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. Nagwa Dajani and James Mayer

THIS ELECTIVE IS NOT AVAILABLE TO VISITING STUDENTS

The goals of this course are to review various aspects of basic anatomy, physiology, pathology, and genetics that are found within the daily clinical care setting. Students will be asked to provide a summary power point presentation based on a clinical patient management topic. The topic will focus on the underlying fundamental basic science knowledge and skills required to fully utilize the clinical decision making process. This course will be held over a two week period. It will be approved first for those students designated on the Ob/Gyn track and then be available to a limited number of students on a first come, first serve basis.

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. Curtis E. Margo, MD, MPH

This course is an introduction into the pathophysiology of common vision-threatening disorders with emphasis on the scientific foundations of this knowledge. Clinical methods sessions are to complement the basic science review.

Teaching Faculty

USF and VHA faculty of Ophthalmology

Evaluation

Students will be evaluated by direct observation of their participation in didactic sessions and clinics, their understanding of the correlation between the science foundations of ophthalmology and clinical utility, and a student project.

Track

Required for Ophthalmology
One of the options for Emergency Medicine and Family Medicine

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

Drs. Charurut Somboonwit MD, Beata Casanas DO, Sally Alrabaa MD, and Susan Pross PhD

Clinical experiences are directed by the 3 section leaders – Drs. Somboonwit, Casanas, and Alrabaa with 2 students max per section. Students would be together for didactic material and presentations.

Goals and Objectives

This course will combine evidenced-based didactic lectures on infectious diseases (including antibiotics, infection, and epidemiology), interaction with the clinical laboratory, and rounding with patients exemplifying diseases and principles discussed. Topics include pathophysiology of common infections as well as those prevalent in hospitals and the immunocompromised. Relevant immunology and microbiology principles will be stressed. Students will have opportunities and responsibilities for self-study and scholarly/case presentation.

Evaluation

Students will be evaluated based on literature research for clinical rounds, presentations, and discussions.

Teaching Faculty

USF and Moffitt faculty

Track

One of the options for Dermatology, Emergency Medicine, Family Medicine, Internal Medicine, and Pediatrics

Dr. Sanders H. Chae

The course will have 3 components:

• Didactics

  • Basic Science Lectures

  • Clinical Lectures

  • Journal Clubs

  • Teaching Conferences

• Clinical Activity

  • USF Cardiology Clinic

• Research/Presentations

Goals and Objectives

This course is designed is designed to demonstrate and enforce the interaction between clinical and foundational science, reinforcing skills of literature review and mechanistic thinking. Specifically, this course will introduce and review clinical cardiac disorders that have a predominantly genetic etiological component. The course will review diagnosis and management of genetically inherited channelopathies and cardiomyopathies, particularly those which increase the risk of sudden cardiac death, and address the relationship between basic electrophysiological principles on a molecular and cellular level to their clinical manifestations.

Teaching Faculty

USF Department of Cardiology, Eric Bennett PhD, Craig Doupnik, PhD, and Jiashin Wu, PhD 

Evaluation

Students will be evaluated based on interaction with the faculty, a research project, and oral or written presentations.

Track

One of the options for Emergency Medicine, Family Medicine, Internal Medicine, and Pediatrics

Dr. Patrick Brady, MD

This course is designed to give students an appreciation for the relationship between basic science and clinical gastroenterology. It will focus on four major areas: inflammatory bowel disease, irritable bowel syndrome, viral hepatitis, and gastroesophageal reflux. The basic science basis for diagnosis and therapy will be given in a series of lectures by faculty. Students will then have the opportunity to see patients with these disorders in the Gastroenterology Clinics, the Swallowing Center, and the Endoscopy Center at the Morsani Center for Advanced Health Care. Students will participate in GI Journal Club, Basic Science Conference, Research Conference, Clinical Conferences, and gastroenterology seminars. Students will be given the option of participation in a research project if they desire to do so.

Goals and Objectives

This course will address the relationship of innate and acquired immunity to the disordered immune response in inflammatory bowel disease, the brain/gut interaction in irritable syndrome, the viral genome and the immune system in viral hepatitis, and the pathophysiology of gastroesophageal reflux and Barrett's esophagus.

Teaching faculty

Drs. Joel Richter, MD, Jay Mamel, MD, Soojong Hong-Chae, MD, and Yasser Saloum, MD

Evaluation

Students will be evaluated based on direct faculty observation and feedback from patients and families during patient interactions, participation in conferences and seminars, questions by the faculty to determine base knowledge, and the ability to formulate differential diagnoses and propose solutions.

Track

One of the options for Emergency Medicine, Family Medicine, Internal Medicine, and Pediatrics

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.

Externship form required.

Dr. Messina

This course is designed for students interested in expanding their knowledge of dermatopathology. Students will receive didactic and case-based instruction in dermatopathology using daily microscope, sign-out with attending faculty, and attending weekly dermatopathology teaching conferences. Students may have the opportunity to participate in research in the form of co-authoring a case report, meeting abstract, or assisting with a portion of a larger departmental research project with a resident or faculty member, if one is available during the rotation.

Dr. Lien and Faculty

Upon completion of this elective, the student will be able to conduct a full dermatologic examination and will be able to recognize and offer reasonable management for common dermatologic disorders, including those primary in the integument and those associated with systemic disease. Students will rotate throughout the elective at the USF Morsani Center, the James A. Haley VA Hospital, Moffitt Cancer Center, and other ancillary clinics. The student will attend various weekly conferences with the Dermatology residents.

Student progress and performance in the clinical setting will be evaluated by the faculty and residents.

Periods 2, 3 and 4 are reserved for students applying to dermatology residency programs.

Faculty

The course is designed to provide students interested in Dermatology as a career an opportunity to carry out an in-depth self study of a selected topic, with the goal of being co-author of a publication in a peer-reviewed journal. The course of study will be determined by the faculty member and student. Prior to scheduling the course, students must meet with their faculty mentor to determine the course of study. Independent reading and research is required, and assessment will be based on successful completion of a written paper or project. 

This elective is NOT available to visiting students.