Faculty Practice Good Samaritan Hospital

Course No.:  AMBL 709G
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Traci Aul, 503-413-4190

In this multi-specialty clinic, students work with the Internal Medicine Faculty in their private practices. They are exposed to patients of multiple social and economic backgrounds and gain experience in hands on primary care of complex patients. During the rotation, the student will spend time with our geriatrician and rheumatologist as well. Their sessions with the Internal Medicine faculty will expose them to the diverse opportunities of internal medicine including HIV care and preventive medicine. The electronic medical record and interdisciplinary approach to patients will expose them to innovative methods of outpatient medicine. The emphasis on evidence based approaches and availability of real-time electronic information resources enhance the learning experience. Students participate in our noon conference lecture series as well as continuity clinic conference.

Faculty Practice St. Helens Clinic

Course No.:  AMBL 709H
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Taci Aul, 503-413-4190

This unique clinic allows a rural medicine experience close to home. Legacy Clinic St. Helens is located 40 minutes west of Portland in the small community of St. Helens. The clinic serves the diverse population residing in that community and allows the student to learn common internal medicine diagnoses in an environment that encourages problem solving at the site and use of electronic information resources. Opportunities to work with many subspecialties including cardiology, urology, and otolaryngology are available. The clinic's close proximity to a skilled nursing facility allows the student to learn care models across the continuum.

Faculty Practice St. Vincent Medical Center

Course No.:  AMBL 709S
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Dr. Robert Gluckman, 503-216-2621

Students learn the principals of longitudinal care of adults. Students are exposed to a private practice model for ambulatory education and includes exposure to managed care and fee for service delivery system. A computerized medical record and on-site literature search capability, allows students to be exposed to innovative aspects of information technology and management. Students attend daily morning reports, noon conference, and afternoon pre-clinic conference. Principals of using the medical literature to solve everyday patient problems are emphasized. Exceptional exposure to community based practice setting that emphasizes intellectual curiosity and provides students an opportunity to participate in primary care internal medicine. *NOTE: Closed to 3rd year students prior to June elective block. Three months advance notice to sign up or cancel.

Arthritis/Rheumatic Disease Consult - NO LONGER OFFERED

Course No.: 
Duration: 
Credits: 
Term: 
Prereq:
Contact:

Arthritis/Rheumatology - Sacred Heart Medical Center, Eugene

Course No.:  ARTH 709H
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Chris Traver, 541-686-6863

Students are expected to learn diagnosis/therapy of common rheumatic disorders, interpretation of lab tests and musculoskeletal x-rays, and simple procedures such as joint injections. Problems commonly seen include osteoarthritis, rheumatoid arthritis, systemic lupus erythematosus, osteoporosis, gout, bursitis, vasculitis and fibromyalgia. Students participate in approximately five outpatient clinics per week averaging 1-2 new patients each clinic or 4-5 return patients. No call responsibilities. Students assist and possibly perform joint aspiration/injection, tendon injections, and bursa injections. Conferences include medical Grand Rounds at Sacred Heart Medical Center, Rheumatology journal club, and daily tutorials based on assigned reading.

Cardiology Consult - OHSU

Course No.:  CARD 709A
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Mary Olhausen, 4-8676

Students are expected to refine their skills at taking a cardiac history and perform an examination of the cardiovascular system. They will learn how to perform a consultation on a patient at the request of another physician and to interact productively with other physicians who have primary responsibility for the care of the patient. They will learn the role of common diagnostic tests used in cardiology for management of patients. They will gain experience in interpretation of electrocardiograms and the performance and interpretation of exercise treadmill tests. Commonly seen conditions include coronary artery disease at all of its stages, heart disease requiring non-cardiac surgery, valvular heart disease, and infective endocarditis. Students respond to requests for consultation by evaluating the patient, analyzing the data, preparing a diagnostic and management plan, record a note in the patient record, and present the patient to the attending physician. Students regularly interpret electrocardiograms and review them with the attending physician. No call responsibilities.  Students will observe and perform procedures including assisting with performance of treadmill exercise tests, cardiac catheterization procedures and other cardiac diagnostic tests. Conference includes Grand Rounds, Cardiac Catheterization Conference, ECG Conference, Pathophysiology Conference, Clinical Case Conference, and other subspecialty conferences. Students work with a cardiology consulting resident, a fellow if one is assigned, and the attending assigned for the month. Evaluation is performed by the attending and residents completing standard evaluation forms and discussing the performance with the student. Informal evaluations may occur from time to time in response to specific case presentations. At the end of the rotation, students will have increased skills in the assessment of patients with heart disease.

CCU at OHSU

Course No.:  CARD 709B
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Mary Olhausen, 4-8676

University Hospital CCU and Cardiology Ward (CARD 709B) - Students will join a University Hospital combined coronary intensive care unit and cardiology ward team. Subinterns will function as interns in evaluating patients and establishing diagnostic and therapeutic plans. Recognize, assess and manage patients admitted to Cardiology ward and CCU in cooperation with cardiology fellows, faculty, and medicine housestaff. Improve skills in taking a history related to cardiac disease, performing physical examination and interpreting EKG's. Develop understanding of value of cardiovascular tests and therapies. Full participation on the team with primary responsibilities for assigned patients and knowledge of all patients on the service. Students will be on call with the housestaff team. Students will observe cardiac catheterizations and electrophysiology studies. Participate with ward team on line placement and exercise tests. Students attend CCU rounds, medicine housestaff conferences, cardiology conferences, and weekly fourth year student tutorial sessions with the medicine subinternship director.  Call occurs every 4th nights. Evaluation is by observed clinical performance and case presentations.

