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Title: Housecalls and Home Care Medicine
Preceptors:
Dr. Rajeev Babbar, M.D. Dr. Peter Gliatto, M.D. * Dr. Arik Olson, M.D.
Telephone #: 646-654-0516
*contact person
Course Code: 04-40
Prerequisite(s): None
Description:
Our staff is composed of two physicians,
a nurse practitioner, and a nurse coordinator. This elective is designed to
teach medical students about home-based primary care, the social aspects of
medicine, and palliative care as it applies to homebound patients.
Objectives of the Elective:
Home care is an increasingly large sector
of healthcare. It is essential for medical students today to know what care
patients receive at home, as they will be responsible for directing this care
in the future. The elective will expose students to the interdisciplinary nature
of homecare, the economics that influence care, and the burden of illness of
homebound adults. Housecalls are instrumental in helping students understand
barriers to care and how social factors effect health.
Key Responsibilities of the student while on Elective:
Students on
the elective will accompany one of the physicians or the nurse practitioner
on home visits for 5 days a week. During the visits, students will be expected
to participate in the interviewing and examining of patients. We will also
coordinate a time for students to visit patients with a visiting nurse and
with a home physical therapist. There are no night or weekend responsibilities.
Didactive Program:
Students will receive instruction during the visit about the patientsä medical
conditions and the social factors that influence the experience of illness
and delivery of care. Home visits provide a unique opportunity for one-on-one
teaching of history-taking and exam skills.
Informal lectures on topics in geriatrics, palliative care and cultural issues
will be incorporated into the elective during the weekly staff meeting, which
students should attend.
Method of Evaluation:
Students will be evaluated by their skills in
interviewing and physical exam, their professionalism in their interactions
with patients, and their interest and enthusiasm in patient care. The evaluation
will be a composite drawn from the opinions of the staff with whom they work
during their time on the elective.
Scheduling Information:
Months Offered: All year except for December
2002 and May 2003
Report to: Downtown Family Care Center, 150 Essex Stree, 9:00 a.m. on the
first Monday of the block
Students per period: 1
Duration: Two to four weeks
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Title: Infectious Diseases
Course Code: 04-18
Preceptors: Harold Horowitz, M.D. Jeffery Greene, M.D., Melanie Maslow, M.D.
Contact: Ming Chan
Email: ming.chan@nyumc.org or Phone: 212-263-6400
Prerequisites: Third Year Medicine Clerkship
Description:
The Infectious Diseases Division provides consultations to the adult, medical and surgical, psychiatric and emergency services at the 3 primary teaching hospitals of the NYU School of Medicine. Fellows, residents, and medical students are responsible for providing recommendations and education to those who request assistance with the management of patients with suspected or proven infectious diseases. Problems referred to the service include unexplained fevers, failures of common infections to respond to therapy, uncommon or unusually severe infections, evaluation of immune deficiencies, and questions on the choice or administration of antimicrobial agents. Residents and students are the first to see patients in need of consultations and are expected to analyze the problem and formulate a plan of management for presentation to the fellows and attendings. In addition, after the initial consultation they follow patients to assess the evolving course of disease, additional diagnostic information, and responses to therapy, and reassess diagnostic and therapeutic plans as necessary.
Objectives of the Elective:
As a result of participating, students should become familiar with
- the approach of specialists in infectious disease to patients suspected of having infections.
- diagnostic microbiology, to understand the capabilities and limitations of current diagnostic techniques, and the integration of microbiology and serology results with clinical information in diagnosing infectious diseases.
- the management of the major types of community and hospital acquired infectious disease and their etiologies.
- the optimal use of antibiotics in empiric and definitive therapy.
- the major types of immunodeficiencies, including but not limited to the Acquired Immunodeficiency Syndrome.
- the evaluation and management of people with HIV, including the management of antiretroviral drugs.
Key Responsibilities of the student while on Elective:
The following responsibilities apply to each of the teaching hospitals:
- Students are expected to be present from approximately 9 AM (8 AM for conferences) till close of business. Students and residents are not on call evenings or weekends.
