M3 and M4 Years (Phase 2 and Phase 3)

General Description for Phase 2

The Phase 2 curriculum includes several weeks of elective opportunities for career exploration or research as well as core clerkships in Internal Medicine, Pediatrics, Family Medicine, Obstetrics and Gynecology, Surgery, and Psychiatry.   A Neurology clerkship is under development. During this time, students will also experience a longitudinal Clinical Competencies and Connections Course which will include assessment of general clinical skills, overarching content in disciplines such as health care systems, career development activities, and opportunities for reflective exercises with faculty and peers.

General Description of Phase 3

The Phase 3 curriculum will include the majority of elective time, 12 weeks of career pathway selectives, and a subinternship.  The Clinical Competencies and Connections Course will continue into this phase.

2019 2020 Electives Catalog

LIST OF ELECTIVES

Department of Family & Community Medicine

Care for the Underserved

Correctional Medicine

Family Medicine: Clinical Experience

Family Medicine: Geriatrics

In-Patient Family Medicine

Department of Medicine & Medical Specialties

Adult Care Medicine

Allergy/Asthma

Cardiology

Dermatology

Endocrinology, Diabetes & Metabolism

Gastroenterology

Hematology/Oncology

Infectious Disease In-Patient

Nephrology

Nutrition

Palliative Medicine

Pulmonary ICU

Radiology

Rheumatology

National Center for Rural Health Professionals

Primary Care-Related, Population-Based Research

Department of Obstetrics and Gynecology

Obstetrics /Gynecology-Crusader

Reproductive Endocrinology

Surgical Ob/Gyn

Department of Pathology

Pathology – Forensic

Department of Pediatrics

Ambulatory Pediatrics

Pediatric Cardiology

Pediatric Forensics

Pediatric Gastroenterology

Neonatology

Department of Psychiatry

Adolescent Substance Abuse/Dual Diagnosis

Department of Surgery and Surgical Specialties

Advanced Surgery

Anesthesiology

Bariatric & Metabolic Surgery

Cardiothoracic Surgery

Emergency Medicine

Neurosurgery

Ophthalmology

Orthopedic Surgery

Otolaryngology

Plastic/Reconstructive Surgery

Sports Medicine

Urology

Vascular Surgery

Course Catalog:

DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE

Care for the Underserved

Course Number: ELEC963                                                                                   

Program Directors: Lynn Yontz, APN                                                                   

Departmental Contact Information: Tracey Riverdahl Telephone: (815) 395-5802

Location: Crusader Clinic/Homeless Shelters-Rockford

Length of Time: 2 weeks                                                                                    

Call: No weekend or night call

Available for Phase: Phase 3 ONLY

Narrative Description: This 2-week Family and Community Medicine rotation is affiliated with Crusader Clinic, located at 1200 West State Street. The rotation is designed to provide students the opportunity to become knowledgeable about the health care needs of an underserved population.

Prerequisites: Completion of M3 Year (Phase 2)

Learning Objectives:

  1. Demonstrate understanding of the unique issues facing family practice providers who care for homeless or underserved individuals, families and communities.
  2. Actively experience the complex responsibilities of family medicine related to patient care and management of the underserved in clinic and community settings.
  3. Demonstrate understanding of public health principles in the care and management of the individual, family and community.
  4. Identify and discuss the professional and leadership roles of a family practitioner working with an underserved population.

Learning Activities:

  1. The student will keep a journal, summarizing their daily activities and their personal observations & thoughts about the experience.
  2. Shadow health care providers providing care and management to underserved populations.
  3. Provide a written response to each of the following questions, including citation of a research article for each question:
    1. What are the unique issues and responsibilities facing family practice providers who care for underserved populations?
    2. What are the public health principles that are used in the care and management of the individual, family and community?
    3. How might providers demonstrate professional and leadership roles in caring for their underserved patients?
  4. Choose Option A or B below:
    1. Option A. Write a case study based on an actual patient encounter from week 1. Using evidence-based research techniques and citing sources, work up the case using the Case Study Outline Evaluation Form. Present the case study to available faculty/staff.
    2. Option B. Identify a health promotion/illness prevention educational need based on an actual patient encounter from week 1. Once your work has been approved by the supervising provider, make a patient presentation, bearing in mind the audience’s health literacy. The Presentation Evaluation Form and the Staff/Patient/Client Evaluation Form will be used for feedback.

Method of Evaluation:

  1. The supervising provider will evaluate the student’s performance in areas of professionalism, level of interest and clinical work. The comments will be incorporated in the student’s final evaluation.
  2. Student’s journal will be reviewed by supervising provider for content, research cited and responses to the questions.
  3. Option A will be evaluated using the Evidence-Based Case Study Evaluation Form.
  4. Option B will be evaluated using the Health Education Presentation, Faculty Evaluation Form and the Health Education Presentation, Staff/Client Evaluation Form.

Required Reading: None

Additional Resources: None

Miscellaneous Information: Attendance: One (1) excused absence is allowed during the 2-week experience. Absences in excess of this limit must be made up at the convenience of the site and/or provider(s) and may require rescheduling of block.

DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE

Correctional Medicine

Course Number: ELEC106                                                                                    

Program Directors: Trisha Corrigan                                                                     

Departmental Contact Information: Tracey Riverdahl Telephone: (815) 395-5802

Location: Winnebago County Jail, Rockford, Illinois

Length of Time: 2 weeks                                                                                    

Call: No

Available for Phase: Phase 3 ONLY

Narrative Description: This two-week experience at the Winnebago County Jail will allow students to participate in the healthcare of Winnebago County inmates. It is important that students enrolling in this experience understand the elevated level of professionalism that will be demanded of them in the jail environment along with the increased importance of confidentiality.

Prerequisites: Completion of M3 year (Phase 2), security clearance; Family and Community Medicine faculty attestation of student’s professionalism

Learning Objectives: The student who successfully completes this rotation will be able to:

  1. Explain the organization and financing of medical care in a correctional facility.
  2. Describe the common medical and mental health conditions affecting adult and juvenile inmates.
  3. Describe what a drug formulary is and explain how it can be used to provide cost-effective care.
  4. Perform an initial medical evaluation of inmates at the time of booking.

Learning Activities:

  1. The student will keep a journal, summarizing their daily activities and their personal observations & thoughts about the experience.
  2. Tour jail, paying particular attention to security measures as explained by corrections staff.
  3. Observe and participate in medical and dental care of adult and juvenile inmates.
  4. Participate in assessment of inmates referred for mental health evaluation.
  5. Participate in medical evaluations done at booking and triage of inmate complaints.
  6. Attend a session of mental health court.
  7. Develop a project (e.g. presentation, educational literature, etc.) pertinent to health care in a correctional facility. The project must be pre-approved by the supervising provider.

Method of Evaluation:

  1. The supervising provider will evaluate the student’s performance in areas of professionalism, level of interest and clinical work, with additional input solicited from medical and corrections staff. The comments will be incorporated in the student’s final evaluation.
  2. Student’s journal will be reviewed by supervising provider.
  3. Faculty/staff evaluations of the student’s project will be reviewed with scores and comments taken into consideration by the supervising provider when calculating the student’s final grade.

Required Reading:

Medicine and the epidemic of incarceration in the United States.

Rich JD, Wakeman SE, Dickman SL. N Engl J Med. 2011 Jun 2;364(22):2081-3.

Additional Resources:

Textbook of Correctional Medicine, edited by Puisis

CDC website on corrections health: http://www.cdc.gov/nchstp/od/cccwg/default.htm

Miscellaneous Information:

Attendance: One (1) excused absence is allowed during the 2-week experience. Absences in excess of this limit must be made up at the convenience of the site and/or provider(s) and may require rescheduling of block.

  

DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE

Family Medicine Clinical Experience

Course Number: ELEC814                                                                                   

Program Directors: Mitchell King

OSF Poplar Grove – Atisak Sapying, MD

SAMG Valley Clinic – Christopher Rhyne, MD

Departmental Contact Information:  Tracey Riverdahl

Telephone: (815) 395-5802

Location: Family Medicine Clinics

Length of Time: 2 OR 4 weeks                                                                                          

Call: No

Available for Phase: Phase 3 ONLY

Narrative Description: This two or four-week clinical experience at a Family Medicine clinic will focus on diagnosis, development of a management plan and practice issues such as phone triage and practice management.

Prerequisites: Completion of M3 Year (Phase 2)

Learning Objectives: The student who successfully completes this rotation will be able to:

  1. Develop and implement a management plan for common acute and chronic illnesses.
  2. Adequately handle phone triage of patient calls.
  3. Be knowledgeable with the basics of practice management.
  4. Be knowledgeable with academic medicine including mentoring M2/M3 students and preparing a teaching session.
  5. Continue self-awareness through continual self-evaluation.

—Additional objective for the 4 week block—

  1. Participate in hospital and nursing home rounds.

Learning Activities:

  1. Complete pre-experience self-evaluation.
  2. The student will keep a journal, summarizing their daily activities and their personal observations & thoughts about the
    experience.
  3. Introduction to Phone Triage
    1. Spend time with the nursing staff and become familiar with answering phones, returning patient calls and delivering lab results to patients.
    2. Complete a phone triage lecture on Blackboard.
    3. Write a reflection paragraph on your experience.
  4. Introduction to Practice Management
    1. Spend time with the office manager and support staff.
    2. Attend a staff meeting if available. Note service style, phone management, billing services, appointment setting, records management, and referral management.
    3. Write a reflection paragraph on your experience.
  5. Professionalism and Academic Preparation
    1. Prepare and deliver a presentation for students, faculty & staff at the clinic. Follow the Lesson Plan Outline in preparation and provide a copy of your lesson to your faculty mentor.
    2. With faculty supervision, precept five (5) M2/M3 student patient encounters. Record encounters in your journal. Complete a Mentoring Feedback Form for each encounter.
  6. Patient care and procedures
    1. The M4 student – already accomplished in history taking and physical exam – will be expected to focus on diagnosis and development of a management plan. When completing the patient visit, the faculty preceptor will shadow the M4 in the encounter so that the student will have the full responsibility to complete the visit on their own with minimal faculty interjection. The student may want to consider videotaping the encounter for self-reflection (patient must sign consent prior to videotaping.)
    2. Reflect on the acute and chronic nature of the visits, any patient care plans and education needs that were met, and how this focus affected your thoughts on Family Medicine. Document your thoughts in your journal.
    3. Pick one patient encounter and work up the case using the Evidence-Based Case Study Evaluation Form as your guide. Utilize appropriate techniques in searching for evidence-based research and reference your sources. You should use a minimum of three references.
    4. With your faculty mentor’s assistance, seek out and participate in procedural opportunities in the clinic. Document the procedures in your journal.
    5. The 4-week course will include hospital and nursing home rounds with a family practice resident and supervising physician.
    6. Using the Case Study guidelines, develop a case study on a patient who was seen in the hospital or nursing home – preferably one that was subsequently seen at the office for follow-up care.
  7. Complete post-experience self-evaluation.

