2021-2022 Electives Catalog

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:

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

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

3. Outline the anatomic basis of procedures and associated complications

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

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

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

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

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

9. Engage in teaching through interactive laboratory settings.

Rotation Activities:

N/A

Patient Encounters:

N/A

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

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

Contact:

Dr. Hector Lopez-Cardona
lopezh@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:

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

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

3. Outline the anatomic basis of procedures and associated complications

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

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

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

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

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

9. Engage in teaching through interactive laboratory settings.

Rotation Activities:

N/A

Patient Encounters:

N/A

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

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

Contact:

Dr. Hector Lopez-Cardona
lopezh@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:

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

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

3. Outline the anatomic basis of procedures and associated complications

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

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

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

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

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

9. Engage in teaching through interactive laboratory settings.

Rotation Activities:

N/A

Patient Encounters:

N/A

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

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

Contact:

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

Report to:

CC OR – Anesthesia work room

Description:

The course is directed towards medical students who plan to enter Anesthesiology, Critical Care Medicine, or Emergency Medicine. The course emphasis will be tailored to the medical specialty the extern expects to enter and the skill set of the student. Excellent hand-eye coordination is a must for this course, since students are expected to perform procedures on patients.

Objectives:

The primary objective of this course is to introduce the student(s) to the practical/hands on approach to anesthesiology with emphasis on airway management, respiratory physiology, cardiovascular physiology, perioperative management, and invasive procedures. 

Rotation Activities:

Medical students are expected to make preoperative rounds with the anesthesiology staff on patients scheduled for surgery. Preoperative examinations and assessments of patients are expected. Participation in the decisions of anesthetic drugs and anesthesia choice are required. Students will assist in the preparation of the patients for surgery which include starting IV’s, connecting monitoring equipment, learning the pharmacology of various anesthestic agents, and learn to problem solve basic anesthetic situations. Emphasis on airway management include placement of LMAs, LTDs, masking patients, and intubation via direct laryngoscopy and video laryngosocpy. Invasive procedures include arterial line insertions and central line placement. An introduction to peripheral regional blocks will be included for those students that express an interest. Students will follow their patients throughout the anesthetic care into the postoperative recovery for continuity of care. 

Patient Encounters:

Preoperative / Intraoperative Patients - Multiple

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Thomas Finney
Thomas.Finney@moffitt.org

Dr. Raymond Evans
Raymond.Evans@moffitt.org

Report to:

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

Description:

The course is directed towards medical students who plan to enter Anesthesiology, Critical Care Medicine, or Emergency Medicine. The course emphasis will be tailored to the medical specialty the extern expects to enter and the skill set of the student.

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

Contact:

Heather Kimrey 
Heather.Kimrey@va.gov  
(813) 972-2000, ext. 5946
(813) 808-3713 (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

Contact:

Ashley Sanford
asanford@usf.edu
(813) 974-4381

Report to:

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

Description:

Upon completion of this elective, the student will be able to conduct a full dermatologic examination and will be able to recognize and offer reasonable management for common dermatologic disorders, including those primary in the integument and those associated with systemic disease. Students will rotate throughout the elective at the USF Morsani Center, the James A. Haley VA Hospital, Moffitt Cancer Center, and other ancillary clinics. The student will attend various weekly conferences with the Dermatology residents. Periods 2, 3 and 4 are reserved for students applying to dermatology residency programs.

Objectives:

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

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

3. Identify the most common inflammatory skin diseases.

4. Identify the major types of skin cancers.

5. Recognize skin manifestations of internal disease.

6. Perform shave and punch biopsies.

7. Understand the concepts of skin patch testing.

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

Rotation Activities:

The students will rotate through the following clinics in dermatology:

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

• Pigmented lesion clinics at Moffitt Cancer Center

• Cutaneous T-Cell Lymphoma clinic at Moffitt Cancer Center

• High Risk Solid-Organ Transplant Dermatology Clinic at TGH

• Mohs/surgical dermatology at Morsani Center

• Inpatient consult service at Tampa General Hospital

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

Patient Encounters:

Evaluation:

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

Syllabus:

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

Visiting Students:

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

Special Instructions:

N/A

Contact:

Ashley Sanford
asanford@usf.edu 
(813) 974-4381

Report to:

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

Description:

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

Objectives:

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

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

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

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

Rotation Activities:

Attend dermatopathology conferences twice a week

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

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

Special Instructions:

N/A

Contact:

Ashley Sanford
asanford@usf.edu
(813) 974-4381

Report to:

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

Description:

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

Objectives:

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

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

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

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

4. Identify the most common inflammatory skin diseases.

5. Identify the major types of skin cancers.

Rotation Activities:

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

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

• Pigmented lesion clinics at Moffitt Cancer Center

• Cutaneous T-Cell Lymphoma clinic at Moffitt Cancer Center

• High Risk Solid-Organ Transplant Dermatology Clinic at TGH

• Mohs/surgical dermatology at Morsani Center

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

Patient Encounters:

Evaluation:

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

Syllabus:

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

Visiting Students:

No

Special Instructions:

N/A

Contact:

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 10 articles are routinely assigned, and ample time is provided to review the assigned articles.

6. Optional 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

Contact:

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

Report to:

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

Description:

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

Objectives:

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

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

Report to:

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

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

Description:

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

Objectives:

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

Rotation Activities:

Students will participate in the following activities:

1. Attendance & participation at weekly grand rounds (Wednesday mornings - virtual or in-person)

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, simulation, EMS rides,  or special conference events may occur

Patient Encounters:

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

Evaluation:

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

Syllabus:

Will be provided in orientation email

Visiting Students:

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

Special Instructions:

N/A

Contact:

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. 

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

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.

Mackenzie Mady, DO
200 Schuylkill Medical Plaza
Pottsville, PA 17901

Mackenzie.mady@lvhn.org
Office: (570) 621-9270

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

Contact:

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

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

Report to:

Will be provided prior to the start of the rotation.

Description:

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

Objectives:

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

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

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

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

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

Rotation Activities:

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

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

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

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

Special Instructions:

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

Sites

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

Contact:

Linda Giordano
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) 

Contact:

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

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

Report to:

Will be provided prior to the start of the rotation.

Description:

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

Objectives:

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

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

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

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

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

Rotation Activities:

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

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

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

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

Special Instructions:

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

Sites

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

Contact:

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

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

Report to:

Will be provided prior to the start of the rotation.

Description:

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

Objectives:

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

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

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

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

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

Rotation Activities:

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

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

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

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

Special Instructions:

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

Sites

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

Contact:

Dr. Eduardo Gonzalez
Professor, Department of Family Medicine
egonzale@usf.edu 
(813) 974-2201

Report to:

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

Description:

This elective is designed to provide USF Medical Students an opportunity to participate in an established international Medical Spanish program. Participation in these programs will allow students to learn and/or improve conversational Medical Spanish and to experience the culture of a Spanish speaking country. Depending on the program, students will normally have scheduled class hours to learn basic and intermediate Spanish skills as well as time to interact with the local community. During the 4-week elective, students will be exposed to various clinical scenarios and have an opportunity to experience local customs as well as visit local settings. Students wishing to participate will be required to fund their tuition, transportation, meals and other necessary items. The international institution’s program selected by the student has to be reviewed and approved by  the elective director at least six months in advance of the beginning of the rotation.  

Objectives:

1. Students will be able to establish communication in Spanish to the degree of:
     a. Understanding a patient’s needs for seeking health care and                     obtaining their reason for the encounter (chief compliant)   
     b. Conducting basic medical interviews and being able to                             characterize the signs and symptoms of the patient. Being able to           communicate requests when performing a general physical                       examination 
     c. Being able to communicate requests when performing a general               physical examination 

2. Students will compare medical problems and health needs from local population with the Hispanic and non-Hispanic USA population.

3. Students will understand and be sensitive to local, family, and cultural values and be able to compare them to the USA Hispanic and non-Hispanic population.

 Rotation Activities:

On this International Course,  students will be expected to learn and achieve  the educational goals and objectives at  an approved international site, through the following  methodologies and activities:

1. Students will assist formal Medical Spanish classes at the approved international institution

2. Under the supervision of a Spanish speaking  instructors, students will evaluate and take a detailed history of a Spanish speaking patient.