- Students are expected to attend all regularly scheduled infectious disease conferences and journal clubs. Currently these include:
- Daily rounds with the fellow at the institution to which the student is assigned.
- Journal Club (8AM, every other Thursday, September through June)
- Intercity Infectious Diseases Rounds (Mondays 4PM, September through June) when held at one of the NYU teaching hospitals.
- Infectious Diseases Grand Rounds (8am Fridays, September through June)
- Infectious Diseases Case Based Conference (8am Tuesdays, September through June)
- Students are expected to function as junior consultants, under supervision of fellows and attendings. They will examine patients, collect clinical data, present cases at daily attending rounds and prepare consultation notes for countersignature by fellows and/or attendings.
- Students are expected to become familiar with the literature of infectious diseases, and to investigate the current state of knowledge (as it exists in the literature and/or the expertise of acknowledged outside experts) on the problems of their patients, and to present the result of their searches at rounds.
Didactic Program:
Informal teaching is an explicit goal of the daily attending rounds just as formal teaching is the goal of the scheduled conferences. Teaching is directed at fellows, house staff, and students alike. Fellows may present didactic lectures to the students, but the emphasis is on self-study of conditions found in the patients for whom the student shares responsibility. Students are expected to make use of standard texts, and relevant primary medical literature, as applies to their patients.
Method of Evaluation:
Students are graded as Pass/Fail. Honors are awarded to exceptional students. Evaluation is based on the observations and opinions of the attending physician and fellows who have worked with the student in the course of the elective.
Scheduling Information:
Months Offered: All Year (Except July for visiting students)
Institutions: Students will be assigned at random to a team at one of the three NYU teaching hospitals, in proportion to the available capacities at each. Students may not select the institution to which they will be assigned.
Report To: 9:00 AM, Bellevue Hospital, Rm 16S5-13
Students Per Period: 1 student at Tisch, 1 student at the VA and 2-4 students at Bellevue Hospital. Student preference as to site will be considered in assignments, but final assignment will be made by the division to optimize teaching and patient care.
Duration: Four weeks strongly recommended. For NYU students who wish to do two weeks, please contact the department to be added to a Wait List. For visiting students, at least three weeks minimum.
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Title: Medical Humanities
Preceptor: Robert J. Anderson, M. D.
Telephone : 303-257-0684
Course Code: 04-42
Prerequisites: None
Please note this one month elective will be offered only in February of each year. This course will provide an overview of several aspects of medical humanities with instruction provided by NYUMC and NYU faculty. For students seeking either another time period or for those wishing to experience a one month or longer research/scholarly elective in a specific aspect of Medical Humanities (Narrative Medicine/Literature, Visual Arts, Medical History, Medical Journalism/Biocommunication, Clinical Aspects of Bioethics/Jurisprudence or Medical Anthropology/Sociology), please contact Robert Anderson, M.D., Clinical Professor of Medicine, Head, Division of Medical Humanities (Robert.anderson@nyumc.org) for more information.
Description:
This elective is a “full-time” month-long course. The student/resident will meet for 2.5 hours three mornings per week with a faculty member/preceptor for four weeks. Extensive readings and study of online visual materials between sessions fill out the student/resident’s time. A weekly short paper or creative work that corresponds to the course subject material is required. A course syllabus and reading list will be provided. The month will be organized into four sessions (not necessarily in this order): Session 1-Introduction to Narrative Medicine and Literature (creation and interpretation of narratives, review and study of selected readings relevant to medical students, physicians and patients); Week 2-Selected Aspects of Medical History (reading, review and discussion of important medical historical events that have shaped the past with lessons for the present and future); Week 3-Visual Arts as Windows on Society (observation and interpretation of paintings and photographs that either document important aspects of society or that have served as vehicles for societal change); and Week 4-Physicians and First–person Medicine (exploration of marginalization and dehumanization, and physicians as advocates, authors and patients).
