College of Medicine - University of Illinois Urbana-Champaign

Scholar Activity Elective

ELEC 162

Scholar Activity Elective

Clerkship Director:

Janet S. Reis, Ph.D.
Ronald W. Brewer, Ph.D.

Reporting Time:

Site:

Length of Clerkship:

2-8 weeks
In 2-week blocks
Available all year

Dates:

Prerequisites:

Methods of Evaluation:

Student will receive on-going mentorship through completion of the project by the assigned faculty.

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

1.      Medical Knowledge – Upon completion of this clerkship, the student will describe a variety of evidence-based tools for clinical scholarship.  The steps in developing a research project will include the following:

• Discuss current clinical research priorities in medical discipline of interest and the appropriate focus for a medical student defined scholarly activity.
• Discuss theories and principles of clinical research methodologies and the applicability of specific designs to the research question of interest.
• Describe the importance of ethics in clinical research and importance of maintaining patient confidentiality, confidence and trust.
• Outline a clinical research question followed by a clear hypothesis and timetable for data collection as appropriate.
• Complete the necessary Institutional Review Board application(s) and informed consent documents.
• Demonstrate the ability to perform a comprehensive literature review to support the significance of the clinical research question.
• Demonstrate the ability to select a research design, collect data, analyze data and synthesize data into a scholarly presentation.
• Demonstrate constructive response to input from peers, supervisors, colleagues and granting agencies on completed work.
• Demonstrate ability to use evidenced-based medicine and case studies to assist in effective evidence-based patient care drawing on scholarly activity experiences.

2.      Communication Skills

•     On completion of this clerkship, the student will present clinical scholarship to mentors and colleagues through a variety of media which may include clinical vignette, poster, or written manuscripts.
•    Describe the relevance of scholarly work to the clinical sciences

3.      Professionalism

TEACHING METHODS

The student will schedule an initial meeting with the clerkship coordinator, Dr. Janet Reis or Dr. Ron Brewer for initial orientation.  Orientation will include review of learning materials about quantitative and qualitative research methods, evidence-based literature review, and clinical scholarly activities.  Student will receive instruction in oral and written presentation skills, ethics of human subject research utilization and the steps in applying to Institutional Review Boards.  The student will be introduced to medical research activities that will require them to prepare a project in writing that utilizes human subjects (vignette poster, case presentations, case data for group of patients.

The student will be assigned both a PhD educator and a clinical mentor for a project.  Student will work with close mentorship in the completion of the project.

The student will then be required to present a proposal of their project to the clerkship director and clinical faculty.  When applicable, the student will complete documents for Institutional Review Board review within the institution in which the student is working, and if applicable will submit the final project for presentation to a vignette competition, a College of Medicine Research Day or conference or journal of the student’s choosing.  There will be no requirements for the project to be accepted for publication.

The following textbook is required:
Morgan G., Gliner, J., and Harmon, R. “Understanding Evaluating Research in Applied and Clinical Settings.”

ELEC 783

Clerkship Director:

John Zech, M.D. – (217) 383‑3450

Reporting Time:

Site:

Carle Clinic
602 West University Avenue
Urbana, IL  61801                                                           

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Initially the student will see patients with the allergist.  As the student gains experience, they will take histories and examination patients independently and then discuss cases with the allergist, who has also seen the patients.

Students will see patients with the allergist in the office and hospital.  Student will take an allergy history, do appropriate physical, select and interpret appropriate tests, and choose treatment methods. Instructional conferences on topics relevant to the practice of allergy will be held and supplemented by the use of instructional tapes and slides.

1. Patient Care - Students will obtain a focused history and perform a skillful physical examination of the patient presenting with allergy problems.
2. Medical Knowledge - Students will gain a better understanding of the pathophysiology, diagnostics and treatment modalities for common allergy related disorders, including: rhinitis (allergic and non-allergic), bronchial asthma (allergic and non-allergic), urticaria and angioedema, anaphylaxis, hymenoptera allergy, drug allergy, suspected food allergy, atopic dermatitis. Students will have a deeper understanding of immunological regulation and correlate abnormalities to clinical disorders.
3. Practice-Based Learning & Improvement - Students will become familiar with common pharmacological interventions used in the field: theophylline, immunomodulators, corticosteroids, etc.
4. Interpersonal and Communication Skills - Students will learn effective communicate skills with the patient presenting with allergic disorders, his/her family, and all members of the health care team.
5. Professionalism - Students will have the ability to evaluate the patient as a whole and understand the importance of discussing risk-taking behaviors, stress prevention, prophylaxis, and screening.
6. Systems-Based Practice - Students will understand the role of immunologic disease as a primary specialty and as an integral component of the medical team in complex medical problems.  Students will also learn to evaluate and integrate community resources into the health maintenance of individual patients and their families.

TEACHING METHODS

Students may spend the entire period in adult allergy or split time with pediatric allergists, as arranged.

ELEC 804

Clerkship Director:

David Graham, M.D.
Patricia A. Johnson, M.D.
Ronnie Luyun, M.D.
Kendrith M. Rowland, M.D.
Ronald Sapiente, M.D.
Kalika Sarma, M.D.
Vamsi Vasireddy, D.O.

Reporting Time:

Site:

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

1. Patient Care - Students will identify common types of cancers such as: Breast cancer, colon and rectal cancer, prostate cancer, lung cancer, and leukemia.
2. Medical Knowledge - Students will gain knowledge of the modern concepts of cancer management and the methodologies of modern cancer therapy. Students will be able to describe the basic concepts of how chemotherapy and radiation treatments work.
3. Interpersonal and Communication Skills - Students will be able to communicate effectively with cancer patients and their families regarding a cancer diagnosis and demonstrate sensitivity to the human impact of cancer on a patient and his/her family unit.

Research opportunities are available.  Directed reading and attendance at Tumor Board are required. Evaluation of the student is by chart audit, oral presentations of cases and directed readings, and observation of procedures performed.

ELEC 608

Clerkship Director:

Reporting Time:

Please call the week before clerkship begins to ascertain time and place of meeting for first day of clerkship

Site:

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

The students participate in daily rounds and CV topic discussion; ECG reading bid; echocardiography interpretation (three to five days per week); weekly CV conference; weekly internal medicine conference; patient work-ups; and, stress lab (three to five days per week).  ICU and Catheterization lab experience as well as angioplasty.

1. Patient Care - Students will be able to obtain a medical history and perform a skillful physical examination of the cardiac patient (with a focus on auscultation ability). Students will be able to identify cardiac risk-factors and be able to educate the patient on disease prevention and healthy lifestyles. Understand the indications of surgery in patients with cardiac diseases. Understand the indications of surgery in patients with cardiac diseases.
2. Medical Knowledge - Students will gain knowledge in the interpretation of ECG and in cardiac arrhythmia diagnosis. Students will observe and understand noninvasive and invasive cardiac diagnostic procedures including stress testing, echocardiography, and cardiac catheterization. Students will learn the pharmacologic and clinical use of digoxin, beta blockers, ACE inhibitors, calcium channel blockers, antiarrhythmic drugs and antihypertensive drugs.
3. Practice-Based Learning & Improvement - Students will acquire skills in the medical management of common cardiac conditions such as congestive heart failure, angina, arrhythmias, valvular heart disease, and myocardial infarctions.
4. Interpersonal and Communication Skills - Students will be able to communicate effectively with the cardiac patient, his/her family, and all members of the health care team.
5. Professionalism - Students will have a greater understand the role of cardiology as a primary specialty and as a member of the medical team in complex medical problems. 

ELEC 608

Clerkship Director:

B. Lakshmi, MD
337-3738
Provena Covenant Medical Center
1400 W. Park St., Urbana
e-mail:  blakshminarayan@hotmail.com

Reporting Time:

Site:

Provena/Covenant Medical Center
1400 West Park Street
Urbana, IL  61801

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Students are expected to reproduce physical findings at the bedside.  Supervision in the noninvasive studies of echocardiography and treadmill stress testing is offered by Dr. Wingo, as well as appropriate technicians in the hospital.  Observation in the catheterization laboratory is planned, although direct assistance in the performance of the cardiac catheterization is not expected—Drs. Heckman and Atherton will also assist.

