PHASE III
CLERKSHIP CATALOG
2010-2011
Fourth Year Catalog of Learning Opportunities
Clerkship Descriptions
Credit Policies...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
The University of New Mexico School of Medicine
Phase III Clerkship Catalog :: 2010-2011
The University of New Mexico Scho...
PHASE III CLERKSHIP CATALOG 2009-2010
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PHASE III CLERKSHIP CATALOG 2009-2010

  1. 1. PHASE III CLERKSHIP CATALOG 2010-2011 Fourth Year Catalog of Learning Opportunities Clerkship Descriptions Credit Policies and Procedures Preceptorship Rotations
  2. 2. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 2 TABLE OF CONTENTS POLICIES ON PHASE III CLERKSHIPS ................................................................... 5 COMPENSATION.................................................................................................... 6 AWARDING OF THE MD DEGREE............................................................................ 6 PHASE III REQUIREMENTS ................................................................................... 6 ICU AND SUB-INTERNSHIP CREDITS .................................................................... 6 SUB-INTERNSHIP AND INTENSIVE CARE UNIT COURSES...................................... 7 NEW MEXICO PRECEPTORSHIP CREDIT ................................................................ 8 ELECTIVE CREDIT ................................................................................................. 8 ELECTIVE CREDIT FOR REQUIRED RESEARCH ....................................................... 9 PHASE III NON-CATALOG EDUCATIONAL EXPERIENCES ..................................... 10 ELECTIVE CREDIT FOR SUB-INTERNSHIPS AND ICUs ......................................... 11 REQUESTING SUB-I or ICU CREDIT FROM CSPE .................................................. 11 INTERNATIONAL CLERKSHIPS ............................................................................ 12 PROMOTION TO PHASE III.................................................................................. 14 2010-2011 PHASE III CLERKSHIP SCHEDULE ..................................................... 15 2010-2011 PHASE II ROTATION DATES .............................................................. 15 DEPARTMENT OF ANESTHESIOLOGY ................................................................... 17 Anesthesiology and Critical Care Medicine ..................................................... 17 Clinical Dermatology at UNMH and VAMC ....................................................... 18 Dermatology Research at UNMH and VAMC .................................................... 19 DEPARTMENT OF EMERGENCY MEDICINE............................................................ 20 Pediatric Emergency Medicine........................................................................ 20 Emergency Medicine at VAMC......................................................................... 21 Emergency Medicine at UNMH ........................................................................ 22 First Track...................................................................................................... 23 Emergency Medical Services .......................................................................... 24 Toxicology...................................................................................................... 25 Wilderness Medicine ...................................................................................... 26 Advanced EMS and Disaster Medicine and Medical Care Under the Austere Conditions ...................................................................................................... 27 Travel and Emergency Medicine ..................................................................... 29 Leadership in Wilderness Medicine ................................................................ 31 Advanced Emergency Medicine/Critical Care ................................................. 33 International Emergency Medicine - Nepal..................................................... 35 Evolutionary Medicine .................................................................................... 37 Emergency Ultrasound Elective at UNMH ....................................................... 39 DEPARTMENT OF FAMILY & COMMUNITY MEDICINE ........................................... 40 Public Health Epidemiology in Santa Fe, NM................................................... 40 Family Practice at UNMH Sub-Internship ....................................................... 41 Health for the Public ...................................................................................... 42 Rural Primary Care in Cuba, New Mexico........................................................ 43 Health Care for the Homeless......................................................................... 44 Family Medicine Maternal Child Health........................................................... 45 Writing and Healing ....................................................................................... 47 INTERDEPARTMENTAL OFFERING ....................................................................... 48 Comprehensive Ambulatory Care ................................................................... 48 DEPARTMENT OF INTERNAL MEDICINE............................................................... 49 Hematology Oncology Clinic ........................................................................... 49 Infectious Disease at Inpatient ...................................................................... 50 Internal Medicine at UNMH Sub-Internship.................................................... 51 Geriatric Medicine .......................................................................................... 52 Occupational and Environmental Health Course ............................................. 53 Gastroenterology ........................................................................................... 55 Nephrology .................................................................................................... 56
  3. 3. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 3 Pulmonary Medicine ....................................................................................... 57 Cardiovascular Elective at UNMH.................................................................... 58 Arthritis and the Rheumatic Diseases ............................................................ 59 Adult Endocrinology and Metabolism ............................................................. 60 Sleep Disorders Center................................................................................... 61 Internal Medicine at VAMC Sub-Internship .................................................... 62 Medicine Intensive Care at UNMH .................................................................. 63 Infectious Disease Outpatient ........................................................................ 64 Alternative and Complementary Medicine ...................................................... 65 DEPARTMENT OF INTERNAL MEDICINE............................................................... 66 Radiation Oncology ........................................................................................ 66 DEPARTMENT OF NEUROLOGY ............................................................................ 67 Neurology at UNMH Sub-Internship ............................................................... 67 Spinal Cord Injury [SCI] at VAMC .................................................................. 68 Neurology at VAMC Sub-Internship................................................................ 69 Child Neurology at UNMH Sub-Internship ...................................................... 70 Neurology Research ....................................................................................... 72 DEPARTMENT OF NEUROSCIENCES ..................................................................... 73 Neuroscience Teaching .................................................................................. 73 DEPARTMENT OF NEUROSURGERY ...................................................................... 74 Neurosurgery at UNMH Sub-Internship.......................................................... 74 DEPARTMENT OF OBSTETRICS & GYNECOLOGY .................................................. 75 Ambulatory Gynecology ................................................................................. 75 Gynecologic Oncology Sub-Internship............................................................ 76 Maternal Fetal Medicine at UNMH................................................................... 78 Maternal and Child Health in Guatemala ........................................................ 79 Maternal Fetal Medicine in Sierra Leone......................................................... 80 Benign Gynecology at UNMH Sub-Internship ................................................. 81 DEPARTMENT OF ORTHOPAEDICS ....................................................................... 82 General Orthopaedic Surgery Sub-Internship ................................................ 82 Pediatric Orthopaedics at Carrie Tingley Hospital .......................................... 83 Orthopaedic Trauma Sub-Internship .............................................................. 85 Hand Surgery ................................................................................................. 87 Orthopaedic Spine Clinical Experience ........................................................... 88 Sports Medicine.............................................................................................. 89 DEPARTMENT OF PATHOLOGY............................................................................. 90 Anatomic Pathology at UNMH......................................................................... 90 Anatomic Pathology at VAMC ......................................................................... 91 Clinical Pathology........................................................................................... 92 Clerkship in Forensic Pathology ..................................................................... 94 DEPARTMENT OF PEDIATRICS ............................................................................ 96 Ambulatory Pediatrics at Young Children’s Health Center .............................. 96 Pediatrics at UNMH Sub-Internship................................................................ 98 Pediatric Cardiology ....................................................................................... 99 Pediatric Rehabilitation/Pediatric Chronic Disease ...................................... 101 Pediatric Genetics and Dysmorphology ........................................................ 102 Pediatric Hematology / Oncology................................................................. 103 Adolescent Medicine..................................................................................... 104 Pediatric Intensive Care............................................................................... 105 Pediatric Infectious Disease......................................................................... 107 Newborn Intensive Care Unit ....................................................................... 108 Pediatric Outpatient Department ................................................................. 109 Westside Family Health Outpatient Clinic..................................................... 110 DEPARTMENT OF PSYCHIATRY.......................................................................... 112 Advanced Clinical Psychiatry [Inpatient] ..................................................... 112 Sub-Internship............................................................................................. 112
