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Preference to sophomores. Sports medicine is the practice of clinical medicine at the interface between health and performance, competition and well-being. While sports medicine had its origins in providing care to athletes, medical advances developed in care of athletes exerted a great effect on the nature and quality of care to the broader community. Topics include sports injuries, medical conditions associated with sport and exercise, ethics, coaching, women's issues, fitness and health, and sports science. Case studies.

Designed for students considering a career in sports medicine, orthopaedics, physical medicine and rehabilitation, emergency medicine, internal medicine, family practice, or physical therapy. Focus is on diagnosis and treatment of the most common injuries encountered in sports medicine, from head to toe and from acute trauma to chronic overuse. Students gain competence performing an efficient sports medicine exam, developing a differential diagnosis, and a treatment plan on how to safely return athletes back to their sport. Focused physical exam skills are taught for the neck, shoulder, elbow, wrist and hand, low back, hip, knee, leg, ankle and foot. Most sessions consist of anatomy review, case discussion, and hands-on exam practice in small groups. A few sessions cover specific hot topics in sports medicine such as concussion, athletic heart syndrome, and advanced performance techniques. Students enrolling for two units prepare an in-class presentation or short review paper.

Students undertake investigations sponsored by individual faculty members. Prerequisite: consent of instructor.

Provides an observational experience in a surgical specialty. Prerequisite: consent of instructor.

VISITING: Open to visitors. TYPE OF CLERKSHIP: Selective 1. DESCRIPTION: The Rehabilitation Center at Santa Clara Valley Medical Center (SCVMC) is a national leader in the advancement of rehabilitation and a core training site for the Stanford Physical Medicine & Rehabilitation Residency (PM&R) program. The Rehabilitation Center at SCVMC is accredited by the Commission of the Accreditation of Rehabilitation Facilities, and we have treated individuals with brain injury, spinal cord injury, stroke, and other disabling neurological conditions since 1971. Our clerkship emphasizes an interdisciplinary approach to the patient severely disabled by acute spinal cord injury, traumatic brain injury, stroke, major trauma, and other neurologic disabilities. Concentration is on clinical evaluation, prevention of complications and participation in long-term planning for maximum independence and improving the quality of life for the patient.The student functions integrally as a member of the treatment team and participates in all aspects of patient care, including acute admissions of spinal cord-injured patients, multidisciplinary evaluations of new admissions, patient care rounds, teaching and team conferences, therapy sessions, formal case presentations, neuroscience grand rounds, journal club and didactic lectures. The team approach, using multiple medical and therapeutic modalities, is key to our patients' success. Students will observe and participate in routinely performed procedures that aide in optimizing function including peripheral joint injections, chemodenervation, peripheral nerve blocks and intrathecal baclofen pump management for spasticity. Additionally, they may participate in electrodiagnostic studies that aide in diagnosis of peripheral nervous system pathology. Students may also have the opportunity to study the lifestyles of outpatients when they return to the community, investigate community resources and assess the ongoing medical issues of individuals with disabilities in PM&R outpatient clinics. Clerkships are available in spinal cord injury, brain injury, inpatient consults, and outpatient PM&R clinics and must be scheduled in advance by calling the clerkship coordinator listed below before registering. PREREQUISITES: MED 300A. Will accept third and fourth year students. PERIODS AVAILABLE: 1-12, full-time for 4 or 8 weeks, 1 student per period. CLERKSHIP DIRECTOR: James Crew, M.D. CLERKSHIP COORDINATOR: Teresa Goodman, (408) 885-2030. REPORTING INSTRUCTIONS: Where: SCVMC, Room 1A012 (Sobrato Pavilion) Visitors call (408) 885-2100. Proof of PPD, Rubella and malpractice insurance required; Time: 8:00 am. CALL CODE: 0. OTHER FACULTY: J. Crew, K. Shem, S. McKenna, M. Mian, E. Chaw, T. Duong, H. Huie, E. Huang, R. Wang, P. Varma. LOCATION: SCVMC.

VISITING: Open to visitors. TYPE OF CLERKSHIP: Selective 1. DESCRIPTION: Typically students spend time at the Palo Alto VA doing both inpatient and outpatient PM&R, and often we can accommodate preferences for exposure to a given VA PM&R service. The polytrauma rehabilitation center is one of five national centers that treat active duty military patients. Students may also request time at the VA's dedicated spinal cord injury inpatient service, at outpatient musculoskeletal clinics, at the electromyography clinic and at prosthetics clinic. Often, we can facilitate time on the Stanford inpatient PM&R consultation service or at Santa Clara Valley Medical Center on inpatient and/or outpatient. Sometimes we can arrange for a half day of at the Stanford Redwood City clinics observing interventional spine or sports. For Stanford students, this rotation may fulfill your selective 1 or elective requirements; there may be weekend or overnight call. Please note: Visiting students must obtain approval before applying for this clerkship. To request approval, please contact Erin Hart at ejhart@stanford.edu. We are often able to accommodate visiting students whose medical school calendars do not align with the Stanford calendar, so please let Erin Hart know if you wish to rotate off-cycle. PREREQUISITES: None. PERIODS AVAILABLE: 1-12, full-time for 2 weeks or 4 weeks, 6 students per period. CLERKSHIP DIRECTOR: Theodore Scott, M.D. CLERKSHIP COORDINATOR: Erin Hart, ejhart@stanford.edu, 650-721-7627, Stanford Medicine Outpatient Center. REPORTING INSTRUCTIONS: Where: Unless otherwise instructed, Palo Alto VA building 7 ward D resident room; Time: 7:50 am. CALL CODE: 2 (Weekend and overnight call). OTHER FACULTY: C. Gowda, L. Huynh, N. Karandikar, R. Klima, E. Kraus, J. Levin, M. Smuck, M. Timmerman, M. Kim. LOCATION: SUMC, PAVAMC, SCVMC.