3. Students will immerse in social and cultural activities organized by the approved international institution to understand and engage better in the Latin cultural environment  

Patient Encounters:

Evaluation:

1. A written report on the learner’s experience

2. Informal presentation to the course director on their experience as it relates to the cultural and medical Spanish aspects of the course

Syllabus:

Visiting Students:

No

Special Instructions:

Interested students should sign up no later than 6 months prior to the course. Students should also plan to schedule a meeting with Dr.  Gonzalez to review the requirements no later than 6 months prior to the course.

Emergency medical insurance is required for all electives abroad. For all International requirements, please contact the USF Health Office of International Affairs. 

Contact:

Dr. Eduardo Gonzalez
Professor, Department of Family Medicine
egonzale@usf.edu 
(813) 974-2201

Report to:

Any interested student MUST meet with Dr. Gonzalez 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  prior to scheduling the elective.

Syllabus:

Visiting Students:

No

Special Instructions:

Emergency medical insurance is required for all electives abroad.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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

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.

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.

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

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.

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:

1. Core Entrustable Professional Activities for Entering Residency, A Curriculum Developers Guide https://icollaborative.aamc.org/resource/887/

2. 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:

1. Demonstrate mastery in clinical reasoning skills and differential diagnoses

2. Apply high value care principles in managing common outpatient cases for managing evidence-based preventive screenings and chronic disease management

3. Collaborate with an interprofessional team

4. Safely & effectively admit/transition/discharge a family medicine patient with oral presentation & written documentation

5. Recognize a patient requiring urgent or emergent care and initiate evaluation and management

6. Demonstrate expertise in managing difficult conversations, including obtaining informed consent and disclosing errors

7. 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:

1. Attend a series of preparatory workshops on:

1. Teaching clinical reasoning

2. Chronic disease management

3. Managing difficult conversations

4. Patient care orders & documentation management 

2. Review and have teach-back sessions on the following topics:

1. Chest xray interpretation

2. ECG interpretation/ABG interpretation

3. Electrolytes

4. Antibiotics

3. Answer mock calls from nursing staff to identify and initiate management of medical emergencies

4. Observe and participate in difficult conversations with patients

5. 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:

1. Self-evaluation of “entrust-ability” to be completed by student and requested for “sign-off” by the supervising attending throughout the rotation.

1. Tasks will be assigned at start of the rotation

2. Clinical reasoning mastery will be evaluated by faculty

3. 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

4. Students will be evaluated by supervising attendings on their ability to transfer care and have appropriate documentation

5. Students will be evaluated by supervising attendings and/or residents on their ability to manage difficult conversations

6. Students will participate in simulation exercises to demonstrate competence in performing common procedures 

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

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 allergic conditions  important to physicians regardless of their specialty interests. Both children and adults are seen in the clinics as is common in most Allergy practices 

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 Specialty Clinics,  All Children's Hospital, USF Morsani  Allergy/Immunology and Immunodeficiency Clinics, and the USF-affiliated clinic of Drs. Lockey, Glaum, Cho and Pepper.  Rotators   will attend four weekly conferences on clinical allergy and immunology given by residents, fellows and faculty from USF Morsani College of Medicine.

Patient Encounters:

The student will examine patients with commonly seen conditions 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 immunodeficiency diseases , eosinophilia, eosinophilic syndromes, and various other immunologic problems.

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. 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

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

Contact:

Kelly Neff
(610) 402-3212

Report to:

Cardiology Cath Lab office on 3C at Cedar Crest

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

Description:

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

Objectives:

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

2. Demonstrate proficiency in proper bedside physical examination

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

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

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

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

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

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

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

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

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

Rotation Activities:

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

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

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

Twyla Sumpter
tsumpter@usf.edu 

Report to:

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

Description:

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

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

Objectives:

Learners shall:

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

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

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

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

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

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

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

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

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

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Twyla Sumpter
tsumpter@usf.edu 

Report to:

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

Description:

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

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

Objectives:

Learners shall:

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

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

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

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

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

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

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

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

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

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Kelly Neff
(610) 402-3212

Report to:

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

Description:

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

Objectives:

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

2. Demonstrate proficiency in proper bedside physical examination

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

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

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

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

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

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

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

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

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

 N/A

Contact:

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

Contact:

Dr. Patrick Brady
pbrady@usf.edu

Sarah McCauley
samccaul@usf.edu

Report to:

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

Description:

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

Objectives:

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

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

Report to:

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

Description:

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

Objectives:

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

Rotation Activities:

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

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

Hands-on experience in capsule endoscopy is available.

