10@USFMS	FT, 40 hr wk	2
MDT 8600: Advanced Surgical Anatomy and Pathophysiology Drs. Jaime Sanchez, MD, MSPH and Steven B. Goldin, MD, PhD This course is specifically designed to prepare students for surgical internship with a focus on the basic principles that must be mastered by all general surgeons and should be familiar to all medical doctors. It will provide an overview of the key concepts in anatomy and physiology that are fundamental to the care of surgical patients and the students’ long term success as surgeons. The course consists of a one-month intensive reading, dissection and case scenario experience. This is a 4-week elective. Lectures will be given at the USF South Tampa Center, Tampa General Hospital, or the USF campus. Anatomic dissections will take place at the medical school gross anatomy lab. Goals and Objectives At the completion of the elective, students should be able to: Identify general surgical anatomy as it relates to surgical disease processes and common operations using models and anatomic dissection Have an advanced understanding of the etiology, anatomic pathology and physiology of common surgical diseases Have an advanced understanding of the postoperative physiologic state Be able to recognize and understand the treatment of immediate life threatening conditions in the post operative patient Be able to recognize and treat common physiologic derangements and basic complications in the post operative patient Teaching Faculty USF Health faculty Evaluation Students must successfully complete each component of the course in order to receive a passing grade for the course. Requirements include: Morbidity and Mortality Conference, Grand Rounds, orientation, weekly quizzes, pre-test and post-test, didactic lectures, anatomic dissections, and clinical case conferences. Laboratory - 10% Performance - 10% Research Project - 60% Weekly Quizzes - 20% Post test - 20% Total - 100% Track Required for General Surgery and Surgery Subspecialties	5	Year 4 status	10@USFMS	FT, 40-60 hr wk	4
MDT 8800: Neuroimmunology Component in Neurological Diseases Drs. Marzenna Wiranowska, PhD and Alfred T. Frontera, MD This course is designed to demonstrate that most of the neurological diseases have an immune/inflammatory component, and the list of neurologic diseases in which the immune system plays an important role continues to grow. Because of the critical correlation between the nervous system and immune system, neurologists should be aware of neuroimmunologic principles especially as immunologic therapeutic strategies are currently being tested in many neurologic disorders. The course will be a balance between basic science and clinical activities and include seminars, journal clubs, clinical correlation and paper presentations by the students selected from the ‘List of Major Topics’. Major Topics Multiple Sclerosis (MS) Acute Disseminated Encephalomyelitis (ADEM) Neuromyelitis Optica (NMO) Myasthenia Gravis Acute Inflammatory Demyelinating Polyradiculoneuropathy (Gullian-Barre syndrome) Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP) Epilepsy (Mesial Temporal Sclerosis, see also paraneoplastic syndromes such as Anti-Voltage-Gated Potassium and anti-NMDA receptor antibody syndromes) Movement Disorders (Hashimoto’s encephalopathy, Parkinson’s Disease) Alzheimer Dementia AIDS Dementia CNS Immune Reconstitution Inflammatory Syndrome (IRIS) CNS infections e.g., meningo-encephalitis Cerebrovascuar Disease (e.g. Stroke, CNS Vasculitis) Primary CNS tumors Paraneoplastic Syndromes Prion Diseases (Creutzfeldt-Jacob Disease) Autism Teaching Faculty Alfred T. Frontera MD, Marzenna Wiranowska, PhD, Tuan Vu, M.D, Laral Katzin, MD, Selim Benbadis, MD, Ali Bozorg, MD, Juan Sanchez-Ramos, MD, PhD, Robert Hauser, MD, W. Scott Burgin, MD, David Decker, MD, David Rose MD, and Frank Vrionis, MD, PhD, Michael Yu, MD, Nem Tran, MD, and Ed Pan, MD Evaluation Students will be evaluated based on punctuality of assignments, presentations, interactions with patients and staff, discussions, and a final product (oral or written presentation). Tracks One of the options for Emergency Medicine, Family Medicine, Neurology, and Pediatrics	10B, 11A	Year 4 status	No Limit@USFMS	FT, 40-60 hr wk	2
MEL 8351: Harvey Elective in Cardiology Dr. Fred Sloane and Dawn M. Schocken, MPH The major objective of this elective will be to teach the student to perform comprehensive cardiac assessment, emphasizing the physical examination. The course will utilize Harvey (the teaching manikin) and actual patients. This elective will be primarily a self-study course (utilizing Harvey) with a weekly lecture from a cardiologist to review the materials and a weekly quiz to assess the student’s progress in their self-study program. Time will also be devoted to acquiring fundamentals of ECG interpretation and exposure to utilization of exercise testing, echocardiography and cardiac catheterization. Attendance at cardiology teaching conferences is optional. Course objectives will be assessed by the documentation of individual’s practice on the manikin as well as the three quizzes and a comprehensive written and practical examination at its conclusion. Track One of the options for Emergency Medicine, Family Medicine, and Internal Medicine Note: This course is also listed under Internal Medicine.	5,9,11	BCC 7144 BCC 7184	6@USFMS	FT, 44 hr wk	4

Dermatology

	Periods	Pre-requisite	Sites & Slots	Hours	Weeks
MEL 7320L: Externship in Dermatology Externship form required.	1,2,3,4,5,6,7	Year 4 status	no limit @USFMS	FT, 44 hr wk	4
MEL 7324: Elective in Dermatopathology Dr. Messina This course is designed for students interested in expanding their knowledge of dermatopathology. Students will receive didactic and case-based instruction in dermatopathology using daily microscope, sign-out with attending faculty, and attending weekly dermatopathology teaching conferences. Students may have the opportunity to participate in research in the form of co-authoring a case report, meeting abstract, or assisting with a portion of a larger departmental research project with a resident or faculty member, if one is available during the rotation.	8,9,10,11	Year 4 status	2@USDMS	FT, 40-44 hr wk	4
MEL 8321: Clinical Dermatology Dr. Lien and Faculty Upon completion of this elective, the student will be able to conduct a full dermatologic examination and will be able to recognize and offer reasonable management for common dermatologic disorders, including those primary in the integument and those associated with systemic disease. Students will rotate throughout the elective at the USF Morsani Center, the James A. Haley VA Hospital, Moffitt Cancer Center, and other ancillary clinics. The student will attend various weekly conferences with the Dermatology residents. Student progress and performance in the clinical setting will be evaluated by the faculty and residents. Periods 2, 3 and 4 are reserved for students applying to dermatology residency programs.	1,2,3,4,5,6,7,8,9,10,11	BCC 7164 BCC 7144	3@USFMC	FT, 40-44 hr wk	4
