Third Year Rotation Information and Affiliates Guide … · all!thebest!of!luck!next!year!!! ... [email protected]! ! ... Dean!in!effecting!a!change;

2017-2018

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

Gideon Logan Mak Sarich

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TABLE OF CONTENTS

List of Hospitals and Contacts 3 Sidney Kimmel Medical College Contacts 4

Third Year Curriculum

Selection Procedure 5 Clinical Curriculum Overview 6

2017-‐2018 Academic Calendar 7

Family Medicine 9 -‐ 14 Internal Medicine 15 -‐ 19 Neurology 20 -‐ 21 Obstetrics & Gynecology 22 -‐ 27 Pediatrics 28 -‐ 31 Psychiatry 32 -‐ 35 Rehabilitation Medicine 36 Surgery 37 -‐ 43 Affiliate Hospital Information

Hospital Statistics 44 -‐ 45 Affiliate Maps 46 Abington Memorial Hospital 47 A.I DuPont Hospital for Children 48 Albert Einstein Medical Center 49

Bryn Mawr Hospital 50 Christiana Care Health System 51 Crozer-‐Keystone Health System 52 Excela Health Latrobe Hospital 53 Inspira Medical Center 54 Lankenau Medical Center 55 Magee Rehabilitation Hospital 56 Methodist Hospital 57 Morristown Medical Center (Atlantic Health) 58 Overlook Medical Center (Atlantic Health) 59 Reading Hospital 60 Thomas Jefferson University Hospital 61 -‐ 62 Virtua Health 63 Wilmington Veterans Affairs Medical Center 64 York Hospital 65 Affiliate Security Procedure 66

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List of Hospitals Offering Junior Electives 2017-‐ 2018

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

Main Line Health Bryn Mawr Hospital

Bryn Mawr, PA James Burke, M.D. 484-‐476-‐2577

[email protected] www.mlhs.org

Christiana Care Health System

Newark, DE Neil Jasani, M.D. 302-‐733-‐2704

[email protected] www.christianacare.org

Crozer-‐Keystone Health System

Springfield, PA Christopher Stenberg, M.D.

610-‐447-‐6354 [email protected]

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.


www.inspirahealthnetwork.org

Mail Line Health Lankenau Medical Ctr.

Wynnewood, PA James Burke, M.D. 484-‐476-‐2551

[email protected] www.mlhs.org

Magee Rehab Hospital Philadelphia, PA Michael Mallow, M.D.


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


www.jefferson.org

Morristown Medical Ctr. Morristown, NJ Jeffrey Levine, PhD


www.atlantichealth.org

Overlook Medical Ctr. Summit, NJ Jeffrey Levine, PhD


www.atlantichealth.org

Reading Hospital West Reading, PA David George, M.D.


www.readinghealth.org

Sidney Kimmel Medical College at TJU

(see page six)

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


www.virtua.org

Veterans Affairs Medical Ctr.

Wilmington, DE Robert Boucher, M.D.


www.va.gov

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

[email protected] www.yorkhospital.edu

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Sidney Kimmel Medical College Contacts 2017 -‐ 2018

DEPARTMENT CLERKSHIP COORDINATORS DIRECTORS

Family Medicine

Nirva Belizaire-‐Nobrun Education Program Administrator

215-‐ 955-‐ 2362 nirva.belizaire-‐[email protected]

Amy Levin

Program Coordinator 215-‐955-‐1372

[email protected]

Fred Markham, M.D. 215-‐955-‐2350

[email protected]

Medicine Amanda White 215-‐955-‐8737

[email protected]

Nina Mingioni, M.D.


Neurology Jasmine King 215-‐955-‐4967

[email protected]

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 Sybil Fullard-‐McLaurin


Alisa LoSasso, M.D. 215-‐955-‐6525

[email protected]

Psychiatry Jaynie Estrada 215-‐955-‐9823

[email protected]

Mitchell Cohen, M.D. 215-‐955-‐6592

[email protected]

Surgery Sherry Weitz 215-‐955-‐6879

[email protected]

Gerald Isenberg, M.D. 215-‐955-‐6879

[email protected]

Third Year Curriculum

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Third Year Clerkship Selection Procedure

Mid – February 2017, 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.

Approx. April 15th 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.

Since it is realized that at times changes are necessary once the academic year begins, ANY CHANGES must be made under the following procedure:

All changes must be made six weeks or more before the scheduled rotation online via Banner Web or using the standard paper drop/add form.

The clerkship being changed, whether location or rotation, MUST be arranged by and with the Coordinator of that clerkship (in consultation with the Director). If two or more students or two or more clerkships are involved in the change, all Coordinators that pertain MUST be involved. The Coordinators will then inform both the SITE and the REGISTRAR.

The Coordinator will inform the new site Coordinator and the original site Coordinator of the change. This information will be by phone and by email and will be to the clerkship coordinators and to chief academic officer at any affiliated Medical Center. The Deans of Affiliations will also be copied. Students may enlist the advice or help of any faculty member or Dean in effecting a change; however the change may only be made by a CLERKSHIP COORDINATOR. All changes must be reported to the Registrar.

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CLINICAL CURRICULUM OVERVIEW

General Information The following is an overview of the Clinical Curriculum, its requirements, prerequisites, and procedures. Jefferson Medical College reserves the right to modify information and/or requirements as listed in this booklet. Students will be notified if any changes are made regarding course requirements/policies. Determination of location and sequencing of all rotations is reserved to the college. Affiliate site availability and enrollment numbers may change after the publication of these materials. Official entry into the Clinical Curriculum is contingent upon obtaining a passing score in Step 1 of the United States Medical Licensing Examination. The clinical curriculum program starts in July and consists of 100 weeks, of which: 84 weeks are required clerkships, 4 weeks’ vacations are mandatory (2 weeks during each Winter Holiday period), 2 weeks’ vacation in June between the third and fourth years, 2 weeks’ vacation immediately prior to graduation, and 8 weeks of vacation during 4th Year to be scheduled to fit the needs of the students. The basic units of the calendar are six-‐weeks and four-‐week’s blocks. Phase I Requirements – Prior to beginning 4th Year, each 3rd student must complete the following: During the first 48 weeks, the sequence of courses will vary, but by the end of the 48 weeks (corresponding to the end of the eighth six-‐week block of the third year) all students must have completed: -‐ six weeks of Family Medicine (FMED 350) -‐ twelve consecutive weeks of Surgery/Surgical Specialties/Selectives (consisting of: -‐ six weeks of General Surgery (SURG 350), and -‐ two three-‐week rotations of Surgical Specialties and Selectives -‐ twelve consecutive weeks consisting of eight weeks of Internal Medicine (MED 350) and four weeks of Neurology (NEUR 350), -‐ six weeks of Pediatrics (PED 350) -‐ six weeks of Psychiatry and Human Behavior (PSYH 350) -‐ six weeks of Obstetrics/Gynecology (OBGY 350)

All Phase I rotations, with the exception of the Neurology and Selective rotations, have a comprehensive written examination at the conclusion of the teaching block. Examination grades earned will be posted as a separate entry on the transcript.

General Information Concerning the Scheduling Process

• 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 reserved to the college.

• 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 screen.

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.

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ACADEMIC CALENDAR 2017 – 2018

Clinical Curriculum SIX-‐WEEK BLOCKS FOUR-‐WEEK BLOCKS 2017 – 2018 2017 -‐ 2018 17-‐01 July 10 -‐ August 18 17-‐10 July 10 – August 4 17-‐11 August 7 – September 1 17-‐02 August 21 – September 29 17-‐12 September 5 – September 29 17-‐03 October 2 – November 10 17-‐13 October 2 -‐ October 27 17-‐14 October 30 -‐ November 24 17-‐04 November 13 -‐ December 22 17-‐15 November 27 -‐ December 22 17-‐05 January 8 -‐ February 16 17-‐16 January 8 – February 2 17-‐06 February 19 – March 30

17-‐17 February 5 – March 2 17-‐18 March 5 – March 30 17-‐07 April 2 -‐ May 11 17-‐19 April 2 -‐ April 27

17-‐20 April 30 -‐ May 25 17-‐08 May 14 -‐ June 22 17-‐21 May 29 – June 22

All Phase I must be completed at the conclusion of 17-‐08 for the Class of 2019.

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Important Note!!!!!

