Registrar

Contact Our Personnel

Registrar Office: Room A1041

 

Gail S. Hewitt-Clarke, MS

Assistant Vice President for Academic Records/University Registrar

 

Current students, click here to view your grade report.

 

Ms. Andrea Greene

Registration Specialist, SOM

(301) 295-2802 

 

Ms. Kenyetta Hayes

Registration Specialist, GEO

(301) 295-3199

 

Ms. Xochilth Torres

Registration Specialist, GSN & PDC

(301) 295-3448

 

Ms. Wendy Wilson

Office Administrator

(301) 295-3291

 

Fax Number: (301) 295-3545

registrar-online-request@usuhs.edu

Fourth-Year Clerkship Catalogue

Anatomy

Department Website:

Course #: ATR 4110 Neuroanatomy Clerkship

Duration: 4

Hours: 5

Grading: (Pass/Fail)

Course Description: Provide opportunity for student to carry out integrated review of head & neck anatomy with functional neuroanatomy. Practical application of anatomical knowledge in relation to clinical medicine is stressed. Students enrolled in clerkship can assist in teaching in the Clinical Head and Neck Anatomy and Functional Neuroscience course and participate in faculty reviews. Independent cadaver dissection of head & neck region, study of gross brain, slices & CNS myelin-stained slides. Utilize USU computer modules on head neck and CNS anatomy. Comments: Interactive software on head and neck modules, functional neuroscience and lesion localization & radiology support this process.

 

Course #: ATR 4140 Human Anatomy

Duration: 4

Hours: 5

Grading: (Pass/Fail)

Course Description: Students will assist Dr. Alan Seyfer in teaching anatomy in the dissecting laboratory, participating as a junior faculty member.

Comments: This course must be registered with Dr. Seyfer at (301) 295-0441.

 

Course #: ATR 4780 Cadaver Dissection Review

Duration 4

Hours: 5

Grading: (Pass/Fail)

Course Description: The focus of this elective can be on the Head/Neck, Chest, Abdomen, or Back & Extremities - or a review of all of these areas. The student will perform dissections on a preserved cadaver that is procured for this elective and the dissections are guided by the MS-1 dissector that was issued to the student during the first year course. The student's progress during these independent dissections is reported to Dr. Seyfer weekly and his help can also be obtained if needed. Dr. Seyfer will help guide the student in planning the dissections and will approve the dissections before they are done. Students can perform dissections and study structures that relate to their chosen specialty or to surgical procedures such as neck dissection, laparotomy, thoracotomy, or back and extremity operations.

 Comments: This is an MS IV elective that is intended to review pertinent clinical anatomy before entering any type of internship/residency training. It is of value regardless of what specialty the student will enter.

Anesthesiology

Department:
Department Website:

Course #: ANR 4200 Anesthesia Clerkship

Duration: 4

Hours: 5

Grading: (Honors/Pass/Fail)

 

Course Description:  Students are exposed to the role of the anesthesia provider in the areas of preoperative evaluation of patient for anesthesia and planning of the anesthesia management based on sound physiological reasoning, management of the unconscious patient, instrumentation of the airway, and providing the necessary/analgesia and relaxant support for surgical procedures. Comments: Clerkship is designed to teach fundamental principles of perioperative patient management.

 

Course #: ANR 4202 Anesthesia Selective

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: The 4-week Anesthesiology Selective can be performed at over a dozen sites and focuses on the peri-operative care of the patient in the operating room (OR) setting.  You will be involved in the perioperative care of patients undergoing anesthesia and surgery.   Critical technical skills required of all physicians, including airway management and intravenous catheter placement will be taught along with physiologic monitoring.

 

 

Course #: ANR 4220 Pain Selective

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Students will be involved in the care of patients in pain management clinic. They will be responsible for supervised evaluation of new/returning patients. They will participate in performing appropriate regional conduction blocks, and developing outpatient treatment regimens. They will participate in inpatient consult.

 

Course #: ANR 4230 Anesthesiology Research Selective

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

 

Course Description: Students will become involved in an on-going research project in the Anesthesia Department. Students will be able to choose their project and learn basic lab techniques. Projects related to clinical aspects of anesthesia, as well as the mechanism of action of anesthetic drugs are available. Students will have opportunity to work with military anesthesiologist engaged in research projects at USUHS. Comments: Research will allow student to correlate the principles of basic science to clinical practice. Students must contact the Anesthesiology Research Coordinator, Dr. John Capacchione, directly via email prior to scheduling the research elective. Students will only be accepted if there is staff available to work with them on a project during the time the student desires to rotate with the department. Dr. Capacchione's email is john.capacchione@usuhs.edu. 

Dermatology

Department:
Department Website:

Course #: DMR 4100 Clinical Dermatology

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

 

Course Description: Allow students to participate in the care and management of inpatient & outpatient dermatology patients through direct contact with patients under staff supervision. Specific educational techniques include didactic sessions, conferences led by staff and senior residents, lab demonstrations, audiovisual material, histopathology review, slide presentations, assisting in dermatologic surgery, and case presentations. Some teaching centers will offer additional specialized opportunities such as Mohs surgical procedures, consultant visits, city-wide Grand Rounds, and clinical research programs. Comments: Clerkship is designed to teach fundamental principles of pathophysiology, diagnosis, and treatment of skin diseases. Expectations include completing an end of rotation exam and giving a short presentation on a dermatological topic of interest. 

Family Medicine

Department:
Department Website:

Family Medicine Course Descriptions

 

Course #: FPR 4017:  Maternity Care / Reproductive Health

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

 

Course Description: Students will gain additional knowledge, skill and procedural expertise in the evaluation and management of patients and families with maternity care/reproductive health issues. Students will actively participate in rounds, lectures and conferences as appropriate

 

 

Course #: FPR 4018:  Metacognition- Thinking About How You Think

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: This 4-week elective uses books from well-known authors to encourage students to examine ways to develop mindfulness in their evolving medical practices. Through reading selected texts, writing reflective papers, and facilitating small groups, the metacognition elective allows post-clerkship medical students to continue developing the habit of thought that is reflective practice.

 

Course #: FPR 4071:  Family Medicine Operational Elective

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Students work with family physicians assigned to operational units.  Students will gain experience in the clinical, administrative and leadership skills required of a medical officer to effectively function as part of an operational unit.

 

Course #: FPR 4076:  Family Medicine Comprehensive Clerkship

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Students will work closely with Family Physician faculty practicing full scope Family Medicine in a variety of settings. While there may be some site variation, students will gain experience with patient care in the outpatient, inpatient, labor & delivery and emergency department settings. A modest amount of overnight call may be a requirement. Students will participate in morning report and clinical conferences. Sites sponsoring these rotations are typically OCONUS or CONUS non-GME training sites.

 

Course #: FPR 4103:  Family Medicine Research

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Students will gain an understanding of the types of research commonly done in the primary care setting working one-on-one with selected family physician faculty. Students will be required to formulate a research question, complete a literature review and draft a proposal that can serve as the basis for a Capstone project or be completed during Graduate Medical Education. 

 

Course #: FPR 4110:  Family Medicine Ambulatory

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Students participate in the care of outpatients in the Family Medicine clinic, including acute and chronic and perform outpatient procedures. Students will participate in morning report, the Family Medicine lecture series and clinical conferences. Access to videotaping patient interviews may be available to focus on improving interviewing skills and learning family dynamics.

Course #: FPR 4130:  Family Medicine Sub-Internship

Duration: 4

Hours: 5

Grading: (Honors/Pass/Fail)

 

Course Description: Students will function as an intern. The majority of the rotation will involve inpatient care with a lesser amount in the outpatient, labor and delivery and emergency department.  Students will evaluate, admit, work-up and follow inpatients w/various medical, surgical, pediatric & OB/GYN diagnoses.  Students will attend and participate in morning report, lecture series and conferences.

 

Course #: FPR 4140:  Sports Medicine

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Description: Students will evaluate, assess & formulate treatment plans for patients with a wide variety of musculoskeletal conditions. Students will master a sequential & thorough exam of the spine and extremities. Students will actively participate in conferences and lectures.

 

Course #: FPR 4141: Integrative Medicine

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Description:  Students will gain an exposure to Integrative Health  -the practice of medicine that reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic approaches, healthcare professionals and disciplines to achieve optimal health and healing. Students will choose 2 to 4 areas of concentration from the following list that includes: Acupuncture, Yoga, Art Therapy, Mind-Body Practices, Chiropractic Care, Nutrition, Animal/Pet Therapy, Behavioral Health in Primary Care, Patient Education, Palliative Care, Sexual Health & Intimacy, Tobacco Cessation.

 

Course #: FPR 4150:  Family Medicine-Community Health Care

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Students works with staff at selected agencies/organizations providing community health and social services to underserved populations. Students gain experience in patient assessment, screening, health care education and the administrative challenges of providing basic health care to underserved populations.

 

Course #: FPR 4180: Complementary Medicine-Acupuncture

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Students will gain a basic understanding of acupuncture; learn acupuncture techniques and indications for use in the management of acute and chronic pain conditions. Students will learn techniques that can be applied to selected patient problems in the outpatient and operational settings. Students will be active participants in conferences and lecture series. 

 

Course #: FPR 4182: Family Medicine Approaches for Treating Pediatric Obesity

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Students will gain an understanding of the life-long implications of childhood weight issues. Students will gain knowledge, skills and techniques to prevent the development of and assist in the management of pediatric weight issues.

 

Course #: FPR 4192: Motivational Interviewing and Behavioral Change

Duration: 4

Hours: 5

Grading: (Pass/Fail)

 

Course Description: Students will learn basic behavior change strategies and methods to improve motivation for behavioral change in a Family Medicine environment. Throughout the month, students will complete readings, observe behavior change groups, participate in weekly discussions, and develop a paper to synthesize learned information.

 

 

 

 

 

 

Medicine

 

As a fundamental prerequisite for performing any Advanced Clerkship, including Clinics and Consultation electives or Subinternship in the Department of Medicine, the student must have satisfactorily completed the third year core clerkship in internal medicine, unless otherwise so directed, arranged, and approved by the Department of Medicine. Students may contact the Director of Advanced Clerkship Programs who can be reached at (301) 295-9903. Dr. Mcmannmon is not the scheduling POC however is available to provide guidance.

I. Clinics and Consultation (C&C) Objectives

Clinics and Consultation electives provide students with opportunities to expand their knowledge of particular subspecialties, work as consultants, and manage patients primarily in the outpatients setting. Much of a clinician's time is spent in office practice and consultation; these electives allow students to experience those aspects of practice as well as expose them to common diseases rarely seen on internal medicine wards. Students learn specialized history taking and examination skills of a particular subspecialty and learn how and when to use diagnostic tools of that specialty. Students are responsible for initial work-ups and notes as well as follow-up visits. After the initial evaluation of a patient, students present and discuss patients with fellow and staff attending. Each service is responsible for its own schedule of formal talks and rounds in which the students will participate.