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

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

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

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

Students will participate in a regularly scheduled conferences and clinics.

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

Dr. Patrick Brady
pbrady@usf.edu

Sarah McCauley
samccaul@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 being held virtually. The GI Basic Science/Research Conference is held at the virtually 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 consultations, two hours of conferences weekly, observation of selected endoscopic procedures, opportunity to do endoscopic simulation training, opportunity to learn interpretation of capsule endoscopy, 48 hour pH recordings, and high resolution esophageal manometry.

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Patrick Brady
pbrady@usf.edu

Sarah McCauley
samccaul@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 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 being held virtually. The GI Basic Science/Research Conference is held at the virtually 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 consultations, two hours of conferences weekly, observation of selected endoscopic procedures, opportunity to do endoscopic simulation training, opportunity to learn interpretation of capsule endoscopy, 48 hour pH recordings, and high-resolution esophageal manometry.

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Patrick Brady
pbrady@usf.edu

Sarah McCauley
samccaul@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 consultation 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. All conferences are being held virtually on the TEAMS App until further notice. 

Objectives:

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Lourdes Rodriguez
Academic Services Administrator
Internal Medicine 4^th Year Electives Program
lrodrig9@usf.edu 

Dr. Rachel Semmons
Rachel.semmons@gmail.com

Report to:

The student must contact the following personnel:

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

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

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

Description:

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

Objectives:

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

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

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

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

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

Rotation Activities:

1. Specific monthly meetings with Dr. Semmons

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

3. Tampa Fire Meetings - Tuesday mornings

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

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

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

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

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

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, students will feel comfortable treating all aspects of diabetes care as well as thyroid diseases.  An understanding of general endocrinologic testing will be acquired.  Outpatient diagnosis and management will be stressed. 

Rotation Activities:

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

Patient Encounters:

Evaluation:

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

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

Report to:

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

Description:

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

Objectives:

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

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

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

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

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

Syllabus:

Visiting Students:

Yes. Apply via Lehigh Valley Network on VSAS.

Special Instructions:

N/A

Contact:

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

Contact:

Dr. Rachel Williams
rachel.williams5@va.gov

Report to:

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

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

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

Description:

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

Objectives:

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

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

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

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

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. 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

Contact:

Dr. Jorge Lamarche
jorgelamarche@va.gov

James Burrola
(813) 978-5947

Report to:

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

Description:

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

Objectives:

1. Understand the principles and limitations of bedside ultrasonography

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

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

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

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

Rotation Activities:

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

Required Visual videos provided to the students:

1. Advance lung ultrasound applications

2. Rapid ultrasound for shock and hypotension

3. Cases in emergency ultrasound 

4. Introduction to adult echocardiography

Required Reading for all participants:

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

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

Suggested additional ultrasound literature journals and books:

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

Patient Encounters:

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

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

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

Evaluation:

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Alexander Reiss, MD
Alexander.Reiss@va.gov

Report to:

VAH

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

Description:

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

Objectives:

1. Further the student’s education of internal medicine

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

3. Introduce the student to hospitalist medicine 

4. Explore the "systems" approach to medical errors

5. Understand human factor engineering in the medical environment

6. Become familiar with QI and PS Tools, such as root cause analysis, DMAIC, etc.

Rotation Activities:

1. Gain understanding of Hospitalist medicine concepts

2. Understand patient safety principles, such as human factors engineering, and cite specific patient care examples

3. Manage patients in the capacity of an acting intern during business hours, writing order and notes, and admitting and charging them.

4. Participate in quality improvement projects as available

5. Attend learning conferences with the house staff

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

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Darryl Gaines
Darryl_D.Gaines@lvhn.org
(484) 661-4650

Report to:

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

Description:

Students will function as acting interns on the general ward teams at Lehigh Valley Cedar Crest Hospital. They will be given direct patient care clinical duties and responsibilities usually assigned to the first year house officer. The medical team residents and attending will closely supervise these clinical responsibilities. The level of clinical responsibilities will be distinctly above that of a third year clerkship rotation in internal medicine. Participating students will have an in depth autonomous inpatient experience so they may confidently assume such care in their PGY1 year regardless of their career choice. Mandatory attendance, excluding patient emergencies, is expected at morning report, noon conference, and grand rounds. Students are also encouraged to participate in the monthly journal club and the M&M conferences.