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 Bryn Mawr Christiana Crozer Latrobe/ Excela Inspira

Min/Max Number of Students

2 2 8 1 -‐2 3 -‐4 1

Primary Supervisor (A) attending (R) resident (I) Intern

A/R A/R A/R A/R A/R A/R

Number of Students/Supervisor

1-‐1 1-‐1 1-‐1 1-‐1 1-‐1 1-‐1

Time Breakdown:

Inpatient YES -‐ 2 WEEKS YES -‐ 1 WEEK ONLY 4TH YEAR; 1 WEEK YES -‐ 1 WEEK OPTIONAL -‐

1 WEEK YWS -‐ 1 WEEK

Outpatient YES YES YES YES YES YES

ICU NO NO NO NO NO NO

Community Preceptor YES NO 2 WEEKS OUTSIDE

OF OFFICE 3 SATELLITE OFFICES YES

ER NO NO NO NO NO NO

Other

WOUND CARE

NURSING HOME SESSION UPON

REQUST, ER ADMITS

HOME VISTIS

WOUND CARE CTR., DIABETES CTR.,

NURSING HOME VISITS, HIV CLINIC

HOME VISITS, NURSING HOME, SPORTS MEDICINE NEURO ROUNDS

PHYSICAL THERAPY

HOME CARE VISITS

STUDENT RUN CLINIC

HOSPICE, WOUND CARE,

OMT

Required Text YES YES YES YES YES YES

Required Readings YES YES YES YES YES YES

Beeper NONE NONE NONE NONR NONE NONE

Teaching:

Lecture Hours/Week RESIDENT LECTURES

THURSDAY AM DIDACTIC LECTURES

DIDACTICS AND RESIDENTS LECTURES

WEDNESDAYS-‐ 9-‐12, WEDNESDAY SMALL GROUP WITH RESIDENTS

DIDACTIC MORNING

AND AFTERNOON LECTURES

M-‐F MORNING REPORT @ 8; THURSDAY MORNING DIDACTICS

Number of Nights on Call NONE NONE NONE NONE NONE NONE

Housing NONE NONE NONE NONE FREE HOUSING NONE

Transportation ACCESSIBLE VIA SEPTA

CAR RECOMMENDED CAR REQUIRED

CAR RECOMMENDED FREE PARKING

NOT REQUIRED ONCE THERE

ACCESSIBLE VIA PATCO

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FAMILY MEDICINE

Morristown/ Overlook

Medical Center/ Atlantic Health

System

Reading TJU Virtua Health York


2 1-‐2 14 1 1


A/R A/R A/R A/R A/R


1-‐1 1-‐1 1-‐1 1-‐1 1-‐1

Time Breakdown:

Inpatient NO OPTIONAL YES -‐ 1 WEEK YES -‐ 2 WEEKS

Outpatient YES YES YES YES YES

ICU NO NO NO NO NO

Community Preceptor YES YES YES, ONE A WEEK YES

ER NO NO NO NO NO

Other NURSING HOME

HOSPICE, SPORTS MEDICIE, ADDICTION CENTE, DERM

CLINIC, GI CLINIC, COLLEGE

STUDENT CLINICS

HOME VISITS, YOUTH EMERGENCY SERVICES,

DIABETES INFORMATION & SUPPORT FOR YOUR HEALTH

(DISH), STEPHEN KLIEN WELLNESS CENTER, HOMELESS

OUTREACH, SAMARITAN HOSPICE, CATHEDRAL VILLAGE, REFUGEE CLINIC, PROCEDURES, JEFF HOPE, HOSPITAL SERVICE /

INPATIENT

NURSING HOME, HOME VISITS

1 DAY A WEEK IN PRIVATE FAMILY MEDICINE OFFICE

3 ½ DAYS A WEEK IN RESIDENCY FAMILY MEDICINE OFFICE

Required Text YES YES YES YES YES

Required Readings YES YES YES YES YES

Beeper NONE NONE NONE NONE YES

Teaching:

Lecture Hours/Week MORNING REPORT, DIDACTICS, RESIDENT

LECTURES

MORNING REPORT AND CME LECTURE

RESIDENT LECTURES AND GRAND ROUNDS

WEDNESDAY MORNINGS

HALF DAY A WEEK

Number of Nights on Call

NONE NONE NONE NONE 2 EVENINGS WHILE ON INPATIENT

Housing YES YES NONE NONE YES

Transportation NOT REQUIRED ONCE THERE

NOT REQUIRED ONCE THERE CAR RECOMMENDED

CAR RECOMMENDED CAR REQUIRED

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FAMED 350 FAMILY MEDICINE

Abington Memorial Hospital As 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.

Bryn Mawr Hospital 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.

Christiana Care Health Services 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.

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FAMED 350 FAMILY MEDICINE Crozer-‐Keystone Health System At 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.

Excela Health Latrobe Hospital Students 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.

Inspira Medical Center Woodbury Our faculty has training in sports medicine in addition to a focus on geriatrics. We have our own prenatal clinic, which is supervised by local 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.

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Morristown Medical Center (part of Atlantic Health System) 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.

Overlook Medical Center (part of Atlantic Health System) 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.

Reading Hospital and Medical Center The Reading hospital is a large, community based hospital with many resources. Students have 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 Family Medicine Residents. Students typically work with 3-‐5 residents and 2-‐3 faculty members. The mid-‐rotation and final evaluations are a composite of input from those who worked with the student. For each patient, the student will use the standardized history and physical outlined by the SOAP format, which is critiqued and returned to the student. Home visits w/Berks visiting Nurses – 1 day rotation; PSU Berks / Alvernia University. Student Health Clinic, 1 afternoon / rotations, Second Street Clinic – 1 day / rotation. Special Features of your clerkship required Biopsychosocial Project which involves interviewing a long-‐term patient and writing a 3-‐page paper with a genogram. The Clerkship Director meets with students weekly to practice case presentations and to present physical exam pearls.

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Thomas Jefferson University Hospital For 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. Virtua Health Students 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. York Hospital Students 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 4 4 7 7 4

Residency in Specialty? YES YES YES YES YES


(A) (R) I for MS4 R for MS3 I I FOR MS4;

R FOR MS3 A

Number of Students/Supervisor 2 1-‐2 4 1-‐2 1-‐2

Time Breakdown: TBD % FDE FDE FDE

Inpatient 100 100 22-‐24 10 HRS/DAYS FOR 8 WKS 30

Outpatient 0 0 2 0 0

ICU 0 0 0-‐1 0 0

Private MD TBD 0 1 0 0

ER 0 0 0 ONLY ON CALL 0

OR 0 0 0 0 0

L & D 0 0 0 0 0

Other 0 0 0-‐2 0 0

Number Required Case Presentations Per Rotation

DAILY DAILY ~DAILY PRESENT DAILY 8-‐12

Number Admission Write-‐ups Per Rotation

VARIABLE 3 FORMAL WRITE-‐UPS VARIABLE DONE AT JEFF VARIABLE

Number of New Patients Per Rotation VARIABLE 20 VARIABLE 8 -‐ 10 8 -‐ 14 VARIABLE

Required Text? NO NO NO NO NO

Required Readings NO YES NO NO YES

Teaching:

Lecture Hours/Week 8-‐12 8 4 8 5-‐8

Rounds/Day 1 1 ~2 1-‐2 1-‐2

Number of nights on Call NO OVERNIGHTS 6 1 Q4

(NO OVERNIGHTS) Q4

Beeper YES YES YES NO YES

FDE: FULL DAY EQUIVALENTS

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INTERNAL MEDICINE

Morristown Medical Ctr. / Atlantic Health

System

Reading TJUH York

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

Residency in Specialty YES YES YES YES


I /R/ A I / R/ A I/R/A A/R

Number of Students/Supervisor 1-‐2 1-‐2 2

Time Breakdown: FDE % FDE

Inpatient 100 100 100 100%

Outpatient 0 0 0 0

ICU 0 0 0 NO

Private MD 0 0 0 0

ER 0 0 0 0

OR 0 0 0 0

L & D 0 0 0 0

Other 1 STUDENT LECTURE TIME

NO SUBSPECIALTIES; SERVICES ARE MULTI-‐

DISCIPLINARY


1-‐2 / WEEK 2 / WEEK 8 -‐12 VARIABLE


1-‐2 / WEEK 4 8 – 12 VARIABLE

Number of New Patients Per Rotation

1-‐2 / WEEK 2-‐3 / WEEK 8-‐12 2-‐3 AT A TIME

Required Text? NO NO NO NO

Required Readings NO NO SUGGESTED YES

Teaching:

Lecture Hours/Week 9 6-‐10 5-‐7 10

Rounds / Day 1 1 1

Number of Nights on Call Q4 (NO OVERNIGHT) 6 (NO OVERNIGHT) EVERY 4 DAYS;

NO CALL PAST 8 PM

Beeper NO YES YES YES


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MED 350 INTERNAL MEDICINE

During the Internal Medicine Clerkship, students will spend 4 weeks at the Thomas Jefferson University Hospital, and 4 weeks at one of the academic affiliate hospitals. Christiana Branch Campus students spend entire 8 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, and will be evaluated 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.

ABINGTON HOSPITAL / JEFFERSON HEALTH Abington Hospital/ Jefferson Health is a tertiary care facility located in Montgomery County, 30 minutes from Center City. It is a 650 bed Hospital with over 80,000 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.

Albert Einstein Medical Center Einstein 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.

Christiana Care Health System – Christiana Hospital Students 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.

18

MED 350 INTERNAL MEDICINE Lankenau Hospital Lankenau 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. Methodist Hospital The 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.

Morristown Medical Center (part of Atlantic Health System) 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.

19

MED 350 INTERNAL MEDICINE

Reading Hospital Reading 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/ .

Thomas Jefferson University Hospital Thomas 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 fingerstick glucose monitoring and a subcutaneous injection.

York Hospital As 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.

20

NEUROLOGY Albert Einstein Christiana Lankenau

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


R A A

Number of Students/Supervisor 1:1 1:1

Time Breakdown: %

Inpatient 50 15

Outpatient 25 75

ICU 25 10

Private MD 100

ER 10

OR 5 (IF DESIRED)

L & D

Other


2 2


N/A 2

Number of New Patients Per Rotation 20 40

Required Text? NO NO, BUT MUST CONSULT UP TO DATE DAILY

Required Readings YES YES, AS ASSIGNED & UP TO DATE

Teaching: ONGOING

Lecture Hours/Week 11 1-‐2 6

Round/Day 1 1

Number of Nights on Call 0 0 0

Beeper NO NO NO


21

NEURO 350 NEUROLOGY

Albert Einstein Medical Center During this rotation, students will have acquire the following:

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.”

Rotations During the Clerkship:

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

Other Clerkship Requirements:

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.

Christiana Care Health Services – Christiana Hospital Students 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.

Lankenau Hospital The 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.

22

OBSTETRICS & GYNECOLOGY

Abington Albert Einstein Bryn Mawr Christiana Lankenau

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


R R A R R

Number of Students/Supervisor 2 1-‐2 1-‐2 1 1

Time Breakdown: FDE FDE FDE FDE

Inpatient 13 10 15 14 7.5

Outpatient 5 10 5 5 6

ICU

Private MD 5 ELECTIVE 1

ER CONSULTS 2 5 1

OR VARIES 10 5 5 6

L & D 10 PART OF

INPATIENT 7 NIGHTS 5 6

Other 5 (ELECTIVE) 5 NIGHTS OF NIGHT FLOAT

OUTPATIENT SURGERY (2)

NIGHT FLOAT


2 TO 3 1 12 6 1


VARIES 30 20 1 10


6 30

Required Text? YES YES YES YES YES


Teaching:

Lecture Hours/Week 4 TO 6 6 TO 8 1 9 5

Round/Day 1 TO 2 1 1 1 2

Number of Nights on Call 5 TO 6 (NIGHT FLOAT)

5 NO WEEKENDS 5 4 6

Beeper NO NO NO NO NO

FDE: FULL DAY EQUIVALENTS – REI: REPRODUCTIVE, ENDOCRINE AND INFERTILITY

23

OBSTETRICS & GYNECOLOGY

Morristown Medical Ctr. /Atlantic Health System

Reading TJUH Virtua York

Min/Max Number of Students 2/4 3/3 4/6 4/7 2/3


R/ A I/R R R R/A

Number of Students/Supervisor 2 1-‐2 2 2 1

Time Breakdown: FDE FDE DAYS/WEEK FDE

Inpatient

2 WEEK OB ROTATION 2 WEEK GYN ROTATION

13 13 HALF 8/9

Outpatient 2 WEEK ROTATION 5 5 3.5 5-‐6.5

ICU

Private MD N/A 1 1

ER VARIES

OR VARIES 10 10 1 5-‐7

L & D 10 4/5

Other FM X 1 DAY 5 (ELECTIVE)

LABOR HALL DAYTIME 5;

NIGHT FLOAT 4


2 1 OR MORE 2 TO 3 N/A 3/4


2 ON GYN AND IT VARIES ON OB VARIES VARIES N/A

NONE REQUIRED BUT

ENCOURAGED


VARIES

20

Required Text? YES YES YES YES YES


Teaching:

Lecture Hours/Week 4-‐8 6 TO 7 4 TO 6 2 3-‐4

Round/Day 2 VARIES 1 TO 2 1 1 TO 2

Number of Nights on Call 3

(NIGHT FLOAT) 5 – 6

(NIGHT FLOAT) 5 – 6

(NIGHT FLOAT) 4

Beeper NO NO NO NO NOS

FDE: FULL DAY EQUIVALENTS – REI: REPRODUCTIVE, ENDOCRINE AND INFERTILITY

24

OB/GYN 350 OBSTETRICS AND GYNECOLOGY

Abington Jefferson Health 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.

Albert Einstein Medical Center The 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.

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

25


Bryn Mawr Hospital The 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.

Christiana Care Health Services (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 are assessed 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 patient’s 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.

26


Lankenau Hospital 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. Morristown Medical Center – (part of Atlantic Health System) 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 Reading Hospital and Medical Center The Reading Hospital and Medical Center is an 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 two weeks of inpatient/outpatient experience and one week of OB night float. 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 two weeks 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. In addition to routine GYN clinics, students are introduced to advanced Urodynamic testing, colposcopy and family planning clinics. Private office outpatient experience is also available. There are at least seven hours of protected teaching/lectures per week. In addition, each student is encouraged to prepare a 12-‐minute didactic presentation at the end of his/her rotation. 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 Assistant Director of the Residency Program/Clerkship Director. Students return to Jefferson on Friday afternoons for lectures.

27

OB/GYN 350 OBSTETRICS AND GYNECOLOGY Thomas Jefferson University Hospital 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.

Virtua Voorhees Hospital 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, 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, patient interaction, case presentations, and problem analysis. They are evaluated by attendings in the department, the residents and by Dr. Kristen McCullen. 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. York Hospital While 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.

28

PEDIATRICS Delaware Valley

(A.I. DuPont, Albert Einstein, Bryn Mawr, Christiana, TJUH)

Reading Morristown/

Goryeb Children’s Hospital

Min/Max # Students: 25/30 1/2 1/3

Residency in Specialty? Yes

Bryn Mawr -‐ Family Med Christiana – Med/Peds

Family Med Yes

# Residents in Specialty

PGY1 23 1 12

PGY2 22 1 12

PGY3 23 12

PGY4 3 2

Primary Supervisor Attending Attending Attending

# of Students/Supervisor 1-‐2 1-‐2 1-‐2

Time Breakdown:

Clinical Skills Day 1 day 1 day 1 day

Inpatient 10 days 8 days 13 days

Outpatient 14 days 15 days 9 days

Newborn Nursery 4 days 5 days 4 days

ICN 1 day 1 day 2 days

# Admission Write-‐ups Per Rotation

1 1 1

Required Text? Provided Provided Provided

Teaching:

Formal Minimum 30 hours Minimum 30 hours Minimum 30 hours

Informal Minimum 10 hours Minimum 10 hours Minimum 10 hours

Beeper Yes Yes Yes

Car Yes Yes Yes


29

PEDS 350 PEDIATRICS

PEDIATRICS ROTATION OVERVIEW 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 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) and videotaping of a patient encounter 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 and video review. 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. Delaware Valley Clerkship During the Delaware Valley Clerkship (DVC), students rotate through one of the following locations -‐ Jefferson and duPont Hospital for Children, Christiana or Bryn Mawr for a two week inpatient experience; 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 Students need to have personal transportation for many sites. However, there is public transportation to some sites.

30

PEDS 350 PEDIATRICS

Delaware Valley Clerkship -‐ duPont Hospital for Children The duPont Hospital for Children is a full service children’s hospital located in North Wilmington, DE. Almost all (23 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. Delaware Valley Clerkship – Christiana Christiana, which is home to a medicine/pediatrics residency program is the site of the clerkship’s inpatient and newborn nursery experiences. Students will also have opportunities to learn about interesting patients in the neonatal intensive care unit. Delaware Valley Clerkship -‐ Einstein Medical Center Einstein Medical Center is part of the Jefferson Health System and 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.

Delaware Valley Clerkship -‐ Thomas Jefferson University Hospital The 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 13 bed pediatric inpatient unit is also home to the CRH unit, which is a regional medical care facility for children with chronic illness. The newborn nursery has 2,000 deliveries a year and the neonatal intensive care unit is a referral base for Pennsylvania and New Jersey.

Delaware Valley Clerkship – Philadelphia area and Delaware Private Pediatric Officers More 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.

31

PEDS 350 PEDIATRICS

Reading Hospital Clerkship The Children’s Health Center, part of The Reading Hospital and Medical Center; is the largest medical assistance care provider in our local area. With over 20,000 outpatient visits last year, we proved a diverse outpatient experience for the student. A firm 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 3 full time neonatologists. This unit had an estimated 245 admissions last year. We have a formal pediatric lecture series each week, with one of the lectures dedicated t pediatric mental health issues, hosted by one of our 2 full time pediatric psychiatrists. Out clinic has a full time social worker who has worked with children in our community for over 18 years. We have a full time interpreter at our clinic with excellent services also available at our hospital. 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 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!

Goryeb Children’s Hospital – (part of Atlantic Health System) 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.

32

PSYCHIATRY AND HUMAN BEHAVIOR

Albert Einstein Belmont Bryn

Mawr

Christiana and the

Wilmington VA

Morristown Medical Ctr./

Atlantic Health System

TJUH

Min/Max Number of Students 0/4 0/6 0/3 0/4 0/2 12/17


A A A A A A

Number of Students/Supervisor 1-‐2 1-‐2 2 1-‐2 1 2-‐4

Time Breakdown:

Inpatient

12-‐24 (DEPENDING ON WHETHER HAVE

A 3-‐WEEK ROTATION IN CRISIS

CENTER)

24 16 6 AT

CHRISTIANA 0 AT THE VA

10 27

Outpatient 0 0 0 2 AT

CHRISTIANA 12 AT VA

0 3-‐12

ER 0-‐12 0 0 10 4

Consult/Liaison 0-‐12 (DEPENDING ON ROTATION 0 8 4 AT CHRISTINA 20 27

Lecture/Didactics 4 4 4 4 4 4

Other – Night Call 0 0 0 0 0 2

Number of Required Case Presentations Per Rotation

5-‐6 1-‐3 1-‐3 3 6-‐10

(DEPENDS ON SITE)

Number of Admission Write-‐ups Per Rotation

1 FORMAL WRITE-‐UP 12-‐24 ROUTINE CHARTING WRITE-‐

UPS

1 FORMAL WRITE-‐UP, PLUS ONE FOR EACH ADMISSION (12-‐20)

1 FORMAL WRITE-‐UP, PLUS 9 ROUTINE

ADMISSIONS

1 FORMAL WRITE-‐UP, PLUS

3 ROUTINE ADMISSIONS

1 FORMAL WRITE-‐UP, PLUS

1-‐2 ADMISSIONS

1 FORMAL WRITE-‐UP, PLUS 6-‐10 ROUTINE

ADMISSIONS

Number New Patients Per Rotation 12 FOR INPATIENT, 24 FOR CRISIS AND

CONSULT 12-‐20 8-‐12 8-‐12 2-‐3 PER DAY

10-‐20 (DEPENDS ON SITE)

Required Text? NO NO NO NO NO NO

Required Readings? PER ATTENDING PER ATTENDING

PER ATTENDING PER ATTENDING PER ATTENDING PER

ATTENDING

Teaching: (AT TJUH / AEMC) (AT TJUH /

BBH) (AT TJUH /

BH) (AT TJUH / CCHS

/ VA) (AT TJUH / MMC) (AT TJUH)

Lecture Hours/Week 4/2 4/2 4/2 4/2 4/2 4-‐6

(DEPENDING ON SITE)

Rounds/Day 1 1 1 1 2

Number of Nights on Call 2 (AT TJUH) 2 (AT TJUH) 2 (AT TJUH) 0 0 2 (AT TJUH)

Beeper YES NO NO NO NO NO


33

PSYCHB 350 PSYCHIATRY AND HUMAN BEHAVIOR

CLINICAL ASSIGNMENTS Several 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.

ALBERT EINSTEIN MEDICAL CENTER AEMC 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.

BELMONT BEHAVIORAL HOSPITAL 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.

BRYN MAWR HOSPITAL Bryn 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.

34


CHRISTIANA CARE HEALTH SYSTEMS Christiana 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. WILMINGTON VA MEDICAL CENTER 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 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 an 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.

35


THOMAS JEFFERSON UNIVERSITY HOSPITAL The 6-‐week Psychiatry Rotation at Thomas Jefferson University Hospital is split between 2 of the services below.

Adult Inpatient Psychiatry 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. Geriatric Psychiatry 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. Outpatient Programs (OPP) The outpatient programs are comprised of general adult outpatient psychiatry, the Adult Outpatient Service (AOS), and specialized services for patients with substance use disorders, the Narcotic Addict Recovery Program (NARP) and the Family Center. In these varied settings students will participate in the initial evaluation and follow up of patients with a wide spectrum of psychopathology, including anxiety, mood, psychotic, substance use and personality disorders.

This is a busy outpatient treatment program, treating mood and anxiety disorders, stabilized psychotic disorders, personality disorders, adjustment disorders, substance use disorders, and relationship problems. This is a major training site for PGY-‐III and PGY-‐IV psychiatry residents, with whom students conduct new patient evaluations, discuss ongoing treatment, and observe live patient interviews through a one-‐way mirror. All new patients are presented to attending psychiatrists after workup by the students and residents for initial case diagnosis, formulation, and treatment planning. An applied psychopharmacology case conference and dynamic formulation and treatment conference occur weekly. Students prepare presentations on topics assigned by our chief residents.

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. Consultation and Liaison Psychiatry 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.

36

REHAB MEDICINE

MAGEE REHABILITATION HOSPITAL IDEPT

Min/Max Number of Students 10


R

Number of Students/Supervisor 2

Time Breakdown: %

Inpatient 80

Outpatient 20

Private MD

ER -‐

OR WEEKLY LETURES AT TJUH


VARIES

Number of Admission Write-‐ups Per Rotation 2

Number of New Patients per Rotation 2

Required Text? NO

Required Readings NO

Teaching:

Lecture Hours/Week 4

Rounds/Day 1

Number of Night on Call 0

Beeper NO

IDEPT-‐ Students are evaluated by the Attending with input from the Resident.

37

SURGERY Abington Albert Einstein Bryn Mawr Christiana DuPont


6/6 2/6 2/3 4/5 2/2


A/I/R A/I/R A/R A/R A/R


1-‐2 1-‐2 1-‐2 1-‐2 1

Time Breakdown: FDE FDE FDE FDE FDE

Inpatient 27 12 30

Outpatient 3 10 3 6

Private MD 5 5 0 0

ER 20 5 3 0

OR 18 10 9 24

Other WISEMD + 4

MULTIDISCIPLINARY CONFERENCES

WISEMD + 4 MULTIDISCIPLINARY

CONFERENCES


CONFERENCES


CONFERENCES


CONFERENCES

Number Required Case Presentations Per Rotation -‐ AT THE LEAST -‐

1 ORAL / 1 COMPLETE

1 ORAL / 1 COMPLETE

1 ORAL / 1 COMPLETE

1 ORAL / 1 COMPLETE

1 ORAL / 1 COMPLETE


AT LEAST ONE COMPLETE 4 MIN VARIES AT LEAST 10 1 / DAY

Minimum Number of New Patients seen by the end of the Rotation

45 50 50 50 50


Required Readings NO NO NO NO NO

Teaching: 5

Lecture Hours / Week 5 5 5 5

Rounds / Day 2 2 2 2 1

Number of Night on Call Q6 Q6 Q6 Q6 Q6



38

SURGERY Lankenau Methodist

Morristown Medical Ctr. / Atlantic Health

System

TJUH York


2/5 2/3 4/8 8/12 2/2


A/R A/R A/R A/R/I A/R (CHIEF)


2 2-‐3 2-‐4 1-‐2

Time Breakdown: FDE FDE FDE FDE FDE

Inpatient 6 HALF DAYS 5 27 (INCLUDING AMBULATORY

SURGERY / AND ER) 10 10.5

Outpatient 10 3 3.5

Private MD 5 16 3 6 2

ER 5 AS NEEDED 2 2

OR 10 5 DAILY OR CASES 12 9

Other WISEMD + 4

MULTIDISCIPLINARY CONFERENCES


CONFERENCES


CONFERENCES


CONFERENCES


CONFERENCES

Number of Required Case Presentations Per Rotation – AT THE LEAST -‐

1 ORAL / 1 COMPLETE

1 ORAL / 1 COMPLETE

1 ORAL / 1 COMPLETE

1 ORAL / 1 COMPLETE

1 ORAL / 1 COMPLETE


VARIES VARIES 2 3 MIN 5, MORE ARE EXPECTED

Minimum Number of New Patients seen by the end of the Rotation

50 50 50 50 50


Required Readings NO NO NO NO NO

Teaching:

Lecture Hours / Week 4 5 7 5 7

Rounds / Day 1 2 2 2 2

Number of Night on Call Q6 Q6 Q6 Q6 Q6



39

SURG 350 SURGERY The 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 and six weeks on a Surgery Specialty/Selective 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, Dermatology, Geriatrics, Interventional Radiology, Radiation Oncology, Rehab Medicine, and Urology. Students are required to complete basic general surgery clinical skills which is 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 surgery clinical clerkship rotation – which counts when determining the final clinical clerkship grade. Students are given the Surgery National Board Subject Examination at the end of the 12 week rotation. 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 and Final Exam grade are all listed separately on the transcripts: Clerkship, each Surgery Specialty/Selective, NBME Final Exam.

Abington Jefferson Health As 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.

Albert Einstein Medical Center 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. Final evaluations are reviewed with the students by the Clerkship Director along with an exit interview. Evaluations are based on the student's attitude, motivation, knowledge, and skills (H&P's, factual knowledge, independent reading done by students, patient care, and OR Performance-‐Manual Skill). Students are expected to attend weekly case review (M&M Conference), scheduled Grand Rounds which are put on by the residents, core curriculum which is moderated by an attending surgeon or a Chief Resident and Basic Science which is moderated by the Chief Residents. (remove this sentence The students should only attend these conferences if they do not conflict with lectures being held at Jefferson. Structured subspecialty services the students may be exposed to during this clerkship are: transplant, breast surgery, colorectal, trauma. Students are evaluated by residents and attending's and the final grade is an average of all evaluations. Mid rotations evaluated is verbal feedback from residents and attending's.

40

SURG 350 SURGERY

Bryn Mawr Hospital

Medical Students at Bryn Mawr Hospital rotate on a very busy surgical service at an excellent community hospital and work with residents from the Jefferson Surgical Residency Program. Students are exposed to all the common surgical issues during their rotation and are expected to be active members of the surgical team. A mid-‐rotation evaluation is conducted and is verbal. A formal rotation evaluation is completed at the end of the rotation by the clerkship director per Jefferson's requirements and is based on feedback from the team. Bryn Mawr Hospital is easily accessible by public transportation. Students are required to take call “Q6” during this rotation.

Christiana Care Health System – Christiana & Wilmington Hospitals Third year and fourth year medical students will be educated by Surgical Attendings and 32 Surgical Residents during their rotation at Christiana Care. Students spend six weeks on surgical services at Christiana and/or Wilmington Hospitals. Student assigned to service at Wilmington Hospital will participate in one on one, half day outpatient hours at the Chiefs Surgical Service clinic 3 days per week. While on night call at Christiana Hospital, students function as members of the “acute care surgical team” (Christiana Hospital is the state of Delaware’s Level 1 Trauma Center with 5,000+ trauma admissions per year). Students are required to take call “Q6” during their rotation. Students will be exposed to the surgical subspecialties of Breast, Colorectal, Critical Care, Plastics, Thoracic, Transplant, Trauma, and Vascular Surgery. The students will spend time in the classroom with didactic lectures and interactive sessions with the Director of Undergraduate Medical Education/Associate Program Director of the General Surgery Residency Program and Surgical Residents. Students are expected to attend the department’s weekly Morbidity & Mortality Conference, Surgical Grand Rounds and Chiefs’ Rounds. The medical students will also have exposure to ancillary staff, physician assistants and nurse practitioners. This is a “hands-‐on” surgical rotation with students welcomed and actively engaged.

DuPont Hospital for Children This rotation provides an active clinical experience in an excellent pediatric hospital. Students will be active in initial patient work-‐up, pre and post-‐op evaluation, along with assisting at the operation. Procedures stressed will include CVP placement, wound closures, i.e., emphasis on ICU care. Additional features include exposure to colorectal, vascular, and thoracic surgery and noteworthy presentations including: a Radiology conference relating x-‐rays to surgery, endotracheal intubation instruction by the Anesthesia Department, Radiology, and Pathology Department participation in Morbidity and Mortality conference. Evaluations will be by the Clerkship Director and the Jefferson Resident assigned to DuPont. Mid-‐evaluations will be by both the Clerkship Director and the Jefferson Resident. Conferences will also include weekly Grand Rounds and weekly lecture. Students are required to take call “Q6” during this rotation.

41

SURG 350 SURGERY Lankenau Hospital Medical students spend 2 weeks on each of 3 General Surgical Services at Lankenau Hospital. While on each rotation the student will be exposed to a diverse spectrum of general surgical problems with more vascular surgery concentrated on one service, more surgical oncology on the second and more colorectal on the third service. The students will also be exposed to transplant surgery and cardiovascular surgery. Students will be exposed to all the common surgical problems during their rotation at Lankenau. Teaching is provided by a diverse attending staff as well as by 10 surgical residents. Call schedule is 1 in 5 and rooms are provided with pagers. Students are required to take call “Q6” during this rotation. Hands on experience will include suturing and placement of various tubes and catheters along with minor procedures. Students are expected to be active members of the surgical team in following patients pre and postoperatively and in the operating room. In addition, there is a generous outpatient experience both in the clinic and private offices. Students will be expected to present cases on rounds and in conferences and to attend the teaching conferences with the residents. Students will be evaluated by chief residents and attendings. Constructive feedback is provided during an informal mid-‐rotation evaluation with the resident who has worked most closely with that student Final evaluation is based on feedback collected from residents and 5 General Surgeons and includes performance on rounds, inpatient care, outpatient care, and/or participation combined with performance in group discussions led by the clerkship site director. Methodist Hospital This rotation provides an active clinical experience in an excellent community hospital. Students will be active in initial patient work-‐up, pre and post-‐op evaluation, along with assisting at the operation. Procedures stressed will include CVP placement, wound closures, i.e., emphasis on ICU care. Additional features include exposure to colorectal, vascular, and thoracic surgery and noteworthy presentations including: a Radiology conference relating x-‐rays to surgery, endotracheal intubation instruction by the Anesthesia Department, Radiology, and Pathology Department participation in Morbidity and Mortality conference. Evaluations will be by the Chief of Service. Mid-‐evaluations will be by both the Chief and Senior Resident. Conferences will also include weekly Grand Rounds and weekly lecture. Students spend 3 to 5 hours during the rotation at Jefferson University Hospital, main campus for the Critical Thinking Sessions. Students are required to take call “Q6” during this rotation.

Morristown Medical Center (part of Atlantic Health System) The clerkship in general surgery at Morristown Medical Center offers approximately 150 cases per week in advanced laparoscopic, general, robotic, thoracic, vascular, pediatric, plastic, urologic, and trauma surgery at a busy quaternary care medical center ranked in S categories as a US News and World Report Top Hospital. In surgery, we are rated as Exemplary by the NSQIP of the American College of Surgeons for the care we deliver and teach in the department. There is a weekly interactive M&M as well as dedicated time in lectures and didactic activities as well as the ACS certified skills laboratory. Part of our medical center's stated mission is an acknowledgment that teaching the next generation of expert clinicians is one of our core values. The attention that the student receives from our teaching and resident staff is personal and focused on relaying not only the clinical knowledge and skills needed to be successful in surgery but the professional modeling required of every doctor, no matter the Meld of study. Students are required to take call “Q6” during this rotation.

42

SURG 350 SURGERY

Thomas Jefferson University Hospital 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 and six weeks on a Surgery Specialty rotation. They 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, and Urology. The Director of Undergraduate Education/Clerkship Director and Clerkship Coordinator meet with all students on the rotation. They review feedback, Clinical Skills/Palm PELS summary and discuss different aspects of the rotation with the students. Conferences include weekly surgical Grand Rounds (1 hr), weekly morbidity and mortality conference (1 hr), bi-‐weekly case presentations, and two ethical dilemma sessions. Students are required to take an end of clerkship OSCE (Objected Structured Clinical Evaluation) at the end of the six week general surgery rotation. They are given the Surgery National Board Subject Examination at the end of the 12 week rotation. The required textbooks are Essentials of General Surgery, Essentials of Surgery Specialties, and Surgery: A Competency-‐Based Companion with Student Consult Online Access. Students are required to take call “Q6” during this rotation.

TJUH Surgery Clerkship – Minimum Students 8 and Maximum 13 Anesthesiology -‐ Minimum Students 3 and Maximum 6 Neurosurgery-‐ Minimum Students 8 and Maximum 5 Ophthalmology -‐ Minimum Students 4 and Maximum 8 Orthopedics – No 3rd Year Students at Jefferson until December. Min. Students 3 and Maximum 6 Otolaryngology – Minimum Students 3 and Maximum 5 Urology – Minimum Students 3 and Maximum 5

43

SURG 350 SURGERY

York Hospital

York Hospital offers students the opportunity to learn and practice the principles of surgery. We accomplish this goal by providing them with a structured curriculum which includes: didactic sessions, surgical skill labs, OR participation, general surgery rounds, outpatient surgery clinic and Trauma/ICU experience. Students have the opportunity to interact with subspecialty services such as Urology, Vascular, Thoracic, Plastics, and ENT, Neurology, Orthopedics and Brest. Regularly scheduled lectures covering the major surgical topics are provided by a dedicated group of attending surgeons. In addition, PowerPoint presentations are available for review on our student portal. Students also actively participate in clinical scenario sessions, which help solidify what is learned in lectures. Radiology and IV access experiences are available. The Education Knowledge Center offers students and opportunity to perform online searches with the help of our dedicated librarian. All surgical textbooks are available in both the Department of Surgery Library and the Hospital Library. Recommended texts are Lawrence Essential of General Surgery and The Surgical Review by Pavan Atluri, et al. A formal mid-‐rotation evaluation is performed by both the clerkship director with input from the student's assigned team. The final evaluation is in accordance with the medical school requirements. Clinical grades are based on clinical performance and participation in conferences.

The structured subspecialty services to which the students may be exposed to clerkship are: Vascular, Thoracic, Neurology, Urology, Plastics, ENT and Orthopedics.

Students are evaluated according to Jefferson guidelines by residents (PGY 2-‐5)and board-‐certified physicians. York Hospital surgery requires students' to complete ro evaluations per 3 weeks to include evaluations from attendings, and residents. We require York Hospital specific mid-‐rotation evaluation that addresses aspects of patient care, medical knowledge, practice based learning and improvement, professionalism, interpersonal and communication skills, and systems-‐based practice. The students is required to review this with a resident on their assigned service prior to reviewing with the clerkship director.

Affiliate Hospitals

Statistics & Information

44

HOSPITAL STATISTICS

Abington A.I. duPont Albert

Einstein Bryn Mawr Christiana Crozer Excela Lankenau Magee

Total Beds 648 200 695 307 896 371 195 353 96

Occupancy Rate (%) 72.9 71 72.43 70.4 82 78.9 72 70 85

Setting (S) Suburban (U) Urban

S S U S S S S S/U U

Annual Statistics:

Admissions 36,781 8,453 28,849 20,167 51,728 22,717 12,500 18,100 1,600

Deliveries 4,781 0 2,977 1,897 6,469 2,086 2,010 2,800 NA

ER Visits 86,386 52,000 119,588 46,023 187,317 53,144 39,000 50,000 NA

Primary Payment Method:

Public Insurance 35 47 65.51 38.5 47 45 40 54 -‐

Private Insurance 16 3 11.92 1.5 49 30 60 27 -‐

Self Pay 2 1 1.30 0.1 1 1 -‐ 1 -‐

Other (HMO) etc.) 47 49 21.27 59.9 4 24 -‐ 18 -‐

Patient Age (%):

< 1 year 4 6 10.24 0.8 12.19 12.19 0.5 1.1 -‐

1 – 17 4 84 .53 4.2 0.88 88 0.5 2.0 1

18 – 39 years 26 10 21.35 19.5 21.13 21.13 30 22.1 33

40 – 64 years 23 0 35.96 29.3 30.99 30.99 30 34.7 33

> 64 years 44 0 31.94 46.3 34.81 34.81 49 40.1 33

45

HOSPITAL STATISTICS

Methodist Morristown Overlook Reading TJUH Inspira Virtua VA York

Total Beds 182 687 504 761 764 322 398 60 566

Occupancy Rate (%) 59.0 85 61 63.66 75.6 72 65.64 72 71

Setting (S) Suburban (U) Urban

U S S S U S S S S

Annual Statistics:

Admissions 7,302 40,000 25,000 34,811 35,624 13,000 27,558 1,664 28,212

Deliveries 0 4,254 2,471 4,209 1,918 1,188 6,245 0 2,993

ER Visits 40,972 83,440 94,239 126,415 78,096 60,000 58,464 6,200 76,500

Primary Payment Method:

Public Insurance 36 46 -‐ 38 34 45 35 -‐ 58

Private Insurance 1 46 -‐ 58 1 25 1 20 20

Self Pay 2 1 -‐ 4 1 5 2 -‐ 3

Other (HMO) etc. 61 7 0 64 25 62 20 19

Patient Age (%):

< 1 year 0 2.24 -‐ 12 1.96 15.7 3 0 4

1 – 17 0.03 11.46 2 0.99 23 1 0 2

18 – 39 years 13.17 20.43 19 20.63 31 21 14 22

40 – 64 years 39.99 35 25 41.10 16.9 43 38 32

> 64 years 46.82 30.87 42 35.5 1.6 32 47 40

46

AFFILIATE MAPS

47

Abington Jefferson Health Main Hospital

1200 Old York Road Abington, PA 19001

JUNIOR CLERKSHIPS OFFERED: • Family Medicine • Surgery • OB/GYN • Internal Medicine

RESIDENCY PROGRAMS: • Family Medicine • Internal Medicine • OB/GYN • General Surgery • Dentistry

HOSPITAL TYPE: Independent, non-profit, teaching hospital

FOOD SERVICE: Cafeteria: Open daily from 6:30AM – 2:30AM.

Java Joe’s Coffee Kiosk: Open Mondays through Fridays from 6:45 a.m. to 6 p.m.

MEDICAL EDUCATION RESOURCE CENTER: Wilmer Library: open 24 hours w/ ID badge; computers and conference rooms available.

Student lockers

Strategic napping room

TRANSPORTATION: Shuttle Service from Jenkintown Train Station to the Hospital, weekdays.

OTHER FACILITIES: Call rooms are available to surgery students. Fitness Center, Lactation Stations, Interfaith Chapel ANCILLARY SERVICES: EKG, blood draw, IV

PARKING: Parking available at the Scully Parking Garage (parking badge access needed per $10 refundable deposit) at the hospital and in front of the building (free) at Abington Family Medicine.

ABOUT: Abington Hospital – Jefferson Health (AH) is a 665-bed, regional referral center and teaching hospital, which has been providing comprehensive, high-quality services for people in Montgomery, Bucks and Philadelphia counties for more than 100 years. AH employs over 5,500 employees, making it one of the largest employers in Montgomery County. The hospital's medical staff consists of over 1,100 physicians, including primary care, medical and surgical specialists. More than 1,100 volunteers give their time and talents to support this not-for-profit hospital, and AH provides more than $45 million in free care to our community each year.

CONTACT: Undergraduate Medical Education Office: 215-481-2603

48

Nemours / Alfred I. duPont Hospital For Children

1600 Rockland Road P.O. Box 269 Wilmington, DE 19899 302.651.4000

JUNIOR CLERKSHIPS OFFERED: • Pediatrics • Surgery

RESIDENCY PROGRAMS:

• Pediatrics • Medicine/Pediatrics • Pediatrics/Physical Medicine & Rehabilitation

HOSPITAL TYPE: Non-Government Non-Profit Associated with Christiana Care Hospital, Wilmington Hospital, and TJUH

CAFETERIA: HOURS: 0700- 1900 AVERAGE COST PER MEAL: S4.00 STUDENT DISCOUNTS: Yes, available on a regular basis and when on call. Free lunch provided at all noon conferences.

LIBRARY: IN HOUSE HOURS: 0900 - 1700 Students have after hour access

HOUSING: None

ANCILLARY SERVICES: EKG, blood draw, IV TRAVEL: Parking: FREE Travel Time: 40 Minutes by car SPECIAL FEATURES: The A.I. duPont Hospital for children has rapidly expanded and has become this region’s tertiary care center for children. The Hospital offers a multitude of special programs and services to children and adolescents through age eighteen. Along with the residents, each student participates fully in the residency education program. In addition, specific didactic and bedside rounds are conducted regularly with the students. Students work closely with pediatric and combined medicine-pediatric residents.

49

Albert Einstein Medical Center Einstein Healthcare Network

5501 Old York Road Philadelphia, PA 19141

215.456.7890 JUNIOR CLERKSHIPS OFFERED:

• Internal Medicine • OB/GYN • Psychiatry • Surgery • Pediatrics

RESIDENCY PROGRAMS:

• Emergency Medicine • Internal Medicine • Neurology • OB/GYN • Orthopedic Surgery • Radiology • Pediatrics • Psychiatry • Surgery • Urology • Dental: General Practice • Dental: Endodontics • Dental: Orthodontics

HOSPITAL TYPE: Non-Government Non-Profit

Part of Multi-Hospital System with Einstein Medical Center - Philadelphia, Einstein Medical Center – Montgomery, Einstein Medical Center – Elkins Park, Moss Rehabilitation Hospital, Moss Rehab Einstein at Elkins Park, and Willowcrest Sub-acute Care Facility.

CAFETERIA: HOURS: 6:30 AM - 8 PM Weekdays, 6:30 AM - 5PM Weekends - AVERAGE COST PER MEAL: $6-7

LIBRARY: IN HOUSE Hours: 0800 – 1700 HOUSING: Not available to students

CALL FACILITIES: 1 Bed / Room Private Bathrooms/Showers Phone in Room ANCILLARY SERVICES: Decentralized 24-hour EKG, IV, and Blood Drawing Services TRAVEL: Travel Time: 20 minutes by car, 25 minutes by Public Transportation Parking: FREE SPECIAL FEATURES: The Albert Einstein Medical Center is a Level I Trauma Center and a Level III Neonatal Intensive Care Unit. Located just four miles north of Center City, Einstein is the largest independent academic medical center in the area. Special programs include: Einstein Heart Institute, Center for Liver Disease and Transplantation, Women’s Center, Cancer Center, Center for Orthopedic Sciences, Drucker Brain Injury Center, and Gutman Diabetes Institute.

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Bryn Mawr Hospital 130 South Bryn Mawr Ave

Bryn Mawr, PA 19010 484-337-3000

JUNIOR CLERKSHIPS OFFERED: • Family Medicine • OB/GYN • General Surgery • Urology

• Psychiatry • Anesthesia • Pediatrics Inpatient • Ortho

RESIDENCY PROGRAMS:

• Family Medicine • Podiatry • Radiology

HOSPITAL TYPE: Non-Government, Non-Profit Part of a multi-hospital system with Paoli Hospital, Lankenau Medical Center, Riddle Hospital, and Bryn Mawr Rehab CAFETERIA: Hours: 0700 – 1900 Average Cost per Meal: $6.00-$9.00 STUDENT DISCOUNT: On Call and Night Float Only

LIBRARY: In Swipe Access - Hours: 0900 - 1700, closed weekends CALL FACILITIES: As needed

HOUSING: Not Available ANCILLARY SERVICES: IV service, EKG, Phlebotomy 24 hours per day TRAVEL: Travel Time: 30-40 minutes by car or public transportation SPECIAL FEATURES: Established in 1893, Bryn Mawr Hospital is a not-for-profit, full service, community acute care teaching hospital. It is known for a high level of personalized care by exceptional physicians, surgeons and nursing staff in both inpatient and outpatient settings.

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Christiana Care Health System Christiana Hospital Wilmington Hospital Family Medicine Center 4755 Ogletown Road 501 West 14th Street 1401 Foulk Rd Newark, DE 19718 Wilmington, DE 19801 Wilmington, DE 19803

302-733-2062 – Office of Academic Affairs 302-477 - 3315 Commute from Family Practice

Office to Hospital: 15 miles JUNIOR CLERKSHIPS OFFERED:

• Surgery • Family Medicine • Internal Medicine

• OB/GYN • Pediatrics Inpatient and

Nursery

RESIDENCY PROGRAMS:

• Emergency Medicine / Medicine

• Family Medicine • Internal Medicine • OB/GYN • EM/Family Medicine

• Pediatrics / Medicine • Radiology Surgery • Emergency Medicine

HOSPITAL TYPE: Non-Government, Non-Profit

CAFETERIA: Hours: 0630-1900 Average Cost per Meal: $4.00

LIBRARY: In House Hours: 0700 - 1430; Students have after hours privileges

CALL FACILITIES: 1 -2 bed/ room

HOUSING: *Housing is available during certain rotations under specific circumstances * if applicable, student will need to submit an application, provided by CCHS for review and approval.

ANCILLARY SERVICES: All expected services available with 24/7 on-call availability

TRAVEL: Travel Time: 1 hour public transportation Auto: 45 minutes to 1 hour Parking is Free

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Crozer-Keystone Health System 1260 East Woodland Avenue, Suite 200

Springfield, PA 19064-3988 610-690-4471 (FMED location)

Crozer - Keystone Health System 1260 E. Woodland Ave., Suite 200

Springfield, PA 19064 610.690.4471

Commute from Family Practice Office to Delaware County Hospital: 15 minute drive JUNIOR CLERKSHIPS OFFERED:

• Family Medicine RESIDENCY PROGRAMS:

• Family Medicine • Internal Medicine

• OB/GYN • Pediatrics

ANCILLARY SERVICES:

All services available with 24/7 (IV, EKG, Phlebotomy.

etc)

TRAVEL: Travel Time: 30 minutes by car, 20 minutes by

HOSPITAL TYPE: Non-Government, Non-Profit, Teaching Hospital Part of a multiple hospital system (Crozer-Keystone Health System) including: Crozer-Chester Medical Center, Delaware County Memorial Hospital. Taylor Hospital. Springfield Hospital, Community Hospital, and the Healthplex Sports Club CAFETERIA: At Delaware County Memorial Hospital Breakfast buffet 7 AM to 10:15 AM Lunch: 11 am to 3:30 pm Dinner: 4:30 to 6:30 pm Average cost per meal: $6.00 / $7.00 dollars. At Center for Family Health (outpatient) refrigerators and Microwaves provided. LIBRARY: In House - Hours: 24 hours/ 7 days a week

CALL FACILITIES: No on-call responsibilities

HOUSING: None

ANCILLARY SERVICES: All services available with 24/7 (IV, EKG, Phlebotomy. etc) TRAVEL: Travel Time: 30 minutes by car, 20 minutes by public transportation (R3 train station across from parking lot) Parking: FREE

SPECIAL FEATURES: The Crozer-Keystone Family Medicine Residency Program is proud of our well-earned national reputation for innovation, leadership, and teaching methods. We are a full-service, family medicine teaching center offering prenatal to geriatric family care. In exposing the dynamic specialty of family medicine, students work closely with resident and faculty in various environments to include office hospital, nursing home, home visits, and sports physical exams. Students are encouraged to attend conferences, didactic sessions, and specialty clinics.

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Excela Health Latrobe Hospital

121W. 2nd Avenue Latrobe, PA 15650

724. 537.1000

(FMED location) Latrobe Area Hospital Family Practice Office 121 West Second Ave.

Latrobe, PA 15650 724.537.1862

Commute from Family Practice Office to Hospital: Within walking distance

JUNIOR CLERKSHIPS OFFERED: • Family Medicine

RESIDENCY PROGRAMS:

• Family Medicine

HOSPITAL TYPE: Non-Government, Non-Profit Part of a multi-hospital system with Westmoreland Regional Hospital and Frick Hospital. CAFETERIA: Hours: 0700-0900, 11:30 – 13: 30, 16:30 – 18:15 Average cost per meal: $5.00 Student Discounts LIBRARY: In House - Hours: 24 hours/ 7 days a week

CALL FACILITIES: No on-call responsibilities

HOUSING: Contact: Natalie McClarren 724-537-1862 [email protected] ANCILLARY SERVICES: EKG, IV Insertion. Phlebotomy, Respiratory Therapy, and Radiology Service 24/7. Interventional Radiology, Rapid Response Teams TRAVEL: 5 hours by car from Center City – 6 hours by public transportation from Philadelphia. Parking is free

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Inspira Medical Center Woodbury 509 N. Broad Street

Woodbury, NJ 08096 609-845-0100

Family Medicine Residency Program

75 W. Red Bank Avenue Woodbury, NJ 08096

856-853-2056 Commute from Family Practice Office to Hospital: On hospital campus

JUNIOR CLERKSHIPS OFFERED:

• Family Medicine (OP)

RESIDENCY PROGRAMS:

• Family Medicine

HOSPITAL TYPE: Non-Government Non-Profit Affiliated with Jefferson Health System CAFETERIA: HOURS: 600 - 2200 AVERAGE COST PER MEAL: $5.00 STUDENT DISCOUNTS: No LIBRARY: IN HOUSE: 24/7 access

CALL FACILITIES: Not available to students

HOUSING: None available ANCILLARY SERVICES: EKG, blood draws, nebulizer treatments, colposcopies TRAVEL: Transportation service from Center City not offered to students. Travel Time: 25-30 minutes by car, 40 plus minutes by public transportation. Parking is free.

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Lankenau Medical Center

100 Lancaster Avenue Wynnewood, PA 19096

484-476-2000

JUNIOR CLERKSHIPS OFFERED: • Internal Medicine • OB/GYN • Surgery

RESIDENCY PROGRAMS: • Internal Medicine • OB/GYN • General Surgery • Osteopathic Family Medicine

HOSPITAL TYPE: Non-Government Non-Profit Part of a multiple hospital system (Main Line Health System) including: Bryn Mawr Hospital, Paoli Memorial Hospital, Bryn Mawr Rehabilitation Center, and Riddle Hospital

CAFETERIA: Hours: 0630 – 0200 Average cost per meal: $7.00-9.00 Student Discounts: Meal tickets provided when on night call LIBRARY: In house hours: 24/7 for residents/students CALL FACILITIES: No private bath/shower – phone in room /lockers

HOUSING: Not available

ANCILLARY SERVICES: All are available 24/7 (IV, EKG, Phlebotomy, etc.). EKG, blood draw, IV

TRAVEL Travel Time: 30 minutes by car, 45 minutes by public transportation. Parking: Free, $5 deposit refunded at the end of rotation. Students must park on the outside upper level of the Employee Parking Garage.

ABOUT: Lankenau Medical Center is one of the Philadelphia region’s most honored and respected teaching hospitals. Conveniently located in suburban Philadelphia, the 353-bed medical enter boasts world-class physicians, a wide variety of diagnostic and treatment options, the latest technology and access to cutting-edge research. At Lankenau, patients have access to research that investigates more effective treatments and therapies. Lankenau Institute for Medical Research is one of the few freestanding, hospital-associated research centers in the nation. Through Lankenau’s nationally ranked residency and fellowship programs, supported through the Annenberg Center for Medical Education, our physician faculty are educating the next generation of physicians.

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Magee Rehabilitation Hospital 16th & Race Streets

Philadelphia, PA 19102

JUNIOR CLERKSHIPS OFFERED: Rehabilitation Medicine

RESIDENCY PROGRAMS: Rehabilitation Medicine

HOSPITAL TYPE: Non-Government Non-Profit Affiliated with Jefferson Health System

CAFETERIA: HOURS: Breakfast: 0730 - 1000, Lunch: 1130 - 1330, Dinner: 1630 – 1830 AVERAGE COST PER MEAL: $3.50 STUDENT DISCOUNTS: NO

LIBRARY: IN HOUSE HOURS: Open M-F 12PM-6PM, NO EVENINGS

CALL FACILITIES: Not available


ANCILLARY SERVICES: EKG, Blood draw, IV

TRAVEL: Travel Time: Located at 16th and Race in Center City Public Transportation: 20 min Automobile: 10 min. Parking: not free nor subsidized

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Methodist Hospital 2302 S. Broad Street

Philadelphia, PA 19148 215-952-9500

JUNIOR CLERKSHIPS OFFERED: • Internal Medicine

• Surgery

RESIDENCY PROGRAMS:

• Emergency Medicine • Family Medicine • Orthopedics

• ENT • Internal Medicine • Surgery

HOSPITAL TYPE: Non-Government Non-Profit Affiliated with Jefferson Health System

CAFETERIA: HOURS: M-F: 0630 - 1830 AVERAGE COST PER MEAL: reasonable Sleeping Quarters has food STUDENTS DISCOUNTS: Yes, free meals when on call LIBRARY: IN HOUSE HOURS: Open 0900 – 1700 JEFFLINE available for afterhour’s access CALL FACILITIES: 1-2 Beds / Room Private Bathrooms / Showers Phone in Room


ANCILLARY SERVICES: EEG, EKG, IV Services, MRI, Radiology, pathology, Heart Station, Respiratory, Infection Control, Dialysis, Cardiac Rehab TRAVEL: Travel Time: 10 minutes by car, 15 minutes by public transportation

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Morristown Medical Center 100 Madison Avenue

Morristown, NJ 07960 973-971-5000


• Internal Medicine • OB/GYN • Psychiatry • Surgery • Pediatrics • Family Medicine

RESIDENCY PROGRAMS:

• Internal Medicine • Sports Medicine (fellowship)

• Radiology

• Family Medicine • Dentistry • Pediatric Emergency Medicine (fellowship)

• Surgery • Pediatrics • Cardiology (fellowship) • Emergency Medicine • OB/GYN • Podiatry • Urogynecology

(fellowship) • Geriatrics (fellowship) • NMM/OMM (fellowship)

HOSPITAL TYPE: Non-Government Non-Profit CAFETERIA: Hours: 1AM to 7 PM Average Cost per Meal: $6.00 Student Discounts: Yes Starbucks: 6:00 AM – 11:00 PM Apple a Day: 6:30 AM – 7:00 PM CALL FACILITIES: 1bed per room Private Bathroom/Shower Phone in room ANCILLARY SERVICES: Services available 24/7

HOUSING: Available for students doing rotations. Studio apartment are available but may be shared based upon the number of students per rotation. Contact: Lisa Siccone (973) 971 - 6442 Twin Beds - Private bathroom and shower Distance from Hospital: one-half block LIBRARY: In House Hours: 7 AM – 5 PM – Students have afterhours access TRAVEL: Public Transportation: 3hours 15 minutes Automobile: 2 hours

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Overlook Medical Center 99 Beauvoir Avenue Summit, NJ 07901

908-522-2000

JUNIOR CLERKSHIPS OFFERED: • Family Medicine

RESIDENCY PROGRAMS:

• Internal Medicine • Dentistry

• Family Medicine

HOUSING: Available for students doing rotations Contact: Tatiana Popov (908) 522-2852 Two-bedroom apartment w/one bed per room, private bathroom and shower Distance from hospital: located on campus

ANCILLARY SERVICES: Services available 24/7 TRAVEL: Public Transportation: 3 hours Automobile: 1 hour 45 minutes

HOSPITAL TYPE: Non-Government Non-Profit CAFETERIA: Breakfast: 6:30am to 10:30am Lunch: 11:00am to 2:30pm “Grab & Go”: 2:45pm to 3:45pm Dinner: 4:30pm to 7:00pm Late Night: 9:00pm to 12:00am Average Cost per Meal: $6.00 Student Discount: Yes LIBRARY: In-House Hours: 8:00 am to 4:30 pm Students have 24/7 access w/ID badge

CALL FACILITIES: One bed per room Private bathroom/shower Phone in room Computer room in call-suite Kitchenette stocked w/beverages and snacks

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Reading Hospital Sixth Avenue and Spruce Street

Reading, PA 19611 484-628-8000

JUNIOR CLERKSHIPS OFFERED: • Family Medicine • Pediatrics • Internal Medicine • OB/GYN

RESIDENCY PROGRAMS: • Family Practice • OB/GYN • Transitional Year -

Medicine

• Internal Medicine • Podiatry

CALL FACILITIES: 2 Beds per room Private Bathroom and Shower Phone in Room HOUSING: Contact: Evangelina Cruz 484-628-8543 Free Housing Available 2 Bed, Bathroom, Private Shower Located on hospital campus ANCILLARY SERVICES: All expected services available with 24/7 on-call availability TRAVEL: Transportation from Center City not offered to students. Travel Time: 1 – 1.5 hours by car, 2+ hours by public transportation Parking: FREE

HOSPITAL TYPE: Non-‐Government Non-‐Profit CAFETERIA: HOURS: Breakfast: 0630 – 0900

Lunch: 1100 -‐ 1400 Dinner: 1630 -‐ 1900

Average Cost Per Meal: Average cost $20/day limit LIBRARY: IN HOUSE HOURS: September – June: M – F 0800 – 2100 July – August: M – F 0800 – 1700 After-‐hours access using student ID badge. CALL FACILITIES: 2 Beds per room Private Bathrooms and Showers Phone in Room

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Thomas Jefferson University Hospital 111 So. 11th Street

Philadelphia, PA 19611 215-955-6000

JUNIOR CLERKSHIPS OFFERED: • Family Medicine • Pediatrics • Internal Medicine • OB/GYN • Psychiatry • Surgery • Neurology RESIDENCY PROGRAMS: • Anesthesiology • Rehab Med • Dermatology • Emergency Medicine • ENT • Family Medicine • Internal Medicine • Neurology • Neurosurgery • OB/GYN • Oral Surgery • Orthopedics • Pathology • Pediatrics • Psychiatry • Radiation Oncology • Radiology • Surgery • Urology

HOSPITAL TYPE: Non-Government Non-Profit CAFETERIA HOURS: M – F 6:45 AM TO 7:30 PM WEEKENDS: 6:45 AM TO 7:00 PM No Student Discount Average Cost Per Meal: $6.00 LIBRARY IN HOUSE HOURS: 8:00 AM – 12:00 AM Mon – Thurs 8:00 AM – 10:00 PM Friday 11:00 AM – 7:00 PM Saturday 10:00 AM – 12:00 AM Sunday CALL FACILITIES: 4 Beds / Room Private Bathrooms / Showers Phone in Room

HOUSING: On-campus housing features two apartment-style buildings and one traditional dormitory-style building. Barringer Residence (apartments, unfurnished) Martin Residence (dormitory, furnished) Orlowitz Residence (apartments, unfurnished) For more information please go to www.jefferson.edu/housing or contact the Department of Housing and Residence Life at 215-955-8913 or at [email protected]. Office is located in the Orlowitz Residence (1000 Walnut Street), Suite 103.

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Virtua Health 100 Bowman Drive Voorhees, NJ 08043

856.247.3000

(FAMILY MEDICINE LOCATION) Virtua – Tatem - Brown Family Medicine Center

2225 Evesham Road, Suite 101 Evesham, NJ 08043

856-795-7075 Commute from Family Medicine Office to Hospital: car strongly recommended


• Family Medicine • OB/GYN

RESIDENCY PROGRAMS:

• Family Medicine • Dental

• Podiatry • Pharmacy

HOSPITAL TYPE: Non-Government Non-Profit Affiliated with Virtua Marlton, Virtua Berlin, and Virtua Memorial CAFETERIA: HOURS: 0700 – 1300 & 1600 – 1900 AVERAGE COST: $5 No Student Discount LIBRARY: IN HOUSE – VIRTUAL

CALL FACILITIES: Number of beds/room varies. Private Bathroom/shower Phone in Room HOUSING: N/A ANCILLARY SERVICES: 24/7 EKG, Phlebotomy, IV Team, and Radiology TRAVEL: Car: 30 minutes Parking: FREE

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Wilmington Veterans Affairs Medical Center 1601 Kirkwood Highway Wilmington, DE 19805

302.994.2511 JUNIOR CLERKSHIPS OFFERED:

• Psychiatry RESIDENCY PROGRAMS:

• Internal Medicine (Specialty Outpatient Clinics) • Oral & Maxillofacial Surgery

HOSPITAL TYPE: Federal Government CAFETERIA: HOURS: 0730 – 1330 AVERAGE COST PER MEAL: breakfast $3.00, lunch $6.00 STUDENT DISCOUNTS: NO - But free meals when on call (breakfast and dinner) LIBRARY: IN HOUSE HOURS: Open 0830 - 1700. Students have afterhours access privileges. CALL FACILITIES: 1 Bed / Room Private Bathrooms/Showers Phone in Room HOUSING: None Available

ANCILLARY SERVICES: Lab 24 hrs per day EKG: M – F: 0800 – 1630 Nuclear Medicine: M – F: 0730 – 1600 Radiology: 24 hours per day OT/PT: M – F: 0800 – 1600 Pharmacy: Inpatient: 0800 – 2100 Outpatient closes at 1800 Prosthetics: M – F 0800 – 1630 Social Work: M – F 0800 – 1630 (On call after hours). Audiology and Speech: M – F 0800 - 1630 TRAVEL: Travel Time: 45 minutes by car PARKING: FREE SPECIAL FEATURES: Univ. of Delaware, Nurse Practitioners Arcadia Univ.: Physician Assistnats Christiana Hospital: Cardiology Fellowship Program.

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York Hospital 1001 South George Street

York, PA 17405 (717) 851- 2753

Vehicle required for Family Medicine and OB/GYN rotations.


• Family Medicine • General Surgery • Internal Medicine • OB/GYN

RESIDENCY PROGRAMS:

• Family Medicine • OB/GYN • Emergency Medicine

• Internal Medicine • General Surgery • Orthopedic Surgery

HOSPITAL TYPE: Non-government not-for-profit - Affiliated with Gettysburg Hospital CAFETERIA: HOURS: 0615 – 0800 (breakfast) 1100 – 1315 (lunch) 1630 – 1830 (dinner) AVERAGE COST PER MEAL: $5.00 - $8:00 range LIBRARY: IN HOUSE HOURS: Open 0700 - 1630 Students have afterhour access privileges. CALL FACILITIES: 2 Beds / Room No Private Bathrooms / Showers

HOUSING: Contact: Alexandra Zeigler Free Housing Provided Located on hospital campus ANCILLAY SERVICES: All services available 24/7 TRAVEL: 90 minutes by car and parking is free

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AFFILIATE SECURITY PROCEDURES

AFFILIATE SECURITY FEATURES

Abington Hospital Full time security around the clock. Key card entry to offices after hours only with valid ID. Escorts available

A.I. DuPont Hospital for Children Computerized card scanner only entrance to all hospital units. Security guards patrol the hospital routinely. All students can request an escort to the parking lot at night.

Albert Einstein Medical Center Escort service by security available upon request to all medical students to parking garages and to nearby subway station. Parking garages are well lit and patrolled regularly. Security is posted at all entrances to the Medical Center

Belmont Institute Security is available around the clock, and will escort students upon request. All parking areas are well lit and patrolled.

Bryn Mawr Hospital Security is available around the clock and patrols the hospital. Escort service is available to students to and from the parking lots. On call rooms are in the same wing as those of the residents and attendings and are secured via keys.

Christiana Care Health System Full time security around the clock. Students may request a security escort to and from parking or for any other reason at any time. All on call and sleeping rooms are locked.

Crozer-‐ Keystone Health Around the clock security department. Patrols around hospital campus and fully staffed entrances. Students escorted to transportation upon request

Excela Health/ Latrobe Hospital Security on site around the clock. Escort service is available to students at any time.

Inspira Medical Center Woodbury Around the clock security department.

Lankenau Hospital Security is available around the clock and rounds frequently through the hospital. Escort service to and from the parking lots is also available around the clock. On-‐call rooms are within a secure suite and are locked at all times

Magee Rehabilitation Hospital Around the clock security department with patrols and staffed entrances. Student escort service available

Methodist Division-‐TJUH Around the clock security department with patrols and staffed entrances. Student escorts available upon.

Morristown Medical Center Security on site around the clock. Escort service is available to students at any time.

Moss Rehabilitation Hospital Full time security service. Escorts to parking area available upon request.

Overlook Medical Center Security on site around the clock. Escort service is available to students at any time.

Reading Hospital Full time security service. Escorts to all areas available upon student request.

Virtua Health Full time security with escort service available.

Wilmington VA Hospital Around the clock security department with patrols and staffed entrances. Student escort available upon request.

York Hospital Around the clock security department with patrols and staffed entrances. Student escorts available upon request.

Documents

Third Year Rotation Information and Affiliates Guide … · all!thebest!of!luck!next!year!!! ... [email protected]! ! ... Dean!in!effecting!a!change;