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

Tampa Instructions

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

  • Name of elective
  • Site of elective
  • Dates of elective

LVHN Instructions

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

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

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


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

  1. Drop/add requests must be submitted at least one month in advance of the rotation.
  2. Log into Archivum at https://usf.appiancloud.com.
    • Click My Actions & Tasks
    • Click Submit Drop Add Request
    • Select your track 
    • Scroll down to view your Eligible Courses to Drop. Click the plus sign (+) to the left of the course. If you make a mistake, you can click the red (x) to the right of the course.
    • Scroll down to Eligible Courses to Add
    • Select the Period
    • Begin typing the desired course in the Course field
    • (Optional) Select a Site
    • Find your course and click the plus sign (+) to the left
    • Click Submit
  3. To view your completed requests in Archivum

    • Click Academic Profile
    • Click 4th Year Scheduling
    • Scroll down to view and click the magnifying glass for more information on individual requests.
  4. Even though you have submitted a request, it is not approved until you receive an email from the Office of Registrar. Your schedule will not be changed until then. Your advisor and the course coordinator must both approve your request, then I will review your schedule and make changes as appropriate. Please make sure to review the requirements for the fourth year (20-21 Graduation and Track Requirements) to make sure your new schedule will be in compliance. When reviewing drop/add requests, I will take your entire schedule into consideration. For example, you will not be permitted to drop a required course unless you have submitted a request to add it in a different period. You may also view the Fourth Year Academic Calendar to determine the dates for each period.
    Drop/add closes 01/31/21.

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

    Electives_OpenClosed_Report 1.29.21.pdf

     Instructions for Reading Report

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

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

    Period

    Prefix

    Numb

    Title

    Site

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    4 WEEK PERIOD

    MEL

    xxxx

    Elective Y

    USFMS

    8/3

    0/0

    0/0

    0/0

    8/6

    8/7

    0/0

    0/0

    8/6

    8/8

    8/5

    0/0

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


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

    Period

    Prefix

    Numb

    Title

    Site

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    2 WEEK PERIOD A

    MEL

    xxxx

    Elective Z

    TGH

    2/0

    2/0

    2/0

    2/0

    2/1

    2/0

    2/0

    2/0

    2/0

    2/1

    2/0

    0/0

    2 WEEK PERIOD B

    MEL

    xxxx

    Elective Z

    TGH

    2/0

    2/0

    2/0

    2/0

    2/1

    2/0

    2/1

    2/0

    2/0

    2/1

    2/0

    0/0

    4 WEEK PERIOD

    MEL

    xxxx

    Elective Z

    TGH

    2/0

    2/0

    2/0

    2/0

    2/1

    2/1

    2/1

    2/1

    2/2

    2/0

    2/1

    0/0

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


Course Key

See Course Key for a definition of sites.

Dept
Division
Course
Site
Periods
Pre-req
Max Enroll
Min Enroll
Hours/Wk
Weeks
Instructor of Record
Type
Anat

 BMS 8187 Advanced Human Anatomy
 Click here for additional course information
Contact:
Dr. Srinivas Bharadwaj
sribharadwaj@usf.edu
Report to:
Contact Dr. Bharadwaj  at sribharadwaj@usf.edu
Description:
Advanced anatomy is an elective course designed to provide prospective students with an opportunity to review anatomical sciences and revisit systems that relate to future residency interests. It is formulated in a manner to enhance student’s knowledge of the fundamental of anatomy applicable to the anatomical basis of diseases that pertain to surgical as well as non-surgical fields.
Objectives:
  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:
Elective Syllabus 8187.pdf
Visiting Students:
No
Special Instructions:
SonoSim modules can be completed online. Periods 8-10 are offered as hands-on rotations only.
USFMS
 1, 3 - 11
None
No Limit
0
44
2,4
Bharadwaj, Srinivas
Basic Science 
Anat

 MDE 8521 Applied Head and Neck Anatomy
 Click here for additional course information
Contact:
Dr. Hector Lopez-Cardona
lopezh@usf.edu
Report to:
Contact Dr. Lopez-Cardona  at lopezh@usf.edu
Description:
Applied Head and Neck Anatomy is an elective course designed to provide prospective students with an opportunity to review relevant anatomical sciences and revisit systems that relate to future residency interests. It is formulated in a manner to enhance student’s knowledge of the fundamental of anatomy applicable to the anatomical basis of diseases that pertain to surgical as well as non-surgical fields.
Objectives:
  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.
USFMS
 1, 3 - 11
None
No Limit
6
40
2
Lopez Cardona, Hector
Basic Science 
Anat

 MDE 8522 Applied Anat of the MSK System
 Click here for additional course information
Contact:
Dr. Hector Lopez-Cardona
lopezh@usf.edu
Report to:
Contact Dr. Lopez-Cardona  at lopezh@usf.edu
Description:
Applied Anatomy of Musculoskeletal System is an elective course designed to provide prospective students with an opportunity to review relevant anatomical sciences and revisit systems that relate to future residency interests. It is formulated in a manner to enhance student’s knowledge of the fundamental of anatomy applicable to the anatomical basis of diseases that pertain to surgical as well as non-surgical fields.
Objectives:
  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.
USFMS
 1, 3 - 11
None
No Limit
6
40
2
Lopez Cardona, Hector
Basic Science 
Anat

MEL 9999A Indep Study - Anatomy
USFMS
 1 - 11
None
No Limit
0
44
2,4
Bharadwaj, Srinivas
Indep Study
Anesth

 MDE 8700 Anesthesiology Elective
 Click here for additional course information
Contact:
Nan.Schwann@lvhn.org
(484) 866-9581
Report to:
CC OR – Anesthesia work room
Description:
The course is directed towards medical students who plan to enter Anesthesiology, Critical Care Medicine, or Emergency Medicine. The course emphasis will be tailored to the medical specialty the extern expects to enter and the skill set of the student. Excellent hand-eye coordination is a must for this course, since students are expected to perform procedures on patients.
Objectives:
The primary objective of this course is to introduce the student(s) to the practical/hands on approach to anesthesiology with emphasis on airway management, respiratory physiology, cardiovascular physiology, perioperative management, and invasive procedures. 
Rotation Activities:
Medical students are expected to make preoperative rounds with the anesthesiology staff on patients scheduled for surgery. Preoperative examinations and assessments of patients are expected. Participation in the decisions of anesthetic drugs and anesthesia choice are required. Students will assist in the preparation of the patients for surgery which include starting IV’s, connecting monitoring equipment, learning the pharmacology of various anesthestic agents, and learn to problem solve basic anesthetic situations. Emphasis on airway management include placement of LMAs, LTDs, masking patients, and intubation via direct laryngoscopy and video laryngosocpy. Invasive procedures include arterial line insertions and central line placement. An introduction to peripheral regional blocks will be included for those students that express an interest. Students will follow their patients throughout the anesthetic care into the postoperative recovery for continuity of care. 
Patient Encounters:
Preoperative / Intraoperative Patients - Multiple
Evaluation:
Oral, practical, and/or written evaluations of medical students will include clinical performance, medical knowledge, professionalism, motivation, and ability to problem solve.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
LVHN
 1 - 11
Yr 4 Status
1
0
50
2,4
Schwann, Nan
Clinical
Anesth

 MDE 8700 Anesthesiology Elective
 Click here for additional course information
Contact:
Thomas Finney
Thomas.Finney@moffitt.org
Dr. Raymond Evans
Raymond.Evans@moffitt.org
Report to:
Second Floor MCB Anesthesia Department
12902 Magnolia Dr., Tampa, FL 33612
Description:
The course is directed towards medical students who plan to enter Anesthesiology, Critical Care Medicine, or Emergency Medicine. The course emphasis will be tailored to the medical specialty the extern expects to enter and the skill set of the student.
Objectives:
The primary objective of this course is to introduce the student(s) to the practical/hands on approach to anesthesiology with emphasis on airway management, respiratory physiology, cardiovascular physiology, perioperative management, and invasive procedures. 
Rotation Activities:
Medical students are expected to make preoperative rounds with the anesthesiology staff on patients scheduled for surgery. Preoperative examinations and assessments of patients are expected. Participation in the decisions of anesthetic drugs and anesthesia choice are required. Students will assist in the preparation of the patients for surgery which include starting IV’s, connecting monitoring equipment, learning the pharmacology of various anesthestic agents, and learn to problem solve basic anesthetic situations. Emphasis on airway management include placement of LMAs, LTDs, masking patients, and intubation via direct laryngoscopy and video laryngosocpy. Invasive procedures include arterial line insertions and central line placement. An introduction to peripheral regional blocks will be included for those students that express an interest.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
MCC
 1 - 11
Yr 4 Status
1
0
50
4
Evans, Raymond
Clinical
Anesth

 MDE 8700 Anesthesiology Elective
 Click here for additional course information
Contact:
Dr. Leland Lee
Leland.Lee@va.gov
(813) 972-2000, ext. 5157
(813) 610-9258 (cell phone)
Report to:
James A. Haley VA Medical Center
Room 2C-211 (second floor)
Monday at 8:00 AM (except for holidays)
Description:
The course is directed towards medical students who plan to enter Anesthesiology, Critical Care Medicine, or Emergency Medicine.  The course emphasis will be tailored to the medical specialty the extern expects to enter and skill set of the student.  Excellent hand-eye coordination is a must for this course, since students are expected to perform procedures on patients.
Objectives:
The primary objective of this course is to introduce the student(s) to the practical/hands on approach to anesthesiology with emphasis on airway management, respiratory physiology, cardiovascular physiology, perioperative management, and invasive procedures. 
Rotation Activities:
Medical students are expected to make preoperative rounds with the anesthesiology staff on patients scheduled for surgery.  Preoperative examinations and assessments of patients are expected.  Participation in the decisions of anesthetic drugs and anesthesia choice are required.  Students will assist in the preparation of the patients for surgery which include starting IV’s, connecting monitoring equipment, learning the pharmacology of various anesthetic agents, and learn to problem solve basic anesthetic situations.  Emphasis on airway management include placement of laryngeal mask airways, esophageal airway devices, bag masking patients, and intubation via both direct laryngoscopy and video laryngoscopy.   Invasive procedures include arterial line insertions and central line placement.  An introduction to peripheral regional blocks will be included for those students that express an interest.  Students will follow their patients throughout the anesthetic care into the postoperative recovery for continuity of care. An introduction to Transthoracic Echocardiogram (TTE) and/or Transesophageal Echocardiogram (TEE) would be presented to students interested.
Patient Encounters:
The patient case types will depend on the medical specialty the student plans to enter.
Evaluation:
Oral, practical, and/or written evaluations of the medical students will include clinical performance, medical knowledge, professionalism, motivation, and ability to problem solve.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Yr 4 Status
1
0
50
4
Lee, Leland
Clinical
Anesth

MEL 7320Z Externship - Anesthesiology
EXT
 1 - 10
Yr 4 Status
No Limit
0
44
4
Klein, Malcolm
Externship
Card

 MDE 8224 Consultative Cardiology
 Click here for additional course information
Contact:
Kelly Frenziz
(610) 402-3212
Report to:
Cardiology Cath Lab office on 3C at Cedar Crest
Call the Cardiology Fellow on Cardiology Teaching Service at (610) 402-2044 on first day of rotation.
Description:
This elective offers an opportunity to develop skills in the evaluation of patients referred for cardiology teaching service including primary cardiology patients and cardiac consults on the cardiology step down unit.
Objectives:
1. Demonstrate the knowledge and skills necessary to obtain a proper cardiac history. The student will pay special attention to and record medications, medication compliance, diet compliance, and risk factors for various cardiac diseases
2. Demonstrate proficiency in proper bedside physical examination
3. Be able to accurately assess the presence or absence of congestive heart failure, cardiac tamponade, basic murmurs of valvular heart disease such as mitral regurgitation, mitral stenosis, aortic stenosis, aortic regurgitation and tricuspid regurgitation, and the presence or absence of peripheral vascular disease and abdominal aortic aneurysms
4. Demonstrate basic electrocardiographic skills including an understanding of basic arrhythmias such as atrial fibrillation, atrial flutter, supraventricular tachycardia, multi-focal atrial tachycardia, ventricular tachycardia, and a basic diagnosis on the 12 lead ECG such as right and left bundle branch block, left ventricular hypertrophy, acute myocardial infarction, ischemia, WPW, and hyperkalemia
5. Infer heart size, presence of cephalization, infiltrate, pleural effusions, and pneumothorax by looking at a chest X-ray
6. Identify medical, interventional, and surgical therapies for basic cardiac syndromes such as myocardial infarction, unstable angina, chronic angina, congestive heart failure, valvular heart disease, hypertension, hyperlipidemia, and arrhythmia
7. Name and utilize a variety of clinical pathways and practice guidelines
8. Access and critically evaluate current medical information and scientific evidence
9. Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education
10. Explain the principles of primary, secondary prevention and risk modification
11. Summarize the indications and diagnostic yield of various cardiac studies and therapeutics
Rotation Activities:
Students will participate in the evaluation of patients and will assist with the integration of the general medical data base with data gathered by both noninvasive (electrocardiography, ambulatory electrocardiography, stress testing) and invasive hemodynamic techniques, where indicated.
Students will participate in daily teaching rounds with intern, medical resident, cardiology fellow and teaching cardiologist.  
Attendance at various other weekly Cardiology Department teaching conferences is required.
Patient Encounters:

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

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVHN
 1 - 11
Yr 4 Status
2
0
44
2,4
Jacobs, Larry
Clinical
Card

 MDE 8224 Consultative Cardiology
 Click here for additional course information
Contact:
Twyla Sumpter
tsumpter@health.usf.edu
Report to:
Contact Twyla Sumpter at least one week prior to the start of the rotation to determine your Cardiology Fellow.
Description:
The Cardiology Consultative elective rotation is an experiential patient based rotation with integrative didactics that exist, in part, from the ongoing curriculum designed for the education and training of fellows in Cardiovascular Diseases. The learner on rotation shall be a full participant on the Cardiology Consultative Service as directed by the supervising Fellow and Attending Physician.  Attendance and participation at Fellow’s Block Didactics, Heart Team Multidisciplinary Revascularization and Valve Conferences (each on a weekly basis) will provide for the organization, literature correlation and understanding of knowledge that is relevant to concurrent patient management. Team science will be a coincidently experienced and learned.
At the completion of the rotation it shall be expected that a face to face “360” between learner and teacher(s) will be provided to assure the learners goals and objectives have been realized and deficiencies identified, so that future learner plans may be derived. 
Objectives:
Learners shall:
1. Understand the question(s) framed from the originators of the consultative request and the answers to be provided for best outcomes of multidisciplinary care
2. Develop and perform the focused cardiovascular interview question(s) and review of cardiovascular systems that are relevant to the consultative request
3. Practice and refine the 5-point cardiovascular exam physical findings- general physical findings, interpretation of jugular venous pulse waveforms and pressure estimates, assessment of carotid pulse contour and dynamics, inspection and palpation of the precordium, and auscultation of normal heart sounds, abnormalities of heart sounds, and distinguishment of heart murmurs associated with valvular heart disease
4. Integrate the history and physical exam into efficient, appropriate, and cost effective test ordering for new diagnosis and ongoing management of prior or contemporarily defined cardiovascular problems
5. Interpret, with supervision, the objective testing performed including ECG, imaging modalities including chest X ray, echocardiography, cardiac CT and MRI scanning, and invasive testing including cardiac catheterization with associated hemodynamic and angiographic findings.
6. Provide differential diagnosis and understand the classification of disease states that pertain to the major burden of encountered diseases in an inpatient cardiovascular consultative service.  This would include, but not be limited to etiology, as well as Stages and Functional Class of Heart Failure(HF), Symptomatic Ischemic heart disease(SIHD), and therapies to be applied including pharmacologic, interventional, and surgical solutions for best patient outcomes.
7. Recognition and interpretation of ECG rhythms (heart blocks, tachyarrhythmias) and appropriate use of telemetry will be developed given the contemporary high utilization of inpatient telemetry. This will, when necessary, provide for collaboration with advanced electrophysiologic services.
8. Participate in an environment of inquiry (including psychological safety) for the development of research questions and projects that may provide for future professional training and research endeavors in cardiovascular diseases
9. Develop the communication and cooperation skills for collaborative care with the requesting service and other sub-specialty services (Critical Care Medicine, Infectious Diseases, etc.)
10. Recognize the need for ongoing management of patients with multiple co-morbidities and the timeliness of continuity of care and/or withdrawal from the care path of individual patients. 
Rotation Activities:
Students will perform all cardiology patient care activities as associated with the consultative service under the tutelage of the fellows.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
TGH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Prida, Xavier
Clinical
Card

 MDE 8224 Consultative Cardiology
 Click here for additional course information
Contact:
Twyla Sumpter
tsumpter@health.usf.edu
Report to:
Contact Twyla Sumpter at least one week prior to the start of the rotation to determine your Cardiology Fellow.
Description:
The Cardiology Consultative elective rotation is an experiential patient based rotation with integrative didactics that exist, in part, from the ongoing curriculum designed for the education and training of fellows in Cardiovascular Diseases. The learner on rotation shall be a full participant on the Cardiology Consultative Service as directed by the supervising Fellow and Attending Physician.  Attendance and participation at Fellow’s Block Didactics, Heart Team Multidisciplinary Revascularization and Valve Conferences (each on a weekly basis) will provide for the organization, literature correlation and understanding of knowledge that is relevant to concurrent patient management. Team science will be a coincidently experienced and learned.
At the completion of the rotation it shall be expected that a face to face “360” between learner and teacher(s) will be provided to assure the learners goals and objectives have been realized and deficiencies identified, so that future learner plans may be derived. 
Objectives:
Learners shall:
1. Understand the question(s) framed from the originators of the consultative request and the answers to be provided for best outcomes of multidisciplinary care
2. Develop and perform the focused cardiovascular interview question(s) and review of cardiovascular systems that are relevant to the consultative request
3. Practice and refine the 5-point cardiovascular exam physical findings- general physical findings, interpretation of jugular venous pulse waveforms and pressure estimates, assessment of carotid pulse contour and dynamics, inspection and palpation of the precordium, and auscultation of normal heart sounds, abnormalities of heart sounds, and distinguishment of heart murmurs associated with valvular heart disease
4. Integrate the history and physical exam into efficient, appropriate, and cost effective test ordering for new diagnosis and ongoing management of prior or contemporarily defined cardiovascular problems
5. Interpret, with supervision, the objective testing performed including ECG, imaging modalities including chest X ray, echocardiography, cardiac CT and MRI scanning, and invasive testing including cardiac catheterization with associated hemodynamic and angiographic findings.
6. Provide differential diagnosis and understand the classification of disease states that pertain to the major burden of encountered diseases in an inpatient cardiovascular consultative service.  This would include, but not be limited to etiology, as well as Stages and Functional Class of Heart Failure(HF), Symptomatic Ischemic heart disease(SIHD), and therapies to be applied including pharmacologic, interventional, and surgical solutions for best patient outcomes.
7. Recognition and interpretation of ECG rhythms (heart blocks, tachyarrhythmias) and appropriate use of telemetry will be developed given the contemporary high utilization of inpatient telemetry. This will, when necessary, provide for collaboration with advanced electrophysiologic services.
8. Participate in an environment of inquiry (including psychological safety) for the development of research questions and projects that may provide for future professional training and research endeavors in cardiovascular diseases
9. Develop the communication and cooperation skills for collaborative care with the requesting service and other sub-specialty services (Critical Care Medicine, Infectious Diseases, etc.)
10. Recognize the need for ongoing management of patients with multiple co-morbidities and the timeliness of continuity of care and/or withdrawal from the care path of individual patients. 
Rotation Activities:
Students will perform all cardiology patient care activities as associated with the consultative service under the tutelage of the fellows.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Leonelli, Fabio
Clinical
Card

 MDE 8226 Cardiology Acute Coronary Care
 Click here for additional course information
Contact:
Kelly Frenzi
(610) 402-3212
Report to:
Cardiac Intensive Care Unit on 3B in Cedar Crest  Call cardiology fellow in the unit at (610) 402-6590 on arrival.
Description:
The students will participate in the evaluation of patients and will assist with the integration of the general medical data base with data gathered by both noninvasive (electrocardiography, ambulatory electrocardiography, stress testing) and invasive hemodynamic techniques, where indicated. Students will participate in daily teaching rounds in the cardiac intensive care unit with intern, medical resident, cardiology fellow and teaching cardiologist.  Attendance at various other weekly Cardiology Department teaching conferences is required.
Objectives:
1. Demonstrate the knowledge and skills necessary to obtain a proper cardiac history. The student will pay special attention to and record medications, medication compliance, diet compliance, and risk factors for various cardiac diseases
2. Demonstrate proficiency in proper bedside physical examination
3. Be able to accurately assess the presence or absence of congestive heart failure, cardiac tamponade, basic murmurs of valvular heart disease such as mitral regurgitation, mitral stenosis, aortic stenosis, aortic regurgitation and tricuspid regurgitation, and the presence or absence of peripheral vascular disease and abdominal aortic aneurysms
4. Demonstrate basic electrocardiographic skills including an understanding of basic arrhythmias such as atrial fibrillation, atrial flutter, supraventricular tachycardia, multi-focal atrial tachycardia, ventricular tachycardia, and a basic diagnosis on the 12 lead ECG such as right and left bundle branch block, left ventricular hypertrophy, acute myocardial infarction, ischemia, WPW, and hyperkalemia
5. Infer heart size, presence of cephalization, infiltrate, pleural effusions, and pneumothorax by looking at a chest X-ray
6. Identify medical, interventional, and surgical therapies for basic cardiac syndromes such as myocardial infarction, unstable angina, chronic angina, congestive heart failure, valvular heart disease, hypertension, hyperlipidemia, and arrhythmia
7. Name and utilize a variety of clinical pathways and practice guidelines
8. Access and critically evaluate current medical information and scientific evidence
9. Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education
10. Explain the principles of primary, secondary prevention and risk modification
11. Summarize the indications and diagnostic yield of various cardiac studies and therapeutics
Rotation Activities:
The students will participate in the evaluation of patients and will assist with the integration of the general medical data base with data gathered by both noninvasive (electrocardiography, ambulatory electrocardiography, stress testing) and invasive hemodynamic techniques, where indicated. Students will participate in daily teaching rounds in the cardiac intensive care unit with intern, medical resident, cardiology fellow and teaching cardiologist.  Attendance at various other weekly Cardiology Department teaching conferences is required.
Patient Encounters:

Evaluation:
The attending physician will complete a written USF 4th year rotation evaluation.
Syllabus:

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
 N/A
LVHN
 1 - 11
Yr 4 Status
2
0
50
2,4
Jacobs, Larry
Clinical
Derm

 MDE 8251 Clinical Dermatology
 Click here for additional course information
Contact:
Laura Cessna
lcessna1@usf.edu
(813) 974-3070
Report to:
Morsani Center for Advanced Healthcare
13330 USF Laurel Drive
Tampa, FL 33612
Dermatology, 6th Floor
Description:
Upon completion of this elective, the student will be able to conduct a full dermatologic examination and will be able to recognize and offer reasonable management for common dermatologic disorders, including those primary in the integument and those associated with systemic disease. Students will rotate throughout the elective at the USF Morsani Center, the James A. Haley VA Hospital, Moffitt Cancer Center, and other ancillary clinics. The student will attend various weekly conferences with the Dermatology residents. Periods 2, 3 and 4 are reserved for students applying to dermatology residency programs.
Objectives:
1. Accurately describe primary and secondary dermatologic lesions as well as patterns of distribution.
2. Conduct a total body skin exam and detect suspicious and abnormal findings.
3. Identify the most common inflammatory skin diseases.
4. Identify the major types of skin cancers.
5. Recognize skin manifestations of internal disease.
6. Perform shave and punch biopsies.
7. Understand the concepts of skin patch testing.
8. Understand the appropriate management for common dermatologic disorders including neoplasms
Rotation Activities:
The students will rotate through the following clinics in dermatology:
  • General dermatology clinics at Morsani Center, VA, 17 Davis
  • Pigmented lesion clinics at Moffitt Cancer Center
  • Cutaneous T-Cell Lymphoma clinic at Moffitt Cancer Center
  • High Risk Solid-Organ Transplant Dermatology Clinic at TGH
  • Mohs/surgical dermatology at Morsani Center
  • Inpatient consult service at Tampa General Hospital
Additionally, the students will be provided didactics on the fundamentals of dermatology and be involved in a hands-on wet lab session where they will learn basic dermatologic procedures including shave biopsies, scallop biopsies, punch biopsies, surgical excisions. 
Patient Encounters:

