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

Tampa Instructions

Students in the SELECT (LVHN) program who rotate at one of the Tampa campus sites must contact Courtney Johns at cbjohns6@usf.edu 8 weeks before the start of the Tampa elective (with the following information) to ensure that all appropriate hospital credentials are in place.

Name of elective
Site of elective
Dates of elective

LVHN Instructions

Students in the Core (Tampa) program who rotate at one of the LVHN campus sites should do the following:

For housing requests, visit https://secure.jotformpro.com/form/40904101972953
Complete the State of Pennsylvania Criminal Clearances in CERTIPHI.
Orientation Modules https://www.lvhn.org/network-wide-orientation-modules#

Please sign and email copies of the following forms to: medicalstudents@lvhn.org
Acknowledgement of Confidentiality form: https://www.lvhn.org/sites/default/files/2019-03/Acknowledgement_of_Confidentiality.pdf
CPSL Affidavit: https://www.lvhn.org/sites/default/files/2019-03/affidavit%20-%20student%20cpsl.pdf
Copy of your current Immunization Record (including proof of current TB test and seasonal flu vaccination (Mandatory for all rotations occurring between Oct 1 – May 1.)

Drop/Add open 4/27/20 - 01/31/21

Drop/add requests must be submitted at least one month in advance of the rotation.
Log into Archivum at https://usf.appiancloud.com.
- Click My Actions & Tasks
- Click Submit Drop Add Request
- Select your track
- Scroll down to view your Eligible Courses to Drop. Click the plus sign (+) to the left of the course. If you make a mistake, you can click the red (x) to the right of the course.
- Scroll down to Eligible Courses to Add
- Select the Period.
- Begin typing the desired course in the Course field
- (Optional) Select a Site
- Find your course and click the plus sign (+) to the left
- Click Submit
To view your completed requests in Archivum
- Click Academic Profile
- Click 4^th Year Scheduling
- Scroll down to view and click the magnifying glass for more information on individual requests.
Even though you have submitted a request, it is not approved until you receive an email from the Office of Registrar. Your schedule will not be changed until then. Your advisor and the course coordinator must both approve your request, then I will review your schedule and make changes as appropriate. Please make sure to review the requirements for the fourth year (20-21 Graduation and Track Requirements) to make sure your new schedule will be in compliance. When reviewing drop/add requests, I will take your entire schedule into consideration. For example, you will not be permitted to drop a required course unless you have submitted a request to add it in a different period. You may also view the Fourth Year Academic Calendar to determine the dates for each period.
Drop/add closes 01/31/21.

Electives Open/Closed Report - Please refer to this report when looking for courses that might have availability. This report will be updated on a weekly basis and does not reflect any pending requests still in the system. This report is meant to serve as a guideline.

Electives_OpenClosed_Report 1.29.21.pdf

Instructions for Reading Report

Please note: Changes are not automatic. There are three levels of approval (coordinator, advisor, registrar). Requests are typically processed within a 2-3 day window, but may be a little longer at the beginning of the year when many students make changes.

The Electives Open/Closed Report lists each elective in each period, how many slots are offered, and how many have already been taken. For example:

Period

Prefix

Numb

Title

Site

4 WEEK PERIOD

MEL

xxxx

Elective Y

USFMS

8/3

0/0

8/6

8/7

0/0

8/6

8/8

8/5

0/0

Elective Y is offered in periods 1, 5, 6, 9, 10, and 11. (Period 12 is an extra month for remediation purposes.) There are a total of 8 slots available in each of those periods. 3 students are enrolled in period 1, so there are 5 slots available. Period 10 is full.

For courses offered as a two-week rotation, the total number of spots in one period cannot exceed the number of slots. For example:

Period

Prefix

Numb

Title

Site

2 WEEK PERIOD A

MEL

xxxx

Elective Z

TGH

2/0

2/1

2/0

2/1

2/0

0/0

2 WEEK PERIOD B

MEL

xxxx

Elective Z

TGH

2/0

2/1

2/0

2/1

2/0

2/1

2/0

0/0

4 WEEK PERIOD

MEL

xxxx

Elective Z

TGH

2/0

2/1

2/2

2/0

2/1

0/0

Period A is the first half of the period, and Period B is the second half. In Period 5, the enrollment adds up to 2 people for the four weeks, one four week person, one two week person in A, and one two week person in B. For this course, there cannot be more than 2 students enrolled at any one time. Based on the report, in period 10, either one more student could register for the full four weeks, or one more student could be in both Period A and Period B

Course Key

See Course Key for a definition of sites.

Calendar

Calendar 20-21.pdf

Dept

Division

Course

Site

Periods

Pre-req

Max Enroll

Min Enroll

Hours/Wk

Weeks

Instructor of Record

Type

Anat

BMS 8187 Advanced Human Anatomy

Click here for additional course information

Contact:	Dr. Srinivas Bharadwaj sribharadwaj@usf.edu
Report to:	Contact Dr. Bharadwaj at sribharadwaj@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:	Perform an in-depth study of anatomy as it relates to surgical and other clinically relevant disciplines List the major pathologic processes that has a distinct gross anatomic correlate Outline the anatomic basis of procedures and associated complications Understand the structural organization of the human body to the interpretation of disease processes Develop experience and demonstrate competence in dissection/prosection techniques Develop in depth understanding of three-dimensional presentations of anatomy through prosection Develop the ability to work independently and responsibly, and interact with peers and Faculty Self-assess and communicate to peers and faculty their understanding of Anatomy 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:	Elective Syllabus 8187.pdf
Visiting Students:	No
Special Instructions:	SonoSim modules can be completed online. Periods 8-10 are offered as hands-on rotations only.