MEL 9999L: Independent Study in Dermatology & Cutaneous Surgery Faculty The course is designed to provide students interested in Dermatology as a career an opportunity to carry out an in-depth self study of a selected topic, with the goal of being co-author of a publication in a peer-reviewed journal. The course of study will be determined by the faculty member and student. Prior to scheduling the course, students must meet with their faculty mentor to determine the course of study. Independent reading and research is required, and assessment will be based on successful completion of a written paper or project. This elective is NOT available to visiting students.	1,2,3,4,5,6,7,8,10,11	Year 4 status	no limit @USFMS	FT, 44 hr wk	4

Family Medicine

	Periods	Pre-requisite	Sites & Slots	Hours	Weeks
MEL 7258: Elective in Rural or Underserved Medicine (AHEC) Faculty and Staff at Premier Community HealthCare Group (Dade City), Suncoast Community Health Care Centers (Ruskin, Dover, Plant City), Tampa Family Health Centers, Community Health Center of Pinellas, DeSoto Memorial Hospital (Arcadia), or Citrus County Health Department (Lecanto). This elective rotation is designed to introduce the senior student to the unique characteristics of medical practice in a rural or underserved community. Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist. Depending on the site selected, Gulfcoast North AHEC or Gulfcoast South AHEC may offer housing and/or a mileage stipend to students. Goals and Objectives Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community Introduce/sensitize the student to cross-cultural issues in health care Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc. Organization of Elective Arrangements for a specific time commitment will be made through the Department of Family Medicine in conjunction with Gulfcoast North AHEC or Gulfcoast South AHEC. The student will accompany the clinic physician Monday through Friday at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision. At certain locations opportunities are available for additional practice activities within the hospital, emergency department, and in the community. Evaluation The assigned faculty preceptor will provide an individual evaluation addressing the student's adaptability and understanding as well as knowledge, judgment, and rapport. Availability At certain sites this elective is available to USF students only. The Department of Family Medicine and Gulfcoast North AHEC or Gulfcoast South AHEC will make the final arrangements. Availability at all clinic sites is per the preceptor’s approval.	1,2,3,4,5,6,7,8,9,10,11	Year 4 Status	1@SCHC 1@DMH 1@CCHD 1@PCHG 1@TFHC 1@CHCP	FT, 44 hr wk	2,4
MEL 7259: Emergency Medicine Elective Emergency Room Faculty at Florida Hospital North Pinellas Teaching will be done on a one-on-one basis. Students will be assigned to emergency room shifts in such a way that they experience emergency activities during the day, night, and weekends. Preceptors will be emergency room physicians also trained in primary care and family practice. If desired, students may accompany EMTs in ambulances. In the emergency room, the student will initially assess each patient and propose treatment plans. The student may elect to follow the admitted ER patients throughout their hospital stay. Under the direct preceptor supervision, the student may perform simple procedures. These may include suturing, insertion of the catheters, IVs, injections, and others as appropriate. Objectives Develop competence in rapidly assessing ER patients (triage) Learn the initial management of common problems and critical patients Learn effective CPR Recognize complications of medical care and drug side effects Sensitize the student to the emotional impact of major trauma Teach the student how to deal with family members during an emergency medical crisis Inspire in the student empathy, compassion, good judgment, and common sense Perform simple procedures under direct preceptor supervision, as noted above Stimulate the student's interest in primary care and family medicine Evaluation Fund of medical knowledge Ability to apply this knowledge, clinical judgment, and common sense Enthusiasm, tenacity, professionalism, and idealism Student case log and case presentations Student's reading about selected emergency patients (selected by student) Preceptor evaluations For FHNP: contact Dr. Michael Longley at (727) 943-3699 or (813) 769-7252.	1,2,3,4,5,6,7,8,9,10,11	Year 4 status	1@FHNP	FT, 44 hr wk	2,4
MEL 7267: International Health Elective Dr. Eduardo Gonzalez and Dr. Carlos Callegari There are a wide variety of opportunities available for students with an interest in international health care. This elective is designed to provide support for USF students to obtain an international medical experience during their fourth year. Experiences may include: Foreign travel and provision of medical services Academic study abroad (readings and lectures) on the health problems of a particular area Preparation and/or presentation of a report on the student's experience Objectives Identify the general and specific health care needs of a particular foreign country Identify the role of the primary care physician in international health care Gain additional clinical skills in the provision of primary health care Evaluation The student’s evaluation will be individualized based on the format of his/her particular elective. The specific evaluation criteria will be decided in consultation with Dr. Gonzalez and/or Dr. Callegari prior to scheduling the elective. Course Requirements Any interested student MUST meet with Dr. Gonzalez and/or Dr. Callegari to plan the elective. Ideally, this should be done prior to the start of the academic year but MUST OCCUR AT LEAST 6 MONTHS PRIOR TO THE START OF THE ELECTIVE. An international travel packet must be completed at least 3 months prior to the start of the rotation and submitted to the USF Medicine International Office. A copy must also be provided to the educational coordinator. Emergency medical insurance is required for all electives abroad.	1,2,3,4,5,6,7,8,9,10	Year 4 status	4@EXT	FT, 45-50 hr wk	4
MEL 7320F: Family Medicine Externship This externship is designed for students who wish to do a rotation out of state or at a site that is not affiliated with USF. Students must first determine the location of the externship. An externship application must be completed and signed by the Department Director. This application can be obtained through the Registrar’s Office. For further information contact the Department of Family Medicine Education Coordinator at (813) 974-2445 or lgiordan@health.usf.edu.	1,2,3,4,5,6,7,8,9	Year 4 status	no limit@ EXT	FT, 44 hr wk	4
