School of Medicine Course Catalog AY 2020 - 2021

• Board of Regents
• Chancellor
• President/Dean

Texas Tech University Health Sciences Center El Paso is accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC) to award baccalaureate, masters, and doctoral degrees. Texas Tech University Health Sciences Center El Paso also may offer credentials such as certificates and diplomas at approved degree levels. Questions about the accreditation of Texas Tech University Health Sciences Center El Paso may be directed in writing to the Southern Association of Colleges and Schools Commission on Colleges at 1866 Southern Lane, Decatur, GA 30033-4097, by calling (404) 679-4500, or by using information available on SACSCOC’s website (www.sacscoc.org).

Visit the Office of Institutional Research and Effectiveness SACSCOC Accreditation page for more details on accreditation process.

The Paul L. Foster School of Medicine is separately accredited by the Liaison Committee on Medical Education (LCME). The LCME is recognized by the U.S. Department of Education and World Federation for Medical Education (WFME) as the reliable authority for the accreditation of medical education programs leading to the M.D. degree and is sponsored jointly by the Association of American Medical Colleges (AAMC) and the American Medical Association (AMA).

Visit the Paul L. Foster School of Medicine LCME accreditation webpage for more details on the LCME accreditation process.

Paul L. Foster School of Medicine

Mission Statement:

The mission of the Texas Tech University Health Sciences Center El Paso Paul L. Foster School of Medicine is to provide an outstanding education and development opportunities for a diverse group of students, residents, faculty and staff; advance knowledge through innovation and research; and serve the needs of our socially and culturally diverse communities and regions.

Vision Statement:

The Texas Tech University Health Sciences Center El Paso Paul L. Foster School of Medicine will promote wellness and relieve human suffering through excellence in health care, intellectual innovation and service beyond borders.

Diversity Statement:

The Diversity Statement for the Texas Tech University Health Sciences Center El Paso Paul L. Foster School of Medicine can be found here:

elpaso.ttuhsc.edu/oghs/diversity-and-inclusion/default.aspx  

Texas Tech University Health Sciences Center El Paso

Mission Statement:

The mission of Texas Tech University Health Sciences Center at El Paso is to improve the lives of people in our State and our community by focusing on the unique health care needs of socially and culturally diverse border populations through excellence in integrated education, research, and patient care.

Here you will find the Academic Calendar for the 2020-21 Academic Year as well as our Title IX Compliance website.

And below is a timeline of Texas Tech University Health Sciences Center El Paso and a brief history of the Paul L. Foster School of Medicine.

Education Beyond Borders:

The TTUHSC El Paso PLFSOM received more than 2,500 applications for its charter class. On July 9, 2009, the 40 students chosen from the applicant pool took their place in history. These students were selected not only for their high intellectual ability and strong record of scholastic achievement, but also for their varied backgrounds, interests, life experiences, and qualities indicative of academic success. These students´ undergraduate universities included Texas Tech University, The University of Texas (Austin, El Paso, San Antonio, Dallas, Arlington, Brownsville, Permian Basin), Sul Ross University, and the University of Houston. Also represented in the TTUHSC El Paso PLFSOM inaugural class were the University of Michigan, Rensselaer, Princeton, Baylor, Emory, Rice, Johns Hopkins, and Harvard.

Medical students from the TTUHSC School of Medicine in Lubbock have been training on the El Paso campus for their third and fourth years for more than 38 years. As of July 2011, these TTUHSC-Lubbock students no longer train in El Paso.

Integration is the key to the curriculum of the TTUHSC El Paso PLFSOM. Unlike a traditional medical school, which requires students to wait until their third year of studies before they are introduced to the clinical sciences, students at the PLFSOM are immersed into the basic and clinical sciences in their first year. Students learn anatomy, biochemistry, physiology, and other basic science concepts and content needed to understand specific clinical presentations. From the first day of medical school, students are taught to think like a doctor. Active learning comes into play when students interact with highly complex mannequins that simulate everything from cardiac arrest to a vaginal birth in our Center for Advanced Teaching and Assessment in Clinical Simulation (ATACS). Standardized patients, individuals trained to act out symptoms of certain conditions, help students learn how to diagnose specific conditions while also developing their people skills.

Not only is the curriculum integrative, but students are also integrated into the community. At the only four-year medical school on the U.S./Mexico border, students interact with their diverse community through the Society, Community, and Individual course. The course integrates medicine and public health by providing an arena that enhances Spanish language skills, provides an opportunity to experience community medicine and home visits while interacting with members of a health care team, and gives students the chance to experience culturally diverse populations.

The location of the PLFSOM provides students with insight into afflictions and circumstances known in developing countries, while still living in the United States. In the final two years of medical school, students interact with actual patients and gain knowledge in ways that no textbook or simulated situation could ever teach. These experiences provide students with the background to lead the nation in medical care and prevention upon graduation.

• Office of Student Services
• PLFSOM Student Affairs
• Disability Support Services
• Financial Aid
• Program for Academic Support & Enrichment (PASE)
• Program of Assistance for Students (PAS)
• Registrar
• Student Organizations
• Veteran Affairs
• Library
• Student Business Services
• Information Technology
• Parking Information

• Institutional Student Handbook
• Academic Misconduct
• Code for Professional Conduct
• Medical Student Code of Professional and Academic Conduct
• Medical Student Honor Code
• Standard of Behavior in the Learning Environment
• Common Clerkship Policies
• Off-Cycle Entry Into Year 3
• Off-Cycle Students and Changes to Course Policies Related to Assessment and Grading
• Grading and Promotion Policies
• Academic Standing Policy
• Leave of Absence
• Impaired Medical Student Policy
• Students with Disabilities (HSCEP OP 77.14)
• Student Travel Policy (HSCEP OP 77.08)
• Working with Affiliated Entities - Student Drug Screening (HSCEP OP 77.15)

• Admissions
• General Philosophy
• Admissions Requirements
• Application Process
• Application for Admissions
• Joint Admissions Medical Program
• Advance Standing Admissions
• Academic Scholarships
• Standards for Completion of the Curriculum (Website Summary)
• Standards for Curricular Completion (Full Policy Review)
• Curriculum Content and Overview
• Course of Study

The Doctor of Medicine/Master of Public Health (M.D./M.P.H.) is a collaborative program offered by the Texas Tech University Health Sciences Center El Paso (TTUHSC El Paso) Paul L. Foster School of Medicine (PLFSOM) and The University of Texas Health Science Center at Houston School of Public Health (UTSPH). The M.D./M.P.H. program will prepare students to integrate medical and public health skills in their professional lives as practitioners, administrators, and researchers. The MD-MPH degree prepares students to address community, regional, and population-specific public health issues.

Curriculum:

Shared credit between the two institutions for selected coursework makes it possible for students to complete both degrees simultaneously within the four years of medical school, while still being able to customize the M.P.H. program to individualized interests and educational goals. Student interests are varied including exploring behavioral health, health policy, and global health issues, or deepening skills in epidemiology or health care administration. The PLFSOM Society, Community, and the Individual course complements the M.P.H. curriculum and supports requirements related to the UTSPH practicum requirement.

Students are guided throughout the program by faculty from the two participating schools. M.P.H. coursework begins the summer before medical school and continues in the summer between first and second year of medical school and then throughout years three and four. Preliminary core required coursework may be taken online and does not require residence in El Paso at the time of enrollment.

Application deadline for the M.P.H.:

April 1* - Summer or fall admissions – PLFSOM students should apply in early spring once they are matched with PLFSOM to begin course work in the summer before medical school

October 1* - Spring admissions

*Deadlines are subject to change; contact the UTSPH for current deadlines.

GREs are waived for students who have been accepted to medical school; also note letters of support used for medical school may be used for the M.D.-M.P.H. program application.

Application forms and directions can be found at the following websites:

 

UTHealth SPH
https://sph.uth.edu/application/

Or see the application directly at the Schools of Public Health Application Service (SOPHAS)
https://sophas.org/program-finder/?program=4501

 

For more information, please contact both schools:

TTUHSC El Paso:

E. Lee Rosenthal, Ph.D., M.S., M.P.H., TTUHSC El Paso M.D./M.P.H. Program Coordinator
Lee.Rosenthal@ttuhsc.edu| 915-215-6459

M.D./M.P.H. email: MD-MPH-ElPaso@ttuhsc.edu

 

PLFSOM Admissions webpage: M.D./M.P.H. Option

 

UTHealth SPH:

M.D./M.P.H. Program Contacts:

Kristina Mena, Ph.D., M.S.P.H.

El Paso Campus Dean

Kristina.D.Mena@uth.tmc.edu | 915-975-8514

Maribel Alomari, M.P.H.

Program Administrator, El Paso Campus

Maribel.Alomari@uth.tmc.edu | 915-975-8515

Ricardo Belmares, Ph.D.
Instructor, Department of Medical Education
Texas Tech University Health Sciences Center El Paso
O: 915-215-5875
ricardo.belmares@ttuhsc.edu

Students with a special interest in advanced instruction in anatomy may apply for the PLFSOM Distinction in Anatomy Program during the 2nd semester of their MS1 year. Students must demonstrate an ability to succeed in the core curriculum as a prerequisite to acceptance into the Distinction in Anatomy Program. Students interested in the elective Distinction in Anatomy Program must fulfill the program’s general and anatomy-specific criteria, seen below, and submit a complete application by April 1st of the MS1 year.

ELIGIBILITY: All students in good academic standing and with a good record of professionalism are eligible to apply for the Distinction in Anatomy Program. Students who are placed on academic warning or probation, as defined by the PLFSOM Grading, Promotion, and Academic Standing (GPAS) policy, are not eligible for the Distinction in Anatomy Program and must withdraw from the program if enrolled.

MS1 Year

ACCEPTANCE PROCESS AND CRITERIA: The application deadline is April 6^th of the MS1 year. Acceptance is determined by a committee consisting of the participating anatomy faculty members, the Chair of the Department of Medical Education, the Associate Dean for Medical Education, and the Associate Dean for Student Affairs. Acceptance is to be based primarily on the applicant’s general academic record; an essay explaining the applicant’s motivation and professional goals as related to the Distinction in Anatomy Program; and the applicant’s performance on anatomy summative exam items.

CAPACITY: The number of students accepted for the Distinction in Anatomy Program is to be determined each year by the participating anatomy faculty members and the Chair of the Department of Medical Education, with final approval by the Associate Dean for Medical Education.

As outlined in the following sections, the Distinction in Anatomy Program begins immediately following the end of the MS1 spring semester.

 

MS1 Summer Break

The summer dissections for the Distinction in Anatomy program are intended to provide the student with a firm foundation in clinically oriented human gross anatomy. This is a 6-week course that incorporates self-directed learning materials that prepare the student for each day’s lab experience, followed by dissection labs that expose the student to the detailed structure of the human body, and completed by review of the material using organized learning materials after lab. These dissections will potentially be used in general anatomical instruction in the following year.

Labs will begin each morning at 8am in MEB 4120, except when there is a practical exam. There will be a short quiz (do not be late - there are no make-up quizzes), followed by a brief overview of the day's dissection. After the overview, we will perform the day's dissection. Labs are scheduled from 8am-noon on most days, although some of the dissections will take time in the afternoon to complete. Practical exams are scheduled for 3pm. Attendance for all dissection sessions is mandatory with only two absences permitted. Students will be required to complete all the dissection assignments.

Lectures and prelab learning modules are online at: anatomy.elpaso.ttuhsc.edu. Students should review the narrated PowerPoint lab overview lectures and the prelab learning modules, and watch the online dissection videos, before coming to labs. The daily quiz questions will be drawn from the online lectures and prelab learning material. Students should use the computers in the gross anatomy lab to review dissection procedures and adhere closely to the instructions in the online Lab Manual when performing dissections. Students must make records of their dissections on the forms provided, including notes and photographs of any pathology, evidence of surgery, and anatomical variation. After lab, students should use the online Dissector Answers to review the material dissected that day, and review any Learning Modules assigned to the lab. The final step in reviewing is to look over the online Review Questions.

Grades will be based on the average of all of the prelab quizzes (25%) and the average of all of the practical exams (75%). Distinction students need to attain a minimum course average of 70% to remain in the program.

The schedule for the anatomy labs to be completed in the MS1 summer break follows:

Week 1: May 27-29, 2020

Introduction; Superficial Back; Deep Back & Spinal Cord
Pectoral Region & Breast; Posterior Shoulder, Axilla, & Arm Forearm;

Wrist & Hand

Week 2: June 1-5, 2020

Joints of Back and Upper Limbs

Practical Exam 1
Anterior & Medial Thigh; Hip & Posterior Thigh & Leg Anterior Leg & Foot

Joints of the Lower Limbs

Week 3: June 8-12, 2020

Practical Exam 2
Thoracic Wall, Pleura, & Pericardium
Heart Superior Mediastinum & Lungs; Posterior Mediastinum

Practical Exam 3

Week 4: June 15-19, 2020

Abdominal Wall & Inguinal Region
Peritoneal Cavity & Intestines; Stomach & Spleen

Duodenum, Pancreas, Liver, & Gallbladder Kidneys & Retroperitoneum Practical Exam 4

Week 5: June 22-26, 2020

Pelvic Viscera; Pelvic Muscles & Neurovasculature
Perineum
Practical Exam 5 Anterior Triangle of the Neck; Posterior Triangle & Root of the Neck Larynx & Pharynx

Week 6: June 29- July 3, 2020

Scalp, Cranial Cavity, & Brain

Parotid Gland & Face; Infratemporal Fossa & Oral Cavity

Orbit & Eye; Ear & Nasal Cavity Practical Exam 6

All students are each required to develop a research project that must be approved by the anatomy faculty. It may also serve as the student’s SARP project if desired. Clinically oriented anatomy research projects are highly recommended and may entail studies of anatomical variations, development and testing of novel anatomical teaching materials, investigations of modifications to surgical procedures or invasive techniques, or the relationship of anatomy to other fields of medicine, such as radiology, anesthesiology,

obstetrics and gynecology, internal medicine, etc. Other research projects less related to anatomy will be considered on a case-by-case basis and must be approved by the anatomy faculty.

MS2 Year

Students will participate in six MS1 and MS2 anatomy labs as teaching assistants. TA obligations will be shared, and will be coordinated by the supervising anatomy faculty as follows:

• Ranking of preferred labs for TA assignments, 1-24, and faculty anatomists will match accordingly to the best of their ability.

• Assisting the faculty with the preparation of the gross anatomy materials/specimens, and be prepared to serve as an informed teaching assistant for each assigned lab duty.

• Participation of a minimum of 6 labs duties is mandatory.

• Attendance at pre-lab meetings for their TA assignments is also mandatory.

Students must take the TTUHSC Anatomy Cumulative Exam (ACE) at the end of the MS1 summer break after the 6 weeks of dissection and must score at or above 75% on the ACE to remain in the program; Remediation opportunities will be provided up to the end of the pre-clerkship phase of the curriculum. Students are also required to schedule and take the NBME Anatomy Subject exam within a week of the ACE in order to benchmark their performance against a national measure of competence. Once the MS2 requirements have been meet the student will be considered as a Candidate of the Distinction in Anatomy Program.

MS3 Year

If necessary, candidates will continue to work on their research project. When the project is completed, the candidate will submit their scholarship for peer-reviewed publication or presentation at a regional or national meeting. Poster or platform presentation at a regional or national conference is the minimum requirement for the research component of the Distinction in Anatomy Program.

MS4 Year

Distinction in Anatomy Program candidates will be required to enroll in and successfully complete an advanced anatomy and/or surgical anatomy elective of at least 2 weeks in length.

If not already completed, candidates will submit their anatomy scholarship for peer-reviewed publication or presentation at a regional or national meeting. A poster presentation at a regional or national conference is the minimum requirement for the research component, however acceptance of a peer-reviewed publication is encouraged.

 

Distinction

Upon successful completion of all the above outlined elements of the Distinction in Anatomy Program, with review and verification by the program committee (as described above for the acceptance process), candidates will receive a designation of “Distinction in Anatomy” on their diplomas in addition to a notation on their official transcript indicating completion of the Distinction in Anatomy Program.

Summary of Requirements for Distinction in Anatomy

• Perform all required dissections with dissection documentation - Summer MS1

• Attain a minimum average score of 70% for graded components of the dissection experience - Summer MS1

• Pass the TTUHSC Anatomy Cumulative Exam at 75% and take the NBME Anatomy Subject Exam – End of Summer MS1

• Serve as Teaching Assistant for 6 anatomy lab assignments for MS1 and MS2 students – MS2

• Present and/or publish anatomy-related research project findings - MS3 or MS4

• Complete advanced anatomy and/or surgical anatomy elective of at least 2 weeks in length - MS4.

Carolyn D. Mack, Associate Director
Office of Scholarly Activity and Research Program (SARP)
Phone: 915-215-4341
Fax: 915-783-1709

 

Purpose:

The purpose of the Distinction in Research and Scholarship (DIRS) program is to recognize Paul L. Foster School of medicine (PLFSOM) students who have demonstrated exceptional engagement and proficiency in scholarship and research while in medical school.

This distinction goes beyond the requirements of the Scholarly Activity and Research Program (SARP), which exposes students to the scholarship process but does not necessarily expect engagement or proficiency in all aspects of the scholarship/research process and published outcomes.

 

Eligibility Criteria for DIRS award:

• Must have completed all requirements of the SARP program.
• Must be in good standing in regard to academics and professionalism, as determined by the Office of Student Affairs.