Students are expected to evaluate all patients seen in consultation with or admitted by Dr. Wingo and/or Drs. Atherton and Heckman.  Complete evaluation of the patient with particular attention paid to the cardiovascular system is undertaken and reviewed by the Directors.  Assistance in performing noninvasive studies such as treadmill stress testing and echocardiography will be undertaken.  Daily interpretation of electrocardiograms is required. Attendance in the cardiovascular laboratory for diagnostic cardiac catheterizations is expected in most situations with assistance in interpretations of catheterization data and angiogram film where appropriate.  In addition, emergency call for the Coronary Care Unit will be expected.

1. Patient Care - Students will be able to obtain a medical history and perform a skillful physical examination of the cardiac patient (with a focus on auscultation ability). Students will be able to identify cardiac risk-factors and be able to educate the patient on disease prevention and healthy lifestyles. Understand the indications of surgery in patients with cardiac diseases. Students will have the ability to interpret the indications of surgery in patients with cardiac diseases.
2. Medical Knowledge - Students will gain knowledge in the interpretation of ECG and in cardiac arrhythmia diagnosis. Students will observe and understand noninvasive and invasive cardiac diagnostic procedures including stress testing, echocardiography, and cardiac catheterization. Students will learn the pharmacologic and clinical use of digoxin, beta blockers, ACE inhibitors, calcium channel blockers, antiarrhythmic drugs and antihypertensive drugs.
3. Practice-Based Learning & Improvement - Students will acquire skills in the medical management of common cardiac conditions such as congestive heart failure, angina, arrhythmias, valvular heart disease, and myocardial infarctions.
4. Interpersonal and Communication Skills - Students will be able to communicate effectively with the cardiac patient, his/her family, and all members of the health care team.
5. Professionalism - Students will have a greater understanding the role of cardiology as a primary specialty and as a member of the medical team in complex medical problems.

Students will outline a diagnostic and/or therapeutic approach to the patient’s problem and help administer that plan.

ELEC 695

Clerkship Director:

Robert Healy, M.D. – (217) 373-5434

Reporting Time:

8:30 a.m.

Site:

Carle Champaign Clinic
1813 West Kirby Avenue
Champaign, IL  61822

Length of Clerkship:

Dates:

Year round – as arranged with site director(s)

Prerequisites:

Completion of at least 12 weeks of Internal Medicine and approval of Clerkship Director and Faculty Advisor

Methods of Evaluation:

Observation; review of oral presentation of cases; review of written history and physical examination assessments; multiple choice exam covering topics in ambulatory care (optional at site)

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

The purpose of this clerkship is to give the student an opportunity to examine, diagnose, and treat adult internal medicine patients in the ambulatory setting.  The student will work daily with the supervising faculty member and function as the health care professional of first contact.  He/she will also be responsible for following ambulatory patients evaluated by the student who are admitted to the hospital. 

This clerkship is intended to be an adjunct to the traditional internal medicine hospital-based rotation. It is also intended for those students who are interested in pursuing a career in internal medicine.

1. Patient Care - Students will be able to describe the process and timeliness of clinical decision making in an ambulatory setting. This includes different disease problems encountered in an office setting rather than the acute hospital admission.
2. Medical Knowledge - Students will demonstrate a heightened ability to obtain and record a patient’s history in a logical, chronologically organized and thorough manner.
3. Practice-Based Learning & Improvement - Students will be able to describe the aspects of working in an office setting. These include: working closely with healthcare staff, scheduling, billing, and cost containment in the use of laboratory testing and medications.
4. Interpersonal and Communication Skills - Students will develop the appropriate interpersonal skills for patient centered care including patient communication, attitude, compassion and respect.
   
5. Professionalism –

A case‑oriented learning approach will be utilized, including directed reading and oral presentation of cases.

ELEC 788

Unavailable until further notice.
Cardiovascular Pathophysiology

Clerkship Director:

Reporting Time:

Site:

Department of Veterans Affairs
Illiana Healthcare System
1900 East Main Street
Danville, IL 61832

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

The course consists of bedside teaching, with the student accompanying the program director on consultations and clinic rounds. Physical findings illustrating the nature of cardiovascular pathology are central to this clerkship.  The student assists in performing cardiovascular stress tests and will learn how to elicit abnormal physical findings.

1. Patient Care - Students will be able to obtain an appropriate medical history and perform a targeted physical examination in the ambulatory setting.
   
2. Medical Knowledge - Students will recognize normal and abnormal cardiophysiology symptoms and signs. Develop a plan for therapeutic measures to treat these symptoms, and apply evidence based knowledge to the therapeutic plan.
   
3. Practice-Based Learning & Improvement - Students will be able to develop management plans considering cultural and socioeconomic factors affecting patient compliance and satisfaction within the time constraints of the outpatient setting. Students will have the ability to assess his/her strengths and weaknesses in the outpatient treatment of cardiac disease and develop study plans to improve this knowledge.
   
4. Interpersonal and Communication Skills - Students will acquire a patient-centered humanistic attitude, improving their ability to listen to patients concerns and gather pertinent information.
   
5. Professionalism - Students will demonstrate respect for the dignity of the patient, appropriate patient confidentiality, and respond effectively to a patient’s questions and concerns.

Students will be able to identify the aspects of office management such as scheduling, billing, cost containment, efficient use of the laboratory and appropriate prescribing practices.    

ELEC 602

Clerkship Director:

Lester Fahrner, M.D. – (217) 366-5012
Christie Clinic — Contact Jamie Kirchhoff                                               Harikrishna Patel, M.D. – (217) 352-0055
2143 South Neil Street, Champaign, IL 61820
(Tuesday and Thursdays, only)

Reporting Time:

Site:

Length of Clerkship:

Dates:

Prerequisites:

Satisfactory completion of Medicine I core clerkship

Methods of Evaluation:

Patient presentation and written test

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

The student is exposed to the private and clinical practice of general dermatology and is instructed in diagnosis and treatment.  Emphasis is placed on the care of the patient and the student is expected to function as a member of the office team.  The student, with the help of the medical school office, will arrange a weekly schedule that includes several participants as mentors to provide the broadest experience possible.

1. Patient Care - Students will be able to obtain a focused dermatology history and perform a skillful physical examination of the dermatological patient. Learn to perform minor dermatological procedures such as skin biopsies and fungal scrapings. Gain an appreciation for evaluating the patient as a whole and understand the importance of discussing risk-taking behaviors, with a focus on skin and sun safety.
   
2. Medical Knowledge - Students will understand the pathophysiology, diagnostics and treatment modalities for common dermatoses, such as benign and malignant skin tumors, viral/fungal/bacterial skin infections, acne, psoriasis, collagen vascular diseases, disorders of pigmentation, etc. Students will be able to accurately describe dermatological clinical morphologies. Students will gain familiarity with laboratory diagnostics commonly used to assess dermatological conditions (Wood’s lamp, KOH, Tzank smears) and have the ability to interpret the results of dermatopathology reports.
   
3. Interpersonal and Communication Skills - Students will expand his/her basic clinical knowledge and ability to communicate, discuss cases and interact with staff and patients in an intelligent and thoughtful way, and responds to clinical questions appropriately as knowledge of the field increases.   Communicate effectively with the dermatology patient, his/her family, and all members of the health care team.
   
4. Professionalism - Students will understand the role of dermatology as a primary specialty and as a member of the medical team in complex medical problems.

ELEC 613

Clinical-Endocrinology-Metabolism-Nutrition

Clerkship Director:

Reporting Time:

7:45 a.m. at Carle Clinic
9:00 a.m. at VA

Site:

Carle Clinic Association
Department of Endocrinology
Urbana

Department of Veterans Affairs
Illiana Healthcare System
Danville

Length of Clerkship:

Dates:

Year round

Prerequisites:

Satisfactory completion of Medicine I core clerkship

Methods of Evaluation:

The clerkship director will assign a grade based on the individual evaluations of all faculty members who have supervised the student during the rotation.

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Students will gain experience in the management of ambulatory and hospital patients with endocrine disorders.  Diabetes mellitus and problems of general endocrinology such as thyroid disease, dyslipidemias, metabolic bone disease, adrenal dysfunction, and hypothalamic-pituitary disorders will be emphasized.  Key concepts of endocrine pathophysiology, epidemiology, diagnosis, and treatment will be taught in the context of patient encounters and conferences. 

1. Patient Care - Students will have the ability to obtain a medical history and perform a skillful physical examination of a patient presenting with endocrinological problems. Students will understand when endocrinology consultation is appropriate for patients with apparently isolated metabolic disorders or multiple organ-system pathology.  
   