Method of Evaluation:

  1. The supervising provider will evaluate the student’s performance in areas of professionalism, level of interest and clinical work, with additional input solicited from other faculty and staff. The comments will be incorporated in the student’s final evaluation.
  2. Student’s journal will be reviewed by supervising provider.
  3. Student pre- and post-experience self-evaluations will be reviewed by supervising provider.
  4. Faculty/staff evaluations of the student’s presentation will be reviewed with scores and comments taken into consideration by the supervising provider when calculating the student’s final grade.
  5. Student mentoring/precepting of M2/M3 students will be taken into consideration by the supervising provider when calculating the final grade.
  6. Supervising provider will review student’s case study for content, use of evidence-based research methods and quality of the final product.

Required Reading: None

Additional Resources: None

Miscellaneous Information: Attendance: One (1) excused absence is allowed during the 2-week experience; two (2) absences are allowed during the 4-week experience. Any absences in excess of these limits must be made up at the convenience of the site and/or provider(s) and may require rescheduling of block.

DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE

Geriatric Care

 Course Number:    ELEC181                                                                                                 

Program Directors: Vasil Nika, MD                                                                                        

Niccole Ranz, FNP-C                                                                                                        

Departmental Contact Information:  Tracey Riverdahl

Telephone: (815) 395-5802

Location: P.A. Peterson Center for Health, other sites possible                            

Length of Time: 2 weeks                                                                                     

Call: No                                 

Available for Phase:   Phase 3

Narrative Description: This 2-week Family and Community Medicine rotation is designed to provide students the opportunity to increase their knowledge of geriatric care in long-term care facilities, nursing homes and end-of-life programs in the Rockford area.

Prerequisites: Completion of M3 Year (Phase 2)

Learning Objectives: The student who successfully completes this rotation will be able to:

  1. Demonstrate understanding of the unique issues facing family practice providers who care for patients in long-term care facilities, nursing homes and end-of-life programs.
  2. Actively experience the complex responsibilities of family medicine providers related to patient management in a long-term care facility, nursing home or end-of-life program under the supervision of a supervising provider.
  3. Demonstrate understanding of the role of family practice providers as the coordinators of care for the geriatric/disabled patient.
  4. Identify and discuss the professional and leadership responsibilities of a medical director in a long-term care facility.

Learning Activities:

  1. The student will keep a journal, summarizing their daily activities and their personal observations & thoughts about the experience.
  2. Shadow and work with a supervising provider at a long-term care facility, nursing home and/or hospice program providing management of care for geriatric/disabled patients.
  3. Experience family practice responsibilities of patient care in an end-of-life program.
  4. Shadow the medical director of a long-term care facility, nursing home or hospice program experiencing the responsibilities of leadership, medical management and patient-care collaboration between patient, family, provider and staff.
  5. Utilizing appropriate evidence-based research techniques and actual patients, the student will choose six topics from the list below and write a case study for each:

Agitated Dementia                                    Anemia                                                      COPD                   Renal Insufficiency

Depression                                                 End of Life                                                      CHF                               Diarrhea/Constipation

Neuromuscular Disorders                       Medical Management in the Elderly                                         UTI/Urinary Incontinence                        

Method of Evaluation:

  1. The supervising provider will evaluate the student’s performance in areas of professionalism, level of interest and clinical work, with additional input solicited from other faculty and staff. The comments will be incorporated in the student’s final evaluation.
  2. Student’s journal will be reviewed by supervising provider.
  3. The supervising provider will review student’s three journal articles for content and use of evidence-based principles.
  4. Topical case studies will be reviewed by the supervising provider for content and use of evidence-based research techniques; each case will be evaluated based on the student’s skill set, thought processes and decision-making abilities.
  5. The supervising provider will evaluate the student’s performance in areas of professionalism, level of interest and clinical work. The comments will be incorporated into the student’s final evaluation.

Required Reading: Students may be assigned readings from the book Primary Care Geriatrics: A Case-Based Approach, 5th Edition, from the journal Geriatrics, or from other print and electronic geriatric journals. The book is available in the University library, and in the exam room at P.A. Peterson. Geriatrics journal is available in the University library and assistance is available from library staff for electronic journals.

 Additional Resources: None.

Miscellaneous Information: Attendance: One (1) excused absence is allowed during the 2 week experience. Absences in excess of this limit must be made up at the convenience of the site and/or provider(s) and may require rescheduling of block.

 

DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE

Inpatient Family Medicine

Course Number: ELEC609                                                                                    

Program Directors: Joseph Ross, MD                                                                  

Departmental Contact Information: Tracey Riverdahl

Telephone:(815) 395-5802

Location: SwedishAmerican Hospital

Length of Time: 2 or 4 week                                                                                              

Call: No

Available for Phase: Phase 3 ONLY

Narrative Description: This two- or four-week experience will give students the opportunity shadow a family practice resident and supervising physician in the hospital setting.

Prerequisites: Completion of M3 Year (Phase 2)

Learning Objectives: The student who successfully completes this rotation will be able to:

  1. Demonstrate understanding of the unique issues facing family practice physicians who care for patients in the hospital/nursing home setting.
  2. Provide medical care to hospitalized/nursing home patients in a supervised setting.
  3. Demonstrate understanding of the role of the hospitalist and coordination of patient care.
  4. Demonstrate understanding of hospital administration activities and responsibilities of the family practitioner with hospital privileges.
  5. Experience family practice in a residency/primary care setting.

Learning Activities:

  1. The student will keep a journal, summarizing their daily activities and their personal observations & thoughts about the experience.
  2. Shadow a family practice resident/attending physician in the hospital, rounding on patients and providing input into the management of their care.
  3. Attend organizational meetings of the hospital administration as possible.
  4. Evaluate two journal articles (four articles for a 4-week block) on topics related to Family Practice Inpatient Care. Following evidence-based medicine principles and documenting your search strategy, write a brief review using the Journal Article Review form. If clinic scheduling allows, one article review should be presented to available faculty, staff and residents.
  5. Experience family practice patient care responsibilities in all departments of the hospital (i.e., ER, OB, ICU, Medical floors, etc.).
  6. If available, shadow a physician at a nursing home, rounding on patients and providing input into the management of their care.

Method of Evaluation:

  1. Student’s journal will be reviewed by supervising provider.
  2. The journal article reviews will be reviewed by the supervising provider. If a presentation was done, evaluations will be solicited from faculty, staff and residents in attendance.
  3. The supervising provider(s) will evaluate the student’s performance in the areas of professionalism, level of interest and clinical work. The comments will be incorporated in the student’s final evaluation.

Required Reading: None

Additional Resources: None

Miscellaneous Information: Attendance: One (1) excused absence is allowed during the 2-week experience; two (2) absences are allowed during the 4-week experience. Any absences in excess of these limits must be made up at the convenience of the site and/or provider(s) and may require rescheduling of block.

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Adult Care Medicine

Course Number: ELEC333                                                                                           

Program Directors: Charles Welford,MD; Rajbir Dhillon, MD;Various Hospitalists      Departmental Contact Information:  Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location:  OSF St. Anthony Medical Center 

Length of Time:  4 weeks                                                                                                    

Call:  Every 4th night              

Available for Phase: Phase 3 ONLY

Narrative Description: The goals of this rotation are to continue to sharpen skills as future diagnosticians and improve interviewing and note writing skills, formulate detailed assessments and plans in an inpatient setting,  and to prepare for a residency in Internal Medicine.

Prerequisites: Completion of M3 year (Phase 2)

Learning Objectives: The student who successfully completes this rotation will be able to

  1. Write complete and detailed notes on an inpatient basis;
  2. Research and discuss internal medicine topics in detail;
  3. Critically appraise the medical literature;
  4. Perform advanced history and physical exam skills;
  5. Work in a team with M3 students;
  6. Effectively utilize electronic health record to obtain information and enter orders; and
  7. Sharpen assessment and plan skills

Learning Activities:

  1. Perform history and physical examinations for inpatients of the hospitalists;
  2. Formulate a differential diagnosis and assessment of each admitted patient that is evaluated;
  3. Formulate management plans for each admitted patient;
  4. Orally present patients that have been worked up;
  5. Write detailed notes about the patients worked up;
  6. Follow inpatients on a daily basis and write daily progress notes;
  7. Research and discuss internal medicine topics in detail. Present this information to Dr. Welford and M3 students;
  8. Critically evaluate at least one journal article weekly;
  9. Keep a log of patients seen and lessons learned from the patients;
  10. Have a weekly session with Dr. Welford providing feedback regarding the student’s progress and performance;
  11. Attend Grand Rounds at St. Anthony Medical Center when in session;
  12. Supervise M3 students on Dr. Welford’s service and provide them with feedback and teaching; and
  13. Observe and if possible participate in code blue resuscitations in the hospital.

Method of Evaluation:

  1. The student will be evaluated in areas of professionalism, interest in clinical work, history taking and physical examination skills, differential diagnosis skills, management planning skills, oral and written communication skills, and interpersonal collaboration.
  2. Student will also be evaluated regarding interpretation of medical literature;
  3. Patient Log will be reviewed by supervising provider; and
  4. Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted.

Required Reading: Students are expected to utilize appropriate sources such as UpToDate, DynaMed, medical textbooks, and medical journals in researching the patients they see and in presenting journal articles

Additional Resources:  Internal Medicine Subinternship Curriculum 2.0, Primer to the I.M. Subinternship, (both on Blackboard)

Miscellaneous Information: One (1) excused absence allowed per two-week experience. Absences in excess of this limit must be made up at the convenience of the provider.

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Allergy/Asthma

Course Number: ELEC299                                                                                   

Program Directors: Fatima Mohiuddin, MD                                                          

Departmental Contact Information:   Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610

Location: 1253 North Alpine Road

Length of Time: 2 weeks                                                                                    

Call: No

Available for Phase:  Phase 2 AND Phase 3

Narrative Description: During the rotation, the student will spend 2 weeks focusing on adult and/or pediatric patients.  Every week the student will participate in ambulatory clinic sessions with adults or children seeking diagnosis and/or treatment of asthma and many other hypersensitivity diseases.  The student will observe and participate in various procedures, including IgE skin testing, patch testing, spirometry and immunotherapy.

Prerequisites: None.

Learning Objectives: At the completion of this elective, the student will be able to:

  1. Describe the basic structure and function of the immune system;
  2. Explain the immunopathophysiology of the four major types of hypersensitivity;
  3. Perform a history and physical examination of an adult and child suspected to have a hypersensitivity disease; and
  4. Describe diagnostic and treatment strategies for the most common hypersensitivity diseases.

Learning Activities:

Method of Evaluation: Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted.

Required Reading: None

Additional Resources: None

Miscellaneous Information: 

Monday – Friday, regular physician workday hours

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Cardiology

Course Number: ELEC608                                                                                   

Program Directors: Joel Hellman, MD

                                   jhellman@uic.edu

Departmental Contact Information Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location:    OSF Saint Anthony Medical Center, SwedishAmerican Hospital,

Mercyhealth

Length of Time: 2 or 4 weeks                                                                                             

Call: Based on Preceptor*

Available for Phase:   Phase 2 and Phase 3

Narrative Description: This rotation will allow the student to gain knowledge in various aspects of cardiology. Students will be exposed to Cardiology office and hospital visits, EKG’s, echocardiograms, and routine and pharmacologic stress tests.  Exposure to heart catheterizations, PTCA’s, stent insertion, cardioversion, electrophysiology studies and transesophageal echo and cardiovascular surgery may occur. The student will accompany the cardiologist on all phases of the practice.