  4. 4. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 4 Advanced Clinical Emergency Psychiatry [Ambulatory] ............................... 113 Neuropsychology ......................................................................................... 114 Alcohol and Substance Abuse Program ........................................................ 115 Consultation and Liaison Psychiatry............................................................. 116 Advanced Clinical Psychiatry [Ambulatory].................................................. 117 Psychiatric Care of Developmental Disabilities............................................. 118 DEPARTMENT OF RADIOLOGY ........................................................................... 119 Neuroradiology ............................................................................................ 119 Diagnostic Radiology.................................................................................... 120 DEPARTMENT OF SURGERY ............................................................................... 121 Burns and Trauma Sub-Internship ............................................................... 121 Thoracic Surgery at UNMH ........................................................................... 122 Ophthalmology............................................................................................. 123 Otolaryngology Sub-Internship .................................................................... 124 General Surgery at VAMC Sub-Internship..................................................... 125 Pediatric Surgery at UNMH Sub-Internship .................................................. 126 Urology Sub-Internship................................................................................ 127 Surgery at UNMH Sub-Internship ................................................................. 128 Surgical Critical Care ICU ............................................................................. 129 Plastic Surgery ............................................................................................. 130 Introduction to Transplantation ................................................................... 131 Vascular Surgery Sub-Internship ................................................................. 132 Pediatric Urology.......................................................................................... 133 Adult Cardiothoracic Surgery at UNMH......................................................... 134 General Surgery Teaching Elective ............................................................... 135 Pediatric Ophthalmology .............................................................................. 136 Adult Cardiothoracic Surgery at VAMC ......................................................... 137 Clinical Applications of Anatomy .................................................................. 138 Surgical Specialties Elective ......................................................................... 139 DEPARTMENT OF UNDERGRADUATE MEDICAL EDUCATION ............................... 142 Medical Education Scholarship in Assessment or Curriculum Development.. 142 OFFICE OF GLOBAL HEALTH .............................................................................. 144 International Electives – Clinical.................................................................. 144 International Electives – Non-Clinical .......................................................... 147 PRECEPTORSHIP OFFICE................................................................................... 149 New Mexico Preceptorship ........................................................................... 149
  5. 5. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 5 INTRODUCTION The purpose of the Phase III medical curriculum at the University of New Mexico School of Medicine is to:  Provide opportunities for students to further develop their skills and knowledge of patient care  Provide opportunities for students to broaden their understanding of medicine and its specialties  Provide opportunities for students to explore fields in which they may wish to pursue careers  Provide opportunities for students to remediate deficiencies in medically relevant skills, knowledge and behaviors This catalog contains descriptive information about courses, clerkships and preceptorship opportunities available to Phase III students. The variety of learning experiences includes hospital, clinic, community and laboratory environments. The information has been condensed in this listing. Further information may be obtained by contacting the faculty evaluator. All departments and individuals offering Phase III courses have been queried regarding prerequisites, which are stated with each description in this catalog. Students are not restricted to the courses contained in this catalog and are encouraged to initiate educational experiences here or at other institutions. For information about requesting Phase III credit for rotations not listed in this catalog, please refer to the Non-Catalog Education Experiences section. POLICIES ON PHASE III CLERKSHIPS  The Committee on Student Promotions and Evaluation (CSPE) may require students to take and pass specifically designated Phase III Clerkships to remediate deficiencies in knowledge, skills or behavior important to the practice of medicine.  Study away from The University of New Mexico School of Medicine is considered a privilege and may be denied by CSPE, if the committee deems such activities are not in the best interest of the student’s education.  To receive credit for a Phase III educational experience at another medical facility, a Phase III Credit request must be submitted for consideration by CSPE at least 45 days prior to the commencement of the rotation. Failure to do so will result in no credit for the rotation.  No credit will be given for a non-catalog experience which commences prior to CSPE having the opportunity to consider the Phase III Credit Request.  A student who has had academic difficultly may be prohibited from taking Phase III clerkships away from the UNM SOM campus.  Approval from CSPE is required for a student to take any Phase III clerkship prior to promotion to Phase III. Students may not receive more than eight weeks of Phase III credit prior to promotion to Phase III.
  6. 6. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 6 COMPENSATION Students are usually not permitted to receive monetary compensation for courses taken to meet graduation requirements. Special circumstances permit exceptions for clerkships taken outside the Albuquerque area. In some cases, research electives or other rotations may be approved by CSPE for credit as well as monetary compensation. Any exception must be approved by the Office of Undergraduate Medical Education and CSPE prior to taking the course. AWARDING OF THE MD DEGREE To be eligible for consideration by the faculty for award of the MD degree, a student must fulfill all of the following requirements:  Achieve a grade of Satisfactory or above in all Phase III rotations  Successfully complete the research requirement  Take the final Clinical Skills Performance Exam  Record a passing Score for USMLE Step 1, Step 2 CK and Step 2 CS  Adhere to ethical and professional standards of behavior Any first attempt “Fail” grade in a Phase III Clerkship must be successfully remediated prior to initiating another Phase III clerkship. For more information, please see the entire “Policy on Student Promotion and Awarding the MD Degree” in the UNM SOM Student Handbook. PHASE III REQUIREMENTS Intensive Care Unit 4 weeks Sub-Internship 4 weeks Comprehensive Ambulatory Care 4 weeks New Mexico Preceptorship 4 weeks Electives 16 weeks Total required 32 weeks ICU AND SUB-INTERNSHIP CREDITS Phase III Students are required to complete a four week ICU and a four week of Sub-Internship. Prerequisites for these courses include completion of all Phase II clerkships.
  7. 7. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 7 SUB-INTERNSHIP AND INTENSIVE CARE UNIT COURSES Name of Rotation Course Number Sub-I Intensive Care Anesthesiology and Critical Care Sub-Internship 801 X Family Medicine Maternal Child Health Sub-Internship 781 X Family Practice at UNMH Sub-Internship 777 X Medicine Intensive Care at UNMH 622 X Internal Medicine at UNMH Sub-Internship 606 X Internal Medicine at VAMC Sub-Internship 620 X Neurology at UNMH Sub-Internship 701 X Neurology at VAMC Sub-Internship 703 X Spinal Cord Injury at VAMC Sub-Internship 702 X Child Neurology at UNMH Sub-Internship 704 X Neurosurgery at UNMH Sub-Internship 753 X Gynecologic Oncology Sub-Internship 653 X Maternal Fetal Medicine at UNMH Sub-Internship 654 X Benign Gynecology at UNMH Sub-Internship 656 X General Orthopaedic Surgery Sub-Internship 850 X Orthopaedic Trauma Sub-Internship 852 X Pediatric Intensive Care 684 X Newborn Intensive Care Unit 687 X Pediatrics at UNMH Sub-Internship 677 X Advanced Clinical Psychiatry [Inpatient] Sub-Internship 726 X Burns and Trauma Sub-Internship 751 X Surgical Critical Care ICU 760 X General Surgery at VAMC Sub-Internship 756 X Surgery at UNMH Sub-Internship 759 X Pediatric Surgery at UNMH Sub-Internship 757 X Vascular Surgery Sub-Internship 763 X Urology Sub-Internship 758 X Otolaryngology Sub-Internship 755 X
  8. 8. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 8 NEW MEXICO PRECEPTORSHIP CREDIT OBJECTIVES OF THE PRECEPTORSHIP PROGRAM The preceptorship is intended to supplement traditional intramural medical education with a view of medicine as it is practiced outside the metropolitan medical center. The preceptorship is designed to provide medical students with opportunities for significant clinical service to patients, enabling student to obtain a foundation of practical experience in a community setting. The preceptorship provides the opportunity to experience the role and life of a practicing physician as a member of a family and of the community. Students are also provided the opportunity to learn about the organization and economics of health care in a variety of settings such as: community clinics, solo or group private practice or HMO. The student is required to dedicate one half day of this rotation to a community project. The community medicine project should be developed out of patient problems, basic science issues or student’s exploration of what it is like to become a member of a community as a medical provider. Students will receive more information before departure to the preceptorship site. PRECEPTORSHIP SCHEDULING Preceptorships are available in all types of practice settings, from solo to group practices, from community clinics to private multi-specialty practices. The minimum duration of the Phase III preceptorship is four weeks. If a student requests a second month, the student may receive elective credit. No student may arrange a rotation without contacting the Preceptorship Office. It is mandatory that preceptorships be scheduled through the Preceptorship Office. Once a student is scheduled for a specific rotation, that schedule is binding to the same extent as other clinical rotations. Preceptorships will only be rescheduled with extenuating circumstances. Changes must be requested within 45 days of the beginning of the rotation. Also required is an orientation interview prior to starting the preceptorship and an exit interview (within two weeks) at the end of the preceptorship. Preceptorship course numbers are as follows: Required Preceptorship: #910 Elective Preceptorship: #911 To schedule a preceptorship, contact the Preceptorship Office located in the Family Practice Building, 272-8399. Course information for the Preceptorship is at the end of this catalog. ELECTIVE CREDIT A minimum of 16 weeks in Phase III must be scheduled for elective credit. All courses listed in the catalog are approved for elective credit, including the preceptorships. Non-Catalog courses and courses at other institutions must be approved in advance by CSPE for elective credit.