 

Application Guidelines:

When applying for the DIRS program, students are required to select a primary project that best exemplifies their overall engagement, proficiency and achievements in scholarship/research. For the purpose of DIRS, the primary project can be a SARP project or any project of the applicant’s choosing, provided it was executed while he/she was in medical school. Students are asked to provide a detailed description of their involvement in each of the following aspects of their primary project:

• Development of the research/scholarly question or hypothesis
• Project design
• Institutional Review Board (IRB) application (if applicable)
• Data collection, analysis and interpretation
• Preparation of any manuscripts or presentations at a local, regional or national meeting

 

Finally, students are encouraged to list and briefly summarize their participation in and accomplishments for any additional projects other than their primary project. Such additional contributions and efforts will be considered by the committee and incorporated into the discussion before casting a final vote.

Note: All projects must be executed while in medical school.

 

Application Process:

The application will consist of two components: 1) student application and 2) mentor support form.

1. Students must submit an application documenting the following:
   • Full description of primary* project and listing of any additional projects with their associated scholarly productivity (e.g., peer- reviewed publications; presentations at local, national or regional meetings).
     
     *Note: Your primary project for DIRS does not have to be your SARP project.
     
     
   • Detailed description (provided by student) of personal involvement with the primary project for each of the following:
     • Development of research question or hypothesis
     • Project design
     • IRB application (if applicable)
     • Data collection, analysis and interpretation
     • Preparation of manuscripts and presentations (oral and/or poster) at local, regional or national meetings
     • Additional projects can be listed in Section 4 of the application.
     • Letters of support from faculty or other researchers/scholars involved in the project (in addition to mentor’s support form — see below).
       
       Note: Faculty, researchers and other scholars involved in the project must email their letters of support DIRECTLY to carolyn.mack@ttuhsc.edu.
       
       
2. Mentor Support Form
   • The project mentor(s) for each project, primary or other, must submit an overall evaluation of the student along with a description of the student’s involvement in each of the following:
     • Development of research question or hypothesis
     • Project design
     • IRB application (if applicable)
     • Data collection, analysis and interpretation
     • Preparation of manuscripts, presentations (oral and/or poster) at local, regional or national meetings
       
       Note: Mentors must email their Mentor Support Forms DIRECTLY to carolyn.mack@ttuhsc.edu.

 

DIRS Application Review Process:

• The completed DIRS application will be reviewed by a faculty committee convened by the SARP program directors. The committee will consist of five faculty members drawn from at least three different departments.
• Committee members may not be mentors of the DIRS applicants.
• Each review panel will include at least one M.D. and one Ph.D.-holding faculty member.
• SARP co-directors will convene the review panel, facilitate review and serve as non-voting ex-officio members.

 

DIRS Awards

All DIRS applicants will be notified of their application status via email. DIRS awardees will also receive an official congratulatory letter signed by the dean of the PLFSOM.

Overall Goal: Provide patient-centered care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health.

1.1	Gather essential information about patients and their conditions through history taking, physical examination, and the use of laboratory data, imaging studies, and other tests.
1.2	Make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment.
1.3	For a given clinical presentation, use data derived from the history, physical examination, imaging and/or laboratory investigation to categorize the disease process and generate and prioritize a focused list of diagnostic considerations.
1.4	Organize and prioritize responsibilities in order to provide care that is safe, efficient, and effective.
1.5	Recognize a patient requiring urgent or emergent care, and initiate evaluation and management.
1.6	Describe and propose treatments appropriate to the patient’s condition and preferences.
1.7	Accurately document history, physical examination, assessment, investigatory steps and treatment plans in the medical record.
1.8	Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making.
1.9	Provide preventative health care services and promote health in patients, families and communities.
1.10	Demonstrates and applies understanding of key issues in performing procedures and mitigating complications, and demonstrates reliable mechanical skills in performing the general procedures of a physician.

Overall Goal: Demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care.

2.1	Compare and contrast normal variation and pathological states in the structure and function of the human body across the life span.
2.2	Apply established and emerging foundational/basic science principles to health care.
2.3	Apply evidenced-based principles of clinical sciences to diagnostic and therapeutic decision-making and clinical problem solving.
2.4	Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resources, and disease prevention/health promotion efforts for patients and populations.
2.5	Apply principles of social-behavioral sciences to patient care including assessment of the impact of psychosocial, cultural, and societal influences on health, disease, care seeking, adherence and barriers to care.
2.6	Demonstrate an understanding of and potential for engagement in the creation, dissemination and application of new health care knowledge.

Overall Goal: Demonstrate the ability to investigate and evaluate the care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.

3.1	Identify and perform learning activities to address gaps in one’s knowledge, skills and/or attitudes.
3.2	Demonstrate a basic understanding of quality improvement principles and their application to analyzing and solving problems in patient and/or population-based care.
3.3	Accept and incorporate feedback into practice.
3.4	Locate, appraise and assimilate evidence from scientific studies related to patients’ health problems.
3.5	Obtain and utilize information about individual patients, populations or communities to improve care.

Overall Goal: Demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families and health professionals.

4.1	Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds.
4.2	Communicate effectively with colleagues and other health care professionals.
4.3	Communicate with sensitivity, honesty, compassion and empathy.
4.4	Maintain comprehensive and timely medical record.

Overall Goal: Demonstrate understanding of and behavior consistent with professional responsibilities and adherence to ethical principles.

5.1	Demonstrate sensitivity, compassion, integrity and respect for all people.
5.2	Demonstrate knowledge of and appropriately apply ethical principles pertaining to patient privacy, autonomy and informed consent.
5.3	Demonstrate accountability to patients and fellow members of the health care team.
5.4	Demonstrate and apply knowledge of ethical principles pertaining to the provision or withholding of care.
5.5	Demonstrate and apply knowledge of ethical principles pertaining to health care related business practices and health care administration, including compliance with relevant laws, policies, regulations and the avoidance of conflicts of interest.
5.6	Demonstrate honesty in all professional and academic interactions.
5.7	Meet professional and academic commitments and obligations.

Overall Goal: Demonstrate an awareness of and responsiveness to the larger context and system of health care as well as the ability to call on other resources in the system to provide optimal care.

6.1	Describe the health system and its components, how the system is funded and how it affects individual and community health.
6.2	Demonstrate the ability to identify patient access to public, private, commercial and/or community-based resources relevant to patient health and care.
6.3	Incorporate considerations of benefits, risks and costs in patient and/or population care.
6.4	Describe appropriate processes for referral of patients and for maintaining continuity of care throughout transitions between providers and settings.

Overall Goal: Demonstrate the ability to engage in an interprofessional team in a manner that optimizes safe, effective patient and population-centered care.

7.1	Describe the roles of health care professionals.
7.2	Use knowledge of one’s own role and the roles of other health care professionals to work together in providing safe and effective care.
7.3	Function effectively both as a team leader and team member.
7.4	Recognize and respond appropriately to circumstances involving conflict with other health care professionals and team members.

Overall Goal: Demonstrate the qualities required to sustain lifelong personal and professional growth.

8.1	Recognize when to take responsibility and when to seek assistance.
8.2	Demonstrate healthy coping mechanisms in response to stress and professional responsibilities.
8.3	Demonstrate flexibility in adjusting to change and difficult situations.
8.4	Utilize appropriate resources and coping mechanisms when confronted with uncertainty and ambiguous situations.
8.5	Demonstrate the ability to employ self-initiated learning strategies (problem definition, identification of learning resources and critical appraisal of information) when approaching new challenges, problems or unfamiliar situations.

Class of 2024, your orientation will run from June 30, 2020 through July 2, 2020. The first year of your Pre-clerkship Courses starts July 6th, 2020. The fall semester will consist of four courses and the second semester will consist of five courses, for a total of 44 credit hours for the entire year. During the spring semester, you will be expected to select a Scholarly Activity Research Project (SARP) topic, and begin work on this project that may take several semesters to complete.

Fall semester

PSPM 5021 SCIENTIFIC PRINCIPLES OF MEDICINE I [14 cr.] This course is the first of the Scientific Principles of Medicine (SPM) block. The two-year SPM course provides a comprehensive and integrated approach to understanding normal structure and function and the biological bases underlying disease and injury. The SPM course is divided into 10 units: Introduction to Health and Disease (IHD); Gastrointestinal System (GIS); Integumentary, Musculoskeletal and Nervous Systems (IMN); Hematologic System (HEM); Cardiovascular and Respiratory Systems (CVR); Renal System (RNL); Central Nervous System and Special Senses (CSS); Endocrine System (END); Reproductive System (REP); and Mind and Human Development (MHD). Each unit is organized around clinical presentations which serve as the springboard for the study of the basic sciences needed to understand that presentation. The SPM course employs a variety of teaching and learning modalities including interactive lectures, small groups, laboratory exercises, team-based learning and self-directed study. The SPM I consists of the following three units: IHD, GIS, and IMN.

PMSK 5301 MEDICAL SKILLS I [2 cr.] Introduces students to the skills needed to diagnose patients' illnesses and equips students with the skills needed to interact effectively and compassionately with patients and their families. Through the Medical Skills course, students learn medical history taking, physical examination maneuvers, basic procedures (e.g., IV and catheter placement) and how to distinguish between normal and abnormal findings. Medical Skills is very closely integrated with the Scientific Principles of Medicine course and is organized by the Clinical Presentations assigned to each of the organ system units of that course. Medical Skills employs lectures, small group, and self-directed study methods. Medical Skills gives students opportunities to interact with trained standardized patients and high tech human body simulators which are designed to respond in physiologically appropriate ways in "real time". Medical Skills is conducted in a state-of-the-art Clinical Skills and Clinical Simulation Center. By the conclusion of the four semester Medical Skills sequence, students will be prepared to conduct complete head to toe history and physical examinations. They will also be prepared to conduct appropriate focused history and physical examinations based on the patients' presenting problem(s).

PMAS 5101 COLLEGE COLLOQUIUM I [2 cr.] Coordinated by the Masters' of the Colleges (learning communities) to which each student is assigned for the duration of their medical school careers. The Masters' Colloquium addresses issues related to professionalism, ethics, controversies in medicine, and to the "art of medicine". The course will employ a variety of teaching and learning modalities including lectures, panel discussions, student led discussions, small groups, and reflection exercises. Every effort is made to link the topics addressed in the Masters' Colloquium to the body region, system, and clinical presentations that are being addressed concurrently in the Scientific Principles of Medicine course.

PSCI 5221 SOCIETY, COMMUNITY, AND INDIVIDUAL I [8 cr.] SCI has four required components: 1) Social Foundations of Medicine, 2) Introduction to Clinical Research, 3) Community Health Experience, and 4) Conversational and Medical Spanish. Students are exposed to population health, public health, the community and delivery of health care systems. Course themes include: biostatistics, epidemiology, community family, culture, environmental and occupational health and Spanish (conversational and medical Spanish integrated in curriculum). Field experiences provide exposure to the border community and culture. Students learn principles of devidence-based medicine and have opportunities to participate in service learning projects and community-based research.

Spring semester

PSPM 5012 SCIENTIFIC PRINCIPLES OF MEDICINE II [12 cr.] This course is the second of the Scientific Principles of Medicine block. The Scientific Principles of Medicine II consists of the following three units: Hematologic System (HEM); Cardiovascular and Respiratory Systems (CVR); and Renal System (RNL).

PMSK 5302 MEDICAL SKILLS II [2 cr.] Continuation of Medical Skills I.

PMAS 5112 COLLEGE COLLOQUIUM II [1 cr.] In the Masters' Colloquium students discuss topics related to professionalism, ethics controversies in medicine, and the "artistry" associated with the practice of medicine. Masters' Colloquium topics will be linked to the clinical presentations in the Scientific Principles of Medicine course. The Masters' Colloquium will also provide a venue for students to share community experiences derived from participation in the Society, Community, and Individual course.

PSCI 5212 SOCIETY, COMMUNITY, AND INDIVIDUAL II [2 cr.] This course is designed to expose students to population health, public health, the community, and delivery of health care in the community. SCI is comprised of seven themes that are threaded throughout the first two years: biostatistics, epidemiology, community, family, culture, environmental and occupational health, and Spanish. Familiarity with conversational and medical Spanish is integrated into the curriculum. In addition, all students will learn about the border community and culture through field experiences and exercises. Students will also learn principles of evidence-based medicine and will be given opportunities to participate in service learning projects and community-based research.

PSAP 5401 SCHOLARLY ACTIVITY PROJECT I [1 cr.] The first phase of a three phase required independent study project that must be completed no later than the fall of the fourth year of medical school. Students must sign up for Scholarly Activity Project 1 in the second semester of the first year of medical school. Credit will be given for identifying a project and a project mentor. A wide variety of projects ranging from participating in on-going basic or clinical research projects, participating in community-based projects, or engaging in a project related to medical humanities or medical education research. A database of project opportunities will be available to aid the student in identifying on-going projects and mentors.

Class of 2023, the second year of your Pre-clerkship Courses starts August 3, 2020. The fall semester will consist of four courses and the second semester will consist of five courses, for a total of 24 credit hours for the entire year. You are expected to continue work on the SARP topic you selected during MS 1 and you will need to enroll in subsequent SARP courses (SARP II and III) during MS 2 through MS 4, at your discretion, to complete this project. The earlier you start your work for the project, the higher the likelihood of completing your project prior to the conclusion of your four years at the Paul L. Foster School of Medicine.

Fall semester

PSPM 6011 SCIENTIFIC PRINCIPLES OF MEDICINE III [12 cr.] This course is the third of the SPM block. This course will provide extensive information regarding structure and function relationships in the central nervous system. It will also provide the most up to date, evidence-based approach to clinical problems in endocrinology such as diabetes, obesity and lipid disorders, thyroid abnormalities, pituitary disease, calcium, bone and osteoporosis, as well as reproductive and adrenal disorders. Students learn through didactic lectures, small group case discussions, and directed reading. This course is taught in an organ system approach and the material is integrated/coordinated with Pathology, Pharmacology, Microbiology, Physiology, Biochemistry, and Anatomy. 

PMSK 6311 MEDICAL SKILLS III [2 cr.] Medical Skills III is the third semester of four semester courses. Medical Skills III has three Units: CNS and special senses (CSS); Endocrine System (END); and Reproduction unit (Repro).

Learning is accomplished through pre-session review of preparatory material, readiness assurance quizzes, history taking skills, physical examination skills, communication skills via standardized patient encounters, SOAP note writing, group debriefing, demonstration and guided practice with feedback on performance of basic procedural skills, simulated clinical procedures in small group settings, and other modalities related to above three systems.

Formative evaluation of students is through structured feedback from peers, verbal and structured feedback from standardized patients, and a weekly group writing exercise composing a consensus SOAP note, and periodic faculty guided review of performance in the standardized patient encounters related to above three systems. Summative evaluation is through graded OSCE standardized patient encounters plus an observed demonstration of the comprehensive neurological exam, core physical exam and pelvic and breast exams.

PMAS 6111 COLLEGE COLLOQUIUM III [2 cr.] In the Masters' Colloquium, students discuss topics related to professionalism, ethics, controversies in medicine, and the "artistry" associated with the practice of medicine. Masters' Colloquium topics will be linked to the clinical presentations in the Scientific Principles of Medicine course. The Masters' Colloquium will also provide a venue for students to share community experiences derived from participation in the Society, Community, and Individual course.

PSCI 6211 SOCIETY, COMMUNITY, AND INDIVIDUAL III [2 cr.] This course is designed to expose students to population health, public health, the community, and delivery of health care in the community. SCI is comprised of seven themes that are threaded throughout the first two years: biostatistics, epidemiology, community, family, culture, environmental and occupational health, and Spanish. Familiarity with conversational and medical Spanish is integrated into the curriculum. In addition, all students will learn about the border community and culture through field experiences and exercises. Students will also learn principles of evidence-based medicine and will be given opportunities to participate in service learning projects and community-based research.

 

Spring semester

PSPM 6022 SCIENTIFIC PRINCIPLES OF MEDICINE IV [4 cr.] This course is the fourth of the SPM block. This course is designed to provide the students a thorough understanding of the basic concepts related to normal human development. Emphasis on developmental theories and principles of growth, development, and behavior of children from conception through adolescence. 

PMSK 6302 MEDICAL SKILLS IV [1 cr.] Continuation of Medical Skills III.

PMAS 6112 COLLEGE COLLOQUIUM IV [1 cr.] In the Masters' Colloquium, students discuss topics related to professionalism, ethics, controversies in medicine, and the "artistry" associated with the practice of medicine. Masters' Colloquium topics will be linked to the clinical presentations in the Scientific Principles of Medicine course. The Masters' Colloquium will also provide a venue for students to share community experiences derived from participation in the Society, Community, and Individual course.

PSCI 6212 SOCIETY, COMMUNITY, AND INDIVIDUAL IV [1 cr.] This course is designed to expose students to population health, public health, the community, and delivery of health care in the community. SCI is comprised of seven themes that are threaded throughout the first two years: biostatistics, epidemiology, community, family, culture, environmental and occupational health, and Spanish. Familiarity with students conversational and medical Spanish in integrated into the curriculum. In addition, all students will learn about the border community and culture though field experiences and exercises. Students will also learn principles of evidence-based medicine and will be given opportunities to participate in service learning projects and community-based research.

 

Register for this course in either MS 2 or MS 3:

PSAP 6401 SCHOLARLY ACTIVITY PROJECT II [1 cr.] Continuation of Scholarly Activity Project I. Students will register for this course during the semester in which they intend to execute the project they have developed. Credit will be based on the judgment of the mentor and course directors that sufficient progress has been made to enable the student to prepare a poster documenting the project and its outcomes.

Class of 2022, your orientation runs from May 7 through May 8, 2020, and the first day of the academic year starts May 11, 2020. The structure of MS 3 differs from others in that the entire year is separated into blocks (Block A, Block B, and Block C). Students will rotate through the different blocks throughout the academic year. At the end of the second and third blocks, students will take PICE 7002 Clerkship Intersession [2 cr], 1-week intercessions. Work on the SARP will continue with enrollment in SARP II or III courses, depending on your project’s progress.

