2019-2020 Electives Catalog

Contact:

Dr. Srinivas Bharadwaj
snagaraj@health.usf.edu

Report to:

Contact Dr. Bharadwaj  at snagaraj@health.usf.edu

Description:

Advanced anatomy is an elective course designed to provide prospective students with an opportunity to review anatomical sciences and revisit systems that relate to future residency interests. It is formulated in a manner to enhance student’s knowledge of the fundamental of anatomy applicable to the anatomical basis of diseases that pertain to surgical as well as non-surgical fields.

Objectives:

1. Perform an in-depth study of anatomy as it relates to surgical and other clinically relevant disciplines

2. List the major pathologic processes that has a distinct gross anatomic correlate

3. Outline the anatomic basis of procedures and associated complications

4. Understand the structural organization of the human body to the interpretation of disease processes

5. Develop experience and demonstrate competence in dissection/prosection techniques

6. Develop in depth understanding of three-dimensional presentations of anatomy through prosection

7. Develop the ability to work independently and responsibly, and interact with peers and Faculty

8. Self-assess and communicate to peers and faculty their understanding of Anatomy

9. Engage in teaching through interactive laboratory settings.

Rotation Activities:

N/A

Patient Encounters:

N/A

Evaluation:

Evaluation is based on completion of the assignments. Please see the syllabus. 

Syllabus:

Visiting Students:

No

Special Instructions:

SonoSim modules can be completed online. Periods 8-10 are offered as hands-on rotations only.

Contact:

Dr. Hector Lopez-Cardona
lopezh@health.usf.edu

Report to:

Contact Dr. Bharadwaj  at snagaraj@health.usf.edu

Description:

Applied Head and Neck Anatomy is an elective course designed to provide prospective students with an opportunity to review relevant anatomical sciences and revisit systems that relate to future residency interests. It is formulated in a manner to enhance student’s knowledge of the fundamental of anatomy applicable to the anatomical basis of diseases that pertain to surgical as well as non-surgical fields.

Objectives:

1. Perform an in-depth study of anatomy as it relates to surgical and other clinically relevant disciplines

2. List the major pathologic processes that has a distinct gross anatomic correlate

3. Outline the anatomic basis of procedures and associated complications

4. Understand the structural organization of the human body to the interpretation of disease processes

5. Develop experience and demonstrate competence in dissection/prosection techniques

6. Develop in depth understanding of three-dimensional presentations of anatomy through prosection

7. Develop the ability to work independently and responsibly, and interact with peers and Faculty

8. Self-assess and communicate to peers and faculty their understanding of Anatomy

9. Engage in teaching through interactive laboratory settings.

Rotation Activities:

N/A

Patient Encounters:

N/A

Evaluation:

Evaluation is based on completion of the assignments. Please see the syllabus. 

Syllabus:

Visiting Students:

No

Special Instructions:

SonoSim modules can be completed online. Periods 8-10 are offered as hands-on rotations only.

Contact:

Dr. Hector Lopez-Cardona
lopezh@health.usf.edu

Report to:

Contact Dr. Bharadwaj  at snagaraj@health.usf.edu

Description:

Applied Anatomy of Musculoskeletal System is an elective course designed to provide prospective students with an opportunity to review relevant anatomical sciences and revisit systems that relate to future residency interests. It is formulated in a manner to enhance student’s knowledge of the fundamental of anatomy applicable to the anatomical basis of diseases that pertain to surgical as well as non-surgical fields.

Objectives:

1. Perform an in-depth study of anatomy as it relates to surgical and other clinically relevant disciplines

2. List the major pathologic processes that has a distinct gross anatomic correlate

3. Outline the anatomic basis of procedures and associated complications

4. Understand the structural organization of the human body to the interpretation of disease processes

5. Develop experience and demonstrate competence in dissection/prosection techniques

6. Develop in depth understanding of three-dimensional presentations of anatomy through prosection

7. Develop the ability to work independently and responsibly, and interact with peers and Faculty

8. Self-assess and communicate to peers and faculty their understanding of Anatomy

9. Engage in teaching through interactive laboratory settings.

Rotation Activities:

N/A

Patient Encounters:

N/A

Evaluation:

Evaluation is based on completion of the assignments. Please see the syllabus. 

Syllabus:

Visiting Students:

No

Special Instructions:

SonoSim modules can be completed online. Periods 8-10 are offered as hands-on rotations only.

Contact:

Nan.Schwann@lvhn.org
(484) 866-9581

Report to:

CC OR – Anesthesia work room

Description:

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.

Objectives:

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. 

Rotation Activities:

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. 

Patient Encounters:

Preoperative / Intraoperative Patients - Multiple

Evaluation:

Oral, practical, and/or written evaluations of medical students will include clinical performance, medical knowledge, professionalism, motivation, and ability to problem solve.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Thomas Finney
Thomas.Finney@moffitt.org

Dr. Raymond Evans
Raymond.Evans@moffitt.org

Report to:

Second Floor MCB Anesthesia Department
12902 Magnolia Dr., Tampa, FL 33612

Description:

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.

Objectives:

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. 

Rotation Activities:

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. 

Patient Encounters:

Evaluation:

Oral, practical, and/or written evaluations of medical students will include clinical performance, medical knowledge, professionalism, motivation, and ability to problem solve.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Leland Lee
Leland.Lee@va.gov
(813) 972-2000, ext. 5157
(813) 610-9258 (cell phone)

Report to:

James A. Haley VA Medical Center
Room 2C-211 (second floor)
Monday at 8:00 AM (except for holidays)

Description:

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 skill set of the student.  Excellent hand-eye coordination is a must for this course, since students are expected to perform procedures on patients.

Objectives:

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. 

Rotation Activities:

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 anesthetic agents, and learn to problem solve basic anesthetic situations.  Emphasis on airway management include placement of laryngeal mask airways, esophageal airway devices, bag masking patients, and intubation via both direct laryngoscopy and video laryngoscopy.   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.

Patient Encounters:

The patient case types will depend on the medical specialty the extern plans to enter.

Evaluation:

Oral, practical, and/or written evaluations of the medical students will include clinical performance, medical knowledge, professionalism, motivation, and ability to problem solve.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Kelly Frenziz
(610) 402-3212

Report to:

Cardiology Cath Lab office on 3C at Cedar Crest

Call the Cardiology Fellow on Cardiology Teaching Service at (610) 402-2044 on first day of rotation.

Description:

This elective offers an opportunity to develop skills in the evaluation of patients referred for cardiology teaching service including primary cardiology patients and cardiac consults on the cardiology step down unit.

Objectives:

1. Demonstrate the knowledge and skills necessary to obtain a proper cardiac history. The student will pay special attention to and record medications, medication compliance, diet compliance, and risk factors for various cardiac diseases

2. Demonstrate proficiency in proper bedside physical examination

3. Be able to accurately assess the presence or absence of congestive heart failure, cardiac tamponade, basic murmurs of valvular heart disease such as mitral regurgitation, mitral stenosis, aortic stenosis, aortic regurgitation and tricuspid regurgitation, and the presence or absence of peripheral vascular disease and abdominal aortic aneurysms

4. Demonstrate basic electrocardiographic skills including an understanding of basic arrhythmias such as atrial fibrillation, atrial flutter, supraventricular tachycardia, multi-focal atrial tachycardia, ventricular tachycardia, and a basic diagnosis on the 12 lead ECG such as right and left bundle branch block, left ventricular hypertrophy, acute myocardial infarction, ischemia, WPW, and hyperkalemia

5. Infer heart size, presence of cephalization, infiltrate, pleural effusions, and pneumothorax by looking at a chest X-ray

6. Identify medical, interventional, and surgical therapies for basic cardiac syndromes such as myocardial infarction, unstable angina, chronic angina, congestive heart failure, valvular heart disease, hypertension, hyperlipidemia, and arrhythmia

7. Name and utilize a variety of clinical pathways and practice guidelines

8. Access and critically evaluate current medical information and scientific evidence

9. Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education

10. Explain the principles of primary, secondary prevention and risk modification

11. Summarize the indications and diagnostic yield of various cardiac studies and therapeutics

Rotation Activities:

Students will participate in the evaluation of patients and will assist with the integration of the general medical data base with data gathered by both noninvasive (electrocardiography, ambulatory electrocardiography, stress testing) and invasive hemodynamic techniques, where indicated.

Students will participate in daily teaching rounds with intern, medical resident, cardiology fellow and teaching cardiologist.  

Attendance at various other weekly Cardiology Department teaching conferences is required.

Patient Encounters:

Evaluation:

Evaluation will be performed using the USF 4^th year medical student evaluation form.

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

Twyla Sumpter
tsumpter@usf.edu

Report to:

Contact Twyla Sumpter at least one week prior to the start of the rotation to determine your Cardiology Fellow.

Description:

The Cardiology Consultative elective rotation is an experiential patient based rotation with integrative didactics that exist, in part, from the ongoing curriculum designed for the education and training of fellows in Cardiovascular Diseases. The learner on rotation shall be a full participant on the Cardiology Consultative Service as directed by the supervising Fellow and Attending Physician.  Attendance and participation at Fellow’s Block Didactics, Heart Team Multidisciplinary Revascularization and Valve Conferences (each on a weekly basis) will provide for the organization, literature correlation and understanding of knowledge that is relevant to concurrent patient management. Team science will be a coincidently experienced and learned.

At the completion of the rotation it shall be expected that a face to face “360” between learner and teacher(s) will be provided to assure the learners goals and objectives have been realized and deficiencies identified, so that future learner plans may be derived. 

Objectives:

Learners shall:

1. Understand the question(s) framed from the originators of the consultative request and the answers to be provided for best outcomes of multidisciplinary care

2. Develop and perform the focused cardiovascular interview question(s) and review of cardiovascular systems that are relevant to the consultative request

3. Practice and refine the 5-point cardiovascular exam physical findings- general physical findings, interpretation of jugular venous pulse waveforms and pressure estimates, assessment of carotid pulse contour and dynamics, inspection and palpation of the precordium, and auscultation of normal heart sounds, abnormalities of heart sounds, and distinguishment of heart murmurs associated with valvular heart disease

4. Integrate the history and physical exam into efficient, appropriate, and cost effective test ordering for new diagnosis and ongoing management of prior or contemporarily defined cardiovascular problems

5. Interpret, with supervision, the objective testing performed including ECG, imaging modalities including chest X ray, echocardiography, cardiac CT and MRI scanning, and invasive testing including cardiac catheterization with associated hemodynamic and angiographic findings.

6. Provide differential diagnosis and understand the classification of disease states that pertain to the major burden of encountered diseases in an inpatient cardiovascular consultative service.  This would include, but not be limited to etiology, as well as Stages and Functional Class of Heart Failure(HF), Symptomatic Ischemic heart disease(SIHD), and therapies to be applied including pharmacologic, interventional, and surgical solutions for best patient outcomes.

7. Recognition and interpretation of ECG rhythms (heart blocks, tachyarrhythmias) and appropriate use of telemetry will be developed given the contemporary high utilization of inpatient telemetry. This will, when necessary, provide for collaboration with advanced electrophysiologic services.

8. Participate in an environment of inquiry (including psychological safety) for the development of research questions and projects that may provide for future professional training and research endeavors in cardiovascular diseases

9. Develop the communication and cooperation skills for collaborative care with the requesting service and other sub-specialty services (Critical Care Medicine, Infectious Diseases, etc.)

10. Recognize the need for ongoing management of patients with multiple co-morbidities and the timeliness of continuity of care and/or withdrawal from the care path of individual patients. 

Rotation Activities:

Students will perform all cardiology patient care activities as associated with the consultative service under the tutelage of the fellows.

Patient Encounters:

Evaluation:

The faculty will make performance evaluations from data derived from clinical discussions and didactic presentations by the student.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Twyla Sumpter
tsumpter@usf.edu

Report to:

Contact Twyla Sumpter at least one week prior to the start of the rotation to determine your Cardiology Fellow.

Description:

The Cardiology Consultative elective rotation is an experiential patient based rotation with integrative didactics that exist, in part, from the ongoing curriculum designed for the education and training of fellows in Cardiovascular Diseases. The learner on rotation shall be a full participant on the Cardiology Consultative Service as directed by the supervising Fellow and Attending Physician.  Attendance and participation at Fellow’s Block Didactics, Heart Team Multidisciplinary Revascularization and Valve Conferences (each on a weekly basis) will provide for the organization, literature correlation and understanding of knowledge that is relevant to concurrent patient management. Team science will be a coincidently experienced and learned.