Objectives:

1. Introduce the student to hospital based care and management

2. Learn how to perform adequate and thorough history and physical examinations

3. Write appropriate progress notes and all orders for therapeutic and diagnostic intervention with appropriate counter signature

4. Participate on short call every fifth night as scheduled with the assigned team

5. Learn and participate in internal medicine procedures including: paracentesis, thoracentesis, lumbar puncture, central line placement if available

6. Transition patients from the Medical Intensive Care Unit

7. Communicate inpatient management and outcomes with patient’s primary care physician

8. Participate and learn appropriate discharge planning, utilization of system based care in the management of their patients and how to do discharge summaries

9. Learn to interpret EKG’s, radiographic studies, PFT’s and appropriate lab diagnostic studies

Rotation Activities:

Students will be required to give a 15-20 minute case presentation halfway through the rotation. The presentation will be powerpoint based and should include the patient’s HPI, PMH, medications, family/social history, vitals, physical exam and relevant imaging. Students should also be prepared to discuss their thought process and differential.

Patient Encounters:

Evaluation:

Evaluation is based solely on clinical evaluations from your preceptors.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Olga Klinkova
Course Director
Olga.Klinkova@moffitt.org 

Aaron Dulaney
Management Assistant: Internal Hospital Medicine
Moffitt Cancer Center
Aaron.Dulaney@moffitt.org
(813) 745-3134

Report to:

The Moffit Cancer Center Attendings/Residents schedule changes every month. The students receive their assignment schedules a week before the start of the rotation with the Attendings/Residents contact information, so that they may set up a time and place for their initial meeting. 

Description:

This rotation allows the medical student to learn how to diagnose and treat common medical conditions and exposes the student to medical emergencies that are more common in cancer patients. During this rotation, the student will be required to attend morning report, noon conferences and Grand rounds. The student will perform history and physical examinations with the supervision of attending physicians and resident, write daily progress notes and assist in discharge planning. No overnight call or weekend responsibilities however students will be expected to stay late during certain days of the week to assist with admissions. Students will round with IHM A inpatient service

Objectives:

1. Introduce the student to hospital based care and management

2. Learn how to perform adequate and thorough history and physical examinations

3. Write appropriate progress notes and all orders for therapeutic and diagnostic intervention with appropriate counter signature

4. Participate on night call every fifth night as scheduled with the assigned team

5. Learn and participate in internal medicine procedures including: paracentesis, thoracentesis, lumbar puncture, central line placement

6. Transition of patients from the Medical Intensive Care Unit

7. Communicate inpatient management and outcomes with patient’s primary care physician

8. Participate and learn appropriate discharge planning, utilization of system based care in the management of their patients and how to do discharge summaries

9. Learn to interpret EKG’s, radiographic studies, PFT’s and appropriate lab diagnostic studies

Rotation Activities:

Students will function as acting interns on the general ward teams at Moffitt Cancer Center. They will be given direct patient care clinical duties and responsibilities usually assigned to the first year house officer. The medical team residents and attending will closely supervise these clinical responsibilities. The level of clinical responsibilities will be distinctly above that of a third year clerkship rotation in internal medicine. Participating students will have an in depth autonomous inpatient experience so they may confidently assume such care in their PGY1 year regardless of their career choice. Mandatory attendance, excluding patient emergencies, is expected at morning report, noon conference, and grand rounds. Students are also encouraged to participate in the monthly journal club and the M&M conferences.

Patient Encounters:

Evaluation:

The student’s final grade is determined solely by his/her clinical faculty evaluation which is completed at the end of the 4-week experience. Students should solicit mid-rotation feedback from their resident and attending at the completion of the first 2 weeks 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.

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Lourdes Rodriguez
Academic Services Administrator
Internal Medicine 4^th Year Electives Program
lrodrig9@usf.edu 

Report to:

The TGH Attendings/Residents schedule changes every month. The students receive their schedules a week before the start of the rotation with the Attendings/Residents contact information, so that they may set up a time and place for their initial meeting.