USFMS

1, 3 - 11

None

No Limit

0

44 2,4

Bharadwaj, Srinivas

Basic Science

Anat

MDE 8521 Applied Head and Neck Anatomy

Click here for additional course information

Contact:	Dr. Hector Lopez-Cardona lopezh@usf.edu
Report to:	Contact Dr. Lopez-Cardona at lopezh@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:	Perform an in-depth study of anatomy as it relates to surgical and other clinically relevant disciplines List the major pathologic processes that has a distinct gross anatomic correlate Outline the anatomic basis of procedures and associated complications Understand the structural organization of the human body to the interpretation of disease processes Develop experience and demonstrate competence in dissection/prosection techniques Develop in depth understanding of three-dimensional presentations of anatomy through prosection Develop the ability to work independently and responsibly, and interact with peers and Faculty Self-assess and communicate to peers and faculty their understanding of Anatomy 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.

USFMS

1, 3 - 11

None

No Limit

6

40

2 Lopez Cardona, Hector

Basic Science

Anat

MDE 8522 Applied Anat of the MSK System

Click here for additional course information

Contact:	Dr. Hector Lopez-Cardona lopezh@usf.edu
Report to:	Contact Dr. Lopez-Cardona at lopezh@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:	Perform an in-depth study of anatomy as it relates to surgical and other clinically relevant disciplines List the major pathologic processes that has a distinct gross anatomic correlate Outline the anatomic basis of procedures and associated complications Understand the structural organization of the human body to the interpretation of disease processes Develop experience and demonstrate competence in dissection/prosection techniques Develop in depth understanding of three-dimensional presentations of anatomy through prosection Develop the ability to work independently and responsibly, and interact with peers and Faculty Self-assess and communicate to peers and faculty their understanding of Anatomy 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.

USFMS

1, 3 - 11

None

No Limit

6

40

2 Lopez Cardona, Hector

Basic Science

Anat

MEL 9999A Indep Study - Anatomy

USFMS

1 - 11

None

No Limit

0

44 2,4

Bharadwaj, Srinivas

Indep Study

Anesth

MDE 8700 Anesthesiology Elective

Click here for additional course information

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

LVHN

1 - 11

Yr 4 Status

1

0

50 2,4

Schwann, Nan

Clinical

Anesth

MDE 8700 Anesthesiology Elective

Click here for additional course information

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.
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.
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

MCC

1 - 11

Yr 4 Status

1

0

50

4 Evans, Raymond

Clinical

Anesth

MDE 8700 Anesthesiology Elective

Click here for additional course information

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. An introduction to Transthoracic Echocardiogram (TTE) and/or Transesophageal Echocardiogram (TEE) would be presented to students interested.
Patient Encounters:	The patient case types will depend on the medical specialty the student 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

T-VAH

1 - 11

Yr 4 Status

1

0

50

4 Lee, Leland

Clinical

Anesth

MEL 7320Z Externship - Anesthesiology

EXT

1 - 10

Yr 4 Status

No Limit

0

44

4 Klein, Malcolm

Externship

Card

MDE 8224 Consultative Cardiology

Click here for additional course information

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

LVHN

1 - 11

Yr 4 Status

2

0

44 2,4

Jacobs, Larry

Clinical

Card

MDE 8224 Consultative Cardiology

Click here for additional course information

Contact:	Twyla Sumpter tsumpter@health.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

TGH

1 - 11

Adult Med, Pri Care

2

0

44 2,4

Prida, Xavier

Clinical

Card

MDE 8224 Consultative Cardiology

Click here for additional course information

Contact:	Twyla Sumpter tsumpter@health.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

T-VAH

1 - 11

Adult Med, Pri Care

2

0

44 2,4

Leonelli, Fabio

Clinical

Card

MDE 8226 Cardiology Acute Coronary Care

Click here for additional course information

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

LVHN

1 - 11

Yr 4 Status

2

0

50 2,4

Jacobs, Larry

Clinical

Derm

MDE 8251 Clinical Dermatology

Click here for additional course information

Contact:	Laura Cessna lcessna1@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

MCAH

1 - 11

Yr 4 Status

4

0 40-44

4 Patel, Nishit

Clinical

Derm

MDE 8536 Elective in Dermatopathology

Click here for additional course information

Contact:	Laura Cessna lcessna1@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

USFMS

8 - 11

Yr 4 Status

2

0 40-44

4 Rodriguez-Waitkus, Paul

Derm

MDT 8250 Special Topics in Dermatology

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Contact:	Laura Cessna lcessna1@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