Prerequisites:  Completion of M3  Medicine clerkship for  Phase 2 student

Learning Objectives:  At the end of the rotation, the student will be expected to develop an understanding of the basic pathophysiology, diagnosis and therapy of ischemic heart disease, congestive heart failure and cardiac arrhythmias AND exhibit the ability to:

  1. Interview patients collecting pertinent data concerning the patient’s presenting problems;
  1. Perform a complete or focused physical examination as appropriate and distinguish normal from abnormal findings;
  2. Synthesize information to develop a reasonable differential diagnosis and be prepared to present to preceptor;
  3. Following an assessment of all assigned patients, students will describe the chief problems and a plan for treatment.
  4. Prepare a complete H & P for a new patient admitted to the service;
  5. Periodically re-evaluate patients’ status including interpretation of new history and physical exam findings;
  6. Use and interpret laboratory and radiographic tests used in diagnosing common cardiac & vascular diseases;
  7. Recognize and manage situations related to common cardiac & vascular diseases that are potential emergencies; and
  8. Identify ethical problems which arise in patient treatment and care.

All students participating on this clerkship will meet the institutional standards for professional behaviors.

Learning Activities:

  1. Outpatient and inpatient evaluations;
  2. Participation in development of therapy strategies and plans and evaluation of responses to therapy;
  3. Exposure to EKGs, echocardiography and stress testing; and
  4. Exposure to invasive cardiac procedures to be determined by both the preceptor’s scope of practice and the pathology evaluated.

Method of Evaluation: Preceptor will evaluate the student’s performance based upon direct observation as well as additional feedback from members of the clinical staff.  Standard UIC evaluation form completed and submitted

Required Reading: None

Additional Resources:

ACC/AHA Clinical Guidelines

Up-to-Date

Standard Cardiology Texts – Braunwald, Hurst and/or Topol

Current Medical Literature

Miscellaneous Information: Minimum of five full days per week with on-call/weekend responsibilities at the discretion of the preceptor.*

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Dermatology

Course Number: ELEC602                                                                                    

Program Directors: Michael Bukhalo, MD

Departmental Contact Information: Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location: Arlington Dermatology

5301 Keystone Ct. – Rolling Meadows, IL 60008

Phone: (847) 392-5440   

Length of Time:  2 or 4 weeks                                                                                           

Call:  No

Available for Phase:   Phase 2 AND Phase 3

Narrative Description: During the course of two or four weeks the students should be exposed to approximately 250-500 dermatologic patients.

Prerequisites: None

Learning Objectives:

Emphasis of instruction will be in three main areas. These would include:

  1. Proper dermatologic description and classification of the cutaneous disorders seen
  2. Differential diagnosis of dermatologic diseases and
  3. Basic therapeutic principles

Learning Activities:

The student may participate and learn to do some basic dermatologic procedures including skin biopsy, shave biopsy, skin tag excision, wart destruction and simple excisional surgery.

The rotating student would also be invited to attend the monthly meeting of the Chicago Dermatological Society held in Chicago on the third Wednesday of each month. The student would also be participating in evaluation of any hospital consultations that arise during the month.

All students are required to review a topic of interest related to dermatology and their chosen specialty and present their topic in a brief 10-minute presentation.

Method of Evaluation: Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted.

Required Reading: Textbook Required: Principles of Dermatology, Fourth Edition, Lookingbills/marks, W.B. Saunders Elsevier, 2006.

Additional Resources: None

Miscellaneous Information:

Monday – Friday, 9:30 a.m. – 5:00 p.m., per physician’s schedule.

 

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Dermatology

Course Number: ELEC602

Program Directors: Melissa Stenstrom, MD

Departmental Contact Information: Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610  

Location: 1235 N. Mulford, Suite 205

Length of Time: 2 or 4 weeks                                                                                             

Call: No

Available for Phase:   Phase 2 AND Phase 3

Narrative Description: During the course of two or four weeks the students should be exposed to approximately 250-500 dermatologic patients.

Prerequisites: None

Learning Objectives:

Emphasis of instruction will be in three main areas. These would include:

  1. Proper dermatologic description and classification of the cutaneous disorders seen
  2. Differential diagnosis of dermatologic diseases and
  3. Basic therapeutic principles

Learning Activities:

The student may participate and learn to do some basic dermatologic procedures including skin biopsy, shave biopsy, skin tag excision, wart destruction and simple excisional surgery.

The rotating student would also be invited to attend the monthly meeting of the Chicago Dermatological Society held in Chicago on the third Wednesday of each month. The student would also be participating in evaluation of any hospital consultations that arise during the month.

All students are required to review a topic of interest related to dermatology and their chosen specialty and present their topic in a brief 10-minute presentation.

Method of Evaluation: Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted.

Required Reading: Textbook Required: Principles of Dermatology, Fourth Edition, Lookingbills/marks, W.B. Saunders Elsevier, 2006.

Additional Resources: None

Miscellaneous Information:

Monday – Friday, 9:30 a.m. – 5:00 p.m., per physician’s schedule.

 

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Endocrinology, Diabetes & Metabolism

Course Number: ELEC613                                                                                   

Program Directors: Sameer Ansar MD *

Aliya Naseer MD**                           

Departmental Contact Information:  Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location: * 5688 E. State St, Suite 20000

** 2300 N. Rockton Avenue, (815) 971-2000

Length of Time: 2 weeks                                                                                    

Call: No

Available for Phase: Phase 2 AND Phase 3

Narrative Description: Students attend endocrine outpatient clinics, which are held Monday to Friday, from 8:00 a.m. to 5 p.m. They also accompany consultation physicians for inpatient consultations and are required to be present for one thyroid biopsy clinic and diabetes group class.

Prerequisites: None

Learning Objectives:  To demonstrate competency in the ambulatory and hospital care of patients with common endocrine and metabolic disorders, including the ability to perform appropriately directed history and physical examination, interpretation of basic endocrine laboratory data and determination of management options

Learning Activities:

  1. Shadowing physicians.
  2. Taking history and physical examination, determining a differential diagnosis and coming up with a basic diagnostic plan.
  3. Attending diabetes group classes, new insulin pump and continuous glucose monitor starts.
  4. Observing thyroid biopsies and ultrasounds is being done at OSF/SAMC only

Method of Evaluation:  At the end of the rotation, the attending physicians, educators and nursing staff will give students feedback and submit standard UIC evaluation forms.

Required Reading: None

Additional Resources:

American Diabetes Association “Standard of Medical Care in Diabetes Mellitus”

Williams Textbook of Endocrinology

NEJM – review articles

Journal of Endocrinology and Metabolism

Miscellaneous Information: Monday – Friday, at least 8 hours/day, per physician schedule.

Dr. Naseer’s clinic hours are Monday – Thursday from 8am – 5pm. Friday is her day off.

 

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Gastroenterology

Course Number: ELEC614                                                                                     

Program Directors: Sumeet Tewani, MD *

Nicole Gentile MD **                                                        

Departmental Contact Information:  Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location: * 401 Roxbury Road

** Mercyhealth

Length of Time: 4 Weeks                                                                                   

Call: Yes*

Available for Phase:  Phase 2  and Phase 3

Narrative Description: The medical student will function much like a medicine intern during this elective. The student will actively participate in the management of an inpatient gastroenterology service at one of the two hospitals covered by Rockford Gastroenterology Associates. The emphasis is on patient evaluation and management. The student will be exposed to the various procedures performed in gastroenterology including upper endoscopy, colonoscopy, liver biopsy, ERCP, and endoscopic ultrasound.

Prerequisites: Completion of M3  Medicine clerkship for   Phase 2 student

Learning Objectives: The gastroenterology elective is designed to provide the student who has completed his/her Medicine clerkship with exposure to the field of gastroenterology as is practiced in an academic and private practice setting. The student should complete the course with knowledge of the pathophysiology, evaluation, and management of common and uncommon gastrointestinal, liver, gallbladder, and pancreatic diseases.

Learning Activities:

  1. Direct participation in inpatient gastroenterology service; and
  2. Case-based learning sessions covering the major topics in gastroenterology.

Method of Evaluation: Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted.

Required Reading:  Students strongly encouraged to review GI textbooks, UpToDate as it applies to their patients and the case-based learning sessions posted on Blackboard.

Additional Resources:  None

Miscellaneous Information: 7:30 a.m. – 5:00 p.m. Monday through Friday / 7:30 a.m. – 12:00 p.m. Saturday & One (1) call weekend.*

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Hematology/Oncology

Course Number: ELEC804

Program Directors: Thomas McFarland, MD                                                        

Departmental Contact Information: Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location: 2400 N. Rockton Avenue

(815) 971-5000

Length of Time: 4 weeks                                                                                    

Call: No

Available for Phase:   Phase 3 ONLY

Narrative Description:   The hematology/oncology rotation consists of 4 weeks’ time working with a preceptor, witnessing and participating in the inpatient and outpatient care of oncology and hematology patients.  Screening, genetics, risk evaluation, radiation therapy, and community exposures are on a prn basis as opportunities present themselves.  Students are expected to be prompt, neat, and pleasant.

M4 students will be expected to function as a “subintern”, performing histories, physicals, and consultations on inpatients, presenting daily on the patients they are responsible for, following their inpatients and attending any procedures they undergo, attending clinic and seeing outpatients in the company of the preceptor, and attending weekly cancer conference.  Call is something that is earned by demonstrating interest and enthusiasm. Residents will round on a panel of patients in the morning and coordinate with the on call physician for clinic and consults.

A daily topic is provided in the Hem/Onc Workbook for each weekday of the rotation. The first week is focused on oncologic emergencies, the second on more common tumors (emphasizing the organization of approach rather than a compendium of facts), the third on hematology problems, and the fourth on topics such as therapeutics and supportive care.  The last day is the student’s day to present a topic of his/her choice. The workbook has been derived from a variety of sources, most importantly feedback from prior students. The final topic is reserved for the students to present a disease, a clinical scenario, a basic science finding, or a humanistic interlude.

IM Essentials, available electronically in the UIC library, will serve as a condensed text that expands on the topics of this curriculum as well as other oncology and hematology topics. There is a test following the sections and it is suggested students take that test as they start the rotation – both to set a baseline and to identify potential areas to concentrate on.

It is critical that students be able to function with a variety of tools and in the environment of the medical resident.  Just as clinical medicine remains an empiric science amidst the modeling and speculation of research, being a physician still entails “doing it” amidst theorizing and presentations!  We will try to “do” a bone marrow or two, but will also read ECGs and radiology studies, and anything that our consultants will involve us in, whether a scope or surgery. Student clinical cases are the important, real life, studies. Additional ones are provided in the book.