At the completion of the rotation it shall be expected that a face to face “360” between learner and teacher(s) will be provided to assure the learners goals and objectives have been realized and deficiencies identified, so that future learner plans may be derived. 

Objectives:

Learners shall:

1. Understand the question(s) framed from the originators of the consultative request and the answers to be provided for best outcomes of multidisciplinary care

2. Develop and perform the focused cardiovascular interview question(s) and review of cardiovascular systems that are relevant to the consultative request

3. Practice and refine the 5-point cardiovascular exam physical findings- general physical findings, interpretation of jugular venous pulse waveforms and pressure estimates, assessment of carotid pulse contour and dynamics, inspection and palpation of the precordium, and auscultation of normal heart sounds, abnormalities of heart sounds, and distinguishment of heart murmurs associated with valvular heart disease

4. Integrate the history and physical exam into efficient, appropriate, and cost effective test ordering for new diagnosis and ongoing management of prior or contemporarily defined cardiovascular problems

5. Interpret, with supervision, the objective testing performed including ECG, imaging modalities including chest X ray, echocardiography, cardiac CT and MRI scanning, and invasive testing including cardiac catheterization with associated hemodynamic and angiographic findings.

6. Provide differential diagnosis and understand the classification of disease states that pertain to the major burden of encountered diseases in an inpatient cardiovascular consultative service.  This would include, but not be limited to etiology, as well as Stages and Functional Class of Heart Failure(HF), Symptomatic Ischemic heart disease(SIHD), and therapies to be applied including pharmacologic, interventional, and surgical solutions for best patient outcomes.

7. Recognition and interpretation of ECG rhythms (heart blocks, tachyarrhythmias) and appropriate use of telemetry will be developed given the contemporary high utilization of inpatient telemetry. This will, when necessary, provide for collaboration with advanced electrophysiologic services.

8. Participate in an environment of inquiry (including psychological safety) for the development of research questions and projects that may provide for future professional training and research endeavors in cardiovascular diseases

9. Develop the communication and cooperation skills for collaborative care with the requesting service and other sub-specialty services (Critical Care Medicine, Infectious Diseases, etc.)

10. Recognize the need for ongoing management of patients with multiple co-morbidities and the timeliness of continuity of care and/or withdrawal from the care path of individual patients. 

Rotation Activities:

Students will perform all cardiology patient care activities as associated with the consultative service under the tutelage of the fellows.

Patient Encounters:

Evaluation:

The faculty will make performance evaluations from data derived from clinical discussions and didactic presentations by the student.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Kelly Frenzi
(610) 402-3212

Report to:

Cardiac Intensive Care Unit on 3B in Cedar Crest  Call cardiology fellow in the unit at (610) 402-6590 on arrival.

Description:

The students will participate in the evaluation of patients and will assist with the integration of the general medical data base with data gathered by both noninvasive (electrocardiography, ambulatory electrocardiography, stress testing) and invasive hemodynamic techniques, where indicated. Students will participate in daily teaching rounds in the cardiac intensive care unit with intern, medical resident, cardiology fellow and teaching cardiologist.  Attendance at various other weekly Cardiology Department teaching conferences is required.

Objectives:

1. Demonstrate the knowledge and skills necessary to obtain a proper cardiac history. The student will pay special attention to and record medications, medication compliance, diet compliance, and risk factors for various cardiac diseases

2. Demonstrate proficiency in proper bedside physical examination

3. Be able to accurately assess the presence or absence of congestive heart failure, cardiac tamponade, basic murmurs of valvular heart disease such as mitral regurgitation, mitral stenosis, aortic stenosis, aortic regurgitation and tricuspid regurgitation, and the presence or absence of peripheral vascular disease and abdominal aortic aneurysms

4. Demonstrate basic electrocardiographic skills including an understanding of basic arrhythmias such as atrial fibrillation, atrial flutter, supraventricular tachycardia, multi-focal atrial tachycardia, ventricular tachycardia, and a basic diagnosis on the 12 lead ECG such as right and left bundle branch block, left ventricular hypertrophy, acute myocardial infarction, ischemia, WPW, and hyperkalemia

5. Infer heart size, presence of cephalization, infiltrate, pleural effusions, and pneumothorax by looking at a chest X-ray

6. Identify medical, interventional, and surgical therapies for basic cardiac syndromes such as myocardial infarction, unstable angina, chronic angina, congestive heart failure, valvular heart disease, hypertension, hyperlipidemia, and arrhythmia

7. Name and utilize a variety of clinical pathways and practice guidelines

8. Access and critically evaluate current medical information and scientific evidence

9. Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education

10. Explain the principles of primary, secondary prevention and risk modification

11. Summarize the indications and diagnostic yield of various cardiac studies and therapeutics

Rotation Activities:

The students will participate in the evaluation of patients and will assist with the integration of the general medical data base with data gathered by both noninvasive (electrocardiography, ambulatory electrocardiography, stress testing) and invasive hemodynamic techniques, where indicated. Students will participate in daily teaching rounds in the cardiac intensive care unit with intern, medical resident, cardiology fellow and teaching cardiologist.  Attendance at various other weekly Cardiology Department teaching conferences is required.

Patient Encounters:

Evaluation:

The attending physician will complete a written USF 4^th year rotation evaluation.

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

 N/A

Contact:

Kandi Smith
ksmith3@health.usf.edu
(813) 974-3070

Report to:

Morsani Center for Advanced Healthcare
13330 USF Laurel Drive
Tampa, FL 33612
Dermatology, 6th Floor

Description:

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

Objectives:

1. Accurately describe primary and secondary dermatologic lesions as well as patterns of distribution.

2. Conduct a total body skin exam and detect suspicious and abnormal findings.

3. Identify the most common inflammatory skin diseases.

4. Identify the major types of skin cancers.

5. Recognize skin manifestations of internal disease.

6. Perform shave and punch biopsies.

7. Understand the concepts of skin patch testing.

8. Understand the appropriate management for common dermatologic disorders including neoplasms

Rotation Activities:

The students will rotate through the following clinics in dermatology:

• General dermatology clinics at Morsani Center, VA, 17 Davis

• Pigmented lesion clinics at Moffitt Cancer Center

• Cutaneous T-Cell Lymphoma clinic at Moffitt Cancer Center

• High Risk Solid-Organ Transplant Dermatology Clinic at TGH

• Mohs/surgical dermatology at Morsani Center

• Inpatient consult service at Tampa General Hospital

Additionally, the students will be provided didactics on the fundamentals of dermatology and be involved in a hands-on wet lab session where they will learn basic dermatologic procedures including shave biopsies, scallop biopsies, punch biopsies, surgical excisions. 

Patient Encounters:

Evaluation:

10-minute Case Presentation to be made at a morning Resident Conference.  Student progress and performance in the clinical setting will be evaluated by the faculty and residents.

Syllabus:

Handbook with general information about clinic duties and expectations (i.e., dress code, conduct, etc.) will be provided on the first day of the rotation.  Dermatology reading for students is also described in the handbook, along with references for textbooks, online and other pertinent dermatology information.

Visiting Students:

Yes. Apply via USF Health Morsani College of Medicine on VSAS.

Special Instructions:

N/A

Contact:

Kandi Smith
ksmith3@health.usf.edu
(813) 974-3070

Report to:

Paul Rodriguez-Waitkus, MD, PhD
Director, Dermatopathology Lab, 4^th Floor
Morsani Center for Advanced Healthcare
13330 USF Laurel Drive
Tampa, FL  33612

Description:

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.

Objectives:

1.  Understand how to accurately describe and identify primary and secondary dermatologic lesions by microscopic examination

2.  Learn to identify the most common inflammatory skin diseases by microscopic examination.

3.  Ascertain how to identify the major types of skin cancers by microscopic examination

4.  Participate in research by co-authoring a case report, meeting abstract or assisting with a portion of a larger departmental research project with a resident or faculty member depending on availability of such a project

Rotation Activities:

Attend dermatopathology conferences twice a week

Invited to attend the “Dermatopathology Consenus Meeting” with all dermatopathologists from USF, MCC & VA Medical Center to review and discuss unusual, challenging cases, in order to gain different perspectives to confirm a diagnosis.

Patient Encounters:

Evaluation:

The student will be evaluated by the faculty & residents in dermatopathology.

Syllabus:

Visiting Students:

Yes. Apply via USF Health Morsani College of Medicine on VSAS.

Special Instructions:

N/A

Contact:

Kandi Smith
ksmith3@health.usf.edu
(813) 974-3070

Report to:

Morsani Center for Advanced Healthcare
13330 USF Laurel Drive
Tampa, FL 33612
Dermatology, 6th Floor

Description:

This course allows third year students to gain exposure to various topics in Dermatology by special arrangement with the Dermatology department director, Dr. Nishit Patel.

Objectives:

Our goal is to provide you with a 2-week precursor to your 4^th year elective in dermatology. 

1. Gain general understanding of the variety of diseases managed by dermatologists

2. Gain general understanding of the variety of procedures performed by dermatologists

3. Accurately describe primary and secondary dermatologic lesions as well as patterns of distribution.

4. Identify the most common inflammatory skin diseases.

5. Identify the major types of skin cancers.

Rotation Activities:

The students will be assigned a mix of clinical experiences from the list below:

• General dermatology clinics at Morsani Center, VA, 17 Davis

• Pigmented lesion clinics at Moffitt Cancer Center

• Cutaneous T-Cell Lymphoma clinic at Moffitt Cancer Center

• High Risk Solid-Organ Transplant Dermatology Clinic at TGH

• Mohs/surgical dermatology at Morsani Center

The student will attend various weekly conferences with the Dermatology residents.

Patient Encounters:

Evaluation:

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

Syllabus:

Handbook with general information about clinic duties and expectations (i.e., dress code, conduct, etc.) will be provided on the first day of the rotation.  Dermatology reading for students is also described in the handbook, along with references for textbooks, online and other pertinent dermatology information.

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dawn Yenser
Dawn.Yenser@lvhn.org
(484) 884-2489
LVH-M 5th Fl South Building

Report to:

Will be provided one week prior to the start of the rotation.

Description:

This acting internship integrates clinical skills and evidence-based medicine through didactic lectures, performance of clinical procedures, hands-on clinical experiences, observation and direct interaction with faculty, individual patients, and families. Students will manage the patient using the "team approach," which involves EMTs, nurses, physicians, and students. Students are expected to evaluate patients, address their presenting complaints, initiate workups, and provide definitive therapies.

Objectives:

This rotation will enrich students' knowledge, help them develop history-taking ability, physical skill assessment, diagnostic and management skills, as well as help them develop a caring, compassionate and empathetic attitude in dealing with patients and their families.

Rotation Activities:

Suture lab, splint lab, journal club, EBM lecture, ultrasound didactic and hands-on, trauma simulation, critical care simulation, grand rounds, EMS ride-along, autopsy, spend a day with a nurse (procedures) and toxicology lectures

Patient Encounters:

Evaluation:

Students will be graded based on clinical evaluations from their preceptors. Additionally, students will be required to take a series of online open book quizzes.

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

Dr. Andrew Thomas
Andrew_Thomas@teamhealth.com
AThomasEM@gmail.com
(407) 529-9061

Report to:

Emergency Department, second floor of TGH
First Monday of the rotation (unless otherwise instructed due to holiday)

Time and exact location will be sent via email several days before start of rotation

Description:

This acting internship integrates clinical skills and evidence-based medicine through didactic lectures, performance of clinical procedures, hands-on clinical experiences, observation and direct interaction with faculty, individual patients, and families. Students will manage the patient using the "team approach," which involves EMTs, nurses, physicians, and students. Students are expected to evaluate patients, address their presenting complaints, initiate workups, and provide definitive therapies.

Objectives:

This rotation will enrich students' knowledge, help them develop history-taking ability, physical skill assessment, diagnostic and management skills, as well as help them develop a caring, compassionate and empathetic attitude in dealing with patients and their families.

Rotation Activities:

Students will participate in the following activities:

1. Attendance & participation at weekly grand rounds (Wednesdays 0700-1200)

2. Obtain history and perform physical evaluation of patients in the emergency department

3. Presentation of patient cases to attending physicians and/or senior residents, including differential diagnosis and management plans

4. Performance of available procedures including but not limited to laceration repair, incision & drainage, endotracheal intubation, ultrasound, central line placement, and other procedures deemed appropriate

5. Gain experience with ED point-of-care ultrasound

6. Additional events such as disaster drills or special conference events may occur

Patient Encounters:

There are not required quotas for the number and types of patients seen, however it is expected that students will attempt to see a high volume of patients (consistent with their comfort level) without compromising patient care. Students should attempt to see a variety of chief complaints.