  9. 9. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 9 An elective is defined by the CSPE as an educational activity related to medical science. To receive elective credit, the experience must meet the following criteria:  It must be approved in advance by the appropriate UNM department chair/director, the Office of Medical Student Affairs, the Office of Undergraduate Medical Education and CSPE  It must be a medically relevant educational experience rather than a job, and the student must have adequate background so that the experience is of educational value  The performance of the student in the experience must be evaluated and reported to the Office of Medical Student Affairs at UNM SOM All of the above criteria must be met before consideration will be given to awarding elective credit for study at other institutions. Any request must be accompanied by a course description (often a description may be found in an institution’s catalog or website). ELECTIVE CREDIT FOR REQUIRED RESEARCH Students may receive elective credit in Phase III for required research according to the following criteria. Students who wish to receive Phase III elective credit for required research must register as they would for other rotations. Required research rotations are graded on a credit/no credit basis. The course number for required research elective is CLNS 900.
  10. 10. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 10 PHASE III NON-CATALOG EDUCATIONAL EXPERIENCES Students are not restricted to the courses listed in this catalog and are encouraged to initiate educational experiences here or at other institutions. VSAS AWAY ROTATIONS The Visiting Student Application System (VSAS) is used by LCME schools to receive, review, approve and schedule away rotations. Medical Student Affairs will issue all eligible students authorizations to access this system. If a student accepts a rotation in VSAS, they must still complete an Add/Drop slip in OSS to have it added to their schedule. This process is not automatic and an away rotation approved in VSAS will NOT appear on your schedule until this task is completed. Where the Add/Drop slip or Online Workflow requests a Department Signature, the student should write “Approved in VSAS” and OSS will confirm. Students must add a VSAS Away rotation to their schedule 30 days prior to the start date. OSS will consider a rotation accepted in VSAS “pre-approved” for credit if it meets the follow criteria:  It is at an LCME School (currently VSAS is only available for LCME accredited schools)  It is 4 weeks in length  The student is using it only for “Elective” credit (Not Sub-I or ICU)  It is NOT an international rotation If the rotation does not meet that criteria, or you wish to use the away rotation to satisfy a Sub-Internship or ICU requirement, “pre-approval” does not apply and the student must follow the directions listed under Non-VSAS Away rotations in order to receive credit. NON-VSAS AWAY ROTATIONS All non-catalog experiences that are not applied for and approved through VSAS must have the prior approval of CSPE. Requests must be submitted 45 days in advance of the start of the rotation. To request approval of a non- catalog experience, the student must  Complete the Phase III Credit Request form available on the OSS website.  Provide a written description of the course, either from a course catalog or affiliated website.  Present the Credit Request and Sub-I/ICU credit request (if applicable) and course description to the appropriate UNM SOM department chair/director for review and signature approval.  Submit the request with the department chair’s signature and all other documents to the Office of Medical Student Affairs at least 45 days prior to the beginning date of the requested course. The request is reviewed by that office, UME, and is then forwarded to CSPE for final consideration.
  11. 11. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 11 Any student who takes a non-catalog course without the required prior approval of CSPE will not receive credit for the course, regardless of the grade given by the course instructor. Keep in mind, there is no guarantee of malpractice insurance coverage if a course has not been pre-approved by CSPE. Following CSPE’s review, the student is notified by email of CSPE’s decision regarding the request. The student is also responsible for providing the faculty evaluator with the appropriate evaluation form to receive a grade or credit. Credit for a course will not be given until a completed UNM SOM evaluation form with a passing grade is received in the Office of Medical Student Affairs. In the event of a cancelled rotation, students are responsible for meeting any policies set forth by the intended institution, including but not limited to: cancellation deadlines, fees, notifications, etc. Students must also ensure that the course is removed from their UNM SOM schedule. ELECTIVE CREDIT FOR SUB-INTERNSHIPS AND ICUs A student may use a course at another institution to meet the SUB-I or ICU credit requirement. This is rare and students are encouraged to complete a Sub-I and ICU at UNM. In order to receive Sub-I or ICU credit, programs must fulfill the following requirements:  The student must act as a sub-intern, assuming primary responsibility for overall care in an inpatient setting  Full-time physician supervision must be provided on site or by telephone  The experience must include initial or early patient contact, history and physical examination, formulation of problem list, diagnostic plan, therapeutic plan, writing orders, patient follow up, progress notes and discharge notes  In clerkships requiring on call activity the student’s activity must be in rotation with intern schedules (including night and weekend call)  No rotation may be less than four weeks. Travel or absence for pursuit of residency positions is not allowed during these clerkships, except with written permission of the service REQUESTING SUB-I or ICU CREDIT FROM CSPE Students wishing to receive Sub-I or ICU credit for an away rotation must follow the same steps as requesting Phase III credit from CSPE. In addition:  Students must complete the Sub-I/ICU Credit Request Form available on the OSS website.  Students must have the faculty evaluator from the intended institution sign the Sub-I/ICU credit form prior to submitting it to CSPE.  Retroactive requests for credit will not be considered by CSPE.
  12. 12. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 12 INTERNATIONAL CLERKSHIPS During Phase III, students may choose to participate in an international clerkship which must meet the following criteria to be approved by CSPE for academic credit:  Level of participation in the elective must be active and meaningful o Experiences that are predominantly observational or passive may not be approved o Clinical care includes direct participation in care giving and decision making. o Participation in a research project involves a meaningful role.  Supervision with regard to educational goals and responsibilities must be active to ensure the quality of the experience, critical assessment and feedback on strengths and weaknesses of the student.  An individual at the clerkship site must be responsible for monitoring the student’s learning objectives, ensuring the quality of the experience and providing a written evaluation of the student’s performance. Evaluation must address the required levels of participation of the student’s clinical experience or project, gathering of information, critical management of information and setting of priorities, intervention or implementation and the ability to evaluate outcomes. A student seeking approval of CSPE to participate in an international clerkship must follow the same procedures for requesting Phase III Credit from CSPE and meet the following requirements:  Student must be in good academic standing  Student must submit a written report describing the experience to CSPE  Student must have appropriate language skills  Proposed educational activities must not violate applicable laws or regulations  Student is responsible for financing The University of New Mexico places the highest priority on protecting students’ health and safety when traveling outside the US as part of University programs. Therefore, students planning to travel outside the country must work with the Office of International Programs, 2111 Mesa Vista Hall, 277-4032 to:  Complete and submit the conditions of travel form  Purchase the following insurance policies as applicable o TRAVMED o Health Insurance which includes medical evacuation and repatriation of remains  Submit a travel itinerary and emergency contact form  Obtain health and safety information for travelers from the US State Department  Submit a copy of your passport
  13. 13. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 13 PHASE III SCHEDULING PHASE II FLOAT RESCHEDULING Most Phase III clerkships have prerequisites stating that all or specific Phase II clerkships must be completed. Students who were approved to float one or more clerkships during Phase II will be required to schedule those Phase II courses prior to Phase III clerkships unless approved by CSPE. Students will be scheduled on a space available basis after the incoming Phase II students have been scheduled and in consultation with clerkship directors and CSPE. The Office of Medical Student Affairs will notify students of Phase II assignments. PHASE III SCHEDULING Students state preferences for their Phase III schedule using the Phase III schedule worksheet. Upon consultation and approval of their Match Advisor the worksheet is then submitted to the OSS. Students request all courses except the Preceptorship rotation and any rotations requiring approval from CSPE. Students register for their preceptorship requirement through the Preceptorship Office and list it in the appropriate block on the scheduling worksheet. Students should keep the following in mind when requesting courses through: • Phase II prerequisites stated in the Clerkship Catalog must be met. • Students granted departmental approval for a course must provide the appropriate documentation to the Office of Medical Student Affairs prior to listing the course on the scheduling worksheet. • Early and Regular Match Interviewing Schedules • Ambulatory Care is only offered during certain blocks. While every effort is made to accommodate students’ stated preferences, departmental needs and limitation take precedence. In developing schedules, the Office of Medical Student Affairs takes these priorities into account. By necessity, elective courses must be planned around required clerkships. Each department establishes the maximum number of students accepted for each rotation, and UNM students are given priority over students from other schools during the initial Phase III scheduling period. The Office of Medical Student Affairs maintains the official schedule of clinical clerkships for all Phase III students. Changes to that schedule may be made only with the approval of the department in which a course is offered. Courses appearing on the approved schedule are the only ones that may be used by the faculty in determining completion of degree requirements. For more information on how to change your schedule, students may contact the SOM Registrar.
  14. 14. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 14 PROMOTION TO PHASE III To be eligible for consideration for promotion to Phase III, a student must fulfill all of the following promotion requirements:  Achieve a grade of Satisfactory of above in all seven Phase II clerkships.  The scholarly research proposal must be approved by the Medical Student Research Committee, or the required research project completed.  Achieve a grade of Credit for PIM, Continuity Clinical and Performance Assessments (Formerly OSCEs).  Adhere to ethical and professional standards of behavior. Please see entire policy on student promotion and awarding the MD degree in the UNM SOM Student Handbook. Except in very unusual circumstances, all required Phase II clerkships must be taken within the UNM SOM departments. Phase I and Phase II students who wish to take any Phase III clerkship must have prior approval from CSPE. Students may only receive 8 weeks of Phase III credit prior to promotion to Phase III. This generally works out to 2 courses. This rule applies to students who have delayed sitting for board exams. Students must have completed all course prerequisites established by departments or individuals offering Phase III electives. Prerequisites are stated in each course description in the catalog. Prerequisites for Sub-I, ICU and Preceptorship courses include completion of all Phase II clerkships. Exceptions to these guidelines are rarely approved.
  15. 15. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 15 2010-2011 PHASE III CLERKSHIP SCHEDULE 4/26/10-5/23/10 5/24/10-6/20/10 VACATION 6/21/10-6/27/10 6/28/10-7/25/10 7/26/10-8/22/10 8/23/10-9/19/10 9/20/10-10/17/10 10/18/10-11/14/10 11/15/10-12/12/10 12/13/10-1/9/11 1/10/11-2/6/11 2/7/11-3/6/11 3/7/11-4/3/11 4/4/11-5/1/11 5/2/11-5/29/11 2010-2011 PHASE II ROTATION DATES 4/26/10-6/18/10 6/21/10-8/13/10 8/30/10-10/22/10 10/25/10-12/17/10 1/3/11-2/25/11 2/28/11-4/22/11 Phase II Vacation: 8/14/10-8/29/10 12/18/10-1/2/11
  16. 16. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 16 VISITING MEDICAL STUDENTS The University of New Mexico School of Medicine welcomes visiting medical students to participate in senior year elective clerkships. Clerkships for visiting students are coordinated by the Office of Medical Student Affairs. UNM SOM participates in the Visiting Student Application System (VSAS). All applications from students attending LCME accredited schools must be submitted using VSAS. Osteopathic Students and International Students will continue to use a paper application. For current application processes please visit our website at http://hsc.unm.edu/som/oss/Visiting_Students.shtml CONTACT INFORMATION The information in this handbook is subject to change at any time. For the most up to date information, or if you have questions regarding any policy or requirement listed in this handbook, please contact the Office of Medical Student Affairs. Physical Location: Basic Medical Sciences Building Room #107 Phone: 505-272-3414 Fax: 505-272-8239 Faculty and Staff: Eve Espey, MD, MPH, Associate Dean of Students EEspey@salud.unm.edu Sheila Hickey, MD, Assistant Dean of Students, Chair of CSPE SHickey@salud.unm.edu Todd Hynson, Registrar-Student Enrollment Director THynson@salud.unm.edu Cristina Beraun, Operations Specialist CBeraun@salud.unm.edu Sarah Abrahamson, Senior Student Enrollment Officer SAbrahamson@salud.unm.edu Anastasia Andersen, Administrative Coordinator AAndersen@salud.unm.edu Elizabeth Lopez, Senior Student Records Clerk ElTLopez@salud.unm.edu Janell Valdez, Financial Aid Manager JAValdez@salud.unm.edu Karen Sampson, Financial Aid Officer KSampson@salud.unm.edu
  17. 17. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 17 DEPARTMENT OF ANESTHESIOLOGY Anesthesiology and Critical Care Medicine Sub-Internship Course #: CLNS 801 Credit: Sub-Internship Duration: 4 Weeks Students per Rotation: 2 Faculty Evaluator(s): Saul Wiesel, MD Sally Fortner, MD Prerequisites: Accepting Visiting Students: Yes Contact: Charlotte Jaramillo Goals and Unique Aspects: The rotation seeks to achieve goals set by the student, in particular, the student gains an understanding of the bodily response to invasive perioperative medicine. Objectives: Student gains understanding of the affect of physiology, pathology and pharmacology on the care of a patient under anesthesia; and gains proficiency in essential anesthesia manual skills such as airway management and vessel cannulation. Student increases independence of thought in patient management and acquires insight into management of an operating room and lifestyle of an anesthesiologist. Responsibilities: Student observes and participates in all aspects of patient care, pre-operative to post operative. Student is assigned patients daily and participates in night call once a week. Student also participates weekly in the Bat Cave anesthesia simulation. Research projects are available in clinical, pharmacological, and education fields. However, participation in not required. Supervision and Teaching: Student has daily direct teaching by attending physicians and residents in the OR and attends weekly seminars with Dr. Sanders. Twelve reading assignments are made from textbooks provided by the department and material is reviewed regularly. Student is expected to attend three meetings and lectures per week and to participate in the monthly Journal Club. Evaluation: 25% - Written examination and seminar participation. 25% - Bat Cave simulator. 50% - Clinical observations. Criteria for outstanding grade: Determined by evaluation of the students assessed overall performance by supervising physicians, and based on an “Outstanding” in clinical observations and “Outstanding” in either the Bat Cave or the written exam, and at least a “Good” in the third category.
  18. 18. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 18 DEPARTMENT OF DERMATOLOGY Clinical Dermatology at UNMH and VAMC Course #: CLNS 810 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 3 Faculty Evaluator(s): R. Steven Padilla, MD Prerequisites: Completion of all Phase II Clerkships Accepting Visiting Students: Yes Contact: Michele Barth Goals and Unique Aspects: Opportunity to work in dermatology clinics at UNMH, VAMC, and UNM Student Health Center, and participate in didactic sessions with faculty and residents. Objectives: Emphasis placed on the diagnosis and treatment of the most common skin diseases and on cutaneous manifestations of systemic diseases. Responsibilities: Clinical: Most days are spent in clinics. Student must attend all clinics and conferences as directed by chief resident. No night or weekend responsibilities. Supervision and Teaching: Amount and type: Full time and volunteer faculty members supervise all teaching clinics. Didactic content: Formal instruction three times a week in the form of small conferences. Student participates in other conferences as directed by chief resident. Evaluation: All residents and faculty evaluate the student and Dr. Padilla summarizes the evaluations. Evaluation based on attendance (25%), participation (25%), and brief examination (50%). The examination, consisting of 10 Kodachrome slides and 60 additional questions, should not be difficult if all clinics have been attended and all assignments completed. Must attend all clinics and conferences as directed by chief resident. One unexcused or two excused absences results in lowering the final grade by one level (i.e. “good” to “satisfactory”). Absences may be made up by completing requirements for “outstanding” grade described below. Criteria for outstanding grade: Given only to those individuals who are outstanding in all categories and who complete one of the following on the dermatologic disease category of his/her choice, due at the completion of the rotation. Paper: eight pages in length (excluding references). OR Presentation: 15 minutes duration on a disease entity, including an in-depth historical review on morphology, histopathology and therapy.
  19. 19. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 19 DEPARTMENT OF DERMATOLOGY Dermatology Research at UNMH and VAMC Course #: CLNS 811 Credit: Elective: Non-Clinical Duration: 4 Weeks Students per Rotation: 1 Faculty Evaluator(s): R. Steven Padilla, MD Prerequisites: Completion of all Phase II Clerkships Accepting Visiting Students: Yes Contact: Michele Barth Goals and Unique Aspects: Opportunity to work in a clinical or laboratory setting with one of the dermatology faculty or residents. Strongly recommended for a student interested in a career in dermatology. Objectives: Participate in clinical or laboratory research projects related to the skin and its diseases under supervision of faculty of Department of Dermatology at UNMSOM Responsibilities: Research: Participation in a prearranged research project. Student is encouraged to attend dermatology teaching conferences and clinics, as time permits, but performance of research activities takes priority. Supervision and Teaching: Amount and type: All teaching is conducted in a laboratory or clinical setting. The responsible faculty is the supervisor for the student. Evaluation: Criteria for outstanding grade: The faculty member responsible for the student’s elective is solely responsible for grading, which is entirely subjective based upon performance during the elective.
  20. 20. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 20 DEPARTMENT OF EMERGENCY MEDICINE Pediatric Emergency Medicine Course #: CLNS 689 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 2 Faculty Evaluator(s): Robert Sapien, MD Prerequisites: Completion of all Phase II Clerkships Accepting Visiting Students: Yes Contact: Annette Creasman Goals and Unique Aspects: To become more comfortable with the general care of the acutely ill or injured child. Objectives: Familiarize the student with general suturing and splinting procedures, and the approach to the child in the acutely ill or injured phase. Responsibilities: Research: Many on-going clinical studies in Peds ER. Required: Shift work. Ambulance ride a longs (8hrs) and Poison Center (8hrs). Supervision and Teaching: Amount and type: Faculty always on site. Presentations (patient) to faculty or senior house officer with faculty direct supervision of house officer. Evaluation: Clinical observation. Criteria for outstanding grade: Any supervising faculty can nominate the student for Outstanding. In general, the student must be hardworking, enthusiastic, a team worker, and provide his/her patients with outstanding and comprehensive care. Additional Information: This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  21. 21. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 21 DEPARTMENT OF EMERGENCY MEDICINE Emergency Medicine at VAMC Course #: CLNS 820 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 3 Faculty Evaluator(s): Jot Khalsa, MD Prerequisites: Completion of all Phase II Clerkships Accepting Visiting Students: Yes Contact: Vicky Rechkemmer 505-265-1711 x2621 Goals and Unique Aspects: This clerkship is designed to be useful in addition to a core EM rotation for students interested in pursuing EM as a career. Students destined fro non-EM specialties are also encouraged to sign up and can have the rotation tailored to their specific clinical interests. Gain experience and knowledge of emergency medicine in a busy full-service emergency department. Patients with cardiac and pulmonary disease are well represented in the New Mexico VA patient population, as are patients with multiple coexisting disease processes. The complicated VA patients provide challenges to the student practitioner. The VA also cares for Active Duty military patients and their families, affording opportunities to care for women and children. Objectives: To learn to diagnose emergency conditions, to appropriately use laboratory and diagnostic studies, to make admission and initial treatment decisions. Emphasis is placed on development of a broad differential diagnosis and the process needed to arrive at an appropriate disposition and plan. Responsibilities: Clinical: Fifteen eight hour shifts as a sub-intern in the Emergency Department working with ED attendings. Teaching: Four hours of student conference are required, and five hours of Emergency Medicine Resident conference are optional. Students work through three teaching cases per week in addition to required readings. Required: Wound care and suturing, splinting, and ultrasound skills labs. Supervision and Teaching: Amount and type: Direct, by senior faculty. Didactic Content: Four hours of student conference per week. Evaluation: Daily evaluations for ED shifts and weekly evaluations of student rounds. Criteria for outstanding grade: Outstanding students will show near-intern level ability to synthesize clinical information, devise a treatment plan, and communicate effectively with patients, consultants and staff. Additional Information: This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  22. 22. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 22 DEPARTMENT OF EMERGENCY MEDICINE Emergency Medicine at UNMH Course #: CLNS 821 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 8 Faculty Evaluator(s): Diane Rimple, MD Prerequisites: Completion of all Phase II Clerkships Accepting Visiting Students: Yes Contact: Annette Creasman Goals and Unique Aspects: To learn about the specialty of emergency medicine and gain proficiency at the evaluation and treatment of common emergency conditions. Emergency medicine deals with patients and diseases of varying severity in an outpatient setting with rapid problems analysis, treatment and disposition based on limited data. Objectives: Create a complete differential diagnosis and plan of management for common and life- threatening chief complaints. Learn effective multi-tasking of patients. Develop proficiency in basic procedures such as wound care, splinting, lumbar puncture, venipuncture and beside ultrasound. Continued exposure to a variety of normal and abnormal physical exam findings. Develop the thought process necessary to identify patients with occult diseases that are potentially catastrophic. Understand the role of the Emergency Physician in the delivery of health care, and the role of the Emergency Department in overall hospital functioning. Recognize your own limitations and the need for consultation. Responsibilities: Didactic: Four hours per week of dedicated student conference time, and the opportunity to attend an additional five hours per week of resident conference, if the student chooses. Three cases and assigned readings from “Emergency Medicine: A Comprehensive Study Guide” by Tintinalli, which is available for loan during the rotation. Skills: Ultrasound, EKGs, wound care and suturing, splinting, and patient simulation. Additional procedures are learned and performed in the ED. Clinical: Function as a sub- intern under the direct supervision of the ED attendings and teaching residents. Shift load is about 15-16 eight hour shifts per rotation plus four hours of conference per week. Evaluation: Student is provided feedback and evaluated at the end of each shift by the faculty and residents. These evaluations are summarized at the end of the rotation and are the bulk of the grade. Additional data from performance and participation in the student conferences is considered, including quizzes. Criteria for outstanding grade: An O is given about 10-15% of students and recognizes superior performance in all areas of the rotation. Areas of evaluation include: Interpersonal skills, data collection, data synthesis and procedural skills. Additional Information: This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  23. 23. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 23 DEPARTMENT OF EMERGENCY MEDICINE First Track Course #: CLNS 822 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 1 Faculty Evaluator(s): Don Lemke, MD Prerequisites: Completion of all Phase II Clerkships Accepting Visiting Students: Yes Contact: Annette Creasman Goals and Unique Aspects: To enhance knowledge of the basic principles of out-patient medicine. Requires a rapid assessment of the patient’s chief complaint with subsequent treatment and disposition. Objectives: Manage common urgent care center patient complaints, perform basic laboratory procedures, splinting techniques and minor surgical procedures, focused history and physicals. Responsibilities: Reading: Will be recommended by the attendings. Observational: Observe the care of a wide variety of illnesses involving all specialties of medicine. Clinical: large amount of patient contact (approximately 20 patients per day). Student sees patients independently and reviews with attending. Hours: 9am-6pm, Monday –Friday plus one Saturday per month. Perform all tests necessary to evaluate the patient. Teaching: Informal presentation of patient’s history and physical to attendings; one presentation on a literature review. Supervision and Teaching: Direct supervision by attending physician. Required attendance at the Emergency Medicine case conferences or student conferences on Tuesday mornings. Informal case discussions with attendings. Evaluation: Criteria for outstanding grade: Accomplish goals and objectives by seeing, evaluating, problem-solving and presenting patient care problems at a level of achievement well above that expected of the usual student. Additional Information: Busy clinic with a lot of clinical contact. A practical rotation regardless of future specialty plans. This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  24. 24. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 24 DEPARTMENT OF EMERGENCY MEDICINE Emergency Medical Services Course #: CLNS 823 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 6 Faculty Evaluator(s): Marc-David Munk, MD Prerequisites: Accepting Visiting Students: Yes Contact: Annette Creasman Goals and Unique Aspects: Enhance appreciation for the clinical care provided by EMS, including the limitations and challenges of the prehospital and interhospital environments. Understand the education and training of EMTs and paramedics. Understand the scope of the work of the EMS Medical Director. Objectives: 1. Clinical patient care in the prehospital setting. 2. Educational experience in the classroom and laboratory settings. 3. Interaction with EMS Medical Directors. Responsibilities: Observational: Basic and advanced life support procedures during actual emergencies in the community setting; patient care transfers with clinical care provided en route; Educational classes and research meetings. Clinical: Airway management with basic adjuncts, 12-lead ECG & Analysis, BGL, placing intravenous lines and PPV. Research: Potential involvement in ongoing research projects. Teaching: Presentation of at least one paramedic course lecture; participation in skills workshops; presentation of clinical care summaries to the Medical Director or designee; Trauma Life Support and PALS courses may be offered on a case-by-case basis. Required: No night call. No subintern requirements. Minimum of 60 direct contact hours, including 32 hours of EMS shifts with area service providers. Optional: Attendance at statewide EMS meetings, departmental meetings, and other educational opportunities. Supervision and Teaching: Amount and type: Steve Weiss, MD, Laura Banks, DMV: Faculty evaluation and direction provided in weekly meetings. Bill Raynovich: Daily coordination and contact. Didactic content: Assigned topical readings and texts. Evaluation: Based on review of experience journal and clinical reports, self-assessment and direct observation of performance with feedback. Written examinations: clinical and administrative (e.g. ACLS, Practice Protocols, Medical Director Guidelines and Responsibilities), focused topic paper. Criteria for outstanding grade: Meet minimum objectives with outstanding preparation and presentation of teaching cases, participation in EMS activities and thorough assessment and review of EMS clinical cases and care. Additional Information: This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  25. 25. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 25 DEPARTMENT OF EMERGENCY MEDICINE Toxicology Course #: CLNS 824 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 2 Faculty Evaluator(s): Steven Seifert, MD Prerequisites: Completion of all Phase II Clerkships Accepting Visiting Students: Yes Contact: Steven Seifert, MD Goals and Unique Aspects: Meet minimum objectives with outstanding preparation and presentation of teaching cases, participation in EMS activities, and thorough assessment and review of EMS clinical cases and care. Objectives: Enable the student to integrate basic pharmacology with clinical care of overdoes patient. Enable the student to manage the emergency care of the overdose patient. Responsibilities: Observational: Inpatient clinical rounds. Clinical: Toxicology inpatient consults, Emergency Department consults. Research: Poison Center and quality assurance and education projects, 30-minutes lecture on toxicology topic, opportunity to publish case reports, and Journal Club. Required: Pre-rounding. Supervision and Teaching: Amount and type: Daily teaching rounds by Drs. Seifert, Rogers and Benson and Poison Center pharmacists. Didactic content: A notebook and directed readings in toxicology are provided. Completion of toxicology goals and objectives. Evaluation: Based on clinical observation. Criteria for outstanding grade: Participate in patient care opportunities, interact in teaching sessions, demonstrate good grasp of toxicology fundamentals in directed readings, complete short project evaluating selected questions in toxicology. Additional Information: Prior approval is required. This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  26. 26. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 26 DEPARTMENT OF EMERGENCY MEDICINE Wilderness Medicine Course #: CLNS 825 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 20 Faculty Evaluator(s): Darryl Macias, MD Prerequisites: Phase II Clerkships: Medicine and Surgery; and either Pediatrics, OBGYN, or Family Practice. Accepting Visiting Students: Yes Contact: Annette Creasman Goals and Unique Aspects: Learn Wilderness preparedness, emergency procedures and treatment, and strengthen leadership, teamwork and communication skills. Objectives: Learn the wilderness medicine core curriculum as developed by the Wilderness Medical Society. Core curriculum includes, but is not limited to: high altitude illness, environmental emergencies (heat, cold), medical kit development, orthopaedic injury management in the field, wound care, plant toxicology, bites and stings, travel medicine (infectious disease), search and rescue, patient assessment and field management. Responsibilities: Observational: all skills are observational and hands on. Clinical: Students work through scenarios of wilderness emergency medicine in outdoor setting. Teaching: Wilderness medicine topics are presented in a tutorial setting using cases as the starting point: Didactic and hands on teaching. Required: Eight hours a week in outdoor field work: skill stations, practical scenarios. Sixteen hours a week in group sessions: four hours didactic lectures, eight hours tutorial working through relevant cases, four hours skills. Supervision and Teaching: Amount and type: Direct supervision by faculty facilitators and ED attendings. Emergency Medicine residents and community experts may present some didactic sessions. Didactic content: Auerbach Wilderness and Environmental Medicine text, cases and lectures. Evaluation: Based on clinical observations, tutorial and scenario/skills assessment. Criteria for outstanding grade: Outstanding performance (top 10%) Additional Information: This rotation is only offered once per year, generally in March. Several field trips throughout New Mexico. This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  27. 27. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 27 DEPARTMENT OF EMERGENCY MEDICINE Advanced EMS and Disaster Medicine and Medical Care Under the Austere Conditions Course #: CLNS 827 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 8 maximum Faculty Evaluator(s): Diane Rimple, MD Prerequisites: Prior completion of General Emergency Medicine or Pediatrics Emergency Medicine or basic EMS clerkship. Must be Phase III student in good standing. Accepting Visiting Students: Yes Contact: Annette Creasman Goals and Unique Aspects: 1. Develop basic skills in providing patient care under austere conditions with special emphasis on disaster medicine. 2. Develop an understanding of Disaster Medicine infrastructures nationally and locally. 3. Develop an understanding of available International Medicine resources and organizations. 4. Appreciate the differences in providing care under wilderness, international and disaster conditions. Objectives: At the end of the rotation the student should be able to: Describe a system for mass casualty triage. Decontaminate potentially exposed patients. Describe the principles of the Incident Command System. Provide advanced life saving care to adults and children. Demonstrate their ability to improvise in order to initiate a wilderness or confined space rescue as a team. Demonstrate proficiency in extremity immobilization and intubation under austere and difficult conditions. Perform basic rope management including setting anchors, belaying, z pulleys and appropriate knots. Organize their own wilderness medical kit. Responsibilities Responsibilities: Observational: The student will act primarily as an observer during “ride along” activities with Albuquerque Fire Department paramedics. They will fly along with the paramedics and flight nurses with Life Guard fixed wing crews. Clinical: Students will be acting at a Sub-Intern level during 3 shifts in the UNM ED. The will assume primary responsibility for data gathering and interpretation of data. With faculty supervision, they will develop and implement a plan for diagnosis and treatment. Required: Attendance and participation in each of the didactic sessions. Completion of ADLS and ACLS. Satisfactory performance during 3 clinical shifts in the UNM Emergency Department. Participation in core educational experiences including: Confined space rescue, Eco Resus Challenge, Decontamination Exercise, Lifeguard Air Medical Transport flights, AFD ride alongs. Supervision and Teaching: Faculty members of the Department of Emergency Medicine will: Directly supervise students during all clinical activities; Provide all of the core didactic content; Provide the ACLS and ADLS courses; Supervision during ride along activities will be provided by licensed EMT-Ps or Flight Nurses. Didactic content: ACLS and NDLS course didactics, Orientation to UNM ED and elective requirements, Building Blocks of Disaster Medicine,
  28. 28. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 28 DEPARTMENT OF EMERGENCY MEDICINE Advanced EMS and Disaster Medicine and Medical Care Under the Austere Conditions (continued) Course #: CLNS 827 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 8 maximum Faculty Evaluator(s): Diane Rimple, MD Prerequisites: Prior completion of General Emergency Medicine or Pediatrics Emergency Medicine or basic EMS clerkship. Must be Phase III student in good standing. Accepting Visiting Students: Yes Contact: Annette Creasman Disaster Medicine Assistance Teams, Mass triage, Medical treatment of blast injuries, Medical treatment of crush injuries, FEMA Incident Command System 100, 200, 700, 800 courses, Research in Disaster Medicine, Myths in Disaster Medicine, Tactical Emergency Medicine: Urban Search and Rescue, International Medicine Table Top Exercise, Pandemic Influenza Table Top Exercise, International Medicine Opportunities: Opportunities and Hurdles, MSF in Darfur , UNM Emergency Residents’ Weekly Conference (5 hours standard resident curriculum), UNM Emergency Resident Journal Club. Readings will be provided for each lecture and students will be loaned a textbook for background reading. A comprehensive orientation manual will also be provided. Evaluation: All students will be evaluated based on: Successful completion of ACLS and NDLS courses, Clinical performance in the ED, Participation in core activities. This is a P/F course Additional Information: This is an advanced, career track rotation that builds on the knowledge and skills obtained in the basic rotations in emergency medicine. IT is primarily intended for students interested in pursuing a career in acute care medicine, EMS, public health, disaster medicine or international medicine. This course is only available once per year, during the 9/20/10 block. This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  29. 29. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 29 DEPARTMENT OF EMERGENCY MEDICINE Travel and Emergency Medicine Course #: CLNS 828 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 1 Faculty Evaluator(s): Jim Fleming, MD Prerequisites: Completion of all Phase II Clerkships Accepting Visiting Students: Yes Contact: Vicky Rechkemmer 505-265-1711 x2621 Goals and Unique Aspects: Travel Medicine is a rapidly developing area of knowledge with applications to a variety of medical specialties. In this elective, students will learn to conduct a pre-travel workup and patient counseling in the travel medicine clinic at UNM. Students will also learn emergency medicine as it relates to travel and expedition medicine through tutorials and shifts at the VA emergency department. Students will also learn how travel medicine concepts apply to emergency practice as disaster medicine. The elective will show how travel medicine information can benefit some emergency medicine patients, specifically military personnel, disaster victims, immigrants, and homeless travelers. Objectives: Through lectures, case discussions, scenarios, readings and clinical experiences with travel patients, students should be able to: Understand tropical paristology pharmacology, prevention and treatment; discuss public health issues relating to third world disease & foreign aid priorities; understand the key components of a travel medicine history and exam; recognized clinical presentation of malaria, dengue fever, hemorrhagic fevers; describe malaria prophylaxis and travel vaccinations for travelers to Africa, Asia, South America; broaden understanding of the differential diagnosis for traveler’s diarrhea; recognize manifestations of tropical arthropod-borne disease in military personnel; appreciate how emerging infectious diseases, such as SARS and avian influenza, impact the emergency department. Responsibilities: Observational: There will be an opportunity to see travel medicine cases first hand in the Travel medicine clinic at UNM. Travel medicine faculty will provide up to date travel vaccination and chemoprophylaxis information. Students will also do shifts at the VA emergency department where many patients have had direct experience with tropical diseases. Malaria and leishmaniasis are only two examples of diseases faced by new veterans. Clinical: Students will have direct patient care opportunities in the emergency department and travel medicine clinic. Teaching: Students will have opportunities to pursue in depth study of selected travel medicine topics and present these to the faculty, staff and students in the travel clinic and ED. Required: 5 travel clinic days/ED shifts per week, including 2 weekend ED shifts during the rotation. Weekly tutorials and readings in travel medicine. No overnight call. Supervision and Teaching: Amount and type: Direct supervision by UNM travel medicine clinic faculty and emergency department faculty. Didactic content: Student will be assigned readings and
  30. 30. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 30 DEPARTMENT OF EMERGENCY MEDICINE Travel and Emergency Medicine (continued) Course #: CLNS 828 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 1 Faculty Evaluator(s): Jim Fleming, MD Prerequisites: Completion of all Phase II Clerkships Accepting Visiting Students: Yes Contact: Vicky Rechkemmer 505-265-1711 x2621 will be expected to participate in tutorials and lectures. Partial reading list: Desowitz, Robert S. The Malaria Capers: More Tales of Parasites and People, Research and Reality. Desowitz’s cogent discussion of a variety of tropical diseases and the politics of combating them. Evaluation: The RIME (Reporter, Interpreter, Manager and Educator; Pangaro, et al.) model will guide feedback to students. Individual faculty (ED and travel clinic) evaluations will make up 80% of the grade. Participation in didactic sessions, tutorials, and reading discussions will make up 20%. Criteria for outstanding grade: Outstanding students will show proficiency in integrating ravel and emergency medicine concepts in the clinic and ED. The grade of “outstanding” will be awarded to students with exceptional or near exceptional performance in the following categories: professionalism, history and exam and presentation skills, ability to manage clinical problems and convey information effectively to patients and providers. Additional Information: Availability of this course TBD. Contact Emergency Medicine Department for more information. This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  31. 31. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 31 DEPARTMENT OF EMERGENCY MEDICINE Leadership in Wilderness Medicine Course #: CLNS 829 Credit: Elective: Non-Clinical Duration: 4 Weeks Students per Rotation: 1 Faculty Evaluator(s): Jot Khalsa, MD Prerequisites: Experience with wilderness medicine or international medicine or expedition medicine. Wilderness first responder, National Outdoor Leadership School or EMS experience also acceptable. Accepting Visiting Students: Yes Contact: Vicky Rechkemmer 505-265-1711 x2621 Goals and Unique Aspects: Student will join faculty of Wilderness, International and Improvisational Medicine (WIIM) clerkship in planning educational modules and skills labs. Student will participate in lectures, course organization, and development of outdoor laboratory sessions and patient scenarios. Student will develop teaching skills, organizational abilities, and interpersonal skills needed to carry out a logistically complex clerkship. Objectives: By the end of this elective, the student will be expected to: learn how to develop education labs in wilderness medicine; gain experience in leading a tutorial on a wilderness medicine topic; develop and participate in patient scenarios in wilderness medicine; learn wilderness ALS and BLS skills while teaching them to other participants; gain teaching experience while leading small group sessions during a backcountry wilderness excursion; learn how to lead participants through physically difficult skills stations during the final exam for the Wilderness Medicine Clerkship. Responsibilities: Observational: Student will observe and help teach patient scenarios in the wilderness BLS/ALS module, BATCAVE, backcountry excursion, and Eco-Resus challenge, among others. Contact WIIM faculty for additional details. Clinical: No direct patient care. Research: A variety of Wilderness Medicine research opportunities are available. Teaching: Student is expected to lead a tutorial for participants in the WIIM clerkship and lecture opportunities will be available. Leadership roles in multiple education laboratories will be encouraged. Required: Some overnight activities and a multi-day excursion are required. Supervision and Teaching: Amount and type: Director and Co-Director of WIIM clerkship will provide supervision. Didactic content: Student will be assigned readings from Wilderness Medicine, text by Paul Aurbach. Evaluation: Student will work closely with faculty during the 4 week clerkship. Evaluation will be based on performance during several modules during the course. Evaluations by main faculty of Wilderness medicine clerkship will provide 80% of the grade. 20% of the
  32. 32. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 32 DEPARTMENT OF EMERGENCY MEDICINE Leadership in Wilderness Medicine (continued) Course #: CLNS 829 Credit: Elective: Non-Clinical Duration: 4 Weeks Students per Rotation: 1 Faculty Evaluator(s): Jot Khalsa, MD Prerequisites: Experience with wilderness medicine or international medicine or expedition medicine. Wilderness first responder, National Outdoor Leadership School or EMS experience also acceptable. Accepting Visiting Students: Yes Contact: Vicky Rechkemmer 505-265-1711 x2621 student’s grade will be derived from evaluations from participants (students, residents) in WIIM clerkship. Criteria for outstanding grade: The preceptorship requires a different skill set from most Phase III rotations. Successful students will demonstrate leadership and teaching ability, skill in managing students in demanding outdoor labs, and contribute to the effectiveness of the WIIM clerkship. The grade of outstanding will be awarded to students receiving commendable evaluations from WIIM participants and who perform at exceptional or near exceptional on visual analog scale for the following: professional and interpersonal skills, organizational ability, contribution to skills labs, tutorials, BLS/ALS modules, small group teaching and final exam. Additional Information: This course is only available once per year, generally in March. This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  33. 33. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 33 DEPARTMENT OF EMERGENCY MEDICINE Advanced Emergency Medicine/Critical Care Course #: CLNS 832 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 2 Faculty Evaluator(s): Isaac Tawil, MD Prerequisites: Prior completion of general Emergency Medicine clerkship Accepting Visiting Students: Yes Contact: Isaac Tawil, MD; itawil@salud.unm.edu Goals and Unique Aspects: 1. To develop a comfort level tending to the critically ill medical and surgical patients in the Emergency Department. 2. To learn the basics of resuscitation of the various shock states. 3. To gain an appreciation for the crossover between Emergency Medicine and Critical Care Medicine. 4. To learn the fundamentals of ICU care for a wide variety of pathologies, including traumatic illness, neurosurgical emergencies and critical medical conditions. Objectives: At the end of the clerkship the student should be able to: Differentiate the various shock states and a comprehensive approach to their treatment; Organize treatment priorities during resuscitations both in the emergency department and the ICU; Discuss the fundamentals of critical care including ventilator management, hemodynamic monitoring, nosocomial infections, metabolic disturbances, and managing multi-system issues. Responsibilities: Clinical: The student will function as a subintern under the direction of ED/ICU attendings and senior residents while in the respective departments. There will be a particular focus on care of the acute trauma or medical resuscitative cases. Didactic: There will be 2 weekly lunch time Trauma/Critical care lectures. There will also be another weekly EM/CCM didactic session led by EM.CCM physicians. Each student will be expected to present a lecture on a EM/CCM topic to a resident level audience. If available during the months of rotation, the student will be able to attend our ATLS course and the FCCS (Fundamentals of Critical Care Support) course. Skills: Vascular access, ultrasound, EKG interpretation and others. Simulation: Resuscitation skills are honed during simulations using our state of the art “Simulation Lab”. The students will have several didactic sessions practicing resuscitation scenarios on the patient simulator. Evaluation: Student feedback will be provided and evaluated by faculty and residents at the end of each ED shift or ICU week. Overall, the student will be graded using the following paradigm: 60% based on clinical performance, 30% based on performance during didactic sessions, 10% based on the presented lecture. An outstanding grade will be given to students who achieve greater than 85%.