Cardiology Consult - St. Charles Medical Center - NO LONGER OFFERED

Course No.: 
Duration:
Credits: 
Term: 
Prereq: 
Contact: 

Cardiology/Arrhythmia Consult - Good Samaritan Hospital

Course No.:  CARD 709G
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Dr. Jack McAnulty, 503-413-4290

Cardiology/Arrhythmia Consult at Good Samaritan Hospital.  Daily work with Attending Cardiologist. Objective is to gain basic experience in clinical cardiology, particularly electrophysiology. Student responsibilities include seeing patients in the hospital and in clinics, and attending/assisting in procedures such as pacemaker or defibrillator placement, electrophysiology studies, and ablation procedures. Students also practice reading approximately five EKG's per day, and review with attending physician. Daily internal medicine conference and weekly cardiology conference.

Electrocardiolography - OHSU

Course No.:  CARD 791A
Duration:  8 weeks
Credits:  1
Term:  Fall, Spring
Prereq:  None
Contact:  Dr. Ulrich Luft, 4-8676

This introductory course consists of conferences devoted to the techniques, physiological bases and interpretation of electrocardiography. (Meets 2 hours per week)

Cardiology Consult - Sacred Heart, Eugene

Course No.:  CARD 709H
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 72-
Contact:  Irene Sogge, 541-686-7173

Students will be working with physicians from Oregon Cardiology, a high volume practice. They will be exposed to a full spectrum of cardiac pathology including heart artery disease, cardiac dysrhythmias, heart valve disease, and heart failure. During the rotation, students will see both new and follow-up patients in a variety of hospital and clinical settings such as the ICU, office, catheterization lab, and operating room. Students will be expected to learn how to organize and present a routine cardiac history and physical exam. Students will formulate assessments and plans based on their patient encounters. Focused reading of guidelines, textbooks and pertinent literature should support these assessments. Through this process, it is expected that the student will become familiar with the manifestations and treatment of common cardiac pathology. Students will be exposed to the full range of cardiac diagnostic and therapeutic modalities; including, open heart surgery, cardiac catheterization, echocardiography, nuclear cardiology, electrocardiography, electrophysiological testing and non-invasive stress testing. Students will be expected to understand the basic utility of these modalities as they apply in the broad context of medical care. At the end of their rotation it is hoped that students will better be able to: 1) recognize commonly encountered cardiac pathophysiology; 2) know how to initiate a course of treatment/investigation/consultation based on their assessments; 3) understand the role cardiologists play in caring for the medical and surgical patient.

Research in Lipid Metabolism/Clinical Nutrition - OHSU

Course No.:  ENDC 701B
Duration:  TBA
Credits:  TBA
Term:  Any
Prereq:  None
Contact:  Drs. William Connor and Roger Illingworth, 4-2002

Students are provided with opportunities to participate in laboratory and clinical investigations in the field of metabolism. The exact topic would vary, based on interest. Students design their plans based on interest. Patients can be seen with staff in lipid clinic to get patient exposure. Strictly outpatient. Students work with research staff in lab setting. Research may lead to publication. Evaluation based on summary of research findings and methods learned, interactions with preceptor and colleagues, and any clinical case presentations from time spent in the lipid clinic.

Endocrinology Metabolism Consult - OHSU

Course No.:  ENDC 709A
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Paula Bisaccio - 4-9588
               Dr. Kathryn Schuff - 4-1685

Students learn essentials of the evaluation and management of inpatient and outpatient clinical endocrinology and metabolism. Problems commonly seen include diabetes, lipid diseases, metabolic bone disease, disorders of thyroid, pituitary, adrenal and gonadal functions. Outstanding opportunity to learn about many disorders frequently not seen or discussed in other areas. Students see 5-12 patients per week in the University and VA Med Center General Endocrinology, Diabetes, Bone and Mineral and Obesity clinics, as well as 5-10 patients per week on the inpatient Endocrine consult service. Conferences include Endocrine Grand Rounds, Journal Club, and Clinical Case Conference. Students will work as part of a team of residents, fellows, and attendings. No call responsibilities. Evaluation is by observed clinical performance, case presentations, and knowledge of the subject area.

Gastroenterology Consult - OHSU

Course No.:  GSTR 709A
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Dr. David Lieberman, 4-8577

Students learn an integrated approach to the diagnosis and therapy of gastroenterology diseases with emphasis on pathophysiology and exposure to the utility and application of the various diagnostic therapeutic endoscopic procedures. Problems commonly seen include diagnosis/treatment of GI bleeding, abdominal pain, peptic ulcer disease, gastrointestinal tumors, pancreatitis, chronic liver disease and inflammatory bowel disease. Students see approximately two inpatient consults per day and in addition to other consultations seen as emergencies or in the weekly Tuesday GI clinic. No night call responsibilities. Conferences include Grand Rounds, GI Medical Surgical Conference, GI Pathology Conference, Hematology/Biliary Conference, and GI Research Conference. Students work with a team of medical resident, GI fellow and GI Attending. Evaluation is by observed clinical performance.