MEL 8251: Acting Internship Family Medicine Faculty and Staff at Bayfront Medical Center and Morton Plant Mease Health Care Objectives Integrate the student into the hospital teaching service such that the student functions at the level of an intern, managing their own patients under the supervision of a senior resident Strengthen the student’s ability to develop an initial assessment and plan for patients requiring hospitalization, to succinctly present the admission to the team, and to effectively manage the patient’s medical problems throughout the hospital admission Educate the student regarding common medical problems requiring hospital admission, indications for common in-patient procedures, discharge planning, and legal/ethical/cost considerations Responsibilities The student is expected to function as a Family Medicine intern under the direct supervision of the senior resident and attending. This includes pre-rounding on their patients, writing SOAP notes, attending morning report and teaching rounds, writing orders, following up on labs/consults/imaging, and doing discharge planning. Overnight call is to be determined by the site of the AI. Evaluation Fund of medical knowledge Quality of assessments, plans, and presentations Clinical decision-making skills Attitude, motivation, and rapport with patients and team members Scheduling To determine availability of elective space at Morton Plant Family Medicine Residency, contact Lee Blomberg at (727) 467-2517. Housing may be available on a first-come, first-serve basis. To reserve a space in this course at Bayfront Family Medicine Residency, students must contact the Coordinator at the Bayfront Family Health Center at (727) 893-6785. Final arrangements concerning the course location/preceptor will be made by the Department of Family Medicine after the student is scheduled for the elective. ONLY MPMHC IS AVAILABLE TO VISITING STUDENTS	1,2,3,4,5,6,7,8,9,10,11	Year 4 status	1@BFMC 1@MPMHC	FT, 50 hr wk	4
MEL 8254: Elective in Sports Medicine Dr. Michele Pescasio and Family Medicine and Orthopaedic Faculty Objective Provide students an opportunity to learn sports medicine from a primary care/family medicine and orthopaedic standpoint. Senior students will have the opportunity to work in the sports medicine clinic in the USF Family Medicine and Sports Medicine Clinics. They will also work with orthopedic surgeons in the community who are actively involved in sports medicine and the care of athletes. Students will learn the basics of the examination and assessment of musculoskeletal injuries in athletes as well as non-orthopedic medical problems of the athlete. There will be an opportunity to work with athletic trainers, physical therapists and chiropractors and learn the basics of musculoskeletal radiology. Students will also have the opportunity to participate in game coverage for USF athletic events as well as other professional teams in the Tampa Bay area. Students will also be expected to present a project in the area of sports medicine. Interested students must contact the Education Coordinator from the Department of Family Medicine at (813) 974-2445 or by E-mail at lgiordan@health.usf.edu prior to enrolling. Other Last day to drop/add is end of Period 4.	7	BCC 8116	2@USFMC	FT, 45-50 hr wk	4
MEL 8255: Family Medicine Residency Elective Faculty and Staff at Affiliated Residency Programs This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Florida Hospital, Orlando; Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities. Objectives Introduce the student to the relationship of Family Medicine to the medical community Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations Improve the student's skills and clinical judgment by a defined and supervised patient care experience Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine Demonstrate the various responsibilities and activities of the Family Medicine Resident Evaluation The Family Medicine faculty will prepare a formal evaluation based on the following: Fund of medical knowledge Quality of assessment and presentation Clinical judgment as indicated by the rationale of diagnostic and management plans Attitude and rapport with patients and families Subjective elements of interpersonal relationships, motivation, and ability Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-2445 or lgiordan@health.usf.edu. Months Specific to each location ONLY MPMHC IS AVAILABLE TO VISITING STUDENTS	BFMC–1,2,3,4,5,6,7,8 FH–1,2,3,4,5,6,7,8 HH–3,4,5,6,7 TMH–2,3,4,5,6,7,8 SVMC–3,4,5,6,7,8 MPMHC–1,2,3,4,5,6,7,8	Year 4 status	2@BFMC 2@FH 1@HH 1@TMH 2@SVMC 2@MPMHC	FT, 44 hr wk	4
MEL 8263: Public Sector Medicine (PSMP) Objective Provide a learning experience for students who have a demonstrated interest in the health care of the underserved and other community health issues Description/Evaluation Students will attend all PSMP clinics and post conferences at Judeo Christian Health Clinic and Brandon Outreach Clinic. When more junior students are present, the elective students will assume peer teaching roles. Students are also encouraged to attend similar free clinic sessions at other community sites pending approval of the course director. Other activities include: participation in the monthly Health Disparities Scholarly Concentration Journal club; and a written report of a topic or project related to public medicine. Students will be encouraged to develop projects worthy of publication or presentation at a scholarly meeting. Availability: 2 at USF MS	1,2,3,4,5,6,7,8,9,10,11	None	2@USFMS	FT, 44 hr wk	2,4
MEL 8264: Family Medicine Elective - USF Med Clinics Dr. Eduardo Gonzalez and Family Medicine Faculty The aim of this elective is to reintroduce students to primary care in a Family Medicine clinic. Students will be assigned to the USF Family Medicine clinic where they will be responsible for evaluating patients under the guidance of a faculty member. Emphasis will be on the patient as a person, and the application of knowledge of the effects of disease, lifestyle, family setting, and personality on the development and management of the patient’s problems. Experience will be gained in the management of the wide range of problems present in family medicine. Students may also be assigned to work at JCHC and BORC in some rotations and precepting first and/or second year students. Objectives Identify and manage problems which present commonly in family medicine, emphasizing the importance of continuing care and follow up Identify the biological, psychological, and social factors that are relevant in the etiology of patients' problems and integrate these factors in a treatment plan Improve problem solving skills Study the role of other health professionals in a patient's care (consultants, social workers, nurse practitioners, physical therapists, etc.) and the relationship between them and the family physician Improve skills in patient education and communication Evaluation Based on competence, consideration of patients, and practical approach to problems. Final arrangements concerning course location/preceptor will be made by the Department of Family Medicine after the student receives his/her elective choice. Students are required to meet with Dr. Gonzalez one month prior to the start of the rotation to discuss this elective. Contact Education Coordinator – (813) 974-2445 or lgiordan@health.usf.edu NOT AVAILABLE TO VISITING STUDENTS	1,2,3,4,5,6,7,8,9,10,11	Year 4 status	2@USFMC	FT, 44 hr wk	2,4
