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ANES 306A: Critical Care Core Clerkship

Required Clerkship. Closed to visitors. Provides experience managing adult patients in a critical care unit. Students learn how to optimize care for the acutely ill patient and the multidisciplinary approach to complex patients. Teaching emphasizes the review of basic organ physiology, the ability to determine the pathophysiologic mechanisms involved in critical illness, and the formulation of a physiologic based treatment plan. Students gain experience with the implementation of monitoring and therapeutic devices used in the intensive care units and begin to become adept at the evaluation, stabilization and management of the most critically ill patients expected to be encountered in today's acute care hospitals. Ward rounds, bedside evaluation and treatment, and individual interactions with attending, fellows and residents are part of the educational process. Assignments will be made either to the Stanford Medical-Surgical ICU Service, Stanford Surgical ICU Service, or the Palo Alto Veterans Administration Hospital Medical-Surgical ICU Service. Student preferences for a particular adult ICU site will be given consideration but cannot be guaranteed. Absences during the 306A clerkship: Students must contact the 306A Clerkship Director to obtain explicit advance approval for any planned absence from the clerkship. Unanticipated absences for illness or emergency must be communicated to the Clerkship Director as promptly as possible. Students with more than 2 days of unexcused absences (i.e., 3-5 days) will be required to make up one week at a later date. If the absence is longer than this, the time would be proportionately increased. Taking extra night or weekend call will not be considered a suitable substitute for missing weekdays during the clerkship. Arrangements to make up missed time must be made by the student with the 306A Clerkship Director. Students who anticipate missing a week (i.e., 5 weekdays) or more of the 306A Clerkship are encouraged to reschedule this clerkship during a different period. Students who miss either of the day-long ICU Medical Student Simulator courses will need to make these experiences up at a later date in order to receive a passing grade for this clerkship. Prerequisites: Adult: Med 300A and Surg 300A. (SUMC, PAVAMC)
Terms: Aut, Win, Spr, Sum | Units: 6 | Grading: Medical School MD Grades

FAMMED 301A: Family Medicine Core Clerkship

Closed to visitors. Teaches the management of diseases commonly encountered in the ambulatory care setting. Emphasis is placed on patient-centered, efficient, cost-effective medical care of men, women and children of all ages in a variety of settings. Prevention, managed care, and cultural competence are stressed. Didactic workshops are conducted at the School of Medicine and clinic sessions are held at numerous community ambulatory sites on the Peninsula, in the South Bay, in the East Bay, in San Francisco, and electively in Humboldt County. Prereq: INDE 206. Periods Avail: 1-12, full-time for four weeks. Up to 10 students per period. Reporting Instructions: Where: To be sent by email. Call coordinator 2 weeks prior. Time: 8:00 am. Units: 6. Call Code: 2 (Occasional weekend and/or evening activities.) Director: Tracy A. Rydel, M.D. & Rika Bajra, M.D. Other Faculty: R. Bajra, R. Brinkhaus, M. Deshpande, A. Dubey, B. Feldstein, J. Fronk, M. Henehan, J. Hopkins, A. Hui, C. Kushida, C. Ladika, L. Leer, S. Lin, M. Mahoney, F.F. Marvasti, N. Morioka-Douglas, I. Nelligan, D. Rai, T. Rydel, A. Sattler, E. Schillinger, R. Seekamp, S. Srivastava, K. Vu, E. Weinlander, G. Yu, and other community preceptors in Family and Community Medicine. nCoord: Art Johnson (650-723-9621). (SHC Hoover Pavilion, SHC Portola Valley, SHC Los Altos, SHC Cisco, O'Connor Hospital, Kaiser San Jose, Kaiser Santa Clara, community sites, and rural sites) (SHC Hoover Pavilion, SHC Portola Valley, SHC Los Altos, SHC Cisco, O'Connor Hospital, Kaiser San Jose, Kaiser Santa Clara, community sites, and rural sites)
Terms: Aut, Win, Spr, Sum | Units: 6 | Grading: Medical School MD Grades