Included are formatted sheets for reading the ECGs, adjacent to the graphics, and formatted H and P sheets. There is also a daily radiology study or picture of a microscope slide to review and report on.  Again, a space is provided in the workbook for these reports. Students are welcome to alter these to their usual practice as long as they remain consistent, organized, and communicative. Please use the workbook, although we are all in transition to EMRs.  Do not write actual patient names or identifiers in the book, as a matter of confidentiality. The tactile experience can be useful, and will give the student a chart to carry and follow their patients.  Students are to document visits, procedures, and questions.  I appreciate corrections and references, particularly hyperlinks, to literature, graphics, slide shows, and illustrations, as I seek to morph to an electronic experience.

Prerequisites: Completion of M3 Year (Phase 2)

Learning Objectives:  Topics Covered:

  1. Febrile Neutropenia;
  2. Hypercalcemia;
  3. Spinal Cord Compression;
  4. SIADH;
  5. Acute Leukemia at Presentation;
  6. Colon, Breast, Lung Cancer;
  7. Lymphoma, Adult Acute Leukemia, Myeloproliferative Disorders;
  8. Thrombocytopenia, Anemia, Bleeding & Thrombolytic Disorders;
  9. Pain Control, Chemotherapeutic Agents;
  10. Suffering, Clinical Trials in Oncology; and
  11. “Wild Card.”

Learning Activities: Tumor Conference, Breast Conference, Grand Rounds.  In-patient rounding/ documentation/procedures.  Outpatient clinic with rotating preceptors.  Radiation oncology clinic (typically one (1) day).

Method of Evaluation:  Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted.

Personal consultation with the student will also be completed.

Required Reading: Workbook on M4 Medicine Blackboard Site

Additional Resources: None

Miscellaneous Information:   Monday – Friday, per physician’s schedule.  This rotation is not available over the holidays or post-graduation

 

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Infectious Disease Inpatient

Course Number: ELEC617                                                                                    

Program Directors: Scott Homann,MD/ shomann@uic.edu

Departmental Contact Information: Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610                                                        Location: SwedishAmerican Hospital

Length of Time: 4 Weeks                                                                                   

Call: Yes*

Available for Phase:   Phase 3 ONLY

Narrative Description: Academic Infectious Disease setting.  Students will be expected to perform comprehensive histories & physicals, develop a differential diagnosis and an evaluation/treatment plan.  Students will be following patients daily.  Students will do two brief presentations (10-15 minutes) during morning conference.

Prerequisites: Completion of the M3 year (Phase 2)

Learning Objectives:  At the end of this rotation, students will:

  1. Hone history, physical & presentation skills;
  2. Become comfortable with antibiotic choice & use;
  3. Learn to order and interpret microbiology tests; and
  4. Learn to evaluate and manage complex patients with infections.

Learning Activities:

  1. Direct patient care;
  2. Teaching rounds;
  3. Twice weekly conferences;
  4. Trips to Radiology/Micro/Path as needed; and
  5. Close interaction with other MD’s, pharmacists, nurses and other healthcare providers.

Method of Evaluation: Direct faculty evaluation of performance, which includes questions on rounds, and standard UIC evaluation form completed and submitted.

Required Reading:  Handout & textbook (provided prior to orientation).

Additional Resources: None

Miscellaneous Information:

Begin rotation approximately between 7:00/7:30 a.m.  Generally finished between 5:00/7:00 p.m.  Weeknight call is rare; 3 weekend days is required.*

DEPARTMENT OF  MEDICINE AND MEDICAL SPECIALTIES

Nephrology

Course Number: ELEC621                                                                                   

Program Directors: Krishna Sankaran, MD                                                          

Departmental Contact Information: Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location:  Rockford Nephrology Associates (& area hospitals)

Length of Time: 2 or 4 weeks                                                                                            

Call: No

Available for Phase: Phase 3 ONLY

Narrative Description: The elective will involve the evaluation and treatment of problems in the scope of nephrology. Evaluation will include history taking and chart review specifically as it relates to the renal problem in question (general history and physical will also be important). Assessment of the problem will include a discussion of renal physiology and mechanism of the disease process. Finally, physiologic principles will be discussed with respect to interventions/treatment.  Discussions will be patient based and didactic to include acute kidney injury, chronic kidney disease, dialysis, fluid and electrolyte disorders, glomerulonephritis, hypertension as possible. The student is welcome to invite topics of discussion/lecture in Nephrology.

This is a working rotation where most of the teaching will be on rounds and in discussion of cases. Students will be involved in seeing patients as new consults and as follow up, writing computer notes after discussing cases, management issues and discussion of the nephrology aspects of diagnosis and treatment with the nephrology team. Finalized notes with a discussed plan will then be done by the student. The attending will co-sign these with an addendum and put in any relevant orders.  As time allows additional nephrology lectures can be done by the attending, and students are welcome to request topics to cover.

Prerequisites:  Completion of M3  Medicine clerkship for  Phase 2 student

Learning Objectives: The objective of the nephrology rotation is to learn renal physiology, pathophysiology and treatment principles in the setting of patient care. In evaluating discussing and taking care of patients with acute kidney injury, fluid/electrolyte disorders and chronic kidney disease (including ESRD), the student will strive to integrate physiology and pathophysiology in decision making and interventions in renal disorders.

Learning Activities: Students will be expected to be on rotation from 8:00 a.m. to 5:00 p.m. Monday through Thursday and until 3:00 p.m. on Friday (the same schedule as the attending). The student will work with a nephrology attending for one week at a time with an opportunity to work with 4 attendings (with some variance in style and approach to teaching and patient care). The student can find out their attending for the week by calling the Mercyhealth Answering Service at 815-971-5000 and finding out who is assigned for their hospital for that week. The student will then meet with their attending at 8:00 a.m. on Monday of each week to discuss the plan/schedule for the week.

Method of Evaluation: Each attending will complete the UIC evaluation form for the assessment of skills, character, reliability and knowledge.  Dr. Sankaran will complete composite grades for the rotation. Feedback will be given throughout and at the end of the rotation, with standard UIC evaluation completed and submitted.

Required Reading:  None

Additional Resources: There are no specific instructional materials required by the nephrology rotation. Your own text in renal physiology and pathology will be a good base to review for the rotation. Sections on the following topics in any medicine text are suggested and students are encouraged to review the Nephrology section and questions in IM Essentials:  Acute Kidney Injury, Chronic Kidney Disease, Hypernatremia, Hyponatremia, Hyperkalemia, Proteinuria/ Glomerulonephritis, and Edema/Diuretics, which are our most common reasons for consultation. Topics related to dialysis will not be expected reading but discussed by the attending.

Miscellaneous Information: Students are also encouraged to comment on their experience, constructive criticism or any problems with the rotation or their attendings directly to Dr.Sankaran via email (ksankaran@rockfordnephrolgy.org).

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Nutrition

Course Number: ELEC865                                                                                   

Program Directors: Barbara Osborn, MS, RD, LDN, CDE                                

Departmental Contact Information: Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location: OSF Saint Anthony Medical Center

Length of Time: 2 Weeks (Rotation only available after Labor Day – May 1st.)                

Call: No

Available for Phase:   Phase 2 AND Phase 3

Narrative Description: Student will spend time with the Clinical Dietitian, attending multidisciplinary rounds, visiting, assessing and instructing patients.  During the rotation the student will also spend a few hours in the following services – Wound care, GI lab for PEG placement, Cardiac Rehab education, Diabetes Education, Bariatric lap band, Pharmacy for TPN prep, and Speech Pathology for video swallow.  This helps the student understand the importance of good nutrition in many disease states.

Prerequisites: None

Learning Objectives:

  1. Discuss markers to determine nutrition status:
  • – understand nutrition risk screening and nutritional status assessment
  •    – identify markers for malnutrition diagnosis (ICD-10 codes)
  1. Determine energy, protein and fluid requirements for selected patients and evaluate best method to meet those needs;
  2. Understand the different routes of administration of both enteral and parenteral nutrition and what route is indicated for specific patient problems/diagnosis;
  3. Select appropriate parenteral and enteral products based on patients calculated needs and disease state;
  4. Discuss Best Practice/Evidence Based Practice nutrition strategies and therapies for common diagnosis; and
  5. Identify common hospital diet orders and application of each.

References:  Krause’s Food Nutrition and Diet Therapy, ASPEN Core Curriculum

Learning Activities:

Method of Evaluation: Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted.  Oral exam/dialogue, attitude and participation.

Required Reading:

Patient Education Materials, Krause’s Food Nutrition and Diet Therapy, Journal Articles & ASPEN Core Curriculum

Additional Resources: None

Miscellaneous Information:  None

 

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Palliative Medicine

Course Number:     ELEC294                                                                                               

Program Directors: Moshin Khan,MD*

                                        Juliette Kalweit, MD**

Departmental Contact Information:  Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610

Location:  Mercyhealth*

SwedishAmerican Hospital**

Length of Time: 2 or 4 Weeks (based on preceptor)                                                             

Call: No

Available for Phase:   Phase 2 AND Phase 3

Narrative Description:

  1. Seeing patients with physician in the hospital for consultation services;
  2. Half day per week supportive oncology clinic, if possible;
  3. Half day per week hospice or pal care IDT; and
  4. Shadow physician, nurse practitioner, hospice nurse, hospital social worker, hospice chaplain and palliative care pharmacist to understand team roles and responsibilities

Prerequisites: None

Learning Objectives:

  1. Understanding the differences between Medicare hospice benefit and palliative care services;
  2. Evaluation, assessment and management of pain and other symptoms in patients with advanced illness/diseases;
  3. Communicating and breaking bad news with patients and their families;
  4. Review SPIKES & ADAPT protocols; and
  5. To understand the basic social, financial and cultural challenges faced by palliative care and hospice physicians; and understand the importance of advance directives, etc.

Learning Activities:

  1. By completion of rotation, the student will be able to learn how to care appropriately for the patients with advanced illness diseases;
  2. The student will be able to assess and evaluate different symptoms in terminally ill patients;
  3. The student will have a better understanding of the pharmacological options and their implications while managing at this difficult phase of the patient’s life; and
  4. In addition, the student will understand the different ways to communicate and deliver bad news to patients and their families.

Method of Evaluation: Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted.

Required Reading:  Being Mortal, Atul Gawande.

Additional Resources:

Access to CAPC (Center for Advance Palliative Care) online modules.  Miscellaneous articles and video assignments, including Extremis

Miscellaneous Information: Note – No Hospice at Swedish American

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Pulmonary ICU

Course Number: ELEC245                                                                                   

Program Directors: Zaher Qassem,MD

Abdullah Altayeh, MD

Bharti Roy, MD                     

Departmental Contact Information: Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location: Mercyhealth

Length of Time: 2 or 4 weeks                                                                                            

Call: No

Available for Phase:   Phase 3 ONLY

Narrative Description: Exposure and obtaining experience in both ICU and pulmonary medicine/patients

Prerequisites: Completion of M3 Medicine Clerkship (Phase 2)

Learning Objectives:

  1. Diagnosis of the severely ill patient;
  2. Management of ventilator;
  3. Management of shock/sepsis;
  4. Use of antibiotics/presser agents;
  5. Understanding electrolyte disorders;
  6. Role of ICU nurse; and
  7. Getting critical care experience in the pulmonary inpatient and outpatient setting.

