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Title: Diagnostic Clinical Cardiovascular
Physiology
Preceptor: Steven Sedlis, M.D.
Cardiovascular Physiology
Telephone # 686-7500 X 3935
Course Code: 04-07
Prerequisites: Medicine Clerkship
Description:
The student participates in all the activities of the
non-invasive cardiovascular diagnostic laboratory including echocardiography
and stress testing. Radionuclideangiography is performed in association with
the nuclear medicine service.
Objectives of the Elective:
The student will learn how cardiac structure
and function are assessed by echocardiography, stress testing and catheterization.
The student will learn to interpret 2D and doppler echocardiograms (including
trans-esophageal echocardiograms), exercise and pharmacologic stress tests,
hemodynamic tracings and coronary angiography. By the end of the elective,
the student should be able to recognize a normal diagnostic study, and should
be familiar with the abnormalities resulting from common clinically important
disease states.
Key Responsibilities of the student while on Elective:
- The student will spend the first two weeks of the elective in the non-invasive
laboratory, and the second two weeks in the cardiac cath lab.
- In the non-invasive lab the student will be expected to attend the readings
of all studies with the attending physician, and will also be expected to
observe the performance of at least one echo or stress test per day.
- The student will be expected to attend the weekly echocardiography conference
at Tisch Hospital and may chose to attend the other cardiology conferences
at the VA.
- While in the cath lab, the student will be expected to observe every case
performed in the lab and will review the hemodynamic and angiography findings
of each case with the cardiology fellow and attending.
Didactic Program:
The elective is designed to allow for one on one
teaching by faculty members, and there are no specific lectures or conferences
in addition to the reading sessions with the attendings.
Method of Evaluation:
This will be a pass/fail elective. For satisfactory
completion of this elective the student is required to be present on at least
three quarters of the teaching days.
Scheduling Information:
Months Offered: All Year
Report to: 8AM VA Catheterization Lab 12W
Students per period: 2
Duration: Four weeks
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Title: Endocrinology, Diabetes and Metabolism
Preceptor(s):
Ann Danoff, M.D., F.A.C.P.
Course Code: 04-10
Telephone # : 212 686-7500 ext. 7630
Prerequisites: Medicine Clerkship
Description:
Pathogenesis and management of all aspects of endocrine
hypothalamic, pituitary, adrenal, thyroid, parathyroid, and gonadal diseases;
Pathogenesis and management of the syndromes of diabetes mellitus and hyperlipidemia.
Objectives of the Elective:
Subspecialty training in adult endocrinology
and metabolism.
Key Responsibilities of the student while on Elective:
- Primary inpatient endocrine/metabolism consultative services at the Bellevue
and Manhattan VA Hospital Center.
- Weekly outpatient services at the Bellevue Diabetes and Endocrinology clinics
and the Manhattan VA combined Diabetes/Endocrine clinic.
- Attendance at and participation in weekly journal clubs in Diabetes, and
Endocrinology, Endocrine Grand Round Seminars series, and subspecialty management
conferences.
Didactic Program:
No specific didactic program is directed solely to
students. They are precepted individually at all clinical activities.
Method of Evaluation:
Students are assessed on the basis of active
engagement, participation, and scholarship.
Scheduling Information:
Months Offered: All Year
Report To: Call Ysa Romero 263-8060
Students Per Period: 4
Duration: Four Weeks
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Title: Geriatric Medicine
Preceptors: David
Sutin, MBBS, Michael L. Freedman, M.D.
Course Code: 04-14
Telephone #: 263-7043
Prerequisites: None
Description:
An elective program for 4th year medical students in medical
geriatrics is available at Bellevue Hospital for a one month period. Student
responsibilities include: (1) Working in a medical geriatric clinic in Bellevue
Hospital, (2) Participation in weekly didactic conferences, (3) Participation
in clinical research programs, (4) In-hospital consultation and evaluation
of geriatric patients under the supervision of the geriatrics fellow, (5) Opportunity
for original research studies and involvement in geriatric-community activities,
(6) Participation in an in-patient geriatric service at the Hospital for Joint
Diseases, and (7) Participation in an in-patient nursing home experience at
Goldwater Nursing Home, (8) Participation in in-patient geriatric services
at Bellevue.
