OHSU

Visiting Students Elective Catalog

 
 

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 and either Intro to Ansthesiology or the Clinical Anesthesiology 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 - 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 - 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. 

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 - 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 - 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 - 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 Ultrasound

OHSU Portland 

EMED 709F  | Emergency Medicine  | 3 credit(s) | 2 weeks  | Closed for 2014-2015 Academic year 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 - 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. 

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. 

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 orthopedic and sports injuries. Students will participate in both surgical and non-surgical approaches to injuries. Opportunities may exist for students to participate with their attending physician at local school athletic events. 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.  

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. 

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  | 3 credit(s) | 2  | MS3 2-week elective blocks & MS4 2-week elective block term
Preqs: MS3 or MS4 

Location: St. Charles Health System in Bend

Course Director: Vivianne Ugalde, MD (541-382-3344 / vugalde@stcharleshealthcare.org)

Contact: Coordinator at St. Charles, Tonya Crockett (541-706-3749 / tcrockett@stcharleshealthcare.org)

Schedule: No call. Weekdays 8-6

Assessment Methods: Clinical assessment

Grade: Pass/No Pass

Course Description: 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

Learning Objectives:
1.Learn the fundamentals of neuromuscular physical exam pertaining to sports injuries as well as recovering stroke patients
2.Develop an understanding of the team approach to inpatient rehabilitation services
3.Develop an appreciation/ deeper understanding of the various clinical therapies involved in inpatient rehab- speech, OT, PT, counseling.
4.By the end of the rotation, develop a sense of which patients are appropriate for referral to inpatient rehab or the various clinical therapies
 

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. 

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.
 

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.
 

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.
 

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. 

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. 

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 - 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. 

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. 

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. 

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. 

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. 

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 - 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. 

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 - 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. 

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.  

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  | 6 credit(s) | 4 weeks  | Any term
Preqs: MS3 or above 

This is a 4 week elective course designed to introduce students to the field of pathology as practiced in the clinical setting. Students will be based primarily in the OHSU surgical pathology and autopsy services. Depending on the student’s interests, opportunities to participate in subspecialty services such as hematopathology, cytopathology, transfusion medicine, molecular pathology, neuropathology and renal pathology can be arranged. Students will attend relevant lectures and clinical conferences, including the anatomic pathology and laboratory medicine lectures on Wednesdays at 9 AM, Department Grand Rounds on Wednesdays at 11 AM, and the Autopsy Case review on Thursdays at 8 AM. A 15 minute presentation is a requirement for students participating in the 4 week elective. Scheduling details will be worked out through Stacey Shird and the Clerkship Director prior to beginning the elective. This course is NOT offered in July. Preference for August - October slots will be given to students who are considering applying to pathology residency. Maximum of 3 students per period. 

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.
 

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-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. 

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. 

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. 

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. 

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. 

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. 

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 

This is a four week course in general surgery, with a specific focus on the pancreas, the hepatobiliary system, diseases of the adrenal glands and spleen and hernias of all types. The physicians on the Blue Surgery Service are trained in both minimally invasive and open surgery. You will develop skills evaluating, diagnosing and caring for surgical patients. You will be able to identify critical aspects of patient care in patients with diseases of the pancreas, hepatobiliary system, adrenal glands, spleen and of all types of hernias. You will have hands on experience in the operating room assisting with operative procedures. Responsibilities include evaluating consult patients in the emergency room, on the hospital wards and in our out-patient clinics. You will also have responsibilities rounding on and presenting your patients on the wards, and assisting with wound care. You will be able to participate in multidisciplinary tumor conferences and you should be able to deliver effective patient presentations. You will be expected to have the ability and willingness to work in a cooperative manner with all other healthcare personnel who care for our patients, After completing this rotation, you will have an in-depth knowledge of benign and malignant disease of the pancreas, hepatobiliary system and with solid organ disease and hernias of all kinds. 

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 

This is a four week course in general surgery, with a specific focus on conditions and surgery of the colon and rectum, and ventral hernias. The physicians on the Green Surgery Service are trained in minimally invasive, robotic and open surgery. You will develop a higher level of comfort evaluating, diagnosing, triaging surgical patients, and working on a multi-functioning specialty team. You should be able to identify critical points in inpatient and outpatient follow-up of surgical patients with diseases of the colon and rectum and of all hernias. You will have hands on experience with minor clinical procedures. Responsibilities include working up patients, pre- and post-operative care, evaluating in the emergency room and outpatient clinics, rounding in wards, assisting in surgeries, postoperative care rounds, and surgical would care. You will also participate in multidisciplinary conferences. You should be able to design and implement a patient plan, write orders, and give patient presentations. After completing this rotation, you will have an in-depth knowledge of benign and malignant disease of the colon and rectum as well as of complex ventral hernias.  

General Surgery-OHSU Red

OHSU Portland 

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

This is a four week course in general surgery, with a specific focus on conditions and surgery of the foregut (esophagus, stomach and small bowel). The physicians on the Red Surgery Service are trained in minimally invasive, bariatric and robotic surgery as well as conventional surgical approaches. You will develop a higher level of comfort evaluating, diagnosing, triaging surgical patients, and working on a multi-functioning specialty team. You should be able to identify critical points in inpatient and outpatient follow-up of surgical patients with morbid obesity or diseases of the esophagus or stomach. You will have hands on experience with minor clinical procedures. Responsibilities include working up patients, pre- and post-operative care, evaluating in the emergency room and outpatient clinics, rounding in wards, assisting in surgeries, postoperative care rounds, and surgical would care. You will also participate in multidisciplinary conferences. You should be able to design and implement a patient plan, write orders, and give patient presentations. After completing this rotation, you will have an in-depth knowledge of benign esophageal conditions, spastic disorders of the esophagus, esophageal and gastric cancer, metabolic syndrome and the consequences of bariatric surgeries and gallbladder disease.  

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.