Method
of evaluating student Performance:
Wiese
and the medicine consultation resident will evaluate students. The student
will be evaluated on the 1) Quality of medical consultation 2) Quality
of teaching sessions.
The
course evaluation will be evaluated by a pre- and post-test administered
to all students and medical consultation residents. Two of the student's
written consultations will be evaluated: one from the first week of the
rotation and the other from the conclusion of the rotation. The incremental
gain in medical consultation knowledge and written consultation abilities
will be the measure of the course success.
Students
and residents will be surveyed as to their satisfaction with the course.
Students will complete a survey form at the conclusion of the month.
Bone Marrow Transplant - Tulane Medical Center
(Course Code: MDMD BMT TMC)
Designed to give Senior medical students an
Elective experience in bone marrow transplantation. The rotation
will include participation in pre-transplant evaluation and work-up, inpatient
management of bone marrow transplant patients, and post-transplant outpatient
follow-up of transplant patients. The student will participate in
an interdisciplinary team.
The management of bone marrow transplant patients provides a comprehensive
experience in Internal Medicine. Bone marrow transplant patients
require multi-system management including a broad experience in Infectious
Diseases and various other systems. Students will participate in
pre and post-transplant clinics and be assigned one or two patients in
the bone marrow transplant unit to follow as a member of the team.
Students will round with the team Monday-Fridays and may elect to join
the team for Saturday rounds as well. No call is involved.
Students will have the opportunity to participate in bone marrow harvests
in the operating room and to learn the functions of the bone marrow transplant
processing laboratory.
Director: Alan M. Miller, Ph.D, M.D.
Faculty: Drs. Miller, Weiner, and Safah
UOTA: 1 student
Time Offered: Full academic year
(Blocks 01-10).
Duration: 1 month
Method of Evaluation of Student Performance: One to one evaluation
by faculty utilizing standard evaluation forms.
How This Selective Is Evaluated By Course Director:
Review with students and faculty.
How This Selective Is Evaluated By Students: Students input solicited
throughout Selective.
Cardiology - V.A. Medical Center
(Course Code: MDMD CAR VAN)
The student will serve as an advanced clerk with responsibilities commensurate
with his level of competence and experience. He will be assigned to
the Cardiology Services at the Veterans Affairs Medical Center, which is primarily
a consultative service at V.A. Medical Center, but also to the cardiologist
for coronary care patients at the V.A. Medical Center. Emphasis will
be on the sub-specialty of cardiovascular medicine.
The student will work with outpatient clinics each week. In addition,
a syllabus containing core curriculum of cardiovascular medicine will be provided
to each advanced sub-specialty clerk. The clerk is strongly recommended
to attend the weekly Cardiology conferences to include Basic Science conference,
Clinical conference, CV Imaging/Nuclear conference, Cardiac Cath./CV Surgery
conference, EP/ECG conference, Grand Rounds conference, and Research conference.
Students are also encouraged to attend the Internal Medicine Resident Cardiology
Core Conference held two time per week by Cardiology faculty or fellows.
All are held at Tulane University School of Medicine.
Location: V.A. Medical Center, New Orleans
Quota: 2 students
Staff: Ahmed Aslam, M.D., Hasan Melek, M.D., and Azam Hadi, M.D.
Cardiology - Medical Center Of Louisiana
(Course Code: MDMD CAR MCL)
The student will participate in the outpatient clinics, conferences, laboratory
services, and consultative activities of the Cardiology Section.
The student will work directly with the Cardiology fellow and Cardiology attending
in seeing consultations, performing non-invasive laboratory studies such as
exercise testing, stress echocardiography, and interpretation of electrocardiograms.
The student will also participate in outpatient clinics. The student
will be provided a syllabus of core curriculum articles in cardiovascular
medicine. It is expected that the student will use this and other source
materials to become familiar with cardiovascular medicine. The clerk
is strongly recommended to attend the weekly Cardiology conferences to include
, Basic Science conference, Clinical Conference, CV Imaging/Nuclear conference,
Cardiac Cath./CV Surgery, EP/ECG conference, Grand Rounds conference, and
Research conference. All are held at Tulane University School of Medicine.
Location: Medical Center of Louisiana (Charity and University Hospital
campuses)
Quota: 2 students
Staff: Juan Escarfuller, M.D.; Ajay Dalal, M.D., Paolo Raggi, M.D.,
and Anand Frimpen, M.D.
Cardiology and Advanced Heart Failure And Heart Transplantation - TUMC
(Course Code: MDMD HRT TMC)
The student will serve as an advanced clerk on the Cardiology Inpatient Service
and Cardiology Consultation Service. the student will work directly
with Cardiology Fellows and Cardiology Attending in seeing consultations and
admissions to the Inpatient Cardiology Service. The student will be
exposed to a wide variety of patients who have advanced heart failure.