Description:

The student will function as acting or "early" intern on a general ward team. He/She will be given the full range of clinical duties and responsibilities usually assigned to a first year house officer. The senior house officer and the attending will closely supervise these clinical responsibilities. The level of responsibility is distinctly above that of the third year clerkship rotation. The elective will afford the participating student an in-depth inpatient experience in total patient management so that he/she may confidently assume such care in the first postgraduate year regardless of the career choice.

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

Objectives:

1. Introduce the student to hospital-based care and management

2. Student will learn how to perform adequate and thorough history and physical examinations

3. Write appropriate progress notes and all orders for therapeutic and diagnostic intervention with appropriate counter signature

4. Participate on night call every fifth night as scheduled with the assigned team

5. Learn and participate in internal medicine procedures including: paracentesis, thoracentesis, lumbar puncture, central line placement

6. Transition of patients from the Medical Intensive Care Unit

7. Communicate inpatient management and outcomes with patient’s primary care physician

8. Participate and learn appropriate discharge planning, utilization of system-based care in the management of their patients and how to do discharge summaries

9. Learn to interpret EKG’s, radiographic studies, PFT’s and appropriate lab diagnostic studies

Rotation Activities:

Students will function as acting interns on the general ward teams. They will be given direct patient care clinical duties and responsibilities usually assigned to the first year house officer. The medical team residents and attending will closely supervise these clinical responsibilities. The level of clinical responsibilities will be distinctly above that of a third year clerkship rotation in internal medicine. Participating students will have an in depth autonomous inpatient experience so they may confidently assume such care in their PGY1 year regardless of their career choice. Mandatory attendance, excluding patient emergencies, is expected at morning report, noon conference, and grand rounds. Students are also encouraged to participate in the monthly journal club and the M&M conferences. Note that due to COVID, all lectures are held virtually until further notice.

Patient Encounters:

Evaluation:

The student’s final grade is determined solely by his/her clinical faculty evaluation which is completed at the end of the 4-week experience. Students should solicit mid-rotation feedback from their resident and attending at the completion of the first 2 weeks 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. 

Syllabus:

Visiting Students:

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

Special Instructions:

N/A

Contact:

Lourdes Rodriguez
Academic Services Administrator
Internal Medicine 4^th Year Electives Program
lrodrig9@usf.edu 

Report to:

The VAH Attendings/Residents schedule change every month. The students receive their schedules a week before the start of the rotation with the Attendings/Residents contact information, so that they may set up a time and place for their initial meeting.

Description:

The student will function as acting or "early" intern on a general ward team. He/She will be given the full range of clinical duties and responsibilities usually assigned to a first year house officer. The senior house officer and the attending will closely supervise these clinical responsibilities. The level of responsibility is distinctly above that of the third year clerkship rotation. The elective will afford the participating student an in-depth inpatient experience in total patient management so that he/she may confidently assume such care in the first postgraduate year regardless of the career choice.

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

Objectives:

1. Introduce the student to hospital-based care and management

2. Student will learn how to perform adequate and thorough history and physical examinations

3. Write appropriate progress notes and all orders for therapeutic and diagnostic intervention with appropriate counter signature

4. Participate on night call every fifth night as scheduled with the assigned team

5. Learn and participate in internal medicine procedures including: paracentesis, thoracentesis, lumbar puncture, central line placement

6. Transition of patients from the Medical Intensive Care Unit

7. Communicate inpatient management and outcomes with patient’s primary care physician

8. Participate and learn appropriate discharge planning, utilization of system-based care in the management of their patients and how to do discharge summaries

9. Learn to interpret EKG’s, radiographic studies, PFT’s and appropriate lab diagnostic studies

Rotation Activities:

Students will function as acting interns on the general ward teams. They will be given direct patient care clinical duties and responsibilities usually assigned to the first year house officer. The medical team residents and attending will closely supervise these clinical responsibilities. The level of clinical responsibilities will be distinctly above that of a third year clerkship rotation in internal medicine. Participating students will have an in depth autonomous inpatient experience so they may confidently assume such care in their PGY1 year regardless of their career choice. Mandatory attendance, excluding patient emergencies, is expected at morning report, noon conference, and grand rounds. Students are also encouraged to participate in the monthly journal club and the M&M conferences. Note that due to COVID, all lectures are held virtually until further notice.