Grading of clinics and consultative electives is Pass/Fail. The goal of these clerkships is to prepare the students for internship and enable students to serve as managers for their patients. Therefore using the RIME scheme (Reporter- Interpreter- Manager- Educator), students in the advanced clerkships are expected to be competent reporters and interpreters and making movement toward being managers for their assigned patients in order to receive a passing grade. In comparison, third year internal medicine clerks are expected to be competent reporters and making movement toward interpreters to receive a passing grade.

Objectives common to all clinics and consultation rotations include the abilities to:

  • Present cases (orally and written) that are organized, succinct, and factual

  • Longitudinally track patient data using available resources

  • Coordinate clinical care with supervising physicians and other health care workers

  • Use electronic health records

  • Appraise literature and apply it to their assigned patients (Evidence Based Medicine)

  • Demonstrates respect, compassion, integrity, and honesty in interactions with patients, family, and health care professionals

 

Objectives unique to each subspecialty will be outlined under the individual clerkships. These electives are available throughout the year for students from USUHS (blocks 1-12) and other medical students unless otherwise specified.

Course #: MDR4400, Cardiology C&C
Duration: 4 weeks
Hours: 5

Description: This rotation is designed to evaluate and develop management plans for both outpatients and inpatients with a wide range of cardiovascular disease including congestive heart failure, arrhythmias, valvular heart disease, coronary artery disease, and hypertension. The primary focuses are cardiac history and physical diagnosis; interpretation of EKGs, stress testing, and basic radiographic procedures; preoperative assessment; and outpatient consultation.

Goals: At the end of this elective, senior students will be able create differential diagnoses of common cardiac signs and symptoms, interpret common cardiac diagnostic testing, develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or cardiologist).

Unique Objectives:
1) Correctly interpret EKGs on assigned patients
2) Identify common bradyarrhythmias, tachyarrhythmias, and myocardial ischemia/infarct on EKGs
3) Attain fund of knowledge and skills in order to enable the students to initiate care for patients who present with acute chest pain, hypertensive emergencies, and arrhythmias

Course #: MDR4490, Hematology/Oncology C&C
Duration: 4
Hours: 5
Description: Working closely with other members of the consult service, clerks will have responsibility for providing initial consultation as well as daily follow-up on their assigned patients. In addition, clerks will see both new and follow-up patients in the outpatient clinic. The focus of this elective is to expose the subintern to a wide variety of hematologic and sold malignancies, their consequences, and effects of therapy as well as the diagnosis, treatment, and management of non-malignant hematologic disorders such as anemia, cytopenias, and coagulation disorders.

 
Goals: At the end of this elective, senior students will be able create differential diagnoses of common presentations of malignant and hematologic disease, interpret common diagnostic testing (both laboratory and imaging), develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or hematologist/oncologist).

 

Unique Objectives:
1) Correctly interpret findings on peripheral blood smears, other laboratory results, and radiographic procedures on their assigned patients
2) Development diagnostic and management plans for assigned patients who present with non-malignant hematologic disease (i.e. anemia, cytopenias, coagulation disorders, etc.)
3) Develop diagnostic and management plans for their patients who present with signs or symptoms suggestive of an underlying malignancy or have a known malignancy
4) Attain fund of knowledge and skills to enable the students to care for their patients with hematologic and malignant disease, including treatment options, management of treatment-induced complications (i.e. pancytopenia, fevers, etc.), and end-of-life issues

Course #: MDR4510, Gastroenterology C&C
Duration: 4
Hours: 5

Description: Working closely with other members of the consult service, clerks will have responsibility for providing initial consultation as well as daily follow-up on their assigned patients. In addition, clerks will see both new and follow-up patients in the outpatient clinic. The focus of this elective is to expose the clerk to a wide variety of important disease, such as cirrhosis, malabsorption, peptic ulcer disease, inflammatory bowel disease, pancreatitis, and esophageal dysfunction. The clerk will observe and/or participate in a variety of diagnostic procedures unique to the subspecialty.

Goals: At the end of this elective, senior students will be able create differential diagnoses for common signs and symptoms of gastrointestinal disorders, interpret common diagnostic testing (both laboratory and imaging), develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or gastroenterologist).

 

Unique Objectives:
1) Correctly interpret laboratory results and radiographic procedures on their assigned patients
2) When possible, observe and/or participate in endoscopic procedures performed on their assigned patients
3) Attain fund of knowledge and skills to enable the students to work-up and care for their patients with gastrointestinal bleeding, abdominal pain, nausea and vomiting, and solid tumors of the gastrointestinal tract

Course #: MDR4540, Endocrinology C&C
Duration: 4
Hours: 5

Description: Working closely with other members of the consult service, clerks will have responsibility for providing initial consultation as well as daily follow-up on their assigned patients. In addition, clerks will see both new and follow-up patients in the outpatient clinic. The focus is to develop sophistication in history-taking and physical exam skills for recognizing endocrine diseases and become familiar with assaying hormones in the evaluation and management of important endocrine problems such as diabetes mellitus, osteoporosis, and thyroid disease. Opportunities to evaluate diseases of the pituitary, adrenal, and reproductive system are dependent on the availability of patients.

Goals: At the end of this elective, senior students will be able create differential diagnoses for common signs and symptoms of endocrinologic disorders, interpret common diagnostic testing (both laboratory and imaging), develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or endocrinologist).

 

Unique Objectives:
1) Correctly interpret hormonal assays and other laboratory results on their assigned patients
2) Attain fund of knowledge and skills to enable the students to work-up and care for their patients with diabetes mellitus, thyroid disease, and osteoporosis

Course #: MDR4550, Infectious Disease C&C
Duration: 4
Hours: 5

Description: Working closely with other members of the consult service, clerks will have responsibility for providing initial consultation as well as daily follow-up on their assigned patients. In addition, clerks will see both new and follow-up patients in the outpatient clinic. Emphasis is placed on understanding basic pathogenic mechanisms as they relate to patient care and management, principles of antibiotic usage, HIV, and clinical microbiology.

Goals: At the end of this elective, senior students will be able create differential diagnoses for common signs and symptoms suggested of an infectious etiology, interpret common diagnostic testing (both laboratory and imaging), develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or infectious diseases physician).

 

Unique Objectives:
1) Correctly interpret laboratory results, microbial cultures, and radiographic procedures to optimize care on their assigned patients
2) Develop a rationale use of available antibiotics considering drug cost, side effect profiles, and individual patient data
3) Attain fund of knowledge and skills to enable the students to work-up and care for patients with fevers who are immunocompromised or hospitalized, properly evaluate fevers in both the outpatient and inpatient settings, and develop a basic understanding of the use of antiviral agents in the setting of HIV

Course #: MDR4560, Nephrology C&C
Duration: 4
Hours: 5

Description: Working closely with other members of the consult service, clerks will have responsibility for providing initial consultation as well as daily follow-up on their assigned patients. In addition, clerks will see both new and follow-up patients in the outpatient clinic. Emphasis is placed on developing a basic understanding of acute renal failure, chronic renal diseases, electrolyte disorders, acid-base disorders, and hypertension as well as interpretation of urinalyses and other laboratory tests, pathology, and pathogenesis.

Goals: At the end of this elective, senior students will be able create differential diagnoses for common signs and symptoms of nephrologic disease, interpret common diagnostic testing (including urinalyses and other laboratory tests and imaging procedures), develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or nephrologist).

 

Unique Objectives:
1) Correctly interpret laboratory results, urinalyses, and radiographic procedures in order to optimize care on their assigned patients
2) Develop a rationale use of available hypertensive agents considering drug cost, side effect profiles, and individual patient data
3) Attain fund of knowledge and skills to enable the students to work-up and care for patients with acute renal failure, electrolyte disorders, hypokalemia/hyperkalemia, chronic renal failure, and possible adverse drug effects

Course #: MDR4570, Pulmonary C&C
Duration: 4

Hours: 5

Description: Working closely with other members of the consult service, clerks will have responsibility for providing initial consultation as well as daily follow-up on their assigned patients. In addition, clerks will see both new and follow-up patients in the outpatient clinic. Emphasis is placed on gaining a more thorough understanding of the broad spectrum of pulmonary disease, chest radiograph interpretation, bronchoscopy observation, interpretation of pulmonary function tests, and management of acute and chronic respiratory disease.

Goals: At the end of this elective, senior students will be able create differential diagnoses of common respiratory signs and symptoms, interpret common laboratory, spirometric and imaging used to diagnose and treat pulmonary disease, develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or pulmonologist).

 

Unique Objectives:
1) Correctly interpret laboratory results, microbial cultures, and radiographic procedures to optimize care on their assigned patients
2) Develop a rationale use of available medications to treat chronic lung conditions such as asthma and COPD considering drug cost, side effect profiles, and individual patient data
3) Attain fund of knowledge and skills to enable the students to work-up and care for patients with respiratory distress, acid-base disorders, lung cancers, pulmonary thromboembolism, and chronic lung disease

Course #: MDR4580, Rheumatology C&C
Duration: 4
Hours: 5

Description: Through evaluation of patients primarily in the outpatient setting, students will develop skills in history-taking, musculoskeletal examination, interpreting laboratory results, and radiographic interpretation in order to establish a rationale to approach patients with a wide variety of musculoskeletal complaints.

Goals: At the end of this elective, senior students will be able create differential diagnoses of common rheumatic signs and symptoms, interpret common serologic and immunologic testing used to diagnose and treat rheumatic disease, develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or rheumatologist).

Unique Objectives:
1) Correctly interpret results of serologic and other laboratory tests and radiographic procedures to optimize care on their assigned patients
2) Develop a rationale use of available medications to treat pain and inflammation taking into account drug costs, patient demographics, underlying condition, and patient demographics
3) Attain fund of knowledge and skills to enable the students to work-up and provide initial care for patients with osteoarthritis, gout and other crystalline disorders, back pain, rheumatoid arthritis, fibromyalgia, soft tissue disorders, and the spondyloarthropathies

Course #: MDR4590, Allergy C&C
Duration: 4
Hours: 5

Description: Through direct observation and participation primarily in the outpatient setting, students will develop skills in history-taking and interpreting laboratory results in patients with allergic disorders in order to establish a rationale to approach patients with a wide variety of immunologic and allergic diseases.

Goals: At the end of this elective, senior students will be able create differential diagnoses of common allergic signs and symptoms, interpret common immunologic testing in adults and children, develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or allergist).

 

Unique Objectives:
1) Correctly interpret diagnostic laboratory and other tests on assigned patients
2) Acquire an appreciation of the basic mechanisms of allergic disorders and asthma
3) Attain fund of knowledge and skills to enable the students to initiate a diagnostic work-up and management for patients who present with suspected immunodeficiency, apparent drug allergy, anaphylaxis, and asthma

Course #: MDR4591, Sleep Medicine C&C
Duration: 4
Hours: 5

Description:Working closely with other members of the consult service, clerks will have responsibility for providing initial consultation as well as daily follow-up on their assigned patients. Emphasis is placed on gaining a more thorough understanding of the broad spectrum of sleep medicine to include circadian rhythm disorders, sleep movement disorders, parasomnias, and hypersomnias. There will be an emphasis on proficiency in diagnosing and managing obstructive sleep apnea and insomnia. An introduction to polysomnogram interpretation (both in-lab and home types), actigraphy , overnight pulse oximetry will be provided as part of this rotation. Patients of all ages will be managed. Clinical research is an important part of sleep medicine, and clerks will be encouraged to participate in new or ongoing sleep medicine research.

 Goals:At the end of this elective, senior students will be able create differential diagnoses on patients that have common sleep-related symptoms, understand the importance of polysomnography findings, interpret common laboratory tests, and develop management plans for their assigned patients. Ultimately, senior students will be proficient in identifying sleep-related disease symptoms and be able to provide initial treatment of these problems.  They will also be able to develop a reasoned approach to caring for similar patients in the future (prior to referring patients to sleep medicine).

 

Unique Objectives:

1) Develop proficiency in identifying signs and symptoms of sleep-related disorders, particularly obstructive sleep apnea and insomnia.

2) Correctly interpret data from patients’ history, laboratory and radiologic evaluations, polysomnography and actigraphy and incorporate it in patient management decisions.

3)Develop skill in the initial management of sleep-related disorders. 

4) Participate in clinical research on a sleep medicine-related topic.

 

II. Subinternship (Descriptions, Goals and Objectives)

Subinternships in internal medicine are designed to provide senior students with an opportunity to manage acutely ill hospitalized patients under a high degree of supervision. Students will further develop their skills in history taking, physical examination, differential diagnosis, and the day-to-day management of both common and unusual illnesses. Advanced clerkship students will function with intern-like responsibilities under the direction of a resident and attending physician. In certain subinternships, the student may also work with fellows. Students will provide comprehensive care for their assigned patients including their initial work-up, daily progress notes, and performing procedures under close supervision. Students may take night and weekend calls. Students will carry the full responsibility for his/her patients and is expected to develop their initiative in identifying issues in patients care and in proposing daily plans for his/her patients.

A grade of Honors/Pass/Fail will be given for this rotation. The goals of the subinternship is two-fold: provide a forum in which students integrate internal medicine teaching from the entire four year curriculum and equip students with new knowledge, skills, and attitudes they will need to excel during internship. Therefore using the RIME scheme (Reporter- Interpreter- Manager- Educator), students on advanced clerkships are expected to be competent reporters and reasonable interpreters (most of the time) and making movement toward being managers for their assigned patients in order to receive a passing grade.  To receive an Honors grade, students must demonstrate the ability to be at the Manager/Educator level during the rotation.

Objectives common to all sub-internship rotations include the abilities to:

  • Present cases (orally and written) that are organized, succinct, and factual

  • Track patient data longitudinally using available resources

  • Coordinate clinical care with supervising physicians and other health care workers

  • Prioritize daily work to include sign-out lists

  • Assess patient decision-making capacity

  • Apply pharmacokinetics of common medication

  • Compose discharge summaries

  • Deliver bad news

  • Use electronic health record databases

  • Appraise literature and apply it to their assigned patients (Patient centered care)

  • Demonstrate respect, compassion, integrity, and honesty in interactions with patients, family, and health care professionals

Objectives unique to each subspecialty will be outlined under the individual clerkships. Subinternships are available throughout the year for students from USUHS and other medical schools unless otherwise specified.

Course #: MDR4420, Cardiology Coronary Care Unit S.I.
Duration: 4
Hours: 8

Description: This course is designed primarily to care for inpatients. Senior students will function as an intern on the inpatient cardiology team. They will provide comprehensive care for assigned patients including their initial work-up, daily progress notes, interpretation of EKGs and other diagnostic tests, and performing procedures under the supervision of senior members of the team. Senior students will take night and weekend call. The primary focuses recognition and management of arrhythmias, heart failure, and acute coronary artery syndromes.

Goals: At the end of this elective, senior students will be able create differential diagnoses of common cardiac signs and symptoms, interpret common cardiac diagnostic testing, develop diagnostic and management plans for their assigned patients, and ultimately develop a rationale initial approach to caring for similar patients in the future (prior to referring patients to an internist or cardiologist).

 

Unique Objectives:
1) Correctly interpret EKGs on assigned patients
2) Identify common bradyarrhythmias, tachyarrhythmias, and myocardial ischemia/infarct on EKGs
3) Attain fund of knowledge and skills to enable the students to initiate care for patients who present with acute chest pain, hypertensive emergencies, and arrhythmias

Course #: MDR4440, General Medicine S.I.
Duration: 4
Hours: 8

Description: This clerkship provides a supervised inpatient experience evaluating and managing major diseases encountered on an inpatient service. Students will serve as a member of the medicine ward team with "intern" level responsibility including taking call, writing initial orders, and providing daily care to their assigned patients. Emphasis will be placed on developing skills necessary to become successful interns.

Goals: At the end of this elective, senior students will be able create differential diagnoses of common adult signs and symptoms of disease, interpret diagnostic testing used in caring for their patients, develop diagnostic and management plans for their assigned patients, and ultimately develop a rationale initial approach to caring for similar patients in the future (prior to referring patients to an internist or other subspecialists).

 

Unique Objectives:
1) Correctly interpret diagnostic studies including laboratory and EKGs on assigned patients
2) Attain fund of knowledge and skills to enable the students to initiate care for patients who present with abdominal pain, acute gastrointestinal bleeding, acute pulmonary edema, acute renal failure, altered mental status, arrhythmias, chest pain, electrolyte disorders, fever, glycemic control, hypertensive emergencies, nausea and vomiting, pain management, respiratory distress, shock, and seizures

Course #: MDR4460, MICU S.I.
Duration: 4
Hours: 8

Description: This course is designed primarily to care for inpatients. Senior students will function as an intern on the Intensive Care Unit team. They will provide comprehensive care for assigned patients including their initial work-up, daily progress notes, interpretation of EKGs and other diagnostic tests, and performing procedures under the supervision of senior members of the team

Goals: At the end of this elective, senior students will be able create differential diagnoses of common signs and symptoms in critically ill patients, interpret common diagnostic testing in the ICU, develop management plans for their assigned patients, and ultimately recognize signs and symptoms of critical illness in future patients who require admission in ICUs.

 

Unique Objectives:
1) Correctly interpret diagnostic studies including laboratory and EKGs on assigned patients
2) Develop management plans for their patients who present with electrolyte, acid base, and fluid disturbances
3) Attain fund of knowledge and skills to enable the students to initiate care for patients who present with acute gastrointestinal bleeding, acute renal failure, arrhythmias, acute chest pain, electrolyte disorders, hypertensive emergencies, respiratory arrest, and shock

Course #: MDR4500, Hematology/Oncology S.I.
Duration: 4
Hours: 8

Description: Subinterns will have "intern" level responsibility for managing patients on the inpatient hematology/oncology service and will see both new and follow-up patients in the outpatient clinics. The focus of this elective is to expose the subintern to a wide variety of hematologic and sold malignancies, their consequences, and effects of therapy. The subintern will take night call with their team.

Goals: At the end of this elective, senior students will be able create differential diagnoses of common presentations of malignant and hematologic disease, interpret common diagnostic testing (both laboratory and imaging), develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or hematologist/oncologist).

 

Unique Objectives:
1) Correctly interpret findings on peripheral blood smears, other laboratory results, and radiographic procedures on their assigned patients
2) Development diagnostic and management plans for assigned patients who present with non-malignant hematologic disease (i.e. anemia, cytopenias, coagulation disorders, etc.)
3) Develop diagnostic and management plans for their patients who present with signs or symptoms suggestive of an underlying malignancy or have a known malignancy
4) Attain fund of knowledge and skills to enable the students to care for their patients with hematologic and malignant disease, including treatment options, management of treatment-induced complications (i.e. pancytopenia, fevers, etc.), and end-of-life issues

III. Clerkships (Descriptions, Goals, and Objectives)

Clerkships in internal medicine offer similar experiences as subinternship, but are graded Pass/Fail. While they are four weeks in duration, they do not fulfill the School of Medicine’s requirement for a subinternship. However, the amount of primary patient management may be similar to the subinternships. The goals and objectives for clerkships is the same as those for the subinternships.  

Objectives unique to each subspecialty will be outlined under the individual clerkships. Clerkships are available throughout the year for students from USUHS and other medical schools unless otherwise specified.

Course #: MDR4390, Pallative Medicine
Duration: 4
Hours: 5

Description: Provide senior student with the opportunity to participate in home palliative care & pain control for terminally ill patients.

Goals: Provide multi-disciplined approach to palliative care. Encompasses nursing, social work, pastoral care, volunteers, home health aids and bereavement services. Focus is holistic, addressing medical, psychosocial, and spiritual needs of patients/families. Participates in home visits with the disciplines, attends lectures, observes output visits.

 Course #: MDR4680, Clinical Pharmacology Consults

Duration: 4
Hours: 5

Description: Provide senior student with the opportunity to participate in the clinical pharmacology consultation services. Consultation experience frequently involves drug overdose, adverse drug reactions, and drug pharmacokinetics.

Goals: At the end of this elective, senior students will be able create differential diagnoses of common allergic signs and symptoms, interpret common immunologic testing in adults and children, develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist or allergist).

Unique Objectives:
1) Correctly interpret results of drug levels and other laboratory tests to optimize care on their assigned patients
2) Develop a rationale plan for treating common drug overdoses using available nomograms and knowledge of drug pharmacokinetics
3) Attain fund of knowledge and skills to enable the students to work-up and provide initial care for patients with drug-induced hepatitis, alcohol intoxication and withdrawal, recreational drug use, and drug poisoning

Comments: To schedule contact Dr. Cantilena at (301) 295-3240.

Course #: MDR4690, Geriatric Medicine
Duration: 4
Hours: 5

Description: This rotation provides in-depth exposure to geriatric medicine and gerontology by working closely with faculty and residents. Students may take part in nursing home care, physician house call, and outpatient geriatric evaluation.

Goals: At the end of this elective, senior students will be able create differential diagnoses of common problems affecting the elderly, perform geriatric outpatient assessments, evaluate mental status alterations in the elderly, develop diagnostic and management plans for their assigned patients, and ultimately develop a rationale initial approach to caring for elderly patients in the future (prior to referring patients to geriatrics specialist).