Also, the sutdnet will see patients during work-up and listing fo heart transplant.
The student will participate in the selection committee and will be involved
in the surgery and care of any patients undergoing heart transplant or artificial
circulation support pump placement. The student will have exposure tot he
Heart Station with the Cardiology Fellow in interpretation of electrocardiograms
and assist echocardiography fellows in performing echocardiography, stress
echocardiography, exercise stree testing, as well as nuclear cardiology.
The ofjective is for the student fo learn to identify and treat heart failure
with all medical and surgical options available in the United States.
The clerk is strongly recommended to atten the weekly cardiology conferences
to include Basic Science conference, Clinical Conference, CV Imaging/Nuclear
conference, Cardiac Cath./CV Surgery, EP/ECG conference, Grand Rounds conference,
and Research conference. All are held at Tulane University School of
Medicine. The student will be providedwith a syllabus listing core curriculum
articles in cardiovascular medicine. It is expected that the student
will use the core curriculum syllabus as well as other cardiovascular reading
to supplement his knowledge of cardiology while participating in Cardiolgoy
Service.
Location: Tulane University Hospital and Clinic
Quota: 2 students maximum
Staff: Showkat Haji, M.D.
Cardiology - Touro Infirmary Inpatient & Outpatient
(Course Code: MDMD SB5 TOU)
Note: This course requires approval by Medicine Student Programs office
prior to enrolling for Subinternship Core Credit. Approval is not required
for selective credit.
The student will see a variety of inpatient cardiology patients that include
coronary heart disease and valvular heart disease, cardiomyopathy, post-operative
open-heart surgery, arrhythmias. Each day the student will make rounds
with Dr. Raja Dhurandhar, Chief of Cardiology at Touro Infirmary and interact
with the cardiology fellows, residents, and other medical students.
In the outpatient department, a variety of cardiac patients will be identified
who have been followed for years so that the natural history of cardiac disease
can be observed. Patients with both coronary heart disease, valvular
heart disease, cardiomyopathy, and congenital heart disease will be followed.
The objectives are to master bedside cardiovascular examination, to understand
and interpret electrocardiograms, including arrhythmias; exposure to other
noninvasive technologies including echocardiography, stress testing, nuclear
cardiology, hemodynamic monitoring, and coronary angiography. The individual
students will also see patients under the supervision of Dr. Dhurandhar who
will review the physical findings. There is also daily ECG interpretation.
The student is strongly advised to attend the cardiology conferences at Touro
Infirmary. The student will also be provided a syllabus with core curriculum
articles regarding cardiovascular medicine that will be distributed at the
Tulane University School of Medicine's Section of Cardiology.
Location: Touro Infirmary
Quota: 2 students maximum
Staff: Raja Dhurandhar, M.D. Chief of Cardiology, Touro Infirmary
Clinical Professor of Medicine, Tulane University School of Medicine
Community Hematology Oncology In Alexandria, LA
(Course Code: MDMD ONC ALX)
Description: Most cancer patients undergo diagnosis, management
and rehabilitation in their community. This clerkship permits motivated
senior medical students to participate in the management of cancer patients
who are seen and treated in their home community. Students will participate
in an office practice in a hospital based cancer clinic, and in inpatient
care at four hospitals. The oncology care is provided by a group of
Hematologists/Oncologists whose practice standards are superb.
The group participates actively with the Tulane Cancer Center in clinical
research programs and in on-site educational programs including tumor boards
and conferences. There are four hospitals now in Alexandria, Louisiana,
cooperating with the student Selective: Rapides Hospital, Cabrini Hospital,
the V.A. Medical Center, and Huey P. Long Hospital. Housing will be
provided.
Objectives:
1. Students will
learn the principles of diagnosis, evaluation and management of patients with
hematologic and oncologic diseases in a community setting.
2. Students will
learn the decision making process for referral to a tertiary or quaternary
medical center.
3. Students will
learn the responsibilities for care rendered respectively by primary care
physicians and sub-specialists in a community environment.
4. Students will
learn the role of multi-disciplinary care in the management of cancer patients
in a community environment.
Outline: Students will make inpatient rounds and see patients
in an office of clinical faculty members practicing in Alexandria. Student
will attend tumor boards on Wednesdays (Rapides Hospital) and Fridays (Cabrini
Hospital). Students will learn and participate in the community
support services for cancer patients during their rotation.
Director: Roy S. Weiner, M.D.
Faculty: Ulla Ule, M.D., Richard Manseur, M.D., and Howard Wold,
M.D.
Quota: 2 students per month
Time Offered: September thru May (Blks. 03-10)
Duration: 1 month
Prerequisite: Internal Medicine
clerkship
Method Of Evaluating Student Performance: One to one evaluation by
faculty utilizing standard evaluation forms.