MEL 8265: Family Medicine Preceptorship Community Clinical Faculty During this elective students will accompany faculty members who are in private clinical practice. This experience will be primarily in the office but will include involvement in the care of the preceptor's patients in hospitals, nursing homes, and at home. Emphasis will be on the patient as a person and the application of knowledge of the effects of disease, lifestyle, family setting, and personality on the development and management of the patient's problems. Experience will be gained in the management of the wide range of problems that are present in family practice. Objectives Identify and manage problems which present commonly in family practice, emphasizing the importance of continuing care and follow up Identify the biological, psychological, and social factors that are relevant to the etiology of patients’ problems and integrate these factors in a treatment plan Improve problem-solving skills Study the role of other health professionals in the patient's health care (consultants, social workers, nurse practitioners, physical therapists, etc.) and the relationship between them and the family physician Evaluation Based on competence, consideration, and practical approach to problems, and a written report. In order to determine availability, students are required to select and receive permission from a community preceptor prior to registering for this elective. Final arrangements concerning course location/preceptor will be made by the Department of Family Medicine after the student receives his/her elective choice. NOT AVAILABLE TO VISITING STUDENTS	1,2,3,4,5,6,7,8,9,10,11	Year 4 status	1 per period	FT, 44-50 hr wk	2,4
MEL 8272: Morton Plant Mease Women’s Health Elective Faculty and staff at Morton Plant Mease Family Medicine Residency Objectives Familiarize the student with the practice of gender-specific medicine, women’s preventive health, and obstetrics and gynecology in a Women’s Center of Excellence Strengthen the student’s ability to take a thorough obstetric/gynecologic and women’s preventive health history and perform routine preventive gynecologic and perinatal exams Expose the student to common gynecologic/obstetric procedures such as colposcopy, endometrial biopsy, IUD placement/removal, ultrasound, C-section, fetal scalp electrode placement, etc. Responsibilities Take an active role in the assessment and management of patients in the hospital and office setting. Evaluation Fund of medical knowledge Quality of assessments, plans, and presentations Clinical decision-making skills Attitude, motivation, and rapport with patients and team members Scheduling To determine availability of elective space, contact Lee Blomberg at (727) 467-2517. Housing may be available on a first-come, first-serve basis.	1,2,3,4,5,6,7,8,9,10,11	BCC 7184	1@MPMHC	FT, 50 hr wk	2,4
MEL 8273: Morton Plant Mease Family Medicine Flexible Elective Faculty and staff at the USF/Morton Plant Mease Family Medicine Residency Objectives To encourage the student to design and complete his or her own ideal elective within the realm of Family Medicine. This may include but is not limited to: office procedures, Family Medicine out-patient, FM in-patient acting internship, women’s health, pediatrics, geriatrics, nursing home, research, Ob/Gyn, acute care, etc. To provide the student with housing when available. To introduce the student to the breadth of Family Medicine. Specific objectives to be determined based on elective scheduled Responsibilities The student is expected to design their elective in advance with Family Medicine faculty and to take an active role in the assessment and management of patients. For design assistance please contact Lee Blomberg at (727) 467-2517. Evaluation Fund of medical knowledge Quality of assessments, plans, and presentations Clinical decision-making skills Attitude, motivation, and rapport with patients and team members Scheduling To determine availability of elective space, contact Lee Blomberg at (727) 467-2517. Housing may be available on a first-come, first-served basis.	1,2,3,4,5,6,7,8,9,10,11	None	3@MPMHC	FT, 40 hr wk	2,4
MEL 9999F: Independent Study in Family Medicine Faculty and Staff of the Department of Family Medicine Prior to scheduling this course, students must meet with their preceptor in order to identify and define their independent study at least 6 months prior to the elective. . After determining a course of study, students must complete an independent study application, obtaining signatures from their faculty preceptor, the Associate Dean for UME and the Department Director. This paperwork must be completed at least 3 months prior to the start of the elective and submitted to the Registrar’s Office along with a copy to the Family Medicine Education Coordinator. Prior approval must be given by the preceptor to take this elective as a 2 week rotation.	1,2,3,4,5,6,7,8,9,10,11	none	no limit@ USFMS	FT, variable	2,4

Interdepartmental Electives

	Periods	Pre-requisite	Sites & Slots	Hours	Weeks
BCC 8116: Skin and Bones Medicine Elective Drs. Joanne Valeriano, Mary Lien, Larry Collins and Faculty Skin and Bones is a multi-disciplinary four-week elective designed to enhance the student’s competence in the recognition, diagnosis, and treatment of musculoskeletal, rheumatologic and dermatologic disorders. The clinical experience, designed to gain exposure to rheumatology, sports medicine, orthopedics (outpatient injury assessment and management) and dermatology, is tailored to the student’s specialty track. Unlike the third year clerkship rotations, Skin and Bones clinical experiences are primarily outpatient –based. Students are given instruction followed by hands-on experience in various procedures used in each of these specialties. Didactic highlights include Skin biopsy and suturing workshop providing hands on experience. Injection and aspiration workshop utilizing injection models, followed by clinical experiences to learn to perform joint injections and aspirations on patients with direct supervision. Opportunity to become familiar with hands-on musculoskeletal ultrasound in a clinical setting. Didactics and clinical exposure to musculoskeletal diagnostic imaging. Online and live didactics and knowledge self-checks aimed at providing a basis for increasing knowledge in these specialties serving as a great preparation for USMLE. Objectives Apply the skills and medical knowledge learned during the didactic sessions to evaluate patients in rheumatology, dermatology, orthopedics, and sports medicine clinics and perform an appropriate history and physical examination, design an appropriate differential diagnosis, and diagnostic and therapeutic plans for the more common systemic rheumatic disease, dermatologic, orthopedic/sports medicine, and musculoskeletal diseases Recognize the clinical, laboratory, and radiographic features of the more common rheumatologic, dermatologic, orthopedic and musculoskeletal diseases Understand the pathophysiology of the common rheumatologic, dermatologic, orthopaedic, and musculoskeletal diagnoses (Other sites that may be included are Morsani, USF South, Tampa General Hospital, the James A. Haley VA Hospital, and some private practices.) This course is NOT available to visiting students.	1,2,3,4,5,6,7,8,9,10,11	BCC 7184 or BCC 7114	4 to 8 @USFMS	FT, 40 hr wk	4