  34. 34. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 34 DEPARTMENT OF EMERGENCY MEDICINE Advanced Emergency Medicine/Critical Care (continued) Course #: CLNS 832 Credit: Elective: Clinical Duration: 4 Weeks Students per Rotation: 2 Faculty Evaluator(s): Isaac Tawil, MD Prerequisites: Prior completion of general Emergency Medicine clerkship Accepting Visiting Students: Yes Contact: Isaac Tawil, MD; itawil@salud.unm.edu Additional Information: This course is offered during during certain blocks only, please contact the department for dates. This is an advanced career track rotation that builds on the basic knowledge and skills obtained during the basic rotations in Emergency Medicine and critical care. It is primarily intended for students interested in pursuing a career in emergency medicine and critical care. As the subspecialty of critical care medicine is becoming a more popular career path for emergency physicians, this rotation is intended to propagate that interest and highlight the crossover between the two disciplines. Selection Criteria: As this unique rotation promises to be a sought after clinical experience, the following are required prior to approval: a completed CV and a letter of interest explaining why you would like to participate in this rotation should be sent to Dr Tawil. Additional Information: This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  35. 35. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 35 DEPARTMENT OF EMERGENCY MEDICINE International Emergency Medicine - Nepal Course #: CLNS 833 Credit: Elective: Non-Clinical Duration: 4-5 Weeks Students per Rotation: 12 maximum Faculty Evaluator(s): David Wachter, MD Prerequisites: Accepting Visiting Students: Yes Contact: David Wachter, MD Goals and Unique Aspects: See objectives. Objectives: To examine the major barriers to health and provision of medical care in Nepal which are common to other Developing Countries using selected readings, on-site study and discussions; To explore approaches to overcoming those barriers through site visits and discussions; To learn to diagnose and treat problems commonly encountered in Travel/Tropical medicine and Altitude/Mountaineering Medicine through readings, discussions and first hand experience in the mountains; To learn to use ultrasound for emergency medical diagnosis and as an adjunct to treatment in a resource limited setting. Responsibilities: We will visit teaching hospitals in Kathmandu and Dharan, in which we will co-host courses in emergency ultrasound and important aspects of trauma care with our Nepali colleagues. We will also teach ultrasound in smaller hospitals and clinics in rural settings. Students will initially attend conferences as trainees, and will help with presentations and hands-on labs as the month progresses. Bedside rounds in emergency departments and clinics, discussing cases with local health care providers and introducing them to the use of diagnostic bedside ultrasound. We will visit traditional medical clinics where we will be given lectures on Ayurvedic medicine, Tibetan medicine and Chinese medicine/Acupuncture by experts in those fields. The group will travel to the jungle preserve of Chitwan national park where lectures will be given on Malaria, Kala Azar, and other tropical diseases, as well as other common local emergency medical problems such as cobra and krait envenomations and organohosphate poisoning. Supervision and Teaching: Lectures and practical training sessions will be directly taught by faculty, including emergency Physicians from the US and Nepal, as well as practitioners of traditional medicine. Due to the brief exposure to the local medical system and culture, students will not perform independent clinical work, but will gain clinical experience through group rounds led by faculty from Nepal and the US. Discussionson reading material and site visits will be led by course faculty.
  36. 36. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 36 DEPARTMENT OF EMERGENCY MEDICINE International Emergency Medicine – Nepal (continued) Course #: CLNS 833 Credit: Elective: Non-Clinical Duration: 4-5 Weeks Students per Rotation: 12 maximum Faculty Evaluator(s): David Wachter, MD Prerequisites: Accepting Visiting Students: Yes Contact: David Wachter, MD Evaluation: Students will be assessed by faculty coordinator based on observation of participation in discussions and performance in hands-on training (ultrasound and trauma labs). They will also be given a final examination covering key concepts. “Outstanding” grade will be given to those who show exceptional initiative and superior understanding of core subject matter, participate effectively in conferences and trainings, and perform in the top quartile on the final exam (must meet all of above criteria). Additional Information: This course is only available in the late fall/winter. Please contact the department for exact dates. Please see http://web.mac.com/drwachter/iWeb/Nepal%20Page/Itinerary%20Fall%202009%20(te ntative).html for more information. This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.
  37. 37. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 37 DEPARTMENT OF EMERGENCY MEDICINE Evolutionary Medicine Course #: CLNS 835 Credit: Elective: Non-Clinical Duration: 4 Weeks Students per Rotation: 10 Faculty Evaluator(s): Joe Alcock, MD Prerequisites: Phase II Clerkships Accepting Visiting Students: Contact: Vicky Rechkemmer 505-265-1711 x2621 Goals and Unique Aspects: Evolutionary biology has important implications for the medical concepts of health, "normal" physiology and illness. The last 15 years have seen increased exchange of information between the two fields of study. For instance, medicine has embraced evolutionary concepts that relate to pathogen resistance to antibiotics. We will explore how natural selection influences pathogen-host interactions, human genetics, immunology, development, cancer, and diseases of senescence. Objectives: Understand basic concepts of evolutionary biology as they relate to disease and health; Discuss natural selection, antibiotic resistance and emerging diseases and implications for public health; Understand how gene-environment mismatch contributes to diseases of western civilization; Recognize how some disease symptoms represent host defenses and others are pathogen virulence factors; Describe how common genetic polymorphisms such as sickle cell trait and Factor V Leiden can result from natural Selection; Understand how viruses can cause cancer and how selective processes contribute to carcinogenesis; Learn how genetic conflicts contribute to reproductive diseases. Gain insight into evolutionary hypotheses of human menopause and morning sickness; Recognize the link between diet, obesity, diabetes, and evolution This is a lecture, tutorial, and discussion based course. Students are expected to attend daily lectures, interactive casebased discussions, and presentations given by guest lecturers and other students. Student will have opportunities to pursue in-depth study of evolutionary medicine topics and present these to the faculty and students. Evaluation: Direct teaching by clerkship faculty and guest lecturers. Students will be expected to attend all lectures. Students should complete assigned readings prior to that day's lecture and contribute to discussions. Each week, following lectures and discussions, students will be asked to complete a written summary of that week's topic. As a one- time assignment, students will be asked to evaluate the strengths and weaknesses of journal articles in evolutionary medicine. For this "Journal Club", each student will be assigned a journal article to present to the group and provide commentary. Finally, each student will make a presentation during the last week of the course. Students should choose an area that interests them and produce a brief talk (powerpoint or equivalent) to present to the group. Participation (35%), Journal Club (10%), Weekly Writing Project (20%), Final Presentation (35%)
  38. 38. The University of New Mexico School of Medicine Phase III Clerkship Catalog :: 2010-2011 The University of New Mexico School of Medicine reserves the right to make changes to any of the policies, procedures, codes, standards, requirements, or services included in this handbook as it deems necessary, with the changes applicable to all students in attendance at the School of Medicine. 38 DEPARTMENT OF EMERGENCY MEDICINE Evolutionary Medicine (continued) Course #: CLNS 835 Credit: Elective: Non-Clinical Duration: 4 Weeks Students per Rotation: 10 Faculty Evaluator(s): Joe Alcock, MD Prerequisites: Phase II Clerkships Accepting Visiting Students: Contact: Vicky Rechkemmer 505-265-1711 x2621 Additional Information: This rotation is offered all year. Certain months will feature guest speakers and additional educational opportunities. Please email Dr. Alcock for more details. Partial Reading List 1. Introduction and Overview of Evolutionary Medicine. Chapter 1 in: Evolutionary Medicine and Health. 2008. Trevathan WR, Smith EO, McKenna JJ. Page 1-54. 2. The Great Opportunity: Evolutionary applications to medicine and public health. Nesse, RM and Steams SC. Evolutionary Applications 1 (2008) 28-48. 3. The adaptive value of fever. Kluger, MJ. et al. Infectious Disease Clinics North America. 1996. 4. Carriership of Factor V Leiden and Evolutionary Selection Advantage. Lindqvist PG, Dahlback B. Cur Med Chern 2008. 15: 1541-1544. 5. Crossing the Line: Selection and Evolution of Virulence Traits. Brown NF et al. 2006. PLoS Pathogens. 2(5) e42. Pages 0346-0353 6. Cancer as a microevolutionary process. Komarova NL and Wodarz D. Chapter 22 in: Evolution in Health and Disease. Second edition. Eds. Steams SC and Koella JC. 2008. pages 289-299. 7. Emergence of new infectious diseases. Woolhouse M and Antia R. Chapter 16 in: Evolution in Health and Disease. Second edition. Eds. Steams SC and Koella JC. 2008. pages 215-252. 8. Haig D. Genetic Conflicts in Pregnancy. Quarterly Review of biology. Volume 68(4). Dec 1993, 495-532. 9. The Developmental Origins of Adult Health. Kuzawa C. Chapter 18 in Evolutionary Medicine and Health. 2008. Trevathan WR, Smith EO, McKenna JJ. pages 325-349. 10. Still Pondering an Age-Old Question. Flatt T and Promislow EL. 2007. Science (318) 1255-1256. Additional Information: This rotation adheres to a strict add/drop policy. No changes are allowed less than 14 days prior to the rotation start date. This includes requesting to drop the rotation.

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