USFMS

1 - 12

None, Yr 3 only

1

0

40

2 Patel, Nishit

Derm

MEL 7320L Externship in Dermatology

EXT

1 - 7

Yr 4 Status

No Limit

0

44

4 Patel, Nishit

Externship

Derm

MEL 9999L Indep Study in Dermatology

USFMS

1 - 11

Yr 4 Status

No Limit

0

44

4 Patel, Nishit

Indep Study

Emerg Med

MDE 8714 Intro to Medical Toxicology

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Contact:	Dawn Yenser Dawn.Yenser@lvhn.org (484) 884-2489
Report to:	Will be provided one week prior to the start of the rotation.
Description:	Medical Toxicology is best described broadly as the field of medicine with expertise in the health effects caused by pharmaceuticals, occupational exposures and environmental agents. Toxicologists assist in the management of medication overdoses, addiction and withdrawal states, envenomations, hazardous materials exposures and workplace hazards. Toxicologists oversee the clinical operations of a Poison Center.
Objectives:	1. Become familiar with fundamental concepts underpinning the clinical management of Toxicological patients. Participation in the diagnosis and treatment of selected acute and chronic exposures in adults and children is expected. Elements of competency include reliable history-taking, physical examination aimed at the detection of toxidromes, formulation of differential diagnoses, implementation of treatment, and development of safe disposition plans. 2. Understand the principles, methods and controversies related to limiting toxic exposures by decontamination including gastric lavage, activated charcoal administration, renal replacement therapy, ion trapping, and hyperbaric oxygen. 3. Review knowledge of basic kinetic principles of drug absorption, redistribution, metabolism, and elimination. 4. Study poisoning epidemiology specifically within populations ‘at risk’ such as toddlers, the elderly, pregnant or nursing women, migrants and immigrants. 5. Complete case studies from approximately 20 classes of drugs and poisons commonly encountered in clinical practice. Emphasis will be placed on assessing severity and initiating timely, appropriate treatment. 6. Learn guiding principles of the management of acute intoxication in the Emergency Department. Commonly abused drugs for specific socioeconomic groups will be reviewed. Withdrawal states will also be discussed. 7. Become familiar with selected antidotes, their uses, doses, side effects and limitations. 8. Develop awareness for important agents of toxinology (naturally occurring toxins). These include plants and animals toxins, especially focusing on native venomous arthropods, reptiles and marine creatures. 9. Understand diagnostic toxicology laboratory techniques, limitations and costs of both qualitative and quantitative analyses. 10. Observe the clinical operation of a Poison Center. Understand the public health role of the Poison Centers in gathering and disseminating data including protected health information (PHI).
Rotation Activities:	1. A mandatory orientation is to be attended by the student in the first few days of the rotation. 2. Observation and participation in telephone consultations at LVHN Poison Information is expected. Students will review cases referred for medical treatment and other cases of interest. 3. A series of standard cases accompanies independent reading assignments. Expect about 20-24 hours of small group discussion. 4. Attendance at a variety of teaching rounds and meetings will be required. 5. Participation in inpatient consultations is expected. Volumes of patients are variable month to month. Students should keep a record of all patients encountered. 6. Students will be expected to prepare two 10 minute presentations on a pre-approved topic of their choice to be shared with toxicology rotators and poison center staff. It should be of narrow scope and of sufficient quality to be included in the rotators teaching files for future students to use. 7. Guided tours of the toxicology laboratory and other field trips may be available. 8. The opportunity to conduct clinical or laboratory research, construct toxicology teaching materials, or to write a review paper for publication is encouraged and is available by arrangement in advance of the rotation.
Patient Encounters:
Evaluation:	1. Case study preparation will be assessed during discussions with the medical toxicologist. 2. Attendance at conferences and assigned poison center shifts will be counted in the evaluation. 3. A written test is administered at the end of the month. 4. For special arrangements involving research, writing or teaching, quality and completion of the project will contribute to the grade. 5. Input on professionalism and participation will be solicited from the Poison Center staff.
Syllabus:
Visiting Students:	Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:	N/A