Evaluation:
10-minute Case Presentation to be made at a morning Resident Conference.  Student progress and performance in the clinical setting will be evaluated by the faculty and residents.
Syllabus:
Handbook with general information about clinic duties and expectations (i.e., dress code, conduct, etc.) will be provided on the first day of the rotation.  Dermatology reading for students is also described in the handbook, along with references for textbooks, online and other pertinent dermatology information.
Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
N/A
MCAH
 1 - 11
Yr 4 Status
4
0
40-44
4
Patel, Nishit
Clinical
Derm

 MDE 8536 Elective in Dermatopathology
 Click here for additional course information
Contact:
Laura Cessna
lcessna1@usf.edu
(813) 974-3070
Report to:
Paul Rodriguez-Waitkus, MD, PhD
Director, Dermatopathology Lab, 4th Floor
Morsani Center for Advanced Healthcare
13330 USF Laurel Drive
Tampa, FL  33612
Description:
This course is designed for students interested in expanding their knowledge of dermatopathology. Students will receive didactic and case-based instruction in dermatopathology using daily microscope, sign-out with attending faculty, and attending weekly dermatopathology teaching conferences. Students may have the opportunity to participate in research in the form of co-authoring a case report, meeting abstract, or assisting with a portion of a larger departmental research project with a resident or faculty member, if one is available during the rotation.
Objectives:
1.  Understand how to accurately describe and identify primary and secondary dermatologic lesions by microscopic examination
2.  Learn to identify the most common inflammatory skin diseases by microscopic examination.
3.  Ascertain how to identify the major types of skin cancers by microscopic examination
4.  Participate in research by co-authoring a case report, meeting abstract or assisting with a portion of a larger departmental research project with a resident or faculty member depending on availability of such a project
Rotation Activities:
Attend dermatopathology conferences twice a week
Invited to attend the “Dermatopathology Consenus Meeting” with all dermatopathologists from USF, MCC & VA Medical Center to review and discuss unusual, challenging cases, in order to gain different perspectives to confirm a diagnosis.
Patient Encounters:

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

Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
N/A
USFMS
 8 - 11
Yr 4 Status
2
0
40-44
4
Rodriguez-Waitkus, Paul

Derm

 MDT 8250 Special Topics in Dermatology
 Click here for additional course information
Contact:
Laura Cessna
lcessna1@usf.edu
(813) 974-3070
Report to:
Morsani Center for Advanced Healthcare
13330 USF Laurel Drive
Tampa, FL 33612
Dermatology, 6th Floor
Description:
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 4th year elective in dermatology. 
1. Gain general understanding of the variety of diseases managed by dermatologists
2. Gain general understanding of the variety of procedures performed by dermatologists
3. Accurately describe primary and secondary dermatologic lesions as well as patterns of distribution.
4. Identify the most common inflammatory skin diseases.
5. Identify the major types of skin cancers.
Rotation Activities:
The students will be assigned a mix of clinical experiences from the list below:
  • General dermatology clinics at Morsani Center, VA, 17 Davis
  • Pigmented lesion clinics at Moffitt Cancer Center
  • Cutaneous T-Cell Lymphoma clinic at Moffitt Cancer Center
  • High Risk Solid-Organ Transplant Dermatology Clinic at TGH
  • Mohs/surgical dermatology at Morsani Center
The student will attend various weekly conferences with the Dermatology residents.
Patient Encounters:

Evaluation:
Student progress and performance in the clinical setting will be evaluated by the faculty and residents.
Syllabus:
Handbook with general information about clinic duties and expectations (i.e., dress code, conduct, etc.) will be provided on the first day of the rotation.  Dermatology reading for students is also described in the handbook, along with references for textbooks, online and other pertinent dermatology information.
Visiting Students:
No
Special Instructions:
N/A
USFMS
 1 - 12
None, Yr 3 only
1
0
40
2
Patel, Nishit

Derm

MEL 7320L Externship in Dermatology
EXT
 1 - 7
Yr 4 Status
No Limit
0
44
4
Patel, Nishit
Externship
Derm

MEL 9999L Indep Study in Dermatology
USFMS
 1 - 11
Yr 4 Status
No Limit
0
44
4
Patel, Nishit
Indep Study
Emerg Med

 MDE 8714 Intro to Medical Toxicology
 Click here for additional course information
Contact:
Dawn Yenser
Dawn.Yenser@lvhn.org
(484) 884-2489
Report to:
Will be provided one week prior to the start of the rotation.
Description:
Medical Toxicology is best described broadly as the field of medicine with expertise in the health effects caused by pharmaceuticals, occupational exposures and environmental agents. Toxicologists assist in the management of medication overdoses, addiction and withdrawal states, envenomations, hazardous materials exposures and workplace hazards. Toxicologists oversee the clinical operations of a Poison Center.
Objectives:
1. Become familiar with fundamental concepts underpinning the clinical management of Toxicological patients. Participation in the diagnosis and treatment of selected acute and chronic exposures in adults and children is expected. Elements of competency include reliable history-taking, physical examination aimed at the detection of toxidromes, formulation of differential diagnoses, implementation of treatment, and development of safe disposition plans.
2. Understand the principles, methods and controversies related to limiting toxic exposures by decontamination including gastric lavage, activated charcoal administration, renal replacement therapy, ion trapping, and hyperbaric oxygen.
3. Review knowledge of basic kinetic principles of drug absorption, redistribution, metabolism, and elimination.
 4. Study poisoning epidemiology specifically within populations ‘at risk’ such as toddlers, the elderly, pregnant or nursing women, migrants and immigrants.
 5. Complete case studies from approximately 20 classes of drugs and poisons commonly encountered in clinical practice.  Emphasis will be placed on assessing severity and initiating timely, appropriate treatment.
 6. Learn guiding principles of the management of acute intoxication in the Emergency Department. Commonly abused drugs for specific socioeconomic groups will be reviewed. Withdrawal states will also be discussed.
 7. Become familiar with selected antidotes, their uses, doses, side effects and limitations.
 8. Develop awareness for important agents of toxinology (naturally occurring toxins). These include plants and animals toxins, especially focusing on native venomous arthropods, reptiles and marine creatures.
 9. Understand diagnostic toxicology laboratory techniques, limitations and costs of both qualitative and quantitative analyses.
  10. Observe the clinical operation of a Poison Center. Understand the public health role of the Poison Centers in gathering and disseminating data including protected health information (PHI).
Rotation Activities:
1. A mandatory orientation is to be attended by the student in the first few days of the rotation.
2. Observation and participation in telephone consultations at LVHN Poison Information is expected. Students will review cases referred for medical treatment and other cases of interest.
3. A series of standard cases accompanies independent reading assignments. Expect about 20-24 hours of small group discussion.
4. Attendance at a variety of teaching rounds and meetings will be required.
5. Participation in inpatient consultations is expected. Volumes of patients are variable month to month. Students should keep a record of all patients encountered.
6. Students will be expected to prepare two 10 minute presentations on a pre-approved topic of their choice to be shared with toxicology rotators and poison center staff. It should be of narrow scope and of sufficient quality to be included in the rotators teaching files for future students to use.
7. Guided tours of the toxicology laboratory and other field trips may be available.
8.  The opportunity to conduct clinical or laboratory research, construct toxicology teaching materials, or to write a review paper for publication is encouraged and is available by arrangement in advance of the rotation.
Patient Encounters:

Evaluation:
1. Case study preparation will be assessed during discussions with the medical toxicologist.
2. Attendance at conferences and assigned poison center shifts will be counted in the evaluation.
3. A written test is administered at the end of the month.
4. For special arrangements involving research, writing or teaching, quality and completion of the project will contribute to the grade.
5. Input on professionalism and participation will be solicited from the Poison Center staff.
Syllabus:

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVHN
 2 - 5, 7 - 11
Yr 4 Status
1
0
40
4
Cook, Matthew
Clinical
Emerg Med

 MDE 8714 Intro to Medical Toxicology
 Click here for additional course information
Contact:
Pamela Bhowanidin
(813) 844-7044
Dr. Justin Arnold
jkarnold@usf.edu
Report to:
One Davis Blvd, Suite 203 (Second Floor) at 9 am on the first weekday of the rotation
Description:
Medical Toxicology is best described broadly as the field of medicine with expertise in the health effects caused by pharmaceuticals, occupational exposures and environmental agents. Toxicologists assist in the management of medication overdoses, addiction and withdrawal states, envenomations, hazardous materials exposures and workplace hazards. Toxicologists oversee the clinical operations of a Poison Center.
Objectives:
1. Become familiar with fundamental concepts underpinning the clinical management of Toxicological patients. Participation in the diagnosis and treatment of selected acute and chronic exposures in adults and children is expected. Elements of competency include reliable history-taking, physical examination aimed at the detection of toxidromes, formulation of differential diagnoses, implementation of treatment, and development of safe disposition plans.
2. Understand the principles, methods and controversies related to limiting toxic exposures by decontamination including gastric lavage, activated charcoal administration, renal replacement therapy, ion trapping, and hyperbaric oxygen.
3. Review knowledge of basic kinetic principles of drug absorption, redistribution, metabolism, and elimination.
 4. Learn guiding principles of the management of acute intoxication in the Emergency Department.  Commonly abused drugs for specific socioeconomic groups, occupational toxins and hazards, as well as withdrawal syndrome will be reviewed. 
 5. Become familiar with selected antidotes, their uses, doses, side effects and limitations.
 6. Observe the clinical operation of a Poison Center. Understand the public health role of the Poison Centers in gathering and disseminating data including protected health information (PHI).
 7. Understand basic management and response principles related to hazardous materials (HAZMAT) incidents.
 8. Manage a variety of poisoned patients through daily case-based learning, case review, and consultations.
Rotation Activities:
1. A mandatory orientation is to be attended by the student in the first few days of the rotation.
2. Observation and participation in telephone consultations at the Florida Poison Information – Tampa is expected. Students will review cases referred for medical treatment and other cases of interest.
3. Participation in daily case review of active poison center paints is required.  
4. Participation in a variety of teaching activities, including but not limited to in person lectures, webinars, statewide journal club, off-site visits to local zoos and toxicology-related public health meetings and events, and regional training and conferences (when possible).
5. Asynchronous learning through the assignment of selected journal articles relevant to the practical application of toxicology in the acute care setting.  Approximately 30 articles are routinely assigned, and ample time is provided to review the assigned articles.
6. Preparation of an abstract suitable for submission to a regional, national, or international conference on an interesting patient presentation encountered during the rotation.
7. Students will be expected to prepare a 15-minute presentation on a pre-approved topic of their choice to be shared with toxicology rotators and poison center staff.
Patient Encounters:

Evaluation:
1. Individual case presentations and management will be assessed during discussion with the medical toxicologist.
2. Attendance at daily case discussion, lectures, webinars, and other poison center activities will be counted in the evaluation.
3. Reading of assigned journal activities will be assessed through two quizzes throughout the rotation.  One quiz will occur halfway through the rotation while the second quick will occur at the end of the rotation.
4. The quality of the prepared abstract will be counted in the evaluation.
5. Input on professionalism and participation will be solicited from the Poison Center staff.
Syllabus:

Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
N/A
TGH
 5-6, 8-9
Yr 4 Status
4
0
40
2,4
Arnold, Justin
Clinical
Emerg Med

 MDI 8710 AI in Emergency Medicine
 Click here for additional course information
Contact:
Dawn Yenser
Dawn.Yenser@lvhn.org
(484) 884-2489
LVH-M 5th Fl South Building
Report to:
Will be provided one week prior to the start of the rotation.
Description:
This acting internship integrates clinical skills and evidence-based medicine through didactic lectures, performance of clinical procedures, hands-on clinical experiences, observation and direct interaction with faculty, individual patients, and families. Students will manage the patient using the "team approach," which involves EMTs, nurses, physicians, and students. Students are expected to evaluate patients, address their presenting complaints, initiate workups, and provide definitive therapies.
Objectives:
This rotation will enrich students' knowledge, help them develop history-taking ability, physical skill assessment, diagnostic and management skills, as well as help them develop a caring, compassionate and empathetic attitude in dealing with patients and their families.
Rotation Activities:
Suture lab, splint lab, journal club, EBM lecture, ultrasound didactic and hands-on, trauma simulation, critical care simulation, grand rounds, EMS ride-along, autopsy, spend a day with a nurse (procedures) and toxicology lectures
Patient Encounters:

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

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVHN
 1 - 8
Yr 4 Status
2
0
40-44
4
Worrilow, Charles
Clinical
Emerg Med

 MDI 8710 AI in Emergency Medicine
 Click here for additional course information
Contact:
Dr. Andrew Thomas
Andrew_Thomas@teamhealth.com
AThomasEM@gmail.com
(407) 529-9061
Report to:
Emergency Department, second floor of TGH
First Monday of the rotation (unless otherwise instructed due to holiday)
Time and exact location will be sent via email several days before start of rotation
Description:
This acting internship integrates clinical skills and evidence-based medicine through didactic lectures, performance of clinical procedures, hands-on clinical experiences, observation and direct interaction with faculty, individual patients, and families. Students will manage the patient using the "team approach," which involves EMTs, nurses, physicians, and students. Students are expected to evaluate patients, address their presenting complaints, initiate workups, and provide definitive therapies.
Objectives:
This rotation will enrich students' knowledge, help them develop history-taking ability, physical skill assessment, diagnostic and management skills, as well as help them develop a caring, compassionate and empathetic attitude in dealing with patients and their families.
Rotation Activities:
Students will participate in the following activities:
1. Attendance & participation at weekly grand rounds (Wednesdays 0700-1200)
2. Obtain history and perform physical evaluation of patients in the emergency department
3. Presentation of patient cases to attending physicians and/or senior residents, including differential diagnosis and management plans
4. Performance of available procedures including but not limited to laceration repair, incision & drainage, endotracheal intubation, ultrasound, central line placement, and other procedures deemed appropriate
5. Gain experience with ED point-of-care ultrasound
6. Additional events such as disaster drills or special conference events may occur
Patient Encounters:
There are not required quotas for the number and types of patients seen, however it is expected that students will attempt to see a high volume of patients (consistent with their comfort level) without compromising patient care. Students should attempt to see a variety of chief complaints.
Evaluation:
Student grades are based on daily attending evaluations and attendance at emergency medicine conferences. There is an end of rotation exam.  Students will give a 3-5 minute presentation of an interesting case during an end of rotation meeting and this also is used for grading purposes.
Syllabus:
Will be provided in orientation email
Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
N/A
TGH
 1 - 11
Intro to EM
6
0
40-44
4
Thomas, Andrew
Clinical
Emerg Med

MDR 8710 Research in Emergency Medicine

 Click here for additional course information
Contact:
Dr. Jason Wilson
tampaerdoc@gmail.com
Report to:
Dr. Jason Wilson
Description:
Students participating in the elective should be interested in pursuing a career in emergency medicine. 
Objectives:
1. Obtain human subjects research certification and understand the principles and history of human subjects research. During this process, student will obtain CITI certification.
2. Understand the administrative infrastructure necessary to operationalize emergency medicine/acute care research
3. Develop the ability to design and evaluate testable scientific hypotheses for clinical research
4. Participate in monthly Journal Club
5. Become familiar with study protocols, FDA regulations for clinical research, patient consent process
Rotation Activities:
1. Obtain CITI certification
2. Attend Hospital Research Meetings
3. Attend EM Grand Rounds
4. Liaison with Research Assistant clinical Team
5. Develop scholarly project in conjunction with Research Director
Patient Encounters:

Evaluation:
The student will be assessed during this rotation in four ways.
1. 25% participation at assigned meetings and research shifts
2. 25% observations of student motivation/achievement/abilities during patient and staff interactions
3. 25% participation and completion of Journal Club assignment (3 articles each with journal club worksheet)
4. 25% online, open-notes/open-resource quiz on the foundations of EBM
Syllabus:

Visiting Students:
No
Special Instructions:
Any interested student should contact Dr. Wilson to plan the elective. This should be done at least 3 months prior to the start of the elective. 
TGH
 1 - 11
None
2
0
40
2,4
Wilson, Jason
Research
Emerg Med

 MDT 8710 Intro to Emergency Medicine
 Click here for additional course information
Contact:
Anish Zachariah, MD
ZachariahMD@gmail.com
Report to:
Dept. of Emergency Medicine
One Davis Blvd. Suite 502
Tampa, FL 33609
Description:
Because of the wide array or patients and pathology, the rotation is an excellent introduction to acute care and primary care medicine regardless of which ever field the student may be considering. It is required pre-requisite for those USF students considering Emergency Medicine as as career.
Objectives:
This rotation will enrich students' knowledge, help them develop history-taking ability, physical skill assessment, and diagnostic and management skills, procedural skills, as well as help them develop a caring, compassionate, and empathetic attitude in dealing with patients and their families.
Rotation Activities:
This introduction to Emergency Medicine integrates clinical skills and evidence-based medicine through didactic lectures, observation, performance of clinical procedures, hands-on clinical experiences, and direct interaction with faculty, individual patients, and families. Students will manage the patient using the "team approach," which involves EMTs, nurses, physicians, and students. They are expected to evaluate patients, address their presenting complaints, initiate workups, and provide definitive therapies. There is also interactive simulated skills sessions ranging from suturing, central lines, lumbar puncture, and intubations.
Patient Encounters:

Evaluation:
The student's grade is primarily based on daily attending evaluations but will incorporate quality case presentations, clinical skills evaluation, required attendance at emergency medicine conferences, and written testing.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
TGH
 1 - 9 (Yr 4) 1-12 (Yr 3)
None
5
0
40
2
Zachariah, Anish
 Clinical
Family Med

 MDE 8104 Complex Care in the Community
 Click here for additional course information
Contact:
Crystal Walker
One City Center
707 Hamilton Street
Allentown, PA 18101
Crystal.Walker@lvhn.org
(484) 862-3066
Report to:
Will be provided one week prior to the start of the rotation
Description:
The Neighborhood Health Centers of the Lehigh Valley (NHCLV) is a Federally Qualified Community Health Center serving the under-served community of Allentown. Understanding health in a broad context, we seek to partner with our patients and community to build skills for stronger families and a healthier community.  In January of 2017, NHCLV received a Pennsylvania Department of Health award as a Center of Excellence for Opiate Use Disorders to develop screening, medication assisted treatment with naltrexone or buprenorphine/naloxone, community partnerships and community based care management with an interdisciplinary team.  People with opiate use disorders, who often have tangled story of poverty, isolation and co-morbidity, frequently slip through the cracks of the usual fragmented systems of care.  Our care teams work intensively with people with opiate use disorders wherever they need us, whether that is in our office, in the community or in their homes, to develop the relationships and understanding they need to engage in care and meet their own goals for treatment.  This elective is designed to introduce senior students to comprehensive, relationship centered care for complex patients with opiate use disorders in community settings.  At the intersection of community health and primary care, students will work with our Outreach Teams as health coaches and story gatherers to partner with patients and learn from the patient's point of view what it takes to live a good life in the face of complex issues inherent in opiate use disorders. 
Objectives:
1. Develop empathy and deeper understanding by developing relationships with patients and hearing their stories
2. Identify social determinants of health across the lifespan that contribute to opiate use disorders
3. Walk with patients and describe how healthcare systems designed to help sometimes do harm
4. Develop skills in health coaching for self management of complex health issues using motivational interviewing techniques
5. Describe the roles in interdisciplinary team and progression to transformation for patients engaged in program
6. Understand treatment options for patients with opiate use disorders, including community based organizations and community building programs
7. Describe the health policy implications of learnings from personal experiences including service delivery redesign, payment reform, and outcomes at local, state and federal levels
8. Reflect on implications for relationship centered care in student's vision of personal practice
Rotation Activities:
Students will participate in daily team rounds, initial assessments, primary care and medication assisted treatment,  home visits, and accompany patients to specialist visits and community organizations.  Students will also have opportunities to work closely with our community engagement including our Timebank service exchange and community organizing. Each student will identify individual learning goals and present either a topic or project to the team.
Patient Encounters:

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

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
Any interested student must contact Dr. Letcher to plan specific goals and activities for the elective.
LVHN
1,3,5,7,9,11
Yr 4 Status
2
0
40
4
Lecher, Abby
 Clinical
Family Med

 MEL 7258 Elect in Rural Med or Underserved
 Click here for additional course information
Contact:
Mackenzie Mady, DO
502 S. Second St
St. Clair, PA 17970
Mackenzie.mady@lvhn.org
Office: (570) 621-4364
Cell: (570) 573-3659
Report to:
Students will be contacted by Dr. Mady and Diane Boris a week prior to the rotation to coordinate housing as well as to gather more information re: the student’s interests in an effort to tailor the experience. Reporting information will be discussed at this time.
Description:
This is a rural/underserved health elective in which a student will be matched with an attending physician in the Schuylkill County area.  Responsibilities will largely be assisting with out-patient clinical care in a rural primary care office, though students may be expected to participate in hospital rounds/ER call at a hospital local to the primary practice site (depending upon preceptor).   This clerkship WILL INCLUDE A DAILY COMMUTE OF UP TO 60 minutes each direction if driving from LVHN- Cedar Crest; though, housing within the local community is provided.  Students should also note that "rural/underserved" is a relative term.  Many areas within 60 minutes of LVHN-Cedar Crest fit the definition and are typical of rural Pennsylvania.  However, these are not REMOTE rural communities, which have a different flavor and feel.  Students interested in a remote experience should consider other options.     
Objectives:
1. Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations
2. Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community
3. Introduce/sensitize the student to cross-cultural issues in health care
4. Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings
5. Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc.
Rotation Activities:
1. Arrangements for a specific time commitment will be made through the Department of Family Medicine.
2. The student will accompany the clinic physician Monday through Friday at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision.
3. Opportunities are available for additional practice activities within the hospital (e.g. pediatric hospitalists and emergency department), local specialists (e.g. cardiology and pulmnology), and in the community.
4. Students may travel to LVPG Family Medicine Hamburg for additional procedures, as well as Allentown for residency-based activities/activities related to the students’ particular interests
Patient Encounters:

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

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
Diane Boris, MBA coordinates housing:
700 East Norwegian Street
Pottsville, PA 17901
Phone: 570-621-4142
Email: Diane.Boris@lvhn.org
LVHN
 1 - 11
Yr 4 Status
1
0
40-44
2,4
Brohm, Veronica
Clinical
Family Med

 MEL 7258 Elect in Rural Med or Underserved
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Victor Cruz
Coordinator of Clinical Training & Enrichment
Gulfcoast North AHEC
vrodriguez@gnahec.org
(813) 929-1000 ext. 209
Report to:
Will be provided prior to the start of the rotation.
Description:
This elective rotation is designed to introduce the senior student to the unique characteristics of medical practice in a rural or underserved community. Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist.
Objectives:
1. Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations
2. Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community
3. Introduce/sensitize the student to cross-cultural issues in health care
4. Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings
5. Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc.
Rotation Activities:
1. Arrangements for a specific time commitment will be made through the Department of Family Medicine in conjunction with Gulfcoast North AHEC.
2. The student will accompany the physician during the course of the preceptor’s schedule  (which may involve a Saturday clinic or extended evening hours ) at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision.
3. At certain locations opportunities are available for additional practice activities within the hospital, emergency department, and in the community.
Patient Encounters:

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

Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
At certain sites this elective is available to USF students only. The Department of Family Medicine and Gulfcoast North AHEC will make the final arrangements. Availability at all clinic sites is per the preceptor’s approval.
Sites
Premier Community HealthCare Group (Dade City), Suncoast Community Health Care Centers (Ruskin, Dover, Plant City), Community Health Centers of Pinellas (Clearwater, Largo, Pinellas Park, St. Petersburg, Tarpon Springs), or Citrus County Health Department (Lecanto) 
PCHG
 1 - 11
Yr 4 Status
1
0
40-44
4
Faculty at PCHG
Clinical
Family Med

