Third Year Rotation Information and Affiliates Guide … · [email protected] [email protected] 2 TABLE OF CONTENTS List of Hospitals and Contacts 3 Sidney Kimmel

2018-2019

Third Year Rotation Information and Affiliates Guide

Foreword

Asourfirsttwoyearsofmedicalschoolarenearinganend,wecanlookforwardtoputtingourknowledgeandskillstouseintheclinicalsetting.Thisexperienceisanexcitingtimewhichwillgiveusfurtherinsightintoourinterestsandfinalcareerdecisions.

Whilethecorerotationsarethesameforallofus,eachofthesitesisdistinctiveinitsownway.Wehavemanyoptionsavailabletous,rangingfromsmallcommunityhospitalstolargeacademicmedicalcenters.Assuch,wewilleachhaveauniquesetofclinicalexperiencesfromwhichtodrawonfortherestofourcareers.

Thisguidewascreatedtoprovideinformationabouteachaffiliatehospitalandthevariousrotationstheyoffer. Wehave tried tomake this ashelpful and complete aspossible. Please keep inmind thatwhileeveryefforthasbeenmadetoprovidethemostaccurateinformation,thisguideisnotthefinalword.TheOfficeoftheRegistrarwillprovidetheofficialinformationregardingindividualcourselocations,enrollmentlimitsforeachsite,andtheblockswheneachcourseisoffered.

Wehopetheinformationinthisguidewillhelpyouselectrotationsitestofityourowngoals.Wewishyouallthebestoflucknextyear!

Sincerely,

AffiliationsCommitteeRepresentatives

ArikaSaharan [email protected] [email protected]

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TABLEOFCONTENTS

ListofHospitalsandContacts 3SidneyKimmelMedicalCollegeContacts 4

ThirdYearCurriculum

SelectionProcedure 5 ClinicalCurriculumOverview 6 LongitudinalIntegratedClerkship 7-8

2018-2019AcademicCalendar 9

FamilyMedicine 11-15 InternalMedicine 16-19 Neurology 20 Obstetrics&Gynecology 21-24 Pediatrics 25-27 Psychiatry 28-31 Surgery 32-36 AffiliateHospitalInformation

AbingtonMemorialHospital 37 A.IDuPontHospitalforChildren 38 AlbertEinsteinMedicalCenter 39

AriaHealth 40BrynMawrHospital 41

ChristianaCareHealthSystem 42 Crozer-KeystoneHealthSystem 43 ExcelaHealthLatrobeHospital 44 InspiraMedicalCenter 45 LankenauMedicalCenter 46 MethodistHospital 47 MorristownMedicalCenter(AtlanticHealth) 48 OverlookMedicalCenter(AtlanticHealth) 49 ReadingHospital 50 ThomasJeffersonUniversityHospital 51-52 VirtuaHealth 53 WilmingtonVeteransAffairsMedicalCenter 54 WellSpanYorkHospital 55AffiliateSecurityProcedure 56

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ListofHospitalsOfferingJuniorElectives2018-2019

HOSPITAL LOCATION CONTACTINFORMATION E-MAIL/WEBSITE

AbingtonMemorialHospital Abington,PA

DavidGarySmith,M.D.215-481-2606

[email protected]

AlfredI.DuPontHospitalforChildren Wilmington,DE

SteveSelbst,M.D.302-651-5874

[email protected]

AlbertEinsteinMedicalCenter

Philadelphia,PADouglasMcGee,D.O.

[email protected]

AriaHealth Bensalem,PARobertDanoff,D.O.

[email protected]

MainLineHealthBrynMawrHospital

BrynMawr,PAJamesBurke,M.D.484-476-2577

[email protected]

ChristianaCareHealthSystem

Newark,DENeilJasani,M.D.302-733-2704

[email protected]

Crozer-KeystoneHealthSystem

Springfield,PAChristopherStenberg,M.D.

[email protected]

www.crozer.org

ExcelaHealthLatrobeHospital

Latrobe,PAMichaelSemelka,D.O.

[email protected]

www.excelahealth.org

InspiraMedicalCenter Woodbury,NJAartiAggarwal,M.D.

[email protected]

http://www.inspirafmwoodbury.org/

MailLineHealthLankenauMedicalCtr. Wynnewood,PA

JamesBurke,M.D.484-476-2551

[email protected]

MethodistHospital Philadelphia,PAMartinKoutcher,M.D.

[email protected]

www.jefferson.org

MorristownMedicalCtr. Morristown,NJJeffreyLevine,PhD

[email protected]

www.atlantichealth.org

OverlookMedicalCtr. Summit,NJJeffreyLevine,PhD

[email protected]

www.atlantichealth.org

ReadingHospital WestReading,PADavidGeorge,M.D.

[email protected]

www.readinghealth.org

SidneyKimmelMedicalCollegeatTJU

(seepagesix)

VirtuaHealth Voorhees,NJMaryCampagnolo,M.D.

[email protected]

www.virtua.org

VeteransAffairsMedicalCtr.

Wilmington,DERobertBoucher,M.D.

[email protected]

www.va.gov

WellSpanYorkHospital York,PADavidEmrhein717-851-2967

[email protected]

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SidneyKimmelMedicalCollegeContacts2018-2019

DEPARTMENT CLERKSHIPCOORDINATORS DIRECTORS

FamilyMedicine

LauraMonroeEducationProgramAdministrator

[email protected]

AmyLevin

ProgramCoordinator215-955-1372

[email protected]

FredMarkham,M.D.215-955-2350

[email protected]

MedicineAmandaWhite215-955-8737

[email protected]

NinaMingioni,M.D.

[email protected]

Neurology

JasmineKing215-955-4967

[email protected]

DanielKremens,M.D.215-503-2724

[email protected]

Obstetrics/GynecologyDianaBrooks215-955-8462

[email protected]

KatherineLackritz,M.D.215-955-5000

[email protected]

PediatricsSybilFullard-McLaurin

[email protected]

AlisaLoSasso,M.D.215-955-6525

[email protected]

PsychiatryJaynieEstrada215-955-9823

[email protected]

MitchellCohen,M.D.215-955-6592

[email protected]

SurgerySherryWeitz215-955-6879

[email protected]

GeraldIsenberg,M.D.215-955-6879

[email protected]

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ThirdYearClerkshipSelectionProcedure

MidtolateFebruary,studentswillbegintoselecttherotationandlocationofclerkshipswiththeRegistrar'sOffice.SpecificdateswillbeemailedfromtheRegistrar’sOffice.

ApproximatelyApril23rdtheresultsofthelotterywillbeavailabletoallsecondyearstudents.

STUDENTSAREPROHIBITEDFROMHOLDINGMORETHANONESLOTPERCORESUBJECTandtheRegistrarwillautomaticallydeleteextraslotsheldtherebyjeopardizingastudent'sfirstchoice.

Sinceitisrealizedthatattimeschangesarenecessaryoncetheacademicyearbegins,ANYCHANGESmustbemadeunderthefollowingprocedure:

AllchangesmustbemadesixweeksormorebeforethescheduledrotationonlineviaBannerWeborusingthestandardpaperdrop/addform.

Theclerkshipbeingchanged,whetherlocationorrotation,MUSTbearrangedbyandwiththeCoordinatorofthatclerkship(inconsultationwiththeDirector).Iftwoormorestudentsortwoormoreclerkshipsareinvolvedinthechange,allCoordinatorsthatpertainMUSTbeinvolved.TheCoordinatorswilltheninformboththeSITEandtheREGISTRAR.

The Coordinatorwill inform the new site Coordinator and theoriginal siteCoordinatorof the change. ThisinformationwillbebyphoneandbyemailandwillbetotheclerkshipcoordinatorsandtochiefacademicofficeratanyaffiliatedMedicalCenter.TheDeansofAffiliationswillalsobecopied.Studentsmayenlist theadviceorhelpofanyfacultymemberorDean ineffectinga change;however thechangemayonlybemadebyaCLERKSHIPCOORDINATOR.AllchangesmustbereportedtotheRegistrar.

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CLINICALCURRICULUMOVERVIEW TheclinicalcurriculumprogramstartsinJulyandconsistsof100weeks,ofwhich: 84weeksarerequiredclerkships, 4weeksofvacationaremandatory(2weeksduringeachWinterHoliday Period), 2weeks’vacationinJunebetweenthethirdandfourthyears, 2weeks’vacationimmediatelypriortograduation,and 8weeksofvacationduring4thYeartobescheduledtofittheneedsofthestudent.***For2018-19,thebasicunitsofthecalendararefive-weekblocks.THIRDYEARRequirements(Classof2020)–Priortobeginning4thYear,each3rdYearstudentmustcompletethefollowing:

Duringthefirst40weeks,thesequenceofcourseswillvary,butbytheendofthe40weeks(correspondingtotheendoftheeighthfive-weekblockofthethirdyearonApril26,2019)allstudentsmusthavecompleted:

• FiveweeksofFamilyMedicine(FMED350)• TenconsecutiveweeksofSurgery/SurgicalSpecialtiesSelectives

Consistingof: -sixweeksofGeneralSurgery(SURG350),and -three-weekrotationofSurgicalSpecialties,and -oneSurgeryAcademicweek

• Tenconsecutiveweeksconsistingof: -sixweeksofInternalMedicine(MED350)and -threeweeksofNeurology(NEUR350)and -oneInternalMedicine/NeurologyAcademicweek• FiveweeksofPediatrics(PED350)• FiveweeksofPsychiatryandHumanBehavior(PSYH350)• FiveweeksofObstetrics/Gynecology(OBGY350)

• AllThirdYearrotations,withtheexceptionoftheNeurologyandSelectiverotations,havea

comprehensivewrittenexaminationattheconclusionoftheteachingblock.

• The3rdYearten-weekcontinuousrotationsstartinblocks1,3,9,or6.GeneralInformationConcerningtheSchedulingProcess

• Themajorobjectiveistogiveeachstudentthehighestorderofcoursesandlocationspreferred,whilealsomeetingJeffersonandaffiliatedhospitalrequirements.Determinationoffinallocationandsequencingofallrotationsisreservedtothecollege.

• Ifthestudent'sfirstpreferenceisnotavailable,duetoenrollmentlimitationsorotherfactors,the

processwillmovetothenexthighestselectiondependingonthepreferenceselectedbythestudentontheschedulerequestscreen.

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

What is a Longitudinal Integrated Clerkship (LIC)?

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

Features of the LIC:

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

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

What are the benefits of participating in an LIC?

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

To apply, you must:

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

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

For more information: Contact [email protected]

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

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

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

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

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

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Ifastudentfailstoprovidealternatechoicesoftimeperiodsandlocations,andthefirstchoiceisnotavailable,thestudentwillbeassignedwhenand/orwherespaceisavailable.

ACADEMIC CALENDAR 2018 – 2019

Clinical Curriculum FIVE-WEEK BLOCKS FOUR-WEEK BLOCKS 2018 – 2019 2018 - 2019 18-01 July 9 - August 10 18-10 July 9 – August 3 18-02 August 13 – September 14 18-11 August 6 – August 31 18-03 September 17 – October 19 18-12 September 4 – September 28 18-04 October 22 – November 23 18-13 October 1- October 26 18-14 October 29- November 23 18-09 November 26 – December 21 18-15 November 26- December 21 (Break December 24 – January 4) January 7 – January 11 18-05 January 14- February 15 18-16 January 7– February 1 18-06 February 18 – March 22 18-17 February 4 - March 1

18-07 March 25 – April 26 18-18 March 4 - March 29 18-19 April 1- April 26 18-20 April 29 - May 24

18-21 May 28 – June 21

All 3rd Year rotations must be completed at the conclusion of 18-07 for the Class of 2020.

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ImportantNote!!!!!

ALLHOUSINGARRANGEMENTSFORROTATIONSMUSTBEMADEWITHTHEAFFILIATEHOSPITALSDIRECTLYONCEYOUAREASSIGNEDTOYOURROTATIONS.THELISTOFCONTACTSISINCLUDEDWITHINTHEGUIDEBOOK.

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FAMILYMEDICINE

Abington AriaHealth BrynMawr Christiana Crozier

Latrobe/Excela

Min/MaxNumberofStudents 1-2 1-2 2 5-8 1-2

3-4

FAMILYMEDICINE

Inspira

MorristownMedicalCtr./AtlanticHealthSystem

Reading TJUH

VirtuaHealth

WellSpanYork

Hospital

Min/MaxNumberofStudents 1 2 1 6-12

1

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FAMED350 FAMILYMEDICINE

AbingtonMemorialHospitalAsafamilymedicineteachingprogram,wehaveastrongcommitmenttoteachingmedicalstudents.ThirdyearstudentsfrommanylocalmedicalschoolsrotatewithourresidentsontheFamilyMedicineInpatientServiceandin the Family Medicine Center. We also offer four week and two week fourth year elective rotations forinterestedmedicalstudents.StudentsareincorporatedintoallaspectsoftheFamilyMedicineResidencyduringtheirrotationswithus.Themajorityofstudenttimeisspentcaringforpatientsintheoutpatientsettingbutalsomayincludeactivitiessuchasroundinginthehospitalwiththefamilymedicineresidentsandattending’s,geriatricfacilityvisits,andhomevisits. Medicalstudentsare involve inallconferencesanddidacticprogramsat theAbingtonFamilyMedicineduringtheirrotationsandparticipateinaseriesoflecturesonthetop20diagnosesinprimarycarespecificallydesignedforthestudents. There isalsotheopportunity for interestedstudentstoworkwithourresidents inotheractivitiessuchaspreparticipationsportsphysicals,outpatientofficeproceduresandresearchprojectsandpublications.

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AriaJeffersonHealthAria Jefferson has a long standing tradition of working with medical students, residents, and alliedmedicalprofessionalsintraining.Thisisourmissionandweenjoyworkingwiththefuturephysiciansandadvancedpracticeprofessionalswhowillservetheirpatientsinthefuture.Our family medicine rotation is integrated into our family medicine residency program. As such, thestudentsworkdirectlywithcommunityfacultyintheirofficesettings.Inthiswaythereal"feel"ofbeinga familyphysicianengaged in their community is experienced.Acute, chronic, preventive andepisodiccare is part of the daily professional life of family physicians, and medical students are immediatelyincludedaspartoftheofficeteam.Therewillbeone-onepreceptorexperience,sometimesincludingafamily medicine resident as well. Additionally, once per week there will be teaching rounds at anextended care facility,workingwith seniors for a geriatric componentof the familymedicine rotation.Wealsooffermedicalstudentstheoptiontoroundwiththeinpatientteachingserviceifthatwouldbean interest. Also, each Thursdaymorning the studentswill join us at our FamilyMedicine conferencefrom7-noonattheAriaJeffersonBuckscampus.Thankyou for considering theFamilyMedicine rotationatAria Jefferson.We look forward toworkingtogether.

BrynMawrHospitalThegoalofthissix-weekrotationisforthestudenttopracticeandimprovehis/herinterviewingandphysicalexaminationskillsandtobeginintegratingpatientdatawithbasicsciencetomakerelevantclinicaldecisions.ThisFamilyPractice rotation is intended toprovide the third-year studentwithabroadclinicalexperience.There is ample time spent in the hospital-based residency practice and in the office of a community-basedfamily practitioner. The array of exposureswill include the family practitioner in the office,making homevisitsandnursinghomevisits. Inaddition, thestudentsmeetwith faculty for seminarsonclinicalproblemsolvingandinterviewingskills. Studentsareresponsibleforreadingnecessaryinformationtoappropriatelylearnaboutthepatientstheyhaveseen.AnevaluationwillbemadebythepreceptorwithwhomthestudentsworkandthefacultyandresidentsatBrynMawrFamilyPractice.

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ChristianaCareHealthServicesStudentswillbeexposed toawiderangeof clinicalexperiencesandsettings. Studentsspend twoweeks inaprivatefamilyphysician’soffice,at leastoneweekinourresidencypractice,severalsessionsinanurgentcaresetting, aswell as several varied experiences in communitymedicine, includingHIVClinic, nursinghomeandhomevisits. Aspartoftherotation,allstudentsparticipateinapracticeOSCesessioninourVirtualEducationandSimulationCenter.Lecturesalsoincludeinteractivedidacticsessionsoncommonoutpatienttopicsaswellas an introduction to evidence-based medicine. Students are evaluated by the course director outsidepreceptors, faculty, residentsandstaff. Mid-rotationmeetingsare informaldue to thewiderangeofassignedlocations. Theclerkshipdirectormeetswithall students for several sessionsoforientationandmostFridaysthereafter. Due to thevaried locations towhich thestudentsmust travel,anautomobile is required for thisrotation.

Crozer-KeystoneHealthSystemAttheCrozer-KeystoneCenterforFamilyHealthinSpringfield,weoffer2and4-weekfourthyearelectivesanda6-weekthirdyearclerkshipforinterestedmedicalstudents.Duringyourrotation,youwillspendthemajorityofthetimecaringforpatientsintheoutpatientsettingwhichislocatedinDelawareCounty(20minutesoutsideofPhiladelphia.) Our Springfield office recently received Level 3 recognition from the National Committee forQualityAssuranceforourPatientCenteredMedicalHome.Patientcareactivitieswillroutinelyincludeexposuretoglobalhealth,officeprocedures,cosmeticmedicine,sportsmedicineactivities,medicalinformatics,inpatientservice and behavioral science sessions. In addition, students will also be involved the community throughschoolphysicals,homevisitsandnursinghomevisits.Studentsparticipateintheweeklydidacticsessionswithour residentsaswell asdedicatedweeklymedical student teaching sessions. If youare interested indoingarotationinFamilyMedicineatCrozer,pleasecontactourStudentCoordinatorat(610)690-4471orviaemailatFMResidency@crozer.org.Wegreatlylookforwardtoparticipatinginyourmedicaleducationandexposingyouto the dynamic specialty of Family Medicine! For more information, please visit our website atfammed.crozer.org.ExcelaHealthLatrobeHospitalStudents get to interview and examine patients first at Latrobe. The student takes an active role incare/managementofpatients,andstudentsparticipateinclinicalanalysisprocesses.Studentsaresupervisedbyboard-certifiedfamilypracticeattendings.ThereisprobablynoothersitewithintheJeffersonsystematwhichthestudentsgetthisopportunitytoactascliniciansandtocontributesodirectlytothecareofactualpatients.Studentsreceive informal feedback fromeverypreceptorwithwhomtheywork.Preceptorsrelay informationverballyorinwritingtotheclerkshipcoordinator,whohasaformalfacetofacediscussionwiththestudentsinmid-courseandat theendof therotation. Theclerkshipcoordinatorcompiles theevaluationsandwrites thenarrative grade report to send back to Jefferson. Students are evaluated compared to the theoreticalexpectationsforastudentattheirleveloftrainingandexperience.Knowledge,professionalism,personalskills,andabilitytothinkinclinicaltermsareallimportantgradingfactors.

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FAMED350 FAMILYMEDICINEInspiraMedicalCenterWoodburyOur facultyhas training inWomen’sHealthandWoundCare inadditiontoa focusonGeriatrics.Wehaveourownprenatalclinic,whichissupervisedbystaffobstetricians.Midrotationevaluationsoccursat3weeks,andareintheformofverbalfeedback.Weevaluatestudentsbasedoncompositescorescollectedfromallphysiciansthatworkedwith the student. Our formsmirror the criteria present on the final evaluation forms sent fromJefferson.Allsubjectivecommentsareincorporatedintheevaluations.

MorristownMedicalCenter(partofAtlanticHealthSystem)Weareafamilymedicineteachingprogram,andassuchweteachmedicalstudentsfromseveralmedicalschoolsalong with our residents. Students will work with both residents and attendings in our outpatient office inSummit,NJ.Studentswillmeetpatientsfromavarietyofbackgrounds,takehistories,conductphysicals,developdifferentialsandpresenttoattendingsandseniorresidents.Theywillalsospenttimeongeriatricroundsinournursinghomefacilityandinourprenatalclinic.Thereisalsoopportunityforinterestedstudentstoroundwiththe familymedicine inpatient team. Medical students are involved in all conferences/didactic sessionsalongwiththeresidents.Theseperiodicallymightincludeprocedureconferencessuchassuturing,GYNproceduresorjointinjections.Additionally,therearemedicalstudentbehavioralsciencesessions.

OverlookMedicalCenter(partofAtlanticHealthSystem)Weareafamilymedicineteachingprogram,andassuchweteachmedicalstudentsfromseveralmedicalschoolsalong with our residents. Students will work with both residents and attendings in our outpatient office inSummit,NJ.Studentswillmeetpatientsfromavarietyofbackgrounds,takehistories,conductphysicals,developdifferentialsandpresenttoattendingsandseniorresidents.Theywillalsospenttimeongeriatricroundsinournursinghomefacilityandinourprenatalclinic.Thereisalsoopportunityforinterestedstudentstoroundwiththe familymedicine inpatient team. Medical students are involved in all conferences/didactic sessionsalongwiththeresidents.Theseperiodicallymightincludeprocedureconferencessuchassuturing,GYNproceduresorjointinjections.Additionally,therearemedicalstudentbehavioralsciencesessions.

ReadingHospitalandMedicalCenterTheReadingHospitalisalarge,communitybasedhospitalwithmanyresources.Studentshavetheopportunitytheopportunitytocustomizepartsoftherotation,dependingupontheirparticularinterest.Students“formally”staywithin the residency program, but have the opportunity to workwith specialists alongwith the FamilyMedicine Residents. Students typically work with 8-10 residents and 8 faculty members throughout theirrotation. The mid-rotation and final evaluations are a composite of input from those who worked with thestudent.Foreachofficehoursession,thestudentwillcompleteaSOAPnotewhichiscritiquedandreturnedtothestudent.StudentswillhavetheopportunitytodohomevisitswithBerksVisitingNurses1dayperrotation,AlverniaUniversityStudentHealthClinic1afternoonperrotation,Woundcareone½dayperrotation,palliativecare1dayperrotation,andotherprocedureandsubspecialtyclinicsthroughouttherotation.SpecialfeaturesofyourclerkshipincludearequiredBiopsychosocialprojectwhichinvolvesinterviewingalong-termpatientandwriting a 3-page paper with a genogram (time built into your schedule to complete). You will have theopportunitytoworkwithskillednursesandgainhands-onexperienceaswellasdocumentdirectlyinEpic.

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ThomasJeffersonUniversityHospitalFor clerkship students rotatingat Jefferson, thebulkof clinical time is spent in the JeffersonFamilyMedicineAssociates practice. There, students typicallymeet patients, take the history, conduct the physical exam, andpresent patients to precepting faculty. Students are responsible for formulating a differential diagnosis,developinganassessmentandtherapeuticplan,andperforminghealthmaintenanceactivities.Studentsmayberesponsible for labs, follow-up, notes, and referrals as needed. Thepatient population in the Family PracticeCenter is largely urban, and students encounter a rich mix of personalities, backgrounds, and health issues.Studentmayalsobeassignedtoacommunitypreceptorandwillbeexpectedtotravelbycar.

VirtuaHealthStudentswhorotateatVirtuaHealthwillbeconsideredapartofourFamilyMedicineResidencyduringtheir6week rotation with us. As a teaching program with over 30 years of experience training residents, we arededicated to ensuring that students get an excellent experience in seeingwhat FamilyMedicine is all about.Studentswillspendthemajorityoftheirtimeatouroutpatientfacility,theVirtua-TatemBrownFamilyPracticeCenter,andalsospend1weekoninpatientroundsonourfamilymedicineserviceatVirtuaVoorhees.Weareabout30minutes fromCenterCityPhiladelphia,makingaccess for Jeffersonstudentsquiteeasy.Ourpracticehas a very diverse patient population,with a broad demographicmix including 30%pediatrics. In the office,studentswill workwith residents and 1 on 1with an attending, andwill see awide variety of patients thatencompass everything from well child and preventive health visits to the most complex chronic diseasemanagement cases, aswell as office procedures.Our practice is recognizedby theNCQA as a level 3medicalhome,andstudentswillgainexperiencelearninginanenvironmentthatemphasizespatientsatisfaction,patientsafety and continuous quality improvement. Students will also be involved in participating in nursing homerounds and home visits, in addition to opportunitieswith school health and other outreach activities as theyarise.OurgoalistoexposeyoutotheexcitingspecialtyofFamilyMedicineandallithastooffer!Wealsooffer4thyearrotationsforthoseinterestedinFamilyMedicineasacareerchoice.Pleasecontactourcoordinatorsat(856)325-3737andvisitourwebsitetolearnmoreaboutVirtuaFamilyMedicineResidency.

WellSpanYorkHospitalStudentsseepatientsattheThomasHartFamilyPracticeCenterwhichispartofthefamilymedicineresidencyprogramfoundedin1968.Thefamilypracticecenterisconnectedtothehospitalandhas24examrooms,twoprocedure rooms, a lab, and a conference room as well as offices for the faculty and residents. The averagenumber of outpatient visits per year is approximately 23,000. These visits includewell-child care,maternitycare,adultcare,andnumerousoutpatientprocedures.The familypracticecenterhasbeenusinganelectronichealthrecordsinceSeptember2006.StudentswillspendmostoftheirtimeattheThomasHartFamilyPracticeCenterbutwillalsospendtwohalf-daysperweekataprivatefamilymedicineofficeinthecommunity.Studentswill also spend two weeks on the family medicine inpatient service. There are didactics held on ThursdaymorningswhichallstudentsparticipateinaswellasweeklyvisitstotheYorkHospitalSimulationLab.StudentsaresupervisedbyStaceyRobert,MDandtheProgramCoordinatorforthestudentrotations,ChristieColon.

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INTERNALMEDICINE

Abington AlbertEinstein Christiana Lankenau Methodist

Min/MaxNumberofStudents 0/4 5/5 0/6

6/6–blocks10,11,12

7/7–Blocks13-21

4/4

INTERNALMEDICINE


Reading TJUHWellSpan

YorkHospital

Min/MaxNumberofStudents 4/4 2/4 2/4 2/2

MED350 INTERNALMEDICINE

For the 2018-19 academic year, all students will start the Internal Medicine Clerkship with a mandatory“AcademicWeek” duringwhich theywill participate in a variety of educational activities thatwill give themfoundationinInternalMedicineandNeurology.Afterthat,studentswillspend3weeksattheThomasJeffersonUniversityHospital,and3weeksatoneoftheacademicaffiliatehospitals.ChristianaBranchCampusstudentsspend entire 6 weeks at Christiana Care Health System. Each site offers unique learning opportunities, butultimately adheres to the unified set of educational objectives. At all sites, studentswill receive education atbedsideand in the classroom,andwillbeexposed toawidevarietyof educationalmethods.All studentswillparticipate in a variety of projects that will expose them to incorporating evidence-based medicine andfoundationalscienceconceptsintoclinicalpractice,aswellasintroducethemtoaspectsofcost-consciouscare.Studentswillbeevaluatedbybothfacultyandhousestaffbasedontheirclinicalperformance,receivingasinglegradethatreflectstheirperformanceatbothThomasJeffersonUniversityHospitalandanacademicaffiliate.Ashelfexamistakenattheendoftheclerkship.

AbingtonMemorialHospital/JeffersonHealthAbingtonHospital/JeffersonHealthisatertiarycarefacilitylocatedinMontgomeryCounty,30minutesfromCenterCity.Itisa660bedHospitalwithover90,000ERvisitsperyearandofferspatientsacomprehensivecareexperience.AbingtonHospitalhasalongandrichtraditionofstudenttraininginInternalMedicine.Weexcelinourabilitytoprovideacomprehensiveclinicalexperiencewhilealsomaintainingapersonalconcernforeachstudent.Theclerkshipoffersascholarlyandeffectiveapproachtotheprovisionofmedicalcareforlearnersalongsideourinternalmedicalresidencyprogram.Ourenvironmentpromotesacultureofsafetyandrespectforallmembersofthehealthcareteamandforourpatients.ThekeyelementsofAbington’ssuccessfultrainingandeducationalprogramsarethebroadclinicalmix,thewell-preparedanddedicatedmedicalstaffandtheprogressiveincrementsinpatientmanagementresponsibilitydelegatedtoourtrainees.

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MED350 INTERNALMEDICINEAlbertEinsteinMedicalCenterEinstein Medical Center Philadelphia is locatedin an urban, socio-economicallydisadvantaged area in NorthPhiladelphia. It is a very large,multidisciplinary tertiary-care hospitalwith 600 acute care beds, caring for adiversepatientpopulationwithalargescopeofcomplexmedicalillnesses.DuringInternalMedicineatEinstein,studentswill rotateoneithergeneralmedicineorsubspecialtyservices.Therobustdidacticprogramincludescore conference series, EKG workshops, radiology rounds,subspecialty rounds,noon student reports,and aJeopardy-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 ACLSalgorithms. Students also have a chance to roundwith thephlebotomy and IV teams to acquire andpracticetheseskills.

ChristianaCareHealthSystem–ChristianaHospitalStudents interactwith consultants fromall subspecialty InternalMedicine services. These includeCardiology,InfectiousDisease, Gastroenterology,Hematology,Nephrology, Pulmonary andRheumatology.On the internalmedicine service, students are evaluated by the intern and resident with whom they worked most closely.Dependingontheservice,anattendinghospitalistevaluatesthemaswell.TheseindividualscompletetheSidneyKimmelMedicalCollegeevaluationinNewInnovations.AworkshopinIVinsertionisprovidedforstudentsandis schedule each month. Students are also required to prepare a one-page response to an evidence-basedquestionassignedtothem.Severalliteraturereferencesareexpected.Abedsidephysicalexaminationsessioniscarried out usually with two students. This may involve performance of an entire physical examination orsectionsbasedonstudentneeds.MandatorysessionsincludeMedicalGrandRoundsandstudentcorelectures.

LankenauHospitalLankenau Hospital has over 100 years of experience in training medical students and residents. Indeed,educatingstudentsisacorevalueatLankenauHospitalwheremedicalstudentsareconsideredvaluedmembersof the health care team.We pride ourselves on providing a university-level academic experience in awarm,supportivecommunityenvironment.StraddlingthecityofPhiladelphiaandits“MainLine”suburbs,Lankenauprovidesafascinatingdiversityofpatientsandpathology.

AtLankenau,thirdyearstudentsrotateononeofoureightcoreteachingteams.EachteamisledbyeitheranAcademicHospitalistoranAcademicGeneralInternistwhoisfocusedonprovidingexcellentpatientcareandanexcellent educational experience for residents and students on their team. In addition to our core studentDidactic conferences, students attend and present at a weekly student case conference that is led by coreteaching faculty. Studentswill spend time in our simulation lab practicing their clinical skills. Students alsoattendregularlyscheduledLankenauconferencessuchasNoonConference,MorbidityandMortalityConference,and Grand Rounds. Bedside, didactic, and multidisciplinary rounds take place daily and informal bedsideteachingexperienceswithsubspecialtyconsultantstakeplacedaily.Studentshavetheopportunitytolearnandpracticebedsideproceduressuchasphlebotomy,IVplacement,andthedrawingofarterialbloodgases.Allstudentsarestronglyencouragedtoattendandobserveanyprocedurestheirpatientsareundergoingsuchascardiaccatheterizations,endoscopies,andsurgeries.Studentsareevaluatedinface-to-facesessionswiththeirfloorattendingsandresidentsatboththemidpointoftheblockandattheendofeachblock.Endofblockevaluationsarecompletedbythestudent’sAttending,theirresident,andoccasionally their intern, ifdesired.OurmedicineClerkshipDirector JonathanDoroshow,MD, isalwaysavailabletostudentsforassistancewithpatientpresentations,notes,orassistancewithshelf-examstudyplans.

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MED350 INTERNALMEDICINEMethodistHospitalTheMedicineclerkshipisafour-weekrotationlocatedonthecampusofMethodistHospitalDivisionofThomasJeffersonUniversity.It isacommunityteachinghospitalwith120beds,caringforadiversepatientpopulationwith a large scope of complex medical issues. During the rotation, students will rotate on general internalmedicineservices.Thiscourseemphasizestheintegrationandapplicationofpathophysiologytothediagnosisand management of patients in addition to the skills of history-taking, physical examination, and casepresentation.The course is an apprenticeship focusingon thebedside careof patients. Studentswork closelywithhouse staffmembersandattendings -makingdaily rounds, admittingnewpatients, and caring for themwiththeteam.

MorristownMedicalCenter(partofAtlanticHealthSystem)MorristownMedicalCenter(MMC)istheflagshipteachinghospitalforAtlanticHealthSysteminnorthernNewJersey.Wefunctionasatertiaryreferralcenterfortheregionwithover680bedsprovidingstudentsexcellentclinicalexposuretopatientsfromdiversesocioeconomicbackgrounds.ThirdyearmedicalstudentsareassignedtooneoftheDepartmentofMedicinegeneralmedicineteachingteamswhichareledbyanacademichospitalist.Daily teaching rounds are conductedwith the attending. In addition tomorning report and noon conference,thereisa“studentreport”,acoredidacticseriesoflecturesincludingaweeklycardiacauscultationconferenceandmeetingswiththeclerkshipdirectorstoreviewnotes.ReadingHospitalReadingHospital is a 695-bed acute care hospital located inWest Reading, PA,which is approximately a 90-minute commute from Philadelphia. Medical patients are admitted primarily to hospitalist services, withsubspecialties servingmainly in a consultant role. Students on InternalMedicine are assigned to the generalinternal medicine teaching teams, providing care for a broad scope of medical illnesses in a diverse patientpopulation. Students performhistories and physicals, gain experiencewriting notes and orders in EPIC EMR,refine presentation skills, and accompany patients to diagnostic procedures. Arrangements are made withrespiratory therapy toprovideexperiencedrawingABGs. Studentsattendmorning report, grand rounds, andeithermid-day resident conferences or small group faculty-led student conferences. Free on-campushousingandparkingareavailable,aswellasadailymealstipend.Additional informationabout thehealthsystemandlocalareacanbefoundathttps://www.readinghealth.org/education-and-research/academic-affairs/students/.

ThomasJeffersonUniversityHospitalThomas Jefferson University Hospital is located on campus of Thomas Jefferson University. It is a very largemultidisciplinarytertiary-carehospitalwith950acutecarebeds,caringforadiversepatientpopulationwithalarge scope of complexmedial illnesses. During InternalMedicine at Jefferson, studentswill rotate on eithergeneralmedicineor subspecialty services.The robustdidacticprogram includes core conference series, smallgroupEKGworkshops,andaJeopardy-stylereviewsession.Physicaldiagnosisroundsareheldbothatbedsideandinasimulatedsetting.Duringthesimulationsessions,studentswilllearnarterialpuncturetechnique,EKGleadplacement,andwillhaveachancetopracticefingerstickglucosemonitoringandasubcutaneousinjection.

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MED350 INTERNALMEDICINEWellSpanYorkHospitalAsanintegralpartofthe leadinghealthcaredeliverysysteminSouthCentralPennsylvania,Yorkhospital isa580bedcommunity teachinghospital serving520,000pluspeople inSouthCentralPennsylvania. Thirdyearclerkship in Internal Medicine at York provides the student with excellent exposure to a broad range ofdiagnoses and multiple complex medical problems. Students are an integral and valued part of the team.Students take callwith the team, admit patients in conjunctionwith their interns and residents, present andfollowtheirpatients.Studentsgetahandsonexperiencecaringforpatientwithcongestiveheartfailure,acutecoronary syndrome, gastrointestinal bleeds, delirium, stroke and COPD just to mention a few. Studentsparticipate in a core lecture series, advanced diagnosis sessions, a weekly student report with the ClerkshipDirector,opportunities forSIMsessionsand toworkwithancillary staff to sharpenskillsonvenipuncture, IVplacement,urinalysisandperipheralbloodsmearinterpretation.

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NEUROLOGY AlbertEinstein Christiana Lankenau

Min/MaxNumberofStudents 4/4 2 1/2

NEURO350NEUROLOGY

AlbertEinsteinMedicalCenterDuringthisrotation,studentswillhaveacquirethefollowing:

a.Asoundfoundationforprinciplesofneurologicdiagnosis;b.Introductiontocommonneurologicalsyndromesanddiseases,focusingonpathophysiology,commonpresentations,andprinciplesofmanagement.

Foreachpatientassigned,studentswillperformathoroughH&Pwithspecialattentiontoneurologicalsymptomsandsigns.AllpatientswillbepresentedtoanAttendingandmostwillbediscussedwithaNeurologyresidentbeforehand.Weexpectyoutoproposeaneurologicallocalizationanddifferentialdiagnosisoneverypatient.Thiswillincreaseyourfacilityin“thinkingneurologically.”

RotationsduringtheClerkship:

1.InpatientAdmittingService2.InpatientConsultService3.OutpatientClinics/Neuroradiology/Neuropathology4.ICU

OtherClerkshipRequirements:

1.Neuropathologyslidereviewandassignment2.Patienteducationhandoutassignmentfor“NeurologyPatientLibrary”3.Attendneurologytraineeconferencesandstudentcenteredconferences,unlessexcusedforotherduties.

ChristianaCareHealthServices–ChristianaHospitalStudentsarepairedwithanattendingneurologist.Theyworkwiththeattendingdirectlyintermsofperformingconsultations,seeingfollow-uppatientsandlearningtofurthertheirskillsintheneurologicalexamination.

Thereiscloseattentiontohelpingdevelopathroughdifferentialdxandplan.Studentsareencouragedtoreviewanddiscussthemedicalliteraturewiththeneurologistwithwhomtheyareworking.OpportunitiestoworkwithinpatientneurologyattendingsintheICUandfloorssettingsareunderdevelopment.

LankenauHospitalTheLankenauJeffersonstudentneurologyrotationisamentor/menteedrivenmodelthatissingularinthemedicalschoolexperienceatJefferson.ThestudentwhoselectsLankenauwillbeassignedtoaspecificneurologyattending;therearenoneurologyresidentshere.Allofourattendingshavesubstantialsubspecialtyexperienceandseveralofourstaffmembersarenationallyrecognizedintheirrespectivefields.Thestudentwillworkintensivelywiththeirassignedattendingwhowillalsodirecttheirclinicalandlearningexperiencesuchthatitwillbediversifiedacrossthespectrumofneurologicaldisordersandtheirtreatment,predominantlyintheoutpatientsettingwheremostneurologicdiseaseistreated,aswellasontheinpatientserviceandintheemergencyroom.

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OBSTETRICS&GYNECOLOGY

Abington AlbertEinstein BrynMawr Christiana Lankenau

Min/MaxNumberofStudents 1/2 3/4 1/2 1/6 3/4

OBSTETRICS&GYNECOLOGY


Reading TJUH VirtuaWellSpan

YorkHospital

Min/MaxNumberofStudents 2/4 3/3 4/6 4/7 2/3

OB/GYN350OBSTETRICSANDGYNECOLOGY

AbingtonJeffersonHealthAs an OB/GYN teaching program, we have a strong commitment to teaching medical students. Third yearstudents from many local medical schools rotate with our residents and faculty on several services. Theseservices include: gynecologiconcology,night float, gynecology, andobstetrics. Students alsoget the chance torotateinourOB/GYNCenterfortheunderserved.Didacticsessionsandareheldweeklyforbothresidentsandstudents,andweeklymorbidityandmortality(M&M)conferencesarealsoheld.Morningconferencesarehelddaily.Students are incorporated into all aspects of the OB/GYN residency during their rotations with us. Studentsreceive training both on the inpatient and outpatient EMR in the hospital. EMR write access is available tostudentsduringthegynecologyservice. Thehospitalisaccessiblebypublictransportationwhenstudentsarescheduledforinpatientduties;howeversomespecialtiesoroutpatientclinicsmaybeinotherlocations.

AlbertEinsteinMedicalCenterThe clerkship in women’s health, obstetrics & gynecology in the Department of Obstetrics and Gynecology,Albert Einstein Medical Center, is a six-week learning experience designed to provide the basic informationabout women’s health, obstetrics and gynecology needed by medical students to successfully complete theirclerkships and pass national standardized examinations. Students are assigned to rotations in generalobstetrics, gynecology, and night float teams, providing ample opportunity to learn the basic knowledge andskillswhileexperiencinghands-ontrainingindeliveriesandsurgery.StudentsareincludedasactivemembersoftheObGyncareteamsandareallowedandencouragedtodoasmuchastheirknowledgeandskillspermit.

InObstetrics,studentsareinvolvedinlaboranddeliveryactivities,theantepartumandpostpartumfloorandinclinical scenarios such as normal labor and delivery and high-risk pregnancies (i.e., preterm labor, multiplegestation,prematureruptureofmembranes).InGynecology,studentsparticipateinbothgeneralandoncologic

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OB/GYN350OBSTETRICSANDGYNECOLOGYGynsurgeryandcoverageforGynconsultationsrequestedbytheemergencydepartment,inpatientservice,andin pre-operative clinic one half-day each week. During the outpatient experience, students participate inambulatorycareclinics,whichrange in focus fromcolposcopyclinic, tohigh-riskobstetrics, tonewobstetricsandtoroutinecontinuitycareGYNclinic.During the six-week rotation, students attendweeklydidactic activities of thedepartment that includeGrandRounds,dailylecturesfortheresidentsandperinatology/neonatologyconferences.Specificstudentlecturesareprovided throughout the rotation by the Clerkship Director on site. Students return to Jefferson on Fridayafternoons for lectures. Evaluations include both themid-rotation evaluation, and the final evaluation. BothevaluationsaregoneoverwiththestudentbytheClerkshipDirectorinone-on-onemeetingmidwayandattheendoftherotation.5consecutiveweeknightsarescheduled(NightFloat)inlieuoftraditional(Q4)callontheLabor&Deliveryunit. Oncallfacilities,lockersandmealticketsareprovidedforstudentsduringtherotation.StudentsreturntoJeffersononFridayafternoonsforlectures

BrynMawrHospitalTheOB/GYNstudents trainatBrynMawrHospital for sixweeks. Studentswillhaveexposure toavarietyofsurgical and obstetric techniques along with subspecialty services in perinatal medicine and reproductiveendocrine. Written evaluations from attending staff are compiled by themedical student clerkship director.Evaluators consider the student’s attitude, conscientiousness, motivation, history taking, patient interaction,medicalknowledge,casepresentationandproblemanalysis.Verbalfeedbackisprovidedonadailybasisbytheattending the studentworkswith. Each studentwill have a formalmid-rotationmeetingwith the ClerkshipDirectortoevaluatethestudent’sprogress,opportunitiestoimprove,strengths,etc. Communicationskillsandteamparticipationareimportant.ThestudentsworkwithresidentsfromthespecialtiesofFamilyPracticeandRadiology, but are directly supervised by their attending physicians. Located in the western suburbs ofPhiladelphia,BrynMawrisafullserviceacute-careteachinghospital.Ourpatientsknowusforourhighlevelofpersonalizedcarebyexceptionalphysicians,surgeonsandnursingstaffinbothinpatientandoutpatientsettings.StudentsreturntoJeffersononTuesdayafternoonsforPBLandsmallgroupsessionsandonFridayafternoonsforlectures.StudentsreturntoJeffersononFridayafternoonsforlectures.

ChristianaCareHealthServices(CCHS) TheOB/GYNstudentsalltrainatChristianaHospitalandWilmingtonHospital.Christianacarehealthsystemdeliversapproximately7000babiesperforms6000gynecologicsurgicalproceduresannually.Allof theobstetricalcareand themajorityof thegynecologicsurgicalcare isprovidedatChristianaHospital inNewarkDelaware. ChristianaHospital is a full service, community based, tertiary care,academicHospital. WilmingtonHospital is an urban communityHospital and is the location of theclinic experience for students rotating and OB/GYN. Students will be exposed to the subspecialtysome maternal fetal medicine, reproductive endocrinology, family planning, urogynecology, andgynecologic oncology. Students are expected to perform or assist with patient admissions,preoperativeandpostoperativechecks,inpatientevaluationsandconsultations,outpatientcare,laborand delivery, surgical assistants, fetal monitoring, and OB/GYN triage. Students are involved incontinuity clinics with residents. Students are expected to participate in Wednesday didacticsincluding noontime Grand Rounds and resident and student lectures on Wednesday afternoons.StudentsreturntoJeffersononFridayafternoonforrequiredidactics.Studentswillspendoneweekworkingnights.LocalhousingmaybeprovidedperChristianapolicies.Studentsareassessedbasedupon evaluation ofworkdone in the clinic, on obstetrical inpatients, on surgical patient services innumbertosedationandgroupdiscussions.Emphasisisplacedonclinicalaspectsofpatientcareandthe ability to interact with patients and staff. Students are evaluated by the residents, full-timeattendings, private attendings, and themedical student coordinator (see Dr. Matthew Fagan). ThestandardevaluationformfortherotationisprovidedbySidneyKimmelMedicalCollege.

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OB/GYN350OBSTETRICSANDGYNECOLOGYLankenauHospital TheOB/GYNstudentstrainatLankenauHospital for6weeks. Duringthisrotation,thestudent isexpectedtoperform or assist with labor and delivery, postpartum care, gynecological surgery, post-operative care,admission,H&P's,medicalandsurgicalgynecologicaloncology,andpre-operativework-ups.Studentswillhaveexposure toavarietyof surgical andobstetric techniques including thosepertaining tohigh riskpregnancies.Subspecialty services to which the students are exposed during the OB/GYN rotation include GynecologicOncology,Maternal-FetalMedicine,andReproductiveEndocrinology. Writtenevaluations fromattendingstaffandresidentsarecompiledbythephysiciancoordinatorofthemedicalstudentprogram. Evaluatorsconsidercognitive skills, clinical skills, professionalism and house staff potential. Mid-rotation evaluation is a privatemeeting with the student director to discuss progress, opportunities to improve, strengths, etc. Residentscomplete final evaluations as a group, which are then reviewed and approved by the student director.Academically, Lankenau provides the studentswith over 9 hours of formal lecturing exclusively for students.These lecturesattempttocomplimentthe lectureseriesat JMC. Additionally,studentsattenddepartmentandresident conferences. Breakfast anddinnermeal tickets areprovided to studentson call. Students return toJeffersononFridayafternoonsforlectures.MorristownMedicalCenter–(partofAtlanticHealthSystem)TheOB/GYNstudentstrainatMorristownMedicalCenterforsixweeks.Duringthesix-weekrotation,studentsworkwithresidentsandfacultyinallsubspecialties. InObstetrics,studentsareinvolvedinlaboranddeliveryactivities,theantepartumandpost-partumfloorandinclinicalscenariossuchasnormallaboranddeliveryandhigh-risk pregnancies. In Gynecology, students participate in both general and Gyn Oncology surgery andcoverage forGynconsultations requestedby theER, inpatient serviceand inpre-operativecliniconehalf-dayeachweek.Duringtheoutpatientexperience,studentsparticipateinambulatorycareclinic,whichrangeinfocusfromcolposcopyclinic,tohigh-riskobstetrics,tonewobstetricsandtoroutinecontinuity careGYNClinic. Students also spend1half daywith anAttendingFaculty atPlannedParenthood.This locationisaccessiblebypublictransportationwhenreturningtoJeffersonforFridaylectures. Housingisprovided;itisveryfartocommutefromJeffersonReadingHospitalandMedicalCenterTheReadingHospitalisa600bedcommunityteachinghospital,whichperformsover3,000deliveriesandover3,500major gynecologicproceduresperyear. The thirdyearOB/GYNstudent isquickly assimilated into thehealth care team. The studentOB experience includes sixweeks of inpatient/outpatient experience includingoneweekofOBnightfloatandoneweekofelective. Studentswillattendregularprenatalclinicandgenerallyperformatleastonesuperviseddeliveryduringtherotation.OnecompleteworkdayisdevotedtoMaternalFetalMedicineandGeneticcounseling.TheGYNexperienceconsistsofoneweekofroutinegynecologyandoneweekofGYNOncology.Studentsparticipateinawiderangeofgynecologicoperativeproceduresincludingoncologic,pelviscopy,andpelvicreconstructivesurgery.Thereareatleastsevenhoursofprotectedteaching/lecturesperweek including 3 weekly lectures with attendings. Students receive mid-rotation evaluations (assessingprofessionalism, communication skills, and skill sets such as History and Physicals) and final graderecommendationsare issuedbyresidentconsensusopinionwith input fromtheClerkshipDirector. Inthe lastweek of rotation, students will give a 20-question written exam on Monday and return to Jefferson onWednesday.Housingisprovided,studentswillbebacktoJeffersoneveryFridayforlectures.

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OB/GYN350OBSTETRICSANDGYNECOLOGYThomasJeffersonUniversityHospital SubspecialtiestowhichthestudentwillhaveexposureincludeGynecologicOncology,Maternal-FetalMedicine,Reproductive Endocrinology, Infertility, and Urogynecology. Students are evaluated by both residents andattendings.StudentsrotatingatTJUHareexpectedtobeprofessional,well-read,andclinicallyskilled.Studentswhoareabletoworkindependentlywillfindthissiteveryrewarding.Eachstudenthasamid-rotationmeetingwiththeClerkshipDirectortodiscussthestudent’sprogress.StudentswillmeetwiththeDirectoragainattheendoftherotationtoreviewtheirperformance.AtTJUH,studentsareexposedtoawidevarietyofpatientsandclinicalscenariosandhavetheopportunitytoactivelyparticipate inpatientcare. StudentsattendWednesdaysmallgroupsessionsandFridayafternoonlecturesatJefferson.

VirtuaVoorheesHospital DuringtheclerkshipatVirtuaWestJersey,studentswillhaveexposuretoMaternal-Fetalmedicine,GynecologicOncology,andReproductiveEndocrinology.Thestudentsareevaluatedonhistorytaking,physicalexamination,labresultsreviewandfollow-up,duringtheclerkshipatVirtuaWestJersey.Theyareevaluatedbyattendingsinthedepartment,andresidents.VirtuaWestJerseydoesthelargestnumberofdeliveriesintheSouthJerseyarea(5500+/year)withanumberofhighriskobstetricalcases.TheCenterforWomenisouroutpatientunit–thisisa privately run clinic setting rendering GYN and OB needs for the community. Students will experience allaspectsofofficegynecology(routineannualcare,colposcopies,papsmears,familyplanningcounseling,andSTDscreens.Inaddition,theCenterdealswiththemanagementofthemenopausalstatewithemphasisonhormonereplacement and alternative medicine. OB/GYN residents and at least one attending staff will be with thestudentsatalltimestosupervise

Prenatalandgynecologicalexams.Weareadynamic,forward-lookinginstitutioninasuburbansetting.Ampleparking is provided, freemeal tickets, on call sleeping accommodations,medical library, and exercise facilitysharedwith theresidents. Studentsreturnto JeffersononFridayafternoons for lectures. This location isnoteasilyaccessiblebypublictransportation.WellSpanYorkHospitalWhileatYork, studentswillbeexposed toLaborandDelivery,GynOperatingRoom,OB/GYNofficepractices,Gyn Oncology and Maternal Fetal Medicine. They also have the option of spending time in a Reproductive,EndocrineandInfertilityprivatepracticeandPediatricAdolescentsGynandurogynecology.Evaluationincludesdirect one-on-one teaching with residents for surgical skills, inpatient management and both obstetrics andgynecology as well as dedicated sessions weekly with a volunteer preceptor. Formal summative evaluationincludes feedback from: 1. attending preceptor whomeets for one hour weekly with the student and 2. theresidentwhoworksdirectlywiththestudent. Thesetwoevaluationsarecombinedwithafinalclinicalgraderendered by the Clerkship Director, Dr. Melanie Ochalski. The rotation is broken into three sessions of twoweeks, focusingonObstetrics (daytimeLaborHall coverageandnight float), SurgicalGynecology (benignandoncology) 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 Fridayafternoonsforlectures.

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PEDIATRICSDelawareValley

(A.I.DuPont,AlbertEinstein,BrynMawr,Christiana,TJUH)

ReadingMorristown/

GoryebChildren’sHospital

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

PEDS350 PEDIATRICS

PEDIATRICSROTATIONOVERVIEWOver six weeks the Pediatrics clerkship gives students a varied combination of clinical experience in thefollowing areas: hospital based outpatient, private practice outpatient, newborn nursery, transitional andintensivecarenurseries,inpatientunit,emergencyroomandothercommunitysettings.TheclerkshipsitesareDelaware Valley Clerkship (duPont, Christiana, Einstein, Bryn Mawr, Abington and TJUH), Reading andMorristown.Eachoffersvaried,broadandstimulatingclinicalexperienceswithfrequentandextendedcontactwith attending pediatricians. Every site has an affiliated pediatric residency program – either Pediatrics orFamilyMedicine(ReadingandBrynMawr).

Core curriculum is based on a U.S. national curriculum in pediatrics developed to prepare students for thepediatric portion of the USMLE Step 2 examination. Teaching at all sites focuses on small group case-basedlearning inaddition toweb-basedpediatric cases. Studentsat all sitesalsoattend resident lectures,morningreport, and grand rounds. Pediatrics: A Competency Based Approach textbook is loaned to students for useduringtherotation.

Clinical skills are taught on the first day of the clerkship during a “Clinical Skills Day.” History taking,communicationandphysicalexamskillsaredevelopedduringtheclerkshipusingdirectobservation(SCOs)withreviewandfeedbackbyafacultymember.

Students receive feedback at the endof each component (Nursery, Inpt,OPD)of the rotation and after directobservation. Thefinalstudentevaluationisbasedonperformanceofallelementsoftheclerkship. TheNBMEsubjectexaminationinPediatricsisgivenattheendoftherotation.DelawareValleyClerkshipDuringtheDelawareValleyClerkship(DVC),studentsrotatethroughoneofthefollowinglocations–Jefferson,duPontHospitalforChildren,orBrynMawrforatwoweekinpatientexperience;Abington,Christiana,EinsteinorJeffersonnurseriesforaoneweek;andvarioussitesinDelawareandthePhiladelphiaareaforathreeweekoutpatientexperience.Thedistributionofstudentswithineachclerkshipblockisshowninthetablebelow.

Table1Service Location #StudentsInpatient duPont 25 Jefferson 3 BrynMawr 2Outpatient Einstein(OPD) 2 Jefferson(OPD) 15 PhiladelphiaPractice 5 DelawarePractices 8NewbornNursery Abington 4

Christiana 4 Einstein 4 Jefferson 18

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PEDS350 PEDIATRICSStudentsneedtohavepersonaltransportationformanysites.However,thereispublictransportationtosomesites.DelawareValleyClerkship–Nemours/AIduPontHospitalforChildrenNemours/AIduPontHospitalforChildrenisafullservicechildren’shospitallocatedinnorthWilmington,DE.Almostall (25of30)of theDVC’s inpatientexperiencetakesplaceatduPont. Studentsarean integralpartofteamandworkcloselywiththeresidentsfromtheduPont/Jeffersonprogram.DelawareValleyClerkship–ChristianaChristiana, which is home to amedicine/pediatrics residency program is the site of the clerkship’s newbornnursery experience. Studentswill also have opportunities to learn about interesting patients in the neonatalintensivecareunit.DelawareValleyClerkship-EinsteinMedicalCenterEinstein Medical Center is located in the Olney section of Philadelphia. The busy pediatric outpatientdepartment sees20,000 childrenper year and thenewbornnurseryhandles2,500 infantsper year andofferexcellent learning. General pediatricians, sub-specialists, and Einstein pediatric residents staff the program.There is freeparking for students atEinstein,which is easily accessiblebypublic transportation fromCenterCity.

DelawareValleyClerkship-ThomasJeffersonUniversityHospitalThePediatricDepartment at TJUH is integrated into a full service hospital in the center of Philadelphia. Theprogram is staffed by the duPont general Pediatricians, sub-specialists and the 60+ residents from theduPont/JeffersonResidencyProgram.Theoutpatientexperienceisatalargehospitalbasedprivatepracticeorcommunitybasedprivatepractices.The4bedpediatricCRHinpatientunit,isaregionalmedicalcarefacilityforsick children and childrenwith chronic illnesses. The newborn nursery has 2,000 deliveries a year and theneonatalintensivecareunitisareferralbaseforPennsylvaniaandNewJersey.

DelawareValleyClerkship–PhiladelphiaareaandDelawarePrivatePediatricOfficesMorethanhalf thestudentsspendthe3weeksofoutpatientexperienceworkingone-on-onewith faculty inaprivatepractice setting. Thesepractices servevariedpatientpopulations andare located inurban, suburbanandsemi-ruralcommunities.

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PEDS350 PEDIATRICS

ReadingHospitalClerkshipTheChildren’sHealthCenter,partofTheReadingHospitalandMedicalCenter;isthelargestmedicalassistancepediatric care provider in our local area. With over 20,000 outpatient visits last year, we proved a diverseoutpatient experience for the student. A varied background, spanning bread and butter pediatrics anddevelopment issues to in depth care of childrenwith complexmedical problems, will highlight the student’straining.Oninpatientservicestudentswillworkoneononewithanattendingpediatrician, inadditionto1-2familymedicalresidents.Inpatientadmissionsruncloseto400ayearandournewbornservicehelpsusherintotheworld about2,000babies a year.Our facility alsoboasts aNICUwith5 full timeneonatologists.Wehavethreeformalpediatriclecturesserieseachmonth.Ourclinichasafulltimesocialworkerwhohasworkedwithchildreninourcommunityforover18years.The Children’s Health Center is steps away from the Reading Hospital and student housing. Parking isconveniently locatedacrossthestreet fromlodgingandclinic/hospital.Atourpositionon6thStreet,weare2blocks fromWestReading’s PennAvenue,with its bustling cafes andboutiques shops. Ourmedical center isapproximately1.5hourscommutetoPhiladelphia.With5staffpediatricians,eachstudentenjoysclosefacultycontactwithdailyinstructionsessionsbothwithourinpatientteamandanoutpatientfacultymember.Wehaveanupbeat,dedicatedstaffthatwelcomenewlearnersandarehappytoteach.Thereareampleopportunitiesforindependentlearningatourmedical library, locatedinourmainhospital.WeekendsarefreetoexploreBerksCounty and our neighboring cities. Come join us and learn pediatrics in a friendly environment in beautifulBerksCounty!

GoryebChildren’sHospital–(partofAtlanticHealthSystem)GoryebChildren’sHospital,partofAtlanticHealthSystem,combinesthebest featuresofauniversityprogramwith a community-based children’s hospital setting. We receive more than 3,000 admissions and 50,000outpatient visits per year, perform cutting-edge research, and employ more than 100 general pediatric andsubspecialty facultymembers,manyofwhomarededicatedclinician-educators. AsaLevel1regional traumacenterandlevel3NICU,wearetheregionalreferralcenterforover1200squaremiles.Theclerkshipcombinesa nice balance between direct patient care in the inpatient and outpatient settings and interactive didacticsessions.StudentsworkcloselywithourfacultyaswellaswithourPediatricresidents.

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PSYCHIATRYANDHUMANBEHAVIOR

AlbertEinstein Belmont Bryn

Mawr

Christianaandthe

WilmingtonVA

MorristownMedicalCtr./

AtlanticHealthSystem

TJUH

Min/MaxNumberofStudents 0/4 0/6 0/3 0/4 0/2 12/17

PSYCHB350 PSYCHIATRYANDHUMANBEHAVIOR

CLINICALASSIGNMENTSSeveral types of clerkship experiences are offered at Jefferson and our affiliates. All of the placementsutilizethe"treatmentteam"approach-amultidisciplinaryteamthatworkstogethertotreatpatients.Asamedicalstudent,youareviewedasanactivememberofthetreatmentteam.Asyourconfidenceandskillsincrease, you can become increasingly involved in teamdecisions and interventions. Wherever you areassigned within our teaching network, you will have exposure to at least two different clinical servicesduringyourworkinthedepartment.

Studentsareevaluatedattheendofeachthreeweekcorerotationbythemainattendingwhosupervisesthem,withinputfromresidentsandotherattendings.Studentsarealsoevaluatedonthebasisofcontentand thoroughness ofwrite-ups and presentations on rounds, basic familiaritywith differential diagnosisand treatment, and empathic interaction with patients. Their formal case write-ups are evaluated forclarity, detail, differential diagnosis, and treatment plan. The criteria used for evaluation include: 1)ProfessionalBehavior,2)CognitiveSkills,and3)ClinicalSkills.DataiscompiledforreviewbytheClerkshipDirectorandAssistantClerkshipDirector,whodeterminefinalgrades.

ALBERTEINSTEINMEDICALCENTERAEMC is a large tertiary teaching center and part of the JeffersonHealth System. Each student spendsthreeweekson twoof the following three services: inpatientpsychiatry (adultorgeriatric); consultationand liaison psychiatry; and emergency psychiatry (Crisis Response Center, for adults, adolescents, andchildren). TheCRC is a free-standing service adjacent to the emergency room. TheCRCevaluatesover6000 patients per year, and over one-third of patients are children. The CRC also performs psychiatricconsultations intheER. TheConsultService issimilarlybusyandevaluatesmedicalandsurgicalpatientswithpsychiatricquestionsthroughoutAEMC.

BELMONTBEHAVIORALHOSPITALBelmontBehavioralHospital is a largepsychiatric care systemwithin the JeffersonSystemand is knownboth regionally and nationally for its expertise in the treatment of the entire spectrum of psychiatricdisorders.AtBelmont,eachstudentwillspendthreeweeksontwoofthefollowingthreeservices;generaladult inpatient psychiatry, geriatric inpatient psychiatry, and specialty services (e.g. eatingdisorders andaffective disorders); Co-occurring disorder inpatient unit (sometimes referred to as the “dual diagnosis”program, forpatientswithsimultaneousaddictiveandnon-addictivepsychiatricdisorders);and thechildandadolescentinpatientprogram.

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BRYNMAWRHOSPITALBrynMawrHospitalisastate-of-the-artregionalfacilityservingPhiladelphiaanditswesternsuburbs.BrynMawrHospitalhasearnedareputationforprovidingpersonalizedcarebyexceptionalphysicians,surgeonsand nursing staff. BrynMawr Hospital operates inpatient and outpatient treatment programs. MentalHealth services include an inpatient general adult psychiatry unit, a hospital psychiatric consultationservice,andoutpatientprograms,includingpartialhospitalandintensiveoutpatient,formentalhealthandsubstanceabuselocatedatthemainhospitalsiteandatsatellitesthroughouttheregion.HousestaffandmedicalstudentsfromJeffersonreceiveclinicaltrainingatBrynMawrinvariousspecialties.Thepsychiatryrotationformedicalstudentsincludesworkinavarietyofsettings.Theinpatientexperienceistheanchorover the 6 weeks, with varying amounts of Emergency Room and Consultation Service experience. Theinpatientunittreatsawidevarietyofpsychiatricdisordersusingamultidisciplinaryteamapproach.

CHRISTIANACAREHEALTHSYSTEMSChristiana Care Health System, headquartered inWilmington, Delaware, is one of the country’s leadinghealthcareproviders,ranking16thinthenationforhospitaladmissions.ChristianaCareisamajorteachinghospitalwithtwocampusesandmorethan240Medical-Dentalresidentsandfellows.Services in Behavioral Health include Alzheimer’s andMemory Disorders, Cancer Psychology, Child andAdolescentPsychiatry,InpatientPsychiatry,PartialHospitalPsychiatry,PerinatalBehavioralHealth,andanAdolescentPsychiatricDayHospital.Studentsspendtheirrotationevaluatingandtreatingpatientsontheinpatient psychiatric unit, the consult service and in the outpatient setting. Studentswork closelywithpatients with a wide range of psychiatric conditions including psychotic disorders, affective disorders,anxiety disorders, and substance use disorders. Students gain experience in psychiatric treatmentmodalities including pharmacology, individual and group psychotherapy, ECT and TMS (transcranialmagnetic stimulation) thenewest FDA-approvednonpharmacologic treatment fordepression. Studentsareactivemembersofthetreatmentteamandparticipateinallfacetsofpatientcare.

WILMINGTONVAMEDICALCENTERWilmingtonVAMCproudlyservesVeteransinmultiplelocationsforconvenientaccesstotheservicestheyprovide. Along with the changing veteran population, medical advances and changes in treatmentmodalitieshavemadesignificantalterationsinthewaycareisprovided.Initiallysupporting336bedsand5000outpatientvisitsayear,theCenteralsonowstaffs58acutebedsand60NursingHomebeds.Morethan22,000veteransaretreatedatthefacilityandaccountforover150,000outpatientvisits.VAMCoffersarangeofoutpatienttreatmentsandservicestoaddressthementalhealthneedsofVeterans.HouseStaff andmedical students from Jefferson receive clinical trainingat theVA invarious specialties.The psychiatry rotation for medical students involves work in an outpatient setting where studentsparticipate inthecareofpatientspresentingwithawiderangeofpsychiatricconditions, includingMoodDisorders,Anxiety,SubstanceUseDisorders,PosttraumaticStressDisorder,andPsychoticMentalIllnesses(e.g., Schizophrenia and Schizoaffective Disorder). Students gain experience in ambulatory psychiatrytreatment, including pharmacology, individual counseling, and group/activity therapy. Attending andresident physicians supervise students. Students are evaluated on history-taking, mental statusexamination,appliedknowledgebase,professionalism,capacity toworkaspartof theclinical team,andbasiccaseformulationandtreatmentplanning.Studentsspendtimewithdifferentattendingpsychiatristsand residents and have the opportunity to learn from non-physician treatment providers, includingpsychologists,socialworkersandpsychiatricnurses.

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MORRISTOWNMEDICALCENTER(ATLANTICHEALTH)MorristownMedicalCenterinMorristown,NJ,isa687-bedhospitalwithalonghistoryofmedicalstudentand resident education.Morristown is in northern NJ, with direct transportation to New York City. TheDepartmentofPsychiatryencompassesawide rangeof clinical services, includingapsychiatric inpatientunitandconsultation-liaisonservices.Studentswillgainexposuretomanyoftheseservices,workingfourweeks on the consult-liaison service and two weeks on the inpatient unit.While on the inpatient unit,studentswillparticipateinteammeetings,individualmeetingswithpatients,andgrouptherapy;theywillfollow patients across the two weeks and produce a case write-up based on their work. While on theconsult-liaisonservice,theywillalsohaveanopportunitytoworkwithpsychiatristsintheERcrisisserviceand in the outpatient psychiatry, CF, and/orHIV clinics. Studentswill be exposed to adult and pediatricpatients as well as a wide range of mental illnesses, which will include but not be limited to: mooddisorders, psychotic disorders, anxiety disorders, substance abuse/dependence disorders, delirium,dementia, encephalopathy,disordersof childhoodandadolescence, sleepingdisorders, eatingdisorders,factitious disorders, and somatoform disorder. There will also be brief exposure to topics related toforensicpsychiatry.

THOMASJEFFERSONUNIVERSITYHOSPITALThe6-weekPsychiatryRotationatThomasJeffersonUniversityHospitalissplitbetween2oftheservicesbelow.

AdultInpatientPsychiatryTheThomas JeffersonUniversityHospitaloperatesa16bedgeneraladult inpatientunit.Thisunitoffersintensive psychiatric care to individuals, including patients with underlying medical complications. Amultidisciplinary treatment approach is used in which patients receive the benefit of working withpsychiatrists, psychologists, social workers, psychiatric nurses, and occupational/recreational therapists.Extensive evaluation of treatment needs is performed for all individuals and typically includespharmacotherapy,individualandgrouptherapy,andmilieutreatmentinanintensivesetting.

GeriatricPsychiatryThe inpatient geriatric unit provides geriatric patients with quality multidisciplinary care, thoroughindividual attention, supportive group therapies, and various amenities to treat age-related conditions,such as Dementia, Depression, Anxiety, and Psychosis. Our distinguished, multidisciplinary team helpspatients regain their abilities to function independently, and carefully assesses their readiness to returnhomeortheirneedforlong-termrehabilitation.

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ConsultationandLiaisonPsychiatryTheC-Lserviceservesthegeneralhospitaltohelpdiagnoseandtreatthepsychiatricillnessesthatcause,complicate,andresultfromseriousmedicalandsurgicalproblems.ConsultationandLiaisonPsychiatryisofferedatThomasJeffersonUniversityHospitalandMethodistHospital.

NarcoticAddictionRehabilitationProgram(NARP)TheJefferson Narcotic Addict Rehabilitation Program (NARP)is an outpatient substance abuse recoveryprogram that specializes in providing treatment to peoplewho are addicted to opiates (such as heroin,oxycontin,percoset,etc.).Recoveryisinitiatedandachievedthroughregularpsychotherapyandavailablepsychiatric services, paired with methadone maintenance therapy to suppress symptoms of opiatewithdrawal,decreasecravings,andblocktheeffectsofotheropiates.Furthersupportanddevelopmentisfound through engagement in on-site psychotherapy groups and peer-run self-help groups, as well asthroughinvolvementinthegreatersubstanceabusecommunity.

FamilyCenterThe Family Center is a comprehensive women-centered substance abuse treatment program providingoutpatient and intensive outpatient care for women who are pregnant, parenting, or working towardsreunification. The program is licensed to provide both methadone and buprenorphine outpatientmaintenance as well as non-medication assisted treatment.Further support and development is foundthrough engagement in on-site psychotherapy groups and peer-run self-help groups, aswell as throughinvolvement in the greater substance abuse community. Every Friday, studentswill be reporting to ThePennFoundation,adrugandalcoholrural rehabilitationcenterwithaprimaryfocusonsubstanceabusetreatment. The Penn Foundation is located in Sellersville, PA and provides outpatient, partialhospitalization,andresidentialshort-termtreatmentcare.Onceamonth,studentswillbereportingtoMySister’s Place, a Jefferson-affiliated women-centered substance abuse treatment center located at 1239SpringGardenSt.

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SURGERY Abington AlbertEinstein BrynMawr Christiana DuPont

Min/MaxNumberofStudents

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

SURGERY Lankenau Methodist

MorristownMedicalCtr./AtlanticHealth

System

TJUHWellSpan

YorkHospital

Min/MaxNumberofStudents

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

SURG350 SURGERYThe3rdyearSurgeryClinicalClerkshiprotationisa12weekrotation.Therotationisanintensiveintroductiontotheprinciplesandpracticeofsurgery.Studentsareexpectedtoperformorassistwithadmissionwork-ups,inpatientandoutpatientevaluations,pre-opandpost-opchecks,OR juniorassistance,venipuncture, IVs,sutureremoval,arterialblooddraws,nasogastrictubes,asepticdressingchanges,woundhealingassessments,skinsuturing,Foleycatheters,andknottying(handandinstrument).StudentsspendsixweeksonaGeneralSurgeryClinicalClerkshiprotationatJeffersonorAffiliatedHospitalsandsixweeksonaSurgerySpecialty/Selectiverotation.Studentswillbeexposedto the general surgery and general surgical subspecialties of Transplant, Colorectal, Plastic, Breast, Vascular,Trauma, Thoracic, Cardiac Surgery, Anesthesiology, Neurosurgery, Ophthalmology, Orthopedics, Otolaryngology,Dermatology,Geriatrics,InterventionalRadiology,RadiationOncology,RehabMedicine,andUrology.StudentsarerequiredtocompletebasicgeneralsurgeryclinicalskillswhichistrackedonPELS(PatientEncounterLogSystem).PELS data is reviewed weekly by the TJU UME Coordinator. Students are given an OSCE (Objective StructuredClinicalExamination)attheendoftheirsixweeksurgeryclinicalclerkshiprotation–whichcountswhendeterminingthefinalclinicalclerkshipgrade.StudentsaregiventheSurgeryNationalBoardSubjectExaminationattheendofthe12weekrotation.ThesuggestedtextbooksareEssentialsofGeneralSurgery,EssentialsofSurgerySpecialties,andSurgery:ACompetency-BasedCompanionwithStudentConsultOnlineAccess.ClinicalgradesandFinalExamgradearealllistedseparatelyonthetranscripts:Clerkship,eachSurgerySpecialty/Selective,andNBMEFinalExam.

AbingtonJeffersonHealthAsasurgeryteachingprogram,wehaveastrongcommitmenttoteachingmedicalstudents.Thirdyearstudentsfrom many local medical schools rotate with our residents and faculty on several services. These servicesinclude: advanced laparoscopy, colorectal, general surgery, surgical oncology, and vascular. Additionalexperiences are also available such as trauma and subspecialties. Didactic sessions are heldweekly for bothresidents and students, and weekly morbidity and mortality (M&M) conferences are also held. Morningconferences are held daily. On-call time is also incorporated into the rotation; post call days, along with astrategic napping room are available to all students. Students are assimilated into all aspects of the surgeryresidencyduringtheirrotationswithus.StudentsreceivetrainingontheinpatientEMRinthehospital.

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SURG350 SURGERYAlbertEinsteinMedicalCenterDuring this clerkship, studentsmay be exposed to themany aspects of general surgery aswell as several sub-specialties(Transplant,Urology(remove),Neurosurgery(remove),CTSurgery,andPlasticSurgery).ThishospitalisalsoaLevelITraumaCenterwhichwillexposethestudentstoavarietyofcaseswhiletakingcall.Studentsarerequiredtotakecall“Q6”duringthisrotation.Whileonnightcall,studentswillhaveaccesstoanon-callroomandreceivemealcardstocovertheirfoodexpenses.Mid-rotationevaluationsaredonebytheChiefResidentandatleastone attending surgeon on the service. The Clerkship Director reviews these evaluations with each studentindividually. Final evaluations are reviewed with the students by the Clerkship Director along with an exitinterview. Evaluations are based on the student's attitude, motivation, knowledge, and skills (H&P's, factualknowledge,independentreadingdonebystudents,patientcare,andORPerformance-ManualSkill).Studentsareexpected to attend weekly case review (M&M Conference), scheduled Grand Rounds which are put on by theresidents,corecurriculumwhichismoderatedbyanattendingsurgeonoraChiefResidentandBasicSciencewhichismoderated by the Chief Residents. Structured subspecialty services the studentsmaybe exposed to during thisclerkshipare:transplant,breastsurgery,colorectal,trauma.Studentsareevaluatedbyresidentsandattending'sandthe finalgrade is an averageof all evaluations.Mid rotations evaluated is verbal feedback from residents andattending's.

BrynMawrHospital

MedicalStudentsatBrynMawrHospitalrotateonaverybusysurgicalserviceatanexcellentcommunityhospitalandworkwithresidentsfromtheJeffersonSurgicalResidencyProgram.Studentsareexposedtoallthecommonsurgicalissuesduringtheirrotationandareexpectedtobeactivemembersofthesurgicalteam.Amid-rotationevaluationisconductedandisverbal.AformalrotationevaluationiscompletedattheendoftherotationbytheclerkshipdirectorperJefferson'srequirementsandisbasedonfeedbackfromtheteam.BrynMawrHospitaliseasilyaccessiblebypublictransportation.Studentsarerequiredtotakecall“Q6”duringthisrotation.

ChristianaCareHealthSystem–Christiana&WilmingtonHospitalsThirdyearandfourthyearmedicalstudentswillbeeducatedbySurgicalAttendingsand32SurgicalResidentsduring their rotation at Christiana Care. Students spend sixweeks on surgical services at Christiana and/orWilmingtonHospitals.StudentassignedtoserviceatWilmingtonHospitalwillparticipateinoneonone,halfdayoutpatienthoursattheChiefsSurgicalServiceclinic3daysperweek.WhileonnightcallatChristianaHospital,students functionasmembersof the “acutecaresurgical team” (ChristianaHospital is thestateofDelaware’sLevel1TraumaCenterwith5,000+traumaadmissionsperyear).Studentsarerequiredtotakecall“Q6”duringtheirrotation.StudentswillbeexposedtothesurgicalsubspecialtiesofBreast,Colorectal,CriticalCare,Plastics,Thoracic,Transplant,Trauma,andVascularSurgery.Thestudentswillspendtimeintheclassroomwithdidacticlectures and interactive sessions with the Director of Undergraduate Medical Education/Associate ProgramDirectoroftheGeneralSurgeryResidencyProgramandSurgicalResidents.Studentsareexpectedtoattendthedepartment’sweeklyMorbidity&MortalityConference,SurgicalGrandRoundsandChiefs’Rounds.Themedicalstudentswillalsohaveexposuretoancillarystaff,physicianassistantsandnursepractitioners.Thisisa“hands-on”surgicalrotationwithstudentswelcomedandactivelyengaged.

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SURG350 SURGERYDuPontHospitalforChildrenThisrotationprovidesanactiveclinicalexperienceinanexcellentpediatrichospital.Studentswillbeactiveininitialpatientwork-up,preandpost-opevaluation,alongwithassistingattheoperation.ProceduresstressedwillincludeCVP 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 tosurgery,endotracheal intubation instructionby theAnesthesiaDepartment,Radiology, andPathologyDepartmentparticipationinMorbidityandMortalityconference.EvaluationswillbebytheClerkshipDirectorandtheJeffersonResidentassigned toDuPont.Mid-evaluationswillbebyboth theClerkshipDirector and the JeffersonResident.Conferenceswill also includeweeklyGrandRounds andweekly lecture. Studentsare required to take call “Q6”duringthisrotation.

LankenauHospitalMedicalstudentsspend2weeksoneachof3GeneralSurgicalServicesatLankenauHospital.Whileoneachrotationthe student will be exposed to a diverse spectrum of general surgical problems with more vascular surgeryconcentratedononeservice,moresurgicaloncologyonthesecondandmorecolorectalonthethirdservice.Thestudentswillalsobeexposedtotransplantsurgeryandcardiovascularsurgery.StudentswillbeexposedtoallthecommonsurgicalproblemsduringtheirrotationatLankenau.Teachingisprovidedbyadiverseattendingstaffaswellasby10surgicalresidents.Callscheduleis1in5androomsareprovidedwithpagers.Studentsarerequiredtotakecall“Q6”duringthisrotation.Handsonexperiencewillincludesuturingandplacementofvarioustubesandcathetersalongwithminorprocedures.Studentsareexpectedtobeactivemembersofthesurgicalteaminfollowingpatientspreandpostoperativelyandintheoperatingroom.Inaddition,thereisagenerousoutpatientexperiencebothintheclinicandprivateoffices.Studentswillbeexpectedtopresentcasesonroundsandinconferencesandtoattendtheteachingconferenceswiththeresidents.Studentswillbeevaluatedbychiefresidentsandattendings.Constructivefeedbackisprovidedduringaninformalmid-rotationevaluationwiththeresidentwhohasworkedmost closely with that student Final evaluation is based on feedback collected from residents and 5 GeneralSurgeonsand includesperformanceon rounds, inpatient care,outpatient care, and/orparticipation combinedwithperformanceingroupdiscussionsledbytheclerkshipsitedirector.

MethodistHospitalThis rotationprovidesanactiveclinicalexperience inanexcellent communityhospital. Studentswillbeactive ininitialpatientwork-up,preandpost-opevaluation,alongwithassistingattheoperation.Proceduresstressedwillinclude CVP placement, wound closures, i.e., emphasis on ICU care. Additional features include exposure tocolorectal,vascular,andthoracicsurgeryandnoteworthypresentationsincluding:aRadiologyconferencerelatingx-rays to surgery, endotracheal intubation instruction by the Anesthesia Department, Radiology, and PathologyDepartmentparticipation inMorbidityandMortality conference.Evaluationswillbeby theChiefofService.Mid-evaluationswillbebyboththeChiefandSeniorResident.ConferenceswillalsoincludeweeklyGrandRoundsandweeklylecture.Studentsspend3to5hoursduringtherotationatJeffersonUniversityHospital,maincampusfortheCriticalThinkingSessions.Studentsarerequiredtotakecall“Q6”duringthisrotation.

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SURG350 SURGERYMorristownMedicalCenter(partofAtlanticHealthSystem)TheclerkshipingeneralsurgeryatMorristownMedicalCenteroffersapproximately150casesperweekinadvancedlaparoscopic,general,robotic,thoracic,vascular,pediatric,plastic,urologic,andtraumasurgeryatabusyquaternarycaremedicalcenterrankedinScategoriesasaUSNewsandWorldReportTopHospital.Insurgery,weareratedasExemplarybytheNSQIPoftheAmericanCollegeofSurgeonsforthecarewedeliverandteachinthedepartment.There is aweekly interactiveM&Maswell as dedicated time in lectures anddidactic activities aswell as theACScertified skills laboratory. Part of ourmedical center's statedmission is an acknowledgment that teaching thenextgenerationofexpertcliniciansisoneofourcorevalues.Theattentionthatthestudentreceivesfromourteachingandresidentstaffispersonalandfocusedonrelayingnotonlytheclinicalknowledgeandskillsneededtobesuccessfulinsurgerybuttheprofessionalmodelingrequiredofeverydoctor,nomattertheMeldofstudy.Studentsarerequiredtotakecall“Q6”duringthisrotation.ThomasJeffersonUniversityHospitalTherotationisanintensiveintroductiontotheprinciplesandpracticeofsurgery.Studentsareexpectedtoperformor assist with admission work-ups, inpatient and outpatient evaluations, pre-op and post-op checks, OR juniorassistance, venipuncture, IVs, suture removal, arterial blood draws, nasogastric tubes, aseptic dressing changes,woundhealingassessments,skinsuturing,Foleycatheters,andknottying(handandinstrument).StudentsspendsixweeksonaGeneralSurgeryClinicalClerkshiprotationandsixweeksonaSurgerySpecialtyrotation.Theywillbeexposed 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 ClerkshipCoordinatormeetwithall studentson therotation.Theyreview feedback,ClinicalSkills/PalmPELSsummaryanddiscussdifferentaspectsoftherotationwiththestudents.ConferencesincludeweeklysurgicalGrandRounds(1hr),weeklymorbidityandmortalityconference(1hr),bi-weeklycasepresentations,andtwoethicaldilemmasessions.StudentsarerequiredtotakeanendofclerkshipOSCE(ObjectedStructuredClinicalEvaluation)attheendofthesixweekgeneralsurgeryrotation.TheyaregiventheSurgeryNationalBoardSubjectExaminationattheendofthe12week rotation. The required textbooks are Essentials of General Surgery, Essentials of Surgery Specialties, andSurgery:ACompetency-BasedCompanionwith StudentConsultOnlineAccess. Students are required to take call“Q6”duringthisrotation.

TJUHSurgeryClerkship–MinimumStudents8andMaximum13Anesthesiology-MinimumStudents3andMaximum6 Neurosurgery-MinimumStudents8andMaximum5Ophthalmology-MinimumStudents4andMaximum8 Orthopedics–No3rdYearStudentsatJeffersonuntilDecember.Min.Students3andMaximum6Otolaryngology–MinimumStudents3andMaximum5 Urology–MinimumStudents3andMaximum5

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SURG350 SURGERY

WellSpanYorkHospital

YorkHospitaloffersstudentstheopportunitytolearnandpracticetheprinciplesofsurgery.Weaccomplishthisgoalbyprovidingthemwithastructuredcurriculumwhichincludes:didacticsessions,surgicalskilllabs,ORparticipation,general surgery rounds, outpatient surgery clinic and Trauma/ICU experience. Students have the opportunity tointeractwithsubspecialtyservicessuchasUrology,Vascular,Thoracic,Plastics,andENT,Neurology,OrthopedicsandBrest.Regularly scheduled lectures covering themajor surgical topics areprovidedbyadedicatedgroupofattendingsurgeons.Inaddition,PowerPointpresentationsareavailableforreviewonourstudentportal.Studentsalsoactivelyparticipateinclinicalscenariosessions,whichhelpsolidifywhatislearnedinlectures.RadiologyandIVaccessexperiencesareavailable.TheEducationKnowledgeCenteroffersstudentsandopportunitytoperformonlinesearcheswiththehelpofourdedicatedlibrarian.AllsurgicaltextbooksareavailableinboththeDepartmentofSurgeryLibraryandtheHospitalLibrary.RecommendedtextsareLawrenceEssentialofGeneralSurgeryandTheSurgicalReviewbyPavanAtluri,etal.Aformalmid-rotationevaluationisperformedbyboththeclerkshipdirectorwith input from the student's assigned team. The final evaluation is in accordance with the medical schoolrequirements.Clinicalgradesarebasedonclinicalperformanceandparticipationinconferences.

Thestructuredsubspecialtyservicestowhichthestudentsmaybeexposedtoclerkshipare:Vascular,Thoracic,Neurology,Urology,Plastics,ENTandOrthopedics.

StudentsareevaluatedaccordingtoJeffersonguidelinesbyresidents(PGY2-5)andboard-certifiedphysicians.York Hospital surgery requires students' to complete evaluations per 3 weeks to include evaluations fromattendings,andresidents.WerequireYorkHospitalspecificmid-rotationevaluationthataddressesaspectsofpatientcare, medical knowledge, practice based learning and improvement, professionalism, interpersonal andcommunicationskills,andsystems-basedpractice.Thestudentsisrequiredtoreviewthiswitharesidentontheirassignedservicepriortoreviewingwiththeclerkshipdirector.

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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: Univ. affiliated, 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 660-bed, regional referral center and teaching hospital, which has been providing tertiary care 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 the community each year.

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

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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 • Pediatric Neurology

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 team, PT/OT, child life, others TRAVEL: Parking: FREE Travel Time: 30 - 40 minutes by car SPECIAL FEATURES: Nemours/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.

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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 ServicesTRAVEL: 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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AriaJeffersonHealthThreeCampusLocations

TorresdaleCampus BucksCampus FrankfordCampus

10800KnightsRoad 380OxfordValleyRoad 4900FrankfordAvenuePhiladelphia,PA19114 Langhorne,PA19047 Philadelphia,PA19124

JUNIOR CLERKSHIPS OFFERED: • Family Medicine • General Surgery • Emergency Medicine • General Internal Medicine • Cardiology

*Other clerkship electives available

RESIDENCY PROGRAMS: • Family Medicine • Internal Medicine • Emergency Medicine • Combined Family Medicine/Emergency

Medicine • Combined Internal Medicine/Emergency

Medicine

HOSPITAL TYPE: Non-profit, teaching hospital system. Part of the Jefferson multi-hospital system: Jefferson, Abington Jefferson, Jefferson New Jersey and Aria Jefferson.

FOOD SERVICE: Cafeteria: Monday-Friday, 6:30am-6:30pm Saturday and Sunday, 8:00am-2:00pm Coffee Kiosk (Torresdale): Open Mondays through Fridays from 6:45 a.m. to 6 p.m.

MEDICAL EDUCATION RESOURCE CENTER: Library access Student lockers TRANSPORTATION: 20 minutes from Jefferson to Aria Jefferson Frankford 30 minutes from Jefferson to Aria Jefferson Torresdale 40 minutes from Jefferson to Aria Jefferson Bucks

OTHER FACILITIES: Call rooms/resident lounges available to students Fitness Center (Torresdale) Interfaith Chapel ANCILLARY SERVICES: 24-hour EKG, blood draw, IV

PARKING: Free parking at each campus and office location.

ABOUT: Aria Jefferson Health is the largest healthcare provider in Northeast Philadelphia and Lower Bucks County. With three leading-edge community teaching hospitals and a strong network of outpatient centers and primary care physicians, Aria Jefferson Health upholds a longstanding tradition of bringing advanced medicine and personal care to the many communities it serves. Aria Health has a full teaching weekly conference schedule that students are encouraged to attend with their rotation service.

CONTACT: Undergraduate Medical Education Office: 215-612-4609, [email protected]

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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 • Emergency Medicine

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, 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: Delaware County Memorial Hospital - Breakfast 7 am to 10:15 am, Lunch: 11 am to 3:30 pm Dinner: 4:30 pm 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/ TRAVEL: Travel Time: 30 minutes by car, 20 minutes by public transportation (Media/Elwyn station across from parking lot) parking: FREE

SPECIAL FEATURES: The Crozer-Keystone Family Medicine Residency Program is proud of our national reputation for innovation, leadership, and teaching methods. We are a full-service, family medicine teaching center offering prenatal to geriatric family care. Students are exposed to the dynamic specialty of family medicine, working closely with resident and faculty in various environments that include outpatient office, inpatient hospital, sports medicine, home visits, and sports physical exams. Students will attend weekly didactic sessions, and upon availability get to experience our specialty clinics such as OB, gyn, derm, and sports med.

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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: Rhonda Anderson 724-537-1354 [email protected] ANCILLARY SERVICES: EKG, IV Insertion. Phlebotomy, Respiratory Therapy, and Radiology Service 24/7. Interventional Radiology, Rapid Response Teams TRAVEL: Medical Students MUST have access to a vehicle (and in winter months, it would be best to have a winter-capable vehicle).

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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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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

HOUSING: Not available

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

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

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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

50

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

HOSPITALTYPE:Non-GovernmentNon-ProfitCAFETERIA:HOURS:Breakfast:0630–0900

Lunch: 1100-1400Dinner:1630-1900

AverageCostPerMeal:Averagecost$20/daylimitLIBRARY:INHOUSEHOURS:September–June:M–F0800–2100July–August:M–F0800–1700After-hoursaccessusingstudentIDbadge.CALLFACILITIES:2BedsperroomPrivateBathroomsandShowersPhoneinRoom

51

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

HOSPITALTYPE: Non-Government Non-Profit CAFETERIAHOURS: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 LIBRARYINHOUSEHOURS: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 CALLFACILITIES:4Beds/RoomPrivateBathrooms/ShowersPhoneinRoom

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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53

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

54

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

302.994.2511 JUNIORCLERKSHIPSOFFERED:

• PsychiatryRESIDENCYPROGRAMS:

• InternalMedicine(SpecialtyOutpatientClinics)• Oral&MaxillofacialSurgery• Dermatology

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 afterhour’s 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 Assistants Christiana Hospital: Cardiology and Palliative Care Fellowship Program.

55

WellSpan York Hospital 1001 South George Street

York, PA 17405 (717) 851- 2753

Vehicle required for Family Medicine and OB/GYN rotations.

JUNIORCLERKSHIPSOFFERED:

• FamilyMedicine • GeneralSurgery • InternalMedicine• OB/GYN

RESIDENCYPROGRAMS:

• FamilyMedicine• OB/GYN• EmergencyMedicine

• InternalMedicine• GeneralSurgery• OrthopedicSurgery

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 campusANCILLAY SERVICES: All services available 24/7 TRAVEL: 90 minutes by car and parking is free

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AFFILIATESECURITYPROCEDURES

AFFILIATE SECURITYFEATURES

AbingtonHospital Fulltimesecurityaroundtheclock.KeycardentryafterhoursonlywithvalidID.Escortsavailable

A.I.DuPontHospitalforChildrenComputerizedcardscanneronlyentrancetoallhospitalunits.Securityguardspatrolthehospitalroutinely.Allstudentscanrequestanescorttotheparkinglotatnight.

AlbertEinsteinMedicalCenterEscortservicebysecurityavailableuponrequesttoallmedicalstudentstoparkinggaragesandtonearbysubwaystation.Parkinggaragesarewelllitandpatrolledregularly.SecurityispostedatallentrancestotheMedicalCenter

BelmontInstitute Securityisavailablearoundtheclock,andwillescortstudentsuponrequest.Allparkingareasarewelllitandpatrolled.

BrynMawrHospitalSecurityisavailablearoundtheclockandpatrolsthehospital.Escortserviceisavailabletostudentstoandfromtheparkinglots.Oncallroomsareinthesamewingasthoseoftheresidentsandattendingsandaresecuredviakeys.

ChristianaCareHealthSystemFulltimesecurityaroundtheclock.Studentsmayrequestasecurityescorttoandfromparkingorforanyotherreasonatanytime.Alloncallandsleepingroomsarelocked.

Crozer-KeystoneHealth Aroundtheclocksecuritydepartment.Patrolsaroundhospitalcampusandfullystaffedentrances.Studentsescortedtotransportationuponrequest

ExcelaHealth/LatrobeHospital Securityonsitearoundtheclock.Escortserviceisavailabletostudentsatanytime.

InspiraMedicalCenterWoodbury Aroundtheclocksecuritydepartment.

LankenauHospitalSecurityisavailablearoundtheclockandroundsfrequentlythroughthehospital.Escortservicetoandfromtheparkinglotsisalsoavailablearoundtheclock.On-callroomsarewithinasecuresuiteandarelockedatalltimes

MageeRehabilitationHospital Aroundtheclocksecuritydepartmentwithpatrolsandstaffedentrances.Studentescortserviceavailable

MethodistDivision-TJUH Aroundtheclocksecuritydepartmentwithpatrolsandstaffedentrances.Studentescortsavailableupon.

MorristownMedicalCenter Securityonsitearoundtheclock.Escortserviceisavailabletostudentsatanytime.

MossRehabilitationHospital Fulltimesecurityservice.Escortstoparkingareaavailableuponrequest.

OverlookMedicalCenter Securityonsitearoundtheclock.Escortserviceisavailabletostudentsatanytime.

ReadingHospital Fulltimesecurityservice.Escortstoallareasavailableuponstudentrequest.

VirtuaHealth Fulltimesecuritywithescortserviceavailable.

WilmingtonVAHospital Aroundtheclocksecuritydepartmentwithpatrolsandstaffedentrances.Studentescortavailableuponrequest.

WellSpanYorkHospital Aroundtheclocksecuritydepartmentwithpatrolsandstaffedentrances.Studentescortsavailableuponrequest.

Documents

Third Year Rotation Information and Affiliates Guide … · [email protected] [email protected] 2 TABLE OF CONTENTS List of Hospitals and Contacts 3 Sidney Kimmel