Gastroenterology Consult - Sacred Heart, Eugene

Course No.:  GSTR 709H
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Irene Sogge, 541-686-7173

Students learn an integrated approach to the diagnosis and therapy of gastroenterology diseases with emphasis on pathophysiology and exposure to the utility and application of the various diagnostic therapeutic endoscopic procedures. Problems commonly seen include diagnosis/treatment of GI bleeding, abdominal pain, peptic ulcer disease, gastrointestinal tumors, pancreatitis, chronic liver disease and inflammatory bowel disease. Students see approximately two inpatient consults per day and in addition to other consultations seen as emergencies. No night call responsibilities. Conferences include Medicine Grand Rounds and GI Pathology Rounds. Evaluation is by observed clinical performance. Students will be based at Sacred Heart Medical Center, a 432 bed tertiary care hospital in Eugene.

Human Nutrition - OHSU

Course No.:  GMED 705E
Duration:  10 weeks
Credits:  1-2
Term:  Winter
Prereq:  MSCI 612
Contact:  Sonja Connor, MS, RD, LD, 4-7775

Nutrition information and experiences that have not yet been incorporated into the curriculum will be provided. Students will become acquainted with OHSU faculty members and outside professionals who are involved in nutrition research and/or nutrition counseling in their practices. Nutrition topics of interest will change from year to year. Students may write a paper for second credit.

History of Medicine - MS1

Course No.:  GMED 705F, G, H
Duration:  10 weeks
Credits:  1/2
Term:  Fall, Winter, Spring
Prereq:  MS1
Contact:  Dr. Pete Sullivan, 4-0767

This course covers the major periods and figures in the history of medicine. Students are expected to gain enhanced appreciation for the rich history of the profession, knowledge of famous individuals and important trends, a deeper understanding of major developments in basic science and patient care, and augmented perspective on how medicine might change throughout their careers. Instructors have been chosen based on their expertise and experience in various fields of medicine.

History of Medicine - MS2

Course No.:  GMED 705I, J, K
Duration:  10 weeks
Credits:  1/2
Term:  Fall, Winter, Spring
Prereq:  MS2
Contact:  Dr. Pete Sullivan, 4-0767

This course covers the history of developments in clinical medicine and is designed to follow the pathophysiology of disease curriculum. Students are expected to gain enhanced appreciation for the rich history of the profession, a deeper understanding of major developments in basic science and patient care, and augmented perspective on how medicine might change throughout their careers. Instructors have been chosen based on their expertise and experience in various fields of medicine.

Clinical Skills Workshop - OHSU

Course No.:  GMED 705M
Duration:  5 2-hour session
Credits:  1
Term:  TBA
Prereq:  MS1 or MS2
Contact:  Drs. David Kagen and James Bartruff, 4-9000

The aim of this course is to help medical students become more resourceful clinical volunteers in the community. The course provides opportunity to practice these skils. The course will include sessions on ECG, vaccinations, phlebotomy, blood pressure and social work resources. Size of class is limited to 20.

End of Life Elective - OHSU

Course No.:  GMED 705P
Duration:  5 weeks
Credits:  1
Term:  Spring
Prereq: 
Contact:  Dr. Paul Bascom, 4-6551

The course is intended to provide medical students with an opportunity to explore non-clinical aspects of end of life care, primarily from the patient's perspective, with an emphasis on hospice care. The course includes a combination of three large group discussions, selected reading assignments and opportunities for pairs of students to meet with a hospice patient. The cornerstone of this course is the opportunity for students to sit down in an informal atmosphere and talk with someone currently facing a terminal illness. The focus of the time with the patients is not intended to be on the clinical aspects of the care the students may be asked to provide to their future patients, but rather to learn about both broader end of life issues and how patients view the role of the physician in their overall care.

The Origins of Medical Terminology

Course No.:  GMED 705T
Duration:  10 weeks
Credits:  1 (non-clinical)
Term:  March - May (Thurs from 12:00-1:00)
Prereq:  MS1 or MS2
Contact:  Dr. Lynn Loriaux, 4-1564

The aims of this course are to provide students with the tools necessary for understanding and interpreting medical terminology.  Students will be introduced to the Greek and Latin roots of medical words, the essential grammatical structures inherited from the ancient languages, and the importance of prefixes, suffixes, and bases in word building.  Later classes will explore the terminology specific to the muscular-skeletal, integumentary, respiratory, cardiovascular, digestive, urinary, reproductive, and nervous systems and the special senses.  Classes meet in BS 4320.

Physical Diagnosis - OHSU

Course No.:  GMED 709A
Duration:  4 weeks (1/2 time)
Credits:  3
Term:  Any
Prereq:  MS2 or MS3
Contact:  Dr. Peter Sullivan, 4-0767

This is a primarily a self-directed course and its design is up to the individual student and faculty mentors on a case-by-case basis, but the following are some objectives. Student will get in touch with the hospitalists and their teams who are covering the wards for the VA and OHSU, and ask for patients with interesting physical findings. The student will then go see the patient alone, and then with one of the attendings who are participating in the course each day. Student will attend physical diagnosis rounds on Tuesdays following medicine grad rounds. In addition, student will try to gather patients to present at these rounds, or for a possible Thursday afternoon session with 1st and 2nd year students. Key findings that should be covered in these rounds include: (1) Cardiac: AS, AI, MS, MR, JVD (2) Lung Exam: Asymmetry of vocal fremitus (3) GI: Palpable livers, spleens, ascites and associated findings. Student will also contact various subspecialty clinics and get acquainted with the key physical findings an internist should know from that subspecialty. *Please note that this clerkship consists of four weeks of half-days.