Learning Activities: Students will see 2-4 patients per day, with a maximum of 5 patients per day.  Students will diagnosis and care for the severely ill patient with multisystem disease in the following settings: ICU inpatient; consults on the floor and outpatient setting.   Students will become familiar with the following procedures:  bronchoscopy, thoracentesis, central/arterial lines and chest tubes.

Method of Evaluation: Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted, including knowledge and participation/attendance.

Required Reading:  Textbooks: ICU book by Paul Marino ISBN: 078174802X  9780781748025 / up-to-date/ovid —>CCM Journal/chest journal.

Additional Resources: None

Miscellaneous Information: Monday – Friday 8:00 a.m. – 5:00 p.m. & some weekends, based on preceptor schedule.

 

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Radiology

Course Number: ELEC670                                                                                   

Program Directors: Robert Murray, MD                                                               

Departmental Contact Information: Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location: OSF Saint Anthony Hospital

Length of Time: 2 or 4 weeks                                                                                            

Call:

Available for Phase: Phase 2 AND Phase 3

Narrative Description: This rotation entails an education in interpreting imaging studies and their indications by direct interaction with the radiologist during the normal workday.

Prerequisites: None

Learning Objectives:

  1. Students should know the basic principles of radiation physics, including image production, radiation protection, types, and purposes of contrast material.
  2. Students should know the basic principles of ultrasound, computed tomography, nuclear medicine, Magnetic Resonance Imaging and special procedures.
  3. Students should be able to order radiologic examinations appropriately and judiciously.
  4. Students should be able to distinguish normal from abnormal findings on plain radiographic examinations of the chest, abdomen, skeleton and head.
  5. Students should be able to use radiographic findings to narrow differential diagnoses or to develop a tentative diagnosis.
  6. Students should be able to interpret a radiologist’s report.
  7. Students should understand the role of the radiologist on the health care team and the relationship to other clinical disciplines.
  8. Students should appreciate the radiologist’s need for adequate clinical history and a clear statement of the indications for the examination being requested.

Learning Activities:

Method of Evaluation: Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted.

Required Reading: Suggested reading(s) will be provided.

Additional Resources: None

Miscellaneous Information: None

 

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Radiology

Course Number: ELEC670                                                                                    

Program Directors: Kyle Pfeifer, MD                                                                     

Departmental Contact Information:   Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location: Mercyhealth systems

Length of Time: 2 or 4 weeks                                                                                             

Call:  No

Available for Phase: Phase 2 AND Phase 3

Narrative Description:  The purpose of this elective is to familiarize the student with the scope of diagnostic and interventional radiology, including: The consulting role radiologists provide to primary care and specialty providers, an overview of the imaging appearance of common abnormalities, risks/benefits and cost effectiveness of radiologic examinations, and guidelines for ordering common studies.

Students on the 4-week elective will rotate for 2 weeks each through 2 different areas of radiology including both general and interventional radiology.  Those on the 2-week elective may choose either area of radiology but also may have an introduction to other areas.

Prerequisites: None

Learning Objectives:

  1. Students should know the basic principles of radiation physics, including image production, radiation protection, types, and purposes of contrast material.
  2. Students should know the basic principles of ultrasound, computed tomography, nuclear medicine, Magnetic Resonance Imaging and special procedures.
  3. Students should be able to order radiologic examinations appropriately and judiciously.
  4. Students should be able to distinguish normal from abnormal findings on plain radiographic examinations of the chest, abdomen, skeleton and head.
  5. Students should be able to use radiographic findings to narrow differential diagnoses or to develop a tentative diagnosis.
  6. Students should be able to interpret a radiologist’s report.
  7. Students should understand the role of the radiologist on the health care team and the relationship to other clinical disciplines.
  8. Students should appreciate the radiologist’s need for adequate clinical history and a clear statement of the indications for the examination being requested.

Learning Activities:

Imaging

  1. General Radiology: While on the general radiology 2-week portion of the elective, students will be exposed to a variety of procedures including but not limited to CT, MRI, GI/GU, ultrasound, pediatric studies, fluoroscopic examinations, musculoskeletal examinations, radiographs, as well as nuclear medicine.  If there is a particular interest, a student may also request to spend a day or two at the women’s imaging center.  Students should report to the reading rooms by 8:00 a.m.
  2. Interventional Radiology: During the interventional  radiology 2-week portion of the elective, the student will be exposed to a wide array of imaging guided procedures including biopsies, drainages, vascular interventions, injections, paracentesis, thoracentesis, and many other additional procedures.
  3. Interactive Workstation: This workstation has access to ~300 cases common to general diagnostic and reflective of basic pathology you will experience during your intern year/residency.  The purpose of this workstation is to give the students an opportunity to simulate the real-life everyday experience of being a radiologist, changing the student role from observational to interactive.  There is no requirement for total number of cases completed; however, students are encouraged to try to complete all cases.

Case Presentations

  1. Each student will be expected to show one case over the elective.
  2. At the conclusion of the elective, each student will select their cases for inclusion in the radiology teaching file.

Method of Evaluation: Grades will be based on attendance and participation and case presentations.  Direct faculty evaluation of performance and standard UIC evaluation form will be completed and submitted.

Required Reading: Suggested reading(s) will be provided.

Additional Resources: None

Miscellaneous Information: Attendance Requirements:  Students are expected to fully participate in the radiology elective during their rotation.

Student Conduct/Professional Expectations:

  1. Students are expected to conduct themselves in a professional manner while on service.
  2. Arriving to conferences and the reading rooms on time is expected.
  3. Do not discuss patient care issues in public places such as elevators or hallways.
  4. A white coat and name badge must be worn on service. Students rotating through the interventional service should wear scrubs and a white coat.

The goal of this elective is for a student to gain a basic appreciation for the field of radiology along with its various subspecialties. In particular, the student will develop an understanding of the role that radiology plays in patient care especially as it pertains to making clinical diagnoses. All future physicians will need a working knowledge of medical imaging algorithms (“what test to order”), an understanding of cost-effective and safe ordering practices, and preliminary training in basic image interpretation to help manage their own patients.

 

DEPARTMENT OF MEDICINE AND MEDICAL SPECIALTIES

Rheumatology

Course Number: ELEC 626                                                                                  

Program Directors: Juliane Bolek-Berquist, MD

Departmental Contact Information:  Department of Medicine; UIC-Rockford

Telephone: (815) 395-5610 

Location: Mercy Clinic-East, Janesville, WI

Length of Time: 2 Weeks (Available November 1 – March 31)                                                                             

Call: No

Available for Phase:   Phase 2 AND Phase 3

Narrative Description: Students will work with Dr. Berquist at the Rheumatology Clinic and accompany doctor to the hospital to see inpatient consults.

Prerequisites: None

Learning Objectives:

  1. Learn the spectrum of rheumatic diseases;
  2. Obtain comfort with the musculoskeletal exam;
  3. Observe/perform common rheumatology procedures; and
  4. Gain knowledge regarding common rheumatologic medications.

Learning Activities:

  1. Obtain basic history/physical;
  2. Observe/perform procedures;
  3. Readings assigned nightly; and
  4. Lunchtime mini-lectures.

Method of Evaluation: Direct faculty evaluation of performance and standard UIC evaluation form completed and submitted.

Required Reading:  Brigham & Women’s Experts Approach to Rheumatology (provided by instructor).

Additional Resources: None

Miscellaneous Information: M, T, W & Friday 8:00 a.m. – 5:00 p.m.

 

NATIONAL CENTER FOR RURAL HEALTH PROFESSIONS

Primary Care Related, Population-Based Research

Course Number: CLER642                                                                                  

Program Directors: Michael Glasser, MD/ John Plescia, MD                                                

Departmental Contact Information: Diane Potts

Location: UIC College of Medicine Rockford

Length of Time: 2 or 4 weeks                                                                                            

Call: No

Available for Phase:  Phase 2 AND Phase 3

Narrative Description: The emphasis is on exposure to the research process through hands on experiences rather than textbook learning alone. Techniques and skills taught include problem formulation and hypothesis construction, defining variables, sample selection, recording and maintaining data records on subjects, and introduction to statistics and computerized analysis. Student responsibilities include keeping up with reading, developing a project idea, attending the special conferences (8 hours total), and writing a final report. Students should report to Drs. Glasser and Plescia in Room E304 on the first day of the elective.

Prerequisites:

Learning Objectives:

The course will:

  1. Give the student a better understanding of the concepts of research design from the preliminary stage of literature review through formulation of study goals and hypothesis to data collection, analysis, and reporting of results; and
  2. Provide an opportunity for development and implementation of a research project of the student’s choosing.

Learning Activities:

Method of Evaluation: Completed paper; direct faculty evaluation of performance.

Required Reading: Suggested reading(s) may  be provided.

Additional Resources: as needed

Miscellaneous Information: None

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

OB/GYN – Crusader

Course Number: ELEC 848                                                                                   

Program Directors: Antoun Al Khabbaz, MD                                                         

Departmental Contact Information: Peggy Davenport                                                        

                                                                Telephone: (815) 490-1616                                                 

Location: Crusader Clinic                                                                                     

Length of Time: 2 or 4 weeks                                                                                             

Call:                                       

Available for Phase:   Phase 3 ONLY

Narrative Description:  The M4 student will have the opportunity to improve on clinical and surgical skills, in the field of Obstetrics and Gynecology

Pre-Requisites: M4 student at UICOM

Learning Objectives:

  1. Learn general Obstetrics and Gynecology, in both ambulatory and inpatient settings

Learning Activities:

  1. See obstetrical and gynecological patients in the clinic
  2. Round with attending physical on postsurgical patients.
  3. Assist on c-sections and gynecological surgeries.

Method of Evaluation: Written evaluation based on direct observation

Required Reading: To be assigned during the rotation

Additional Resources: Other Providers at Crusader clinic

Miscellaneous Information: No night call is required

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

Reproductive Endocrinology

Course Number: ELEC305                                                                                    

Program Directors: John Holden, MD                                                                   

Departmental Contact Information:  (815) 520-3777    

Location: Swedish American Hospital, LP Johnson Health Clinic, & St. Anthony Medical Center                                        

Length of Time:  up to 4 weeks                                                                                           

Call: there is a possibility that ED consultations and/or procedures will take place in the middle of the night.     

Available for Phase:  Phase 3 and it is possible that you will be asked to teach Phase 2 students

Narrative Description: The Phase 3 student will be asked to shadow me (Dr. Holden) whenever I am engaged in clinical duties. We will review Reproductive Endocrinology well beyond the Phase 2 experience.

Pre-Requisites: Only Phase 3 students with a keen interest in pursuing a career in Obstetrics & Gynecology should apply before November. Thereafter, I shall be open to any students for 2 to 4 week rotations.

