Third Year Rotation Information and Affiliates Guide 2019-2020 · 2018. 11. 20. · Barry Mann, M.D. 484-476-3409 [email protected] Christiana Care Health System Newark, DE Lisa Maxwell,

2019-2020

Third Year Rotation Information and Affiliates Guide

Foreword

As our first two years of medical school are nearing an end, we can look forward to putting our knowledge and skills to use in the clinical setting. This experience is an exciting time which will give us further insight into our interests and final career decisions.

While the core rotations are the same for all of us, each of the sites is distinctive in its own way. We have many options available to us, ranging from small community hospitals to large academic medical centers. As such, we will each have a unique set of clinical experiences from which to draw on for the rest of our careers.

This guide was created to provide information about each affiliate hospital and the various rotations they offer. We have tried to make this as helpful and complete as possible. Please keep in mind that while every effort has been made to provide the most accurate information, this guide is not the final word. The Office of the Registrar will provide the official information regarding individual course locations, enrollment limits for each site, and the blocks when each course is offered.

We hope the information in this guide will help you select rotation sites to fit your own goals. We wish you all the best of luck next year!

Sincerely,

Affiliations Committee Representatives

Nilanjan Haldar George Titomihelakis [email protected] [email protected]

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TABLEOFCONTENTS

ListofHospitalsandContacts 3SidneyKimmelMedicalCollegeContacts 4

ThirdYearCurriculum

Scheduling Procedure 5 Curriculum Overview 6 Phase 2 Block Schedule 7 Longitudinal Integrated Clerkship 8 - 9

FamilyMedicine 11-16 InternalMedicine 17-21 Neurology 22-24 Obstetrics&Gynecology 25-29 Pediatrics 30-33 Psychiatry 34-38 Surgery 39-44 AffiliateHospitalInformation

AbingtonMemorialHospital 45 A.IDuPontHospitalforChildren 46 AlbertEinsteinMedicalCenter 47

Jefferson Health Northeast (ARIA) 48 BrynMawrHospital 49

ChristianaCareHealthSystem 50 Crozer-KeystoneHealthSystem 51 ExcelaHealthLatrobeHospital 52 InspiraMedicalCenter 53 LankenauMedicalCenter 54 MethodistHospital 55 MorristownMedicalCenter(AtlanticHealth) 56 OverlookMedicalCenter(AtlanticHealth) 57 ReadingHospital 58 ThomasJeffersonUniversityHospital 59-60 VirtuaHealth 61 WilmingtonVeteransAffairsMedicalCenter 62 WellSpanYorkHospital 63AffiliateSecurityProcedure 64

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ListofHospitalsOfferingJuniorElectives2019-2020

HOSPITAL LOCATION CONTACT INFORMATION E-MAIL/WEB SITE

Abington Memorial Hospital Abington, PA

David Gary Smith, M.D. 215-481-2606

[email protected] www.abingtonhealth.org

Alfred I. DuPont Hospital for Children Wilmington, DE

Steve Selbst, M.D.

302-651-5874

[email protected] www.nemours.org

Albert Einstein Medical Center

Philadelphia, PA Douglas McGee, D.O.

215-456-7056 [email protected]

www.einstein.edu

Jefferson Health Northeast (ARIA) Bensalem, PA

Robert Danoff, D.O. 215-949-5066

[email protected] www.ariahealth.org

Main Line Health Bryn Mawr Hospital

Bryn Mawr, PA Barry Mann, M.D.


www.mlhs.org

Christiana Care Health System

Newark, DE Lisa Maxwell, M.D.


www.christianacare.org

Crozer-Keystone Health System

Springfield, PA Elise Hogan, M.D.


www.crozer.org

Excela Health Latrobe Hospital

Latrobe, PA Michael Semelka, D.O.


www.excelahealth.org

Inspira Medical Center Woodbury, NJ Aarti Aggarwal, M.D.


http://www.inspirafmwoodbury.org/

Main Line Health Lankenau Medical Ctr. Wynnewood, PA

Barry Mann, M.D. 484-476-3409

[email protected] www.mlhs.org

Methodist Hospital Philadelphia, PA Martin Koutcher, M.D.


www.jefferson.org

Morristown Medical Ctr. Morristown, NJ James Alexander, MD


www.atlantichealth.org

Overlook Medical Ctr. Summit, NJ James Alexander, MD


www.atlantichealth.org

Reading Hospital West Reading, PA Mark Martens, M.D.


www.readinghealth.org

Sidney Kimmel Medical College at TJU

(see page four)

Virtua Health Voorhees, NJ Mary Campagnolo, M.D.


www.virtua.org

Veterans Affairs Medical Ctr.

Wilmington, DE Robert Boucher, M.D.


www.va.gov

WellSpan York Hospital York, PA David Emrhein 717-851-2967

[email protected] www.yorkhospital.edu

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SidneyKimmelMedicalCollegeContacts2019-2020

DEPARTMENT CLERKSHIP COORDINATORS DIRECTORS

Family Medicine

Laura Monroe Education Program Administrator

215- 955- 2362 [email protected]

Amy Levine

Program Coordinator 215-955-1372

[email protected]

Fred Markham, M.D. 215-955-2350

[email protected]

Marisyl de la Cruz, M.D. 215-503-3461

[email protected]

Medicine Amanda White 215-955-8737

[email protected]

Sarah Rosenberg, M.D.


Neurology

Jasmine King


Daniel Kremens, M.D. 215-503-2724

[email protected]

Obstetrics/Gynecology Diana Brooks 215-955-8462

[email protected]

Katherine Lackritz, M.D. 215-955-5000

[email protected]

Pediatrics TBD Alisa LoSasso, M.D.


Psychiatry Jaynie Estrada 215-955-9823

[email protected]

Mitchell Cohen, M.D. 215-955-6592

[email protected]

Surgery Sherry Weitz


Gerald Isenberg, M.D. 215-955-6879

[email protected]

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Phase2:CoreClinicalRotationsSchedulingProcedures

In early November, students will begin to select the rotation and location of clerkships with the Registrar's Office. Specific dates will be emailed from the Registrar’s Office.

Approximately on January 15, 2019 the results of the lottery will be available to all second year students.

STUDENTS ARE PROHIBITED FROM HOLDING MORE THAN ONE SLOT PER CORE SUBJECT and the Registrar will automatically delete extra slots held thereby jeopardizing a student's first choice.

Due to the complex nature of the scheduling process, the schedules received by students are final. If a student desires a change to a different rotation or a different site, they must find someone to switch with them directly. This must be done at least 6 weeks before the start of the rotation in question via standard drop/add form, and will require an approval by the Clerkship Coordinators and/or Directors for both clerkships. In an event of an approval, the Clerkship Coordinator will notify the affiliate site and the Registrar.

The major objective is to give each student the highest order of courses and locations preferred, while also meeting Jefferson and affiliated hospital requirements. Determination of final location and sequencing of all rotations is determined by SKMC.

If the student's first preference is not available, due to enrollment limitations or other factors, the process will move to the next highest selection depending on the preference selected by the student on the schedule request list.

If a student fails to provide alternate choices of time periods and locations, and the first choice is not available, the student will be assigned when and/or where space is available.

Phase2: Important Dates

4/15/2019 Phase 2 starts 5/27/2019 Memorial Day: students are off 6/3/2019 Mandatory Interclerkship Session 7/4/2019 Independence Day: students are off 7/15/2019 Mandatory Interclerkship Session 8/26/2019 Mandatory Interclerkship Session 9/2/2019 Labor Day: students are off 10/7/2019 Mandatory Interclerkship Session 11/18/2019 Mandatory Interclerkship Session 11/28-29/2019 Thanksgiving: students are off 12/23/2019-1/3/2020 Winter Vacation 1/13/2020 Mandatory Interclerkship Session 2/24/2020 Mandatory Interclerkship Session 4/6/2020-4/17/2020 Spring Vacation

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Phase 2 Curriculum Overview

Phase 2 curriculum consists of 49 weeks of instruction

Transition to Clerkships Course (JMD300) 1 week

Surgery/Emergency Medicine Block • General Surgery (SURG 350) 6 weeks • Surgical Subspecialty Selective 3 weeks • Emergency Medicine (EMRG350) 3 weeks

Internal Medicine/Neurology Block

• Internal Medicine (MED 350) 8 weeks o 4 weeks at TJUH o 4 weeks at an Affiliate Hospital

• Neurology (NEUR 350) 4 weeks Family Medicine/Psychiatry Block

• Family Medicine (FMED 350) 6 weeks • Psychiatry (PSYH350) 6 weeks

Obstetrics & Gynecology/Pediatrics Block

• Obstetrics & Gynecology (OBGY 350) 6 weeks • Pediatrics (PED 350) 6 weeks

You will be automatically enrolled in Transition to Clerkships Course (JMD300) as well as Scholarly Inquiry (JMD350), which will run through the entire Phase 2.

Each clerkship block is taken as a pair – i.e. Surgery is always paired with Surgical Subspecialties and Emergency Medicine, Internal Medicine with Neurology, Family Medicine with Psychiatry, and Obstetrics & Gynecology with Pediatrics. Please keep this in mind when you are compiling your request list.