2. Medical Knowledge - Students will increase their knowledge of the pathophysiology and treatment of diabetes mellitus and disorders of the pituitary-hypothalamic, thyroid, parathyroid, adrenal, bone and reproductive systems. Students will learn about key endocrine clinical trials and understand their implications for patient care.  Students will gain familiarity with therapeutic diets for obesity and other nutrition related chronic diseases (such as hypertension, hypercholesterolemia, diabetes, etc).
   
3. Practice-Based Learning & Improvement - Students will the ability to identify metabolic risk-factors and be able to educate the patient on disease prevention and healthy lifestyles.
   
4. Interpersonal and Communication Skills - Students will be able to communicate effectively with the endocrinological patient, his/her family, and all members of the health care team.

1. Students will evaluate and present patients referred for consultation in the Carle Clinic Association and DVAIHCC endocrine clinics and the Carle Foundation and Danville VAIHCS hospitals. 
   
2. Students will participate in the following conferences: 
   1. Endocrine subspecialty rounds (Carle Clinic/Hospital)
   2. "Gland Rounds” (Endocrine Grand Rounds, Carle Clinic/Hospital)
3. Students will observe thyroid fine needle aspirations and participate in the execution of “dynamic” endocrine testing such as Cosyntropin stimulation tests, water deprivation tests, and diagnostic fasts

ELEC 922

Clerkship Director:

Reporting Time:

Site:

Department of Veterans Affairs
Illiana Healthcare System
1900 East Main Street
Danville, IL 61832

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Two

Night Call Required

Weekends Required:

Supervision:

Students will be evaluated by the site coordinator with input from all physicians and other professional staff with whom the student has interacted.  The clerkship is pass/fail.

The clerkship will occur on the general medicine service at the Illiana Veterans Affairs Hospital.  The rotation will be two to four weeks in duration. The student will be assigned call. 

The student will be part of the ward team and general guidelines of the Medicine I Clerkship will apply, however the student will be immersed into ward duties and rounds at a pace that is consistent with the needs of the student.  The ward physician and the clerkship director will assess the speed of progression of the student.

OVERALL GOALS

To introduce the student to in-patient general medicine in a manner that is educationally sound and focused on the student's specific needs and level.

Patient Care - Students will obtain an accurate medical history as well as perform a physical exam, and with the information gathered, identify a problem list and a diagnosis.  The history and physical, problem list and treatment plan are expected to improve during the duration of the rotation. Students will develop the ability to take the clinical information gathered together with the pathophysiologic knowledge of disease process and formulate a diagnostic and therapeutic plan. It is expected that the level of diagnosis and therapeutic plan will become more detailed and complete as rotation progresses.

Medical Knowledge - Students will develop the understanding of general internal medicine by applying pathophysiology, epidemiology, and clinical manifestation of his/her patients.  Students will apply and improve their knowledge of the broad spectrum of medical diseases. During the rotation it is expected that understanding of pathophysiology and clinical manifestation become more sophisticated.

Students will develop the ability to take the clinical information gathered together with the pathophysiologic knowledge of disease process and formulate a diagnostic and therapeutic plan.  It is expected that the level of diagnosis and therapeutic plan will become more detailed and complete as rotation progresses.

Practice-Based Learning & Improvement - Students are expected to independently seek out learning resources to further his/her medical knowledge.  Students will understand his/her level of knowledge and seek to improve any weaknesses in order to improve performance.  Students will also seek out information on new technologies and stay abreast of current practices.  Students will have a greater understanding of the risk factors for disease processes and identify factors that lead to a healthier lifestyle.  They will be able to then translate these processes in order to instruct patients and their families for improvement in health of patients.

Students will develop the ability to take the clinical information gathered together with the pathophysiologic knowledge of disease process and formulate a diagnostic and therapeutic plan.  It is expected that the level of diagnosis and therapeutic plan will become more detailed and complete as rotation progresses.

Interpersonal and Communication Skills - Students will refine his/her ability to obtain an accurate history and physical and relay that to a comprehensive written document.  They will also refine their ability to present the history and physical clearly to the attending physician. They will be able to communicate effectively and compassionately with their patients and patient families.

Professionalism - Students will always exhibit sound ethical behavior.  They will show respect for patients and their families and relay information to families and health care team in an honest fashion.  Ethical dilemmas and any conflict of interest will be identified and discussed in a timely and forthright manner. Students will be prompt, honest, respect patients, ensure patient confidentiality and function as part of a health care team.

Systems-Based Practice - Students will be aware of community factors and hospital services in relation to patient's medical and social problems.  In addition, they will become aware of influence of culture on patient health and will be nonjudgmental in regards to care of the patient.

Students will be assigned to a ward team consisting of an attending physician, a senior resident, and an intern.  They will be an integral part of the general medicine team.  They will participate in initial assessment of the patient, give an accurate presentation of patient to resident and attendings, and be expected to follow the patient's progress during the admission.

Students are expected to be knowledgeable of his/her patient's medical history, physical exam, and laboratory data.  In addition, students are expected to research his/her patient's medical condition to further his/her knowledge base.

ELEC 614

Clerkship Director:

Reporting Time:

Site:

Christie Clinic
101 West University Ave.
Champaign, IL  61820

Provena/Covenant Medical Center
1400 West Park Street, Urbana, IL  61801

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Students will attend procedures, perform consults, and review same with attending Gastroenterologists.  Students will be given library assignments on patient cases seen in the office and hospital. 

Students will also be active in clinic seeing patients under direct physician supervision.  Cases will be discussed accordingly.

1. Patient Care - Students will be able to obtain a focused history and perform a skillful physical examination of the patient presenting with gastroenterological complaints or disorders.
2. Medical Knowledge - Students will gain an understanding of the pathophysiology, diagnostics and treatment modalities for common gastroenterological diseases, such as peptic ulcer disease, hepatitis, cirrhosis, pancreatitis, inflammatory bowel disease, and GI malignancies. Students will be trained in the indications for and potential complications of common procedures performed in gastroenterology (ERCP, colonoscopy, polypectomy, endoscopy, liver biopsy, etc). 
   
3. Practice-Based Learning & Improvement - Students will gain familiarity with histopathologic and radiologic interpretations of GI disease.  Students will acquire the importance of evaluating the patient as a whole and understand the importance of discussing risk-taking behaviors, stress prevention, prophylaxis, and screening.
4. Interpersonal and Communication Skills - Students will learn how to communicate effectively with the gastroenterology patient, his/her family, and all members of the health care team.
5. Professionalism - Students will learn to evaluate and integrate community resources into the health maintenance of individual patients and their families. Students will understand the role of gastroenterology as a primary specialty and as a member of the medical team in complex medical problems.

ELEC 804

Clerkship Director:

S. Wahba, M.D. – (217) 337-2808

Reporting Time:

To be arranged

Site:

Provena/ Covenant Medical Center
1400 West Park Street
Urbana, IL  61801

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

One per period

Night Call Required

Weekends Required:

Supervision:

This clerkship provides an introduction to clinical diagnosis of anemias and leukemias.  This includes performance and examination of peripheral blood smear and bone marrow aspirations when needed.  Interpretation of laboratory data and correlation with clinical aspects of the disease is emphasized.

Exposure to the diagnosis of different types of cancer, staging, and appropriate therapy for each stage as it applies in a clinical setting is provided.  Emphasis is on the understanding of principles of chemotherapy and dose modifications due to cytopenias or other organ dysfunctions.

1. Patient Care - Students will be able to obtain a focused history and perform a skillful physical examination of the hematological or oncological patient.
   
2. Medical Knowledge - Students will gain an understanding of the pathophysiology, diagnostics and treatment modalities for common hematological or oncological disorders, including anemias, leukemias, thrombocytopenias, myeloproliferative disorders, breast cancer, lung cancer and colon cancer. 
3. Practice-Based Learning & Improvement - Students will learn to interpret common diagnostic and evaluative tests used in hematology/oncology, including peripheral blood smears, bone marrows, blood counts, differential cell counts, coagulation tests.  Students will gain familiarity with histopathologic and radiologic interpretations of hemato-oncological disease. And inaddition, gain knowledge of the pharmacology and clinical use of, and complications of chemotherapeutic agents, narcotics, transfusions, Fe, folate, B12.
   
4. Interpersonal and Communication Skills - Students will learn how to communicate effectively with the hemato-oncological patient, his/her family, and all members of the health care team.
5. Professionalism - Students will show respect for patients and their families and relay information to families and health care team in an honest fashion and following protocol for confidentiality.
   