Learning Objectives: We shall be covering Reproductive Endocrinology, Immunology, and Embryology in considerable detail

Learning Activities: Select chapters from the ACOG Compendium, the ACOG Prologue of Reproductive Endocrinology & Infertility, and Yen & Jaffe’s Reproductive Endocrinology will be covered

Method of Evaluation: A standard written evaluation will be applied

Required Reading: Select chapters from the ACOG Compendium, the ACOG Prologue of Reproductive Endocrinology & Infertility, and Yen & Jaffe’s Reproductive Endocrinology will be covered

Additional Resources:  N/A

Miscellaneous Information: It is encouraged that the student should bring a written list of personal questions and issues

 

DEPARTMENT OF PATHOLOGY

Pathology – Forensic

Course Number: ELEC835                                                                                   

Program Directors: Mark Peters, MD                                                                   

Departmental Contact Information:  mapeters476@gmail.com

Location: Varies

Length of Time: 2 or 4 weeks                                                                                             

Call: No

Available for Phase:  Phase 3

Narrative Description:

Prerequisites:

Learning Objectives:

The student will:

  1. Become familiar with the death investigation activities of the coroner’s office;
  2. Learn what constitutes a “coroner’s case”;
  3. Assist in the performance of medical legal autopsies and understand the importance of special procedures that are not part of the usual hospital autopsy;
  4. Participate in the interpretation of toxicological data; and
  5. Observe courtroom procedure regarding medical testimony.

Learning Activities:

Method of Evaluation: Faculty evaluation of performance

Required Reading:

Reading assignments relevant to current cases or current issues in forensic pathology can be made from any suitable textbook of forensic pathology or medical journals found in the College of Medicine library.

Additional Resources: None

Miscellaneous Information:

The student will be required to travel out of town (transportation provided from my office and back or arranged by student) to various county seats including Rockford, Dixon, Woodstock, Sycamore, Oregon, Sterling, Belvidere and Freeport for autopsies and court.

DEPARTMENT OF PEDIATRICS

 Ambulatory Pediatrics

Course Number: ELEC784                                                                                   

Program Directors: Errol C. Baptist, M.D., Jillian Kaskavage,M.D.                       

Departmental Contact Information:

Location: Pediatric Office, St. Anthony Medical Center,

Mercyhealth Hospital, SwedishAmerican Hospital

Length of Time:    2 weeks                                                                  

Call: Flexible and One weekend on-call

Available for Phase:    Phase 3 only

Narrative Description: This is a two-week clinical elective.  The student will be exposed to a variety of healthy and ill patients, in both inpatient and ambulatory settings.  A comprehensive collection of journal articles will be given during this rotation for the student to summarize and discuss.  Students are expected to evaluate all admitted patients, to do histories and physicals, write progress notes, and discuss all case histories with the attending.  In ambulatory cases, progress notes are required on selected patients.

Prerequisites: Successful completion of the M3 Pediatrics Clerkship

Learning Objectives:  The student will:

  1. Be proficient in examining healthy infants and children, with a focus on good basic clinical skills.
  2. Gain knowledge in basic and advanced pediatric problems.
  3. Understand developmental milestones in infants and children.
  4. Discuss immunization issues.
  5. Understand fluid balance and therapy.
  6. Rationalize antibiotic usage.
  7. Understand blood gas interpretation.

Learning Activities:

Method of Evaluation:    Direct observation of student.  Tests administered during the rotation

Required Reading: Suggested reading(s) will be provided.

Additional Resources: None

Miscellaneous Information: None

 

DEPARTMENT OF PEDIATRICS

Pediatric Cardiology

Course Number: ELEC739                                                                                   

Program Directors: Thomas Shula, M.D.                                                             

Departmental Contact Information: Peggy Piske

                                                             Telephone: (815) 227-5600

Email:  peggy.a.piske@osfhealthcare.org

Location:

Length of Time: 2 (possibly 4)                                                                                            

Call:

Available for Phase:   Phase 3 ONLY        

Narrative Description: The course will attempt to provide basic and for the proper student (with interest in a career in Pediatrics or Family Medicine especially) more advanced understanding of congenital heart disease and acquired heart disease in infants, children, adolescents, and adults.

Prerequisites: None

Learning Objectives:

  1. The student will acquire a basic understanding of the cardiac physical examination as it applies to children, adolescents, and adults.
  2. The student will acquire an understanding of the basic diagnoses associated with pediatric cardiology such as murmurs, chest pain, palpitations, lightheadedness, and syncope.

Learning Activities: Observation of patient encounters and testing such as echocardiogram, electrocardiograms and stress tests followed by discussions and instruction concerning the principles involved.

Method of Evaluation: Program director’s qualitative assessment.

Required Reading: A basic text in Pediatric Cardiology is provided for use during the course along with applicable journal articles.

Additional Resources: None

Miscellaneous Information: Students with all possible career objectives are welcomed as over the past 12 years we have had almost every choice of residency represented in students selecting this elective.

DEPARTMENT OF PEDIATRICS

Pediatric Forensics (Medical Evaluation Response Initiative Team or MERIT)

Course Number: ELEC237                                                                                    

Program Directors: Ray Davis, MD (Participating Faculty: Shannon Krueger NP)               

Departmental Contact Information:

Location: 2300 North Rockton Ave

Telephone: (815) 974-2000

Length of Time: 4 weeks                                                                                    

Call:

Available for Phase: Phase 3 ONLY

Narrative Description: Review male and female genital anatomy, including normal variants and positive findings in a child who is suspected of being sexually abused, comprehensive history taking with regards to injury presentation, introduction to role of the medical provider in a multidisciplinary forensic investigation, introduction to abusive head trauma, skull fractures, fractures from falls, bruising pathology, injuries in non-accidental trauma.

Prerequisites: Successful completion of the M3 Pediatrics Clerkship

Learning Objectives: At the conclusion of this elective, the student will be able to:

  1. Define and identify normal genital anatomical variants.
  2. Define positive findings in a child who has been sexually abused.
  3. Discuss the role of the medical provider in forensic investigation.
  4. Explain when and how to refer a child for investigation when the child is suspected of being abused.
  5. Explain abusive head trauma and how it presents.
  6. Differentiate causative pathology for bruises, fractures, cuts and welts in child victims of abuse.
  7. Discuss dynamics of non-accidental trauma.

Learning Activities: Discussion (2-4 hours); case studies (2-4 hours), online training for mandated reporting (1 hour).

Method of Evaluation: Online exam.

Required Reading: Suggested reading(s) will be provided.

Additional Resources: Handouts, PowerPoints, Photos & Online Activity.

Miscellaneous Information: None

 

DEPARTMENT OF PEDIATRICS

Pediatric Gastroenterology

Course Number: ELEC732                                                                                   

Program Directors: David Deutsch, MD, Glendon Burress, MD

Eugene Vortia,MD, Katrina Nguyen, MD, Fateema Rose, MD                       

Departmental Contact Information: Telephone: (815) 971-7667

Location: Mercyhealth

Length of Time: 2 to 4 weeks                                                                                             

Call: No

Available for Phase: Phase 2 AND Phase 3

Narrative Description: The pediatric gastroenterology clerkship is a 2- to 4-week exposure to the various clinical problems

encountered in pediatric gastroenterology. Students will spend approximately 40 hours per week in inpatient and outpatient settings. Student responsibilities include the complete evaluation of the patient, accurate presentation of the case including differential diagnoses, and participation in management plans and follow up. Daily progress notes on inpatients  will be required.

Prerequisites: Successful completion of the M3 Pediatrics clerkship

Learning Objectives:

Learning Activities:

Method of Evaluation: Direct faculty evaluation of performanceEvaluations will be based on interaction with the attending and the daily demonstration of knowledge in the diagnosis and management of pediatric gastrointestinal diseases.

Required Reading: Students will receive a comprehensive packet of reading material representing a variety of clinical topics in pediatric gastroenterology. They will be expected to be able to discuss these materials on a daily basis.

Additional Resources: None

Miscellaneous Information: Students will be exposed to nutritional support, including the initiation and management of TPN.

 

DEPARTMENT OF PEDIATRICS

Neonatology – NICU

Course Number: ELEC654                                                                                    

Program Directors: Pablo Morales, MD                                                                

Departmental Contact Information:   Lajimes Edler

Telephone: (815) 971-5060                                                          Location: Mercyhealth NICU

Javon Bea Hospital

8201 E. Riverside Blvd, Rockford, IL 61103

Length of Time: 2 or 4 weeks             

Call: Yes

Available for Phase:  Phase 3

Narrative Description:

 Pre-Requisites:

Learning Objectives: To familiarize the student with the care of premature sick infants

Learning Activities:

  1. Follow 3‑5 patients in NICU. Attend high‑risk deliveries or c‑sections, go on transport.
  2. Become familiar with assessment of gestational age and condition at birth.
  3. Know how to resuscitate an infant.
  4. Become familiar with diagnosis and differential diagnosis of common problems of newborns.
  5. Be able to manage fluid, electrolyte and caloric intake.
  6. Become familiar with principles of ventilator use.
  7. Understand the multidisciplinary approach to the infant’s care.

Evaluation: Direct observation and direct faculty evaluation of performance 

Required Reading:

Additional Resources:

Miscellaneous Information:

 

DEPARTMENT OF PEDIATRICS

Pediatric Pulmonology – ON HOLD

Course Number: ELEC977                                                                                   

Program Directors: David Shoberg, M.D.                                                            

Departmental Contact Information:

Location: Javon Bea Hospital

8201 E. Riverside Blvd, Rockford, IL 61103

Length of Time: 2 or 4 week                                                                                              

Call: No

Available for Phase:  Phase 2 AND Phase 3

Narrative Description:

This is a 2- or 4-week clinical elective. The student will be exposed to the most common aspects of Pediatric Pulmonology, including critical care, ventilator management and care of the chronically ill. The student will be working under the supervision of the pediatric pulmonologist and will follow inpatients, perform consults and see outpatients and emergencies as they arrive. The student will also be expected to assist in all minor surgical procedures such as bronchoscopies, thoracentesis, chest tubes, etc. Selected readings will be distributed at the onset of the rotation and the articles will be reviewed with the attending physician. The student will attend Pediatric Grand Rounds every Friday morning.

Prerequisites: Successful completion of M3 Pediatrics Clerkship, and an interview

Learning Objectives:

  1. Basic competence interpreting pulmonary function tests.
  2. Basic competence interpreting chest and airway x-rays.
  3. Basic care of the patient with chronic lung disease including cystic fibrosis, bronchopulmonary dysplasia, chronic respiratory failure and muscular dystrophy.
  4. Competence in the management of ventilators.
  5. Knowledge of the most common pediatric pulmonary diseases.
  6. Knowledge of the medications used to treat respiratory problems.
  7. In-depth knowledge on the management of airway emergencies and stabilization of the critical care patient with respiratory problems.
  8. Interpretation of arterial blood gases.

Learning Activities:

Method of Evaluation: Direct faculty evaluation of performance.

Required Reading: Suggested reading(s) will be provided.

Additional Resources: None

Miscellaneous Information: None

 

DEPARTMENT OF PSYCHIATRY

Adolescent Substance Abuse / Dual Diagnosis

Course Number: ELEC255                                                                                    

Program Directors: Thomas Wright,M.D.                                                             

Departmental Contact Information: Sarra Reichwald, MS Ed.,

Director of Staff Development and Education

SReichwald@rosecrance.org

Location: Rosecrance Mental Health Center, Griffin-Williamson Campus Site

Length of Time: 2 weeks                                                                                    

Call: None

Available for Phase: Phase 2 and Phase 3 after successful completion of Psychiatry Clerkship

Narrative Description: The student will work primarily at the Rosecrance Griffin-Williamson (RGW) campus, but also with other psychiatrists to learn about substance use  and co-occurring psychiatric problems in an adolescent residential setting.  Students will participate in a number of activities including initial assessment, group treatment activities, 12-step treatment, psychiatric evaluations, medication monitoring, and team meetings at RGW.  They will have a chance to work in the Rosecrance Outpatient child and adolescent clinic as well as the adult residential setting.