LVHN

2 - 5, 7 - 11

Yr 4 Status

1

0

40

4 Cook, Matthew

Clinical

Emerg Med

MDE 8714 Intro to Medical Toxicology

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Contact:	Pamela Bhowanidin (813) 844-7044 Dr. Justin Arnold jkarnold@usf.edu
Report to:	One Davis Blvd, Suite 203 (Second Floor) at 9 am on the first weekday of the rotation
Description:	Medical Toxicology is best described broadly as the field of medicine with expertise in the health effects caused by pharmaceuticals, occupational exposures and environmental agents. Toxicologists assist in the management of medication overdoses, addiction and withdrawal states, envenomations, hazardous materials exposures and workplace hazards. Toxicologists oversee the clinical operations of a Poison Center.
Objectives:	1. Become familiar with fundamental concepts underpinning the clinical management of Toxicological patients. Participation in the diagnosis and treatment of selected acute and chronic exposures in adults and children is expected. Elements of competency include reliable history-taking, physical examination aimed at the detection of toxidromes, formulation of differential diagnoses, implementation of treatment, and development of safe disposition plans. 2. Understand the principles, methods and controversies related to limiting toxic exposures by decontamination including gastric lavage, activated charcoal administration, renal replacement therapy, ion trapping, and hyperbaric oxygen. 3. Review knowledge of basic kinetic principles of drug absorption, redistribution, metabolism, and elimination. 4. Learn guiding principles of the management of acute intoxication in the Emergency Department. Commonly abused drugs for specific socioeconomic groups, occupational toxins and hazards, as well as withdrawal syndrome will be reviewed. 5. Become familiar with selected antidotes, their uses, doses, side effects and limitations. 6. Observe the clinical operation of a Poison Center. Understand the public health role of the Poison Centers in gathering and disseminating data including protected health information (PHI). 7. Understand basic management and response principles related to hazardous materials (HAZMAT) incidents. 8. Manage a variety of poisoned patients through daily case-based learning, case review, and consultations.
Rotation Activities:	1. A mandatory orientation is to be attended by the student in the first few days of the rotation. 2. Observation and participation in telephone consultations at the Florida Poison Information – Tampa is expected. Students will review cases referred for medical treatment and other cases of interest. 3. Participation in daily case review of active poison center paints is required. 4. Participation in a variety of teaching activities, including but not limited to in person lectures, webinars, statewide journal club, off-site visits to local zoos and toxicology-related public health meetings and events, and regional training and conferences (when possible). 5. Asynchronous learning through the assignment of selected journal articles relevant to the practical application of toxicology in the acute care setting. Approximately 30 articles are routinely assigned, and ample time is provided to review the assigned articles. 6. Preparation of an abstract suitable for submission to a regional, national, or international conference on an interesting patient presentation encountered during the rotation. 7. Students will be expected to prepare a 15-minute presentation on a pre-approved topic of their choice to be shared with toxicology rotators and poison center staff.
Patient Encounters:
Evaluation:	1. Individual case presentations and management will be assessed during discussion with the medical toxicologist. 2. Attendance at daily case discussion, lectures, webinars, and other poison center activities will be counted in the evaluation. 3. Reading of assigned journal activities will be assessed through two quizzes throughout the rotation. One quiz will occur halfway through the rotation while the second quick will occur at the end of the rotation. 4. The quality of the prepared abstract will be counted in the evaluation. 5. Input on professionalism and participation will be solicited from the Poison Center staff.
Syllabus:
Visiting Students:	Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:	N/A

TGH

5-6, 8-9

Yr 4 Status

4

0

40 2,4

Arnold, Justin

Clinical

Emerg Med

MDI 8710 AI in Emergency Medicine

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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

LVHN

1 - 8

Yr 4 Status

2

0 40-44

4 Worrilow, Charles

Clinical

Emerg Med

MDI 8710 AI in Emergency Medicine

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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

TGH

1 - 11

Intro to EM

6

0 40-44

4 Thomas, Andrew

Clinical

Emerg Med

MDR 8710 Research in Emergency Medicine

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Contact:	Dr. Jason Wilson tampaerdoc@gmail.com
Report to:	Dr. Jason Wilson
Description:	Students participating in the elective should be interested in pursuing a career in emergency medicine.
Objectives:	1. Obtain human subjects research certification and understand the principles and history of human subjects research. During this process, student will obtain CITI certification. 2. Understand the administrative infrastructure necessary to operationalize emergency medicine/acute care research 3. Develop the ability to design and evaluate testable scientific hypotheses for clinical research 4. Participate in monthly Journal Club 5. Become familiar with study protocols, FDA regulations for clinical research, patient consent process
Rotation Activities:	1. Obtain CITI certification 2. Attend Hospital Research Meetings 3. Attend EM Grand Rounds 4. Liaison with Research Assistant clinical Team 5. Develop scholarly project in conjunction with Research Director
Patient Encounters:
Evaluation:	The student will be assessed during this rotation in four ways. 1. 25% participation at assigned meetings and research shifts 2. 25% observations of student motivation/achievement/abilities during patient and staff interactions 3. 25% participation and completion of Journal Club assignment (3 articles each with journal club worksheet) 4. 25% online, open-notes/open-resource quiz on the foundations of EBM
Syllabus:
Visiting Students:	No
Special Instructions:	Any interested student should contact Dr. Wilson to plan the elective. This should be done at least 3 months prior to the start of the elective.

TGH

1 - 11

None

2

0

40 2,4

Wilson, Jason

Research

Emerg Med

MDT 8710 Intro to Emergency Medicine

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Contact:	Anish Zachariah, MD ZachariahMD@gmail.com
Report to:	Dept. of Emergency Medicine One Davis Blvd. Suite 502 Tampa, FL 33609
Description:	Because of the wide array or patients and pathology, the rotation is an excellent introduction to acute care and primary care medicine regardless of which ever field the student may be considering. It is required pre-requisite for those USF students considering Emergency Medicine as as career.
Objectives:	This rotation will enrich students' knowledge, help them develop history-taking ability, physical skill assessment, and diagnostic and management skills, procedural skills, as well as help them develop a caring, compassionate, and empathetic attitude in dealing with patients and their families.
Rotation Activities:	This introduction to Emergency Medicine integrates clinical skills and evidence-based medicine through didactic lectures, observation, performance of clinical procedures, hands-on clinical experiences, 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. They are expected to evaluate patients, address their presenting complaints, initiate workups, and provide definitive therapies. There is also interactive simulated skills sessions ranging from suturing, central lines, lumbar puncture, and intubations.
Patient Encounters:
Evaluation:	The student's grade is primarily based on daily attending evaluations but will incorporate quality case presentations, clinical skills evaluation, required attendance at emergency medicine conferences, and written testing.
Syllabus:
Visiting Students:	No
Special Instructions:	N/A

TGH

1 - 9 (Yr 4) 1-12 (Yr 3)

None

5

0

40

2 Zachariah, Anish

Clinical

Family Med

MDE 8104 Complex Care in the Community

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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.