6. Systems-Based Practice - Students will gain an appreciation for evaluating the patient as a whole and understand the importance of discussing risk-taking behaviors, stress prevention, prophylaxis, and screening.

ELEC 617

Clerkship Director:

Reporting Time:

Site:

Carle Foundation Hospital and Clinic
602 West University Ave., Urbana, IL  61801

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students will have oral presentations and a written test.  The Clerkship Director will assign the final grade after consultation with attending staff that can evaluate the student’s progress.

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Students will act as infectious disease consultant under the direction of infectious disease staff attending.  Students will see patients both in the hospital and clinic setting. 

Students will perform the appropriate history and physical and complete the write-up of the patient including differential diagnosis and plan for care.

Students will be expected to increase basic knowledge in the field of infectious disease.  Methods to achieve these goals will be both self directed through literature, investigation and interaction with infectious disease attendings.

1. Patient Care - Students will become skilled at obtaining a focused history and perform a skillful physical examination of the ID patient.
   
2. Medical Knowledge - Students will gain an understanding of the pathophysiology, diagnostics and treatment modalities for common infectious diseases, including HIV/AIDS, pneumonia, tuberculosis, urinary tract infections, endocarditis, meningitis, nosocomial infections, fever of unknown origin, and other bacterial, viral, fungal and parasitic infections.  Students will become familiar with the pharmacology and clinical use of antimicrobial, antiviral, and antifungal drug therapy as well as the knowledge of vaccinations, chemoprophylaxis, and appropriate infection control techniques. 
   
3. Practice-Based Learning & Improvement - Students will obtain knowledge of vaccinations, chemoprophylaxis, and appropriate infection control techniques.  Students will be trained in the interpretation of common diagnostic and evaluative tests used in infectious disease, including gram stains, cultures, and serological tests.  
   
4. Interpersonal and Communication Skills - Students will learn to communicate effectively with the infectious disease patient, his/her family, and all members of the health care team.
   
5. Professionalism - Students will evaluate and integrate community resources into the health maintenance of individual patients and their families and gain an understanding of the role of infectious disease as a primary specialty and as a member of the medical team in complex medical problems.
   
6. Schedule of Rotation - Students will report to the Clerkship Director on the first day of the rotation for assignments and expectations.

ELEC 621

Clerkship Director:

Abdul-Monheim Attia, MD
Sabeeha Nisar, MD

Reporting Time:

Site:

Carle Clinic, Urbana, IL
Carle Foundation Hospital, Urbana, IL

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Of the student - Students will be provided feedback at the end of the rotation in regard to the core competencies and in an ongoing way throughout the rotation.  A standard survey provided by the Department of Internal Medicine will be used for the written evaluation.  Formative mid-cycle evaluation will also be provided by the faculty attending.

Of the Attending and Clerkship: - The student will evaluate the clerkship and the attending with whom he or she worked using standard survey instruments provided by the Department of Internal Medicine.

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Nephrology faculty

The student will be continuously supervised by on site faculty in the Nephrology Division.  Students may also work with and be supervised by residents in internal medicine or family practice who are rotating on the nephrology elective.

The student will be introduced to common nephrologic problems such as acute renal failure, chronic kidney disease, nephrotic syndrome, microscopic hematuria, nephrolithiasis, fluid and electrolyte disorders (e.g., hyponatremia and hyperkalemia), complicated hypertension, and acid-base disturbances.

By the end of the elective the student will:

1. be able to obtain a focused history and perform a skillful physical exam of the nephrology patient
2. understand the pathophysiology, diagnostic and therapeutic interventions for common nephrology disorders, including hypertension, glomerular diseases, acute renal failure, chronic kidney disease, nephritic syndrome, nephrolithiasis, hyponatremia, hyperkalemia, and acid-base disorders.
3. learn to interpret common tests including urinalysis, estimations of glomerular filtration rate, blood gas measurements, electrolyte measurements, kidney ultrasounds.  They should learn the indications for performing a native kidney biopsy and have an understanding of the information provided by kidney biopsy.
4. understand the indications and contraindications for peritoneal and hemodialysis and kidney transplantation.
5. gain familiarity with common pharmacological agents used in nephrology, including diuretics and antihypertensives and recognize the importance of adjusting medication doses for kidney function.
6. communicate effectively as a consultant with referring physicians and other health care providers, patients, families, and all members of the health care team.
7. gain an appreciation for evaluating the patient as a whole and understand the importance of discussing and counseling about the effects of risk-taking behaviors, prophylaxis, and screening.
8. learn to evaluate and integrate community resources into the health maintenance of individual patients and their families, especially as related to education and chronic kidney disease options for renal replacement therapy.
9. understand the role of nephrology as a primary specialty and as an integral component of the medical team in complex medical problems.

1. Patient care - The student will demonstrate an appropriately focused medical interview and physical examination on patients presenting for nephrology consultation in clinic or in the hospital.  The student will develop an appropriate differential diagnosis and problem list.  The student will use clinical data to develop diagnostic and therapeutic plans.  The student will show an ability to educate patients and families and establish effective doctor-patient relationships.
   
2. Medical Knowledge - The student will demonstrate a basic understanding of common nephrology disorders (see #2 under goals above) as well as the appropriate diagnostic tests (#3 under goals) for these disorders.
   
3. Practice-Based Learning and Improvement - The student will develop a program of self-guided learning based on case exposure.  The student will explain the team approach to chronic kidney disease and end-stage renal disease including the roles of the providers working in dialysis units and chronic kidney disease clinics. 
   
4. Interpersonal and Communication Skills - The student will present concise, well-organized case presentations to faculty after completing an initial consultation.  The student will demonstrate appropriate skills in consultative letters to referring physicians.  The student will describe chronic kidney disease to patients and their families.
   
5. Professionalism - The student will demonstrate respect for the opinions of others including nurses, dietitians, medical technicians, social workers, and referring physicians.  The student will dress appropriately according to the setting, be punctual in completing assigned duties (including medical records), and show unconditional positive regard for patients and families.
   
6. Systems-Based Practice - The student will demonstrate appropriate interaction with all members of the health care team, including the dialysis team, vascular access teams (surgery and interventional radiology, and transplant teams.  The student will recommend appropriate consultation, show appreciation of basic ethical and legal principles as they apply to patient care.  The student will be able to delineate community-based resources to assist in patient management.

Experiential (in-patient and clinic evaluations) and didactic sessions on specific issues in nephrology will form the basis of the teaching methods.  Students will complete initial consult evaluations in both the ambulatory and inpatient settings.  The student will then present to the attending and with the attending, develop a diagnostic and therapeutic plan. 

Self-learning will continue throughout the elective, using the Primer on Kidney Disease as a basic textbook.  Students will be asked to report on specific learning topics to the faculty.  Many of these topics will arise from the clinical cases to which the student is exposed.

Students will attend all scheduled conferences in the Department of Medicine during the elective.  These include Grand Rounds, Clinical Pathological Correlation Conference, and the Infectious Disease Conference if appropriate.

Greenburg AG, Cheung A, et al. Primer on Kidney Diseases, 4th edition will be available to the student in the Nephrology Division.

The student will also be asked to read the nephrology section of a standard internal medicine textbook, e.g., Harrison’s Textbook of Internal Medicine or Cecil’s Textbook of Internal Medicine as a reference throughout the rotation.  Additional references are available through the Library of the Health Sciences, Carle Foundation Hospital library, and on-line through the Library of the Health Sciences.

ELEC 635

Clerkship Director:

Reporting Time:

Contact Dr. Wang two weeks before rotation begins to arrange time

Site:

University Neurology Associates
407 East University Avenue
Champaign, IL  61820

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Patient Care
Students will have the ability to obtain a focused history and perform a skillful physical examination of the neurology patient.

Medical Knowledge
Students will be able to Identify the basics of neurology and discuss specific neurology topics and demonstrate the aspects of a neurological examination.

Practice-Based Learning & Improvement
Students will be able to describe aspects of special procedures such as: lumbar puncture, EEG, EMG and Carotid Duplex Ultrasound.

Interpersonal and Communication Skills
Students will have the ability to communicate effectively with patients to elicit information during office visits and neurology consults.

Professionalism
Students will demonstrate respect for the dignity of the patient, appropriate patient confidentiality, and respond effectively to a patient’s questions and concerns.

Systems-Based Practice
Students will learn to evaluate and integrate community resources into the health maintenance of individual patients and their families.

ELEC 635

Clerkship Director:

Reporting Time:

Site:

Department of Veterans Affairs
Illiana Healthcare System
1900 East Main Street
Danville, IL  61832

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

One per period

Night Call Required

Weekends Required:

Yes, but only when student is on call.  Call is every fourth night.