MED 300A: Internal Medicine Core Clerkship

Closed to visitors. Teaches the natural history, pathophysiology, diagnosis, and treatment of medical illness. Emphasis is placed on acquiring the understanding, skills, and attitudes desirable in a scientific and compassionate physician. Students record histories, physical examinations, and laboratory data for patients for whom they are responsible and present their findings, together with their diagnoses and treatment plans, at rounds and conferences. Developing sound clinical reasoning skills is continuously emphasized. An essential aspect of the clerkship is the students¿ gradual assumption of direct responsibility for, and full-time involvement in, patient care with the house staff and faculty team. To take advantage of the differences in patient populations and teaching staffs of the four hospitals, students spend four weeks at either SUMC or PAVAMC, and four weeks at either SCVMC in San Jose or KPMC in Santa Clara. The resulting eight week experience is an integrated curriculum designed to cover the essentials of internal medicine. The Department of Medicine supervises a random draw-based assignment to two of the four locations shortly before the beginning of each odd-numbered clerkship period. A passing grade will require both a satisfactory performance at both clinical sites and passing the NBME Subject Exam at the end of 8 weeks. Prereq: MED 208 or INDE 206. Periods Avail: 1-12, full-time for eight weeks. 18 students per period. Reporting Instructions: Varies depending on site assignment. Students will be notified prior to the first day. Units: 12. Call Code: 4. Director: John Kugler, M.D. (jkugler@stanford.edu). Other Faculty: Staff. Coord: Nancy D¿Amico (650-721-1640), 1215 Welch Road, Mod B, Space #37, MC 5418. (SUMC, PAVAMC, SCVMC, KPMC)
Terms: Aut, Win, Spr, Sum | Units: 6 | Repeatable for credit | Grading: Medical School MD Grades

MED 313A: Ambulatory Medicine Core Clerkship

Required Clerkship. Closed to visitors. The combined ambulatory/emergency medicine core clerkship will comprise two weeks of ambulatory clinics and two weeks of emergency medicine shifts, for a total of four weeks. All students will attend Monday morning ambulatory didactics, and a simulation exercise run by the EM Simulation faculty on two Monday afternoons. The remaining two Monday afternoons will be set aside as flexible time for students to complete their Emergency Medicine asynchronous learning modules. Students will present interesting case presentations and take their final exam on the last Friday of the rotation. During the ambulatory block, students will attend general medicine and subspecialty clinics Tuesday-Friday, as well as participate in one Cardinal Free Clinic shift. Sites include SUMC, PAVA, SCVMC, Kaiser Santa Clara, Kaiser Fremont, and community clinics. During the emergency medicine block, students will work seven shifts, which will be a mixture of days, evenings, and overnights in the SUMC ED. Holidays in the EMed portion of this clerkship are treated as work days. Students in the EMed block can/will work on holidays. Prereq: None. Periods Avail: 1-12, full-time for 4 weeks only. 10 students per period for P1-P2. 12 students per period for P3-P12. Reporting Instructions: Varies depending on site assignment. The students are notified prior to the first day of the clerkship. No student may miss more than two clerkship days. Units: 6 Call Code: 2 (No call, but one required weekend ambulatory clinic shift during the ambulatory block and a mixture of at least 2 overnights and/or weekend shifts during the EMED block). Director: Jacqueline Tai-Edmonds, M.D. and Nounou Taleghani, M.D., Ph.D. Other Faculty: J. Tai-Edmonds, N. Taleghani, and others. Coord: Maria Alfonso (650-497-6702), malfonso@stanford.edu.
Terms: Aut, Win, Spr, Sum | Units: 6 | Grading: Medical School MD Grades