How This Course Evaluated By The Course Director: Each
student upon return from the Selective will discuss the educational
experience with the course director. The course director will communicate
with each faculty member at the end of each rotation.
How This Course Evaluated By The Students: Students' input
is solicited throughout the Selective by the faculty and at the end of the
month by the course director.
Clinical Immunology/Allergy/Rheumatology Student Clerkship (MDMD AIM
MTV)
Course Description: The Clinical Immunology/Allergy/Rheumatology student
clerkship consists of participation in clinical and didactic sessions.
The student will attend adult and pediatric Allergy/Immunology clinics at
the Veteran’s Administration Medical Center and the Medical Center of Louisiana
at New Orleans. The students will also attend Rheumatology clinics at
the Veteran’s Administration Medical Center and Hutchinson Clinic. The
student will participate as an integral member of the consult service at Tulane
Medical Center, the Medial Center of Louisiana at New Orleans, and the Veteran’s
Administration Medical Center. The student will not be required to take
in-house call, but will have the opportunity to participate in late evening
and weekend calls if interested. In addition to the clinical experience,
the student will be required to attend and participate in both Allergy/Immunology
and Rheumatology weekly Journal Clubs, as well as, clinical and research didactic
sessions.
Objectives: The students will have the opportunity to learn a number
of procedural skills including the performance and interpretation of pulmonary
function tests, immediate/delayed-type hypersensitivity skin tests, arthrocentesis,
synovial fluid analysis (including polarized compensated microscopy), appropriate
use and interpretation of serologic tests in patients with autoimmune and
immunologic diseases.
Director: Manuel Lopez, M.D., Chief, Section of Clinical Immunology
Coordinators: Laurianne Wild, M.D., Marta Cuellar, M.D.
Faculty: Manuel Lopez, M.D., Samuel Lehrer, Ph.D., Karen Sullivan, Ph.D.,
Jane El-Dahr, M.D., Laurianne Wild, M.D., Marta Cuellar, M.D., Mittie Doyle,
M.D.
Student Quota: 2 Tulane students and will accept 1 international student
for a total of 3 students.
Time offered: blocks 3-10 (September – May)
Duration: 1 month
Student evalution: Observation of performance in clinics, journal club
anddidactic sessions.
Course evaluation: It is anticipated that students will evaluate the
course through the Owl Club, and give a written evaluaiton of the rotation,
faculty, and fellows to the Program Coordinator at completion of the rotation..
Critical Care Medicine - Medical Center Of Louisiana
(Course Code: MDMD CCM MCL)
The student will serve as an advanced clerk with duties and responsibilities
commensurate with his/her level of competence. He/she will be assigned
to the Medical Intensive Care Unit, which is a "closed" unit with primary
care responsibility for all patients admitted.
Emphasis will be on the approach to the diagnosis and management of critical
care medicine problems. The student will gain experience with mechanical
ventilation and invasive hemodynamic monitoring. Attending responsibility
in MICU is shared between the Pulmonary Diseases Sections of Tulane and LSU
and changes on the 16th of the month (LSU-Tulane). Night call is required.
Location: Medical Center of Louisiana (Charity Hospital)
Quota: 1 student
Staff: Drs.Ellithorpe, Ortiz, Kovitz, Lasky, Parada, and Quiniones
Critical Care Medicine - Veterans Administration Hospital of New Orleans
(Course Code: MDMD CCM VAN)
The student will function as a subintern, providing primary care to patients
hospitalized in the VA MICU under the close supervision of an attending staff,
a second or third year Pulmonary fellow, and first year Medicine resident.
The patients admitted to this Unit are critically ill, typically with a background
of chronic medical problems. Hemodynamic monitoring, ventilator management,
interpretation of acid-base disturbances, nutritional support, antibiotic
coverage, and intravenous fluid support is stressed. Attending physicians
include representatives of the Pulmonary Section. Night call is expected
(one night per week).
Location: V.A. Hospital
Quota: ONE STUDENT PREFERRED; TWO BY PERMISSION OF CLERKSHIP DIRECTOR
Staff: Drs. Rozans, Parada, Ortiz, Lasky, Merrill, Kovitz, and Quiniones
Clinical Medicine Research Elective-Tulane Medical Center
(Course Code: MDMD RES TMC)
A month long rotation under the direction of Dr.
William Steinmann, during which time the student will investigate a research
topic relevant to the practice of Clinical Medicine. Ideally the student
will conduct a critical review of the literature on a specified topic based
on tutorial readings of the literature and define a study question for research.
Opportunity for continuation of research after selective.
Students will master the fundamental skills of critical appraisal and become
acquainted with the principles of evidence-based medicine, medical decision
making, clinical epidemiology, and health services research and outcomes'
assessment. Study questions will be within the context of the actual
practice of medicine.
Objectives: (1) Research an important topic through literature
review and critical appraisal processes. (2) Evaluate literature in
light of the actual clinical practice of medicine. (3) Develop an understanding
of the principles of clinical effectiveness medicine as they relate to the
quality of care of patients and the evidence-based medicine approach.
(4) Develop strong skills in the critical appraisal process and acquaint one
with the fundamentals of clinical research and biostatistics. (5) Conduct
research on this topic.
Outline: A monthly rotation with time spent critically reviewing
an important clinical topic and designing a research project. Skill
enhancement will include the fundamentals of clinical research, biostatistics
and critical appraisaland the evidence-based medicine approach. The
goal is to understand the skills needed to assess the literature, assess effective
practices and bring these tools of critical appraisals to the clinical setting
in order to assess the validity of screening, diagnostic tests, and treatment
interventions.
Director: William C. Steinmann, M.D.
Faculty: Tulane Center for Clinical Effectiveness and Prevention
Quota: 1 student
Time Offered: Full academic year (Blocks
01-10).
Duration: 1 month
Method Of Evaluating Student Performance:
Written reports.
How This Selective Is Evaluated By Course Director:
Student feedback and productivity.
Emergency Medicine - Medical Center Of Louisiana
(Course Code: MDMD EM MCL)
Note To Visiting Students : All out-of-state and international students must register for this course through the LSU Office of Student Affairs. Call Ms. Lindy Mills at 504-568-4874.
Objective: To obtain insight into the principles and practice of emergency medicine, critical and pre-hospital care in the Emergency Department. Furthermore, students will improve clinical and technical skills in the emergency setting and develop familiarity with ambulatory care. The rotation offers much autonomy to the student with direct supervision by EM faculty and residents.
Course Design
Each student is required to work eighteen 8 hour shifts during their rotation: eight in the Major Emergency Room (MER), eight in the Accident Room (AR), and two in the Fast Track. Shifts are: 7am-3pm, 3pm-11pm, 11pm -7am. Shifts should be equally divided between the 3 time periods and are scheduled by the students themselves during the mandatory orientation on the first day of the rotation. Four weekend shifts are required.
Student lectures are held in the MER crisis cube at 8:00 a.m. on Tuesday, Wednesday, and Thursday. Students may also attend the Emergency Medicine core resident lectures on Wednesdays and Thursdays from 11:00 a.m. until 1:00 p.m. Trauma conference is the first Tuesday of every month, Charity Hospital, 2nd Floor Center Conference Room, at 7:00 a.m.
Students will be responsible for obtaining daily evaluations from faculty during their rotation. They will be responsible for ten board-type questions on an emergency medicine topic, or submit a minimum 500-word essay on an ED encounter or experience while on the rotation.
Evaluation:
There is a written participation exam given at the end of the rotation. The exam is not graded. This exam provides students with an excellent opportunity to assess their knowledge base. All daily evaluations, questions or essay, and patient encounter sheets must be turned in at the end of the rotation.
Location : Medical Center of Louisiana at New Orleans (Charity Hospital)
Quota : 12 Tulane students per block. (Visiting students must register through the LSU Medical School, Office of Student Affairs.)
Director : Dr. James Moises (jmoise@lsuhsc.edu)
Time Offered : July through April (Blocks 01-10)
Endocrinology - V.A. Medical Center, Medical Center of Louisiana, and Tulane
University Medical Center
(Course Code: MDMD END MTV)
Faculty: Drs. Kastin, Comaru-Schally, Fonseca, Asnani, Jawa,
and Friday
Quota: 1-4 students
Description:
1. Attend teaching clinics as described
below.
2. Attend teaching rounds as described
below.
3. Prepare a thorough review of a single
endocrine topic (emphasis on pathophysiology)
Objectives: To familiarize students with the principles of clinical
Endocrinology in an outpatient and inpatient setting. Specific emphasis
will be placed on clinical and bedside skills and the comprehensive evaluation
of the entire spectrum of medical problems in those generally complicated
patients. Teaching will be largely focused on clinical and bedside activities
but will also include didactic instruction, literature, conferences and seminars.
Outline: A monthly rotation including six endocrinology and
diabetes clinics per week (two at the Medical Center of Louisiana and two
at the VA Medical Center) where a broad range of very interesting patients
with classic endocrine problems are routinely seen, participation in the Endocrinology
Consult Service at Medical Center of Louisiana and TMC and in the weekly 90
minute Clinical Endocrinology Conference and Journal Club. It includes
the MCLNO general endocrinology, Hutchinson Clinic on Thursday mornings and
the MCLNO Diabetes Clinic on Tuesday mornings, the general endocrinology clinic
at VA on Monday mornings, and the High-Risk VA diabetes clinic on Wednesday
mornings.
In-patient teaching rounds take place at the VA on Tuesday and Thursday afternoon
and one endocrine review topic will be presented by each student during the
month. TMC and MCLNO rounds take place with the fellow and attending
on call daily or as needed.
Rotating students will be preceptored by Endocrinology faculty including
Drs. Fonseca, Friday, Asani and Jawa at TMC and Drs. Comaru-Schally, Director
of the Hutchinson Endocrine Clinic, Kastin at the V.A. Hospital. By
virtue of the nature and diversity of the patient population and their medical
problems, there will be considerable opportunity for evaluation and discussion
of a broad range of general internal medicine problems. As this is a
Selective rotation, students will be permitted to participate in all of these
activities. However, a combination with some other activity, such as
alternating clinics with another specialty, is also possible after discussion
with attendings.
Teaching Sites:
Medical Center of Louisiana
Hutchinson Endocrine Clinic - Thurs., 8:30 a.m.-12 noon, Delgado Bldg., 1st
Floor
Endocrine Rounds - Variable (in conjunction with TMC, Usually MF)
Diabetes Clinic - Tues., 8:00-12 noon E222
V.A. Medical Center
Endocrine Clinic - Mon., 8:30 a.m.-12 noon, 1st floor, F Bldg
High Risk Diabetes Clinic - Wed., 8-11 a.m., 1st floor, F Bldg
V.A. Rounds - (Dr. Kastin and Dr. Comaru-Schally) Tues.and Thurs., 2:30 p.m..-4:00
p.m., Room 5F159
Tulane Medical Center
Endocrine Rounds - Variable (in conjunction with MCLNO rounds)
Conferences
Clinical Endocrine Conference/Journal Club - Mondays 4:00 p.m.
Wed., 5:00 p.m., Room 7001. Two times per month. (Dinner)
Gastroenterology - Tulane Medical Center, Medical Center of Louisiana or
VA Medical Center
(Course Code: MDMD GAS TMC or MCL or VAN)
This clerkship exposes the student to both inpatients
and outpatients with a wide spectrum of gastrointestinal and hepatobiliary
disease. The role of specific gastrointestinal procedures in the evaluation
and treatment of such patients will be discussed and opportunities afford
to observe them. The regularly scheduled conferences that form a part
of the rotation cover both clinical and pathophysiologic aspects of disease.
Objective: To familiarize the student with the types and methods
of evaluating and treating patients with gastrointestinal and hepatobiliary
disease.
Outline:
1. Attend daily
consult rounds with faculty/fellows.
2. Attend once
weekly GI Clinic at Medical Center of Louisiana or V.A. Hospital.
3. Attend once
weekly Clinical Conference. Attend once weekly Patho-physiology Conference.
4. Attend twice
monthly LSU-Tulane clinical conferences.
5. Attend once
monthly Journal Club.
Director: Roy C. Orlando, M.D.
Faculty: Drs. Robert Hammer, Robert S. Bulat, T. Ramakrishnan,
George Welsh, Fred Regenstein, Virendra Joshi, Alex E. Baum, and Shobha Joshi..
Quota: 3 students (inclusive of Tulane and international
students) 1 student at TMC, 1 at Charity, and 1 at V.A. Hosp.
Time Offered: All blocks (Blks. 01-10)
Duration: 1 month
Hematology/ Medical Oncology - Tulane Medical Center, Medical Center Of
Louisiana And V.A. Medical Center
(Course Code: MDMD HEM TMC or CH or VAN)
Opportunities for learning principles of diagnostic evaluation and management
of patients with hematologic and oncologic diseases are provided in outpatient
clinics and inpatient services at the Tulane Medical Center Hospital, Medical
Center of Louisiana (Charity), and the Veterans Affairs Medical Center.
Appropriate use of laboratory services, including morphology, and correlation
with clinical findings, are emphasized. Participation in conferences,
Tumor Board, Journal Club, and research seminars is expected.
Location: Tulane Medical Center Hospital and Medical
Center of Louisiana and V.A. Medical Center
Quota: 3 students (one at
each location)
Staff: Drs. Beltran, Lessinger,
Mudad, Weiner, Cullins, Miller, and Kahn
Infectious Disease Consultation Service
Medical Center of Louisiana (Charity and University Hospitals), Tulane
University Hospital and Clinic, and the Veterans Administration Medical Center
at New Orleans
(Course Code: MDMD IDS V AN or TMC or MCL or UH)
The purpose of the course is to reinforce the student's working knowledge
of microbiology and pathogenesis and enhance understanding of the clinical
features of infectious diseases, and of the role of vaccines and antimicrobials
in their prevention and treatment. The patient population served by the Consultation
Service is diverse and offers opportunities for clinical experience with HIV
/ AIDS, tuberculosis, infectious aspects of surgery, surgical subspecialties,
orthopedics, obstetrics and gynecology and transplantation.