Supervision:

Students are assigned to the neurology inpatient service.  Students are to make selected consultations under supervision.  Students attend the outpatient clinic two afternoons a week and neurology patient rounds in IMS once weekly.  Students observes all brain and CAT scans and other neurological investigations.  Didactic presentation and journal club participation as scheduled.

1. Patient Care - Students will be able to obtain a focused history and perform a skillful physical examination of the neurology patient.
   
2. Medical Knowledge - Students will be able to describe aspects of special procedures such as: lumbar puncture, EEG, EMG and Carotid Duplex Ultrasound.
   
3. Practiced-Based Learning & Improvements - Students will be able to identify the basics of neurology and discuss specific neurology topics and demonstrate the aspects of a neurological examination.
   
4. Interpersonal and Communication Skills - Students will enhance their communication skills with patients in order to elicit information during office visits and neurology consults.
5. Systems-Based Practice - Students will learn to evaluate and integrate community resources into the health maintenance of individual patients and their families.

ELEC 635

Clerkship Director:

K.S. Aronson, M.D. – (217) 383‑3440

Reporting Time:

Contact Dr. Aronson several days before rotation begins

Site:

Carle Clinic Association
602 West University Avenue
Urbana, IL  61801
  
Carle Foundation Hospital
611 West Park Street
Urbana, IL  61801

Length of Clerkship:

Dates:

Prerequisites:

Fourth-year medical students only

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

The student spends time seeing (and subsequently discussing) patients with each of the attendings in the office.  Time is spent discussing specific neurology topics as time permits.  Observation of special procedures may include lumbar punctures.  EEG’s, EMG’s, and possibly neurosurgery or radiologic procedures.  Should there be a resident (IM or Family Medicine) on the neurology service, the student will also work with them.  Attendance at noon medical conferences is required.

This rotation emphasizes the basics in neurology.  The student will become familiar with the neurologic examination.  The student will see and actively participate with neurology consults and office patients.  Daily attendance is required.  Over the four-week rotation, the student is exposed to a great deal of clinical neurology and works with all attendings of the adult neurology department.

1. Patient Care - Students will be able to obtain a focused history and perform a skillful physical examination of the neurology patient.
   
2. Medical Knowledge - Students will learn the pathophysiology, diagnostics and treatment modalities for common neurological disorders, including headaches, seizure disorders, TIAs/strokes, neurodegenerative disorders (Alzheimer’s, Parkinson’s, etc.), demyelinating disorders, movement disorders, encephalopathies, infections and neoplasms of the nervous system, sleep disorders, etc.
   
3. Interpersonal and Communication Skills - Students will learn the importance of communicating effectively with the neurological patient, his/her family, and all members of the health care team.
4. Systems-Based Practice – Students will learn to evaluate and integrate community resources into the health maintenance and individual patients and their families.

ELEC 865

Clerkship Director:

Mark David, R.Ph., M.S.
John Hill, M.D.

Reporting Time:

Site:

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

During the course of the elective, students will be exposed to various aspects of clinical nutrition and the impact nutrition has on a patient's health.

Patient Care
Students will have to ability to conduct a nutritional assessment-Caloric
         a.      Determination of energy/protein needs
         b.      Impact of medical condition on nutritional goal
         c.      Impact of medications on nutritional goal
         d.      Impact of dialysis and ventilation on nutritional goal

Medical Knowledge
Students will be facile at ordering nutrition support and monitoring nutrition support. 
Students will be able to develop parenteral and enteral nutrition plans
         a.      Carbohydrate and hyperglycemic control
         b.      Lipids and limitations
         c.      Protein requirements by disease states
         d.      Fluid volume
         e.      Micronutrients

and have the ability to determine relative merits/complications
a.      Enteral feeding
b.      Parenteral feeding
c.      Total calories vs. non-protein calories controversy

 and have the ability to recognize the relative merits/complications
a.      Enteral feeding
b.      Parenteral feeding
c.      Total calories vs. non-protein calories controversy
Practice-Based Learning & Improvement

Interpersonal and Communication Skills
Students will enhance their communication skills with patients in order to make the necessary nutritional assessments and treatment plans.

Professionalism
Students will demonstrate respect for the dignity of the patient, appropriate patient confidentiality, and respond effectively to a patient’s questions and concerns.

Systems-Based Practice
Students will be exposed to new horizons in nutrition support therapy.

ELEC 735

Clerkship Director:

Judi Chase, NP
Andy Arwari, MD
Ann Petry , MSW
Nurses working in the Carle Hospice Program

Reporting Time:

Site:

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

EVALUATION OF THE STUDENT

The student will be given feedback by the interdisciplinary palliative care team members at the end of the rotation and throughout the rotation as situations and circumstances dictate (e.g., at the conclusion of family meetings in which the student participated).  The student will be evaluated on a standard evaluation tool provided by the Department of Internal Medicine (see attached) and the evaluation will be reviewed with the student. Results of the pre and post-elective exam on palliative care will also be provided to the student.

EVALUATION OF FACULTY AND CLERKSHIP

The student will evaluate the faculty with whom he or she has worked on the elective and also evaluate the clerkship experience on standard survey instruments provided by the Department of Internal Medicine (see attached).

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Palliative Care Faculty

The student will be supervised by the MD and/or the NP on the palliative care team.  The student may also work with residents rotating on the palliative care service who may provide supervision at times.  Depending on the activity, other members of the palliative care team (e.g., social worker, pastoral care providers, hospice nurses) may also be involved in student supervision for periods of time.

The student will be introduced to common clinical issues in palliative care.  The student will gain experience in: the medical interview and physical examination, serving as a medical consultant, provider-patient communication, and functioning as part of an interdisciplinary care team. The student will be given opportunities to observe and participate in family conferences. The student will have the opportunity of making home visits with a hospice nurse.

1. Patient Care - The student will demonstrate the ability to interpret and evaluate data from the history and physical exam, laboratory and imaging studies and other tests to accurately determine the patient’s current health status, symptoms, and an assessment of the patient’s prognosis.  The student will demonstrate the ability to synthesize and apply information in order to develop an appropriate problem list and outline of therapeutic interventions addressing physical symptoms, psychological and spiritual issues, and social stressors for the patient and family while focusing on goals of care.  The student will be able to perform a comprehensive pain assessment and recommend pain management based on that assessment.  The student will demonstrate competence in the assessment and management of terminal symptoms such as delirium, dyspnea, nausea and vomiting, and constipation.
   
2. Medical Knowledge - The student will demonstrate a basic understanding of the scope and practice of palliative care and hospice and recognize the role of the interdisciplinary team in providing palliative care.  The student will be able to define the principles of pain and other symptom assessment and management.  The student will be able to explain the definition and use of advance directives and health care surrogates and be able to explain assessment of decision-making capacity.  The student will demonstrate understanding of the function and goals of family meetings.
3. Practice-Based Learning & Improvement - The student will develop a program of self-guided learning based on case exposure and palliative care resources provided as part of this elective.  The student will explain the interdisciplinary approach utilized to provide palliative care and elucidate the varied roles of the palliative care team members.  A short test addressing palliative care principles and practice will be completed by the student at the beginning and upon completion of the elective to assess improvement in knowledge and skills used in palliative care and to assist the student in focusing his or her self-directed learning.
   
4. Interpersonal and Communication Skills - The student will present concise, well-organized presentations to the interdisciplinary palliative care team on rounds.  The student will observe discussions of treatment goals, resuscitation status, and options for end-of-life care and demonstrate understanding of skills to address such issues with patients and families.  The student will demonstrate empathy.  The student will understand the role of a consultant and the importance of communication with primary treating teams and other consultants to gain relevant information and provide appropriate patient care.  The student will collaborate effectively with members of the interdisciplinary palliative care team and the hospice team.
   
5. Professionalism - The student will demonstrate respect for the opinions of all providing care to patients.  The student will be punctual in completing assigned duties and demonstrate positive regard for patients, family members, and all members of the interdisciplinary palliative care team.
   
6. Systems-Based Practice - The student will demonstrate appropriate interaction with all members of the healthcare team and recommend appropriate consultations (e.g., pastoral care, hospice) within the realm of palliative care.  The student will be able to list community-based resources to assist in patient management and discharge planning.  The student will demonstrate an appreciation of basic legal and ethical principles involved in the provision of palliative care.