LVHN

1,3,5,7,9,11

Yr 4 Status

2

0

40

4 Lecher, Abby

Clinical

Family Med

MEL 7258 Elect in Rural Med or Underserved

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Contact:	Mackenzie Mady, DO 502 S. Second St St. Clair, PA 17970 Mackenzie.mady@lvhn.org Office: (570) 621-4364 Cell: (570) 573-3659
Report to:	Students will be contacted by Dr. Mady and Diane Boris a week prior to the rotation to coordinate housing as well as to gather more information re: the student’s interests in an effort to tailor the experience. Reporting information will be discussed at this time.
Description:	This is a rural/underserved health elective in which a student will be matched with an attending physician in the Schuylkill 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 INCLUDE A DAILY COMMUTE OF UP TO 60 minutes each direction if driving from LVHN- Cedar Crest; though, housing within the local community is 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. Opportunities are available for additional practice activities within the hospital (e.g. pediatric hospitalists and emergency department), local specialists (e.g. cardiology and pulmnology), and in the community. 4. Students may travel to LVPG Family Medicine Hamburg for additional procedures, as well as Allentown for residency-based activities/activities related to the students’ particular interests
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:	Diane Boris, MBA coordinates housing: 700 East Norwegian Street Pottsville, PA 17901 Phone: 570-621-4142 Email: Diane.Boris@lvhn.org

LVHN

1 - 11

Yr 4 Status

1

0 40-44

2,4

Brohm, Veronica

Clinical

Family Med

MEL 7258 Elect in Rural Med or Underserved

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Contact:	Linda Giordano lindag@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)

PCHG

1 - 11

Yr 4 Status

1

0 40-44

4 Faculty at PCHG

Clinical

Family Med

MEL 7258 Elect in Rural Med or Underserved

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Contact:	Linda Giordano lindag@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)

DMH

1 - 11

Yr 4 Status

1

0 40-44

4 Faculty at DMH

Clinical

Family Med

MEL 7258 Elect in Rural Med or Underserved

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Contact:	Linda Giordano lindag@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)

SCHC

1 - 11

Yr 4 Status

1

0 40-44

4 Faculty at SCHC

Clinical

Family Med

MEL 7258 Elect in Rural Med or Underserved

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Contact:	Linda Giordano lindag@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)

CHCP

1 - 11

Yr 4 Status

1

0 40-44

4 Faculty at CHCP

Clinical

Family Med

MEL 7267 International Health Elective

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Contact:	Eduardo Gonzalez, MD egonzale@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.

EXT

1 - 9

Yr 4 Status

4

0 45-50

4 Gonzalez, Eduardo

Clinical

Family Med

MDI 8120 Acting Internship Family Med

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Contact:	Linda Giordano lindag@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.

BFMC

1, 3 - 6, 8 - 11

Yr 4 Status

1

0 40-50

4 Gonzalez, Eduardo

Clinical

Family Med

MDI 8120 Acting Internship Family Med

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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 include 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.

LVHN

1 - 11

Yr 4 Status

2

0 40-50

4 Brohm, Veronica

Clinical

Family Med

MDI 8120 Acting Internship Family Med

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Contact:	Linda Giordano lindag@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.

MPMHC

1 - 11

Yr 4 Status

1

0 40-50

4 Gonzalez, Eduardo

Clinical

Family Med

MDE 8585 Elective in Sports Medicine

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Contact:	Linda Giordano lindag@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 lindag@usf.edu prior to enrolling.

MCAH

5,6

Intro to Derm, Ortho, and Rheum

1

0 40-50

4 Coris, Eric

Clinical

Family Med

MEL 8255 Family Medicine Residency Elect

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Contact:	Linda Giordano lindag@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; Advent Health, Orlando (formerly 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 lindag@usf.edu.

BFMC

1, 3 - 6, 8 - 11

Yr 4 Status

2

0 40-44

2,4

Faculty at Res Program

Clinical

Family Med

MEL 8255 Family Medicine Residency Elect

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Contact:	Linda Giordano lindag@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; Advent Health, Orlando (formerly 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 lindag@usf.edu.

FH

1 - 8

Yr 4 Status

2

0 40-44

2,4

Faculty at Res Program

Clinical

Family Med

MEL 8255 Family Medicine Residency Elect

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Contact:	Linda Giordano lindag@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; Advent Health, Orlando (formerly 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 lindag@usf.edu.

HH

3 - 7

Yr 4 Status

1

0 40-44

2,4

Faculty at Res Program

Clinical

Family Med

MEL 8255 Family Medicine Residency Elect

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Contact:	Linda Giordano lindag@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; Advent Health, Orlando (formerly 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 lindag@usf.edu.

TMH

2 - 8

Yr 4 Status

1

0 40-44

2,4

Faculty at Res Program

Clinical

Family Med

MEL 8255 Family Medicine Residency Elect

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Contact:	Linda Giordano lindag@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; Advent Health, Orlando (formerly 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 lindag@usf.edu.