The student will learn how clinical specimens for culture should be obtained,
the general principles of their processing by the clinical microbiology laboratory,
and will have the opportunity to read gram stains, AFB smears, KOH preps and
learn basic microbiological plating techniques.
The student will be primarily responsible for answering at least three consultations
per week and will follow these patients. Students will present one conference
topic. The student will also attend the following rounds and conferences:
Mon.-Fri.: Staff rounds in the afternoon
Monday: I.D. Journal Club at 12:00 p.m., 1700 Perdido Street.
Tuesday: Microbiology Rounds at 8:30 a.m., LSU School of Medicine, 4th Floor
Auditorium
Wednesday: Adult I.D. Clinical Case Conference, 8:00 a.m., Tulane Medical
School, Room 7000.
Thursday: ACTU Scientific Conference at 8:00 a.m., Tulane Medical School,
Room 4700,
Friday: Citywide I.D. Conference (Tulane, LSU, Ochsner & Pediatric I.D.
services) at 7:30- 9:30 a.m., Children's Hospital Auditorium
Prerequisite For Visiting Students: Section approval is required for both
American and International Visiting Students.
Location: Charity and University Hospitals, Tulane University Hospital and
Clinic, and the V.A. Medical Center
Quota: 1 student at each location. (A second student at any site requires
Section approval.)
Staff: Drs. Beilke, Berggren, Dejace, Hasbun, Hyslop, McLellan, Mushatt and
Witzig.
INFECTIOUS DISEASE MEDICINE SUBINTERNSHIP ON INFECTIOUS DISEASES
ISOLATION UNIT
West 900 HIV/AIDS TB Service - Medical Center of Louisiana (Charity Hospital
campus only)
(Course Code: MDMD SUB 600)
This course will provide the fourth year student with an intense clinical
experience through participation in the care of patients who have medial and
social complications from advanced acquired immunodeficiency syndrome (AIDS)
and/or tuberculosis.
The clinical experience will reinforce and enhance the student's working
knowledge of microbiology, disease pathogenesis, clinical pharmacology of
antimicrobials, and the clinical features and management of infectious diseases.
The W-900 Infectious Diseases Service is located on a modern 23-bed closed
unit with advanced air-handling capabilities for negative pressure, which
includes a bronochoscopy suite and a teaching conference room. It is a combined
Tulane-LSU service, receives daily admissions from the Emergency Room and
the HIV Outpatient Clinic, is staffed by a dedicated Nursing Staff, Social
Worker, Infectious Diseases Fellow, Medicine Residents and Interns, and is
supervised by a Staff Infectious Diseases specialist. Tulane and LSU I.D.
Sections provide the Fellow and Faculty Staff on alternate months.
The student will have a broad primary care experience since multi-system
disorders which require the assistance of other medical and surgical subspecialties
are common. The multi-organ nature of the infectious and malignant diseases
encountered provide ample opportunities to witness the use of diagnostic imaging
and invasive procedures in patient care. The fragility of disordered homeostasis
reinforces the need for careful selection of drugs and close monitoring to
minimize complications of therapies. The student will also gain experience
in many areas of infectious diseases, as most AIDS patients have concomitant
parasitic, mycobacterial, mycotic, spirochaetal, bacterial, mycoplasmal, chlamydial
or viral infectious.
The W-900 team strives to provide a holistic approach to patient care. The
team works closely with other departments, the HIV Out Patient Clinic, Wetmore
TB Clinic, the Office of Public Health TB Control Program, outside clinics
and other agencies to meet the challenges of maintaining long term adherence
to treatment. Patients ability to participate optimally is often complicated
by concomitant social dislocation, substance use or drug dependency, depression,
dementia, or other mental illnesses.
The student will be primarily responsible for ongoing care of at least two
patients at all times, and will admit up to four new patients a week. Students
will present one conference topic. The student will also attend the following
rounds and conferences:
Mon. - Sat.: Staff Rounds (either morning or afternoon)
Monday: Didactic Lecture Series 0 1:30 p.m., Charity Hospital W-900 Conference
Room.
Tuesday: Microbiology Rounds - 8:30 a.m., Charity Hospital, 4th Floor
Wednesday: Adult I. D. Clinical Conference - 8:00 a.m., Medical School, Room
7000
Radiology Conference - 1:30 p.m., Charity Hospital, 7th Floor (East), Blue
Room
Thursday: ACTU Scientific Conference - 8:00 a.m., Medical School, Room 4700
Friday: Citywide I.D. Conference (Tulane, LSU, Ochsner I.D. services): 7:30
a.m.-9:30 a.m., Children's Hospital auditorium
Prerequisite for Visiting Students: Section approval is required for both
American and international visiting students.