 MEL 7258 Elect in Rural Med or Underserved
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Victor Cruz
Coordinator of Clinical Training & Enrichment
Gulfcoast North AHEC
vrodriguez@gnahec.org
(813) 929-1000 ext. 209
Report to:
Will be provided prior to the start of the rotation.
Description:
This elective rotation is designed to introduce the senior student to the unique characteristics of medical practice in a rural or underserved community. Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist.
Objectives:
1. Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations
2. Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community
3. Introduce/sensitize the student to cross-cultural issues in health care
4. Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings
5. Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc.
Rotation Activities:
1. Arrangements for a specific time commitment will be made through the Department of Family Medicine in conjunction with Gulfcoast North AHEC.
2. The student will accompany the physician during the course of the preceptor’s schedule  (which may involve a Saturday clinic or extended evening hours ) at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision.
3. At certain locations opportunities are available for additional practice activities within the hospital, emergency department, and in the community.
Patient Encounters:

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

Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
At certain sites this elective is available to USF students only. The Department of Family Medicine and Gulfcoast North AHEC will make the final arrangements. Availability at all clinic sites is per the preceptor’s approval.
Sites
Premier Community HealthCare Group (Dade City), Suncoast Community Health Care Centers (Ruskin, Dover, Plant City), Community Health Centers of Pinellas (Clearwater, Largo, Pinellas Park, St. Petersburg, Tarpon Springs), or Citrus County Health Department (Lecanto) 
DMH
 1 - 11
Yr 4 Status
1
0
40-44
4
Faculty at DMH
Clinical
Family Med

 MEL 7258 Elect in Rural Med or Underserved
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Victor Cruz
Coordinator of Clinical Training & Enrichment
Gulfcoast North AHEC
vrodriguez@gnahec.org
(813) 929-1000 ext. 209
Report to:
Will be provided prior to the start of the rotation.
Description:
This elective rotation is designed to introduce the senior student to the unique characteristics of medical practice in a rural or underserved community. Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist.
Objectives:
1. Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations
2. Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community
3. Introduce/sensitize the student to cross-cultural issues in health care
4. Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings
5. Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc.
Rotation Activities:
1. Arrangements for a specific time commitment will be made through the Department of Family Medicine in conjunction with Gulfcoast North AHEC.
2. The student will accompany the physician during the course of the preceptor’s schedule  (which may involve a Saturday clinic or extended evening hours ) at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision.
3. At certain locations opportunities are available for additional practice activities within the hospital, emergency department, and in the community.
Patient Encounters:

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

Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
At certain sites this elective is available to USF students only. The Department of Family Medicine and Gulfcoast North AHEC will make the final arrangements. Availability at all clinic sites is per the preceptor’s approval.
Sites
Premier Community HealthCare Group (Dade City), Suncoast Community Health Care Centers (Ruskin, Dover, Plant City), Community Health Centers of Pinellas (Clearwater, Largo, Pinellas Park, St. Petersburg, Tarpon Springs), or Citrus County Health Department (Lecanto) 
SCHC
 1 - 11
Yr 4 Status
1
0
40-44
4
Faculty at SCHC
Clinical
Family Med

 MEL 7258 Elect in Rural Med or Underserved
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Victor Cruz
Coordinator of Clinical Training & Enrichment
Gulfcoast North AHEC
vrodriguez@gnahec.org
(813) 929-1000 ext. 209
Report to:
Will be provided prior to the start of the rotation.
Description:
This elective rotation is designed to introduce the senior student to the unique characteristics of medical practice in a rural or underserved community. Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist.
Objectives:
1. Compare and contrast the health needs and problems encountered in rural or underserved practice to those encountered in prior urban practice rotations
2. Identify the unique opportunities and challenges to medical practice and life in a rural or underserved community
3. Introduce/sensitize the student to cross-cultural issues in health care
4. Understand the mechanisms and indications for consultation and referral in rural or underserved practice settings
5. Evaluate the business management of rural or underserved practice, including availability of organized funding for patient care, managed care, etc.
Rotation Activities:
1. Arrangements for a specific time commitment will be made through the Department of Family Medicine in conjunction with Gulfcoast North AHEC.
2. The student will accompany the physician during the course of the preceptor’s schedule  (which may involve a Saturday clinic or extended evening hours ) at the designated clinic site, will see patients, and will perform procedures assigned by the preceptor under his/her supervision.
3. At certain locations opportunities are available for additional practice activities within the hospital, emergency department, and in the community.
Patient Encounters:

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

Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
At certain sites this elective is available to USF students only. The Department of Family Medicine and Gulfcoast North AHEC will make the final arrangements. Availability at all clinic sites is per the preceptor’s approval.
Sites
Premier Community HealthCare Group (Dade City), Suncoast Community Health Care Centers (Ruskin, Dover, Plant City), Community Health Centers of Pinellas (Clearwater, Largo, Pinellas Park, St. Petersburg, Tarpon Springs), or Citrus County Health Department (Lecanto) 
CHCP
 1 - 11
Yr 4 Status
1
0
40-44
4
Faculty at CHCP
Clinical
Family Med

 MEL 7267 International Health Elective
 Click here for additional course information
Contact:
Eduardo Gonzalez, MD
egonzale@usf.edu
Report to:
Any interested student MUST meet with Dr. Gonzalez and/or Dr. Callegari prior to selecting  the elective. Ideally, this should be done prior to the start of the academic year but MUST OCCUR AT LEAST 6 MONTHS PRIOR TO THE START OF THE ELECTIVE. An international travel packet must be completed at least 3 months prior to the start of the rotation and submitted to the USF Medicine International Office. A copy must also be provided to the educational coordinator. Any SELECT student interested in the elective will also need prior approval to coordinate having a faculty advisor at LVHN to help with the advising, planning, and evaluation of this elective. 
Description:
There are a wide variety of opportunities available for students with an interest in international health care. This elective is designed to provide support for USF students to obtain an international medical experience during their fourth year.
Objectives:
1. Identify the general and specific health care needs of a particular foreign country
2. Identify the role of the primary care physician in international health care
3. Gain additional clinical skills in the provision of primary health care
Rotation Activities:
Foreign travel and provision of medical services
Academic study abroad (readings and lectures) on the health problems of a particular area
Preparation and/or presentation of a report on the student's experience
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
Emergency medical insurance is required for all electives abroad.
EXT
 1 - 9
Yr 4 Status
4
0
45-50
4
Gonzalez, Eduardo
Clinical
Family Med

 MDI 8120 Acting Internship Family Med
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Bayfront Medical Center
Description:
This elective provides students with a Family Medicine residency experience at the intern level.
Objectives:
1. Integrate the student into the hospital teaching service such that the student functions at the level of an intern, managing their own patients under the supervision of a senior resident
2. Strengthen the student’s ability to develop an initial assessment and plan for patients requiring hospitalization, to succinctly present the admission to the team, and to effectively manage the patient’s medical problems throughout the hospital admission
3. Educate the student regarding common medical problems requiring hospital admission, indications for common in-patient procedures, discharge planning, and legal/ethical/cost considerations
Rotation Activities:
The student is expected to function as a Family Medicine intern under the direct supervision of the senior resident and attending. This includes pre-rounding on their patients, writing SOAP notes, attending morning report and teaching rounds, writing orders, following up on labs/consults/imaging, and doing discharge planning. Overnight call is to be determined by the site of the AI.
Patient Encounters:

Evaluation:
Fund of medical knowledge
Quality of assessments, plans, and presentations
Clinical decision-making skills
Attitude, motivation, and rapport with patients and team members
Syllabus:

Visiting Students:
No
Special Instructions:
Final arrangements concerning the course location/preceptor will be made by the Department of Family Medicine after the student is scheduled for the elective.
BFMC
 1, 3 - 6, 8 - 11
Yr 4 Status
1
0
40-50
4
Gonzalez, Eduardo
Clinical
Family Med

 MDI 8120 Acting Internship Family Med
 Click here for additional course information
Contact:
Crystal Walker
One City Center
707 Hamilton Street
Allentown, PA 18101
Crystal.Walker@lvhn.org
(484) 862-3066
Report to:
Will be provided one week prior to the start of the rotation.
Description:
The Acting Internship in Family Medicine rotation provides students the opportunity to work closely with our residents and faculty members in order to get a first-hand look of intern year. You will be assigned to a variety of patients, from newborn to geriatrics, while learning about an array of medical illnesses and preventative management.
Objectives:
Hospital Based
1. Integrate the student into the hospital teaching service such that the student functions at the level of an intern, managing their own patients under the supervision of a senior resident
2. Strengthen the student’s ability to develop an initial assessment and plan for patients requiring hospitalization, to succinctly present the admission to the team, and to effectively manage the patient’s medical problems throughout the hospital admission
3. Educate the student regarding common medical problems requiring hospital admission, indications for common in-patient procedures, discharge planning, and legal/ethical/cost considerations
Office Based
1. Integrate the student into the office setting such that the student functions at the level of an intern, managing their own patients under the supervision of a senior resident or attending physician
2. Strengthen the student’s ability to take an appropriate history and physical exam with subsequent development of an accurate differential diagnosis and workup
3. Incorporate anticipatory guidance and health maintenance recommendations into routine office visits
4. Complete succinct and accurate SOAP notes to be reviewed with your supervising physician
Rotation Activities:
The student is expected to function as a Family Medicine intern under the direct supervision of the senior resident and attending. This includes patient encounters, writing SOAP notes, attending morning report and teaching rounds, writing orders, following up on labs/consults/imaging, and doing discharge planning.
Patient Encounters:


Evaluation:
Fund of medical knowledge
Quality of presentations and clinical decision-making skills
Attitude, motivation, and rapport with patients and team members
Family Medicine Portfolio completion
Syllabus:
Will be provided one week prior to the start of the rotation
Visiting Students:
No
Special Instructions:
Hospital AI - Any interested student must contact Dr. Brohm to plan the elective.  This MUST OCCUR AT LEAST 3 MONTHS PRIOR to the start of the elective. In addition to adult hospital care, the service can include newborn and child care.. Students will follow their own patients on the hospital service while participating in treatment plans, aftercare plans and family systems plans.  They will also spend at least one week working on Family Medicine service night float. 
Office-based AI - No prior approval required.  Students will spend each day seeing patients and working closely with the LVHN Family Medicine residency program faculty members and residents. The experience will take place in one of the residency’s continuity care site offices, though the rotation can include one week on the inpatient service as well as residency didactic and reflection sessions.  Students will see patients, write prescriptions and document their care as if they are a Family Medicine intern.  The skills and values of "Turtle Craft," our relationship-centered approach to family medicine, will be taught.
LVHN
 1 - 11
Yr 4 Status
2
0
40-50
4
Brohm, Veronica
Clinical
Family Med

 MDI 8120 Acting Internship Family Med
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Morton Plant Hospital
Description:
This elective provides students with a Family Medicine residency experience at the intern level.
Objectives:
1. Integrate the student into the hospital teaching service such that the student functions at the level of an intern, managing their own patients under the supervision of a senior resident
2. Strengthen the student’s ability to develop an initial assessment and plan for patients requiring hospitalization, to succinctly present the admission to the team, and to effectively manage the patient’s medical problems throughout the hospital admission
3. Educate the student regarding common medical problems requiring hospital admission, indications for common in-patient procedures, discharge planning, and legal/ethical/cost considerations
Rotation Activities:
The student is expected to function as a Family Medicine intern under the direct supervision of the senior resident and attending. This includes pre-rounding on their patients, writing SOAP notes, attending morning report and teaching rounds, writing orders, following up on labs/consults/imaging, and doing discharge planning. Overnight call is to be determined by the site of the AI.
Patient Encounters:

Evaluation:
Fund of medical knowledge
Quality of assessments, plans, and presentations
Clinical decision-making skills
Attitude, motivation, and rapport with patients and team members
Syllabus:

Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
Final arrangements concerning the course location/preceptor will be made by the Department of Family Medicine after the student is scheduled for the elective.
MPMHC
 1 - 11
Yr 4 Status
1
0
40-50
4
Gonzalez, Eduardo
Clinical
Family Med

 MDE 8585 Elective in Sports Medicine
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Will be provided prior to the start of the rotation
Description:
This elective will provide students an opportunity to learn sports medicine from a primary care/family medicine and orthopaedic standpoint.
Objectives:
This elective will provide students an opportunity to learn sports medicine from a primary care/family medicine and orthopaedic standpoint. Senior students will have the opportunity to work in the sports medicine clinic in the USF Family Medicine and Sports Medicine Clinics. They will also work with orthopedic surgeons in the community who are actively involved in sports medicine and the care of athletes. Students will learn the basics of the examination and assessment of musculoskeletal injuries in athletes as well as non-orthopedic medical problems of the athlete.
Rotation Activities:
There will be an opportunity to work with athletic trainers, physical therapists and chiropractors and learn the basics of musculoskeletal radiology. Students will also have the opportunity to participate in game coverage for USF athletic events as well as other professional teams in the Tampa Bay area. Students will also be expected to present a project in the area of sports medicine.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
Last day to drop/add is end of Period 3, 4.
Interested students must contact the Education Coordinator from the Department of Family Medicine at (813) 974-1996 or by E-mail at lindag@usf.edu prior to enrolling.
MCAH
 5,6
Intro to Derm, Ortho, and Rheum
1
0
40-50
4
Coris, Eric
Clinical
Family Med

 MEL 8255 Family Medicine Residency Elect
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Assigned site
Description:
This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Advent Health, Orlando (formerly Florida Hospital, Orlando); Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.
Objectives:
1. Introduce the student to the relationship of Family Medicine to the medical community
2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations
3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience
4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine
5. Demonstrate the various responsibilities and activities of the Family Medicine Resident
Rotation Activities:
Included in Objectives
Patient Encounters:

Evaluation:
Fund of medical knowledge
Quality of assessment and presentation
Clinical judgment as indicated by the rationale of diagnostic and management plans
Attitude and rapport with patients and families
Subjective elements of interpersonal relationships, motivation, and ability  
Syllabus:

Visiting Students:
No
Special Instructions:
Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lindag@usf.edu.
BFMC
 1, 3 - 6, 8 - 11
Yr 4 Status
2
0
40-44
2,4
Faculty at Res Program
Clinical
Family Med

 MEL 8255 Family Medicine Residency Elect
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Assigned site
Description:
This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Advent Health, Orlando (formerly Florida Hospital, Orlando); Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.
Objectives:
1. Introduce the student to the relationship of Family Medicine to the medical community
2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations
3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience
4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine
5. Demonstrate the various responsibilities and activities of the Family Medicine Resident
Rotation Activities:
Included in Objectives
Patient Encounters:

Evaluation:
Fund of medical knowledge
Quality of assessment and presentation
Clinical judgment as indicated by the rationale of diagnostic and management plans
Attitude and rapport with patients and families
Subjective elements of interpersonal relationships, motivation, and ability  
Syllabus:

Visiting Students:
No
Special Instructions:
Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lindag@usf.edu.
FH
 1 - 8
Yr 4 Status
2
0
40-44
2,4
Faculty at Res Program
Clinical
Family Med

 MEL 8255 Family Medicine Residency Elect
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Assigned site
Description:
This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg;
Advent Health, Orlando (formerly Florida Hospital, Orlando); Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.
Objectives:
1. Introduce the student to the relationship of Family Medicine to the medical community
2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations
3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience
4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine
5. Demonstrate the various responsibilities and activities of the Family Medicine Resident
Rotation Activities:
Included in Objectives
Patient Encounters:

Evaluation:
Fund of medical knowledge
Quality of assessment and presentation
Clinical judgment as indicated by the rationale of diagnostic and management plans
Attitude and rapport with patients and families
Subjective elements of interpersonal relationships, motivation, and ability  
Syllabus:

Visiting Students:
No
Special Instructions:
Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lindag@usf.edu.
HH
 3 - 7
Yr 4 Status
1
0
40-44
2,4
Faculty at Res Program
Clinical
Family Med

 MEL 8255 Family Medicine Residency Elect
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Assigned site
Description:
This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Advent Health, Orlando (formerly Florida Hospital, Orlando); Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.
Objectives:
1. Introduce the student to the relationship of Family Medicine to the medical community
2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations
3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience
4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine
5. Demonstrate the various responsibilities and activities of the Family Medicine Resident
Rotation Activities:
Included in Objectives
Patient Encounters:

Evaluation:
Fund of medical knowledge
Quality of assessment and presentation
Clinical judgment as indicated by the rationale of diagnostic and management plans
Attitude and rapport with patients and families
Subjective elements of interpersonal relationships, motivation, and ability  
Syllabus:

Visiting Students:
No
Special Instructions:
Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lindag@usf.edu.
TMH
 2 - 8
Yr 4 Status
1
0
40-44
2,4
Faculty at Res Program
Clinical
Family Med

 MEL 8255 Family Medicine Residency Elect
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Assigned site
Description:
This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Advent Health, Orlando (formerly Florida Hospital, Orlando); Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.
Objectives:
1. Introduce the student to the relationship of Family Medicine to the medical community
2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations
3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience
4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine
5. Demonstrate the various responsibilities and activities of the Family Medicine Resident
Rotation Activities:
Included in Objectives
Patient Encounters:

Evaluation:
Fund of medical knowledge
Quality of assessment and presentation
Clinical judgment as indicated by the rationale of diagnostic and management plans
Attitude and rapport with patients and families
Subjective elements of interpersonal relationships, motivation, and ability  
Syllabus:

Visiting Students:
No
Special Instructions:
Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lindag@usf.edu.
SVMC
 1, 6 - 11
Yr 4 Status
1
0
40-44
2,4
Faculty at Res Program
Clinical
Family Med

 MEL 8255 Family Medicine Residency Elect
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Assigned site
Description:
This elective for senior students may be served at any of the affiliated Family Medicine Residencies (Bayfront Medical Center, St. Petersburg; Advent Health, Orlando (formerly Florida Hospital, Orlando); Halifax Medical Center, Daytona Beach; Tallahassee Memorial HealthCare, Inc., Tallahassee; St. Vincent's Medical Center, Jacksonville; or Morton Plant Mease Health Care, Clearwater) and may include outpatient, inpatient, and nursing home care, or other activities.
Objectives:
1. Introduce the student to the relationship of Family Medicine to the medical community
2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations
3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience
4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine
5. Demonstrate the various responsibilities and activities of the Family Medicine Resident
Rotation Activities:
Included in Objectives
Patient Encounters:

Evaluation:
Fund of medical knowledge
Quality of assessment and presentation
Clinical judgment as indicated by the rationale of diagnostic and management plans
Attitude and rapport with patients and families
ective elements of interpersonal relationships, motivation, and ability  
Syllabus:

Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
Students must check with the Department of Family Medicine before scheduling this elective through the Registrar's Office. Students are then required to contact the residency site for final approval and any arrangements that need to be made. Students should not expect that living accommodations will be provided. Contact information can be obtained through the Family Medicine Education Coordinator at 974-1996 or lindag@usf.edu.
MPMHC
 1 - 11
Yr 4 Status
2
0
40-44
2,4
Faculty at Res Program
Clinical
Family Med

 MEL 8255 Family Medicine Residency Elect
 Click here for additional course information
Contact:
Crystal Walker
One City Center
707 Hamilton Street
Allentown, PA 18101
Crystal.Walker@lvhn.org
(484) 862-3066
Report to:
Will be provided one week prior to the start of the rotation.
Description:
During this elective, students will spend each day seeing patients and working closely with the LVHN Family Medicine residency program faculty members and residents. The experience will take place in the office, hospital, and community and will demonstrate the meaning of a "community of healing." The skills and values of "Turtle Craft," the name of our relationship-centered approach to family medicine, will be taught. Come and see innovative education in action.
Objectives:
1. Introduce the student to the relationship of Family Medicine and the medical community
2. Demonstrate the relationship of ambulatory care to hospital care and the effective utilization of other specialty consultations
3. Improve the student's skills and clinical judgment by a defined and supervised patient care experience
4. Demonstrate the organizational structure of a family medicine residency including office management, medical records, patient education, and preventive medicine
5. Demonstrate the various responsibilities and activities of the Family Medicine Resident
Rotation Activities:
The student will have primary responsibility for care of assigned patients while in the clinic and in the hospital setting. In addition to patient encounters, the students will also participate in residency didactic sessions, journal club/Evidence Based Medicine sessions, behavioral medicine clinic, nursing home experiences, and residency reflective activities. There is no call or nightfloat for this rotation unless requested by the student. 
Patient Encounters:

Evaluation:
Fund of medical knowledge and quality of presentation
Clinical judgment as indicated by the rationale of diagnostic and management plans
Attitude and rapport with patients and families
Subjective elements of interpersonal relationships, motivation, and ability
Family Medicine Portfolio completion
Syllabus:
Will be provided one week prior to the start of the rotation
Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVHN
 1 - 11
Yr 4 Status
3
0
40-50
2,4
Brohm, Veronica
Clinical
Family Med

 MEL 8263 Public Sector Medicine
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Will be provided prior to the start of the rotation.
Description:
This elective is designed to introduce the student to unique characteristics of medical practice in an underserved community.  Students will be supervised by clinical family physician faculty and will gain a better understanding of providing care to a medically underserved population and the tremendous health needs that exist. 
Objectives:
Provide a learning experience for students who have a demonstrated interest in the health care of the under-served and other community health issues
Rotation Activities:
Students will attend all PSMP clinics and post conferences at Judeo Christian Health Clinic, the Outreach Clinic and BRIDGE Clinic. When more junior students are present, the elective students will assume peer teaching roles. Students are also encouraged to attend similar free clinic sessions at other community sites pending approval of the course director. Other activities include: participation in the monthly Health Disparities Scholarly Concentration Journal club; and a written report of a topic or project related to public sector medicine. Students will be encouraged to develop projects worthy of publication or presentation at a scholarly meeting.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
USFMS
 1 - 11
None
2
0
44
2,4
Woodard, Laurie
Clinical
Family Med

 MEL 8264 Fam Med Elect-USF Med Clinics
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Will be provided prior to the start of the rotation.
Description:
The aim of this elective is to reintroduce students to primary care in a Family Medicine clinic. Students will be assigned to the USF Family Medicine clinic where they will be responsible for evaluating patients under the guidance of a faculty member. Emphasis will be on the patient as a person, and the application of knowledge of the effects of disease, lifestyle, family setting, and personality on the development and management of the patient’s problems. Experience will be gained in the management of the wide range of problems present in family medicine. Students may also be assigned to work at JCHC, BORC, and BRIDGE Clinic in some rotations and precepting first and/or second year students
Objectives:
1. Identify and manage problems which present commonly in family medicine, emphasizing the importance of continuing care and follow up
2. Identify the biological, psychological, and social factors that are relevant in the etiology of patients' problems and integrate these factors in a treatment plan
3. Improve problem solving skills
4. Study the role of other health professionals in a patient's care (consultants, social workers, nurse practitioners, physical therapists, etc.) and the relationship between them and the family physician
5. Improve skills in patient education and communication
Rotation Activities:
Included in Objectives
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
Final arrangements concerning course location/preceptor will be made by the Department of Family Medicine after the student receives his/her elective choice. Students are required to meet with Dr. Gonzalez one month prior to the start of the rotation to discuss this elective.
MCAH
 1 - 11
Yr 4 Status
2
0
44
4
Gonzalez, Eduardo
Clinical
Family Med

 MEL 8265 Family Medicine Preceptorship
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Will be provided prior to the start of the rotation.
Description:
During this elective students will accompany faculty members who are in private clinical practice. This experience will be primarily in the office but will include involvement in the care of the preceptor's patients in hospitals, nursing homes, and at home. Emphasis will be on the patient as a person and the application of knowledge of the effects of disease, lifestyle, family setting, and personality on the development and management of the patient's problems. Experience will be gained in the management of the wide range of problems that are present in family practice.
Objectives:
1. Identify and manage problems which present commonly in family practice, emphasizing the importance of continuing care and follow up
2. Identify the biological, psychological, and social factors that are relevant to the etiology of patients’ problems and integrate these factors in a treatment plan
3. Improve problem-solving skills
4. Study the role of other health professionals in the patient's health care (consultants, social workers, nurse practitioners, physical therapists, etc.) and the relationship between them and the family physician
Rotation Activities:
Included in Objectives
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
In order to determine availability, students are required to select and receive permission from a community preceptor prior to registering for this elective. Final arrangements concerning course location/preceptor will be made by the Department of Family Medicine after the student receives his/her elective choice.
CF
 1 - 11
Yr 4 Status
1
0
44-50
2,4
Community Faculty
Clinical
Family Med

 MEL 8272 Women's Health Elective
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Will be provided prior to the start of the elective.
Description:
The elective provides students with an opportunity to strengthen their experience in caring for women in a Women’s Center of Excellence.
Objectives:
1. Familiarize the student with the practice of gender-specific medicine, women’s preventive health, and obstetrics and gynecology in a Women’s Center of Excellence
2. Strengthen the student’s ability to take a thorough obstetric/gynecologic and women’s preventive health history and perform routine preventive gynecologic and perinatal exams
3. Expose the student to common gynecologic/obstetric procedures such as colposcopy, endometrial biopsy, IUD placement/removal, ultrasound, C-section, fetal scalp electrode placement, etc. 
Rotation Activities:
Take an active role in the assessment and management of patients in the hospital and office setting.
Patient Encounters:

Evaluation:
Fund of medical knowledge
Quality of assessments, plans, and presentations
Clinical decision-making skills
Attitude, motivation, and rapport with patients and team members
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
MPMHC
 1 - 5, 10 - 11
Pri Care
1
0
50
2
Faculty at MPMHC
Clinical
Family Med

 MEL 8273 Fam Med Flexible Elect
 Click here for additional course information
Contact:
Linda Giordano
lindag@usf.edu
(813) 974-1996
Report to:
Will be provided prior to the start of the elective.
Description:
This elective provides students an opportunity to create an elective that that will provide an experience into the broad clinical opportunities  in Family Medicine. 
Objectives:
1. Encourage the student to design and complete his or her own ideal elective within the realm of Family Medicine. This may include but is not limited to: office procedures, Family Medicine out-patient, FM in-patient acting internship, women’s health, pediatrics, geriatrics, nursing home, research, Ob/Gyn, acute care, etc.
2. Provide the student with housing when available
3. Introduce the student to the breadth of Family Medicine
4. Specific objectives to be determined based on elective scheduled
Rotation Activities:
The student is expected to design their elective in advance with Family Medicine faculty and to take an active role in the assessment and management of patients.
Patient Encounters:

Evaluation:
Fund of medical knowledge
Quality of assessments, plans, and presentations
Clinical decision-making skills
Attitude, motivation, and rapport with patients and team members
Syllabus:

Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
For elective design assistance please contact Lee Blomberg at (727) 467-2517.
MPMHC
 1 - 11
None
3
0
40
2,4
Faculty at MPMHC
Clinical
Family Med

MDT 8010F EPA Course in Family Med
 Click here for additional course information
Contact:

Report to:

Description:
Entrustable Professional Activities (EPAs) are units of professional practice, defined as tasks or responsibilities that trainees are entrusted to perform unsupervised once they have attained sufficient specific competence. EPAs are independently executable, observable, and measurable in their process and outcome, and, therefore, suitable for entrustment decisions.
In this elective, 4th 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, 4th 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
USFMS
11A
Yr 4 Status
20
0
40
2
Hanna, Karim
Clinical
Family Med

MEL 7320F Externship in Family Medicine
EXT
 1 - 9
Yr 4 Status
No Limit
0
44
4
Gonzalez, Eduardo
Externship
Family Med

MEL 9999F Indep Study - Family Medicine
USFMS or LVHN
 1 - 11
None
No Limit
0
40
2,4
Faculty
Indep Study
Int Med
Allergy/Immun
 MEL 8315 Clinical Allergy/Immunology
 Click here for additional course information
Contact:
Earle Trott, Administrator
earletrott@usf.edu
Report to:
Dr. Mark Glaum
glaum@usf.edu
Description:
Allergic and immunologic problems affect up to 20% of adults and children in the United States, therefore, students rotating in Allergy and Immunology are exposed to a variety of common problems important to physicians regardless of their specialty interests. Both children and adults are seen in the clinics. 
Objectives:
The objective of the Allergy/Immunology experience is to familiarize the student with the pathogenesis, diagnosis, and treatment of various allergic and immunologic diseases.
Rotation Activities:
The student will primarily be involved in out-patient care at the VA Hospital, Tampa General Hospital, H. Lee Moffitt Cancer Center, All Children's Hospital, USF Adult and Pediatric Allergy/Immunology and Immunodeficiency Clinics and will attend four weekly conferences on clinical allergy and immunology given by residents, fellows and faculty from USF College of Medicine.
Patient Encounters:
The student will examine patients with common medical diseases such as allergic rhinoconjunctivitis, chronic rhinitis, acute and chronic sinusitis, various forms of asthma, otitis media with effusion, hyper-sensitivity pneumonitis, atopic eczema, contact dermatitis, urticaria and/or angioedema, drug allergy, insect hypersensitivity, and food allergy. The student will also examine patients with immuno-deficiency diseases (including HIV infection), eosinophilia, eosinophilic syndromes, and various other immunologic problems.
Evaluation:
Evaluations will be completed by the faculty members who assess the level of clinical competence attained.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Adult Med, Pri Care
2
0
40-44
2,4
Lockey, Richard
Clinical
Int Med
Allergy/Immun
 MEL 8315 Clinical Allergy/Immunology
 Click here for additional course information
Contact:
Dr. Robert Zemble
Robert_M.Zemble@lvhn.org
Report to:
Will be provided one week prior to the start of the elective
Description:
Allergic and immunologic problems affect up to 20% of adults and children in the United States, therefore, students rotating in Allergy and Immunology are exposed to a variety of common problems important to physicians regardless of their specialty interests. Both children and adults are seen in the clinics.
Objectives:
1. Evaluate an allergy patient with history and physical, formulate an appropriate laboratory and radiologic work up, and create a suitable treatment plan
2. Become familiar with the pathogenesis, diagnosis, and treatment of various allergic and immunologic diseases
Rotation Activities:
Students will primarily be involved in out-patient care in private doctor's offices.
Patient Encounters:
Students will examine patients with common medical diseases such as allergic rhinoconjunctivitis, chronic rhinitis, acute and chronic sinusitis, various forms of asthma, otitis media with effusion, hyper-sensitivity pneumonitis, atopic eczema, contact dermatitis, urticaria and/or angioedema, drug allergy, insect hypersensitivity, and food allergy  and also. immuno-deficiency diseases.
Evaluation:
Evaluations will be completed by the faculty members who assess the level of clinical competence attained.
Syllabus:

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVHN
 1 - 11
Yr 4 Status
1
0
40-44
2,4
Zemble, Robert
Clinical
Int Med
Allergy/Immun
 MDR 8245 Respiratory Disease Research
 Click here for additional course information
Contact:
Barbara Pearce
Academic Services Administrator
Internal Medicine 4th Year Electives Program
bpearce@usf.edu
Report to:
Contact Dr. Narasaiah Kolliputi at nkollipu@usf.edu for information on where to report.
Description:
Allergic and immunologic problems affect up to 20% of adults and children in the United States. Therefore students rotating in Allergy and Immunology are exposed to a variety of common problems important to physicians regardless of their specialty interests. Both children and adults are cared for in the Division of Allergy and Immunology.
Objectives:
The objectives of the respiratory disease research experience at the Joy McCann Culverhouse Airway Disease Center are to familiarize the student with some of the contemporary research methods relating to pathogenesis, diagnosis, and treatment of various allergic and immunologic diseases. The student will participate in hands-on research as it relates to respiratory syncytial virus induced respiratory diseases and the pathogenesis of pulmonary fibrosis and asthma. Many other projects by the faculty are underway and the students can participate in research projects in which they have an interest. The student will also have the opportunity to participate in the asthma, allergy and immunology clinical research unit, where up to 30 clinical research projects are ongoing at any one time. Diseases targeted for research include asthma, COPD, allergic rhinoconjunctivitis, chronic rhinitis, acute and chronic sinusitis, nasal polyposis, atopic eczema, urticaria and or angioedema, food allergy, hereditary angioedema and others. The student will learn the accepted methods used in clinical research in this state-of-the-art program.
Rotation Activities:
The student will attend four weekly conferences on basic immunology and clinical allergy and immunology given by residents, fellows and faculty from USF College of Medicine. The student will present a synopsis of his/her work in the last week of his training.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Yr 4 Status
1
0
44
4
Kolliputi, Narasaiah
Research
Int Med
Cardiovascular
 MDT 8200B Sudden Cardiac Death
 Click here for additional course information
Contact:
Dr. Sanders Chae
schae@health.usf.edu
Bonna Nichol
bonna@health.usf.edu
Report to:
Dr. Sanders Chae
Description:

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

Visiting Students:
No
Special Instructions:
N/A
USFMS
 10A
Yr 4 Status
No Limit
0
40
2
Chae, Sanders
Basic Science   
Int Med
Cardiovascular
 MEL 8351 Harvey Elective in Cardiology
 Click here for additional course information
Contact:
Dawn Schocken
schocken@usf.edu
Report to:
Dawn Schocken
Center for Advanced Medical Learning and Simulation (CAMLS) CSEC
Description:
The Harvey Elective is in part, the University of Miami Harvey Course Curriculum, and additional lectures and discussions with cardiologists and cardiology fellows.  The curriculum has the students study a series of power points focusing on the 27 most common heart conditions and their physical findings, integrating basic sciences and clinical sciences in cardiovascular disease. The clinical sounds are reproduced for the learner on the Harvey Cardiovascular Simulator. 
The students have on site practice on the Harvey manikin, clinical sites to practice on the skills they are learning, which are then reinforced at home, to learn how to accurately interpret jugular venous waves, arterial pulse waves, palpation of the apical impulse and additional heaves, lifts or thrills as well as the auscultation of the heart with various murmurs, rubs and gallops found in the various disease states. 
The curriculum assists the students in the identification and interpretation of the assigned heart conditions.  The students are expected to review their assigned curriculum and attend all of the scheduled discussions that provide an opportunity to explore their findings on the Harvey Manikin.
Objectives:
At the end of this elective, the students will be able to:
1. Identify and perform comprehensive cardiac assessments, emphasizing the physical examination.
2. Demonstrate acumen in identifying various murmur sounds related to specific cardiovascular disease.
3. Discuss their findings relative to the basic science and anatomy of the heart.
4. Analyze the complexity of linking the ECG findings, the ECHO and the clinical presentation to the patient’s chief complaint through robust modules.
Rotation Activities:
The students will have on site activities that include, but are not limited to, lectures from cardiologists, discussions on curriculum modules, orientation and practice of ultrasound of the heart, interpretation of complex ECGs, Cardiology Fellows weekly discussions, attendance at ECG Interpretations at JAH VA Hospital, attendance at ECHO interpretations at TGH. 
Patient Encounters:
N/A
Evaluation:
Course objectives will be assessed by the documentation of individual’s practice on the manikin as well as by the three in-class aural quizzes, the three online quizzes, and a comprehensive written examination at its conclusion.
Syllabus:
Posted to Canvas
Visiting Students:
With permission from Course Director
Special Instructions:
N/A
USFMS
3,5,7,9,10
Yr 4 Status
15
0
44
4
Schocken, Dawn
Basic Science
Int Med
Digest/Nutrition
 MDT 8200C Adv Concepts-Gastroenterology
 Click here for additional course information
Contact:
Dr. Patrick Brady
pbrady@usf.edu
Tashalei Chau, Administrator
chaut@usf.edu
Report to:
Dr. Brady at the Morsani Center at 8 AM on the first day of the rotation.
Description:
This course is designed to give students an appreciation for the relationship between basic science and clinical gastroenterology. It will focus on four major areas: inflammatory bowel disease, irritable bowel syndrome, viral hepatitis, and gastroesophageal reflux. The basic science basis for diagnosis and therapy will be given in a series of lectures by faculty. Students will then have the opportunity to see patients with these disorders in the Gastroenterology Clinics, the Swallowing Center, and the Endoscopy Center at the Morsani Center for Advanced Health Care. Students will participate in GI Journal Club, Basic Science Conference, Research Conference, Clinical Conferences, and gastroenterology seminars. Students will be given the option of participation in a research project if they desire to do so.
Objectives:
This course will address the relationship of innate and acquired immunity to the disordered immune response in inflammatory bowel disease, the brain/gut interaction in irritable syndrome, the viral genome and the immune system in viral hepatitis, and the pathophysiology of gastroesophageal reflux and Barrett's esophagus.
Rotation Activities:
Participation in gastroenterology outpatient clinics, lectures illustrating application of basic science principles to clinical practice, four hours of conferences weekly, observation of selected endoscopic procedures, opportunity to do endoscopic simulation training, opportunity to learn interpretation of capsule endoscopy, 48 hour pH recordings, and high resolution esophageal manometry.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
USFMS
 10A
Yr 4 Status
6
0
40
2
Brady, Patrick
Basic Science   
Int Med
Digest/Nutrition
 MEL 8306 Gastroenterology Elective
 Click here for additional course information
Contact:
Dr. Paola G Blanco
Paola_G.Blanco@lvhn.org
Report to:
Will be provided one week prior to the start of the rotation
Description:
This course will expose the medical student to a wide range of gastroenterology disease processes. The inpatient service will have a consultative aspect. The student will be exposed to both common and uncommon GI problems with emphasis on recognition, treatment and natural history of these disorders. 
Objectives:
Upon successful completion of this elective, the student may expect to achieve an acceptable level of competence in the management of disorders of the gastrointestinal tract and liver. This will be achieved by the interpretation of symptoms and physical findings, utilization of appropriate laboratory and other diagnostic studies, knowledge of the basic therapeutic approaches, and interpretation of the gastrointestinal radiographs and other imaging techniques.
Rotation Activities:
There will be a combination of direct patient contact and personal instruction.
Observation of a variety of procedures including diagnostic and therapeutic upper GI panendoscopy, capsule endoscopy, (colonoscopy, polypectomy, diagnostic and therapeutic ERCP, flexible sigmoidoscopy, esophageal dilation and manometry studies will be afforded.
Hands-on experience in capsule endoscopy is available.
Attendance at ward and teaching rounds, outpatient clinics and teaching conferences will provide a further source of learning.
Emphasis will be placed on pathophysiology, clinical manifestations, diagnosis and therapy.
Emphasis will also be placed on the techniques of clinical nutrition.
Students can participate in a short research project during the rotation or may elect to begin participation in a long term research project.
Students will participate in a regularly scheduled conferences and clinics.
Patient Encounters:

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

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVH-CC
 1 - 11
Yr 4 Status
1
0
44
2,4
Blanco, Paola
Clinical
Int Med
Digest/Nutrition
 MEL 8306 Gastroenterology Elective
 Click here for additional course information
Contact:
Dr. Patrick Brady
pbrady@usf.edu
Tashalei Chau, Administrator
chaut@usf.edu
Report to:
Dr. Brady at the Morsani Center  at 8 AM on the first day of the rotation. 
Description:
This course is designed to give students a broad exposure to gastrointestinal and liver disease through participation in the activities of the gastroenterology outpatient clinic at the Morsani Center. Students will see new outpatient consultations daily, observe selected gastrointestinal endoscopies and be exposed to high resolution esophageal manometry and capsule endoscopy. There are two required conferences weekly, GI Surgery X-ray Conference and GI Lecture Series both at TGH. The GI Basic Science/Research Conference is held at the VA hospital at 7:15 AM on Friday morning and is optional.
Objectives:
Upon successful completion of this elective, the student may expect to achieve an acceptable level of competence in the management of disorders of the gastrointestinal tract and liver. This will be achieved by the interpretation of symptoms and physical findings, utilization of appropriate laboratory and other diagnostic studies, knowledge of the basic therapeutic approaches, and interpretation of the gastrointestinal radiographs and other imaging techniques.
Rotation Activities:
Daily work and teaching rounds, participation in gastroenterology consultatons, two hours of conferences weekly, observation of selected endoscopic procedures, opportunity to do endoscopic simulation training, opportunity to learn interpretation of capsule endoscopy, 48 hour pH recordings, and high resolution esophageal manometry.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
MCAH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Brady, Patrick
Clinical
Int Med
Digest/Nutrition
 MEL 8306 Gastroenterology Elective
 Click here for additional course information
Contact:
Dr. Patrick Brady
pbrady@usf.edu
Tashalei Chau, Administrator
chaut@usf.edu
Report to:
The gastroenterology attending at 8 AM of the first day of the rotation in the Gastrointestinal Endoscopy Center at TGH.
Description:
This course is designed to give students a broad exposure to gastrointestinal and liver disease through participation in the activities of the gastroenterology consultion service at Tampa General Hospital. Students will see new outpatient consultations daily, observe selected gastrointestinal endoscopies and be exposed to high resolution esophageal manometry and capsule endoscopy. There are two required conferences weekly, GI Surgery X-ray Conference and GI Lecture Series both at TGH. The GI Basic Science/Research Conference is held at the VA hospital at 7:15 AM on Firday morning and is optional.
Objectives:
Upon successful completion of this elective, the student may expect to achieve an acceptable level of competence in the management of disorders of the gastrointestinal tract and liver. This will be achieved by the interpretation of symptoms and physical findings, utilization of appropriate laboratory and other diagnostic studies, knowledge of the basic therapeutic approaches, and interpretation of the gastrointestinal radiographs and other imaging techniques.
Rotation Activities:
Daily work and teaching rounds, participation in gastroenterology consultatons, two hours of conferences weekly, observation of selected endoscopic procedures, opportunity to do endoscopic simulation training, opportunity to learn interpretation of capsule endoscopy, 48 hour pH recordings, and high resolution esophageal manometry.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
TGH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Brady, Patrick
Clinical
Int Med
Digest/Nutrition
 MEL 8306 Gastroenterology Elective
 Click here for additional course information
Contact:
Dr. Patrick Brady
pbrady@usf.edu
Barbara Pearce
Academic Services Administrator
Internal Medicine 4th Year Electives Program
bpearce@usf.edu
Report to:
Dr. Prasad Kulkarni or Dr. Donald Amodeo at 8 AM on the first day of the rotation in the Endoscopy center at the VA Hospital.
Description:
This course is designed to give students a broad exposure to gastrointestinal and liver disease through participation in the activities of the gastroenterology consultion service at VA Hospital.  Students will see new outpatient consultations daily, observe selected gastrointestinal endoscopies and be exposed to high resolution esophageal manometry and capsule endoscopy. There are two required conferences weekly, GI Surgery X-ray Conference and GI Lecture Series both at TGH. The GI Basic Science/Research Conference is held at the VA hospital at 7:15 AM on Friday morning and is optional. 
Objectives:
Upon successful completion of this elective, the student may expect to achieve an acceptable level of competence in the management of disorders of the gastrointestinal tract and liver. This will be achieved by the interpretation of symptoms and physical findings, utilization of appropriate laboratory and other diagnostic studies, knowledge of the basic therapeutic approaches, and interpretation of the gastrointestinal radiographs and other imaging techniques.
Rotation Activities:
Daily work and teaching rounds, participation in gastroenterology consultatons, two hours of conferences weekly, observation of selected endoscopic procedures, opportunity to do endoscopic simulation training, opportunity to learn interpretation of capsule endoscopy, 48 hour pH recordings, and high resolution esophageal manometry.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Adult Med, Pri Care
1
0
44
2,4
Brady, Patrick
Clinical
Int Med
Emerg Med
 MEL 8368 Emerg Med Outside the Hospital
 Click here for additional course information
Contact:
Barbara Pearce
Academic Services Administrator
Internal Medicine 4th Year Electives Program
bpearce@usf.edu
Dr. Rachel Semmons
Rachel.semmons@gmail.com
Report to:
The student must contact the following personnel:
1. Kathleen Koch in order to schedule the ride along time with Aeromed (this is optional; you may choose to do all your ride along time with Tampa Fire). You'll need to fill out a waiver that she will send you. Her email address is kkoch@tgh.org
2. Barbara Tripp, our Rescue Division Supervisor at Tampa Fire Rescue to sign their waiver and set up ride-alongs at the different stations. Her email address is Barbara.Tripp@tampagov.net
3. Dr. Angus Jameson (ajamesonmd@gmail.com, medical director Pinellas County) and Dr. Stephanie Tershakovec (stephanietershakovec@gmail.com, our EMS fellow) to see whether there are additional EMS activities that would be useful for you for the rest of the month. 
Description:
The purpose of this elective is to give the student a broad exposure to the scope of pre-hospital emergency medical services.
Objectives:
1. Gain an understanding of pre-hospital patient care by rotation with the Tampa Fire Rescue Department and Aeromed at Tampa General Hospital
2. Learn to manage common toxicological problems by rotation in the Florida Poison Control Center at Tampa General Hospital
3. Be exposed to EMS Administration by accompanying the medical director of Tampa Fire and Aeromed during administrative duties
4. Gain an understanding of resource allocation and pre-arrival instruction initiatives by rotation at Signal One Fire and Rescue Dispatch
Time spent in these various areas will depend on the interests and experience of the student participating. 
Rotation Activities:
1. Specific monthly meetings with Dr. Semmons
2. Regular standing meeting: Aeromed Case Presentation every Tuesday, 9am-10am
3. Tampa Fire Meetings - Tuesday mornings
4. Aeromed’s Safety and Staff - the last Thursday morning of the month
5. Emergency medicine grand rounds are on Wednesday 7am-12pm.
6. Approximately every 6 weeks - Grand Rounds at CAMLS.
7. Pinellas County does Capstone testing for new medics on the last Thursday and Friday of each month
8. Monthly Journal Club for the EMS fellowship - articles will be made available one week before the scheduled meeting, which the student will be asked to review and be prepared to discuss.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
TGH
 1 - 11
Yr 4 Status
2
0
44
4
Semmons, Rachel
Clinical
Int Med
Emerg Med
MEL 7320Q Extern-Emergency Medicine
EXT
 1 - 7
Yr 4 Status
No Limit
0
44
4
Faculty
Externship
Int Med
Emerg Med
MEL 9999Q Indep Study in Emergency Med
USFMS or LVHN
 1 - 11
Intro to EM, Adult Med, Pri Care
No Limit
0
44
2,4
Faculty
Indep Study
Int Med
Endocrin
 MEL 8305 Clinical Endo & Metabolism
 Click here for additional course information
Contact:
Haley Palmer
hpalmer@usf.edu
Dr. Joaquin Gomez-Daspet
Joaquin.Gomez-daspet@va.gov
Report to:
Dr. Joaquin Gomez-Daspet
Joaquin.Gomez-daspet@va.gov
Description:

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

Evaluation:

Syllabus:

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Adult Med, Pri Care
1
0
40-44
4
Gomez-Daspet, Joaquin
Clinical
Int Med
Endocrin
 MEL 8305 Clinical Endo & Metabolism
 Click here for additional course information
Contact:
Dr. Gretchen Perilli
Gretchen_A.Perilli@lvhn.org
(610) 402-6790
Report to:
Will be provided one week prior to the start of the rotation
Description:
The rotation on the Endocrinology services involves exposure to inpatient consultations and the outpatient clinic with a senior resident and the attending endocrinology staff. The main emphasis is on clinical teaching of the pathophysiology of endocrine disorders including appropriate diagnostic tests and modes of therapy. This course will prepare students to use acquired knowledge gained in the rotation to evaluate and treat common endocrine disorders via evidenced based medicine. The student will learn how to interact with patients & their families, colleagues, and staff regarding patient care and treatment.
Objectives:
1.  Evaluate an endocrine patient with history and physical, formulate an appropriate laboratory and radiologic work up, and create a suitable treatment plan
2. Demonstrate the ability to manage diabetes mellitus type 1 and 2
3. Demonstrate the ability to manage oral and insulin diabetes treatments as well as prevent and manage diabetic complications
4. Discuss, evaluate and treat routine endocrine conditions including thyroid, parathyroid, adrenal, pituitary, and gonadal disorders
Rotation Activities:
This course will include a rotation with the endocrine consult service with responsibility and activites in care of patients.
Patient Encounters:

Evaluation:
Students will be evaluated in the office/clinic by the faculty attending. In the hospital setting students will be evaluated by the rounding attending.
Students will be given assignments. For example: Students will be given a interesting case by the attending to review. The case will be presented and reviewed with the attending. Students will be asked to complete a clinic question based on a case they were involved in. They will answer the question with support from the medical literature.
Syllabus:

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVH-CC
 1 - 11
Yr 4 Status
1
0
40-44
2,4
Perilli, Gretchen
Clinical
Int Med
Ethics/Palliative
 MDE 8150 Intro to Palliative Med and Hospice
 Click here for additional course information
Contact:
David.Gibbons@lvhn.org
(610) 402-0100
Report to:
1255 S. Cedar Crest Blvd., Suite 3500
Description:
This elective is designed to introduce the basic philosophy of palliative care and how these principles are applied to patients with advanced complex diseases. A three-week OACIS inpatient rotation will consist of full participation on the inpatient consulting service, including daily rounds, weekly interdisciplinary team meetings (IDT), weekly staff meeting, and participation in regular interdisciplinary education sessions and case presentations. Students will assist with inpatient consultations with precepting and support from the full inpatient team as well as a designated supervising physician. Focus will be on assessment and treatment of pain and non-pain symptoms, fundamental skill development in patient and relationship centered care, and coordination of care including family meetings, goals of care discussions, conflict resolution, and withdrawal of life sustaining therapies. The fourth week will be focused on understanding the process of offering palliative care in the home setting and under the hospice medical benefit in the inpatient hospice unit (IPU). Students will participate in home visits with OACIS Nurse Practitioners, and also be in the IPU under the supervision of the hospice medical director, with guidance from the RN case manager, and other members of the hospice team.  For home-based OACIS services, focus will be on assessment and treatment of pain and non-pain symptoms, fundamental skill development in patient and relationship centered care, and coordination of care with goals of care discussions.  For the IPU, focus will be on recognition of the dying process, the pharmacokinetics and pharmacological effects of medication commonly used to treat symptoms in dying patients, and an introduction to the regulatory requirements for hospice.
Objectives:
1. Initiate palliative care consults on patients in the hospital to include a comprehensive medical history, physical examination and assessment of patient and family understanding of illness and prognosis. Gather a psychosocial, coping history, and spiritual and values history
2. Provide a comprehensive assessment of patients with pain identifying physical, psychosocial and spiritual components of distress
3. Explain the relevant basic science, pathophysiology, associated symptoms and signs, and diagnostic options useful in differentiating among different etiologies of pain and non-pain syndromes
4. In patient encounters, identify and address common patient, family, health care provider, and health care system barriers to effective symptom treatment
5. List indications, clinical pharmacology, alternate routes, equianalgesic conversions, appropriate titration, toxicities, and management of common side effects in opioid administration
6. Initiate informed relationship-centered dialogues about care
7. Demonstrate empathy
8. Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds
9. Communicate effectively with physicians, other health professionals, and health related agencies
10. Define patient requirements to qualify for the hospice medical benefit and describe how these benefits are delivered in through an interdisciplinary team
Rotation Activities:
During the entire month, students will attend palliative care journal club, and weekly hospice and palliative medicine fellow education sessions. Additionally, students will be required to read the UNIPAC series, landmark journal articles regarding key palliative care topics, and also to complete relevant CAPC modules.
Patient Encounters:

Evaluation:
For the inpatient educational experience, the trainee will see patients at Lehigh Valley Hospital-Cedar Crest and on the consultation services of the OACIS/Palliative Care Consult Service. They will actively participate in daily team rounds and weekly Inter-Disciplinary Rounds (IDT). Trainees will be assigned patients by the supervising faculty and will be integrally involved in the assessment of the patient's medical history, physical exam, and evaluation of patient and family understanding of illness and prognosis. They will actively participate in family meetings regarding goals of care and treatment plans. In addition, students will complete daily journal entries using a standardized question template to process their emotional/spiritual reaction to the work that is being done. Communication skills will be taught through didactic sessions, role play scenarios, and direct observations.
For the hospice experience, the student will see patients primarily at the inpatient hospice unit at 17th and Chew St. Additionally, if desired, trainees will see patients who are enrolled in LVH Hospice Services at home with a member of the hospice team including pastoral care, social worker, nurse case manager, and medical director. They will participate in either one inpatient or home-based IDT during the week.
Knowledge will be assessed through a pre-post knowledge survey and exam, in addition to an oral presentation given at one of the IDT rounds on a palliative care topic of interest. Finally, an overall evaluation will be completed by each member of the IDT using a competency-based assessment tool.
Syllabus:

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVH-CC
 1,4,5,6,9,10
None
1
0
44
4
Gibbons, David
Clinical
Int Med
General
 MDE 8037 Occupational Medicine Elective
 Click here for additional course information
Contact:
Dr. Rachel Williams
rachel.williams5@va.gov
Report to:
Students should report to the James A. Haley Occupational Health Clinic at 8:00 am on the first day of the elective, as the preceptor, Dr. Williams will be expecting you.
The Employee Occupational Health clinic is in the Community Living Center (AKA CLC or Haley’s Cove).  The main entrance to the CLC is right across from the main hospital entrance and you enter on the “B” floor from the outside.  If you come in through the SCI entrance on the ground floor, you come in on the “A” floor and will have to take the elevator up to the “B” floor. The clinic is on “B” floor at the end of the first hallway to the left after the elevators, check in in Rm 125.

The phone number to the clinic and Dr. Rachel Williams is (813) 972-2000 ext. 7628.
Description:
The goals of this rotation are for the student to be exposed to the workplace, work exposures, and relevant statutes, such as workers’ compensation. The goal is to return the injured worker back to work while maximizing the patient’s functional recovery. In addition, the student will learn to identify workplace and environmental hazards to reduce the risk of future injury or illness to the patient.
Objectives:
1. Gain exposure to complete patient histories, with an emphasis on occupation and exposure
2. Gain exposure to the selection of appropriate diagnostic studies in relation to the occupational injury or exposure
3. Review relevant occupational IT, databases, guidelines or other resources when providing a summary to the clinical preceptor
4. Gain exposure to legal and regulatory authority relating to protection and promotion of the public’s health
5. Assess individual risk for occupational/environmental disorders using an occupational history
Rotation Activities:
The student will see patients at the James A. Haley Occupational Health Clinic. The teaching methods used include patient based care, didactic instruction by the preceptor, coordinators or staff, self-directed study and topic assignment.
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
None
1
0
40
2,4
Williams, Rachel
Clinical
Int Med
General
 MDE 8140 Geriatric Medicine
 Click here for additional course information
Contact:
Dr. Neti Vora
Neti_N.Vora@lvhn.org
Report to:
Will be provided one week prior to the start of the rotation
Description:
The geriatric rotation will offer experience to observe and manage elderly patients with a wide variety of medical conditions on an inpatient and outpatient basis. Students function as members of a team with a resident and attending physicians, offering care for patients in acute, ambulatory, community and long-term care settings, in order to understand the interaction of natural aging and disease as well as the techniques of assessment, therapy and chronic and acute disease management.
Objectives:
1. Understand the normal anatomical and physiologic changes associated with aging and the concepts of homeostenosis and frailty
2. Recognize the atypical presentations of illness in the geriatric patient
3. Evaluate and manage the common geriatric conditions including:  delirium, dementia, depression, gait disorder and falls, syncope, unintentional weight loss, pain syndromes, urinary incontinence, and constipation
4. Assess for and prevent the hazards of hospitalization of the geriatric patient including:  'polypharmacy', delirium,deconditioning and functional decline, malnutrition and pain syndromes
5. Recognize the prevalence of complex and chronic disease in the elderly and its impact on functionality and quality of life
6. Understand and utilize the AGS Beer’s Criteria for potentially inappropriate medication use in the older adult
7. Administer and interpret the various standardized instruments used for assessment of cognitive function, psychological affect and physical function in the geriatric population
8. Understand the various post-acute rehabilitation and long-term care settings, including the duties of the interdisciplinary team members and Medicare/Medicaid and other insurance payment options
Rotation Activities:
Students will see patients on the hospital geriatric consultation service, the ambulatory primary care and out patient consultation service and in several post-acute care rehabilitation and long-term care settings under the direct observation of the geriatric attendings with focus on addressing all the above listed objectives. They will participate in monthly geriatric journal club and geriatric trauma meetings. Students will be given hard copy reading booklets they are expected to review, and will be expected to informally present a geriatric journal article at the end of the rotation. Students will choose one acute hospital patient from the consultation service for continuty follow through to the post-acute rehabilitation setting and provide a written summary about the experience including:  a summary of the patients course in hospital through rehabilitation,  interviews and examinations done with the patient, transitions of care concerns, care plan formulations for post-rehab and their own recommendations for improvement of the system.
Patient Encounters:

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

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVHN
 1 - 11
Yr 4 Status
1
0
40
2,4
Vora, Neti
Clinical
Int Med
General
 MDE 8148 Geriatrics and Health Disparities
 Click here for additional course information
Contact:
Asa Oxner, MD
Internal Medicine
aoxner@usf.edu
Anna Wenders
Department of Family Medicine
amaynard@usf.edu
Barbara Pearce
Academic Services Administrator
Internal Medicine 4th Year Electives Program
bpearce@usf.edu
Report to:
Asa Oxner, MD
Internal Medicine
aoxner@usf.edu
Description:
This elective integrates students into the care of elderly and those who are victims of health disparity in our community. The USF Byrd Neurosciences Institute, Senior Connections Area Agency on Aging supported by the State of Florida, and the Crisis Center of Tampa Bay have operated for many years in partnership with Tampa General Hospital as safety net systems for patients without insurance or without social resources. This elective will introduce students to the care of patients in the most vulnerable of populations.  They will be assigned to the Byrd Neurosciences clinic consisting of geriatric primary care, movement disorders specialty clinic, and memory disorder interdisciplinary clinic. In addition, they will go one half-day to the Crisis Center, one half-day to senior connections, and one full day to house-calls at an assisted living facility near USF Tampa Campus. We hope that the experience in this setting will teach students how to avoid complications, improve outcomes, reduce costs and result in fewer hospital admissions for this vulnerable patient population. 
Objectives:
By the end of the elective students will be able to:
1. Compare and contrast the health needs and problems encountered in indigent care in the elderly
2. Compare and contrast the health needs and problems in an urban setting
3. Identify the most common over-treatments of geriatric patients and the downstream complications that patient’s experience from these
4. Understand the business application of Obamacare and Medicare, and the intersection of poverty with healthcare access
5. Understand resources for involvement from the Tampa social care network
6. Understand firsthand what a health disparity is and be able to take steps to fix it
7. Develop an understanding of the costs and complexity of dealing with poorly compliant patients, elderly patients and patients with loss of cognitive ability
8. Become knowledgeable in the importance of recognizing early onset cognitive decline, and counseling the family
Rotation Activities:
1.  Direct clinical experience with geriatric patients at Byrd Neurosciences Center and assisted living facility house-call visits
2. Mandatory attendance at weekly geriatric didactic sessions in order to learn about geriatric and health disparities topics
Patient Encounters:

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

Visiting Students:
No
Special Instructions:
Students will also visit TGH Health Park.
BYRD
 1 - 11
Yr 4 Status
2
0
40
2,4
Guerra, Lucy
Clinical
Int Med
General
 MDE 8774 Bedside Ultrasonography
 Click here for additional course information
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 assesment with sonography for trauma (FAST) examination) J Ultrasound Med. 2014 feb 27 (2);313-8         
2. Relevance of lung ultrasound in the diagnosis of acute respiratory failure The BLUE Protocol. Chest 2008 134; 117-125
Suggested additional ultrasound literature journals and books:
Sign up for Athens access at VA Medical Library (2nd 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
T-VAH
 1 - 11
Adult Med, Pri Care
1
0
40
2
Lamarche, Jorge
Clinical
Int Med
General
 MEL 8121 Hospital Med & Patient Safety
 Click here for additional course information
Contact:
Alexander Reiss, MD
Alexander.Reiss@va.gov
Report to:
VAH
Room 7b723 or 7b724 on the 7th 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
T-VAH
 1 - 11
Adult Med, Pri Care
2
0
40
2,4
Reiss, Alexander 
Clinical
Int Med
General
 MDI 8200 Acting Medicine Internship
 Click here for additional course information
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
LVH-CC
 1 - 11
Yr 4 Status
6
0
40-64
4
Gaines, Darryl
Clinical
Int Med
General
 MDI 8200 Acting Medicine Internship
 Click here for additional course information
Contact:
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
MCC
 1-2, 4-11
Yr 4 Status
1
0
40-64
4
Holmstrom, Bjorn
Clinical
Int Med
General
 MDI 8200 Acting Medicine Internship
 Click here for additional course information
Contact:
Lourdes Rodriguez
Academic Services Administrator
Internal Medicine 4th 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.
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
TGH
 1-2, 4-11
Yr 4 Status
5
0
40-64
4
O'Brien, Kevin
Clinical
Int Med
General
 MDI 8200 Acting Medicine Internship
 Click here for additional course information
Contact:
Lourdes Rodriguez
Academic Services Administrator
Internal Medicine 4th 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.
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
T-VAH
 1-2, 4-11
Yr 4 Status
5
0
40-64
4
O'Brien, Kevin
Clinical
Int Med
General
 MEL 8335 General Internal Medicine Consult Service
 Click here for additional course information
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
MCC
 1 - 11
Yr 4 Status
1
0
44
4
Klinkova, Olga
Clinical
Int Med
General
 MEL 8335 General Int Med Consult Srvc
 Click here for additional course information
Contact:
Lourdes Rodriguez
Academic Services Administrator
Internal Medicine 4th 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
TGH
 1 - 11
Adult Med, Pri Care
1
0
44
2
O'Brien, Kevin
Clinical
Int Med
General
 MEL 8953 Integrative Clinical Skills
 Click here for additional course information
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
TGH
11
Yr 4 Status
12
0
40
4
Kapadia, Nikesh
Clinical
Int Med
General
 MDI 9202 Honors AI in Internal Medicine
 Click here for additional course information
Contact:
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
MCC
3
Yr 4 Status
1
0
64
4
Holmstrom, Bjorn
Clinical
Int Med
General
 MDI 9202 Honors AI in Internal Medicine
 Click here for additional course information
Contact:
Lourdes Rodriguez
Academic Services Administrator
Internal Medicine 4th 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 mandatory conferences that students are required to attend are AM report, noon conference, Grand Rounds and the Friday Conferences. 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. 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
TGH
3
Yr 4 Status
5
0
64
4
O'Brien, Kevin
Clinical
Int Med
General
 MDI 9202 Honors AI in Internal Medicine
 Click here for additional course information
Contact:
Lourdes Rodriguez
Academic Services Administrator
Internal Medicine 4th Year Electives Program
lrodrig9@usf.edu 
Report to:
The VAH 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 mandatory conferences that students are required to attend are AM report, noon conference, Grand Rounds and the Friday Conferences. 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. 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
T-VAH
3
Yr 4 Status
5
0
64
4
O'Brien, Kevin
Clinical
Int Med
General
MDT 8010M EPA Course in Int Med
 Click here for additional course information
Contact:
Dr. Shanu Gupta
shanugupta@usf.edu
Report to:
Tampa General Hospital HMT 750
Monday at 8 am
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, 4th year students who plan to join an Internal Medicine residency program will be exposed to, and assessed in, activities that all entering residents should be expected to perform on day 1 of the Internal Medicine residency without direct supervision. The goal is to provide a smooth transition for the graduating student into their expected performance as an intern in Internal Medicine.
This elective will take advantage of faculty expertise in key clinical skills, inpatient 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, 4th year medical students will be entrustable to:
  1. Demonstrate mastery in clinical reasoning skills
  2. Apply high value care principles in managing common infectious diseases, with a view to enhance antibiotic stewardship  
  3. Collaborate with an interprofessional team to safely and effectively discharge an internal medicine patient
  4. Recognize a patient requiring urgent or emergent care and initiate evaluation and management
  5. Demonstrate expertise in managing difficult conversations, including obtaining informed consent and disclosing errors
Perform general procedures of an internal 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. Identifying and remediating clinical reasoning deficits
    3. Providing effective feedback
    4. Developing individual learning plans
    5. Managing difficult conversations
    6. Evaluating discharge summaries
  2. Complete a preparatory, asynchronous multimodality curriculum for the following topics:
    1. Chest xray interpretation
    2. ECG interpretation
    3. ABG interpretation
    4. Electrolytes
    5. Antibiotics
    6. Effective communication skills in managing difficult conversations
  3. Work with a junior learner to identify clinical reasoning deficit(s), provide effective feedback and devise an individual learning plan to remediate the deficit
  4. Apply bacteriology to patient care by ordering appropriate antibiotics based on patient presentation, likelihood of infectious agent, guidelines for therapy
  5. Answer mock calls from nursing staff to identify and initiate management of medical emergencies
  6. Observe and participate in difficult conversations with patients
  7. In a simulated environment, teach management of difficult conversations, including getting informed consent, disclosure of medical errors, discussing resuscitation status
  8. Participate in a one week night medicine experience on the wards
Patient Encounters:
Students on this rotation will be expected to work up and/or follow patients as directed in the 4th year Acting Internship in Internal Medicine.
Evaluation:
Students will be evaluated through the following methods:
1. Clinical reasoning mastery will be evaluated by faculty during a cognitive biopsy case presentation.
2. Students will submit reflective narratives on high value care in caring for a patient with infectious disease, and feedback will be provided by elective faculty leads.
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 facilitate a safe and effective discharge, including discharge documentation
5. Students will also receive feedback from interprofessional team members on facilitation skills and professionalism in preparing a discharge
6. Students will be evaluated by supervising attendings and/or residents on their ability to manage difficult conversations
7. Students will also participate in simulation exercises to demonstrate competence in managing difficult conversations
Students will participate in simulation exercises to demonstrate competence in performing common procedures – lumbar puncture, thoracentesis, paracentesis, central line placement and point-of-care ultrasound
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
USFMS
11A
Yr 4 Status
30
0
40
2
Gupta, Shanu
Clinical
Int Med
General
MEL 7320M Extern-Internal Medicine
EXT
 1 - 7
Yr 4 Status
No Limit
0
44
4
Faculty
Externship
Int Med
General
MEL 9999M Indep Study-Internal Med
USFMS or LVHN
 1 - 11
Adult Med, Pri Care
No Limit
0
40
2,4
Faculty
Indep Study
Int Med
Hem-Onc
 MDE 8280 Hematology and Oncology
 Click here for additional course information
Contact:
Dr. William Scialla
William_S.Scialla@lvhn.org
(484) 884-5733
Rose Laudenslager
Administrative Assistant
(610) 402-0512
medicalstudents.lvhn.org
(610) 402-2554
Report to:
1240 S. Cedar Crest Boulevard Suite 411
Allentown, PA 18103
Visit the LVHN.org website and fill out the tab: research and education.
Medical student will be provided the schedule with planned elective 
Description:
This course will expose the medical student to a wide range of hematologic and oncologic disease processes. In the outpatient setting, an emphasis will be made on the proper screening, pathophysiology, staging, natural history and treatment of cancer. The inpatient service will both have a primary management role and consultative aspect. The student will be exposed to both common and uncommon hematologic problems with emphasis on recognition, treatment and natural history of these disorders. Students will also spend time in multidisciplinary clinics.
Objectives:
1. Identify key points in a patient's case and use them to make management decisions
2. Recall the important aspects of the history and physical in evaluating a patient with cancer or a hematologic disorder
3. Identify detailed aspects of the CBC, coagulation studies, and peripheral blood smear
4. Will demonstrate the ability to accurately interpret CT scans and MRI imaging of oncology patients
5. Strengthen skills to develop a differential diagnosis and be able to justify studies ordered and rational behind treatment recommendations
6. Be able to compare and contrast mechanism of action and side effects of traditional chemotherapy and new targeted therapy
7. Differentiate between palliative care and hospice care and decide when to transition patient to hospice
8. Appreciation for  the importance of clinical trails and the process of screening patients
9. Appreciation for multidisciplinary care of oncology patients
Rotation Activities:
The student will be exposed to a broad variety of Hematologic and Oncologic cases. They will spend time on the oncology floor and with the consult service. They will follow patients and round with team memners including attendings, APC, fellows and residents.
The students also spend time in the office setting with a attending. Thhey accompany the attending during office visits and spend time discussing the case.
Attend tumor board, journal club, feelow lectures. Opportunity to spend time with hematopathology and blood bank
Patient Encounters:

Evaluation:
1. Students will be evaluated in the office/clinic by the faculty hematology/oncology attending. In the hospital setting students will be evaluated by the rounding attending and APC (advanced practice clinician).
2. Students will be given a brief multiple choice test at the start of the rotation and again at the completion to gauge progress. Test will cover basic concepts in hematology/oncology.
3. 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
LVHN
 1 - 11
Yr 4 Status
1
0
40
4
Scialla, William
Clinical
Int Med
ID, International
 MDE 8320 Infectious Disease Elective
 Click here for additional course information
Contact:
Melissa Keyser
Melissa.Keyser@lvhn.org
Report to:
Will be provided one week prior to the start of the rotation
Description:
The primary focus of this rotation is the inpatient consultative service. Students will be expected to round collaboratively with a team including rotating residents, physician assistants, our ID pharmacist, as well as the attending physician. To complement this focus, the student will participate in ID journal club, case management series, and medical grand rounds. The student will also be exposed to other ID-related services, including microbiology and laboratory medicine, infection control, travel medicine, HIV, wound management, and antibiotic stewardship.
Objectives:
1. Apply the principles of comprehensive history taking and physical examination to generate a differential diagnosis and to select advanced testing modalities
2. Improve their assessment and management of disease processes using evidence-based literature and interdisciplinary communication
3. Apply principles of empiricism and stewardship to antibiotic selection and management
4. Improve familiarity with antimicrobial therapies, including antibiotic classes, adverse drug reactions and interactions
5. Understand various states of immunosuppression (hereditary, drug-induced, acquired, organ transplant-related) and infections related to these
6. Summarize Infection Control protocol to minimize spread of disease
7. Deduce the appropriate method for treating microbial infections
8. Identify the correct type of antibiotic to treat bacterial Infections
Rotation Activities:
This course will include a rotation with the infectious disease consult service with  responsibility and activities in care of patients.
Patient Encounters:

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

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVH-CC
 1 - 11
Yr 4 Status
2
0
40
2,4
Friel, Brian
Clinical
Int Med
ID, International
 MEL 8310 Infect Disease & Interntl Med
 Click here for additional course information
Contact:
John Greene, MD
John.Greene@moffit.org
(813) 426-5668
Report to:
John Greene, MD
John.Greene@moffit.org
(813) 426-5668
Description:
Facilities include patient populations with bacteremias, urinary tract infections, pneumonias and HIV related issues.  (If there is an interest specifically in Bone Marrow Transplant Infectious Diseases, see MEL 8362.)  All of the sites for ID are run utilizing a team approach directed by an Infectious Diseases attending on service and a variety of potential team members including but not limited to an Infectious Diseases fellow and other trainees.  In addition to participating in bedside consultative rounds evaluating patients, there are regular didactic teachings.  Traditionally students participate in teaching their peers by researching and presenting a mini topic to the group during one of the teaching sessions.  The student’s progress during the elective rotation will be assessed during bedside and teaching rounds by the attending.  Monthly microbiology interdisciplinary rounds are shared by James A. Haley and Moffitt Cancer Center’s ID services. Moffitt Cancer Center's specialty population consists of oncology and hematological units and an orthopedic oncology unit.
Objectives:
1. Provide fundamental information concerning techniques employed in diagnosing infectious diseases
2. Obtain an appreciation for the natural history of infectious disease so as to better understand whether therapy is affecting the course of disease in a given patient
3. Comprehend the process of selection of appropriate antimicrobial therapy
Rotation Activities:
1. Seeing patients assigned to the student from 9:00-12:00, Monday – Friday
2. ID didactic Lecture from 12:00-1:00, Monday-Friday
3. Rounds with ID attending and team from 1:00-5:00, Monday-Friday
4. Optional – Research project on ID related diagnosis
Patient Encounters:

Evaluation:
Midway through the elective a formal evaluation process results in generation of written comments that are communicated to the student so that he/she can appreciate how his/her performance has been to that point. Daily, critical review of presentation of patient data will be incorporated in teaching rounds to provide guidance for the student to strengthen skills in those areas.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
MCC
 1 - 11
Adult Med, Pri Care
4
0
44
2,4
Greene, John
Clinical
Int Med
ID, International
 MEL 8310 Infect Disease & Interntl Med
 Click here for additional course information
Contact:
Tammy Grice
tsgrice@usf.edu
Report to:
Tammy Grice
TGH Room G323
Description:
This course is a 2 or 4 week experience for our medical students at Tampa General Hospital.
Students will be assigned to see clinical patients in which a request to receive an infectious diseases consultation has been made. Typically these patients have common community and hospital acquired infections in hosts who are immunocompetent.   Student member will interact and train with other members of the team including an Infectious Disease fellow and an Infectious Disease attending.
Objectives:
1. Provide fundamental information concerning techniques employed in diagnosing infectious diseases
2. Obtain an appreciation for the natural history of infectious disease so as to better understand whether therapy is affecting the course of disease in a given patient
3. Comprehend the process of selection of appropriate antimicrobial therapy
Rotation Activities:
The clinical rotations conducted are structured to permit students to function, with guidance by advanced subspecialty residents and attending physicians, as consultants in infectious disease. In addition to participation in bedside consultative evaluation of patients and the presentation of findings on daily teaching rounds, students are required to employ standard textbooks, contemporary literature and laboratory data in an organized fashion to arrive at "best fit" diagnoses. Progress of patients will be assessed and recorded daily. Fellows and attendings will provide regular didactic teaching, and students will participate in the teaching activity by preparing and presenting a comprehensive review of an important clinical topic in infectious diseases for a Division Conference. The student's progress during the elective will be monitored during daily teaching rounds by the attending faculty.
Patient Encounters:

Evaluation:
Midway through the elective a formal evaluation process results in generation of written comments that are communicated to the student so that he/she can appreciate how his/her performance has been to that point. Daily, critical review of presentation of patient data will be incorporated in teaching rounds to provide guidance for the student to strengthen skills in those areas.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
TGH
 1 - 11
Adult Med, Pri Care
3
0
44
2,4
Sinnott, John
Clinical
Int Med
ID, International
 MEL 8310 Infect Disease & Interntl Med
 Click here for additional course information
Contact:
Benjamin Reza
Benjamin.Reza@va.gov
Report to:
Dr. Sandra Gompf
Sandra.Gompf@va.gov
Description:

Objectives:
1. Provide fundamental information concerning techniques employed in diagnosing infectious diseases
2. Obtain an appreciation for the natural history of infectious disease so as to better understand whether therapy is affecting the course of disease in a given patient
3. Comprehend the process of selection of appropriate antimicrobial therapy
Rotation Activities:
The clinical rotations conducted are structured to permit students to function, with guidance by advanced subspecialty residents and attending physicians, as consultants in infectious disease. In addition to participation in bedside consultative evaluation of patients and the presentation of findings on daily teaching rounds, students are required to employ standard textbooks, contemporary literature and laboratory data in an organized fashion to arrive at "best fit" diagnoses. Progress of patients will be assessed and recorded daily. Fellows and attendings will provide regular didactic teaching, and students will participate in the teaching activity by preparing and presenting a comprehensive review of an important clinical topic in infectious diseases for a Division Conference. The student's progress during the elective will be monitored during daily teaching rounds by the attending faculty.
Patient Encounters:

Evaluation:
Midway through the elective a formal evaluation process results in generation of written comments that are communicated to the student so that he/she can appreciate how his/her performance has been to that point. Daily, critical review of presentation of patient data will be incorporated in teaching rounds to provide guidance for the student to strengthen skills in those areas.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Sinnott, John
Clinical
Int Med
ID, International
 MEL 8357 Infects Trnsplnt Med/Immunocom
 Click here for additional course information
Contact:
Tammy Grice
tsgrice@usf.edu
Report to:
Tammy Grice
TGH Room G323
Description:
This course is a 2 or 4 week experience for our 4th year medical students at Tampa General Hospital.
Students will be assigned to see clinical patients who are immunocompromised in which a request to receive an infectious diseases consultation has been made. Typically these patients are immunocompromised due to prior solid organ transplantation or HIV infection, although other immunocompromised patients may be occasionally encountered. Student member will interact and train with other members of the team including an Infectious Disease fellow and an Infectious Disease attending. 
Objectives:
The goal of this rotation is to introduce the senior students to transplant medicine and its major complications, specifically infections. The student will be able to see viral, bacterial, fungal, and mycobacterial infections in various immunocompromised hosts and apply his/her basic knowledge of the immune system and its function to clinical practice. The student will develop skills in recognizing and diagnosing unique infections. Appropriate use of antimicrobial agents including knowledge of drug interactions between antimicrobials and immunosuppressive drugs will be demonstrated.
Rotation Activities:
Students will be part of a team which includes an Infectious Disease fellow and Infectious Disease attending who will closely supervise the students.  They will be given direct patient care clinical duties commensurate of a consultation service including the initial history and evaluation of infectious disease issues regarding these immunocompromised patients as well as their inpatient follow up.  Students are encouraged to participate in the weekly ID fellow lecture series as well as the ID case presentations.
Patient Encounters:

Evaluation:
The evaluation process will be ongoing on daily basis through constructive criticism to help students’ perfect history taking, physical exam and guide them to use tests appropriately and formulate appropriate differential diagnosis. At the end of the rotation the attending physician will give an overall evaluation to the students as well students will be given the opportunity to give suggestions to help incorporate students’ needs into future rotations through this service.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
TGH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Montero, Jose
Clinical
Int Med
ID, International
 MEL 8363 Infections in ICU
 Click here for additional course information
Contact:
Tammy Grice
TGH
tsgrice@usf.edu
(813) 844-4187
Report to:
Tammy Grice
TGH RM G323
Description:
Clinical ID Elective
Objectives:
The goal of the course is to learn to recognize, treat, and prevent infectious complications in the critically ill patient. The student will participate in the initial consultative evaluation and will follow-up patients in the various ICU's at Tampa General Hospital. This will include trauma, postoperative, medically ill, and burn patients. The student will attend weekly lectures and participate in daily critical care rounds. A practical approach to antibiotic choices and effective use of diagnostic studies will be stressed.
Rotation Activities:
1. Perform ID consultation and follow-up
2. Write patient progress/consult notes using EPIC
3. Round with ID team 
Patient Encounters:

Evaluation:
The attending physicians will evaluate the student on a daily basis.
Syllabus:

Visiting Students:
Yes. Apply via USF Health Morsani College of Medicine on VSAS.
Special Instructions:
N/A
TGH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Montero, Jose
Clinical
Int Med
Nephrology
 MEL 8313 Clinical Nephrology
 Click here for additional course information
Contact:
Christina Haynes, Administrator
chaynes1@usf.edu
Dr. Jacques Durr
jacques.durr@gmail.com
jdurr@usf.edu
Report to:
Dr. Jacques Durr
jacques.durr@gmail.com
jdurr@usf.edu
Description:

Objectives:
The objective of this elective is to expose medical students to the broad general principles of Clinical Nephrology. In essence, the student will be an acting intern who will, in collaboration with the renal house staff and clinical fellows, participate in the care of patients with a variety of renal and hypertensive problems.
Rotation Activities:
Adequate exposure to renal patients is achieved through inpatient consultations in the affiliated institutions and outpatient consultations and follow-up in the renal clinics and dialysis centers. The performance of the history and physical examination, formulation of plans for diagnosis and management, and the writing of orders for care of the patient will be the responsibility of the student who will function under supervision of the Nephrology attendings and fellows. The student will be exposed to the practice of medicine on a broad interdisciplinary service that involves dietitians, social workers, clinical nurse specialists, as well as the attending staff.
Patient Encounters:

Evaluation:

Syllabus:

Visiting Students:
No
Special Instructions:
N/A
TGH
 1 - 11
Adult Med, Pri Care
1
0
40-44
2,4
Durr, Jacques
Clinical
Int Med
Nephrology
 MEL 8313 Clinical Nephrology
 Click here for additional course information
Contact:
Christina Haynes, Administrator
chaynes1@usf.edu
Dr. James Burrola
James.Burrola@va.gov
Report to:
Dr. Jorge Lamarche
Jorge.Lamarche@va.gov
Description:

Objectives:
The objective of this elective is to expose medical students to the broad general principles of Clinical Nephrology. In essence, the student will be an acting intern who will, in collaboration with the renal house staff and clinical fellows, participate in the care of patients with a variety of renal and hypertensive problems.
Rotation Activities:
Adequate exposure to renal patients is achieved through inpatient consultations in the affiliated institutions and outpatient consultations and follow-up in the renal clinics and dialysis centers. The performance of the history and physical examination, formulation of plans for diagnosis and management, and the writing of orders for care of the patient will be the responsibility of the student who will function under supervision of the Nephrology attendings and fellows. The student will be exposed to the practice of medicine on a broad interdisciplinary service that involves dietitians, social workers, clinical nurse specialists, as well as the attending staff.
Patient Encounters:

Evaluation:

Syllabus:

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Adult Med, Pri Care
1
0
40-44
2,4
Lamarche, Jorge
Clinical
Int Med
Nephrology
 MEL 8313 Clinical Nephrology
 Click here for additional course information
Contact:
Dr. Mohammad Saqib
Mohammad.Saqib@lvhn.org
Report to:
Will be provided one week prior to the start of the rotation by Angeline Carney, Angeline.Carney@lvhn.org
Description:
The geriatric rotation will offer experience to observe and manage with a variety of renal conditions on an inpatient consult service. Students function as members of a team with a resident and attending physicians, in order to understand the techniques of assessment, therapy and chronic and acute disease management
Objectives:
The objective of this elective is to expose medical students to the broad general principles of Clinical Nephrology. In essence, the student will be an acting intern who will, in collaboration with the renal house staff and clinical fellows, participate in the care of patients with a variety of renal and hypertensive problems. The student will be exposed to the practice of medicine on a broad interdisciplinary service that involves dietitians, social workers, clinical nurse specialists, as well as the attending staff.
Rotation Activities:
Adequate exposure to renal patients is achieved through inpatient consultations in the affiliated institutions and outpatient consultations and follow-up in the renal clinics and dialysis centers.
The performance of the history and physical examination, formulation of plans for diagnosis and management, and the writing of orders for care of the patient will be the responsibility of the student who will function under supervision of the Nephrology attendings and fellows.
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
LVH-CC
 1 - 11
Yr 4 Status
2
0
40-44
4
Maynard, Sharon
Clinical
Int Med
Palliative
 MDE 8150 Intro to Palliative Med and Hospice


 Click here for additional course information
Contact:
Dr. Howard Tuch
htuch@usf.edu
Report to:
Dr. Howard Tuch
htuch@usf.edu
Description:
This elective is designed to introduce the basic principles and practice of palliative care. A 2-4 week inpatient rotation will consist of full participation on the inpatient consulting service, including daily rounds, interdisciplinary team meetings (IDT) and participation in regular education sessions and case presentations. Students will assist with inpatient consultations with precepting and supervision from the full inpatient team as well as supervising physicians. Focus will be on the assessment and treatment of pain and non-pain symptoms, coordination of care including family meetings, goals of care discussions, conflict resolution, and withdraw of life sustaining therapies.  Focus will be on the recognition of the dying process, the pharmacokinetics and pharmacological effects of medication commonly used to treat symptoms in dying patients. 
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, 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 end of life care, hospice and palliative care
5. List indications, clinical pharmacology, alternate routes, equi-analgesic conversions, appropriate titration, toxicities, and management of common side effects in opioid administration
6. Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds
7. Communicate effectively with physicians, other health professionals, and health related agencies
8. Define patient requirements to qualify for the hospice medical benefit and other community-based options for patients with serious illnesses
Rotation Activities:
Students will see patients at Tampa General Hospital on the Palliative Care Consult Service.  The student will actively participate in daily team rounds and scheduled didactic sessions.  
Students 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. 
Patient Encounters:

Evaluation:
Evaluation of student will be based on performance of responsibilities listed in Rotation Activities above.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A


TGH
 1-6, 9-11
None
1
0
44
4
Tuch, Howard

Int Med
Pulm/Sleep Med
 MDT 8200E Adv Respiratory Pathophysiology
 Click here for additional course information
Contact:
Kendall Morris, MD
kmorris5@usf.edu
Report to:
Kendall Morris, MD
kmorris5@usf.edu
Description:
This course is specifically designed to enhance student competency in Respiratory Pathophysiology. It will provide an overview of key concepts and present the clinical significance of principles of pulmonary physiology. Particular emphasis will be placed on recent advances in the understanding of pulmonary physiology. The course consists of in-depth reading, didactic sessions and case scenario experience. Students will prepare and present a case report.
Objectives:
The goal of the course is to provide a review of pulmonary physiology as applied to clinical scenarios. Topics will include but are not limited to Adult Respiratory Distress Syndrome (ARDS), asthma, hyperbaric medicine and airway inflammation.
Rotation Activities:
1.  Clinical experiences
2. Advanced basic science review
Patient Encounters:

Evaluation:
Students will be evaluated on oral presentations, application of the principles of pulmonary physiology to clinical scenarios, the incorporation of historical and recent basic science discovery in oral case reports, and the use of references and judgment of evidence in case reports.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
USFMS
 11A
Yr 4 Status
10
5
40
2
Morris, Kendall
Basic Science   
Int Med
Pulm/Sleep Med
 MEL 7388 Intro to Sleep Medicine
 Click here for additional course information
Contact:
Dr. William Anderson
William.Anderson@va.gov
Report to:
Dr. William Anderson
William.Anderson@va.gov
Description:
This elective is designed to introduce students to the practice of sleep medicine in an outpatient and inpatient setting. Under the supervision of clinical faculty, students will have the opportunity to practice in a university or hospital clinic setting. Students will also round with the preceptors in the hospital. The student will have exposure to interpretation of sleep studies and observation of the overnight recordings.
Objectives:
1. List the clinical findings that are associated with a high pre-test probability of obstructive sleep apnea
2. Compare and contrast central from obstructive sleep apnea
3. Evaluate the business systems that are necessary for successful outcomes in the treament of patients in #1 & #2 above
4. Describe the various presentations of a patient that may be referred for the clinal evaluation of insomnia
5. Compare and contrast behavioral versus medication treatment for insomnia
6. List the most common abnormal behaviors that occur during sleep (parasomnias)
7. Compare and contrast jet lag and shift work sleep disorder with advanced and delayed sleep phase syndromes (circadian rhythm disorders) in adults and children
Rotation Activities:
The trainee will see patients at the USF, VA and TGH Sleep clinics as well as in-patient consults. Trainees will participate in the Sleep Medicine conferences during their rotations. Trainees will be provided with the introduction to scoring of a sleep study as well as direct observation of a nocturnal recording. Upon completion of this elective, the trainee will have an understanding of the various things that can go wrong with patient's sleep in the middle the night. Furthermore, they will have a plan developed as to the diagnostic and therapeutic approach to each of these disorders.
Rheumatology Blackboard Website includes PowerPoints , links and interactive didactics for students, weekly Rheumatology conference with faculty and trainees, and Joint Injection Workshop with simulators.
Patient Encounters:
The student will have the opportunity to rotate with a variety of rheumatology faculty at sites including; USF Morsani Medical clinic, the James A. Haley VA Hospital Outpatient rheumatology clinic and inpatient rheumatology consult service, Tampa General Hospital rheumatology consult service, and 30th Street clinic. The students will be assigned to sites and faculty members in order to maximize the breadth of their clinical experience. The faculty will mentor the student during clinic sessions providing clinical teaching of rheumatologic differential diagnosis, evaluation, and management, and giving feedback on clinical skills. There are additional opportunities to have exposure to musculoskeletal ultrasound in the clinical setting.
Evaluation:
Students will be evaluated by the course director or his designee, at the end of the course, based on the clinical evaluations completed by all fellows and faculty who work with them. An in-service exam will assess some of the ACGME six core competencies.
Grades are determined by: 75% clinical evaluations and 25% by final examination.
The student will receive a final evaluation from the faculty preceptor with which they were assigned for the majority of their clinical experience. The student will also be evaluated on their PowerPoint presentation to faculty and trainees during the weekly rheumatology conference on a topic relevant to a patient seen in the clinical setting.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Anderson, William
Clinical
Int Med
Pulm/Sleep Med
 MEL 7388 Intro to Sleep Medicine
 Click here for additional course information
Contact:
Dr. William Anderson
William.Anderson@va.gov
Report to:
Dr. William Anderson
William.Anderson@va.gov
Description:
This elective is designed to introduce students to the practice of sleep medicine in an outpatient and inpatient setting. Under the supervision of clinical faculty, students will have the opportunity to practice in a university or hospital clinic setting. Students will also round with the preceptors in the hospital. The student will have exposure to interpretation of sleep studies and observation of the overnight recordings.
Objectives:
1. List the clinical findings that are associated with a high pre-test probability of obstructive sleep apnea
2. Compare and contrast central from obstructive sleep apnea
3. Evaluate the business systems that are necessary for successful outcomes in the treament of patients in #1 & #2 above
4. Describe the various presentations of a patient that may be referred for the clinal evaluation of insomnia
5. Compare and contrast behavioral versus medication treatment for insomnia
6. List the most common abnormal behaviors that occur during sleep (parasomnias)
7. Compare and contrast jet lag and shift work sleep disorder with advanced and delayed sleep phase syndromes (circadian rhythm disorders) in adults and children
Rotation Activities:
The trainee will see patients at the USF, VA and TGH Sleep clinics as well as in-patient consults. Trainees will participate in the Sleep Medicine conferences during their rotations. Trainees will be provided with the introduction to scoring of a sleep study as well as direct observation of a nocturnal recording. Upon completion of this elective, the trainee will have an understanding of the various things that can go wrong with patient's sleep in the middle the night. Furthermore, they will have a plan developed as to the diagnostic and therapeutic approach to each of these disorders.
Rheumatology Blackboard Website includes PowerPoints , links and interactive didactics for students, weekly Rheumatology conference with faculty and trainees, and Joint Injection Workshop with simulators.
Patient Encounters:
The student will have the opportunity to rotate with a variety of rheumatology faculty at sites including; USF Morsani Medical clinic, the James A. Haley VA Hospital Outpatient rheumatology clinic and inpatient rheumatology consult service, Tampa General Hospital rheumatology consult service, and 30th Street clinic. The students will be assigned to sites and faculty members in order to maximize the breadth of their clinical experience. The faculty will mentor the student during clinic sessions providing clinical teaching of rheumatologic differential diagnosis, evaluation, and management, and giving feedback on clinical skills. There are additional opportunities to have exposure to musculoskeletal ultrasound in the clinical setting.
Evaluation:
Students will be evaluated by the course director or his designee, at the end of the course, based on the clinical evaluations completed by all fellows and faculty who work with them. An in-service exam will assess some of the ACGME six core competencies.
Grades are determined by: 75% clinical evaluations and 25% by final examination.
The student will receive a final evaluation from the faculty preceptor with which they were assigned for the majority of their clinical experience. The student will also be evaluated on their PowerPoint presentation to faculty and trainees during the weekly rheumatology conference on a topic relevant to a patient seen in the clinical setting.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
TGH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Anderson, William
Clinical
Int Med
Pulm/Sleep Med
 MEL 8340 Pulmonary Disease
 Click here for additional course information
Contact:
Dr. David Solomon
david29@usf.edu
Report to:
Dr. David Solomon
david29@usf.edu
Description:

Objectives:
1. Be able to perform a history and physical examination as it relates to pulmonary disease
2. Know how to order and interpret basic laboratory tests such as chest X-rays, CT scans, arterial blood gases, and pulmonary function tests
3. Have an understanding of the common pulmonary disorders, including their diagnosis and treatment
4. Have a working knowledge of pulmonary physiology, especially as it relates to respiratory failure and the use of respiratory therapy (ventilators, oxygen, etc.)
5. Have a familiarity with a number of emergent conditions seen in the Medical Intensive Care Unit (Moffitt; not at T-VAH or TGH for this course)
Rotation Activities:
The student will receive training at one of our clinical institutions by evaluating patients, rounding with the consultation team, and participation in conferences. A didactic lecture series may also be given.
At TGH: The student will work as part of the pulmonary consult team. There is a separate MICU team at TGH so critical care medicine will not be a component of the TGH experience for this course.
At TVAH: The student will work as part of the pulmonary consult team. There is a separate MICU team staffed by students participating in the senior clerkship. This site is therefore unavailable for a critical care rotation.
Patient Encounters:

Evaluation:
The student will be evaluated on a daily and ongoing basis by the consult attending.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
TGH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Solomon, David
Clinical
Int Med
Pulm/Sleep Med
 MEL 8340 Pulmonary Disease
 Click here for additional course information
Contact:
Dr. David Solomon
david29@usf.edu
Report to:
Dr. David Solomon
david29@usf.edu
Description:

Objectives:
1. Be able to perform a history and physical examination as it relates to pulmonary disease
2. Know how to order and interpret basic laboratory tests such as chest X-rays, CT scans, arterial blood gases, and pulmonary function tests
3. Have an understanding of the common pulmonary disorders, including their diagnosis and treatment
4. Have a working knowledge of pulmonary physiology, especially as it relates to respiratory failure and the use of respiratory therapy (ventilators, oxygen, etc.)
5. Have a familiarity with a number of emergent conditions seen in the Medical Intensive Care Unit (Moffitt; not at T-VAH or TGH for this course)
Rotation Activities:
The student will receive training at one of our clinical institutions by evaluating patients, rounding with the consultation team, and participation in conferences. A didactic lecture series may also be given.
At TGH: The student will work as part of the pulmonary consult team. There is a separate MICU team at TGH so critical care medicine will not be a component of the TGH experience for this course.
At TVAH: The student will work as part of the pulmonary consult team. There is a separate MICU team staffed by students participating in the senior clerkship. This site is therefore unavailable for a critical care rotation.
Patient Encounters:

Evaluation:
The student will be evaluated on a daily and ongoing basis by the consult attending.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
T-VAH
 1 - 11
Adult Med, Pri Care
2
0
44
2,4
Solomon, David
Clinical
Int Med
Rheum
 MEL 8339 Rheumatology Clinical Elective
 Click here for additional course information
Contact:
Kimberly Harding
kharding@usf.edu
(813) 974-2681
Report to:
Joanne Valeriano-Marcet, MD
jvaleria@usf.edu
Description:
Rheumatology is a specialty in internal medicine devoted to the diagnosis and management of over 100 complex and interesting diseases, including musculoskeletal, and autoimmune processes. Physicians are frequently consulted for musculoskeletal complaints.  Exposure to the field of rheumatology will help the student to develop an approach to evaluate these complaints, and appreciate when a patient may have an underlying systemic rheumatic disease. Some of the diseases seen include; Scleroderma, Systemic Lupus, Inflammatory myopathies, Systemic Vasculitis, Rheumatoid Arthritis, Psoriatic  Arthritis, Ankylosing Spondylitis, Gout,Osteoporosis, and Osteoarthritis.
Objectives:
1. Perform a history, and musculoskeletal examination on patients presenting to the rheumatology clinic
2. Generate a differential diagnosis in the evaluation of patients presenting with common musculoskeletal complaints
3. Interpret relevant laboratory tests, and x-rays 
4. List the indications for arthrocentesis in general and interpret synovial fluid analysis
5. Recognize common rheumatologic syndromes and the general principles of their management
Rotation Activities:
Participate in outpatient rheumatology clinic
Optional to participate in rheumatology inpatient consults
Attend weekly rheumatology conferences
Joint injection simulation
Opportunity for M5K ultrasound
Patient Encounters:

Evaluation:
During this elective, the student will actively participate on the rheumatology service in the outpatient setting, and will work closely with the rheumatology faculty, and fellows. In addition, the student is expected to attend and participate in the weekly educational conference, which include journal club, case presentation, and radiology-rheumatology sessions. The student’s contribution in the educational activities will be used, in conjunction with the clinical performance, for the final evaluation.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
MOR/TGH/VA/STC
 1 - 11
None
2
0
40
2,4
Valeriano, Joanne
Clinical
Int Med
Rheum
 MEL 8339 Rheumatology Clinical Elective
 Click here for additional course information
Contact:
Dr. James Ross
james.ross@lvh.com
Melissa Keyser
Melissa.Keyser@lvhn.org
Report to:
Dr. James Ross
Description:
The rheumatology c rotation will offer experience to observe and manage patients with a wide variety of rheumatic 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, and community care settings, in order to understand rheumatic disorders well as the techniques of assessment, therapy and chronic and acute disease management.
Objectives:
At the successful completion of this course students will be able to: 
Perform an appropriate history and physical examination on patients with common systemic rheumatologic disease and other musculoskeletal conditions
Recognize the clinical, laboratory, and radiographic features of the more common rheumatologic and musculoskeletal diseases 
Understand the pathophysiology of the common rheumatologic, and musculoskeletal diagnoses
Construct an appropriate differential diagnosis when evaluating  patients with systemic  rheumatic disease,  and other musculoskeletal conditions
Apply the skills and medical knowledge learned during the didactic sessions to evaluate patients in rheumatology clinics and design an appropriate differential diagnosis, and diagnostic and therapeutic plans for the more common conditions
Develop skills of professionalism, interpersonal communication, systems based practice, and practice based improvement in the clinical setting
Rotation Activities:
Students will see patients on the hospital geriatric consultation service, the ambulatory primary care and outpatient consultation service under the direct observation of the rheumatology attendings with focus on addressing all the above listed objectives. They will participate in monthly rheumatology journal club and clinical case reviews. Students will be given hard copy reading booklets they are expected to review, and will be expected to informally present, interviews and examinations done with the patient, transitions of care concerns, care plan and their own recommendations for improvement of the system.
Patient Encounters:
Ambulatory visits and inpatient consults
Evaluation:
The students will be evaluated based on the ACGME competencies. Grades are determined by:  75%  clinical evaluation, 25% journal article presentation.  
Syllabus:

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVH-CC
 1B, 2A, 3B, 4 - 5, 7- 11
Yr 4 Status
1
0
44
2,4
Ross, James
Clinical
Interdept

 BCC 8116 Intro to Derm, Ortho, and Rheum
 Click here for additional course information
Contact:
Davida Leayman
LVHN DOE
Davida_M.Leayman@lvhn.org
Dr. James Ross
James.Ross@lvh.com
Report to:
Dr. Ross, Rheumatology
3080 Hamilton Blvd
Allentown, PA   
10 am
Description:
This elective is a multi-disciplinary four-week course designed to enhance the student’s competence in the recognition, diagnosis, and treatment of musculoskeletal, rheumatologic and dermatologic disorders. The clinical experience, designed to gain exposure to rheumatology, sports medicine, orthopedics (outpatient injury assessment and management) and dermatology, is tailored to the student’s specialty track. Unlike the third year clerkship rotations, these clinical experiences are primarily outpatient –based. Students are given instruction followed by hands-on experience in various procedures used in each of these specialties.
Objectives:
1. Apply the skills and medical knowledge learned during the didactic sessions to evaluate patients in rheumatology, dermatology, orthopedics, and sports medicine clinics and perform an appropriate history and physical examination, design an appropriate differential diagnosis, and diagnostic and therapeutic plans for the more common systemic rheumatic disease, dermatologic, orthopedic/sports medicine, and musculoskeletal diseases
2. Recognize the clinical, laboratory, and radiographic features of the more common rheumatologic, dermatologic, orthopedic and musculoskeletal diseases
3. Understand the pathophysiology of the common rheumatologic, dermatologic, orthopaedic, and musculoskeletal diagnoses
Rotation Activities:
Skin biopsy and suturing workshop providing hands on experience
Injection and aspiration workshop utilizing injection models, followed by clinical experiences to learn to perform joint injections and aspirations on patients with direct supervision
Opportunity to become familiar with hands-on musculoskeletal ultrasound in a clinical setting
Didactics and clinical exposure to musculoskeletal diagnostic imaging
Online and live didactics and knowledge self-checks aimed at providing a basis for increasing knowledge in these specialties serving as a great preparation for USMLE
Patient Encounters:
 
Evaluation:
Based on presentation score and faculty evaluations
Syllabus:
 
Visiting Students:
 No
Special Instructions:
 N/A
LVHN
4-5, 7-11
Yr 4 Status
3
4
40
4
Ross, James
Clinical
Interdept

 BCC 8116 Intro to Derm, Ortho, and Rheum
 Click here for additional course information
Contact:
Tamar Cassagnol
tcassagnol@usf.edu
(813) 974-2718
Report to:
Clinical sites include: Morsani, USF South, Tampa General Hospital, Health Park, and the James A. Haley VA Hospital
Description:
This elective is a multi-disciplinary four-week course designed to enhance the student’s competence in the recognition, diagnosis, and treatment of musculoskeletal, rheumatologic and dermatologic disorders. The clinical experience is designed to provide the student with exposure to rheumatology, sports medicine, orthopedics (outpatient injury assessment and management) and dermatology. Unlike the third year clerkship rotations, these clinical experiences are primarily outpatient-based. Students are given instruction and hands-on experience in various procedures used in each of these specialties.
Objectives:
1. Apply the skills and medical knowledge learned during the didactic sessions to evaluate patients in rheumatology, dermatology, orthopedics, and sports medicine clinics and perform an appropriate history and physical examination, design an appropriate differential diagnosis, and diagnostic and therapeutic plans for the more common systemic rheumatic disease, dermatologic, orthopedic/sports medicine, and musculoskeletal diseases
2. Recognize the clinical, laboratory, and radiographic features of the more common rheumatologic, dermatologic, orthopedic and musculoskeletal diseases
3. Understand the pathophysiology of the common rheumatologic, dermatologic, orthopedic, and musculoskeletal diagnoses
Rotation Activities:
1. Skin biopsy and suturing workshop providing hands on experience
2. Injection and aspiration workshop utilizing injection models, followed by clinical experiences to learn to perform joint injections and aspirations on patients with direct supervision
3. Opportunity to become familiar with hands-on musculoskeletal ultrasound in a clinical setting
4. Didactics and clinical exposure to musculoskeletal diagnostic imaging
5. Online and live didactics and knowledge self-checks aimed at providing a basis for increasing knowledge in these specialties serving as a great preparation for USMLE
Patient Encounters:
TBD
Evaluation:
Preceptor competency based evaluations, workshop participation, Case presentation
Syllabus:
Intro to Derm Ortho Rheum Syllabus AY 20_21.pdf
Visiting Students:
No
Special Instructions:
N/A
USFMS
 1 - 11
Yr 4 Status
6
2
40
4
Valeriano, Joanne
Clinical
Interdept

 MDC 8340 Critical Care Medicine
 Click here for additional course information
Contact:
Dr. Daniel Schwed-Lustgarten Daniel.Schwed@lvhn.org
Report to:
Will be provided one week prior to the start of the rotation
Description:
This elective is designed to introduce students to the practice of medicine in an intensive care unit. Under the supervision of clinical faculty, students will have the opportunity to practice in a large medical - surgical ICU LVHN – CC (40 beds), LVHN – Muhl (20 beds). Upon completion of this elective, students should understand the principles of diagnosis and management of the critically ill patient with specific emphasis in shock and respiratory failure. The goals of this clerkship are to develop an approach to the care of patients with complex, critical illnesses; to understand the physiologic and pathologic abnormalities that occur in ICU patients; and to apply science principles basic to the practice of medicine in the clinical management of complex illness. 
Objectives:
1.  Obtain a clinical history and physical exam on a non-verbal, critically ill patient based on limited available information from pre-hospital medical personnel (i.e. EMS), ER physicians, available hospital records, and interviews with the patient’s family members
2. Compare and contrast the health needs of the critically ill patient to those encountered in the general medical ward and outpatient settings
3. Recognize critically ill patients with shock as well as trends in vital signs and key laboratory data that identify patients with a rapidly declining, life threatening condition or a worsening disease state that threatens a vital organ function
4. Recognize patients with acute respiratory failure based on clinical laboratory data (i.e blood gases) and become familiar with the basics of mechanical ventilation (invasive and non-invasive)
5. Analyze and become sensitized to end of life discussions with patients and/or family members
6. Identify and describe the proper administration and use of the intensive care unit as a scarce and limited health care resource
After being exposed to critical care patients in a variety of disciplines, the student will demonstrate specific knowledge, skills, and attitudes relevant to critical care practice. The student will have an understanding of critical care guidelines and practices so that the student will recognize patients with immediate life threatening conditions, institute appropriate initial therapy, and outline an initial course of management for patients with serious conditions requiring critical care. 
Rotation Activities:
This course will include a rotation either through a Medical ICU, Pulmonary/Critical Care Consult ICU, Anesthesia Critical Care, Coronary Critical Care Unit, Surgical/Trauma ICU, NICU, or PICU at Lehigh Valley Cedar Crest Hospital. The rotation assignment will be made based upon the student’s chosen career path. Students will be evaluated by written, oral, and/or practical methods which include direct patient contact and simulation training. In addition, the students will evaluate electro-cardiograph (ECG) tracings through weekly quizzes to enhance interpretation skills.
Patient Encounters:

Evaluation:
Students will be evaluated by written, oral, and/or practical methods which include direct patient contact and simulation training. In addition, the students will evaluate electro-cardiograph (ECG) tracings through weekly quizzes to enhance interpretation skills.
Syllabus:

Visiting Students:
Yes. Apply via Lehigh Valley Network on VSAS.
Special Instructions:
N/A
LVH-CC
 1 - 11
Yr 4 Status
2
0
40-80
4
Schwed-Lustgarten, Daniel
Clinical
Interdept

 MDC 8340 Critical Care Medicine
 Click here for additional course information
Contact:
Dr. Daniel Schwed-Lustgarten Daniel.Schwed@lvhn.org
Report to:
Will be provided one week prior to the start of the rotation
Description:
This elective is designed to introduce students to the practice of medicine in an intensive care unit. Under the supervision of clinical faculty, students will have the opportunity to practice in a large medical - surgical ICU LVHN – CC (40 beds), LVHN – Muhl (20 beds). Upon completion of this elective, students should understand the principles of diagnosis and management of the critically ill patient with specific emphasis in shock and respiratory failure. The goals of this clerkship are to develop an approach to the care of patients with complex, critical illnesses; to understand the physiologic and pathologic abnormalities that occur in ICU patients; and to apply science principles basic to the practice of medicine in the clinical management of complex illness. 
Objectives:
1.  Obtain a clinical history and physical exam on a non-verbal, critically ill patient based on limited available information from pre-hospital medical personnel (i.e. EMS), ER physicians, available hospital records, and interviews with the patient’s family members
2. Compare and contrast the health needs of the critically ill patient to those encountered in the general medical ward and outpatient settings
3. Recognize critically ill patients with shock as well as trends in vital signs and key laboratory data that identify patients with a rapidly declining, life threatening condition or a worsening disease state that threatens a vital organ function
4. Recognize patients with acute respiratory failure based on clinical laboratory data (i.e blood gases) and become familiar with the basics of mechanical ventilation (invasive and non-invasive)
5. Analyze and become sensitized to end of life discussions with patients and/or family members
6. Identify and describe the proper administration and use of the intensive care unit as a scarce and limited health care resource
After being exposed to critical care patients in a variety of disciplines, the student will demonstrate specific knowledge, skills, and attitudes relevant to critical care practice. The student will have an understanding of critical care guidelines and practices so that the student will recognize patients with immediate life threatening conditions, institute appropriate initial therapy, and outline an initial course of management for patients with serious conditions requiring critical care. 
Rotation Activities:
This course will include a rotation either through a Medical ICU, Pulmonary/Critical Care Consult ICU, Anesthesia Critical Care, Coronary Critical Care Unit, Surgical/Trauma ICU, NICU, or PICU at Lehigh Valley Cedar Crest Hospital. The rotation assignment will be made based upon the student’s chosen career path. Students will be evaluated by written, oral, and/or practical methods which include direct patient contact and simulation training. In addition, the students will evaluate electro-cardiograph (ECG) tracings through weekly quizzes to enhance interpretation skills.
Patient Encounters:

Evaluation:
Students will be evaluated by written, oral, and/or practical methods which include direct patient contact and simulation training. In addition, the students will evaluate electro-cardiograph (ECG) tracings through weekly quizzes to enhance interpretation skills.
Syllabus:

Visiting Students:
No
Special Instructions:
N/A
LVH-M
 1 - 11
Yr 4 Status
1
0
40-80
4
Schwed-Lustgarten, Daniel
Clinical
Interdept

 MDC 8340 Critical Care Medicine
 Click here for additional course information
Contact:
Tamar Cassagnol
tcassagnol@usf.edu 
(813) 974-2718
Report to:
Class Orientation to be held on Day 1. The location will be located on Canvas. 
Description:
This course is a selective for USF senior medical students and will include a rotation either through a Medical ICU, Pulmonary/Critical Care Consult ICU, Anesthesia Critical Care or Surgical/Trauma ICU at Tampa General Hospital or the James A. Haley Veterans Hospital. Rotations are based upon availability. The rotation assignment will be made based upon the student’s chosen career path. Students will be evaluated by written, oral, and/or practical methods which include direct patient contact and simulation training. In addition, the students will evaluate electro-cardiograph (ECG) tracings through weekly quizzes to enhance interpretation skills.
Students will rotate on both days and nights during this rotation, with adequate rest between shift changes. 
Objectives:
The goals of this fourth year elective are to develop an approach to the care of patients with complex, critical illnesses; to understand the physiologic and pathologic abnormalities that occur in ICU patients; and to apply science principles basic to the practice of medicine in the clinical management of complex illness. 
After being exposed to critical care patients in a variety of disciplines, the student will demonstrate specific knowledge, skills, and attitudes relevant to critical care practice. The student will have an understanding of critical care guidelines and practices so that the student will recognize patients with immediate life threatening conditions, institute appropriate initial therapy, and outline an initial course of management for patients with serious conditions requiring critical care. 
Rotation Activities:
Simulations take a critically ill patient through the ER, a code blue, and 4-5 days in the hospital covering ventilator management, ABGs, Swan Ganz catheters, and vasoactive drips. Topics may include cardiogenic shock and/or septic shock. Clinical activities allow students to follow 2-3 ICU patients as part of a team. Didactics include basics of mechanical ventilator, weaning from mechanical vent, and sedation/analgesia.
Students to complete SCCM Modules online during the first week of rotation. 
Patient Encounters:

Evaluation:
Hospital rotations with patient encounters, simulation activities, didactics, and EKG interpretation
Syllabus:

Visiting Students:
No
Special Instructions:
Maximum of three excused absences. Excess absences above the three excused will require make-up time and/or change of rotation block. Make-up time will utilize weekends. Absences-including for Step exam and interviews, will not be excused on days 1 or 2. If missing day 1 and/or 2, these days will need to be made up in subsequent period or change rotation block. 
USFMS
1-5, 8-11
Yr 4 Status
12
6
40-80
4
Cox, Jennifer
Clinical
Interdept

BMS 6994B Schol Conc Elective-Business
USFMS
 1 - 8
None
No Limit
0
44
4
Pross, Susan

Interdept

BMS 6994D ScholConcElec-Hlth Disparities
USFMS
 1 - 8
None
No Limit
0
44
4
Pross, Susan

Interdept

BMS 6994G ScholConcElect-Med Gender
USFMS
 1 - 8
None
No Limit
0
44
4
Pross, Susan

Interdept

BMS 6994H ScholConcElect-Med Humanities
USFMS
 1 - 8
None
No Limit
0
44
4
Pross, Susan

Interdept

BMS 6994I ScholConcElect-Internat'l Med
USFMS
 1 - 8
None
No Limit
0
44
4
Pross, Susan

Interdept

BMS 6994L Schol Conc Elect-Law/Medicine
USFMS
 1 - 8
None
No Limit
0
44
4
Pross, Susan

Interdept

BMS 6994N Schol Conc Elect-Nutrition
USFMS
 1 - 8
None
No Limit
0
44
4
Pross, Susan

Interdept

BMS 6994P Schol Conc Elect-Public Health
USFMS
 1 - 8
None
No Limit
0
44
4
Pross, Susan

Interdept

BMS 6994R Schol Conc Elective-Research
USFMS
 1 - 8
None
No Limit
0
44
4
Pross, Susan

Interdept

BMS 6994S ScholConcElect-Hlth Syst Engin
USFMS
 1 - 8
None
No Limit
0
44
4
Pross, Susan

Interdept

 MDE 8030 BRIDGE Clinic Elective (Directors)
 Click here for additional course information
Contact:
Dr. Eduardo Gonzalez
egonzale@usf.edu
Report to:
Dr. Eduardo Gonzalez
egonzale@usf.edu
Description:
 This longitudinal elective would reinforce and teach the knowledge, skills and attitudes that are needed to direct a multidisciplinary healthcare clinic. Students will be required to lead and attend monthly BRIDGE clinic meetings, meet with medical advisors regularly, attend and lead BRIDGE clinics over the year, develop a presentation/poster to present at a national meeting, organize and coordinate other specialties and organizations with in BRIDGE. In all, it is expected that each student will have completed a minimum of 150 hours over the academic year. The course is longitudinal, as the responsibilities of these students will continue throughout the academic year.
Objectives:
1. Develop skills to properly manage a multidisciplinary healthcare clinic
2. To form and nurture professional relationships with Moffitt, Hillsborough Health Department, Quest Diagnostics, Security Personnel, Morsani
3. Understand the Business/Finance aspect of Medicine through collaboration with Dr. Marshall and the Business Scholarly Concentration
4. Update and renew documents for Clinic Operations including the constitution, employee contracts, fundraising documents, and banking/trust fund documents
5. Provide access to healthcare for patients of many different backgrounds with limited access
6. Collaborate effectively with Social Work, Public Health, Physical Therapy, Nursing, Pharmacy, and the College of Medicine to provide optimum care and services in a healthcare setting
7. Integrate meaningful community service with instruction and reflection to enrich the learning experience, teach civic responsibility, encourage lifelong civic engagement, and strengthen communities for the common good
Rotation Activities:

Patient Encounters:

Evaluation:
By the end of the elective, students should feel competent managing a multidisciplinary healthcare clinic. They will understand how to collaborate with various organizations and groups and have a sense of the business and financial needs of such a clinic. Their progress will be assessed by direct observation by the faculty medical directors, and successful completion of assigned responsibilities and projects which will include poster/presentation that will be presented at a national meeting.
Syllabus:

Visiting Students:
No
Special Instructions:
Only students elected to be the student medical directors for BRIDGE will be eligible for this elective. Students must agree to hour requirements and need to inform concurrent senior course directors of their involvement in this longitudinal course. Students should notify and obtain permission from Drs. Lucy Guerra (guerral@usf.edu) or Eduardo Gonzalez (egonzale@usf.edu) prior to scheduling.
USFMS
Yearlong
Yr 4 Status, BRIDGE Director
5
0
4
44
Gonzalez, Eduardo
Clinical
Interdept

 MDE 8030B BRIDGE Mentor Longitudinal
 Click here for additional course information
Contact:
Dr. Eduardo Gonzalez
egonzale@usf.edu
Report to:
Dr. Eduardo Gonzalez
egonzale@usf.edu
Description:
This elective is designed to strengthen the clinical and mentorship skills of senior medical students by involving them in the care of an under-served patient population. Students will join the volunteer medical staff at BRIDGE Clinic in caring for the university area community, and will be expected to attend a minimum of 15 clinics. They will also mentor lower classmen under the supervision of USF and community preceptors during clinic hours. They will prepare and lead at least three teaching sessions designed to prepare lower classmen for clinical encounters. Finally, they will have the opportunity to participate in a research project benefiting either the clinic or the surrounding community.
Objectives:
1. Identify the special challenges in working with under-served populations, cultural differences, and barriers to access of care
2. Understand the unique constraints encountered by a free clinic
3. Attain competency in formulating lesson plans and leading group sessions
4. Improve clinical body of knowledge and gain proficiency in diagnosis, management, and physical exam skills in a primary care setting
5. Collaborate with an inter-professional team in the management of patients
6. Become familiar with community resources and their contributions to patient well-being
Rotation Activities:
1. Weekly Clinics: The clinical mentors are expected to attend a minimum of 15 clinic nights. During clinic they will lead a medical team and will be expected to teach their lowerclassmen appropriate physical exam and diagnosis skills.
2. Clinical Teaching Sessions: The clinical mentors will be expected to formulate and prepare small groups sessions focusing on preparing underclassmen for clinic nights at BRIDGE. This will include clinic flow, interview tactics, physical exam skills, and discussion of common complaints seen in clinic.
3. Research Project: The clinical mentors will have the option to collaborate with directors and staff on an ongoing or new project. The project should be appropriately developed to allow for submission of an abstract to the Society of Student-Run Free Clinics’ Annual Conference.
Patient Encounters:

Evaluation:
Clinical mentors will be evaluated based on punctuality, professionalism, respectfulness and engagement in teaching. Their performance will also be evaluated based on feedback from clinical preceptors.
Syllabus:
BRIDGE Clinical Mentor Longitudinal Elective Syllabus RVSD222016.pdf
Visiting Students:
No
Special Instructions:
Any student interested in taking the longitudinal BRIDGE Clinic elective will need to apply prior to registering.  A maximum of four students can participate in the elective, so we ask that you complete the application as soon as possible. For applications contact Dr. Gonzalez.
USFMS
Yearlong
Yr 4 Status
6
0
4
44
Gonzalez, Eduardo
Clinical
Interdept

 MDE 8080 Medical Informatics
 Click here for additional course information
Contact:
Matthew M. Miller, DO, MBA, MS
Matthew_Miller@lvhn.org
Chief Health Information Officer, Office of CMO
Judy Wuchter
Judy.Wuchter@lvhn.org
(610) 402-9460
Administrative Support to the Office of the CMIO
Report to:
Matthew M. Miller, DO, MBA, MS
1251 S Cedar Crest Blvd, Ste 204
Allentown, PA
Description:
This elective will be an introduction to Medical Informatics. The elective will include a combination of didactic lectures (both real-time and on-line) covering basics of Clinical Informatics, shadowing experiences with appropriate clinical technical staff (based on the students’ rotation goals), and individualized project work. Examples of projects may include: participating in ongoing research projects for potential publication/presentation; work on data warehouse projects and business intelligence tools (dashboards, etc.); development of EHR templates/workflows; participation in development/rollout of clinical information systems (including HIE and Epic systems); evaluation of new clinical information devices and technologies. The student activities will be coordinated through the CMIO (or his/her designee).
Objectives:
1. State and understand how the discipline of clinical informatics intersects with and influences the three domains of clinical care, local and national healthcare systems, and information and communications technologies
2. Understand the role of informatics in population health and value-based care
3. Describe the various roles of a clinical informatician in the healthcare setting
4. Recognize the specific tasks involved in the design, implementation and support of clinical information systems
5. Assess the clinical content of CIS and apply change management techniques to develop evidence based improvements
6. Participate in simple projects with faculty mentors in health informatics, optimization of electronic health record systems, using data analysis techniques for research/quality improvement 
7. Recognize database structures and translate data into useful business intelligence tools
Rotation Activities:
Students will be expected to:
1. Meet with scheduled personnel based on mutually agreed upon schedule and locations
2. Attend and participate in various meetings both internal and external to Information Services and the CMIO Group
3. Perform self-study activities as outlined in syllabus
4. Complete a mutually agreed upon research or development project (4 week elective only)
Patient Encounters:

Evaluation:
Evaluation will consist of ongoing appraisal of the student’s ability to assimilate the knowledge presented (both through didactic and practical channels) and apply it to the projects and tasks as assigned. Specific project related deliverables will be determined at the beginning of the rotation; and assessment of those deliverables will be used in the evaluation.   
Syllabus:
Clinical Informatics Syllabus.pdf
Visiting Students:
No
Special Instructions:
Any interested student must meet with Dr. Levick to discuss goals of the elective and determine if appropriate, and the expected length of the elective. This should occur prior to start of elective.
LVH-CC
 3 - 11
Yr 4 Status
1
0
40
2,4
Miller, Matthew

Interdept
 Education
 MDE 8094 Teaching in Simulation
 Click here for additional course information
Contact:
Amy B. Smith, PhD
amy_b.smith@lvhn.org
Report to:
Department of Education
1247 S Cedar Crest, 2nd Floor
Monday at 8 AM
Description:
This elective is designed to introduce students to the art and science of simulation in healthcare and how to utilize simulation to teach effectively.  The course will include didactic and experiential learning. Under the guidance of the LVHN interdisciplinary Simulation Center, students will have the opportunity to observe simulations, assist with developing curriculum as it pertains to simulation, design and develop cases to meet course objectives and implement a simulation.
Objectives:
1. Describe principles of adult learning and experiential learning theories
2. Describe key concepts of teaching with simulation and how to incorporate simulation into curriculum
3. Compare teaching with simulation versus assessing with simulation
4. Describe the various types of simulation modalities and how to choose the modality to best meet course need
5. Review simulation curriculum from a student perspective and design
6. Design and develop an interprofessional simulation course including simulation cases, SP scripts, and an effective evaluation tool
7. Discuss effective debriefing and apply techniques to practice cases
8. Discuss the effective use of video debriefing
9. Discuss using standardized patients when building simulations and how to utilize the standardize patient for evaluations
10. Discuss utilizing moulage to add realism to simulation
Rotation Activities:
Students on this rotation will be expected to learn and achieve the educational goals and objectives through the following methodologies and activities:
1. Students will meet with the members of the interdisciplinary simulation team.
2. Students will observe simulations in the sim center and in situ.
3. Students will observe the use of different simulation modalities.
4. Students will complete weekly reflections.
5. Students will develop and present a final project.
Patient Encounters:
N/A
Evaluation:
Students will be evaluated by the course director at the end of the course based on professionalism, reflections, and a final project.  The simulation staff and faculty will provide formative and summative evaluations throughout the course.
Visiting Students:
No
Special Instructions:
Any interested student MUST meet with Amy Smith, PhD to discuss individual goals for applying for a simulation in healthcare elective.
LVHN
 1 -11
Yr 4 Status
2
0
40
4
Smith, Amy

Interdept
 
 MDE 8107 Street Medicine Elective 
 Click here for additional course information
Contact:
Dr. Lucy Guerra
lguerra1@usf.edu 
Dr. Asa Oxner
aoxner@usf.edu 
Dr. Oxner will be responsible for the evaluations and mentorship of quality improvement project
Report to:
 
Description:
This elective allows third and fourth year medical students to gain experience in delivering medical care to marginalized populations who are experiencing homelessness, including those who are sheltered, unsheltered, refugee status, and those in transient housing. The location of medical services will be at Tampa Bay Street Medicine (TBSM) service events. Medical students will rotate through three unique clinical settings: Street runs, clinics, and a mobile clinic, all of which provide free primary care to homeless patients. The mobile clinic also provides comprehensive harm reduction program for patients suffering from addiction including syringe exchange services, HIV/HCV testing, linkage to care for opiate use disorder and chronic illnesses, and peer counseling. Students will participate in mentorship and teaching of junior medical students, under the supervision of preceptors from USF and the community. Clinical duties for this elective include serving as volunteer medical staff on the mobile medical clinic from Monday through Friday, as well as participating in one evening street run or weekend clinic per week. Students will have opportunities to contribute to ongoing rapid cycle quality improvement of the mobile clinic or other research projects related to healthcare for the homeless. Students are expected to submit one evaluation from each of TBSM’s three clinical contexts, completed by an attending or resident physician.
Objectives:
1. Work as medical staff at TBSM service events, including street runs, clinics, and the mobile medical clinic
2. Mentor underclassmen during clinic hours
3. Participate in ongoing rapid cycle quality improvement related to the mobile medical clinic, or a research project related to TBSM or the homeless
Rotation Activities:
 1. Mobile Clinic: Students are expected to volunteer on the mobile clinic Monday through Friday, both morning and afternoon, for the duration of the rotation. During clinic they will assist the supervising provider in all aspects of patient care, including triage, measuring vitals, history and physical examination, and development of an assessment and plan. These visits may be in person or via telemedicine and include primary care concerns, addiction and harm reduction services, and diagnosis and treatment of infectious diseases. If lowerclassmen are present, the student is expected to teach them history and physical exam skills, as well as formation of a differential diagnosis and treatment plan. Students must provide their own transportation to each clinic location.
2. Weekly Service Events: TBSM holds a free clinic at the First Presbyterian Church (412 E Zack St, Tampa, FL 33602) on the first and third Saturday morning of each month, as well as street runs in downtown Tampa (1602 N Franklin St, Tampa, FL 33602) on the second and fourth Friday evening of each month. Students are expected to attend each weekly service event during the rotation. At clinics, students will be paired with a lowerclassman and will be responsible for leading patient encounters, helping the lowerclassman learn clinical skills, and writing a clinical note for each patient encounter. At street runs, students will lead a medical team of 2-3 lowerclassmen in providing primary care services to homeless individuals directly on the streets of downtown Tampa along a set route, under the guidance of a supervising provider. Students will be responsible for leading patient encounters, helping guide lowerclassmen through each step of the patient encounter, and ensuring completion of paperwork and documentation for each patient.
3. Research Project: Students will contribute to an ongoing research project that is directly related to the TBSM mission or a rapid cycle quality improvement project for the mobile clinic. Course directors will provide a list of the ongoing projects at the start of each rotation. Current research projects that students can assist with include a project to increase HIV testing and awareness in our population at all 3 clinical contexts: a project to determine if we are able to reduce ER utilization in our population accessing the medical van, adding subspecialty days to the medical van for orthopedics and GI, and implementing the syringe exchange services and addiction medicine. Examples of ongoing quality improvement cycles in the medical van include analyzing and optimizing the triage workflow, and improving the process of inventory for stock of supplies and medications including keeping the expiration dates and lot numbers.  Students are encouraged to submit their research for presentation or publication.
Patient Encounters:
Patient encounters will occur with the medical van, see attached sample calendar.
Evaluation:
 Students will be evaluated based on punctuality, professionalism, participation in all scheduled service events, effort towards teaching lowerclassmen, and execution of a research project. Preceptor feedback will also be used in evaluation. The student is responsible for collecting evaluations from at least one preceptor from each type of service event in which the student participates, including street runs, clinics, and the mobile clinic. Third year medical students must provide the attached evaluation form to each evaluating preceptor. Fourth year medical students must provide the course coordinator with the names of evaluating preceptors no later than the Wednesday of the final week of the rotation, and evaluations will be completed through E*Value.
A PASS grade will be given to students who attend and participate at all scheduled clinical duties and perform a quality improvement or research project related to the mobile clinic or healthcare for the homeless. An HONORS grade will be given to students who meet criteria for a PASS grade and also demonstrate outstanding performance in clinical duties and research.
Syllabus:
 
Visiting Students:
No
Special Instructions:
 N/A

USFMS
8 - 12
None
2
0
40
2,4
Oxner, Asa
Clinical
Interdept

 MDE 8581 Inpatient Physical Med and Rehab
 Click here for additional course information
Contact:
Leigh-Anne Piechta, DO
Leigh-Anne_B.Piechta@lvhn.org
Report to:
Will be provided one week prior to the start of the rotation
Description:
This elective is designed to introduce senior student to the practice of Physical Medicine and Rehabilitation in the inpatient and consultative environment. Under the supervision of clinical faculty students will have the opportunity to see the continuum of care that physiatrists provide.
Objectives:
1. Observe how patients on acute care are evaluated and how determinations about disposition are made
2. Follow a patient through admission on the inpatient acute rehabilitation unit. Monitor their progress. Participate in team meetings and understand interdisciplinary approach to patient management
3. Become familiar with reading notes written by physical, occupational, and speech therapists
4. Learn how determinations of dispositions upon discharge from acute inpatient rehabilitation are made
5. Understand Functional Independence Measure and how it is used in Acute Rehab
Rotation Activities:
Students will participate in Patient Care within the Inpatient Rehab Centers at Cedar Crest and Muhlenberg campuses. 
Patient Encounters:

Evaluation:
Students will be evaluated by course director at the end of the course. The grade will be based on evaluations of the faculty who worked with them.
Syllabus:
I. Rationale:  Introduce medical students to postacute care.
II. Course Aims and Outcomes: 
Aims
Understand which patients are appropriate for acute rehab vs. LTACH vs. SNF. Understand treatment plans and interventions for patient on rehab. Work as a team to improve patient quality of life. Discharge patient to appropriate level of care.
 
III.  My Assumptions
Students should have basic physical exam skills and basic knowledge of the diagnoses seen on acute rehab.
IV. Course Requirements: 
1. Students are expected to be present at agreed upon time at agreed upon location.  
2. Students are expected to respect colleagues and patients. 
Visiting Students:
No
Special Instructions:
N/A
LVH-CC
  4B -11
Yr 4 Status
1
0
40
2,4
Stepanczuk, Beth
Clinical
Interdept

 MDE 8920 SELECT 4
 Click here for additional course information
Contact:
Davida Leayman
(610) 402-2554
Davida_M.Leayman@lvhn.org
Report to:
Variable
Description:
SELECT 4 will occur throughout the year and will consist of two formal teaching blocks called Prologue at the beginning of Year 4 and Epilogue near the end of the year. There will also be longitudinal components throughout the year.  The duration of Prologue and Epilogue will total three weeks.  Epilogue includes a summative assessment. The longitudinal portions (which total one week's worth of contact hours across the course) include 1:1 coaching between students and their respective faculty coaches, peer coaching, small group meetings, reflective essay assignments (based on the domains of leadership, values based care, and health systems) and formative assessments of students' clinical skills. This longitudinal portion can be taken concurrently with other electives. Students will be given four-weeks of credit for the course. Required learning assignments include IHI web-based modules and these three domain-associated activities with their concomitant written reflections.
Objectives:
1. Apply knowledge and skills fundamental to health systems process change and engineering
2. Provide examples of the connections between healthcare policy, the legislative process, and healthcare regulation
3. Self-assess gaps and areas of improvement. Use this knowledge to set goals
4. Demonstrate the elements and skills of advanced social awareness and relationship building
5. Demonstrate knowledge of the public health infrastructure and the ability to access resources of the Center for Disease Control
6. Analyze guideline recommendations for communication with patient and family members when breaking bad news
7. Develop communication skills, integrating principles from emotional intelligence, patient-centered care and crucial conversations
8. Demonstrate knowledge and skills needed to care for patients who are members of vulnerable populations such as: LGBTQ community; the homeless or those with housing insecurity, veterans, victims of or at risk for domestic violence. Apply ethical concepts to patient care
9. Apply feedback from coaching sessions toward self-improvement goals
10. Provide examples which demonstrate an understanding of the factors related to the integration of scientific knowledge and technology into patient care
11. Discuss the role of organized medicine and healthcare
Rotation Activities:
Refer to Syllabus
Patient Encounters:
N/A
Evaluation:
Students will be evaluated by the course director throughout the course including participation, simulations, reflections, and a comprehensive assessment including multiple-choice questions, simulation and an oral assessment.
Syllabus:
 SELECT Y4 20-21 Syllabus (Course AB).pdf
Visiting Students:
No
Special Instructions:
 N/A
LVHN
 1A, 10B
Yr 4 Status
No Limit
0
40
2
Greenberg, Marna
 SELECT
Interdept

 MDE 8942 Clinical Enrichment Elective
 Click here for additional course information
Contact:
Dr. Vinita Kiluk
vkiluk@usf.edu
Dawn Schocken
schocken@usf.edu
Report to:
CAMLS after having received the schedule from the course director
Description:
Faculty will work with each student to design a personalized curriculum to develop advanced proficiency in the various clinical competencies based on self-reflection of the student and the assessment of the faculty. The elective is tailored to the need of the individual student. Faculty will specifically identify, and use simulated learning, real clinical settings, study aides, and professional expertise to allow students to work on competency based clinical skills.
Objectives:
At the end of this elective the student will (depending on the initial goals of the students from the course):
1. Demonstrate proficiency with presentations based upon a validated assessment tool  
2. Discuss the process to efficiently conduct a chart review
3. Display confidence and assertiveness when developing a management plan for the patients with whom the student is involved
4. Analyze their improvements in their communication skills
5. Document an improvement in the flow of their history taking
6. Document an improvement in the flow of their physical exam
Rotation Activities:
Students will participate in this elective at CAMLS, seeing standardized patients, observing videos, participating in simulation activities and developing experience in electronic charting.  Occasionally students will practice in the clinical outpatient setting. 
Patient Encounters:
 Students will have the opportunity to practice in the clinical outpatient setting.
Evaluation:
Students will be evaluated using checklists to provide a 360 review of their performance - the student will complete self-checklists, SPs will complete a review of the student's performance of communications skills, and the elective faculty will complete checklists on student performance.  A queue of faculty not in this elective will be trained by the elective faculty to review video-taped performances of the student to document proficiency in areas under contract.  Grades will be determined from the combination of self-checklists and faculty checklists as well as a final self-assessment by the student on what they have accomplished during the elective and what they plan to continue to work on as life long learners.
Syllabus:

Visiting Students:
No
Special Instructions:
Any student who wishes to complete this elective will need to meet with either Dr. Vinita Kiluk or Dawn Schocken to confirm elective availability and so that they can match student needs to the available resources.
USFMS
 1 - 11
None
No Limit
0
40
2,4
Kiluk, Vinita
Clinical
Interdept

 MDE 8950 SELECT Capstone
 Click here for additional course information
Contact:
Davida Leayman
Davida_M.Leayman@lvhn.org
(610) 402-2554
Bryan Kane, MD
Bryan.Kane@lvhn.org
Report to:
N/A
Description:
This is a required course for all SELECT students. It will consist of a Project  that results in scholarly output. This course will support the educational development of the SELECT medical students by providing an opportunity for in-depth learning in one of the domains of the SELECT program. Students will be given the equivalent of four-weeks of credit for this course. Students must be enrolled by day one of their fourth year.
Objectives:
LEARNING OBJECTIVES
1. Develop and integrate in-depth knowledge of one or more SELECT domains into medical care
2. Develop self-directed learning, project management, evaluative and critical reasoning skills
3. Through the outcomes of your project, create a scholarly legacy for our academic, medical and/or general communities
4. Demonstrate your growth as a visionary, change agent, or ability to effectively influence others within different levels of system, promoting a culture of relationship-building and/or integrating emotional intelligence
5. Demonstrate the ability to identify subject experts who can add value to your project
6. Demonstrate the application of project management skills, implementation, and resources needed to be successful
7. Demonstrate professionalism via communication, managing yourself and your team, and last, but not least, meeting timelines and deadlines
8. Demonstrate appropriate presentation skills for your scholarly project
Rotation Activities:
1. Mentor Contract
2. Proposal
3. Check Ins
4. Abstract
5. Poster
6. Oral Presentation
7. Final Paper
Patient Encounters:
N/A
Evaluation:
At the end of this course, students will be expected to have an in-depth knowledge and expertise in an areas of leadership, patient centered care, or health systems and health policy.
Syllabus:
Provided via email and Canvas. Contains important information, dates, and grading rubrics.
Visiting Students:
No
Special Instructions:
N/A
LVHN
Semester 1 (1 - 6)
and
Semester 2 (7-11)
Yr 4 Status
No Limit
0
4
44
Kane, Bryan
 SELECT
Interdept

 MDE 8720A and MDE 8720B Outdoor Medicine Elective
 Click here for additional course information
Contact:
Dr. Ryan Naughtin
rnaughti@usf.edu
Report to:
This course has unique locations for each activity.
Description:
This senior medical student elective is intended to teach the practical and theoretical medical skills necessary to identify, treat and prevent medical problems unique to the outdoor environment. The course is directed towards the outdoor or travel enthusiast who may find themselves in situations outside of the traditional clinical setting where they may be called upon to provide medical assistance. There will also be ample opportunities for students to present outdoor medicine topics to peers and junior medical students. 
Objectives:
1. Practice medical skills to be used in situations outside of the hospital setting
2. Gain knowledge of medical conditions related to various outdoor environments and activities
3. Develop understanding of emergency and disaster response systems
4. Increase students' ability to present medical information to peers 
5. Gain practical outdoor recreational skills and exposure to local resources
Rotation Activities:
Examples of Activities: 
"No Lifeguard on Duty" held at Ben T. Davis Beach and learn about Basic Water Rescue and Submersion Incidents 
“Hillsborough River Half Marathon” providing First Aid to race participants
"A 3-Hour Tour" held on an island in the Tampa Bay and learn about Seafood Toxidromes while catching Pufferfish
Patient Encounters:

Evaluation:
Students will be evaluated by the course director at the end of the course based on attendance and participation of course meetings (50%), as well as assigned outdoor medicine topic presentations (50%). Students will be required to attend 120 hours of meetings/activities over the 11 month period. There will be opportunities for at least 160 hours of meetings/activities. Students may expect to be given specific topics or scenarios to present at each meeting they plan to attend. Presentations will be evaluated by course directors and contribute to the presentation portion of the final grade.
Syllabus:

Visiting Students:
No
Special Instructions:
This is a year long elective from April through May.  Activities are usually held on Saturdays, but may be held on weekday evenings, during lunch meetings, with some overnight activities. There will be a required 120 hours of attendance at activities and there will be at least 160 hours available to attend to accommodate senior students on externships. The culmination of the course is the Annual Outdoor Medicine Conference usually held during the last month of the academic year in the Florida Keys (students are encouraged register for an interview block (MEL INT) this month). There may be other activities that require travel to places such as Great Smoky Mountains National Park, Everglades National Park, or other distant locations. Students should also budget at least $250 for admission fees and equipment rental throughout the year and approximately $500 for the Annual Florida Outdoor Medicine Conference. 
USFMS
Semester 1 (1 - 6)
and
Semester 2 (7-11)
Yr 4 Status
No Limit
0
4
44
Naughtin, Ryan
 Clinical
Interdept

MDE 8040A Medical Spanish 1
 Click here for additional course information
Contact:
Dr. Hector Lopez-Cardona
lopezh@usf.edu
Report to:
N/A
Description:
This online (Canopy learn) course is designed to help students reduce their communication and cultural gaps with Medical Spanish-speaking patients with limited English language proficiency (LELP). Students are expected to increase their skillset of the Spanish language domain, cultural knowledge and communication strategies to work effectively with Spanish speaking patients in the clinical setting. 
Objectives:
1. Increase cultural awareness and sensitivity to improve and facilitate more successful bi-cultural interactions with Spanish speaking patients with LELP
2. Increase medical Spanish vocabulary for a variety of common clinical scenarios
3. Develop an initial rapport to initiate communication with Spanish speaking patients with LELP
4. Take a basic medical history and provide the appropriate basic instructions for performing a physical examination on Spanish speaking patients with LELP
Rotation Activities:
Online and face-to-face pre-assessment test, Online and interactive learning modules
Patient Encounters:
 N/A
Evaluation:
Online Canopy Course Final Assessment of Levels I and II - 60%
Faculty Supervisor Evaluation (on overall improvement, commitment, and verbal skills) - 40%
Syllabus:
Provided before the course
Visiting Students:
No
Special Instructions:
Prior approval and online course log-in required. Students must be accepted into the course, should complete an independent study style learning contract, participate in supervised clinical activities before completing a  face to face final assessment (in-person or Skype), that may include  OSCEs or other educational strategies.
USFMS
Semester 1 (Periods 1-6)
Yr 4 Status
60
0
5
22
Lopez Cardona, Hector

Interdept

MDE 8040B Medical Spanish 2
 Click here for additional course information
Contact:
Dr. Hector Lopez-Cardona
lopezh@usf.edu
Report to:
N/A
Description:
This online (Canopy learn) course is designed to help students reduce their communication and cultural gaps with Medical Spanish-speaking patients with limited English language proficiency (LELP). Students are expected to increase their skillset of the Spanish language domain, cultural knowledge and communication strategies to work effectively with Spanish speaking patients in the clinical setting. 
Objectives:
1. Increase cultural awareness and sensitivity to improve and facilitate more successful bi-cultural interactions with Spanish speaking patients with LELP
2. Increase medical Spanish vocabulary for a variety of common clinical scenarios
3. Develop an initial rapport to initiate communication with Spanish speaking patients with LELP
4. Take a basic medical history and provide the appropriate basic instructions for performing a physical examination on Spanish speaking patients with LELP
Rotation Activities:
Online and face-to-face pre-assessment test, Online and interactive learning modules
Patient Encounters:
 N/A
Evaluation:
Online Canopy Course Final Assessment of Level III - 60%
Faculty Supervisor Evaluation (on overall improvement, commitment, and verbal skills) - 40%
Syllabus:
Provided before the course
Visiting Students:
No
Special Instructions:
Prior approval and online course log-in required. Students must be accepted into the course, should complete an independent study style learning contract, participate in supervised clinical activities before completing a  face to face final assessment (in-person or Skype), that may include  OSCEs or other educational strategies.



USFMS
Semester 2 (Periods 7-11)
Yr 4 Status
60
0
5
22
Lopez Cardona, Hector

Interdept

 MDE 8044 Int'l Medical Spanish/Culture
 Click here for additional course information
Contact:
Carlos C. Callegari V. MD MEd DMSc  FAAP
Professor, Department of Pathology and Cell Biology
ccallega@usf.edu
(813) 974-3177 
Eduardo Gonzalez, MD, FAAFP
Associate 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. It is expected that this experience will allow students to appropriately interact in a clinical setting with Spanish speaking patients abroad and in the USA. It is also expected that the experience will increase the student’s functional language skills in real cultural, clinical and medical environments. 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 Faculty at least two 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
c. Being able to communicate requests when performing a general physical examination 
2. Students will understand the differences between various clinical settings in the country visited and compare them with the USA facilities and health system.
3. Students will compare medical problems and health needs from local population with the Hispanic and non-Hispanic USA population.
4. 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 Clinical Faculty, students will evaluate and take a detailed history of new Spanish speaking patients.
3. During the elective students will accompany and observe Spanish Speaking medical and nursing personal testing on their patients focusing in learning the communication and cultural skills.
4. 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. Performance: obtaining a clinical medical history in Spanish, which may be conducted in an OSCE or another format before and after the experience.
2. A written report on the learner’s experience
3. Informal presentation to the course directors 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 Drs. Callegari or 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. 
EXT
 1 - 9
Yr 4 Status
No Limit
0
40
4
Callegari, Carlos
 Clinical
Interdept

 MEL 8939 Clinical Science Review
 Click here for additional course information
Contact:

Report to:

Description:

Objectives:

Rotation Activities:

Patient Encounters:

Evaluation:

Syllabus:

Visiting Students:

Special Instructions:

USFMS
 1 - 12
Prior Approval, Remedial Course
TBD
0
40
4
Faculty

Interdept
 Education
 MEL 8954 Becoming the Physician Educator
 Click here for additional course information
Contact:
Dr. Vinita Kiluk
vkiluk@usf.edu
Dawn Schocken
schocken@usf.edu
Report to:
CAMLS after schedule has been created by the course director.  
Description:
This elective is designed to introduce senior medical students to the role of the physician educator, a clinical faculty member, who intentionally teaches the “why” of medicine. Students will work with the MCOM faculty to design active learning sessions, case study materials, and interdisciplinary labs.  Students will also learn the essentials of teaching in interprofessional educational sessions, at the bedside as well as in large and small groups.