SVMC

1, 6 - 11

Yr 4 Status

1

0 40-44

2,4

Faculty at Res Program

Clinical

Family Med

MEL 8255 Family Medicine Residency Elect

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Contact:	Linda Giordano lindag@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; Advent Health, Orlando (formerly 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 lindag@usf.edu.

MPMHC

1 - 11

Yr 4 Status

2

0 40-44

2,4

Faculty at Res Program

Clinical

Family Med

MEL 8255 Family Medicine Residency Elect

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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:	During this elective, 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 the office, hospital, and community and will demonstrate the meaning of a "community of healing." The skills and values of "Turtle Craft," the name of our relationship-centered approach to family medicine, will be taught. Come and see innovative education in action.
Objectives:	1. Introduce the student to the relationship of Family Medicine and 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:	The student will have primary responsibility for care of assigned patients while in the clinic and in the hospital setting. In addition to patient encounters, the students will also participate in residency didactic sessions, journal club/Evidence Based Medicine sessions, behavioral medicine clinic, nursing home experiences, and residency reflective activities. There is no call or nightfloat for this rotation unless requested by the student.
Patient Encounters:
Evaluation:	Fund of medical knowledge and quality of 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 Family Medicine Portfolio completion
Syllabus:	Will be provided one week prior to the start of the rotation
Visiting Students:	Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:	N/A

LVHN

1 - 11

Yr 4 Status

3

0 40-50

2,4

Brohm, Veronica

Clinical

Family Med

MEL 8263 Public Sector Medicine

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Contact:	Linda Giordano lindag@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

USFMS

1 - 11

None

2

0

44 2,4

Woodard, Laurie

Clinical

Family Med

MEL 8264 Fam Med Elect-USF Med Clinics

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Contact:	Linda Giordano lindag@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.

MCAH

1 - 11

Yr 4 Status

2

0

44

4 Gonzalez, Eduardo

Clinical

Family Med

MEL 8265 Family Medicine Preceptorship

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Contact:	Linda Giordano lindag@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.

CF

1 - 11

Yr 4 Status

1

0 44-50

2,4

Community Faculty

Clinical

Family Med

MEL 8272 Women's Health Elective

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Contact:	Linda Giordano lindag@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

MPMHC

1 - 5, 10 - 11

Pri Care

1

0

50

2 Faculty at MPMHC

Clinical

Family Med

MEL 8273 Fam Med Flexible Elect

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Contact:	Linda Giordano lindag@usf.edu (813) 974-1996
Report to:	Will be provided prior to the start of the elective.
Description:	This elective provides students 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.

MPMHC

1 - 11

None

3

0

40 2,4

Faculty at MPMHC

Clinical

Family Med

MDT 8010F EPA Course in Family Med

Click here for additional course information

Contact:
Report to:
Description:	Entrustable Professional Activities (EPAs) are units of professional practice, defined as tasks or responsibilities that trainees are entrusted to perform unsupervised once they have attained sufficient specific competence. EPAs are independently executable, observable, and measurable in their process and outcome, and, therefore, suitable for entrustment decisions. In this elective, 4^th year students who plan to join a Family Medicine residency program will be exposed to, and assessed in, activities that all entering residents should be expected to perform on day 1 of Family Medicine residency. The goal is to provide a smooth transition for the graduating student into their expected performance as an intern in Family Medicine. This elective will take advantage of faculty expertise in key clinical skills, inpatient/outpatient exposure to a varied patient population, and simulated and didactic activities to fulfil this goal. References: Core Entrustable Professional Activities for Entering Residency, A Curriculum Developers Guide https://icollaborative.aamc.org/resource/887/ Ten Cate O. Nuts and bolts of entrustable professional activities. J Grad Med Educ. 2013;5(1):157-158.
Objectives:	By the end of this 2 week clinical rotation, 4^th year medical students will be entrustable to: Demonstrate mastery in clinical reasoning skills and differential diagnoses Apply high value care principles in managing common outpatient cases for managing evidence-based preventive screenings and chronic disease management Collaborate with an interprofessional team Safely & effectively admit/transition/discharge a family medicine patient with oral presentation & written documentation Recognize a patient requiring urgent or emergent care and initiate evaluation and management Demonstrate expertise in managing difficult conversations, including obtaining informed consent and disclosing errors Perform general procedures of a family medicine intern physician
Rotation Activities:	Students in this rotation will be expected to participate in the following activities to meet goals and objectives stated above: Attend a series of preparatory workshops on: Teaching clinical reasoning Chronic disease management Managing difficult conversations Patient care orders & documentation management Review and have teach-back sessions on the following topics: Chest xray interpretation ECG interpretation/ABG interpretation Electrolytes Antibiotics Answer mock calls from nursing staff to identify and initiate management of medical emergencies Observe and participate in difficult conversations with patients In a simulated environment, teach management of difficult conversations, including getting informed consent, disclosure of medical errors, discussing resuscitation status
Patient Encounters:	Students on this rotation will be expected to work up and/or follow patients as directed in the Acting Internship in Family Medicine. They will see a mix of pediatric and adult patients, with a range of acuity, and clinical settings.
Evaluation:	Students will be evaluated through the following method: Self-evaluation of “entrust-ability” to be completed by student and requested for “sign-off” by the supervising attending throughout the rotation. Tasks will be assigned at start of the rotation Clinical reasoning mastery will be evaluated by faculty Students will be evaluated by “nursing staff” that lead the mock calls on their communication skills, professionalism and ability to initiate appropriate management of medical cross-cover urgent and emergent issues Students will be evaluated by supervising attendings on their ability to transfer care and have appropriate documentation Students will be evaluated by supervising attendings and/or residents on their ability to manage difficult conversations Students will participate in simulation exercises to demonstrate competence in performing common procedures
Syllabus:
Visiting Students:	No
Special Instructions:	N/A