Evaluation:

Student grades are based on daily attending evaluations and attendance at emergency medicine conferences. There is an end of rotation exam.  Students will give a 3-5 minute presentation of an interesting case during an end of rotation meeting and this also is used for grading purposes.

Syllabus:

Will be provided in orientation email

Visiting Students:

Yes. Apply via USF Health Morsani College of Medicine on VSAS.

Special Instructions:

N/A

Contact:

Crystal Walker
One City Center
707 Hamilton Street
Allentown, PA 18101

Crystal.Walker@lvhn.org
(484) 862-3066

Report to:

Will be provided one week prior to the start of the rotation

Description:

The Neighborhood Health Centers of the Lehigh Valley (NHCLV) is a Federally Qualified Community Health Center serving the under-served community of Allentown. Understanding health in a broad context, we seek to partner with our patients and community to build skills for stronger families and a healthier community.  In January of 2017, NHCLV received a Pennsylvania Department of Health award as a Center of Excellence for Opiate Use Disorders to develop screening, medication assisted treatment with naltrexone or buprenorphine/naloxone, community partnerships and community based care management with an interdisciplinary team.  People with opiate use disorders, who often have tangled story of poverty, isolation and co-morbidity, frequently slip through the cracks of the usual fragmented systems of care.  Our care teams work intensively with people with opiate use disorders wherever they need us, whether that is in our office, in the community or in their homes, to develop the relationships and understanding they need to engage in care and meet their own goals for treatment.  This elective is designed to introduce senior students to comprehensive, relationship centered care for complex patients with opiate use disorders in community settings.  At the intersection of community health and primary care, students will work with our Outreach Teams as health coaches and story gatherers to partner with patients and learn from the patient's point of view what it takes to live a good life in the face of complex issues inherent in opiate use disorders. 

Objectives:

1. Develop empathy and deeper understanding by developing relationships with patients and hearing their stories

2. Identify social determinants of health across the lifespan that contribute to opiate use disorders

3. Walk with patients and describe how healthcare systems designed to help sometimes do harm

4. Develop skills in health coaching for self management of complex health issues using motivational interviewing techniques

5. Describe the roles in interdisciplinary team and progression to transformation for patients engaged in program

6. Understand treatment options for patients with opiate use disorders, including community based organizations and community building programs

7. Describe the health policy implications of learnings from personal experiences including service delivery redesign, payment reform, and outcomes at local, state and federal levels

8. Reflect on implications for relationship centered care in student's vision of personal practice

Rotation Activities:

Students will participate in daily team rounds, initial assessments, primary care and medication assisted treatment,  home visits, and accompany patients to specialist visits and community organizations.  Students will also have opportunities to work closely with our community engagement including our Timebank service exchange and community organizing. Each student will identify individual learning goals and present either a topic or project to the team.

Patient Encounters:

Evaluation:

Students will work in close contact with the interdisciplinary team and participate in daily huddles.  They will meet with the elective director at or before the beginning of the course to set learning goals, and at the midpoint and end of rotation to debrief experiences and offer feedback. Students will provide the course director with weekly reflections.  End of rotation assignments include a patient and a final presentation to the team and leadership group on the topic of their choice.  Grading for this elective will be S/U (Satisfactory/Unsatisfactory).  Students who complete all assignments and engage respectfully with the team and patients will be assessed as satisfactory by the elective director.

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

Any interested student must contact Dr. Letcher to plan specific goals and activities for the elective.

Contact:

Crystal Walker
One City Center
707 Hamilton Street
Allentown, PA 18101
Crystal.Walker@lvhn.org
(484) 862-3066

Report to:

Will be provided one week prior to the start of the rotation.

Description:

This is a rural/underserved health elective in which a student will be matched with an attending physician in the Mahoning Valley, Carbon County, Lehigh County, or Northampton County area.  Responsibilities will largely be assisting with out-patient clinical care in a rural primary care office, though students may be expected to participate in hospital rounds/ER call at a hospital local to the primary practice site (depending upon preceptor).   This clerkship WILL LIKELY INCLUDE A DAILY COMMUTE OF UP TO 60 minutes each direction from LVHN- Cedar Crest.  Housing within the local community will not be provided.  Students should also note that "rural/underserved" is a relative term.  Many areas within 60 minutes of LVHN-Cedar Crest fit the definition and are typical of rural Pennsylvania.  However, these are not REMOTE rural communities, which have a different flavor and feel.  Students interested in a remote experience should consider other options.     

Objectives:

1. Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations

2. Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community

3. Introduce/sensitize the student to cross-cultural issues in health care

4. Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings

5. Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc.

Rotation Activities:

1. Arrangements for a specific time commitment will be made through the Department of Family Medicine.

2. The student will accompany the clinic physician Monday through Friday at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision.

3. At certain locations opportunities are available for additional practice activities within the hospital, emergency department, and in the community.

Patient Encounters:

Evaluation:

The assigned faculty preceptor will provide an individual evaluation addressing the student's adaptability and understanding as well as knowledge, judgment, and rapport.

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Victor Cruz
Coordinator of Clinical Training & Enrichment
Gulfcoast North AHEC
vrodriguez@gnahec.org
(813) 929-1000 ext. 209

Report to:

Will be provided prior to the start of the rotation.

Description:

This elective rotation is designed to introduce the senior student to the unique characteristics of medical practice in a rural or underserved community. Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist.

Objectives:

1. Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations

2. Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community

3. Introduce/sensitize the student to cross-cultural issues in health care

4. Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings

5. Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc.

Rotation Activities:

1. Arrangements for a specific time commitment will be made through the Department of Family Medicine in conjunction with Gulfcoast North AHEC.

2. The student will accompany the physician during the course of the preceptor’s schedule  (which may involve a Saturday clinic or extended evening hours ) at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision.

3. At certain locations opportunities are available for additional practice activities within the hospital, emergency department, and in the community.

Patient Encounters:

Evaluation:

The assigned faculty preceptor will provide an individual evaluation addressing the student's adaptability and understanding as well as knowledge, judgment, and rapport.

Syllabus:

Visiting Students:

Yes. Apply via USF Health Morsani College of Medicine on VSAS.

Special Instructions:

At certain sites this elective is available to USF students only. The Department of Family Medicine and Gulfcoast North AHEC will make the final arrangements. Availability at all clinic sites is per the preceptor’s approval.

Sites

Premier Community HealthCare Group (Dade City), Suncoast Community Health Care Centers (Ruskin, Dover, Plant City), Community Health Centers of Pinellas (Clearwater, Largo, Pinellas Park, St. Petersburg, Tarpon Springs), or Citrus County Health Department (Lecanto) 

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Victor Cruz
Coordinator of Clinical Training & Enrichment
Gulfcoast North AHEC
vrodriguez@gnahec.org
(813) 929-1000 ext. 209

Report to:

Will be provided prior to the start of the rotation.

Description:

This elective rotation is designed to introduce the senior student to the unique characteristics of medical practice in a rural or underserved community. Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist.

Objectives:

1. Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations

2. Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community

3. Introduce/sensitize the student to cross-cultural issues in health care

4. Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings

5. Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc.

Rotation Activities:

1. Arrangements for a specific time commitment will be made through the Department of Family Medicine in conjunction with Gulfcoast North AHEC.

2. The student will accompany the physician during the course of the preceptor’s schedule  (which may involve a Saturday clinic or extended evening hours ) at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision.

3. At certain locations opportunities are available for additional practice activities within the hospital, emergency department, and in the community.

Patient Encounters:

Evaluation:

The assigned faculty preceptor will provide an individual evaluation addressing the student's adaptability and understanding as well as knowledge, judgment, and rapport.

Syllabus:

Visiting Students:

Yes. Apply via USF Health Morsani College of Medicine on VSAS.

Special Instructions:

At certain sites this elective is available to USF students only. The Department of Family Medicine and Gulfcoast North AHEC will make the final arrangements. Availability at all clinic sites is per the preceptor’s approval.

Sites

Premier Community HealthCare Group (Dade City), Suncoast Community Health Care Centers (Ruskin, Dover, Plant City), Community Health Centers of Pinellas (Clearwater, Largo, Pinellas Park, St. Petersburg, Tarpon Springs), or Citrus County Health Department (Lecanto) 

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Victor Cruz
Coordinator of Clinical Training & Enrichment
Gulfcoast North AHEC
vrodriguez@gnahec.org
(813) 929-1000 ext. 209

Report to:

Will be provided prior to the start of the rotation.

Description:

This elective rotation is designed to introduce the senior student to the unique characteristics of medical practice in a rural or underserved community. Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist.

Objectives:

1. Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations

2. Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community

3. Introduce/sensitize the student to cross-cultural issues in health care

4. Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings

5. Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc.

Rotation Activities:

1. Arrangements for a specific time commitment will be made through the Department of Family Medicine in conjunction with Gulfcoast North AHEC.

2. The student will accompany the physician during the course of the preceptor’s schedule  (which may involve a Saturday clinic or extended evening hours ) at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision.

3. At certain locations opportunities are available for additional practice activities within the hospital, emergency department, and in the community.

Patient Encounters:

Evaluation:

The assigned faculty preceptor will provide an individual evaluation addressing the student's adaptability and understanding as well as knowledge, judgment, and rapport.

Syllabus:

Visiting Students:

Yes. Apply via USF Health Morsani College of Medicine on VSAS.

Special Instructions:

At certain sites this elective is available to USF students only. The Department of Family Medicine and Gulfcoast North AHEC will make the final arrangements. Availability at all clinic sites is per the preceptor’s approval.

Sites

Premier Community HealthCare Group (Dade City), Suncoast Community Health Care Centers (Ruskin, Dover, Plant City), Community Health Centers of Pinellas (Clearwater, Largo, Pinellas Park, St. Petersburg, Tarpon Springs), or Citrus County Health Department (Lecanto) 

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Victor Cruz
Coordinator of Clinical Training & Enrichment
Gulfcoast North AHEC
vrodriguez@gnahec.org
(813) 929-1000 ext. 209

Report to:

Will be provided prior to the start of the rotation.

Description:

This elective rotation is designed to introduce the senior student to the unique characteristics of medical practice in a rural or underserved community. Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist.

Objectives:

1. Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations

2. Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community

3. Introduce/sensitize the student to cross-cultural issues in health care

4. Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings

5. Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc.

Rotation Activities:

1. Arrangements for a specific time commitment will be made through the Department of Family Medicine in conjunction with Gulfcoast North AHEC.

2. The student will accompany the physician during the course of the preceptor’s schedule  (which may involve a Saturday clinic or extended evening hours ) at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision.

3. At certain locations opportunities are available for additional practice activities within the hospital, emergency department, and in the community.

Patient Encounters:

Evaluation:

The assigned faculty preceptor will provide an individual evaluation addressing the student's adaptability and understanding as well as knowledge, judgment, and rapport.

Syllabus:

Visiting Students:

Yes. Apply via USF Health Morsani College of Medicine on VSAS.

Special Instructions:

At certain sites this elective is available to USF students only. The Department of Family Medicine and Gulfcoast North AHEC will make the final arrangements. Availability at all clinic sites is per the preceptor’s approval.

Sites

Premier Community HealthCare Group (Dade City), Suncoast Community Health Care Centers (Ruskin, Dover, Plant City), Community Health Centers of Pinellas (Clearwater, Largo, Pinellas Park, St. Petersburg, Tarpon Springs), or Citrus County Health Department (Lecanto) 

Contact:

Eduardo Gonzalez, MD
egonzale@health.usf.edu

Report to:

Any interested student MUST meet with Dr. Gonzalez and/or Dr. Callegari prior to selecting  the elective. Ideally, this should be done prior to the start of the academic year but MUST OCCUR AT LEAST 6 MONTHS PRIOR TO THE START OF THE ELECTIVE. An international travel packet must be completed at least 3 months prior to the start of the rotation and submitted to the USF Medicine International Office. A copy must also be provided to the educational coordinator. Any SELECT student interested in the elective will also need prior approval to coordinate having a faculty advisor at LVHN to help with the advising, planning, and evaluation of this elective. 

Description:

There are a wide variety of opportunities available for students with an interest in international health care. This elective is designed to provide support for USF students to obtain an international medical experience during their fourth year.

Objectives:

1. Identify the general and specific health care needs of a particular foreign country

2. Identify the role of the primary care physician in international health care

3. Gain additional clinical skills in the provision of primary health care

Rotation Activities:

Foreign travel and provision of medical services

Academic study abroad (readings and lectures) on the health problems of a particular area

Preparation and/or presentation of a report on the student's experience

Patient Encounters:

Evaluation:

The student’s evaluation will be individualized based on the format of his/her particular elective. The specific evaluation criteria will be decided in consultation with Dr. Gonzalez and/or Dr. Callegari prior to scheduling the elective.