Students have a choice of Surgical Subspecialties. They are: • Anesthesia (ANES352) • Neurosurgery (NRSG352) • Ophthalmology (OPHT352) • Orthopedics and Musculoskeletal Disease (ORTH352) • Otolaryngology (OTOL352) • Urology (UROL352)

During the first day of each 6 weeks throughout Phase 2 you will return to the main SKMC campus for the Interclerkship Days, during which will focus on interdisciplinary curricular content. Attendance at all 7 Interclerkship Days is mandatory to successfully complete Phase 2.

.

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Phase 2 Block Schedule

Start End Phase 2 IM/Neuro Phase 2 Surg/EM Phase 2 FM/Psych/Peds/OB4/15/19 4/19/194/22/19 4/26/19 No Interclerkship

4/29/19 5/3/195/6/2019 5/10/195/13/2019 5/17/195/20/2019 5/24/195/27/19 5/31/196/3/19 6/7/19 Interclerkship 6/3/19

6/10/19 6/14/196/17/19 6/21/196/24/19 6/28/197/1/19 7/5/197/8/19 7/12/197/15/19 7/19/19 Interclerkship 7/15/19

7/22/19 7/26/197/29/19 8/2/198/5/19 8/9/198/12/19 8/16/198/19/19 8/23/198/26/19 8/30/19 Interclerkship 8/26/19

9/2/19 9/6/199/9/19 9/13/199/16/19 9/20/199/23/19 9/27/199/30/19 10/4/1910/7/19 10/11/19 Interclerkship 10/7/19

10/14/19 10/18/1910/21/19 10/25/1910/28/19 11/1/1911/4/19 11/8/1911/11/19 11/15/1911/18/19 11/22/19 Interclerkship 11/18/2019

11/25/19 11/29/1912/2/19 12/6/1912/9/19 12/13/1912/16/19 12/20/1912/23/19 12/27/1912/30/19 1/3/201/6/20 1/10/201/13/20 1/17/20 Interclerkship 1/13/2020

1/20/20 1/24/201/27/20 1/31/202/3/20 2/7/202/10/20 2/14/202/17/20 2/21/202/24/20 2/28/20 Interclerkship 02/24/2020

3/2/20 3/6/203/9/20 3/13/203/16/20 3/20/203/23/20 3/27/203/30/20 4/3/204/6/20 4/10/204/13/20 4/17/20

Block 19-06 (MG)

Block MF5

Block MG4

Block MG5

Block 18-08 (MY)

Block 18-09 (MZ)

Block 19-01 (MA)

Block MB4

Trans ition to Clerkships Course

Block MY4

Block MY5

Block MZ5

Block MZ4

VACATION

Block 19-05 (MF)

Block MC2

Block MX5Block MC3

Block 19-02 (MB)

Block 19-03 (MC)

Block 19-04 (MX)

Block MB5

Block MF1

Block MF2

Block MA4

Block MA5

Block MC4

Block MC5

Block MX4

Block MF3

Block MF4

VACATION

Block MY1

Block MY2

Block MY3

Block MA1

Block MA2

Block MA3

Block MC1

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Thomas Jefferson University’s Sidney Kimmel Medical College (SKMC) Longitudinal Integrated Clerkship (LIC) at Atlantic Health System

What is a Longitudinal Integrated Clerkship (LIC)?

An LIC is an innovative model for the clinical clerkship year founded on the organizing principle of continuity—continuity of care, supervision, curriculum, and of relationships with patients, preceptors, and the health care system. You will have the opportunity to follow patients longitudinally throughout the core disciplines, spanning all phases of diagnosis and treatment.

Features of the LIC:

If I choose to participate in the LIC, will I get the same education?

Yes! The LIC delivers an equivalent curriculum to that of the traditional block model, including didactics, patient log requirements, assignments, and NBME exams, longitudinally over the course of the entire clerkship year.

What are the benefits of participating in an LIC?

• Learn through patient-centered care• Develop longitudinal relationships with faculty preceptors and patients in acute and chronic care settings• Perform equivalent to peers on standardized testing• Experience an increased connection with patients• Foster a greater sense of self-awareness and responsibility for your education

To apply, you must:

• Be in good academic standing• Submit a brief, 500-word essay describing your interest in the program• Meet with program faculty

Notification of acceptance will occur prior to the general clerkship lottery.

For more information: Contact [email protected]

• A nine-week clinical inpatient immersion experience followed by 40 weeks of longitudinal care across the coredisciplines in the outpatient setting

• A preceptor in internal medicine, family medicine, pediatrics, obstetrics and gynecology, surgery, neurology, andpsychiatry will be assigned to work with you on a weekly basis

• You will gain an understanding of the disease process through involvement of care delivery across all aspects of thehealth care system

• Opportunities to learn from master SKMC educators in Atlantic Health’s state-of-the-art teaching hospitals, as wellas Goryeb Children’s Hospital, Gagnon Cardiovascular Institute and Atlantic Neuroscience Institute

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The ½ day specialty sessions occur in the outpatient setting, unless stated otherwise. Self-Directed Time = White Space

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ImportantNote!!!!!

ALL HOUSING ARRANGEMENTS FOR ROTATIONS MUST BE MADE WITH THE AFFILIATE HOSPITALS DIRECTLY ONCE YOU ARE ASSIGNED TO YOUR ROTATIONS. THE LIST OF

CONTACTS IS INCLUDED WITHIN THE GUIDEBOOK.

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FAMILY MEDICINE

Abington

Jefferson Health

Northeast (ARIA)

Bryn Mawr Christiana Crozier

Latrobe/ Excela

Min/Max Number of Students 1-2 1-2 2 5-8 1-2

3-4

FAMILY MEDICINE

Inspira

Morristown Medical Ctr./

Overlook Atlantic Health System

Reading TJUH

Virtua Health

WellSpan York

Hospital

Min/Max Number of Students 1 4 1 6-12

1

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FAMED350 FAMILYMEDICINE

The Family Medicine Clerkship is a five-six week rotation with sites around greater Philadelphia. As a 3rd year medical student, you are now an integral part of the team providing patient care. Your focus should be on gathering information through the history and physical exam, accurately reporting that information, providing a differential diagnosis, and prioritizing problems. Caring for patients in an outpatient setting is a central component of Family Medicine. At all clerkship sites, you will spend a significant portion of your time in an outpatient practice. Some sessions may be supplemented by didactics and community-based experiences in order to expose you to other areas of Family Medicine. These vary from site to site. Students will be supervised by Family Medicine faculty and upper-year residents at all sites.

AbingtonMemorialHospitalAs a family medicine teaching program, we have a strong commitment to teaching medical students. Third year students from many local medical schools rotate with our residents on the Family Medicine Inpatient Service and in the Family Medicine Center. We also offer four week and two week fourth year elective rotations for interested medical students. Students are incorporated into all aspects of the Family Medicine Residency during their rotations with us. The majority of student time is spent caring for patients in the outpatient setting but also may include activities such as rounding in the hospital with the family medicine residents and attending’s, geriatric facility visits, and home visits. Medical students are involve in all conferences and didactic programs at the Abington Family Medicine during their rotations and participate in a series of lectures on the top 20 diagnoses in primary care specifically designed for the students. There is also the opportunity for interested students to work with our residents in other activities such as preparticipation sports physicals, outpatient office procedures and research projects and publications.

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JeffersonHealthNortheast(ARIA) Aria Jefferson has a long standing tradition of working with medical students, residents, and allied medical professionals in training. This is our mission and we enjoy working with the future physicians and advanced practice professionals who will serve their patients in the future. Our family medicine rotation is integrated into our family medicine residency program. As such, the students work directly with community faculty in their office settings. In this way the real "feel" of being a family physician engaged in their community is experienced. Acute, chronic, preventive and episodic care is part of the daily professional life of family physicians, and medical students are immediately included as part of the office team. There will be one-one preceptor experience, sometimes including a family medicine resident as well. Additionally, once per week there will be teaching rounds at an extended care facility, working with seniors for a geriatric component of the family medicine rotation. We also offer medical students the option to round with the inpatient teaching service if that would be an interest. Also, each Thursday morning the students will join us at our Family Medicine conference from 7 - noon at the Aria Jefferson Bucks campus. Thank you for considering the Family Medicine rotation at Aria Jefferson. We look forward to working together.

BrynMawrHospital The goal of this six-week rotation is for the student to practice and improve his/her interviewing and physical examination skills and to begin integrating patient data with basic science to make relevant clinical decisions. This Family Practice rotation is intended to provide the third-year student with a broad clinical experience. There is ample time spent in the hospital-based residency practice and in the office of a community-based family practitioner. The array of exposures will include the family practitioner in the office, making home visits and nursing home visits. In addition, the students meet with faculty for seminars on clinical problem solving and interviewing skills. Students are responsible for reading necessary information to appropriately learn about the patients they have seen. An evaluation will be made by the preceptor with whom the students work and the faculty and residents at Bryn Mawr Family Practice.