BCC 8117: Interdisciplinary Oncology Elective Dr. Sophie Dessureault and Moffitt Faculty In this elective, students will have an opportunity to learn the fundamental principles of oncology and the multidisciplinary approach to the prevention and screening of cancer, as well as the diagnostic workup, treatment, rehabilitation, and surveillance of cancer patients. They will have an opportunity to review the fundamental biology of cancer, carcinogenesis, epidemiology, tumor markers, tumor pathology, clinical pharmacology, tumor immunology, and endocrinology, as well as an understanding of potential benefits and complications of multimodality therapy. By the end of the rotation, students will be familiar with the natural history of common cancers (e.g. breast, lung, colorectal) and with the workup and management of individual cancer patients at the time of diagnosis and throughout the course of their disease. Students will understand the concept and significance of staging. They will have a basic knowledge of cancer treatment modalities, including surgery, radiotherapy, chemotherapy, immunotherapy, and endocrine therapy. They will have a better understanding of the causes of pain and suffering in cancer patients and be familiar with the appropriate treatment options for palliation of symptoms. Students will participate in a journal club event and have the opportunity to review statistical methods used in the evaluation of published research studies. The course will consist of a preceptor-based ambulatory rotation in one of the clinical programs at the Moffitt Cancer Center (e.g. Breast, GI, Thoracic, Heme Malignancies, GU, Neuro, GYN, Sarcoma, Cutaneous, Head & Neck), three student “mock” tumor boards in which students role-play the various specialists involved in the care of those patients, one journal club, one session at the Lifetime Screening Center in which students can witness genetic counseling, and a few select experiences in subspecialty fields (e.g. Infectious Diseases, Speech Pathology, Pain Clinic, Palliative Care, etc.) to better appreciate the full extent of total cancer care. Students will be evaluated by their preceptor and by the faculty who participate in their rotation. There will be no exams and no formal presentations to prepare. It is important to note that a significant degree of flexibility is allowed in order to individualize each student’s experience during this rotation. Even though all students will be exposed to some degree to all fields of oncology (medical oncology, surgical oncology, radiation oncology), students will be given the opportunity to focus their rotation in one or two areas of interests (e.g. medical oncology, surgical oncology, radiation oncology, pathology, radiology). This will allow for students interested in these specialties to focus their experience and also to obtain reference letters relevant to their residency program applications. Pre-requisites BCC 7164 Surgical Care Clerkship and BCC 7144 Integrated Internal Medicine-Pediatrics Clerkship or at least one month of medicine and one month of surgery for visiting students.	1,2,3,4,5,6,7,8,9,10,11	BCC 7164 BCC 7144 Other: See details	10@MCC	FT, 40 hr wk	4
BCC 8190: Critical Care Senior Elective Dr. Cox and Faculty The goals of this fourth year clerkship are to develop an approach to the care of patients with complex, critical illnesses; to understand the physiologic and pathologic abnormalities that occur in ICU patients; and to apply science principles basic to the practice of medicine in the clinical management of complex illness. After being exposed to critical care patients in a variety of disciplines, the student will demonstrate specific knowledge, skills, and attitudes relevant to critical care practice. The student will have an understanding of critical care guidelines and practices so that the student will recognize patients with immediate life threatening conditions, institute appropriate initial therapy, and outline an initial course of management for patients with serious conditions requiring critical care. This course is a selective for USF senior medical students and will include a rotation either through a Medical ICU, Pulmonary/Critical Care Consult ICU, Anesthesia Critical Care, Surgical/Trauma ICU, NICU, or PICU at the James A. Haley Veterans Hospital or Tampa General Hospital. The rotation assignment will be made based upon the student’s chosen career path. Students will be evaluated by written, oral, and/or practical methods which include direct patient contact and simulation training. In addition, the students will evaluate electro-cardiograph (ECG) tracings through weekly quizzes to enhance interpretation skills. This course is NOT available to visiting students.	1,2,3,4,5,6,7,9,10,11	Year 4 status	10-12@USFMS	FT, 80 hr wk 4 weeks	4
BMS 6994: Scholarly Concentrations Program Elective Drs. Susan Pross, Ingrid Bahner, and Faculty with the Health Disparities, Innovation, Entrepreneurship and Business in Medicine, Law and Medicine, Medical Humanities, Health Systems Engineering, Public Health, International Medicine, Research, Medical Education, and Medicine and Gender Scholarly Concentrations. Students must select one of the specific course numbers listed below for their concentrations. BMS6994B Innovation, Entrepreneurship and Business in Medicine BMS6994H Medical Humanities BMS6994D Health Disparities BMS6994G Medicine and Gender BMS6994S Health Systems Engineering BMS6994L Law and Medicine BMS6994I International Medicine BMS6994P Public Health BMS6994E Medical Education BMS6994R Research Objective The purpose of this elective is to provide SCP students the flexibility of pursuing creative scholarly projects/research under the direct supervision of a mentoring faculty member. It is expected that clear goals and objectives will be established in advance of requesting approval from the Scholarly Concentrations Program to register. Learning outcomes will be assessed based on attainment of goals and objectives set at the beginning of the project by the mentoring faculty member and student. Elective Requirements Prior to scheduling this elective, students must meet with their faculty mentor in order to identify and define their SCP capstone project. After determining a course of study, students must complete a SCP ELECTIVE Application, and attach a copy of the project proposal. Proposals must include goals, objectives, and an emphasis of study and be discussed with your faculty mentor before undertaking this elective. The student may be required to discuss the proposal in length with the SCP Director. Signatures need to be obtained from their USF Health faculty mentor, the concentration faculty leader and the SCP Director. Signed forms must be submitted to the Office of Educational Affairs/Scholarly Concentrations Program in MDC 1100 at least 15 days before the start of the period. Evaluation A SCP ELECTIVE Self-Assessment and Evaluation form must be completed at the end of the elective period. Students should be prepared to present their findings, often in the form of a paper, poster or powerpoint presentation. Student will receive an Incomplete (I) if the SCP ELECTIVE Self-Assessment and Evaluation is not received within 2 weeks of the end of the period. Grade adjustments may be made once assessments are received. Grading Satisfactory/Unsatisfactory This elective is NOT available to visiting students.	1,2,3,4,5,6,7,8,9,10,11	Year 4 Status	no limit @USFMS	FT, 44 hr wk	4
MEL 7320G: Externship Basic Science Externship form required.	1,2,3,4,5,6,7	Year 4 status	no limit@EXT	FT, 4 hr wk	4