Prerequisites: Successful completion of M3 Psychiatry; students must be interested in Psychiatry or Pediatrics as their     specialty in order to take this elective.

Learning Objectives: By the end of this rotation, the student should:

  1. Recognize and know the criteria for abuse and dependence in illicit substance abusing adolescents.
  2. Know the incidence of comorbid psychiatric and substance abuse problems in adolescents.
  3. Recognize how adolescents with mental illness such as major depression, PTSD, ADHD, bipolar disorder and disruptive behavior disorders present with co-occurring substance abuse.
  4. Understand all major aspects of inpatient substance abuse treatment programs, including family therapy, group therapy, and 12-step treatment models.
  5. Present concisely a typical case.
  6. Understand how wraparound community programming integrates with other treatment in child and adolescent mental illness.

Learning Activities:

  1. Psychiatric evaluation at clinics with Dr. Wright;
  2. Assessment and evaluations with Rosecrance assessment teams;
  3. Team meetings for Rosecrance adolescent teams;
  4. Group therapy with Rosecrance adolescent groups;
  5. 12-step meetings with adolescent groups;
  6. “Family Weekend” participation; and
  7. Clinical supervision and court observation in Madison, Wisconsin, wraparound program.

Method of Evaluation: Students will be evaluated based on their ability to demonstrate competence in the area of assessment and treatment consistent to the learning objectives.  This will occur by observation by Dr. Wright and by feedback Dr. Wright receives from others involved with the experience

Required Reading: Suggested reading(s) will be provided.

Additional Resources: None

Miscellaneous Information:  None

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Required Process for Scheduling Surgery Electives- All students requesting to add or drop any Surgery Elective after schedules have been confirmed via the draft process need to follow the procedure given below to insure that their request will be considered.  All requests will be considered and every effort will be made to work with the M4 student to fill his/her request.  However, the Department of Surgery cannot guarantee that all requests will be able to be honored.

Procedure to Add or Drop a Surgery Elective

  1. When beginning the process to add/drop a M4 Surgery Elective, first contact the Office of Student Affairs to confirm that the change will still fulfill your graduation requirements.
  2. Because the faculty for the Department of Surgery teach at several different levels for the University of Illinois (M3, M4 and Residents), students are requested to not contact an individual faculty member regarding a possible rotation.  Our faculty have requested that all M4 surgical elective requests come from the Department of Surgery Office.
  3. If the requested elective or preceptor is not available during the time frame requested, the Department of Surgery office will contact the student to suggest other options.

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Advanced Surgery

Course Number: ELEC673                                                                                    

Program Directors: Samuel K. Appavu, MD

                                 All general surgeons on faculty in the Department of Surgery, UICOM-R

Departmental Contact Information:  Renee Barr

Telephone: (815) 971-7281

Location: Private offices and affiliated hospitals   

Length of Time: 4 weeks                                                                                    

Call: yes; weekends at the discretion of faculty

Available for Phase:   Phase 3 ONLY

Narrative Description: This will be a four-week advanced level surgery clerkship.  The student will be assigned to specific faculty for a specific period of time during the rotation.  The areas of surgical fields will include trauma, peripheral vascular, complex general surgery, hepato-biliary-pancreatic surgery and intensive care.  The student may participate in two to three of these fields.  He/she will also have the flexibility to see, scrub in and follow patients with specific complex surgical problems.  Mercyhealth Hospital, SwedishAmerican Hospital and OSF St. Anthony Hospital will be utilized for this clerkship rotation.

The M4 elective student will have a separate call schedule from M3 students, and it will be in conjunction with the faculty call schedule.

Prerequisites: Completion of All M3 Clerkships / Interest in or be in the process of application for residency in a surgical discipline.*

*M4 students going into non surgical disciplines will also be considered, but surgical students will have preference. 

Learning Objectives:

  1. The student will know how to perform a detailed clinical assessment of patients with complex surgical problems including multisystem trauma and critically ill surgical patients.
  2. He/she will have developed clear understanding with respect to the ordering of appropriate laboratory, radiological and other diagnostic tests, be able to choose the right workup for the surgical problem and accurately interpret the results.
  3. He/she will be able to develop management plans for complex surgical problems.
  4. He/she will acquire the ability to evaluate and manage complex post-operative problems, complications and acquire basic understanding of critical care management of the surgical patient.
  5. He/she will gain state of the art knowledge in surgical discipline by seeking information from the library, online, surgical journals and by one-on-one discussion with the faculty member.
  6. He/she will become more experienced in performing surgical consultations and develop independent thinking with respect to developing treatment plans, writing patient care orders and assisting in complex surgical operations.

Learning Activities:

  1. Daily independent and faculty led rounds on complex surgery, trauma and ICU surgical patients.
  2. Select and follow specific patients with surgical problems throughout the patient’s course by becoming the primary student doctor in charge under the supervision of the faculty.
  3. Write patient care and diagnostic test orders under the supervision of the faculty.
  4. Participate in selected complex operative procedures under the supervision of the faculty preceptor.
  5. Attend weekly surgical student conferences specifically organized for this clerkship and present topics and cases as assigned.
  6. Meet with faculty coordinator bi-weekly to present and discuss complex cases and topics.
  7. Have free time to perform independent online and other information seeking and learning activities.

Method of Evaluation: The student will be evaluated based upon the ACGME competencies

Required Reading: Advanced level surgical textbooks to include ACS Surgery, Sabiston, Greenfield or Brunicardi editions of surgical texts, specialty textbooks on trauma, critical care, surgical and critical care journal articles and other current research papers.

Additional Resources: None

Miscellaneous Information: None

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Anesthesiology

Course Number: ELEC601                                                                                    

Program Directors: Stephen Cotton, MD, and Lisa Solomon, DO                              

Departmental Contact Information:  Renee Barr

Telephone: (815) 971-7281

Location: Mercyheatlh, OSF Saint Anthony, SwedishAmerican Hospital,

Rockford Ambulatory Center

Length of Time: 2 or 4 weeks                                                                                            

Call: As specified by the preceptor

Available for Phase:  Phase 2 or 3 ONLY

Narrative Description:

This elective is designed to provide a concentrated two- or four-week experience in the selection and conduct of anesthesia by assigning the student to one or more anesthesiology preceptors. This will best assure a broad exposure to the clinical problems unique to this specialty. Attention will be given to the preoperative evaluation of the patient, the actual conduct of the anesthetic procedure, and postanesthetic management of routine and complicated patients. Different types of anesthesia and their unique applications will be covered. There will be opportunities to improve competence in the performance of basic clinical skills. The pharmacologic and physiologic properties of commonly used anesthetic agents will be covered. Appropriate management of postoperative pain and the psychological aspects of undergoing anesthesia and surgery will also be addressed. Most of the elective experience will occur in the Operating Room suite and its environs, including the postanesthesia care area and the intensive care setting

Prerequisites: Completion of Surgery or OB/GYN clerkship

Learning Objectives:

Learning Activities:

Method of Evaluation: Direct faculty evaluation of performance

Required Reading: Suggested reading(s) will be provided.

Additional Resources:

Miscellaneous Information: Weekends as specified by the preceptor.

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Bariatric & Metabolic Surgery

Course Number: ELEC858                                                                                    

Program Directors: Igal Breitman, MD                                                                 

Departmental Contact Information: Renee Barr

Telephone: (815) 971-7281

Location: 2300 N. Rockton Ave

(815) 971-2503

Length of Time: 2 or 4 weeks                                                                                            

Call: as needed

Available for Phase:  Phase 3 ONLY

Narrative Description: Students will get exposure to the unique medical, orthopedic, nutritional and psychological challenges facing the morbidly obese population by interviewing, examining patients and taking part in multidisciplinary discussions. During this rotation, students will learn about indications and various types of surgical and endoscopic techniques to treat obesity and will participate in the procedures as well as patient care before and after the procedures. Activities are at the bariatric clinic, OR and bariatric floor.

Prerequisites: Completion of M3 Core Clerkships

Learning Objectives:

  1. After completion of the elective, the student will become acquainted with the unique social, psychological, nutritional and medical implications of severe (morbid) obesity .
  2. The student will be able to independently evaluate morbidly obese patients for obesity related comorbidities, like metabolic syndrome, sleep apnea, etc.
  3. The student will be familiar with the process of evaluating prospective bariatric surgery patients.
  4. The student will gain an understanding of the nutritional, metabolic and hormonal mechanisms involved in the resolution of type 2 diabetes and metabolic syndrome after bariatric surgery.

Learning Activities:

  1. Bariatric clinic – 2.0 days/week
  2. Bariatric surgeries – 2.0 days/week
  3. Endoscopies – 0.5 day/week
  4. Multi-disciplinary discussion – 0.5 day/week (bariatric nurse, dieticians, psychologist, bariatric medicine and bariatric surgeon)
  5. Daily rounding on post-surgery patients

Method of Evaluation:

  1. Patient Care: Student needs to be able to evaluate patients and come up with an effective diagnostic and treatment plan. Student needs to have the skills to present his evaluation and plan in a professional and coherent way. This will largely take place in the context of performing history and physical examinations at the clinic and rounding on hospitalized patients.
  2. Medical Knowledge: Student is expected to demonstrate knowledge of physiology and pathophysiology related to morbid obesity and its comorbidities as well as clinical knowledge of patient care.
  3. Professionalism: Student must provide patient care that is compassionate, respectful and sensitive to a diverse patient population suffering of morbid obesity.
  4. Technical Skills: Physical examination, knot tying and suturing

Required Reading: Suggested reading(s) will be provided.

Additional Resources:

Sabiston Textbook of Surgery, 20th edition, 2016

The ASMBS Textbook of Bariatric Surgery, Springer, NY, 2015

Miscellaneous Information: Daily working hours Monday to Friday, no nights or weekends, on call as needed.

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Cardiothoracic Surgery

Course Number: ELEC300                                                                                    

Program Directors:                                                                                                

                                David Cable, MD

John Myers, MD

Departmental Contact Information: Renee Barr

Telephone: (815) 971-7281

Location: Private office and affiliated hospitals

Length of Time: 2 or 4 weeks                                                                                             

Call: At the discretion of the faculty

Available for Phase:   Phase 3 ONLY

Narrative Description: Students will round on the service in a “sub-intern capacity”.  They will be involved in preoperative and postoperative care.  They will learn Swan-Ganz catheter management and ventilatory management in the ICU.  They would be expected to participate in the operating room daily.  They will have reading assignments from standard surgical texts.  They will also take call from home 24 hours, 5 days a week.

Prerequisites: Completion of all M3 Clerkships (Phase 2)

Learning Objectives:

Learning Activities:

Method of Evaluation: Direct faculty evaluation of performance.