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ChristianaCareHealthServices

Students will be exposed to a wide range of clinical experiences and settings. Students spend two weeks in a private family physician’s office, at least one week in our residency practice, several sessions in an urgent care setting, as well as several varied experiences in community medicine, including HIV Clinic, nursing home and home visits. As part of the rotation, all students participate in a practice OSCe session in our Virtual Education and Simulation Center. Lectures also include interactive didactic sessions on common outpatient topics as well as an introduction to evidence-based medicine. Students are evaluated by the course director outside preceptors, faculty, residents and staff. Mid-rotation meetings are informal due to the wide range of assigned locations. The clerkship director meets with all students for several sessions of orientation and most Fridays thereafter. Due to the varied locations to which the students must travel, an automobile is required for this rotation.

Crozer-KeystoneHealthSystemAt the Crozer-Keystone Center for Family Health in Springfield, we offer 2 and 4-week fourth year electives and a 6-week third year clerkship for interested medical students. During your rotation, you will spend the majority of the time caring for patients in the outpatient setting which is located in Delaware County (20 minutes outside of Philadelphia.) Our Springfield office recently received Level 3 recognition from the National Committee for Quality Assurance for our Patient Centered Medical Home. Patient care activities will routinely include exposure to global health, office procedures, cosmetic medicine, sports medicine activities, medical informatics, inpatient service and behavioral science sessions. In addition, students will also be involved the community through school physicals, home visits and nursing home visits. Students participate in the weekly didactic sessions with our residents as well as dedicated weekly medical student teaching sessions. If you are interested in doing a rotation in Family Medicine at Crozer, please contact our Student Coordinator at (610) 690-4471 or via email at [email protected]. We greatly look forward to participating in your medical education and exposing you to the dynamic specialty of Family Medicine! For more information, please visit our website at fammed.crozer.org.

ExcelaHealthLatrobeHospitalStudents get to interview and examine patients first at Latrobe. The student takes an active role in care/management of patients, and students participate in clinical analysis processes. Students are supervised by board-certified family practice attendings. There is probably no other site within the Jefferson system at which the students get this opportunity to act as clinicians and to contribute so directly to the care of actual patients. Students receive informal feedback from every preceptor with whom they work. Preceptors relay information verbally or in writing to the clerkship coordinator, who has a formal face to face discussion with the students in mid-course and at the end of the rotation. The clerkship coordinator compiles the evaluations and writes the narrative grade report to send back to Jefferson. Students are evaluated compared to the theoretical expectations for a student at their level of training and experience. Knowledge, professionalism, personal skills, and ability to think in clinical terms are all important grading factors.

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InspiraMedicalCenterWoodburyOur faculty has training in Women’s Health and Wound Care in addition to a focus on Geriatrics. We have our own prenatal clinic, which is supervised by staff obstetricians. Mid rotation evaluations occurs at 3 weeks, and are in the form of verbal feedback. We evaluate students based on composite scores collected from all physicians that worked with the student. Our forms mirror the criteria present on the final evaluation forms sent from Jefferson. All subjective comments are incorporated in the evaluations.

MorristownMedicalCenter(partofAtlanticHealthSystem)We are a family medicine teaching program, and as such we teach medical students from several medical schools along with our residents. Students will work with both residents and attendings in our outpatient office in Summit, NJ. Students will meet patients from a variety of backgrounds, take histories, conduct physicals, develop differentials and present to attendings and senior residents. They will also spent time on geriatric rounds in our nursing home facility and in our prenatal clinic. There is also opportunity for interested students to round with the family medicine inpatient team. Medical students are involved in all conferences/ didactic sessions along with the residents. These periodically might include procedure conferences such as suturing, GYN procedures or joint injections. Additionally, there are medical student behavioral science sessions.

OverlookMedicalCenter(partofAtlanticHealthSystem)We are a family medicine teaching program, and as such we teach medical students from several medical schools along with our residents. Students will work with both residents and attendings in our outpatient office in Summit, NJ. Students will meet patients from a variety of backgrounds, take histories, conduct physicals, develop differentials and present to attendings and senior residents. They will also spent time on geriatric rounds in our nursing home facility and in our prenatal clinic. There is also opportunity for interested students to round with the family medicine inpatient team. Medical students are involved in all conferences/ didactic sessions along with the residents. These periodically might include procedure conferences such as suturing, GYN procedures or joint injections. Additionally, there are medical student behavioral science sessions.

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ReadingHospitalandMedicalCenterThe Reading Hospital is a large, community based hospital with many resources. Students have the opportunity the opportunity to customize parts of the rotation, depending upon their particular interest. Students “formally” stay within the residency program, but have the opportunity to work with specialists along with the Family Medicine Residents. Students typically work with 8-10 residents and 8 faculty members throughout their rotation. The mid-rotation and final evaluations are a composite of input from those who worked with the student. For each office hour session, the student will complete a SOAP note which is critiqued and returned to the student. Students will have the opportunity to do home visits with Berks Visiting Nurses 1 day per rotation, Alvernia University Student Health Clinic 1 afternoon per rotation, Wound care one ½ day per rotation, palliative care 1 day per rotation, and other procedure and subspecialty clinics throughout the rotation. Special features of your clerkship include a required Biopsychosocial project which involves interviewing a long-term patient and writing a 3-page paper with a genogram (time built into your schedule to complete). You will have the opportunity to work with skilled nurses and gain hands-on experience as well as document directly in Epic.

ThomasJeffersonUniversityHospitalFor clerkship students rotating at Jefferson, the bulk of clinical time is spent in the Jefferson Family Medicine Associates practice. There, students typically meet patients, take the history, conduct the physical exam, and present patients to precepting faculty. Students are responsible for formulating a differential diagnosis, developing an assessment and therapeutic plan, and performing health maintenance activities. Students may be responsible for labs, follow-up, notes, and referrals as needed. The patient population in the Family Practice Center is largely urban, and students encounter a rich mix of personalities, backgrounds, and health issues. Student may also be assigned to a community preceptor and will be expected to travel by car.

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FAMED350 FAMILYMEDICINEVirtuaHealthStudents who rotate at Virtua Health will be considered a part of our Family Medicine Residency during their 6 week rotation with us. As a teaching program with over 30 years of experience training residents, we are dedicated to ensuring that students get an excellent experience in seeing what Family Medicine is all about. Students will spend the majority of their time at our outpatient facility, the Virtua-Tatem Brown Family Practice Center, and also spend 1 week on inpatient rounds on our family medicine service at Virtua Voorhees. We are about 30 minutes from Center City Philadelphia, making access for Jefferson students quite easy. Our practice has a very diverse patient population, with a broad demographic mix including 30% pediatrics. In the office, students will work with residents and 1 on 1 with an attending, and will see a wide variety of patients that encompass everything from well child and preventive health visits to the most complex chronic disease management cases, as well as office procedures. Our practice is recognized by the NCQA as a level 3 medical home, and students will gain experience learning in an environment that emphasizes patient satisfaction, patient safety and continuous quality improvement. Students will also be involved in participating in nursing home rounds and home visits, in addition to opportunities with school health and other outreach activities as they arise. Our goal is to expose you to the exciting specialty of Family Medicine and all it has to offer! We also offer 4th year rotations for those interested in Family Medicine as a career choice. Please contact our coordinators at (856) 325-3737 and visit our website to learn more about Virtua Family Medicine Residency.

WellSpanYorkHospitalStudents see patients at the Thomas Hart Family Practice Center which is part of the family medicine residency program founded in 1968. The family practice center is connected to the hospital and has 24 exam rooms, two procedure rooms, a lab, and a conference room as well as offices for the faculty and residents. The average number of outpatient visits per year is approximately 23,000. These visits include well-child care, maternity care, adult care, and numerous outpatient procedures. The family practice center has been using an electronic health record since September 2006. Students will spend most of their time at the Thomas Hart Family Practice Center but will also spend two half-days per week at a private family medicine office in the community. Students will also spend two weeks on the family medicine inpatient service. There are didactics held on Thursday mornings which all students participate in as well as weekly visits to the York Hospital Simulation Lab. Students are supervised by Stacey Robert, MD and the Program Coordinator for the student rotations, Christie Colon.

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INTERNAL MEDICINE

Abington Albert Einstein Christiana Lankenau Methodist

Min/Max Number of Students 0/4 5/5 0/6

6/6 – blocks 10,11, 12

7/7 – Blocks 13-21

4/4

INTERNAL MEDICINE

Morristown Medical Ctr.

/Atlantic Health System

Reading TJUH WellSpan

York Hospital

Min/Max Number of Students 4/4 2/2 0/24 2/2

MED350 INTERNALMEDICINE

For the 2018-19 academic year, all students will start the Internal Medicine Clerkship with a mandatory “Academic Week” during which they will participate in a variety of educational activities that will give them foundation in Internal Medicine and Neurology. After that, students will spend 3 weeks at the Thomas Jefferson University Hospital, and 3 weeks at one of the academic affiliate hospitals. Christiana Branch Campus students spend entire 6 weeks at Christiana Care Health System. Each site offers unique learning opportunities, but ultimately adheres to the unified set of educational objectives. At all sites, students will receive education at bedside and in the classroom, and will be exposed to a wide variety of educational methods. All students will participate in a variety of projects that will expose them to incorporating evidence-based medicine and foundational science concepts into clinical practice, as well as introduce them to aspects of cost-conscious care. Students will be evaluated by both faculty and housestaff based on their clinical performance, receiving a single grade that reflects their performance at both Thomas Jefferson University Hospital and an academic affiliate. A shelf exam is taken at the end of the clerkship.

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MED350 INTERNALMEDICINEAbingtonMemorialHospital/JeffersonHealth

Abington Hospital/ Jefferson Health is a tertiary care facility located in Montgomery County, 30 minutes from Center City. It is a 660 bed Hospital with over 90,000 ER visits per year and offers patients a comprehensive care experience. Abington Hospital has a long and rich tradition of student training in Internal Medicine. We excel in our ability to provide a comprehensive clinical experience while also maintaining a personal concern for each student. The clerkship offers a scholarly and effective approach to the provision of medical care for learners alongside our internal medical residency program. Our environment promotes a culture of safety and respect for all members of the health care team and for our patients. The key elements of Abington’s successful training and educational programs are the broad clinical mix, the well-prepared and dedicated medical staff and the progressive increments in patient management responsibility delegated to our trainees.

AlbertEinsteinMedicalCenterEinstein Medical Center Philadelphia is located in an urban, socio-economically disadvantaged area in North Philadelphia. It is a very large, multidisciplinary tertiary-care hospital with 600 acute care beds, caring for a diverse patient population with a large scope of complex medical illnesses. During Internal Medicine at Einstein, students will rotate on either general medicine or subspecialty services. The robust didactic program includes core conference series, EKG workshops, radiology rounds, subspecialty rounds, noon student reports, and a Jeopardy-style review session. Physical diagnosis rounds are held both at bedside and in a simulated setting. During the simulation sessions, students learn IV placement, venous blood draws, and basic review of ACLS algorithms. Students also have a chance to round with the phlebotomy and IV teams to acquire and practice these skills.

ChristianaCareHealthSystem–ChristianaHospitalStudents interact with consultants from all subspecialty Internal Medicine services. These include Cardiology, Infectious Disease, Gastroenterology, Hematology, Nephrology, Pulmonary and Rheumatology. On the internal medicine service, students are evaluated by the intern and resident with whom they worked most closely. Depending on the service, an attending hospitalist evaluates them as well. These individuals complete the Sidney Kimmel Medical College evaluation in New Innovations. A workshop in IV insertion is provided for students and is schedule each month. Students are also required to prepare a one-page response to an evidence-based question assigned to them. Several literature references are expected. A bedside physical examination session is carried out usually with two students. This may involve performance of an entire physical examination or sections based on student needs. Mandatory sessions include Medical Grand Rounds and student core lectures.

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LankenauHospitalLankenau Hospital has over 100 years of experience in training medical students and residents. Indeed, educating students is a core value at Lankenau Hospital where medical students are considered valued members of the health care team. We pride ourselves on providing a university-level academic experience in a warm, supportive community environment. Straddling the city of Philadelphia and its “Main Line” suburbs, Lankenau provides a fascinating diversity of patients and pathology.

At Lankenau, third year students rotate on one of our eight core teaching teams. Each team is led by either an Academic Hospitalist or an Academic General Internist who is focused on providing excellent patient care and an excellent educational experience for residents and students on their team. In addition to our core student Didactic conferences, students attend and present at a weekly student case conference that is led by core teaching faculty. Students will spend time in our simulation lab practicing their clinical skills. Students also attend regularly scheduled Lankenau conferences such as Noon Conference, Morbidity and Mortality Conference, and Grand Rounds. Bedside, didactic, and multidisciplinary rounds take place daily and informal bedside teaching experiences with subspecialty consultants take place daily. Students have the opportunity to learn and practice bedside procedures such as phlebotomy, IV placement, and the drawing of arterial blood gases. All students are strongly encouraged to attend and observe any procedures their patients are undergoing such as cardiac catheterizations, endoscopies, and surgeries. Students are evaluated in face-to-face sessions with their floor attendings and residents at both the midpoint of the block and at the end of each block. End of block evaluations are completed by the student’s Attending, their resident, and occasionally their intern, if desired. Our medicine Clerkship Director Jonathan Doroshow, MD, is always available to students for assistance with patient presentations, notes, or assistance with shelf-exam study plans.

MethodistHospitalThe Medicine clerkship is a four-week rotation located on the campus of Methodist Hospital Division of Thomas Jefferson University. It is a community teaching hospital with 120 beds, caring for a diverse patient population with a large scope of complex medical issues. During the rotation, students will rotate on general internal medicine services. This course emphasizes the integration and application of pathophysiology to the diagnosis and management of patients in addition to the skills of history-taking, physical examination, and case presentation. The course is an apprenticeship focusing on the bedside care of patients. Students work closely with house staff members and attendings - making daily rounds, admitting new patients, and caring for them with the team.

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MorristownMedicalCenter(partofAtlanticHealthSystem)Morristown Medical Center (MMC) is the flagship teaching hospital for Atlantic Health System in northern New Jersey. We function as a tertiary referral center for the region with over 680 beds providing students excellent clinical exposure to patients from diverse socioeconomic backgrounds. Third year medical students are assigned to one of the Department of Medicine general medicine teaching teams which are led by an academic hospitalist. Daily teaching rounds are conducted with the attending. In addition to morning report and noon conference, there is a “student report”, a core didactic series of lectures including a weekly cardiac auscultation conference and meetings with the clerkship directors to review notes.

ReadingHospitalReading Hospital is a 695-bed acute care hospital located in West Reading, PA, which is approximately a 90-minute commute from Philadelphia. Medical patients are admitted primarily to hospitalist services, with subspecialties serving mainly in a consultant role. Students on Internal Medicine are assigned to the general internal medicine teaching teams, providing care for a broad scope of medical illnesses in a diverse patient population. Students perform histories and physicals, gain experience writing notes and orders in EPIC EMR, refine presentation skills, and accompany patients to diagnostic procedures. Arrangements are made with respiratory therapy to provide experience drawing ABGs. Students attend morning report, grand rounds, and either mid-day resident conferences or small group faculty-led student conferences. Free on-campus housing and parking are available, as well as a daily meal stipend. Additional information about the health system and local area can be found at https://www.readinghealth.org/education-and-research/academic-affairs/students/ .

ThomasJeffersonUniversityHospitalThomas Jefferson University Hospital is located on campus of Thomas Jefferson University. It is a very large multidisciplinary tertiary-care hospital with 950 acute care beds, caring for a diverse patient population with a large scope of complex medial illnesses. During Internal Medicine at Jefferson, students will rotate on either general medicine or subspecialty services. The robust didactic program includes core conference series, small group EKG workshops, and a Jeopardy-style review session. Physical diagnosis rounds are held both at bedside and in a simulated setting. During the simulation sessions, students will learn arterial puncture technique, EKG lead placement, and will have a chance to practice finger stick glucose monitoring and a subcutaneous injection.

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MED350 INTERNALMEDICINEWellSpanYorkHospitalAs an integral part of the leading health care delivery system in South Central Pennsylvania, York hospital is a 580 bed community teaching hospital serving 520,000 plus people in South Central Pennsylvania. Third year clerkship in Internal Medicine at York provides the student with excellent exposure to a broad range of diagnoses and multiple complex medical problems. Students are an integral and valued part of the team. Students take call with the team, admit patients in conjunction with their interns and residents, present and follow their patients. Students get a hands on experience caring for patient with congestive heart failure, acute coronary syndrome, gastrointestinal bleeds, delirium, stroke and COPD just to mention a few. Students participate in a core lecture series, advanced diagnosis sessions, a weekly student report with the Clerkship Director, opportunities for SIM sessions and to work with ancillary staff to sharpen skills on venipuncture, IV placement, urinalysis and peripheral blood smear interpretation.

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NEUROLOGY Albert Einstein Christiana Lankenau

Min/Max Number of Students 4/4 2 1/1

NEURO350NEUROLOGYIntroduction: The Neurology Clerkship provides a foundational experience in the field of Adult Neurology. The main goals of the Clerkship are for the student to be exposed to and learn about conditions typically seen by neurologists; to acquire core knowledge on the pathophysiology, clinical presentation, diagnostic processes, and assessments of the different neurological conditions observed during the Clerkship; to understand the relevant information required to perform a detailed neurological history; and to achieve proficiency in performing a neurological examination. Structure: The Clerkship at TJUH includes two rotations: one on the General Neurology Wards or Neurology Consultation services, and one on the Stroke or Neurocritical Care services. A half-day of outpatient experience is included during the rotations. Rotations in affiliated hospitals include a combination of inpatient and outpatient experiences. The students will be supervised by Resident House officers and/or Attending Neurologists. Didactics during the Clerkship include lectures, conferences, and case presentations at the different Clerkship sites. These didactics are complemented by an academic week, a joint Neurology and Internal Medicine educational initiative that includes topics related to various neurological topics and subspecialties (hosted at TJUH and attended by all students on the Clerkship). Evaluations are based on summative and formative assessments. A shelf exam is taken at the end of the clerkship. Locations: Thomas Jefferson University Hospital (TJUH) Albert Einstein Medical Center Christiana Care Health Services Lankenau Hospital

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NEURO350NEUROLOGY

AlbertEinsteinMedicalCenterDuringthisrotation,studentswillhaveacquirethefollowing:

a. A sound foundation for principles of neurologic diagnosis; b. Introduction to common neurological syndromes and diseases, focusing on pathophysiology, common presentations, and principles of management.

For each patient assigned, students will perform a thorough H&P with special attention to neurological symptoms and signs. All patients will be presented to an Attending and most will be discussed with a Neurology resident beforehand. We expect you to propose a neurological localization and differential diagnosis on every patient. This will increase your facility in “thinking neurologically.”

RotationsduringtheClerkship:

1. Inpatient Admitting Service 2. Inpatient Consult Service 3. Outpatient Clinics/ Neuroradiology/ Neuropathology 4. ICU

OtherClerkshipRequirements:

1. Neuropathology slide review and assignment 2. Patient education handout assignment for “Neurology Patient Library” 3. Attend neurology trainee conferences and student centered conferences, unless excused for other duties.

ChristianaCareHealthServices–ChristianaHospitalStudents are paired with an attending neurologist. They work with the attending directly in terms of performing consultations, seeing follow-up patients and learning to further their skills in the neurological examination.

There is close attention to helping develop a through differential dx and plan. Students are encouraged to review and discuss the medical literature with the neurologist with whom they are working. Opportunities to work with inpatient neurology attendings in the ICU and floors settings are under development.

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NEURO350NEUROLOGY

LankenauHospitalThe Lankenau Jefferson student neurology rotation is a mentor/mentee driven model that is singular in the medical school experience at Jefferson. The student who selects Lankenau will be assigned to a specific neurology attending; there are no neurology residents here. All of our attendings have substantial subspecialty experience and several of our staff members are nationally recognized in their respective fields. The student will work intensively with their assigned attending who will also direct their clinical and learning experience such that it will be diversified across the spectrum of neurological disorders and their treatment, predominantly in the outpatient setting where most neurologic disease is treated, as well as on the inpatient service and in the emergency room.

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OBSTETRICS & GYNECOLOGY

Abington Albert Einstein Bryn Mawr Christiana Lankenau

Min/Max Number of Students 1/2 3/4 1/2 1/6 3/4

OBSTETRICS & GYNECOLOGY

Morristown Medical Ctr.

/Atlantic Health System

Reading TJUH Virtua WellSpan

York Hospital


OB/GYN350OBSTETRICSANDGYNECOLOGY

AbingtonJeffersonHealth As an OB/GYN teaching program, we have a strong commitment to teaching medical students. Third year students from many local medical schools rotate with our residents and faculty on several services. These services include: gynecologic oncology, night float, gynecology, and obstetrics. Students also get the chance to rotate in our OB/GYN Center for the underserved. Didactic sessions and are held weekly for both residents and students, and weekly morbidity and mortality (M&M) conferences are also held. Morning conferences are held daily. Students are incorporated into all aspects of the OB/GYN residency during their rotations with us. Students receive training both on the inpatient and outpatient EMR in the hospital. EMR write access is available to students during the gynecology service. The hospital is accessible by public transportation when students are scheduled for inpatient duties; however some specialties or outpatient clinics may be in other locations.

AlbertEinsteinMedicalCenterThe clerkship in women’s health, obstetrics & gynecology in the Department of Obstetrics and Gynecology, Albert Einstein Medical Center, is a six-week learning experience designed to provide the basic information about women’s health, obstetrics and gynecology needed by medical students to successfully complete their clerkships and pass national standardized examinations. Students are assigned to rotations in general obstetrics, gynecology, and night float teams, providing ample opportunity to learn the basic knowledge and skills while experiencing hands-on training in deliveries and surgery. Students are included as active members of the ObGyn care teams and are allowed and encouraged to do as much as their knowledge and skills permit.

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AlbertEinsteinMedicalCenter(Cont’d) In Obstetrics, students are involved in labor and delivery activities, the antepartum and postpartum floor and in clinical scenarios such as normal labor and delivery and high-risk pregnancies (i.e., preterm labor, multiple gestation, premature rupture of membranes). In Gynecology, students participate in both general and oncologic Gyn surgery and coverage for Gyn consultations requested by the emergency department, inpatient service, and in pre-operative clinic one half-day each week. During the outpatient experience, students participate in ambulatory care clinics, which range in focus from colposcopy clinic, to high-risk obstetrics, to new obstetrics and to routine continuity care GYN clinic. During the six-week rotation, students attend weekly didactic activities of the department that include Grand Rounds, daily lectures for the residents and perinatology/neonatology conferences. Specific student lectures are provided throughout the rotation by the Clerkship Director on site. Students return to Jefferson on Friday afternoons for lectures. Evaluations include both the mid-rotation evaluation, and the final evaluation. Both evaluations are gone over with the student by the Clerkship Director in one-on-one meeting midway and at the end of the rotation. 5 consecutive weeknights are scheduled (Night Float) in lieu of traditional (Q4) call on the Labor & Delivery unit. On call facilities, lockers and meal tickets are provided for students during the rotation. Students return to Jefferson on Friday afternoons for lectures

BrynMawrHospitalThe OB/GYN students train at Bryn Mawr Hospital for six weeks. Students will have exposure to a variety of surgical and obstetric techniques along with subspecialty services in perinatal medicine and reproductive endocrine. Written evaluations from attending staff are compiled by the medical student clerkship director. Evaluators consider the student’s attitude, conscientiousness, motivation, history taking, patient interaction, medical knowledge, case presentation and problem analysis. Verbal feedback is provided on a daily basis by the attending the student works with. Each student will have a formal mid-rotation meeting with the Clerkship Director to evaluate the student’s progress, opportunities to improve, strengths, etc. Communication skills and team participation are important. The students work with residents from the specialties of Family Practice and Radiology, but are directly supervised by their attending physicians. Located in the western suburbs of Philadelphia, Bryn Mawr is a full service acute-care teaching hospital. Our patients know us for our high level of personalized care by exceptional physicians, surgeons and nursing staff in both inpatient and outpatient settings. Students return to Jefferson on Tuesday afternoons for PBL and small group sessions and on Friday afternoons for lectures. Students return to Jefferson on Friday afternoons for lectures.

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OB/GYN350OBSTETRICSANDGYNECOLOGYChristianaCareHealthServices(CCHS) The OB/GYN students all train at Christiana Hospital and Wilmington Hospital. Christiana care health system delivers approximately 7000 babies performs 6000 gynecologic surgical procedures annually. All of the obstetrical care and the majority of the gynecologic surgical care is provided at Christiana Hospital in Newark Delaware. Christiana Hospital is a full service, community based, tertiary care, academic Hospital. Wilmington Hospital is an urban community Hospital and is the location of the clinic experience for students rotating and OB/GYN. Students will be exposed to the subspecialty some maternal fetal medicine, reproductive endocrinology, family planning, urogynecology, and gynecologic oncology. Students are expected to perform or assist with patient admissions, preoperative and postoperative checks, inpatient evaluations and consultations, outpatient care, labor and delivery, surgical assistants, fetal monitoring, and OB/GYN triage. Students are involved in continuity clinics with residents. Students are expected to participate in Wednesday didactics including noontime Grand Rounds and resident and student lectures on Wednesday afternoons. Students return to Jefferson on Friday afternoon for require didactics. Students will spend one week working nights. Local housing may be provided per Christiana policies. Students areassessed based upon evaluation of work done in the clinic, on obstetrical inpatients, on surgical patient services in number to sedation and group discussions. Emphasis is placed on clinical aspects of patient care and the ability to interact with patients and staff. Students are evaluated by the residents, full-time attendings, private attendings, and the medical student coordinator (see Dr. Matthew Fagan). The standard evaluation form for the rotation is provided by Sidney Kimmel Medical College.

LankenauHospital The OB/GYN students train at Lankenau Hospital for 6 weeks. During this rotation, the student is expected to perform or assist with labor and delivery, postpartum care, gynecological surgery, post-operative care, admission, H & P's, medical and surgical gynecological oncology, and pre-operative work-ups. Students will have exposure to a variety of surgical and obstetric techniques including those pertaining to high risk pregnancies. Subspecialty services to which the students are exposed during the OB/GYN rotation include Gynecologic Oncology, Maternal-Fetal Medicine, and Reproductive Endocrinology. Written evaluations from attending staff and residents are compiled by the physician coordinator of the medical student program. Evaluators consider cognitive skills, clinical skills, professionalism and house staff potential. Mid-rotation evaluation is a private meeting with the student director to discuss progress, opportunities to improve, strengths, etc. Residents complete final evaluations as a group, which are then reviewed and approved by the student director. Academically, Lankenau provides the students with over 9 hours of formal lecturing exclusively for students. These lectures attempt to compliment the lecture series at JMC. Additionally, students attend department and resident conferences. Breakfast and dinner meal tickets are provided to students on call. Students return to Jefferson on Friday afternoons for lectures.

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MorristownMedicalCenter–(partofAtlanticHealthSystem)The OB/GYN students train at Morristown Medical Center for six weeks. During the six-week rotation, students work with residents and faculty in all subspecialties. In Obstetrics, students are involved in labor and delivery activities, the antepartum and post-partum floor and in clinical scenarios such as normal labor and delivery and high-risk pregnancies. In Gynecology, students participate in both general and Gyn Oncology surgery and coverage for Gyn consultations requested by the ER, inpatient service and in pre-operative clinic one half-day each week. During the outpatient experience, students participate in ambulatory care clinic, which range in focus from colposcopy clinic, to high-risk obstetrics, to new obstetrics and to routine continuity care GYN Clinic. Students also spend 1 half day with an Attending Faculty at Planned Parenthood. This location is accessible by public transportation when returning to Jefferson for Friday lectures. Housing is provided; it is very far to commute from Jefferson.

ReadingHospitalandMedicalCenterThe Reading Hospital is a 600 bed community teaching hospital, which performs over 3,000 deliveries and over 3,500 major gynecologic procedures per year. The third year OB/GYN student is quickly assimilated into the health care team. The student OB experience includes six weeks of inpatient/outpatient experience including one week of OB night float and one week of elective. Students will attend regular prenatal clinic and generally perform at least one supervised delivery during the rotation. One complete workday is devoted to Maternal Fetal Medicine and Genetic counseling. The GYN experience consists of one week of routine gynecology and one week of GYN Oncology. Students participate in a wide range of gynecologic operative procedures including oncologic, pelviscopy, and pelvic reconstructive surgery. There are at least seven hours of protected teaching/lectures per week including 3 weekly lectures with attendings. Students receive mid-rotation evaluations (assessing professionalism, communication skills, and skill sets such as History and Physicals) and final grade recommendations are issued by resident consensus opinion with input from the Clerkship Director. In the last week of rotation, students will give a 20-question written exam on Monday and return to Jefferson on Wednesday. Housing is provided, students will be back to Jefferson every Friday for lectures.

ThomasJeffersonUniversityHospital Subspecialties to which the student will have exposure include Gynecologic Oncology, Maternal-Fetal Medicine, Reproductive Endocrinology, Infertility, and Urogynecology. Students are evaluated by both residents and attendings. Students rotating at TJUH are expected to be professional, well-read, and clinically skilled. Students who are able to work independently will find this site very rewarding. Each student has a mid-rotation meeting with the Clerkship Director to discuss the student’s progress. Students will meet with the Director again at the end of the rotation to review their performance. At TJUH, students are exposed to a wide variety of patients and clinical scenarios and have the opportunity to actively participate in patient care. Students attend Wednesday small group sessions and Friday afternoon lectures at Jefferson.

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OB/GYN350OBSTETRICSANDGYNECOLOGYVirtuaVoorheesHospital During the clerkship at Virtua West Jersey, students will have exposure to Maternal-Fetal medicine, Gynecologic Oncology, and Reproductive Endocrinology. The students are evaluated on history taking, physical examination, lab results review and follow-up, during the clerkship at Virtua West Jersey. They are evaluated by attendings in the department, and residents. Virtua West Jersey does the largest number of deliveries in the South Jersey area (5500+/year) with a number of high risk obstetrical cases. The Center for Women is our outpatient unit – this is a privately run clinic setting rendering GYN and OB needs for the community. Students will experience all aspects of office gynecology (routine annual care, colposcopies, pap smears, family planning counseling, and STD screens. In addition, the Center deals with the management of the menopausal state with emphasis on hormone replacement and alternative medicine. OB/GYN residents and at least one attending staff will be with the students at all times to supervise Prenatal and gynecological exams. We are a dynamic, forward-looking institution in a suburban setting. Ample parking is provided, free meal tickets, on call sleeping accommodations, medical library, and exercise facility shared with the residents. Students return to Jefferson on Friday afternoons for lectures. This location is not easily accessible by public transportation.

WellSpanYorkHospitalWhile at York, students will be exposed to Labor and Delivery, Gyn Operating Room, OB/GYN office practices, Gyn Oncology and Maternal Fetal Medicine. They also have the option of spending time in a Reproductive, Endocrine and Infertility private practice and Pediatric Adolescents Gyn and urogynecology. Evaluation includes direct one-on-one teaching with residents for surgical skills, inpatient management and both obstetrics and gynecology as well as dedicated sessions weekly with a volunteer preceptor. Formal summative evaluation includes feedback from: 1. attending preceptor who meets for one hour weekly with the student and 2. the resident who works directly with the student. These two evaluations are combined with a final clinical grade rendered by the Clerkship Director, Dr. Melanie Ochalski. The rotation is broken into three sessions of two weeks, focusing on Obstetrics (daytime Labor Hall coverage and night float), Surgical Gynecology (benign and oncology) and office practice (including routine annual care, colposcopy, initial and follow-up OB visits, ultrasound, and urogynecology). Mini electives are also offered. Students return to Jefferson on Friday afternoons for lectures.

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PEDIATRICS Delaware Valley

(A.I. DuPont, Albert Einstein, Bryn Mawr,

Christiana, TJUH)

Reading Morristown/

Goryeb Children’s Hospital

Min/Max # Students: 25/30 2/2 3/3

PEDS350 PEDIATRICS

PEDIATRICSROTATIONOVERVIEW

Over six weeks the Pediatrics clerkship gives students a varied combination of clinical experience in the following areas: hospital based outpatient, private practice outpatient, newborn nursery, transitional and intensive care nurseries, inpatient unit, emergency room and other community settings. The clerkship sites are Delaware Valley Clerkship (duPont, Christiana, Einstein, Bryn Mawr, Abington and TJUH), Reading and Morristown. Each offers varied, broad and stimulating clinical experiences with frequent and extended contact with attending pediatricians. Every site has an affiliated pediatric residency program – either Pediatrics or Family Medicine (Reading and Bryn Mawr).

Core curriculum is based on a U.S. national curriculum in pediatrics developed to prepare students for the pediatric portion of the USMLE Step 2 examination. Teaching at all sites focuses on small group case-based learning in addition to web-based pediatric cases. Students at all sites also attend resident lectures, morning report, and grand rounds. Pediatrics: A Competency Based Approach textbook is loaned to students for use during the rotation.

Clinical skills are taught on the first day of the clerkship during a “Clinical Skills Day.” History taking, communication and physical exam skills are developed during the clerkship using direct observation (SCOs) with review and feedback by a faculty member.

Students receive feedback at the end of each component (Nursery, Inpt, OPD) of the rotation and after direct observation. The final student evaluation is based on performance of all elements of the clerkship. The NBME subject examination in Pediatrics is given at the end of the rotation.

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PEDS350 PEDIATRICS

DelawareValleyClerkshipDuring the Delaware Valley Clerkship (DVC), students rotate through one of the following locations – Jefferson, duPont Hospital for Children, or Bryn Mawr for a two week inpatient experience; Abington, Christiana, Einstein or Jefferson nurseries for a one week; and various sites in Delaware and the Philadelphia area for a three week outpatient experience. The distribution of students within each clerkship block is shown in the table below.

Table 1 Service Location # Students Inpatient duPont 25 Jefferson 3 Bryn Mawr 2 Outpatient Einstein (OPD) 2 Jefferson (OPD) 15 Philadelphia Practice 5 Delaware Practices 8 Newborn Nursery Abington 4

Christiana 4 Einstein 4 Jefferson 18

PEDS350 PEDIATRICSStudentsneedtohavepersonaltransportationformanysites.However,thereispublictransportationtosomesites.DelawareValleyClerkship–Nemours/AIduPontHospitalforChildrenNemours / AI duPont Hospital for Children is a full service children’s hospital located in north Wilmington, DE. Almost all (25 of 30) of the DVC’s inpatient experience takes place at duPont. Students are an integral part of team and work closely with the residents from the duPont/Jefferson program.

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PEDS350 PEDIATRICS

DelawareValleyClerkship–ChristianaChristiana, which is home to a medicine/pediatrics residency program is the site of the clerkship’s newborn nursery experience. Students will also have opportunities to learn about interesting patients in the neonatal intensive care unit.

DelawareValleyClerkship-EinsteinMedicalCenterEinstein Medical Center is located in the Olney section of Philadelphia. The busy pediatric outpatient department sees 20,000 children per year and the newborn nursery handles 2,500 infants per year and offer excellent learning. General pediatricians, sub-specialists, and Einstein pediatric residents staff the program. There is free parking for students at Einstein, which is easily accessible by public transportation from Center City.

DelawareValleyClerkship-ThomasJeffersonUniversityHospitalThe Pediatric Department at TJUH is integrated into a full service hospital in the center of Philadelphia. The program is staffed by the duPont general Pediatricians, sub-specialists and the 60+ residents from the duPont/Jefferson Residency Program. The outpatient experience is at a large hospital based private practice or community based private practices. The 4 bed pediatric CRH inpatient unit, is a regional medical care facility for sick children and children with chronic illnesses. The newborn nursery has 2,000 deliveries a year and the neonatal intensive care unit is a referral base for Pennsylvania and New Jersey.

DelawareValleyClerkship–PhiladelphiaareaandDelawarePrivatePediatricOfficesMore than half the students spend the 3 weeks of outpatient experience working one-on-one with faculty in a private practice setting. These practices serve varied patient populations and are located in urban, suburban and semi-rural communities.

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PEDS350 PEDIATRICS

ReadingHospitalClerkshipThe Children’s Health Center, part of The Reading Hospital and Medical Center; is the largest medical assistance pediatric care provider in our local area. With over 20,000 outpatient visits last year, we proved a diverse outpatient experience for the student. A varied background, spanning bread and butter pediatrics and development issues to in depth care of children with complex medical problems, will highlight the student’s training. On inpatient service students will work one on one with an attending pediatrician, in addition to 1-2 family medical residents. Inpatient admissions run close to 400 a year and our newborn service helps usher into the world about 2,000 babies a year. Our facility also boasts a NICU with 5 full time neonatologists. We have three formal pediatric lectures series each month. Our clinic has a full time social worker who has worked with children in our community for over 18 years. The Children’s Health Center is steps away from the Reading Hospital and student housing. Parking is conveniently located across the street from lodging and clinic/hospital. At our position on 6th Street, we are 2 blocks from West Reading’s Penn Avenue, with its bustling cafes and boutiques shops. Our medical center is approximately 1.5 hours commute to Philadelphia. With 5 staff pediatricians, each student enjoys close faculty contact with daily instruction sessions both with our inpatient team and an outpatient faculty member. We have an upbeat, dedicated staff that welcome new learners and are happy to teach. There are ample opportunities for independent learning at our medical library, located in our main hospital. Weekends are free to explore Berks County and our neighboring cities. Come join us and learn pediatrics in a friendly environment in beautiful Berks County!

GoryebChildren’sHospital–(partofAtlanticHealthSystem)Goryeb Children’s Hospital, part of Atlantic Health System, combines the best features of a university program with a community-based children’s hospital setting. We receive more than 3,000 admissions and 50,000 outpatient visits per year, perform cutting-edge research, and employ more than 100 general pediatric and subspecialty faculty members, many of whom are dedicated clinician-educators. As a Level 1 regional trauma center and level 3 NICU, we are the regional referral center for over 1200 square miles. The clerkship combines a nice balance between direct patient care in the inpatient and outpatient settings and interactive didactic sessions. Students work closely with our faculty as well as with our Pediatric residents.

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PSYCHIATRY & HUMAN BEHAVIOR

Albert Einstein Belmont

Bryn Mawr

Christiana and the

Wilmington VA

Morristown Medical Ctr./

Atlantic Health System

PENN Foundation

TJUH

Min/Max Number of Students 0/4 0/6 0/3 0/4 0/2 0/2

12/17

PSYCHB350 PSYCHIATRYANDHUMANBEHAVIOR

CLINICALASSIGNMENTSSeveral types of clerkship experiences are offered at Jefferson and our affiliates. All of the placements utilize the "treatment team" approach - a multidisciplinary team that works together to treat patients. As a medical student, you are viewed as an active member of the treatment team. As your confidence and skills increase, you can become increasingly involved in team decisions and interventions. Wherever you are assigned within our teaching network, you will have exposure to at least two different clinical services during your work in the department.

Students are evaluated at the end of each three week core rotation by the main attending who supervises them, with input from residents and other attendings. Students are also evaluated on the basis of content and thoroughness of write-ups and presentations on rounds, basic familiarity with differential diagnosis and treatment, and empathic interaction with patients. Their formal case write-ups are evaluated for clarity, detail, differential diagnosis, and treatment plan. The criteria used for evaluation include: 1) Professional Behavior, 2) Cognitive Skills, and 3) Clinical Skills. Data is compiled for review by the Clerkship Director and Assistant Clerkship Director, who determine final grades.

ALBERTEINSTEINMEDICALCENTERAEMC is a large tertiary teaching center and part of the Jefferson Health System. Each student spends three weeks on two of the following three services: inpatient psychiatry (adult or geriatric); consultation and liaison psychiatry; and emergency psychiatry (Crisis Response Center, for adults, adolescents, and children). The CRC is a free-standing service adjacent to the emergency room. The CRC evaluates over 6000 patients per year, and over one-third of patients are children. The CRC also performs psychiatric consultations in the ER. The Consult Service is similarly busy and evaluates medical and surgical patients with psychiatric questions throughout AEMC.

BELMONTBEHAVIORALHOSPITAL Belmont Behavioral Hospital is a large psychiatric care system within the Jefferson System and is known both regionally and nationally for its expertise in the treatment of the entire spectrum of psychiatric disorders. At Belmont, each student will spend three weeks on two of the following three services; general adult inpatient psychiatry, geriatric inpatient psychiatry, and specialty services (e.g. eating disorders and affective disorders); Co-occurring disorder inpatient unit (sometimes referred to as the “dual diagnosis” program, for patients with simultaneous addictive and non-addictive psychiatric disorders); and the child and adolescent inpatient program.

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BRYNMAWRHOSPITALBryn Mawr Hospital is a state-of-the-art regional facility serving Philadelphia and its western suburbs. Bryn Mawr Hospital has earned a reputation for providing personalized care by exceptional physicians, surgeons and nursing staff. Bryn Mawr Hospital operates inpatient and outpatient treatment programs. Mental Health services include an inpatient general adult psychiatry unit, a hospital psychiatric consultation service, and outpatient programs, including partial hospital and intensive outpatient, for mental health and substance abuse located at the main hospital site and at satellites throughout the region. House staff and medical students from Jefferson receive clinical training at Bryn Mawr in various specialties. The psychiatry rotation for medical students includes work in a variety of settings. The inpatient experience is the anchor over the 6 weeks, with varying amounts of Emergency Room and Consultation Service experience. The inpatient unit treats a wide variety of psychiatric disorders using a multidisciplinary team approach. CHRISTIANACAREHEALTHSYSTEMSChristiana Care Health System, headquartered in Wilmington, Delaware, is one of the country’s leading health care providers, ranking 16th in the nation for hospital admissions. Christiana Care is a major teaching hospital with two campuses and more than 240 Medical-Dental residents and fellows. Services in Behavioral Health include Alzheimer’s and Memory Disorders, Cancer Psychology, Child and Adolescent Psychiatry, Inpatient Psychiatry, Partial Hospital Psychiatry, Perinatal Behavioral Health, and an Adolescent Psychiatric Day Hospital. Students spend their rotation evaluating and treating patients on the inpatient psychiatric unit, the consult service and in the outpatient setting. Students work closely with patients with a wide range of psychiatric conditions including psychotic disorders, affective disorders, anxiety disorders, and substance use disorders. Students gain experience in psychiatric treatment modalities including pharmacology, individual and group psychotherapy, ECT and TMS (transcranial magnetic stimulation) the newest FDA-approved non pharmacologic treatment for depression. Students are active members of the treatment team and participate in all facets of patient care.

WILMINGTONVAMEDICALCENTER Wilmington VAMC proudly serves Veterans in multiple locations for convenient access to the services they provide. Along with the changing veteran population, medical advances and changes in treatment modalities have made significant alterations in the way care is provided. Initially supporting 336 beds and 5000 outpatient visits a year, the Center also now staffs 58 acute beds and 60 Nursing Home beds. More than 22,000 veterans are treated at the facility and account for over 150,000 outpatient visits. VAMC offers a range of outpatient treatments and services to address the mental health needs of Veterans. House Staff and medical students from Jefferson receive clinical training at the VA in various specialties. The psychiatry rotation for medical students involves work in an outpatient setting where students participate in the care of patients presenting with a wide range of psychiatric conditions, including Mood Disorders, Anxiety, Substance Use Disorders, Posttraumatic Stress Disorder, and Psychotic Mental Illnesses (e.g., Schizophrenia and Schizoaffective Disorder). Students gain experience in ambulatory psychiatry treatment, including pharmacology, individual counseling, and group/activity therapy. Attending and resident physicians supervise students. Students are evaluated on history-taking, mental status examination, applied knowledge base, professionalism, capacity to work as part of the clinical team, and

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PSYCHB 350 PSYCHIATRY AND HUMAN BEHAVIOR

WILMINGTONVAMEDICALCENTER(Cont’d) basic case formulation and treatment planning. Students spend time with different attending psychiatrists and residents and have the opportunity to learn from non-physician treatment providers, including psychologists, social workers and psychiatric nurses.