Syllabus:

Visiting Students:

No

Special Instructions:

Emergency medical insurance is required for all electives abroad.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Bayfront Medical Center

Description:

This elective provides students with a Family Medicine residency experience at the intern level.

Objectives:

1. Integrate the student into the hospital teaching service such that the student functions at the level of an intern, managing their own patients under the supervision of a senior resident

2. Strengthen the student’s ability to develop an initial assessment and plan for patients requiring hospitalization, to succinctly present the admission to the team, and to effectively manage the patient’s medical problems throughout the hospital admission

3. Educate the student regarding common medical problems requiring hospital admission, indications for common in-patient procedures, discharge planning, and legal/ethical/cost considerations

Rotation Activities:

The student is expected to function as a Family Medicine intern under the direct supervision of the senior resident and attending. This includes pre-rounding on their patients, writing SOAP notes, attending morning report and teaching rounds, writing orders, following up on labs/consults/imaging, and doing discharge planning. Overnight call is to be determined by the site of the AI.

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of assessments, plans, and presentations

Clinical decision-making skills

Attitude, motivation, and rapport with patients and team members

Syllabus:

Visiting Students:

No

Special Instructions:

Final arrangements concerning the course location/preceptor will be made by the Department of Family Medicine after the student is scheduled for the elective.

Contact:

Crystal Walker
One City Center
707 Hamilton Street
Allentown, PA 18101
Crystal.Walker@lvhn.org
(484) 862-3066

Report to:

Will be provided one week prior to the start of the rotation.

Description:

The Acting Internship in Family Medicine rotation provides students the opportunity to work closely with our residents and faculty members in order to get a first-hand look of intern year. You will be assigned to a variety of patients, from newborn to geriatrics, while learning about an array of medical illnesses and preventative management.

Objectives:

Hospital Based

1. Integrate the student into the hospital teaching service such that the student functions at the level of an intern, managing their own patients under the supervision of a senior resident

2. Strengthen the student’s ability to develop an initial assessment and plan for patients requiring hospitalization, to succinctly present the admission to the team, and to effectively manage the patient’s medical problems throughout the hospital admission

3. Educate the student regarding common medical problems requiring hospital admission, indications for common in-patient procedures, discharge planning, and legal/ethical/cost considerations

Office Based

1. Integrate the student into the office setting such that the student functions at the level of an intern, managing their own patients under the supervision of a senior resident or attending physician

2. Strengthen the student’s ability to take an appropriate history and physical exam with subsequent development of an accurate differential diagnosis and workup

3. Incorporate anticipatory guidance and health maintenance recommendations into routine office visits

4. Complete succinct and accurate SOAP notes to be reviewed with your supervising physician

Rotation Activities:

The student is expected to function as a Family Medicine intern under the direct supervision of the senior resident and attending. This includes patient encounters, writing SOAP notes, attending morning report and teaching rounds, writing orders, following up on labs/consults/imaging, and doing discharge planning.

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of presentations and clinical decision-making skills

Attitude, motivation, and rapport with patients and team members

Family Medicine Portfolio completion

Syllabus:

Will be provided one week prior to the start of the rotation

Visiting Students:

No

Special Instructions:

Hospital AI - Any interested student must contact Dr. Brohm to plan the elective.  This MUST OCCUR AT LEAST 3 MONTHS PRIOR to the start of the elective. In addition to adult hospital care, the service can include newborn and child care.. Students will follow their own patients on the hospital service while participating in treatment plans, aftercare plans and family systems plans.  They will also spend at least one week working on Family Medicine service night float. 

Office-based AI - No prior approval required.  Students will spend each day seeing patients and working closely with the LVHN Family Medicine residency program faculty members and residents. The experience will take place in one of the residency’s continuity care site offices, though the rotation can including one week on the inpatient service as well as residency didactic and reflection sessions.  Students will see patients, write prescriptions and document their care as if they are a Family Medicine intern.  The skills and values of "Turtle Craft," our relationship-centered approach to family medicine, will be taught.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Morton Plant Hospital

Description:

This elective provides students with a Family Medicine residency experience at the intern level.

Objectives:

1. Integrate the student into the hospital teaching service such that the student functions at the level of an intern, managing their own patients under the supervision of a senior resident

2. Strengthen the student’s ability to develop an initial assessment and plan for patients requiring hospitalization, to succinctly present the admission to the team, and to effectively manage the patient’s medical problems throughout the hospital admission

3. Educate the student regarding common medical problems requiring hospital admission, indications for common in-patient procedures, discharge planning, and legal/ethical/cost considerations

Rotation Activities:

The student is expected to function as a Family Medicine intern under the direct supervision of the senior resident and attending. This includes pre-rounding on their patients, writing SOAP notes, attending morning report and teaching rounds, writing orders, following up on labs/consults/imaging, and doing discharge planning. Overnight call is to be determined by the site of the AI.

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of assessments, plans, and presentations

Clinical decision-making skills

Attitude, motivation, and rapport with patients and team members

Syllabus:

Visiting Students:

Yes. Apply via USF Health Morsani College of Medicine on VSAS.

Special Instructions:

Final arrangements concerning the course location/preceptor will be made by the Department of Family Medicine after the student is scheduled for the elective.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Will be provided prior to the start of the rotation

Description:

This elective will provide students an opportunity to learn sports medicine from a primary care/family medicine and orthopaedic standpoint.

Objectives:

This elective will provide students an opportunity to learn sports medicine from a primary care/family medicine and orthopaedic standpoint. Senior students will have the opportunity to work in the sports medicine clinic in the USF Family Medicine and Sports Medicine Clinics. They will also work with orthopedic surgeons in the community who are actively involved in sports medicine and the care of athletes. Students will learn the basics of the examination and assessment of musculoskeletal injuries in athletes as well as non-orthopedic medical problems of the athlete.

Rotation Activities:

There will be an opportunity to work with athletic trainers, physical therapists and chiropractors and learn the basics of musculoskeletal radiology. Students will also have the opportunity to participate in game coverage for USF athletic events as well as other professional teams in the Tampa Bay area. Students will also be expected to present a project in the area of sports medicine.

Patient Encounters:

Evaluation:

Students will be evaluated based on patient care, knowledge, practice-based learning, communication and professionalism in the field of primary care/sports medicine.  

Syllabus:

Visiting Students:

No

Special Instructions:

Last day to drop/add is end of Period 3, 4.

Interested students must contact the Education Coordinator from the Department of Family Medicine at (813) 974-1996 or by E-mail at lgiordan@health.usf.edu prior to enrolling.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Assigned site

Description:

This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Florida Hospital, Orlando; Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.

Objectives:

1. Introduce the student to the relationship of Family Medicine to the medical community

2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations

3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience

4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine

5. Demonstrate the various responsibilities and activities of the Family Medicine Resident

Rotation Activities:

Included in Objectives

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of assessment and presentation

Clinical judgment as indicated by the rationale of diagnostic and management plans

Attitude and rapport with patients and families

Subjective elements of interpersonal relationships, motivation, and ability  

Syllabus:

Visiting Students:

No

Special Instructions:

Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lgiordan@health.usf.edu.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Assigned site

Description:

This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Florida Hospital, Orlando; Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.

Objectives:

1. Introduce the student to the relationship of Family Medicine to the medical community

2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations

3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience

4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine

5. Demonstrate the various responsibilities and activities of the Family Medicine Resident

Rotation Activities:

Included in Objectives

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of assessment and presentation

Clinical judgment as indicated by the rationale of diagnostic and management plans

Attitude and rapport with patients and families

Subjective elements of interpersonal relationships, motivation, and ability  

Syllabus:

Visiting Students:

No

Special Instructions:

Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lgiordan@health.usf.edu.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Assigned site

Description:

This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Florida Hospital, Orlando; Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.

Objectives:

1. Introduce the student to the relationship of Family Medicine to the medical community

2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations

3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience

4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine

5. Demonstrate the various responsibilities and activities of the Family Medicine Resident

Rotation Activities:

Included in Objectives

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of assessment and presentation

Clinical judgment as indicated by the rationale of diagnostic and management plans

Attitude and rapport with patients and families

Subjective elements of interpersonal relationships, motivation, and ability  

Syllabus:

Visiting Students:

No

Special Instructions:

Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lgiordan@health.usf.edu.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Assigned site

Description:

This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Florida Hospital, Orlando; Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.

Objectives:

1. Introduce the student to the relationship of Family Medicine to the medical community

2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations

3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience

4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine

5. Demonstrate the various responsibilities and activities of the Family Medicine Resident

Rotation Activities:

Included in Objectives

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of assessment and presentation

Clinical judgment as indicated by the rationale of diagnostic and management plans

Attitude and rapport with patients and families

Subjective elements of interpersonal relationships, motivation, and ability  

Syllabus:

Visiting Students:

No

Special Instructions:

Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lgiordan@health.usf.edu.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Assigned site

Description:

This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Florida Hospital, Orlando; Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.

Objectives:

1. Introduce the student to the relationship of Family Medicine to the medical community

2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations

3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience

4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine

5. Demonstrate the various responsibilities and activities of the Family Medicine Resident

Rotation Activities:

Included in Objectives

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of assessment and presentation

Clinical judgment as indicated by the rationale of diagnostic and management plans

Attitude and rapport with patients and families

Subjective elements of interpersonal relationships, motivation, and ability  

Syllabus:

Visiting Students:

No

Special Instructions:

Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lgiordan@health.usf.edu.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Assigned site

Description:

This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Florida Hospital, Orlando; Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.

Objectives:

1. Introduce the student to the relationship of Family Medicine to the medical community

2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations

3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience

4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine

5. Demonstrate the various responsibilities and activities of the Family Medicine Resident

Rotation Activities:

Included in Objectives

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of assessment and presentation

Clinical judgment as indicated by the rationale of diagnostic and management plans

Attitude and rapport with patients and families

ective elements of interpersonal relationships, motivation, and ability  

Syllabus:

Visiting Students:

Yes. Apply via USF Health Morsani College of Medicine on VSAS.

Special Instructions:

Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lgiordan@health.usf.edu.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Will be provided prior to the start of the rotation.

Description:

This elective is designed to introduce the student to unique characteristics of medical practice in an underserved community.  Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist. 

Objectives:

Provide a learning experience for students who have a demonstrated interest in the health care of the under-served and other community health issues

Rotation Activities:

Students will attend all PSMP clinics and post conferences at Judeo Christian Health Clinic, the Outreach Clinic and BRIDGE Clinic. When more junior students are present, the elective students will assume peer teaching roles. Students are also encouraged to attend similar free clinic sessions at other community sites pending approval of the course director. Other activities include: participation in the monthly Health Disparities Scholarly Concentration Journal club; and a written report of a topic or project related to public sector medicine. Students will be encouraged to develop projects worthy of publication or presentation at a scholarly meeting.

Patient Encounters:

Evaluation:

Students will be evaluated based on clinical skills, self-education/independent learning, understanding and implementing new knowledge and techniques including acknowledging social determinants of health, completing and writing requirements/projects and professionalism.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Will be provided prior to the start of the rotation.

Description:

The aim of this elective is to reintroduce students to primary care in a Family Medicine clinic. Students will be assigned to the USF Family Medicine clinic where they will be responsible for evaluating patients under the guidance of a faculty member. Emphasis will be on the patient as a person, and the application of knowledge of the effects of disease, lifestyle, family setting, and personality on the development and management of the patient’s problems. Experience will be gained in the management of the wide range of problems present in family medicine. Students may also be assigned to work at JCHC, BORC, and BRIDGE Clinic in some rotations and precepting first and/or second year students

Objectives:

1. Identify and manage problems which present commonly in family medicine, emphasizing the importance of continuing care and follow up

2. Identify the biological, psychological, and social factors that are relevant in the etiology of patients' problems and integrate these factors in a treatment plan

3. Improve problem solving skills

4. Study the role of other health professionals in a patient's care (consultants, social workers, nurse practitioners, physical therapists, etc.) and the relationship between them and the family physician

5. Improve skills in patient education and communication

Rotation Activities:

Included in Objectives

Patient Encounters:

Evaluation:

Based on competence, consideration of patients, and practical approach to problems.

Syllabus:

Visiting Students:

No

Special Instructions:

Final arrangements concerning course location/preceptor will be made by the Department of Family Medicine after the student receives his/her elective choice. Students are required to meet with Dr. Gonzalez one month prior to the start of the rotation to discuss this elective.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Will be provided prior to the start of the rotation.