Location: Charity Hospital
Quota: two students (A third student requires Section approval).
Staff: T-months (6/yr) - Drs. Beilke, Berggren, Hasbun, McLellan, Muschatt,
and Witzig. L-months: (6/yr) - LSU ID Section Faculty
Nephrology - Medical Center of Louisiana, Tulane Medical Center, and V.A.
Medical Center
(Course Code: MDMD NEP MTV)
Objective: Students will learn how to approach acid-base and
electrolyte disorders and the management and evaluation of hypertension.
Students will also learn how to evaluate and manage patients with acute and
chronic renal failure and nephrotic and nephritic syndrome.
Conferences include:
- Tuesdays, 1:00 p.m., Journal Club, Room 7150, Tulane School of Medicine
- Thursdays, 4:30 p.m., Renal Hypertension, Research Conference (alternate
Thursdays), Room 4024, Tulane School of Medicine
- Thursdays, 4:30 p.m., Biopsy Conference (alternate Thursdays) Room 4533,
Tulane School of Medicine
- Fridays, 12:00 noon, Renal Grand Rounds, Room 4533, Tulane School of
Medicine
Location: Tulane University Medical Center, Medical Center of Louisiana,
or VAMC
Quota: 4 students
Staff: Drs. Krane, Batuman, Hamm, Puschett, Gibson, Simon, and
Hammond
Pulmonary Disease - Tulane University Health Sciences Center
(Course Code: MDMD PUL TMC)
The student will serve as an advanced clerk with responsibilities commensurate
with his level of competence. He will be assigned to the Pulmonary Disease
Service which is primarily a consultative service at the Medical Center of
Louisiana and VA Medical Center, but also involves inpatient and MICU patients
at Tulane Medical Center. Emphasis will be on approach to diagnosis
and management of common pulmonary problems. An understanding of the
role of basic diagnostic procedures and pulmonary function studies will be
obtained.
Location: Tulane Medical Centerl
Quota: 1 student
Staff: Drs. Friedman, Ellithorpe, Parada, Ortiz, Kovitz, Jones, Lasky,
and Quiniones
Contact: LeAnn (43541)
Research Elective in Emergency Medicine at Medical Center of Louisiana (Charity) Hospital
(Course Code: MDMD RES MCL)
Note To Visiting Students : All out-of-state and international students must register for this course directly through the LSU-NO Medical School Office of Student Affairs. Call Ms. Bobbie Millet at 504-568-4874.
This is a one month elective coordinated with an existing LSU-NO Emergency Medicine faculty member. The research subject must relate to Emergency Medicine as a specialty with the goal of submission of this research for presentation or publication to a national meeting. The selection of a research topic and faculty member must be accomplished two months ahead of the selected rotation. A one page, double spaced, typed written summary of the research goals should be submitted to the LSU-NO Emergency Medicine Director of student rotations one week prior to the beginning of the rotation. A two page, doubled spaced, typed summary of the research must be submitted to the LSU-NO Emergency Medicine Director of Student Rotations at the end of the rotation.
Location : Medical Center of Louisiana ( Charity Hospital )
Quota : 1 student per month (unless special approval is granted by Dr. James Moises, Course Director, jmoise@lsuhsc.edu).
Staff : LSU Emergency Medicine Faculty
Time Offered : July - April (Blocks 01-10)
Rheumatology Private Practice Selective (Slidell, LA)
(Course Code: MDMD RHU SL)
Description: 100% Rheumatology, 90%+ office-based.
Teh student will be exposed to the full spectrum of rheumatologic disease
and treatment. There will be opportunity to perform procedures, under
supervision, such as arthrocentesis, trigger point injections, and tendon
sheath injections. Office schedule 9 a.m.-3 p.m., M-Th. Lunch
and textbook provided. There will be soem opportunity to learn practice
management skills.
Objectives: Recognition of presentation and physical finding
of common and ususual rheumatologic disorders; implementation of therapeutic
plans;participation in diagnostic and therapeutic procedures.
Directors: Drs. Phillip and Marielisa Sedrich
Phone: (504) 646-2223; Fax:
(505) 643-1722
Quota: 1-2 students per month
Time Offered: throughout the academic year by arrangement
Duration: One month
Prerequisite: Medicine Clerkship
Method of Evaluating Student Performance: Standard Tulane
evaluation form based upon direct supervision of student
How Is This Course Evaluated by the Course Director: site
visit; student evaluation; preceptor feedback.
How Is This Course Evaluated by Students: Owl Club and
Departmental evaluations.