 

Unique Objectives:
1) Correctly interpret laboratory results and radiographic procedures to optimize care on their assigned patients
2) Develop a rationale approach to prescribing drugs in the elderly
3) Attain fund of knowledge and skills to enable the students to work-up and care for elderly patients who present with dementia, depression, incontinence, falls, polypharmacy, end-of-life issues, and other common disease affecting the elderly

Course #: MDR4720, General Medicine Clinics
Duration: 4
Hours: 5

Description: Clerks will see follow-up, walk-in, semi-urgent, and 72 hour consultations referred to the internal medicine clinic. While the bulk of the patients will be outpatients, consultations from inpatient services may also be seen while working together with a resident and faculty internist. Clerks are responsible for the complete evaluation and disposition for required follow-up procedures and other diagnostics.

Goals: At the end of this elective, senior students will be able create differential diagnoses of common cardiac signs and symptoms, interpret laboratory and other diagnostic testing, develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future (prior to referring patients to an internist).

 

Unique Objectives:
1) Correctly interpret diagnostic studies including laboratory and EKGs on assigned patients
2) Provide recommendations on surgical patients referred for preoperative assessment
3) Attain fund of knowledge and skills to enable the students evaluate patients who present with hypertension, headaches, abdominal pain, acute gastrointestinal bleeding, acute renal failure, altered mental status, arrhythmias, chest pain, electrolyte disorders, fever, glycemic control, nausea and vomiting, pain management, respiratory distress, and seizures

Course #: MDR4799, Medicine Clinic (Pentagon)

Duration: 4
Hours: 5

Description: DiLorenzo TRICARE Health Clinic (DTHC) is a multi-specialty clinic at the Pentagon that serves the health and wellness of over 23,000 personnel including the highest ranking echelons of the Department of Defense. Clerks will have the opportunity to see patients in a standard Patient Centered Medical Home (PCMH) as well as working with subspecialties including cardiology, flight medicine, and travel medicine. In addition, DTHC has some unique opportunities including an Acute Care Clinic and the Emergency Response Team (ERT)-- responding to all medical emergencies within the Pentagon Reservation. Finally, students may participate in Mass Casualty training and exercises. Clerks are responsible for the complete evaluation and disposition for required follow up procedures and other diagnostics.  

Goals: At the end of this elective, senior students will be able create differential diagnoses of common cardiac signs and symptoms, interpret laboratory and other diagnostic testing, develop management plans for their assigned patients, and ultimately develop a rationale approach to caring for similar patients in the future.

Unique Objectives:

1) Interpret diagnostic studies including laboratory and EKGs on assigned patients

2) Provide recommendations on surgical patients referred for preoperative assessment

3) Attain fund of knowledge and skills to enable evaluation of patients presenting with hypertension, headaches, abdominal pain, acute gastrointestinal bleeding, acute renal failure, altered mental status, arrhythmias, chest pain, electrolyte disorders, fever, glycemic control, nausea and vomiting, pain management, respiratory distress, seizures, and basic musculoskeletal injuries.

4) Understand basics of an emergency response and procedures to initiate patient transfer to higher level of care.

 

5) Gain exposure to planning and implementation of a Mass Casualty Response as well as to the principles of Medical Readiness and deployability within the military.

 

IV. Research Opportunities

Course #: MDR4610, Cardiology Research
Duration: 4
Hours: 5
Grading: (Pass/Fail)

Description: Provide senior student with the opportunity to perform either basic science or clinical research that may include the development, performance, interpretation of results, and writing of a specific research project by working with investigators and/or technical staff to learn the techniques and the rationale behind the study plans.

Goals: While the specific goals will depend on the project and faculty advisor, the primary goal is to expose the student the research method: developing hypotheses, study design, data collection, data analysis, and results. Some students may be able to prepare a short article or abstract for a suitable journal or meeting.

Unique Objectives: To be determined by research supervisor

Comments: To schedule contact Dr. Mark Haigney at (301) 295-3826.

Course #: MDR4620, Clinical Pharmacology Research
Duration: 4
Hours: 5
Grading: (Pass/Fail)

Description: Provide senior student with the opportunity to perform either basic science or clinical research that may include the development, performance, interpretation of results, and writing of a specific research project by working with investigators and/or technical staff to learn the techniques and the rationale behind the study plans. Specifically, students are involved in a clinical research project involving experimental therapeutics in the Division of Clinical Pharmacology and Medical Toxicology's Clinical Research Unit.

Goals: While the specific goals will depend on the project and faculty advisor, the primary goal is to expose the student the research method: developing hypotheses, study design, data collection, data analysis, and results. Some students may be able to prepare a short article or abstract for a suitable journal or meeting.

Unique Objectives: To be determined by research supervisor

 

Comments: To schedule contact Dr. Cantilena at (301) 295-3240.

Course #: MDR4630, Education Research
Duration: 4
Hours: 5
Grading: (Pass/Fail)

Description: Provide senior student with the opportunity to perform educational research that may include the development, performance, interpretation of results, and writing of a specific research project by working with investigators and/or technical staff to learn the techniques and the rationale behind the study plans. Typically, students may design their own project or participate in ongoing research related to the process of evaluation and modification of educational programs.

Goals: While the specific goals will depend on the project and faculty advisor, the primary goal is to expose the student the research method: developing hypotheses, study design, data collection, data analysis, and results. Some students may be able to prepare a short article or abstract for a suitable journal or meeting.

Unique Objectives: To be determined by research supervisor

 

Comments: To schedule contact Dr. Louis Pangaro (301) 295-2010 or Dr. Steve Durning (301) 295-3606

 

Course #: MDR4660, Infectious Disease Research
Course Type: C
Department: MDR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Provide senior student with the opportunity to perform either basic science or clinical research that may include the development, performance, interpretation of results, and writing of a specific research project by working with investigators and/or technical staff to learn the techniques and the rationale behind the study plans. Previous clinical trials have included investigational new drugs and biologics relating to infectious disease and biological warfare defense.

Goals: While the specific goals will depend on the project and faculty advisor, the primary goal is to expose the student the research method: developing hypotheses, study design, data collection, data analysis, and results. Some students may be able to prepare a short article or abstract for a suitable journal or meeting.

Unique Objectives: To be determined by research supervisor

 

Comments: To schedule contact Dr. Naomi Aronson at (301) 295-3621.

Course #: MDR4670, Rheumatology/Immunology Research
Course Type: C
Department: MDR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Provide senior student with the opportunity to perform either basic science or clinical research that may include the development, performance, interpretation of results, and writing of a specific research project by working with investigators and/or technical staff to learn the techniques and the rationale behind the study plans. Ongoing basic science and clinic research included receptor-initiated signaling in lymphocytes in patients with systemic lupus, regulation of complement receptor genes, and regulation of B lymphocyte responses by complement.

Goals: While the specific goals will depend on the project and faculty advisor, the primary goal is to expose the student the research method: developing hypotheses, study design, data collection, data analysis, and results. Some students may be able to prepare a short article or abstract for a suitable journal or meeting.

Unique Objectives: To be determined by research supervisor

 

Comments: To schedule contact Dr. Chantal Moratz at chantal.moratz@usuhs.edu

Department Website:

Military Medicine

Course #: MMR4110, Clinical Rotations in Aviation Medicine

Duration: 4

Hours: 5

Grading: (Pass/Fail)

Description: Students will work side by side with flight surgeons evaluating military aviation candidates and designated aircrew. Disease processess and their impact on aviation safety are emphasized.

Sites: Rotations may be arranged at a variety of sites but require the student to identify a point of contact and have that POC write the goals of the course, describe the student's duty schedule, and agree to complete and forward an evaluation of the student's performance at the end of the rotation. Rotations at sites without a pre-existing memorandum of understanding with USU require considerable lead-time to arrange. All rotations require the pre-approval of the Director of the Clinical Sciences Division of the Department of Military and Emergency Medicine.

Course #: MMR4120, Clinical Rotations in Operational Medicine

Duration: 4

Hours: 5

Grading: (Pass/Fail)

Sites: Rotations may be arranged at a variety of sites but require the student to identify a point of contact and have that POC write the goals of the course, describe the student's duty schedule, and agree to complete and forward an evaluation of the student's performance at the end of the rotation. Rotations at sites without a pre-existing memorandum of understanding with U USU require considerable lead-time to arrange. All rotations require the pre-approval of the Director of the Clinical Sciences Division of the Department of Military and Emergency Medicine.

Course #: MMR4130, Clinical Rotations in Emergency Medicine

Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Students have the opportunity of additional practical experience in fixed-facility emergency medical care, including initial evaluation and management of patients with acute complaint both life-threatening and non life-threatening. Students work as subinterns approximately 60 hrs/wk under the direct supervision of assigned residents and attending emergency physicians.

Note: Any military or civilian site with an emergency medicine residency program is acceptable. However, arranging rotations at any civilian site without a pre-existing memorandum of understanding with USU is difficult and time consuming. Any elective at a site other than those listed above requires a meeting with the Director of the Clinical Sciences Division of the Department of Military and Emergency Medicine.

Course #: MMR4160, Military Medicine Research Elective

Duration: 4

Hours: 5

Grading: (Pass/Fail)

Description: Students will work under supervision of researchers in the Department of Military and Emergency Medicine (MIM), Casualty Care Research Center (CCRC), Center of Disaster and Humanitarian Assistance Medicine (CDHAM), or Human Performance Laboratory (HPL). Students may participate in an active research project or work with a faculty member to develop their own.

Comments: Conducting an independent project of the student's design is often better done over an 8-week period (see MMR4180), unless substantial work has been accomplished prior to the beginning of the rotation.

Course #: MMR4170, Emergency Medicine Research Elective

Duration: 4

Hours: 5

Grading: (Pass/Fail)

Comments: Conducting an independent project of the student's design is often better done over an 8-week period (see MMR4180), unless substantial work has been accomplished prior to the beginning of the rotation.

Course #: MMR4180, Military Medicine Research 8 Week Elective

Duration: 8

Hours: 10

 Grading: (Pass/Fail)

Description: Students will work under supervision of researchers in the Department of Military and Emergency Medicine (MIM), Casualty Care Research Center (CCRC), Center for disaster and Humanitarian Assistance Medicine (CDHAM), or Human Performance Laboratory (HPL). Students may participate in an active research project or work with a faculty member to develop their own.

Comments: This course is a continuation of the 4-week Military Medicine Research Elective. Conducting an independent project of the student's design is often better done over an 8-week period unless substantial work has been accomplished prior to the beginning of the rotation.

Course #: MMR4210, Air Assault School

Duration: 4

Hours: 5

Grading: (Pass/Fail)

Description: During the Combat Assault Phase, students receive instruction on aircraft safety, aircraft orientation, aeromedical evacuations (students are taught 17 pathfinder hand and arm signals), pathfinder operations, and combat assault operations including simulated combat assault aboard UH-60 aircraft. During the Sling Load Phase, students receive instruction on preparation, rigging, and inspection of a M119 105-mm Howitzer, a M998 HUMMWV in two configurations, fuel vlivets, cargo nets, a LMTV, and conduct an actual hook-up of aload underneath a CH-47. During the Rappelling Phase, students receive instruction on tying of the Swiss rappel seat, hook-up techniques, lock-in procedures, combat rappel, and belay procedures. Students will conduct 2 rappels on the wall side of the 34' tower, 9-12 rappels from the open side, and 2 rappels from a UH-60 helicopter with and without equipment.

Comments: Includes multiple written tests, 12-mile forced march with 25 pounds of gear in 3 hours, and other physical assessments. Successful completion results in award of the Army Air Assault Badge.

Course #: MMR4230, Cold Weather Medicine

Duration: 4

Hours: 5

 Grading: (Pass/Fail)

Description: Students receive formal instruction in winter, mountainous warfare operations and related medical tasks. The primary emphasis is on cold-weather injuries. Class is divided into two phases: (1) classroom lectures with time for snowshoe/ski movement; (2) field training in the mountainous terrain with practical application of what was taught in classroom.

Comments: Location is the USMC Mountain Warfare Training Center in Bridgeport, CA. POC CDR Brad Bennett 295-9635, location USMC Mount. Warfare Train. Ctr., Bridgeport, CA

Course #: MMR4240, Wilderness Medicine

Duration: 4

Hours: 5

 Grading: (Pass/Fail)

Description: Students receive formal instruction in summer, mountainous warfare operations and related medical tasks. The primary emphasis is on injuries common in the wilderness environment. Class is divided into two phases: (1) classroom lectures with practical application; (2) search-and-rescue and CASEVAC exercises, field survival, and general mountain operations training.

Comments: Location is the USMC Mountain Warfare Training Center in Bridgeport, CA

Course #: MMR4250, Diving Medicine

Duration: 4

Hours: 5

 Grading: (Pass/Fail)

Description: This course will be provided at NDSTC will follow-on-dive operation experience between this command and the Navy Expermental Diving Unit. Opportunities for dive operations at sea and shore exists at both commands.

Course #: MMR4260, Flight Surgeon Course (Army)

Duration: 4

Hours: 5

 Grading: (Pass/Fail)

Description: The Flight Surgeon Primary Course is a 6 week course designed to provide students with the necessary experience, skills and knowledge leading to qualification as an Army Flight Surgeon. The course teaches Army regulations and policy that govern the administration of a Flight Surgeon's Office, the Aviation Medicine Program, and certification of Army aviators for entry into and continuation of aircrew duties at the controls and in the back of Army aircraft. The primary focus is on operational, medical, and physiological problems related to rotary wing flight and rotary wing operations. Instruction includes clinical topics in Internal Medicine, Cardiology, Neurology, Orthopedics, Psychiatry, Ophthalmology, Optometry, Otolaryngology, and Emergency Medicine as it relate to pilots and aircrew and patients for aeromedical evacuation/transportation. Being an operational based medical specialty of preventive medicine, the student is exposed to various aspects of Deployment Medicine, Environment Medicine, Toxicology, Deployment Planning, Staff Operations, Staff Duties, and Operations Order planning. Interspersed with the classroom experience is the opportunity to visit the flight line for demonstrations of flight line operations and flight line safety. The student receives instruction in basic aerodynamics and follows this training by hands-on operation of the UH-1 simulator.

Comments: Students are enrolled in the Army Aviation Medicine Primary course and must complete all the same requirements as Army physicians. Army students who successfully complete the program of instruction and graduate from USU will be awarded the MOS 61N9D, which may lead to publication or aeronautical orders.

Course #: MMR4280, Flight Surgeon Course (USAF)

Duration: 4

Hours: 5

 

Grading: (Pass/Fail)

Description: The Aerospace Medicine Primary (AMP) course trains physicians to perform the duties of a flight surgeon and to accomplish the objectives of the USAF Aerospace Medical Program. The course is designed to provide the student with the knowledge and skills required for the proper treatment and disposition of aeromedical problems in aircrew members, and for assuming responsibilities as the medical member of the public health, preventive medicine, bioenvironmental engineering, occupational medicine, health promotion, and medical readiness teams. The course is divided into three segements, or "increments." Increment I (13 days) provides a broad-based introduction to sveral key subject areas within Aerospace Medicine. It is heavily weighted in aerospace physiology, mishap investigation, and human factors. Increment II (10 days) involves in-depth instruction in the aeromedical aspects of publich health, prventive medicine, bioenvironmental engineering, occupational health, and medical readiness. Increment III (12 days) primarily deals with ophthalmology, internal medicine, and neuropsychiatry. The last five days of Increment III are devoted to medical aircrew survival training (SERE).

Comments: Students are enrolled in the AMP course must complete all the same requirements as Air Force physicians. They must meet flying class II physical standards. They must have a current, complete, properly certified FC II physical examination on record. They must be willing to participate in frequent and regular aerial flight. The Air Force awards wings only following completion of internship.

Course #: MMR4300, Aviation Psychiatry

Duration: 4

Hours: 5

 Grading: (Pass/Fail)

Description: Students function as externs in a clinic evaluating psychiatric standards in aviation medicine. This clerkship includes lectures and supervised clinical evaluations.

Comment: Location is the Navy Aerospace Institute of Medicine, 220 Hovey Road, Pensacola FL 32508.

Course #: MMR4310, Aerospace Neurology

Duration: 4

Hours: 5

 Grading: (Pass/Fail)

Description: Students will experience problems related to neurology and internal medicine, which are faced by flight surgeons. Navy standards and the unique physiology of the flight enviroment are emphaszied.

Comment: Location is the Navy Aerospace Institute of Medicine, 220 Hovey Road, Pensacola, FL 32508.

Course #: MMR4320, Aerospace Ophthalmology

Duration: 4

Hours: 5

Grading: (Pass/Fail)

Description: Although ophthalmology is limited due to the patient population, students will work in a general ophthalmology clinic with an aviation specialist.

Comment: Location is the Navy Aerospace Institue of Medicine, 220 Hovey Road, Pensacola, FL 32508.

 

Department Website:
Military Medicine

Neurology

Course #: NE04100, Adult Neurology
Course Type: C
Department: NEO
Duration: 4
Hours: 6
Grading: (Honors/Pass/Fail)

Description: Students are assigned to an inpatient, outpatient or consultation neurology service where they evaluate and manage patients as part of a team consisting of other med students, residents, and Staff Members. They participate in teaching rounds, conferences, lectures/seminars. The objective is to teach students principles of neurologic diagnosis and management in preparation for internship. Students must pass a written examination as well as write ups on 11 core patients and a report of a Neurological examination witnessed by an instructor.

Comments: with additional arrangements the Neurology Clerkship may satisfy the requirement for a Non-Surgical Sub Internship for students assigned to the WRNMMC or MAMC Inpatient Services. Also with additional arrangements the Clerkship may satisfy a Surgical Sub Internship if assigned to WRNMMC Neurosurgery. This may also be taken as a Selective during the Clerkship Year.

Course #: NE04110, Child Neurology

Course Type: C
Department: NEO
Duration: 4
Hours: 6
Grading: (Honors/Pass/Fail) 

Description: Students are assigned to an inpatient, outpatient, and consultation Child Neurology service where they evaluate and manage patients as part of a team consisting of other med students, residents, and Staff Members. Students participate in teaching rounds, conferences, lectures/seminars. The objective is to teach students principles of neurologic diagnosis and management in preparation for internship. Student must satisfy all requirements of NEO 4100.

Course #: NE04150, Neurosurgery

Duration: 4
Hours: 6
Grading: (Honors/Pass/Fail)

Description: Students work with patients on the Neurosurgery Service at WRNMMC. They must meet all requirements of NEO 4100 for Neurology Credit.

Grading Criteria: See "Neurology Clerkship". Students should be aware that the grade for this course issued by the Department of Neurology.

Comments: This Clerkship is also offered by the Department of Surgery NOT for Neurology credit. With prior arrangement it may be used to satisfy the Surgical Sub Internship.

Course #: NER 4210, Physcial Medicine & Rehabilitation 

Duration: 4

Hours: 5

Grading: (Pass/Fail)

Comments: Please contact Ms. Lauren Mccoll at lauren.mccoll.ctr@usuhs.edu to schedule. 

 

 

Department Website:

Obstetrics/Gynecology

I. Electives
Course #: OBR 4250, Maternal Fetal Medicine
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)
Course Description: Students will be part of the MFM team composed of maternal fetal medicine specialists and OB/GYN residents. They will participate in the care of patients with high risk pregnancy concerns in the inpatient and outpatient settings. Additionally, the students will be exposed to fetal diagnosis and advanced ultrasonography. Other opportunities for education include morning rounds, departmental conferences, specialty clinics, and time on the Labor and Delivery Unit.
By the conclusion of the rotation the student should be able to:
1. Describe the impact of pregnancy on the medical problems and the impact of medical problems on pregnancy.
2. Describe and interpret common screening, diagnostic and evaluation tools employed to assess fetal status.
3. Work cooperatively with peers, residents, staff, nurses, patients, and all members of the healthcare team.

Course #: OBR 4330 Gynecologic Oncology
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)
Course Description: Students will be part of the gyn oncology team made up of gynecology oncology staff and OB/GYN residents (and fellows). They will participate in the outpatient and inpatient care of patients with pre-cancer, cancer or complex surgical cases as well as familial syndromes. Students will round daily with the team and be assigned primary responsibility for individual patients. Students will provide concise patient presentations daily in standard format. Students will participate in other educational opportunities including morning report, departmental conferences, and tumor planning conferences. Students will attend and, when appropriate, scrub on operative cases.
By the conclusion of the rotation the student should be able to:
1. Demonstrate understanding of the anatomy of the female pelvis and basic surgical principles (sterile technique, basic suturing, knot tying).
2. Describe signs, symptoms, risk factors, and basic evaluation of ovarian, cervical, endometrial, vulvar and vaginal cancer.
3. Describe the spectrum of treatment options for gynecologic cancer patients including surgery, chemotherapy, radiation, and palliative care.
4. Function as a productive and contributing member of the gyn onc team.

Course #: OBR 4340 Urogynecology
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)
Course Description: Students will be part of the UROGYN team made up of uro-gynecologists and OB/GYN resident (and fellows). They will participate in the outpatient and inpatient care of patients with pelvic floor disorders such as uterovaginal prolapse, urinary incontinence, and voiding dysfunction. Students will assist with diagnostic procedures, medical treatment, pre-operative and post-operative care of surgically managed patients. Students will participate in other educational opportunities including morning report, departmental conferences, and specialized uro-gynecology conferences. Students will attend and, when appropriate, scrub on operative cases. By the conclusion of the rotation the student should be able to:
1. List and describe main types of urinary incontinence (SUI, UUI, mixed UI) and basic management of each type.
2. Describe severity of pelvic organ prolapse.
3. List major risk factors for urinary incontinence and pelvic organ prolapse.

Course #: OBR 4230 Minimally Invasive Surgery (MIS) or GYN Surgery
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)
Course Description: Students will be a part of the gynecology team made up of board certified obstetrician-gynecologist and OBGYN residents (and MIS fellows). They will participate in the outpatient and inpatient care of patients with surgical gynecologic disorders to include the preoperative assessment, surgical procedure and post-operative care. Where applicable, students will learn the basic foundation of minimally invasive surgery. Additional opportunities for education include morning report and departmental conferences. The students will attend and, when appropriate, scrub on operative cases. By the conclusion of the rotation the student should be able to:
1. Describe the pelvic anatomy, both internal and external with emphasis on blood supply, ureteral location, and retroperitoneal anatomy.
2. Describe the principal causes, diagnostic evaluation, surgical and non-surgical treatment options, and appropriate follow-up in the management of patients with abnormal uterine bleeding, pelvic masses, chronic pelvic pain, and endometriosis.
3. Describe common measures for the prevention of infection, deep venous thrombosis, and other peri-operative complications.
4. Describe the when the use of laparoscopy versus open procedures is most appropriate.

Course #: OBR 4270 Reproductive Endocrinology & Infertility
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)
Course Description: Students will be part of the REI team made up of board certified reproductive endocrinologists and OB/GYN residents (and fellows). They will participate in the outpatient and inpatient care of patients with infertility and other endocrine diagnoses. Students will, when appropriate, assist with specific procedures such as saline sonograms, hysterosalpingograms, and intrauterine inseminations. Students will participate with the team in the operating room, as well as, gain exposure to Assisted Reproductive Technologies (ART) such as in vitro fertilization. Other opportunities for education include morning report and departmental conferences. By the conclusion of the rotation the student should be able to:
1. Describe the hormonal changes in the normal and abnormal menstrual cycle and how these are impacted by other factors within the body and environment.
2. Demonstrate understanding of the basic infertility evaluation of both the male and female patient.
3. Develop a basic understanding of the evaluation and treatment options for polycystic ovarian syndrome, congenital uterine anomalies, amenorrhea, abnormal uterine bleeding, thyroid and prolactin issues, and endometriosis.

Course #: OBR 4220 General Obstetrics/Gynecology Clerkship
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)
Course Description: Students will spend approximately 50% of their clerkship on the routine obstetrics service and the remaining time on the gynecology service. Their teams will be made up of OB/GYN residents at multiple levels of training and attending obstetrician/gynecologist. During this rotation, the students will participate in the care of patients in the inpatient and outpatient settings. While on L&D, they will participate in the evaluation of patients in triage, as well as, be involved in vaginal and cesarean deliveries. Other opportunities for education include morning rounds, departmental conferences, specialty clinics, dedicated time in the OR and time on the Labor and Delivery Unit. By the conclusion of the obstetrics portion of the rotation, the student should be able to:
1. Evaluate pregnant women presenting with common triage complaints including labor (term and preterm), third trimester bleeding, rupture of membranes (term and preterm), and hypertension.
2. Describe the normal course of labor, as well as, identify abnormalities that develop during labor.
3. Discuss the normal maternal physiologic changes of the postpartum period and counsel patients on post-partum care and contraception.
By the conclusion of the gynecology portion of the rotation, the student should be able to:
1. Evaluate women in clinic presenting for routine health maintenance and common gynecologic disorders.
2. Describe the key components of the pre-operative evaluation and planning, including history, physical examination, and informed consent.
3. Describe components of postoperative care, as well as, discuss common postoperative complications

Course #: OBR 4210 Labor and Delivery Days and Night Float
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)
Course Description: Students will be an integral part of the Labor and Delivery Team. Their teams will be made up of OB/GYN residents at multiple levels of training and attending obstetrician/gynecologist. During this rotation, the students will participate in the care of patients in the inpatient and triage settings. While on L&D, they will participate in the evaluation of patients in triage, as well as, be involved in intrapartum and postpartum care. They will have the opportunity to participate in vaginal and cesarean deliveries. Other opportunities for education include morning rounds and departmental conferences. By the conclusion of the rotation, the student should be able to:
1. Evaluate pregnant women presenting with common triage complaints including labor (term and preterm), third trimester bleeding, rupture of membranes (term and preterm), and hypertension.
2. Describe the normal course of labor, as well as, identify abnormalities that develop during labor.
3. Discuss the normal maternal physiologic changes of the postpartum period and counsel patients on post-partum care and contraception.

II. Sub-Internships

Course #: OBR 4370 Gyncologic Oncology S.I.
Duration: 4 weeks
Hours: 8
Grading: (Honors/Pass/Fail)
Course Description: Students will be part of the gyn oncology team made up of gynecology oncology staff and OB/GYN residents (and fellows). They will participate in the outpatient and inpatient care of patients with pre-cancer, cancer or complex surgical cases as well as familial syndromes. Students will round daily with the team and be assigned primary responsibility for individual patients. Students will provide concise patient presentations daily in standard format. Students will participate in other educational opportunities including morning report, departmental conferences, and tumor planning conferences. Students will attend and, when appropriate, scrub on operative cases.
By the conclusion of the rotation the student should be able to:
1. Demonstrate understanding of the anatomy of the female pelvis and basic surgical principles (sterile technique, basic suturing, knot tying).
2. Describe signs, symptoms, risk factors, and basic evaluation of ovarian, cervical, endometrial, vulvar and vaginal cancer.
3. Describe the spectrum of treatment options for gynecologic cancer patients including surgery, chemotherapy, radiation, and palliative care.
4. Function as a productive and contributing member of the gyn onc team.

Course #: OBR 4375 Uro-Gynecology S.I.
Duration: 4 weeks
Hours: 8
Grading: (Honors/Pass/Fail)
Course Description: Students will be part of the UROGYN team made up of uro-gynecologists and OB/GYN resident (and fellows). They will participate in the outpatient and inpatient care of patients with pelvic floor disorders such as uterovaginal prolapse, urinary incontinence, and voiding dysfunction. Students will assist with diagnostic procedures, medical treatment, pre-operative and post-operative care of surgically managed patients. Students will participate in other educational opportunities including morning report, departmental conferences, and specialized uro-gynecology conferences. Students will attend and, when appropriate, scrub on operative cases. By the conclusion of the rotation the student should be able to:
1. List and describe main types of urinary incontinence (SUI, UUI, mixed UI) and basic management of each type.
2. Describe severity of pelvic organ prolapse.
3. List major risk factors for urinary incontinence and pelvic organ prolapse.

Course #: OBR 4310 Obstetrics/Gynecology S.I.
Duration: 4 weeks
Hours: 8
Grading: (Honors/Pass/Fail)
Course Description: Students will spend approximately 50% of their clerkship on the routine obstetrics service and the remaining time on the gynecology service. Their teams will be made up of OB/GYN residents at multiple levels of training and attending obstetrician/gynecologist. During this rotation, the students will participate in the care of patients in the inpatient and outpatient settings. While on L&D, they will participate in the evaluation of patients in triage, as well as, be involved in vaginal and cesarean deliveries. Other opportunities for education include morning rounds, departmental conferences, specialty clinics, dedicated time in the OR and time on the Labor and Delivery Unit. By the conclusion of the obstetrics portion of the rotation, the student should be able to:
1. Evaluate pregnant women presenting with common triage complaints including labor (term and preterm), third trimester bleeding, rupture of membranes (term and preterm), and hypertension.
2. Describe the normal course of labor, as well as, identify abnormalities that develop during labor.
3. Discuss the normal maternal physiologic changes of the postpartum period and counsel patients on post-partum care and contraception.
By the conclusion of the gynecology portion of the rotation, the student should be able to:
1. Evaluate women in clinic presenting for routine health maintenance and common gynecologic disorders.
2. Describe the key components of the pre-operative evaluation and planning, including history, physical examination, and informed consent.
3. Describe components of postoperative care, as well as, discuss common postoperative complications

Course #: OBR 4008 Minimally Invasive Surgery (MIS) or GYN Surgery S.I.
Duration: 4 weeks
Hours: 8
Grading: (Honors/Pass/Fail)
Course Description: Students will be a part of the gynecology team made up of board certified obstetrician-gynecologist and OBGYN residents (and MIS fellows). They will participate in the outpatient and inpatient care of patients with surgical gynecologic disorders to include the preoperative assessment, surgical procedure and post-operative care. Where applicable, students will learn the basic foundation of minimally invasive surgery. Additional opportunities for education include morning report and departmental conferences. The students will attend and, when appropriate, scrub on operative cases. By the conclusion of the rotation the student should be able to:
1. Describe the pelvic anatomy, both internal and external with emphasis on blood supply, ureteral location, and retroperitoneal anatomy.
2. Describe the principal causes, diagnostic evaluation, surgical and non-surgical treatment options, and appropriate follow-up in the management of patients with abnormal uterine bleeding, pelvic masses, chronic pelvic pain, and endometriosis.
3. Describe common measures for the prevention of infection, deep venous thrombosis, and other peri-operative complications.
4. Describe the when the use of laparoscopy versus open procedures is most appropriate.

Course #: OBR 4006 Reproductive Endocrinology & Infertility S.I.
Duration: 4 weeks
Hours: 8
Grading: (Honors/Pass/Fail)
Course Description: Students will be part of the REI team made up of board certified reproductive endocrinologists and OB/GYN residents (and fellows). They will participate in the outpatient and inpatient care of patients with infertility and other endocrine diagnoses. Students will, when appropriate, assist with specific procedures such as saline sonograms, hysterosalpingograms, and intrauterine inseminations. Students will participate with the team in the operating room, as well as, gain exposure to Assisted Reproductive Technologies (ART) such as in vitro fertilization. Other opportunities for education include morning report and departmental conferences. By the conclusion of the rotation the student should be able to:
1. Describe the hormonal changes in the normal and abnormal menstrual cycle and how these are impacted by other factors within the body and environment.
2. Demonstrate understanding of the basic infertility evaluation of both the male and female patient.
3. Develop a basic understanding of the evaluation and treatment options for polycystic ovarian syndrome, congenital uterine anomalies, amenorrhea, abnormal uterine bleeding, thyroid and prolactin issues, and endometriosis.

Course #: OBR 4009 Labor and Delivery Days and Night Float S.I.
Duration: 4 weeks
Hours: 8
Grading: (Honors/Pass/Fail)
Course Description: Students will be an integral part of the Labor and Delivery Team. Their teams will be made up of OB/GYN residents at multiple levels of training and attending obstetrician/gynecologist. During this rotation, the students will participate in the care of patients in the inpatient and triage settings. While on L&D, they will participate in the evaluation of patients in triage, as well as, be involved in intrapartum and postpartum care. They will have the opportunity to participate in vaginal and cesarean deliveries. Other opportunities for education include morning rounds and departmental conferences. By the conclusion of the rotation, the student should be able to:
1. Evaluate pregnant women presenting with common triage complaints including labor (term and preterm), third trimester bleeding, rupture of membranes (term and preterm), and hypertension.
2. Describe the normal course of labor, as well as, identify abnormalities that develop during labor.
3. Discuss the normal maternal physiologic changes of the postpartum period and counsel patients on post-partum care and contraception.

III. Research
Course #: OBR 4280 OB/GYN Research
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)
Course Description: Students will work closely with a research mentor to either develop a research project or become involved in an ongoing study. The goal of this rotation is to familiarize students with common research design and analysis, as well as how to perform an appropriate literature search depending on project goals.

Department Website:

Pathology

 

Course #: PAR 4100 Pathology Clerkship
Duration: 4
Hours: 5
Grading: (Pass/Fail)

The objective of the pathology clerkship is to provide the students an opportunity to enhance their knowledge of pathology and experience the practice of pathology in a hospital setting. The specialty of pathology is divided into anatomic and clinical pathology. Anatomic pathology consists of examination of surgical specimens which includes frozen sections on surgical specimens as well as biopsy evaluation from all body areas, cytology specimens including pap smears and fine needle aspirations, and autopsy pathology including medical and forensic autopsies. Subspecialties, such as, cytopathology, neuropathology and dermatopathology are included in anatomic pathology. Clinical pathology traditionally includes the areas of chemistry, microbiology, hematology and coagulation, and blood banking. Sub specialties such as Hematopathology and blood banking are included in clinical pathology. Within the discipline are also specialized areas of pathology such as forensic medicine. Students are expected to attend departmental conferences as well as participate in interdisciplinary conferences such as tumor boards during their rotation.

Department Website:

Pediatrics

I. Sub-Internships

Course #: PDR 4632 Pediatric Ward S.I.
Duration: 4 weeks
Hours: 5
Grading: (Honors/Pass/Fail)

Course #: PDR 4381 Neonatal Intensive Care Unit (NICU) S.I.
Duration: 4 weeks
Hours: 5
Grading: (Honors/Pass/Fail)

Course #: PDR 4631 Pediatric Intensive Care Unit (PICU) S.I.
Duration: 4 weeks
Hours: 5
Grading: (Honors/Pass/Fail)

Course #: PDR 4038 Newborn Service S.I.
Duration: 4 weeks
Hours: 5
Grading: (Honors/Pass/Fail)

II. Electives

Course #: PDR 4670 Pediatric Ward
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4150 Emergency Medicine- Pediatrics
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4380 Neonatal Intensive Care Unit
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4224 Pediatric Intensive Care Unit
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4239 Immigrant Health/Community Based Pediatrics
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4300 Adolescent Medicine
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4310 Ambulatory Pediatric Clinic
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4238 Child Advocacy/Child Abuse and Neglect

Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4330 Developmental Pediatrics

Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4430 Pediatric Cardiology

Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4450 Pediatric Endocrinology
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4802 Pediatric Dermatology
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4460 Pediatric Gastroenterology
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4470 Pediatric Genetics
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4480 Pediatric Hematology/Oncology

Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4490 Pediatric Infectious Disease

Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4510 Pediatric Nephrology
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4520 Pediatric Neurology
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4543 Introduction to Pediatric Residency
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4610 Pediatric Pulmonology
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4670 Pediatric Ward
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4660 Well Baby Nursery/Newborn Service
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

III. Research

Course #: PDR 4621 Pediatric Research Project
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4542 Pediatric Independent Study

Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: PDR 4127 Media Communication in Health Care
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)
Description: During this four week elective, students will participate in ten (10) face to face 90 minute sessions to experience multiple methods of communication and media. The course is open to all USU students who will be responsible for up to 10 outside hours of preparation and reading per lesson. The inter-professional teaching staff will develop student media use and guide them in improving their communication skills.

Department Website:

Preventive Medicine

Course #: PMR4100, Aerospace Medicine
Duration: 2-4 weeks
Grading: Pass/Fail
Aerospace medical practitioners serve flyers, passengers, space travelers, air traffic controllers, patients transported by air, maintenance crews, and even mountain climbers and undersea workers. The diverse and expanding opportunities in the field make a career in aerospace medicine attractive for health professionals.
The Army, Navy, and Air Force have aerospace medicine programs and offer opportunities for aerospace medicine medical student training. NASA also offers medical student clerkships on a space available basis. Please contact the clerkship supervisor to learn more about military aerospace medicine and current medical student opportunities.
Course #: PMR4170, Occupational and Environmental Medicine
Duration: 4 weeks
Hours: 5
Grading: Pass/Fail
Description: Student works in an active military occupational health program at a major military medical center in the National Capital Region (NCR). The student obtains hands-on experience in environmental and occupational medicine activities, to include identification of hazards in the workplace, hazard specific medical surveillance exams, and the evaluation of persons with occupational illness or injury. The student will develop an understanding of the role of prevention in maintaining the health of the workforce.
Course #: PMR4180, Preventive Medicine
Duration: 4
Hours: 5
Grading: Pass/Fail
Description: Student participates directly in the practice of military preventive medicine and has first-hand exposure to the diverse aspects of preventive medicine and public health in the military.
Course #: PMR4200, Tropical Medicine
Duration: Contact Department
Hours: 5
Grading: Pass/Fail
Description: Laboratory, clinical, and/or fieldwork in Tropical Medicine/Tropical Public Health. Clinical experiences vary from outpatient services to inpatient rounds in collaborating hospitals and clinics. Laboratory experiences may be at USUB or at collaborating overseas labs. Clinical emphasis is on diagnosis & treatment of tropical diseases endemic to elective location. Locations vary.
Comments: Clerkship must be approved six months in advance of desired date. Students must fund transportation and living costs.

Course #: PMR4210, Preventive Medicine WRAIR
Duration: 4
Hours: 5
Grading: Pass/Fail
Description: Student joins Walter Reed Army Institute of Research (WRAIR) Preventive Medicine team, assisting in one of the following: outbreak investigation, epidemiologic research, or translation of existing data into a health policy recommendation. Depending on current missions, diseases, and the target population ranges from a small Army community to all deployable forces.
Grading Criteria: Student will brief the Division's residents and staff on work completed. It is important that this reflect a sound scientific approach, which may or may not require extensive analysis of data.

Rotations at other locations may be available.

For more information please contact:

James (Jamie) Mancuso, MD, DrPH, FACPM
LTC, MC, USA
Phthisiologist and Director, Division of Tropical Public Health
Uniformed Services University
301-295-3734
james.mancuso@usuhs.edu

Catherine Takacs Witkop, MD, MPH
Col, USAF, MC
Associate Professor, Preventive Medicine/Biostatistics and Ob/Gyn
Uniformed Services University of the Health Sciences
Program Director, General Preventive Medicine Residency
National Capital Consortium (NCC)
Phone 301-295-3719 (DSN 295-3719)
FAX 301-295-0335
catherine.witkop@usuhs.edu

Department Website:

Psychiatry

Course #: PSR4310, Child/Adolescent Psychiatry
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Students participate in in-depth outpatient child family diagnostic evaluations and in the inpatient evaluation and treatment of preadolescent children. Full faculty supervision is provided, along with reading materials, tutorials, and one-way screen observations- demonstrations.

Course #: PSR4320, Inpatient Psychiatry
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: With supervision, students involved in psychotherapeutic relationships w/ at least two patients. Expected to use process notes, live interview and / or video tapes in having their skills continuously observed & assessed. Exposure to psychotherapy literature, discussed in both tutorial & supervised sessions. Psychotherapy, audio / visual tapes are provided.

Course #: PSR4330, Outpatient Psychiatry
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Students will function as an outpatient psychiatric physician under close supervision & perform initial patient evaluations, devise management plans & follow patients in on- going treatment. Students may follow a selected patients under supervision beyond the course's 4 week duration, is students desire. Emphasis is on accurate assessment, crisis intervention, psychotherapy and pharmacotherapy.

Course #: PSR4340, Consult/Liaison Psychiatry
Duration: 4
Hours: 5
Grading: (Pass/Fail)

Description: The student will join the consultation-liaison staff in providing psychological care of the medically ill throughout the medical center. The student will attend daily rounds, liaison teaching conferences, perform consultations and follow patients with close supervision. Special interests ( i.e. AIDS, cardiac surgery, oncology, etc.) can be accommodated.

Course #: PSR4370, Substance Abuse
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: The students will be responsible for the evaluation and care of patients with dual diagnosis, that is, substance abuse and other psychiatric disorders. The student will be assigned primarily to the dual diagnosis inpatient unit and outpatient experience will also be assigned.

Course #: PSR4400, Ethics, Legal Aspects Of Medical Care
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Students will be given assigned reading within the fields of forensic medicine or bioethics which they will discuss weekly with a physician, lawyer and / or a philosopher. Students may spend time with attorneys at AFIP, at ward rounds (dialysis units, neonatal care, etc.) or at the Kennedy Institute. Students will submit paper in area of interest at completion of elective.

Course #: PSR4430, Forensic Psychiatry
Duration: 4
Hours: 5
Grading: (Pass/Fail)

Students will participate in a variety of medical-legal evaluations to include assessments of competency to stand trial, criminal responsibility, and competency to make medical decisions. Didactics will address these issues as well as landmark medical-legal cases and military unique legal and administrative evaluations.

Course #: PSR4345 Partial Hospitalization
Duration: 4
Hours: 5
Grading: (Pass/Fail)

Description: Students will function as a partial hospitalization physician under supervision and perform initial patient evaluations, devise management plans and follow ongoing treatment. Students may follow selected patients under supervision beyond the 4 week duration, if students desire. Emphasis is on accurate assessment, intervention, psychotherapy and pharmacology.

Course #: PSR4490, Neuropsychiatry
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Students will follow psychiatric inpatients with neuropsychiatric signs and symptoms as well as consultation-liaison psychiatry patients with neuropsychiatric or psychopharmacological questions. Differential diagnosis will be emphasized.

Course #: PSR4560, Clinical Neuropsychiatric Assessment of the Brain Injured PT
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Students participating in the elective will be assigned to the Consult-liaison service. The staff will involve the student in consultation, work-up, and follow-up care of patients with suspected brain injury. The student will also participate in the evaluation of neuropsychiatric problems as they present on the Alcohol rehab unit.

Course #: PSR4570, Issues in Thanatology
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: To acquire ease and skill in relating to persons with terminal illness, and an understanding of the grief process in patients with terminal illness, and their significant others. Work with patients under supervision of faculty. Directed reading assignments and opportunity to reflect critically on students' own attitudes and beliefs will be provided.

Course #: PSR4350, Psychiatry Sub-Internship
Duration: 4
Hours: 8
Grading: (Pass/Fail/Honors)
Description: Students will be assigned to an inpatient Psychiatry unit where they will serve as primary care providers & under supervision they will evaluate and manage patients as part of a team consisting of attending, nurses, and other mental health professionals and other students. Students will be supervised by an attending physician for each patient.

Department Website:

Radiology

Course #: RDR 4110 Radiology Elective
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: RDR 4120 Radiology Special Studies
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: RDR 4140 Interventional Radiology
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: RDR 4143 Radiology Research
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Course #: RDR 4005 Radiation Oncology Elective
Duration: 4 weeks
Hours: 5
Grading: (Pass/Fail)

Department Website:

Surgery

I. Electives

Course #: SUR4400, General Surgery Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Participate as a member of surgical team in treatment of elective/emergency cases. Full spectrum of care will include pre/post op, clinical follow-up, consult svc. Must scrub and assist in all open and endoscopic procedures in OR. Formal teaching will include grand rounds, daily lectures, journal clubs, teaching conferences and bedside clinical instruction.
Comments: Gain experience in procedures for their level and improve manual dexterity in surgical technical skills.

Course #: SUR4420, Cardiothoractic Surgery Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Participate in treating patients w/ wide spectrum of heart and pulmonary diseases including open heart surgery. Students evaluate patients preoperatively and assist as member of OR team under close supervision and teaching by the intern, resident, and staff physicians.

Course #: SUR4440, Burn Intensive Care Unit
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Introduction to diagnosis and treatment approaches. Participate in total care of burn patients involving invasive monitoring, fluid resuscitation, metabolic/nutritional support, and surgical therapy of wounds.

Course #: SUR4460, Vascular Surgery Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Evaluate clinic patients and participate in their preoperative, operative, and post operative management. Daily contact with staff members at rounds, conferences, and clinics provides close supervision.

Course #: SUR4480, Renal Transplantation Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Students participate as members of a multidisciplinary patient care team, including nephrologists, surgeons, transplant nurse, social workers, dialysis nurse, and immunologists. Includes exposure to transplation, immunology, histocompatibility, surgical, and immuno-suppression.

Course #: SUR4510, Pediatric Surgery Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Participate as a member of the surgical team with exposure to various aspects of pediatric surgical care. Involvement includes the care of neonatal surgical problems. Supervision is by a pediatric surgeon with teaching by residents and interns.

Course #: SUR4530, Sports Orthopedics Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Students master a thorough examination of extremities; in-depth discussions concerning response to soft tissue injury, fractures, and orthopedic traumatology will be presented.

Course #: SUR4550, General Opthalmology Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Examination techniques taught by lecture, demonstration and practice. Material covered includes external exams, visual acuity measuring techniques, intraocular pressure measurement, neurologic examination, slit lamp examination, fundoscopy, and ocular examination in eye injuries.

Course #: SUR4570, ENT Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Students will participate in outpatient and inpatient care for ENT patients, including infections and inflammatory diseases of the head and neck, head and neck oncology, traumatology, reconstructive surgery, and otologic diseases and rehabilitation thereof.

Course #: SUR4590, ENT Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Outpatient care for ENT patients including infections and inflammatory diseases of the head and neck. Examination technigues taught by lecture, demonstration and practice. Outpatient orientation of the Ophthalmology specialty with and emphasis on outpatient primary eye care.
Comments: Two weeks spent in ENT department and two weeks spent in Ophthalmology department.

Course #: SUR4610, Thoracic Oncology Surgery Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Treat patients with a wide spectrum of heart/lung diseases, including open heart surgery. Students evaluate patient preoperatively, assist as member of OR team; close supervision and teaching by intern, resident and staff physicians. Includes management of respiratory care, diagnosis and treatment of arrythmias.

Course #: SUR4620, Urology Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Participate in daily ward rounds, scrub and assist in open surgical/endoscopic procedures in OR. Informal one-on-one lectures/discussions on prelisted topics, perform primary interviews on new patients to formulate differential diagnosis, workup sequence and presentation to staff. Student will gain procedural skills.

Course #: SUR4640, Orthopedic Surgery Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Didactic and bedside/clinical intruction; tasked special study according to clinical material encountered or basic science review.

Course #: SUR4660, Plastic Surgery Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Ample exposure to the field of aesthetic surgery with some experience in the management of ordinary minor surgical problems, reconstructive surgery of trauma and congenital anomalies, and tissue transplantation techniques.

Course #: SUR4690, Trauma Surgery Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Member of trauma team. Full spectrum of care will include initial evaluation and resuscitation, operative/post care, clinical follow-up and consult svc. Scrub and assist in resuscitation/OR. Formal teachings: grand rounds, clinical lecture, journal clubs, conferences, bedside instruction. Wide perspective of trauma care/systems from epidemiology standpt of injury to life-saving procedures.
Comments: Improve manual dexterity in surg tech and gain experience in procedures for student level.

Course #: SUR4720, Surgical/Med ICU Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Member of Critical Care Team. Formal teaching: grand rounds, clinical lecture, journal club, teaching conf, beside instruction. Participate in daily presentations, formulate mgmt decisions: care issues such as ethical considerations. Experience in mgmt of ventilators, ongoing resuscitations, gain knowledge w/ drugs used in ICU setting. Placement of invasive lines for monitoring.

Course #: SUR4750, Neurosurgery Rotations
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Participate in activities of the service/surgical applications, ward rounds, lectures/seminars; patient responsibilities under supervision of ward officer; evaluate patients w/variety of neurological complaints in order to enhance their skill in performing neurological exams and in formulating/evaluating appropriate differential diagnostic possibilities.
Comments: This is an elective and does not fulfill neurology requirements.

Course #: SUR 4755, Community Multi-Specialty Surgery
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: FORM 114 REQUIRED Students participate in treating patients in multiple surgical specialties in a small hospital setting, gaining exposure to a broad spectrum of procedures and techniques. Prior Department approval is necessary for this rotation.

Course #: SUR 4758, International Surgery
Duration: 4
Hours: 5
Grading (Pass/Fail)
Description: FORM 114 REQUIRED
Students gain surgical experience at an international location. This experience is often multispecialty, with students participating in a variety of patient care settings and procedures. Prior department approval is necessary for this rotation.

II. Sub-Internships

Course #: SUR4410, General Surgery S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Member of Surgical team. Full spectrum of care will include pre/post op care, clinical followup and consult svc. Scrub and assist in all open and endoscopic procedure in OR. Formal teaching: grand rounds, clinical lectures, journal clubs, etc. Gain experience in procedures that are appropriate for their level and should improve their manual dexterity in surgical techniques.
Comments: Increased responsibility and function at near intern level during later aspects of S.I.

Course #: SUR4430, Cardiothoractic Surgery S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Participate in treating patients w/ wide spectrum of heart and lung diseases including open heart surgery. Students evaluate patients preoperatively and assist as member of OR team under close supervision and teaching by the intern, resident and staff physicians. Students may gain experience in procedures appropriate for their level and may gain dexterity in surgical techniques.
Comments: Increased responsibility and function at near intern level during later aspects of S.I.

Course #: SUR4450, Burn Intensive Care Unit S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Introduction to diagnosis and treatment approach. Participate in total care of burn patients involving invasive monitoring, fluid resuscitation, metabolic/nutritional support, and surgical therapy of wounds. Students will gain some manual dexterity in surgical techniques and will be expected to function at a near intern level during later phases of the subinternship.

Course #: SUR4470, Vascular Surgery S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Evaluate clinic patients and participate in their preoperative, operative, and post operative management. Daily contact with staff members at rounds, conferences and clinics provides close supervision. Students may gain manual dexterity in surgical techniques and are expected to function at near intern level during the later phases of the subinternship.

Course #: SUR4520, Pediatric Surgery S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Participate as a member of a pediatric surgical team. Exposure to various aspects of pediatric surgical care includes involvement in the care of neonatal surgical problems. Students may gain experience in procedures appropriate for their level of training and should improve their manual dexterity. Students will be expected to perform at near intern level by the end of the rotation.

Course #: SUR4540, Sports Orthopedics S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Students master a thorough examination of extremities; in-depth discussions concerning response to soft tissue injury, fractures, and orthopedic traumatology will be presented. By the end of the rotation students will be expected to perform at near intern level with close supervision by a sports medicine specialist.

Course #: SUR4630, Urology S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Participate in daily ward rounds, scrub and assist in open surgical/endoscopic procedures in the OR, informal one-on-one lectures/discussions on prelisted topics, perform primary interviews on new patients to formulate a differential diagnosis, workup sequence and presentation to staff. Student will gain procedural skills and manual dexterity.
Comments: Student expected to perform at near intern level by end of the subinternship.

Course #: SUR4650, Orthopedic Surgery S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Participate as a member of the surgical team with didactic and bedside/clinical instruction, tasked special study according to clinical material encountered or basic science review. Student will gain procedural skills and will be expected to function at near intern level by the end of the subinternship.

Course #: SUR4670, Plastic Surgery S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Ample exposure to the field of aesthetic surgery with some experience in the management of ordinary minor surgical problems, reconstructive surgery of trauma and congenital anomalies, and tissue transplantation techniques. Students will gain manual dexterity in surgical procedures and will be expected to function at near intern level by the latter phases of the S.I.

Course #: SUR4700, Trauma Surgery S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Member of trauma team. Full spectrum of care will include initial evaluation & resuscitation, operative/post care, clinical followup. Scrub & assist in resuscitation/OR. Formal teaching: grand rounds, clinical lecture, journal clubs, teaching conferences, beside instruction. Gain wide perspective of trauma care/systems from the epidemiology standpoint of injury to life saving procedures.
Comments: Increased responsibility & function at near intern level during later aspects of S.I.

Course #: SUR4710, Surgical ICU S.I.
Duration: 4
Hours: 8
Grading: (Honors/Pass/Fail)
Description: Member of Critical Care Team. Formal teaching: grand rounds, clinical lecture, journal club, teaching conf, bedside instruction. Participate in presentations, formulate mgmt decisions: care issues such as ethical considerations. Gain experience in mgmt ventilators, ongoing resuscitations, gain knowledge w/drugs used in ICU setting. Placement of invasive lines for monitoring.

III. Research
Course #: SUR4770, Surgical Research
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: Participate as a member of surgical research team. Experience basic science research by becoming involved with ongoing research projects. They will learn the techniques and methods associated with that project. Students will be encouraged with proper counseling to generate hypothesis, develop methods to test hypothesis and formulate conclusions. Opportunities to present findings and basic knowledge gained will be sought.
Comments: Possible participation w/ projects to be published will also be available.

Course #: SUR4625, Urology Research
Duration: 4
Hours: 5
Grading: (Pass/Fail)
Description: The student will work in the Dept. of Surgery, USUHS in the center for Prostate disease research activity. Student will be exposed to molecular biologists and learn basic laboratory techniques. The student will be exposed to an academic surgeon - urologic oncologist and be exposed and participate in clinical urological oncology research.
Comments: Increased responsibility & function at near intern level during later aspects of S.I.

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