MORRISTOWN MEDICAL CENTER (ATLANTIC HEALTH) Morristown Medical Center in Morristown, NJ, is a 687-bed hospital with a long history of medical student and resident education. Morristown is in northern NJ, with direct transportation to New York City. The Department of Psychiatry encompasses a wide range of clinical services, including a psychiatric inpatient unit and consultation-liaison services. Students will gain exposure to many of these services, working four weeks on the consult-liaison service and two weeks on the inpatient unit. While on the inpatient unit, students will participate in team meetings, individual meetings with patients, and group therapy; they will follow patients across the two weeks and produce a case write-up based on their work. While on the consult-liaison service, they will also have an opportunity to work with psychiatrists in the ER crisis service and in the outpatient psychiatry, CF, and/or HIV clinics. Students will be exposed to adult and pediatric patients as well as a wide range of mental illnesses, which will include but not be limited to: mood disorders, psychotic disorders, anxiety disorders, substance abuse/dependence disorders, delirium, dementia, encephalopathy, disorders of childhood and adolescence, sleeping disorders, eating disorders, factitious disorders, and somatoform disorder. There will also be brief exposure to topics related to forensic psychiatry.

PENNFOUNDATION Founded in 1955, Penn Foundation is a non-profit organization providing innovative services to address the mental health and substance abuse treatment needs of individuals in our community. Our staff of over 400 compassionate professionals serves over 17,000 children, adolescents, and adults each year, offering integrated, holistic care designed to meet the unique needs of each person. We believe strongly in the resiliency of the human spirit and are committed to our mission of instilling hope, inspiring change, and building community for every one of the individuals and families who invite us to share in their journey. At Penn Foundation students will focus on aspects of both mental health and drug and alcohol treatment in a variety of settings. The primary site is our inpatient drug and alcohol facility which caters to 55 total patients, 90% of whom have co-occurring mental health issues impacting their ability to function and recover. You will work with a Psychiatrist, who is board certified in addictions, as he evaluates patients for detoxification from addictive substances and medication management of mental health issues. There is a focus on the psychiatric interview and treatment options as you help the psychiatrist evaluate new admissions and respond to mental health issues that arise during rehabilitation. You will get to see the patients on your caseload over a prolonged period of time and have the opportunity to participate in all the types of therapy your patients will be exposed to during their 21 day stay. In addition, you will go out into the community for a variety of assignments. You will make home visits with our Assertive Community Treatment (ACT) Psychiatrist as he rounds on his caseload of severely and Persistently Mentally Ill (SPMI)

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PSYCHB 350 PSYCHIATRY AND HUMAN BEHAVIOR

PENNFOUNDATION(Cont’d) individuals who need intensive, team-based treatment to avoid frequent psychiatric readmissions. You will also spend a day in the community with our nurse navigators as they work with patients with SPMI and chronic medical conditions to bridge the gaps in care and provide education and support as they manage their mental and physical health. And lastly, you will learn how we keep patients who struggle with adherence to treatment engaged in services by spending a day with Mobile Engagement Services (MES). We hope to provide a well-rounded experience in many aspects of behavioral health that are not traditionally available to medical students.

THOMASJEFFERSONUNIVERSITYHOSPITALThe 6-week Psychiatry Rotation at Thomas Jefferson University Hospital is split between 2 of the services below.

AdultInpatientPsychiatry The Thomas Jefferson University Hospital operates a 16 bed general adult inpatient unit. This unit offers intensive psychiatric care to individuals, including patients with underlying medical complications. A multidisciplinary treatment approach is used in which patients receive the benefit of working with psychiatrists, psychologists, social workers, psychiatric nurses, and occupational/recreational therapists. Extensive evaluation of treatment needs is performed for all individuals and typically includes pharmacotherapy, individual and group therapy, and milieu treatment in an intensive setting.

GeriatricPsychiatry The inpatient geriatric unit provides geriatric patients with quality multidisciplinary care, thorough individual attention, supportive group therapies, and various amenities to treat age-related conditions, such as Dementia, Depression, Anxiety, and Psychosis. Our distinguished, multidisciplinary team helps patients regain their abilities to function independently, and carefully assesses their readiness to return home or their need for long-term rehabilitation.

ConsultationandLiaisonPsychiatry The C-L service serves the general hospital to help diagnose and treat the psychiatric illnesses that cause, complicate, and result from serious medical and surgical problems. Consultation and Liaison Psychiatry is offered at Thomas Jefferson University Hospital and Methodist Hospital.

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NarcoticAddictionRehabilitationProgram(NARP)The Jefferson Narcotic Addict Rehabilitation Program (NARP) is an outpatient substance abuse recovery program that specializes in providing treatment to people who are addicted to opiates (such as heroin, oxycontin, percoset, etc.). Recovery is initiated and achieved through regular psychotherapy and available psychiatric services, paired with methadone maintenance therapy to suppress symptoms of opiate withdrawal, decrease cravings, and block the effects of other opiates. Further support and development is found through engagement in on-site psychotherapy groups and peer-run self-help groups, as well as through involvement in the greater substance abuse community.

FamilyCenterThe Family Center is a comprehensive women-centered substance abuse treatment program providing outpatient and intensive outpatient care for women who are pregnant, parenting, or working towards reunification. The program is licensed to provide both methadone and buprenorphine outpatient maintenance as well as non-medication assisted treatment. Further support and development is found through engagement in on-site psychotherapy groups and peer-run self-help groups, as well as through involvement in the greater substance abuse community. Every Friday, students will be reporting to The Penn Foundation, a drug and alcohol rural rehabilitation center with a primary focus on substance abuse treatment. The Penn Foundation is located in Sellersville, PA and provides outpatient, partial hospitalization, and residential short-term treatment care. Once a month, students will be reporting to My Sister’s Place, a Jefferson-affiliated women-centered substance abuse treatment center located at 1239 Spring Garden St.

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SURGERY Abington Albert Einstein Bryn Mawr Christiana DuPont


SURGERY Lankenau Methodist Morristown

Medical Ctr. / Atlantic Health

System

TJUH WellSpan

York Hospital


SURG350 SURGERYThe 3rd year Surgery Clinical Clerkship rotation is a 12 week rotation. The rotation is an intensive introduction to the principles and practice of surgery. Students are expected to perform or assist with admission work-ups, inpatient and outpatient evaluations, pre-op and post-op checks, OR junior assistance, venipuncture, IVs, suture removal, arterial blood draws, nasogastric tubes, aseptic dressing changes, wound healing assessments, skin suturing, Foley catheters, and knot tying (hand and instrument). Students spend six weeks on a General Surgery Clinical Clerkship rotation at Jefferson or Affiliated Hospitals, three weeks on a Surgery Specialty rotation, and three weeks on an Emergency Medicine rotation. Students will be exposed to the general surgery and general surgical subspecialties of Transplant, Colorectal, Plastic, Breast, Vascular, Trauma, Thoracic, Cardiac Surgery, Anesthesiology, Neurosurgery, Ophthalmology, Orthopedics, Otolaryngology, Urology and Emergency Medicine. Students are required to complete basic general surgery clinical skills tracked on PELS (Patient Encounter Log System). PELS data is reviewed weekly by the TJU UME Coordinator. Students are given an OSCE (Objective Structured Clinical Examination) at the end of their six week of general surgery clinical clerkship rotation – which counts when determining the final clinical clerkship grade. Students are given the Surgery National Board Subject Examination for General Surgery and Emergency Medicine at the end of the 6 week rotations (six weeks of general surgery and six weeks of EM/Surg Specialty). The suggested textbooks are Essentials of General Surgery, Essentials of Surgery Specialties, and Surgery: A Competency-Based Companion with Student Consult Online Access. Clinical grades are comprised of the (20%) NBME Final Exam grade, (10%) OSCE grade, and (70%) clinical clerkship evaluation. General Surgery, Surgery Specialty and EM are all listed separately on the transcripts.

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SURG350 SURGERYAbingtonJeffersonHealthAs a surgery teaching program, we have a strong commitment to teaching medical students. Third year students from many local medical schools rotate with our residents and faculty on several services. These services include: advanced laparoscopy, colorectal, general surgery, surgical oncology, and vascular. Additional experiences are also available such as trauma and subspecialties. Didactic sessions are held weekly for both residents and students, and weekly morbidity and mortality (M&M) conferences are also held. Morning conferences are held daily. On-call time is also incorporated into the rotation; post call days, along with a strategic napping room are available to all students. Students are assimilated into all aspects of the surgery residency during their rotations with us. Students receive training on the inpatient EMR in the hospital.

AlbertEinsteinMedicalCenter

During this clerkship, students may be exposed to the many aspects of general surgery as well as several sub-specialties (Transplant, Urology (remove), Neurosurgery (remove), CT Surgery, and Plastic Surgery). This hospital is also a Level I Trauma Center which will expose the students to a variety of cases while taking call. Students are required to take call “Q6” during this rotation. While on night call, students will have access to an on-call room and receive meal cards to cover their food expenses. Mid-rotation evaluations are done by the Chief Resident and at least one attending surgeon on the service. The Clerkship Director reviews these evaluations with each student individually. Fin

Documents

Third Year Rotation Information and Affiliates Guide 2019-2020 · 2018. 11. 20. · Barry Mann, M.D. 484-476-3409 [email protected] Christiana Care Health System Newark, DE Lisa Maxwell,