The student will serve as an advanced clerk with responsibilities commensurate
with his level of competence. He will be assigned to an attending
staff of his choice. Emphasis will be on the subspecialty of the
attending physician and General Internal Medicine.
Internal Medicine, Pulmonary, Nephrology, and Gastroenterology
(Course Code: MDMD SB1 TOU)
Staff: Drs. Oelsner, Shames, and Smith
Quota: 2 students
Internal Medicine With Special Interest In Pulmonary And Diabetes
(Course Code: MDMD SB3 TOU)
Staff: Dr. Sternberg
Quota: 1 student
Internal Medicine, Endocrinology, and Diabetes
(Course Code: MDMD SB4 TOU)
Staff: Dr. McNally (648-2520
PRIOR APPROVAL REQUIRED
Quota: 1 student
Cardiology - Inpatient and Outpatient
(Course Code: MDMD SB5 TOU)
Staff: Drs. Dhurandhar, Quintal, Wadgankar
Quota: 2 students
Visiting Students (non-Tulane students) are required by Ochsner Foundation
Hospital to make rotation arrangements directly by calling the Ochsner
Foundation Hospital, Graduate Medical Education at 504/842-3260.
The student will serve as an advanced clerk
with responsibilities commensurate with his level of competence.
He will be assigned to a subspecialty service of his choosing. Emphasis
will be on the subspecialty and General Internal Medicine.
Location: Ochsner Foundation Hospital
Staff: Dr. Erwin, et al
Time Offered: Blocks 01-10
General Internal Medicine
(Course Code: MDMD GEN OCH)
Quota: l student
Infectious Disease
(Course Code: MDMD IDS OCH)
Quota: 1 student
Gastroenterology
(Course Code: MDMD GAS OCH)
Quota: l student
Renal
(Course Code: MDMD NEP OCH)
Quota: l student
Cardiology
(Course Code: MDMD CAR OCH)
Quota: 1 students (must have three months advanced notice)
Endocrinology
(Course Code: MDMD END OCH)
Quota: 1 student
Hematology
(Course Code: MDMD HEM OCH)
Quota: 1 student
Rheumatology
(Course Code: MDMD RHU OCH)
Quota: l student
Pulmonary
(Course Code: MDMD PUL OCH)
Quota: 1 student
Emergency Medicine
(Course Code: MDMD EM OCH)
Faculty: Dept. of Emergency Medicine Staff Physicians,Ochsner
Foundation Hospital
Duration: 1 month
Quota: 1 student
Objectives: The rotation will introduce the student
to the clinical practice of Emergency Medicine. By the end of the
rotation the student will:
1. Have
been exposed to a wide spectrum of emergency and non-emergency problems.
2. Recognize
that the patient defines the emergency.
3. Understand
how the Emergency Department relates to other departments and services.
4. Develop
and improve skills in interpretation of x-rays and electrocardiograms,
establishing IVs., cardiopulmonary resuscitation, etc.
5. Develop
the ability to quickly determine the relevant history and physical with
selective use of ancillary services to achieve the most efficient and effective
emergency assessment and management.
Prerequisites:
1. The
senior medical student should have previously completed the required Inpatient
Medicine rotation, Inpatient Pediatric rotation, Inpatient Surgery rotation
and Inpatient OB/GYN rotation.
2. The
student must have a sincere interest in a future medical career involving
at least some aspect of critical care.
Course Outline: The student's role in the Emergency Department
will be well understood by other members of the Department including nurses,
attending staff, and house officers. Attendance at department sponsored
conferences is mandatory for the student. A lecture and/or videotape
film series will be given during the four weeks, at which time the student
is required to attend. Examples of life-threatening problems managed
by the Emergency Department team will include: Multiple system trauma,
head injury with altered consciousness, penetrating chest and abdominal
injuries, traumatic vascular injuries, diabetic ketoacidosis and other
metabolic derangements, myocardial infraction, dysrhythmia, subarachnoid
hemorrhage, pulmonary edema, pulmonary embolism, ectopic pregnancy and
gastro-intestinal bleeding. Examples of less serious problems managed
by the Emergency team include: Minor head injuries, pneumonia, cardiac
versus other chest pain, acute abdominal pain, burns, facial injuries,
long-bone fractures, hand injuries, phlebitis, epistaxis, drug abuse and
suicide attempts, coma and shock. Examples of common minor problems
managed by the team will include Eye, ear, nose, and throat infections,
bronchitis, gastroenteritis, soft tissue infections, hemorrhoids, and headache.
Methods Of Evaluation: The student will be evaluated by the attending
physician staff members on a daily basis. The student will be evaluated
in writing at the end of the Selective. A written examination may
be utilized for teaching and evaluation.
Other elective opportunities are described below and may include departmental research projects
that are done under faculty supervision.