Clinical Experience Community Volunteer Medical Clinic

Course No.:  GMED 709C
Duration:  TBA
Credits:  Audit only
Term:  Any
Prereq:  MS2
Contact:  Dr. Jim Reuler, 503-220-8262 x55582

This elective provides a mechanism to volunteer with The Wallace Medical Concern--a non-profit agency providing free health care services for homeless, and medically needy adults in the Portland area. Clinics are in the evening. This elective also provides an umbrella for any student interested in doing a community health project for which there is no other elective available to fulfill this. Consultation with Dr. Reuler is available, where credit/evaluation would be determined. No call responsibilities and no required conferences. Students work with volunteer physicians, nurses, interpreters, and other health care professionals. Audit credit--no formal evaluation. Students learn about the homeless and community health resources, evaluation of ambulatory patients and expand differential diagnosis.

NARA Volunteer Clinic

Course No.:  GMED 709D
Duration:  Three 8-hour Saturday sessions
Credits:  1
Term:  Any
Prereq:  MS1 or MS2 and accepted application
Contact:  Dr. Jim Reuler, 503-220-8262 x55582

The number of students is limited by the number of clinic days at NARA. The course director will select students based on application of the number of interested students exceeds the maximum. The goals of this one-credit clinical elective are 1) to expose medical students to cultural issues that arise when working with Native American patients, 2) to educate medical students about health care needs of Native Americans in the Northwest, and 3) the help medical students gain experience in basic clinical skills. Student responsibilities during clinic include patient intake, taking vitals, obtaining a medical history, educating the patients when appropriate, and assisting with clinical test or procedures when requested by the providers.

Hospitalist - Emanuel Hospital

Course No.:  GMED 709E
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Dr. Dan Gilden, 503-413-4190

Legacy Emanuel Hospital Internal Medicine Program offers a rotation which is entirely an inpatient elective, working one-on-one with a hospitalist (usually Dan Gilden, MD). The student and preceptor will see patients both together and separately. The student will be responsible for researching a couple of questions from the patients seen each day. The student will go on attending rounds, ICU check out rounds, and noon conferences. Call responsibilities will consist of periodic extended work hours and some weekend responsibilities. The learning goals for the rotation will include developing and approach to the initial evaluation of hospitalized patients as will as on-going care. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. *NOTE: Closed to 3rd year students prior to June elective block.

Kenya Experience

Course No.:  GMED 709K
Duration:  4-8 weeks
Credits:  6-12
Term:  TBA
Prereq:  IMED 720
Contact:  Drs. Mark Rosenberg and Kelly Krohn, 503-215-2863

Providence Medical Center is part of a consortium of teaching hospitals in the US that have been sending teams of attending physicians, medicine residents and students to Moi University to assist in teaching the Kenyan medical students and to get an experience in the practice of third world medicine. OHSU students will be part of a team from Providence Medical Center that will participate in teaching rounds and giving regular teaching conferences to the Kenyan students. Evaluation of the student will include observed performance by the teaching attending and the medicine resident. Students will be asked to report on their experience to the program directors and other interested faculty and students upon their return. Students will gain experience in the dramatic difference in providing healthcare in a third world country and will get to participate in the care of many diseases not common to the US. Students will gain experience in caring for HIV patients without significant resources.  Interested students will be interviewed by the course director and the attending physician of the available team prior to approval of the rotation to determine whether this experience is appropriate for the applying student.

Clinical Experience Medicine/Away

Course No.:  GMED 709Z
Duration: 
Credits:
Term:
Prereq:
Contact:  Mary Olhausen, 4-8676

Medical students are responsible for making their own arrangements for an away rotation.  Students must (1) Receive approval from Department of Medicine (submit "Away Elective Form" to Mary Olhausen, and (2) Receive approval from Student Affairs Office.

Geriatric Medicine Consult - OHSU

Course No.:  GERI 709A
Duration:  4 weeks
Credits:  6
Term:  Any, except January
Prereq:  IMED 720
Contact:  Dr. Carol Joseph, 503-220-8262, x57749

The student may work at two sites, I.e., one site for the first two weeks and then a different site for the last two weeks. Alternatively, she or he may choose to train at just one of the site for the entire four weeks. Sites include a rehab and nursing home facilty at the Vancouver VA, Hip Fracture Service at Good Samaritan Hospital, Legacy, and Housecalls, Inc., based in SE Portland. Two weeks lead time for add/drop.

Sub-Internship in Geriatrics - Sacred Heart

Course No.:  FAMP 709H, **Please see Family Medicine Electives
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Irene Sogge, 541-686-7173

Family Medicine elective.  Students will receive in-depth exposure to clinical geriatrics across the spectrum of care settings. They will develop and refine skills in caring for older patients and acquire knowledge and understanding of how to recognize, assess, and manage conditions common in elderly patients. The students’ time will generally include two days a week at the outpatient clinic, the Senior Health and Wellness Center, two days a week in care facilities, and one day for independent learning and exposure to other disciplines, such as hospice, neuropsychiatry, and wound care. In the clinic, students will have the opportunity to interview and examine patients, present and discuss the patients’ care with the attending, and participate in the weekly interdisciplinary team meeting. In the skilled nursing facility, students will work-up and follow patients weekly in sub-acute rehab (post-hospitalization), independently develop assessments and plans for these patients and create ‘shadow charts’ to follow them. They will participate in family meetings/care planning discussions as these arise. The student will present and discuss a patient at the care facility “Grand Rounds”, an educational in-service for nurses and other staff, weekly case discussions and didactic sessions, and read/self-direct learning to cover common geriatric conditions.