Order of Medical Student Year 3 and Year 4 clerkships and coursework vary by student—requirement listing only, sequence not implied.

 

Block A

PFAM 7001 FAMILY MEDICINE CLERKSHIP [7 cr.] This clerkship exposes students to the care of the undifferentiated ambulatory patient across the life-span. The emphasis of this clerkship is on the diagnosis and management of common acute problems and the longitudinal management of patients with chronic conditions. Health promotion and prevention are also stressed. This clerkship is paired with the surgery clerkship in a 16-week block, of which 6 weeks is devoted family medicine. In addition, during the 16-week block, students spend one- half day per week in a longitudinal family medicine selective experience designed to give the student opportunities to explore particular areas within the discipline of family medicine such as chronic disease management, sports medicine, geriatrics, community medicine, or pre-natal care. Students will also have opportunities to participate in a community service activity during the clerkship. Finally, “shared” teaching and learning experiences are provided in both family medicine and surgery (e.g., wound care, pre- and post-operative care, sports medicine, etc.)

PSUR 7001 SURGERY CLERKSHIP [10 cr.] This clerkship exposes students to the pathophysiology of surgical diseases and to the principles and techniques of surgical approaches to the diagnosis and management of diseases. As members of the surgical team consisting of attending physicians and residents, students participate in pre-operative, operative, and post-operative patient care. This clerkship is paired with the discipline of Family Medicine in an integrated 16-week block, of which 6 weeks focuses on general surgery and three three three weeks is allocated to a surgical subspecialty selective experience (e.g., orthopedic surgery, plastic surgery, and neurosurgery). “Shared” teaching and learning experiences spanning the disciplines of Surgery and Family Medicine are provided to expose students to interdisciplinary approaches to patient care and management.

Block B

PINT 7001 INTERNAL MEDICINE CLERKSHIP [10 cr.] In this 10-week experience students participate as members of the ward team performing histories and physical examinations and in the integration and documentation of data derived from laboratory investigation and imaging studies leading to the accurate diagnosis of disease. Students are also exposed to standards of care in the treatment of acute and chronic illnesses of adults. Eight weeks of this experience are devoted to general internal medicine and two weeks are set aside for a subspecialty selective in a variety of areas including cardiology, pulmonology, infectious diseases, and rheumatology. The internal medicine clerkship shares an integrated 16-week block with the psychiatry clerkship. A variety of “shared” teaching and learning opportunities are provided to explore the mental health implications of various diseases and the medical implications of psychiatric disorders.

PPSY 7001 PSYCHIATRY CLERKSHIP [7 cr.] This clerkship is designed to expose students to the diagnosis and management of common psychiatric illness across the life-span in both ambulatory and in-patient settings. The psychiatry clerkship is paired with the internal medicine clerkship in a 16-week block of which 6 weeks is devoted to experiences in the discipline of psychiatry. In addition, students also participate in a one-half day per week longitudinal selective experience throughout the 16-week block in such areas as child and adolescent psychiatry, sleep medicine, neurology, psychiatric emergency medicine, and consultation-liaison psychiatry. Shared teaching and learning opportunities, including joint medicine-psychiatry rounds, are held to permit students to explore the overlap between the disciplines of medicine and psychiatry.

Block C

PPED 7001 PEDIATRICS CLERKSHIP [8 cr.] This is an 8 week clinical experience that is paired with obstetrics-Gynecology in a 16 week integrated block. Students are exposed to a comprehensive approach to the care of children in the pediatric in-patient, neo-natal, and ambulatory settings. As members of ward teams and working under the supervision of faculty physicians in ambulatory settings, students participate in the evaluation and management of children suffering from a variety of acute and chronic health care problems. Wellness and prevention are also stressed. “Shared” learning opportunities with OB-GYN are provided over the 16 week block including a “mother-baby” experience in which students are assigned to a pregnant patient, participate in the delivery of that patient’s infant and then follows the infant into the pediatric care setting.

POBG 7001 OBSTETRICS-GYNECOLOGY CLERKSHIP [8 cr.] In this 8-week clinical rotation, students participate in the comprehensive care of women and include experiences in pre- and post-natal care, labor and delivery, and the medical and surgical management of diseases in women. In-patient and ambulatory experiences are provided. The OB-GYN clerkship is paired in an integrated 16-week block with pediatrics. These disciplines share a “mother-baby” experience in which students are participate in the care of a pregnant patient, participate in that patient’s delivery, and then follow the care of the infant as part of the pediatric component of the clerkship.

Register for this course in either MS 2 or MS 3:

PSAP 6401 SCHOLARLY ACTIVITY PROJECT II [1 cr.] Continuation of Scholarly Activity Project I. Students will register for this course during the semester in which they intend to execute the project they have developed. Credit will be based on the judgment of the mentor and course directors that sufficient progress has been made to enable the student to prepare a poster documenting the project and its outcomes.

Register for this course in either MS 3 or MS 4:

PSAP 7401 SCHOLARLY ACTIVITY PROJECT III [1 cr.] The culmination of the Scholarly Activity Project requirement. Students will register for this course during the semester in which they present the results of their projects in a poster presentation during a student forum on research and scholarship.

Class of 2021, the first day of the academic year starts June 8, 2020. The structure of MS 4 differs from others in that students will select courses from the Critical Care Selective and the Sub-Internship menus, in addition to four elective courses. Keep in mind your SARP project will be due in this fourth year.

Order of Medical Student Year 3 and Year 4 clerkships and coursework vary by student—requirement listing only, sequence not implied.

††PNEU 8001 CLINICAL NEUROSCIENCES [4 cr.] This rotation exposes the student to basic principles of diagnosis and management of common neurologic conditions. Students learn skills in conducting neurologic exams, identifying signs and symptoms of neurologic disorders, and integrating signs and symptoms into syndromes. Students learn about basic neurologic disorders and neurologic complications of systemic conditions.

††Required MPH course

 

PEME 8001 EMERGENCY MEDICINE [4 cr.] This is a required four-week clerkship that will be taken in most instances in year 4. In unusual circumstances this clerkship may be taken in year 3 but only with the concurrence of the senior associate dean for medical education and that of the associate dean for student affairs. This clerkship provides students opportunities to participate in the care of undifferentiated acutely ill patients presenting to the emergency department.

Select one Critical Care Selective from the following:

PINT 8002 MICU/CCU [4 cr.] This selective/elective utilizes patients admitted to the intensive care units within various teaching hospitals. The student will gain experiences in managing common medical emergencies, including cardiopulmonary arrest, drug overdose, hypertension, acute myocardial infarction, cardiogenic shock, congestive heart failure, renal failure, and diabetic ketoacidosis. The student is also expected to become proficient in the evaluation and management of common chest problems, including asthma, chronic obstructive pulmonary disease, pleural effusions, perioperative complications, pneumonia, atelectasis, respiratory failure, pulmonary function tests, and chest x-rays, and to become familiar with the various types of mechanical ventilators, oxygen delivery systems, and methods of delivering inhaled medication.

-OR-

PPED 8002 PEDIATRIC INTENSIVE CARE UNIT [4 cr.] This is a critical care selective clerkship. The student will be exposed to all pediatric critical care: Sepsis, Trauma, ARDs, and all potentially or life-threatening illnesses. The student will act as an acting intern with direct patient care responsibilities. There will be no outpatient, ward, or clinic responsibilities except Continuity Clinic. The student will make daily rounds with the attending physicians. The student will have an opportunity to perform procedures such as spinal taps, A-line, central lines, chest tubes, intubation, and catheter placement. Emphasis will be placed on physiology, recognition of common acute life-threatening injuries/illnesses, and ventilator management.

-OR-

PPED 8003 NEONATOLOGY INTENSIVE CARE [4 cr.] This selective/elective is designed to familiarize the student with perinatal/neonatal physiology, high-risk factors associated with neonatal disease pathophysiology diagnosis and management of common neonatal problems, dealing with acute neonatal emergencies, and communicating with parents of high-risk neonates. The students’ primary responsibility will be the total management and supervision of assigned patients. Students will also be expected to participate in daily rounds, night call, weekly discussion group on neonatal/perinatal diseases and presentation of a review on a selected aspect of neonatal/perinatal medicine towards the end of the rotation.

-OR-

PSUR 8002 SURGICAL INTENSIVE CARE [4 cr.] This elective is an experience in the management of surgical patients in the intensive care unit.

-OR-

PNEU 8002 NEUROLOGICAL CRITICAL CARE [4 cr.] This selective/elective is a four-week experience that fulfills the Critical Care requirement. The student will gain experience in the management of critically ill patients with complex medical problems requiring extensive monitoring and intervention. This experience is only available to students who have completed all required third year clerkships.

 

Select one Sub-Internship from the following:

PFAM 8001 FAMILY MEDICINE SUB-INTERNSHIP [4 cr.] The acting internship in Family Medicine is a four-week rotation on the inpatient service at University Medical Center and weekly continuity clinic at the Family Medicine Clinic. The student will be an integral part of the inpatient team which consists of a family medicine attending, family medicine residents (PGY-1, PGY-2, and PGY-3), a PharmD, and the inpatient ancillary staff (nursing, social workers, and physical therapy). The student will be exposed to a broad spectrum of acutely ill patients. Student responsibilities include initial evaluation of patients, taking a detailed history and physical, selective of appropriate therapeutics and presentation of the patient to the team and subsequent care during the patient’s hospitalization. This includes family medicine patients, patients admitted to the medicine, pediatric, or labor and delivery floors.

-OR-

PINT 8001 INTERNAL MEDICINE SUB-INTERNSHIP [4 cr.] This ward-based, primary care sub-internship provides the student an individualized, case-oriented experience as a sub-intern on a general medicine ward service, designed to be the natural extension of the third-year clerkship. Each student will work closely with a senior resident, have primary patient responsibility, take night call with his/her team, have patient care responsibilities like an intern with close supervision by the senior resident, be assigned readings and give mini-lectures on selected subjects, and attend the regularly scheduled teaching conferences of the Department of Internal Medicine. This sub-internship is strongly recommended for students planning to pursue a career in Internal Medicine.

-OR-

POBG 8001 OB/GYN SUBINTERNSHIP [4 cr.] The sub-internship in Obstetrics and Gynecology will further advance the student’s understanding of care of the female patient. It will include ambulatory, hospital, and surgical care of the female patient, from adolescents to the older female patient. Over the course of 4 weeks students will participate on an intern level in the care of obstetrical and gynecological patients.

-OR-

PPED 8001 PEDIATRIC SUBINTERNSHIP [4 cr.] The student will work as a member of a team caring for patients admitted to the pediatric inpatient service. During this elective, the student will have an opportunity to learn to formulate problem lists, management, and follow-up plans for hospitalized pediatric patients. The student assumes the role of extern and takes call with the residents.

-OR-

PSUR 8001 GENERAL SURGERY SUBINTERNSHIP [4 cr.] The student will serve as an extern on the surgical service and participate in the care of surgical patients in the emergency room, surgical wards, operating room, and clinic. Pre and postoperative care and the management of patients in the Surgical Intensive Care units will be stressed. Assignments to selected clinical faculty preceptors are also available. Students will take in-house calls.

 

PICE 8001 BOOTCAMP [2 cr.] Required 2-week boot camp in the Spring of the 4th year.  The primary objective of the rotation will be to ensure readiness for practice on day 1 of residency. Activities will include simulations and other interactive learning modalities to address the core Entrustable Professional Activities (EPA) for entering residency.

 

ELECTIVES: Students will select four elective courses to cap MS 4. A listing of all elective courses is available in the 2019-20 Academic Catalog under Elective Courses.

 

Register for this course in either in MS 3 or MS 4:

PSAP 7401 SCHOLARLY ACTIVITY PROJECT III [1 cr.] The culmination of the Scholarly Activity Project requirement. Students will register for this course during the semester in which they present the results of their projects in a poster presentation during a student forum on research and scholarship.

*PANE 8011 SENIOR ANESTHESIOLOGY ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

*PANE 8051 ANESTHESIOLOGY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Anesthesiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PANE 8052 ANESTHESIOLOGY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Anesthesiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PANE 8053 ANESTHESIOLOGY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Anesthesiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

†PANE 8100 ANESTHESIOLOGY RESEARCH [varies, 1-99 cr.] Students with an interest in research in Anesthesiology will spend time in the departmental research division participating in some phase of a research project (design and development, literature review, data gathering and interpretation, write-up) under the supervision of a faculty member directing the project.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PEME 8001 EMERGENCY MEDICINE [4 cr.] This is a required four week clerkship that will be taken in most instances in year 4. In unusual circumstances this clerkship may be taken in year 3 but only with the concurrence of the senior associate dean for medical education and that of the associate dean for student affairs. This clerkship provides students opportunities to participate in the care of undifferentiated acutely ill patients presenting to the emergency department.

*PEME 8011 SENIOR EMERGENCY MEDICINE ELECTIVE [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs. (2 or 4 weeks)

*PEME 8013 BOOT CAMP: PREPARING FOR PGY [1 cr.] This elective is designed to completely manage simulated patients with a variety of issues including IM, pediatric, surgical, obstetric, neurological and orthopedic problems. Students will also receive specific training and resuscitation measures.

*PEME 8051 EMERGENCY MEDICINE ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Emergency Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PEME 8052 EMERGENCY MEDICINE ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Emergency Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PEME 8053 EMERGENCY MEDICINE ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Emergency Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

†PEME 8100 EMERGENCY MEDICINE RESEARCH [varies, 1-99 cr.] Students with an interest in research in Emergency Medicine will spend time in the departmental research division participating in some phase of a research project (design and development, literature review, data gathering and interpretation, write-up) under the supervision of a faculty member directing the project.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PFAM 7001 FAMILY MEDICINE CLERKSHIP [varies, 1-99 cr.] This clerkship exposes students to the care of the undifferentiated ambulatory patient across the life-span. The emphasis of this clerkship is on the diagnosis and management of common acute problems and the longitudinal management of patients with chronic conditions. Health promotion and prevention are also stressed. This clerkship is paired with the surgery clerkship in a 16 week block, of which 6 weeks is devoted family medicine. In addition, during the 16 week block, students spend one- half day per week in a longitudinal family medicine selective experience designed to give the student opportunities to explore a particular areas within the discipline of family medicine such as chronic disease management, sports medicine, geriatrics, community medicine, or pre-natal care. Students will also have opportunities to participate in a community service activity during the clerkship. Finally, “shared” teaching and learning experiences are provided in both family medicine and surgery (e.g., wound care, pre- and post-operative care, sports medicine, etc.)

PFAM 7002 FAMILY MEDICINE CLERKSHIP [7 cr.] This clerkship exposes students to the care of the undifferentiated ambulatory patient across the life-span. The emphasis of this clerkship is on the diagnosis and management of common acute problems and the longitudinal management of patients and chronic conditions. Health promotion and prevention are also stressed. The clerkship is paired with the Surgery Clerkship in a 16 week block, of which 6 weeks is devoted to Family Medicine. In addition students spend one-half day per week in a longitudinal Family Medicine selective designed to give the students opportunities to explore areas of interest. "Shared" teaching and learning experiences are provided in both Family Medicine Surgery.

PFAM 8001 FAMILY MEDICINE SUB-INTERNSHIP [4 cr.] The acting internship in Family Medicine is a four week rotation on the inpatient service at University Medical Center and weekly continuity clinic at the Family Medicine Clinic. The student will be an integral part of the inpatient team which consists of a family medicine attending, family medicine residents (PGY-1, PGY-2, and PGY-3), a PharmD, and the inpatient ancillary staff (nursing, social workers, and physical therapy). The student will be exposed to a broad spectrum of acutely ill patients. Student responsibilities include initial evaluation of patients, taking a detailed history and physical, selective of appropriate therapeutics and presentation of the patient to the team and subsequent care during the patient’s hospitalization. This includes family medicine patients, patients admitted to the medicine, pediatric, or labor and delivery floors.

*PFAM 8011 FAMILY MEDICINE SENIOR ROTATION (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

*†PFAM 8016 CLINICAL RESEARCH IN PRIMARY CARE (4 weeks) [varies, 1-99 cr.] Students interested in clinical research, particularly those considering careers in academic medicine will especially find this elective beneficial. Students will spend time within the research division, participating in an ongoing research project under the guidance of a mentoring research faculty and research associate.

**†PFAM 8019 BORDER HLTH SPANISH IMMERSION COURSE [4 cr.] The goal of this 4 week course for 4th year students is to have a Spanish immersion ambulatory primary care experience in Presidio, TX (pop. 7,000), where the predominant language is Spanish, allowing a unique opportunity to learn and improve upon Spanish within TX. A secondary goal is to understand the unique challenges that both patients and providers have accessing and providing primary care in one of the most isolated and resource limited communities along the TX-Mexico border, with opportunities to engage the community in both public health and community outreach education. (2 student cap.)

**†PFAM 8020 COMMUNITY GERIATRICS IN AN UNDERSERVED SETTING [4 cr.] This 4 week elective will allow 4th year medical students to practice/apply/demonstrate geriatric competencies learned during Year 1 to 3 to geriatric populations throughout El Paso and surrounding communities such as: PACE unit, Senior Citizen Centers, Assisted Living Centers, Hospice, Social Service agencies, and Adult Protective Services. Students will interact with Elder Law specialists, nutritionists and exercise physiologists and geriatricians. (2 student cap.)

**†PFAM 8021 PUB. HLTH. AND COMM.-BASED APPROACHES FOR DISEASE PREVENTION [2 cr.] The goals of this 2 week course for 4th year students are to attain a basic knowledge of the function of public health in disease prevention and observe the role of key public health organizations for disease prevention in El Paso. Students will complete assigned weekly readings, engage in discussion of public health topics, visit two community public health organizations and write a reflection paper on their experiences. (6 student cap.)