NENS 301A: Neurology Core Clerkship

Closed to visitors. The Neurology Core Clerkship is designed to train students in the systematic and logical approach to a wide variety of clinical neurology via the comprehension and application of the neurologic history and physical exam in the evaluation and management of neurological diseases. Students are assigned to the following locations for training: Stanford Hospital neurology inpatient wards; Stanford Hospital neurology outpatient clinic; Stanford Hospital Neurology Intensive Care Unit; Stanford Neurosurgery Service; Santa Clara Valley Medical Center neurology inpatient consultation and clinic service; the Palo Alto Veterans Administration ward/ consultation/ clinic neurologic services; Lucile Packard Children's Hospital neurology consultation and clinics. All these venues satisfy the core graduation requirement for the Required Neurology Clerkship. Responsibilities differ among the different clerkship venues, but a common core of teaching and exposure to a variety of neurologic patient encounters and experiences will be presented to all students. Regardless of site location, students are expected to attend the core didactics of the clerkship that take place once weekly on Stanford Hospital campus. By the end of the clerkship, the students will know how to fully evaluate patients (with the neurologic history and competent neurological examination) and will have increased practical knowledge of clinical conditions affecting the nervous system. Passing of the NBME Subject Exam in Neurology is a required component of the clerkship and materials for study are provided to each student in support of this effort. Prereq: None. For students requesting placement on neurosurgery service, preference is given to students who have completed the core surgical clerkship. However, student must have completed formal OR SCRUB TRAINING. Periods Avail: 1-12, except Christmas break. 4-9 students per period. Reporting Instructions: TBA. Units: 6. Call Code: 1. Director: Veronica Santini, M.D., M.A. (954-632-8899, santiniv@stanford.edu) Other Faculty: Neurology, Neurosurgery and Neuro Pediatrics. Coord: Christine Hopkins (650-498-3056, chopkins@stanford.edu) (SUMC, PAVAMC, SCVMC, LPCH)
Terms: Aut, Win, Spr, Sum | Units: 6 | Grading: Medical School MD Grades

OBGYN 300A: Obstetrics and Gynecology Core Clerkship

Closed to visitors. Provides the student with skills and knowledge needed to care for patients with common gynecological problems, the well-woman examination, and pregnancy from prenatal care through delivery and postpartum. The clerkship is a full-time, 6-week rotation at one of the 3 sites: Stanford University Medical Center & satellite clinics, Santa Clara Valley Medical Center, and Kaiser Santa Clara. Emphasis is placed on history and physical examination skills in the evaluation and management of pregnancy, vaginal delivery, and both office gynecology and gynecologic surgical procedures through exposure to patients in the outpatient clinics, Labor and Delivery, and the operating room. The student participates in all the academic functions of the department including conferences, grand rounds, lectures, and weekly case studies. A one day orientation is held at the beginning of the clerkship, and students attend a simulation session for OB and Surgical skills during the first week. All students on the clerkship meet for a once weekly didactic session at Stanford. Attendance at the first day of the clerkship, the first Wednesday of the clerkship, and for the OSCE activity and the NBME shelf exam on the last day of the clerkship are all required. Students may make up absences for the orientation day and first Wednesday of the clerkship by attending these activities during a prior clerkship session. Absences for the OSCE and the shelf exam may be made up after the clerkship ends. Prereq: None Periods Avail: 1A, 2B, 4A, 5B, 7A, 8B, 10A, 11B full-time for six weeks. Maximum of 13 students. (No drops allowed.) Reporting Instructions: Where: HH330 (Ob/Gyn Conference Room) Students will be sent information by e-mail; Time: 7:30 am. Units: 9. Call Code: 2 (Stanford students rotate through Obstetrics for 2 weeks. During these 2 weeks students are assigned two weekend calls from 8am-8pm. Kaiser and Valley students take 1 weekend call. These sites also have 1 week of night float that begins on Sunday.) Clerkship Director:Director: Navi (Navdeesh) Reiners, MD. Co-Director: Erica Wu, MD. Other Faculty: Staff of SUMC, SCVMC and KSC. Coord: Amanda Garley-Reynolds (650-721-1036). (SUMC, SCVMC, KPMC)
Terms: Aut, Win, Spr, Sum | Units: 9 | Grading: Medical School MD Grades

PEDS 300A: Pediatrics Core Clerkship

Closed to visitors. Pediatrics 300A is an eight-week core clerkship. Students spend four weeks on an inpatient service and four weeks in a variety of ambulatory settings. The clerkship provides an introduction to a wide range of clinical problems and equips students with the basic skills needed to work with children and families. The overarching goal of the clerkship is to enable students to bring the core values and principles of pediatrics to the care of all patients, across disciplines. nPrereq: MED 208 or INDE 206. Periods Avail: 1-12, full-time for eight weeks. 14 students per period. Reporting Instructions: Where: will be sent by coordinator prior to start of clerkship; Time: TBA. Units: 12. Call Code: 2.Director: Elizabeth Stuart, M.D.; Associate Director: Alison Chiang, M.D. Other Faculty: Staff. Coord: Theresa Kramer (650-498-2679, tckramer@stanford.edu) (LPCH, SCVMC)
Terms: Aut, Win, Spr, Sum | Units: 6 | Repeatable for credit | Grading: Medical School MD Grades