Description:

During this elective students will accompany faculty members who are in private clinical practice. This experience will be primarily in the office but will include involvement in the care of the preceptor's patients in hospitals, nursing homes, and at home. Emphasis will be on the patient as a person and the application of knowledge of the effects of disease, lifestyle, family setting, and personality on the development and management of the patient's problems. Experience will be gained in the management of the wide range of problems that are present in family practice.

Objectives:

1. Identify and manage problems which present commonly in family practice, emphasizing the importance of continuing care and follow up

2. Identify the biological, psychological, and social factors that are relevant to the etiology of patients’ problems and integrate these factors in a treatment plan

3. Improve problem-solving skills

4. Study the role of other health professionals in the patient's health care (consultants, social workers, nurse practitioners, physical therapists, etc.) and the relationship between them and the family physician

Rotation Activities:

Included in Objectives

Patient Encounters:

Evaluation:

Based on competence, consideration of patients, and practical approach to problems

Syllabus:

Visiting Students:

No

Special Instructions:

In order to determine availability, students are required to select and receive permission from a community preceptor prior to registering for this elective. Final arrangements concerning course location/preceptor will be made by the Department of Family Medicine after the student receives his/her elective choice.

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

Will be provided prior to the start of the elective.

Description:

The elective provides students with an opportunity to strengthen their experience in caring for women in a Women’s Center of Excellence.

Objectives:

1. Familiarize the student with the practice of gender-specific medicine, women’s preventive health, and obstetrics and gynecology in a Women’s Center of Excellence

2. Strengthen the student’s ability to take a thorough obstetric/gynecologic and women’s preventive health history and perform routine preventive gynecologic and perinatal exams

3. Expose the student to common gynecologic/obstetric procedures such as colposcopy, endometrial biopsy, IUD placement/removal, ultrasound, C-section, fetal scalp electrode placement, etc. 

Rotation Activities:

Take an active role in the assessment and management of patients in the hospital and office setting.

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of assessments, plans, and presentations

Clinical decision-making skills

Attitude, motivation, and rapport with patients and team members

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Linda Giordano
lgiordan@health.usf.edu
(813) 974-1996

Report to:

WIll be provided prior to the start of the elective.

Description:

This elective providesstudents an opportunity to create an elective that that will provide an experience into the broad clinical opportunities  in Family Medicine. 

Objectives:

1. Encourage the student to design and complete his or her own ideal elective within the realm of Family Medicine. This may include but is not limited to: office procedures, Family Medicine out-patient, FM in-patient acting internship, women’s health, pediatrics, geriatrics, nursing home, research, Ob/Gyn, acute care, etc.

2. Provide the student with housing when available

3. Introduce the student to the breadth of Family Medicine

4. Specific objectives to be determined based on elective scheduled

Rotation Activities:

The student is expected to design their elective in advance with Family Medicine faculty and to take an active role in the assessment and management of patients.

Patient Encounters:

Evaluation:

Fund of medical knowledge

Quality of assessments, plans, and presentations

Clinical decision-making skills

Attitude, motivation, and rapport with patients and team members

Syllabus:

Visiting Students:

Yes. Apply via USF Health Morsani College of Medicine on VSAS.

Special Instructions:

For elective design assistance please contact Lee Blomberg at (727) 467-2517.

Contact:

Geeta Gehi, Administrator
ggehi@health.usf.edu

Peggy Hales, Administrator
phales@health.usf.edu

Report to:

Dr. Richard Lockey
rlockey@health.usf.edu

Description:

Allergic and immunologic problems affect up to 20% of adults and children in the United States, therefore, students rotating in Allergy and Immunology are exposed to a variety of common problems important to physicians regardless of their specialty interests. Both children and adults are seen in the clinics. 

Objectives:

The objective of the Allergy/Immunology experience is to familiarize the student with the pathogenesis, diagnosis, and treatment of various allergic and immunologic diseases.

Rotation Activities:

The student will primarily be involved in out-patient care at the VA Hospital, Tampa General Hospital, H. Lee Moffitt Cancer Center, All Children's Hospital, USF Adult and Pediatric Allergy/Immunology and Immunodeficiency Clinics and will attend four weekly conferences on clinical allergy and immunology given by residents, fellows and faculty from USF College of Medicine.

Patient Encounters:

The student will examine patients with common medical diseases such as allergic rhinoconjunctivitis, chronic rhinitis, acute and chronic sinusitis, various forms of asthma, otitis media with effusion, hyper-sensitivity pneumonitis, atopic eczema, contact dermatitis, urticaria and/or angioedema, drug allergy, insect hypersensitivity, and food allergy. The student will also examine patients with immuno-deficiency diseases (including HIV infection), eosinophilia, eosinophilic syndromes, and various other immunologic problems.

Evaluation:

Evaluations will be completed by the faculty members who assess the level of clinical competence attained.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Howard Israel
Howard.Israel@lvhn.org

Report to:

Will be provided one week prior to the start of the elective

Description:

Allergic and immunologic problems affect up to 20% of adults and children in the United States, therefore, students rotating in Allergy and Immunology are exposed to a variety of common problems important to physicians regardless of their specialty interests. Both children and adults are seen in the clinics.

Objectives:

1. Evaluate an allergy patient with history and physical, formulate an appropriate laboratory and radiologic work up, and create a suitable treatment plan

2. Become familiar with the pathogenesis, diagnosis, and treatment of various allergic and immunologic diseases

Rotation Activities:

Students will primarily be involved in out-patient care in private doctor's offices.

Patient Encounters:

Students will examine patients with common medical diseases such as allergic rhinoconjunctivitis, chronic rhinitis, acute and chronic sinusitis, various forms of asthma, otitis media with effusion, hyper-sensitivity pneumonitis, atopic eczema, contact dermatitis, urticaria and/or angioedema, drug allergy, insect hypersensitivity, and food allergy  and also. immuno-deficiency diseases.

Evaluation:

Evaluations will be completed by the faculty members who assess the level of clinical competence attained.

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

Barbara Pearce
Academic Services Administrator
Internal Medicine 4th Year Electives Program
bpearce@health.usf.edu

Report to:

Contact Dr. Narasaiah Kolliputi at nkollipu@health.usf.edu for information on where to report.

Description:

Allergic and immunologic problems affect up to 20% of adults and children in the United States. Therefore students rotating in Allergy and Immunology are exposed to a variety of common problems important to physicians regardless of their specialty interests. Both children and adults are cared for in the Division of Allergy and Immunology.

Objectives:

The objectives of the respiratory disease research experience at the Joy McCann Culverhouse Airway Disease Center are to familiarize the student with some of the contemporary research methods relating to pathogenesis, diagnosis, and treatment of various allergic and immunologic diseases. The student will participate in hands-on research as it relates to respiratory syncytial virus induced respiratory diseases and the pathogenesis of pulmonary fibrosis and asthma. Many other projects by the faculty are underway and the students can participate in research projects in which they have an interest. The student will also have the opportunity to participate in the asthma, allergy and immunology clinical research unit, where up to 30 clinical research projects are ongoing at any one time. Diseases targeted for research include asthma, COPD, allergic rhinoconjunctivitis, chronic rhinitis, acute and chronic sinusitis, nasal polyposis, atopic eczema, urticaria and or angioedema, food allergy, hereditary angioedema and others. The student will learn the accepted methods used in clinical research in this state-of-the-art program.

Rotation Activities:

The student will attend four weekly conferences on basic immunology and clinical allergy and immunology given by residents, fellows and faculty from USF College of Medicine. The student will present a synopsis of his/her work in the last week of his training.

Patient Encounters:

Evaluation:

The faculty members and staff associated with the training program will assess the level of competence and will complete evaluations.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Sanders Chae
schae@health.usf.edu

Bonna Nichol
bonna@health.usf.edu

Report to:

Dr. Sanders Chae

Description:

Objectives:

This course is to introduce and review clinical cardiac disorders that have a predominantly genetic component. The course will review diagnosis and management of genetically inherited channelopathies and cardiomyopathies, particularly those which increase the risk of sudden cardiac death.  The course will include a simulated genetic counseling session as well as review how to order genetic testing. 

Rotation Activities:

1. Didactics
Basic Science Lectures
Clinical Lectures
Teaching Conferences

2. Research/Presentations

Patient Encounters:

N/A

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dawn Schocken
dschock1@health.usf.edu

Report to:

Dawn Schocken
Center for Advanced Medical Learning and Simulation (CAMLS) CSEC

Description:

The Harvey Elective is an uses the University of Miami Harvey Course Curriculum.  This vetted curriculum has the students study a series of power points focusing on the 27 most common heart conditions and their physical findings, which are mimicked on the Harvey Cardiovascular Simulator. 

The students have both on site practice on the Harvey manikin, and at home, to learn how to accurately interpret jugular venous waves, arterial pulse waves, palpation of the apical impulse and additional heaves, lifts or thrills as well as the auscultation of the heart with various murmurs, rubs and gallops found in the various disease states.  The curriculum assists the students in the identification and interpretation of these heart conditions.  The students are expected to review their assigned curriculum and attend all of the scheduled discussions that provide an opportunity to explore their findings on the Harvey Manikin.

Objectives:

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.

Rotation Activities:

The students will have on site activities that include, but are not limited to, lectures from cardiologists, discussions on curriculum modules, orientation and practice of ultrasound of the heart, interpretation of complex ECGs, Cardiology Fellows weekly discussions, attendance at ECG Interpretations at JAH VA Hospital, attendance at ECHO interpretations at TGH. 

Patient Encounters:

N/A

Evaluation:

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.

Syllabus:

Posted to Canvas

Visiting Students:

With permission from Course Director

Special Instructions:

N/A

Contact:

Dr. Patrick Brady
pbrady@health.usf.edu

Tashalei Chau, Administrator
chaut@health.usf.edu

Report to:

Dr. Brady at the Morsani Center at 8 AM on the first day of the rotation.

Description:

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.

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.

Rotation Activities:

Participation in gastroenterology outpatient clinics, lectures illustrating application of basic science principles to clinical practice, four hours of conferences weekly, observation of selected endoscopic procedures, opportunity to do endoscopic simulation training, opportunity to learn interpretation of capsule endoscopy, 48 hour pH recordings, and high resolution esophageal manometry.

Patient Encounters:

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.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Paola G Blanco
Paola_G.Blanco@lvhn.org

Report to:

Will be provided one week prior to the start of the rotation

Description:

This course will expose the medical student to a wide range of gastroenterology disease processes. The inpatient service will have a consultative aspect. The student will be exposed to both common and uncommon GI problems with emphasis on recognition, treatment and natural history of these disorders. 

Objectives:

Upon successful completion of this elective, the student may expect to achieve an acceptable level of competence in the management of disorders of the gastrointestinal tract and liver. This will be achieved by the interpretation of symptoms and physical findings, utilization of appropriate laboratory and other diagnostic studies, knowledge of the basic therapeutic approaches, and interpretation of the gastrointestinal radiographs and other imaging techniques.

Rotation Activities:

There will be a combination of direct patient contact and personal instruction.

Observation of a variety of procedures including diagnostic and therapeutic upper GI panendoscopy, capsule endoscopy, (colonoscopy, polypectomy, diagnostic and therapeutic ERCP, flexible sigmoidoscopy, esophageal dilation and manometry studies will be afforded.

Hands-on experience in capsule endoscopy is available.

Attendance at ward and teaching rounds, outpatient clinics and teaching conferences will provide a further source of learning.

Emphasis will be placed on pathophysiology, clinical manifestations, diagnosis and therapy.

Emphasis will also be placed on the techniques of clinical nutrition.

Students can participate in a short research project during the rotation or may elect to begin participation in a long term research project.

Students will participate in a regularly scheduled conferences and clinics.

Patient Encounters:

Evaluation:

The faculty will base their performance evaluations upon clinical discussions and didactic presentations by the student.

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

Dr. Patrick Brady
pbrady@health.usf.edu

Tashalei Chau, Administrator
chaut@health.usf.edu

Report to:

Dr. Brady at the Morsani Center  at 8 AM on the first day of the rotation. 

Description:

This course is designed to give students a broad exposure to gastrointestinal and liver disease through participation in the activities of the gastroenterology outpatient clinic at the Morsani Center. Students will see new outpatient consultations daily, observe selected gastrointestinal endoscopies and be exposed to high resolution esophageal manometry and capsule endoscopy. There are two required conferences weekly, GI Surgery X-ray Conference and GI Lecture Series both at TGH. The GI Basic Science/Research Conference is held at the VA hospital at 7:15 AM on Friday morning and is optional.

Objectives:

Upon successful completion of this elective, the student may expect to achieve an acceptable level of competence in the management of disorders of the gastrointestinal tract and liver. This will be achieved by the interpretation of symptoms and physical findings, utilization of appropriate laboratory and other diagnostic studies, knowledge of the basic therapeutic approaches, and interpretation of the gastrointestinal radiographs and other imaging techniques.

Rotation Activities:

Daily work and teaching rounds, participation in gastroenterology consultatons, two hours of conferences weekly, observation of selected endoscopic procedures, opportunity to do endoscopic simulation training, opportunity to learn interpretation of capsule endoscopy, 48 hour pH recordings, and high resolution esophageal manometry.

Patient Encounters:

Evaluation:

The faculty will base their performance evaluations upon clinical discussions and didactic presentations by the student.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Patrick Brady
pbrady@health.usf.edu

Tashalei Chau, Administrator
chaut@health.usf.edu

Report to:

The gastroenterology attending at 8 AM of the first day of the rotation in the Gastrointestinal Endoscopy Center at TGH.

Description:

This course is designed to give students a broad exposure to gastrointestinal and liver disease through participation in the activities of the gastroenterology consultion service at Tampa General Hospital. Students will see new outpatient consultations daily, observe selected gastrointestinal endoscopies and be exposed to high resolution esophageal manometry and capsule endoscopy. There are two required conferences weekly, GI Surgery X-ray Conference and GI Lecture Series both at TGH. The GI Basic Science/Research Conference is held at the VA hospital at 7:15 AM on Firday morning and is optional.

Objectives:

Upon successful completion of this elective, the student may expect to achieve an acceptable level of competence in the management of disorders of the gastrointestinal tract and liver. This will be achieved by the interpretation of symptoms and physical findings, utilization of appropriate laboratory and other diagnostic studies, knowledge of the basic therapeutic approaches, and interpretation of the gastrointestinal radiographs and other imaging techniques.

Rotation Activities:

Daily work and teaching rounds, participation in gastroenterology consultatons, two hours of conferences weekly, observation of selected endoscopic procedures, opportunity to do endoscopic simulation training, opportunity to learn interpretation of capsule endoscopy, 48 hour pH recordings, and high resolution esophageal manometry.

Patient Encounters:

Evaluation:

The faculty will base their performance evaluations upon clinical discussions and didactic presentations by the student.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Patrick Brady
pbrady@health.usf.edu

Barbara Pearce
Academic Services Administrator
Internal Medicine 4th Year Electives Program
bpearce@health.usf.edu

Stefanie Stevens, Administrator
Stefanie.Stevens@va.gov

Report to:

Dr. Prasad Kulkarni or Dr. Donald Amodeo at 8 AM on the first day of the rotation in the Endoscopy center at the VA Hospital.

Description:

This course is designed to give students a broad exposure to gastrointestinal and liver disease through participation in the activities of the gastroenterology consultion service at VA Hospital.  Students will see new outpatient consultations daily, observe selected gastrointestinal endoscopies and be exposed to high resolution esophageal manometry and capsule endoscopy. There are two required conferences weekly, GI Surgery X-ray Conference and GI Lecture Series both at TGH. The GI Basic Science/Research Conference is held at the VA hospital at 7:15 AM on Friday morning and is optional. 

Objectives:

Upon successful completion of this elective, the student may expect to achieve an acceptable level of competence in the management of disorders of the gastrointestinal tract and liver. This will be achieved by the interpretation of symptoms and physical findings, utilization of appropriate laboratory and other diagnostic studies, knowledge of the basic therapeutic approaches, and interpretation of the gastrointestinal radiographs and other imaging techniques.

Rotation Activities:

Daily work and teaching rounds, participation in gastroenterology consultatons, two hours of conferences weekly, observation of selected endoscopic procedures, opportunity to do endoscopic simulation training, opportunity to learn interpretation of capsule endoscopy, 48 hour pH recordings, and high resolution esophageal manometry.

Patient Encounters:

Evaluation:

The faculty will base their performance evaluations upon clinical discussions and didactic presentations by the student.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Barbara Pearce
Academic Services Administrator
Internal Medicine 4^th Year Electives Program
bpearce@health.usf.edu

Dr. Rachel Semmons
Rachel.semmons@gmail.com

Report to:

The student must contact the following personnel:

1. Kathleen Koch in order to schedule the ride along time with Aeromed (this is optional; you may choose to do all your ride along time with Tampa Fire). You'll need to fill out a waiver that she will send you. Her email address is kkoch@tgh.org. 

2. Barbara Tripp, our Rescue Division Supervisor at Tampa Fire Rescue to sign their waiver and set up ride-alongs at the different stations. Her email address is Barbara.Tripp@tampagov.net. 

3. Dr. Angus Jameson (ajamesonmd@gmail.com, medical director Pinellas County) and Dr. Stephanie Tershakovec (stephanietershakovec@gmail.com, our EMS fellow) to see whether there are additional EMS activities that would be useful for you for the rest of the month. 

Description:

The purpose of this elective is to give the student a broad exposure to the scope of pre-hospital emergency medical services.

Objectives:

1. Gain an understanding of pre-hospital patient care by rotation with the Tampa Fire Rescue Department and Aeromed at Tampa General Hospital

2. Learn to manage common toxicological problems by rotation in the Florida Poison Control Center at Tampa General Hospital

3. Be exposed to EMS Administration by accompanying the medical director of Tampa Fire and Aeromed during administrative duties

4. Gain an understanding of resource allocation and pre-arrival instruction initiatives by rotation at Signal One Fire and Rescue Dispatch

Time spent in these various areas will depend on the interests and experience of the student participating. 

Rotation Activities:

1. Specific monthly meetings with Dr. Semmons

2. Regular standing meeting: Aeromed Case Presentation every Tuesday, 9am-10am

3. Tampa Fire Meetings - Tuesday mornings

4. Aeromed’s Safety and Staff - the last Thursday morning of the month

5. Emergency medicine grand rounds are on Wednesday 7am-12pm.

6. Approximately every 6 weeks - Grand Rounds at CAMLS.

7. Pinellas County does Capstone testing for new medics on the last Thursday and Friday of each month

8. Monthly Journal Club for the EMS fellowship - articles will be made available one week before the scheduled meeting, which the student will be asked to review and be prepared to discuss.

Patient Encounters:

Evaluation:

The student’s final grade is determined by his/her clinical faculty evaluation which is completed at the end of the 4-week experience. Students should solicit mid-rotation feedback from their preceptors at the completion of the first half of the experience. No feedback form is required; however, this will facilitate discussion of competencies met or issues that need to be addressed prior to the completion of the rotation. Likewise, this formative feedback may serve as a springboard to the summative feedback that is given at the end of the rotation.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Lourdes Rodrigues, Administrator
Lrodrig1@healht.usf.edu

Dr. Joaquin Gomez-Daspet
Joaquin.Gomez-daspet@va.gov

Report to:

Dr. Joaquin Gomez-Daspet
Joaquin.Gomez-daspet@va.gov

Description:

Objectives:

Upon the completion of this elective, the student should understand how to manage patients who have a variety of endocrinologic and metabolic diseases. 

Rotation Activities:

Students will see in-house consultations at the VA, Tampa General, and H. Lee Moffitt hospitals; attend daily work rounds; endocrine teaching rounds; weekly endocrine conferences; and outpatient endocrine metabolic clinics at the VA Hospital, Tampa General Hospital, and USF Medical Clinics. The student will directly participate in the performance of detailed endocrine tests to better understand their application and interpretation. The student will participate in seminar discussions of clinically important subjects. Informal meetings between students and senior staff members will be conducted on a regular basis to assure that the student fully understands the pathogenesis, diagnosis and treatment of endocrine metabolic disorders (pituitary, thyroid, parathyroid, adrenal, gonadal, diabetic, etc).

Patient Encounters:

Evaluation:

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Gretchen Perilli
Gretchen_A.Perilli@lvhn.org
(610) 402-6790

Report to:

Will be provided one week prior to the start of the rotation

Description:

The rotation on the Endocrinology services involves exposure to inpatient consultations and the outpatient clinic with a senior resident and the attending endocrinology staff. The main emphasis is on clinical teaching of the pathophysiology of endocrine disorders including appropriate diagnostic tests and modes of therapy. This course will prepare students to use acquired knowledge gained in the rotation to evaluate and treat common endocrine disorders via evidenced based medicine. The student will learn how to interact with patients & their families, colleagues, and staff regarding patient care and treatment.

Objectives:

1.  Evaluate an endocrine patient with history and physical, formulate an appropriate laboratory and radiologic work up, and create a suitable treatment plan

2. Demonstrate the ability to manage diabetes mellitus type 1 and 2

3. Demonstrate the ability to manage oral and insulin diabetes treatments as well as prevent and manage diabetic complications

4. Discuss, evaluate and treat routine endocrine conditions including thyroid, parathyroid, adrenal, pituitary, and gonadal disorders

Rotation Activities:

This course will include a rotation with the endocrine consult service with responsibility and activites in care of patients.

Patient Encounters:

Evaluation:

Students will be evaluated in the office/clinic by the faculty attending. In the hospital setting students will be evaluated by the rounding attending.

Students will be given assignments. For example: Students will be given a interesting case by the attending to review. The case will be presented and reviewed with the attending. Students will be asked to complete a clinic question based on a case they were involved in. They will answer the question with support from the medical literature.

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

Michael.Chyu@lvhn.org
(610) 402-0100

Report to:

1255 S. Cedar Crest Blvd., Suite 3500

Description:

This elective is designed to introduce the basic philosophy of palliative care and how these principles are applied to patients with advanced complex diseases. A three-week OACIS inpatient rotation will consist of full participation on the inpatient consulting service, including daily rounds, weekly interdisciplinary team meetings (IDT), weekly staff meeting, and participation in regular interdisciplinary education sessions and case presentations. Students will assist with inpatient consultations with precepting and support from the full inpatient team as well as a designated supervising physician. Focus will be on assessment and treatment of pain and non-pain symptoms, fundamental skill development in patient and relationship centered care, and coordination of care including family meetings, goals of care discussions, conflict resolution, and withdrawal of life sustaining therapies. The fourth week will be focused on understanding the process of offering palliative care in the home setting and under the hospice medical benefit in the inpatient hospice unit (IPU). Students will participate in home visits with OACIS Nurse Practitioners, and also be in the IPU under the supervision of the hospice medical director, with guidance from the RN case manager, and other members of the hospice team.  For home-based OACIS services, focus will be on assessment and treatment of pain and non-pain symptoms, fundamental skill development in patient and relationship centered care, and coordination of care with goals of care discussions.  For the IPU, focus will be on recognition of the dying process, the pharmacokinetics and pharmacological effects of medication commonly used to treat symptoms in dying patients, and an introduction to the regulatory requirements for hospice.

Objectives:

1. Initiate palliative care consults on patients in the hospital to include a comprehensive medical history, physical examination and assessment of patient and family understanding of illness and prognosis. Gather a psychosocial, coping history, and spiritual and values history

2. Provide a comprehensive assessment of patients with pain identifying physical, psychosocial and spiritual components of distress

3. Explain the relevant basic science, pathophysiology, associated symptoms and signs, and diagnostic options useful in differentiating among different etiologies of pain and non-pain syndromes

4. In patient encounters, identify and address common patient, family, health care provider, and health care system barriers to effective symptom treatment

5. List indications, clinical pharmacology, alternate routes, equianalgesic conversions, appropriate titration, toxicities, and management of common side effects in opioid administration

6. Initiate informed relationship-centered dialogues about care

7. Demonstrate empathy

8. Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds

9. Communicate effectively with physicians, other health professionals, and health related agencies

10. Define patient requirements to qualify for the hospice medical benefit and describe how these benefits are delivered in through an interdisciplinary team

Rotation Activities:

During the entire month, students will attend palliative care journal club, and weekly hospice and palliative medicine fellow education sessions. Additionally, students will be required to read the UNIPAC series, landmark journal articles regarding key palliative care topics, and also to complete relevant CAPC modules.

Patient Encounters:

Evaluation:

For the inpatient educational experience, the trainee will see patients at Lehigh Valley Hospital-Cedar Crest and on the consultation services of the OACIS/Palliative Care Consult Service. They will actively participate in daily team rounds and weekly Inter-Disciplinary Rounds (IDT). Trainees will be assigned patients by the supervising faculty and will be integrally involved in the assessment of the patient's medical history, physical exam, and evaluation of patient and family understanding of illness and prognosis. They will actively participate in family meetings regarding goals of care and treatment plans. In addition, students will complete daily journal entries using a standardized question template to process their emotional/spiritual reaction to the work that is being done. Communication skills will be taught through didactic sessions, role play scenarios, and direct observations.

