OHSU

Elective Catalog

 
 

Anesthesiology ICU

OHSU Portland 

ANST 709D  | Anesthesiology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 or above, Satisfies ICU Requirement 

Students receive supervised instruction in components of critical care medicine specific to post-operative care of surgical and cardiac and thoracic patients. The rotation emphasizes: 1) airway management , 2) circulatory support, 3) metabolic demands, 4) infection prevention in critically ill patients. This will emphasize the physiological changes that occur in our post-operative patients and give the students good understanding of said applied physiology. The medical student will be expected to review and present patients on a daily basis, make up a sound, evidence-based plan on care, and work with the ICU team to implement the care of patients currently in the ICU. Evening call will be required once weekly, in addition to rounding one Saturday and one Sunday during the month. 

Anesthesiology - Pain Management

OHSU Portland 

ANST 709P  | Anesthesiology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 or above 

Students receive supervised instruction in clinical aspects of pain management including post-operative and post traumatic acute pain problems managed by epidurals, patient-controlled analgesia (PCA), various regional blocks (i.e. intercostal, brachial plexus, etc.), and management of a full range of chronic pain and cancer pain problems. The multidisciplinary approach to pain control is emphasized. Students must have completed their Medicine and Surgery clerkships prior to entering the elective. Any exceptions require prior approval by Dr. Mauer. 

Anesthesiology Special Elective

OHSU Portland 

ANST 709X  | Anesthesiology  |  credit(s) |   |  term
Preqs:  

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting.  

Anesthesiology/Away

 

ANST 709Z  | Anesthesiology  |  credit(s) |   |  term
Preqs:  

Medical students are responsible for making their own arrangements for any away rotation, including receiving the department’s review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. (OHSU students who do an anesthesiology elective at an approved off-campus location will need to take the departmental examination before credit is issued for the course. All electives whether on- or off-campus need to last a minimum of 4 weeks. The OHSU parent department must approve all off-campus electives four weeks prior to their start date.) 

Anesthesiology Research

OHSU Portland 

ANST 701A  | Anesthesiology  | 9-18 credit(s) | 6-12 weeks  | Any term
Preqs: MS3 or above 

The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. Students may arrange for laboratory or a clinical research experience in anesthesiology, primarily in the pulmonary and cardiovascular physiology or pain management. Times of year and durations of research electives are flexible and will be determined by the time schedules of students and mentors; however, students should plan on spending a minimum of 6 weeks on a project. The research elective is intended for students who think they might be interested in pursuing a career in academic anesthesiology who would like more experience with the scientific process. Please refer to the department website (www.ohsu.edu/anesth) “Research” for topics and mentors. 

Anesthesiology

OHSU Portland 

ANST 709A  | Anesthesiology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 or above, Satisfies Surgery II Requirement 

Students receive supervised instruction and gain experience with the clinical aspects of anesthesiology by working in the operating room with either a faculty physician or both a faculty physician and an anesthesiology resident. The course emphasizes: 1) perioperative patient care with a focus on intraoperative anesthetic and non-operative pain management, 2) using scientific principles and practices of anesthesiology to develop individual patient plans, and 3) developing technical skills involved with airway management, tracheal intubation, and IV infusion therapy. This elective requires a written examination at the end of the course. All electives whether on- or off-campus need to last a minimum of 4 weeks. The OHSU parent department must approve all off-campus electives four weeks prior to their start date.) A didactic series of lectures is included with this elective. 

Anesthesiology - Obstetrics

OHSU Portland 

ANST 709B  | Anesthesiology  | 3-6 credit(s) | 2-4 weeks  | Any term
Preqs: OBGY 720 and ANST 709A or C 

Students must have completed their OB clerkship before starting this course. Students will receive instruction on anesthetic management of obstetric patients. Instruction will include management of complicated delivery and other obstetric related issues. 

Anesthesiology - Introduction

OHSU Portland 

ANST 709C  | Anesthesiology  | 3 credit(s) | 2 weeks  | Only offered during the Third Year Elective Block term
Preqs: MS3 

Students receive supervised instruction and gain experience with the clinical aspects of anesthesiology by working in the operating room with either a faculty physician or both a faculty physician and an anesthesiology resident. The course emphasizes: 1) perioperative patient care with a focus on intraoperative anesthetic and non-operative pain management, 2) using scientific principles and practices of anesthesiology to develop individual patient plans, and 3) developing technical skills involved with airway management, tracheal intubation, and IV infusion therapy. A didactic series of lectures is included with this elective.The students will also work on a written project to be presented and submitted at the end of the course. This rotation is only available to third year students during their elective block. 

Neuroscience Critical Care

OHSU Portland 

ANST 709N  | Anesthesiology  | 6 credit(s) | 4 weeks  | Any, Satisfies ICU Requirement term
Preqs: all third year 

The medical student is expected to attend all activities in the Neurosciences Critical Care Unit (NSICU) during this rotation. Rounds are structured toward active participation with distinct roles for each member of the team (attending, fellow, resident, nurses, pharmacist, and social worker). Detailed critical care rounds occur with a "systems-approach" to each patient and special emphasis is laid on bedside teaching as it pertains directly to patient care. Multiple goal-directed rounds occur through the course of the day (Combined Neurosurgical rounds, Critical Care rounds, radiology rounds, Evening rounds). The expectation is to provide exposure to a few procedures during this rotation. These procedures would include lumbar puncture, intubation, and arterial and central venous line placements. Medical students are expected to keep an ongoing log of procedures that they have observed over the course of their training. Medical Students are expected to participate actively in patient care and under the direction of housestaff, fellows and attendings in the NSICU. Overnight call will be required once weekly. 

Anesthesiology - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

ANST 709H  | Anesthesiology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 or above 

Students receive supervised instruction and gain experience with the clinical aspects of anesthesiology by working in the operating room with either an attending faculty physician. The course emphasizes: 1) perioperative patient care with a focus on intraoperative anesthetic and non-operative pain management, 2) using scientific principles and practices of anesthesiology to develop individual patient plans, and 3) developing technical skills involved with airway management, tracheal intubation, and IV infusion therapy. All electives whether on- or off-campus need to last a minimum of 4 weeks. The OHSU parent department must approve all off-campus electives four weeks prior to their start date.) Sacred Heart Medical Center at RiverBend is located in Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors. 

Anesthesiology - St Charles Health System

St Charles Hospital - Bend, Oregon 

ANST 709SC  | Anesthesiology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 or above 

Students receive supervised instruction and gain experience with the clinical aspects of anesthesiology by working in the operating room with either an attending physician. The course emphasizes: 1) perioperative patient care with a focus on intraoperative anesthetic and non-operative pain management, 2) using scientific principles and practices of anesthesiology to develop individual patient plans, and 3) developing technical skills involved with airway management, tracheal intubation, and IV infusion therapy. Students will be expected to attend weekly Grand Rounds, clinical conferences, and other continuing medical education activities as assigned by their attending. St. Charles Bend is located in Bend, OR, approximately 160 miles southeast of the main OHSU campus. St. Charles (Bend) is designated as a Level II Trauma Center by the Oregon Public Health Division. Bend is the only Level II Trauma Center east of the Cascades. St. Charles (Redmond) is a certified Level III Trauma Center. Pioneer Memorial Hospital (Prineville) is a Level IV Trauma Center. 

Anesthesiology - Global Anesthesia

OHSU Portland 

ANST 709E  | Anesthesiology  | 3-6 credit(s) | 2-4  | Winter or Spring term
Preqs: Instructor Consent only 

One MS4 each year is offered the opportunity to travel to an underserved international community and do anesthesia along with an OHSU faculty. The purpose of the elective is to learn about some of the issues and barriers to global health in general, and global anesthesia specifically. There are typically several available trips per year, so the selected student can choose among them for a date range that fits with their schedule and a country/culture in which they are interested. This opportunity is funded by a fellowship created by retired physicians John and Betty Thompson, and requires attending a pre- and post-dinner, as well as keeping a journal during the trip. Students must submit a CV and statement of interest to Dr. Dawn Dillman by May 15th of their MS3 year, and will be notified by May 31st. 

Anesthesiology - Funded Externship

OHSU Portland 

ANST 709  | Anesthesiology  | NA credit(s) | 4 weeks  | Summer term
Preqs: 4th Year Visiting Student Only 

This rotation is offered to one student per year. Lodging for the rotation dates and round-trip airfare between the student’s home city and Portland is arranged and funded by the department. To be eligible, students must intend to pursue residency training in anesthesiology, and must be from an underrepresented group in medicine (i.e. Black or African American, American Indian or Alaskan Native, Native Hawaiian or other Pacific Islander, Hispanic or Latino, and any Asian other than Chinese, Filipino, Japanese, Korean, Asian Indian or Thai. During the course, students receive supervised instruction and gain experience with the clinical aspects of anesthesiology by working in the operating room with either a faculty physician or both a faculty physician and an anesthesiology resident. The course emphasizes: 1) perioperative patient care with a focus on intraoperative anesthetic and non-operative pain management, 2) using scientific principles and practices of anesthesiology to develop individual patient plans, and 3) developing technical skills involved with airway management, tracheal intubation, and IV infusion therapy. This elective requires a written examination at the end of the course. A didactic series of lectures is included with this elective. 

Basic Science Review

OHSU Portland 

JCON 602A  | Conjoint Courses  | TBA credit(s) | 3-9 weeks  | Any term
Preqs: None 

This course is considered independent study. The course director will meet with the student twice a quarter to assess the student's academic process and to assign a grade. The student can be required to participate in specific courses at Oregon Health Sciences University or attend courses/conferences through others universities. Since this course is Pass/Fail and is independent study, a student can register for it several times, but does not count toward graduation elective credits. 

Transition to Clerkship Peer/Student Teaching

OHSU Portland 

JCON 704A  | Conjoint Courses  | 3 credit(s) | 2 weeks  | Summer term
Preqs: All Core 

Students will serve as "preceptor" for new third year students by conducting hospital tours, ward walks, ICU, X-ray, admitting, etc. Students will demonstrate writing orders, writing prescriptions, review of charts, History and Physical, pharmacology review, work rounds, and information as to routines on wards. Limited to 20 students. 

Peer Admissions Program

OHSU Portland 

JCON 705D  | Conjoint Courses  | 2-6 credit(s) | 12 weeks  | Fall, Winter, Spring term
Preqs: MS4 

Fourth year students participate in recruiting future students during the Admissions Process by attending applicant lunches. Credits do not count toward graduation elective requirements.
 

Clinical Field Experience in International Medicine

OHSU Portland 

JCON 709B  | Conjoint Courses  | 6 credit(s) | 4 weeks  | TBA term
Preqs: MS4 and all core 

Preference for placement is given to MS4 students, who have completed JCON 705A. To provide students with the opportunity to work in primary care and public health in developing nations, with the objective of examining the interrelationships of health and medical care, and social, political, economic, environmental and cultural issues. This elective will help students prepare to work and live in countries throughout the world. Opportunities in Asia, Africa, and Latin America are variable, depending on the availability of placement sites and student interest. Students interested in placement in countries where a language other than English is the major means of communication must demonstrate proficiency in the lingua franc of that country to be considered. Academic credit may be available for overseas electives. 

Surgery/Anatomy & Cell Biology

OHSU Portland 

JCON 709J  | Conjoint Courses  | 1-12 credit(s) | 1-12 weeks  | Fall term
Preqs: MS4 

Senior students are presented with an unique opportunity to integrate gross anatomy, radiology, embryology, and surgery. The student will be responsible for: teaching freshmen students in the dissecting laboratories; setting up and tagging structures for practical examinations; attending lectures, assisting the staff in teaching; prosecting and demonstrating a cadaver to freshman students. Section I: back, upper limb, thorax. Section II: abdomen, pelvis, lower limb. Section III: head, neck. 

Clinical Review

OHSU Portland 

JCON 709N  | Conjoint Courses  | 1-9 credit(s) | 12 weeks  | Any term
Preqs: MS3 or above 

Credits do not count toward elective requirement for graduation. 

PCM Peer Teaching

OHSU Portland 

JCON 709T  | Conjoint Courses  | 3-6 credit(s) | 12 weeks  | Fall, Winter, Spring term
Preqs: MS4 

Fourth year students participate as small group leaders in PCM. 

American Indian Health

OHSU Portland 

JCON 709W  | Conjoint Courses  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 

This elective is individually designed to familiarize the medical student with American Indian communities and the functioning of health care programs within those settings. A focus on Psychiatry, Family Medicine and/or Public Health and Preventive Medicine may be developed as part of this rotation. Several urban and reservation sites in the Pacific Northwest will serve as the location for this elective. 

International Medicine Externship

OHSU Portland 

JCON 709Z  | Conjoint Courses  | 6-9 credit(s) | 4-6 weeks  | Any term
Preqs: All core 

Students work in primary care and public health settings in developing nations. The location of the elective must be approved by the Associate Dean of Student Affairs. Students are required to submit in writing, to the Associate Dean, documentation indicating objectives, hours to be worked, supervision etc. All expenses associated with this elective are the responsibility of the student. This course is not repeatable for credit. No malpractice insurance is provided by OHSU for international rotations. 

Interdisciplinary Breast Disease

OHSU Portland 

RADD 709D  | Conjoint Courses  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 

This month-long clinical elective targeted to advanced level medical students will provide an in-depth exposure to multiple key disciplines relating to breast disease including radiology, pathology, surgery, medical genetics, medical oncology, radiation oncology and specialized clinical breast examination. Participants will also be linked to patients with breast cancer and longitudinally follow these patients throughout the elective to learn about interdisciplinary decision- making in managing breast cancer at various stages of the disease and experience the process from the patient’s perspective. 

El Salvador Medical Brigade - Sacred Heart

Eugene/Springfield (approx. 100 miles south of Portland) 

JCON 709Y  | Conjoint Courses  | 6 credit(s) | 4 weeks  | Winter term
Preqs: MS4, Instructor Consent 

Students must apply to do this rotation and one will be selected to come to Eugene and go on the 10-day medical mission to El Salvador during the month of February. Criteria for selection include: fluency in Spanish, be in good standing with the Dean’s office, commitment to participate if selected. Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors. 

International Medical Research

OHSU Portland 

JCON 701Z  | Conjoint Courses  | 4 credit(s) | 4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Rural Primary Care Experience

Various Rural Oregon Sites 

AMBL 709X  | Conjoint Courses  | 0 credit(s) | 4 weeks  | Not Offered 2012-2013 term
Preqs: All Core Third Year Clerkships 

This course requires prior approval of the Director of the Oregon Area Health Education Center. It is geared toward students from other LCME Medical Schools who wish to have an experience working with Primary Care Physicians in Rural Oregon. The student will not be on the OHSU campus and will not have contact with OHSU Residency Directors for any department. Applicants without prior approval will be declined without consideration. 

Dermatology - Research

OHSU Portland 

DERM 701A  | Dermatology  | 4-12 credit(s) | Varies  | Any term
Preqs: MS3 or above 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Clinical Dermatology

OHSU Portland 

DERM 709A  | Dermatology  | 6 credit(s) | 4 weeks  | Course Not Available: January-May term
Preqs: MS3 or above 

This general elective is intended for those students pursuing primary care or non-dermatologic subspecialties who are interested in learning the basics of Dermatology. Students are exposed to the breadth of Dermatology and spend the majority of their time in the busy OHSU and VA faculty clinics. Rotations on the inpatient consultation service, dermatologic surgery (including exposure to the Mohs procedure) and dermatopathology are also provided. Attendance at weekly departmental Grand Rounds, educational conferences, and student-directed didactic sessions is required. Evaluation is based on clinical interactions, a written examination and an oral presentation required at the end of the rotation which is given to the course director and residents. There is no overnight or weekend call. This is a full-time, 4 week elective and the department can accommodate (3) students per rotation based on availability. 

Dermatopathology

OHSU Portland 

DERM 709B  | Dermatology  | 3-6 credit(s) | 2-4 weeks  | Not Offered January-May term
Preqs: MS3 or above 

Students on this elective gain experience in the microscopic diagnosis of skin disease. Students work closely with both dermatology and pathology residents and the dermatopathology fellow, and participate in daily sign-outs of cases with the faculty dermatopathologist at the microscope. Students attend all departmental educational conferences, Grand Rounds and occasional didactics alongside the students in Derm 709A. This elective is available on either a full or part time basis, and the department can usually accommodate (2) students per rotation 

Dermatology - Subspecialty

OHSU Portland 

DERM 709C  | Dermatology  | 6 credit(s) | 4 weeks  | Not offered January-May term
Preqs: MS4: 709A equivalent background or permission of course director. Visiting students without 709A equivalent available at home institution are eligible for this course. 

This advanced elective is intended for those students interested in pursuing a career in Dermatology. Students spend much of their time in the OHSU faculty clinics focused on subspecialty areas of Dermatology including psoriasis, atopic dermatitis, contact dermatitis, pediatric dermatology, autoimmune dermatology and Mohs surgery. Experience in the Dermatology VA clinics and Dermatopathology will also be provided. Interactions with dedicated faculty will be facilitated, leading to more independence in diagnosis and management of patients with complex skin disease. Attendance at weekly departmental Grand Rounds and educational conferences is required. Evaluation is based on clinical interactions, a written examination and an oral presentation required at the end of the rotation to the course director and residents. There is no weekend or overnight call. This is a full time, 4-week elective and the department can accommodate (3) students per rotation based on availability. 

Dermatology Special Elective

OHSU Portland 

DERM 709X  | Dermatology  | 6 credit(s) | 4 Weeks  | Any term
Preqs: MS3 and above 

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the UME office prior to starting. 

Dermatology/Away

OHSU Portland 

DERM 709Z  | Dermatology  |  credit(s) |   |  term
Preqs:  

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Dermatology - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

DERM 709H  | Dermatology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 or above 

Students are expected to learn the basic clinical approach to diagnosis and treatment of a wide range of common and some uncommon dermatologic diseases. Students will have the opportunity to observe patients in a private clinic setting and in a multi-specialty group clinic. The standard dermatologic lexicon will be emphasized and mastered. Students will learn the basics and perform or assist in minor dermatologic procedures like KOH slide preparation, skin biopsies, and excisions. Conferences include a clinical case conference and regular meetings with preceptor. Written evaluation and oral feedback are provided based on observed case presentations and knowledge acquired.

Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors.
 

Dermatology - St Charles Health System

St Charles Hospital - Bend, Oregon 

DERM 709SC  | Dermatology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 or above 

Students will be exposed to many aspects of dermatologic diagnosis and treatment in a high volume subspecialty clinic. At the end of the elective, students will be able to properly perform a history and physical examination of patients with skin diseases, and recognize and treat common skin conditions. Students will be expected to attend weekly Grand Rounds, clinical conferences, and other continuing medical education activities as assigned by their attending. St. Charles Bend is located in Bend, OR, approximately 160 miles southeast of the main OHSU campus. St. Charles (Bend) is designated as a Level II Trauma Center by the Oregon Public Health Division. Bend is the only Level II Trauma Center east of the Cascades. St. Charles (Redmond) is a certified Level III Trauma Center. Pioneer Memorial Hospital (Prineville) is a Level IV Trauma Center. 

Emergency Medicine - Research

OHSU Portland 

EMED 701R  | Emergency Medicine  |  credit(s) | Flexible  | Any term
Preqs: MS3 

This elective will allow the motivated student an opportunity to perform research with a faculty mentor. The student will be expected to identify a project and mentor by the end of their second year, and to complete the requisite background work before the rotation begins. The student will also attend the regularly scheduled educational activities of the research section, such as the research brown bag sessions. The students will also be responsible for presenting a short talk on a statistical subject at Journal Club. Finally, at the end of the month the student will be expected to turn in an evidence-based review of the literature on a clinical question, which is expected to be of publishable quality. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Emergency Medicine - OHSU

OHSU Portland 

EMED 709A  | Emergency Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: All core, Satisfies Sub-I Requirement 

This elective provides students with an introduction to all aspects of Emergency Medicine. Students participate in the daily care of emergency patients with attending staff and attend weekly lectures covering a broad range of topics in Emergency Medicine. An introduction to pre-hospital care and toxicology will also be included. Students will be assigned shifts at both the OHSU and VAMC ECU. All students must have current VAMC access to participate in the rotation. 

Emergency Medicine - Introduction

OHSU Portland 

EMED 709B  | Emergency Medicine  | 3 credit(s) | 2 weeks  | Only offered during the Third Year Elective Block term
Preqs: Current MS3 only 

This course will serve as an introduction to the practice of emergency medicine. Students will not only do clinical shifts with various faculty, but will also be exposed to the academic, subspecialty, administrative, and research components of the specialty. Students must have current VAMC access to participate in the rotation. 

Emergency Medicine - Pediatric

OHSU Portland 

EMED 709D  | Emergency Medicine  | 6 credit(s) | 4 weeks  | any term
Preqs: All core 

This elective provides students with an introduction to Pediatric Emergency Medicine. Students focus on the specialty care of pediatric emergency patients. Students will also attend weekly lectures and didactics sessions. Students are assigned shifts in the Pediatric Emergency Medicine Care Unit. 

Emergency Medicine - Good Samaritan

Good Samaritan Portland 

EMED 709G  | Emergency Medicine  | 6 credit(s) | 4 weeks  | Contact coordinator 2 months in adavance to check for availability of this rotation Not available January-June term
Preqs: All core 

This elective provides students with an introduction to all aspects of Emergency Medicine. Students participate in the daily care of emergency patients with attending staff and attend weekly lectures covering a broad range of topics in Emergency Medicine. An introduction to pre-hospital care and toxicology will also be included. Student is assigned shifts at the Good Samaritan Hospital in the Emergency Medicine care unit. 

Emergency Medicine - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

EMED 709H  | Emergency Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: All core 

This elective provides students with an introduction to all aspects of Emergency Medicine. Students participate in the daily care of emergency patients with attending staff and attend weekly lectures covering a broad range of topics in Emergency Medicine. An introduction to pre-hospital care and toxicology will also be included. Students will be assigned shifts in the Emergency Departments at Sacred Heart Medical Center at RiverBend, a 432 bed tertiary care, Level II trauma facility, and at University District. Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors. 

Emergency Medicine Special Elective

OHSU Portland 

EMED 709X  | Emergency Medicine  |  credit(s) | Flexible  | Any term
Preqs:  

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Emergency Medicine/Away

OHSU Portland 

EMED 709Z  | Emergency Medicine  | TBA credit(s) | TBA  | Any term
Preqs: All Core Third Year Clerkships 

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Emergency Medicine Research

OHSU Portland 

EMED 701A  | Emergency Medicine  | 4 credit(s) | 4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Emergency Ultrasound

OHSU Portland 

EMED 709F  | Emergency Medicine  | 3 credit(s) | 2 weeks  | Any term
Preqs: All Core Third Year Clerkships, EMED 709A 

Overview: This 2 week hands-on rotation will serve as an introduction to emergency bedside ultrasound (US). Rotating students will be introduced to the core Emergency Medicine applications of bedside US (FAST, Cardiac, RUQ, Renal, DVT, Thoracic, Pregnancy and procedures) and will receive training in general ultrasound physics and principles as well as image acquisition and interpretation. Students will be expected to demonstrate competency in all three areas by the end of the rotation. The skills gained during the rotation will be applicable not just in the Emergency Department but in other fields utilizing bedside US. Rotation Guidelines and Curriculum: The rotation consists of three components: formal didactics, clinical time and self-study. Clinical Time: Will consist of 6-8 hour supervised scanning shifts in the ED. Students will be expected to complete 4 shifts per week in order to perform 75 ultrasounds by the end of the rotation. During scanning shifts, students will be supervised by the current ultrasound fellow and the fellowship director as well as other Emergency Department faculty and residents. Didactics: Didactics will take place in the form of weekly lectures covering the basic principles and applications of emergency ultrasound. In addition, students will participate in weekly QA and review processes that will allow for additional instruction and also serve as a way of assessing students’ progress. Self-Study: Students will be expected to complete assigned readings in Emergency Ultrasound Textbooks and to review instructional DVD. Students will also be expected to give a 15 minute presentation on a topic of their choice. Evaluation: Rotation will be graded on a pass/fail basis and grades will be determined by performance on all aspects of the rotation. 

Emergency Medicine at Rogue Valley Medical Center

Rogue Valley Medical Center - Medford, OR 

EMED 709J  | Emergency Medicine  | 6 credit(s) | 4 weeks  | any term
Preqs: All Core Third Year Clerkships 

A month at the Rogue Valley Medical Center Emergency Department in Medford offers students an excellent educational and clinical experience. We are a 37K visit/year community hospital, and act as the trauma referral center for a large swath of southern Oregon and northern California. Students here work directly with board certified ED attendings--there are no residents or other students to compete with. Our emphasis is on clinical learning: you'll get direct one-on-one lectures, see lots of patients, and get immediate feedback on presentation skills. We prefer students who are planning on a residency in Emergency Medicine--this will be a great rotation for you to broaden your horizons and to complement your academic center learning experience. Housing may be available, depending on the month. Please inquire. 

Emergency Medicine - St Charles Health System

St Charles Hospital - Bend, Oregon 

EMED 709SC  | Emergency Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 and All Core 

This elective provides students with an introduction to all aspects of Emergency Medicine. Students participate in the daily care of emergency patients with attending staff. Students will be assigned shifts in the Emergency Departments at St. Charles Bend, St. Charles Redmond, or Pioneer Memorial Hospital. Students will be expected to attend weekly Grand Rounds, clinical conferences, and other continuing medical education activities as assigned by their attending. St. Charles Bend is located in Bend, OR, approximately 160 miles southeast of the main OHSU campus. St. Charles (Bend) is designated as a Level II Trauma Center by the Oregon Public Health Division. Bend is the only Level II Trauma Center east of the Cascades. St. Charles (Redmond) is a certified Level III Trauma Center. Pioneer Memorial Hospital (Prineville) is a Level IV Trauma Center. 

Clinical Ultrasound: Augmenting the Physical Exam

OHSU Portland 

EMED 709K  | Emergency Medicine  | 3 credit(s) | 2 weeks  | Any term
Preqs: MS3 

This clinical course provides foundational skills in the use of ultrasonography to augment the physical examination. Basic ultrasonography skills for the assessment of normal anatomy and physiology will be learned and applied to the differentiation of normal from basic pathologic states commonly encountered in the primary care setting. Students will learn the limitations of ultrasonography and when formal imaging is appropriate for the care of the patient. The goal of the course is to provide foundational skills in limited ultrasonography that can be further developed during residency training. The course will include didactic sessions, simulation modules, deliberate practice in the simulated and supervised clinical settings, and small group discussions. Concurrent and summary feedback will be provided by ultrasonographers, real time virtual performance assessment tools such as the SonoSim device, peers, residents, and faculty. 

Family Medicine - Research:

OHSU Portland 

FAMP 701A  | Family Medicine  |  credit(s) | 6 weeks  | Any term
Preqs: MS3 or above 

Students become involved with an area of ongoing research in the Department of Family Medicine. Specifics depend upon the project undertaken. Objectives include: 1) to learn and apply research skills to clinically relevant questions and 2) to understand research methodology related to clinical family practice. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Family Medicine - OHSU

OHSU Portland 

FAMP 709A  | Family Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: FAMP 720, Satisfies Sub-I Requirement 

A four-week sub-internship in Family Medicine is available for fourth-year medical students. The subinternship is an intensive, rigorous experience in which students will spend two weeks on inpatient service and two weeks in one of three OHSU Family Practice outpatient clinics. As much as possible, subinterns will be given opportunities to demonstrate skills at the level of an incoming intern. On inpatient service students will be responsible for closely following patients, managing their care under the guidance and supervision of residents and faculty, and presenting their patients at morning report. Students will also be expected to work with their teams on early evening coverage of patient calls, ER visits, and inpatient care. In clinic, students will work with a senior resident or faculty preceptor, seeing a wide variety of patients independently and observing or being observed by their preceptors during the course of patient care. Under the supervision of their preceptors, students will be expected to write chart notes and /or do dictations and to help provide ancillary care such as interpreting x-rays, reading ECGs, etc. 

Family Medicine Experience (Rural)

OHSU Portland 

FAMP 709E  | Family Medicine  | 1 credit(s) | 1-2 weeks  | Summer term
Preqs: MS2 only 

Second-year students may spend a week or more living and working with a family physician in a rural (or urban) practice outside the immediate Portland metropolitan area. The intent of this elective is to give students hands-on clinical experience as well as to enable them to experience first-hand the lifestyle and practice of a family physician practicing in a rural community or an urban center in another part of Oregon. This experience will augment students' first-year preceptor experiences and provide them with valuable reference points for future learning about patient and family responses to illness, health care delivery systems, and medical ethics. Sites vary according to distance away from Portland, rural vs. urban settings, and patient populations and communities. Students are individually matched with physicians according to interests and priorities, and may take the elective any week in the summer that will fit with the rest of their plans. 

Family Medicine - SW Community Health Center

OHSU Portland 

FAMP 709G  | Family Medicine  | 1 credit(s) |   | Any term
Preqs: MS1 and above 

The goals of this one credit clinical elective are to expose medical students to cultural and medical issues that arise when working with underserved populations, to assure quality health services to those lacking adequate resources to access care, and to help students gain experience with basic clinical skills. Students will sign up in groups of two the help the staff as the sliding scale fee clinic located at SW Community Health Center during usual evening operating hours. Student responsibilities will include patient intake, taking vital signs, obtaining a medical history, and assisting with clinical tests and procedures as requested by the providers. 

Sports Medicine - Slocum Center & Sacred Heart

Eugene/Springfield (approx. 100 miles south of Portland) 

FAMP 709J  | Family Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 and above 

Students will actively participate in patient care in the Slocum Center for Orthopedics and Sports Medicine. This elective is clinically oriented with emphasis placed on examination techniques and the diagnosis and treatment of common sports injuries. Students will participate in both surgical and non-surgical approaches to sports injuries. Opportunities will exist for students to participate with their attending physician in the University of Oregon Athletic Dept sports medicine clinics and events. Conferences may also include Medical Grand Rounds and Medicine Case Conference at Sacred Heart Medical Center.

Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors.
 

Family Medicine - Sub-Internship - Klamath Falls

OHSU Portland 

FAMP 709L  | Family Medicine  | 6 credit(s) | 4 weeks  | Any, depends upon availability term
Preqs: MS4, Satisfies Sub-I Requirement 

*NOTE: To ensure availability of this Sub-I, students must have approval from Ms Pace prior to registering in the Dean's Office. Dori Pace, 541-274-4211, dpace@skylakes.org Klamath Falls Family Medicine Sub-Internship is an intensive, rigorous experience in which the students will spend one week on the inpatient wards with the resident medical team. Students work 9 half days per week in the Cascades East Family Practice Clinic, under a faculty or resident preceptor. Clinics at Juvenile Hall, Butte Valley Clinic and Doris may also be attended. Thursday Behavioral Science programs should also be attended. There is some flexibility in order to meet the student's specific objectives. 

Integrative Medicine Clinic

OHSU Portland 

FAMP 709M  | Family Medicine  | 6 credit(s) | 4 weeks  | Any-Must have department approval term
Preqs: OBGY 720, MS3 

In this elective, students will gain an understanding of the term integrative medicine, gain confidence in the ability to access information resources for knowledge of complementary and alternative medicine modalities, and choose one complementary and alternative practice or topic for in-depth study and understanding. Students will participate in the integrative medicine clinic at the CWH, the Family Medicine Clinic at Marquam Hill, the Mindbody class led by Jill Romm, LCSW and Dr. Nedrow (when in session), and the CAM Grand Rounds (when in session), and will visit each of the participating CAM schools (National College of Naturopathic Medicine, Oregon College of Oriental Medicine, and Western States Chiropractic College). 

Geriatrics - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

FAMP 709N  | Family Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

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, 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 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. Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors. 

Family Medicine - Sub-Internship - Providence

OHSU Portland 

FAMP 709P  | Family Medicine  | 6 credit(s) | 4 weeks  | Any, depending upon availability, Satisfies Sub-I Requirement term
Preqs: MS4 

A four-week sub-internship in Family Medicine is available for fourth-year medical students. The subinternship is an intensive, rigorous experience in which students will spend two weeks on inpatient service and two weeks at either PMG Milwaukie Clinic or PMG Southeast Clinic . As much as possible, subinterns will be given opportunities to demonstrate skills at the level of an incoming intern. On inpatient service students will be responsible for closely following patients, managing their care under the guidance and supervision of residents and faculty, and presenting their patients at morning report. Students will also be expected to work with their teams on early evening coverage of patient calls, ER visits, and inpatient care. During the two weeks on the inpatient service students will take two overnight calls with the family medicine night float team and participate in admissions with our hospitalists. In clinic, students will work with a senior resident or faculty preceptor, seeing a wide variety of patients independently and observing or being observed by their preceptors during the course of patient care. Under the supervision of their preceptors, students will be expected to write chart notes and /or do dictations and to help provide ancillary care such as interpreting x-rays, reading ECGs, etc. 

Family Medicine - Sub-Internship - SW Washington

OHSU Portland 

FAMP 709W  | Family Medicine  | 6 credit(s) | 4 weeks  | Any, depending upon availability, Satisfies Sub-I Requirement term
Preqs: MS4 

*NOTE: To ensure availability of this Sub-I, students must have approval from Ms. Moyer prior to registering in the Dean's Office. Nancy Moyer, 360-514-7560, nmoyer@swmedicalcenter.org SW Washington Family Medicine Sub-Internship is an intensive, rigorous experience in which the students will spend the mornings rounding on patients and afternoons in the outpatient clinic. The medical student will do one brief presentation per week to the family medicine team. The student will write hospital progress notes on patients as directed by the FM rounding faculty. The medical student may elect to round with the adult internal medicine service on 2-4 mornings during the four week rotation to get additional exposure to inpatient adult internal medicine. Afternoon clinics - the student will have 2-4 patients per session, depending on skill level of the student. 

Family Medicine Special Elective

OHSU Portland 

FAMP 709X  | Family Medicine  |  credit(s) |   |  term
Preqs:  

Students may make special arrangements with the department for individual programs of study in any area pertinent to family medicine. Note: This year students interested in working with dying patients and their families may work with a rural family physician hospice director. Students will gain hands-on experience with the psychosocial and interdisciplinary management skills involved in end-of-life care. If interested, contact Marti Mendenhall, as far in advance as possible. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Family Practice/Away

OHSU Portland 

FAMP 709Z  | Family Medicine  | TBA credit(s) | 2-4 weeks  |  term
Preqs:  

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Primary Care Sports Medicine

Gabriel Park Health Center & Center for Health and Healing 

FAMP 709S  | Family Medicine  | 3 credit(s) | 2 Weeks  | Instructor Consent Only - Not offered August, September, October, the weeks before and after winter break and the last two weeks of March term
Preqs: All Core - 4th year students only 

*The first Sports Medicine rotation will be available October 2012. Students will actively participate in patient care in the OHSU Sports Medicine Clinics (Gabriel Park and Center for Health and Healing). This elective is clinically oriented with emphasis place on physical examination techniques, and the diagnosis and treatment of musculoskeletal injuries as well as care of the athlete. These concepts will be applied to the care of professional and elite athletes, as well as grade school, high school, college and recreational athletes in the Portland Metro area. Opportunities will exist for the student to participate with their attending physicians at Portland State University, Lewis and Clark College sports medicine clinics and events. Experience may also include medical coverage for several other athletic events here in Portland. The student will also attend sports medicine conferences, family medicine grand rounds and case conferences. This rotation is for those students with a strong interest in Primary Care Sports Medicine whose goal is to provide a link between the rapidly expanding core of knowledge related to sports medicine and its application to patients in the primary care setting. Students can start requesting Sports Med Electives for Academic Year 2012-2013 beginning March of 2012. Students should sent a request via email directly to Marti Mendenhall, mendenhm@ohsu.edu with their first and second choice of dates Students should be 100% sure that their date preference will work, because date changes rarely work out. Students will be sent their day-by-day schedule and required reading at least 2 weeks prior to their start date Dates that are not allowed for Sports Med Elective: a. August, September, October b. The weeks before and after Christmas c. The last two weeks of March 

Rural Family Medicine - St Charles Health System

St Charles Hospital - Bend, Oregon 

FAMP 709SC  | Family Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 or above 

This elective is geared toward students who wish to have an experience working with primary care physicians in rural Oregon. Students will work in a family medicine clinic in Sisters, OR, located 140 miles southeast of the OHSU main campus. The clinic serves a diverse population residing in that community and allows the student to learn common diagnoses in an environment that encourages problem solving at the site and use of electronic information resources. Students will be expected to attend weekly Grand Rounds, clinical conferences, and other continuing medical education activities as assigned by their attending. St. Charles Bend is located in Bend, OR, approximately 160 miles southeast of the main OHSU campus. St. Charles (Bend) is designated as a Level II Trauma Center by the Oregon Public Health Division. Bend is the only Level II Trauma Center east of the Cascades. St. Charles (Redmond) is a certified Level III Trauma Center. Medical staffing is provided by Northwest Emergency Physicians. Pioneer Memorial Hospital (Prineville) is a Level IV Trauma Center. 

Rural Hospice - St Charles Health System

St Charles Hospital - Bend, Oregon 

FAMP709ST  | Family Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 or above 

This elective offers students the opportunity to work in a rural setting (Prineville, OR) with a hospice director (board certified in family medicine, subspecialty board certification in palliative medicine) and an interdisciplinary team. This 4-week rotation will cover communication, the interdisciplinary team, and the physician’s role (week 1); the hospice/palliative medicine approach to terminal illness (week 2); pain management (week 3), and non-pain symptom management (week 4). Highly motivated students will have the option of “working ahead” into psychological and spiritual issues, and ethical issues at end of life. Students are assigned a five-patient panel (generally a cancer patient, an end-stage cardiovascular disease patient, end-stage lung disease patient, end-stage dementia or neurodegenerative disease patient, and a patient with complex psychosocial issues). The student will be expected to become conversant in the patients’ underlying disease processes, their common symptoms, late-stage manifestations, treatment strategies, and medication management. The student will be expected to see their patients on a regular basis with pastoral staff, social workers, nursing staff, and the hospice medical director. The student is expected to be actively involved in constructing and revising each patient’s plan of care. Students will be expected to attend weekly Grand Rounds (via live broadcast from St. Charles Medical Center) and other continuing medical education activities as assigned by their attending. Prineville, OR is located 150 miles southeast of the main OHSU campus. Pioneer Memorial Hospital (Prineville) is a Level IV Trauma Center. St. Charles Bend is located in Bend, OR, approximately 160 miles southeast of the main OHSU campus. St. Charles (Bend) is designated as a Level II Trauma Center by the Oregon Public Health Division. Bend is the only Level II Trauma Center east of the Cascades. St. Charles (Redmond) is a certified Level III Trauma Center. 

Physical Medicine & Rehabilitation/Sports Medicine - St Charles Health System

St Charles Hospital - Bend, Oregon 

FAMP 709SP  | Family Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 or above 

Students will actively participate in patient care at The Center: Orthopedics and Neurosurgical Care and Research. This elective is clinically oriented with an emphasis on examination techniques and the diagnosis and treatment of common sports injuries. Students will be expected to attend weekly Grand Rounds, clinical conferences, and other continuing medical education activities as assigned by their attending. St. Charles Bend is located in Bend, OR, approximately 160 miles southeast of the main OHSU campus. St. Charles (Bend) is designated as a Level II Trauma Center by the Oregon Public Health Division. Bend is the only Level II Trauma Center east of the Cascades. St. Charles (Redmond) is a certified Level III Trauma Center 

Ambulatory Practice - Good Samaritan

Good Samaritan Hospital Portland 

AMBL 709G  | Internal Medicine  | 6 credit(s) | 2-4 weeks  | Any term
Preqs: IMED 720 

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. 

Ambulatory Practice - St. Vincent Medical Center

St Vincent Medical Center Portland 

AMBL 709S  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below 

*NOTE: Closed to 3rd year students prior to June elective block. Three months advance notice to sign up or cancel. 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. 

Arthritis/Rheumatology - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

ARTH 709H  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

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.

Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors.
 

Cardiology Consult - OHSU or VAMC

OHSU or VAMC Portland 

CARD 709A  | Internal Medicine  | 6 credit(s) | 2-4 weeks  | Any term
Preqs: IMED 720 

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 be exposed to the role of non-invasive testing as needed. It may be possible to arrange experience watching exercise treadmill testing (primarily VA rotation). Commonly seen conditions include evaluation of chest pain syndromes, coronary artery disease, heart failure, risk assessment prior to 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 may observe and potentially assisting with performance of treadmill exercise tests, cardiac catheterization procedures and other cardiac diagnostic tests. Students are encouraged to attend cardiology conferences that include, Multidisciplinary (Clinical Case) Conference, Cardiac Catheterization Conference, ECG Conference, Pathophysiology Conference, and other subspecialty conferences. Students work with a cardiology consulting resident (if one is assigned), a fellow, and the attending assigned for the month. Evaluation includes informal feedback and standard evaluations by the attending physician. The student also evaluates the educational experience during the rotation. At the end of the rotation, students will have increased skills in the assessment of patients with heart disease. 

CCU at OHSU

OHSU Portland 

CARD 709B  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, Satisfies ICU Requirement 

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 night. Evaluation is by observed clinical performance and case presentations. The CCU subI rotation does not provide the full breadth of the MICU experience (ventilation management, non-cardiac intensive care) but is focused almost exclusively on the intensive care management of cardiac patients. 

Cardiology/Arrhythmia Consult

Good Samaritan Hospital Portland 

CARD 709G  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

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. 

Cardiology - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

CARD 709H  | Internal Medicine  | 6 credits credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

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.

Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors.
 

Lipid Metabolism/Clinical Nutrition - Research

OHSU Portland 

ENDC 701B  | Internal Medicine  | TBA credit(s) | TBA  | Any term
Preqs: None 

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. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Endocrinology Metabolism Consult - OHSU/VAMC

OHSU/VAMC Portland 

ENDC 709A  | Internal Medicine  | 3-6 credit(s) | 2-4 weeks  | Any term
Preqs: IMED 720 

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 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

OHSU Portland 

GSTR 709A  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

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 - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

GSTR 709H  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

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 at RiverBend, a 432 tertiary care hospital.

Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors.
 

Community Volunteer Medical Clinic - Wallace

OHSU Portland 

GMED 709C  | Internal Medicine  | Audit only credit(s) | TBA  | Any term
Preqs: MS2 

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. 

Hospitalist - Emanuel Hospital

Emanuel Hospital Portland 

GMED 709E  | Internal Medicine  | 6 credit(s) | 4 weeks  | Blocks 1-5 only term
Preqs: IMED 720, *see below, Satisfies Sub-I Requirement 

Legacy Emanuel Hospital Internal Medicine Program offers a rotation which is entirely an inpatient elective, working one-on-one with a hospitalist. 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. 

Internal Medicine/Away

OHSU Portland 

GMED 709Z  | Internal Medicine  |  credit(s) |   |  term
Preqs:  

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Geriatric Medicine Consult - VAMC

VAMC Portland 

GERI 709A  | Internal Medicine  | 3-6 credit(s) | 2-4 weeks  | Any, except January term
Preqs: IMED 720 

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 facility at the Vancouver VA, Hip Fracture Service at Good Samaritan Hospital and Legacy. Six weeks lead time for add/drop. 

Hematology Medical Oncology - Research

OHSU Portland 

HEMA 701A  | Internal Medicine  | TBA credit(s) | 4-8 weeks  | Any term
Preqs: None 

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. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Hematology Medical Oncology Consult - OHSU/VAMC

OHSU/VAMC Portland 

HEMA 709A  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

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/VAMC

OHSU/VAMC Portland 

HEMA 709B  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below 

The student will join the University Hospital Hematologic Malignancies and Bone Marrow Transplant service consisting of one attending, two nurse practitioners and 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 Fellow 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. 

Infectious Disease Consult - OHSU/VAMC

OHSU/VAMC Portland 

INFD 709A  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 and or FAMP 720 

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. They will work up and present new consultation patients, follow up with patients on the consult service, and participate in Division Conferences. Placement is within a combined OHSU/VAMC rotation. 

Infectious Disease - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

INFD 709H  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below 

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 will also get to work with the Hyperbaric/Infectious Disease program. It is certified by the Undersea and Hyperbaric Medical Society and it is operated solely by board-certified ID physicians. This is ideal for coordinating treatment with our wound care program and with providers in the region. Treatment is available 24/7 for emergency care. 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. Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors. 

Infectious Disease Consult - Providence

Providence Medical Center Portland 

INFD 709P  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below 

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/VAMC

OHSU/VAMC Portland 

NEPH 709A  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below 

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/VAMC

OHSU/VAMC Portland 

NEPH 709C  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

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 evaluate 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. Students participate on a multidisciplinary team of transplant Medicine and Surgery specialists. Team members include Transplant Medicine and Transplant Surgery attendings, Transplant Medicine Fellow, Surgery Residents and a Transplant Pharmacist. Evaluation is based on observations of clinical performance and case presentations. 

Nephrology Hypertension - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

NEPH 709H  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

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. Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors. 

Ward Subinternship University Hospital

OHSU Hospital Portland 

IMED 709A  | Internal Medicine  | 6 credit(s) | 4 weeks  | Not offered 2014-2015 academic year term
Preqs: IMED 720, *see below, Satisfies Sub-I Requirement 

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.  

Ward Subinternship - Emanuel

Emanuel Hospital Portland 

IMED 709E  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below, Satisfies Sub-I Requirement 

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. 

Ward Subinternship - Providence

Providence Medical Center Portland 

IMED 709P  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below, Satisfies Sub-I Requirement 

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

St. Vincent Hospital Portland 

IMED 709S  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below, Satisfies Sub-I Requirement 

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 VAMC

VA Medical Center Portland 

IMED 709V  | Internal Medicine  | 6 credit(s) | 4 weeks  | Not offered 2014-2015 academic year term
Preqs: IMED 720, *see below, Satisfies Sub-I Requirement 

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. 

ICU - University Hospital

OHSU Portland 

PULM 709A  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below, Satisfies ICU Requirement 

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

St Charles Medical Center, Bend 

PULM 709B  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below, Satisfies ICU Requirement 

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 or VAMC

OHSU or VAMC Portland 

PULM 709C  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

Pulmonary Consult – OHSU: 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, Pulmonary clinic, attendance at three weekly pulmonary conferences, and reading in pulmonary and critical care medicine. Placement is at either OHSU or VAMC. Pulmonary Consult – VA: The VA Pulmonary consult rotation offers a hybrid inpatient and outpatient experience. The service (staff Pulmonologist, PCCM fellow and an IM resident most months) sees outpatients in the morning in our subspecialty urgent care clinic. Inpatient consultations are staffed in the afternoons. We perform bronchoscopies and thoracenteses most days as well. The service interprets all pulmonary function tests and supervises review of a high volume of abnormal thoracic imaging studies. Depending on the student’s interest, there may be opportunities to observe care in our multidisciplinary lung cancer and multidisciplinary ALS clinics. There are three Pulmonary conferences weekly, along with opportunities for directed reading in Pulmonary medicine. 

ICU - Good Samaritan

Good Samaritan Hospital, Portland 

PULM 709G  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any, Satisfies ICU Requirement term
Preqs: IMED 720, *see below 

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 - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

PULM 709H  | Internal Medicine  | 6 credit(s) | 4 weeks  | Not offered 2014-2015 academic year term
Preqs: IMED 720, *see below, Satisfies ICU Requirement 

Students receive clinical training in the multi-disciplinary ICU of Sacred Heart Medical Center, a 432 bed tertiary care hospital in Eugene. Students will work directly with board certified critical care specialists and will participate fully in all aspects of patient care, including conversations with patient and family members. Students will be responsible for writing history and physicals, consultations, orders, regular progress notes, and orders 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, Rapid Response team, "Code 99" and Trauma teams. Students will have the opportunity to attend lung tumor conference, trauma conference in addition to the CME activities at Sacred Heart Medical Center. The work day will be from 8 am till 6 pm Monday through Friday with a flexible night call schedule, 1-2 times per week. A reading syllabus in critical care is provided. Didactic lectures on common issues in critical care will be held with student/s. 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. Students will be independently evaluated by all intensivists that they rotate with during the month *NOTE: Closed to 3rd year medical students prior to June elective block. Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors. 

ICU - St. Vincent Medical Center

St Vincent Hospital Portland 

PULM 709S  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below, Satisfies ICU Requirement 

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

Providence Medical Center Portland 

PULM 709P  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below, Satisfies ICU Requirement 

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. *NOTE: Closed to 3rd year students prior to June elective block. 

PULM CCU/ICU - VA Medical Center

VAMC Portland 

PULM 709V  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below, Satisfies ICU Requirement 

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 angina. Formal attending rounds occur daily with both a cardiology and critical care attending. Students work directly with a resident and admit patients independent of the interns. In addition, students will meet weekly with the 4th year Clerkship Director to participate in a weekly subintern report. Evaluation is based on observed performance. *NOTE: Closed to 3rd year students prior to June elective block. 

Palliative Care - OHSU

OHSU Portland 

GMED 709F  | Internal Medicine  | 3-6 credit(s) | 2-4 weeks  | all term
Preqs: IMED 720 

This elective offers students the opportunity to work with an interdisciplinary team to develop skills and expertise in the palliative care of patients living with life-threatening illnesses. Students will explore clinical practice of Palliative Care through inpatient and outpatient experiences. Most teaching occurs in the course of supervised patient care. Examples of typical experiences include: performing palliative care assessments of hospitalized patients, participating in a family meeting, or seeing patients in the Supportive Oncology and Palliative Medicine outpatient clinic. Focus is on teaching palliative care assessment (including pain/symptom management, psychosocial assessment, prognosis, and goals of care), effective opioid use, broaching difficult subjects with care, effectively using advance directives and POLST, self-care, and an interdisciplinary approach to care. Students will see patients and experience both bedside teaching and time alone with patients to assess them and discuss living with serious illness. In the hospital, students will have the opportunity to participate in consultations and family conferences. Attending advance practice nurse/physician assistants on the service are Tiffany Culbertson, RN, NP, Jeff Myers, PA, and Mary Denise Smith, RN, CNS. Attending physicians on the service include Erik Fromme, MD, MCR, Terri Schmidt, MD, and Eric Walsh, MD. 

Internal Medicine Research

OHSU Portland 

GMED 701A  | Internal Medicine  | 4 credit(s) | 4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Internal Medicine Special Elective

OHSU Portland 

GMED 709X  | Internal Medicine  |  credit(s) |   |  term
Preqs:  

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Hematology/Oncology - Sacred Heart

Willamette Valley Cancer Institute, Springfield Oregon 

HEMA 709H  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720 

Students learn to diagnose and treat common hematologic and oncologic diseases in a comprehensive community setting. Common problems typically seen include breast cancer, colon cancer, lung cancer, lymphoma, gynecological, head and neck cancer and both benign and malignant hematologic diseases. Rotation will be predominately outpatient medical oncology but students may have the option of rotating through other specialties such as with radiation and/or gynecological oncologists. Goal of the rotation learn the initial diagnosis and follow up care by direct patient contact and interpretation of imaging, labs tests including bone marrow biopsies, genetic tests, etc. Student is expected to attend tumor board conferences and maybe required to present cases that he/she is involved. Evaluation is done mainly by clinical performance. Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors. 

Coffee Creek Correctional Facility

Wilsonville Oregon 

GMED 709L  | Internal Medicine  | 3-6 credit(s) | 2-4 weeks  | any term
Preqs: IMED 720 

Coffee Creek Correctional Facility (CCCF) is a state prison located in Wilsonville, Oregon. This facility serves as the statewide Intake Center for all male and female inmates who have been sentenced to more than a year in Oregon. It also is the only prison for female inmates in the state. Most women remain here for their full sentence, except for a very small number who are eligible for a boot camp program. The men are here briefly for assessment, and are then sent to the male-only prison best suited to their needs. We house roughly 1000 women and 400 men, out of a total Oregon prison population of around 13,000. Most physicians do not have direct knowledge about health care in prisons. There are currently about two million incarcerated Americans, and several million more on probation or parole. Prisoners usually come from an underserved population, and are a medically high risk population. Being incarcerated gives them a constitutional right to medical care. Thus jail and prison may provide their only access to regular health care. Most prisoners serve less than three years, and then re-enter the community whence they came. Therefore, our practice setting is unique, but we share this high risk population with the community. Our facility has clinics and an Infirmary. We have a staff which includes nursing, dental, and medical professionals. We have mental health professionals and a Special Management Unit for inmates with severe mental health issues. We practice in an HMO-like system, with a formulary, strong primary care, and controlled access to specialist services. This elective will serve to orient the post graduate physician to correctional health care and to a managed care model of delivery. The resident physician will provide clinical care to patients with a broad range of pathology in the clinic and in the infirmary under the supervision of two internal medicine physicians. The resident physician will also attend and present his or her cases at therapeutic level of care meetings. 

Ambulatory Primary Care: Intro to Patient Centered Medical Home

OHSU Portland 

AMBL 709B  | Internal Medicine  | 6 credit(s) | 2-4 weeks  | Any, not offered Fall, Winer 2013-2014 academic year term
Preqs: IMED 720 

What is the patient centered medical home? Would you like to be part of it? This is an ideal rotation for a 4th year medical student, or highly motivated 3rd year student, who is interested in primary care but not yet decided on which specialty. In this rotation, each student will work with 3 - 5 longitudinal patients at OHSU Internal Medicine’s Primary Care practice and follow them through clinic appointments, case management visits/check-ins, pharmacy and social work visits. In addition, you will work about half the day with preceptors seeing patients and the other half working with the other practitioners in the medical home including medical assistants, RN case management, and clinical pharmacists. You will attend the weekly Chronic Illness Management Lecture and one Ambulatory Clinic Conference each week. At the end of the block, you will be asked to submit a 3-5 page paper summarizing their reflections of the Patient Centered Medical Home and identifying areas of improvement. 

Ambulatory Primary Care: Intro to Health Systems

OHSU Portland 

AMBL 709A  | Internal Medicine  | 3-6 credit(s) | 2-4 weeks  | Any not offered Fall, Winter 2013-2014 academic year term
Preqs: All Core Third Year Clerkships 

With rising health care costs and expansion of health care coverage through the affordable care act there is increasing pressure to deliver both high quality and cost effective health care. The patient -centered medical home (PCMH) model has been increasingly viewed as a means to accomplishing both goals (AHRQ, 2012). Given its increasing prevalence as a practice type and status a benchmark for how primary care is delivered, it is important for fourth year medical student interested in primary care to be trained in this model. A 4th year elective block was devised in order to insure that interested students can acquire an understanding of PCMH as well as develop proficiency at practicing medicine in this health care delivery system. Students will spend 4 weeks in a Tier 3 PCMH in an academic medical center. As part of this elective, students will work with all practitioners within a PCMH including, MDs, NPs, RNs, PharmDs, SWs and MAs. They will also work more closely with 3-5 patients that are actively care managed, so that they can better understand this process. In addition to the practical knowledge gained from this clinical elective, students will be given a syllabus with review articles on the PCMH. They will have protected time to work on an advocacy project or paper. Objectives: By the end of the rotation, students will 1) list the 5 core criteria needed to meet Oregon’s definition of the PCMH, 2) identify practitioners in the PCMH and define their role, 3) evaluate the strengths and weaknesses in the clinic’s implementation of the PCMH, 4) describe which patients would benefit from active care management, 5) present a clear HPI, 6) perform a problem focused exam and 7) synthesize an accurate assessment and plan. 

Hospitalist at VAMC

OHSU Portland 

GMED 709V  | Internal Medicine  | 6 credit(s) | 4 weeks  | any term
Preqs: All Core Third Year Clerkships, Satisfies Sub-I Requirement 

Students on this rotation will have the opportunity to develop core inpatient medicine skills while working one on one with a hospitalist preceptor at the PVAMC. The schedule is primarily Monday through Friday with weekends off. Students will be expected to admit patients with a wide variety of illnesses and assume responsibilities for their complete care including notes, procedures, and communication with family members, consulting services and primary care providers. During the rotation, students are expected to carry a census of 3-5 patients and will participate in cross-coverage of other ward patients and medical consultation for other services. Educational curriculum will be delivered through direct patient care including bedside rounding, focused physical exam teaching, and formal presentations. In addition, students are expected to attend the General Medicine conferences and prepare 1-2 talks/journal clubs on a relevant topic. 

Pre-Operative Medicine Clinic

OHSU Portland 

GMED 709Q  | Internal Medicine  | 6 credit(s) | 4 weeks  | Summer, Winter, Spring term
Preqs: IMED 720 

Peri-operative risk depends on both patient-specific and surgery-specific factors. The role of a medical pre-operative evaluation is to assess risk, optimize medical management of comorbidities, and implement risk reduction strategies. This is also an opportunity for patient education and practice-based management within the health care team structure. As the population ages and acquires more chronic medical problems, preoperative management will continue to be an important element of medical practice. This rotation aims to expose students to the importance and nuances of medically preparing a patient for surgery, as well as introduce proactive strategies for post-operative management of medical conditions. This rotation is geared towards students interested in a range of specialties, including primary care, hospital-based medicine, surgery, and anesthesia. 

Cardiology - St Charles Health System

St Charles Hospital - Bend, Oregon 

CARD 709SC  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any not offered 2014-2015 academic year term
Preqs: MS4 or above 

Students will be working with cardiologists in a high volume practice in Bend, OR. Students 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, heart disease requiring non-cardiac surgery, and valvular heart disease. Students regularly interpret electrocardiograms and review them with the attending physician. Students will observe and perform procedures including assisting with performance of treadmill exercise tests, cardiac catheterization procedures and other cardiac diagnostic tests, with an opportunity to observe open heart surgeries. At the end of the rotation, students will have increased skills in the assessment of patients with heart disease. St. Charles Bend is located in Bend, OR, approximately 160 miles southeast of the main OHSU campus. St. Charles (Bend) is designated as a Level II Trauma Center by the Oregon Public Health Division. Bend is the only Level II Trauma Center east of the Cascades. St. Charles (Redmond) is a certified Level III Trauma Center. Pioneer Memorial Hospital (Prineville) is a Level IV Trauma Center. 

Ward Subinternship-Good Sam

Good Samaritan 

IMED 709G  | Internal Medicine  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, *see below, Satisfies Sub-I Requirement 

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. 

Physical Diagnosis

OHSU Portland 

GMED 709A  | Internal Medicine  | 2 credit(s) | 2 weeks  | Instructor consent term
Preqs: 3rd year medical student 

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 two weeks of half-days. 

Clinical Hospitalist Service

OHSU Portland 

GMED 709J  | Internal Medicine  | 6 credit(s) | 4 weeks  | any term
Preqs: MS4 

The clinical experience of a third or fourth year medical student on a clerkship helps to determine the path a medical student ultimately takes and prepares them for their role in residency. Currently, the OHSU Clinical Hospitalist Service is an untapped resource for medical students to gain exposure to not only the field of medicine, but to the growing field of hospital medicine. This rotation, currently designed for MS IVs to rotate as part of their elective sub-internship, will help expose and educate students and ideally pique their interest in this field with a group of well trained and highly motivated faculty eager to teach. The proposed model for having medical students on the Clinical Hospitalist Service would be unique and offer distinct benefits. Given no housestaff on the service, this model would allow for both increased autonomy for and direct supervision of the medical students. Observation of their growth on the clerkship as well as feedback would be first hand. It would also offer the opportunity for increased mentorship to the students. The involvement and feedback of the APPs (advanced practice providers) on the service would also be a chance for medical students to learn how to engage with providers from a multidisciplinary standpoint from an early start, which will be how medicine will continue to evolve in the future. The opportunity to rotate as a nightfloat may also be available. 

Medical Genetics Research

OHSU Portland 

MGEN 701A  | Medical Genetics  | 9-18 credit(s) | 6-12 weeks  | Any term
Preqs: None 

Arrangements need to be made 2 months in advance. Under supervision, students select, design, and carry on clinical and/or laboratory research relevant to patients with genetic disease. Emphasis is on development of basic concepts and skills in clinical and laboratory investigation. Students attend Genetics clinical conferences, Genetic rounds, weekly research conferences, and seminars. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Medical Genetics

OHSU Portland 

MGEN 709A  | Medical Genetics  | 6 credit(s) | 4 weeks  | Fall, Winter and Spring only term
Preqs: MS3 or above 

Students will participate in outpatient services for evaluation of patients with birth defects, syndrome identification, hereditary cancer syndromes and other suspected genetic disorders at the CDRC Medical Genetics and Metabolic Clinics, Center for Women’s Health, Cancer Center at the Center for Health and Healing, Perinatal Center, and the Shriner’s Hospital clinics. In addition, students will accompany the on-call geneticists for inpatient consults from the University, Doernbecher, and Veteran’s Hospitals. They will be expected to attend the regularly scheduled Departmental Clinical conference, Seminars, Journal Clubs and Grand Rounds presentations. Arrangements for the rotation should be made 2 months in advance. 

Topics in International Health

OHSU Portland 

JCON 705A  | MS1-MS2 Electives  | 2 credit(s) | 9 weeks  | Spring term
Preqs: None 

This course explores clinical, population-based, and public health theory and issues from an international perspective. The goal of the course is to prepare medical and nursing students interested in health problems and diseases in developing countries to consider the challenge of clinical and/or public health electives or vocational opportunities in international settings. The student will appreciate the interrelationships of disease, overpopulation, society, politics, economics, and the environment and how the lives and health of people living in the developing world are impacted. Two hours per week for 9 weeks. 

The Healer's Art

OHSU Portland 

JCON 705G  | MS1-MS2 Electives  | 1 credit(s) | 8 weeks  | Winter, not offered 2013-2014 academic year term
Preqs: MS1, MS2 or MS4 

Topics include meaning and service, sharing loss, finding healing, strengthening our personal commitment and uncovering the spiritual dimensions of the practice of medicine for ourselves. Class format includes both presentation and small group discussion in a discovery model around the topics. 

Introduction to Health Care Law and Policy

OHSU Portland 

JCON 705P  | MS1-MS2 Electives  | 1 credit(s) | 13 weeks  | Offered every other year term
Preqs: none 

Class requirements and grading: 1. Reading and class participation. 20% of your grade. The class depends upon all of us participating and coming to class prepared. The two hours will be much more enjoyable and productive when everyone talks a bit. 2. Group presentations. To be determined, but between 30 to 50%. A principal requirement will be an hour long group presentation. The group must come up with a topic, which must meet my approval by Class 6. The group presentation should include reading material for the class (but no more than 40 pages), a short list of learning objectives, a 20 to 30 minute presentation and a 20 to 30 minute class discussion. We will strictly adhere to a 55 minute limit. Your grade for group presentations will consist of a peer assessment, and my assessment. The peer assessment will be 20% of your grade, with an emphasis on how the individual contributed to the group in terms of cooperation, flexibility, communication, leadership, creativity and respect for others in the group. 3. Paper or final exam, both at end of fall classes. To be determined but between 30 to 50%. Topics must be approved by me by the end of class 6. 

Careers in Medicine Specialty Talks

OHSU Portland 

JCON 705P  | MS1-MS2 Electives  | 1 credit(s) | 4 weeks  | Winter term
Preqs: MS1 or MS2 

The course objective is to introduce various specialties in medicine in the structured format of a panel discussion. Three to four physicians in each specialty will spend one hour every other week answering questions designed by the Specialty Interest Group leaders as well as questions from the students attending the session. Required assignments include website work and evaluations for each session. 

Living With Life-Threatening Illness

OHSU Portland 

JCON 705S  | MS1-MS2 Electives  | 2 credit(s) | 1-3PM on Fridays, 9th floor UHS  | Winter term
Preqs: MS1 

This interdisciplinary course introduces fundamental knowledge, attitudes, and skills for working with patients with life threatening illnesses and their families. Each student will be assigned to a patient with a life-threatening illness who they will visit 5-6 times in their homes. The focus of learning for the course will be the students’ ongoing relationship with this patient and his or her family. Weekly large group discussions will address topics such as responses to suffering, symptom control, grief and loss, spiritual concerns, and ethical dilemmas. Weekly small-group discussions will allow students to receive supervision from experienced clinicians and to reflect on personal reactions to the patient, and will help them integrate didactic material with their clinical experience. Course evaluation will be based on participation and completing a short reflection paper or letter to your patient-teacher. 

Preceptorship Experience

OHSU Portland 

JCON 709P  | MS1-MS2 Electives  | 1 credit(s) | 12 weeks  | Fall, Winter or Spring term
Preqs: PCM1 

PCMstyle preceptorship only. Must have satisfactorily completed PCM 1 including preceptorship portion of the course. This is designed primarily for students who are enrolled in either a combined degree program, pathology fellowship or a research year and wish to continue with a preceptorship experience during that time away from their medical school curriculum. 

Summer Preceptorship

OHSU Portland 

JCON 709S  | MS1-MS2 Electives  | 1 credit(s) | 3 weeks  | Summer term
Preqs: MS1 

Students are responsible for selecting a site and obtaining a preceptor. 

Healing Power of the Written Word: Exploring Medical Literature & Creative Writing

OHSU Portland 

EMED 705A  | MS1-MS2 Electives  | 1 credit(s) | 8 weeks  | Not offered 2013-2014 Academic Year term
Preqs: MS1 or MS2 

In this course, students will examine selections written by physicians as they encountered challenging situations in their own lives and the lives of their patients. Through this exploration, the student will gain insight into struggles others have encountered and overcome. In doing so, they will build a foundation for coping with what undoubtedly lies ahead - the best and worst of times. Students will have brief weekly pre-assigned readings which will take no longer than one hour to complete. The material will cover diverse topics including: death and dying; racial and ethnic differences; personal stress and coping mechanisms; and, medical errors. Assigned material will be comprised of essays, book excerpts, journal articles and poetry. Course faculty members will act as facilitators for small group discussions which will be led by the students. The students will also create their own works in individual and group exercised to be shared with the group. Grading is pass/fail based on participation in sessions. Attendance is required at each session. 

Emergency Medicine Evidence-Based EM

OHSU Portland 

EMED 705B  | MS1-MS2 Electives  | 1 credit(s) | 6 weeks  | Winter through Spring term
Preqs: None 

This course is intended to provide an in-depth examination of clinical investigations such that medical students gain insight into the key processes of hypothesis-generation, study design, validation, and generalizability of clinically-derived evidence. The objectives of this course are 1) to familiarize medical students with the principles of Evidence-Based Medicine, 2) to give medical students experience in applying the principles of EBM in the setting of reading and evaluating clinical literature, and 3) to provide medical students with the opportunity to prepare for and present an article at Journal Club. Each student will be required to prepare and present at least one article at one of the monthly Journal Club sessions. All students will be expected to read 2-3 assigned articles in advance of the monthly journal club and prepare basic EBM worksheets pertaining to each article. Attendance at 5 of 6 sessions is mandatory to receive credit. 

Human Nutrition - OHSU

OHSU Portland 

GMED 705E  | MS1-MS2 Electives  | 1-2 credit(s) | 10 weeks  | Winter term
Preqs: MSCI 612 

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

OHSU Portland 

GMED 705F, G, H  | MS1-MS2 Electives  | 1/2 per term credit(s) | 10 weeks  | Fall, Winter, Spring term
Preqs: MS1 

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. Must register for each term separately. 

Physiology & Pharmacology of Pain

OHSU Portland 

NSUR 705A  | MS1-MS2 Electives  | 1 credit(s) | 6 weeks  | Not offered 2013-2014 Academic Year term
Preqs: Neuroscience & Behavior (concurrent) 

This six-week course will allow students to explore pain in terms if both mechanism and treatment. Following an introductory review of the neural basis of pain transmission and modulation, the course will consider common, clinically significant pain syndromes (e.g., headache) and factors that have a significant impact on pain (e.g., pain in children). Each of these sessions will consist of a brief didactic presentation by the faculty followed by a student-led presentation on a relevant article or case report. At the end of the course, students should be able to demonstrate knowledge related to pain pathways, and to mechanisms and treatment of acute and chronic pain. 

Reproductive Health Choices

OHSU Portland 

OBGY 705D  | MS1-MS2 Electives  | 1 or 2 credit(s) |   | Every other year in Winter term, Will not be offered in 2011-2012 term
Preqs: none 

Topics covered include contraception, infertility, sterilization, medical and issues and religious perspectives on abortion and contraception. Lecture and panel discussion format. 

Otolaryngology - Soft Tissue Technique Practicum

OHSU Portland 

OTOL 709F  | MS1-MS2 Electives  | 1 credit(s) | 2 4-hour sessions  | Any term
Preqs: None 

Practical application of soft tissue surgical techniques using video tape instruction segments as well as individual instruction by Otolaryngologist/ Facial Plastic Surgeons during a two day intensive course. The course is focused on soft tissue handling and reconstructive techniques with particular emphasis for those that are applicable around the face. The basic principles of soft tissue surgery proceeding to moderately advanced techniques will be taught. Incisions, excisions, appropriate instrument usage and broad variety of wound closure techniques will be taught and practiced (subcuticular suturing, deep suturing, surface suturing and staple usage). Surface flaps of all types (advancement, rotation, interposition, Rhombic, bilobed) Z-plasty and scar camouflage surgery are covered. Priority is given to students in the first year of medical school as they have had the least exposure to soft tissue reconstruction. Maximum number of students 8 - Minimum number of students 4. 

Healthcare Reform: Past Present & Future

OHSU Portland 

JCON 707D  | MS1-MS2 Electives  | 1 credit(s) | 8 weeks  | TBA term
Preqs:  

This course aims to put health care reform in context. We want to explore the history of health care reform, understand who the main “players” in health care reform have been and are currently, we will learn about current legislation and about the alternatives to the recently enacted reform plan, and we discuss how we can play a part in health care reform as future health care professionals.
During the course of this class we will focus on how public and professional opinions on health reform are shaped by alternative frames and metaphors used in the reform debate, as well as by various lenses such as personal beliefs and professional culture.
 

MD/PhD Journal Club

OHSU Portland 

BCMB 705A  | MS1-MS2 Electives  | 1 credit(s) | 12 Weeks  | Full Year term
Preqs: MD/PhD 1st and 2nd year students 

MD/PhD students only. 

Intro to Human Patient Simulation

OHSU Portland 

EMED 705C  | MS1-MS2 Electives  | 1 credit(s) | 8 weeks  | Winter, Spring term
Preqs:  

Using realistic cases on the human-patient simulator, students will practice and refine focused interviewing skills. Students will learn to interpret and apply elicited history and physical exam findings to develop differential diagnoses for each patient scenario. Students will refine effective communication skills with the patient simulator, with other members of their team, and with other health care professionals. Students will have an introduction to case-specific procedural skills, such as IV placement, intubation, and defibrillation. 

Simulation-Based Clinical Medicine

OHSU Portland 

EMED 705D  | MS1-MS2 Electives  | 1 credit(s) | 4 weeks  | spring term
Preqs: MS2 

The main purpose of this course is to facilitate the formation of illness scripts. An illness script represents a provider's stored knowledge of disease states, conditions and processes acquired through experience. With the use of patient-simulators, cases will be presented for the students to integrate their basic science knowledge through its application to clinical scenarios, compare and contrast features of each case, and begin the formation of illness scripts. 

Labor & Delivery Skills

OHSU Portland 

FAMP 705H  | MS1-MS2 Electives  | 1 credit(s) | 6 weeks  | fall term
Preqs: MS1 or above 

This elective provides a special opportunity for interested medical students to gain a comprehensive introduction to prenatal care and labor and delivery support. Participants are encouraged to be co-participants in the FMIG Baby Beeper program, in which they will have the opportunity to follow a patient's care with a family medicine resident from prenatal visits through labor and delivery and postnatal care of mother and infant. Topics covered will include various aspects of prenatal care, the normal birth process, labor support techniques, dealing with stalled labor, positions, dealing effectively with shoulder dystocia, operative vaginal delivery with vacuum extractions and forceps, and neonatal transition to life. 

SW Volunteer Clinic

Portland 

FAMP 709K  | MS1-MS2 Electives  | 1 credit(s) | Full Year  | All term
Preqs:  

Must do at least 4 shifts to receive credit. 

Health and Illness in Context

Old Town Clinic/Portland 

GLBH 711  | MS1-MS2 Electives  | 2 credit(s) | 8 weeks  | Spring term
Preqs:  

Instructor Consent required to register. Students will explore the social determinants of health through an experiential elective, created in partnership between OHSU SOM and Central City Concern. Central City Concern is an innovative and nationally recognized Portland agency whose mission is to provide pathways to self-sufficiency through active intervention in poverty and homelessness. Students will learn from those who have been there and back, about life on the streets and services available to homeless individuals. Students will explore Old Town and Chinatown's diverse community resources, help to identify gaps in local service networks, and explore opportunities to address these. Students will understand the challenges and barriers to leaving street life behind. 

Interprofessional Community Health & Education Exchange (iCHEE)

Various 

GLBH 713  | MS1-MS2 Electives  | 1 credit(s) | 6 days  | Spring term
Preqs: None 

Interdisciplinary Community Health and Education Exchange (iCHEE) for the Global Health Center is looking for 5 medical students to join interdisciplinary teams for a Saturday community health and education exchange. iCHEE is an innovative elective in student education engaging and supporting the community. The program interfaces Portland-resident refugees and other communities with students and faculty mentors from all four OHSU schools. Dental, medicine, nursing and pharmacy students develop multicultural knowledge and cross-professional skills while providing refugees health information, physical check-ups, and referrals to low-cost clinics. Dental and medical students receive 1 credit; nursing students receive credit on other courses, and pharmacy students gain "community credit". During the Spring quarter we will be working in collaboration with the Lutheran Community Services NW meeting mainly but not exclusively with Russian and Bhutanese refugees. 

Summer Research

OHSU Portland 

JCON 701S  | MS1-MS2 Electives  | 4 credit(s) | 4 weeks  | Summer (between 1st & 2nd year only) term
Preqs: MS1 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Community Service -MIKE Program

OHSU Portland 

JCON 707A  | MS1-MS2 Electives  | 2 credit(s) | Sept-May  | Full Year term
Preqs: none 

At the end of the course students will be able to: 1. Elicit a personal history from low-income, racial/ethnically diverse youth 2. Communicate effectively with racially/ethnically diverse adolescents, supporting the teens’ development and behavior management in multiple community settings 3. Perform effectively as a team member in community settings with those from other disciplines or interprofessional backgrounds [education/public health/community health/dietetics/dialysis providers/social work/not-for-profit community organization (NGO)/Physician’s Assistants/ Nurse] in order to understand and work within the broader social and environmental contexts which influence disease prevention and health promotion 4. Demonstrate basics of physiology which underpin health promotion and disease prevention using hands-on tools in order to build therapeutic relationships and establish the educative process of shared decision making 5. Identify, obtain, and prepare portion-controlled, healthy snacks on a tight budget for ~two dozen teenagers 6. Understand: Epigenetic Principle of the Lifecycle Theory (the foundation for each step along the path to maturity is laid by the conditions and events that precede it), Health Belief Model, Systems Theory, 40 Developmental Assets, Project-Based Learning, Youth Development Assessments: Reflection Paper Direct Observation and report by MIKE Program Mentee (protégé) feedback Student feedback weekly debriefing and/or at other small group sessions Course Activities: MIKE Program’s curriculum, is a comprehensive adolescent health education curriculum addressing nine strands and weaving all eight health education standards throughout the experience, Each student will be expected to: Submit an initial interest statement (on-line) Undertake a30-60 minute introduction/orientation session (didactic/Q & A) Undertake an intake interview (can be part of initial meeting) Submit adequate proof of back-ground checks or undertake additional finger- print background check (can be part of initial meeting) Complete paperwork (photo release, confidentiality statement, release-of- information, personal photo-identification (can be part of initial meeting) Undertake 12-15 hour training (over two days, usually a weekend, or it can be stretched over a longer period of time to fit in with medical students’ schedules) which includes didactic and multiple hands-on activities which are an introduction to team environment, systems theory, health belief model, purpose of MIKE Program’s adolescent health education curriculum, facets of specific adolescent health education curriculum activities, the role of mentors and mentoring, how their participation in MIKE Program promotes the 40 developmental assets and engaged learning; trauma and attachment; project- based learning and group behavior Undertake an on-line training (~45 minutes) covering aspects of nutrition, sustainable food practices, and food safety in order to prepare snacks for youth Undertake training in recognizing sexual predatory behavior and reporting/management (~2 hours, done with MIKE Program mentor and absorbing a detailed email regarding the upcoming weekly classroom time with the teens 

Essentials of Musculoskeletal Medicine 1

OHSU Portland 

ORTH 705A  | MS1-MS2 Electives  | 1 credit(s) | 8 Weeks  | Fall term
Preqs: None 

Curriculum: Course 1(weekly): (90 minutes per session – 60 minute didactic, 30 minute practical/question and answer, will occur approximately every other week) Week 1 – Neuromuscular exam basics: myotomes, dermatomes, reflexes, etc. Week 2 - Neuromuscular disorders: pattern recognition (polyneuropathy, myopathy, etc.) Week 3 – Musculoskeletal basics: manual muscle testing, ROM, palpation skills. Week 4 – musculoskeletal disorders: pattern recognition (location, alleviating and aggravating factors, etc.) Week 5 – Basics of diagnostics: imaging, electrodiagnostics, etc. Week 6 – Non-operative management options, minimally invasive management options Week 7 – Surgical referral/management options Week 8 – Overview, epidemiology of musculoskeletal conditions, state of the literature and evidence-based support for treatment options 

Essentials of Musculoskeletal Medicine 2

OHSU Portland 

ORTH 705B  | MS1-MS2 Electives  | 1 credit(s) | 12 Weeks  | Winter term
Preqs: ORTH 705A 

Course 2 (lecture first week, practical exam experience second week): (60 minutes per session, will occur weekly, starting January 14th and ending April 8th (with one week off for Spring break)) Week 1– Cervical and thoracolumbar spine Week 2- Practical exam skills Week 3 – Shoulder Week 4 - Practical exam skills Week 5 – Elbow/wrist/hand Week 6 - Practical exam skills Week 7 – Hip Week 8 - Practical exam skills Week 9 – Knee Week 10 - Practical exam skills Week 11- Foot/ankle Week 12 - Practical exam skills Each lecture will review a specific musculoskeletal topic Lecture format will be standardized: 5 minutes to review prior topic’s quiz (first week will be introduction and housekeeping) History Physical exam tests and findings Clinical/anatomical correlations Diagnostic studies Students will have a handout that summarizes the above The “off” week will be a voluntary, mentored practical session Review and practice physical exam skills Students will have a take-home test to review that week’s topic 

Leadership in Medical Teams

OHSU Portland 

JCON 707F  | MS1-MS2 Electives  | 1 credit(s) | 5 weeks  | Spring term
Preqs: None 

Session one: Definition of Leadership (Good to Great – Collins) & Self-Assessment for Leadership Session two: Leadership skills: How to negotiate (Dr. J Saultz) Session three: Interprofessional leadership in medical teams Session four: Leadership in academic medicine, medical societies (OMA), and community programs Session five: Small group discussions of individual leadership planning 

The Resiliency Elective

OHSU Portland 

OBGY 705C  | MS1-MS2 Electives  | 1 credit(s) | 8-10 weeks  | Winter term
Preqs: None 

The Resiliency Elective: An Experiential Introduction to Resiliency Training Introduction: As part of the Educational Initiative in Student Integrative Self-Care, an elective course in resiliency training will be offered to first and second year medical student during Winter term Purpose: Mind-body approaches – including self-awareness, relaxation, meditation, guided imagery, biofeedback, nutrition, physical exercise, art, music and movement are among the best known and most widely used of the integrative approaches to enhance resiliency and manage stress. By their very nature they put high value on and teach the power of self-awareness and self-care. In so doing, they help shape a new integrative model of healthcare – one in which treatment is balanced with teaching; in which lifestyle, prevention and self-care are given as much respect as procedures and pharmacological interventions. In order for students to understand the potential of mind-body approaches, as well as apply them in clinical practice, we believe that they should experience these approaches themselves. It is not enough to hear about mind-body medicine and to read and comprehend the scientific basis for its efficacy. For students to appreciate their patients’ capacities for self-awareness and self-care, students should experience and realize their own abilities. Description: The integrative self-care initiative pilot elective will be offered to a maximum of 30 first and second year medical students (3 groups of 10 students). Each group will meet for 2 hours once/week for either eight, nine or ten weeks (depending on day selected) with two faculty members who will co-facilitate the sessions. This is a different style of learning with minimal ‘didactic’. The students will learn the techniques, practice them and discuss their experiences with members of the small group. Students will have an opportunity not only for individual attention and instruction, but for sharing what they are learning about stress, resiliency and themselves. 

Introduction to Community Health

OHSU Portland 

GMED 705Q  | MS1-MS2 Electives  | 1 credit(s) | 10 weeks  | Winter term
Preqs: None 

Will cover such topics and Oregon Health Plan, Health Kids Oregon, Community Health Centers, Social Workers in Medicine, WIC, SNAP, School Lunch Program, TANF, Patients with Special Health Care Needs, Child and Adult Protective Services, Access Assured at OHSU, How to Make an Effective Referral, New Directions and Innovations.




 

Student-Senior Connection

OHSU Portland 

FAMP 705J  | MS1-MS2 Electives  | 1 credit credit(s) | full year  | All term
Preqs: None 

A yearlong longitudinal partnership between medial students (Yrs 1-4) and an older member residing in Willamette View Retirement Community. This opportunity provides a means of knowing the lives of healthy older adults and for the adults to serve as mentors to medical students. There will be a series of 6-8 meetings in the academic year. 

Health Consequences of War

OHSU Portland 

SURG 705C  | MS1-MS2 Electives  | 1 credit credit(s) | 13 weeks  | Not offered 2013-2014 Academic Year term
Preqs: MS1 or MS2 

This class is designed to increase awareness of the reality of war through lectures, discussions, and readings. You will have an opportunity to increase your awareness and understanding of war and the consequences it has for health and the challenges it brings for healthcare providers. You will be introduced to international humanitarian law and human rights. You will learn about the people who are involved in wars and how different groups are specifically affected. A series of guest lecturers each with different perspectives will discuss the effects of war on the health of civilian and military populations.  

Introduction to Surgery II

OHSU Portland 

SURG 705D  | MS1-MS2 Electives  | 1 credit credit(s) | full year  | All term
Preqs: MS2 

This class expands upon Introduction to Surgery. A basic proficiency of the technical skills taught in Introduction to Surgery I is required. This course requires further attendance of surgical conferences and specialty talks. Students enrolled will take on the responsibility of teaching 705B students in lab workshops. They will thereby develop their own skills further. Students will also gain further experience by participating in operations during this period. This course also requires two hours of volunteer work, which include mentoring high school students who are interested in a surgery, during our OHSU skills lab or helping to teach suturing to premedical or other medical students. Participation in the skills lab beyond the initial two hour requirement can fulfill the volunteer requirement. 

Diagnostic Imaging and Medical Uncertainty

OHSU Portland 

RADD 705A  | MS1-MS2 Electives  | 1 credit(s) | 13 weeks  | TBA term
Preqs: none 

In the medical school preclinical years, due emphasis is placed on understanding tissue pathology and its utility as a diagnostic tool. Less attention is paid to other diagnostic modalities that, along with good history-taking and physical exam skills, frequently contribute to medical decision making. This course seeks to provide an introduction to some of the most commonly utilized imaging modalities such as ultrasound, radiography, and CT/MRI. The course is modeled after the style of learning that occurs on clinical rotations and emphasizes student to student teaching.The elective would meet on a weekly basis for 1 hour per session. The first 30-35 minutes would consist of the presentation of an approach to a commonly used modality (i.e., ultrasound). Emphasis would be placed on giving students the opportunity to practice the skills they acquire in each session by re-visiting topics after they are presented. For example, for each session after the "Approach to the Bone Radiograph" presentation, a bone radiograph will be presented and students given the chance to practice basic interpretation. The remainder of in-class time would involve a presentation on evidence-based medicine given by a junior student on a topic of his or her choice. This gives students the opportunity to investigate the data supporting medical points-of-view that are commonly accepted (i.e., "What is the data supporting daily aspirin as primary prevention for cardiac death?"'What is the evidence supporting SSRIs in the treatment of depression?"). To further highlight the contrast between the known and the unknown in medicine, students will be expected to attend two conferences outside of classroom time. One of the sessions must be a Grand Rounds-type presentation in the department/setting of the students' choosing. The second must deal specifically with uncertainty and can be fulfilled by attendance to either a Morbidity and Mortality (M&M) conference or a Tumor Board Conference, again in the department/discipline of the students' choosing. Finally, at the end of the course there will be an afternoon-long discussion opportunity where principles will be reviewed and cases will be presented for students to practice their acquired skills. 

Conversations In Global Health

OHSU Portland 

GLBH 712  | MS1-MS2 Electives  | 1 credit(s) | full year  | Full Year term
Preqs: none 

To expand awareness and dialogue among OHSU students, faculty, and guests about a wide range of contemporary scholarly and real-life global health issues facing our world. 1.Schedule: One-hour course spanning the academic year, fall through spring 2. Time: noon – 1PM on Wednesdays, as scheduled for the entire academic year 3. In general, two presentations will be offered per month 4. BUT, expect the schedule to routinely expand with “late breaker” topics 5. Credit: Attendance at 10 sessions required . 

Developing Musculosketal Research

OHSU Portland 

ORTH 705C  | MS1-MS2 Electives  | 1 credit(s) | 11 weeks  | Spring term
Preqs: ORTH 705A and ORTH 705B or Instructor Consent 

- Week 1– Evaluating the Literature - Week 2– Mentor - Week 3– Developing Hypothesis/ Introduction to Study Design - Week 4 – Mentor - Week 5 – Introduction to Quantitative Methods - Week 6 – Data Collection - Week 7 Ethical Issues in Research - Week 8 – Mentor - Week 9 – Data Analysis - Week 10– Mentor - Week 11– Written Research Proposal Presentation 

Introduction to Integrative Medicine

OHSU Portland 

FAMP 705F  | MS1-MS2 Electives  | 1 credit(s) | 7 weeks  | Fall term
Preqs: none 

The Integrative Medicine Interest Group is very pleased to be offering the "Introduction to Integrative Medicine" this fall. This elective will provide an overview of integrative medicine and various healing modalities, with an emphasis on how we MD's may incorporate them into our future practices. The details of the elective are as follows: Introduction to Integrative Medicine & course overview Mind-Body Medicine (ex: meditation, biofeedback, imagery) Manual Therapies (ex: osteopathic manipulation, massage, chiropractics) Alternative Health Systems with an emphasis on Traditional Chinese Medicine (Ayurveda, homeopathy, naturopathy will be briefly described) Nutrition and Botanicals Energy Medicine; Leadership & Training Opportunities in Integrative Medicine We will provide a course packet of reading materials to supplement the sessions. Each two-hour session will include lecture, demo and hands-on portions. We believe in experiential learning. :) The sessions will be taught by local integrative medicine practitioners, including Meg Hayes MD, Anne Nedrow MD, Elie Cole MAcOM, and Al Turner DO, to name a few. As part of this course, you will be asked to write a short reflection piece. 

Interprofessional Collaboration: A Dynamic Model for Contemporary Practice

OHSU Portland 

JCON 707G  | MS1-MS2 Electives  | 1 credit(s) | 40 hours  | Winter term
Preqs: none 

This course will provide nursing and medical students the opportunity to learn with, about, and from each other. The overall goal of interprofessional education (the process of preparing pre-licensure team members from differing professions for collaborative practice) is to lead to greater interprofessional collaboration, thereby improving the health care outcomes of the patents that members of healthcare teams service. This 40-hour elective will provide interprofessional perspectives on healthcare disparities, teamwork, communication, conflict resolution, safety, and ethics. Teaching methodologies include group activities such as simulations and on-site visits, providing time for discussion and reflection. 

Global Health in Changing Environments

OHSU Portland 

GLBH 700  | MS1-MS2 Electives  | 2 credit(s) | 9 weeks  | Winter term
Preqs: none 

This interdisciplinary elective introduces the student to "environmental" forces that shape health and induce disease and injury of populations across the globe. Environmental factors include: climate, conflict, culture, economics, ethics, food, infectious agents, geography, government, nutrition, occupation, politics, social determinants, and water, to name a few. Each weekly module comprises before-class readings in-class didactic presentations and small-group discussions. Class is taught by visiting faculty and the course director. Students debate the pros and cons of propositions relating to health challenges and interventions; class debate and voting identify majority and minority views. At course outset, students select a population for which they evolve a deep understanding as the course unfolds. Students use principles developed in each weekly session to shape and advance knowledge of their chosen populations. Students submit via Sakai a required, 2-3 page single-spaced essay that describes the forces shaping health in their chosen population. This GHCE Course is required if you intend to apply for a competitive Global Health Center Student Travel Scholarship, covering a global health related experience at home or abroad. 

Introduction to Surgery

OHSU Portland 

SURG 705B  | MS1-MS2 Electives  | 1 credit(s) | Full Year  | All term
Preqs: MS1 or MS2 

This class introduces students to a surgical career and allows them to explore the range of surgical career options and lifestyles. It enables them to gain an understanding of suturing, knot tying, and other basic surgical skills as well as becoming familiar with essential surgical instruments. It helps the student to become comfortable in the operating room setting through hands-on experience while utilizing proper etiquette. It also offers the student an opportunity to acquire mentors within the OHSU Department of Surgery. Students will attend two Surgical Skills Lab sessions, attend at least one SIG Student/Faculty Interactive session, give them a minimum of four hours in the operating room, and mentor high school students who are interested in a surgery career. This course also requires two hours of volunteer work, which include mentoring high school students who are interested in a surgery, during our OHSU skills lab or helping to teach suturing to premedical or other medical students. Once started, students must complete the elective. 

Motivating Healthy Eating

OHSU Portland 

GMED 705U  | MS1-MS2 Electives  | 1 credit(s) | 8 weeks  | Winter term
Preqs: 1st or 2nd Yr Student 

Motivational interviewing is an approach to behavior change based on guiding patients to outline their own reasons for change. By developing focused skills in asking, listening, and informing, health care professional students will be able to elicit the change talk that will empower patients to make lifestyle changes. This course will be an intensive training in MI by a certified trainer, with feedback that will help students feel prepared to help their future patients eat healthier. 

MD.iabetic

OHSU Portland 

FAMP 705K  | MS1-MS2 Electives  | 1 credit(s) | 10 weeks  | Spring term
Preqs: None 

Nearly all future physicians, regardless of specialty or location, will encounter patients with diabetes throughout the scope of their practice. This course will provide future physicians with an understanding of how diabetes – as an illness and not just as a pathological disease – can affect patients' lives on a day-to-day basis. The course will include a three-week educational period, followed by a 4-week simulated diabetes experience, 2 extended weeks of special topics, and a final week for reflection. Students will be trained to monitor glucose levels, count carbohydrates, administer insulin injections, and otherwise live as if they were diagnosed with diabetes. By the end of the course, students will understand the magnitude of lifestyle change required of these patients to maintain their health and the variety of financial and behavioral mediators that impact health decisions. This elective will allow future physicians to be more resourceful, empathetic caretakers of their chronically ill patients. 

Surgery Research - 1st & 2nd Yr

OHSU Portland 

SURG 701  | MS1-MS2 Electives  | 1-4 credit(s) | Varies  | any term
Preqs:  

The Surgery Research elective is an opportunity for you to participate in a research project that you may have interest in. In order to receive credit, there are some things we will need from you to process your paperwork. I. Approval of Rotation: a. You will need to fill obtain a request form from the Dean’s office and get the appropriate signatures. b. Once you have signed and your preceptor has signed, you will need to turn it on to the surgery Medical Student Coordinator along with a brief summary and your preceptor’s name, phone number, and email address. Your summary should include what the expected outcome you are looking for and what the project will include. c. The Medical Student Coordinator will submit it to the Clerkship Director for approval. d. The Medical Student Coordinator will send it to the Dean’s office for approval. e. The Medical Student Coordinator will contact you to let you know your request has been accepted, needs more information, or not approved. f. Once approved and signed by all parties, the Medical Student Coordinator will send you a copy of your completed signed form. II. Completion of Rotation: a. You will need to submit a 2-4 page report to include the following topics and information: i. Attendings name and contact information. ii. Hours worked. iii. Background of the process you are studying and the question you are trying to answer. iv. Description of your actual research experience. 1. Were charts reviewed? 2. Were patients enrolled? 3. What information did you examine? 4. Did you undertake a statistical analysis? 5. Which methods were utilized? b. If you have preliminary data, you should try to write an abstract. c. Submit a plan for eventual submission and presentation of your work. 

Practce Management and Innovation

OHSU Portland 

FAMP 705G  | MS1-MS2 Electives  | 1 credit(s) | full term  | varies term
Preqs: 1st or 2nd year student 

The structure of the American health care delivery system will undergo profound changes during the course of the 21st century as Medicare enrollment soars and rising healthcare costs meet a threashold beyond which the American public cannot sustain. Current health professions students will benefit from gaining a practical understanding of how medical clinics currently operate within the healthcare system and what new approaches are being developed to meet the needs of patients and providers both now and in the future. 

Curriculum Transformation Elective

OHSU Portland 

JCON 705U  | MS1-MS2 Electives  | 1 credit(s) | one term  | Spring 2014 term
Preqs: current MS2 with demonstrated interests in the curriculum transformation initiative 

This course requires the prior approval of the Associate Dean of Undergraduate Medical Education. Students in this elective course will serve as student advisors working closely with the Associate Dean for Undergraduate Medical Education and the Curriculum Transformation Development team comprised of basic science and clinical faculty members, educators, and staff. The student will provide input and feedback on the case based curriculum as it is being developed and serve as a participant/consultant in faculty development sessions. The student will be expected to attend meetings as follows: *Wednesdays 1x per week 3-5pm (2 hr) *Mondays every other week 1-2pm (1 hr) The student is also expected to spend up to two hours weekly (of their own time) reviewing case based curriculum as it is developed and passed along via email. *Specific dates will be provided upon course enrollment. The total time commitment for this elective is approximately 40 hours. Objectives: After completing this elective, the student will be able to . . . • Analyze case based curricula • Assess overall effectiveness of each case • Identify gaps and redundancies within curriculum • Provide feedback and offer input to basic science and clinical faculty in regards to case structure • Generate ideas regarding teaching methods Method of Evaluation: • Attendance/Participation • Series of short answers for feedback purposes • Grading will be pass-fail 

Intercultural Longitudinal Health

OHSU Portland 

FAMP 705L  | MS1-MS2 Electives  | 1 credit(s) | full year  | all year term
Preqs: Fluency in a language other than English 

The Intercultural Longitudinal Health Elective (ILHE) is a 1-2 year medical student elective that aims to provide longitudinal support and advocacy for limited-English proficiency patients at the Southwest Community Health Center (SWCHC) while giving students an opportunity to enhance their ability to serve as bilingual providers in underserved community settings. Bilingual students will be matched with a patient with a chronic disease and attend his/her appointments at SWCHC throughout the year. The student will take a history and perform a clinical exam in the patient’s native language and serve as his/her advocate during interactions with the attending physician. Throughout the year, students will complete a bilingual provider training program, attend debriefing meetings with other participating students, and complete related student projects. 

Pediatric Neurosurgery

OHSU Portland 

NSUR 709C  | Neurological Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, JCON 720, Satisfies Surgery II Requirement 

This course is a primarily a preceptorship with a pediatric neurosurgeon. The student will participate in all activities of the Division of Pediatric Neurosurgery, including rounds, scrubbing on operative procedures, evaluating patients in the clinic and emergency room, etc. Patients include children with hydrocephalus, spinal dysraphism, brain and spinal cord tumors, head and spinal cord trauma, non-accidental trauma, craniofacial deformities, cerebral palsy, etc. The division is committed to student education and decision making regarding careers in surgery, academic pursuits, etc. Opportunity to write a case report can be included. 

Neurosurgery

OHSU Portland 

NSUR 709A  | Neurological Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II Requirement 

This intensive exposure to clinical neurosurgery is intended for students with a serious interest in the clinical neurosciences. Students work closely with the resident team in day-to-day patient care taking call, working up new patients in both the outpatient clinic and inpatient setting, scrubbing with the residents and faculty in the operating room, and following patients though their postoperative courses. Head and spine trauma, brain tumors, stroke, aneurysmal subarachnoid hemorrhage, chronic pain syndromes, degenerative spine disease, hydrocephalus, spina bifida, movement disorders, and medically intractable epilepsy are the more common clinical problems encountered. The ICU management of critically ill neurosurgical patients is an integral part of the rotation. Placement is at OHSU. 

Neurosurgery/Away

OHSU Portland 

NSUR 709Z  | Neurological Surgery  |  credit(s) |   | Any term
Preqs: All core 

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Neurosurgery Research

OHSU Portland 

NSUR 701A  | Neurological Surgery  | 4 credit(s) | 4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Cerebrovascular Neurosurgery-Sacred Heart Medical Center

Sacred Heart Medical Center-Eugene 

NSUR 709H  | Neurological Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720 

Students will work under the close supervision of primarily Dr. Erik Hauck and/or other staff physicians at Sacred Heart Medical Center at Riverbend as appointed by Dr. Hauck. They may assist during catheter based procedures (arteriogram, interventions such as coiling of intracranial aneurysms, embolization of arteriovenous malformations, carotid stenting, acute stroke interventions and other procedures performed by the supervising physician), may assist during surgical procedures (such as clipping of intracranial aneurysms, resection of brain tumors, resection of arteriovenous malformations, spine surgery, carotid endarterectomy and other procedures as performed by the supervising physician) as deemed safe and appropriate by the supervising physician. Students may also participate in taking care of acute emergencies on call (stroke/subarachnoid hemorrhage/ trauma), telemedicine consults for acute stroke together with the supervising physician. Students will also present & discuss cases / topics of general interest during grand rounds, attend Neurosurgical and Endovascular M&M conferences, and summarize clinical data in form of publications for peer-reviewed journals. 

Neurology Research

OHSU Portland 

NEUR 701A  | Neurology  | 4 credit(s) | 4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department education manager, and the ESDA office prior to starting. 

Advanced Neurology

OHSU Portland 

NEUR 709A  | Neurology  | 6 credit(s) | 4 weeks  | Any Term term
Preqs: NEUR 721 

Successful completion of the neurology clerkship (721) or equivalent is required. This is an elective course for those interested in pursuing specific aspects of neurology in greater depth than can be afforded with the required neurology clerkship (721). Students will work with the clerkship director to choose from the following selective emphasis areas of neurology: stroke, neuroimmunology, epilepsy, neuromuscular, movement disorders, or dementia. Students will usually elect to choose 2 of these selectives for two weeks each, but may divide their time in 1 week blocks or remain on the same selective for all 4 weeks. In the selective areas, students will work closely with fellow physicians who are in each of these groups, and will be responsible for attending the clinical duties associated with these neurological services which will be a mix of inpatient and outpatient activities (depending on the service). Students may also elect to work on a general neurology inpatient service for part of the rotation as well, as long as those neurology wards are not at maximum capacity with students from the required rotation. Some selectives may not be available due to other students on the elective rotation, or due to requirements of the required clerkship. Any visiting students spaces will be filled only if space is available after OHSU students are accommodated for both required clerkship and elective rotations. Community neurology rotations are possible, but must be approved by the course director. This includes within Portland Metro area as well as outside the Portland Metro area at approved sites. Students will be required to attend departmental teaching conferences and do a case presentation during a neurology clerkship didactic session. Grading is Pass/Fail. Goals: 1) The student will be able to integrate physical findings found in neurological diseases with neuroanatomical correlations. 2) The student will be able to proficiently take a history of a neurological problem and perform a detailed problem-focused neurological examination. 3) The student will gain an understanding of advanced issues in the diagnosis and management of neurological diseases. Objectives: 1) The student will demonstrate competency in the neurological examination. 2) The student will gain competence in evaluating and treating patients with neurological disease in a sub-specialty care setting. Evaluation: This course will be pass/fail. Students will receive evaluation forms on clinical performance from attending physicians and residents. Attendance on the ward, and in teaching conferences is required to pass the class. Students will complete the neurological examination passport, and this must be completed for them to pass the course. Final grade will be determined by the clerkship director based upon the student’s clinical evaluations. 

Perinatology Sub-Internship

OHSU Portland 

OBGY 709A  | Obstetrics and Gynecology  | 6 credit(s) | 4 weeks  | Any term
Preqs: OBGY 720, MS4, Satisfies Sub-I Requirement 

This elective focuses on the clinical care of high-risk obstetric patients, both outpatient and inpatient care. Students participate in antenatal testing and ultrasound and see patients in clinic with both residents and faculty perinatologists. Night call is every Thursday at OHSU. Students are each expected to present a case conference during the final week of their clerkship. If they wish, they may also participate in animal surgeries and/or prenatal diagnosis clinics. 

Reproductive Endocrinology & Infertility

OHSU Portland 

OBGY 709B  | Obstetrics and Gynecology  | 6 credit(s) | 4 weeks  | Any term
Preqs: OBGY 720, MS3 or MS4 

Students gain clinical experience in reproductive endocrinology and infertility with residents and faculty. They will attend clinics and have opportunities to observe and interpret ultrasounds and hydrosalpingorgrams. They may also participate in in-vitro fertilization cases when they are scheduled and may arrange to visit the andrology lab. 

Obstetrics & Gynecology Community Externship

OHSU Portland 

OBGY 709C  | Obstetrics and Gynecology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 or MS4 

If you are interested in this elective you must contact Dr O'Reilly and arrange the rotation prior to scheduling it and then complete the Special Elective Request form which must be signed by Dr O'Reilly and then she will forward it to UME for scheduling. 

Family Planning

OHSU Portland 

OBGY 709H  | Obstetrics and Gynecology  | 3 credit(s) | 2 weeks  | December and June only term
Preqs: OBGY 720, MS3 or MS4 

The elective will focus on contraception and abortion. Students will see patients at Planned Parenthood, Lovejoy Surgicenter, and Downtown Women's Center. There is assigned reading, and weekly didactic sessions. Dr. Paula Bednarek is the faculty preceptor. 

Perinatology-Sub-Internship - Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

OBGY 709K  | Obstetrics and Gynecology  | 6 credit(s) | 4 weeks  | Any term
Preqs: OBGY 720, MS4, Satisfies Sub-I Requirement 

Students will focus on the clinical care of high-risk obstetric patients, both outpatient and inpatient care. Students participate in antenatal testing and ultrasound and see patients in clinic with faculty perinatologists. They will take call one night per week. Students are each expected to present a case conference during the final week of their clerkship. Students will be based at Sacred Heart Medical Center, a 432 bed tertiary care hospital. Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors. 

Obstetrics and Gynecology Special Elective

OHSU Portland 

OBGY 709X  | Obstetrics and Gynecology  | Variable credit(s) | Variable  | Any term
Preqs: OBGY 720 

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Obstetrics and Gynecology/Away

OHSU Portland 

OBGY 709Z  | Obstetrics and Gynecology  |  credit(s) |   |  term
Preqs:  

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Obstetrics/Gynecology Research

OHSU Portland 

OBGY 701A  | Obstetrics and Gynecology  | 4 credit(s) | 4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Gynecology-Minimally Invasive Surgery

OHSU Portland, Portland area hospitals 

OBGY 709D  | Obstetrics and Gynecology  | 6 credits credit(s) | 4 weeks  |  term
Preqs: OBGY 720, MS4, Satisfies Surg II Requirement 

If you are interest in this elective you must contact Dr. O'Reilly and arrange the rotation prior to scheduling it and then complete the special elective request form which must be signed by Dr. O'Reilly and then she will forward it to UME for scheduling. 

Advanced Gyn/Onc - PeaceHealth

PeaceHealth/Sacred Heart - Eugene 

OBGY 709M  | Obstetrics and Gynecology  | 6 credit(s) | 4 weeks  | any term
Preqs: OBGY 720 

Students will be responsible for the post-operative care of gynecologic oncology patients and will be involved in the pre-operative work up of their Surgery patients. They will scrub in for surgery 2-4 days per week for 5-12 major surgeries. The focus will be on the surgical care of patients with a pelvic mass and the differential diagnosis and surgical implications of the differential for these patients as well as the work up and management of patients with post- menopausal bleeding, especially patients with endometrial cancer. While s/he is in clinic, s/he will also be involved in the ongoing cancer surveillance of these patients and all patients with gynecologic oncologic issues. As such, s/he will attend gynecologic oncology tumor conferences, and the breast tumor conference. S/he will be on call by cell phone during the week and on at least one weekend during the month for consults and emergency surgeries.  

Ophthalmology - Research

OHSU Portland 

OPHT 701A  | Ophthalmology  | 6-12 credit(s) | 6-12 weeks  | Any term
Preqs: None 

Students receive supervised research training working on a project in the clinical or basic research laboratories, including clinical research, ocular pathology, biochemistry, cell culture, and pharmacology. Projects are planned, reviewed and approved prior to the beginning of the elective. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Ophthalmology - Advanced

OHSU Portland 

OPHT 709A  | Ophthalmology  | 6 credit(s) | 4 weeks  | Any, Satisfies Surgery II Requirement term
Preqs: Instructor Consent required 

Students actively participate in patient care in an ophthalmology subspecialty service by pre-arrangement. Attend classes and conferences in ophthalmology. Presentations at clinical case conferences are encouraged. Participation in a departmental research activity as part of the elective is encouraged. Perspective students must write up a proposal as to why they want to do an Ophthalmology rotation and turn it into Melissa Riley for approval prior to being scheduled for this rotation. 

Ophthalmology - PeaceHealth Sacred Heart Medical Center

Eugene/Springfield (approx. 100 miles south of Portland) 

OPHT 709H  | Ophthalmology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 or above 

This Eugene elective in Ophthalmology is offered through Drs. Fine, Hoffman & Sims and the Oregon Eye Surgery Center, 1550 Oak St., Eugene. The clerkship is clinically oriented with emphasis placed on examination techniques and the diagnosis and treatment of common eye problems. Opportunity also exists for student involvement in ongoing research projects. Students will be instructed in basic techniques of ophthalmic examination and basic concepts of ocular anatomy and pathophysiology. Students will learn through observation of ophthalmic technicians and physicians, both in the clinic and operating room, and by performing basic steps of the ophthalmic examination on selected patients. Students will have required reading from Basic Ophthalmology for Medical Students and Primary Care Residents, 8th Edition. American Academy of Ophthalmology, 2004. Sacred Heart Medical Center is located in Eugene and Springfield, OR, approximately 100 miles south of the main OHSU campus. Students participating in rotations at this site do not interact with OHSU Residents or Residency Program Directors. 

Ophthalmology Special Elective

OHSU Portland 

OPHT 709X  | Ophthalmology  | 6-18 credit(s) | 4-12 weeks  | Any term
Preqs: None 

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Ophthalmology/Away

OHSU Portland 

OPHT 709Z  | Ophthalmology  | 6-12 credit(s) | 4-8 weeks  | Any term
Preqs: None 

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Ophthalmology - St Charles Health System

St Charles Hospital - Bend, Oregon 

OPHT 709SC  | Ophthalmology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 or above 

This elective experience is designed for students are interested in spending time in an ophthalmologic clinic to further the ophthalmic clinical skills. This elective will allow the student to become proficient in ocular history taking and examination techniques. Students will work closely with ophthalmic technicians and subspecialty physicians, both in the clinic and operating room, and by performing basic steps of the ophthalmic examination on selected patients. Students will be expected to attend weekly Grand Rounds (via live broadcast from St. Charles Medical Center) and other continuing medical education activities as assigned by their attending. Prineville, OR is located 150 miles southeast of the main OHSU campus. Pioneer Memorial Hospital (Prineville) is a Level IV Trauma Center. St. Charles Bend is located in Bend, OR, approximately 160 miles southeast of the main OHSU campus. St. Charles (Bend) is designated as a Level II Trauma Center by the Oregon Public Health Division. Bend is the only Level II Trauma Center east of the Cascades. St. Charles (Redmond) is a certified Level III Trauma Center. 

Orthopedic Ward Clerkship

OHSU Portland 

ORTH 709A  | Orthopedics and Rehabilitation  | 6 credit(s) | 4 weeks  | Any term
Preqs: All Core, Satisfies Surgery II or Sub-I Requirement 

Students participate as member of teams providing patient care. Four weeks at OHSU inpatient and outpatient orthopaedic services. This elective is designed for students interested in careers in orthopaedics. Placement is at OHSU and is designed to rotate students through several orthopaedic subspecialty services in order to introduce students to a wide variety of orthopaedic surgery. Students will spend one week on the inpatient trauma service and one week on the spine service then 2 additional week long rotations on other services such as, spine, tumor, sports, pediatrics joints, upper extremity, and foot and ankle. If students have a particular interest in any of those disciplines they should notify the clerkship director. Students will take overnight in-house call at a minimum of one day a week with opportunity for additional call dates. There are daily 30-60 minute didactic/education sessions with the residents and faculty. Students will be graded on their clinical performance as well as a 15 minute structured didactic case presentation given at departmental grand rounds. 

Pediatric Orthopedic Clerkship

OHSU Portland 

ORTH 709D  | Orthopedics and Rehabilitation  | 6 credit(s) | 4 weeks  | Any term
Preqs: All Core, Satisfies Surgery II Requirement 

This experience provides students with an introduction to common and uncommon diseases of the musculoskeletal systems seen in childhood. They participate in patient-care activities with OHSU's Pediatric Orthopaedist, Dr. Matthew Halsey, at Doernbecher. The elective is designed for students planning careers in primary care or orthopedics. 

Orthopedics - Rehabilitation Medicine

OHSU Portland 

ORTH 709E  | Orthopedics and Rehabilitation  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 

The Physical Medicine and Rehabilitation elective provides medical students an exposure to both inpatient and outpatient physical medicine and rehabilitation at OHSU and community hospitals. Outpatient opportunities include musculoskeletal rehabilitation, sports medicine, and neuromuscular and electrodiagnostic medicine. Inpatient exposure depending on career goals is with the local pediatric rehabilitation specialists or adult rehabilitation specialists and provides an overview of rehabilitation. Patients with injuries including spinal cord injury, stroke rehabilitation, and traumatic brain injury. This course is offered for student considering a career in physical medicine and rehabilitation. 

Orthopedics Special Elective

OHSU Portland 

ORTH 709X  | Orthopedics and Rehabilitation  | 6 credits credit(s) | 4 weeks  | any term
Preqs: MS4 

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. Students participate as member of teams providing patient care. Four weeks at OHSU inpatient and outpatient orthopaedic services. This elective is designed for students interested in careers in orthopaedics. Placement is at OHSU and is designed to rotate students through several orthopaedic subspecialty services in order to introduce students to a wide variety of orthopaedic surgery. Students will spend one week on the inpatient trauma service and one week on the spine service then 1-2 additional week long rotations on other services such as, spine, tumor, sports, pediatrics joints, upper extremity, and foot and ankle. If students have a particular interest in any of those disciplines they should notify the clerkship director. Students will take overnight in-house call at a minimum of one day a week with opportunity for additional call dates. There are daily 30-60 minute didactic/education sessions with the residents and faculty. Students will be graded on their clinical performance as well as a 15 minute structured didactic case presentation given at departmental grand rounds. 

Orthopedics/Away

OHSU Portland 

ORTH 709Z  | Orthopedics and Rehabilitation  |  credit(s) |   |  term
Preqs:  

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Orthopedic Research

OHSU Portland 

ORTH 701A  | Orthopedics and Rehabilitation  | 2-4 credit(s) | 2-4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Introduction to Orthopedics

OHSU Portland 

ORTH 709C  | Orthopedics and Rehabilitation  | 3 credit(s) | 2 weeks  | Winter, Spring - 3rd year elective block only term
Preqs: 3rd Year Students only 

Students participate as members of teams providing patient care. Two to four weeks at OHSU inpatient and outpatient orthopaedic services. This elective is designed for students interested in careers in orthopaedics. Placement is at OHSU on one orthopaedic subspecialty service such as spine, tumor, sports, pediatrics, joints, upper extremity, and foot and ankle. If students have a particular interest in any of those disciplines, they should notify the clerkship director. Students will take overnight in-house call at a minimum of one day a week with opportunity for additional call dates. There are daily 30-60 minute didactic/education sessions with the residents and faculty. Students will be graded on their clinical performance as well as a 15 minute structured didactic case presentation. 

Pediatric Orthopedics

OHSU Portland 

ORTH 710D  | Orthopedics and Rehabilitation  | 3 credit(s) | 2 weeks  | Winter/Spring 2 week electives blocks only term
Preqs: MS3 or above 

This experience prodives students with an introducation to common and uncommon diseases of the musculoskeletal systems seen in childhood. The participate in patient-care activities with OHSU's Pediatric Orthopaedist, Dr Matthew Halsey at Doernbecker. The elective is designed for students planning careers in primary care or orhtopedics. 

Orthopedics - Rehabilitation Medicine

OHSU Portland 

ORTH 710E  | Orthopedics and Rehabilitation  | 3 credit(s) | 2 weeks  | Winter/Spring two week elective blocks term
Preqs: MS3 or above 

The Physical Medicine and Rehabilitation elective provides medical students an exposure to both inpatient and outpatient physical medicine and rehabilitation at OHSU and community hospitals. Outpatient opportunities include musculoskeletal rehabilitation, sports medicine, and neuromuscular and electrodiagnostic medicine. Inpatient exposure depending on career goals is with the local pediatric rehabilitation specialists or adult rehabilitation specialists and provides an overview of rehabilitation. Patients with injuries including spinal cord injury, stroke rehabilitation, and traumatic brain injury. This course is offered for student considering a career in physical medicine and rehabilitation. Other two week blocks by department consent only. 

Otolaryngology Research

 

OTOL 701A  | Otolaryngology  | varies credit(s) | 4-12 weeks  | Any term
Preqs: None 

This research offering is intended to acquaint students with the basic pretexts of research project design and execution. Research topics are chosen in consultation with Dr.Wax and should focus on basic soft tissue and flap surgical principles and physiology (offered on a part-time basis only). The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Special Topics in Auditory Research

 

OTOL 701C  | Otolaryngology  | 2 credit(s) | 6-12 weeks  | Any term
Preqs: None 

Basic and applied research in (1) agents that damage the ear, including ototoxic drugs, excessive noise, aging, and other factors; (2) tinnitus, including measurement, treatment, and investigation of underlying mechanisms; and (3) development of new devices (implantable hearing aid, novel equipment for testing hearing, etc.) Depending on the topic chosen, students may be involved in one or more of the following: animal or human electrophysiology, histology, computer applications, and/or testing and interviewing patients. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Medical/Surgical Otolaryngology

 

OTOL 709A  | Otolaryngology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 and above 

The student will function as a sub-intern during this four week rotation. In-house call is encouraged. Students will be expected to track patients assigned to the Otolaryngology and Head & Neck Surgery service throughout the patient's hospital stay including planned and emergent surgery. Attendance at weekly grand rounds (Monday 7 – 9 am) and didactic lecture (Tuesday 6 – 7 pm) are required. The student will be required to complete an oral case presentation at Grand Rounds, including a literature review to answer a specific clinical question illustrated by a chosen case. This is an intense clerkship experience intended for those students who are seriously considering a residency in Otolaryngology. Maximum number of students, 2 per block. This elective is also offered to non-OHSU students. 

Microvascular Reconstruction & Rehabilitation

 

OTOL 709B  | Otolaryngology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 and above, Satisfies Surgery II Requirement 

The student will function as a sub-intern during this four week rotation. In-house call is encouraged. They will be an integral part of the Microvascular reconstructive team. It is expected that the student will see patients in the clinic, follow them to the operating room and during any associated inpatient hospital stay. Surgical exposure will be intense with opportunity to first assist. Attendance at weekly grand rounds (Monday 7 – 9 am) and didactic lecture (Tuesday 6 – 7 pm) are required. The student will be required to complete an oral case presentation at Grand Rounds, including a literature review to answer a specific clinical question illustrated by a chosen case. It is also expected that the student will participate in a clinical project that will be published. Maximum number of students, 2 per block. This elective is also offered to non-OHSU students.  

Otolaryngology - Ambulatory Care

 

OTOL 709C  | Otolaryngology  | 3 credit(s) | 2 weeks  | Any term
Preqs: MS3 and above 

This elective offers an ambulatory care experience in a busy department of otolaryngology. This rotation is open to all third and fourth year medical students but is most appropriate to those who are pursuing additional training in a field other than otolaryngology. This rotation is designed to teach these students to identify and treat common head and neck medical problems and to learn appropriate criteria for referral to an Otolaryngologist. Students will be assigned to various otolaryngology clinics where they will encounter a variety of non-surgical, pre- and post-operative patients. The elective is designed to provide intense clinical experience at OHSU. Requirements include attendance of weekly grand rounds (Mon 7-9am) and weekly didactic teaching session (Tues 6-7pm), daily clinical duties in the Department of Otolaryngology and reading assignments. The elective is 2 weeks long and 2 students can be accommodated per block. Goals 1) Be able to perform comprehensive head and neck physical exam 2) Understand basic anatomy and embryology of the head and neck 3) Understand basic work-up/ treatment of otolaryngologic emergencies 4) Gain exposure to otolaryngology spectrum of practice (Clinic and/or OR) Conferences Monday 7 - 9AM - Otolaryngology Grand Rounds (Hatfield 14) Tuesday 6 - 7PM - Quiz (Otolaryngology Conference Room, Physicians Pavilion) During the third year elective time only third year students are accepted and 8 students can be accommodated per two week block. 

Facial Plastic and Reconstructive Surgery

 

OTOL 709E  | Otolaryngology  | 3-6 credit(s) | 2-4 weeks  | Any term
Preqs: MS3 and above, Satisfies Surgery II Requirement 

This elective offers experience in both the ambulatory care setting as well as facial plastic and reconstructive surgical techniques in the operating room. Requirements during this rotation include attendance at Grand Rounds every Monday morning 7 – 9 am and didactic lecture on Tuesday from 6 – 7 pm. Specific reading assignments and viewing of 4 educational videotapes showing operative techniques in facial plastic surgery are also expected. No in-house call is required. Maximum number of students, 2 per block 

Otolaryngology - Observational Preceptorship

OHSU Portland 

OTOL 709G  | Otolaryngology  | 1-2 credit(s) | 6-12 weeks  | Any term
Preqs: MS1 or MS2 only 

This preceptorship is organized through the Department of Otolaryngology with outside physicians and is largely observational. This preceptorship is for first and second year students and requires a minimum outside effort other than attendance. It meets one half day per week with that specific day being organized with the preceptor. Maximum number of students, 2 per block. 

Otolaryngology Special Elective

OHSU Portland 

OTOL 709X  | Otolaryngology  |  credit(s) |   |  term
Preqs:  

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Otolaryngology Maxillofacial Surgery/Away

 

OTOL 709Z  | Otolaryngology  |  credit(s) |   |  term
Preqs:  

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Pediatric Otolaryngology

OHSU Portland 

OTOL 709J  | Otolaryngology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4, Satisfies SubI Requirement 

This elective has been designed to give students an overview of Pediatric Otolaryngology-Head & Neck Surgery and to give an extensive picture of the program and the way it functions. A Pre-requisite (and during internship), review the Clinical Otolaryngology Online (COOL) modules on the American Academy Otolaryngology-HNS website- they're interactive cases geared toward primary physicians, and medical students, as well as modules for general/ pediatric otolaryngology: modules on the approach to the pediatric neck mass, indications for tonsillectomy, aerodigestive, Fbs, neck pus, stridor, general nasal exam, and orbital complications of rhinosinusitis. While on the service, the student will serve as a sub-intern, expected to be in surgery when a senior (junior) resident is in surgery, and in clinic when a senior (junior) resident is in clinic. Other expectations include doing hospital rounds on patients in the morning and in the late afternoon, as well as on weekends, unless excused. Every Monday morning the student will be expected to attend Grand Rounds from 7:00a.m. to 9:00a.m. During the fall months (September through June) it is advantageous for students to attend the Quiz Sessions on Tuesday evenings from 6:00 

Pathology - Introduction

OHSU Portland 

PATH 709A  | Pathology  | 3-6 credit(s) | 2-4 weeks  | Any term
Preqs: MS3 or above 

This course is a one month elective designed to introduce students to the field of pathology. Students will be based primarily in the OHSU surgical pathology and autopsy services, and will also have the opportunity to participate in subspecialty services such as hematopathology, cytopathology, transfusion medicine, molecular pathology, neuropathology and renal pathology by arrangement. A faculty advisor will be assigned to each student and scheduling details will be worked out through Stacey Shird prior to beginning the elective. Students will attend relevant lectures and clinical conferences, including the anatomic pathology and laboratory medicine lectures on Wednesdays at 9 and 10 AM, and the Autopsy Case review on Thursdays at 8 AM. Maximum of 3 students per period. NOT offered in July. 

Pathology: Special Topics

OHSU Portland 

PATH 709X  | Pathology  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 or above 

Students may arrange independent study programs or research development projects in anatomic pathology or laboratory medicine. Maximum of 2 students per period. 

Pathology Research

OHSU Portland 

PATH 701A  | Pathology  | 4 credit(s) | 4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Pathology - Away

 

PATH 709Z  | Pathology  |  credit(s) |   |  term
Preqs: MS4 

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Pediatric Inpatient Sub-Internship

OHSU Portland 

PEDI 709A  | Pediatrics  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4, Satisfies Sub-I Requirement 

Doernbecher Children's Hospital offers a one-month clinical elective sub-internship in inpatient pediatrics. This experience gives students a concentrated view of general and subspecialty inpatient pediatrics. It allows for more in-depth exposure to multiple members of the inpatient team, facilitating a more substantive evaluation of students in an active and challenging hospital environment. 

Neonatal Medicine

OHSU Portland 

PEDI 709B  | Pediatrics  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4, JCON 720, Satisfies ICU or Sub-I Requirement 

This elective allows the student to work at the subintern level with exposure to both common and unusual neonatal problems in an NICU with admissions from a high risk delivery service and regional referrals. Students are expected to attend high risk deliveries and to manage patients with guidance from residents and staff. 

Pediatric ICU

OHSU Portland 

PEDI 709D  | Pediatrics  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4, JCON 720, Satisfies ICU or Sub-I Requirement 

The PICU elective will allow students to perform at a subintern level. The elective includes PICU procedures, direct supervision, as well as a full lecture schedule and topics of interest. In-house call is required. 

Pediatric Cardiology

OHSU Portland 

PEDI 709F  | Pediatrics  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 or MS4, JCON 720 

Students participate in congenital heart clinics, cardiac consultations, journal club, and patient care. Reading ECGs, observing echocardiograms, and cardiac catheterizations are also part of this experience.
 

Pediatric Pulmonology

OHSU Portland 

PEDI 709G  | Pediatrics  | 6 credit(s) | 4 weeks  | Fall, Winter, Spring term
Preqs: MS3 or MS4, JCON 720 

Students acquire an important clinical exposure to a number of pediatric lung diseases including cystic fibrosis, asthma, pneumonia, and acute respiratory failure in the ICU. This rotation includes rounds and consults on pediatric wards and PICU, two clinics per week, and conferences. 

Pediatric Endocrinology Metabolism

OHSU Portland 

PEDI 709H  | Pediatrics  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4, JCON 720 

These two subspecialty services offer the opportunity for a very wide clinical experience in their respective disciplines. Outpatient clinics occupy three days a week. The elective emphasizes the pathophysiology, clinical manifestations and treatment of metabolic and endocrine disorders with reading and review sessions in relevant areas. Assignments include in-hospital consultations and review of the metabolic laboratory results. 

Pediatric Infectious Disease

OHSU Portland 

PEDI 709I  | Pediatrics  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 or MS4, JCON 720 

The objective of this elective is to provide experience in several aspects of pediatric infectious diseases. Students will review basic microbiology, learn to perform a complete evaluation of a patient with a possible or proven infectious disease, and gain knowledge in managing these patients. Patients will be seen in outpatient subspecialty clinic and as inpatient consultations. Didactic teaching sessions, an open-book examination, and a suggested reading list are provided to the student. 

Pediatric Hematology/Oncology

OHSU Portland 

PEDI 709J  | Pediatrics  | 6 credit(s) | 4 weeks  | Any, Satisfies SUBI requirement term
Preqs: MS3 or MS4, JCON 720 

For MS4s (SubI): The objective of this course is to provide the student with fundamental understanding of the pathophysiology, clinical characteristics and treatment of hematologic and oncologic conditions occurring in childhood. While there is an emphasis on the most common childhood cancers such as leukemias and brain tumors, the student has the opportunity to learn the full spectrum of malignant solid tumors in children and common hematologic conditions such as aplastic anemia, coagulation disorders and the hemoglobinopathies. In addition, the student is involved in the stem cell transplant program and its role in the treatment of hematologic, oncologic, immunologic and genetic disorders, and will learn the treatment of infection in the immunocompromised patient. Students are evaluated by a written evaluation based on observation of performance and attendance at and contributions to the Division's rounds and conferences. For MS3s (elective): The objective of this course is to provide the student with fundamental understanding of the pathophysiology, clinical characteristics and treatment of hematologic and oncologic conditions occurring in childhood. While there is an emphasis on the most common childhood cancers such as leukemias and brain tumors, the student has the opportunity to learn the full spectrum of malignant solid tumors in children and common hematologic conditions such as aplastic anemia, coagulation disorders and the hemoglobinopathies. Students will spend time in the clinic or on the ward depending on their learning objectives and the census of the clinic or ward. Students are evaluated by a written evaluation based on observation of performance and attendance at and contributions to the Division's rounds and conferences. 

Developmental & Behavioral Pediatrics

OHSU Portland 

PEDI 709K  | Pediatrics  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 or MS4, JCON 720 

This course exposes the student to a wide spectrum of neurologic problems affecting children from the neonate to young adult. The student will see and examine patients with epilepsy, cerebral palsy, chronic headaches, and tic disorder as well as neurometabolic disease and developmental disorders. Patients are seen in a subspecialty referral clinic, as inpatient consultations, and through specialty clinics in the CDRC and Shriners Hospital. Students will also be exposed to weekly pediatric neuroradiology and EEG sessions. Weekly didactic teaching sessions will supplement a suggested reading assignment. 

Pediatric Neurology

OHSU Portland 

PEDI 709L  | Pediatrics  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 or MS4, JCON 720 

This course exposes the student to a wide spectrum of neurologic problems affecting children from the neonate to young adult. The student will see and examine patients with epilepsy, cerebral palsy, chronic headaches, and tic disorder as well as neurometabolic disease and developmental disorders. Patients are seen in a subspecialty referral clinic, as inpatient consultations, and through specialty clinics in the CDRC and Shriners Hospital. Students will also be exposed to weekly pediatric neuroradiology and EEG sessions. Weekly didactic teaching sessions will supplement a suggested reading assignment.
 

Pediatrics/Away

OHSU Portland 

PEDI 709Z  | Pediatrics  |  credit(s) |   |  term
Preqs: MS4 

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Spec Elec: Camp Starlight

Various 

PEDI 705S  | Pediatrics  | 1 credit(s) | 1 week  | Summer term
Preqs: MS4 

Camp Starlight is a week long summer camp for children ages 5-15 infected or affected by HIV. Medical students will have the opportunity to be counselors or activity specialists. This section is for 4th year students and credit can be arranged as part of one of the pediatric rotations. This is only offered the week that the camp is in session. Camp Starlight holds camp the last week of August. Commitment time is one full week and begins Saturday morning through the following Friday afternoon. All students must go through Camp Starlight's interview and background check process. Volunteer selection process begins in April/May of each year. Contact Camp Starlight for further information by emailing them - info@camp-starlight.org or visiting their website at www.camp-starlight.org 

Pediatric Research

OHSU Portland 

PEDI 701A  | Pediatrics  | 4 credit(s) | 4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Pediatric Special Elective

OHSU Portland 

PEDI 709X  | Pediatrics  |  credit(s) |   |  term
Preqs:  

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Diagnosis and Management of Child Abuse and Neglect

OHSU Portland 

PEDI 709N  | Pediatrics  | 6 credit(s) | 4 weeks  | any term
Preqs: JCON 720 

Goals 1. Understand that abuse and neglect are common, and occur in all racial, ethnic and socioeconomic groups. 2. Identify the factors that place children at increased risk for abuse. 3. Learn how to diagnose child abuse through the use of history, physical exam, laboratory analysis and imaging studies. 4. Understand how characteristics of the infant scalp, skull and brain affect susceptibility to abusive head trauma. 5. Learn how the pathophysiology of bruises and burns is used to identify patterns of injury, including inflicted and unintentional. 6. Understand the roles of bone biomechanics and healing patterns in the evaluation of inflicted fractures. 7. Learn how to examine and treat victims of sexual abuse, including how characteristics of the genital anatomy affect physical exam findings. 8. Recognize medical conditions with clinical presentations that mimic abuse. 9. Understand how the physician collaborates with CPS, law enforcement and the court system in the investigation of child abuse allegations. Learning Activities The student will achieve the aforementioned goals through a variety of educational experiences: 1. Participation in abuse and neglect consults at DCH and CHE. 2. Participation in meetings with CPS and police investigators regarding ongoing abuse evaluations. 3. Attendance at peer review conferences, include state and national teleconferences, and county multidisciplinary team meetings. 4. Participation in outpatient physical and sexual abuse evaluations at CNW. The student will have the opportunity to observe forensic interviews of children. 5. Shadow a CPS worker for a day. 6. Attendance at court proceedings at which a medical provider is testifying. 7. Review of journal articles and video presentations on common child abuse topics to ensure a foundation of knowledge independent of the types of consults seen during the month. 8. Completion of a series of child abuse case scenarios with an attending physician at the end of the rotation. 9. Development of a child abuse case scenario powerpoint, including photos and imaging studies, to be used by future medical students. 10. Brief presentation on a topic of interest in child abuse. Approximately 50% of the student’s time will be spent on the inpatient consultation service at DCH and CHE. The student will spend time between consults completing the required reading and video list, developing a case scenario, and preparing a presentation. Approximately 30% of the student’s time will be spent participating in outpatient consultations at CNW. Approximately 20% of the student’s time will be spent on field trips to court and meetings, and attending peer review conferences. Only one student can be accommodated during each rotation. Evaluation Methods The student will be evaluated by a course director with input solicited from all members of the team. The student’s evaluation would be based on his or her achievement of the course objectives as demonstrated by the following: 10%: Completion of list of required journal articles and video presentations covering the core concepts of child abuse and neglect. 20%: A series of 8 child abuse case scenarios was developed as a way of assessing resident and medical student comprehension of the fundamental issues in child abuse and neglect. Each case, which is presented in PowerPoint format, covers a particular topic (e.g. burns, fractures, sexual abuse), and includes photographs, imaging studies and laboratory results. Each case contains a series of questions to be answered by the student. At the end of the rotation, the student will complete the case scenarios with an attending physician as an interactive oral exam to assess and reinforce the student’s knowledge of the rotation’s core concepts. The student’s knowledge and understanding will be assessed and graded. 25%: The student will develop a case scenario to be used by other students in future rotations. A draft of this scenario will be submitted to the attending physician for comments and revisions at the half-way point in the rotation. The case should be in final form by the end of the rotation. 25%: Oral presentation approximately 5-10 minutes in length on a topic of interest in child abuse. 20%: Assessment of student’s professionalism, participation, ability to function as part of a multidisciplinary team. 

Pediatric 4th Year Curriculum

OHSU Portland 

PEDI 705C  | Pediatrics  | 1 credit(s) | full year  | full year term
Preqs: 4th year student 

Have you ever wondered if you are ready to become an effective teacher? Or deliver a safe handoff? Or participate in quality improvement projects? Do you want to meet more of our pediatric faculty in the process? This series of workshops with accompanying self-directed learning is designed for fourth year students. The topics, though based in pediatrics, are applicable to any specialty. Content is designed to prepare the learner for future responsibilities and to address some competencies which may not be well-covered in the first three years. Attendance at all workshops and completion of self-directed learning is required for credit. 

Psychiatry-Rehabilitation Psychiatry Research

OHSU Portland 

PSYC 701A  | Psychiatry  | TBA credit(s) | TBA  | Any term
Preqs: None 

Students have the opportunity in this elective to plan a time-limited project or to be a part of a longitudinal project determining the effectiveness of community treatment, social and vocational adaptation, and quality of life of chronic mental patients living in the community. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. Please email Dr. Norwood Knight-Richardson (knightri@ohsu.edu) and Kathryn Brant (brantk@ohsu.edu) at least one month prior to the elective start date 

Psychiatry-Functional MRI

OHSU Portland 

PSYC 701I  | Psychiatry  | 4 credit(s) | 4 weeks  | Any term
Preqs:  

This elective has two forms, one for students who want to better understand the process of doing research with fMRI and another for students who are interested in pursuing an academic research career in neuroimaging. The general format of the elective is similar in both tracks, but the academic research approach would be more intensive and require more attention to the mathematical and physical underpinnings of the technique than the educational track. Once registered, please email Dr. Hoffman (hoffmanw@ohsu.edu) at least one month prior to the elective start date. If you elect to work with me you will: 1. Learn the basic principles of how MRI images are formed. 2. Learn to run current protocols on the MRI scanner. 3. Assist with the psychiatric evaluation of subjects entering fMRI protocols. 4. Learn to analyze fMRI data using one of the common software packages. 5. Develop a working understanding of the statistical methods and problems that are specific to fMRI. Depending on your interests and goals, you could also: 1. Review the literature about a topic of interest that involves neuroimaging and help write a review article (this is harder than it sounds). 2. Participate in an individualized project that is an offshoot of one of my funded projects and help write a paper when it is complete. 3. Take a course in fMRI (there are several offered, although the MGH course is very highly thought of). 4. Pursue directed reading in more advanced math and physics that are necessary underpinnings to doing independent research in psychiatric neuroimaging. You will complete as many basic tasks as can be accomplished in a one-month elective. More ambitious projects might be more time consuming, so if you are interested in this option, talk to me as soon as possible so that you can get a head start on the administrative requirements to do research at the VA and OHSU. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Psychiatry - Administrative

OHSU Portland 

PSYC 705E  | Psychiatry  | TBA credit(s) | 4-6 weeks  | Any term
Preqs: PSYC 720 

Students are involved in administration or in a research project at the Division of Mental Health. They spend two days/week at the office of Mental Health Services in Salem, in addition to taking four hours of seminars at OHSU. Please email Dr. Norwood Knight-Richardson (knightri@ohsu.edu) and Kathryn Brant (brantk@ohsu.edu) at least one month prior to the elective start date. 

Psychiatry - Community

OHSU Portland 

PSYC 709L  | Psychiatry  | 6 credit(s) | 4 weeks  | Any term
Preqs: PSYC 720 

Students must contact department at least 4 weeks prior to beginning this elective. Students have the opportunity to participate in a variety of ongoing seminars and community training experiences through the Community Psychiatry Training Program. The seminars include an introduction to community mental health, patterns of mental illness, the nature of mental health delivery systems, mental health consultation, drug and alcohol treatment programs, and issues of law and psychiatry. This elective may be arranged as a part-time seminar experience or a full-time rotation involving seminars, assigned readings, and placement in a community mental health center. Please email Dr. Falk (Neil.falk@co.multnomah.or.us), Dr. Betlinski (betlinsk@ohsu.edu) and Kathryn Brant (brantk@ohsu.edu) at least one month prior to the elective start date. The Public Psychiatry Training Program staff will provide supervision. 

Psychiatry - Inpatient

OHSU Portland 

PSYC 709C  | Psychiatry  | 6 credit(s) | 4 weeks  | Any term
Preqs: PSYC 720 

This elective is designed for those students who, having already completed their psychiatric clerkship, wish to gain further clinical experience. Experience includes a program of guided reading, patient interviewing, and patient follow-up for treatment. Once registered, please email Dr. Blekic (blekica@ohsu.edu) at least one month prior to the elective start date. 

Psychiatry - Consultation Liaison - OHSU

OHSU Portland 

PSYC 709D  | Psychiatry  | 6 credit(s) | 4 weeks  | Any term
Preqs: PSYC 720 

Students see patients and make clinical rounds daily with the Psychiatric Consult Service at OHSU. Once registered, please email Dr. Blekic (blekica@ohsu.edu) at least one month prior to the elective start date. 

Psychiatry - Consultation Liaison - VAMC

VAMC Portland 

PSYC 709E  | Psychiatry  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, PSYC 720, Instructor Consent 

Students see patients and make clinical rounds daily with the Psychiatric Consult Service at the VAMC. Prior approval from the department is required to register for this course. Once registered, please email Dr. Gramann at stacey.gramann@va.gov at least one month prior to the elective start date. 

Psychiatry-Intercultural Psychiatric Program

OHSU Portland 

PSYC 709K  | Psychiatry  | TBA credit(s) | 4 weeks, full time or part time  | Any term
Preqs: None 

Students observe and participate in patient care, treatment, socialization center activities, and faculty research with refugee and immigrant patients. Once registered, please email Dr. Boehnlein (boehnlei@ohsu.edu) at least one month prior to the elective start date. 

Psychiatry-Sleep Disorders Medicine

OHSU Portland 

PSYC 709M  | Psychiatry  | 3 credit(s) | 2 weeks  | Any term
Preqs: None 

Students evaluate patients with sleep disorders such as sleep apnea, insomnia, hypersomnia, sleep related movement disorders and will receive some exposure to polysomnography. Please note this is a 2 week, full-time elective. Once registered, please email Dr. Hagen (hagench@ohsu.edu) at least one month prior to the elective start date. 

Psychiatry - Sub-I

VAMC Portland or OHSU Portland 

PSYC 709P  | Psychiatry  | 6 credit(s) | 4 weeks  | Any term
Preqs: PSYC 720, Satisfies Sub-I Requirement 

Students are assigned to a VA or OHSU inpatient treatment team. The student is the primary contact with the patients on their team, with the second year resident and attending providing supervision on a wide range of patients encountered in acute inpatient psychiatry. Once registered, if assigned to OHSU, please email Dr. Blekic (blekica@ohsu.edu) at least one month prior to the elective start date. If assigned to the VA, please email Dr. Buboltz (buboltzm@ohsu.edu) at least one month prior to the elective start date. 

Psychiatry Special Elective

OHSU Portland 

PSYC 709X  | Psychiatry  | 6 credit(s) | 4 weeks  | Any term
Preqs: PSYC 720 

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. Arrangements must be completed at least one month prior to the elective start date. 

Psychiatry/Away

OHSU Portland 

PSYC 709Z  | Psychiatry  |  credit(s) |   |  term
Preqs: MS4 

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Chld and Adolescent Psychiatry

OHSU Portland 

PSYC 709L  | Psychiatry  | 6 credit(s) | 4 weeks  | any term
Preqs: PSYC 720 

Medical Student will participate on daily rounds with Attending and Faellow in Child Psychiatry on our C/L Service. We will be seeing new patients and follow up on patients on our C/L Service in ER, Pediatric Floor and PICU. Student would also participate in outpatient consult cases. Objectives: Student will become familiar with assessing children and adolescents with urgent psychiatric need. Student will have opportunity to interview at least one child or adolescent with supervision and feeback provided. Evaluation: attendance and observation of performance 

Radiation Medicine - Introduction

OHSU Portland 

RADT 709A  | Radiation Medicine  | 6 credit(s) | 4 weeks  | Varies term
Preqs: MS3 or above 

Students participate in the clinical work-up of patients in preparation for radiation therapy as well as in the treatment and follow-up of already treated patients. Assigned reading and participation in all departmental seminars and conferences are also required. The student will prepare and present a 30 minute talk. Not offered every block in the 2014-2015 academic year. This course will have particular appeal to trainees anticipating careers in any oncology discipline. 

Radiation Medicine - Special Elective

OHSU Portland 

RADT 709X  | Radiation Medicine  |  credit(s) |   |  term
Preqs:  

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Radiation Medicine/Away

 

RADT 709Z  | Radiation Medicine  |  credit(s) |   |  term
Preqs: MS4 

Medical students are responsible for making their own arrangements for an away rotation, including receiving the department's review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs Office prior to leaving for rotation. Students may work with any physician within the state of Oregon. Out-of-state rotations must take place at accredited medical school or residency programs. 

Radiation Medicine Research

OHSU Portland 

RADT 701A  | Radiation Medicine  | 4 credit(s) | 4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Radiologic Diagnosis

OHSU Portland 

RADD 709A  | Radiologic Diagnosis  | 6 credit(s) | 4 weeks  | Varies term
Preqs: MS3 or above 

This elective includes 6-10 hours per week didactic instruction in film reading and appropriate radiologic procedures in patient work-up. Students are expected to attend daily conferences*, and spend time on rotations in Chest, Bone, CT, Neuroradiology. There are learning materials available through the Radiology Education office. *Prepare Powerpoint on a subject of interest. Not offered every block, for the 2013-2014 academic year will NOT be offered 7/8-8/2, 10/28-11/22, 11/25-12/20, 1/6-1/31, 3/31-4/25. 

Radiology - Interventional

OHSU Portland 

RADD 709B  | Radiologic Diagnosis  | 6 credit(s) | 4 weeks  | Varies term
Preqs: MS3 or above 

Please contact Dixie McWilliams for more information on this elective. 

Radiology Special Elective

OHSU Portland 

RADD 709X  | Radiologic Diagnosis  |  credit(s) | 4 weeks  |  term
Preqs:  

Students must make special arrangements with a faculty member and the department for an individual program of study. The Special Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Diagnostic Radiology Research

OHSU Portland 

RADD 701A  | Radiologic Diagnosis  | 4 credit(s) | 4 weeks  | Any term
Preqs: MS3 

Students may conduct research under the direction of a faculty mentor in selected areas of ongoing research or carry out pilot studies to initiate new research projects. The Research Elective Request form must be signed off by the faculty member, department clerkship coordinator and the ESDA office prior to starting. 

Multidisciplinary Approach to Pulmonary Disease

OHSU Portland 

RADD 709F  | Radiologic Diagnosis  | 6 credit(s) | 4 weeks  | any term
Preqs: All Core Third Year Clerkships, Satisfies Surgery II Requirement 

This organ-based four-week elective is targeted to 4th year medical students interested in a comprehensive multidisciplinary learning experience focusing on pulmonary diseases. Trainees will spend time in multiple clinical specialties including pulmonary medicine, pulmonary (non-cardiac) surgery, pulmonary medical and radiation oncology, pulmonary pathology and chest radiology and actively participate in the weekly OHSU Multidisciplinary Lung Cancer Clinic. This course will combine a traditional clinical experience at multiple sites including OHSU, VAH, Legacy-Good Samaritan Hospital, Adventist Medical Center and Kaiser Sunnyside Medical Center with exposure to a rich array of electronic resources. This format will provide a more flexible approach to learning. Accordingly, senior students will be able to arrange for postgraduate interviews during the course. This course will have particular appeal to trainees anticipating careers in family medicine, general internal medicine, emergency medicine, medical subspecialties such as pulmonary medicine, cardiology and hematology/oncology, general surgery, many surgical subspecialties, radiology, pathology and radiation oncology.  

Cardiothoracic Surgery

OHSU/VAMC Portland 

CSUR 709A  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II or Sub-I Requirement 

This course provides close exposure to all aspects of adult cardiac and thoracic surgery including cardiac surgery (valvular and coronary heart disease, aortic surgery, surgery for arrhythmia, and heart transplantation) and thoracic surgery (lung resection, esophageal surgery, mediastinal procedures). Students work with house staff and faculty with responsibilities for working up patients, assisting in operations, and postoperative care in the ICU and on the wards. Students will have the opportunity to scrub in on heart surgery cases and receive both didactic and one-on-one teaching with faculty. Rotations can be tailored to emphasize either a thoracic (non-cardiac) or cardiac experience. Preliminary reading in cardiac and thoracic surgery would be helpful. 

Surgery Research

Varies 

SURG 701A  | Surgery  | 4-12 credit(s) | 4-12 weeks  | Any term
Preqs: MS3 or above, Does NOT meet Surgery/Subspecialty rotation requirement 

Students participate in surgery research (arrangement made by student). At the completion of the rotation, they should turn in a summary of the research performed (2-4 pages). This should include a section on the background of the process you are studying and the question you are trying to answer. Next, you should include a description of your actual research experience. This should include the methods of your research project and which specific information was obtained. The summary should also describe methods used for statistical analysis. Using preliminary data to write an abstract is encouraged. Students should also include a plan for eventual submission and presentation of your work. 

Surgical Intensive Care Unit - OHSU

OHSU Portland 

SURG 709A  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, MS4, Satisfies Surgery II or ICU Requirement 

Students have the opportunity to participate in the management of complex, critically ill general surgery, vascular and transplant patients. This is a highly educational experience that combines opportunities for patient management with excellent bedside and didactic teaching. OHSU is a quaternary care center for the state of Oregon, adding to the excellence of this opportunity. 

Surgery - Community

Various 

SURG 709C  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Does NOT meet Surgery/Subspecialty rotation requirement 

This rotation will not fulfill the 4th year requirement for 4 weeks of surgery, but is an elective. A clinical Preceptorship in general surgery is offered with a specific community surgeon (student is responsible for making arrangements). Students participate in the evaluation of patients in the office and in their pre- and post-operative care as well as assist in surgery. 

Surgery Preceptorship

OHSU or VAMC 

SURG 709J  | Surgery  | 3-6 credit(s) | 2-4 weeks  | Any term
Preqs: MS3 or above, Does NOT meet Surgery/Subspecialty rotation requirement 

Clinical experience in any of the surgical specialties at OHSU or VAMC. Students participate under supervision in the care of surgical patients in the hospital and outpatient setting. They learn principles in the care of surgical patients preoperatively and postoperatively. 

Rural General Surgery

Coos Bay and Gold Beach Area 

SURG 709M  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II Requirement 

Students will be assigned a preceptor surgeon who will supervise their experience. The majority of the time will be spent in general surgery, but will have the opportunity to rotate through other surgical specialties including ENT, Urology, Gynecology, or Orthopedics. Students will have exposure to a rural general surgery practice and identify the important issues involved in being a rural surgeon (that differ from practicing in a tertiary referral center). They will develop a higher level of comfort evaluating, diagnosing, and treating surgical patients. They will learn to identify critical points in inpatient and outpatient follow-up of surgical patients. They will also have exposure to the broad spectrum of rural general surgical procedures. They will also have hands on experience with minor office procedures as well as assist in surgeries. Please Note: There is no guarantee of housing. Please contact coordinator to verify if there is a room available on the dates you wish to rotate. 

Surgical Nutrition

OHSU Portland 

SURG 709N  | Surgery  | 6 credit(s) | 4 weeks  | Varies term
Preqs: SURG 720, Does NOT meet Surgery/Subspecialty rotation requirement 

Students will spend 5-10 hours per week of discussion/didactic sessions with faculty plus 20-30 hours per week of clinical responsibilities. (They will average 35 hours a week.) Students will be expected to take overnight call on a schedule determined by faculty availability. Student responsibilities include working up patients, participating in operations, and postoperative care rounds with surgical, wound care, nutritional, and multidisciplinary teams. Didactics and discussions will focus on topics and literature relevant to surgical nutrition. In clinical duties, special emphasis will be placed on care of patients with special nutritional needs. At the completions of the rotation, students should be able to design and implement a plan for nutrition management for a patient throughout the course of their surgical condition. Please Note: This course is not offered all rotations. 

Surgery Special Elective

OHSU Portland 

SURG 709X  | Surgery  | 4-12 credit(s) | 4-12 weeks  | Any term
Preqs: MS3 or above, Does NOT meet Surgery/Subspecialty rotation requirement 

Students may make special arrangements with a faculty member in the department for a specific basic science of clinical research project or for directed reading. 

Pediatric Surgery

OHSU Portland 

PSUR 709A  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II Requirement 

Students will participate with faculty resident staff at a level comparable to that of an intern in the preoperative, operative, and postoperative care of pediatric patients with general surgical disease. Students may have the opportunity to rotate at either OHSU or Legacy Emanuel. 

Plastic & Reconstructive Surgery

OHSU Portland 

PLAS 709A  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II Requirement 

Students are exposed to an extraordinary variety of congenital and acquired defects in both children & adults. Cranio-facial anomalies, maxillofacial trauma, microsurgery, and unusual surgical problems are seen daily. Cosmetic surgery and reconstructive surgery of the hand, head, neck, torso, and lower extremities are common procedures. Students will have the opportunity to evaluate patients and actively participate in the operating room, clinics, and wards. The will interact directly with the attending, residents, and patients. 

Surgical Oncology

OHSU Portland 

SURG 709D  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: IMED 720, SURG 720, Satisfies Surgery II or Sub-I Requirement 

Students gain experience in clinical oncology through participation in radiotherapy and chemotherapy clinics, tumor clinic and tumor board, surgery conferences, and inpatient rounds. 

Burns/General Surgery - Emanuel

Emanuel Hospital 

SURG 709L  | Surgery  | 6 credit(s) | 4 weeks  | Varies term
Preqs: MS4, Satisfies Surgery II or Sub-I Requirement 

The rotation includes general surgery (3 surgeons), acute burn care and the surgery required thereto (ICU and stepdown care), reconstructive burn care, and a variety of complex wound management cases, such as necrotizing soft tissue infections, open abdomen/fistulas, purpura fulminanas, truncal pressure, ulcers, etc. The burn ICU generally has between 5-7 patients in some phase of their surgical critical care. We are doing 80-100 cases per month. In addition, we have plastic admissions to our housestaff service. Please note: This course is not offered all rotations. 

General Surgery - St. Vincent

Providence St. Vincent Medical Center 

SURG 709S  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II Requirement 

Students will be fully participating members of a team in preoperative and postoperative care, evaluate patients in the emergency room and in outpatient clinics, and assist in surgery. 

Plastic Surgery - VAMC/Dr. Wheatley

VAMC Portland 

PLAS 709V  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720,Satisfies Surgery II Requirement 

Students will work with five attending physicians on the Veterans Hospital plastic surgery service. Responsibilities will include clinic, operating room, and rounds. There is ample opportunity to see patients with supervision and to work closely with the attending staff as a first assistant in the operating room. Students will also have the opportunity, if they wish, to work one day per week at the Shriners Hospital treating cleft lip, palate, and burn patients. 

Trauma Intensive Care Unit - OHSU

OHSU Portland 

SURG 709E  | Surgery  | 6 credit(s) | 4  | Any term
Preqs: SURG 720, MS4,Satisfies Surgery II or ICU Requirement 

Students participate in the care of critically injured trauma patients in 1, of only 2, Level 1 Trauma Centers in the state of Oregon. Students make daily rounds with trauma surgeons, fellows, residents, and PA’s. This is an excellent educational experience secondary to bedside teaching as well as multiple planned conferences to include Trauma Conference, Morbidity and Mortality, and a didactic lecture series. Students also get the opportunity to present a case they have managed at one of the Trauma Conferences. 

General Surgery - OHSU Blue

OHSU Portland 

SURG 709B  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II or Sub-I Requirement 

Students will be fully participating members on a team doing Foregut and Minimally Invasive Surgery. They will do preoperative and postoperative care, evaluate patients in the emergency room and outpatient clinics, and assist in surgery. 

General Surgery - OHSU Green

OHSU Portland 

SURG 709U  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II or Sub-I Requirement 

Students will be fully participating members on a team doing Colorectal and Bariatric Surgery. They will do preoperative and postoperative care, evaluate patients in the emergency room and outpatient clinics, and assist in surgery. 

General Surgery - VAMC

VAMC Portland 

SURG 709V  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II or Sub-I Requirement 

Students will be fully participating members of a team in preoperative and postoperative care, evaluate patients in the emergency room and in outpatient clinics, and assist in surgery. 

Plastic Surgery - Community/Dr. Nguyen

VAMC Portland 

PLAS 709B  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II Requirement 

Students will learn to recognize healing and infections. They will diagnose and treat problems and other aspects of plastic surgery (cleft lip, palate, etc). They will also learn how to sew. 

Surgery - Away

Various 

SURG 709Z  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Does NOT meet Surgery/Subspecialty rotation requirement 

Medical students are responsible for making their own arrangements for an away rotation. This includes receiving the department’s review and approval prior to leaving for the rotation. The student must submit approval forms to Education and Student Affairs office prior to leaving for the rotation. This rotation will not fulfill the 4th year requirement for 4 weeks of surgery, but is an elective. 

Surgical Intensive Care Unit - VAMC

VAMC Portland 

SURG 709VA  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, MS4, Satisfies Surgery II or ICU Requirement 

Students participate in patient care in the surgical intensive care unit and learn principles for managing severely ill, injured, and postoperative patients. 

Transition to Surgical Internship

OHSU Portland 

SURG 709Q  | Surgery  | 3 credit(s) | 2 weeks  | March 10-21, 2014 term
Preqs: All Core (Must be in match for a Surg Residency), Does NOT meet Surgery/Subspecialty rotation requirement Prog) 

The course focuses on teaching basic technical and patient management skills expected of any surgical intern using a hands-on approach and case-based scenarios. It includes deliberate practice sessions of all the listed technical skills with concurrent and summary feedback provided by residents and faculty. The emphasis is on preparing students to manage common problems encountered on ward patients. Students are asked to independently assess and form a plan of action of patient care (before conferring with the supervising resident), vial mock pages as well as during their in-house call as the primary contact for all non-immediate life threatening problems. 

Trauma - Emanuel

Legacy Emanuel Medical Center 

SURG 709T  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II or ICU Requirement 

Students participate in the care of critically injured patients in one, or only two, Level 1 Trauma Centers in the state of Oregon. Students make daily rounds with trauma surgeons, fellows, residents, and PA’s. 

Vascular Surgery - OHSU/VA

OHSU or VAMC Portland 

SURG 709G  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, Satisfies Surgery II or Sub-I Requirement 

Students function as sub-interns on the University or VAMC vascular surgery service, including operating room experience, inpatient work, and outpatient work. They will learn about vascular surgery patients and disease. 

Plastic & Reconstructive Surgery - Research

OHSU Portland 

PLAS 701A  | Surgery  | 4-8 credit(s) | 4-8 weeks  | Any term
Preqs: SURG 720 

Students actively participate in a clinical or laboratory project with ample opportunity to learn how to prepare and publish a research paper from beginning to end. Students may either perform a clinical/laboratory research project of their own or actively participate in one that is underway. Depending on a student’s initiative, there is opportunity to be a coauthor on a publication or presentation at a national surgical meeting. If a student’s work is accepted at such a meeting, expenses will be paid for the student to present the paper. 

Abdominal Organ Transplantation

OHSU Portland, VA 

SURG 709R  | Surgery  | 6 credit(s) | 4 weeks  | any term
Preqs: SURG 720, MS4 

his course is a 4 week elective designed to educate fourth year medical students regarding the surgical management of liver and kidney transplantation as well as hepatobiliary surgery. Exposure to transplant patients will help students appreciate the process of abdominal organ transplantation from the patient perspective. Interaction with experts in the field will allow the student to expand their clinical knowledge in kidney disease, liver disease and transplant surgery. The student will participate in rounds, clinic, selection committee meetings, and tumor board conferences, as well as assist with surgical procedures. The student may have the option of participating in local organ procurement procedures when they occur. 

Intro to Cardiothoracic Surgery

OHSU Portland 

SURG 710C  | Surgery  | 3 credit(s) | 2 weeks  | Only available during designated 2 week elective blocks term
Preqs: SURG 720 

This course provides close exposure to limited aspects of adult cardiac and thoracic surgery including cardiac surgery (valvular and coronary heart disease, aortic surgery, surgery for arrhythmia, and heart transplantation) and thoracic surgery (lung resection, esophageal surgery, mediastinal procedures). Students work with house staff and faculty with responsibilities for working up patients, assisting in operations, and postoperative care in the ICU and on the wards. This rotation will be divided into two weeks. During one of the weeks, students will rotate on the cardiac service. During the other week, students will rotate on the thoracic service. Students will have the opportunity to scrub in on heart surgery cases and receive both didactic and one-on-one teaching with faculty. Preliminary reading in cardiac and thoracic surgery would be helpful 

Intro to Pediatric Surgery

OHSU Portland 

SURG 710D  | Surgery  | 3 credit(s) | 2 weeks  | Only available during designated 2 week elective blocks term
Preqs: SUR 720 

Students will participate with faculty and residents to gain experience preoperative, operative, and postoperative care of pediatric patients with general surgical disease. During this limited two week rotation, students will have the opportunity to scrub in cases and participate in didactic teaching sessions. Students may have the opportunity to rotate at either OHSU or Legacy Emanuel. 

Intro to Plastic Surgery

OHSU Portland 

PLAS 710C  | Surgery  | 3 credit(s) | 2 weeks  | Only available during designated 2 week elective blocks term
Preqs: SURG 720 

During this two week rotation, students will be able to spend time on the university plastic surgery service. Students are exposed to a variety of congenital and acquired defects in both children & adults. Cranio-facial anomalies, maxillofacial trauma, microsurgery, and unusual surgical problems are seen daily. Cosmetic surgery and reconstructive surgery of the hand, head, neck, torso, and lower extremities are common procedures. Students will have the opportunity to evaluate patients and actively participate in the operating room, clinics, and wards. The students will interact directly with the attending, residents, and patients. 

Intro to Vascular Surgery

OHSU Portland 

SURG 710E  | Surgery  | 3 credit(s) | 2 weeks  | Only available during designated 2 week elective blocks term
Preqs: SURG 720 

Students will be able to participate on the University or VAMC vascular surgery service, including operating room experience, inpatient work, and outpatient work. During this two week rotation, students will gain familiarity with the workup of common vascular disease processes. They will be able to participate in didactic teaching sessions during the rotation. 

Minimally Invasive Surgery

Portland Providence Medical Center 

SURG 709PA  | Surgery  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS4 

Students will be assigned a preceptor surgeon who will supervise their experience. Students will participate in outpatient clinics, operating room, and the inpatient ward. The focus of the rotation will be on the management of a broad variety of malignant and benign general surgical disease using advanced general surgical techniques. Students will have the opportunity to have focused experiences in hepatobiliary/pancreatic, esophageal, or colorectal diseases. They will have the opportunity to participate in other general surgery experiences as well. They will develop a higher level of comfort evaluating, diagnosing, and treating surgical patients. They will learn to identify critical points in inpatient and outpatient follow-up of surgical patients. They will have the opportunity to gain experience by scrubbing into a wide variety of operations. 

SURG 709KS

Kaiser Sunnyside Medical Center 

Colorectal Surgery - Kaiser Sunnyside  | Surgery  | 6 credit(s) | 4 weeks  | Check with Department term
Preqs: MS4 

Students will be assigned a preceptor surgeon who will supervise their experience. Students will participate in outpatient clinics, operating room, and the inpatient ward. The focus of the rotation will be on the management of colorectal malignancy, anorectal disease, and surgical management of inflammatory bowel disease. Students will spend most of their time with colorectal surgery but will have the opportunity to have other general surgery experiences. They will develop a higher level of comfort evaluating, diagnosing, and treating surgical patients. They will learn to identify critical points in inpatient and outpatient follow-up of surgical patients. They will also have exposure to the broad spectrum of colorectal procedures. This course is not offered year-round and must be pre-arranged. Please contact the surgery coordinator so they can check availability and make arrangements. 

General Surgery-Eugene

Good Samaritan 

SURG 709H  | Surgery  | 6 credit(s) | 4  | Any term
Preqs: SURG 720 

DESCRIPTION: Students will be assigned a preceptor surgeon who will supervise their experience. The majority of the time will be spent in general surgery. Students will have exposure to a broad based surgery service. They will develop a higher level of comfort evaluating, diagnosing, and treating surgical patients. They will learn to identify critical points in inpatient and outpatient follow-up of surgical patients. They will function at an intern level. They will also have hands on experience with minor office procedures. Please Note: There is no guarantee of housing. Please contact coordinator to verify if there is a room available on the dates you wish to rotate. 

General Surgery-Grants Pass

Three Rivers Community 

SURG 709K  | Surgery  | 6 credit(s) | 4  | Any term
Preqs: SURG 720 

Students will be assigned a preceptor surgeon who will supervise their experience. The majority of the time will be spent in general surgery, but will have the opportunity to rotate through other surgical specialties including ENT, Urology, Gynecology, or Orthopedics. Students will have exposure to a rural general surgery practice and identify the important issues involved in being a rural surgeon (that differ from practicing in a tertiary referral center). They will develop a higher level of comfort evaluating, diagnosing, and treating surgical patients. They will learn to identify critical points in inpatient and outpatient follow-up of surgical patients. They will also have exposure to the broad spectrum of rural general surgical procedures. They will also have hands on experience with minor office procedures as well as assist in surgeries. Please Note: There is no guarantee of housing. Please contact coordinator to verify if there is a room available on the dates you wish to rotate. 

Medical Toxicology Poisoning and Overdose

OHSU Portland 

ETOX 709X  | Toxicology  | 6 credit(s) | 2-4 weeks  | Any term
Preqs: All core 

This rotation with the Oregon Poison Center is highly recommended for students with interests in Emergency Medicine, Pediatrics, Family Medicine, Internal Medicine, and/or Occupational medicine. Conferences, consultations, assigned reading materials, case presentations, and other interactions with the Oregon Poison Center staff provide students with an excellent opportunity to become familiar with the recognition and management of acute toxicologic emergencies, as well as environmental and occupational toxicology. 

Urology

OHSU 

UROL 709C  | Urology  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720, MS 4, Satisfies Surgery II or Sub-I Requirement 

This rotation is intended for fourth-year students considering a career in Urology. Students function in a sub-intern role with house staff and faculty on the urology service and participate in all educational activities of the OHSU urology program. Students can expect to observe and participate in the management of a wide variety of adult & pediatric urological disorders in an outpatient, inpatient, and operative setting. Students will be exposed to the full range of urologic subspecialties, including urologic oncology, pediatric urology, male infertility, stone disease, female and male reconstructive urology. Students will spend 1-2 weeks at OHSU, 1 week at the VAMC (pending credentialing approval) and 1-2 weeks at Doernbecher. Students will give a presentation at the weekly departmental Grand Rounds at the end of the rotation. 

Urology Special Elective

OHSU Portland 

UROL 709X  | Urology  |  credit(s) |   |  term
Preqs:  

Students may make special arrangements with the department for individual programs of study.
 

Urology - Away

Various 

UROL 709Z  | Urology  | 6 credit(s) | 4 weeks  | Any term
Preqs: SURG 720 

Off-campus urology electives may be scheduled at another medical school, or under certain conditions, at a local private urology practice. A curriculum with written objectives and performance criteria equivalent to that of the urology sections of Surgery 721 must be approved by the Chairman of the OHSU Urology Division. Medical students are responsible for making their own arrangements for away rotations. Approval forms must be submitted to the Student Affairs Office before leaving for the rotation. This rotation will not fulfill the 4th year requirement for 4 weeks of surgery, but is an elective.