Patient Encounters:

Evaluation:

The student’s final grade is determined solely by his/her clinical faculty evaluation which is completed at the end of the 4-week experience. Students should solicit mid-rotation feedback from their resident and attending at the completion of the first 2 weeks 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.

Syllabus:

Visiting Students:

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

Special Instructions:

N/A

Contact:

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

Report to:

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

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

Description:

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

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

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

Objectives:

1. Conduct a preoperative evaluation

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

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

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Lourdes Rodriguez
Academic Services Administrator
Internal Medicine 4^th Year Electives Program
lrodrig9@usf.edu 

Report to:

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

Description:

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

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

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

Objectives:

1. Conduct a preoperative evaluation

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

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

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Nikesh Kapadia
nrkapadi@usf.edu

Report to:

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

Description:

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

Objectives:

1. Diagnose and treat common overnight call issues

2. Practice and learn common bedside medical procedures

3. Improve teaching skills to be a better educator

4. Improve communication skills specifically delivering bad news

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

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

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

Rotation Activities:

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

Patient Encounters:

Evaluation:

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

Syllabus:

Visiting Students:

No

Special Instructions:

N/A

Contact:

Dr. Olga Klinkova
Course Director
olga.klinkova@moffitt.org-

Aaron Dulaney
Management Assistant: Internal Hospital Medicine
Moffitt Cancer Center
Aaron.Dulaney@moffitt.org
(813) 745-3134

Report to:

Round with IHM A inpatient service

Description:

This rotation allows the medical student to learn how to diagnose and treat common medical conditions and exposes the student to medical emergencies that are more common in cancer patients. During this rotation, the student will be required to attend morning report, noon conferences and Grand rounds. The student will perform history and physical examinations with the supervision of attending physicians and resident, write daily progress notes and assist in discharge planning. No overnight call or weekend responsibilities however students will be expected to stay late during certain days of the week to assist with admissions. Students will round with IHM A inpatient service

Objectives:

1. Introduce the student to hospital based care and management

2. Students will learn how to perform adequate and thorough history and physical examinations

3. Write appropriate progress notes and all orders for therapeutic and diagnostic intervention with appropriate counter signature

4. Participate on night call every fifth night as scheduled with the assigned team

5. Learn and participate in internal medicine procedures including: paracentesis, thoracentesis, lumbar puncture, central line placement

6. Transition of patients from the Medical Intensive Care Unit

7. Communicate inpatient management and outcomes with patient’s primary care physician

8. Participate and learn appropriate discharge planning, utilization of system-based care in the management of their patients and how to do discharge summaries

9. Learn to interpret EKG’s, radiographic studies, PFT’s and appropriate lab diagnostic studies

Rotation Activities:

Students will function as acting interns on the general ward teams. They will be given direct patient care clinical duties and responsibilities usually assigned to the first year house officer. The medical team residents and attending will closely supervise these clinical responsibilities. The level of clinical responsibilities will be distinctly above that of a third year clerkship rotation in internal medicine. Participating students will have an in depth autonomous inpatient experience so they may confidently assume such care in their PGY1 year regardless of their career choice. Mandatory attendance, excluding patient emergencies, is expected at morning report, noon conference, and grand rounds. Students are also encouraged to participate in the monthly journal club and the M&M conferences.

As part of the Honors Medicine Acting Internship, students must either complete a research project (i.e. submit an abstract to a regional or national meeting), attend a Florida ACP meeting, or make an advocacy trip with the ACP.

Patient Encounters:

Evaluation:

The student’s final grade is determined solely by his/her clinical faculty evaluation which is completed at the end of the 4-week experience. Students should solicit mid-rotation feedback from their resident and attending at the completion of the first 2 weeks 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.

Syllabus:

Visiting Students:

No

Special Instructions:

Available only to students in the Internal Medicine track

Contact:

Lourdes Rodriguez
Academic Services Administrator
Internal Medicine 4^th Year Electives Program
lrodrig9@usf.edu