Experiential and didactic as well as self-directed teaching methods will be employed throughout the elective. Students will complete initial consultative evaluations and identify palliative care issues in the realms of pain and symptom management, communication of treatment goals, and spiritual and psychosocial issues and stressors for the patient and family. Through discussions with members of the palliative care team, the student will assist in the development of treatment strategies and goals for the identified problems.

Students will be expected to attend relevant conferences during the elective. These include the monthly bioethics lecture, the weekly palliative care staff meeting, and, as relevant, the internal medicine quality conference, CPC, and grand rounds.

Students will be expected to review palliative care modules in textbooks and references provided for the elective (see references).

See typical schedule for the elective.

Typical Schedule

Monday                     

• 8:00 AM-12:00
  • see new consults and follow-ups, write notes
                                       
• 12:00-1:00 PM
  • noon conference if relevant, lunch
                                       
• 1:00-5:00 PM
  • round with attending and interdisciplinary team
  • directed learning using supplied references

Tuesday

• 8:00 AM-12:00  
  • see new consults and follow-ups, write notes
• 12:00-1:00 PM
  • noon conference if relevant (grand rounds)  
• 1:00-4:00 PM 
  • self-directed learning and consult work
• 4:00-5:00 PM
  • palliative care team meeting

Wednesday   

• 8:00 AM-12:00 
  • see new consults and follow-ups, write notes
  • self-directed learning
  • optional home visits with hospice nurse
• 12:00-5:00 PM
  • round with attending and interdisciplinary team
  • family conferences as needed
  • optional home visits with hospice nurse

Thursday                  

• 8:00 AM-12:00  
  • see hospital patients, new consults
  • self-directed learning
  • optional time with hospice program
• 12:00-1:00 PM
  • monthly bioethics conference
    
• 1:00-5:00 PM
  • round with team; family meetings
  • self-directed learning 
  • optional time with hospice program

Friday

• 8:00 AM-12:00  
  • see consults, follow-ups
• 12:00-5:00 PM
  • round with team, self-directed learning
    
  • optional time with hospice program

At the beginning of the rotation students will be given copies of some references to use during their time on the clerkship.  These include:

1. Quill TE, et al. Primer of Palliative Care, 4th edition, 2007American Academy of Hospice and Palliative Medicine
2. Byock I. Dying Well: Peace and Possibilities at the End of Life, 1997, Riverhead Books, NY
3. Dunn H. Hard Choices for Loving People, 4th edition, 2001, A&A Publishers, Lansdowne, VA
4. Carle Hospital Palliative Care and Pain Management Card

            Additional References provided to the student include specific articles:

1. Steinhauser KE, et al. Factors considered important at the end of life by patients, family, physicians, and other care providers. JAMA 2000;284:2476-2482
2. Steinhauser KE, et al. In search of a good death: Observations of patients, families, and providers. Ann Int Med 2000;132:825-832
3. Quill TA. Initiating end-of-life discussions with seriously ill patients:  Addressing the “elephant in the room”. JAMA 2000;284:2502-2507
4. Levy MH. Pharmacologic treatment of cancer pain. N Engl J Med 1996;335:1124-1132

           
            The student will be given access to the 14 CD collection, Palliative Care, Presentations for Medical Educators by Donald Weissman, MD, Medical College of Wisconsin.
Pertinent websites will also be provided to the students, e.g.

• www.eperc.mcw.edu
• www.kidneyeol.org
• www.aahpm.org

ELEC 735

Clerkship Director:

Usha Paruchuri, M.D. – (217) 554-4511

Reporting Time:

Site:

Geriatric and Extended Care Center
Department of Veterans Affairs
Illiana Healthcare System
1900 East Main Street, Danville, IL  61832

Length of Clerkship:

Dates:

Prerequisites:

Satisfactory completion of Medicine I Core Clerkship.  Satisfactory completion of M-3 year

Methods of Evaluation:

Students are evaluated on an ongoing basis by all attending staff the student has interacted with during the course of the clerkship.  Constructive criticism is given in areas of weakness and students are given assistance in improving skills.  Evaluation documentation is provided by chart audit mid-rotation reports and end of rotation forms which are shared with each student personally.  There will be no formal test.  The case based learning program will allow self-evaluation. 

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Supervision is by the Geriatrics and Extended Care Department staff and by a senior medical resident when on service.

The student gains experience in the extended care and outpatient management of geriatric patients including geriatric assessment in the outpatient clinic and evaluation and management of common geriatric syndromes.  In addition, the student gains experience in evaluating the patient as a whole by participating with a multi-disciplinary
care team.  Pathophysiology and problem solving are emphasized.

The student makes rounds with the attending and also participates in team conferences, as well as team rounds.  Readings are assigned and the students participate in informal discussions with the attending physicians.  There may be informal quizzes.  Time is allowed to observe and interact with other team members.  The student attends team conferences.  These team members include physicians, physical occupational and recreational therapists, dietician, social worker and psychologist.

1. Patient Care - Students will become familiar with the aging process, its impact of functional status, management of disease, and physiologic vs. pathological changes of aging, social, financial, and ethical issues of aging population. 
2. Medical Knowledge - Students will learn the basics of pain management in palliative care and have a better understanding of the care needs of long-term patients in relationship to the care giver role and burden. Students will learn to interpret common diagnostic and evaluative tests used in geriatrics; i.e., understand normal values for elderly and physiologic changes that occur with aging.
3. Practice-Based Learning & Improvement - Students will learn to diagnose and treat common geriatric syndromes – dementia, depression, incontinence, delirium, osteoporosis and fall.
4. Interpersonal and Communication Skills - Students will learn to communicate effectively with the geriatric patient, his/her family, and all members of the health care team.
5. Professionalism - Students will learn the major social, ethical and medico-legal issues that may be involved in end-of-life care, including caregiver burdens, living wills, refusal of treatment, competency, capacity, etc.
6. Systems-Based Practice - Students will become familiar with hospice and palliative care. They will be Introduced to nursing home care, LTAC/skill nursing, Medicare/Medicaid, NH rules and regulations, OBRA regulations and coding.

METHODS OF ACHIEVING GOALS

The geriatric rotation is a four-week experience provided by faculty members certified or eligible by the American Board of Internal medicine in both geriatrics and internal medicine.  In addition, the expertise of other faculty members is used in multi-disciplinary approaches to geriatric patients.  The clerkship is based at the Department
of Veterans Affairs, Illiana Healthcare System, Danville, Illinois.

1. Student will assist the resident and attending in the care of extended care and palliative care patients.  The student will perform history, physical examination, and outline treatment plans and problem lists for each case assigned and place his/her entry in the hospital chart within 24 hours.  Students are expected to be present for autopsy examinations of any patients they have followed.  Students will write orders under supervision of the resident/attending physician.
2. Daily work rounds.  The student will follow service patients.  While teaching is incorporated in these conferences, these are the basic patient-management rounds held daily.
3. Teaching rounds occur on a regular basis.  These rounds are organized around interesting patients in the hospital or in the ambulatory setting during the week.  Pathophysiology, diagnosis and therapy, basic science and new advances in medicine are discussed at these teaching rounds.
4. Outpatient geriatrics consultation (ambulatory experience).  The student will assist evaluating new patients and follow patients in the clinic setting.
5. Geriatric conferences.  The students are expected to attend the Geriatric Core Conference Series.  This conference series emphasizes pathophysiology, diagnosis and treatment, and incorporates basic science and recent advances in geriatric medicine.  The student may be asked to present one conference during this rotation.
6. Core Conference Series.  The student will be available at 1:00 p.m. to attend the other core conference series in medicine.

ELEC 746

Clerkship Director:

Sanjiv Jain, MD (217) 383-5182
Email:  Sanjiv.Jain@Carle.com

Reporting Time:

By arrangement

Site:

Carle North Clinic,
West 3
602 W. University Avenue
Urbana, IL  61801

Length of Clerkship:

Dates:

By arrangement with clerkship director

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Students see consultations in the hospital for possible admission to the rehabilitation unit.  Students admit the rehabilitation candidate and perform a history and physical.  They discuss pertinent rehabilitation issues with the admitting/attending physician.  The student makes rounds with the attending and also participates in team conferences. 

Readings are assigned and the students participate in informal discussions with the attending physicians.  Time is allowed to observe and interact with other rehabilitation team members including physical and occupational therapists, speech‑language pathologists, rehabilitation social work, case management, nutrition, and neuropsychology.  Outpatients are seen for musculoskeletal problems.