PSYC 300A: Psychiatry Core Clerkship

Required Clerkship. Closed to visitors. The clerkship is designed to solidify the knowledge of psychiatry students have acquired in the Practice of Medicine courses, as students gain practical skills in the application of this knowledge to clinical situations. The focus is on interviewing skills, psychiatric evaluations, on refining diagnostic skills, and offers an overview of psychosocial and biological treatment modalities for the major psychiatric disorders. The clerkship consists of clinical work on inpatient units under the supervision of academic and clinical faculty, a weekly lecture series by academic faculty, interviewing seminars taught by voluntary clinical faculty, and attendance at Grand Rounds. Students are assigned to patient care settings at one of the six affiliated sites: a comprehensive medical psychiatry unit (G2), an inpatient general psychiatry ward (H2), a geriatric psychiatry unit, the consult-liaison service at Stanford Hospital, an inpatient research psychiatric ward specializing in the study of schizophrenia or an acute locked psychiatric ward at the PAVA. In addition, students participate in the specialty outpatient clinics at Stanford including OCD, Child, bipolar, geriatric and general psychopharmacology clinics. Students are given the opportunity to express their preferences regarding assignment. The final rotation assignment is determined by the department based on availability of sites. Students are informed about the specific clerkship requirements at the orientation offered at the start of each clerkship period. They receive a course syllabus, several study guide books and a psychopharmacology textbook. Students are encouraged to visit the Psychiatry clerkship site on Coursework which contains all information, the syllabus and teaching materials. Students are expected to complete five cases on the CaseTool site and to record cases seen by diagnostic category. Requirements include mandatory attendance at seminars, weekly inpatient case history presentations and Emergency room experiences with residents/attending psychiatrists. The NBME Subject Exam in Psychiatry is a required component of the clerkship. Prereq: INDE 205. Periods Avail: 1-12, full-time for four weeks. 10 students per period (minimum of 3 students per period). Reporting Instructions: Where: 401 Quarry Rd., 2nd Floor, Room 2213; Time: 8:00 am. Units: 6 Call Code: 2, call once per week for the first 3 weeks or 3 nights total during 4 week clerkship period. Director: Charles DeBattista, M.D. (650-723-8324). Coord: Quynh Dang (650-725-2769), 401 Quarry Rd, Rm. 2204.
Terms: Aut, Win, Spr, Sum | Units: 6 | Grading: Medical School MD Grades

SURG 300A: Surgery Core Clerkship

Closed to vsitors. Provides students with clinical experience in the evaluation and treatment of a wide variety of surgical diseases. Emphasis is placed on teaching students to recognize and manage basic clinical problems. Students function as active members of the surgical team, and follow patients throughout their in-patient course. Outpatient clinics provide the student with the ability to participate in the initial work-up and care plan of peri-operative patients. Basic surgical skills are taught in the operating room, in the emergency department setting, and in the Goodman Surgical Education Center. The clerkship offers an opportunity for students to integrate their knowledge of anatomy, physiology and physical diagnosis into a treatment plan for patients with surgical diseases. A blended learning curriculum is in place for all students at all sites. It combines case discussions with video pre-session material and related skills sessions. This curriculum covers the diagnosis and treatment of various diseases and principles of surgical management. A required textbook will be provided. Each student spends one four-week rotation at Stanford, the VA, Kaiser, or SCVMC. The remaining four weeks will be spent rotating on two different Surgical Subspecialties ¿ Breast Service, Endocrine, ENT, Orthopaedic, Pediatric, Plastic Surgery, Thoracic Transplant, Trauma, Urology, or Vascular. A 1/2 day orientation is held at the beginning of the eight week period. The NBME Subject Exam is a required component of the clerkship. Prereq: INDE 206. Periods Avail: 1-12, full-time for eight weeks. 18 students per period. Reporting Instructions: Students will be sent information by e-mail. Units: 12. Call Code: 1. Director: James Lau, M.D. (650-724-6490). Coord: Karen Cockerill (650-498-6052), Department of Surgery, 300 Pasteur Drive, H3658. (SUMC, PAVAMC, SCVMC, KPMC)
Terms: Aut, Win, Spr, Sum | Units: 6 | Repeatable for credit | Grading: Medical School MD Grades
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