MEL 7740: Radiation Oncology Drs. Dilling, Rao, Stevens, Trotti, Caudell, Hoffe, Heysek, Chinnaiyan, Torres-Roca, Biagioli, Tomblyn, Shridhar, Wilder, Fernandez and Correa. The Department of Radiation Oncology, Moffitt Cancer Center, provides comprehensive, patient-oriented care for all types and stages of cancer using the most technically advanced equipment with concern for quality of life and education. This elective is an introduction to basic Radiation Oncology with emphasis on clinical service designed to provide a background for students planning to practice in related oncology fields or in Radiation Oncology. Students will be assigned to one or two preceptors and will learn about the various Radiation Oncology applications to a wide range of disease sites. The clinic rotations will be designed at a level of learning for medical students. During the rotation students will be supervised and instructed on a one-to-one basis by their preceptor(s), residents, fellows and other qualified faculty responsible for teaching and evaluation. Medical Students will participate in all aspects of Radiation Oncology including clinical treatment planning, treatment delivery, medical physics, dosimetry, simulation, and port film evaluation. Students will understand the natural history of cancers, the role of radiation therapy in the treatment of cancer, general principles of oncology, basic radiation safety, multidisciplinary patient care, specialized treatment procedures, clinic structure and supportive care. Students will learn how to conduct a thorough history and physical examination and how to examine patients to assess tumor response and progression. To enhance the clinical experience and further knowledge, students will be required to do some reading of textbooks and the medical literature as assigned by their preceptor(s). In addition, students will attend regularly scheduled tumor board conferences and didactic programs as assigned by their preceptor(s). Rotation requirements Read at least 10 pertinent articles from the medical literature. Attend all departmental conferences and multidisciplinary conferences with the preceptors. Participate in simulations, procedures, follow-ups, on treatment visits and treatment planning. Present a 15 minute PowerPoint talk on a topic defined with the assistance of the faculty preceptor. At the completion of the elective, training faculty and students will complete performance evaluations.	1,2,3,4,5,6	BCC 7144 BCC 7164	2@MCC	FT, 44 hr wk	4
MEL 8132: Outdoor Medicine Elective Drs. Jorge Marcet and Ryan Naughtin This senior medical student elective is intended to teach the practical and theoretical medical skills necessary to identify, treat and prevent medical problems unique to the outdoor environment. The course is directed towards the outdoor or travel enthusiast who may find themselves in situations outside of the traditional clinical setting where they may be called upon to provide medical assistance. There will also be ample opportunities for students to present outdoor medicine topics to peers and junior medical students. This is a year long elective from May through April. Students will register for the course during the period of their choice. Meetings will mostly be held on Saturdays approximately 1-2 times a month, but may be held on weekday evenings, during lunch meetings, and some overnight activities. There will be a required 120 hours of attendance at meetings and there will be at least 160 hours available to attend to accommodate senior students on externships. The culmination of the course is the Annual Florida Outdoor Medicine Conference usually held during the last month of the academic year in the Florida Keys (students are encouraged register for course during this month). Students are also encouraged to plan to attend the Annual ACWM Southeast Student Wilderness Medicine Conference usually held in March as well as conferences of the Wilderness Medicine Society. There may be other activities that require travel to places such as Great Smoky Mountains National Park, Everglades National Park, or other distant locations. Students should also budget at least $250 for admission fees and equipment rental throughout the year and approximately $500-$800 for the Annual Florida Outdoor Medicine Conference. Examples of Meetings: "No Lifeguard on Duty" held at Ben T. Davis Beach and learned about Basic Water Rescue and Submersion Incidents. "A 3-Hour Tour" held on an island in the Tampa Bay and learned about Seafood Toxidromes while catching Pufferfish. “Disney World Marathon Weekend” providing medical support to endurance athletes from around the world. Objectives Practice medical skills to be used in situations outside of the hospital setting Gain knowledge of medical conditions related to various outdoor environments and activities Develop understanding of emergency and disaster response systems Increase students' ability to present medical information to peers Gain practical outdoor recreational skills and exposure to local resources Evaluation Students will be evaluated by the course director at the end of the course. Students will be evaluated based on attendance and participation of course meetings (50%) as well as assigned outdoor medicine topic presentations (50%). Students will be required to attend 120 hours of meetings/activities over the 11 month period. There will be opportunities for at least 160 hours of meetings/activities. Students may expect to be given specific topics or scenarios to present at each meeting they plan to attend. Presentations will be evaluated by course directors and contribute to the presentation portion of the final grade.	Year-long	Year 4 status	no limit @USFMS	FT, 4 hr wk 44 weeks	44
MEL 8134: Introduction to Internal Medicine-Pediatrics Drs. John McCormick, Erika Abel, Denise Edwards, and Hugo Narvarte This elective is designed to introduce senior students to the specialty of Internal Medicine-Pediatrics. Under the supervision of faculty, students will care for adults and children in an ambulatory primary care setting. Students will also have the opportunity to participate in rounds on inpatients at Tampa General Hospital. In addition to clinical experiences, didactic sessions will include participation in the weekly resident clinic curriculum, as well as department conferences (i.e. Grand Rounds, noon conferences). This elective will provide students with a robust clinical experience in primary care as well as a better understanding of Med-Peds as a career. Objectives Evaluate and treat common acute problems encountered in adults and children in a primary care setting Evaluate and treat chronic conditions in adults and children in a primary care setting Perform appropriate preventative health maintenance measures in adults and children including well child care, vaccinations, anticipatory guidance, and screening tests Gain familiarity with procedures common to the primary care setting including arthocentesis, joint injection, and circumcision Gain appreciation for the speciality of Internal Medicine-Pediatrics Methods Senior medical students will see patients in the Internal Medicine-Pediatrics combined clinic at the USF Health South Tampa Center for Advanced Health Care under direct supervision of faculty. Trainees will also attend didactic conferences and participate in the weekly resident clinic curriculum. Students will also have the opportunity to see patients in an inpatient setting. Evaluation Ongoing as well as summative final assessment will be provided by supervising faculty. Students will also be required to prepare and present a primary care topic during their rotation.	1,2,3,4,5,6	Year 4 status	1@TGH	FT, 40 hr wk	4
MEL 8149: International Medical Spanish and Cultural Immersion Drs. Carlos Callegari and Eduardo Gonzalez This elective is designed to provide USF Medical Students an opportunity to participate in an established international Medical Spanish program. Participation in these programs will allow students to learn and/or improve conversational Medical Spanish and to experience the culture of a Spanish speaking country. It is expected that this experience will allow students to appropriately interact in a clinical setting with Spanish speaking patients abroad and in the USA. It is expected that this experience will increase the student’s functional language skills in real cultural, clinical and medical environments. Depending on the program, students will normally have scheduled class hours to learn basic and intermediate Spanish skills as well as time to interact with the local community. During the 4 week elective, students will be exposed to various clinical scenarios and have an opportunity to experience local customs as well as visit local settings. Students wishing to participate will be required to fund their tuition, transportation, meals and other necessary items. Interested students should sign up no later than 6 months prior to the course. Students should also plan to schedule a meeting with Drs. Callegari or Gonzalez to review the requirements no later than 6 months prior to the course. Objectives Students will be able to establish communication in Spanish to the degree of: Understanding a patient’s needs for seeking health care and obtaining their reason for the encounter (chief compliant) Conducting basic medical interviews and being able to characterize the signs and symptoms of the patient Being able to communicate requests when performing a general physical examination Students will understand the differences between various clinical settings in the country visited and compare them with the USA facilities and health system. Students will compare medical problems and health needs from local population with the Hispanic and non Hispanic USA population. Students will understand and be sensitive to local, family, and cultural values and be able to compare them to the USA Hispanic and non-Hispanic population. Evaluation The learner’s evaluation will be based on: Performance obtaining a clinical medical history in Spanish which may be conducted in an OSCE format before and after the experience. A written report on the learner’s experience Informal presentation to the directors on their experience as it relates to the cultural and medical Spanish aspects of the course	1,2,3,4,5,6,7,8,9	Year 4 status	no limit @EXT	FT, 40 hr wk	4
MEL 8831: Surgical Oncology Dr. John Kiluk Prior Approval Required: Students interested in a Surgical Oncology elective at Moffitt need to contact John Kiluk to plan their rotation. Timing of the elective may be dependent on availability of faculty that can be influenced by national meetings and vacations. This elective is designed for medical students who wish to gain an in depth experience in surgical oncology. The course is based at the Moffitt Cancer Center, a comprehensive cancer center designated by the National Cancer Institute. Students would be offered their choice of disease sites to focus their rotation on that include: Breast, GI, GU, GYN, Head and Neck, Endocrine, Cutaneous, or Thoracic,. Students would be expected to participate in every aspect of patient care including: outpatient clinics, operative procedures, inpatient rounds, and tumor boards. Objectives Expose students to the role of the surgeon in the diagnosis, management, and surveillance of cancer patients. Expose students to the importance other disciplines (medical oncology, radiation oncology, pathology, etc) play in the management of cancer patients. Introduce students to various emotional responses of patients to cancer and how best to manage these responses. Expose students to the basics of clinical research in the care of cancer patients. Educate students on advantages and disadvantages to different diagnostic tests, surgical choices, chemotherapy regimens, radiation, and screening techniques. Methods The student will be assigned to work with surgeons based on disease sites. These sites include: Breast, GI, GU, GYN, Head and Neck, Endocrine, Cutaneous, or Thoracic. Students may elect to spend four weeks with one site or two weeks with two different sites. Students would be expected to participate in every aspect of patient care including: outpatient clinics (surgical as well as 2 days of medical oncology and 2 days of radiation oncology), procedures, inpatient rounds, and tumor boards. Evaluation The student will be evaluated by the course director at the end of the course. The evaluation will be based upon feedback and written evaluations of the student's clinical performance by the attending surgeons that the student worked with. The course will be designed to be satisfactory or unsatisfactory. Pre-requisites This course is available to Year 3 students who have taken BCC 7144 Integrated Internal Medicine-Pediatrics Clerkship and BCC 7164 Surgical Care Clerkship.	1,2,3,4,5,6,7,8,9,10,11	BCC 7144 BCC 7164	10@MCC	FT, 80 hr wk 4 weeks	2,4
MEL 8939: Clinical Science Review The Clinical Science Review I and II course is a variable contact hour multi-disciplinary course for medical students. This comprehensive course will consist of an in-depth review and application in the clinical science areas and will include basic science review if deemed appropriate. This course is for remedial work only. Section I Emergent and Urgent Care Clerkship Integrated Internal Medicine-Pediatrics Clerkship Maternal Newborn Health Clerkship Neuropsychiatry Clerkship Primary Care and Special Populations Clerkship Surgical Care Clerkship Section II Additional areas not identified in Section I above. The course objective is to enhance clinical skills in any of the listed Clinical Sciences.	1,2,3,4,5,6	none	TBD	FT, 40 hr wk	4
MEL 8954: Teaching the Sciences Basic to Medical Practice Drs. Frazier Stevenson and Stanley Nazian Please submit a brief email to Dr. Stevenson prior to signing up for this elective indicating which months you are available and why you are interested in the elective. Indicate any specific organ system blocks you would like to work in and why. Requests to add the course must be received at least 2 months prior to the start date. Education Scholarly Ccn students need to complete a total of 4 weeks to meet the concentration requirements. This elective is designed to introduce senior medical students to the role of clinicians in teaching the “basic sciences”. Students will work with Year 1-2 faculty to design active learning and case study materials, teach in interdisciplinary labs, active learning sessions, and case discussions, and review the content taught the students from the perspective of a generalist third or fourth year student. Students will receive seminar instruction on effective lecture and active learning teaching techniques, and will research and prepare two short lectures for a mixed faculty/student audience on basic science topics of their choice, with improvement demonstrated on the second lecture after feedback is received on the first. Objectives Understand the teaching role of an academic physician in the pre-clerkship curriculum. Become aware of effective teaching methods/strategies, feedback/evaluation strategies, and approaches to dealing with difficult learners Collaborate with pre-clerkship faculty to teach MS1 and MS2 students effectively in lab, small group, and/or large group active learning settings. Assume teaching responsibilities and acquire the knowledge to improve their current teaching skills Demonstrate the ability to deliver an effective basic science lecture, integrating active learning principles into the sessions Learning Outcomes By the end of this elective, the student should better understand basic principles of good basic science teaching and be able to demonstrate effective teaching techniques. Evaluation Active participation in teaching seminars Active collaboration with pre-clerkship instructors to develop teaching materials. Delivery of a well-researched lecture, with improvement on a second presentation after feedback is received. Requires permission of the course director.	5,6,8,9,10,11	none	2@USFMS	FT, 40 hr wk	2 or 4