Exposure to electrodiagnosis, sports, spine, and industrial rehabilitation is provided.

1. Patient Care - Students will be able to obtain a focused history and perform a skillful physical examination of the patient with rehabilitation problems and musculoskeletal complaints.
2. Medical Knowledge - Students will learn to interpret common diagnostic and evaluative tests used in physical medicine, including electromyography, bone and joint x-rays, MRI scans. Students will have a better understanding of the pathophysiology, diagnostic and treatment modalities for common physical medicine problems, including musculoskeletal pain, physical disabilities, amputation, stroke, head injury, debility and various neurological impairments.
3. Practice-Based Learning & Improvements - Students will improve their ability to perform full rehabilitation assessment, including cognitive and emotional assessment, as well as evaluation of physical state. They will understand the role of physical medicine as a primary specialty and as an integral component of the rehabilitation team in rehabilitation problems.
4. Interpersonal and Communication Skills - Students will learn to communicate effectively with the rehabilitation patient, his/her family, and all members of the health care team.
5. Systems-Based Practice - Students will understand and appropriately order treatment interventions such as injections, physical modalities, physical, occupational and speech therapy and learn to evaluate and integrate community resources into the health maintenance and psychological support of individual patients and their families. Students will gain an appreciation of the cost-effectiveness of rehabilitation.

ELEC 625

Clerkship Director:

Reporting Time:

Site:

Carle Clinic Association
602 West University Ave.
Urbana, IL  61801

Length of Clerkship:

Dates:

Prerequisites:

Satisfactory completion of M‑3 year

Methods of Evaluation:

Informal daily interaction with faculty

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Students works with the pulmonary internists in rotation, in conjunction with an internal medicine resident.  Time is spent seeing outpatients (30–40% of total time), seeing hospital consultations and presenting cases to the pulmonary internists (30‑40%), and making inpatient pulmonary rounds.  Students research the literature on various pulmonary problems.  Students observe bronchoscopies.  A weekly chest medical-surgical conference emphasizes clinical decision process and x‑ray interpretation.  Considerable time is also devoted to outpatient evaluation of sleep disorders.  The eight-week rotation offers more opportunity to deal with such areas as difficult diagnosis and decision making in pulmonary medicine.  Program emphases are tailored to the student’s individual needs and career objectives.

1. Patient Care - Students will learn to interpret common diagnostic and evaluative tests used in pulmonary medicine, including arterial blood gasses, V/Q scans, pulmonary function tests, chest x-rays, CT scans.
   
2. Medical Knowledge - Students will be become more aware of the pathophysiology, diagnostics and treatment modalities for common pulmonary disorders, including COPD, pneumonia, pulmonary embolism, dyspnea, lung cancer, interstitial lung disease, and sleep disorders.
   
3. Practice-Based Learning & Improvement - Students will become familiar with ICU pulmonary medicine, with a focus on the use of mechanical ventilators and oxygen supplementation. Students will have the opportunity to observe and possibly perform common pulmonary procedures, including bronchoscopy, thoracentesis, and endotracheal intubation.
   
4. Systems-Based Practice - Students will understand the role of pulmonary disease as a primary specialty and as a member of the medical team in complex medical problems. Students will learn to evaluate and integrate community resources into the health maintenance of individual patients and their families

ELEC 625

Clerkship Director:

Reporting Time:

7:30 a.m. – place to be determined prior to rotation. 
Call Clerkship Director

Site:

Provena/Covenant Medical Center Ambulatory Care
1400 West Park Street
Urbana, IL  61801

Length of Clerkship:

Dates:

Year round, except June and July

Prerequisites:

Successful completion of M‑3 year

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Student’s assists the program director with obligations of pulmonary medicine at Provena/Covenant Medical Center and Christie Clinic.  They are assigned consultations, preparing and presenting cases for appropriate discussion.  She/he assists in the interpretation of pulmonary function studies and arterial blood gases, pulmonary exercise stress test, and is expected to obtain further understanding in the pathophysiology of most forms of pulmonary disease, for instance, chronic obstructive pulmonary disease, asthma, interstitial pulmonary diseases, primary pulmonary neoplasm, acute respiratory distress syndrome, and infectious processes of the lung.  Students also assist the program director with fiberoptic bronchoscopy, chest tube insertion, central line insertion, pulmonary rehabilitation and, interpretation of chest x-rays.  There is considerable ICU exposure.

1. Patient Care - Students will learn to interpret common diagnostic and evaluative tests used in pulmonary medicine, including arterial blood gasses, V/Q scans, pulmonary function tests, chest x-rays, CT scans.
   
2. Medical Knowledge - Students will be become more aware of the pathophysiology, diagnostics and treatment modalities for common pulmonary disorders, including COPD, pneumonia, pulmonary embolism, dyspnea, lung cancer, interstitial lung disease, and sleep disorders.
   
3. Practice-Based Learning & Improvement - Students will become familiar with ICU pulmonary medicine, with a focus on the use of mechanical ventilators and oxygen supplementation. Students will have the opportunity to observe and possibly perform common pulmonary procedures, including bronchoscopy, thoracentesis, and endotracheal intubation.
   
4. Systems-Based Practice - Students will understand the role of pulmonary disease as a primary specialty and as a member of the medical team in complex medical problems. Students will learn to evaluate and integrate community resources into the health maintenance of individual patients and their families

ELEC 850

Clerkship Director:

Reporting Time:

Site:

Length of Clerkship:

Dates:

Prerequisites:

Completion of 12-week Internal Medicine core clerkship

Methods of Evaluation:

Oral case presentation, written patient care records, presentation to hospital medical staff

Evaluations are completed by the site coordinator using input from all physicians and other professional staff with whom the student has interacted.  The evaluation is forwarded to the clerkship coordinator, who meets with the student on the final day of the rotation to review the evaluation with the student and to review the student’s evaluation of the clerkship experience.  A mid-cycle (2-week) feedback session with the preceptor is required.

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

On satisfactory completion of this clerkship, the student will understand the role of the rural generalist physician as a primary care provider and consultant in the ambulatory, hospital and extended care settings, and his/her relationship to practitioners of other disciplines.  The student will appreciate the difference between urban and rural practice setting in regards to specialty roles, differences in case mix, professional support, and financing.  The student will appreciate how limitations of resources may modify the delivery of patient care.  The learner will be better able to choose a personal career pathway.  The student will demonstrate increasing competency in the medical interview, physical examination, management planning, and inpatient care coordination with other health providers.

1. Patient Care - Students will have the ability to gather a comprehensive patient database, using all relevant resources. The student demonstrates patient-centered empathetic interviewing techniques. The student then consistently demonstrates the ability to separate normal from abnormal states, and develops a list of patient problems for further medical management.
   
2. Medical Knowledge - Students will be able to describe the knowledge and skills required for the rural practice of medicine and how these differ from urban practices.
   1. Emergency/trauma – farm safety
   2. Critical care
   3. Geriatrics
   4. General surgical skills
   5. Orthopedic and sports medicine
   6. Pediatrics
   7. Obstetrics
   8. Ambulatory skills
   9. Psychiatry/chemical dependency
   10. Personal development
       1. Time management
       2. Informatics
       3. Continuing education
       4. Practice management
• Describe community health resources at the clinical site, including resource limitations.
• Discuss personal advantages and disadvantages of rural practices and how the assigned rural practice might change to attract and retain a generalist physician.
  
3. Practice-Based Learning and Improvement - Students will be able to make decisions about further investigation or medical therapies based on the database for the most common ambulatory presentations.
4. Interpersonal and Communication Skills - Students will record an appropriately comprehensive written assessment of patients assigned and present an appropriately focused and succinct oral presentation of patients to the attending physician.
   
5. Professionalism - Students will be able to demonstrate advocacy for the welfare of patients above self.  Students will demonstrates a sensitivity to and respect for differences among people, and demonstrates decision making that is based on a non-judgmental approach to each individual.  Students will regularly seeks the consent and participation of patients in their care, demonstrating effective enabling or empowering techniques for patients. The student considers an attempt to respond to feedback provided by those with whom he/she works.  Students regularly identify learning resources and demonstrates facility in accessing information electronically through electronic search of the medical literature.
6. Systems-Based Practice - Student will be able to discuss community resources available for promoting the welfare of patients.  The student is a team player and regularly considers other health providers in the care of patients.  The student is sensitive to social and community differences in standards of care and expectations of the health care community and works with these.  Students are able to asses and then counsels patients about healthy lifestyles that promote wellness.  The student regularly reviews accepted interventions for health maintenance and disease prevention, such as appropriate age-based cancer screening, cardiovascular risk, diabetes screening, and immunization, for example.