Research in Hematology Medical Oncology - OHSU

Course No.:  HEMA 701A
Duration:  4-8 weeks
Credits:  TBA
Term:  Any
Prereq:  None
Contact:  Dr. Charles Lopez, 4-8534

Students perform laboratory research in Hematology or Oncology under the supervision of division faculty. There is a wide variety of research in hematopoiesis, leukemia, cancer, coagulation, and other related fields.

Hematology Medical Oncology Consult - OHSU

Course No.:  HEMA 709A
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Dr. Craig Nichols, 4-6346

Students learn to manage, diagnose and treat common hematologic/oncologic diseases. Use and interpretation of chest, abdominal, bone x-rays, CT Scans, MRI, and nuclear medicine scans as well as interpretation of blood and bone marrow smears, and the management of oncologic emergencies. Problems commonly seen include anemia, neutropenia, thrombocytopenia, lung cancer, head and neck cancer, colon cancer, prostate cancer, lymphoma, leukemia, and myeloma. Students manage 2-3 patients per week in the inpatient setting. 1-2 patients per week will be seen in the outpatient setting. The outpatient experience will be scheduled once each week. Opportunities to observe and perform procedures include bone marrow aspirations, biopsies, interpretation of blood smears and bone marrow smears. Conferences include Morning Report, Grand Rounds, Pathology Slide Conference, Hematology Journal Club, Lymphoma Conference, Clinical Case Conference, and Case Management Conference where students present particularly difficult cases.  Students work with a team of one full time attending physician, a subspecialty Hematology/Oncology fellow, intern, RN admissions coordinator, two nurse practitioners or physician assistants, a social worker, a psychiatrist and an RN member of the Pain Team. Students are provided with a volume of directed clinical reading to cover essential elements in Hematology/Medical Oncology. Evaluation is by clinical performance, weekly informal oral examinations on the assigned reading, quality of case presentations, and humanistic skills. With the intense involvement of students in both the inpatient & outpatient arenas, with such a cohesive course curriculum, unique skills in Hematology/Medical Oncology should be acquired. Should unique patients be cared for by the students, careful evaluation and documentation may lead to a case report that may be submitted for publication in the medical literature.

Hematologic Malignancies and Bone Marrow Transplant Subinternship - OHSU

Course No.:  HEMA 709B
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Dr. Richard Maziarz, 4-4606

The student will join the University Hospital Hematologic Malignancies and Bone Marrow Transplant service consisting of one attending, two nurse practitioners ad in most months, one fellow. The subintern will evaluate patients and establish diagnostic and therapeutic plans. Students report to the fellow or attending and will be responsible for writing and obtaining co-signatures on all orders and notes. Evening and night call are expected but are not prescheduled; students will be expected to return to the hospital outside of usual work hours for evening emergencies or for participation in transplants as these events arise. The Hematologic Malignancies and Bone Marrow Transplant Service is a tertiary referral service that manages patients with diverse hematologic malignancies. Patients with leukemia, lymphoma and multiple myeloma are routinely admitted for elective chemotherapy or for complications of these therapies for their associated immune deficiency states. Additionally, an average of over two patients per week are admitted for bone marrow transplantation.  Conferences include Morning Report, Attending Rounds, Leukemia/Lymphoma conference and Hem/Onc Felloe Teaching Rounds. Independent learning and review will be facilitated through access to written materials and CD-Rom Education Sessions from the American Society of Hematology. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. Objectives: Become familiar with acute leukemia presentation and management; Develop expertise in the evaluation and management of patients with extreme immune deficiencies; Learn management of neutropenia and neutropenia with fever; Participate in bone marrow transplantation procedures; Enhance familiarity with career options within hematology/oncology. NOTE: Closed to third year students prior to June elective block.

Hematology/Oncology Consult - Sacred Heart Medical Center, Eugene

Course No.:  HEMA 709H
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Chris Traver, 541-686-6863

Students will participate in consultation, evaluation and management of a broad spectrum of neoplastic diseases. This is primarily an outpatient experience at the Willamette Valley Cancer Center. There will be opportunity to learn more about Radiation Therapy as well. Hematologic problems will be a significant part of the learning experience. Rounds at Sacred Heart Medical Center are made daily and inpatient consultation will also be expected. No night call responsibility. Students will attend weekly tumor boards in specific areas allowing for clinical, pathologic and radiologic correlation. Evaluation will be based on observed performance.

Infectious Disease Consult - OHSU

Course No.:  INFD 709A
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Dr. Brian Wong, 4-7735

Students learn clinical and laboratory approaches to the diagnosis and therapy of infectious diseases. Students participate in both the OHSU and VAMC infectious diseases rounds. The will work up and present new consultation service patients, and participate in Division Conferences. A bench-side and didactic Clinical Microbiology program is integrated into the course. Placement is within a combined OHSU/VAMC rotation.  *Note: Closed to 3rd year students prior to June elective block.