USFMS

11A

Yr 4 Status

20

0

40

2 Hanna, Karim

Clinical

Family Med

MEL 7320F Externship in Family Medicine

EXT

1 - 9

Yr 4 Status

No Limit

0

44

4 Gonzalez, Eduardo

Externship

Family Med

MEL 9999F Indep Study - Family Medicine

USFMS or LVHN

1 - 11

None

No Limit

0

40 2,4

Faculty

Indep Study

Int Med

Allergy/Immun

MEL 8315 Clinical Allergy/Immunology

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Contact:	Earle Trott, Administrator earletrott@usf.edu
Report to:	Dr. Mark Glaum glaum@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

T-VAH

1 - 11

Adult Med, Pri Care

2

0 40-44

2,4

Lockey, Richard

Clinical

Int Med

Allergy/Immun

MEL 8315 Clinical Allergy/Immunology

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Contact:	Dr. Robert Zemble Robert_M.Zemble@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

LVHN

1 - 11

Yr 4 Status

1

0 40-44

2,4

Zemble, Robert

Clinical

Int Med

Allergy/Immun

MDR 8245 Respiratory Disease Research

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Contact:	Barbara Pearce Academic Services Administrator Internal Medicine 4th Year Electives Program bpearce@usf.edu
Report to:	Contact Dr. Narasaiah Kolliputi at nkollipu@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

T-VAH

1 - 11

Yr 4 Status

1

0

44

4 Kolliputi, Narasaiah

Research

Int Med

Cardiovascular

MDT 8200B Sudden Cardiac Death

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Contact:	Dr. Sanders Chae schae@health.usf.edu Bonna Nichol bonna@health.usf.edu
Report to:	Dr. Sanders Chae
Description:
Objectives:	This basic science course is designed to revive your familiarity with genetic conditions associated with sudden cardiac death such as long QT syndrome, Brugada syndrome, and hypertrophic cardiomyopathy. Through a series of didactic lectures, students will be reintroduced to current approaches to diagnosis, management, and treatment of these important cardiac conditions. Since the course is designed to be purely informative, there are no written requirements or exams. The course contains only a series of lectures as well as a simulated genetics counseling session. There are no outpatient clinic sessions in which students are expected to evaluate patients. There is no inpatient clinical work. Dress is casual. At the end of the course, the students will have an opportunity to present a very short lecture on a condition of their choosing with a primary goal of teaching classmates about that condition.
Rotation Activities:	Didactics lectures only
Patient Encounters:	N/A
Evaluation:	The primary basis for evaluation is attendance. There are no exams, tests, or quizzes. There are no written requirements. There is an opportunity to present a short lecture at the end of the course.
Syllabus:
Visiting Students:	No
Special Instructions:	N/A

USFMS

10A

Yr 4 Status

No Limit

0

40

2 Chae, Sanders

Basic Science

Int Med

Cardiovascular

MEL 8351 Harvey Elective in Cardiology

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Contact:	Dawn Schocken schocken@usf.edu
Report to:	Dawn Schocken Center for Advanced Medical Learning and Simulation (CAMLS) CSEC
Description:	The Harvey Elective is in part, the University of Miami Harvey Course Curriculum, and additional lectures and discussions with cardiologists and cardiology fellows. The curriculum has the students study a series of power points focusing on the 27 most common heart conditions and their physical findings, integrating basic sciences and clinical sciences in cardiovascular disease. The clinical sounds are reproduced for the learner on the Harvey Cardiovascular Simulator. The students have on site practice on the Harvey manikin, clinical sites to practice on the skills they are learning, which are then reinforced 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 the assigned 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:	At the end of this elective, the students will be able to: 1. Identify and perform comprehensive cardiac assessments, emphasizing the physical examination. 2. Demonstrate acumen in identifying various murmur sounds related to specific cardiovascular disease. 3. Discuss their findings relative to the basic science and anatomy of the heart. 4. Analyze the complexity of linking the ECG findings, the ECHO and the clinical presentation to the patient’s chief complaint through robust modules.
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 by the three in-class aural quizzes, the three online quizzes, and a comprehensive written examination at its conclusion.
Syllabus:	Posted to Canvas
Visiting Students:	With permission from Course Director
Special Instructions:	N/A

USFMS

3,5,7,9,10

Yr 4 Status

15

0

44

4 Schocken, Dawn

Basic Science

Int Med

Digest/Nutrition

MDT 8200C Adv Concepts-Gastroenterology

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Contact:	Dr. Patrick Brady pbrady@usf.edu Tashalei Chau, Administrator chaut@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

USFMS

10A

Yr 4 Status

6

0

40

2 Brady, Patrick

Basic Science

Int Med

Digest/Nutrition

MEL 8306 Gastroenterology Elective

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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

LVH-CC

1 - 11

Yr 4 Status

1

0

44 2,4

Blanco, Paola

Clinical

Int Med

Digest/Nutrition

MEL 8306 Gastroenterology Elective

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Contact:	Dr. Patrick Brady pbrady@usf.edu Tashalei Chau, Administrator chaut@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

MCAH

1 - 11

Adult Med, Pri Care

2

0

44 2,4

Brady, Patrick

Clinical

Int Med

Digest/Nutrition

MEL 8306 Gastroenterology Elective

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Contact:	Dr. Patrick Brady pbrady@usf.edu Tashalei Chau, Administrator chaut@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

TGH

1 - 11

Adult Med, Pri Care

2

0

44 2,4

Brady, Patrick

Clinical

Int Med

Digest/Nutrition

MEL 8306 Gastroenterology Elective

Click here for additional course information

Contact:	Dr. Patrick Brady pbrady@usf.edu Barbara Pearce Academic Services Administrator Internal Medicine 4th Year Electives Program bpearce@usf.edu
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

T-VAH

1 - 11

Adult Med, Pri Care

1

0

44 2,4

Brady, Patrick

Clinical

Int Med

Emerg Med

MEL 8368 Emerg Med Outside the Hospital

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Contact:	Barbara Pearce Academic Services Administrator Internal Medicine 4^th Year Electives Program bpearce@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

TGH

1 - 11

Yr 4 Status

2

0

44

4 Semmons, Rachel

Clinical

Int Med

Emerg Med

MEL 7320Q Extern-Emergency Medicine

EXT

1 - 7

Yr 4 Status

No Limit

0

44

4 Faculty

Externship

Int Med

Emerg Med

MEL 9999Q Indep Study in Emergency Med

USFMS or LVHN

1 - 11

Intro to EM, Adult Med, Pri Care

No Limit

0

44 2,4

Faculty

Indep Study

Int Med

Endocrin

MEL 8305 Clinical Endo & Metabolism

Click here for additional course information

Contact:	Haley Palmer hpalmer@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

T-VAH

1 - 11

Adult Med, Pri Care

1

0 40-44

4 Gomez-Daspet, Joaquin

Clinical

Int Med

Endocrin

MEL 8305 Clinical Endo & Metabolism

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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

LVH-CC

1 - 11

Yr 4 Status

1

0 40-44

2,4

Perilli, Gretchen

Clinical

Int Med

Ethics/Palliative

MDE 8150 Intro to Palliative Med and Hospice

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Contact:	David.Gibbons@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

LVH-CC

1,4,5,6,9,10

None

1

0

44

4 Gibbons, David

Clinical

Int Med

General

MDE 8037 Occupational Medicine Elective

Click here for additional course information

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

T-VAH

1 - 11

None

1

0

40 2,4

Williams, Rachel

Clinical

Int Med

General

MDE 8140 Geriatric Medicine

Click here for additional course information

Contact:	Dr. Neti Vora Neti_N.Vora@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

LVHN

1 - 11

Yr 4 Status

1

0

40 2,4

Vora, Neti

Clinical

Int Med

General

MDE 8148 Geriatrics and Health Disparities

Click here for additional course information

Contact:	Asa Oxner, MD Internal Medicine aoxner@usf.edu Anna Wenders Department of Family Medicine amaynard@usf.edu Barbara Pearce Academic Services Administrator Internal Medicine 4^th Year Electives Program bpearce@usf.edu
Report to:	Asa Oxner, MD Internal Medicine aoxner@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 consisting of geriatric primary care, movement disorders specialty clinic, and memory disorder interdisciplinary clinic. In addition, they will go one half-day to the Crisis Center, 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:	Students will also visit TGH Health Park.

Dept

Division

Course

Site

Periods

Pre-req

Max Enroll

Min Enroll

Hours/Wk

Weeks

Instructor of Record

Type

Anat

BMS 8187 Advanced Human Anatomy

Contact:

Dr. Srinivas Bharadwajsribharadwaj@usf.edu

Report to:

Contact Dr. Bharadwaj at sribharadwaj@usf.edu

Description:

Objectives:

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

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

Outline the anatomic basis of procedures and associated complications

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

Develop experience and demonstrate competence in dissection/prosection techniques

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

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

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

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.

USFMS

1, 3 - 11

None

No Limit

0

44

2,4

Bharadwaj, Srinivas

Basic Science

Anat

MDE 8521 Applied Head and Neck Anatomy

Contact:

Dr. Hector Lopez-Cardonalopezh@usf.edu

Report to:

Contact Dr. Lopez-Cardona at lopezh@usf.edu

Description:

Objectives:

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

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

Outline the anatomic basis of procedures and associated complications

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

Develop experience and demonstrate competence in dissection/prosection techniques

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

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

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

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.

USFMS

1, 3 - 11

None

Dr. Srinivas Bharadwaj
sribharadwaj@usf.edu

Dr. Hector Lopez-Cardona
lopezh@usf.edu

Dr. Hector Lopez-Cardona
lopezh@usf.edu

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

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