*PFAM 8051 FAMILY MEDICINE ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Family Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PFAM 8052 FAMILY MEDICINE ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Family Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PFAM 8053 FAMILY MEDICINE ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Family Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PFAM 8100 COMMUNITY-BASED RESEARCH (2 students) [4 cr.] Students interested in community-based research, particularly those considering careers in academic medicine will especially find this elective beneficial. Students will spend time within the research division, participating in an ongoing research project under the guidance of a mentoring research faculty and research associate.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PICE 7002 CLERKSHIP INTERSESSION [2 cr.] Two 1-week intercessions in the third year - one following Block 2 and one following Block 3. Content integration of Year 3 clinical rotation experiences with basic science principles/concepts covered in Year 1 and 2. Additional topics may include: clinical overlap across specialties, clinical encounter documentation, prescription and inpatient order writing, competency of general procedures required of a physician, quality improvement, patient safety, emergent basic science concepts, application of biostats, epidemiology and social determinants of health in patient care, informed consent professionalism and ethical principles in practice.

PICE 8001 BOOTCAMP [2 cr.] Required 2-week boot camp in the Spring of the 4th year. The primary objective of the rotation will be to ensure readiness for practice on day 1 of residency. Activities will include simulations and other interactive learning modalities to address the core Entrustable Professional Activities (EPA) for entering residency.

*†PIDP 8010 BIOMEDICAL INFO. MGT. ELECTIVE – BIOMEDICAL INFORMATION MANAGEMENT ELECTIVE [varies, 1-99 cr.] This elective is designed to provide the student with basic competencies in biomedical information management. The student is primarily taught the basics of searching the biomedical literature via PubMed. Searching EBM Reviews, MICROMEDEX, PDQ, TOXNET, and other biomedical literature databases are addressed as needed. The student is assigned take-home practice exercises to strengthen their literature searching skills. At the end of the rotation, the student is given a brief practical examination of his/her abilities to search these tools.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PINT 7001 INTERNAL MEDICINE CLERKSHIP [10 cr.] In this 10 week experience students participate as members of the ward team performing histories and physical examinations and in the integration and documentation of data derived from laboratory investigation and imaging studies leading to the accurate diagnosis of disease. Students are also exposed to standards of care in the treatment of acute and chronic illnesses of adults. Eight weeks of this experience are devoted to general internal medicine and two weeks are set aside for a subspecialty selective in a variety of areas including cardiology, pulmonology, infectious diseases, and rheumatology. The internal medicine clerkship shares an integrated 16 week block with the psychiatry clerkship. A variety of “shared” teaching and learning opportunities are provided to explore the mental health implications of various diseases and the medical implications of psychiatric disorders.

PINT 8001 INTERNAL MEDICINE SUB-INTERNSHIP [4 cr.] This ward-based, primary care sub-internship provides the student an individualized, case-oriented experience as a sub-intern on a general medicine ward service, designed to be the natural extension of the third-year clerkship. Each student will work closely with a senior resident, have primary patient responsibility, take night call with his/her team, have patient care responsibilities like an intern with close supervision by the senior resident, be assigned readings and give mini-lectures on selected subjects, and attend the regularly scheduled teaching conferences of the Department of Internal Medicine. This sub-internship is strongly recommended for students planning to pursue a career in Internal Medicine.

*PINT 8002 CVCU [4 cr.] The goal of the Cardiovascular (CV) selective is to give students the opportunity to develop basic skills in evaluation and treatment of patients with cardiovascular disease through exposure to cardiology in the critical care setting with a wide variety of diagnostic and therapeutic cardiovascular procedures. Cardiovascular disease is the leading cause of mortality in the United States and represents a significant proportion of diagnoses in the internal medicine out-patient service. Understanding the principles of diagnosis and management of the most common cardiovascular diseases is essential training for the general internist.  The clerkship will include CVICU bedside rounds and case discussion, ECG reading sessions, stress test observation and reading sessions, observation of catheterization lab procedures, and reading and searching the pertinent literature.

*PINT 8011 CARDIOLOGY ELECTIVE [varies, 1-99 cr.] This ward-based consult service elective consists of daily review of electrocardiograms and echocardiograms, cardiology consultation rounds, Cardiac Care Unit teaching rounds, weekly cardiology teaching conferences, and cardiac catheterization conferences. The student will prepare a review of an assigned topic for the weekly cardiology conferences. Bedside cardiovascular examination and management will be stressed.

*PINT 8012 ENDOCRINOLOGY ELECTIVE [varies, 1-99 cr.] This elective includes inpatient and outpatient care, weekly conferences in clinical and basic endocrinology, and research activity if desired. The student will have an opportunity to work up and manage patients with a wide variety of both chronic and acute endocrinological and metabolic disorders. Patients with hypertension, especially those known or suspected to be caused by an endocrine disease, will also be seen.

*PINT 8013 GASTROENTEROLOGY ELECTIVE [varies, 1-99 cr.] This elective provides opportunities for learning office practice of gastroenterology including evaluation of patients with peptic ulcer disease, malabsorption, liver disease, etc. Extensive outside reading will be required. The student may be involved in direct patient care in a hospital setting.

*†PINT 8014 INFECTIOUS DISEASE ELECTIVE [varies, 1-99 cr.] This ward-based elective offers the student an opportunity to evaluate and care for patients with infectious diseases and to gain an understanding of the clinical microbiology procedures important in the care of these patients. HIV and AIDS will be discussed. Each student will be encouraged to prepare and present one seminar or write a paper on a subject of his/her choice. Time for independent study will be allowed.

*PINT 8015 ONCOLOGY/HEMATOLOGY ELECTIVE [varies, 1-99 cr.] This elective provides exposure to clinical and laboratory diagnosis as well as management of neoplastic and hematologic disorders. Representative case reviews are used to supplement current clinical material where appropriate. Peripheral blood, bone marrow, and tumor morphology are emphasized as well as clinical staging and chemotherapy. There will be exposure as to how new investigational drugs are tried and protocol treatments are given to cancer patients. Students can also obtain concept in bone marrow transplantation including both clinical and laboratory processing of bone marrow cells. Options are available for major focus in ambulatory or ward setting, or both.

*PINT 8016 NEPHROLOGY ELECTIVE [varies, 1-99 cr.] This elective offers clinical experience in the diagnosis and management of patients with acute and chronic renal failure, hypertension, fluid and electrolyte imbalances, acid base disturbance, parenchymal renal diseases, etc.

*PINT 8017 PULMONARY ELECTIVE [varies, 1-99 cr.] This elective is offered to the student for clinical experience in pulmonary disorders, emphasizing acute and chronic respiratory failure, intensive respiratory care, and interpretation of pulmonary function tests and chest x-rays.

*PINT 8018 RHEUMATOLOGY ELECTIVE [varies, 1-99 cr.] This elective offers an in-depth look at the clinical array of rheumatologic disorders. Students will be exposed to inpatients and outpatients with emphasis on diagnosis and long-term management of common rheumatic diseases. Depending on the student's level of proficiency and interest, the student may be allowed to participate in procedures such as joint aspiration and injection, and will interpret synovial fluid studies. Students will learn the correct indications and monitoring of common rheumatic drugs and the fundamentals of rheumatic rehabilitation.

*PINT 8019 DERMATOLOGY CLINIC [varies, 1-99 cr.] This elective is designed to expose the student to a wide variety of dermatologic conditions with the expectation that at the conclusion of the experience common disorders will be recognizable. The student will participate in clinics (few inpatient consults) observing a variety of dermatologic disorders and dermatologic procedures in both the adult and pediatric patient population. Also offered is exposure to dermatopathology and dermatologic surgery, thus allowing clinicopathologic correlation.

PINT 8023 GERIATRICS [varies, 1-99 cr.] This rotation will allow students to learn about the principles of aging and become proficient in the management of certain Geriatrics syndromes.

*†PINT 8025 NUTRITION SUPPORT ELECTIVE (2 students) [2-4 cr.] During this elective, the student will be exposed to a spectrum of conditions that are present in hospitalized patients or could be the reason for hospitalization and will learn first-hand about pathophysiology, treatment approaches including enteral and parenteral nutrition approaches and pharmacologic options to control symptoms. The elective is offered as a 2- or 4-week elective and is available August-April.

*PINT 8027 CLINICAL ALLERGY, ASTHMA, AND IMMUNOLOGY PRACTICE [4 cr.] This elective will allow full exposure to the clinical practice of Allergy and Immunology. Students will have the opportunity to see patients referred for diagnosis and management of a wide variety of allergic disorders. These may include urticaria, angioedema, atopic dermatitis, food allergy, allergic asthma, drug and insect allergy, frequent sinopulmonary illness, and immunodeficiency. Related and overlap disorders include rhinosinusitis, nasal polyposis, vocal cord dysfunctions, obstructive sleep disorders, and food intolerance medicine. This specialty treats children and adults. Students will also have the opportunity to observe testing and treatment techniques in the specialty, including skin testing.

*PINT 8051 INTERNAL MEDICINE ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Internal Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PINT 8052 INTERNAL MEDICINE ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Internal Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PINT 8053 INTERNAL MEDICINE ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Internal Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

†PINT 8100 INTERNAL MEDICINE RESEARCH [varies, 1-99 cr.] Students with an interest in research in Internal Medicine will spend time in the departmental research division participating in some phase of a research project (design and development, literature review, data gathering and interpretation, write-up) under the supervision of a faculty member directing the project.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PMAS 5101 MASTERS' COLLOQUIUM I [2 cr.] Coordinated by the Masters' of the Colleges (learning communities) to which each student is assigned for the duration of their medical school careers. The Masters' Colloquium addresses issues related to professionalism, ethics, controversies in medicine, and to the "art of medicine". The course will employ a variety of teaching and learning modalities including lectures, panel discussions, student led discussions, small groups, and reflection exercises. Every effort is made to link the topics addressed in the Masters' Colloquium to the body region, system, and clinical presentations that are being addressed concurrently in the Scientific Principles of Medicine course.

PMAS 5112 MASTERS' COLLOQUIUM II [1 cr.] In the Masters' Colloquium students discuss topics related to professionalism, ethics controversies in medicine, and the "artistry" associated with the practice of medicine. Masters' Colloquium topics will be linked to the clinical presentations in the Scientific Principles of Medicine course. The Masters' Colloquium will also provide a venue for students to share community experiences derived from participation in the Society, Community, and Individual course.

PMAS 6111 MASTERS' COLLOQUIUM III [1 cr.] In the Masters' Colloquium, students discuss topics related to professionalism, ethics, controversies in medicine, and the "artistry" associated with the practice of medicine. Masters' Colloquium topics will be linked to the clinical presentations in the Scientific Principles of Medicine course. The Masters' Colloquium will also provide a venue for students to share community experiences derived from participation in the Society, Community, and Individual course.

PMAS 6112 MASTER'S COLLOQUIUM IV [1 cr.] In the Masters' Colloquium, students discuss topics related to professionalism, ethics, controversies in medicine, and the "artistry" associated with the practice of medicine. Masters' Colloquium topics will be linked to the clinical presentations in the Scientific Principles of Medicine course. The Masters' Colloquium will also provide a venue for students to share community experiences derived from participation in the Society, Community, and Individual course.

*PEDI 8010 ADVANCED GROSS ANATOMY I [varies, 1-99 cr.] This elective is an in-depth, self-directed review of a selected area of gross anatomy including: head and neck, thorax and abdomen, pelvis and perineum, extremities and back, or anatomical imaging depending on the needs of the student. (2 or 4 week)

PEDI 8011 SURGICAL ANATOMY [varies, 1-99 cr.] Is in essence, a surgery “boot camp”. The course will consist of lecture, cadaver dissection, laparoscopic surgery simulation, and surgical skills. If you are entering a surgical residency and can arrange your schedule to participate in this course, you will be glad you did. (2 week)

*PEDI 8014 PUTTING THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) INTO PRACTICE [4 cr.] The goal of this 4 week elective is to provide the students with an understanding of the health policies inherent in the PPACA legislation and how these policies, when put into practice, impact physician/patient care and reimbursement. Students completing the elective will have a basic understanding on theoretical methods to implement strategies to obtain health policy compliance and sufficient reimbursement to financially thrive in practice. Students who are interested should contact Dr. Wagner for more information. (10 students)

*†PEDI 8015 HEALTH INFORMATICS [4 cr.] The goal of this 4 week elective is to introduce students to various departments and processes involved in Digital Health. Students will see how Clinical Information Systems (CIS) run. They will also be exposed to the policy and processes behind clinical systems (EMR) and gain understanding of the Meaningful Use of Electronic Medical Records. Students will gain knowledge of the "Journey to Value" and how this affects all of healthcare.

*†PEDI 8016 GLOBAL HEALTH [2-4 cr.] The elective is intended to expose the student to an international and cultural experience and to provide an opportunity for the student to better understand the medical needs of an underserved population while assessing opportunities to reach out to other segments in our global society.

**†PEDI 8017 CARING COMMUNICATION [2 cr.] The goal of this 2 week elective for 4th year students is to allow students to advance their knowledge, skills, values and attitudes from pre-entrustable towards entrustable behaviors, specifically within the competency domain of Interpersonal Communication Skills (ICS) with patients and families (ICS-1), and intra- and inter-professional communication (ICS-2). (1 student cap.)

**†PEDI 8018 COMMUNITY AND BORDER HEALTH IMMERSION [2 cr.] This 2 week elective for 4th year students aims to increase student's direct exposure to issues of community and border health in the Paso del Norte Region, especially as they impact individuals, families, and communities with limited access to economic resources. A 5-day experience where the student lives with the family will be incorporated into the elective. (10 student cap.)

NOTE: This course is being newly offered. It grew out of dialogue with students in the class of 2019 linked to the Public Health Interest Group during their first years at PLFSOM. The plan is to offer the Immersion in the early Spring 2019 (after Residency interviews and before Match Day). It is anticipated that this will include a brief (up to 5 nights) home stay for pairs of students with local families (tent.in Sunland Park, NM). The goal is for a small cohort of MS4s students to go through this Immersion together. Contact Dr. Rosenthal to discuss this course and learn more about plans for the course. –note added for MPH students by Dr. Rosenthal 1-25-18

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PMSK 5301 MEDICAL SKILLS I [2 cr.] Introduces students to the skills needed to diagnose patients' illnesses and equips students with the skills needed to interact effectively and compassionately with patients and their families. Through the Medical Skills course, students learn medical history taking, physical examination maneuvers, basic procedures (e.g., IV and catheter placement) and how to distinguish between normal and abnormal findings. Medical Skills is very closely integrated with the Scientific Principles of Medicine course and is organized by the Clinical Presentations assigned to each of the organ system units of that course. Medical Skills employs lectures, small group, and self-directed study methods. Medical Skills gives students opportunities to interact with trained standardized patients and high tech human body simulators which are designed to respond in physiologically appropriate ways in "real time". Medical Skills is conducted in a state-of-the-art Clinical Skills and Clinical Simulation Center. By the conclusion of the four semester Medical Skills sequence, students will be prepared to conduct complete head to toe history and physical examinations. They will also be prepared to conduct appropriate focused history and physical examinations based on the patients' presenting problem(s).

PMSK 5302 MEDICAL SKILLS II [2 cr.] Continuation of Medical Skills I.

PMSK 6311 MEDICAL SKILLS III [1 cr.] Medical Skills III is the third semester of a four semester courses. Medical Skills III has three Units: CNS and special senses (CSS); Endocrine System (END); and Reproduction unit (Repro).

Learning is accomplished through pre-session review of preparatory material, readiness assurance quizzes, history taking skills, physical examination skills, communication skills via standardized patient encounters, SOAP note writing, group debriefing, demonstration and guided practice with feedback on performance of basic procedural skills, simulated clinical procedures in small group settings, and other modalities related to above three three three systems.

Formative evaluation of students is through structured feedback from peers, verbal and structured feedback from standardized patients, and a weekly group writing exercise composing a consensus SOAP note, and periodic faculty guided review of performance in the standardized patient encounters related to above three three three systems. Summative evaluation is through graded OSCE standardized patient encounters plus an observed demonstration of the comprehensive neurological exam, core physical exam and pelvic and breast exams.

PMSK 6302 MEDICAL SKILLS IV [1 cr.] Continuation of Medical Skills III.

††PNEU 8001 CLINICAL NEUROSCIENCES [4 cr.] This rotation exposes the student to basic principles of diagnosis and management of common neurologic conditions. Students learn skills in conducting neurologic exams, identifying signs and symptoms of neurologic disorders, and integrating signs and symptoms into syndromes. Students learn about basic neurologic disorders and neurologic complications of systemic conditions.

*PNEU 8002 NEUROLOGICAL CRITICAL CARE [4 cr.] This selective/elective is a four week experience that fulfills the Critical Care requirement. The student will gain experience in the management of critically ill patients with complex medical problems requiring extensive monitoring and intervention. This experience is only available to students who have completed all required third year clerkships.

PNEU 8010 NEUROLOGY SENIOR ROTATION (Prerequisite: PNEU 8001) [varies, 1-99 cr.] This rotation exposes the student to the anatomy of the central system vasculature. Students will learn the pathology and critical care management of neurovascular cases, including aneurysm, AVM, embolectomy in acute stroke, and acute stroke management. Students will also be required to participate in a scholarship activity during the month.

*PNEU 8012 NEUROINTERVENTIONAL ELECTIVE (Prerequisite: PNEU 8001) [4 cr.] This rotation exposes the student to the anatomy of the central system vasculature. Students will learn the pathology and critical care management of neurovascular cases, including aneurysm, AVM, embolectomy in acute stroke, and acute stroke management. Students will also be required to participate in a scholarship activity during the month.

*PNEU 8051 NEUROLOGY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Neurology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PNEU 8052 NEUROLOGY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Neurology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PNEU 8053 NEUROLOGY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Neurology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

†PNEU 8100 NEUROLOGY RESEARCH [varies, 1-99 cr.] Students with an interest in research in Neurology will spend time in the departmental research division participating in some phase of a research project (design and development, literature review, data gathering and interpretation, write-up) under the supervision of a faculty member directing the project.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

POBG 7001 OBSTETRICS-GYNECOLOGY CLERKSHIP [4 cr.] In this 8 week clinical rotation, students participate in the comprehensive care of women and include experiences in pre- and post-natal care, labor and delivery, and the medical and surgical management of diseases in women. In-patient and ambulatory experiences are provided. The OB-GYN clerkship is paired in an integrated 16 week block with pediatrics. These disciplines share a “mother-baby” experience in which students are participate in the care of a pregnant patient, participate in that patient’s delivery, and then follow the care of the infant as part of the pediatric component of the clerkship.

POBG 8001 OB/GYN SUBINTERNSHIP [4 cr.] The sub-internship in Obstetrics and Gynecology will further advance the student’s understanding of care of the female patient. It will include ambulatory, hospital, and surgical care of the female patient, from adolescents to the older female patient. Over the course of 4 weeks students will participate on an intern level in the care of obstetrical and gynecological patients.

*POBG 8010 OB/GYN SENIOR ROTATION [varies, 1-99 cr.] This elective offers further growth, improvement in skills, and broadening of knowledge in benign gynecologic problems, the performance of gynecologic procedures, and an introduction to office management. The student will participate in the preoperative and postoperative management of patients (both in clinic and in the inpatient setting), in evaluating and treating patients (both in an emergency room and clinic settings), and in gynecologic surgery. Postoperative care will provide an opportunity to learn wound care, respiratory support, rehabilitation, and resolution of postoperative ileus. In surgery, the student will learn suturing, knot tying, wound closure techniques, hysteroscopy, and dilation and curettage. The outpatient clinic training will include clinical medicine, as well as the "business of medicine.” Assessment and treatment of vulvar/vaginal infections, STDs, and chronic pelvic pain will be stressed. Endometrial biopsy will be taught. Colposcopy procedures for cervical lesions will be covered. This elective is also applicable to students who plan a career in primary care specialties such as Internal Medicine or Family Medicine. Emphasis will be directed towards developing competency in pelvic examination, obtaining and interpreting Pap smears, diagnosing and treating vaginitis, prescribing hormone replacement therapy, and managing patients on oral contraception. The student will be expected to make rounds with the GYN team daily. Lectures and resident education conferences will be attended as well as discussion with the attending physician and resident physicians of the GYN team of assigned reading topics.

*POBG 8012 GYNECOLOGICAL ONCOLOGY/SURGERY (4 weeks) [varies, 1-99 cr.] This elective is for students interested in becoming more familiar with gynecologic operations and the multidisciplinary care of women with gynecologic malignancies. Specifically, experience will be obtained in the complex peri-operative and operative management of women with pelvic neoplasms. In addition, radiation treatment and planning the administration of chemotherapy will be practiced. Emphasis will also be placed on histopathologic diagnosis and correlation. The students will participate in the pre-operative and post-operative management of patients (both clinic and inpatient settings), in evaluating and treating patients (both in an emergency room and clinic setting), and gynecologic surgery. Post-operative care will provide an opportunity to learn wound care, respiratory support, rehabilitation, and resolution of post-operative ileus. The outpatient clinic training will include clinical medicine, as well as the “business of medicine”. Periodic pathology conferences will be attended. Colposcopy procedures for cervical lesions will be covered. The student will be expected to make rounds with the GYN oncology team daily. Lectures and resident education conferences will be attended, as well as discussion with the attending physician and resident physicians of the GYN oncology team on assigned reading topics.

*POBG 8016 ADVANCED OBSTETRICS (Prerequisite: POBG 7001) [4 cr.] In this elective, the student will take part in simulation exercises at the ATACS (ultrasound, EMR, laparoscopic high fidelity). The student will be part of the Maternal Fetal Medicine Team and will round on the Antepartum service during the week and attend High Risk and Diabetes clinics. There will also be weekly workshops covering topics such as knowledge of surgical instruments, writing orders/hand-offs, and identifying emergencies on L&D.

*POBG 8017 GYN MIS ELECTIVE (Pre-requisite: POBG 7001) [4 cr.] This elective is meant to provide a 'hands on" GYN curriculum for 4th year medical students that incorporates GYN high and low fidelity simulation with an emphasis on minimally invasive surgery. The ultimate goal of this rotation is to enable the trainee to efficiently acquire basic level skills essential to building confidence and ease drawn from the use of multiple types of tasks in a virtual reality environment. The modules that will be used are designed to improve orientation, eye-hand coordination and manual skills through the manipulation of virtual 3D models using virtual surgical instruments.

*POBG 8051 OB/GYN ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Obstetrics & Gynecology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*POBG 8052 OB/GYN ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Obstetrics & Gynecology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*POBG 8053 OB/GYN ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Obstetrics & Gynecology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*†POBG 8100 OB/GYN RESEARCH [varies, 1-99 cr.] This elective is designed to teach medical students selected fundamentals of research, as well as the provide opportunity to learn laboratory skills, and potentially participate in a research topic that will be presented at a national meeting. Students will learn how to perform hormone assays, radioimmunoassay, ELISAs, etc., data entry, and fundamentals of experimental design and statistics and be involved in a manuscript presentation. The opportunity to be involved in patient enrollment in studies also exists. Lectures and resident education conferences will be attended as well as discussions with the director of clinical research on assigned reading topics.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

POPH 8011 GENERAL OPHTHALMOLOGY SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

**POPH 8012 CLINICAL OPHTHALMOLOGY ROTATION [2-4 cr.] This 2 or 4 weeks course for 4th year students will teach students sufficient ophthalmologic knowledge and clinical skills to recognize common eye complaints and their etiology as well as less common, but life or sight threatening emergencies. This course expands basic knowledge and focuses on clinical exam skills, while broadening a basic differential. (2 student cap.)

*POPH 8051 OPHTHALMOLOGY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Ophthalmology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*POPH 8052 OPHTHALMOLOGY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Ophthalmology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*POPH 8053 OPHTHALMOLOGY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Ophthalmology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*POPH 8100 OPHTHALMOLOGY RESEARCH [varies, 1-99 cr.] This elective introduces the student to the wide range of research possibilities in the area of visual sciences. A number of projects are available. Ongoing projects include Visual psychophysics and electrophysiology, Machine vision, Artificial intelligence applications, Digital imaging, Cell growth acceleration, including work with defensins and Substance P, Cell growth inhibition, including work with cell growth factor receptor blockers, Glaucoma, Glaucoma drug design, Cornea surgery, Vitreoretinal surgery, Instrument development and design, and Retrospective clinical studies.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

*PORS 8010 ORTHOPAEDIC SURGERY ELECTIVE [varies, 1-99 cr.] Students will be assigned to an orthopaedic faculty member and participate as a member of the orthopaedic team in inpatient and outpatient care, emergency room, and operating room activities. Students should perform history and physical examinations upon all patients admitted by the attending surgeon and present these workups for evaluation. Each student will prepare a presentation for the teaching conference on a subject assigned by a Faculty member. The student will attend all orthopaedic conferences. This elective is for those students interested in surgical specialties or an in-depth experience in orthopaedic surgery.

*PORS 8011 GENERAL ORTHOPAEDICS SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

PORS 8012 PHYSICAL MEDICINE/REHABILITATION [varies, 1-99 cr.] This rotation will introduce the basic concepts of physical medicine and rehabilitation. The student will learn techniques in obtaining a complete medical history for patients experiencing musculoskeletal pain. The rotation will also stress the development of an efficient and complete neurological and musculoskeletal examination that will assist the student in developing a differential diagnosis for future patients they may see. The student will be exposed to the total spectrum of the specialty. (2 or 4 weeks)

*PORS 8013 PEDIATRIC ORTHOPAEDICS (2 students) [2-4 cr.] This elective will introduce the student to different pathologies related to the pediatric musculoskeletal system. Students will understand the normal variation of development of the lower extremities and become familiar with different pediatric orthopedic surgeries. This elective is offered as a 2- or 4-week elective and is available September – November and January - April.

**PORS 8014 ORTHOPAEDIC SPORTS MEDICINE ELECTIVE [2-4 cr.] This 2 or 4 week course for 4th year students will expose students to common clinical presentations in sports medicine and orthopaedic surgery. Students will perform a history and physical examination of orthopaedic and sports medicine injuries. This elective will teach basic decision making for investigation and/or conservative or operative management of common orthopaedic and sports medicine injuries and conditions. The course offers a focused discussion of orthopaedic, trauma, and surgery presentations and scenarios relevant to examinations. (2 student cap.)

*PORS 8051 ORTHOPAEDIC ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Orthopaedic Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PORS 8052 ORTHOPAEDIC ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Orthopaedic Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PORS 8053 ORTHOPAEDIC ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Orthopaedic Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*†PORS 8100 ORTHOPAEDIC RESEARCH [varies, 1-99 cr.] Students with an interest in conducting musculoskeletal research will be assigned to one of the full time orthopaedic faculty members. Under the guidance of this faculty member (and possibly in cooperation with other members of the full time faculty and clinical faculty), the student will be required to directly participate in a research project. The nature and extent of this project is to be agreed upon prior to participation, and credit will not be given unless the agreed upon objectives are accomplished. If the project is completed during the elective, the student is expected to present a written and oral report to the orthopaedic residents and faculty. If it is agreed that the research cannot be completed in the allotted time, the student will be expected to present a report of the progress that has been accomplished during the elective.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PPAT 8010 ANATOMIC AND CLINICAL PATHOLOGY [varies, 1-99 cr.] The student will rotate through the sections of the clinical laboratory as follows: (a) Hematology learn how to evaluate electronic differential counts and how to evaluate peripheral smears; (b) Microbiology, learn proper specimen collection/preservation techniques and how to interpret Gram stains; (c) Chemistry/Special Chemistry, learn how to interpret chemistry tests in the clinical context; (d) Serology, learn about interpretation/indications for serologic tests; and (e) Blood Bank, learn about pretransfusion testing, indications for T/S vs. T/X match, and proper blood product handling and storage. Procedures and skills include: (a) Learn about handling of cytology/histology specimens and how to perform simple gross tissue examinations; (b) Learn basics of histology and routing cytology and (c) Observe FNA procedures and understand the indications.

*PPAT 8011 GENERAL PATHOLOGY SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

**PPAT 8012 FORENSIC PATHOLOGY ELECTIVE [4 cr.] The goals of this 4 week elective for 4th year students include exposure to the many roles forensic pathology plays in the community. The elective provides the student with the opportunity to review normal anatomy, observe and perform organ evisceration, document organ disease processes, produce formal writing autopsy reports, and study the guidelines and practices for death certification and medicolegal death investigation. (1 student cap.)

*PPAT 8051 PATHOLOGY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pathology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PPAT 8052 PATHOLOGY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pathology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PPAT 8053 PATHOLOGY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pathology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

†PPAT 8100 PATHOLOGY RESEARCH [varies, 1-99 cr.] Students with an interest in research in Pathology will spend time in the departmental research division participating in some phase of a research project (design and development, literature review, data gathering and interpretation, write-up) under the supervision of a faculty member directing the project.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PPED 7001 PEDIATRICS CLERKSHIP [8 cr.] This is an 8 week clinical experience that is paired with obstetrics-Gynecology in a 16 week integrated block. Students are exposed to a comprehensive approach to the care of children in the pediatric in-patient, neo-natal, and ambulatory settings. As members of ward teams and working under the supervision of faculty physicians in ambulatory settings, students participate in the evaluation and management of children suffering from a variety of acute and chronic health care problems. Wellness and prevention are also stressed. “Shared” learning opportunities with OB-GYN are provided over the 16 week block including a “mother-baby” experience in which students are assigned to a pregnant patient, participate in the delivery of that patient’s infant and then follows the infant into the pediatric care setting.

*PPED 8001 PEDIATRIC SUBINTERNSHIP [4 cr.] The student will work as a member of a team caring for patients admitted to the pediatric inpatient service. During this elective, the student will have an opportunity to learn to formulate problem lists, management, and follow-up plans for hospitalized pediatric patients. The student assumes the role of extern and takes call with the residents.

PPED 8002 PEDIATRIC INTENSIVE CARE UNIT [4 cr.] This is a critical care selective clerkship. The student will be exposed to all pediatric critical care: Sepsis, Trauma, ARDs, and all potentially or life-threatening illnesses. The student will act as an acting intern with direct patient care responsibilities. There will be no outpatient, ward, or clinic responsibilities except Continuity Clinic. The student will make daily rounds with the attending physicians. The student will have an opportunity to perform procedures such as spinal taps, A-line, central lines, chest tubes, intubation, and catheter placement. Emphasis will be placed on physiology, recognition of common acute life-threatening injuries/illnesses, and ventilator management.

*PPED 8003 NEONATOLOGY INTENSIVE CARE [4 cr.] This selective/elective is designed to familiarize the student with perinatal/neonatal physiology, high-risk factors associated with neonatal disease pathophysiology diagnosis and management of common neonatal problems, dealing with acute neonatal emergencies, and communicating with parents of high-risk neonates. The students’ primary responsibility will be the total management and supervision of assigned patients. Students will also be expected to participate in daily rounds, night call, weekly discussion group on neonatal/perinatal diseases and presentation of a review on a selected aspect of neonatal/perinatal medicine towards the end of the rotation.

*PPED 8010 ADOLESCENT MEDICINE [varies, 1-99 cr.] This elective is designed to help students acquire good interviewing skills, a basic knowledge of adolescent physical and psychosocial development, an understanding of adolescent gynecology, basic skills in evaluation and management of sexually transmitted diseases, knowledge of nutrition and eating disorders in teenagers, management of common skin disorders, ability to identify common orthopaedic problems, knowledge of psychosocial disorders common in adolescents, and insight into the common medical complaints and problems in this age group as well as chronic illnesses seen in adolescents. Students will also gain insight into the legal issues and become familiar with the interface between the adolescent health facility, community agencies and institutions.

*†PPED 8011 AMBULATORY PEDIATRICS [varies, 1-99 cr.] The purpose of this elective is to familiarize the student with preventive pediatrics and parent education, acute intervention in common childhood diseases and follow-up visits, evaluation of patients in an outpatient consulting service, and interactions with Faculty and residents about the many facets of ambulatory pediatrics. Students will participate in ambulatory clinics and various conferences and rounds associated with pediatrics. At the end of the rotation, the student will present a topic in ambulatory pediatrics to residents and faculty.

*PPED 8012 PEDIATRIC ENDOCRINOLOGY/METABOLISM [varies, 1-99 cr.] This elective provides exposure to outpatient management of common pediatric endocrine problems. Included will be growth assessment, Type 1 diabetes, congenital hypothyroidism, acquired hypothyroidism, hyperthyroidism, precocious puberty, delayed puberty, congenital adrenal hyperplasia, diabetes insipidus, and disorders of calcium regulation. Limited exposure to inpatient consultations is anticipated. Indications for common endocrine laboratory tests and their interpretation will be reviewed.

Endocrine aspects of common pediatric clinical situations will be discussed.

*†PPED 8014 PEDIATRIC INFECTIOUS DISEASE [varies, 1-99 cr.] The objective of this elective is to familiarize the student with the clinical and microbiologic approach to common pediatric infectious disease problems. The student will become familiar with the different classes of antimicrobial agents and learn when and how to select appropriate empirical antibiotic therapy. The student will participate in the differential diagnosis of pediatric patients presenting with signs and symptoms of an infectious disorder. The student will learn the appropriate laboratory tests and culture techniques for isolation and identification of bacterial, viral, fungal, and parasitic pathogens. Epidemiology and infection control of specific infectious pathogens will be discussed. This elective is primarily an inpatient consultation rotation involving the teaching hospital and two private hospital services with one weekly outpatient clinic for follow-up and consultation. Opportunities for research projects may be available if desired.

PPED 8015 PEDIATRIC CARDIOLOGY [varies, 1-99 cr.] Students will be provided many opportunities to learn a variety of cardiac problems in pediatric patients. The student will observe or participate in any activities that the pediatric cardiologist will perform in the diagnosis and management of children with cardiac diseases. The student will become familiar with the interpretation of normal and abnormal cardiac manifestations and physical findings of cardiac defects in children. The student will observe noninvasive and invasive diagnostic procedures and will be encouraged to interpret electrocardiograms, echocardiograms, and cardiac catheterization data. The student will also have an opportunity to observe cardiac surgery and follow the patient postoperatively with the cardiologist. Sufficient physiopathological background will be provided to make the cardiac problems more comprehensible through lectures, case discussions, and review of pathologic specimens.

*PPED 8019 PEDIATRIC HEMATOLOGY & ONCOLOGY [varies, 1-99 cr.] The purpose of this elective is to provide clinical experience to common problems in hematology and oncology by direct contact with patients. At the end of the rotation, students will be able to learn the essential knowledge in evaluating, diagnosis and managing patients with hematologic and oncologic problems, including those related to anemia, coagulation, lymphomas, leukemias and certain solid tumors, and hematologic and oncologic emergencies. The emphasis will be place on establishing the rapport with patients, logical approach for differential diagnosis, planning the management according to evidence-based medicine for each clinical situation and condition. Students may also participate in diagnosis procedures including lumbar puncture and bone marrow examination.

*†PPED 8020 PEDIATRIC SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

**†PPED 8021 GRAPHIC MEDICINE LEARNING FOR COMM. W/PATIENTS [4 cr.] This 4 week course for 4th year students will improve student's knowledge and understanding about how the nature and power of images helps to create health education by teaching students how to develop health education graphic narrative material (comic) to communicate with patients and health providers the patient's viewpoint about being sick. (2 student cap.)

**†PPED 8022 THE CARE OF THE WELL NEWBORN [2-4 cr.] This 2 or 4 week course for 4th year students allows an understanding of the delivery of care to the healthy newborn by identifying the series of events the neonate goes through from birth until discharge and describing the prenatal, perinatal and postnatal periods. Students will perform an assessment of a newborn, using history, physical exam and routine screening procedures, while identifying the resources available for the appropriate delivery of care to the acutely sick infant in the Well Baby Nursery and make decisions for when a higher level of care is required for the newborn. (2 student cap.)

**PPED 8023 PEDIATRIC NEPHROLOGY [2 cr.] This 2 week course for 4th year students will expose students to pediatric nephrology pathologies and pediatric dialysis on inpatient and outpatient settings. This elective will allow students to understand the impact of chronic and acute kidney diseases/disorders and their treatment on the growth and development of children, and also the impact on their family. (1 student cap.)

*PPED 8051 PEDIATRIC ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pediatrics at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PPED 8052 PEDIATRIC ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pediatrics at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PPED 8053 PEDIATRIC ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pediatrics at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PPED 8100 PEDIATRIC RESEARCH [varies, 1-99 cr.] The clinical study guidelines are: Ask a scientific question, to review the literature, formulate a hypothesis, write introduction, materials and methods, result submitted to the IRB and learn to obtain consent.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PPSY 7001 PSYCHIATRY CLERKSHIP [varies, 1-99 cr.] This clerkship is designed to expose students to the diagnosis and management of common psychiatric illness across the life-span in both ambulatory and in-patient settings. The psychiatry clerkship is paired with the internal medicine clerkship in a 16 week block of which 6 weeks is devoted to experiences in the discipline of psychiatry. In addition, students also participate in a one-half day per week longitudinal selective experience throughout the 16 week block in such areas as child and adolescent psychiatry, sleep medicine, neurology, psychiatric emergency medicine, and consultation-liaison psychiatry. Shared teaching and learning opportunities, including joint medicine-psychiatry rounds, are held to permit students to explore the overlap between the disciplines of medicine and psychiatry.

PPSY 7002 PSYCHIATRY CLERKSHIP [7 cr.] This clerkship is designed to expose students to the diagnosis and management of common psychiatric illness across the life-span both in ambulatory and in-patient settings. This clerkship is paired with the Internal Medicine clerkship in a 16 week block of which 6 weeks is devoted to experiences in the discipline of Psychiatry. In addition, students also participate in a one-half day per week longitudinal experience throughout the block in such areas as child and adolescent psychiatry, sleep medicine, neurology, and consultation-liaison psychiatry. Shared teaching and learning opportunities, including joint medicine-psychiatry rounds are held to permit students to explore the overlap between the disciplines.

*PPSY 8010 PSYCHIATRY SENIOR ROTATION [varies, 1-99 cr.] This elective is designed to give the student an opportunity to work with hospitalized inpatients suffering from major psychiatric disorders (affective disorders, schizophrenia, and organic mental disorders). Special emphasis is placed on diagnosis and formulation of treatment plan. In addition, the student will be exposed to those treatment modalities not provided as an outpatient. This would include electroconvulsive therapy (ECT). The student also will have an opportunity to be a part of a multidisciplinary approach to the diagnosis and treatment of inpatient population.

*PPSY 8011 COMMUNITY SERVICES/CHILD PSYCHIATRY [varies, 1-99 cr.] This elective offers the opportunity to participate in the evaluation and treatment of children and adolescents with emotional and developmental disorders in a variety of community agencies. At least 75% of the time will be spent as consult service on the ward and approximately 25% time will be in the clinic.

*PPSY 8012 FORENSIC PSYCHIATRY ELECTIVE [varies, 1-99 cr.] The student will be able to identify the basic concepts of forensic and legal psychiatry. The student will also be involved in the actual evaluation procedure for court-referred cases with forensic implications and will attend actual trials and observe psychiatric expert testimony.

*PPSY 8013 SLEEP DISORDERS MEDICINE ELECTIVE [varies, 1-99 cr.] This elective must be combined with another topic of interest during the rotation. This elective reviews the basics of sleep physiology and gives clinical exposure to a wide range of sleep pathology. The student will become acquainted with polysomnography procedures in the Sleep Disorders Center. Disorders such as insomnias, sleep apneas, narcolepsy, and parasomnias will be seen. Students will be expected to observe polysomnographies at night.

*PPSY 8015 PSYCHIATRY SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

*PPSY 8016 NUTRIGENETICS/NUTRIGENOMICS (No limit on enrollment) [2 cr.] This 2 week elective is an in-depth survey of the nutrigenetics and personalized nutrition which are components of the concept that in the future genotyping will be used as a means of defining dietary recommendations to suit the individual.

**PPSY 8019 PSYCHIATRY CLINICAL LIAISON ROTATION [2-4 cr.] This 2 or 4 week elective for 4th year students is designed for students interested in psychiatric emergencies and psychosomatic medicine. This rotation will be at UMC-ED and inpatient hospital. (6 student cap.)

**PPSY 8020 PSYCHIATRIC RESEARCH, ONGOING FAC./DEPT. PROJ. [4 cr.] This 4 week elective for 4th year students provides students an opportunity to work with a faculty member and participate in an active research project (suicidal/homicidal patients or the Brain Bank, an ongoing study). Students will be able to take part in different parts of the psychiatric research project, from design to presentation. (no specified student cap.)

*PPSY 8051 PSYCHIATRY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Psychiatry at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PPSY 8052 PSYCHIATRY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Psychiatry at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PPSY 8053 PSYCHIATRY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Psychiatry at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

†PPSY 8100 PSYCHIATRIC RESEARCH ELECTIVE [varies, 1-99 cr.] Students with an interest in research in Psychiatry will spend time in the departmental research division participating in some phase of a research project (design and development, literature review, data gathering and interpretation, write-up) under the supervision of a faculty member directing the project.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

*PRAD 8010 RADIOLOGY ELECTIVE [varies, 1-99 cr.] The student will observe and participate in all phases of radiological diagnosis to include fluoroscopy, plain film interpretation, special procedures, nuclear imaging, diagnostic ultrasound, and computed tomography where available. A radiological teaching file is provided for study purposes, and the student is expected to spend a portion of the time reviewing this file. Attendance at intradepartmental conferences is expected.

*PRAD 8011 RADIOLOGY SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

*PRAD 8012 ADVANCES IN NEUROANATOMY AND NEURORADIOLOGY [varies, 1-99 cr.] Students will spend 2-4 hours a day participating in patient care under the supervision of the elective director and they will also spend time reviewing the instructor’s teaching files. In addition students will participate in didactic lecture/seminar sessions, complete assigned readings in neuroanatomy and they will also access information on selected websites as directed by the instructor. Students will also spend at least one day participating in the activities of the neuroangiography suite.

*PRAD 8014 PEDIATRIC RADIOLOGY (2 students) [varies, 2-4 cr.] Students can enroll in this sub-specialty elective once they have completed the 4 week General Radiology elective. This elective is offered as either a 2 or 4 week elective.

*PRAD 8015 INTERVENTIONAL RADIOLOGY (2 students) [varies, 2-4 cr.] Students can enroll in this sub-specialty elective once they have completed the 4 week General Radiology elective. This elective is offered as either a 2 or 4 week elective.

*PRAD 8051 RADIOLOGY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Radiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PRAD 8052 RADIOLOGY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Radiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PRAD 8053 RADIOLOGY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Radiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

†PRAD 8100 RADIOLOGY RESEARCH [varies, 1-99 cr.] Students with an interest in research in Radiology will spend time in the departmental research division participating in some phase of a research project (design and development, literature review, data gathering and interpretation, write-up) under the supervision of a faculty member directing the project.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PSAP 5401 SCHOLARLY ACTIVITY PROJECT I [1 cr.] The first phase of a three phase required independent study project that must be completed no later than the fall of the fourth year of medical school. Students must sign up for Scholarly Activity Project 1 in the second semester of the first year of medical school. Credit will be given for identifying a project and a project mentor. A wide variety of projects ranging from participating in on-going basic or clinical research projects, participating in community-based projects, or engaging in a project related to medical humanities or medical education research. A database of project opportunities will be available to aid the student in identifying on-going projects and mentors.

PSAP 6401 SCHOLARLY ACTIVITY PROJECT II [1 cr.] Continuation of Scholarly Activity Project I. Students will register for this course during the semester in which they intend to execute the project they have developed. Credit will be based on the judgment of the mentor and course directors that sufficient progress has been made to enable the student to prepare a poster documenting the project and its outcomes.

PSAP 7401 SCHOLARLY ACTIVITY PROJECT III [1 cr.] The culmination of the Scholarly Activity Project requirement. Students will register for this course during the semester in which they present the results of their projects in a poster presentation during a student forum on research and scholarship.

PSPM 5021 SCIENTIFIC PRINCIPLES OF MEDICINE I [14 cr.] This course is a first of the Scientific Principles of Medicine (SPM) block. The two-year SPM course provides a comprehensive and integrated approach to understanding normal structure and function and the biological bases underlying disease and injury. The SPM course is divided into 10 units: Introduction to Health and Disease (IHD); Gastrointestinal System (GIS); Integumentary, Musculoskeletal and Nervous Systems (IMN); Hematologic System (HEM); Cardiovascular and Respiratory Systems (CVR); Renal System (RNL); Central Nervous System and Special Senses (CSS); Endocrine System (END); Reproductive System (REP); and Mind and Human Development (MHD). Each unit is organized around clinical presentations which serve as the springboard for the study of the basic sciences needed to understand that presentation. The SPM course employs a variety of teaching and learning modalities including interactive lectures, small groups, laboratory exercises, team-based learning and self-directed study. The SPM I consists of the following three units: IHD, GIS, and IMN.

PSPM 5012 SCIENTIFIC PRINCIPLES OF MEDICINE II [12 cr.] This course is the second of the Scientific Principles of Medicine block. The Scientific Principles of Medicine II consists of the following three units: Hematologic System (HEM); Cardiovascular and Respiratory Systems (CVR); and Renal System (RNL).

PSPM 6011 SCIENTIFIC PRINCIPLES OF MEDICINE III [9 cr.] This course is the third of the SPM block. This course will provide extensive information regarding structure and function relationships in the central nervous system. It will also provide the most up to date, evidence-based approach to clinical problems in endocrinology such as diabetes, obesity and lipid disorders, thyroid abnormalities, pituitary disease, calcium, bone and osteoporosis, as well as reproductive and adrenal disorders. Students learn through didactic lectures, small group case discussions, and directed reading. This course is taught in an organ system approach and the material is integrated/coordinated with Pathology, Pharmacology, Microbiology, Physiology, Biochemistry, and Anatomy. The SPM III consists of the following three units: Central Nervous System and Special Senses (CSS); Endocrine System (END); Reproductive System (REP).

PSPM 6022 SCIENTIFIC PRINCIPLES OF MEDICINE IV [7 cr.] This course is the fourth of the SPM block. This course is designed to provide the students a thorough understanding of the basic concepts related to normal human development. Emphasis on developmental theories and principles of growth, development, and behavior of children from conception through adolescence. The SPM IV course includes only one unit: and Mind and Human Development (MHD).

PSCI 5221 SOCIETY, COMMUNITY, AND INDIVIDUAL I [8 cr.] SCI has four required components: 1) Social Foundations of Medicine, 2) Introduction to Clinical Research, 3) Community Health Experience, and 4) Conversational and Medical Spanish. Students are exposed to population health, public health, the community and delivery of health care systems. Course themes include: biostatistics, epidemiology, community family, culture, environmental and occupational health and Spanish (conversational and medical Spanish integrated in curriculum). Field experiences provide exposure to the border community and culture. Students learn principles of evidence-based medicine and have opportunities to participate in service learning projects and community-based research.

PSCI 5212 SOCIETY, COMMUNITY, AND INDIVIDUAL II [2 cr.] This course is designed to expose students to population health, public health, the community, and delivery of health care in the community. SCI is comprised of seven themes that are threaded throughout the first two years: biostatistics, epidemiology, community, family, culture, environmental and occupational health, and Spanish. Familiarity with conversational and medical Spanish is integrated into the curriculum. In addition, all students will learn about the border community and culture through field experiences and exercises. Students will also learn principles of devidence-based medicine and will be given opportunities to participate in service learning projects and community-based research.

PSCI 6211 SOCIETY, COMMUNITY, AND INDIVIDUAL III [1 cr.] This course is designed to expose students to population health, public health, the community, and delivery of health care in the community. SCI is comprised of seven themes that are threaded throughout the first two years: biostatistics, epidemiology, community, family, culture, environmental and occupational health, and Spanish. Familiarity with conversational and medical Spanish is integrated into the curriculum. In addition, all students will learn about the border community and culture through field experiences and exercises. Students will also learn principles of evidence-based medicine and will be given opportunities to participate in service learning projects and community-based research.

PSCI 6212 SOCIETY, COMMUNITY, AND INDIVIDUAL IV [1 cr.] This course is designed to expose students to population health, public health, the community, and delivery of health care in the community. SCI is comprised of seven themes that are threaded throughout the first two years: biostatistics, epidemiology, community, family, culture, environmental and occupational health, and Spanish. Familiarity with students conversational and medical Spanish in integrated into the curriculum. In addition, all students will learn about the border community and culture though field experiences and exercises. Students will also learn principles of evidence-based medicine and will be given opportunities to participate in service learning projects and community-based research.

PSUR 7001 SURGERY CLERKSHIP [10 cr.] This clerkship exposes students to the pathophysiology of surgical diseases and to the principles and techniques of surgical approaches to the diagnosis and management of diseases. As members of the surgical team consisting of attending physicians and residents, students participate in pre-operative, operative, and post-operative patient care. This clerkship is paired with the discipline of Family Medicine in an integrated 16 week block, of which 6 weeks focuses on general surgery and three three three weeks is allocated to a surgical subspecialty selective experience (e.g., orthopedic surgery, plastic surgery, and neurosurgery). “Shared” teaching and learning experiences spanning the disciplines of Surgery and Family Medicine are provided to expose students to interdisciplinary approaches to patient care and management.

PSUR 8001 GENERAL SURGERY SUBINTERNSHIP [4 cr.] The student will serve as an extern on the surgical service and participate in the care of surgical patients in the emergency room, surgical wards, operating room, and clinic. Pre and postoperative care and the management of patients in the Surgical Intensive Care units will be stressed. Assignments to selected clinical faculty preceptors are also available. Students will take in-house calls.

*PSUR 8002 SURGICAL INTENSIVE CARE [4 cr.] This elective is an experience in the management of surgical patients in the intensive care unit.

PSUR 8011 OTALARYNGOLOGY/HEAD/NECK SURGERY [varies, 1-99 cr.] This is an advanced experience in the management of patients with diseases of the ear, nose, and throat. This includes diseases of the airway, esophagus as well as head and neck cancer. Included are a series of lectures, rounds, and clinical experiences with a review of pathology. The course is of value to both a primary care physician as well as a student interested in a career as a surgeon.

PSUR 8012 PEDIATRIC SURGERY [varies, 1-99 cr.] The student will be permitted to review and participate in the care of surgical diseases of infants and children, including the operative management of premature infants with congenital defects, pre/postoperative care in the neonatal unit, Pediatric Intensive Care Unit, and diagnostic radiology in acute pediatric surgical disease. The student will be introduced to the delicate techniques and manipulative skills necessary in the care of these patients.

*PSUR 8013 PLASTIC SURGERY [varies, 1-99 cr.] The elective is designed to acquaint the student with the basic principles of plastic and reconstructive surgery including burns, cosmetic surgery, and trauma to extremities. Also included is an introduction to the principles of microsurgery. The student observes as well as participates in the pre/postoperative and follow-up for such patients.

*PSUR 8016 FEMALE BREAST DISEASE/TREATMENT [varies, 1-99 cr.] This elective is designed to expose the 4th year medical student to and educate him/her in all aspects of female breast disease. The student will participate in the outpatient clinics evaluating patients and participate in the diagnosis and treatment of benign and malignant disease. The student will assist on breast biopsies in the outpatient clinic and will assist at hospital operative procedures. The student will spend time with the medical oncologist in the outpatient setting and at the Infusion Center. The student will also spend time at the Breast Imaging Center assisting with mammography and ultrasound.

*PSUR 8017 SENIOR SURGERY ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

*PSUR 8051 SURGERY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PSUR 8052 SURGERY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*PSUR 8053 SURGERY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

†PSUR 8100 SURGICAL RESEARCH [varies, 1-99 cr.] The clerk will receive an introduction to the design and conduct of a laboratory investigation and will participate in one or more ongoing projects.

 

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PANE 8011 SENIOR ANESTHESIOLOGY ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

PANE 8051 ANESTHESIOLOGY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Anesthesiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PANE 8052 ANESTHESIOLOGY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Anesthesiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PANE 8053 ANESTHESIOLOGY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Anesthesiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PEME 8011 SENIOR EMERGENCY MEDICINE ELECTIVE [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs. (2 or 4 weeks)

PEME 8013 BOOT CAMP: PREPARING FOR PGY [1 cr.] This elective is designed to completely manage simulated patients with a variety of issues including IM, pediatric, surgical, obstetric, neurological and orthopedic problems. Students will also receive specific training and resuscitation measures.

**PEME 8014 EM ULTRASOUND [2-4 cr.] Students will gain knowledge of the core concepts of POCUS and its clinical application to the care of ED patients. Experiences include obtaining POCUS images of the following organ systems: EFAST (trauma), Renal, Aorta, DVT, Gallbladder, Cardiac, Ocular, 1st Trimester OB exams and POCUS guided procedures performed routinely in the ED. Students will also experience integrating POCUS images with other clinical findings to appropriately diagnose and manage ED patients. This elective covers the use of ultrasound equipment including appropriate probe selection, machine adjustments and troubleshooting to optimize image quality and maintain equipment. (2 or 4 weeks)

PEME 8051 EMERGENCY MEDICINE ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Emergency Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PEME 8052 EMERGENCY MEDICINE ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Emergency Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PEME 8053 EMERGENCY MEDICINE ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Emergency Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PFAM 8011 FAMILY MEDICINE SENIOR ROTATION (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

*†PFAM 8016 CLINICAL RESEARCH IN PRIMARY CARE (4 weeks) [varies, 1-99 cr.] Students interested in clinical research, particularly those considering careers in academic medicine will especially find this elective beneficial. Students will spend time within the research division, participating in an ongoing research project under the guidance of a mentoring research faculty and research associate.

**†PFAM 8019 BORDER HLTH SPANISH IMMERSION COURSE [4 cr.] The goal of this 4 week course for 4th year students is to have a Spanish immersion ambulatory primary care experience in Presidio, TX (pop. 7,000), where the predominant language is Spanish, allowing a unique opportunity to learn and improve upon Spanish within TX. A secondary goal is to understand the unique challenges that both patients and providers have accessing and providing primary care in one of the most isolated and resource limited communities along the TX-Mexico border, with opportunities to engage the community in both public health and community outreach education. (2 student cap.)

**†PFAM 8020 COMMUNITY GERIATRICS IN AN UNDERSERVED SETTING [4 cr.] This 4 week elective will allow 4th year medical students to practice/apply/demonstrate geriatric competencies learned during Year 1 to 3 to geriatric populations throughout El Paso and surrounding communities such as: PACE unit, Senior Citizen Centers, Assisted Living Centers, Hospice, Social Service agencies, and Adult Protective Services. Students will interact with Elder Law specialists, nutritionists and exercise physiologists and geriatricians. (2 student cap.)

**†PFAM 8021 PUB. HLTH. AND COMM.-BASED APPROACHES FOR DISEASE PREVENTION [2 cr.] The goals of this 2 week course for 4th year students are to attain a basic knowledge of the function of public health in disease prevention and observe the role of key public health organizations for disease prevention in El Paso. Students will complete assigned weekly readings, engage in discussion of public health topics, visit two community public health organizations and write a reflection paper on their experiences. (6 student cap.)

PFAM 8051 FAMILY MEDICINE ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Family Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PFAM 8052 FAMILY MEDICINE ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Family Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PFAM 8053 FAMILY MEDICINE ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Family Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PFAM 8100 COMMUNITY-BASED RESEARCH (2 students) [4 cr.] Students interested in community-based research, particularly those considering careers in academic medicine will especially find this elective beneficial. Students will spend time within the research division, participating in an ongoing research project under the guidance of a mentoring research faculty and research associate.

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

*†PIDP 8010 BIOMEDICAL INFO. MGT. ELECTIVE – BIOMEDICAL INFORMATION MANAGEMENT ELECTIVE [varies, 1-99 cr.] This elective is designed to provide the student with basic competencies in biomedical information management. The student is primarily taught the basics of searching the biomedical literature via PubMed. Searching EBM Reviews, MICROMEDEX, PDQ, TOXNET, and other biomedical literature databases are addressed as needed. The student is assigned take-home practice exercises to strengthen their literature searching skills. At the end of the rotation, the student is given a brief practical examination of his/her abilities to search these tools.

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PINT 8002 CVCU [4 cr.] The goal of the Cardiovascular (CV) selective is to give students the opportunity to develop basic skills in evaluation and treatment of patients with cardiovascular disease through exposure to cardiology in the critical care setting with a wide variety of diagnostic and therapeutic cardiovascular procedures. Cardiovascular disease is the leading cause of mortality in the United States and represents a significant proportion of diagnoses in the internal medicine out-patient service. Understanding the principles of diagnosis and management of the most common cardiovascular diseases is essential training for the general internist.  The clerkship will include CVICU bedside rounds and case discussion, ECG reading sessions, stress test observation and reading sessions, observation of catheterization lab procedures, and reading and searching the pertinent literature.

PINT 8003 MICU [4 cr.] Students will acquire basic critical care knowledge and skills while developing professional attitudes and behaviors in the care of adult patients on the MICU service. Each medical student will be instructed by MICU faculty and resident physician MICU team members on relevant patient care issues including the following: acute respiratory failure, multiple organ failure, hemodynamic instability, severe metabolic disorders and acute neurologic conditions. Students will understand the etiology, diagnosis and treatment of the conditions being managed while reading necessary texts and articles.

PINT 8004 MICU-THOP [4 cr.] Each medical student will be instructed by Pulmonary/ Critical Care faculty on relevant patient care issues requiring medical knowledge including the following conditions: Acute Respiratory Failure, Multiple Organ Failure, Shock, Hemodynamic Instability, Metabolic Disorders and Acute Neurological Conditions. Students will understand the etiology, diagnosis and treatment of the conditions being managed while reading necessary texts and articles.

PINT 8011 CARDIOLOGY ELECTIVE [varies, 1-99 cr.] This ward-based consult service elective consists of daily review of electrocardiograms and echocardiograms, cardiology consultation rounds, Cardiac Care Unit teaching rounds, weekly cardiology teaching conferences, and cardiac catheterization conferences. The student will prepare a review of an assigned topic for the weekly cardiology conferences. Bedside cardiovascular examination and management will be stressed.

PINT 8012 ENDOCRINOLOGY ELECTIVE [varies, 1-99 cr.] This elective includes inpatient and outpatient care, weekly conferences in clinical and basic endocrinology, and research activity if desired. The student will have an opportunity to work up and manage patients with a wide variety of both chronic and acute endocrinological and metabolic disorders. Patients with hypertension, especially those known or suspected to be caused by an endocrine disease, will also be seen.

PINT 8013 GASTROENTEROLOGY ELECTIVE [varies, 1-99 cr.] This elective provides opportunities for learning office practice of gastroenterology including evaluation of patients with peptic ulcer disease, malabsorption, liver disease, etc. Extensive outside reading will be required. The student may be involved in direct patient care in a hospital setting.

*†PINT 8014 INFECTIOUS DISEASE ELECTIVE [varies, 1-99 cr.] This ward-based elective offers the student an opportunity to evaluate and care for patients with infectious diseases and to gain an understanding of the clinical microbiology procedures important in the care of these patients. HIV and AIDS will be discussed. Each student will be encouraged to prepare and present one seminar or write a paper on a subject of his/her choice. Time for independent study will be allowed.

PINT 8015 ONCOLOGY/HEMATOLOGY ELECTIVE [varies, 1-99 cr.] This elective provides exposure to clinical and laboratory diagnosis as well as management of neoplastic and hematologic disorders. Representative case reviews are used to supplement current clinical material where appropriate. Peripheral blood, bone marrow, and tumor morphology are emphasized as well as clinical staging and chemotherapy. There will be exposure as to how new investigational drugs are tried and protocol treatments are given to cancer patients. Students can also obtain concept in bone marrow transplantation including both clinical and laboratory processing of bone marrow cells. Options are available for major focus in ambulatory or ward setting, or both.

PINT 8016 NEPHROLOGY ELECTIVE [varies, 1-99 cr.] This elective offers clinical experience in the diagnosis and management of patients with acute and chronic renal failure, hypertension, fluid and electrolyte imbalances, acid base disturbance, parenchymal renal diseases, etc.

PINT 8017 PULMONARY ELECTIVE [varies, 1-99 cr.] This elective is offered to the student for clinical experience in pulmonary disorders, emphasizing acute and chronic respiratory failure, intensive respiratory care, and interpretation of pulmonary function tests and chest x-rays.

PINT 8018 RHEUMATOLOGY ELECTIVE [varies, 1-99 cr.] This elective offers an in-depth look at the clinical array of rheumatologic disorders. Students will be exposed to inpatients and outpatients with emphasis on diagnosis and long-term management of common rheumatic diseases. Depending on the student's level of proficiency and interest, the student may be allowed to participate in procedures such as joint aspiration and injection, and will interpret synovial fluid studies. Students will learn the correct indications and monitoring of common rheumatic drugs and the fundamentals of rheumatic rehabilitation.

PINT 8019 DERMATOLOGY CLINIC [varies, 1-99 cr.] This elective is designed to expose the student to a wide variety of dermatologic conditions with the expectation that at the conclusion of the experience common disorders will be recognizable. The student will participate in clinics (few inpatient consults) observing a variety of dermatologic disorders and dermatologic procedures in both the adult and pediatric patient population. Also offered is exposure to dermatopathology and dermatologic surgery, thus allowing clinicopathologic correlation.

*†PINT 8025 NUTRITION SUPPORT ELECTIVE (2 students) [2-4 cr.] During this elective, the student will be exposed to a spectrum of conditions that are present in hospitalized patients or could be the reason for hospitalization and will learn first-hand about pathophysiology, treatment approaches including enteral and parenteral nutrition approaches and pharmacologic options to control symptoms. The elective is offered as a 2- or 4-week elective and is available August-April.

PINT 8027 CLINiCAL ALLERGY, ASTHMA, AND IMMUNOLOGY PRACTICE [4 cr.] This elective will allow full exposure to the clinical practice of Allergy and Immunology. Students will have the opportunity to see patients referred for diagnosis and management of a wide variety of allergic disorders. These may include urticaria, angioedema, atopic dermatitis, food allergy, allergic asthma, drug and insect allergy, frequent sinopulmonary illness, and immunodeficiency. Related and overlap disorders include rhinosinusitis, nasal polyposis, vocal cord dysfunctions, obstructive sleep disorders, and food intolerance medicine. This specialty treats children and adults. Students will also have the opportunity to observe testing and treatment techniques in the specialty, including skin testing.

PINT 8028 INTERNAL MEDICINE SR ELECTIVE [4 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty. (2 or 4 weeks)

PINT 8051 INTERNAL MEDICINE ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Internal Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PINT 8052 INTERNAL MEDICINE ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Internal Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PINT 8053 INTERNAL MEDICINE ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Internal Medicine at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PEDI 8010 ADVANCED GROSS ANATOMY I [varies, 1-99 cr.] This elective is an in-depth, self-directed review of a selected area of gross anatomy including: head and neck, thorax and abdomen, pelvis and perineum, extremities and back, or anatomical imaging depending on the needs of the student. (2 or 4 week)

PEDI 8014 PUTTING THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) INTO PRACTICE [4 cr.] The goal of this 4 week elective is to provide the students with an understanding of the health policies inherent in the PPACA legislation and how these policies, when put into practice, impact physician/patient care and reimbursement. Students completing the elective will have a basic understanding on theoretical methods to implement strategies to obtain health policy compliance and sufficient reimbursement to financially thrive in practice. Students who are interested should contact Dr. Wagner for more information. (10 students)

*†PEDI 8015 HEALTH INFORMATICS [4 cr.] The goal of this 4 week electives is to introduce students to various departments and processes involved in Digital Health. Students will see how Clinical Information Systems (CIS) run. They will also be exposed to the policy and processes behind clinical systems (EMR) and gain understanding of the Meaningful Use of Electronic Medical Records. Students will gain knowledge of the "Journey to Value" and how this affects all of healthcare.

*†PEDI 8016 GLOBAL HEALTH [2-4 cr.] The elective is intended to expose the student to an international and cultural experience and to provide an opportunity for the student to better understand the medical needs of an underserved population while assessing opportunities to reach out to other segments in our global society.

**†PEDI 8017 CARING COMMUNICATION [2 cr.] The goal of this 2 week elective for 4th year students is to allow students to advance their knowledge, skills, values and attitudes from pre-entrustable towards entrustable behaviors, specifically within the competency domain of Interpersonal Communication Skills (ICS) with patients and families (ICS-1), and intra- and inter-professional communication (ICS-2). (1 student cap.)

**†PEDI 8018 COMMUNITY AND BORDER HEALTH IMMERSION [2 cr.] This 2 week elective for 4th year students aims to increase student's direct exposure to issues of community and border health in the Paso del Norte Region, especially as they impact individuals, families, and communities with limited access to economic resources. A 5-day experience where the student lives with the family will be incorporated into the elective. (10 student cap.)

**†PEDI 8019 BORDER HEALTH IMMERSION [2-4 cr.] The Community and Border Health Immersion Elective provides both community and clinical experiences aimed to provide learners with a foundation in understanding border and immigrant health. This elective will increase the learner’s direct exposure to issues of community and border health in the Paso del Norte Region, especially as they impact individuals, families, and communities with limited access to economic resources. Common themes will be exposure to social determinants of health, poverty, food insecurity, immigration status and access to care issues. The learners will have opportunities to be immersed in the border community and learn how to better provide medical care and advocate the immigrant population. The learners will participate in educational sessions and share their experiences with other learners. The elective is flexible and can be tailored to meet the individual learner’s objectives. There will be one-on-one interaction with faculty throughout the elective.

**†PEDI 8100 MEDICAL EDUCATION RESEARCH [2-4 cr.] This elective is designed for students with an interest in research in Medical Education. The overall goal for the elective is for the student to gain experience in medical education research under the guidance of a faculty mentor. Students electing to take this course are responsible for arranging the rotation with faculty. The specific objectives will be developed by the mentor and student jointly. Please note that completion of SARP projects does not qualify for elective credit under this course. Students will be required to submit a research proposal to the Assistant Dean for Medical Education for approval at least two weeks before the start of the rotation.

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PNEU 8002 NEUROLOGICAL CRITICAL CARE [4 cr.] This selective/elective is a four week experience that fulfills the Critical Care requirement. The student will gain experience in the management of critically ill patients with complex medical problems requiring extensive monitoring and intervention. This experience is only available to students who have completed all required third year clerkships.

PNEU 8012 NEUROINTERVENTIONAL ELECTIVE (Prerequisite: PNEU 8001) [4 cr.] This rotation exposes the student to the anatomy of the central system vasculature. Students will learn the pathology and critical care management of neurovascular cases, including aneurysm, AVM, embolectomy in acute stroke, and acute stroke management. Students will also be required to participate in a scholarship activity during the month.

PNEU 8051 NEUROLOGY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Neurology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PNEU 8052 NEUROLOGY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Neurology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PNEU 8053 NEUROLOGY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Neurology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

POBG 8010 OB/GYN SENIOR ROTATION [varies, 1-99 cr.] This elective offers further growth, improvement in skills, and broadening of knowledge in benign gynecologic problems, the performance of gynecologic procedures, and an introduction to office management. The student will participate in the preoperative and postoperative management of patients (both in clinic and in the inpatient setting), in evaluating and treating patients (both in an emergency room and clinic settings), and in gynecologic surgery. Postoperative care will provide an opportunity to learn wound care, respiratory support, rehabilitation, and resolution of postoperative ileus. In surgery, the student will learn suturing, knot tying, wound closure techniques, hysteroscopy, and dilation and curettage. The outpatient clinic training will include clinical medicine, as well as the "business of medicine.” Assessment and treatment of vulvar/vaginal infections, STDs, and chronic pelvic pain will be stressed. Endometrial biopsy will be taught. Colposcopy procedures for cervical lesions will be covered. This elective is also applicable to students who plan a career in primary care specialties such as Internal Medicine or Family Medicine. Emphasis will be directed towards developing competency in pelvic examination, obtaining and interpreting Pap smears, diagnosing and treating vaginitis, prescribing hormone replacement therapy, and managing patients on oral contraception. The student will be expected to make rounds with the GYN team daily. Lectures and resident education conferences will be attended as well as discussion with the attending physician and resident physicians of the GYN team of assigned reading topics.

POBG 8012 GYNECOLOGICAL ONCOLOGY/SURGERY (4 weeks) [varies, 1-99 cr.] This elective is for students interested in becoming more familiar with gynecologic operations and the multidisciplinary care of women with gynecologic malignancies. Specifically, experience will be obtained in the complex peri-operative and operative management of women with pelvic neoplasms. In addition, radiation treatment and planning the administration of chemotherapy will be practiced. Emphasis will also be placed on histopathologic diagnosis and correlation. The students will participate in the pre-operative and post-operative management of patients (both clinic and inpatient settings), in evaluating and treating patients (both in an emergency room and clinic setting), and gynecologic surgery. Post-operative care will provide an opportunity to learn wound care, respiratory support, rehabilitation, and resolution of post-operative ileus. The outpatient clinic training will include clinical medicine, as well as the “business of medicine”. Periodic pathology conferences will be attended. Colposcopy procedures for cervical lesions will be covered. The student will be expected to make rounds with the GYN oncology team daily. Lectures and resident education conferences will be attended, as well as discussion with the attending physician and resident physicians of the GYN oncology team on assigned reading topics.

POBG 8016 ADVANCED OBSTETRICS (Prerequisite: POBG 7001) [4 cr.] In this elective, the student will take part in simulation exercises at the ATACS (ultrasound, EMR, laparoscopic high fidelity). The student will be part of the Maternal Fetal Medicine Team and will round on the Antepartum service during the week and attend High Risk and Diabetes clinics. There will also be weekly workshops covering topics such as knowledge of surgical instruments, writing orders/hand-offs, and identifying emergencies on L&D.

POBG 8017 GYN MIS ELECTIVE (Pre-requisite: POBG 7001) [4 cr.] This elective is meant to provide a 'hands on" GYN curriculum for 4th year medical students that incorporates GYN high and low fidelity simulation with an emphasis on minimally invasive surgery. The ultimate goal of this rotation is to enable the trainee to efficiently acquire basic level skills essential to building confidence and ease drawn from the use of multiple types of tasks in a virtual reality environment. The modules that will be used are designed to improve orientation, eye-hand coordination and manual skills through the manipulation of virtual 3D models using virtual surgical instruments.

POBG 8051 OB/GYN ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Obstetrics & Gynecology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

POBG 8052 OB/GYN ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Obstetrics & Gynecology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

POBG 8053 OB/GYN ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Obstetrics & Gynecology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*†POBG 8100 OB/GYN RESEARCH [varies, 1-99 cr.] This elective is designed to teach medical students selected fundamentals of research, as well as the provide opportunity to learn laboratory skills, and potentially participate in a research topic that will be presented at a national meeting. Students will learn how to perform hormone assays, radioimmunoassay, ELISAs, etc., data entry, and fundamentals of experimental design and statistics and be involved in a manuscript presentation. The opportunity to be involved in patient enrollment in studies also exists. Lectures and resident education conferences will be attended as well as discussions with the director of clinical research on assigned reading topics.

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

POPH 8011 GENERAL OPHTHALMOLOGY SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

*POPH 8012 CLINICAL OPHTHALMOLOGY ROTATION [2-4 cr.] This 2 or 4 weeks course for 4th year students will teach students sufficient ophthalmologic knowledge and clinical skills to recognize common eye complaints and their etiology as well as less common, but life or sight threatening emergencies. This course expands basic knowledge and focuses on clinical exam skills, while broadening a basic differential. (2 student cap.)

POPH 8051 OPHTHALMOLOGY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Ophthalmology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

POPH 8052 OPHTHALMOLOGY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Ophthalmology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

POPH 8053 OPHTHALMOLOGY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Ophthalmology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

POPH 8100 OPHTHALMOLOGY RESEARCH [varies, 1-99 cr.] This elective introduces the student to the wide range of research possibilities in the area of visual sciences. A number of projects are available. Ongoing projects include Visual psychophysics and electrophysiology, Machine vision, Artificial intelligence applications, Digital imaging, Cell growth acceleration, including work with defensins and Substance P, Cell growth inhibition, including work with cell growth factor receptor blockers, Glaucoma, Glaucoma drug design, Cornea surgery, Vitreoretinal surgery, Instrument development and design, and Retrospective clinical studies.

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PORS 8010 ORTHOPAEDIC SURGERY ELECTIVE [varies, 1-99 cr.] Students will be assigned to an orthopaedic faculty member and participate as a member of the orthopaedic team in inpatient and outpatient care, emergency room, and operating room activities. Students should perform history and physical examinations upon all patients admitted by the attending surgeon and present these workups for evaluation. Each student will prepare a presentation for the teaching conference on a subject assigned by a Faculty member. The student will attend all orthopaedic conferences. This elective is for those students interested in surgical specialties or an in-depth experience in orthopaedic surgery.

PORS 8011 GENERAL ORTHOPAEDICS SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

PORS 8013 PEDIATRIC ORTHOPEDICS (2 students) [2-4 cr.] This elective will introduce the student to different pathologies related to the pediatric musculoskeletal system. Students will understand the normal variation of development of the lower extremities and become familiar with different pediatric orthopedic surgeries. This elective is offered as a 2- or 4-week elective and is available September – November and January - April.

*PORS 8014 ORTHOPAEDIC SPORTS MEDICINE ELECTIVE [2-4 cr.] This 2 or 4 week course for 4th year students will expose students to common clinical presentations in sports medicine and orthopaedic surgery. Students will perform a history and physical examination of orthopaedic and sports medicine injuries. This elective will teach basic decision making for investigation and/or conservative or operative management of common orthopaedic and sports medicine injuries and conditions. The course offers a focused discussion of orthopaedic, trauma, and surgery presentations and scenarios relevant to examinations. (2 student cap.)

PORS 8051 ORTHOPAEDIC ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Orthopaedic Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PORS 8052 ORTHOPAEDIC ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Orthopaedic Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PORS 8053 ORTHOPAEDIC ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Orthopaedic Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*†PORS 8100 ORTHOPAEDIC RESEARCH [varies, 1-99 cr.] Students with an interest in conducting musculoskeletal research will be assigned to one of the full time orthopaedic faculty members. Under the guidance of this faculty member (and possibly in cooperation with other members of the full time faculty and clinical faculty), the student will be required to directly participate in a research project. The nature and extent of this project is to be agreed upon prior to participation, and credit will not be given unless the agreed upon objectives are accomplished. If the project is completed during the elective, the student is expected to present a written and oral report to the orthopaedic residents and faculty. If it is agreed that the research cannot be completed in the allotted time, the student will be expected to present a report of the progress that has been accomplished during the elective.

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PPAT 8011 GENERAL PATHOLOGY SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

*PPAT 8012 FORENSIC PATHOLOGY ELECTIVE [4 cr.] The goals of this 4 week elective for 4th year students include exposure to the many roles forensic pathology plays in the community. The elective provides the student with the opportunity to review normal anatomy, observe and perform organ evisceration, document organ disease processes, produce formal writing autopsy reports, and study the guidelines and practices for death certification and medicolegal death investigation. (1 student cap.)

PPAT 8051 PATHOLOGY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pathology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PPAT 8052 PATHOLOGY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pathology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PPAT 8053 PATHOLOGY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pathology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PPED 8001 PEDIATRIC SUBINTERNSHIP [4 cr.] The student will work as a member of a team caring for patients admitted to the pediatric inpatient service. During this elective, the student will have an opportunity to learn to formulate problem lists, management, and follow-up plans for hospitalized pediatric patients. The student assumes the role of extern and takes call with the residents.

PPED 8003 NEONATOLOGY INTENSIVE CARE [4 cr.] This selective/elective is designed to familiarize the student with perinatal/neonatal physiology, high-risk factors associated with neonatal disease pathophysiology diagnosis and management of common neonatal problems, dealing with acute neonatal emergencies, and communicating with parents of high-risk neonates. The students’ primary responsibility will be the total management and supervision of assigned patients. Students will also be expected to participate in daily rounds, night call, weekly discussion group on neonatal/perinatal diseases and presentation of a review on a selected aspect of neonatal/perinatal medicine towards the end of the rotation.

PPED 8010 ADOLESCENT MEDICINE [varies, 1-99 cr.] This elective is designed to help students acquire good interviewing skills, a basic knowledge of adolescent physical and psychosocial development, an understanding of adolescent gynecology, basic skills in evaluation and management of sexually transmitted diseases, knowledge of nutrition and eating disorders in teenagers, management of common skin disorders, ability to identify common orthopaedic problems, knowledge of psychosocial disorders common in adolescents, and insight into the common medical complaints and problems in this age group as well as chronic illnesses seen in adolescents. Students will also gain insight into the legal issues and become familiar with the interface between the adolescent health facility, community agencies and institutions.

*†PPED 8011 AMBULATORY PEDIATRICS [varies, 1-99 cr.] The purpose of this elective is to familiarize the student with preventive pediatrics and parent education, acute intervention in common childhood diseases and follow-up visits, evaluation of patients in an outpatient consulting service, and interactions with Faculty and residents about the many facets of ambulatory pediatrics. Students will participate in ambulatory clinics and various conferences and rounds associated with pediatrics. At the end of the rotation, the student will present a topic in ambulatory pediatrics to residents and faculty.

PPED 8012 PEDIATRIC ENDOCRINOLOGY/METABOLISM [varies, 1-99 cr.] This elective provides exposure to outpatient management of common pediatric endocrine problems. Included will be growth assessment, Type 1 diabetes, congenital hypothyroidism, acquired hypothyroidism, hyperthyroidism, precocious puberty, delayed puberty, congenital adrenal hyperplasia, diabetes insipidus, and disorders of calcium regulation. Limited exposure to inpatient consultations is anticipated. Indications for common endocrine laboratory tests and their interpretation will be reviewed.

Endocrine aspects of common pediatric clinical situations will be discussed.

*†PPED 8014 PEDIATRIC INFECTIOUS DISEASE [varies, 1-99 cr.] The objective of this elective is to familiarize the student with the clinical and microbiologic approach to common pediatric infectious disease problems. The student will become familiar with the different classes of antimicrobial agents and learn when and how to select appropriate empirical antibiotic therapy. The student will participate in the differential diagnosis of pediatric patients presenting with signs and symptoms of an infectious disorder. The student will learn the appropriate laboratory tests and culture techniques for isolation and identification of bacterial, viral, fungal, and parasitic pathogens. Epidemiology and infection control of specific infectious pathogens will be discussed. This elective is primarily an inpatient consultation rotation involving the teaching hospital and two private hospital services with one weekly outpatient clinic for follow-up and consultation. Opportunities for research projects may be available if desired.

PPED 8019 PEDIATRIC HEMATOLOGY & ONCOLOGY [varies, 1-99 cr.] The purpose of this elective is to provide clinical experience to common problems in hematology and oncology by direct contact with patients. At the end of the rotation, students will be able to learn the essential knowledge in evaluating, diagnosis and managing patients with hematologic and oncologic problems, including those related to anemia, coagulation, lymphomas, leukemias and certain solid tumors, and hematologic and oncologic emergencies. The emphasis will be place on establishing the rapport with patients, logical approach for differential diagnosis, planning the management according to evidence-based medicine for each clinical situation and condition. Students may also participate in diagnosis procedures including lumbar puncture and bone marrow examination.

*†PPED 8020 PEDIATRIC SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

**†PPED 8021 GRAPHIC MEDICINE LEARNING FOR COMM. W/PATIENTS [4 cr.] This 4 week course for 4th year students will improve student's knowledge and understanding about how the nature and power of images helps to create health education by teaching students how to develop health education graphic narrative material (comic) to communicate with patients and health providers the patient's viewpoint about being sick. (2 student cap.)

**†PPED 8022 THE CARE OF THE WELL NEWBORN [2-4 cr.] This 2 or 4 week course for 4th year students allows an understanding of the delivery of care to the healthy newborn by identifying the series of events the neonate goes through from birth until discharge and describing the prenatal, perinatal and postnatal periods. Students will perform an assessment of a newborn, using history, physical exam and routine screening procedures, while identifying the resources available for the appropriate delivery of care to the acutely sick infant in the Well Baby Nursery and make decisions for when a higher level of care is required for the newborn. (2 student cap.)

**PPED 8023 PEDIATRIC NEPHROLOGY [2 cr.] This 2 week course for 4th year students will expose students to pediatric nephrology pathologies and pediatric dialysis on inpatient and outpatient settings. This elective will allow students to understand the impact of chronic and acute kidney diseases/disorders and their treatment on the growth and development of children, and also the impact on their family. (1 student cap.)

**PPED 8025 PED GASTRO, HEP, & NUTRITION [2-4 cr.] The student will follow the Pediatric GI attending that is “on service”; inpatient and outpatient activates, as well time to observe procedures (e.g. endoscopy, colonoscopy, etc.). Outpatient Activities: Follow “on-service” attending clinic schedule. The clinic are in the morning and have to available sites. The students are expected to see the patients first, get H&P, develop a concise presentation and present the data to the faculty. He/she will shadow the faculty in the final patient evaluation. Inpatient Activities: Inpatient consults which are done at El Paso Children’s Hospital and participate in any patients’ procedures or testing including but not limited to endoscopy, H. pylori breath test, lactose breath test, and pH probes.

PPED 8051 PEDIATRIC ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pediatrics at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PPED 8052 PEDIATRIC ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pediatrics at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PPED 8053 PEDIATRIC ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Pediatrics at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PPSY 8010 PSYCHIATRY SENIOR ROTATION [varies, 1-99 cr.] This elective is designed to give the student an opportunity to work with hospitalized inpatients suffering from major psychiatric disorders (affective disorders, schizophrenia, and organic mental disorders). Special emphasis is placed on diagnosis and formulation of treatment plan. In addition, the student will be exposed to those treatment modalities not provided as an outpatient. This would include electroconvulsive therapy (ECT). The student also will have an opportunity to be a part of a multidisciplinary approach to the diagnosis and treatment of inpatient population.

PPSY 8011 COMMUNITY SERVICES/CHILD PSYCHIATRY [varies, 1-99 cr.] This elective offers the opportunity to participate in the evaluation and treatment of children and adolescents with emotional and developmental disorders in a variety of community agencies. At least 75% of the time will be spent as consult service on the ward and approximately 25% time will be in the clinic.

PPSY 8012 FORENSIC PSYCHIATRY ELECTIVE [varies, 1-99 cr.] The student will be able to identify the basic concepts of forensic and legal psychiatry. The student will also be involved in the actual evaluation procedure for court-referred cases with forensic implications and will attend actual trials and observe psychiatric expert testimony.

PPSY 8013 SLEEP DISORDERS MEDICINE ELECTIVE [varies, 1-99 cr.] This elective must be combined with another topic of interest during the rotation. This elective reviews the basics of sleep physiology and gives clinical exposure to a wide range of sleep pathology. The student will become acquainted with polysomnography procedures in the Sleep Disorders Center. Disorders such as insomnias, sleep apneas, narcolepsy, and parasomnias will be seen. Students will be expected to observe polysomnographies at night.

PPSY 8015 PSYCHIATRY SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

PPSY 8016 NUTRIGENETICS/NUTRIGENOMICS (No limit on enrollment) [2 cr.] This 2 week elective is an in-depth survey of the nutrigenetics and personalized nutrition which are components of the concept that in the future genotyping will be used as a means of defining dietary recommendations to suit the individual.

*PPSY 8019 PSYCHIATRY CLINICAL LIAISON ROTATION [2-4 cr.] This 2 or 4 week elective for 4th year students is designed for students interested in psychiatric emergencies and psychosomatic medicine. This rotation will be at UMC-ED and inpatient hospital. (6 student cap.)

*PPSY 8020 PSYCHIATRIC RESEARCH, ONGOING FAC./DEPT. PROJ. [4 cr.] This 4 week elective for 4th year students provides students an opportunity to work with a faculty member and participate in an active research project (suicidal/homicidal patients or the Brain Bank, an ongoing study). Students will be able to take part in different parts of the psychiatric research project, from design to presentation. (no specified student cap.)

PPSY 8051 PSYCHIATRY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Psychiatry at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PPSY 8052 PSYCHIATRY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Psychiatry at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PPSY 8053 PSYCHIATRY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Psychiatry at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PPSY 8100 PSYCHIATRIC RESEARCH ELECTIVE [varies, 1-99 cr.] Students with an interest in research in Psychiatry will spend time in the departmental research division participating in some phase of a research project (design and development, literature review, data gathering and interpretation, write-up) under the supervision of a faculty member directing the project.

*Elective
**New elective course offering
†Course can be used as MPH elective
††Required MPH course

PRAD 8010 RADIOLOGY ELECTIVE [varies, 1-99 cr.] The student will observe and participate in all phases of radiological diagnosis to include fluoroscopy, plain film interpretation, special procedures, nuclear imaging, diagnostic ultrasound, and computed tomography where available. A radiological teaching file is provided for study purposes, and the student is expected to spend a portion of the time reviewing this file. Attendance at intradepartmental conferences is expected.

PRAD 8011 RADIOLOGY SENIOR ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

PRAD 8012 ADVANCES IN NEUROANATOMY AND NEURORADIOLOGY [varies, 1-99 cr.] Students will spend 2-4 hours a day participating in patient care under the supervision of the elective director and they will also spend time reviewing the instructor’s teaching files. In addition students will participate in didactic lecture/seminar sessions, complete assigned readings in neuroanatomy and they will also access information on selected websites as directed by the instructor. Students will also spend at least one day participating in the activities of the neuroangiography suite.

PRAD 8014 PEDIATRIC RADIOLOGY (2 students) [varies, 2-4 cr.] Students can enroll in this sub-specialty elective once they have completed the 4 week General Radiology elective. This elective is offered as either a 2 or 4 week elective.

PRAD 8015 INTERVENTIONAL RADIOLOGY (2 students) [varies, 2-4 cr.] Students can enroll in this sub-specialty elective once they have completed the 4 week General Radiology elective. This elective is offered as either a 2 or 4 week elective.

PRAD 8051 RADIOLOGY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Radiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PRAD 8052 RADIOLOGY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Radiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PRAD 8053 RADIOLOGY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Radiology at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PSUR 8002 SURGICAL INTENSIVE CARE [4 cr.] This elective is an experience in the management of surgical patients in the intensive care unit.

PSUR 8013 PLASTIC SURGERY [varies, 1-99 cr.] The elective is designed to acquaint the student with the basic principles of plastic and reconstructive surgery including burns, cosmetic surgery, and trauma to extremities. Also included is an introduction to the principles of microsurgery. The student observes as well as participates in the pre/postoperative and follow-up for such patients.

PSUR 8016 FEMALE BREAST DISEASE/TREATMENT [varies, 1-99 cr.] This elective is designed to expose the 4th year medical student to and educate him/her in all aspects of female breast disease. The student will participate in the outpatient clinics evaluating patients and participate in the diagnosis and treatment of benign and malignant disease. The student will assist on breast biopsies in the outpatient clinic and will assist at hospital operative procedures. The student will spend time with the medical oncologist in the outpatient setting and at the Infusion Center. The student will also spend time at the Breast Imaging Center assisting with mammography and ultrasound.

PSUR 8017 SENIOR SURGERY ELECTIVE (2 or 4 weeks) [varies, 1-99 cr.] This is a clinical “independent study” elective in which the student, in consultation with the supervising faculty member identifies the topics he/she wishes to address and negotiates elective goals, objectives, and activities with the faculty and the Office of Student Affairs.

PSUR 8051 SURGERY ELECTIVE I [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PSUR 8052 SURGERY ELECTIVE II [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.

PSUR 8053 SURGERY ELECTIVE III [varies, 1-99 cr.] This elective is for students participating in an off-campus rotation. The student is responsible for identifying an appropriate elective in Surgery at an LCME-accredited institution and meeting the requirements of the respective school for admission for that elective. The student may not take the same elective content in more than one location. Each elective must have a different focus in order to receive credit for electives in the same discipline.