Infectious Disease Consult - Sacred Heart Medical Center, Eugene

Course No.:  INFD 709H
Duration:  4 weeks
Credits:  6
Term:  Any, except June - August
Prereq:  IMED 720, *see below
Contact:  Chris Traver, 541-686-6863

Students obtain a working knowledge of the management of common infectious diseases. Management will include diagnostic procedures and appropriate use of antimicrobial agents. Students will participate in the ID consultative service which involves both outpatient and inpatient consultation. They will perform 2-3 complete consultations per week. In each instance, they evaluate patients independently and then present their findings to the infectious diseases faculty. They are then obligated to follow the course of the patient's illness for the duration of hospitalization and outpatient follow-up where appropriate. There are home reading assignments with learning objectives. Students also are required to complete a medical knowledge self-assessment test in the area of infectious diseases. Students may also have an opportunity to participate in a clinical trial on an outpatient and inpatient basis. *NOTE: Closed to 3rd year students prior to June elective block.

Infectious Disease Consult - Providence Medical Center

Course No.:  INFD 709P
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Mary Olhausen, 4-8676

Students obtain a working knowledge of the management of common infectious diseases. Management to include diagnostic procedures and appropriate use of antimicrobial agents. Students will participate in the ID consultative service which involves both outpatient and inpatient consultation. They will perform 2-3 complete consultations per week. In each instance, they evaluate patients independently and then present their findings to one of the four infectious diseases faculty. They are then obligated to follow the course of the patient's illness for the duration of hospitalization (and outpatient follow-up where appropriate). There are home reading assignments with learning objectives. Students also are required to complete a medical knowledge self-assessment test in the area of infectious diseases. Students will participate in the weekly city-wide infectious diseases conference.  *NOTE: Closed to 3rd year students prior to June elective block.

Nephrology Hypertension Consult - OHSU

Course No.:  NEPH 709A
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Dr. Sharon Anderson, 4-8490

Students are expected to learn the clinical approach and therapy of common renal diseases and hypertension. Students are active participants on the nephrology inpatient consultation services at the VA Medical Center and University Hospitals. Problems commonly seen include acute renal failure, glomerulonephritis, nephrotic syndrome, electrolyte and acid-base abnormalities, diabetic nephropathy and hypertension. Students also participate in renal and hypertension clinics. Students average one new patient per day on the inpatient consultative service and generally follow between 3-5 patients. Students may attend clinic one half day per week and see between 2-4 patients. Students may observe placement of central catheters for hemodialysis and renal biopsies. Conferences include Clinical Case Conference, weekly Nephrology Didactic Sessions, Nephrology Journal Club and Medicine Grand Rounds. Students work with a team of two residents, one or two nephrology fellows and an attending nephrology staff. Written evaluation and oral feedback are provided based on observed case presentations and knowledge acquired.  Students will acquire a good understanding of the management and diagnosis of renal disease and hypertension. *NOTE: Closed to 3rd year students prior to June elective block.

Nephrology Transplant Consult - OHSU

Course No.:  NEPH 709C
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Dr. Douglas Norman, 4-7880

Students are expected to learn about the evaluation and management of patients undergoing renal transplantation, including pre-transplant evaluation and post-operative management. In addition, they are expected to learn about short and long term complications of renal transplantation. Activities include participation in all aspects of the service including in-patient rounds, outpatient clinics, operative procedures and organ procurement. Students evaluation 1-2 new patients per day and 4-6 patients in clinic. Students have the opportunity to observe renal transplants and renal transplant biopsies. Conferences include Combine Transplant Conference, Transplant Renal Biopsy Conference and Transplant Selection Conference. Student participate on a multidisciplinary team of transplant Medicine and Surgery specialists. Team members include Transplant Medicine and Transplant Surgery attendings, Transplant Medicine Fellow, Urology and Surgery Residents and a Transplant Pharmacist. Evaluation is based on observations of clinical performance and case presentations.

Nephrology Hypertension Consult - Sacred Heart Medical Center, Eugene

Course No.:  NEPH 709H
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Chris Traver, 541-686-6863

Students are expected to learn the clinical approach and therapy of common renal diseases and hypertension. Students are active participants on the nephrology inpatient consultation services at Sacred Heart Medical Center, a tertiary care hospital. Problems commonly seen include acute renal failure, glomerulonephritis, nephrotic syndrome, electrolyte and acid-base abnormalities, diabetic nephropathy and hypertension. Students also participate in renal and hypertension clinics. Students average one new patient per day on the inpatient consultative service and generally follow between 3-5 patients. Students may attend clinic one half day per week and see between 2-4 patients. Students may observe placement of central catheters for hemodialysis and renal biopsies. Conferences include monthly Biopsy Review, Clinical Case Conference, and Medicine Grand Rounds as well as informal journal review and didactic sessions. Written evaluation and oral feedback are provided based on observed case presentations and knowledge acquired. Students will acquire a good understanding of the management and diagnosis of renal disease and hypertension. *NOTE: Closed to 3rd year students prior to June elective block.

Ward Subinternship - University Hospital

Course No.:  IMED 709A
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Mary Olhausen, 4-8676

Students will join a University Hospital General Medicine Ward service consisting of one attending, one senior resident and one intern. Subinterns will function as interns in evaluating patients and establishing diagnostic and therapeutic plans. Students report directly to the senior resident and will be responsible for writing all orders and notes. The University Hospital is a tertiary care referral facility providing the student with exposure to both general and highly complex medical patients. Conferences include Morning Report, Teaching Rounds, and Radiology Rounds. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. *NOTE: Closed to 3rd year students prior to June elective block. 3rd Year students are strongly encouraged to enroll during June elective block due to increased availability.

Ward Subinternship - St. Charles Medical Center, Bend

Course No.:  IMED 709B
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Mary Olhausen, 4-8676

The student will work one-on-one with a hospitalist inpatient attending on the wards, and with an outpatient attending in an internal medicine practice. The student will be on the hospital wards full time 3-4 days weekly, in the outpatient practice 2 full days weekly, and will attend Grand Rounds and subspecialty conferences weekly.  The rotation is structured so that the student maintains continuity with patients under their care in the hospital throughout the week.  Students will independently evaluate patients, develop differential diagnoses, formulated assessments and plans, report directly to the attending physician, coordinate subspecialty consultations and ancillary services, communicate with the outpatient primary provider, and assume responsibility for the overall care of the patient.  The student will gain experience in assessing acuity and prioritizing daily tasks, use of the electronic medical record, and interpretation of diagnostic tests.  In the outpatient practice, the student will have their own exam room and computer for electronic record keeping.  Students will meet weekly with the Clerkship Director for report.  Students will advance their skills and independence in acute and chronic illness diagnosis and management, medical consultation, and multidisciplinary teamwork; and will gain insight into the interface between the hospital and outpatient settings, and into the role of the electronic medical record.  *Note:  Closed to 3rd year students prior to June elective block.

Ward Subinternship - Emanual/Good Samaritan Hospitals

Course No.:  IMED 709L
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Mary Olhausen, 4-8676

Students will learn the inpatient management of acute medical illnesses. Problems commonly seen include community acquired pneumonia, CHF, exacerbation of chronic lung diseases, acute and chronic renal failure, bacterial endocarditis, pyelonephritis and other acute illnesses. There is also the opportunity to participate in the care of ICU patients. Students will admit 6-10 patients each week. Long call every 4th day until 9:00 pm relieved by a night float team. Conferences include daily Attending/Chief of Service Rounds, Noon Conferences, Grand Rounds and Morgue Conference. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. Evaluation of students includes observed clinical performance by the teaching attending and medical resident. Students will advance their knowledge, skills and clinical judgement of the management of acutely ill medical patients. *NOTE: Closed to 3rd year students prior to June elective block.

Ward Subinternship - Providence Medical Center

Course No.:  IMED 709P
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Mary Olhausen, 4-8676

Students will join a ward team consisting of one intern and one senior resident, and will function as an intern except for receiving a smaller number of admissions. Students will report directly to the senior resident and are responsible for day-to-day patient management, consultation with private physicians, and coordination of the overall evaluation and treatment of their patients. Conferences will include Morning Report, Teaching Rounds, and Noon Conferences. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. Students gain experience in the semi-independent, supervised management of patients with a variety of acute illnesses. Evening call is every fifth day from 1:00PM until 7:00PM, Monday through Thursday (overnight Friday and Saturday). Night float transfers are accepted one in five days on the cycle. Average of two weekend call days per rotation. *NOTE: Closed to 3rd year students prior to June elective block.

Ward Subinternship - St. Vincent Hospital

Course No.:  IMED 709S
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Mary Olhausen, 4-8676

Students participate with an intern and resident on the General Medical Ward. An abundance of patients with an excellent disease mix allows students to see and help manage a vast array of problems. Students are responsible for working up and establishing plans for the diagnosis and/or treatment of 2-4 patients per week. They participate in decisions related to their patients' care and establish communication with the patients and their families. Students make rounds with the intern and resident and will be given responsibility compatible with their level of training and abilities. Students will improve their interviewing and physical examination skills, learn to develop differential diagnoses in an organized manner, and gain experience with patients representing a wide variety of disease processes. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. *NOTE: Closed to 3rd year students prior to June elective block.

Ward Subinternship - VA Medical Center

Course No.:  IMED 709V
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Mary Olhausen, 4-8676

Students will join a ward service consisting of one attending, one senior resident, and 1-2 interns. Students function as the primary provider to patients with a wide range of disease processes. Students will be expected to do complete evaluations and presentations on all patients admitted to them, write all notes and orders, communicate to consulting teams, and be the primary liaison between the patient and medical team. Conferences include Morning Report, Teaching Rounds and Radiology Rounds. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. *NOTE: Closed to 3rd year students prior to June elective block. 3rd Year students are strongly encouraged to enroll during June elective block due to increased availability

ICU - University Hospital

Course No.:  PULM 709A
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Mary Olhausen, 4-8676

Students gain direct experience with invasive and non-invasive monitoring techniques and ventilator management. Students function in a medical tertiary referral intensive care unit. This rotation covers techniques of critical care medicine; including management of patients with multi-system organ failure and other life threatening disease processes. Students learn to perform common critical care procedures. They participate in multidisciplinary teaching rounds and housestaff conferences. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. Call occurs every 4th night. Evaluation based on observed performance. *NOTE: Closed to 3rd year medical students prior to June elective block.

ICU - St. Charles Medical Center

Course No.:  PULM 709B
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Traci Parmele, 541-385-6322

Students receive clinical training in the multi-disciplinary CCU of a full -service community hospital in Bend, Oregon. Students work directly with board certified critical care specialists. Students participate in all aspects of patient care to the highest level of their abilities and are expected to participate fully in the care being provided and the conversations with patient and family members. Students will be responsible for completing history and physicals, consultations, orders, and regular progress notes and order writing for the care of the patient. The student will be expected to participate in procedures being conducted on their patients. There are opportunities to participate in patient care in the emergency room and operating room, "Code 99" and Trauma teams. Call is flexible but generally every other night with Saturday noon to Monday am off. A reading syllabus in critical care is provided. Housing is provided as well as partial board support.  It is anticipated that at the end of the rotation the student will have had an excellent introduction to the practice of critical care management with skills developed in ventilator management and understanding hemodynamic data interpretation and management of the critically ill. Evaluation is by observation of clinical performance by the critical care physicians. *NOTE: Closed to 3rd year medical students prior to June elective block.

Pulmonary Consult - OHSU

Course No.:  PULM 709C
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720
Contact:  Mary Olhausen 4-8676

Students may participate full-time in the consultation service of the Pulmonary and Critical Care Division. This experience includes workup of patients for whom pulmonary consultations have been requested, consultation rounds, bronchoscopy sessions, chest clinic, attendance at three weekly pulmonary conferences, and reading in pulmonary and critical care medicine. Placement is at either OHSU or VAMC.

ICU - Good Samaritan Hospital

Course No.:  PULM 709G
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Traci Aul, 503-413-4190

Good Samaritan Hospital - ICU (PULM 709G) - Students learn management of acutely ill adult patients with life threatening medical disorders. Problems commonly seen include myocardial infarction, septic shock, acute respiratory failure, diabetic ketoacidosis, neurocritical care, shock states, poisoning, ARDS, acute gastrointestinal hemorrhage, and complex ethical issues. Students admit patients as required, usually 2-3 each day on call. Call responsibilities are every day until 5:00 or 6:00 p.m. with weekend days off. Students assist with placement of central venous lines and pulmonary-artery catheters. Conferences include Teaching Attending Rounds, Noon Conferences, Grand Rounds, ICU Core Lecture Series three times weekly, and daily bedside teaching rounds. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. Students work with a team of residents, community internists, faculty intensivists and sub-specialists. Evaluation is by observed clinical performance. This experience will advance the knowledge, skills and judgement in critical care medicine. *NOTE: Closed to 3rd year medical students prior to June elective block.

ICU - St. Vincent Medical Center

Course No.:  PULM 709S
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Stephanie Deardorff, 503-216-2401

Students learn evaluation and management of critically ill patients, become familiar with scientific literature pertaining to critical care medicine, and observe and perform some of the common critical care procedures. Teaching/Work Rounds occur daily. Students assume responsibility for data collection, development of a patient care plan and writing orders on their patients. Students record the history, physical and current progress notes on all patients assigned to them. A wide variety of critical care problems will be encountered, including septic shock, SIRS Syndrome, problems requiring hemodynamic support, respiratory failure, ARDS, acid-base and fluid & electrolyte disorders, poisonings, pneumonia and complex ethical/legal aspects of critical care. These are addressed daily in a multi-disciplinary setting. Care conferences with family members are frequent occurrences and the student is encouraged to attend. Students will be assigned two to three new patients per week and will make team rounds daily on six to ten patients. No overnight call responsibilities.  Students will have opportunities to observe, assist and perform several of the procedures common to critical care. Conferences include Morning Report, Medical Grand Rounds, and Noon Conference. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. Students present one morning report near the end of the rotation. Students work with a resident and intern as well as teaching attendings and full-time board certified intensivists daily. Evaluation is by observation of their critical performance including history and physical, writeups, progress notes, effort put forth in reading, understanding of pathophysiology and ability to organize data and make good clinical judgements. *NOTE: Closed to 3rd year students prior to June elective block.

ICU - Providence Medical Center

Course No.:  PULM 709P
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Mary Olhausen, 4-8676

Students become familiar with both didactic and technical aspects of intensive medicine, including ventilator management, acid base disturbances, overdose assessment and treatment, and septic shock and in the pre and postoperative care of critically ill patients. Students will admit patients daily from 7:00am to 6:00pm, are encouraged to take overnight call once a week, and follow the patients during their ICU stay. Students work closely with the ICU residents and are responsible for the management of patients and for procedures needed. Teaching Rounds occur daily with superb, dedicated Pulmonary/Critical Care attendings (Dr. Gilbert-renowned Infectious Disease specialist, a pharmacist, and the ICU team). In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. Rotation available July-December. *NOTE: Closed to 3rd year students prior to June elective block.

CCU/ICU - VA Medical Center

Course No.:  PULM 709V
Duration:  4 weeks
Credits:  6
Term:  Any
Prereq:  IMED 720, *see below
Contact:  Mary Olhausen, 4-8676

Students gain direct experience with invasive and non-invasive monitoring techniques and ventilator management. Students function in a combined cardiac medical ICU. Call occurs every third night. This rotation covers techniques of critical care medicine; including management of patients with multi-system organ failure and other life threatening disease processes. Typically, patients have diagnoses including respiratory failure, ARDS, sepsis, GI hemorrhage, acute infarction, heart failure, and unstable angi