Required Reading: Suggested reading(s) will be provided.

Additional Resources:

Miscellaneous Information:

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Emergency Medicine

Course Number: ELEC603                                                                                    

Program Directors: Dr. Jane Kotecki at Mercyhealth

                                  Dr. Faizan Shakeel at OSF Saint Anthony                               

Departmental Contact Information:  Renee Barr

Telephone: (815) 971-7281

Location: Mercyhealth, OSF

Length of Time: 2 or 4 weeks                                                                                            

Call: Yes

Available for Phase:  Phase 2 or Phase 3

Narrative Description:

This 2- or 4-week elective will involve M4 students in the practice of emergency medicine in a busy Emergency Department.  Students will function as primary emergency physicians under the supervision of attending physicians, and will be responsible for patient evaluation, treatment and disposition, as well as any procedures. Students will gain experience in the examination and treatment of multiple patients at varying levels of acuity and complexity. Interpretation of x-rays, ECGs, and laboratory studies will be an integral part of the rotation. Training and experience in medical procedures is emphasized. Additionally, students will gain an appreciation of the unique aspects of emergency medicine through direct involvement, lectures and required reading. Reading materials are in the Required Reading Manual provided by the Department of Surgery, UICOM-R.  A maximum of three students can be accommodated at Mercyhealth.

Prerequisites: Completion of 1 clinical rotation

Learning Objectives:

  1. To learn to rapidly assess and prioritize the patient’s condition.
  2. To improve technical skills. (eg. IV, ABG, sutures, etc.)
  3. To participate in the care of critically ill patients (eg. code blue, acute MI, trauma, etc.).
  4. To experience technical aspects of emergency care: a) Critical care, b) Toxicology, c) Trauma care

Learning Activities:

Method of Evaluation: Faculty evaluation of performance

Required Reading: Suggested reading(s) will be provided.

Additional Resources:

Miscellaneous Information:

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Neurosurgery

Course Number: ELEC694                                                                    

Program Directors: Nesher Asner, MD                                                                                             Departmental Contact Information:  Renee Barr

Telephone: (815) 971-7281

Location: Swedish American – Renaissance Pavilion at the Neuro & Headache Center

Length of Time: 2 weeks

Call:

Available for Phase: Phase 3 ONLY

Narrative Description:

Prerequisites:  Completion of all M3 Core Clerkships

Learning Objectives:

Learning Activities:

Method of Evaluation: Faculty evaluation of performance

Required Reading:

Additional Resources:

Miscellaneous Information:

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Ophthalmology

Course Number: ELEC639                                                                                   

Program Directors: Mitul Vakharia, MD at New Vision Rockford

Departmental Contact Information: Renee Barr

Telephone: (815) 971-7281

Location: Private offices and affiliated hospitals

Length of Time: 2 weeks                                                                                    

Call: No

Available for Phase:   Phase 2 or Phase 3

Narrative Description: A basic experience in clinical ophthalmology in the office setting. Primary goal is to familiarize students with basic diagnostic techniques and instruments. Student’s responsibility is not only to read, but be willing to discuss and ask questions. Specifics may be set up for our mutual convenience by calling my office prior to beginning the rotation. Students should bring their own ophthalmoscope for use in the office experience.

Prerequisites: Completion of 1 clinical rotation

Learning Objectives:

  1. Observation of office practice.
  2. Improvement in skills of fundoscopy and general examination of the eye.
  3. To learn about the management of common eye problems.

Learning Activities:

Method of Evaluation: Faculty evaluation of performance.

Required Reading: Suggested reading(s) will be provided.

Additional Resources:

Miscellaneous Information:   Students are required to call their preceptor’s office one week before the start of the rotation to discuss the specific activities and expectations of the elective.
 

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Orthopedic Surgery

Course Number: ELEC640                                                                                   

Program Directors: Victor Antonacci, MD                                                             

All orthopedic surgeons on faculty in the Dept. of Surgery, UICOM-R                                        

Departmental Contact Information:  Renee Barr

Telephone: (815) 971-7281

Location: Private offices (OrthoIllinois and Carlson Orthopedic Clinic) and affiliated hospitals (Mercy and OSF)

Length of Time: 2 or 4 weeks                                                                                            

Call: Yes and 1-2 weekends

Available for Phase:  Phase 2 or Phase 3

Narrative Description: This elective is offered to students who wish to learn more about basic orthopedic examinations and the management of ambulatory orthopedic problems. Students will see patients in an office setting and will have exposure to the operating room by participating in orthopedic surgical procedures.  Students will have increased responsibility in the care and management of orthopedic patients.

Prerequisites: Completion of Surgery or OB/GYN Clerkship

Learning Objectives:

  1. To learn basic principles of managing open and closed fractures, dislocations and subluxations.
  2. To learn how to describe the clinical and radiological features of fractures.
  3. To learn how to manage priorities in treating fractures.
  4. To learn the basic principles of applying plaster and fiberglass casts, including cast removal.
  5. To learn about vascular, neurological and musculoskeletal complications of fractures.
  6. To learn the definitions of osteoporosis and osteomalacia and the etiologies of each.
  7. To learn basic treatment of various arthritic conditions.
  8. To learn how to conduct a thorough examination of joints and spine.
  9. To review pertinent anatomy.
  10. To have additional experience in participating in orthopedic surgical procedures.

Learning Activities:

Method of Evaluation: Direct faculty evaluation of performance

Required Reading: Suggested reading(s) will be provided.

Additional Resources:

Miscellaneous Information:

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Otolaryngology

Course Number:  ELEC643                                                                                   

Program Directors: F. Zahurullah, MD                                                                                 

All otolaryngologists on faculty in the Dept. of Surgery, UICOM-R

Departmental Contact Information:  Renee Barr

Telephone: (815) 971-7281

Location: Private offices and affiliated hospitals

Length of Time: 2 or 4 weeks                                                                                            

Call: No

Available for Phase: Phase 2 or Phase 3

Narrative Description: The student is encouraged to review the basic anatomy and physiology of the head and neck prior to starting the elective.  The objectives will be accomplished primarily in the private office setting and in the surgical procedures operating room.  There will be some exposure to hospital rounds and possibly emergency room exposure.

Prerequisites: Completion of Surgery or OB/GYN Clerkship

Learning Objectives:

  1. Improve the student’s basic skill for examining the head and neck with particular attention to the ear exam;
  2. We also expect the students to learn management of common ENT problems; and
  3. Identify typical indications for ENT referral.

Learning Activities:

Method of Evaluation:

Required Reading: Suggested reading(s) will be provided.

Additional Resources:

Miscellaneous Information

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Plastic/Reconstructive Surgery

Course Number: ELEC679                                                                                   

Program Directors: Landon Pryor, MD at Transformations Plastic Surgery                    

Departmental Contact Information:  Renee Barr

Telephone: (815) 971-7281

Location: Private office and affiliated hospitals

Length of Time: 2 or 4 weeks                                                                                            

Call: Optional

Available for Phase:   Phase 2 or Phase 3

Narrative Description:

Prerequisites: Completion of Surgery or OB/GYN Clerkship

Learning Objectives:

  1. Principles of wound care and wound healing in general.
  2. Skin grafting and burn treatment.
  3. Basic suturing techniques and materials.
  4. Management of lacerations and facial fractures.
  5. Office surgery.
  6. Dermatologic surgery, etc.
  7. Hand surgery.

Learning Activities:

Method of Evaluation: Faculty evaluation of performance

Required Reading: Suggested reading(s) will be provided.

Additional Resources:

Miscellaneous Information:

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Sports Medicine

Course Number: ELEC859                                                                                   

Program Directors:                                                                                

Departmental Contact Information:  Renee Barr

Telephone: (815) 971-7281

Location: Private offices (OrthoIllinois) and affiliated hospitals (Mercy and OSF)

Length of Time: 2 or 4 weeks

Call:

Available for Phase: Phase 3 ONLY

Narrative Description:

Prerequisites: Completion of all M3 Core Clerkships and desire to go into this field

Learning Objectives:

Learning Activities:

Method of Evaluation: Faculty evaluation of performance

Required Reading:

Additional Resources:

Miscellaneous Information:

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Urology

Course Number: ELEC683                                                                                   

Program Directors: Michael Fumo, MD Urology Coordinator, Dept. of Surgery

                                   Daniel Houlihan, DO

Departmental Contact Information: Renee Barr

Telephone: (815) 971-7281

Location: Private offices (Rockford Urological Associates, LTD.) and affiliated hospitals.

Length of Time: 2 weeks                                                                                    

Call: No and weekends are optional

Available for Phase:  Phase 2 or Phase 3

Narrative Description: The objectives of this elective will be to familiarize the M4 student with diagnosis and management of urological problems in the ambulatory setting including the possibility of advanced study for students interested in pursuing residency in urology as a career.

Prerequisites: Completion of Surgery or OB/GYN Clerkship

Learning Objectives:

  1. Office evaluation and diagnosis of:
    1. Infection of the genitourinary tract
    2. Nephrolithiasis
    3. Malignancy of the prostate, bladder, testes, and kidneys
    4. Evaluation of hematuria
    5. Voiding dysfunction including BPH, neurogenic bladder, and incontinence
    6. Male infertility and erectile dysfunction
    7. Use of PSA in evaluating for prostate cancer
  2. Physical exam and anatomy and physiology of the genitourinary system.
  3. Treatment of genitourinary diagnoses in 1.
  4. Surgical treatment of urological conditions and understanding of relevant anatomy intraoperatively.

Learning Activities:

Method of Evaluation: Faculty evaluation of performance

Required Reading: Suggested reading(s) will be provided.

Additional Resources:

Miscellaneous Information:

 

DEPARTMENT OF SURGERY AND SURGICAL SPECIALTIES

Vascular Surgery

Course Number: ELEC702                                                                                    

Program Directors: Michael Kikta, MD                                                                  

Kendall Boone, MD, Sara Mijal, MD

Departmental Contact Information: Renee Barr

Telephone: (815) 971-7281

Location: Private office and affiliated hospitals

Length of Time: 2 or 4 weeks                                                                                            

Call: Infrequently and weekends occasionally

Available for Phase:  Phase 2 or Phase 3

Narrative Description:

Prerequisites: Completion of Surgery or OB/GYN Clerkship

Learning Objectives:

This elective is offered to M4 students interested in learning more about management of peripheral vascular diseases.

The objectives include:

  1. Learn basic principles of diagnosing and treating aortoiliac, femoral, popliteal, and various other vascular diseases.
  2. Become aware of the various graft materials and what graft is appropriate for the surgical treatment of a variety of vascular diseases.
  3. Become aware of the complications of arterial reconstruction.
  4. Become aware of the incidence, location of disease, signs and symptoms, diagnosis, appropriate treatment and prognosis of common vascular disease.
  5. Have the experience of participating in vascular surgery procedures both operative and endovascular.
  6. Learn about diagnostic procedures performed in the vascular laboratory.

Learning Activities:

Method of Evaluation: Faculty evaluation of performance

Required Reading: Suggested reading(s) will be provided.

Additional Resources:

Miscellaneous Information: