Tuesday, March 24, 2009

It is a pleasure to introduce you to St. Vincent’s Medical Center:

General Internal Medicine
This clerkship is designed to provide maximum clinical experience in the hospital setting, with emphasis on acute care medicine patients. The student is given the opportunity to apply the basic sciences and methods taught in medical school to the clinical setting. The student is involved directly in the day-to-day work of the medical teaching team and in the care of his/her own patients in conjunction with careful and continuing supervision by the resident and the attending internist. The student will join the House staff in all departmental teaching activities. You will be on call every fourth night with the team.
Ambulatory Care
The Ambulatory care elective at St. Vincent’s Medical Center provides the fourth year medical student with a one-month block rotation in primary care medicine. History taking and physical examination techniques as they apply to ambulatory patients will be reviewed. Problem identification and problem solving, as well as health maintenance and screening will be emphasized. Medical students will see patients in both the private practice office setting an in the medical clinic setting. Continuity of care and appropriate timely follow-up are the mainstays of the experience and of good ambulatory medicine. A series of case presentations and informal lectures on selected topics in ambulatory care are provided. The student will be given a weekly self-study packet that includes a case presentation with problems to solve, as well as handouts on current medical literature and reading material.
The clinical clerkship at the Jewish Home for the Elderly of Fairfield is a highly structured, comprehensive on-month rotation in Geriatric Medicine. This rotation includes direct patient care under the supervision of 11 internists with special interest and expertise in geriatric medicine. Insight is gained by working with physical therapists, occupational therapists, recreational therapists, podiatrists, and a nursing staff with unique skills in Geriatric Medicine. Included are two half-day experiences of home care in an affiliated outreach program. Patient rounds occur daily with an attending physician, as well as bi-weekly Neurology rounds and monthly Dermatology, Psychiatry and OT/PT rounds.
Pulmonary/Critical Care Medicine
Over the course of this elective, the medical student will be exposed to varied aspects in the clinical field of pulmonary/critical care medicine. Areas of clinical pulmonary such as respiratory failure, infectious lung disease, malignant disease of the lung, obstructive airway disease and pulmonary vascular disease will be covered during the course of the month. Rounds will occur daily under the supervision of an attending pulmonologist. A pulmonary fellow will work with the student on the pulmonary consultative service, and cases will be presented and discussed with the attending on daily teaching rounds. The student is also encouraged to attend MICU teaching rounds. Pulmonary function tests and their interpretation will be reviewed with the student, and the techniques of pulmonary procedures (such as bronchoscopy, thoracentesis and pleural biopsy) will be demonstrated. Attendance at outpatient pulmonary clinic, as well as weekly chest radiography conference is highly encouraged.
A written curriculum with references and pertinent articles is provided for the student, as well as access to the AGA slide series, and pictorial guide to gastroenterology. The student will make consult rounds daily, in addition to teaching rounds with the gastroenterology attending. The student will be able to attend the weekly GI conference, which will expose the student to topics in GI radiology, pathology and endoscopy. The student will also observe endoscopies and other procedures throughout the rotation.
During the course of this elective, the student will acquire a better knowledge of clinical cardiology, allowing improved management of common cardiovascular problems encountered in the practice of internal medicine. Exposure to clinical cases and the various diagnostic and therapeutic modalities used in the practice of cardiology, will aid in the student’s patient management abilities. The student will attend rounds in the CVU as well as be a member oft eh cardiology consultative service. EKG interpretation will be performed on a daily basis and be supervised by an attending cardiologist. One week “mini-rotations” in invasive and non-invasive cardiac services will allow for an increased understanding of diagnostic and therapeutic cardiology. Attendance at didactic cardiology conferences, as well as at interactive conferences (such as murmur rounds), is encouraged.
Infectious Diseases
During the course of this rotation, students will team to integrate their knowledge of microbiology and pharmacology into clinical situations for optimal Therapeutic decision-making. As a part of the infectious disease consultative service, the student will actively be involved in obtaining comprehensive infectious disease medical histories and will gain increased proficiency in treating infectious diseases. An attending physician will supervise the student along with a resident. The student will participate in infectious disease consultations in both the inpatient and outpatient settings, join ID rounds, team to interpret pertinent laboratory data (x-rays, culture results, microbiologic slides) and attend infectious disease clinics at St. Vincent’s Medical Center under the supervision of the ID attending.
General Surgery
This clerkship is designed to provide a diagnostic approach to patients pre-selected for surgical remedy of the disease process. Emphasis is placed on pre-operative assessment and pos-operative care. Opportunity is provided to participate in Emergency Room care of trauma patients and to conduct surgical pre-admissions evaluation. The student works closely with the Senior Surgical Resident and teaching Attending Surgeon.
This rotation is designed to integrate the student’s basic science knowledge of anatomy and physiology into the diagnostic imaging procedures. There is emphasis on problem-solving techniques using imaging and integrating these radiological studies into the patient’s care. The student experiences one-on-one teaching with a staff radiologist to learn the art of interpreting biopsies, drainages, and arteriograms are part of the rotation. There is a reading list and materials provided by the Department of Radiology for the student. Further rotations in Nuclear Medicine and Radiation Oncology are also available.

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