Objectives of the Elective:
The student will be exposed to the clinical
problems of the older patient. Although, inpatient experience is available,
the vast majority of the exposure will be to outpatients in our geriatric clinic.
It would be hoped that at the end of a one month rotation a student would be
able to identify and begin to institute a management plan for common geriatric
problems e.g. hypertension and diabetes.
Key Responsibilities of the student while on Elective:
Students will
be required to see patients in the geriatric clinic, attend the Journal Club,
and attend the geriatric grand rounds and interdisciplinary meetings.
Didactic Program:
The students get an informal syllabus from the faculty
based upon the problems they have encountered.
Method of Evaluation:
All cases seen by the students are presented
to an attending who then goes over the case and sees the case with them in
this way the student is evaluated for knowledge and progress.
Scheduling Information:
Months Offered: All Year
Report To: 9AM, Bellevue Hospital, 2East25
Students Per Period: 2
Duration: Four Weeks
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Title: Nephrology Division Student Elective
Preceptor:
Judith Benstein, M.D.,Assistant Professor of Medicine
Course Code: 04-17
Contact: Rafael Roman
Telephone #: 263-5851
Prerequisites: Medical Clinical Clerkship
Elective Description
Residents/Students will become part
of the Nephrology Division and participate in all its activities. The Division
is responsible for the patients at Bellevue Hospital, Tisch Hospital and Veterans
Hospital with nephrology, electrolyte and hypertensive diseases. Residents/Students
will see these patients and discuss them with the nephrology fellows. These
patients are evaluated with an attending nephrology consultant each day on
rounds and the problem patients are evaluated at a weekly clinical conference.
Each week the current nephrology biopsies are reviewed at the combined medical-pathology
conference.
The Nephrology Division Clinics meet weekly at Bellevue Hospital and the
New York VA Hospital. All patients with nephrology, electrolyte and hypertension
problems are referred to the clinic. Residents/Students are involved in the
evaluation of new patients and will see the patients that they followed on
the wards. Attendings and Fellows provide supervision.
The transplant service at Tisch Hospital is active, performing approximately
75 liver transplants and 35 kidney transplants, as well as providing follow-up
for patients after transplant. Approximately half of the kidney transplants
are from living donors, with the majority of donors undergoing laparascopic
nephrectomy.
Residents/Students participating in a transplant nephrology elective will
be responsible for attending daily rounds on the inpatient service and evaluating
all patients with nephrology impairment or fluid and electrolyte disturbances.
Included are all patients who have had kidney transplants, both during the
immediate post-operative period and subsequent admissions. Participants will
be actively involved in the management of liver transplant patients with hepatorenal
syndrome and post-operative acute renal failure. They will have the opportunity
to observe laparascopic nephrectomy, nephrology transplantation and organ procurement.
All transplant biopsies will be reviewed with the nephrology pathologist.
The outpatient experience will consist of participation in the evaluation
of organ donors and recipients and attendance at two clinics per week. All
patients referred for organ transplant as well as patients who have received
transplants are followed in these clinics. Rotators will also participate in
the conferences and academic activities of the Transplant Service and Nephrology
Division.
Objective of the Elective
This elective will cover issues
in the following areas: diagnosis and management of patient with acute and
chronic nephrology failure, glomerular disease, fluid and electrolytes disorders,
acid-base disorders, hypertension, dialysis and transplantation.
Key Responsibilities of the resident/student while on Elective:
- Attend weekly nephrology conferences.
- Attend daily nephrology consult rounds.
- Do nephrology consults under the supervision and guidance of the nephrology
fellow and present on nephrology attending rounds.
- Attend nephrology clinic.
- Attend transplant clinic with nephrology fellow.
Didactic Program
Nephrology biopsy conference once a week.
Nephrology grand rounds, (clinical care presentation and discussion) once a
week.
Journal club, "work-in progress", outside guest speaker, once a week.
Method of Evaluation
Discussion between nephrology consult
attending, clinic attendings and nephrology elective preceptor.
Additional Information
Months Offered: All year
Report To: Dialysis Unit of Hospital Selected at 8:00am and have Nephrology
Fellow paged.
Duration: Four Weeks
Medicine electives continue in following section
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