MDE 8030: BRIDGE Clinic Longitudinal Elective Drs. Eduardo Gonzalez and Lucy Guerra This longitudinal elective would reinforce and teach the knowledge, skills and attitudes that are needed to direct a multidisciplinary healthcare clinic. Students will be required to lead and attend monthly BRIDGE clinic meetings, meet with medical advisors regularly, attend and lead BRIDGE clinics over the year, develop a presentation/poster to present at a national meeting, organize and coordinate other specialties and organizations with in BRIDGE. In all, it is expected that each student will have completed a minimum of 150 hours over the academic year. The course is longitudinal, as the responsibilities of these students will continue throughout the academic year. Objectives Develop skills to properly manage a multidisciplinary healthcare clinic To form and nurture professional relationships with Moffitt, Hillsborough Health Department, Quest Diagnostics, Security Personnel, Morsani Understand the Business/Finance aspect of Medicine through collaboration with Dr. Marshall and the Business Scholarly Concentration Update and renew documents for Clinic Operations including the constitution, employee contracts, fundraising documents, and banking/trust fund documents Provide access to healthcare for patients of many different backgrounds with limited access Collaborate effectively with Social Work, Public Health, Physical Therapy, Nursing, Pharmacy, and the College of Medicine to provide optimum care and services in a healthcare setting Integrate meaningful community service with instruction and reflection to enrich the learning experience, teach civic responsibility, encourage lifelong civic engagement, and strengthen communities for the common good Evaluation By the end of the elective, students should feel competent managing a multidisciplinary healthcare clinic. They will understand how to collaborate with various organizations and groups and have a sense of the business and financial needs of such a clinic. Their progress will be assessed by direct observation by the faculty medical directors, and successful completion of assigned responsibilities and projects which will include poster/presentation that will be presented at a national meeting. Only students elected to be the student medical directors for BRIDGE will be eligible for this elective. Students must agree to hour requirements and need to inform concurrent senior course directors of their involvement in this longitudinal course. Students should notify and obtain permission from Drs. Guerra or Gonzalez prior to scheduling.	Year-long	Year 4 status	4@USF-MS	FT, 4 hr wk	44
MDE 8036: Multidisciplinary Course in Patient Safety Drs. Peter J. Fabri, Kay Perrin, Mary Webb, and Jose Zayas-Castro This is an innovative, experimental course. Selected senior medical students, together with graduate students from engineering, nursing, communication and public health, will explore concepts of human error, patient safety, and related healthcare quality issues through a series of weekly seminars over three months. In addition, students will work in small interdisciplinary groups, together with faculty and staff from Tampa General Hospital and all four colleges, to identify and analyze a real patient safety problem and develop a solution. Students will develop a comprehensive understanding of the science relating to human error in general and human factors in particular, will master several critical skills in problem solving and error analysis, and will improve their skills in working together with other professionals in the collaborative resolution of a complex problem. Medical Students will receive credit for one block rotation, although the time commitment will be approximately 6 hours per week for three months (3 hours of seminar and 3 hours of small group work.) Invited experts will give many of the seminars, together with USF faculty from the five colleges. Each interdisciplinary group will be asked to give a summary presentation of their work and submit a referenced paper describing the project. Objectives Explain the psychologic basis of human error Summarize our understanding of error in medical practice Explain the classification of medical error in at least one specialty of medical practice Identify and analyze an actual patient safety problem at Tampa General Hospital Perform a root cause analysis of a medical error As a member of an interdisciplinary team, provide a feasible solution to a real patient safety problem Evaluation The student will be evaluated by course faculty, based on participation in class seminars and on the submitted interdisciplinary patient safety project. Interested students must meet with Dr. Fabri prior to August. Students should be prepared to describe why they should be selected for the course.	9,10 s,11 s	Year 4 status	10@USFMSS	FT, 6 hr wk 12 weeks long	12
MDE 8090: Doctoring IV - Theory and Practice of Teaching Dr. Frazier Stevenson This elective will introduce senior students to the practice and theory of adult education. They will teach for 70 hours in the College of Medicine co-facilitating Doctoring 1, 2, and 3 small groups with senior faculty, and attend seminars that introduce them to education pedagogy and effective teaching technique. They will reflect and write on their teaching experience, and receive feedback from students, course faculty, and the elective director about their teaching performance. The course is longitudinal, so teaching activities can occur throughout the senior year, tailored to students' individual schedules. Objectives Demonstrate the practice of good clinical and small group medical school teaching Understand the theory of adult education Reflect on teaching experiences in written and verbal media Be able to deliver effective feedback to students and peers Evaluation By the end of the elective, students should feel competent to teach in both small group and clinical teaching settings. They will understand how to give feedback to individuals. Their progress will be assessed by review of student teaching evaluations, observation of COM course leaders, and direct observation by the elective director. All interested students must meet with and obtain approval from Dr. Stevenson before registration. Students must agree to hour’s requirements and need to inform concurrent senior course directors

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