For the hospice experience, the student will see patients primarily at the inpatient hospice unit at 17th and Chew St. Additionally, if desired, trainees will see patients who are enrolled in LVH Hospice Services at home with a member of the hospice team including pastoral care, social worker, nurse case manager, and medical director. They will participate in either one inpatient or home-based IDT during the week.

Knowledge will be assessed through a pre-post knowledge survey and exam, in addition to an oral presentation given at one of the IDT rounds on a palliative care topic of interest. Finally, an overall evaluation will be completed by each member of the IDT using a competency-based assessment tool.

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

Dr. Rachel Williams
rachel.williams5@va.gov

Report to:

Students should report to the James A. Haley Occupational Health Clinic at 8:00 am on the first day of the elective, as the preceptor, Dr. Williams will be expecting you.

The Employee Occupational Health clinic is in the Community Living Center (AKA CLC or Haley’s Cove).  The main entrance to the CLC is right across from the main hospital entrance and you enter on the “B” floor from the outside.  If you come in through the SCI entrance on the ground floor, you come in on the “A” floor and will have to take the elevator up to the “B” floor. The clinic is on “B” floor at the end of the first hallway to the left after the elevators, check in in Rm 125.

The phone number to the clinic and Dr. Rachel Williams is (813) 972-2000 ext. 7628.

Description:

The goals of this rotation are for the student to be exposed to the workplace, work exposures, and relevant statutes, such as workers’ compensation. The goal is to return the injured worker back to work while maximizing the patient’s functional recovery. In addition, the student will learn to identify workplace and environmental hazards to reduce the risk of future injury or illness to the patient.

Objectives:

1. Gain exposure to complete patient histories, with an emphasis on occupation and exposure

2. Gain exposure to the selection of appropriate diagnostic studies in relation to the occupational injury or exposure

3. Review relevant occupational IT, databases, guidelines or other resources when providing a summary to the clinical preceptor

4. Gain exposure to legal and regulatory authority relating to protection and promotion of the public’s health

5. Assess individual risk for occupational/environmental disorders using an occupational history

Rotation Activities:

The student will see patients at the James A. Haley Occupational Health Clinic. The teaching methods used include patient based care, didactic instruction by the preceptor, coordinators or staff, self-directed study and topic assignment.

Patient Encounters:

Evaluation:

The methods used for evaluation include, 360 evaluations (nursing/clinic/administrative staff) and preceptor evaluations with an emphasis on the goals of the rotation. Students will be exposed to medical surveillance programs, blood borne pathogen exposure and protocol, patient safety, infection control and be expected to attend the morbidity and mortality meetings and meeting associated with each of the programs listed above.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Jamie Morano
Jamie.Morano@va.gov

Report to:

TeleID Sessions: Monday 1230-1630; Tuesday 1000-1200; 1230-1630 (2C-249 near vascular area); Thursday Clinics anticipated September 2019; Dr. Jamie Morano

TeleNephrology Sessions:   Tuesday PM (1C-North Room 11); Dr. Jorge Lamarche

TeleEndocrine: 1^st and 3^rd Monday AM and every Wednesday AM (1C-Telemedicine Room); Dr. Alejandro Ramirez

(TeleDerm and TeleWound clinics upon availability and participant interest.)

Students will be expected to report to the VA Monday through Friday 0800 to 1630 and to rotate through all sessions above, which will be ID and participating faculty. . Participating select nephrology or infectious disease fellows may choose either the nephrology or infectious disease track and will have more flexibility in their hours and research opportunities due fellowship demands. Telehealth opportunities within Teledermatology or Telewound care may also exist for very motivated participants with advanced notice.

Description:

This elective will introduce medical students to the practice and theory of the brave new world of Clinical Video Telehealth (CVT).  The Veterans Administration has been a national leader in CVT to improve access in healthcare for veterans living in rural, remote, and underserved areas. Under the supervision of jointly affiliated VA-USF clinical faculty, students will experience CVT clinics and will develop hands-on telemedicine technical expertise in the fields of infectious diseases (hepatitis C and HIV), nephrology (chronic and acute kidney disease), and endocrinology (diabetes care) Research methods in quality improvement in healthcare also will be emphasized by use of case examples, journal article review, and actively demonstrating the importance of integrating quality of care with CVT innovation.

Objectives:

1. Compare and contrast clinical video telehealth (CVT) versus the traditional medical clinic in terms of the role of team nursing case managers, health care access, travel logistics, and continuity of care

2. Be familiar with the use and interpretation of unique technical capabilities within CVT, including use of e-stethoscopes, e-otoscopes, and e-ultrasound

3. Understand the CVT protocols for Hepatitis C and HIV; be able to list the specific screening and treatment steps for patients entering Hepatitis C care, with or without HIV co-infection

Rotation Activities:

During the course of the clinical rotations, participants will be encouraged to pursue the following:

1)    Required Reading:

Goldmans's Cecil Textbook of Medicine (24^th ed):i.    Vol 1 (XI: Renal and Genitourinary Diseases), Chapters 116-133
ii.    Vol 2 (XXIV: HIV and the Acquired Immunity Syndrome), Chapters 392-402

IDSA/AASLD Hepatitis C Treatment Guidelines (http://www.aasld.org/publications/practice-guidelines-0)

2)    Required Online VA TMS Courses:

Clinical Video Telehealth (CVT) Foundations for Teleproviders (#14170)

CVT: Core Competencies (#23393)

3)    Suggested resources:

a) IDSA/AASLD Hepatitis C Treatment Guidelines (http://www.aasld.org/publications/practice-guidelines-0)

b) National HIV Curriculum (https:// www.hiv.uw.edu)

c) HIV Podcasts I,II,III, IV  (http://www.idpodcasts.net)

Patient Encounters:

Evaluation:

Oral feedback will be provided at the mid-point, and both oral and written evaluation will be reviewed with the participant at end of the elective period. (For example, 2-week participants will be evaluated at week 1 and 2; 4- week participants will be evaluated at week 2 and 4.)

Evaluation components will consist of dual evaluation by nephrology and ID faculty as applicable for clinical performance (timeliness, interest, punctuality, % sessions attended) , clinical knowledge and competency (HIV, HCV, nephrology).

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Anne Yawman
Anne_M.Yawman@lvhn.org

Report to:

Will be provided one week prior to the start of the rotation

Description:

The geriatric rotation will offer experience to observe and manage elderly patients with a wide variety of medical conditions on an inpatient and outpatient basis. Students function as members of a team with a resident and attending physicians, offering care for patients in acute, ambulatory, community and long-term care settings, in order to understand the interaction of natural aging and disease as well as the techniques of assessment, therapy and chronic and acute disease management.

Objectives:

1. Understand the normal anatomical and physiologic changes associated with aging and the concepts of homeostenosis and frailty

2. Recognize the atypical presentations of illness in the geriatric patient

3. Evaluate and manage the common geriatric conditions including:  delirium, dementia, depression, gait disorder and falls, syncope, unintentional weight loss, pain syndromes, urinary incontinence, and constipation

4. Assess for and prevent the hazards of hospitalization of the geriatric patient including:  'polypharmacy', delirium,deconditioning and functional decline, malnutrition and pain syndromes

5. Recognize the prevalence of complex and chronic disease in the elderly and its impact on functionality and quality of life

6. Understand and utilize the AGS Beer’s Criteria for potentially inappropriate medication use in the older adult

7. Administer and interpret the various standardized instruments used for assessment of cognitive function, psychological affect and physical function in the geriatric population

8. Understand the various post-acute rehabilitation and long-term care settings, including the duties of the interdisciplinary team members and Medicare/Medicaid and other insurance payment options

Rotation Activities:

Students will see patients on the hospital geriatric consultation service, the ambulatory primary care and out patient consultation service and in several post-acute care rehabilitation and long-term care settings under the direct observation of the geriatric attendings with focus on addressing all the above listed objectives. They will participate in monthly geriatric journal club and geriatric trauma meetings. Students will be given hard copy reading booklets they are expected to review, and will be expected to informally present a geriatric journal article at the end of the rotation. Students will choose one acute hospital patient from the consultation service for continuty follow through to the post-acute rehabilitation setting and provide a written summary about the experience including:  a summary of the patients course in hospital through rehabilitation,  interviews and examinations done with the patient, transitions of care concerns, care plan formulations for post-rehab and their own recommendations for improvement of the system.

Patient Encounters:

Evaluation:

The students will be evaluated based on the ACGME competencies. Students will receive a short pre-test and post-test of geriatric cases with multiple choice answers they are expected to complete at the beginning and again at the end of the rotation with expectation of a post-test score >/=80% correct .  Grades are determined by:  50%  clinical evaluation, 25% continuity patient summary writeup, 15% post-test score, 10% journal article presentation.  

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

Asa Oxner, MD
Internal Medicine
aoxner@health.usf.edu

Anna Wenders
Department of Family Medicine
amaynard@health.usf.edu

Barbara Pearce
Academic Services Administrator
Internal Medicine 4^th Year Electives Program
bpearce@health.usf.edu

Report to:

Asa Oxner, MD
Internal Medicine
aoxner@health.usf.edu

Description:

This elective integrates students into the care of elderly and those who are victims of health disparity in our community. The USF Byrd Neurosciences Institute, Senior Connections Area Agency on Aging supported by the State of Florida, and the Crisis Center of Tampa Bay have operated for many years in partnership with Tampa General Hospital as safety net systems for patients without insurance or without social resources. This elective will introduce students to the care of patients in the most vulnerable of populations.  They will be assigned to the Byrd Neurosciences clinic 5 days per week consisting of geriatric primary care, movement disorders specialty clinic, memory disorder interdisciplinary clinic. In addition, they will go one half-day to the Crisis Center and one half-day to senior connections and one full day to house-calls at an assisted living facility near USF Tampa Campus. We hope that the experience in this setting will teach students how to avoid complications, improve outcomes, reduce costs and result in fewer hospital admissions for this vulnerable patient population. 

Objectives:

By the end of the elective students will be able to:

1. Compare and contrast the health needs and problems encountered in indigent care in the elderly

2. Compare and contrast the health needs and problems in an urban setting

3. Identify the most common over-treatments of geriatric patients and the downstream complications that patient’s experience from these

4. Understand the business application of Obamacare and Medicare, and the intersection of poverty with healthcare access

5. Understand resources for involvement from the Tampa social care network

6. Understand firsthand what a health disparity is and be able to take steps to fix it

7. Develop an understanding of the costs and complexity of dealing with poorly compliant patients, elderly patients and patients with loss of cognitive ability

8. Become knowledgeable in the importance of recognizing early onset cognitive decline, and counseling the family

Rotation Activities:

1.  Direct clinical experience with geriatric patients at Byrd Neurosciences Center and assisted living facility house-call visits

2. Mandatory attendance at weekly geriatric didactic sessions in order to learn about geriatric and health disparities topics

Patient Encounters:

Evaluation:

Students will be evaluated by the course director at the end of the course based on clinical evaluations completed by residents and faculty that worked with the student. Some questions will be based on ACGME competencies.  There will also be graded patient write-ups and an oral presentation on a topic of interest to the student and Dr. Guerra at the Byrd Neurosciences Center. The grade will be 75% of course evaluation, 10% graded write-ups, and 10% oral presentation.  Students will be evaluated mid-way through the course by the course director or their designee and at the end of the course based on medical knowledge, medical skills, and demonstrated professionalism.        

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Elizabeth Bugarin
epbugarin@health.usf.edu

Barbara Pearce
Academic Services Administrator
Internal Medicine 4th Year Electives Program
bpearce@health.usf.edu

Report to:

Dr. Elizabeth Bugarin
epbugarin@health.usf.edu

Description:

This elective integrates students into the nocturnal critical care team and provides students with an overview and introduction to critical care procedures and cardiopulmonary ultrsound. Emphasis will be placed on the following technical skills : cardiopulmonary ultrasound, airway management and endotracheal intubation, invasive and non-invasive ventilation, chest tube insertion, central line placement, arterial line placement, shiley/dialysis catheter placement, swan ganz catherization, thoracentesis, paracentesis, and lumbar puncture. 

Objectives:

By the end of the elective students will be able to:

1. Perform focused cardiopulmonary ultrasound and present their findings in an organized fashion

2. Understand the basic principles of sterile technique, appropriate time-out, and perform adequate informed consent

3. Be able to assess a patient's respiratory satus and develop basic airway management skills, including mask ventilation, tracheal intubation, and laryngeal mask airway insertion

4. Be able to understand the basics of non-invasive and invasive mechanical ventilation and contraindications and indications.  Participants will be required to make clinical decisions (with supervision) about which ventilatory modality is most appropriate during real patient encounters and justify their decision

5. Develop skills in performing critical care procedures with an emphasis on thoracentesis, paracentesis, lumbar puncture, and insertion of: central line, arterial line, swan ganz, chest tube, dialysis catheters and performing endotracheal intubation

Rotation Activities:

Patient Encounters:

Evaluation:

Students will be evaluated by the main intensivist at the end of the course based on direct observation, completion of a written checklist of procedures, performance of these procedures (under supervision), medical knowledge regarding the procedures, interpersonal and communication skills, self-directed learning, and demonstrated professionalism.      

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Alfredo Peguero-Rivera
Alfredo.Peguero-Rivera@va.gov

James Burrola
(813) 978-5947

Report to:

Second Floor Dialysis Unit
Monday at 8:00 am
Monday through Friday 0800 to 1630

Description:

This elective will introduce medical students to the practice and theory of bedside ultrasonography. Bedside ultrasonography is a very useful tool for diagnosis of a variety of clinical conditions.  The elective will provide medical students the essentials of FAST and modified FAST exam for the diagnosis of hypotension, and BLUE protocol for the diagnosis of lung diseases.  The student will round with the preceptors daily and will interact with patients actively.

Objectives:

1. Understand the principles and limitations of bedside ultrasonography

2. Be familiar with the use and interpretation of the technical capabilities of bedside  ultrasound sonography

3. Understand, execute and interpret   the FAST and FAST modified ultrasonographic protocols in the diagnosis of hypotension

4. Understand, execute and interpret the Blue and BLUE modified protocols in the diagnosis of dyspnea

5. Be able to articulate quality improvement needs and outcomes relevant to the bedside ultrasonography field and/or present a clinical pertinent bedside ultrasound article

Rotation Activities:

During the course of the clinical rotations, participants will be encouraged to pursue the following:

Required Visual videos provided to the students:

1. Advance lung ultrasound applications

2. Rapid ultrasound for shock and hypotension

3. Cases in emergency ultrasound 

4. Introduction to adult echocardiography

Required Reading for all participants:

1. AIUM practice guideline  for the performance of the focused assesment with sonography for trauma (FAST) examination) J Ultrasound Med. 2014 feb 27 (2);313-8         

2. Relevance of lung ultrasound in the diagnosis of acute respiratory failure The BLUE Protocol. Chest 2008 134; 117-125

Suggested additional ultrasound literature journals and books:

Sign up for Athens access at VA Medical Library (2^nd floor) for full access

Patient Encounters:

1. Oral feedback will be provided at the mid-point, and both oral and written evaluation will be reviewed with the participant at the end of the elective period.

2. Evaluation will consist of clinical performance (timeliness, interest, punctuality, % of sessions attended).

3. Clinical knowledge and competency pattern ultrasonographic recognition post-test scoring.

Evaluation:

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Alexander Reiss, MD
Alexander.Reiss@va.gov

Report to:

VAH

Room 7b723 or 7b724 on the 7^th floor near the patient elevators

Description:

This rotation is designed to further the fourth year medical student’s education in internal medicine and examine the topics of patient safety and preventable medical errors. During the month, the student will provide hospitalist care for a limited number of inpatients admitted to the general medical wards under the direct mentorship of medicine attendings, simulating the role of private hospitalist physicians. There is no call or weekend work. Integrated into the clinical duties is a curriculum focused on medical errors and patient safety. It includes didactic sessions, practical exercises in identifying engineering hazards, and safety workshops. In 1999, The Institute of Medicine published To Err Is Human: Building a Safer Health System asserting a sobering statistic: tens of thousands of patients die each year in the U.S. from medical errors. Since that landmark publication, the concepts of medical errors and patient safety have surged into the spotlight of the media, the public, and policymakers. This rotation creates a new framework for students/physicians to consider patient safety and prevention of medical errors while advancing the internal medicine skills of the student, preparing them for internship.

Objectives:

1. Further the student’s education of internal medicine

2. Expose the student to the concepts of patient safety and preventable medical errors

3. Introduce the student to hospitalist medicine 

4. Explore the "systems" approach to medical errors

5. Understand human factor engineering in the medical environment

6. Participate in root cause analysis process

Rotation Activities:

1. Gain understanding of Hospitalist medicine concepts

2. Understand human factor engineering and cite specific patient care examples

3. Manage patients in the capacity of an acting intern during business hours, answering pages, writing orders and notes, and admitting and discharging them

4. Participate in root cause analyses if opportunity is available

5. Attend learning conferences with the house staff

6. Present a morning report or noon conference on patient safety

7. Understand the "system" approach to medical errors and contrast that with the "blame" system

Patient Encounters:

Evaluation:

Supervising attending evaluations, completion of skills modules, quiz scores, presentation evaluations, etc.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Asa Oxner, MD
Internal Medicine
aoxner@health.usf.edu

Anna Wenders
Department of Family Medicine
amaynard@health.usf.edu

Barbara Pearce
Academic Services Administrator
Internal Medicine 4^th Year Electives Program
bpearce@health.usf.edu

Report to:

Asa Oxner, MD, Internal Medicine aoxner@health.usf.edu 

Description:

This elective is designed to introduce students to the practice of medicine in a rural community. Under the supervision of clinical faculty, students will have the opportunity to practice in a private office or in a community/migrant health center. Students will also round with the preceptor in the hospital. This elective will provide students with a better understanding of rural medicine and the tremendous health needs of underserved rural and migrant populations. Housing will be provided for students at DeSoto Memorial Hospital. Gulfcoast South AHEC will provide students with a fixed travel reimbursement.

Objectives:

1. Compare and contrast the health needs and problems encountered in rural practice to those encountered in prior urban rotations

2. Identify the unique opportunities and challenges to medical practice and life in a rural area

3. Introduce/sensitize the student to cross-cultural issues in health care

4. Understand mechanisms and indications for consultation and referral in rural practice

5. Evaluate the business management of rural practice including availability of organized funding for patient care, managed care, etc.

Rotation Activities:

1.  Direct clinical experience in rural medicine for underserved populations including migrant farm workers at Suncoast Community Health Center and homeless patients across Hillsborough, Pasco, and Pinellas Counties.

2. Complete a quality improvement project for one of our clinical sites. Examples include a process map of patient flow in the medical van and an inexpensive formulary of medications that are available to patients.

Patient Encounters:

Evaluation:

The clinical faculty will evaluate the progress and performance of the student in the clinical setting(s).

Syllabus:

Visiting Students:

No

Special Instructions:

This elective must be scheduled through Anne Wenders from the AHEC office. Final arrangements for the elective must be made through the Ms. Wenders (amaynard@health.usf.edu) in conjunction with Gulfcoast North or Gulfcoast South AHEC. Health Resource Alliance (Pasco), Suncoast Community Health Centers (Hillsborough), DeSoto Memorial Hospital (Arcadia), or other rural sites

Contact:

Dr. Olga Klinkova
Olga.Klinkova@moffitt.org
(813) 745-8565

Report to:

Dr. Klinkova at Moffitt Cancer Center on the first day of the rotation

The Attendings at Moffitt schedule change every week. The students receive their schedules a week before the start of the rotation with the Attendings.

Description:

This course is a 4-week experience for the 4th year medical student at one of our major inpatient teaching hospital site, Moffitt Cancer Center.

The student will function as acting or "early" intern on an internal medicine consult service. He/She will be given the full range of clinical duties and responsibilities usually assigned to a first year house officer. The attending will closely supervise these clinical responsibilities. The level of responsibility is distinctly above that of the third year consult rotation. The elective will afford the participating student an in-depth consultative experience in total patient management.

The only mandatory conferences that students are required to attend are AM report, noon conference, and Grand Rounds. There are no other weekly didactic sessions to attend. There are no weekly quizzes. There are no end of course examinations.

Objectives:

1. Conduct a preoperative evaluation

2. Evaluate and treat postoperative complications such as Atrial Fibrillation, Diabetes, Hypertension Urgencies/Emergencies

3. Approach for diagnosis and treatment of VTE in a cancer patient

4. Attend Morning Report, Noon conference, Grand Rounds and Internal Medicine Board Review

Rotation Activities:

Students will work directly with the Medicine attending on the Internal Medicine Consultation Service at Moffitt Cancer Center. The student will be exposed to a variety of different medical issues in the setting of an oncological diagnosis. This will include preoperative evaluations, as well as management of postoperative complications such as Atrial Fibrillation, Pulmonary Embolism, Hypertension Urgencies/Emergencies. This experience will prepare and enhance the student’s critical thinking skills needed to think as an Internal Medicine Consultant. Morning report, noon conferences, Grand Rounds, and board review will also be a required portion of this rotation. 

Patient Encounters:

Evaluation:

The student’s final grade is determined by his/her clinical faculty evaluation which is completed at the end of the 4-week experience. Students should solicit mid-rotation feedback from their preceptors at the completion of the first half of the experience. No feedback form is required; however, this will facilitate discussion of competencies met or issues that need to be addressed prior to the completion of the rotation. Likewise, this formative feedback may serve as a springboard to the summative feedback that is given at the end of the rotation.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Barbara Pearce
Academic Services Administrator
Internal Medicine 4^th Year Electives Program
bpearce@health.usf.edu

Report to:

Contact the resident and attending assigned to the consult service one week prior to the start of the rotation.

Description:

This course is a 2-week experience for the 4th year medical student at one of our major inpatient teaching hospital site, Tampa General Hospital.

The student will function as acting or "early" intern on an internal medicine consult service. He/She will be given the full range of clinical duties and responsibilities usually assigned to a first year house officer. The attending will closely supervise these clinical responsibilities. The level of responsibility is distinctly above that of the third year consult rotation. The elective will afford the participating student an in-depth consultative experience in total patient management.

The only mandatory conferences that students are required to attend are morning report, noon conference, and Grand Rounds. 

Objectives:

1. Conduct a preoperative evaluation

2. Evaluate and treat postoperative complications such as Atrial Fibrillation, Diabetes, Hypertension Urgencies/Emergencies

3. Approach for diagnosis and treatment of VTE in surgical patients

4. Evaluate and treat common medical problems in both the pre- and post-operative patient

Rotation Activities:

Students will work directly with the Medicine attending on the Internal Medicine Consultation Service at Tampa General Hospital. The student will be exposed to a variety of different medical issues perioperatively and postoperatively.  This will include preoperative evaluations, as well as management of postoperative complications such as Atrial Fibrillation, Pulmonary Embolism, Hypertension Urgencies/Emergencies. This experience will prepare and enhance the student’s critical thinking skills needed to think as an Internal Medicine Consultant. Morning report, noon conferences, Grand Rounds, and board review will also be a required portion of this rotation. 

Patient Encounters:

Evaluation:

The student’s final grade is determined solely by his/her clinical faculty evaluation which is completed at the end of the experience. Students should solicit mid-rotation feedback from their resident and attending. No feedback form is required; however, this will facilitate discussion of competencies met or issues that need to be addressed prior to the completion of the rotation.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Cuc Mai
cmai@health.usf.edu

Report to:

Contact cmai@health.usf.edu one week prior to the start of the rotation for rotation schedule.

Description:

This elective offers the fourth year medical student a review of pertinent skills for a smoother transition to internship.

Objectives:

1. Diagnose and treat common overnight call issues

2. Practice and learn common bedside medical procedures

3. Improve teaching skills to be a better educator

4. Improve communication skills specifically delivering bad news

5. Familiarize yourself with ancillary medical services in the hospital/community and how these services can improve patient care

6. Learn skills to improve balancing the rigors of residency with personal/social endeavors

At the end of the month, students should feel more comfortable with the skills that will make their transition to residency smoother and to maximize the learning environment in residency.

Rotation Activities:

The course will predominantly consist of case based conferences which will be a review such topics as writing orders, common overnight call issues, common procedures, reading EKG, CXR, and ABGs, electrolyte abnormalities, ACLS protocol, the role of the resident as an educator and evaluator, tips for improving patient and family communication, review of advance directives and the utilization of other resources. Students will be required to shadow the cross cover resident during the work week twice during the month. Attendance to various internal medicine conferences (morning report and noon conference) is optional.

Patient Encounters:

Evaluation:

Students will be evaluated on attendance, participation in case based conferences, involvement in cross cover calls, and an end of the month presentation.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A