Objectives of the Elective:
This elective will provide students with a broad exposure to several aspects of medical humanities which are pertinent to their future careers as physicians. The elective will provide a platform for students to engage in discussions with peers and professors to discuss topics often not included in the medical school curriculum. The goal of the elective is to encourage students to understand and appreciate the role of humanities in their development as caring, thoughtful and empathic physicians.
Key Responsibilities of the Student while on Elective:
- The student will attend and participate in each 2.5 hour session held three times weekly.
- The student will prepare a brief (approximately 1,000 words) written assignment each week.
- The student will read and/or observe the written and visual assignments in a timely manner.
Didactic Program:
There may be some didactic portions of each of the three weekly sessions. In some cases, this didactic portion will be presented by a faculty preceptor and in other cases by the students. However, the three times per week sessions are predominantly seminars with group discussions based upon readings and observation with the discussion led and moderated by a faculty preceptor.
Method of Evaluation:
This will be accomplished by consensus of the four course instructors/preceptors and based upon active participation and engagement. A pass/fail system with commentary will be used.
Scheduling Information:
Months offered: February (01/30-02/26/12). One to two month Medical Humanities electives or longitudinal projects in Medical Humanities will also be offered in specific disciplines throughout the calendar year based upon prior arrangement.
Report To: Robert Anderson, M.D. (303-257-0684)
Students Per Period:10
Duration: 4 weeks
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Title: Medical Oncology
Preceptor: Franco
Muggia, M.D.
Course Code: 04-24
Telephone # :263-6485
Prerequisites: Any One Core Clerkship
Description:
Students participate fully in the clinical, educational,
and research activities of the Division of Oncology and the Department of Medicine.
Students participate in weekly Oncology clinics at Bellevue and New York VA
Hospitals and also attend multi-disciplinary Oncology Conferences covering
specialty areas such as breast cancer, gynecology, ENT, soft tissue tumors,
and lung cancer. Participation in the research programs of the Division will
be through the weekly Protocol Planning Conferences, review of research protocols,
and participation in the periodic evaluation of clinical trials. In addition,
students participate in consultation and care of our patients in the affiliated
hospitals under the supervision of an Oncology Fellow and the Attending Physician
in Oncology. Individual tutorial arrangements with attending physicians at
Tisch Hospital are also available and are structured to provide in-depth discussion
of particular clinical problems and to allow students to observe the private
practice of oncology.
Objectives of the Elective:
During the elective, the students should
develop an understanding about the diagnostic work-up and evaluation of patients
with more common malignancies including breast cancer, lung cancer, AIDS related
malignancies and colon cancer. They should also have a better understanding
of psychosocial issues related to cancer patients. They should be involved
in evaluation of patients with pain related to cancer and oncologic emergencies.
Key Responsibilities of the student while on Elective:
- Student is expected to attend medical oncology clinic on Monday and Thursday
mornings at Bellevue Hospital and the medical oncology clinic on Tuesday mornings
at the VA.
- The student will be assigned to the work on the Bellevue wards with the
oncology fellow and will see in-patient consults with the oncology fellow.
- The student is encouraged to present the consults to the oncology attending
of the month at Bellevue Hospital.
Didactic Program:
Conferences include medical oncology grand rounds
on Wednesday and the oncology Management Conference on Friday mornings. Student
should also attend weekly rounds with the Bellevue Oncology attending. Attendings
are expected to review each consult presented with the students, housestaff,
and fellows regarding epidemiology, pathology, diagnostic workup, and physical
findings and management decisions.
Method of Evaluation:
The students will be evaluated at the
Bellevue medical oncology attending
of the month who serves as faculty preceptor. An ABIM evaluation
form will be filled out for each student.
Scheduling Information:
Months Offered: All Year
Report To: 9AM, Bellevue Hospital, C&D Bldg. Rm 556
Students Per Period: 2
Duration: Four Weeks
Medicine electives continue in following section
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