2013-2014 Electives Catalog

Externship form required.

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

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.

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

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

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

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

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

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

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:

1. Identify general surgical anatomy as it relates to surgical disease processes and common operations using models and anatomic dissection
2. Have an advanced understanding of the etiology, anatomic pathology and physiology of common surgical diseases
3. Have an advanced understanding of the postoperative physiologic state
4. Be able to recognize and understand the treatment of immediate life threatening conditions in the post operative patient
5. 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

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

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.

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.

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

1. Develop skills to properly manage a multidisciplinary healthcare clinic
2. To form and nurture professional relationships with Moffitt, Hillsborough Health Department, Quest Diagnostics, Security Personnel, Morsani
3. Understand the Business/Finance aspect of Medicine through collaboration with Dr. Marshall and the Business Scholarly Concentration
4. Update and renew documents for Clinic Operations including the constitution, employee contracts, fundraising documents, and banking/trust fund documents
5. Provide access to healthcare for patients of many different backgrounds with limited access
6. 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
7. 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.

Faculty

The student will undertake a specific research project in collaboration with one of the faculty and will participate in research conferences and seminars. Current research areas include studies of the molecular basis for various disease states, such as cardiovascular disease, infectious disease, neurodegenerative disease; molecular virology; host-parasite interactions; molecular immunology; metabolic regulation; and molecular and cellular biology.

 Objective

The objective of this course is to introduce the student to modern methods and concepts of biomedical research.

 Evaluation

Evaluation of the student will be based on the mastery of a set of research techniques, the utilization of these to investigate a re¬search problem and the collection, evaluation, and interpretation of these experimental findings.

Faculty

The overall objective of Independent Study in Molecular Medicine is to provide a student with a fundamental understanding of biological and genetic principles basic to pathophysiological processes; to gain understanding of the molecular mechanisms that underlie the cellular aberrations in a clinical disorder; and to understand, synthesize, and incorporate the fundamental principles learned as they apply to medical research The student will gain from this course a broad and thorough understanding of the principles that underlie a major clinical condition that perturbs the functioning of normal cells, tissues and organs and that may influence development. The knowledge gained from this course is intended to aid the student in developing clinically relevant research questions, and to understand the process by which basic research translates to the design of specific molecular tools for disease diagnosis, treatment, prognosis, and prevention. A student may choose a course of study in any one of the following areas: Metabolic disorders, Immunologic and Infection disorders, Neurologic disorders, Cancer, or Organ System based disorders.

Objective

The primary objective of this course is to introduce the student to the research environment. The focus is directed to current research techniques, including methods of data acquisition and analysis, and critical reading of the literature pertinent to the research problem. The student will work as part of the research team on one of the projects currently underway in the department as determined by the student's interest and the concurrence of the faculty. Enrollment, dates, and duration of the course are by arrangement.

Approval, dates, and duration of course must be arranged with a faculty mentor prior to registering.

Evaluation

Evaluation will be based on a short paper or oral exam to be determined by arrangement with the instructor.

Objective

The primary objective of this course is to introduce the student to the research environment. The student will learn current research techniques and the methods of data collection and reduction. The student will be expected to take an active part in the problem solving aspects of research including in depth reading of the literature pertinent to the research project and participation in conferences and seminars. The student will work as part of the research team on one of the projects current in the department. 

Approval, dates, and duration of course must be arranged with a faculty mentor prior to registering.

Evaluation

A written report will be required.

Objective

The primary objective of this course is to introduce the student to the research environment. The student will learn current research techniques and the methods of data collection and reduction. The student will be expected to take an active part in the problem solving aspects of research including in depth reading of the literature pertinent to the research project and participation in conferences and seminars. The student will work as part of the research team on one of the projects current in the department. 

Approval, dates, and duration of course must be arranged with a faculty mentor prior to registering.

Evaluation

A written report will be required.

Objective

This elective is used to schedule individualized, in-depth studies of a specified area of Physiology. Approval of a faculty mentor must be obtained prior to registering for this course.

 Evaluation

A written examination is required.

Externship form required.

Dr. Scott and Faculty

This elective will provide the medical student with a broad and comprehensive educational experience in Physical Medicine and Rehabilitation. There will be instruction in the evaluation and rehabilitation of a wide range of medical disability conditions including musculoskeletal problems, head injuries, spinal cord injuries, strokes, amputees, chronic pain, geriatrics, and cardiac rehabilitation. In addition, students will be exposed to physical, occupational, speech, audiology, vocational, recreational, and kinesiological therapies. There will be instruction in functional assessments of all types of physical disabilities and in the diagnostic use of electromyography for muscle and neurological disorders. Overall, the educational experience will offer a practical approach to those patients with disabilities. This will benefit all medical students regardless of their primary area of interest. Visitation at other rehabilitation centers is available.

Evaluation

Educational objectives, a learning booklet, and expected learning outcomes with a bibliography will be provided. Evaluation will be based on attendance and demonstration that the educational objectives have been met. An honors grade requires the student to do a case presentation at a weekly conference.

Drs. Rossitza Chichkova and Eugeniu Muntean

Fourth-year medical students spend a four-week elective in the Tampa General Hospital and/or the James A. Haley Veteran Affairs Hospital. The elective is under the supervision of a Neurology attending. Students become an integral part of a team that cares of patients with various neurological diseases. There are opportunities for participating in research projects.

Pre-requisite

Completion of core, third year Neurology (BCC 7154) and Internal Medicine (BCC 7144) rotations.

Objectives

1. Master skills in obtaining neurological history and examination 
2. Actively participate in discussing differential diagnosis 
3. Learn to create a comprehensive management plan
4. Become familiar with Neurology beyond the core requirements
5. Gain more independence in dealing with neurological patients 
6. Develop readiness for transition into residency
7. Learn to perform lumbar punctures
8. Learn basics of EEG and EMG/NCS

Learning Outcomes

Students will see the patients at the James A Haley VA Hospital and Tampa General Hospital. Upon completion of this elective, students should understand the principles of diagnosis and management of general neurological disorders.

Evaluation

Students will be evaluated by the course director at the end of the course, based largely on clinical evaluations completed by all residents and faculty who work with them.

Drs. Theresa Zesiewicz, Robert Hauser, and Juan Sanchez-Ramos

All students enrolled in this elective must email Dr. Zesiewicz at tzesiewi@health.usf.edu at the start of the academic year.

This elective will provide instruction in the diagnosis and treatment of movement disorders. Students will rotate with each of the movement disorders physicians (Dr. Zesiewicz, Sanchez-Ramos, and Hauser) one day per week. Students will also observe a movement disorder neurosurgeon, either in the OR or in clinic, one day per week (Drs. Smith and Vale). The diagnosis, treatment, and pathophysiology of movement disorders will be emphasized. Movement disorders will consist of Parkinson's disease, Essential tremor, Dystonia, Ataxia, Tic disorders, Huntington's Disease, and others. Students will have the opportunity to participate in evaluation and management of patients with a variety of movement disorders including Parkinson’s disease, Atypical Parkinsonisms, Essential tremor, dystonia, and chorea. Students may also have the opportunity to observe clinical trial visits and injections of botulinum toxin for movement disorders.

Objectives

1. Diagnose movement disorders, including Parkinson's disease, Essential Tremor, Dystonia, Ataxia, and Huntington's disease
2. Experience in treatment of movement disorders, including observing botulinum toxin injection
3. Observe with the movement disorders neurosurgeons
4. Provide opportunity for participation in clinical or basic science research in movement disorders

Learning Outcomes

Students see patients at the North and South Campus Movement Disorder centers and on the consultative services at Tampa General Hospital. Upon completion of this elective, students should understand the principles of diagnosis and management of patients who have movement disorders.

Evaluation

Students will be evaluated by the course director at the end of the course, based largely on clinical evaluations completed by all residents and faculty who work with them.

Drs. Theresa Zesiewicz, Charles Brock, Angel Cruz, Robert Hauser, A. Carvel Gipson, Juan Sanchez Ramos, Kavita Kalidas, Nina Tsakadze, Derrick Robertson, Rossitza Chichkova, Selim Benbadis, and Lara Katzin

With the course director's assistance, the student will construct a calendar of outpatient experiences which can include any or all of the following Clinics: Alzheimer's Disease; brain tumor; cancer pain; epilepsy; general neurology; headache and chronic pain; independent neurological evaluation; neuro-muscular; multiple sclerosis, Parkinson's Disease; and stroke. Selected reading will be advised. The course is designed to assist students who want a career in primary care or neurology as they prepare for outpatient delivery of care. The department may assign students to USF Clinics, the James A. Haley or Bay Pines Veteran's Hospitals, Moffitt Cancer Center, Harbourside Medical Tower, or Tampa General Hospital to complete this elective.

Drs. Scott Burgin and David Rose

This elective is designed to give fourth-year students more extensive exposure to the practice of Vascular Neurology. Under the supervision of clinical faculty, students will have the opportunity to evaluate patients with known or suspected stroke syndromes in hospital and ambulatory clinical environments. Students will round with the Stroke Team in the hospital on the Vascular Neurology Service and see patients in the outpatient stroke clinics under the supervision of a Vascular Neurology Attending. The elective will provide students with a better understanding of the dimension of Stroke, which is a leading cause of disability and the third leading cause of death in the United States. Students will also get exposure to interventional neurology as it pertains to the management of ischemic stroke and subarachnoic hemorrhage and gain experience in critical care neurology as it pertains to the management of patients with ischemic stroke, intracerebral hemorrhage and subarachnoid hemorrhage.

Objectives

1. Introduce the heterogenous nature of stroke syndromes and be able to differentiate them from non-stroke mimics
2. Apply principles of evidence-based medicine to cerebrovascular diagnosis and management
3. Evaluate the proper use of laboratory and neuroimaging studies in cerebrovascular diagnosis 
4. Appreciate the diagnostic and management algorithms in acute stroke intervention
5. Understand the principles of management of acute ischemic stroke
6. Understand the principles of management of acute hemorrrhagic stroke
7. Identify risk factors and treatment strategies for primary and secondary prevention of stroke

Learning Outcomes

Students will see patients at Tampa General Hospital and the South Tampa Center for Advanced Health Care. Upon completion of this elective, students should understand the principles of diagnosis and management of patients who have vascular neurological disorders.

Evaluation

Students will be evaluated by the course director at the end of the course, based largely on clinical evaluations completed by all residents and faculty who work with them.

Faculty

This elective course will benefit the student who wants to develop a knowledge and skills base in addition to that provided by BCC 7154. The student will select an area(s) of neurology sub-specialty. Selected reading, patient contact, and clinical investigation will occur under the direct supervision of a faculty mentor. The areas available are: multiple sclerosis, Alzheimer's Disease, neuro-muscular disease, neuro-oncology, and neurotoxicology. In most cases student involvement in therapeutic drug trials is possible.

Externship form required.

Drs. Sanberg, Freeman, Uribe, Vale, van Loveren, and Borlongan

The student will be exposed to a variety of techniques currently used in neuroscience research including anatomic, behavioral, histologic, imaging, and physiologic assessment in laboratories currently emphasizing research in neural tissue transplantation, molecular biology, angiogenesis in brain tumors, and spinal biomechanics. Short clinical research projects can also be arranged if planned well in advance.

This rotation is considered an introductory step for students who may be planning an academic course and can be tailored to the individual student's interests and needs.

Evaluation

Evaluation will be based on faculty assessment of the student's research productivity.

This elective is NOT available to visiting students. 

Dr. Fernando Vale

This elective is NOT available to visiting students.

Dr. James Mayer

This elective is provided for USF fourth year medical students to have the opportunity to gain further training in an off-campus setting in an approved elective site. The elective course should be consistent with a knowledge base towards Women’s Healthcare. All externships must be pre-approved in writing by the Ob/Gyn Director at USF on the externship application form.

 Evaluation

The student will be required to submit a brief summary of the experience and it’s relative content to the field of Ob/Gyn.

Dr. James Mayer

This elective is offered to fourth year medical students to obtain an advanced clinical exposure in the medical and surgical aspects of Obstetrics and Gynecology. Students will take an active role in all phases of patient care, diagnostics and management. This elective will cover both the inpatient and outpatient settings. This elective will be offered at Tampa General Hospital, Women’s Health Park at Genesis, USF Medical Clinics: South Tampa Center and Morsani Center for Advanced Healthcare.

Evaluation

The assigned faculty member and resident will be responsible for completing an evaluation on the student’s clinical performance.

Externship form required.

Drs. Peter Reed Pavan and Brian Madow

Students will evaluate patients with diabetic retinopathy, hypertensive retinopathy, senile macular degeneration, retinal detachments, intraocular tumors, and uveitis at the USF Eye Institute using direct and indirect ophthalmoscopy and slit lamp examination of the fundus. Students will learn the interpretation of fundus fluorescein angiography and ultrasonography. They will participate in argon and krypton laser photocoagulation, intraocular injections, scleral buckles, vitrectomies, and radiation plaque therapy. For those interested in ophthalmology as a career, this course is an opportunity to learn the most advanced diagnostic and therapeutic techniques used in eye care today. Those interested in family practice, internal medicine, geriatrics, and endocrinology will see the retinal pathology most often encountered in their future specialty and learn the resources that are available for evaluation and treatment. In the last week of the rotation, the student is required to present and discuss a patient they have evaluated during the course at the departmental case conference.

Evaluation

Evaluation will be determined by daily performance observed during the 4-week elective period. On the first day of the rotation, report to Stacy Parker DeRaps at the USF Eye Institute. 

Drs. David Richards, Lisa Gamell, and Carla Bourne.

This course is designed for students interested in ophthalmology as a career. Glaucoma is one of the most common clinical problems ophthalmologists encounter. Its diagnosis and treatment will be taught through participation in clinics and surgery. Attendance at departmental conferences is expected as is independent reading. Participation in a research project is encouraged. During the last week of the rotation, presentation of an interesting patient or the results of a research project at the departmental teaching conference is required. On the first day of the rotation, report to Stacy Parker DeRaps in the USF Eye Institute.

Dr. David Richards and departmental faculty

This course is designed for students interested in ophthalmology research. An interview with Dr. David Richards is required at least 30 days in advance of the start of the rotation to determine if the student will be accepted. The student will work directly with a faculty member doing research in ophthalmology. Independent reading and research will be required. The number of slots per year will be limited. On the first day of the rotation, report to Stacy Parker DeRaps in the USF Eye Institute.

Externship form required.

Dr. G. Douglas Letson, Dr. David Leffers, and Orthopaedic Faculty

This elective will give prospective orthopaedic residents exposure with the Program Director, Dr. G. Douglas Letson, and the Department Chair, Dr. David Leffers. Students will also have the opportunity to work with the faculty and residents of the Department of Orthopaedics & Sports Medicine. Students on this rotation will experience the clinical and surgical treatment of benign and malignant disease, sports medicine injuries and trauma of the musculoskeletal system. Students will spend one week at the Moffitt Cancer Center-Sarcoma Department, one week at the Morsani Center for Advanced Healthcare-Sports Medicine Clinic, one week at Tampa General Hospital-Orthopaedic Trauma, and one week at the James A. Haley Veterans Administration-General Orthopaedics.

Objectives

1. Understand the anatomy and physiology of the musculoskeletal system, with emphasis on the upper and lower extremities and joints
2. Accurately diagnose, properly manage, and appropriately consult for common orthopedic conditions and emergencies
3. Understand which x-rays are appropriate to order for each common condition, and how to interpret them.
4. Demonstrate understanding of aspiration and injection techniques
5. Explain the treatment of simple and complex fractures, bone infection and neoplasms
6. Demonstrate understanding of the management of complex soft tissue injuries as they relate to the musculoskeletal system
7. Demonstrate knowledge of the elements of the orthopaedic examination of the injured patient
8. Understand the multidisciplinary role of the Orthopedic Surgeon, Physician Assistant, Nurse, Operating Room Team, Physical Therapist and Athletic Trainers in the provision of coordinated, safe and high quality Orthopaedic care

Learning outcomes

Students will participate in the weekly orthopaedic core lecture series on Friday mornings from 7 am -11 am. Upon completion of this elective, the trainee should understand the principles of diagnosis and management of patients with musculoskeletal trauma, abnormalities or diseases.

Evaluation

Evaluations will be done on an individual basis by the clinical preceptors and will be based on patient interaction, case presentations, medical plans, and documentation.

Any interested student MUST get final approval from the Education Coordinator, Ann Joyce, to plan the elective. Ideally, this should be done prior to the start of the academic year but MUST OCCUR AT LEAST 1 MONTH PRIOR TO THE START OF THE ELECTIVE. There are additional compliance forms from UCH and Moffitt that the student MUST complete before their rotation. 

The purpose of this elective is to provide students the flexibility of pursuing creative scholarly projects/research under the direct supervision of a mentoring faculty member. Prior to scheduling this course, students must meet with their preceptor in order to identify and define their independent study. It is expected that clear goals and objectives will be established in advance of registering for this course. After determining a course of study, the student must obtain signatures from both their faculty preceptor and the Education Coordinator, Ann Joyce. Assessment will be based on attainment of goals and objectives set at the beginning of the project by the faculty member and student.

Externship form required.

This clinical preceptorship is designed to provide an in-depth experience in the practice of otolaryngology. Students will participate in the preoperative study of patients in private offices and will follow them upon their admission to the hospital. They will assist at the operative procedures on selected patients and will be expected to follow their postoperative course. Opportunity will also be afforded to carry out long-range observation of postoperative results in patients who have previously been treated for otolaryngological problems.

By the completion of the elective, all students will be able to demonstrate proficiency in the otolaryngological head and neck exam and will have obtained experience and/or understanding of a variety of ear, nose, and throat disorders such as acute respiratory obstruction, hearing loss, dizziness, sinusitis, external otitis, otitis media, modern diagnosis and management of head and neck cancer, maxillofacial trauma, epistaxis, hoarseness, and dysphasia.

The objective is to provide greater exposure to the field of otolaryngology than what is possible in the basic surgical course, and to give further opportunity for first hand experience in this area for students who are considering ultimate specialization in this field.

Evaluation

The formal evaluation will be prepared by otolaryngology faculty based on the following: fund of medical knowledge, quality of assessment and presentation, clinical judgment as indicated by rationale of didactic and management plans, attitude and rapport with patients and families and subjective elements of interpersonal relationships, motivation, and ability.

This course is designed to provide the student interested in otolaryngology as a career an opportunity to carry out an in-depth study of a selected topic in otolaryngology that is of interest to the student. The student will work directly with a faculty member. Assessment will be based on attainment of goals and objectives set at the beginning of the project by the faculty member and student. The student is required to obtain the signature of the faculty mentor prior to registering for the course.

Drs. Crawford, Dadlani, Decker, Epstein, Freire, Miller, Nardell, Nguyen, Stapleton, Turpin, Wilmot

 
Cardiovascular disease may be congenital or acquired and may exist in a spectrum throughout life from the womb to adulthood. The All Children’s Heart Institute is a comprehensive group of sub-specialty cardiologists that cover this spectrum of disease through the practice of: general cardiology, non-invasive (echocardiography), perinatal cardiology, advanced cardiac imaging (3-D ECHO, MRI, CT), invasive cardiology, electrophysiology, heart failure/transplant, pulmonary hypertension, preventative cardiology, and adult congenital heart disease. The goal of this rotation will be to teach core principles of cardiovascular disease and allow students exposure to the broad spectrum of cardiology sub-specialty care that occurs within the division. A board certified/eligible Pediatric Cardiologist will supervise patient care during the elective rotation. Clinical and/or basic research projects are also available for interested students.

Clinical cardiology:

1.  Understand the evaluation and treatment of heart murmurs, chest pain, palpitations, dizziness, and syncope.
2. Understanding the evaluation and treatment of various forms of congenital heart disease: including septal defects, left ventricular outflow tract obstruction, right ventricular outflow tract obstruction, conotruncal lesions, single ventricles, and cyanotic congenital heart disease.
3. Understand the basic principles of electrocardiograms and be able to interpret and have a treatment strategy for basic arrhythmias.

Clinically these objectives will be achieved by the following tasks:

1.  Outpatient cardiology clinics – daily cardiology clinics are held at All Children’s Hospital in St. Petersburg and multiple outpatient care centers (Tampa, USF, Sarasota, Pasco, Brandon, Lakeland, East Lake and Ft. Myers.
2. Inpatient Service – Students will participate in work-up and care of cardiac patients including those in the cardiac ICU, neonatal ICU, and inpatient consults on the general medicine floors or emergency room.
3. Sub-specialty rotations – all students will observe at least one of the following: open heart surgery and learn about cardiopulmanary bypass, cardiac catheterization, cardiac electrophysiology procedure, fetal echocardiogram, cardiac MRI/CT scan, and exercise stress test. Each student should know the indications for these procedures and the limitations of each diagnostic modality. In addition each student should be able to perform a 12 lead electrocardiogram and understand the indications and limitations of long term heart rhythm monitors (events/loops)
4. Educational Conferences – Participation in weekly disposition and educational conferences. 

Administrative Coordinator:

Debbie Reinthaler (727) 767-6483 Deborah.Reinthaler@allkids.org

Physician Contact:

Dr. Gul Dadlani (727) 385-4057 Gul.dadlani@allkids.org

Drs. Rodriguez, Patel, Maldonado, and Staff

The inpatient pediatric elective is presented to give the student an experience in the management of children with problems requiring hospitalization. The student will have the responsibility for the evaluation and treatment of a limited number of pediatric cases. The student will care for these patients as an acting intern in consultation with a senior member of the pediatric house staff. The student will take call with the ward team every fourth night.

 Objectives

1. The student should be able to conduct a history and physical examination in a concise and logical fashion and define the child's problems.
2. The student should be aware of the diagnostic and therapeutic tools available in pediatrics and be able to use them when appropriate to patient care.
3. The student should develop increasing clinical responsibility and judgment in dealing with hospitalized children and their families.
4. The student should gain familiarity in performing certain basic procedures including venipuncture, lumbar puncture, intravenous line placement, suprapubic puncture, arterial puncture, and bone marrow aspiration.
5. The student should be able to give the indications for admission to the hospital for children with various diagnostic and therapeutic problems. 

Physician Contact: Dr. Rodriguez

Contact Number: (813) 259-8752

Drs. Campos, Panzarino, Flores, and Perlm

This elective will aid students in their initial approach to pediatric renal disease, understanding the mechanisms of renal injury and evaluation and therapy of renal diseases. Tutorials are offered at least twice a week, covering topics such as proteinuria, hematuria, developmental anomalies, urinary tract infection, acute and chronic glomerulonephritis, nephrotic syndrome, acute and chronic renal failure, lupus erythematosus, hypertension, dialysis, and transplantation. Other topics may also be covered as determined by student preference.

The students will provide inpatient (TGH and /or ACH) and outpatient (USF Clinics) care under close faculty supervision. The student is expected to either provide a discussion of one selected topic or present a patient management case towards the end of the rotation.

TGH Contact Number: (813) 259-8760
ACH Contact Number: (813) 259-8725

Drs. Ashmeade, Balakrishnan Fant, Haubner, Luciano, and Sutsko

This elective is for a clinical rotation in the neonatal intensive care unit at Tampa General Hospital.

Objective

The objective of this elective is the development of clinical expertise in the management of disorders of the neonate. The clinical clerk will be an integral part of the neonatal management team with participation in conferences, attending rounds, and providing clinical care under close faculty and neonatal fellow supervision.

Evaluation

Evaluation of the student’s performance will be made by observing development of his/her clinical expertise and the use of informal quizzes.

Students should report to the NICU on the 4th floor at TGH. Please call the Neonatology Office at (813) 844-3437 at least one week in advance to confirm your rotation. Contact Dr. Sutsko at (813) 844-8296 at 8 a.m. on the first day of the rotation if you need further information.

Drs. Bollepalli, Rodriguez, and Shulman

This elective is designed to provide clinical exposure to children with insulin dependent diabetes as they appear in the clinic. The activity will be based at the USF Diabetes Center at the Carol and Frank Morsani Center for Advanced Healthcare on the USF campus. Special emphasis will be placed upon diabetes care management including insulin dose adjustment, nutrition, and psychosocial aspects of the disease and will be supervised by the Diabetes Center team including pediatric endocrinologists, nutritionist, psychologists, and others. The Diabetes Center staff will provide specific education about the techniques required for home management of type 1 diabetes.

 Objectives

The objective is to provide clinical exposure to childhood diabetes and improve understanding of the basic clinical disorder and the problems associated with routine home management.

Interested students must contact the director, Dr. Rodriguez at (813) 396-2580, prior to selecting this elective. Those interested in more intense exposure to children with a chronic disease should contact Dr. Rodriguez to learn the dates of camp sessions for children with diabetes.

General Pediatrics Faculty and Staff

This rotation allows the student to experience the broad range of primary pediatric care issues in the USF Health Pediatric Clinic, located at 17 Davis Pediatric Clinic. Students will sometimes also work at HealthPark Pediatrics.. The student is expected to improve skills of obtaining histories, performing physical examinations, and developing thorough differential diagnoses and management plans. Primary care issues are discussed daily. Each student will present a topic relevant to ambulatory pediatrics at the end of the rotation. Attendance at Pediatric Grand Rounds and scheduled conferences is required.

Objective

Improve knowledge of general outpatient pediatrics and improved skills in performing histories, physicals, assessments and developing appropriate management plans.

Please contact Dr. Sharon Dabrow via email at sdabrow@health.usf.edu at least four-weeks prior to beginning this elective.

Contact Number: (813) 259-8752
Hours: 8:30-5 pm each day. Morning report 8-8:30 optional. Noon conference 12-1:00 required. 

Pediatric Hospitalists

The senior medical student will serve as an "acting intern" with the resident staff assigned to the inpatient medical teaching service of All Children's Hospital. He/She will interview and examine patients and participate in the planning and execution of diagnostic and therapeutic programs under the supervision of residents and faculty in pediatrics. The student will participate actively in teaching rounds, journal clubs, and seminars as a junior house staff member.

Objective

Offer the student a period of intensive exposure to inpatient general pediatrics by permitting the student maximal responsibility for patient cares in a supervised setting.

Evaluation

The student's written histories and physical examinations, problem list, and plans of evaluation and therapy will be reviewed by the attending faculty, the director of the Inpatient Service and senior residents of All Children's Hospital, each of whom will meet with the student frequently. The quality of these records as well as the student's daily activities at rounds and conferences will form the basis of the evaluation.

Night call is no more frequent than every 4th night.
Contact Number: 813-259-8725. 

Drs. Rodriguez, Lujan-Zilberman and Emmanuel

The senior medical student will participate in both inpatient and outpatient clinical duties involving HIV-infected children and adolescents. The student will perform history and physical examinations on infants born to infected mothers and on HIV-infected children. Diagnostic and therapeutic programs will be executed with the supervision of the Pediatric Infectious Diseases faculty. The principles of laboratory evaluation of the HIV-infected child will be demonstrated in the clinical immunology laboratory. For students interested in participating in clinical and/or basic research, participation in small pilot projects is encouraged under the mentorship of a faculty member. The student will participate in teaching rounds, journal clubs, and seminars with the faculty, and will rotate at the ACH Clinic and the CMS clinic in Tampa.

Objective

Offer the student a period of intense exposure to HIV infection in infants, children, and adolescents with participation in a supervised outpatient, inpatient, and laboratory setting.

Evaluation

The student's history and physical examinations, generation of problem lists, and plans for evaluation and treatment will be reviewed frequently by the attending faculty. The quality of these records as well as the student's daily activities at rounds and clinics and conferences will form the basis of the evaluation.

No night is call required.

The medical student should report to Dr. Carina Rodriguez in the Division of Pediatric Infectious Diseases. Contact Number: (813) 259-8800.

Faculty and Staff at Suncoast Community Health Centers (Ruskin, Dover, Plant City), Family Medical Center (Dade City), Premier Community Healthcare Group (Dade City and Zephyrhills), Manatee County Rural Health Services (Bradenton), Community Health Centers of Pinellas (Saint Petersburg), and DeSoto County Health Department (Arcadia)

PRIOR APPROVAL REQUIRED - Please contact Anne Maynard, MPH, CHES at amaynard@health.usf.edu or (813) 974-3507 at least six weeks prior to registering for this elective.

This elective is designed to familiarize the student with general outpatient pediatric care in a rural migrant health center. All students will be under the supervision of a precepting physician participating in well childcare as well as acute walk-in care. This rotation will provide students with a better understanding of rural medicine and the tremendous health needs of rural and migrant populations. In certain settings, many patients are Spanish speaking, and students will have the opportunity to work with interpreters. Depending on the site selected, Gulfcoast North or Gulfcoast South AHECs may provide housing.

Evaluation

The clinician preceptors will evaluate students on an individual basis by. Evaluations will be based on patient interaction, presentations, medical plans, and documentation.

At certain sites this elective is available to USF students only. The Department of Pediatrics and Gulfcoast North or Gulfcoast South AHEC will make the final arrangements.

Community Faculty

This rotation is a tutorial association with a community pediatrician. The student will see patients in the physician's office, may be on call for emergencies, will accompany the physician on hospital rounds, and will participate in appropriate hospital conferences and seminars. The experience should broaden the scope of the student interested in the community practice of pediatrics.

Objective

Provide a realistic view of community pediatric practice.

Final arrangements concerning the course location/preceptor will be made through a faculty member after the student receives his/her elective choice.

Contact the community physician directly or Dr. Sharon Dabrow to assist in organizing the rotation at sdabrow@health.usf.edu or 259-8752.

Drs. Cameron Tebbi (TGH) and Nanette Grana (ACH)

The student will be involved in the management of patients with pediatric hematology and oncology disorders, both in the inpatient and outpatient settings. For inpatient services, the student will participate in the AM rounds and assist with diagnostic procedures and therapy planning . Students are encouraged to study the basics of hematopoiesis and cancer chemotherapy. Written histories and physical examinations and plans for evaluation and treatment will be reviewed with the attending physician. In the outpatient setting, the student will actively participate in interviewing and examining newly referred and follow-up patients. The student will attend the weekly multidisciplinary patient care and teaching rounds and monthly tumor board. By the end of the period the student is expected to be able to know basics of work up and care for the pediatric hematology/oncology patients.

Objective

Introduce the student to the clinical aspects of hematologic and oncologic disease in children

Contact Numbers:TGH (813) 259-8713; ACH 813-259-8725

Drs. Pope, Prijoles, Ranells, Sanchez-Valle, and Staff

Objective

The goal of this elective is to acquaint the student with genetic and metabolic disorders in pediatrics: diagnostic evaluation, differential diagnosis, inheritance, management and counseling. Students will typically attend Genetics/Metabolic Clinics Monday, Tuesday, and Thursday at CMS on campus andoccasional outreach CMS clinics. Students will also participate in inpatient consultations. During the month, students may also have the opportunity for exposure to prenatal and cancer genetics cases. Students will be responsible for either the extensive work up of 1-2 new patients per clinic or see re-visits as scheduled. They will also be expected to give a 10-15 minute presentation at the end of the rotation on a selected topic.

Physician Contact: Dr. Prijoles

Phone: (813) 259-8772 

Drs. Pavan, Murphy, Armstrong, and Rempfer

Objective

The goal of this challenging elective is to familiarize the student with the clinical aspects of child development. Participating in patient evaluations via observation and direct contact and interacting with various members of a multidisciplinary team will facilitate an understanding of the diversity of the field. Students will learn to administer basic screening tests and to assess the many aspects of development, which contribute to diagnosis and intervention. In addition to "hands-on" training, weekly didactics will provide teaching in the basic areas of normal, delayed, and disordered child development, including neurological and genetic disorders, intellectual disability, autism, and specific learning disabilities. This elective incorporates a wide variety of clinic environments, with exposure to NICU follow-up, age Birth-3 Early Intervention Program, and the school-age population. The objectives of this elective can be met via a research track, a clinical track, or a literature review/writing track.

Contact: Dr. Mary Pavan at mpavan@health.usf.edu at least 4 weeks prior to the start of the elective.

Phone: (727) 767-8230

Drs. Perez, Dorsey, Sleasman, Sher, and Sriaroon

This elective is designed to give the student experience on both the outpatient and inpatient Pediatric Allergy and Immunology services of All Children's Hospital in St. Petersburg, Florida. The participant will assist in the diagnosis, treatment, and management of patients with a broad spectrum of immunologic, allergic, and rheumatologic diseases. The elective will emphasize a logical approach to clinical immunologic problems, interpretation of immunology laboratory tests, and the treatment of allergic and immune disorders including autoimmunity. The student will learn about the performance and interpretation of allergy skin testing, spirometry, tympanometry, rhinoscopy, food challenge procedures, immunotherapy to aeroallergens, and drug desensitization. Students will gain experience in current treatments of immunodeficiency disease.

Objective

Offer the student an intensive exposure to clinical allergy immunology through supervised responsibility for patient care.

The student should report to the Division of Allergy/Immunology, Children’s Research Institute (Band-Aid Building) at 8:30 AM at ACH.

Contact Number: 813-259-8725

Drs. Couluris, and Schnapf (TGH), Drs. Demissie,Ewig, Gondor and Kriseman (ACH)

TGH:

Objectives

1. Obtaining a history and physical examination as it relates to pulmonary disease in the infant, child, and adolescent.
2. Understand and interpret basic imaging of the respiratory system and lung function testing.
3. Establish a level of competence in diagnosing and managing asthma in children utilizing the principles presented by the NIH Asthma Guidelines.
4. Possess and understanding of pulmonary physiology as it relates to common pediatric respiratory disorders.
5. Have a familiarity with common respiratory therapeutic agents employed in pediatrics including airway clearance techniques and asthma pharmacotherapy.

This elective will involve working with a multidisciplinary team that will provide experience in the evaluation and management of acute and chronic pediatric respiratory diseases. Some of these disorders will include: cystic fibrosis, stridor, chronic lung disease of infancy, congenital malformations of the respiratory system, sleep-related disorders of breathing, upper airway problems, and management of the medically-complex child with chronic respiratory problems such as having a tracheostomy tube or requiring supplemental oxygen at home. Pertinent literature will be discussed and will be available for review on the Moodle Pediatrics Learning Site.

Contact number at TGH is (813) 259-8767.
Contact physician: Dr. Schnapf

Drs. Weibley, Riggs, Everett, Saltiel, and Staff

The PICU is a multidisciplinary unit providing acute care for pediatric patients with a wide variety of medical and surgical problems. The goals and objectives for this elective are intentionally broad to allow for a learning experience in meeting the student’s individual needs. Students will learn to utilize a physiologic-based organ system derived approach to patient problems. Integration of multiple healthcare providers is emphasized. Students are given the responsibility for patient care under the direct supervision of the PICU resident or attending faculty. Educational goals will be met through discussions on teaching rounds, didactic presentations on aspects of pediatric critical care medicine, and self-directed study on individual patients. Final evaluations will be based on the guidelines presented on the USF COM MSIV evaluation form and the degree to which the student has met his/her stated objectives.

Objectives

1. The student will learn to utilize physical exam skills, laboratory data, and radiographic data to assess the physiologic stablity and severity of illness in pediatric ICU patients.
2. The student will learn to incorporate accumulated data with critical thinking skills to both assess a patient’s condition and institute a treatment plan.
3. The student will learn to appreciate the utility and usefulness of both invasive and non-invasive physiologic monitoring and support.

Contact Number: (727) 456-4250 

Dr. Sosa and Faculty

The student will directly care for several neonates in the neonatal intensive care unit of the All Children's Hospital under close supervision. In addition to daily teaching rounds, conferences include monthly combined perinatal morbidity, mortality conferences, bi-weekly radiology rounds, and several conferences each week pertaining to clinical problems in neonatology. Involvement in on going research projects is also available with prior arrangement.

Objective

Introduce the student to intensive neonatology and provide in depth clinical experience under close supervision

Contact Number: 813-259-8725

Drs. McClenathan and Wilsey’s Group

The Pediatric Gastroenterology/Nutrition Department is a very active clinical service. The student will participate in the evaluation and management of children with gastrointestinal disease. The student will interview and examine outpatients and inpatients referred for pediatric gastrointestinal disorders. The student will assist in planning the diagnostic and therapeutic program for these patients. He/She will observe diagnostic modalities such as endoscopy, manometry, esophageal dilation, suction rectal biopsies, and Ph probes. The student will also participate in clinical gastrointestinal rounds and GI Journal Club.

There will be one slot available at Drs. McClenathan & Wilsey’s Group (ACH/Tampa Office).

Evaluation

The student will be expected to read about the diseases of their clinic and hospital patients. Grading for the course will be a reflection of the student's participation and daily activities.

Contact Kelly at 813-259-8725 prior to the first day of the rotation.

Dr. Rahman and Staff at ACH; Dr. Gaar and Staff at TGH

The Pediatric Emergency Medicine elective at All Children's Hospital and/or Tampa General Hospital is designed to give an in-depth exposure to the identification and management of acutely ill and injured children. Students are integrated into the health care team and participate directly in all aspects of patient care for medical/surgical/trauma emergencies including history, physical examination, management options, evaluation of laboratory and radiographic studies, utilization of consultants, decision making, and disposition. Under the supervision of an attending physician, students are involved in technical procedures including suturing, immobilization, splints, phlebotomy, IVs, ABGs, lumbar puncture, bladder tap, central venous access, arterial lines, endotracheal intubation, chest tube insertion, thoracentesis, and cardiopulmonary resuscitation. The emergency center environment features a computerized tracking system and exposes students to this modality for expediting patient care. Students participate in daily didactic conferences, radiology rounds, chart review, plus monthly mock code scenarios designed to integrate with syllabus material. By the completion of the rotation, students will be able to identify an acutely ill or injured child and develop and implement an appropriate management plan.

TGH Contact Number: (813) 627-5973 and (813) 627-5906

ACH Contact Number: 813-259-8725 

Drs. Bergamo, Carr, Lujan-Zilbermann, Rodriguez, and Emmanuel (TGH) Drs.Dumois, Berman, and Messina (ACH)

This elective in pediatric infectious disease is a clinical preceptorship with the Infectious Disease team. The majority of time is spent on inpatient consults. The student is exposed to all areas of the hospital since consults are answered in critical care areas, the general pediatric wards, and NICU. Inpatient consultations on the Tampa rotation will be performed at St. Joseph’s Children’s Hospital. In the ambulatory setting, the student will have exposure to the outpatient ID clinic and the pediatric/adolescent HIV clinic. Microbiological laboratory utilization and antibiotic therapy are emphasized during the rotation. Informal teaching conferences are held frequently. The student is expected to participate in weekly journal club, presenting an article each week.

No night call is required.

For the Tampa rotation, the medical student should report to Dr. Dale Bergamo in the Division of Pediatric Infectious Diseases. Please contact the department at least two weeks prior to starting elective.

Contact Number: (813) 259-8800

For the ACH rotation, the medical student should report to Drs Juan Dumois and David Berman at ACH Pediatric Infectious Disease.

Contact Number: 813-259-8725

Drs. Straub, Weiss, Puccio, Cimino and Staff

This elective is designed to introduce senior medical students to the field of adolescent medicine. Students will be able to see and care for adolescents, ages 12 to 21 years, in a variety of outpatient settings. Adolescent clinics will afford students the opportunity to provide primary and specialty care to teenagers in a clinic setting, while students can also participate in adolescent health care in school-based clinics, at both high school and college settings. The experience will be supplemented with time spent at the Healthy Weight Clinic, learning about the care of teens with eating disorders; at the Hillsborough County Health Department and USF HIV clinic, learning about sexually transmitted infections; at various mental health sites, learning about mental health and substance abuse problems in adolescents; and at a variety of other settings, learning about sports medicine.

Objectives

1. Appreciate the unique medical and health needs of the adolescent population.
2. Increase comfort level in communicating with teenagers, performing psychosocial risk interviews using the HEADDSS assessment, and providing preventive health anticipatory guidance for adolescents.
3. Understand the normal sequence of physical growth and psychological development during puberty, and be able to accurately stage sexual development with Tanner staging.
4. Perform a well adolescent physical and take on the role of primary care provider in working with specialists and multi-disciplinary health professionals in order to develop coordinated care plans. Know the elements of health supervision visits for different ages, including indicated screening tests and immunizations.
5. Act as a subspecialist consultant for patients referred by outside primary care providers, and communicate the findings and plan of action back to the PCP.
6. Know how to diagnose and treat common adolescent medical problems, such as acne, dysmenorrhea, menstrual disorders (DUB, amenorrhea, PCOS, etc), breast disorders (fibrocystic breast disease, gynecomastia, etc), scoliosis, male genital disorders (varicocele, hernia, etc), STDs (chlamydia, gonorrhea, etc), pregnancy, obesity, psychological problems (depression, suicidality, eating disorders, substance abuse, etc), and others.
7. Recognize the common problem of poor adherence among adolescents, and encourage adolescents to become more active, responsible health care consumers.
8. Improve communication with parents and families to help them understand normal adolescent development and confidentiality. Help parents facilitate their teens in taking a more active role in their health care.
9. Learn about the importance of and how to assist with a successful transition from pediatric to adult health care for all adolescents and young adults, especially those with chronic medical conditions and special health care needs.

Any interested student must contact either Dr. Straub or Dr. Weiss at least 6 weeks prior to the start of the elective.

Phone: (813) 259-8713 

Drs. Perez, Dorsey, Litman, and Sleasman

This elective offers an opportunity for fourth year medical students and immunology residents to have hands-on experience using modern techniques in the laboratory. These include:

1.  Learning to use ELISA and immune based assays to quantify soluble proteins and cytokines
2. Application of flow cytometry analysis to measure immune cell activation and differentiation, intracellular cytokines, and immune responses to antigens
3. Understanding the contemporary applications of measuring gene expression and systems biology as well as basic molecular biology in the clinical setting

The student should report to the Division of Allergy/Immunology, Children’s Research Institute (Band-Aid Building) at 8:30 AM at ACH. 

Drs. Eaton and Grogan, Alex Altamirando, Scott Brickett, Andy Chasanoff, Kim Morris

The student in this elective will have the opportunity to work with orthopedic/sports medicine specialists, physical therapists, and certified athletic trainers. The sports medicine experience includes sports medicine clinics, hands-on field experience with a certified athletic trainer at the University of Tampa, familiarity with rehabilitation modalities at a physical therapy center, and game coverage opportunities. In addition, students might have exposure to sports for children with disabilities.

Objectives

This elective is designed to provide the students, as general practitioners, with the background to comfortably evaluate, treat, diagnose, and selectively refer athletic injuries. The educational objectives include:

1.  Sports participation evaluation and normal orthopedic exam
2. Evaluation, diagnosis, and mechanism of common athletic and overuse injuries both on the field and in the clinic setting
3. Familiarity with available physical therapy and rehabilitation modalities
4. Participation in counseling about injury prevention education, nutrition, healthy lifestyles, dehydration, and anabolic steroid issues.

The schedule of this rotation is more varied, with educational opportunities occurring in the evening and weekends. This would allow for exposure to the variety of lectures and conferences offered by the USF Pediatrics residency, as well as for some weekdays completely free from clinical responsibilities.

 Please contact Dr. Ronald Sutsko at (813) 844-8296 at least four weeks prior to beginning this elective. 

Dr. Sutsko and Faculty

All students are eligible to apply for the Honors Course in Pediatrics. The Honors Program curriculum includes a creative scholarly project with the preceptor of the student's choice. The project and registration for the course must be approved by Dr. Sutsko or his designee. In addition, a clinical experience pertinent to the scholarly activity of choice is required during the four-week block. An interest in pursuing a career in Pediatrics or Internal Medicine-Pediatrics is suggested for this elective. Depending on their preceptor selection, students may rotate at All Children's Hospital, the USF Medical Clinics, or Tampa General Hospital.

 Objectives

1. Scholarly project presentation at noon conference or publication 
2. Exposure to related clinical experience

 Evaluation

An evaluation form will be submitted by the preceptor with whom the student will directly work.

Prior approval of this elective is required. Students should contact Dr. Sutsko at least four-weeks prior to registering to discuss topics of interest and to identify preceptor.

This elective is NOT available to visiting students.

Dr. Tanya Murphy

This elective is designed to introduce senior medical students to the identification, evaluation, and treatment of children and adolescents with neurodevelopmental and psychiatric disorders. Under the supervision of Dr. Murphy and her faculty, students will be able to observe and participate in a comprehensive neuropsychiatric assessment, evidence based medication management, and cognitive behavioral therapy. A multidisciplinary approach to assessment and treatment will be emphasized. This clinic is specialized as it serves children and adolescents with Obsessive-Compulsive disorder, Tourette syndrome, Trichotillomania, Separation anxiety, Phobias, Pediatric Autoimmune Neuropsychiatric Disorders associated with Streptococcal Infections (PANDAS), and Autism spectrum disorders. Students will have the opportunity to particiapte in Occupational and Physical therapy assessments for youth with develomental disorder. Students will also have the opportunity to particiapte in therpay sessions focusing on habit reversal for tics or exposure and response prevention for OCD treatment. In addition, this clinic has a number of clinical studies examining both psychopharmacology and therapeutic treatments for various diagnoses.

Objectives

1. Develop skills in the evaluation, diagnosis, treatment and management of children and adolescents with psychiatric disorders through observing comprehensive assessments 
2. Recognize co-occurring conditions and how to screen for them
3. Become familiar with common rating scales for this patient population 
4. Recognize the complexities in treating this patient population as it requires collaboration between medical providers, counselors, rehabilitative therapies, school systems, and the family 
5. Describe a comprehensive treatment plan that reflects the biopsychosocial model
6. Learn basic principles of medication management in this patient population
7. Be exposed to cognitive behavioral therapy and habit reversal therapy 
8. Learn about educational, therapeutic, and counseling modalities for the specific disorders
9. Develop oral case presentation skills and participate in writing comprehensive evaluations
10. Participate in journal article discussions
11. Observe speech, audiology, and occupational therapy screenings

Evaluation

Faculty observation and evaluation of student/patient interactions, case presentations, journal article discussions, and written assessments

Interested students must contact Dr. Murphy at least one month prior to the start of the elective.

The purpose of this elective is to give students the opportunity to work directly with a mentoring faculty member. At least 30 days prior to registering for this elective, students must meet with their preceptor to determine a course of study with goals and objectives for the course period.

This elective is NOT available to visiting students.

Dr. Barbara Lubrano

This elective gives the student the unique opportunity to participate in the evaluation, diagnosis, and the short-term treatment planning for patients in the JAHVA Emergency Room. Under close supervision by the faculty and staff of this service, the student gains experience in interviewing, diagnosing, and managing the acute psychiatric patient. The student sees a very wide range of pathology from adjustment disorders to frank psychoses to complex multisystem illnesses. Students work with the attending psychiatrists as well as the Director of the Service, Dr. Barbara Lubrano. Students will participate in the decision making process performing a risk assessment to determine if the patient requires inpatient admission or create a plan for outpatient care. Directed readings will be provided.

Objectives

1. Obtain a history and perform relevant physical exam for urgent psychiatric complaints.
2. Conduct a thorough mental status assessment inclusive of:Differentiate functional from organic disorders, define and identify common psychotic, affective and characterological disorders. 
   1. A comprehensive assessment for dangerousness inclusive of suicide and violence risk 
   2. Use of the MoCHA to screen for cognitive deficits. 
3. Recognize interaction of substance abuse with other syndromes. 
4. Differentiate problems which require further inpatient assessment and treatment versus outpatient care.
5. Appropriately utilize medications and recognize major side effects. 
6. Demonstrate appropriate use of brief interventions inclusive of crisis intervention, chemical and physical restraint, etc. 
7. Know and be able to list the elements required for confidentiality, involuntary hospitalization and surrogate decision making under the Florida statutes and Mental Health Code. 
8. Identify appropriate sources of collateral information to inform the psychiatric evaluation (i.e. family, pharmacy, ALF, narcotic verification registry etc.). 
9. Demonstrate the ability to document a psychiatric history, mental status exam and medical decision making for an urgent psychiatric assessment. 

Evaluation

• Direct observation by supervising faculty of interviewing and PE skills (at least weekly).
• Review of medical documentation by faculty supervising the rotation (daily).
• 10 minute oral presentation on a topic of interest

The grade will be compromised of 75% clinical evaluation and 25% oral presentation on a topic. 

Dr. Francisco Fernandez

Dr. E. Francis

This elective is designed to offer advanced experiences in the evaluation, treatment, and rehabilitation of alcoholic and substance abuse patients, and the assessment and diagnosis management of other co-existing psychiatric disorders. The student will participate in a therapeutic community treatment program for chemical dependency, have direct clinical responsibilities for patient care and interact with available community resources for chemically dependent patients. The student will have the opportunity to participate in ongoing addiction research activities.

 Objectives

1. Enhance diagnostic skills in chemical dependency and associated medical and psychiatric disorders
2. Learn individual, group, and community treatment techniques for the chemically dependent patient
3. Learn how to facilitate rehabilitation of chemically dependent patients
4. Learn about community resources for chemically dependent patients

 Evaluation

The supervising faculty will evaluate the student’s clinical performance according to the elective objectives. In addition, the student will be required to prepare a written summary of the elective experience including a description of clinical and academic activities, a self-evaluation of what the student learned in the elective, and a critique of his/her elective experience.

Drs. Saundra Stock and Medical Staff

This elective is designed to provide interested students with clinical and didactic training in outpatient psychiatry. The student will have an opportunity to develop greater diagnostic and management skills in varied outpatient settings including the University Psychiatry Center Outpatient Clinic and the James A. Haley Tampa VA Hospital. Specific experiences can include the Adult Evaluation Clinic, the Memory Disorders Clinic, and the Child Evaluation Clinic. An opportunity to gain increased understanding of crisis intervention in an outpatient setting at the Tampa VA Hospital is also available.

Objectives

1. Become more skilled in interviewing patients who present both medical and psychiatric problems in various outpatient settings
2. Gain an increased understanding of and develop skills in specialized evaluation and treatment situations (family, child, and adult)
3. Develop a more in-depth understanding of psychopathology
4. Gain a greater familiarity with a variety of psychotherapy modalities including individual, group, family, and marital therapy
5. Become more skilled in utilizing psychotropic medications

Evaluation

The supervising faculty will evaluate the student’s clinical performance according to the elective objectives. In addition, the student will be required to prepare a written summary of the elective experience including a description of clinical and academic activities, a self-evaluation of what the student learned in the elective, and a critique of his/her elective experience.

Drs. M. Bengtson, Saundra Stock, Tanya Murphy, Karen Goldberg, Daniel Fallon and Medical Staff

This elective is designed to provide the interested student with an opportunity to develop diagnostic and management skills essential to the evaluation and treatment of children with psychiatric problems including the behavioral disorders that are commonly encountered in family medicine and pediatric practices.

Objectives

1. Learn how to evaluate and diagnose psychiatric problems including common behavioral disorders in children
2. Learn basic management skills of psychiatric problems including common behavioral problems
3. Become familiar with community agencies avail¬able to help children with psychiatric and behavioral problems
4. Become more familiar with the general practice of child psychiatry
5. Enhance interviewing skills of children and their families

Evaluation

The supervising faculty will evaluate the student’s clinical performance according to the elective objectives. In addition, the student will be required to prepare a written summary of the elective experience including a description of clinical and academic activities, a self-evaluation of what the student learned in the elective, and a critique of his/her elective experience.

Drs. J. Fils, M. Schoenberg, and Michelle Mattingly

This elective is designed to provide interested senior medical students with an advanced experience in the evaluation and treatment of Memory Disorder Clinic patients. The psychiatric evaluation will allow the senior student to become proficient in the diagnostic work-up of the patient with a memory complaint and with the memory disorders work-up which includes neuroimaging studies of the brain, laboratory studies, neuropsychological testing and psychosocial evaluation. Students will gain expertise in geriatric medicine, geriatric psychiatry and the differential diagnosis of patients with memory complaints and psychiatric disorders.

The student will spend the majority of the elective at the Johnnie B. Byrd, Sr., Alzheimer’s Center and Research Institute. The student may be involved at other facilities such as an Assisted Living Facility or nursing home as relates to the geriatric population. Supervision and seminars will complement these clinical activities.

 Objectives

1. Become familiar with the multidisciplinary assessment of elderly patients
2. Develop specialized diagnostic skills for identifying and differentiating the multiple causes of dementia
3. Learn how to integrate psychiatry and medical care of the elderly
4. Become familiar with utilization of community resources in the care of the elderly
5. Become familiar with the therapeutic rapport between physician and the patient’s family or/and care giver

Evaluation

The student's clinical performance will be evaluated by the supervising faculty according to the elective objectives. In addition, the student will be required to prepare a written summary of the elective experience including a description of clinical and academic activities, a self evaluation of what the he/she learned on the elective, and a critique of his/her elective experience.

Drs. J. White, D. Sanchez, C. Logan, R. Velasco, and Medical Staff

This elective is designed to provide advanced clinical and didactic training in inpatient psychiatry. Students will participate as a “sub-intern” on an inpatient psychiatric ward. Students are expected to have a small case load of patients that they actively manage taking on primary responsibility for the patient’s care in conjunction with the supervising faculty. Students will perform the history and physical for patients being admitted to the hospital and follow the patient on a daily throughout the hospital course. Students will learn to construct a biopsychosocial formulation of the patient’s presenting problems along with providing acute, intense biological, psychocological and social interventions during the hospitalization. Students will also learn to compose discharge summaries. Close supervision, seminars, and independent study will complement the clinical activities.

Objectives

1. Develop a more in depth understanding of psychopathology
2. Become more skilled in the use of psychotropic medication
3. Gain a greater familiarity with a variety of psychotherapy modalities including individual, group, and family psychotherapy
4. Become more skilled in the interviewing of psychiatric patients

Evaluation

The supervising faculty will evaluate the student’s clinical performance according to the elective objectives. In addition, the student will be required to prepare a written summary of the elective experience including a description of clinical and academic activities, a self-evaluation of what the student learned in the elective, and a critique of his/her elective experience.

Drs. J. Fils, M. Schoenberg, J. Stewart, J. Hashimie, R. Velasco, and Medical Staff

This elective is designed to offer advanced experience in the evaluation, treatment, and rehabilitation of elderly patients with psychiatric disorders. Students can participate in both inpatient and outpatient geriatric psychiatry care. Students will have clinical responsibility for diagnosis, treatment, and rehabilitation of elderly psychiatry patients. Supervision, seminars, and independent study will complement the clinical activities.

Objectives

1. Become familiar with the multidisciplinary assessment of elderly patients
2. Develop specialized diagnostic skills for identifying and differentiating organic brain syndromes
3. Learn how to integrate psychiatry and medical care of the elderly
4. Become familiar with utilization of community resources in the care of the elderly

Evaluation

The supervising faculty will evaluate the student’s clinical performance according to the elective objectives. In addition, the student will be required to prepare a written summary of the elective experience including a description of clinical and academic activities, a self-evaluation of what the student learned in the elective, and a critique of his/her elective experience.

Drs. K. Hartney, O. Ruano and Glenn Catalano

This elective is designed to provide students with a greater understanding of the interface between psychiatry and medical illness in the pediatric and adult populations. Students will assist the consultation team in interviewing medical/surgical patients at Tampa General Hospital. Students will be asked to evaluate patients and ascertain how the patient's medical illness is affected by psychological factors. They will be exposed to a wide range of psychopathology including mood disorders, conversion disorders, psychotic disorders, delirium, dementias, and other organic illnesses.

Objectives

1. Become familiar with psychiatric diagnoses in both the adult and child populations
2. Improve interviewing skills by performing interviews on difficult medical/surgical patients
3. Learn to be part of a consultation/liaison team and be able to work with members of other medical teams and other disciplines

Evaluation

Supervising faculty will evaluate the student’s clinical performance according to the elective objectives. In addition, the student will be required to evaluate the rotation as a learning experience.

Drs. F. Kozel, Patrick Marsh, Jamie W. Fernandez, Gabriel De Erausquin, and Karla Malott, MA

This elective is designed to introduce senior students to the use of various forms of neural stimulation in the treatment of psychiatric disorders. Under the supervision of clinical faculty, students will have the opportunity to practice in a university neural stimulation clinic. Students will participate in the initial evaluation of patients for neural stimulation. Students will also take part in the neural stimulation treatment of suitable patients. This elective will provide students with a better understanding of the current use of neural stimulation for the treatment of psychiatric disorders.

Objectives

1. Familiarize the student with the multiple available methods for neural stimulation
2. Identify the psychiatric disorders which are indications for treatment by neural stimulation
3. Compare neural stimulation to the pharmacologic treatment of psychiatric disorders
4. Compare the treatment response of neural stimulation to other current treatment methods
5. Evaluate new patients for suitability for deep brain stimulation, transcranial magnetic stimulation, vagal nerve stimulation and electroconvulsive therapy
6. Participate in the treatment of patients with electroconvulsive therapy, transcranial magnetic stimulation and deep brain stimulation

Learning Outcomes

The trainee will see patients at the South Tampa Center Neurotherapies Clinic, Tampa General Hospital, and other related settings. Trainees will be provided with a training packet prior to the start of the elective pertaining to neurostimulation. Upon completion of these elective, trainees should understand the principles of neurostimulation, selection of appropriate patients and the implementation of neurostimulation treatment plan.

Evaluation

The trainee will work closely with the Neurostimulation Attending who will provide the assessment.

Dr. Reed Murtagh

This elective is designed to provide students with a greater understanding of the interface between psychiatry and medical illness in the pediatric and adult populations. Students will assist the consultation team in interviewing medical/surgical patients at Tampa General Hospital. Students will be asked to evaluate patients and ascertain how the patient's medical illness is affected by psychological factors. They will be exposed to a wide range of psychopathology including mood disorders, conversion disorders, psychotic disorders, delirium, dementias, and other organic illnesses.

Objectives

1. Become familiar with psychiatric diagnoses in both the adult and child populations
2. Improve interviewing skills by performing interviews on difficult medical/surgical patients
3. Learn to be part of a consultation/liaison team and be able to work with members of other medical teams and other disciplines

Evaluation

Supervising faculty will evaluate the student’s clinical performance according to the elective objectives. In addition, the student will be required to evaluate the rotation as a learning experience.

Drs. Mike Schoenberg, Michelle Mattingly, and Francisco Fernandez

This elective is designed to provide interested senior medical students with an overview of neuropsychology, clinical neuropsychiatry, and behavioral neurology. Advanced training and exposure to neuropsychology will be offered. Students will have the opportunity to be involved in individual and team evaluations of patients with cognitive and behavioral disorders due to known or suspected neurological disease. The student will be an integral part of the evaluation team obtaining exposure on how to identify neuropsychological issues and problems, conducting bedside neuropsychological evaluations, obtaining collateral information from patients and families related to neuropsychological dysfunction, and exposure to the principals and practice of evidenced based neuropsychology practice. Interface with psychiatry, neurology, and neurological surgery will be common. The student may choose to complete the elective primarily at the USF South Campus Center or at the University Psychiatry Center. Students with an interest in research may participate in ongoing laboratory research with epilepsy or traumatic brain injury or Alzheimer’s disease/Mild Cognitive Impairment (MCI). Opportunities to publish in peer-reviewed journals can be made available.

Objectives

1. Become more skilled in the evaluation of patients with neuropsychological dysfunction due to known or suspected disease
2. Increased understanding of neuropsychology and the science of brain-behavior relationships by systematic clinical training and didactic education
3. Become familiar with bedside neuropsychological assessment
4. Become familiar with evidenced based neuropsychology practice and identify when more thorough neuropsychological evaluation is necessary to improve patient care
5. Become involved in and gain an understanding of collaborative, interdisciplinary research, understand the basis for research methods and statistics, and develop experience in data analysis. This involvement (both basic and clinical) will, in turn, serve as a model for professional careers
6. Motivated students may prepare a publication for peer-reviewed journal based on the experience

Learning Outcomes

The trainee will see patients at the USF South Tampa Center Neuropsychology Clinic and/or Neuropsychology Clinic at the USF main campus. Trainees will be provided with a training packet prior to the start of the elective pertaining to neuropsychology. Upon completion of this elective, trainees should understand the principles of neuropsychology as a science and a discipline, how to complete a basic bedside neuropsychological evaluation, and how to provide appropriate multidisciplinary referrals for further evaluation and treatment.

Evaluation

The trainee will work closely with Neuropsychology Attendings who will provide the assessment.

Drs. F. Kozel, C. Santana, Y. Bannon, Brian Giunta, Jamie Fernandez, Gabriel de Erausquin, and Faculty

This elective is designed to enable the advanced student to become acquainted with the methodologies of behavioral medicine in basic neuroscience and their application in psychiatry and medicine. Opportunities exist in both basic science and clinical research areas including molecular genetics, neuroimmunology and cognitive medicine. Each student will participate in an ongoing research project and/or an individual tutorial during this time under faculty supervision and review and will evaluate the literature that pertains to his/her chosen topic.

Objectives

1. Increase the knowledge of psychiatry and behavioral medicine in an area of particular interest to the student
2. Become familiar with research methodology
3. Gain an enhanced perspective of the role of behavioral principles in the practice of psychiatry and medicine

Evaluation

The research supervisor will evaluate the student’s research performance according to the elective objectives. The student will also be expected to prepare a written summary of the research project including an appropriate review of the relevant literature and a description of the student's research activities. In addition, the student will provide the elective supervisor with a written critique of his/her elective experience.

Students must obtain permission from the department (the Director of Undergraduate Education in psychiatry or Faculty supervisor for the rotation) PRIOR to scheduling this elective.

Dr. Francisco Fernandez

Course of study will be determined by Faculty member and student. Example areas of study include psychopharmacology, neuropsychiatry, psychotherapy, child psychiatry, forensic psychiatry, and cognition, memory and aging. Students must obtain permission from the supervising faculty and the Chair of the Department PRIOR to scheduling this elective. 

Drs. Summer Decker and Todd Hazelton

This elective is designed to provide students with a self study program in normal human cross sectional imaging with emphasis on anatomy as it relates to medical imaging techniques such as computed tomography and magnetic resonance imaging. Topics covered during the elective include cross-sectional imaging of the brain, head and neck, spine, upper and lower limbs, thorax, abdomen, and pelvis. With special approval by one of the course directors, students interested in focused learning of the cross sectional anatomy of a specific body region may select the two week elective. Any student interested in a focused self study program in a particular area of cross sectional anatomy must meet with one of the course co-directors at least one month prior to beginning of the elective to determine the course of study. Special approval is required for a 2 week version of this elective.

 Objectives

1. Identify important anatomical structures of the head, neck, brain, and spine in gross anatomic cross sections as well as on CT and MRI
2. Identify important anatomical structures of the musculoskeletal system of the upper and lower extremities as well as the chest, abdomen, and pelvis in gross anatomic cross sections as well as on CT and MRI
3. Identify important anatomical structures within the chest, abdomen, and pelvis in gross anatomic cross sections as well as on CT and MRI

Evaluation

A midterm examination (50% of grade) will cover the cross sectional anatomy of the brain, head and neck, and spine, and a final examination (50% of grade) will cover the cross sectional anatomy of the upper and lower extremities, as well as the chest, abdomen, and pelvis. 

Externship form required.

This elective is designed to introduce senior students to the pracitice of neuroradiology, including computed tomography, magnetic resonance imaging, non-invasive neurovascular imaging, and neurologic interventional procedures. During this rotation, students will spend time with faculty and housestaff in the USF South Tampa Center for Advanced Healthcare and at Tampa General Hospital. This elective will provide students with a better understanding of the role of imaging and diagnostic procedures in disorders of the nervous system. Students will have the opportunity to attend neuroradiology lectures and multidisciplinary conferences at Tampa General Hospital.

Objectives

On this elective, the medical student will obtain:

1. An understanding of the indications for advanced neuroimaging (CT, MRI, CTA, MRA)
2. A fundamental understanding of basic neuroimaging with respect to pertinent normal anatomy on cross-sectional imaging
3. The ability to categorize and organize subdivisions of neuroimaging such as cerebrovascular, neoplasms, infection, etc.
4. The ability to discuss the most common neuropathologic entities
5. A basic understanding of technique and indications for cerebral angiography and other invasive procedures

Methods

The trainee will review neuroimaging studies with neuroimaging faculty and diagnostic radiology housestaff at the USF South Tampa Center for Advanced Healthcare and at Tampa General Hospital. The trainee will also participate in neuroimaging conferences during their elective period. The trainee will also have the opportunity to view neuroangiography and neurointerventional procedures at Tampa General Hospital. Upon completion of this elective, the training should understand the role of imaging in the diagnosis of neuropathology and have a basic understanding of imaging diagnosis of neuropathology on computed tomography, and magnetic resonance imaging.

 Evaluation

The trainee will work closely with the attending neuroradiologists and housestaff who will provide the assessment of performance. 

Dr. Bruce Zwiebel

Diagnostic and therapeutic methodologies in vascular radiology will be studied in this elective. The primary objective of this elective is to introduce the student to this specialized area of radiology and to help him/her evaluate the appropriateness of these techniques in patient management. Emphasis will be placed on interventional techniques and their realistic place in the therapeutic armamentarium available for patient care. During this elective, a project will be undertaken under the supervision of one of the instructors. 

Dr. Neel Prakash

This elective is designed to introduce senior students to the pracitice of musculoskeletal imaging, including conventional radiography, computed tomography, magnetic resonance imaging, and imaging-guided procedures. During this rotation, students will spend time with faculty and housestaff in the Imaging Center at the USF Morsani Center for Advanced Healthcare. This elective will provide students with a better understanding of the role of imaging and diagnostic procedures in disorders of the musculoskeletal system. Students will have the opportunity to attend musculoskeletal imaging lectures and conferences at USF, Tampa General Hospital, and the H. Lee Moffitt Cancer Center.

Objectives

On this elective, the senior medical student will obtain:

1.  An understanding of the indications for advanced musculoskeletal imaging (ultrasound, CT, arthrography, and MRI)
2. A fundamental understanding of basic musculoskeletal imaging with respect to pertinent normal anatomy in a musculoskeletal radiograph
3. The ability to categorize and organize subdivisions of musculoskeletal imaging such as rheumatology, neoplasm, infection, etc.
4. The ability to discuss the most common musculoskeletal pathologic entities
5. A basic understanding of technique and indications for arthrography, bone biopsy, and other invasive procedures