Students are assigned in a preceptorial relationship to a rural site participating in the curriculum with a faculty member.  The student participates in all phases of the clinician’s work, including hospital, ambulatory-based, extended care responsibilities, and responsibilities as a community leader.  The student is expected to assess presenting patients in all settings and discuss these assessments with a faculty preceptor.  In most cases, the student practices in several rural sites to see the diversity of care in the rural community.
In order to maximize learning potential, the student rotates on call with the preceptor no more often than every fourth night.  Students are encouraged to reside in the assigned community during the clerkship.  In most situations, lodging is provided by the community.

Students are expected to research, organize, and develop an educational topic for presentation at a local hospital, medical staff, or other relevant hospital medical group as a required component of the clerkship experience.

ELEC 626

Clerkship Director:

Reporting Time:

Site:

Carle Clinic North (West 3)
602 West University Ave.
Urbana, IL  61801

Length of Clerkship:

Dates:

Year round.  Prior approval of rotation dates required.

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

One student per scheduled rotation.

Night Call Required

Weekends Required:

Supervision:

To introduce students to a good musculoskeletal examination and to introduce them to a variety of problems seen in a rheumatology practice.

1. Patient Care - Students will be able to obtain a focused history and perform a skillful physical examination of the rheumatology patient.
   
2. Medical Knowledge - Students will understand the pathophysiology, diagnostics and treatment modalities for common rheumatic disorders, including rheumatoid arthritis, osteoarthritis, gout, systemic lupus erythematous, and collagen vascular diseases.
   
3. Practice-Based Learning & Improvement - Students will understand the role of rheumatology as a primary specialty and as an integral component of the medical team in complex medical problems.
   
4. Interpersonal and Communication Skills - Students will be able to communicate effectively with the rheumatology patient, his/her family, and all members of the health care team.

ELEC 962

Clerkship Director:

Claudia Nugent, M.D., Coordinator – (217) 366-6162, c-nugent@illinois.edu

Reporting Time:

Site:

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Performance evaluation by supervising faculty and review of written paper.

Students are evaluated by both U.S. faculty and Moi University faculty under the overall supervision of the onsite team leader, a senior faculty person.  Students’ written papers at the end of rotation will be reviewed by the faculty.  Student performance is evaluated as proficient, advanced or outstanding.  Students will be evaluated continuously by local and U.S. faculty.

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

On-site faculty

1. Explain clinical presentation and management of common diseases in Kenya.
   
2. Demonstrate proficiency in history and physical examination skills.
   
3. Discuss the structure of medical care delivery and education in Kenya.
   
4. Relate Kenyan culture to health.
   
5. Reflect on differences and similarities in the American and Kenyan systems of health care delivery and education.
   
6. Demonstrate effective cross-cultural communication skills, knowledge, and attitudes.
   
7. Model collegial relationships and personal friendships with Kenyan health care professionals and students.
   
8. Support Kenyan counterparts.

Students will evaluate and manage patients admitted to medicine, pediatrics, or obstetrical services at the Eldoret Teaching and Referral Hospital, University of Moi, as assigned by supervising clinical faculty.

1. Participate in daily work rounds Monday through Friday mornings.
   
2. Participate in teaching rounds Monday, Wednesday, Friday.
   
3. Participate in weekly journal club.
   
4. Perform daily history and physical on at least one new patient admitted to the medicine and pediatric obstetric services on the Eldoret Teaching and Referral Hospital.
   
5. Participate in weekly x-ray conference.
   
6. Participate in ward activities from 2 to 5 p.m. Monday through Friday except when involved in clinical outreach programs or research.
   
7. Evaluate and manage patients presenting to the ambulatory care clinics referring to the Eldoret Moi Teaching and Referral Hospital.  The amount of time in the ambulatory clinics will be at the discretion of the faculty team leader.
   
8. Maintain a daily journal.
   
9. Develop, execute, and record a research project (optional).
   
10. Submit a written report related to the objectives above.
    
11. Participate in community outreach programs in conjunction with the community-based experiences in services program at Moi University Faculty for the Health Sciences.  Observe at one group tutorial at Moi University for the Health Sciences.

1. Students will engage in self-directed learning.
   
2. Visit the academic campus of Moi University.
   
3. Read a booklet of reprints and articles about health care, a history of Kenya, and contemporary news articles on Kenya.
   
4. Students must dress in a manner that reflects an understanding and respect of the local culture, and develop a rudimentary ability to speak Kiswahili.
   
5. All students must participate in required orientation seminars prior to committing to the Kenya elective.
   
6. It is expected that vacation time taken during the Kenya elective is minimized.
7. Students will discuss with a faculty preceptor in Eldoret the relationships of social, political, and economic forces in health care in Kenya and the United States.  The student will meet at least weekly with the team leader to review and discuss progress, perspectives, and insights.

ELEC 930

Clerkship Director:

Reporting Time:

Site:

Length of Clerkship:

Dates:

Year round

Prerequisites:

Satisfactory completion of Medicine I Core Clerkship

Methods of Evaluation:

The Clerkship Director will assign a grade based on the individual evaluations of all faculty members who have supervised the student during the rotation.  A multiple choice question quiz will be given at the end of the rotation on which the student must score at least 60% to pass the clerkship. 

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision:

Sleep Medicine Faculty

To teach students the importance of educating patients about good sleep hygiene and how to maintain and read sleep logs.  They will understand the various tests that are performed in the laboratory and why they are ordered.  The basic etiology of hypersomnia (increased sleepiness), insomnia, parasomnia (abnormal behaviors in sleep), circadian sleep disorders (jet lag, delayed sleep phase syndrome) and restless legs syndrome will be discussed.  Polysomnograms will be viewed on a daily basis and recognition of the various sleep stages and their importance in sleep medicine will also be reviewed.  Additional focus will be given to the diagnosis and management of the patient with insomnia.

1. Patient Care - Students will be able to obtain a focused history and perform a skillful physical examination of the patient presenting with sleep disorders. In addition the student will have incorporated the skill of history taking in any patient with regards their sleep habits and problems.
   
2. Medical Knowledge - Students will understand the pathophysiology, diagnostics and treatment modalities for common sleep disorders, including sleep disordered breathing, restless leg syndrome (periodic limb movements in sleep), narcolepsy (and other hypersomnias), insomnia, jet lag (and other circadian rhythm sleep disorders), night terrors, sleep walking and other, parasomnias. Students will learn the different stages of sleep and how these are affected by different disorders, and that a certain sleep stage brings about the presentation of a particular problem. Students will gain familiarity with common pharmacological agents used in sleep medicine including stimulants and light therapy.
   
3. Practice-Based Learning & Improvement - Understand the importance of good sleep hygiene and how to effectively transmit this information to the patients.  Also learn how to gather information regarding sleep routines to shed light on a particular disorder. Become familiar with the variety of tests that are performed in the sleep laboratory.  By the end of the rotation, a student will have a good understanding of why certain tests are indicated to facilitate better use of scarce resources such as a sleep laboratory.
   
4. Interpersonal and Communication Skills - Students will learn to communicate effectively with the patient presenting with a sleep disorder, his/her family, and all members of the health care team. 
   
5. Systems-Based Practice
   By the end of the rotation, a student will have a good understanding of why certain tests are indicated to facilitate better use of scarce resources such as a sleep laboratory.

1. Patient Care – initially the student will shadow the attending physician in clinic, learning the basics of history taking.  Then the student will evaluate patients in the clinic and present them to the attending physician. 
   
2. Conferences  - Students will participate in the following conferences: 
   1. Sleep Case Conference (4th Monday of the month at 7:30 a.m.)
   2. Neuroradiology Conference (3rd Thursday of the month at 12 Noon)
      
3. Procedures  - Observe set up of one Sleep Study during the two weeks within the first three days of the rotation.  Observe one to two polysomnograms each day with the attending.
   
4. Required Reading  - Normal Sleep; Sleep in Aging; Teen Sleep; Obstructive Sleep Apnea; Restless Legs Syndrome; Narcolepsy.  View the sleep foundations movies on sleep hygiene.

ELEC

Clerkship Director:

Reporting Time:

Site:

Length of Clerkship:

Dates:

Prerequisites:

Methods of Evaluation:

Students Per Rotation:

Night Call Required

Weekends Required:

Supervision: