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Course Listings Title Location Code Page Anesthesiology AHEC-Fort Smith SANEA 1 Anesthesiology AHEC-Northeast (Jonesboro) JANEB 2 Cardiology Cardiology AHEC-Central Office (Searcy) AHEC-Delta (West Memphis) CCARF DCARH 3 4 Cardiology AHEC-Fort Smith SCARC 5 Cardiology Cardiology AHEC-Northeast (Jonesboro) AHEC-Pine Bluff JCARK PCARD 6 7 Private Interventional Cardiology AHEC-North Central (Batesville) BCARM 8 Emergency Medicine AHEC-Fort Smith SEMGA 9 Emergency Medicine Emergency Medicine AHEC-Northeast (Jonesboro) AHEC-Pine Bluff JEMGB PEMGC 10 11 Emergency Medicine AHEC-South Arkansas (El Dorado) EEMGJ 12 Emergency Medicine AHEC-Southwest (Texarkana) TEMGE 13 College Health/Student Health Ctr. Family Medicine Elective AHEC-Northwest (Fayetteville) AHEC-Northwest (Fayetteville) FADMD FFAMK 14 15 Family Medicine Rural Elective AHEC-Fort Smith SFAMN 16 Family Medicine/Rural Elective Family Practice Rural Rotation AHEC-Delta (Lake Village) AHEC-South Arkansas (El Dorado) DFMAA EFAPG 17 18 M4-AHEC elective Topic: Topic: Topic: Topic: Anesthesiology Cardiology Emergency Medicine Family Medicine Operational Medicine AHEC-Fort Smith SFMWD 19 Rural Family Practice Rural Primary Care Family Medicine AHEC-Northeast (Jonesboro) AHEC-North Central (Batesville) JFAMV BFAMA 20 21 Rural Primary Care Family Medicine AHEC-Northwest (Fayetteville) FFAMA 22 Rural Primary Care Medicine AHEC-Pine Bluff PFAMX 23 AHEC-Northeast (Jonesboro) JGASH 24 General Hematology and Oncology General Oncology AHEC-Northeast (Jonesboro) AHEC-Pine Bluff JHMOF PHMOG 25 26 Hematology And Oncology AHEC-Fort Smith SHMOA 27 Topic: Gastroenterology Gastroenterology Topic: Topic: Hematology-Oncology Internal Medicine Internal Medicine AHEC-Central Office (Searcy) CINMB 28 Internal Medicine AHEC-North Central (Batesville) BINMI 29 AHEC-North Central (Batesville) BNEUD 30 Topic: Neurology Neurology Title Topic: Code AHEC-Northeast (Jonesboro) JNEUB Page Neurology Neurology Topic: Location 31 Neurosurgery Neurosurgery AHEC-Northeast (Jonesboro) JNSUA 32 Neurosurgery AHEC-Pine Bluff PNSUB 33 Topic: Obstetrics & Gynecology Obstetrics and Gynecology AHEC-Delta (West Memphis) DOBWM 34 Obstetrics and Gynecology Obstetrics and Gynecology AHEC-Fort Smith AHEC-Northeast (Jonesboro) SOBGK JOBGA 35 36 Obstetrics and Gynecology AHEC-South Arkansas (El Dorado) EOBGL 37 Rural Obstetrics and Gynecology AHEC-Delta (Helena) DOBWO 38 AHEC-Northeast (Jonesboro) JOPHC 39 Orthopaedic Surgery Orthopaedics AHEC-Pine Bluff AHEC-North Central (Batesville) PORTE BORTL 40 41 Orthopaedics AHEC-Northeast (Jonesboro) JORTD 42 Orthopaedics Orthopaedics AHEC-South Arkansas (El Dorado) AHEC-Southwest (Texarkana) EORTA TORTI 43 44 Sports Medicine AHEC-Southwest (Texarkana) TORTJ 45 ENT AHEC-North Central (Batesville) BENTJ 46 Otolaryngology Otolaryngology AHEC-Fort Smith AHEC-Pine Bluff SENTD PENTF 47 48 Oto-Rhino-Laryngology AHEC-Northeast (Jonesboro) JENTE 49 Topic: Ophthalmology Ophthalmology Topic: Topic: Topic: Orthopaedics Otolaryngology Pathology Pathology AHEC-Northeast (Jonesboro) JPATC 50 Pathology Pathology AHEC-Pine Bluff AHEC-Southwest (Texarkana) PPATD TPATE 51 52 AHEC-South Arkansas (El Dorado) EPEDE 53 AHEC-Northeast (Jonesboro) JRHAA 54 Psychiatry AHEC-Fort Smith SPSYB 55 Psychiatry AHEC-South Arkansas (El Dorado) EPSYA 56 Pulmonary AHEC-Fort Smith SPULA 57 Pulmonary Pulmonary Medicine AHEC-Northeast (Jonesboro) AHEC-Pine Bluff JPULF PPULB 58 59 Topic: Pediatrics Pediatrics Topic: Physical Med and Rehab Rehabilitation Medicine Topic: Topic: Psychiatry Pulmonary Title Topic: Location Code Page Radiology Radiation Oncology AHEC-Southwest (Texarkana) TRADL 60 Radiology AHEC-Fort Smith SRADC 61 Radiology Radiology AHEC-North Central (Batesville) AHEC-Northeast (Jonesboro) BRADM JRADD 62 63 Radiology AHEC-South Arkansas (El Dorado) ERADA 64 Topic: Renal Renal Medicine AHEC-Delta (West Memphis) DRENF 65 Renal Medicine Renal Medicine AHEC-Fort Smith AHEC-Northeast (Jonesboro) SRENA JRENE 66 67 Renal Medicine AHEC-Pine Bluff PRENC 68 Cardiovascular Surgery - AI AHEC-Fort Smith SSUGD 69 General Surgery General Surgery AHEC-Delta (Lake Village) AHEC-Delta (West Memphis) DSUAA DSURZ 70 71 General Surgery AHEC-Fort Smith SSUGF 72 General Surgery General Surgery AHEC-North Central (Batesville) AHEC-Northeast (Jonesboro) BSURA JSUGH 73 74 General Surgery AHEC-Pine Bluff PSUGI 75 General Surgery Plastic And Reconstruct Surg AHEC-South Arkansas (El Dorado) AHEC-Fort Smith ESUGA SSUGE 76 77 Thoracic Surgery AHEC-Fort Smith SSUGG 78 Urology AHEC-Fort Smith SURGE 79 Urology Urology AHEC-North Central (Batesville) AHEC-Northeast (Jonesboro) BURGJ JURGF 80 81 Urology AHEC-Pine Bluff PURGG 82 NW Arkansas Campus NCARB 83 NW Arkansas Campus NDERA 84 NW Arkansas Campus LNWCC 85 NW Arkansas Campus NPCHO 86 NW Arkansas Campus LNSPA 87 NW Arkansas Campus NOBGY 88 Topic: Topic: Surgery Urology M4-NW elective Topic: Cardiology Cardiology Topic: Dermatology Dermatology Topic: Family Medicine Senior Student Continuity Clinic Topic: Geriatrics Palliative Care/Hospice Topic: Medical Humanities Medical Spanish Topic: Obstetrics & Gynecology Obstetrics and Gynecology Title Topic: NW Arkansas Campus NORTB 90 NW Arkansas Campus NPATB 91 NW Arkansas Campus LNWPH 92 NW Arkansas Campus NPULA 93 NW Arkansas Campus NWRAD 94 NW Arkansas Campus NSURA 95 Radiology Radiology NW Topic: 89 Pulmonary Pulmonary Topic: NOPHA Pharmacology Primary Care Pharmacotherapy Topic: NW Arkansas Campus Pathology Pathology Topic: Page Orthopaedics Orthopaedics Topic: Code Ophthalmology Ophthalmology Topic: Location Surgery General Surgery M4-primary care selective Topic: Family Medicine Family Medicine Primary Care AHEC-Delta (Helena) DPCFM 96 Family Medicine Primary Care AHEC-Fort Smith SPCFM 97 Family Medicine Primary Care Family Medicine Primary Care AHEC-North Central (Batesville) AHEC-Northeast (Jonesboro) BPCFM JPCFM 98 99 Family Medicine Primary Care AHEC-Northwest (Fayetteville) FPCFM 100 Family Medicine Primary Care Family Medicine Primary Care AHEC-Pine Bluff AHEC-South Arkansas (El Dorado) PPCFM EPCFM 101 102 Family Medicine Primary Care AHEC-Southwest (Texarkana) TPCFM 103 Family Medicine Primary Care VARIABLE UPCFM 104 Internal Medicine Primary Care Internal Medicine Primary Care AHEC-Fort Smith AHEC-Northeast (Jonesboro) SPCMD JPCMD 105 106 Internal Medicine Primary Care AHEC-Southwest (Texarkana) TPCMD 107 Internal Medicine Primary Care UAMS and Associated Hospitals/Clinics UPCMD 108 Pediatric Primary Care Pediatric Primary Care AHEC-Fort Smith AHEC-North Central (Batesville) SPCPD BPCPD 109 110 Pediatric Primary Care AHEC-Northeast (Jonesboro) JPCPD 111 Pediatric Primary Care UAMS and Associated Hospitals/Clinics UPCPD 112 AHEC-Delta (Helena) DAIFM 113 Topic: Topic: Internal Medicine Pediatrics M4-required AI Topic: Family Medicine AI in Family Medicine Title Topic: Location Code Page Family Medicine AI in Family Medicine AHEC-Delta (Lake Village) DAIFL 114 AI in Family Medicine AHEC-Fort Smith SAIFM 115 AI in Family Medicine AI in Family Medicine AHEC-Northeast (Jonesboro) AHEC-Northwest (Fayetteville) JAIFM FAIFM 116 117 AI in Family Medicine AHEC-Pine Bluff PAIFM 118 AI in Family Medicine AI in Family Medicine AHEC-South Arkansas (El Dorado) AHEC-Southwest (Texarkana) EAIFM TAIFM 119 120 AI in Family Medicine UAMS and Associated Hospitals/Clinics UAIFM 121 AI in Internal Medicine AHEC-Fort Smith SAIMD 122 AI in Internal Medicine AI in Internal Medicine AHEC-North Central (Batesville) AHEC-Northeast (Jonesboro) BAIMD JAIMD 123 124 AI in Internal Medicine AHEC-Southwest (Texarkana) TAIMD 125 AI in Internal Medicine AI in Internal Medicine NW Arkansas Campus UAMS and Associated Hospitals/Clinics NAIMD UAIMD 126 127 UAMS and Associated Hospitals/Clinics UAIGY 128 AI in General Pediatrics AHEC-Fort Smith SAIPD 129 AI in General Pediatrics AHEC-Northeast (Jonesboro) JAIPD 130 AI in General Pediatrics AI in In-Patient Gen Pediatrics AHEC-South Arkansas (El Dorado) Arkansas Children's Hospital EAIPD UAIPD 131 132 Topic: Topic: Internal Medicine Obstetrics & Gynecology AI in Womens Primary Health Care Topic: Topic: Pediatrics Surgery Department Honors Prog in Surgery UAMS and Associated Hospitals/Clinics USHAI 133 Surgery AI UAMS and Associated Hospitals/Clinics UAISU 134 Geriatrics Senior Requirement UAMS and Associated Hospitals/Clinics UGERA 135 Required Geriatrics on NW Campus NW Arkansas Campus NGERI 136 UAMS and Associated Hospitals/Clinics ULAST 137 VARIABLE VARIABLE LABUB UABUC 138 139 Arkansas Children's Hospital UALLE 140 M4-required course Topic: Topic: Geriatrics N/A Resident Survival Week M4-UAMS elective Topic: Alcohol/Drug Alcohol and Drug Dependency Alcohol and Drug Dependency Topic: Allergy Pediatric Allergy/Immunology Topic: Anatomy Title Topic: Location Code Page Anatomy Gross Anatomy Preceptor UAMS and Associated Hospitals/Clinics LANAB 141 Regional Gross Anatomy UAMS and Associated Hospitals/Clinics LANAT 142 Topic: Anesthesiology Acute and Chronic Pain Management UAMS and Associated Hospitals/Clinics UANEG 143 Intro To Clinical Anesthesiology Pediatric Anesthesiology UAMS and Associated Hospitals/Clinics Arkansas Children's Hospital UANEE UANEP 144 145 UAMS and Associated Hospitals/Clinics LBIOC 146 Adult Cardiology UAMS and Associated Hospitals/Clinics UCARL 147 Pediatric Cardiology Arkansas Children's Hospital UCARI 148 Topic: Biochemistry Research In Biochemistry Topic: Topic: Cardiology Dermatology Dermatologic Surgery UAMS and Associated Hospitals/Clinics UDERH 149 Dermatology UAMS and Associated Hospitals/Clinics UDERC 150 Emergency Medical Services Emergency Medicine VARIABLE UAMS and Associated Hospitals/Clinics UEMGF UEMGD 151 152 Pediatric Emergency Medicine Arkansas Children's Hospital UEMGG 153 Topic: Topic: Emergency Medicine Endocrinology Clinical Endocrinology UAMS and Associated Hospitals/Clinics UEDOB 154 Endocrinology (Basic Science) Pediatric Endo And Metabolism UAMS and Associated Hospitals/Clinics Arkansas Children's Hospital LEDOE UEDOC 155 156 VARIABLE UFAMD 157 Topic: Family Medicine Private Family Practice Topic: Gastroenterology Gastroenterology Little Rock or North LR VA Hospital UGASF 158 Gastroenterology UAMS and Associated Hospitals/Clinics UGASE 159 Peds Gastroenterology/Nutrition Arkansas Children's Hospital UGASJ 160 UAMS and Associated Hospitals/Clinics Arkansas Children's Hospital UGENB UGENA 161 162 Topic: Genetics Adult Medical Genetics Pediatric Medical Genetics Topic: Hematology-Oncology Chronotherapy of Cancer UAMS and Associated Hospitals/Clinics LONCD 163 General Hematology/Oncology UAMS and Associated Hospitals/Clinics UHMOB 164 Hematology/Onc - Basic Research Pediatric Hematology/Oncology UAMS and Associated Hospitals/Clinics Arkansas Children's Hospital LHMOC UHMOD 165 166 UAMS and Associated Hospitals/Clinics UPATJ 167 Topic: Immunology Immunohematology (Blood Banking) Title Topic: Location Code Page Infectious Disease Infectious Disease UAMS and Associated Hospitals/Clinics UIFDA 168 Infectious Disease NWA NW Arkansas Campus NINFA 169 Pediatric Infectious Disease Arkansas Children's Hospital UIFDB 170 UAMS and Associated Hospitals/Clinics UAMS and Associated Hospitals/Clinics UANEJ USUGT 171 172 Complementary/Alternative Medicine UAMS and Associated Hospitals/Clinics UPSAK 173 Womens Primary Care UAMS and Associated Hospitals/Clinics UWPCA 174 Topic: Intensive Care Critical Care Medicine Surgical Intensive Care Topic: Topic: Internal Medicine Medical Humanities Biomedical Ethics UAMS and Associated Hospitals/Clinics LHUMA 175 Conversational Spanish Death and Dying UAMS and Associated Hospitals/Clinics UAMS and Associated Hospitals/Clinics LSPAN LGERA 176 177 Diseases from Antiquity to Now UAMS and Associated Hospitals/Clinics LHUMK 178 Law and Medicine Medical Anthropology UAMS and Associated Hospitals/Clinics VARIABLE LHUMF LHUML 179 180 Medicine In Literature UAMS and Associated Hospitals/Clinics LHUMB 181 Religion and Clinical Practice Religion and Medicine UAMS and Associated Hospitals/Clinics UAMS and Associated Hospitals/Clinics LHUMS LHUMR 182 183 LMICB 184 Topic: Microbiology & Immunology Research Microbiology & Immunology Topic: UAMS and Associated Hospitals/Clinics N/A Attending - ACH PULSE Center Arkansas Children's Hospital UCSCB 185 Attending-Clinical Skills Center UAMS and Associated Hospitals/Clinics UCSCA 186 ICM I Small Group Preceptor Medical Missions - Third World UAMS and Associated Hospitals/Clinics VARIABLE LPEDI LPEDM 187 188 Quality Improvement Elective VARIABLE UAFMC 189 AI In Neurology UAMS and Associated Hospitals/Clinics UNEUE 190 Child Neurology Neurophys of Voluntary Movement Arkansas Children's Hospital UAMS and Associated Hospitals/Clinics UNEUG LNEUD 191 192 Topics In Neurobiology UAMS and Associated Hospitals/Clinics LNEUC 193 UAMS and Associated Hospitals/Clinics UNSUG 194 Externship In Obstetrics UAMS and Associated Hospitals/Clinics UOBGE 195 Gynecology And Gyn Oncology Maternal-Fetal Med (High Risk Ob) UAMS and Associated Hospitals/Clinics UAMS and Associated Hospitals/Clinics UOBGG UOBGH 196 197 Outpatient Gynecology UAMS and Associated Hospitals/Clinics UOBGF 198 Reproductive Endo & Infertility UAMS and Associated Hospitals/Clinics UOBGK 199 Topic: Topic: Neurology Neurosurgery AI In Neurological Surgery Topic: Obstetrics & Gynecology Title Location Code Clinical Ophthalmology UAMS and Associated Hospitals/Clinics UOPHD Neuro-Ophthalmology UAMS and Associated Hospitals/Clinics UOPHE 201 Ophthalmology Research UAMS and Associated Hospitals/Clinics UOPHB 202 UAMS and Associated Hospitals/Clinics UORTG 203 UAMS and Associated Hospitals/Clinics UENTH 204 Clinical Dermatopathology Clinical Pathology UAMS and Associated Hospitals/Clinics UAMS and Associated Hospitals/Clinics UPATM UPATF 205 206 Dermatopathology research UAMS and Associated Hospitals/Clinics UPATO 207 Forensic Pathology Hematopathology Arkansas State Crime Lab UAMS and Associated Hospitals/Clinics UPATL UPATI 208 209 Surgical Pathology UAMS and Associated Hospitals/Clinics UPATH 210 Topic: Topic: Ophthalmology Otolaryngology Otolaryngology Topic: Topic: 200 Orthopaedics Orthopaedic Surgery Topic: Page Pathology Pediatrics Adolescent Medicine Arkansas Children's Hospital UADOL 211 Neonatology Pediatric Critical Care Medicine UAMS and Associated Hospitals/Clinics Arkansas Children's Hospital UPENO UPECC 212 213 Pediatric Sleep Medicine Arkansas Children's Hospital USLEP 214 Preceptorship In Pediatrics Transport Medicine VARIABLE Arkansas Children's Hospital UPEDC UPTRM 215 216 Arkansas Children's Hospital LPHAA 217 VARIABLE UHABA 218 UAMS and Associated Hospitals/Clinics LPHYI 219 Topic: Pharmacology Problems in Peds Pharmacology/Tox Topic: Physical Med and Rehab Physical Med and Rehabilitation Topic: Physiology Review Of Physiology Topic: Psychiatry Adolescent LongTerm Sex Offender Tx Arkansas State Hospital UPSAH 220 Child and Adolescent Psychiatry Arkansas Children's Hospital UPSYA 221 Dx and Rx of Psychotic Patient Dx and Tx of Adolescent Psych Pts. Arkansas State Hospital Arkansas State Hospital UPSYJ UPSAI 222 223 Emergency Room Psychiatry LRVA ER Little Rock VA Hospital UPSYP 224 Forensic Psychiatry Arkansas State Hospital UPSAJ 225 Mental Health Services Research UAMS and Associated Hospitals/Clinics UPSAD 226 Outpatient Psychiatry NLRVAH North LR VA Hospital UPSYG 227 Psychiatric Disorders in Seniors Psychiatry - Adult Inpatient UAMS and LR VA Hospital Little Rock or North LR VA Hospital UPSYZ UPSAB 228 229 Psychiatry in a Medical Setting Little Rock VA Hospital UPSYE 230 Psychiatry in a Medical Setting Substance Abuse and Mental Illness UAMS and Associated Hospitals/Clinics North LR VA Hospital UPSYD UPSAC 231 232 Title Location Code Page Substance abuse:detox to discharge Little Rock or North LR VA Hospital UPSYI 233 Treatment of Chronic Mental Illness Little Rock or North LR VA Hospital UPSAR 234 General Pulmonary (Consult) Little Rock or North LR VA Hospital UPULC 235 Ped Pulmonary Disease Pulmonary Consultation Arkansas Children's Hospital UAMS and Associated Hospitals/Clinics UPULE UPULD 236 237 UAMS and Associated Hospitals/Clinics UHMOE 238 Topic: Topic: Topic: Psychiatry Pulmonary Radiation Oncology Radiation Oncology Topic: Radiology Diagnostic Imaging UAMS and Associated Hospitals/Clinics URADH 239 Diagnostic Radiology UAMS and Associated Hospitals/Clinics URADJ 240 Nuclear Medicine PET Service Pediatric Radiology UAMS and Associated Hospitals/Clinics Arkansas Children's Hospital URADP URADI 241 242 Radiation Biology Research UAMS and Associated Hospitals/Clinics URADK 243 Vascular and Intervention Radiology UAMS and Associated Hospitals/Clinics URADN 244 Arkansas Children's Hospital UAMS and Associated Hospitals/Clinics UREND URENB 245 246 Little Rock or North LR VA Hospital URHUM 247 Topic: Renal Pediatric Nephrology Renal Medicine Topic: Rheumatology Rheumatology Topic: Surgery Cardio-Thoracic Surgery UAMS and Associated Hospitals/Clinics USURA 248 Emergency Surgical Trauma Service UAMS and Associated Hospitals/Clinics USUGN 249 Endoscopy; Colon & Rectal Surgery General Surgery & Surgical Oncology UAMS and Associated Hospitals/Clinics UAMS and Associated Hospitals/Clinics USUGC USUGV 250 251 Pediatric Cardiothoracic Surgery Arkansas Children's Hospital USUGW 252 Pediatric Surgery Plastic and Reconstructive Surgery Arkansas Children's Hospital UAMS and Associated Hospitals/Clinics USUGL USUPL 253 254 Private Surgery UAMS and Associated Hospitals/Clinics USUGQ 255 Surgical Oncology/Breast Service Surgical Research UAMS and Associated Hospitals/Clinics UAMS and Associated Hospitals/Clinics USRGB LSUGY 256 257 Total Care Of The Burned Patient Arkansas Children's Hospital USUGU 258 Vascular Surgery UAMS and Associated Hospitals/Clinics USRGV 259 UAMS and Associated Hospitals/Clinics UPHAC 260 UAMS and Associated Hospitals/Clinics UURGI 261 Topic: Toxicology Medical Toxicology Topic: Urology Urology Acting Internship COURSE: DIRECTOR: Dr. Tait Anesthesiology 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SANEA OBJECTIVES AND/OR GOALS: Management of the unconscious patient. This includes management of the airway, insuring alveolar ventilation, support of circulation, cardio-pulmonary resuscitation with selection of appropriate drugs and fluids. Preanesthetic evaluation of the patient scheduled for anesthesia is stressed. An anesthetic regiment is selected on the basis of the patient's physiologic problems and the expected effects of the anesthetic drugs. The interaction of the patient's routine daily medication with the proposed anesthetic regiment is considered. Under direct staff supervision, the student administers anesthesia. He is expected to become familiar with inhalation, intravenous, and spinal anesthesia. Postanesthetic follow-up of the anesthetized patient lets the student evaluate the overall effects of the anesthetics and uncover possible sequelae. The basis of ventilator therapy is taught. SPECIFIC DUTIES OF SENIOR STUDENTS: The students participate in care of patients in the operating room, recovery room, intensive care unit, and also on the wards making pre- and postanesthesia evaluation. The basic textbooks are: a. Introduction to Anesthesia by Dripps, Eckenhoff and Vandam. b. Regional Anesthesia by Moore. c. Essentials of Anesthesia Practice by Cullen and Larson. Conference schedule: The student will participate in the regularly scheduled AHEC Conferences. HOURS PER WEEK: Conference: Clinic: Ward: Lecture: Lab: Reading: 5 Library: Other: Page 1 O.R.: 45 Total: 50 COURSE: DIRECTOR: Drs. Young and * Anesthesiology 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JANEB OBJECTIVES AND/OR GOALS: To gain knowledge of the methods of anesthesia in most common use in the private general hospital; to gain knowledge and experience in pre-operative and post-operative evaluation to detect hazards and complications of anesthesia. * Drs.: Huggins, and Loiacano SPECIFIC DUTIES OF SENIOR STUDENTS: Students will make independent pre-operative evaluations and present to anesthesiologist. They will observe and assist in administration of anesthesia. Specific reading assignments will be made and review of assigned topics at weekly or more frequent intervals will be held. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. HOURS PER WEEK: Conference: Clinic: Ward: 5 Lecture: Lab: Reading: Library: Other: Page 2 O.R.: 35 Total: 40 COURSE: DIRECTOR: Cardiology Dr. L.R. Blue 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 686-5260 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Central Office (Searcy) COURSE#: CCARF OBJECTIVES AND/OR GOALS: To provide an elective learning experience in private practice and community hospital clinical cardiology. To provide experience with supervision in diagnosis and managment of cardiac problems with special emphasis on practical clinical cardiology, electrocardiography, and intensive care experience. SPECIFIC DUTIES OF SENIOR STUDENTS: Participants will have status of acting intern level responsibilities and will be expected to actively participate in design and development of diagnostic and therapeutic plans. Each student will work with a clinical faculty member who is engaged in private practice of cardiology, in basically a one-to-one learning-teaching situation. In addition, participants will do initial evaluation of in-hospital consultations, both in and out of the coronary care unit. They will do complete history and physical examinations on all hospital admissions and will see their patients for post-hospitalization visits in the office. Students will participate in ECG cardiac catheterization procedures, Holter monitoring, Pacemaker follow-up, and Echocardiography. For further information contact AHEC Central Office, UAMS, 686-5260. HOURS PER WEEK: Conference: 1 Ward: 20 Clinic: 20 Lecture: Lab: 4 Reading: 8 Library: Other: Page 3 O.R.: Total: 53 COURSE: DIRECTOR: Cardiology PHONE: MAIL SLOT: (870) 338-9100 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-Delta (West Memphis) COURSE#: Drs. Hall and Bennett Rudorfer DCARH OBJECTIVES AND/OR GOALS: To provide a learning experience in cardiology as seen in the hospital and office setting. Knowledge to be gained - basic core information as presented in coronary disease, valvular heart disease, cardiac arrhythmia, pericardial disease, and pharmacology of cardiac drugs. SPECIFIC DUTIES OF SENIOR STUDENTS: Perform history and physical exams, progress notes, etc. on hospital patients. Make daily rounds on hospital patients. Assist in diagnostic and treatment plans. Participate with attending physician in performing and/or interpreting of ECG's, treadmill studies, echocardiography, and cardiac catherization. Participate in attending's clinic practice. HOURS PER WEEK: Conference: 2 Ward: 21 Clinic: 15 Lecture: 0 Lab: 0 Reading: 2 Library: 0 Other: 0 Page 4 O.R.: 0 Total: 40 COURSE: DIRECTOR: Cardiology Drs. Manus and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SCARC OBJECTIVES AND/OR GOALS: Technical skills: Interpretation of electrocardiograms; observation of performance and interpretation of cardiac catheterization, vectorcardiography, phonocardiography, and angiography; proficiency in intensive care, monitoring, and telemetry. Knowledge to be gained: General clinical cardiology, management of myocardial infarction, interpretation in electrocardiography, approached to solving clinical problems in cardiology. * Drs.: Nolewajka, Waack, Mehl, Fleck, Fine, Foreman, Stites SPECIFIC DUTIES OF SENIOR STUDENTS: Clinical Cardiology: Daily attending rounds on cardiac care patients with student acting as initial consultant. Student and cardiologist on one to one basis. Daily AHEC Conferences. Heart Station: Daily reading of selected electrocardiograms: selected experience in vector and phonocardiography and other noninvasive techniques including exercise testing and echocardiography, all under the direction of cardiologist. HOURS PER WEEK: Conference: Clinic: 20 Ward: 20 Lecture: Lab: Reading: 10 Library: Other: Page 5 O.R.: Total: 50 COURSE: DIRECTOR: Cardiology Drs. White and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JCARK OBJECTIVES AND/OR GOALS: 1. Technical Skills - practical skills including ECG interpretation, recognition of basic echocardiogram, exercise electrocardiography, training in ausculatory skills, understanding of basic cardiac catherization data and cardiac radiology anatomy. 2. Knowledge to be gained - basic core information is presented in coronary disease, valvular heart disease, cardiac arrhythmia, pericardial disease, and pharmacology of cardiac drugs. * Drs.: White, D.V. Patel, Suresh Patel, Tagupa, Hill, Tedder, Bailey, Awar, Gilliam, and Isaacson SPECIFIC DUTIES OF SENIOR STUDENTS: Clinical experience involves two closely integrated areas: 1. Clinical cardiology - daily attending rounds with patients with cardiac problems with the student acting as the initial consultant. 2. CCU - intensive care experience of the acute cardiac with the student working closely as a member of the team. In addition, weekly conferences and tutorial teaching of electrocardiograms are regularly offered. There is experience in the clinic with out-patients. HOURS PER WEEK: Conference: 4 Ward: 30 Clinic: 12 Lecture: 1 Lab: Reading: 3 Library: 3 Other: Page 6 O.R.: Total: 53 COURSE: DIRECTOR: Cardiology Drs. Pearce and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PCARD OBJECTIVES AND/OR GOALS: To provide an elective learning experience in private and community hospital clinical cardiology. To provide experience with supervision in diagnosis and managment of cardiac problems with special emphasis on practical clinical cardiology, electrocardiography, and intensive care experience. * Drs. Pearce, Dharamsey, Alshami, and Mahmood SPECIFIC DUTIES OF SENIOR STUDENTS: Participants will have status of acting intern level responsibilities and will be expected to actively participate in design and development of diagnostic and therapeutic plans. Each student will work with a clinical faculty member who is engaged in private practice of cardiology, in basically a one-to-one learning-teaching situation. In addition, participants will do initial evaluation of in-hospital consultations, both in and out of the coronary care unit. They will do complete history and physical examination on all hospital admissions and will see their patients for post-hospitalization visits in the office. Students will participate in ECG interpretation on a daily basis and gain experience in exercise stress testing and cardiac catheterization procedures. HOURS PER WEEK: Conference: 5 Ward: 40 Clinic: 10 Lecture: 2 Lab: Reading: Library: Other: Page 7 O.R.: Total: 57 COURSE: DIRECTOR: Private Interventional Cardiology PHONE: MAIL SLOT: (870) 793-7519 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-North Central (Batesville) COURSE#: Drs. Van Grouw and Garrett Sanford BCARM OBJECTIVES AND/OR GOALS: 1. Technical skills - practical skills including ECG interpretation, auscultation, and bedside evaluation of patients with heart disease. 2. Knowledge to be gained - basic core information is presented in coronary disease, valvular heart disease, cardiac arrhythmia, pericardial disease, and pharmacology of cardiac drugs. 3. Interpretation of arterial dopplers, arterial segmental pressures, stress testing, Holter and Reveal monitors, Pacemaker evaluations, Echocardiograms, stress echo, AFRO and Renal and intervention, Nuclear med scans with cardiolyte, adenoscan and dobutamine. 4. Cardiac caths and interventions, Pacemaker implantation, single, dual chamber, temp, biventricular and ICD. 5. External Counter Pulsation therapy * Qaisar Khan, MD, and Garrett Sanford SPECIFIC DUTIES OF SENIOR STUDENTS: Clinical experience involves two closely integrated areas: 1. Clinical cardiology - daily consultation rounds with patients evaluated for and with cardiac problems with the student acting as the initial consultant. 2. Intrepretation of routine electrocardiograms. In addition, weekly conferences and tutorial teaching of electrocardiograms are regularly offered. HOURS PER WEEK: Conference: 4 Ward: 30 Clinic: 3 Lecture: 1 Lab: 0 Reading: 3 Library: 3 Other: 0 Page 8 O.R.: 0 Total: 44 COURSE: DIRECTOR: Emergency Medicine Drs. Johnson and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SEMGA OBJECTIVES AND/OR GOALS: Technical Skills to be Learned: Resuscitation Suturing of lacerations Factual Knowledge to be Gained: How to assess a patient's clinical condition rapidly by applying pathophysiological principles. How to stabilize abnormal metabolic states (shock). How to triage and refer patients for more definitive care on a timed priority basis. How to provide episodic ambulatory care to a general population with medical, orthopaedic, surgical and gynecological problems. This elective is available in scheduled four week blocks only. * Drs. Greene, Bell, Horan, Horan, Anderson, Johnson, Weddle, Fraser, and Newcity SPECIFIC DUTIES OF SENIOR STUDENTS: Daily Activities: The student will see the patients in primary contact and then review the case with the staff physician. Students will be precepted by board certified emergency medicine physicians listed above. Students are exposed to, and trained in, traumatic and medical emergencies. Didactic training in wound repair, overdose management, and multiple trauma are an intregral part of the rotation. Students will attend clinical conferences at Fort Smith AHEC daily. One presentation by the student at these conferences per 4-week block is required. Each rotation will require a minimum number of shifts, which will include nights and weekends. All Emergency Medicine rotations are standardized for work hours and rotation schedules to provide a full experience. HOURS PER WEEK: Conference: 5 Ward: Clinic: 42 Lecture: Lab: Reading: Library: Other: Page 9 O.R.: Total: 47 COURSE: DIRECTOR: Emergency Medicine Dr. McComb 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-9603 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JEMGB OBJECTIVES AND/OR GOALS: Students will learn the principles of early recognition and stabilization of acute, life-threatening emergent medical-surgical problems and will actively participate in these activities as the opportunity presents. Because of the broad mix of patients in the emergency department, students will have the opportunity to see the full spectrum of episodic medical and surgical complaints. Students should develop their skills in collecting medical history and performing a physical examination pertinent to the presenting complaint. They will have the opportunity to formulate plans and initiate managment of a wide range of urgent and emergent problems. The students will be precepted by board qualified Emergency Physicians. Each rotation will require a minimum number of shifts, which will include nights and weekends. All Emergency medicine rotations are standardized for work hours and rotating schedule to provide a full experience. * the Emergency Physicians Group (Dr. McComb) This elective is available in scheduled four week blocks only. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will see patients in the emergency department as the primary encountered physician and interact directly with attending physicians in patient evaluation and treatment. Didactic material in selected emergency topics is presented weekly. Students attend clnical conferences and didactic sessions which are held weekly. Grade is based on faculty assessment of clinical performance and interaction at conferences. Didactic sessions include: wound repair, toxic/overdose management, multiple trauma management, and Introduction to Emergency Medical Systems. HOURS PER WEEK: Conference: 5 Ward: Clinic: 42 Lecture: Lab: Reading: Library: Other: Page 10 O.R.: Total: 47 COURSE: DIRECTOR: Emergency Medicine Dr. J. Skowronski 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (870) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PEMGC OBJECTIVES AND/OR GOALS: To improve skills, knowledge, and techniques involved in all aspects of emergency medical care as it presents in a community hospital emergency department. Emphasis will be placed on teaching accurate assessment and management of critically ill patients as well as proper and efficient management of less severe medical and traumatic emergencies. Students will gain experience in the proper function and organization of emergency medical service as it relates to other hospital services, emergency medical systems, and other community health and health-related facilities. This elective is available in scheduled four-week blocks only. SPECIFIC DUTIES OF SENIOR STUDENTS: Specific responsibilities will be individualized depending on the student's interests and level of ability. Student physicians will be expected to work out the on duty schedule with the principal supervising emergency physician (Dr. John Skowronski). Students will be expected to attend most of the AHEC routine conferences each week. Each rotation will require a minimum number of shifts, which will include nights and weekends. All Emergency Medicine rotations are standardized for work hours and rotation schedule to provide a full experience. HOURS PER WEEK: Conference: 5 Ward: Clinic: 42 Lecture: 2 Lab: Reading: Library: Other: Page 11 O.R.: Total: 49 COURSE: DIRECTOR: Emergency Medicine PHONE: MAIL SLOT: (870) 881-4426 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: Dr. Mark Dixon EEMGJ OBJECTIVES AND/OR GOALS: To improve skills, knowledge, and techniques involved in all aspects of emergency medical care as it presents in a community hospital emergency department. Emphasis will be placed on teaching accurate assessment and management of critically ill patients as well as proper and efficient management of less severe medical and traumatic emergencies. Students will gain experience in the proper function and organization of emergency medical systems as it relates to other hospital services, emergency medical systems, and other community health and health-related facilities. SPECIFIC DUTIES OF SENIOR STUDENTS: Specific responsibilities will be individualized depending on the student’s interests and level of ability. Student physicians will be expected to work out an “on duty” schedule with the principal supervising emergency physician and preceptor, Dr. Mark Dixon. Students will be expected to attend most of the AHEC routine conferences each week. Each rotation will require a minimum number of shifts, which will include nights and weekends. All Emergency Medicine rotations are standardized for work hours and rotation schedule to provide a full experience. HOURS PER WEEK: Conference: 5 Ward: 0 Clinic: 42 Lecture: 2 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 12 O.R.: 0 Total: 49 COURSE: DIRECTOR: Emergency Medicine Drs. Matt Young and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 779-6016 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Southwest (Texarkana) COURSE#: TEMGE OBJECTIVES AND/OR GOALS: 1. To provide students with an understanding of the wide range of conditions seen in the Emergency Departments of community hospitals. 2. To teach students to recognize life threatening situations and how: a. To stabilize b. To triage c. To refer 3. To teach students how to provide treatment for the large number of patients who need ambulatory care. (*) Drs. Jacobsen, Weber, and Wade SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Students will be precepted by board certified emergency physicians listed above. 2. The students will be required to make a survey of current literature related to the patients seen. Didactic training in wound repair, overdose management, multiple trauma, and emergency medical systems are an intregral part of the rotation. 3. Each rotation will require a minimum number of shifts, which will include nights and weekends. All rotations are standardized for work hours and rotating schedule to provide a full experience. 4. This elective is available in scheduled four week blocks only. 5. The student will be required to attend the following conferences: Residency Noon Conference, Tumor Board. HOURS PER WEEK: Conference: 5 Ward: Clinic: 42 Lecture: Lab: Reading: Library: Other: Page 13 O.R.: Total: 47 COURSE: DIRECTOR: College Health/Student Health Ctr. Dr. Huda Sharaf 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 521-0263 AHEC MIN STUDENTS: AVAILABLE: Blocks 3,4,5,8,9 LOCATION: AHEC-Northwest (Fayetteville) COURSE#: FADMD OBJECTIVES AND/OR GOALS: THIS ELECTIVE CANNOT BE SCHEDULED IN THE INITIAL COMPUTER RUN - IT WILL HAVE TO BE ADDED WITH A DROP/ADD FORM - ONLY ONE STUDENT WILL BE ACCEPTED PER SEMESTER This is a unique offering, in that one can get a general practice experience on a group of young adults with their unique problems and needs. This experience should be further enriched by the presence of the health educator as a full-fledged member of the health care team - an experience not usually available to the student nor even to the medical practitioner. Goals: To gain competence in diagnosis and management of the health and medical concerns of the college student. To become more aware of the team (holistic) approach in dealing with the college student's health needs as offered by a medical team within the center composed of physicians, nurses, mental health professionals and health educators. To appreciate the relationship of the college health physicians with other community health resources. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will be assigned to the Student Health Center at the University of Arkansas campus. The student will observe, assist and participate in all of the medical activities of the medical staff. This will include seeing patients in the out-patient clinic. The student will actively participate in the mental health activities of the Center including diagnostic, counseling and therapy sessions. The student will work with the professional health educator in various health promotional and individual and group health counseling activities. HOURS PER WEEK: Conference: 5 Ward: Clinic: 36 Lecture: Lab: Reading: Library: 4 Other: Page 14 O.R.: Total: 45 COURSE: DIRECTOR: Family Medicine Elective Drs. Joanna Thomas and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 521-0263 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northwest (Fayetteville) COURSE#: FFAMK OBJECTIVES AND/OR GOALS: Gain knowledge and skills in diagnosis and management of health problems in a family medicine practice. a. Care of varied patient population and varied health problems both in the office and in the hospital setting. b. To learn the relationship of the family physician to other members of the health care team: specialist physicians, secondary and tertiary care facilities, and allied health professionals (nurses, physical therapy, respiratory therapy, dietician, social worker, etc.) c. To learn the relationship of the family physician to patient and to patient's family. d. To see that good primary care can be delivered by family physicians including preventive medicine and public health issues. e. To improve skills in record keeping, doctor/patient relations, and communications. To aid in establishing realistic educational and practice goals. To aid in developing good continuing education habits. To gain exposure to organized medicine. To see the relationship of the family physician to the hospital, to his/her own family, and to his/her community. To gain exposure to the financial aspects of family practice. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will be assigned to the AHEC Family Medicine Centers/hospitals/specialty clinics. Expected duties may include: 1. See patients in the clinic including preparation of a S.O.A.P. record in the chart, assist in the assessment and management process. 2. Hospital, if available 3. Assist in diagnostic and treatment plans, orders, etc. 4. Assist in surgery and clinics. 5. To attend committee meetings and teaching conferences as requested. 6. To study appropriate library and audiovisual materials as requested. *Drs. Martin, Proffitt, McGhee, M. Thomas, Brimberry, Vo, Alberty and Gray HOURS PER WEEK: Conference: 4 Ward: Clinic: 36 Lecture: Lab: Reading: Library: Other: Page 15 O.R.: Total: 40 COURSE: DIRECTOR: Family Medicine Rural Elective Drs. Price and (*) 4 weeks DURATION: MAX STUDENTS: 9 PHONE: MAIL SLOT: (479) 785-2431 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SFAMN OBJECTIVES AND/OR GOALS: To provide an educational experience in the setting of a private practitioner in a rural area. The opportunity to participate in the continuing care of patients as family units, both ambulatory and inpatient. To aid the student in recognition of the family physician's role in the management of the family unit. To gain experience working within a health care team, including physician assistants, nurse practitioners and social workers. To gain insight into one's own perceptions of himself/herself as a physician. To clarify educational and professional goals. (*) This elective is shown as taking place at the Fort Smith AHEC. However, the rotations will actually be with rural practice physicians at the following sites: Ozark, Paris, Clarksville, Atkins, Alma, Booneville, Mena, and Greenwood. The Maximum number of students is actually one per practice site (town). Before you sign up for this rotation, even in the initial elective request, you should check with the central AHEC office and make sure the town you want is open. Housing may be provided at the AHEC if the rotation site is within driving distance. SPECIFIC DUTIES OF SENIOR STUDENTS: To participate as indicated as physician of first contact, initiate work-up, organize therapeutic approach, and collaborate in the above with the private practitioner and paramedical personnel. The preceptor should provide the opportunity for the aforementioned contacts and the supervision and consultation required by the students. The student will attend scheduled conferences at AHEC Fort Smith as feasible. Evaluation: 1. Regular evaluation and feedback sessions will be scheduled with the student to share faculty perceptions and areas of weakness, strength and strategies for growth and for the student to provide feedback to the faculty. 2. A summary evaluation will be provided to each student and required of the student at the end of the elective. HOURS PER WEEK: Conference: Ward: 10 Clinic: 32 Lecture: Lab: Reading: 6 Library: Other: Page 16 O.R.: Total: 48 COURSE: DIRECTOR: Family Medicine/Rural Elective PHONE: MAIL SLOT: (870) 265-9291 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Delta (Lake Village) COURSE#: Dr. Becky Hall and (*) DFMAA OBJECTIVES AND/OR GOALS: To provide an educational experience in the setting of a private practitioner in a rural area. The opportunity to participate in the continuing care of patients as family units both ambulatory and inpatient. To aid the student in recognition of the family physician's role in the management of the family unit. To gain experience working within a heath care team, including physician assistants, nurse practitioners and social workers. To gain insight into one's own perceptions of himself/herself as a physician. To clarify educational and professional goals. (*) James Wright, D.O. SPECIFIC DUTIES OF SENIOR STUDENTS: To participate as indicated as physician of first contact, initiate work-up organize therapeutic approach, and collaborate in the above with the private practitioner and paramedical personnel. The preceptor will provide the opportunity for the aforementioned contacts and the supervision and consultation required by the students. HOURS PER WEEK: Conference: 1 Ward: 5 Clinic: 32 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 2 Page 17 O.R.: 0 Total: 40 COURSE: DIRECTOR: Family Practice Rural Rotation M. Garrett-Shaver, M.D. and (*) 4 weeks DURATION: MAX STUDENTS: 6 PHONE: MAIL SLOT: (870) 862-2489 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: EFAPG OBJECTIVES AND/OR GOALS: To provide a comprehensive introduction to Family Medicine in the rural setting. The student will develop expertise in comprehensive patient/family health care management, as well as all aspects of preventive medicine. (*) This elective is shown as taking place at the El Dorado AHEC. However, it will actually take place at the following locations with the following physicians: Hampton - Joseph Sarnicki, D.O. Hampton - Robert Floss, M.D. Camden - Bill Dedman, M.D. Camden - Larry Braden, M.D. Magnolia - John E. Alexander, Jr., M.D. Warren - Ken Purvis, M.D. The maximum number of students is actually one student per physician. Before signing up for this rotation, even in the initial elective request, you should check with the central AHEC office and be sure the town you want is open. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will learn to perform history and physicals, discharge summaries, and formulate a diagnosis and treatment plan with the attending physician. Didactic conferences and library resources are available through the AHEC South Arkansas. Time will be available for independent study. (NOTE: Housing is available upon request) HOURS PER WEEK: Conference: 1 Ward: 8 Clinic: 25 Lecture: Lab: Reading: Library: 3 Other: Page 18 O.R.: 5 Total: 42 COURSE: DIRECTOR: Operational Medicine PHONE: MAIL SLOT: (479) 424-3175 599 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 0 Block 8 AVAILABLE: LOCATION: AHEC-Fort Smith COURSE#: Bryan Clardy, M.D. SFMWD OBJECTIVES AND/OR GOALS: Operational Medicine is a broad category that includes a multitude of topics from other disciplines. This includes infectious disease, parisitology, sports medicine, emergency medicine, environmental medicine, and most importantly pre-hospital patient care to include field treatment, stabilization, and evacuation issues. Specific topics to be addressed include the following: Hypothermia, Frost bite, Drowning/near drowning, Lightening strikes, Heat stroke/heat exhaustion, Tick borne diseases, Animal bites and attacks, Search and rescue, Pre-hospital care, Stabilization of the injured patient in the field, Expedition medical kits, High altitude medicine, Dive medicine, hyperbaric medicine as related to the above, Care and treatment of burns, Snake bite hospital and field treatment, Map and compass techniques, Rope work, Injuries in outdoor sports, Skiing, Boating accidents, Hunting accidents, Marathons/road races, Adventure racing. Recommended reading: "into Thin Air", Into the Wild" by John Krakauer, "The search for Haley" and "Arkansas Hiking Trails" by Tim Ernst, Text: "Wilderness Medicine 4th ed." by Paul Aurbach, M.D. SPECIFIC DUTIES OF SENIOR STUDENTS: Activities will include lecture, hands-on workshops, ride alongs with EMS and forest rangers, and field trips/overnight at Mount Magazine. HOURS PER WEEK: Conference: 0 Ward: 0 Clinic: 0 Lecture: 4 Lab: 0 Reading: 4 Library: 0 Other: 32 Page 19 O.R.: 0 Total: 40 COURSE: DIRECTOR: Rural Family Practice Dr. Scott Laffoon 4 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (870) 972-9603 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JFAMV OBJECTIVES AND/OR GOALS: 1. To gain knowledge of and skill in dealing with the health problems freqently encountered by the family physician. 2. To gain insight into the role of the family physician in the management of the family unit. 3. To learn the relationship of the family physician to other members of the health care team. 4. To gain experience and knowledge of the interface between Family Medicine and secondary and tertiary health care (referrals, consultations, etc.) 5. To gain knowledge and skill in dealing with community resources. 6. To acquire knowledge of the business, the personnel, and practice management aspects of a family practice. 7. To clarify educational and professional goals. 8. To observe the practice of Family Medicine in a small rural community. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. The student will observe and participate in all phases of the designated physician's private practice (clinic, hospital, nursing home, etc.) 2. The student will be responsible for reviewing the literature pertinent to the cases encountered. 3. The student will receive on-going and end-of-course evaluations from his/her private practice preceptor(s). This elective is listed as taking place at the Jonesboro AHEC. However, it will actually take place at the following sites: Trumann, Paragould, Blytheville, Harrisburg, or Pocahontas. The maximum number of students is actually one per area. Before signing up for this elective, even in the initial elective request, check with the AHEC central office to be sure the exact site you want is open. HOURS PER WEEK: Conference: Clinic: 40 Ward: Lecture: Lab: Reading: Library: Other: Page 20 O.R.: Total: 40 Various Physicians (see below) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-North Central (Batesville) COURSE#: BFAMA COURSE: DIRECTOR: Rural Primary Care Family Medicine OBJECTIVES AND/OR GOALS: This course can be taken at any of the primary care sites listed below and is an elective and not a primary care selective. It is designed to accomplish the goals and objectives as listed below: 1. Students should gain knowledge and skills in diagnosis and management of common health problems as encountered in a family medicine practice. 2. Students should learn the relationships of the family physician to other members of the health care team. 3. Students should learn how to recognize, utilize and apply principles of preventive medicine and community health in a family practice. 4. Students should learn or improve skills in communication, doctor/patient relationships, record keeping and practice management, including financial management. 5. Students should improve skills in diagnostic and therapeutic procedures as may be encountered in a family practice. *** THE STUDENT MUST ARRANGE HIS/HER OWN HOUSING. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will observe and participate in all activities within the private practice of the selected physician or group: in the office, hospital, nursing home, ER, and on house calls. Specific duties will be arranged by the student with the assigned physician and could include seeing patients in all of the locations above, developing diagnostic and management plans, record keeping, assisting in surgery or OB, etc. Students should participate with the physician in hospital staff and committee meetings and county medical society activities as the occasions arise. Mountain Home: Drs. Burnett, Paden, Bufford and Warr (Contact Donna Burnett 870-425-3030) Mountain Home: Drs. Adkins, Hodges, White, Gaston, and Wilbanks (Contact Joann Greenlee 870-425-3131) The maximum number of students is actually one per practice site. Before signing up for this rotation, even in the initial elective request, check with AHEC central (686-5260) to be sure the practice site you want is open. HOURS PER WEEK: Conference: Clinic: 40 Ward: 5 Lecture: Lab: Reading: 3 Library: 2 Other: Page 21 O.R.: Total: 50 COURSE: DIRECTOR: Rural Primary Care Family Medicine Dr. Joanna Thomas 4 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (479) 521-0263 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northwest (Fayetteville) COURSE#: FFAMA OBJECTIVES AND/OR GOALS: This course can be taken at any of the primary care sites listed below and is an elective and not a primary care selective. It is designed to accomplish the goals and objectives as listed below: 1. Students should gain knowledge and skills in diagnosis and management of common health problems as encountered in a family medicine practice. 2. Students should learn the relationships of the family physician to other members of the health care team. 3. Students should learn how to recognize, utilize and apply principles of preventive medicine and community health in a family practice. 4. Students should learn or improve skills in communication, doctor/patient relationships, record keeping and practice management, including financial management. 5. Students should improve skills in diagnostic and therapeutic procedures as may be encountered in a family practice. *** THE STUDENT MUST ARRANGE HIS/HER OWN HOUSING FOR ALL SITES. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will observe and participate in all activities within the private practice of the selected physician or group: in the office, hospital, nursing home, ER, and on house calls. Specific duties will be arranged by the student with the assigned physician and could include seeing patients in all of the locations above, developing diagnostic and management plans, record keeping, assisting in surgery or OB, etc. Students should participate with the physician in hospital staff and committee meetings and county medical society activities as the occasions arise. Calico Rock: Drs. A. Grasse, R. Lane, and D. Wright Eureka Springs: Drs. G. Kresse and D. Bell Farmington: Drs. Jamal Abdin and Laura Hardin Gentry: Dr. John Caswell Gravette: Dr. Nancy Jones Harrison: Drs. Tom Langston, Cathy Clary, and Kevin Jackson Huntsville: Drs. Embry, Barrett and Sprankell Lincoln: Drs. Ben Hall and S. Ferguson The maximum number of students is actually one per practice site. Before signing up for this rotation, even in the initial elective request, check with AHEC central to be sure the practice site you want is open. HOURS PER WEEK: Conference: Ward: 5 Clinic: 40 Lecture: Lab: Reading: 3 Library: 2 Other: Page 22 O.R.: Total: 50 COURSE: DIRECTOR: Rural Primary Care Medicine H.M. Attwood, M.D. 4 weeks DURATION: MAX STUDENTS: 9 PHONE: MAIL SLOT: (870) 541-7611 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PFAMX OBJECTIVES AND/OR GOALS: Goals and Objectives: 1. Students should gain knowledge and skills in diagnosis and management of common health problems as encountered in a family medicine practice while experiencing the benefits and satisfaction continuity of care provides. 2. Students should learn the relationships of the family physician to other members of the health care team. 3. Students should learn how to recognize, utilize and apply principles of preventive medicine and community health in a family practice. 4. Students should learn or improve skills in communication, doctor/patient relationships, record keeping and practice management including financial management. 5. Students should improve skills in diagnostic and therapeutic procedures as may be encountered in a family practice. 6. Knowledge will be gained in the role of the family practice physician in the hospital and the civic/social functions of the community. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will observe and participate in all activities within the private practice of the selected physician or group: in the office, hospital, nursing home, ER and house calls. Specific duties will be arranged by the student with the assigned physician and could include seeing patients in all of the locations above, developing diagnostic and management plans, record keeping, assisting in surgery or OB, etc. Students should participate with the physician in hospital staff and committee meetings and county medical society activities as the occasions arise. Students will be expected to do self-study activities related to cases or diseases encountered. Evaluation forms relating to the elective experience, as well as to the physician/teacher, will be completed by the participants. (Housing will be provided for the student). This elective is shown as taking place at the Pine Bluff AHEC. However, the rotations will actually be in the following towns: DeWitt, England, Monticello, McGehee, Rison, Altheimer, and Stuttgart. The maximum number of students is actually one per practice location (town). Before signing up for this rotation, even in the initial elective request, you should check with AHEC central and make sure the town you want is open. HOURS PER WEEK: Conference: Clinic: 40 Ward: 5 Lecture: Lab: Reading: 2 Library: 3 Other: Page 23 O.R.: Total: 50 COURSE: DIRECTOR: Gastroenterology Drs. Hightower and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JGASH OBJECTIVES AND/OR GOALS: 1. Actual knowledge to be gained: Acquisition of factual knowledge concerning principles of diagnosis disorders as well as unusual GI problems. Emphasis is placed on pathogenesis and pathophysiology of digestive diseases. 2. Medical students should learn the indications for and the limitations of diagnostic endoscopic studies and other gastrointestinal tests that are available. * Drs.: Hightower, Garner, Sifford, Stockdale, and Stidman SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. Ward rounds and evaluations of outpatients daily. Participation in the conferences. Diagnostic and therapeutic procedures on patients are performed both on a scheduled and emergency basis. The students are expected to participate in the performance of these procedures. The expected patient load is 20 patients per week on the consultant service. HOURS PER WEEK: Conference: 5 Ward: 10 Clinic: 15 Lecture: 2 Lab: 20 Reading: 10 Library: 10 Other: Page 24 O.R.: Total: 72 COURSE: DIRECTOR: General Hematology and Oncology Drs. Nixon and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JHMOF OBJECTIVES AND/OR GOALS: 1. To develop a broad ranged knowledge of common clinical problems. Instruction will center around patient contact and management. 2. Instruction in the interpretation of normal and abnormal blood and bone marrow morphology. 3. Performance of bone marrow aspirates and biopsies. * Drs. Nixon, Blachly, Monte, and Scroggins SPECIFIC DUTIES OF SENIOR STUDENTS: Daily ward rounds on the patients. Attend an outpatient clinic five times weekly. The senior student will initially evaluate consultations and present them to the faculty for discussion. Attend conferences and seminars. HOURS PER WEEK: Conference: 4 Ward: 20 Clinic: 25 Lecture: 2 Lab: Reading: 2 Library: 2 Other: Page 25 O.R.: Total: 55 COURSE: DIRECTOR: General Oncology Drs. Atiq and Malik 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PHMOG OBJECTIVES AND/OR GOALS: 1. To develop a broad range of knowledge of common clinical problems encountered in hematology and oncology 2. Instruction in bone marrow biopsies 3. Instruction in the analysis of normal and abnormal blood and bone marrow morphology SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. Daily rounds on hospitalized patients Attend an outpatient clinic five times per week Initial evaluation and work up for consultations to be presented to attending faculty Attend conferences and seminars Assist in ongoing research HOURS PER WEEK: Conference: 5 Ward: 20 Clinic: 20 Lecture: 2 Lab: 1 Reading: 5 Library: 2 Other: Page 26 O.R.: Total: 55 COURSE: DIRECTOR: Hematology And Oncology Drs. Wells and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SHMOA OBJECTIVES AND/OR GOALS: Proficiency in acquisition and interpretation of clinical information, and formulation of plans for management of common problems. Observation of the performance of certain diagnostic procedures (e.g. bone marrow aspiration). Instruction and experience in interpretation of the morphology of blood and marrow and in the use of other less commonly used hematological tests. Interpretation of relevant hematological procedures done by nuclear medicine laboratory. * Drs. Flippin and Fleck SPECIFIC DUTIES OF SENIOR STUDENTS: Ward rounds on hematology patients daily; initial evaluation and formulation of hematology consultations. Work up patients admitted to service of student's preceptor. Daily AHEC conferences. HOURS PER WEEK: Conference: 1 Ward: 20 Clinic: 20 Lecture: Lab: Reading: 10 Library: Other: Page 27 O.R.: Total: 51 COURSE: DIRECTOR: Internal Medicine Drs. Fincher and Covey 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 686-5260 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Central Office (Searcy) COURSE#: CINMB OBJECTIVES AND/OR GOALS: To develop a diagnostic and therapeutic approach to the adult patient with common medical problems; to include establishment of a defined database, assessment and management and concept of health care maintenance for adults. Major emphasis will be on clinical problem-solving for adult patients. To understand the concept of health care teams including physicians, nurse practitioners, clinical pharmacists, social workers and nutritionists; and the function of such teams in provision of primary care. To develop the knowledge and skills necessary for the management of patients with chronic diseases, and patients with multiple and often interdependent problems. This management will include concepts of patient education and patient compliance and utilization of resources of the community to maintain or return the patient to his desired level of function. SPECIFIC DUTIES OF SENIOR STUDENTS: The senior student will evaluate new patients as assigned by local physician-preceptor. These work-ups involve a complete history and physical examination, an assessment of the findings and formulation of a plan for diagnosis and management. The student will provide follow-up care for these patients over the four-week period, in coordination with other members of the team. The student is to be responsible for medical literature pertinent to the total care of his patients. The student will participate in the didactic portion of a core curriculum and participate in appropriate conferences. The student will document and review his experience with the assigned preceptor. For further information contact AHEC Central Office, UAMS, extension 5260. HOURS PER WEEK: Conference: 1 Ward: 15 Clinic: 25 Lecture: Lab: Reading: 8 Library: Other: Page 28 O.R.: Total: 49 PHONE: MAIL SLOT: 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-North Central (Batesville) COURSE#: COURSE: DIRECTOR: Internal Medicine Drs. Neaville or Walton BINMI OBJECTIVES AND/OR GOALS: To gain knowledge of, and skill in dealing with, the health problems frequently encountered by the internist practicing primary care. To gain insight into the role of the internist in the management of complicated patients with multisystem disease. To learn the relationship of the internist to other members of the health care team. To gain knowledge and skill in dealing with community resources such as home health and home I.V. services. To acquire knowledge of the business, the personnel, and practice management aspects of a private practice internal medicine office. To clarify educational and professional goals. To observe the practice of internal medicine in a community hospital. To understand the role of the internist in surgical consultation. Gain understanding of the evaluation of chest pain and other common medical presentations. Phones: Dr. Neaville - 870-698-1635 and Dr. Walton - 870-793-2223 SPECIFIC DUTIES OF SENIOR STUDENTS: The student will observe and participate in all phases of the designated physician's private practice, including clinic and hospital work. The student will be responsible for reviewing the literature pertinent to the cases encountered as directed by the physician preceptor. The student will receive ongoing and end-of-course evaluations from his/her private practice preceptor. Students will attend conferences as scheduled. HOURS PER WEEK: Conference: 2 Ward: 12 Clinic: 26 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 29 O.R.: 0 Total: 40 COURSE: DIRECTOR: Neurology PHONE: MAIL SLOT: (870) 793-5200 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-North Central (Batesville) COURSE#: Dr. Ikram Khan OBJECTIVES AND/OR GOALS: 1. Localization of CNE/PNS lesions 2. Proper neurological examination 3. Anatomic/Clinical correlations SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Basic neuro exam 2. UMNL vs. LMNL 3. Neuro-anatomical localization HOURS PER WEEK: Conference: 0 Ward: 0 Clinic: 0 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 30 O.R.: 0 Total: BNEUD COURSE: DIRECTOR: Neurology Drs. Chan and South 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JNEUB OBJECTIVES AND/OR GOALS: 1. Technical Skills to be Learned: a. Neurological examination 2. Factual knowledge to be gained: a. Ability to interpret symptoms and signs related to the nervous system and muscle. b. Ability to diagnose diseases of the nervous sytem and muscle to the point of major categories such as cerebral vascular disease, intracranial tumor, etc. and some specific diseases. c. Ability to know when to seek additional neurological consultation and specialized neurological testing. d. Ability to diagnose and treat common neurological conditions. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Reading assignments: Textbook and recent literature reading relative to the acting intern's patients. 2. Expected patient load: Two to five inpatients per week, six to twelve outpatients per week. On the inpatient service, the student cares for his patients under the supervision of the teaching faculty. In the clinic, the student cares for his patients with consultation of a member of the faculty. 3. Weekly schedule and daily activities: The student is expected to make daily rounds with the staff. The student is also expected to participate in scheduled conferences. HOURS PER WEEK: Conference: 4 Ward: 20 Clinic: 30 Lecture: Lab: Reading: Library: Other: Page 31 O.R.: Total: 54 COURSE: DIRECTOR: Neurosurgery Drs. Tonyman and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JNSUA OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions encountered in private practice of Neurosurgery. * Drs.: Barrett-Tuck, and Ricca SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office hours and daily hospital visits, observing and assisting in operating room; appropriatly scheduled night call, library time and reading time. Reading assignments in connection with current cases seen in the practice. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. HOURS PER WEEK: Conference: Clinic: 15 Ward: 10 Lecture: 2 Lab: Reading: Library: Other: Page 32 O.R.: 25 Total: 52 COURSE: DIRECTOR: Neurosurgery Dr. P.B. Simpson 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PNSUB OBJECTIVES AND/OR GOALS: Students will be taught proper procedures and methods for neuro-surgical evaluation to include complete neurological examination and indications for and interpretation of diagnostic neurologic procedures. Students will gain expertise in evaluation and management of problems involving central nervous system, and peripheral nerve disorders. SPECIFIC DUTIES OF SENIOR STUDENTS: Participants will work directly with, and under the supervision of a private practice neurosurgeon. They will be expected to do complete history and physical exams including the neurologic evaluation of assigned patients. This will include both out-patient and in-patient responsibilities. Students will participate in pre and post-op care and assist in neurosurgical procedures as indicated. Assignments will be made to include related literature, audio-visual programs, and neuro-pathological correlation. Participants will attend regularly scheduled conferences at Jefferson Regional Medical Center as scheduling permits. HOURS PER WEEK: Conference: 5 Ward: 20 Clinic: 15 Lecture: 2 Lab: Reading: Library: Other: Page 33 O.R.: 20 Total: 62 COURSE: DIRECTOR: Obstetrics and Gynecology PHONE: MAIL SLOT: (870) 338-9100 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-Delta (West Memphis) COURSE#: Drs. Hall and (*) DOBWM OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions encountered n private practice of obstetrics and gynecology. (*) Robert Chin, M.D. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office hours and daily hospital visits with appropriately scheduled night call, assisting in operating room, labor and delivery room, library time and reading time. Reading assignments in connection with current cases seen in the practice. HOURS PER WEEK: Conference: 2 Ward: 6 Clinic: 20 Lecture: 0 Lab: 0 Reading: 2 Library: 0 Other: 0 Page 34 O.R.: 10 Total: 40 COURSE: DIRECTOR: Obstetrics and Gynecology Drs. Glover and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 783-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SOBGK OBJECTIVES AND/OR GOALS: To provide experience, under supervision, in the office and hospital management of the most common conditions encountered in the private practice of Obstetrics and Gynecology. * Drs.: Beruman, Muylaert, Poole, Glover, Bell, K. Phillips, D. Phillips, Torres, Haraway, McClanahan, Marvin, Musick, Basinger, and Laws. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office hours and daily hospital visits with appropriately scheduled night call, assisting in operating room, labor and delivery room. Library time and reading time. Reading assignments in connection with current cases seen in the practice. As the schedule and workload permit, the student will observe and participate in regularly scheduled daily noon conferences and hospital staff meetings. HOURS PER WEEK: Conference: 4 Ward: 10 Clinic: 10 Lecture: 2 Lab: Reading: 6 Library: 4 Other: Page 35 O.R.: 40 Total: 76 COURSE: DIRECTOR: Obstetrics and Gynecology Drs. Montgomery and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JOBGA OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions encountered in private practice of Ob/Gyn. * Drs.: Emerson, Curry, Stripling, Dunn, Rauls, and Delacey SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office hours and daily hospital visits with appropriately scheduled night call, assisting in operating room, labor and delivery room, library time and reading time. Reading assignments in connection with current cases seen in the practice. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. HOURS PER WEEK: Conference: Clinic: 15 Ward: 15 Lecture: Lab: Reading: Library: Other: Page 36 O.R.: 15 Total: 45 COURSE: DIRECTOR: Obstetrics and Gynecology PHONE: MAIL SLOT: (870) 862-2489 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: Dr. Greg Booker EOBGL OBJECTIVES AND/OR GOALS: Technical Skills: Observation and assistance in the management of obstetrical and gynecological patients. Factual knowledge to be gained: Obstetrics: (a) Induction methods and indications (b) Analgesia and anesthesia (c) Operative obstetrics (d) Complications (medical and surgical) of obstetrical patients during pregnancy Gynecology: Diagnosis and management of gynecological disease SPECIFIC DUTIES OF SENIOR STUDENTS: Delivery of obstetrical patients under supervision. Assist with examination and treatment of patients. Daily hospital rounds with physicians. Night call four nights a week, as desired. History and physical on OB Specialty Clinic patients, average one to three daily. HOURS PER WEEK: Conference: 4 Ward: 4 Clinic: 20 Lecture: 2 Lab: Reading: 6 Library: 4 Other: Page 37 O.R.: 12 Total: 52 COURSE: DIRECTOR: Rural Obstetrics and Gynecology PHONE: MAIL SLOT: (870) 265-5351 AHEC 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 2 All Blocks AVAILABLE: LOCATION: AHEC-Delta (Helena) COURSE#: Drs. Becky Hall and Pitt Moore DOBWO OBJECTIVES AND/OR GOALS: To provide students with insight and management of Ob/Gyn patients in a rural setting - both clinic and hospital practice. SPECIFIC DUTIES OF SENIOR STUDENTS: Hands on teaching in clinic and labor room. History and physical exam of both Ob and Gyn patients Present and assist at surgery Observe vaginal deliveries HOURS PER WEEK: Conference: 1 Ward: 1 Clinic: 40 Lecture: 0 Lab: 0 Reading: 1 Library: 0 Other: 0 Page 38 O.R.: 0 Total: 43 COURSE: DIRECTOR: Ophthalmology Drs. George and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JOPHC OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions encountered in private practice of Ophthalmology. Drs.: Stainton, Stank, Margolis, Wenger, and Harrall SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office hours and hospital visits with appropriately scheduled night call, assisting in operating room, library time and reading time. Reading assignments in connection with current cases seen in the practice. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available in the AHEC library in addition to other AV materials for student and faculty use. HOURS PER WEEK: Conference: Clinic: 30 Ward: 10 Lecture: Lab: Reading: Library: Other: Page 39 O.R.: 10 Total: 50 COURSE: DIRECTOR: Orthopaedic Surgery Drs. Lytle and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PORTE OBJECTIVES AND/OR GOALS: Participant will be taught orthopaedic history and physical examination techniques with emphasis placed on diagnosis, including elicitation of mechanism of injury, application of functional anatomy, and roentgenographic interpretations. Student will be taught proper and effective plaster application and plaster removal techniques. Student will have the opportunity to assist in plaster cast application during emergency call with the orthopaedist. Student will also be taught proper application of traction forms, such as Buck's skin traction, and to assist in the application of more complicated traction methods. Participants will learn functional anatomy as it relates to orthopaedic diagnosis and treatment and will gain expertise in diagnosis and management of more commonly seen orthopaedic problems. It is anticipated that a student completing this elective will be skilled in performing physical examination of the spine and extremities and competent in orthopaedic diagnosis. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will participate in hospital rounds at Jefferson Regional Medical Center and in out-patient evaluation and treatment in the private office. Night and weekend call are not mandatory, but may be recommended on an individual basis. The student will be assigned one new patient per day in either hospital or clinic for full evaluation. He/She will assist in surgery on a case of his/her choice daily. Monthly orthopaedic conferences are held at the clinic where one or more specific topics are studied. Outside experts may be utilized for these conferences via slide or movie-type programs. Reading assignments: Shand's Handbook of Orthopaedic Surgery is recommended and available in the local AHEC library. Additional reading by individualized assignment as described above. *Drs.: Walker, and Pollard. HOURS PER WEEK: Conference: 5 Ward: 10 Clinic: 10 Lecture: 2 Lab: Reading: Library: Other: Page 40 O.R.: 25 Total: 52 COURSE: DIRECTOR: Orthopaedics PHONE: MAIL SLOT: (870) 793-2371 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-North Central (Batesville) COURSE#: Dr. James Allen BORTL OBJECTIVES AND/OR GOALS: The student will apply knowledge, skill, and professional standards to patients exhibiting orthopaedic conditions/needs. Under the supervision of a Board Certified Orthopaedic Surgeon, he/she will gain experience in consulting, diagnosing and treating patients within a private practice as well as in the hospital setting. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office hours and daily hospital visits with appropriately scheduled night call, assisting in operating room, library time with reading time. Reading assignments in connection with current cases seen in the practice. There are regularly scheduled weekly CME conferences and slide/tape presentations in addition to monthly hospital staff meetings which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. NCME videotape hardware and software are available in the AHEC library in addition to other AV materials for student and faculty use. HOURS PER WEEK: Conference: 0 Ward: 10 Clinic: 15 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 41 O.R.: 25 Total: 50 COURSE: DIRECTOR: Orthopaedics Drs. (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JORTD OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions encountered in private practice of Orthopaedics. * Drs.: Ball, Wolosyn, Stroope, Moseley, Cooper, Brandt, Guinn, Swymn, and Day SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office hours and daily hospital visits with appropriately scheduled night call, assisting in operating room, library time and reading time. Reading assignments in connection with current cases seen in the practice. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. HOURS PER WEEK: Conference: Clinic: 15 Ward: 10 Lecture: Lab: Reading: Library: Other: Page 42 O.R.: 25 Total: 50 COURSE: DIRECTOR: Orthopaedics Dr. Dwayne Daniels and Dr. Massanelli 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 862-2489 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: EORTA OBJECTIVES AND/OR GOALS: To provide experience, under physician supervision, in the office and hospital management of many conditions encountered in the private practice of Orthopaedics. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will have acting intern level responsibilities and will be assigned to a general Orthopaedist. The student will engage in decisions at all levels of patient care, including emergency room visitation, hospital visitation, assisting in the operating room and office and consultative visits with preceptor. The student will attend and participate in scheduled teaching conferences and in appropriate library research and other forms of study time. HOURS PER WEEK: Conference: 4 Ward: 4 Clinic: 8 Lecture: 1 Lab: Reading: 6 Library: 6 Other: Page 43 O.R.: 8 Total: 37 COURSE: DIRECTOR: Orthopaedics Drs. Alkire and * 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 779-6063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Southwest (Texarkana) COURSE#: TORTI OBJECTIVES AND/OR GOALS: 1. To provide students with an understanding of the wide range of injuries and orthopedic conditions encountered in the private practice of this specialty. 2. To allow students to participate in the diagnosis and treatment of orthopedic patients. *Drs: T. Young, Smolarz, DeHaan, Hilborn, and Gregory. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will be assigned to one Orthopedist and will be able to see patients in the office, in the Emergency Rooms and to assist in the Operating Room. Rounds in the hospital will be made with the attending physician and the student will have the opportunity of following patients throughout their course. Reading assignments will be made related to the patients seen. The student will be required to attend the following conferences: Residency Noon Conference, Tumor Board. HOURS PER WEEK: Conference: 4 Ward: 4 Clinic: 10 Lecture: 5 Lab: Reading: 4 Library: 4 Other: Page 44 O.R.: 5 Total: 36 COURSE: DIRECTOR: Sports Medicine Drs. Michael Downs 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 779-6063 AHEC MIN STUDENTS: AVAILABLE: Blocks 3,4,5 LOCATION: AHEC-Southwest (Texarkana) COURSE#: TORTJ OBJECTIVES AND/OR GOALS: 1. To provide students with an understanding of the broad range of topics related to the prevention, diagnosis, and treatment of sports related injuries on the high school and junior high school level. 2. The course is designed specifically for those students who are interested in serving as team physicians in the communities where they practice. Faculty: Dr. Michael Downs (CAQ in Sports Medicine) and Russ Nelson (Certified Athletic Trainer) SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. 6. Conducting pre-participation evaluations. Working with team physicians and trainers of the four high schools in Texarkana. Being present during practice sessions. Game coverage. Accompanying injured athletes during specialist consultations. Participation in rehabilitation activities. The student will be required to conduct a survey of sports medicine literature related to injuries encountered. The student will be encouraged to make a written report on some aspect of sports medicine during the course, with the expectation of having the article published. The student will be required to attend the following conferences: Residency Noon Conference, Tumor Board. HOURS PER WEEK: Conference: 10 Clinic: Ward: 10 Lecture: 2 Lab: Reading: 5 Library: 2 Other: Page 45 O.R.: 10 Total: 39 COURSE: DIRECTOR: ENT PHONE: MAIL SLOT: (870) 698-1846 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-North Central (Batesville) COURSE#: Dr. Rumans BENTJ OBJECTIVES AND/OR GOALS: Technical Skills to be learned: a. ENT surgical history and physical b. Preoperative evaluation of patients c. Participating in ENT surgical procedures d. Performing some minor surgical procedures under direction e. Postoperative care f. Follow-up review and care in physician's office, individual option General Objectives: a. Integration of basic science knowledge into care of ENT patients b. Role of ENT surgeon in a general community hospital c. Activities of an ENT surgeon in his office practice, individual option SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Each student will be assigned to one or both ENT surgeons a. Perform and dictate for the chart a pertinent history and physical b. Outline a set of admission orders, call the attending physician, and place orders in the chart when confirmed by the physician c. Will consult texts and current literature relevant to each ENT surgical procedure planned, and be prepared to discuss this with the surgeon d. Will spend days rounding with the ENT surgeon, spend days in clinic and relevant clinic days with the ENT surgeon, and spend OR time either in clinic or in the hospital when assigned ENT surgeon is operating e. Will ascertain rounding time and make daily rounds with assigned staff f. Will consult text and current literature relevant to unusual ENT patients, and prepare to discuss this with the assigned preceptor 2. Students will attend conferences as scheduled 3. Assisting in the Emergency Room can be arranged individually 4. Will be expected to scrub on approximately 10-15 cases per week with his/her preceptor/preceptors. HOURS PER WEEK: Conference: 1 Ward: 5 Clinic: 20 Lecture: 0 Lab: 0 Reading: 5 Library: 0 Other: 0 Page 46 O.R.: 10 Total: 41 COURSE: DIRECTOR: Otolaryngology Drs. Wills and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SENTD OBJECTIVES AND/OR GOALS: Technical Skills to be Learned: Indirect laryngoscopy Nasopharyngoscopy Rhinoscopy Otoscopy and myringotomy Management of epistaxis Factual knowledge to be gained: Indication for special ear, nose, and throat surgical procedures Management of acute otitis media Diagnosis and treatment of sinusitis Management of dizzy patient Principles of head and neck cancer therapy Management of maxillofacial trauma * Drs. Wills, Gwartney, Lansford, and Marsh. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily Activities: Daily rounds with faculty Ward work as assigned by faculty Assistant in operating room with faculty Reading assignments: as directed by faculty prior to arrival. Assigned projects: none Conferences: Daily teaching conferences. HOURS PER WEEK: Conference: Clinic: 40 Ward: Lecture: Lab: Reading: 10 Library: Other: Page 47 O.R.: Total: 50 COURSE: DIRECTOR: Otolaryngology Drs. Shorts and Potts 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PENTF OBJECTIVES AND/OR GOALS: Technical skills to be learned Indirect Laryngoscopy Nasopharyngoscopy Rhinoscopy Otoscopy and myringotomy Management of epistaxis General knowledge of ENT operating room procedures Fctual knowledge to be gained: Ability to do complete ear, nose, throat history and physical examination Management of general office problems General knowledge of office management Indications for common ear, nose, and throat surgical procedure SPECIFIC DUTIES OF SENIOR STUDENTS: Daily Activities: Attendance and scrub in surgery Hospital rounds Participation in office or clinic evaluation of patients Reading assignments: To be announced Assigned Projects: To be announced Conference Schedules: Same as all senior students in AHEC programs. Expected Patient Load: 300 patients per week in office average 13-14 cases per week - surgical. HOURS PER WEEK: Conference: 5 Ward: 10 Clinic: 20 Lecture: 2 Lab: Reading: Library: Other: Page 48 O.R.: 20 Total: 57 COURSE: DIRECTOR: Oto-Rhino-Laryngology (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JENTE OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions encountered in private ENT practice. * Drs.: Young, Jiu, Lansford, Woodward, Lewis, Smith, and Sales SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office and daily hospital visits with appropriately scheduled night call, assisting in operating room, library time and reading time. Reading assignments in connection with current cases seen in the practice. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. HOURS PER WEEK: Conference: Clinic: 20 Ward: 5 Lecture: Lab: Reading: Library: Other: Page 49 O.R.: 25 Total: 50 COURSE: DIRECTOR: Pathology Drs. Vollman and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JPATC OBJECTIVES AND/OR GOALS: To prepare the students for the practice of medicine by exposing them to the pathology of the various diseases encountered in medicine and the results of therapy. To acquaint the student with the role of the pathologist in the practice of medicine and to instruct them in the information, methods and limitations of pathology. Technical skills to be learned: Necropsy Technique Gross surgical pathology Microscopic examinations of pathological specimens The techniques of one of the branches of the clinical laboratory (alternative) * Drs.: Stainton, Jennings, Houn, and Sales SPECIFIC DUTIES OF SENIOR STUDENTS: Daily activities: Conduct necropsies (1-3 per elective) as scheduled. Read microscopic slides on autopsies and check results with staff physician. Assist pathologist in gross examinations of surgical specimens. Study of study sets of microscopic slides. Work in one of the clinical laboratories under the supervision of the clinical pathologist. Student Seminar - Each student will select with his advisor a subject and present a seminar on it. Conferences - The student will attend the regularly scheduled weekly CME conferences and monthly tumor conference. HOURS PER WEEK: Conference: Clinic: Ward: 5 Lecture: 5 Lab: 30 Reading: Library: Other: Page 50 O.R.: 5 Total: 45 COURSE: DIRECTOR: Pathology Drs. Clark and Wheeler 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PPATD OBJECTIVES AND/OR GOALS: This elective will afford students the opportunity to learn gross and microscopic interpretation of pathologic changes. Emphasis will be placed on clinical-pathological correlation affording a better understanding of medical problems and disease processes. The relationship and responsibilities of the pathologist and pathology department to other medical and surgical specialties in a community hospital will become evident to the student. SPECIFIC DUTIES OF SENIOR STUDENTS: The participant will be involved in the interpretation of surgical and autopsy tissue from gross specimens and microscopic preparations on a daily basis. Special study projects are encouraged but are not required. There will be some participation in performing autopsies. Experience in clinical pathology including laboratory methods, bone marrow aspiration techniques, and interpretations will be readily available if desired. Students will be required to attend regularly scheduled weekly conferences in Internal Medicine, Pediatrics, Surgery and Chest. HOURS PER WEEK: Conference: 5 Clinic: Ward: Lecture: 2 Lab: 40 Reading: Library: Other: Page 51 O.R.: Total: 47 COURSE: DIRECTOR: Pathology Dr. Griffin 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 779-6063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Southwest (Texarkana) COURSE#: TPATE OBJECTIVES AND/OR GOALS: Specific Goals: To prepare the student for the practice of medicine by exposing him to the pathology of the various diseases encountered in medicine. To introduce the student to the role of the pathologist in the practice of medicine and to instruct him/her in the information, methods, and limitations of pathology. Technical Skills: Necropsy technique. Gross surgical pathology. Microscopic examinations of pathological specimens. SPECIFIC DUTIES OF SENIOR STUDENTS: Assist in autopsies. Assisting preparation and presentation of C.P.C.s. Read Microscopic slides on autopsies and check results with staff physician. Assist pathologist in gross examination of surgical specimens. Study of study sets of microscopic slides. Work in one of the clinical laboratories under the supervision of the clinical pathologist. The student will be required to attend the following conferences: Tumor Board, and Residency Noon Conferences. HOURS PER WEEK: Conference: 3 Clinic: Ward: 4 Lecture: 5 Lab: 22 Reading: 6 Library: 5 Other: Page 52 O.R.: 3 Total: 48 COURSE: DIRECTOR: Pediatrics PHONE: MAIL SLOT: (870) 862-2489 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: Drs. Robin Ray and Henry Gomez EPEDE OBJECTIVES AND/OR GOALS: Technical Skills: Observation and assistance in the management of pediatric patients. Factual knowledge to be gained: 1. To gain experience, under supervision, in the office and hospital management of the most common conditions encountered in Pediatrics. 2. To participate in Growth and Development clinic, weekly, held in the FPC with preceptor-instructor. 3. To gain knowledge in the clinical management of a case load typical to private pediatric practice. 4. To learn resuscitation techniques of the newborn, observe umbilical artery caths, circumcision, lumbar puncture and other common pediatric procedures. 5. To gain knowledge in the organization of pediatric practice in a private office or FPC. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily activities: Pediatric practice in both the hospital and office setting under the supervision of faculty pediatricians selected by the student and AHEC Director. Evaluate acutely and chronically ill patients in the general pediatric practice. Reading assignments as instructed by the preceptor. HOURS PER WEEK: Conference: 5 Ward: 12 Clinic: 30 Lecture: Lab: Reading: 6 Library: Other: Page 53 O.R.: Total: 53 COURSE: DIRECTOR: Rehabilitation Medicine Dr. Terry Braden 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JRHAA OBJECTIVES AND/OR GOALS: 1. Technical Skills a. Obtain a history from patients with neuromusculoskeletal disorders with particular emphasis on functional limitations, residual abilities and socio-economic status. b. Neuromusculoskeletal examination and functional abilities assessment. 2. Factual Principles a. Formulate a problem list including medical, functional and socio-economic status. b. Principles of prescription for therapies and exercise. c. Learn appropriate functions of a rehabilitation team, physical and occupational therapists, speech pathologists, vocation and rehabilitation counseling. SPECIFIC DUTIES OF SENIOR STUDENTS: a. b. c. Students will be assigned to attending physician at Health South Rehabilitation Hospital. Daily rounds with faculty. History and Physical on all new admissions. Daily progress notes. Participate in therapy sessions and patient conferences. No night call. Reading Assignments: Specific references will be assigned for self-study during the rotation. HOURS PER WEEK: Conference: 4 Ward: 35 Clinic: 15 Lecture: Lab: Reading: Library: Other: Page 54 O.R.: Total: 54 COURSE: DIRECTOR: Psychiatry Dr. Baker 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SPSYB OBJECTIVES AND/OR GOALS: This elective allows the student to observe and participate in psychiatry in a variety of treatment modalities. The student will receive balanced exposure to adult and adolescent patients; acute and chronic psychopathologies, including drug and alcohol rehabilitation; and inpatient and outpatient psychiatry. Students are expected to improve their interviewing, diagnostic, and therapeutic skills while learning the fundamentals of psychopharmacology and psychotherapy. Medical economic and administrative issues in psychiatry will also be covered. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will be supervised by the staff of Harbor View Mercy Psychiatric Hospital, and will make daily rounds at Harbor View and St. Edward Mercy Medical Center. Students will observe outpatient visits at the Max Baker Psychiatry Clinic. Ideally, students will interview new patients at a rate of one per day and follow them through their hospital course. Staff will instruct the student in principles of pharmacotherapy, ECT, and psychotherapy. Night call is limited to evaluating selected emergency admissions and is generally light. Students may choose to attend daily AHEC Family Practice conferences. HOURS PER WEEK: Conference: 7 Ward: 30 Clinic: 12 Lecture: Lab: Reading: Library: Other: Page 55 O.R.: Total: 49 COURSE: DIRECTOR: Psychiatry Dr. Althea Conley 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 862-2489 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: EPSYA OBJECTIVES AND/OR GOALS: To orient the student to Psychiatry as practiced in a Community Mental Health Center, specifically Inpatient, Outpatient, Day Treatment, Consultation and Education and Emergency Service. To correlate psychiatric disease entities with specific treatment techniques and modalities with emphasis on psychopharmacology. To provide a role model in the psychiatric approach to total and complete patient care. To participate in the utilization of allied health professionals in the team concept approach to patient care. SPECIFIC DUTIES OF SENIOR STUDENTS: Inpatient: Daily rounds with appropriate new patient assignments. Day Treatment orientation with clinical follow-up of assigned patients, including group therapy. Outpatient: Participation in primarily medication-check-type of psychiatric patients under direct supervision of a psychiatrist. Weekly Prolixin Group: use of a long-acting neuroleptics. Individual new outpatient assignments and weekly staffing conferences. Assigned Emergency Room coverage with acting intern level responsibilities. Teaching conferences as scheduled. HOURS PER WEEK: Conference: 4 Ward: 8 Clinic: 8 Lecture: 2 Lab: Reading: 6 Library: 6 Other: Page 56 O.R.: Total: 34 COURSE: DIRECTOR: Pulmonary Drs. Sanders and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SPULA OBJECTIVES AND/OR GOALS: Technical Skills: Systematic evaluation of patients by problem method, interpretation of chest x-rays. Factual Knowledge: Emphasis on diagnosis and therapeutics of chest disease. (*) Drs. Webb, Nolan, Meade, and Tomaya SPECIFIC DUTIES OF SENIOR STUDENTS: Primary physician for patients admitted to chest service. Attending rounds with faculty daily. Primary consultant for pulmonary disease referrals from General Medicine and Surgical Services with review by Faculty. Daily AHEC conferences. HOURS PER WEEK: Conference: Clinic: 20 Ward: 20 Lecture: Lab: Reading: 10 Library: Other: Page 57 O.R.: Total: 50 COURSE: DIRECTOR: Pulmonary Drs. Cohen and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-9603 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JPULF OBJECTIVES AND/OR GOALS: 1. Technical skills: proficiency in acquisition of clinical and laboratory information from patients with general pulmonary disease; interpretation of blood gas data in reference to patients; interpretation of gram stains and other microbiological studies. Management of respiratory therapy and appropriate use of drugs. 2. Factual knowledge to be gained: pathophysiology of altered pulmonary function in disease; pathophysiology of chronic respiratory failure, use of antimicrobial drugs, reading chest x-rays; interpretation of pulmonary function tests. Bi-weekly lectures on common lung disease problems. SPECIFIC DUTIES OF SENIOR STUDENTS: Consultation on patients referred from Medical, Surgical and Ob/Gyn services. Consultation on patients in all intensive care units. Daily rounds for presentation and follow-up of consult patients. Work under direct supervision of pulmonary specialist. *Drs.: Cohen, Savage, Hubbard, Sifford, and Walker. HOURS PER WEEK: Conference: 5 Clinic: Ward: 30 Lecture: 2 Lab: 1 Reading: Library: 4 Other: Page 58 O.R.: Total: 42 COURSE: DIRECTOR: Pulmonary Medicine Drs. Campbell and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PPULB OBJECTIVES AND/OR GOALS: To provide an elective in pulmonary medicine as practiced in a community hospital which also serves as a referral center. Students will be expected to participate in clinical evaluation of patients and interpretation of diagnostic studies at a level commensurate with their abilities and interest. *Drs.: J.C. Campbell and Al-Nashif SPECIFIC DUTIES OF SENIOR STUDENTS: Evaluation of new admissions and consultations by complete history and physical examination. Subsequent day-to-day management of diagnostic and therapeutic pulmonary problems, including those in the intensive care areas. Out-patient follow-up of selected patients. Interpretation of chest radiographs, arterial blood gases and pulmonary function studies. Familiarization with respiratory therapy equipment techniques including IPPB, incentive spirometry, O2 therapy and mechanical ventilatory support. Participation in fiberoptic bronchoscopy and other diagnostic procedures. Participation in the weekly chest conferences. Reading assignments on basic topics with more extensive reading of the pertinent literature as subjects arise. Night and weekend duty average every third day. HOURS PER WEEK: Conference: 5 Ward: 30 Clinic: 10 Lecture: 2 Lab: Reading: Library: Other: Page 59 O.R.: Total: 47 COURSE: DIRECTOR: Radiation Oncology PHONE: MAIL SLOT: (870) 779-6063 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Southwest (Texarkana) COURSE#: Drs. Morris and (*) TRADL OBJECTIVES AND/OR GOALS: An overview of spectrum of malignant disease from frequently curable early disease to metastatic disease. Disease assessment and behavior as well as management and appropriate treatment will be stressed. Therapeutic Radiology's role being emphasized. Formal slide-lectures are prepared and will be presented on regular intervals. These will include but may not be limited to An Overview of Radiation Oncology, An Overview of Lung Carcinoma, Primary Breast Carcinoma Management, and An Overview of Pediatric Malignancies. * Dr. Tran in association with Wadley Regional Medical Center. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will observe/participate in the daily management of patients on treatment, new consultations, and post-treatment follow ups. Topics selected by the student will be discussed in greater depth utilizing the most current texts and/or literature. In addition, approximately 2-3 academic - case conferences will be attended with the director each week. Night/weekend call is optional. The student will be required to attend the following conferences: Residency Noon Conference, Tumor Board, Chest, Neuro-Radiology. HOURS PER WEEK: Conference: 3 Ward: 7 Clinic: 22 Lecture: 2 Lab: 2 Reading: 2 Library: 2 Other: Page 60 O.R.: Total: 40 COURSE: DIRECTOR: Radiology Drs. Ihmeidan and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SRADC OBJECTIVES AND/OR GOALS: The student will gain an over-all understanding of the field of Radiology. He will be instructed in Roentgen anatomy and physiology, both normal and pathologic. This knowledge will then be used to increase the student's skill in Roentgen interpretation. The student will be instructed in the applications and limitations of Radiography. A certain amount of time will be spent on basic machine use. Instruction will be given in fluoroscopic technique and basic special procedure technique. The student will be given instruction in basic Isotope scanning technique and interpretation. This instruction will be given in a one-to-one situation with a Board Certified Radiologist as instructor. The student will be encouraged to take an active part in the day to day activity of the Radiology Department of Sparks Regional Medical Center and St. Edward Mercy Medical Center. * Dr. Gold (Sparks Regional Medical Center) Dr. Drolshagen (St. Edward Mercy Medical Center) SPECIFIC DUTIES OF SENIOR STUDENTS: Daily activities - The student will spend all his time in the Radiology Department in either Sparks or St. Edward Medical Center. Reading Assignments: Basic Roentgenographic Anatomy by Meeschan. Chest Roentgenology by Felson. Clinical Radiology by Paul and Juh. (The above texts are available in the Radiology Department of either hospital). AHEC conferences are held at noon Monday through Friday. Night call on request. HOURS PER WEEK: Conference: 3 Clinic: Ward: Lecture: Lab: 38 Reading: 10 Library: Other: Page 61 O.R.: Total: 51 COURSE: DIRECTOR: Radiology PHONE: MAIL SLOT: (800) 264-3170 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-North Central (Batesville) COURSE#: Physicians of North Arkansas Radiology* BRADM OBJECTIVES AND/OR GOALS: To learn fundamentals of radiographic interpretation, indications for special procedures and evaluation of patients for radiation therapy. * Drs. Joseph, McCann, Jr., McClain, III, Wadley and Fisher SPECIFIC DUTIES OF SENIOR STUDENTS: Students will observe fluoroscopic examinations with the radiologist. They will be given instruction in a systematic approach to x-ray interpretations, nuclear medicine and abdominal ultrasound, as well as CT scanning, and will attend interpretation sessions with the radiologists. They will review films from the teaching file. Specific reading assignments will be made. There are regularly scheduled weekly CME conferences and slide/tape presentations in addition to monthly hospital staff meetings which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. NCME videotape hardware and software are available in the AHEC library in addition to other AV materials for student and faculty use. HOURS PER WEEK: Conference: 0 Ward: 0 Clinic: 0 Lecture: 2 Lab: 40 Reading: 0 Library: 0 Other: 0 Page 62 O.R.: 0 Total: 42 COURSE: DIRECTOR: Radiology Drs. Greene and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JRADD OBJECTIVES AND/OR GOALS: To learn fundamentals of radiographic interpretation, indications for special procedures and evaluation of patients for radiation therapy. * St. Bernards: Drs. Green, Smith, Johnson, and Tidwell Methodist Hospital: Dr. John Phillips SPECIFIC DUTIES OF SENIOR STUDENTS: The student will observe fluoroscopic examinations with the radiologist. He will be given instruction in a systematic approach to x-ray interpretations, nuclear medicine and abdominal ultrasound as well as CT scanning and will attend interpretation sessions with the radiologists. He will review films from the teaching file. Specific reading assignments will be made. There are regularly scheduled weekly conferences, which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. HOURS PER WEEK: Conference: Clinic: Ward: Lecture: 2 Lab: 40 Reading: Library: Other: Page 63 O.R.: Total: 42 COURSE: DIRECTOR: Radiology Drs. Jucas and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 862-2489 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: ERADA OBJECTIVES AND/OR GOALS: To teach fundamentals of radiographic interpretation, indications for special procedures, and evaluation of patients for radiation therapy, under supervision of a practicing Radiologist in a community hospital setting. * Drs.: Jucas, Ong, Forward, and Edmondson SPECIFIC DUTIES OF SENIOR STUDENTS: The student will have acting intern level responsibilities, and will be assigned to a Radiologist in a community hospital. The student will observe fluoroscopic examinations with the radiologist. He will be given instruction in a systematic approach to x-ray interpretation and will attend the interpretation sessions with the radiologists. He will review films from the teaching file. MRI and CAT Scan equipment are available to further enhance learning experiences of the student. Specific reading assignments will be accomplished. The student should attend and participate in scheduled conferences. (Good medical library and librarian services are available and their use is encouraged. NCME videotapes are available in the AHEC Library in addition to other audiovisual materials for student and faculty use.) HOURS PER WEEK: Conference: 4 Ward: Clinic: 12 Lecture: 2 Lab: Reading: 6 Library: 6 Other: Page 64 O.R.: Total: 30 COURSE: DIRECTOR: Renal Medicine PHONE: MAIL SLOT: (870) 338-9100 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-Delta (West Memphis) COURSE#: Drs. Hall and Mashud Mirza DRENF OBJECTIVES AND/OR GOALS: Introduction of the student to patient work-ups and management of hypertensive patients. Evaluation of fluid and electrolyte problems and care of patients with end-stage renal disease. SPECIFIC DUTIES OF SENIOR STUDENTS: Serve as initial consultant for renal problems; ward rounds on renal patients five days weekly; participation in diagnostic and therapeutic procedures; three half-day clinics; reading assignments in texts and journals. HOURS PER WEEK: Conference: 2 Ward: 16 Clinic: 20 Lecture: 0 Lab: 0 Reading: 2 Library: 0 Other: 0 Page 65 O.R.: 0 Total: 40 COURSE: DIRECTOR: Renal Medicine Drs. J. Henry and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SRENA OBJECTIVES AND/OR GOALS: Introduction of student to in-patient work-up and management of the hypertensive patient. Evaluation of fluid and electrolyte problems, care of the patients with end-stage renal disease. Care of patient, pre- and post-transplant. Evaluation and management of the patient with glomerulonephritis. * Drs. Henry, Coleman and Rabideau SPECIFIC DUTIES OF SENIOR STUDENTS: Work-up of patients admitted to renal service, independent rounds and rounds with nephrologists. Assignment primarily to service at Sparks Regional Medical Center. Attendance whenever possible at daily noon AHEC conferences. HOURS PER WEEK: Conference: Clinic: 20 Ward: 20 Lecture: Lab: Reading: 10 Library: Other: Page 66 O.R.: Total: 50 COURSE: DIRECTOR: Renal Medicine Dr. Michael Mackey 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JRENE OBJECTIVES AND/OR GOALS: 1. Technical Skills: proficiency in acquisition of information from patients about renal, fluid, and electrolyte problems: familiarity with diagnostic procedures (e.g. renal biopsy, osmolalities, function tests) in renal medicine. 2. Knowledge to be gained: basic pathophysiology of renal disease; understanding of fluid and electrolyte metabolism in health and disease; fundamentals of hemodialysis and periotoneal dialysis; tissue alterations in renal diseases. Michael Mackey, M.D., NEA Clinic, Jonesboro SPECIFIC DUTIES OF SENIOR STUDENTS: Serve as initial consultant for renal problems; ward rounds on renal patients five days weekly; participation in diagnostic and therapeutic procedures; four half-day clinic; conferences weekly; reading assigments in texts and journals. HOURS PER WEEK: Conference: 4 Ward: 20 Clinic: 20 Lecture: Lab: Reading: Library: Other: Page 67 O.R.: Total: 44 COURSE: DIRECTOR: Renal Medicine James Campbell, M.D. and * 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PRENC OBJECTIVES AND/OR GOALS: 1. Technical Skills: proficiency in acquisition of information from patients about renal, fluid and electrolyte problems: familiarity with diagnostic procedures (e.g. renal biopsy, osmolalities, function tests) in renal medicine. 2. Knowledge to be gained: basic pathophysiology of renal disease; understanding of fluid and electrolyte metabolism in health and disease; fundamentals of hemodialysis and peritoneal dialysis; tissue alterations in renal disease. (*) Drs. Wright and Kashif SPECIFIC DUTIES OF SENIOR STUDENTS: Serve as initial consultant for renal problems, ward rounds on renal patients five days weekly, participation in diagnostic and therapeutic procedures, four half-day clinics, conferences weekly, reading assignments in texts and journals. HOURS PER WEEK: Conference: 5 Ward: 30 Clinic: 20 Lecture: Lab: Reading: Library: Other: Page 68 O.R.: Total: 55 COURSE: DIRECTOR: Cardiovascular Surgery - AI Drs. Jaggers and Vernon 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SSUGD OBJECTIVES AND/OR GOALS: Proper physical examination for cardiovascular disease. Arteriogram and cineangiogram interpretation. Learn and assist in the intensive care management of cardiovascular surgical patients. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily rounds with faculty. Attend daily teaching conferences. Scrub and assist on all surgical procedures. Assist in cardiovascular surgery laboratory. Read suggested literature. HOURS PER WEEK: Conference: Clinic: 20 Ward: Lecture: Lab: Reading: 10 Library: Other: Page 69 O.R.: 20 Total: 50 COURSE: DIRECTOR: General Surgery PHONE: MAIL SLOT: (870) 265-9291 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Delta (Lake Village) COURSE#: Drs. Becky Hall , John Burge, and Brad Mayfield DSUAA OBJECTIVES AND/OR GOALS: Understanding of general surgery in a rural hospital. To allow students to gain proficiency and technical skills in surgery by participating in direct pre-op and post-op evaluation and management as well as surgical technique. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will be expected to assume intern-level responsibilities and thus actively participate in the decision making pertaining to the management of assigned patients. Each participant will work primarily with one private practice general surgeon, allowing a one-to-one studentteacher relationship. Participants will be expected to perform adequate pre-op history and physical examinations and participate in plans for diagnostic evaluation. They will also directly participate and assume responsibility for post-operative management. HOURS PER WEEK: Conference: 5 Ward: 5 Clinic: 5 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 70 O.R.: 25 Total: 40 COURSE: DIRECTOR: General Surgery PHONE: MAIL SLOT: (870) 338-9100 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-Delta (West Memphis) COURSE#: Drs. Hall and (*) DSURZ OBJECTIVES AND/OR GOALS: 1. Technical Skills to be learned: a. Surgical history and physical b. Preoperative evaluation of patients c. Participating in major surgical procedures d. Performing some minor surgical procedures under direction e. Postoperative care f. Follow-up review and care in physicians's office, individual option 2. General objectives: a. Integration of basic science knowledge into care of surgical patients b. Role of general surgeon in a general community hospital c. Activities of a surgeon in his office practice, individual option SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Perform and dictate for the chart a pertinent history and physical; 2. Outline a set of admissions orders, call the attending physician, and place orders in the chart when confirmed by the physician; 3. Consult texts and current literature relevant to each surgical procedure planned and be prepared to discuss this with the surgeon; 4. Observe and assist in the operating room; 5. Make daily rounds with the physician. * David W. Ford, M.D. HOURS PER WEEK: Conference: 2 Ward: 4 Clinic: 12 Lecture: 0 Lab: 0 Reading: 2 Library: 0 Other: 0 Page 71 O.R.: 20 Total: 40 COURSE: DIRECTOR: General Surgery Drs. Bouton and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SSUGF OBJECTIVES AND/OR GOALS: Technical skills to be learned: Surgical history and physical. Identification of surgical problems with their attendant risk factors in a private setting. Observing major surgical procedures. Performing some minor surgical procedures under director. Intrahospital postoperative care. General objectives: Integration of basic knowledge into care of surgical patients. Role of general surgical resident in a teaching hospital. * Drs. Bouton, Flanagan, Kelly, Hunton, and Seffense SPECIFIC DUTIES OF SENIOR STUDENTS: Each student will be assigned to a surgical group working under the supervision of one or more members of each group. Perform and record a pertinent history and physical on assigned patients. Write orders under supervision of faculty member. Will consult texts and current literature relevant to each surgical procedure planned. Will spend mornings in operating room observing and/or assisting in surgical procedures. Will make scheduled rounds with faculty. Will take night call every third night or as per preceptor. HOURS PER WEEK: Conference: Clinic: 15 Ward: 10 Lecture: Lab: Reading: 10 Library: Other: Page 72 O.R.: 20 Total: 55 PHONE: MAIL SLOT: 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-North Central (Batesville) COURSE#: COURSE: DIRECTOR: General Surgery Drs. Lambert, Alexander, or Yarnell BSURA OBJECTIVES AND/OR GOALS: 1. Technical Skills to be learned: a. Surgical history and physical b. Preoperative evaluation of patients c. Participating in major surgical procedures d. Performing some minor surgical procedures under direction e. Postoperative care f. Follow-up review and care in physicians's office, individual option g. Participate in the bariatric program 2. General objectives: a. Integration of basic science knowledge into care of surgical patients b. Role of general surgeon in a general community hospital c. Activities of a surgeon in his office practice, individual option Contact numbers: Dr. Lambert -870-793-4445, Dr. Alexander - 870-698-1846, Dr. Yarnell - 870-698-1846 SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Each student will be assigned to one or more surgeons a. Perform and dictate for the chart a pertinent history and physical b. Outline a set of admission orders, call the attending physician, and place orders in the chart when confirmed by the physician. c. Will consult texts and current iterature relevnt to each surgical procedures planned and be prepared to discuss this with the surgeon. d. Will spend mornings in operating room observing and/or assisting in surgical procedures as arranged the previous evening. e. Will ascertain rounding time and make daily rounds with staff. 2. Students will attend conferences as scheduled. 3. Assisting in the Emergency Room can be arranged individually. 4. Will be expected to scrub on 10-20 cases per week with his/her preceptor or other surgeons. HOURS PER WEEK: Conference: 3 Ward: 20 Clinic: 4 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 73 O.R.: 20 Total: 47 COURSE: DIRECTOR: General Surgery Drs. Jones and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JSUGH OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions in private practice of General Surgery. Drs.: Wiggins, Cook, Degges, Phillips, Warner, Jones, and Johnson. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office hours and daily hospital visits with appropriately scheduled night call, assisting in operating room, library time and reading time. Reading assignments in connection with current cases in the practice. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. HOURS PER WEEK: Conference: Clinic: 10 Ward: 10 Lecture: 2 Lab: Reading: Library: Other: Page 74 O.R.: 25 Total: 47 COURSE: DIRECTOR: General Surgery Drs. Forrestiere and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (870) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PSUGI OBJECTIVES AND/OR GOALS: To provide the student with a better understanding of the specialty of general surgery in a private community hospital. To allow students to gain more proficiency and technical skills in surgery by encouraging direct participation in pre-op and post-op evaluation and management as well as acquisition of technical skills and surgical technique. * Drs. Forrestiere, Mabry, Roberson, Eckert, Bitzer, and Sutherland SPECIFIC DUTIES OF SENIOR STUDENTS: Students will be expected to assume intern-level responsibilities and thus actively participate in the decision making pertaining to the management of assigned patients. Each participant will work primarily with one private practice general surgeon, allowing a one-to-one studentteacher relationship. A student may be assigned to work with other hospital staff surgeons, depending on the case load and desires of the individual student. Participants will be expected to perform adequate pre-op history and physical examinations and participate in plans for diagnostic evaluation. They will also directly participate and assume responsibility for post-operative management. Indicated correlative reading will be expected. As scheduling permits, students will be expected to attend regularly scheduled conferences at Jefferson Regional Medical Center. Night and weekend call is not mandatory, but is recommended on an individual basis. HOURS PER WEEK: Conference: 5 Ward: 15 Clinic: 10 Lecture: 2 Lab: Reading: Library: Other: Page 75 O.R.: 25 Total: 57 COURSE: DIRECTOR: General Surgery Drs. R. Tommey and B. Morgan 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 862-2489 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: ESUGA OBJECTIVES AND/OR GOALS: To augment the existing University medical education experience in general surgery by providing exposure to and better understanding of private practice in a community hospital. To improve skills in diagnosis and treatment by providing the student with increased responsibility and close supervision by a practicing physician. To maintain a low student-teacher ratio and emphasize clinical bedside approach to learning. To provide surgical experience in both operating room and outpatient minor surgery. To provide experience in preoperative evaluation and post-operative care. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will have acting intern level responsibilities, and will engage in decisions at all levels of patient care. He will be assigned to a general surgeon. The average patient load in the hospital will be from ten to fifteen patients. The student will be involved in patient care in the general surgeon's office. There are scheduled teaching conferences which will be clinically oriented in which the student is expected to participate. Night call will average every fourth night and weekend call every fourth weekend. HOURS PER WEEK: Conference: 4 Ward: 4 Clinic: 8 Lecture: 1 Lab: Reading: 6 Library: 6 Other: Page 76 O.R.: 10 Total: 39 COURSE: DIRECTOR: Plastic And Reconstruct Surg Drs. Goodman and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 452-9080 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SSUGE OBJECTIVES AND/OR GOALS: Technical skills to be learned: Wound debridement and suture technique. Various types of wound repair. Practical experience of skin grafts, random pattern flaps, musculocutaneous flaps. Assist in surgery. Factual knowledge to be gained: Basic principles of tissue repair. Basic principles of wound management. Basic consideration in reconstruction of various congenital and traumatic defects. Introduction to cosmetic surgery. (*) Drs. Goodman, Still, Bise, Passmore SPECIFIC DUTIES OF SENIOR STUDENTS: The student will be assigned to the office during office hours and to the hospital with the faculty member. He/she will learn the pre- and post-operative basics in the care of plastic surgery patients. An understanding of the deformity and the patient's perception of the deformity and how the patient is affected by the deformity is felt to be vital to the student's understanding the goals of reconstruction. Therefore, on specific patients the student will be requested to perform a formal history and physical. On the remaining patients, the student will be requested to at least examine them prior to surgery. Reading assignments will be related to the surgical procedures of the following day and to the basic principles of plastic surgery. Patient load: Fifteen to twenty elective surgical procedures a week. Exposure to as many as 30 to 45 office patients per each office day and 7 to 15 emergency consultations and operative procedures per week. Basic Textbooks: Basic required reading will be from Grabband and Smith Plastic Surgery. Reference sources for more detailed reading will be from Plastic & Reconstructive Surgery by Converse, Surgical Treatment of Facial Injuries by Kazanjian and Converse, Bunnell's Surgery of the Hand by Boyes. HOURS PER WEEK: Conference: Clinic: 20 Ward: 8 Lecture: Lab: Reading: 10 Library: Other: Page 77 O.R.: 12 Total: 50 COURSE: DIRECTOR: Thoracic Surgery Drs. Jaggers and Vernon 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SSUGG OBJECTIVES AND/OR GOALS: Technical skills to be learned: History and physical of patients with thoracic disease. Preoperative evaluation of patients with thoracic disease. Technique of bronchoscopy and esophagoscopy. Observing major thoracic surgical procedures. Management of surgical patient on respirator. General objectives: Integration of basic knowledge regarding the anatomy and physiology of the chest into the management of the patient. Development of the ability to adequately evaluate the patients with esophageal or lung problems. Some exposure to cardiovascular surgery as it relates to general thoracic surgery. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily rounds with staff. Attend appropriate conferences including chest conferences. Scrub and assist in major surgery. Read appropriately assigned material. HOURS PER WEEK: Conference: Clinic: 15 Ward: 10 Lecture: Lab: Reading: 10 Library: Other: Page 78 O.R.: 20 Total: 55 COURSE: DIRECTOR: Urology Drs. Lange and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SURGE OBJECTIVES AND/OR GOALS: Technical skills to be learned: To do a proper urological history and physical. To correctly pass catheters and sounds. Factual knowledge to be gained: Basic practical urology which may be used in general practice. The selection of appropriate laboratory and radiologic examination for urological diagnosis. Diagnosis and treatment of genitourinary tract infections. Interpretation of urologic radiographs. * Drs.: Francis, Armstrong, and Knobloch SPECIFIC DUTIES OF SENIOR STUDENTS: Daily Activities: Ward rounds with faculty. Work in the clinic which includes full initial evaluation of the patient urologically. Observe/assist surgical procedures as scheduled. Reading assignments: Smith's General Urology. Assigned projects: None Conference scheduled: Daily AHEC conferences. HOURS PER WEEK: Conference: Clinic: 20 Ward: 10 Lecture: Lab: Reading: 10 Library: Other: Page 79 O.R.: 10 Total: 50 COURSE: DIRECTOR: Urology PHONE: MAIL SLOT: (870) 698-1846 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: AHEC-North Central (Batesville) COURSE#: Rob Emery, M.D. BURGJ OBJECTIVES AND/OR GOALS: To gain knowledge of and skill in dealing with the health problems frequently encountered by the urologist in private practice. To learn the relationship of the urologist to other members of the health care team. To gain knowledge and skill in dealing with community resources. To acquire knowledge of the business, the personnel, and the practice management aspects of a private practice urology office. To clarify educational and professional goals. To observe the practice of urologists in community hospitals. To understand the role of the urologist in consultation with other physicians. To gain understanding of evaluation of hematuria, prostate disease, urologic malignancies, UTIs, infertility, incontinence, impotence, female prolapse, and urolithiasis. SPECIFIC DUTIES OF SENIOR STUDENTS: The senior student will evaluate new patients as assigned by the local physician-preceptor. These work-ups involve a complete history and physical examination, an assessment of the findings and formulation of a plan for diagnosis and management. The student will provide follow-up care for these patents over the four-week period, in coordination with other members of the team. The student is to be responsible for medical literature pertinent to the total care of his patients. The student will participate in the didactic portion of a core curriculum and participate in appropriate conferences. The student will document and review his experiences with the assigned preceptor. HOURS PER WEEK: Conference: 2 Ward: 10 Clinic: 15 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 80 O.R.: 15 Total: 42 COURSE: DIRECTOR: Urology Drs. Scriber and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JURGF OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions encountered in the private practice of Urology. * Drs.: Cranfill, Suminski, Kueter, and Allen SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office hours and daily hospital visits, observing and assisting in Operating Room; appropriately scheduled night call, library time and reading time. Reading assignments in connection with current cases seen in the practice. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available in the AHEC library in addition to other AV materials for student and faculty use. HOURS PER WEEK: Conference: Clinic: 20 Ward: 10 Lecture: Lab: Reading: Library: Other: Page 81 O.R.: 15 Total: 45 COURSE: DIRECTOR: Urology Drs. Jacks and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (870) 541-7611 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PURGG OBJECTIVES AND/OR GOALS: Technical skills to be learned: To do a proper urological history and physical. To correctly pass catheters and sounds. Minor surgical procedures. Factual knowledge to be gained: Basic practical urology in a private setting. The selection of appropriate laboratory and radiological examinations for urological diagnosis. Diagnosis and treatment of genitourinary tract infections. Intepretations of urological radiographs. * Drs. Lupo, Dennis Jacks and David Jacks SPECIFIC DUTIES OF SENIOR STUDENTS: Daily activities: Ward rounds with the AHEC faculty urologist. Observe transurethral surgery and assist in all open surgical procedures. Perform complete history and physical examinations and outline initial treatment plan for all hospital admissions. Some office, outpatient work as desired and appropriate. Reading assignments: Smith's General Urology Conferences scheduled: Attend all general staff conferences as outlined in the Pine Bluff AHEC Program urological conferences are on an individual basis with the attending faculty. HOURS PER WEEK: Conference: 5 Ward: 20 Clinic: 10 Lecture: 2 Lab: Reading: Library: Other: Page 82 O.R.: 20 Total: 57 COURSE: DIRECTOR: Cardiology Drs. Carver and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 713-8301 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: NW Arkansas Campus COURSE#: NCARB OBJECTIVES AND/OR GOALS: To provide a learning experience in cardiology as seen in private practice, in the hospital and in the office. Skills in history and physical exam, diagnostic tests, assessment and management will be stressed. Patients will be seen in the ER, in the CCU, on the hospital wards, and in the office. Students will participate in monitoring, interpretation of ECGs, hemodynamic evaluation, stress testing and consultations. Students will also participate in cardiac scanning, echocardiography, and in coronary arteriography. Study assignments may also be made. * Drs. Churchill, Fish, Green, Haisten, Pruitt, Simpson, Parashara, Riley, and El-Shafei (All members of the NW Arkansas Heart and Vascular Center) SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. To perform history and physical exams, progress notes, etc. on hospital patients. To make daily rounds on hospital patients. Assist in diagnostic and treatment plans including writing orders. To participate with attending physician in performing and/or interpreting of ECGs, treadmill studies, echo cardiography and arteriography. 5. To participate in attending's clinic practice when requested. 6. To study appropriate library and AV materials. 7. To attend teaching conferences when practical. HOURS PER WEEK: Conference: 4 Ward: 30 Clinic: 20 Lecture: Lab: Reading: Library: 4 Other: Page 83 O.R.: 5 Total: 63 COURSE: DIRECTOR: Dermatology PHONE: MAIL SLOT: (479) 713-8301 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 Prior Permission Required AVAILABLE: LOCATION: NW Arkansas Campus COURSE#: Kevin St. Clair, M.D. NDERA OBJECTIVES AND/OR GOALS: Basic Skills: At the end of this elective, the fourth-year medical student will be able to: -Take a pertinent history and perform a physical exam of the skin, hair, nails, and mucosa. -Use correct dermatological terminology when describing and documenting physical findings. -Generate a basic differential diagnosis and develop a treatment plan for patients with common skin diseases. Advanced Skills: At the end of this elective, the fourth-year medical student will: -Be familiar with the common dermatological diagnostic procedures including biopsies, potassium hydroxide examinations, Woods lamp evaluation, hair mounts, Tzanck smears and patch testing. -Be familiar with basic skin histology and how it correlates with clinical disease. SPECIFIC DUTIES OF SENIOR STUDENTS: -Students will participate in outpatient clinics as scheduled. -Students will participate in inpatient rounds and consults when requested by attending physician. There are no night call or weekend call requirements. -Students are expected to attend educational conferences as scheduled and pertinent to dermatologic issues. -Read current dermatologic literature in so far as it pertains to patients or conferences attended. -Select a dermatologic disease or condition of the student’s interest, research current literature, prepare a brief article or presentation, and present to the attending physicians. Student will give a short presentation at the end of their rotation on the selected topic of interest. Evaluation: -Preceptors will complete a student performance evaluation at the end of the elective to determine to what extent the student achieved the stated educational goals. Training Location: Ozark Dermatology, 512 Appleby Road, Fayetteville, AR, 72703, phone 479 - 443-5100 HOURS PER WEEK: Conference: 4 Ward: Clinic: 30 Lecture: Lab: Reading: Library: Other: Page 84 O.R.: Total: 34 COURSE: DIRECTOR: Senior Student Continuity Clinic Joanna Thomas, M.D. M4 Year DURATION: MAX STUDENTS: 6 PHONE: MAIL SLOT: (479) 713-8301 NW MIN STUDENTS: AVAILABLE: All blocks to NW Students LOCATION: NW Arkansas Campus COURSE#: LNWCC OBJECTIVES AND/OR GOALS: -To enable senior medical students to continue meaningful longitudinal relationships with patients panel developed during the junior year. -To provide a regular educational environment in which to strengthen clinical performance, including historytaking and physical exam skills. -To provide low student:faculty ratio to allow faculty the time to teach other aspects of care delivery besides medical knowledge, and patient care, including interpersonal communication, systems-based practice, and professionalism. -Gather essential and accurate information about their patients. Periodic chart reviews will provide evidence of accuracy. -Determine a diagnosis and formulate an effective plan treatment in an efficient manner. Effectiveness will be determined by a periodic chart review to track patient outcomes. - Provide evidence of a professional therapeutic relationship with their patients. The last month of the academic year, patients will fill out the standard AHEC patient satisfaction survey to document student performance in selected competency areas. -Demonstrate sensitivity and responsiveness to patients’ culture, age, sexual orientation, gender, and disabilities. Professionalism will be a part of the patient satisfaction surveys. -Search medical literature as a means of learning about patients’ diseases and apply therapeutic interventions grounded in evidence-based medicine. Student knowledge grounded in evidence-based medicine will be evident during patient presentation to the attending physician. Attending physician will note the degree to which the student utilizes medical literature on the performance evaluation. -Work effectively with others as a member of a health care team. Multi-rater observation feedback will be obtained through a web-based survey four times per academic year. SPECIFIC DUTIES OF SENIOR STUDENTS: -Students will attend a half-day per week clinic at either the AHEC-Springdale or Family Medicine Clinic in Fayetteville for the duration of the academic year. -Continuity patients would carry over from the junior continuity clinic and build to 4-6 patients per session, depending on the complexity of the case. -At the completion of each patient session, the student will present a complete breakdown of pathopyhsiology and biopsychosocial dynamics to the attending physician. -Although under complete faculty supervision, the student would be identified as the health care provider. -Senior students are expected to attend the AHEC residency noon conference lectures when schedule permits. Evaluation -Faculty observation documented on a competency-based evaluation form, plus history-taking and physical exam checklists. -Periodic chart reviews to determine accuracy of progress notes and treatment plans. -Patient satisfaction surveys. This elective is "worth" 4 hours HOURS PER WEEK: Conference: Ward: Clinic: 4 Lecture: 2 Lab: Reading: Library: Other: Page 85 O.R.: Total: 6 COURSE: DIRECTOR: Palliative Care/Hospice Steve Thomason, M.D. 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (479) 713-8301 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: NW Arkansas Campus COURSE#: NPCHO OBJECTIVES AND/OR GOALS: By the end of the elective, the fourth-year medical student will: -Demonstrate a set of core competencies in providing end-of-life care. -Understand the role of primary care physicians in end-of-life care. -Understand the interdisciplinary aspect of end-of-life care. -Understand the ethical aspects of end-of-life decisions. -Demonstrate basic principles of pain management. The UAMS Contact person is Tricia Edstrom, 479.713.8301 The training location will be: Circle of Life, 901 Jones Road, Springdale, AR Dr. Thomason's complete telephone number is: 479.750.6632 Ext 234 SPECIFIC DUTIES OF SENIOR STUDENTS: -The student will shadow the Palliative Care attending faculty. The student will answer hospital consults, round on hospice patients in the inpatient units and present the patients to the faculty attending. The student will record the consult on the hospital or hospice inpatient unit record. -The student will make home visits on hospice patients. Hospice patients will be assigned at the beginning of the month. The student will make weekly visits without staff and report to faculty attending. Home visit notes are required after each visit. -The student will attend at least one hospice interdisciplinary team meeting. -The student will round with attending physicians on Hospice Inpatient Unit. -The student will participate in the treatment decision making in hospital, clinic, inpatient hospice, and home care patients seen with faculty attending. -The experience is flexible and can be tailored to each student’s educational needs. Projects: As assigned Evaluation: -Attendance for daily activities -Participation -Summative performance evaluation by preceptors -Results of projects HOURS PER WEEK: Conference: 2 Clinic: Ward: 20 Lecture: Lab: Reading: 5 Library: 1 Other: 12 Page 86 O.R.: Total: 40 COURSE: DIRECTOR: Medical Spanish PHONE: MAIL SLOT: (479) 713-8301 599 10 meet DURATION: MAX STUDENTS: 20 MIN STUDENTS: 1 Variable AVAILABLE: LOCATION: NW Arkansas Campus COURSE#: Jo Ann St. Romain LNSPA OBJECTIVES AND/OR GOALS: This conversational Spanish course is designed to assist medical professionals to communicate effectively in Spanish with patients and their families. The course will emphasize basic language structure, pronunciation, and vocabulary, with a special emphasis on medical terminology. SPECIFIC DUTIES OF SENIOR STUDENTS: The class will meet for ten (10) one-hour sessions. A make-up session will be scheduled if one of the regular classes is cancelled due to unforeseen circumstances. Students are required to attend a minimum of 7 classes (70%) and complete special assignments. Students who are proficient in Spanish are asked not to register for this course. REQUIRED TEXT: Rios, J. & Torres, J. F. (2010). McGraw-Hill’s complete medical Spanish: Practical medical Spanish for quick and confident communication. (2nd ed.). New York, NY: McGraw-Hill. Two hours credit will be given for the successful completion of this course. HOURS PER WEEK: Conference: Clinic: Ward: Lecture: 1 Lab: Reading: 2 Library: Other: 2 Page 87 O.R.: Total: 5 COURSE: DIRECTOR: Obstetrics and Gynecology PHONE: MAIL SLOT: (479) 713-8301 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 Blocks 3, 4, 5, and 10 AVAILABLE: LOCATION: NW Arkansas Campus COURSE#: Greg Reiter and (*) NOBGY OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions encountered in private practice of obstetrics and gynecology. * Creekside Center for Women & Laser Aesthetics, 5330 Willow Creek Drive, Johnson, AR 72741: Drs. Reiter, Kent Mason, Darrin Cunningham, Michael Clouatre, Mitchell McAlister; Nancy Allison, office manager. Technical Skills: Observation and assistance in the management of obstetrical and gynecological patients Factual knowledge gained: Obstetrics: a. Induction methods and indications b. Analgesia and anesthesia c. Operative obstetrics d. Complications (medical and surgical) of obstetrical patients during pregnancy e. Management of labor – normal and abnormal Gynecology: a. Diagnosis and management of gynecological disease b.Preoperative and postoperative care SPECIFIC DUTIES OF SENIOR STUDENTS: -Daily office hours at clinic and hospital rounds with physicians with appropriately scheduled night call, assisting in operating room and labor and delivery room. -Delivery of obstetrical patients under supervision. -Assist with examination and treatment of patients. -Obtain history and physical of patients and present to attending physician. -Present and assist at surgery. -Reading assignments in connection with current cases seen in the practice. -Library time and reading time. Good medical and librarian services are available (at AHEC locations) and their use is encouraged. -Attend weekly Grand Rounds teleconference on Wednesdays at 7:00 a.m. at either UAMS Northwest or Willow Creek. -Attend weekly High Risk Grand Rounds teleconference Thursdays at 7:00 a.m. at Willow Creek. -Attend one day with the genetics and ultrasound at the UAMS Northwest Angels program. Contact Noelle Agan, Genetic Counselor, at 479-713-5166 to schedule. -Observe ultrasounds one day or two mornings at Willow Creek. -As the schedule and workload permit, the student will observe and participate in regularly-scheduled AHEC resident noon conferences as applicable to OB-gyn topics, CME conferences, and clinic or hospital staff meetings. HOURS PER WEEK: Conference: 1 Ward: 10 Clinic: 20 Lecture: Lab: Reading: 4 Library: 2 Other: Page 88 O.R.: 15 Total: 52 COURSE: DIRECTOR: Ophthalmology Drs. Henry and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 713-8301 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: NW Arkansas Campus COURSE#: NOPHA OBJECTIVES AND/OR GOALS: To gain practical experience in diagnosis and treatment of common eye problems, e.g., routine office screening of vision (amblyopia, tonometry (glaucoma), foreign body removal, emergency evaluation of injuries, and common infections (conjunctivitis). Less emphasis will be placed on more specialized diagnostic and therapeutic problems. From time to time, microscopic surgery of cataracts and intraocular lens implantation, retinal fluorescein angiography, laser photocoagulation, and neuro-ophthalmologic studies can be observed and participated in. * Drs. McElroy, P. Henry, C. Brown, and P. Daut SPECIFIC DUTIES OF SENIOR STUDENTS: To assist and participate in hospital history and physical exams, orders, progress notes. To make daily hospital rounds. To assist and participate in surgical, diagnostic and testing procedures in the hospital and the office. To participate in the E.R. work as required. To attend teaching conferences as requested. HOURS PER WEEK: Conference: 4 Ward: 10 Clinic: 35 Lecture: Lab: Reading: Library: 5 Other: Page 89 O.R.: 6 Total: 60 COURSE: DIRECTOR: Orthopaedics Drs. Coker and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 713-8301 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: NW Arkansas Campus COURSE#: NORTB OBJECTIVES AND/OR GOALS: To gain practical experience in diagnosis and management of common and simple orthopaedic problems. Technical skills to be learned include: Orthopaedic history and physical examination techniques. Traction techniques. Plaster techniques - The student will have the opportunity to assist in plaster case application during emergency call with resident on duty. Factual knowledge to be gained: Functional anatomy as it pertains to orthopaedic diagnosis and treatment. Diagnosis and treatment of common orthopaedic problems. Emergency care of musculoskeletal injuries: rapid diagnosis of musculoskeletal injuries at the site; splinting of musculoskeletal injuries at the accident site using available material; initial management of open musculoskeletal injuries including those with vascular impairment; transportation of injured patients. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily activities - student will be assigned and activities directed by the assigned preceptor.. Reading Assignments: Textbook of Disorders and Injuries of the Musculoskeletal System, by Robert B. Salter; Fractures, by Rockwood and Green. * Drs.: Tom Patrick Coker, Park, Pleimann, Matthew Coker, Hanby, and Jeff Johnson HOURS PER WEEK: Conference: 4 Ward: 10 Clinic: 35 Lecture: Lab: Reading: Library: 5 Other: Page 90 O.R.: 10 Total: 64 COURSE: DIRECTOR: Pathology Drs. Hui and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 713-8301 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: NW Arkansas Campus COURSE#: NPATB OBJECTIVES AND/OR GOALS: The overall goal of this elective will be an attempt to show the student how the pathologist fulfills a role in the practice of medicine. This will be done by observing and participating in a wealth of activities in association with NWA Pathology Associates and Washington Regional Medical Center Laboratory Services. Spheres of activity will include clinical laboratory, examination of pathological specimens both grossly and microscopically, cytopathology cases (ie. Gyn PAP Smear, FNA specimen and non-Gyn cytology), necropsies, bacteriology and virology labs, and research activities. * Drs. Hendrycy, Simmons, Kraichoke, Dilday, Fink, Whiteside, and Gui SPECIFIC DUTIES OF SENIOR STUDENTS: Work in clinical lab under supervision in one or more sections. a. Hematology - learning principles, calibration and use of automated counters; case studies of interesting hematologic problems. b. Chemistry - case studies of interesting problems; learning principles of operation of multi-channel analyzers and how quality control is applied. c. Immunohematology - case studies of interesting blood banking and immunology problems. d. Microbiology - techniques and case studies of interesting problems. Participate in gross and microscopic study of surgical and cytopathology specimens. Participate in gross and microscopic necropsy studies. Reading, microscopic, or audiovisual study assignments. Attend AHEC teaching conferences each week. HOURS PER WEEK: Conference: 4 Clinic: Ward: 4 Lecture: Lab: 40 Reading: Library: 5 Other: Page 91 O.R.: 5 Total: 58 COURSE: DIRECTOR: Primary Care Pharmacotherapy Eric Schneider, PharmD, BCPS 12 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (479) 713-8401 599 MIN STUDENTS: AVAILABLE: Blocks 7,8, and 9 LOCATION: NW Arkansas Campus COURSE#: LNWPH OBJECTIVES AND/OR GOALS: The goal of the pharmacotherapy rotation is for students to hone the principles of rational medication evaluation, prescribing and monitoring. This is a 12-week longitudinal elective 4th year rotation and is "worth" 4 credit hours. At the completion of this rotation, the student will be able to: 1)Evaluate a patient’s medications with respect to indications, efficacy, adverse effects, toxicity, compliance, drug-drug/drug-disease interactions and cost-effectiveness. 2)Select and utilize cost-effective medications prescribed for common primary care disease states. 3)Monitor a patient’s medications appropriately for efficacy and toxicity. 4)Understand pharmacokinetic principles for appropriate prescribing in pediatric, elderly, pregnant, renallyimpaired or hepatically-impaired patient populations. 5)Select and use appropriate drug information resources and clinical guidelines, including electronic and online references. 6)Understand the principles of basic biostatistics and literature evaluation. 7)Select the most appropriate patient-specific medications for common disorders in primary care. SPECIFIC DUTIES OF SENIOR STUDENTS: 1) 2) 3) 4) 5) 6) 7) Exercise in utilizing the most appropriate drug information resources and guidelines. Educate patients about their medications in the family medicine pharmacotherapy clinic. Select cost-effective medications. See patients for asthma and diabetes education and follow-up/medication adjustments. Review articles and discuss (monthly journal club). Participate in OTC field Trip (local pharmacy) Write a review for the Priority Updates from the Research Literature Surveillance (PURLS) system or a Help Desk Answer (HDA) for the Family Physicians Inquiries Network (FPIN) 8) Topic discussions on pharmacotherapy principles. 9) Topic discussions on pharmacotherapy for common conditions seen in primary care. EVALUATION Students will be evaluated based on their preparation and participation in discussions, as well as on their performance with the written project. A pre- and post- rotation survey will be used to assess improvement in knowledge. HOURS PER WEEK: Conference: 3 Ward: Clinic: 2 Lecture: Lab: Reading: 4 Library: Other: 1 Page 92 O.R.: Total: 10 COURSE: DIRECTOR: Pulmonary PHONE: MAIL SLOT: (479) 713-8301 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: NW Arkansas Campus COURSE#: Kim Agee, M.D. NPULA OBJECTIVES AND/OR GOALS: To provide an elective in pulmonary medicine as practiced in a community hospital. Students are expected to participate in clinical evaluation of patients and interpretation of diagnostic studies at a level commensurate with their abilities and interest. Technical Skills Gained: -Systematic evaluation of patients by problem method, interpretation of chest s-rays. -Proficiency in acquisition of clinical and laboratory information from patients with general pulmonary disease: interpretation of blood gas data in reference o patients; interpretation of gram stains and other microbiological studies. -Management of respiratory therapy and appropriate use of drugs. Factual Knowledge Gained: -Emphasis on diagnosis and therapeutics of chest disease -Pathophysiology of altered pulmonary function in disease -Pathophysiology of chronic respiratory failure -Use of antimicrobial drugs -Reading chest x-rays -Interpretation of pulmonary function tests SPECIFIC DUTIES OF SENIOR STUDENTS: -Daily attending rounds for presentation and follow-up of consult patients, under the direct supervision of pulmonary specialist; reading assignments on basic topics with more extensive reading of the pertinent literature as subjects arise -Evaluation of new admissions and consultations by complete history and physical examination. Subsequent day-to-day management of diagnostic and therapeutic pulmonary problems, including those in intensive care areas. Outpatient follow-up of selected patients. -Familiarization with respiratory therapy equipment techniques including IPPB, incentive spirometry, O2 therapy and mechanical ventilator support. HOURS PER WEEK: Conference: Ward: 30 Clinic: 10 Lecture: Lab: 2 Reading: Library: Other: Page 93 O.R.: Total: 42 COURSE: DIRECTOR: Radiology NW Eric Sale, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 713-8301 599 MIN STUDENTS: AVAILABLE: Prior Approval Required LOCATION: NW Arkansas Campus COURSE#: NWRAD OBJECTIVES AND/OR GOALS: By the end of the four-week elective, the fourth-year medical student will be able to: Demonstrate an overall understanding of the field of radiology. Under the supervision of a practicing radiologist in a community hospital setting, demonstrate fundamentals of radiographic interpretation, indications for special procedures, and evaluation of patients for radiation therapy. Describe and explain a systematic approach to x-ray interpretation. Explain the relationship of the radiologist to other members of the health care team. Discuss the role of the radiologist in consultation with other physicians. Technical Skills: At the end of the four-week elective, the fourth-year medical student will be able to demonstrate: Fluoroscopic technique, as well as basic special procedure techniques. Basic isotope scanning technique and interpretation. An understanding of the applications and limitations of radiology. Fundamentals of interpretation. Applications of radiotherapy with follow-up of cancer patients. MRI and CAT scan equipment, if available to enhance learning experience. Factual Knowledge: By the end of the four-week elective, the fourth-year medical student will: Review Roentgen anatomy and physiology, both normal and pathologic. Apply knowledge to increase skill in Roentgen interpretation. SPECIFIC DUTIES OF SENIOR STUDENTS: During the four-week elective, students will: Observe with limited participation in procedures in the radiology department; Attend interpretation sessions with the radiologists; Discuss interpretation with radiologist; Observe fluoroscopic examinations with the radiologist. Review films from the teaching file; Take night call, as appropriate. Reading assignments from:Basic Roentgenographic Anatomy by Meeschan, Chest Roentgenology by Felson, Clinical Radiology by Paul and Juh Evidence-based medicine project: Select a case of particular interest or current issue of interest in this field, obtain and review relevant literature, and present findings or potential application to student’s selected career path. Conferences: Weekly educational conferences and slide/tape presentations, monthly hospital staff meetings, resident noon conferences, Tumor Board, Chest, Neuro-Radiology conferences, as suggested by course director. Evaluation Methods: Successful completion of the elective will be determined by: Attendance; Summative performance evaluation from preceptors; Result of Evidence-based Medicine project. YOU MUST HAVE PRIOR APPROVAL FROM THE COURSE DIRECTOR TO TAKE THIS COURSE. HOURS PER WEEK: Conference: 3 Ward: 5 Clinic: Lecture: Lab: 20 Reading: 8 Library: 4 Other: Page 94 O.R.: Total: 40 COURSE: DIRECTOR: General Surgery PHONE: MAIL SLOT: (479) 713-8301 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: NW Arkansas Campus COURSE#: Gareth Eck, M.D. NSURA OBJECTIVES AND/OR GOALS: Objectives and Goals: -The student will gain proficiency in surgical technical skills by participating in direct pre-op and post-op evaluation and management. -The student will gain a better understanding of the specialty of general surgery in a community hospital. -The student will improve skills in diagnosis and treatment with increased responsibility and close supervision by a practicing physician. -The student will gain surgical experience in both operating room and outpatient minor surgery. Technical Skills gained: -Surgical history and physical -Preoperative evaluation of patients -Participate in major surgical procedures -Perform some minor surgical procedures under supervision -Post-operative care -Follow-up review and care in physician’s office Factual knowledge gained: -Integration of basic science knowledge into care of surgical patients -Role of a general surgeon in a general community hospital SPECIFIC DUTIES OF SENIOR STUDENTS: -Perform, and dictate for the chart, a pertinent history and physical. -Outline a set of admissions orders, call the attending physician, and place orders in the chart when confirmed by the physician. -Consult texts and current literature relevant to each surgical procedure planned and be prepared to discuss this with the surgeon. -Observe and assist in the operating room. -Make daily rounds with the physician. -Take night call as specified by the attending physician. -Attend scheduled conferences. -Attend in the Emergency Room 4-6 of days during the elective, if desired -Keep patient encounter/procedure log of cases seen during the elective HOURS PER WEEK: Conference: 3 Ward: 12 Clinic: 10 Lecture: Lab: Reading: 3 Library: 2 Other: Page 95 O.R.: 20 Total: 50 COURSE: DIRECTOR: Family Medicine Primary Care PHONE: MAIL SLOT: (870) 572-2727 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Delta (Helena) COURSE#: Drs. Hall and (*) DPCFM OBJECTIVES AND/OR GOALS: 1. To understand and participate in the major forms of health care delivery in the Delta region of Arkansas. 2. To gain experience in Primary Care Medicine in the setting of a private practitioner's office, including patient/physician relationships, record keeping, and practice management. 3. To improve skills in the diagnosis and management of varied health problems in a rural setting. 4. To improve skills in procedures as practiced by Family Practice Physicians. 5. To learn the relationship of the Family Physician to other members of the health care team. 6. To learn the role of a Family Physician in the civic and social functions of the community. 7. To expose students to the lifestyle and various benefits of practicing in a rural community. (*) Drs. Scott Hall, Thomas Bailey, L.J. Bell II, Jim Pillow, and Jill Pillow Note: the Pillow practice wil not accept students in blocks 6, 7, and 8 SPECIFIC DUTIES OF SENIOR STUDENTS: Students will observe and participate in all activities within the private practice of the selected physician; in the office, hospital, nursing home, and ER. Specific duties will be arranged by the student with the assigned physician and could include seeing patients in all the locations named above, developing diagnostic and management plans, record keeping, assisting in surgery or OB, etc. Students should participate with the physician in staff and community meetings and continuing education as these opportunities arise. Students will be expected to complete reading assignments concerning current cases seen in practice and are encouraged to make use of the Delta AHEC library. Housing will be provided upon request to the AHEC Central Office. HOURS PER WEEK: Conference: 2 Ward: 10 Clinic: 30 Lecture: 0 Lab: 0 Reading: 0 Library: 3 Other: 0 Page 96 O.R.: 0 Total: 45 COURSE: DIRECTOR: Family Medicine Primary Care AHEC FM Clinic and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SPCFM OBJECTIVES AND/OR GOALS: To provide an educational experience in the setting of a private practitioner. The opportunity to participate in the continuing care of patients as family units, both ambulatory and inpatient. To aid the student in recognition of the family physician's role in management of the family unit. To gain experience working within a health care team including nurse practitioners and social workers. To gain insight into one's own perceptions of himself/herself as a physician. *Drs. Dudding, Callaway, Schlabach, Sills, Sasser, Balis, Carson, Phomakay, McMichael, Schmitz, and the AHEC Family Medicine Clinic. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will participate as indicated as physician of first contact, initiate work-up, organize therapeutic approach, and collaborate in the above with the private practitioner and paramedical personnel. The preceptor should provide the opportunity for the aforementioned contacts and the supervision and consultations required by the student. The student will attend scheduled conferences. Evaluation: 1. Regular evaluation and feedback sessions will be scheduled with the student to share faculty perceptions of areas of weakness, strength and strategies for growth and for the student to provide feedback to the faculty. 2 A summary evaluation will be provided to each student and required of the student at the end of the elective. HOURS PER WEEK: Conference: 2 Ward: 10 Clinic: 30 Lecture: Lab: Reading: 6 Library: 2 Other: Page 97 O.R.: Total: 50 COURSE: DIRECTOR: Family Medicine Primary Care PHONE: MAIL SLOT: (870) 793-2540 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-North Central (Batesville) COURSE#: Dr. Jordan Weaver BPCFM OBJECTIVES AND/OR GOALS: 1. To understand and participate in the major forms of health care delivery in the North Central region of Arkansas. 2. To gain experience in Family Medicine in the setting of a private physician’s office, including the patientphysician relationship, record keeping, and practice management. 3. To improve skills in the diagnosis and management of varied health problems in a rural setting. 4. To improve skills in procedures as practiced by Family Medicine Physicians. 5. To learn the relationship of the Family Medicine Physician to other members of the healthcare team. 6. To learn the role of a Family Medicine Physician in the civic and social functions of the community. 7. To expose students to the lifestyle and various benefits of practicing in a rural community SPECIFIC DUTIES OF SENIOR STUDENTS: Students will observe and participate in all activities within the private practice of the selected physician. Specific duties will be arranged by the student with the assigned physician and could include seeing patients, developing diagnostic and management plans, recordkeeping, assisting in procedures, or other appropriate duties. Students should participate with the physician in staff and community meetings and continuing education as these opportunities arise. Students will be expected to complete reading assignments concerning current cases seen in practice. Housing may be arranged if needed. HOURS PER WEEK: Conference: Clinic: 40 Ward: Lecture: Lab: Reading: 5 Library: Other: Page 98 O.R.: Total: 45 COURSE: DIRECTOR: Family Medicine Primary Care Drs. (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JPCFM OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions encountered in private family practice. To gain experience with care of a varied patient population and varied health problems (medical, psychological and social) acting as the primary health care provider. To gain experience and knowledge of the interface between Family Medicine and secondary and tertiary health care (referrals, consultations, etc.). To clarify educational and professional goals. To gain appreciation of continuing education habits. * Drs. Maglothin, Hurst, Golden, Ragland, Houchin, Carlton, Hunter, Shown, Lamb, Palmer, Gibson, and Turney SPECIFIC DUTIES OF SENIOR STUDENTS: The student will see outpatients in the office and inpatients in the hospital. Daily office hours and daily hospital visits with appropriately scheduled night call, library time, and reading time. Reading assignments in connection with current cases seen in practice. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. HOURS PER WEEK: Conference: 3 Ward: 15 Clinic: 25 Lecture: 2 Lab: Reading: Library: Other: Page 99 O.R.: Total: 45 COURSE: DIRECTOR: Family Medicine Primary Care Drs. Joanna Thomas and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (479) 521-0263 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northwest (Fayetteville) COURSE#: FPCFM OBJECTIVES AND/OR GOALS: Gain knowledge and skills in diagnosis and management of health problems in a family medicine practice. a. Care of varied patient population and varied health problems both in the office and in the hospital setting. b. To learn the relationship of the family physcian to other members of the health care team: Specialist physicians, secondary and tertiary care facilities, and allied health professionals (nurses, physical therapy, respiratory therapy, dietician, social worker, etc.). c. To learn the relationship of the family physician to patient and to patient's family. d. To see that good primary care can be delivered by family physicians including preventive medicine and public health issues. e. Improve skills in record keeping, doctor/patient relations, and communications. To aid in establishing realistic educational and practice goals. To aid in developing good continuing education habits. To gain exposure to organized medicine. To see the relationship of the family physician to the hospital, to his own family, and to his community. To gain exposure to the financial aspects of Family Practice. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will be assigned to the AHEC Family Medical Centers/hospitals/specialty clinics. Expected duties may include: 1. See patients in the clinic including preparation of a S.O.A.P. record in the chart, assist in the assessment and management process. 2. Hospital, if available 3. Assist in diagnostic and treatment plans, orders, etc. 4. Assist in surgery and clinics. 5. To attend committee meetings and teaching conferences as requested. 6. To study appropriate library and audiovisual materials as requested. . *Drs.: Martin, Proffitt, McGhee, M. Thomas, J. Thomas, Brimberry, Alberty, Vo, and Gray. HOURS PER WEEK: Conference: 4 Ward: Clinic: 36 Lecture: Lab: Reading: Library: Other: Page 100 O.R.: Total: 40 COURSE: DIRECTOR: Family Medicine Primary Care H. Fendley, M.D. and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 541-7611 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Pine Bluff COURSE#: PPCFM OBJECTIVES AND/OR GOALS: 1. Students should gain knowledge and skills in diagnosis and management of common health problem as encountered in a family medicine practice while experiencing the benefits and satisfaction continuity of care provides. 2. Students should learn the relationships of the family physician to other members of the health care team. 3. Students should learn how to recognize, utilize, and apply principles of preventive medicine and community health in a family practice. 4. Students should learn or improve skills in communication, doctor/patient relationships, record keeping and practice management, including financial management. 5. Students should improve skills in diagnostic and therapeutic procedures as may be encountered in a family practice. 6. Knowledge will be gained in the role of the family practice physician in the hospital and the civic/social functions of the community. * Drs. Armstrong, Lindsey, Redman, Coleman, Harris, N. Williams, Ramiro, and Reece SPECIFIC DUTIES OF SENIOR STUDENTS: Students will observe and participate in all activities within the private practice of the selected physician or group: in the office, hospital, nursing home, ER and house calls. Specific duties will be arranged by the student with the assigned physician and could include seeing patients in all of the locations above, developing diagnostic and management plans, record keeping, assisting in surgery or OB, etc. Students should participate with the physician in hospital staff and community meetings and county medical society activities as the occasions aise. Students will be expected to do self-study activities related to cases or diseases encountered. Evaluation forms relating to the elective experience, a well as to the physician/teacher, will be completed by the participants. (Housing will be provided for the student.) **This selective will take place at the Pine Bluff AHEC. On an individual basis, arrangements may be made to provide the student with some exposure to, and experience in, a nearby rural family practice setting. HOURS PER WEEK: Conference: Clinic: 40 Ward: 5 Lecture: Lab: Reading: 2 Library: 3 Other: Page 101 O.R.: Total: 50 COURSE: DIRECTOR: Family Medicine Primary Care Drs. M. Garrett-Shaver and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (870) 862-2381 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: EPCFM OBJECTIVES AND/OR GOALS: To provide learning experiences to senior medical students for the development of expertise in comprehensive patient/family health problems management, both outpatient and inpatient. To demonstrate the importance of the continuum of care concept in the practice of Family Medicine. To promote participation of senior medical students in health care teams' activities involving physician-tophysician referral and cooperation with nursing and allied and associated health care personnel. (*) Drs. Davis, Watson, Smith, Sheppard, Smart, Bevill, Carroll, and Narciso SPECIFIC DUTIES OF SENIOR STUDENTS: The student will be assigned to a family practitioner of the community and will observe and participate in all phases of the physician's private practice, being assigned the following duties: Evaluation of new patients as assigned by the local physician-preceptor, the work-up to include identification of medical problems, history, physical examination, assessment of findings, and formulation of plans for outpatient and inpatient diagnosis and management, both immediate and follow-up; Utilization of the literature pertinent to the total care of the patients; Participation in the core curriculum through appropriate conferences; Evaluation and documentation of the student's experience with the assigned preceptor-physician and with the medical community at large. HOURS PER WEEK: Conference: 3 Ward: 10 Clinic: 32 Lecture: 1 Lab: Reading: 2 Library: 2 Other: Page 102 O.R.: Total: 50 COURSE: DIRECTOR: Family Medicine Primary Care Drs. Russell Mayo and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (870) 279-6016 AHEC MIN STUDENTS: AVAILABLE: All blocks LOCATION: AHEC-Southwest (Texarkana) COURSE#: TPCFM OBJECTIVES AND/OR GOALS: To gain experience in primary care medicine. To gain an understanding into the total care of the patient including preventive medicine and acute convalescent care. To be able to evaluate patients in outpatient settings. To learn or improve skills in communication. To learn skills in practice management. To learn skills in diagnostic and therapeutic procedures utilized by family physicians. To gain an understanding of the role family physicians have in the civic and social circles of the community. *Drs. Gabbie, Stussy, Bowen, Richter, Tarpley, Graves, and Tyler. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will be responsible for the examination with write-up of history and physical on patients. No more than three or four new patients daily. Assistance and observation in the management of the in-hospital patients. Daily discussion with instructor. The student will be required to attend monthly conferences including: Residency Noon Conference, and Tumor Board. HOURS PER WEEK: Conference: 2 Ward: 10 Clinic: 24 Lecture: 1 Lab: Reading: Library: 2 Other: Page 103 O.R.: 2 Total: 41 COURSE: DIRECTOR: Family Medicine Primary Care Arlo Kahn, M.D. 4 weeks DURATION: MAX STUDENTS: 12 PHONE: MAIL SLOT: (501) 686-6564 530 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: VARIABLE COURSE#: UPCFM OBJECTIVES AND/OR GOALS: 1. The student will learn the basic concepts and principles on which Family Medicine is founded, and how to apply these concepts and principles to ambulatory primary care. 2. The student will care for a patient population with varied health problems, under the supervision of clinicians. 3. The student will learn to work with a health care team, including nurse practitioners, social workers, pharmacists, patient educators, and office staff. 4. The student will learn the appropriate interface between Family Medicine and secondary/tertiary health care providers (referrals, consultations, etc.). 5. The student will gain an appreciation of the concept of holistic health care and its application in Family Medicine. 6. The student will be able to clarify his or her own educational and professional goals. 7. The student will learn the importance of continuing medical education. 8. The student will be exposed to the practice of Family Medicine at community health clinics and in the private setting. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will learn by providing care to outpatients in a variety of clinical settings. Students will gain an appreciation for private family practice working alongside private physicians in Family Medicine. All of these preceptors are board-certified family physicians and volunteer clinical faculty. Students will also spend a portion of their time working in a community clinic, also under the direct supervision of board-certified family physicians who are volunteer clinical faculty. Each student is required to present a twenty minute talk on a common medical problem encountered in family practice. *IMPORTANT NOTE: STUDENTS WILL ASSUME RESPONSIBILITY FOR CONTACTING THE PHYSICIAN WITH WHOM THEY PLAN TO WORK. Assignment may be arranged from a list of approved preceptors or by approval of the physician of student's choice with the course director. All preceptors must be board- certified family physicians recognized and approved by the Department of Family and Preventive Medicine. A description of the anticipated activities during the course (type and amount of ambulatory care, hospital care, nursing home care, etc.) must accompany requests for participation in this elective. The student must provide the above mentioned information to the course director at least 2 weeks before the course starts. HOURS PER WEEK: Conference: 3 Ward: Clinic: 32 Lecture: Lab: 4 Reading: Library: 1 Other: Page 104 O.R.: Total: 40 COURSE: DIRECTOR: Internal Medicine Primary Care Drs. Lawrence Price and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SPCMD OBJECTIVES AND/OR GOALS: To provide the student with broad experience in general internal medicine. To develop a diagnostic and therapeutic approach to the adult patient with medical problems, including establishment of a defined database, history and examination, assessment and planning. To assist the student in establishing realistic educational and practice goals. To aid the student in understanding the concept of health care problems. To develop knowledge and skills necessary for management of patients with chronic diseases, multiple problems; including patient education and patient compliance. To develop skills in performing procedures, diagnosis and treatment that are in the expected skill level of the student. * Drs.: Jefferson, Robinson, Taft, Price, Schwarz, Hodge, Stillwell, Hamilton, R. Sanders, B. Yarborough, and Womack SPECIFIC DUTIES OF SENIOR STUDENTS: Senior students will be in attendance for hospital rounds with the attending physician at least twice daily. The student will be responsible for history and physical on patients of the attending physician with other aspects of patient care and evaluation as assigned by the physician. The student is expected to read current literature pertaining to the cases being seen in the hospital or in the office in conjunction with the attending physician. Attendance at noon conferences will be expected as often as possible. HOURS PER WEEK: Conference: 2 Ward: 10 Clinic: 30 Lecture: Lab: Reading: 6 Library: Other: Page 105 O.R.: Total: 48 COURSE: DIRECTOR: Internal Medicine Primary Care (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JPCMD OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital management of the most common conditions encountered in private practice of Internal Medicine. To develop a diagnostic and therapeutic approach to the adult patient with common medical problems; this includes establishment of a defined database, assessment and management of and concept of health care maintenance for adults. The major emphasis will be on clinical problem solving for adult patients. * Drs.: Guinn, Woodruff, Porter, Hall, Diamond, Wood, Tate, Hodges, Treece, and Owens. SPECIFIC DUTIES OF SENIOR STUDENTS: The senior student will evaluate new patients. These work-ups involve a complete history and physical examination, an assessment of the findings and formulation of a plan for diagnosis and management. The student will then provide follow-up care for these patients over the 8 week period, in coordination with his physician-instructor. The senior student is responsible for pertinent literature relevant to his/her patients. Daily office hours and daily hospital visits with appropriately scheduled night call, library time and reading time. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. HOURS PER WEEK: Conference: 1 Ward: 25 Clinic: 17 Lecture: 2 Lab: Reading: Library: Other: Page 106 O.R.: Total: 45 COURSE: DIRECTOR: Internal Medicine Primary Care Drs. Michael Downs and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (870) 779-6016 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Southwest (Texarkana) COURSE#: TPCMD OBJECTIVES AND/OR GOALS: General work-ups of patients with understanding of procedures indicated for diagnosis. To develop knowledge and skills in physical examinations and history taking and to relate this to the overall patient. Understanding of the numerous health care persons and their functions in the health care of the individual. To maintain, follow through and assist in the continued care of the chronically ill individual, including cardiac, pulmonary and aged persons. To evaluate outpatient and ambulatory patients and to be aware of ongoing medical care. * Drs.: M. Martin, Graham, S. Griffin. SPECIFIC DUTIES OF SENIOR STUDENTS: Senior students will be in attendance for hospital rounds with the instructor at least once daily. The student will be expected to do work-ups on patients including physicals and history, with an outline of expected procedures necessary for the care of the individual. The student will be expected to review literature relative to cases and read materials assigned by the instructor. The student will be expected to attend three conferences monthly - Tumor, Chest and REsidency Noon Conferences. There will be a discussion period with members of the Internal Medicine section, formally and informally, at least three times a week. The student will be indoctrinated in the Intensive Care Units with a knowledge of the computerized equipment. The student will be required to attend the following conferences: Residency Noon Conference, Tumor Board. HOURS PER WEEK: Conference: 2 Ward: 26 Clinic: 7 Lecture: 1 Lab: 1 Reading: 5 Library: 5 Other: Page 107 O.R.: Total: 47 COURSE: DIRECTOR: Internal Medicine Primary Care Dr. Jo Ann Wood 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-8058 641 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UPCMD OBJECTIVES AND/OR GOALS: 1. To develop a diagnostic and therapeutic approach to the adult outpatient with common medical problems. The major emphasis will be on clinical problem solving for adult and geriatric patients. 2. To develop the knowledge and skills necessary for the management of patients with chronic diseases, and patients with multiple and often interdependent problems. This management will include concepts of patient education, patient compliance and utilization of community resources to maintain or return the patient to his desired level of function. 3. To understand the concept of health care teams including physicians, nurse practitioners, clinical pharmacists, social workers, and dietitians and the function of such teams in the provision of primary care. 4. To recognize the importance of good medical records documentation in the primary care setting. 5. To understand the impact of psychosocial and socioeconomic factors in health maintenance and medical outcomes. 6. To learn about systems based management and be introduced to the process of quality improvement. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. The students will evaluate new patients referred to the General Medicine Clinic at UAMS. These workups will involve a complete history and physical examination, an assessment of the findings, and formulation of a plan for diagnosis and management. The student will then provide follow-up care for these patients over the four week period. 2. The student in responsible for attending Medicine Grand Rounds, General Internal Medicine conferences, and morning report at the VA on Tuesdays, and Resident Ambulatory Didactics on Mondays. 3. A 45 minute conference covering general medicine outpatient topics is held two or three times a week. 4. One completed clinic note, selected by the students, will be turned in each Friday by noon for review and will be returned the following Monday. 5. The students will work as a group to develop a patient education pamphlet for distribution in the clinic, as well as a Quality improvement Project with a focus on Ambulatory medicine 6. Because of patient schedule limitations, students can drop this course only if they give a 2 month notice. HOURS PER WEEK: Conference: 6 Ward: Clinic: 30 Lecture: 4 Lab: Reading: Library: Other: Page 108 O.R.: Total: 40 COURSE: DIRECTOR: Pediatric Primary Care Drs. Aclin and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (479) 785-2431 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Fort Smith COURSE#: SPCPD OBJECTIVES AND/OR GOALS: Factual knowledge to be gained: Clinical management of typical in-patients and out-patients in a general pediatric practice. Technical skills to be learned: Effective utilization of clinic staff and of more than one examination room at a time. Effective interaction with community resources for children's health, education, and social needs. (*) Drs.: Parker, Robinson, McClain, Beene, Whitaker, Ghan, Nassri, J. Hendrickson, Ashcraft, Ibrahim, Hanley, Cheshier, and de Miranda SPECIFIC DUTIES OF SENIOR STUDENTS: A. Routine activities: To practice pediatrics under the tutelage of one or more affiliated private pediatricians chosen by the student and the course director. The senior student is expected to make hospital and nursery rounds with the pediatrician regularly, and to see 3-10 clinic patients daily. The senior student will be expected to develop a diagnosis and a plan of treatment for each patient seen. To maintain a record of patients and problems encountered, for weekly review with the course director. To attend daily AHEC conferences when they pertain to pediatrics. B. Reading Assignments: To read a syllabus of current articles concerning primary care pediatrics, and to be prepared to discuss the topics with the course director at the weekly reviews. In addition, to read relevant texts and articles regarding speciic patients whom the senior student sees. HOURS PER WEEK: Conference: 4 Ward: 5 Clinic: 35 Lecture: Lab: Reading: 8 Library: Other: Page 109 O.R.: Total: 52 COURSE: DIRECTOR: Pediatric Primary Care Melody Moody, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (800) 264-3170 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-North Central (Batesville) COURSE#: BPCPD OBJECTIVES AND/OR GOALS: Technical skills: Observation and assistance in the management of pediatric patients. Factual Knowledge to be gained: 1. To gain experience, under supervision, in the office and hospital in the management of the most common conditions encountered in Pediatrics. 2. To participate in daily clinics held in the Pediatric practice with the preceptor/instructor. 3. To gain knowledge in the clinical management of a caseload that is typical to private Pediatric practice. 4. To learn resuscitation techniques of the newborn, observe umbilical artery caths, circumcision, lumbar puncture and other common pediatric procedures. 5. To gain knowledge in the organization of pediatric practice in a private office. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily activities: Pediatric practice in both the hospital and office setting under the supervision of a community pediatrician. Evaluate acutely and chronically ill patients in a general Pediatric practice. Reading assignments as instructed by the preceptor. HOURS PER WEEK: Conference: 5 Ward: 12 Clinic: 30 Lecture: Lab: Reading: 6 Library: Other: Page 110 O.R.: Total: 53 COURSE: DIRECTOR: Pediatric Primary Care Drs. Kemp and (*) 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (870) 972-0063 AHEC MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JPCPD OBJECTIVES AND/OR GOALS: To gain experience, under supervision, in the office and hospital mangement of the most common conditions encountered in private practice of Pediatrics. To participate in well child care with physician-instructor. * Drs.: Kemp, Johnson, Skaug, Skaug, Sneed, Beck, Hornbeck, Matthews, Reinhard, Rouse SPECIFIC DUTIES OF SENIOR STUDENTS: Daily office hours and daily hospital visits with appropriately scheduled night call, library time and reading time. Reading assignments in connection with current cases seen in the practice. There are regularly scheduled weekly CME conferences, which the students are expected to attend. Good medical library and librarian services are available and their use is encouraged. HOURS PER WEEK: Conference: Clinic: 28 Ward: 10 Lecture: 2 Lab: Reading: Library: Other: Page 111 O.R.: Total: 40 COURSE: DIRECTOR: Pediatric Primary Care Dr. Dale Dildy 4 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (501) 364-4361 512-8 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UPCPD OBJECTIVES AND/OR GOALS: General: 1. To become familiar with the concept of Pediatric Primary Care 2. To perform clinical problem solving in an atmosphere of patient continuity 3. To relate the patient and his medical problem(s) to his family and community Patients: 1. To learn about pediatric health concerns in newborns, children and adolescents 2. To evaluate and manage acute and chronic health problems in pediatrics PLEASE NOTE: Attendance on this rotation is very important. Time missed in excess of three days will require make-up time at the end of the academic year. Attendance at required conferences is also monitored and will be reflected in final evaluations. If a student plans on being gone more than 3 days for residency interviews during this course, he/she MUST obtain approval of the course director in advance. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Function as an acting intern in the General Pediatric Center for one week under the direct supervision of the general pediatric faculty. With prior approval, part of this week may be spent in another area such as developmental or community pediatrics 2. One of the four weeks will be spent in the term nursery under the supervision of the nursery attending. 3. Spend three half days in the outpatient clinics of the adolescent medicine section, functioning as an acting intern in providing care to adolescent patients. 4. Work in the Emergency Department of Arkansas Children's Hospital for one week, seeing acutely ill patients as an acting intern. 5. Observe outpatients in the Dennis Development Medical Clinic 2 days/week under the supervision of an attending physician. 6. Function as a member of the continuity team in all these areas, working with nurses and social workers to achieve solutions to patients' problems. 7. Attend scheduled conferences. 8. Attend out patient morning report on Wednesdays, Thursdays, and Fridays at 8:00 a.m. NOTE: Students desiring additional Pediatric Emergency Medicine exposure, please see the course description for the Pediatric Emergency Medicine Elective. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days. At least a one week notice is required to add or drop this rotation. HOURS PER WEEK: Conference: 5 Ward: Clinic: 35 Lecture: Lab: Reading: Library: Other: Page 112 O.R.: Total: 40 COURSE: DIRECTOR: Drs. Becky Hall AI in Family Medicine PHONE: MAIL SLOT: (870) 338-9100 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Delta (Helena) COURSE#: DAIFM OBJECTIVES AND/OR GOALS: Goal: To offer an educational experience to senior medical students that will instill confidence and teach them the skills to treat in-patients on the Family Practice service. This will be accomplished by encouraging the student to accept substantial responsibility in hospital-based patient care and diagnosstic and management problems while under the supervision of upper level residents and attending physicians. The student will also learn to work effectively in a leadership role as part of the clinical team responsible for the health care of patients. Objectives: Upon completion of the Family Medicine Acting Internship, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. Perform an appropriate history and physical examination. Evaluate a patient and present a concise narrative summary of findings. Write and initiate appropriate treatment of the hospital patient. Interact appropriately with ward staff, and attending physicians. Request consultation in an appropriate and timely fashion. Arrange for referral of patients to another center and be able to make all necessary arrangements. Complete paperwork in a timely fashion. Consult medical literature and research appropriately. SPECIFIC DUTIES OF SENIOR STUDENTS: The acting Internship will also provide experiences with appropriate procedures. Call Schedule: Call will be assigned commensurate with that of a first-year resident and at the discretion of the attending physician. The AI takes place with Dr. L.J. Bell II in Helena. Housing and some meals will be provided. HOURS PER WEEK: Conference: 4 Ward: 40 Clinic: 0 Lecture: 0 Lab: 0 Reading: 2 Library: 0 Other: 0 Page 113 O.R.: 0 Total: 46 COURSE: DIRECTOR: Dr. Becky Hall and * AI in Family Medicine PHONE: MAIL SLOT: (870) 265-5351 AHEC 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 Blocks 2 through 9 AVAILABLE: LOCATION: AHEC-Delta (Lake Village) COURSE#: DAIFL OBJECTIVES AND/OR GOALS: Goal: To offer an educational experience to senior medical students that will instill confidence and teach them the skills to treat in-patients on the Family Practice service. This will be accomplished by encouraging the student to accept substantial responsibility in hospital-based patient care and diagnosstic and management problems while under the supervision of upper level residents and attending physicians. The student will also learn to work effectively in a leadership role as part of the clinical team responsible for the health care of patients. Objectives: Upon completion of the Family Medicine Acting Internship, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. Perform an appropriate history and physical examination. Evaluate a patient and present a concise narrative summary of findings. Write and initiate appropriate treatment of the hospital patient. Interact appropriately with ward staff, and attending physicians. Request consultation in an appropriate and timely fashion. Arrange for referral of patients to another center and be able to make all necessary arrangements. Complete paperwork in a timely fashion. Consult medical literature and research appropriately. SPECIFIC DUTIES OF SENIOR STUDENTS: The acting Internship will also provide experiences with appropriate procedures. Call Schedule: Call will be assigned commensurate with that of a first-year resident and at the discretion of the attending physician. * The AI takes place with one of the following physicians: Drs. John Burge or JoAnne Gregory in Lake Village Housing and some meals will be provided. HOURS PER WEEK: Conference: 4 Ward: 40 Clinic: 0 Lecture: 0 Lab: 0 Reading: 2 Library: 0 Other: 0 Page 114 O.R.: 0 Total: 46 COURSE: DIRECTOR: Dr. Jimmy Acklin AI in Family Medicine PHONE: MAIL SLOT: (479) 785-2431 599 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Fort Smith COURSE#: SAIFM OBJECTIVES AND/OR GOALS: Goal: To offer an educational experience to senior medical students that will instill confidence and teach them the skills to treat in-patients on the Family Practice service. This will be accomplished by encouraging the student to accept substantial responsibility in hospital-based patient care and diagnostic and management problems while under the supervision of upper level residents and attending physicians. The student will also learn to work effectively in a leadership role as part of the clinical team responsible for the health care of patients. Objectives: Upon completion of the Family Medicine Acting Internship, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. Perform an appropriate history and physical examination. Evaluate a patient and present a concise narrative summary of findings. Write and initiate appropriate treatment of the hospital patient. Interact appropriately with ward staff, and attending physicians. Request consultation in an appropriate and timely fashion. Arrange for referral of patients to another center and be able to make all necessary arrangements. Complete paperwork in a timely fashion. Consult medical literature and research appropriately. SPECIFIC DUTIES OF SENIOR STUDENTS: The acting Internship will also provide experiences with appropriate procedures. Call Schedule: Call will be assigned commensurate with that of a first-year resident and at the discretion of the attending physician. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 115 O.R.: Total: 46 COURSE: DIRECTOR: Dr. Scott Laffoon AI in Family Medicine PHONE: MAIL SLOT: (870) 972-9603 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JAIFM OBJECTIVES AND/OR GOALS: Goal: To offer an educational experience to senior medical students that will instill confidence and teach them the skills to treat in-patients on the Family Practice service. This will be accomplished by encouraging the student to accept substantial responsibility in hospital-based patient care and diagnosstic and management problems while under the supervision of upper level residents and attending physicians. The student will also learn to work effectively in a leadership role as part of the clinical team responsible for the health care of patients. Objectives: Upon completion of the Family Medicine Acting Internship, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. Perform an appropriate history and physical examination. Evaluate a patient and present a concise narrative summary of findings. Write and initiate appropriate treatment of the hospital patient. Interact appropriately with ward staff, and attending physicians. Request consultation in an appropriate and timely fashion. Arrange for referral of patients to another center and be able to make all necessary arrangements. Complete paperwork in a timely fashion. Consult medical literature and research appropriately. SPECIFIC DUTIES OF SENIOR STUDENTS: The acting Internship will also provide experiences with appropriate procedures. Call Schedule: Call will be assigned commensurate with that of a first-year resident and at the discretion of the attending physician. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 116 O.R.: Total: 46 COURSE: DIRECTOR: Dr. Joanna Thomas and (*) AI in Family Medicine 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (479) 521-0263 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-Northwest (Fayetteville) COURSE#: FAIFM OBJECTIVES AND/OR GOALS: Goal: To offer an educational experience to senior medical students that will instill confidence and teach them the skills to treat in-patients on the Family Practice service. This will be accomplished by encouraging the student to accept substantial responsibility in hospital-based patient care and diagnostic and management problems while under the supervision of upper level residents and attending physicians. The student will also learn to work effectively in a leadership role as part of the clinical team responsible for the health care of patients. Objectives: Upon completion of the Family Medicine Acting Internship, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. Perform an appropriate history and physical examination. Evaluate a patient and present a concise narrative summary of findings. Write and initiate appropriate treatment of the hospital patient. Interact appropriately with ward staff, and attending physicians. Request consultation in an appropriate and timely fashion. Arrange for referral of patients to another center and be able to make all necessary arrangements. Complete paperwork in a timely fashion. Consult medical literature and research appropriately. SPECIFIC DUTIES OF SENIOR STUDENTS: The acting Internship will also provide experiences with appropriate procedures. Call Schedule: Students will be expected to take call on Fridays from 5 p.m. until 12 a.m. each week. (*) Drs. Martin, Proffitt, J. Thomas, Brimberry, M. Thomas, Alberty, Vo, McGhee, and Gray HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 117 O.R.: Total: 46 COURSE: DIRECTOR: Dr. H. Mark Attwood AI in Family Medicine PHONE: MAIL SLOT: (870) 541-7611 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Pine Bluff COURSE#: PAIFM OBJECTIVES AND/OR GOALS: Goal: To offer an educational experience to senior medical students that will instill confidence and teach them the skills to treat in-patients on the Family Practice service. This will be accomplished by encouraging the student to accept substantial responsibility in hospital-based patient care and diagnosstic and management problems while under the supervision of upper level residents and attending physicians. The student will also learn to work effectively in a leadership role as part of the clinical team responsible for the health care of patients. Objectives: Upon completion of the Family Medicine Acting Internship, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. Perform an appropriate history and physical examination. Evaluate a patient and present a concise narrative summary of findings. Write and initiate appropriate treatment of the hospital patient. Interact appropriately with ward staff, and attending physicians. Request consultation in an appropriate and timely fashion. Arrange for referral of patients to another center and be able to make all necessary arrangements. Complete paperwork in a timely fashion. Consult medical literature and research appropriately. SPECIFIC DUTIES OF SENIOR STUDENTS: The acting Internship will also provide experiences with appropriate procedures. Call Schedule: Call will be assigned commensurate with that of a first-year resident and at the discretion of the attending physician. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 118 O.R.: Total: 46 COURSE: DIRECTOR: Drs. Garrett-Shaver, Carroll, and Narciso AI in Family Medicine PHONE: MAIL SLOT: (870) 862-2489 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: EAIFM OBJECTIVES AND/OR GOALS: Goal: To offer an educational experience to senior medical students that will instill confidence and teach them the skills to treat in-patients on the Family Practice service. This will be accomplished by encouraging the student to accept substantial responsibility in hospital-based patient care and diagnosstic and management problems while under the supervision of upper level residents and attending physicians. The student will also learn to work effectively in a leadership role as part of the clinical team responsible for the health care of patients. Objectives: Upon completion of the Family Medicine Acting Internship, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. Perform an appropriate history and physical examination. Evaluate a patient and present a concise narrative summary of findings. Write and initiate appropriate treatment of the hospital patient. Interact appropriately with ward staff, and attending physicians. Request consultation in an appropriate and timely fashion. Arrange for referral of patients to another center and be able to make all necessary arrangements. Complete paperwork in a timely fashion. Consult medical literature and research appropriately. SPECIFIC DUTIES OF SENIOR STUDENTS: The acting Internship will also provide experiences with appropriate procedures. Call Schedule: Call will be assigned commensurate with that of a first-year resident and at the discretion of the attending physician. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 119 O.R.: Total: 46 COURSE: DIRECTOR: Dr. Russell Mayo AI in Family Medicine PHONE: MAIL SLOT: (870) 779-6016 599 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All blocks AVAILABLE: LOCATION: AHEC-Southwest (Texarkana) COURSE#: TAIFM OBJECTIVES AND/OR GOALS: Goal: To offer an educational experience to senior medical students that will instill confidence and teach them the skills to treat in-patients on the Family Practice service. This will be accomplished by encouraging the student to accept substantial responsibility in hospital-based patient care and diagnosstic and management problems while under the supervision of upper level residents and attending physicians. The student will also learn to work effectively in a leadership role as part of the clinical team responsible for the health care of patients. Objectives: Upon completion of the Family Medicine Acting Internship, the student will be able to: 1. Perform an appropriate history and physical examination. 2. Evaluate a patient and present a concise narrative summary of findings. 3. Write and initiate appropriate treatment of the hospital patient. 4. Interact appropriately with ward staff, and attending physicians. 5. Request consultation in an appropriate and timely fashion. 6. Arrange for referral of patients to another center and be able to make all necessary arrangements. 7. Complete paperwork in a timely fashion. 8. Consult medical literature and research appropriately. SPECIFIC DUTIES OF SENIOR STUDENTS: The acting Internship will also provide experiences with appropriate procedures. Call Schedule: Call will be assigned commensurate with that of a first-year resident and at the discretion of the attending physician. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 120 O.R.: Total: 46 COURSE: DIRECTOR: Arlo Kahn, M.D. AI in Family Medicine 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 686-6564 530 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UAIFM OBJECTIVES AND/OR GOALS: Goal: To offer an educational experience to senior medical students that will instill confidence and teach them the skills to treat in-patients on the Family Practice service. This will be accomplished by encouraging the student to accept substantial responsibility in hospital-based patient care and diagnostic and management problems while under the supervision of upper level residents and attending physicians. The student will also learn to work effectively in a leadership role as part of the clinical team responsible for the health care of patients. Objectives: Upon completion of the Family Medicine Acting Internship, the student will be able to: 1. Perform an appropriate history and physical examination. 2. Evaluate a patient and present a concise narrative summary of findings. 3. Write and initiate appropriate treatment of the hospital patient. 4. Interact appropriately with ward staff, and attending physicians. 5. Request consultation in an appropriate and timely fashion. 6. Arrange for referral of patients to another center and be able to make all necessary arrangements. 7. Complete paperwork in a timely fashion. 8. Consult medical literature and research appropriately. SPECIFIC DUTIES OF SENIOR STUDENTS: The acting Internship will also provide experiences with appropriate procedures. Call Schedule: Call will be assigned commensurate with that of a first-year resident and at the discretion of the attending physician. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 121 O.R.: Total: 46 COURSE: DIRECTOR: Dr. Lawrence Price AI in Internal Medicine PHONE: MAIL SLOT: (479) 785-2431 599 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Fort Smith COURSE#: SAIMD OBJECTIVES AND/OR GOALS: 1. The broad goal of this experience is to help prepare the student for their residency internship, ;whether it will be surgical, medical, pediatric, or other fields. 2. The student will be able to: Demonstrate medical interviewing techniques that provide relevant and adequate information; Demonstrate proper physical exam techniques; Demonstrate adequate communication skills for communicating with both patients and families; Perform basic procedures under appropriate supervision; Effectively and accurately complete patient charts; Write correct orders for patient treatment; Demonstrate effective timemanagement skills; Refer patients to the appropriate professionals for extended evaluation/care; Demonstrate proper patient management for the following conditions - Chest pain, shortness of breath, delirium, gastrointestinal bleeding, etc. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Perform complete H&P's, develop differential diagnoses and treatment plans for assigned patients and provide medical care for these patients during their hospitalization. 2. Write orders (with appropriate supervision) and maintain chart documentation. 3. Participate in daily rounds with attending(s). 4. Assist with procedures. 5. Take call commensurate with that of a first-year resident and at the discretion of the attending physician. 6. Attend didactic teaching sessions specific to this particular service and attend conferences at AHEC and/or hospital. 7. Read relevant portions of medical texts and current medical literature. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 122 O.R.: Total: 46 COURSE: DIRECTOR: Dr. Tom Cummins AI in Internal Medicine 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (800) 264-3170 599 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: AHEC-North Central (Batesville) COURSE#: BAIMD OBJECTIVES AND/OR GOALS: The broad goal is to help prepare the student for their residency, whether it will be surgical, medical pediatric, or in other fields. The student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. 9. Demonstrate medical interviewing techniques that provide relevant and adequate information; Demonstrate proper physical examination techniques; Demonstrate adequate communication skills for communicating with both patients and families; Perform basic procedures under appropriate supervision; Effectively and accurately complete patient documentation; Write correct orders for patient treatment; Demonstrate effective time-management skills; Refer patients to the appropriate professionals for extended evaluation/care; Demonstrate proper patient management for the following conditions: chest pain, shortness of breath, delirium, gastrointestinal bleeding, etc. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Perform complete H&P's, develop differential diagnosis and treatment plans for assigned patients and provide medical care for these patients during their hospitalization. 2. Write orders (with appropriate supervision) and maintain chart documentation. 3. Participate in daily rounds with attending(s). 4. Assist with procedures. 5. Take call commensurate with that of a first-year resident and at the discretion of the attending physician. 6. Attend didactic teaching sessions specific to this particular service and attend conferences at the AHEC or hospital. 7. Read relevant portions of medical texts and current medical literature. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 123 O.R.: Total: 46 COURSE: DIRECTOR: Drs. Scott Laffoon and Benjamin Shaw AI in Internal Medicine PHONE: MAIL SLOT: (870) 972-9603 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JAIMD OBJECTIVES AND/OR GOALS: 1. The broad goal of this experience is to help prepare the student for their residency internship, ;whether it will be surgical, medical, pediatric, or other fields. 2. The student will be able to: Demonstrate medical interviewing techniques that provide relevant and adequate information; Demonstrate proper physical exam techniques; Demonstrate adequate communication skills for communicating with both patients and families; Perform basic procedures under appropriate supervision; Effectively and accurately complete patient charts; Write correct orders for patient treatment; Demonstrate effective time- management skills; Refer patients to the appropriate professionals for extended evaluation/care; Demonstrate proper patient management for the following conditions - Chest pain, shortness of breath, delirium, gastrointestinal bleeding, etc. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Perform complete H&P's, develop differential diagnoses and treatment plans for assigned patients and provide medical care for these patients during their hospitalization. 2. Write orders (with appropriate supervision) and maintain chart documentation. 3. Participate in daily rounds with attending(s). 4. Assist with procedures. 5. Take call commensurate with that of a first-year resident and at the discretion of the attending physician. 6. Attend didactic teaching sessions specific to this particular service and attend conferences at AHEC and/or hospital. 7. Read relevant portions of medical texts and current medical literature. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 124 O.R.: Total: 46 COURSE: DIRECTOR: Dr. Russell Mayo AI in Internal Medicine PHONE: MAIL SLOT: (870) 779-6016 599 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Southwest (Texarkana) COURSE#: TAIMD OBJECTIVES AND/OR GOALS: 1. The broad goal of this experience is to help prepare the student for their residency internship, whether it will be surgical, medical, pediatric, or other fields. 2. The student will be able to: Demonstrate medical interviewing techniques that provide relevant and adequate information; Demonstrate proper physical exam techniques; Demonstrate adequate communication skills for communicating with both patients and families; Perform basic procedures under appropriate supervision; Effectively and accurately complete patient charts; Write correct orders for patient treatment; Demonstrate effective time- management skills; Refer patients to the appropriate professionals for extended evaluation/care; Demonstrate proper patient management for the following conditions - Chest pain, shortness of breath, delirium, gastrointestinal bleeding, etc. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Perform complete H&P's, develop differential diagnoses and treatment plans for assigned patients and provide medical care for these patients during their hospitalization. 2. Write orders (with appropriate supervision) and maintain chart documentation. 3. Participate in daily rounds with attending(s). 4. Assist with procedures. 5. Take call commensurate with that of a first-year resident and at the discretion of the attending physician. 6. Attend didactic teaching sessions specific to this particular service and attend conferences at AHEC and/or hospital. 7. Read relevant portions of medical texts and current medical literature. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 125 O.R.: Total: 46 COURSE: DIRECTOR: Mike Bolding, M.D. AI in Internal Medicine 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (479) 713-8301 599 MIN STUDENTS: AVAILABLE: By Director Approval Only LOCATION: NW Arkansas Campus COURSE#: NAIMD OBJECTIVES AND/OR GOALS: 1. The broad goal of this experience is to help prepare the student for their residency internship, ;whether it will be surgical, medical, pediatric, or other fields. 2. The student will be able to: Demonstrate medical interviewing techniques that provide relevant and adequate information; Demonstrate proper physical exam techniques; Demonstrate adequate communication skills for communicating with both patients and families; Perform basic procedures under appropriate supervision; Effectively and accurately complete patient charts; Write correct orders for patient treatment; Demonstrate effective timemanagement skills; Refer patients to the appropriate professionals for extended evaluation/care; Demonstrate proper patient management for the following conditions - Chest pain, shortness of breath, delirium, gastrointestinal bleeding, etc. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Perform complete H&P's, develop differential diagnoses and treatment plans for assigned patients and provide medical care for these patients during their hospitalization. 2. Write orders (with appropriate supervision) and maintain chart documentation. 3. Participate in daily rounds with attending(s). 4. Assist with procedures. 5. Take call commensurate with that of a first-year resident and at the discretion of the attending physician. 6. Attend didactic teaching sessions specific to this particular service and attend conferences at AHEC and/or hospital. 7. Read relevant portions of medical texts and current medical literature. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 126 O.R.: Total: 46 COURSE: DIRECTOR: Dr. Keyur Vyas AI in Internal Medicine PHONE: MAIL SLOT: (501) 686-5585 639 4 weeks DURATION: MAX STUDENTS: 13 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UAIMD OBJECTIVES AND/OR GOALS: 1. The broad goal of this experience is to prepare students for their internships, whether it will be surgical, medical, pediatric, or other. 2. The student will be able to: Demonstrate medical interviewing techniques; demonstrate proper physical exam techniques; demonstrate adequate communication skills for communicating with both patients and famililes; perform basic procedures under appropriate supervision; effectively and accurately complete patient charts; write correct orders for patient treatment; demonstrate effective time management skills; refer patients appropriately; demonstrate proper patient management for chest pain, shortness of breath, delirium, gi bleeding, etc. Students may select from the following (Co-Directors are listed): UAMS Team I (Card)-------------------------1 student--------Dr. Rutlen UAMS Team IIIA,IIIB (Gen Med)----------2 students-------Dr. Beland UAMS Team IV B (Neph)-------------------1 student--------Dr. Abul-Ezz UAMS MICU------------------------------------2 students------Dr. Hiller VA Cardiology----------------------------------1 student--------Dr. Rutlen VA Gen Med (4 teams)-----------------------4 students------Dr. Monson VA MICU-----------------------------------------2 students------Dr. Erbland SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Perform complete H&P's, develop differential diagnoses and treatment plans for assigned patients and provide medical care for these patients during their hospitalization. 2. Write orders (with appropriate supervision) and maintain chart documentation. 3. Participate in daily rounds with attending(s). 4. Assist with procedures. 5. Take call commensurate with that of a first-year resident. 6. Attend didactic teaching sessions specific to this particular service and attend conferences at AHEC and/or hospital. 7. Read relevant portions of medical texts and current medical literature. ***NOTE - FOUR WEEKS ADVANCE NOTICE IS REQUIRED TO DROP THIS COURSE!!!*** HOURS PER WEEK: Conference: 2 Clinic: Ward: 40 Lecture: 2 Lab: Reading: 5 Library: 3 Other: Page 127 O.R.: Total: 52 COURSE: DIRECTOR: David Hutchins, M.D. and staff AI in Womens Primary Health Care 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 837-9668 518 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UAIGY OBJECTIVES AND/OR GOALS: To assist medical students in developing comprehensive competencies in women's health care using a broad perspective. A holistic approach will be taken to include not only gynecologic and reproductive issues, but also medical problems that are commonly encountered in women that may manifest or respond differently, as compared to men. Screening, prevention and patient education will be emphasized. The student will be able to: 1. Incorporate a Gyn/Ob assessment for every woman in the general history. 2. Perform a thorough Ob/Gyn exam as part of the general medical exam. 3. Generate a problem list, formulate a diagnosis and management plan. 4. Know the interactions of oral contraceptives and estrogen replacement with commonly used drugs, and know which drugs are teratogenic and which are contraindicated in pregnancy. 5. Recognize the value of routine health surveillance as part of health promotion, including current screening recommendations for PAP smears, mammograms, blood pressure monitoring, blood lipids, OXA, etc. 6. Know the current recommendations for immunizations in adult women and which are contraindicated in pregnancy. 7. Demonstrate knowledge of contraceptive methods, sexually transmitted diseases, domestic violence, common psychiatric problems, menstrual cycle abnormalities, menopause, breast disease, and other conditions which affect women disproportionately. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Responsibility for evaluation and management of assigned patients under the supervision of staff in the UAMS Community Women's Gynecology Clinic or Freeway. 2. Reading assignments: current literature regarding illnesses manifested by assigned patients as well as pertinent topics in PRIMARY CARE OF WOMEN, KJ Carlson & SA Eisenstat, Eds. 3. Ob/Gyn Grand Rounds Wednesdays at 8:00 a.m., M&M at 9, Gyn Preop Conference. 4. Special Project: the student will be expected to complete a 3-4 page paper on a medical problem which manifests differently in women as compared with men, or a pertinent Ob/Gyn topic. 5. No night call or weekend duties will be scheduled. Students will be evaluated based on the objectives stated above. Call Student Coordinator at 837-9668 for instructions on where to report on the first day of class. HOURS PER WEEK: Conference: 3 Ward: Clinic: 24 Lecture: 3 Lab: Reading: 6 Library: 6 Other: Page 128 O.R.: Total: 42 COURSE: DIRECTOR: Drs. Richard Aclin and (*) AI in General Pediatrics PHONE: MAIL SLOT: (479) 785-2431 599 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Fort Smith COURSE#: SAIPD OBJECTIVES AND/OR GOALS: Goal: The goal of the acting intership in Pediatrics is to help a student become better prepared for their first year of residency by providing that student with the responsibilities, confidence, and skills necessary to evaluate and treat inpatients as an intern would. Technical Skills to be acquired: Proficiency in acquisition of in-depth historical and objective information about the pediatric patient, enabling cogent determination of the major problem; use of clincal and research laboratory support; proficiency in common pediatric procedures such as venous cannulation, lumbar puncture, bone marrow aspiration, etc.; methods of continuing self-education concerning clinical problems. Factual knowledge to be gained: Knowledge necessary to work-up and handle the child with an acute or chronic illness, i.e. how to recognize diagnose, and formulate a therapeutic regimen for the sick child; approach to solving clinical problems; specific information about those illnesses manifested by patients under your care, i.e. obtain the most recent knowledge available from texts and journals regarding your patient's disease process. * Drs. Cheshier and de Miranda SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily Activities: Responsibility for evaluation and management of assigned patients under supervision of pediatric resident and attending staff. 2. Presentation of patients on rounds to attending physicians and ward team members. 3. Reading assignments: Pediatric Textbook (Nelson or Rudolph) and/or current literature regarding illnesses manifested by assigned patients. 4. Conferences as scheduled at the AHEC's or affiliated hospitals. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 129 O.R.: Total: 46 COURSE: DIRECTOR: Dr. Scott Laffoon AI in General Pediatrics PHONE: MAIL SLOT: (870) 972-9603 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-Northeast (Jonesboro) COURSE#: JAIPD OBJECTIVES AND/OR GOALS: Goal: The goal of the acting intership in Pediatrics is to help a student become better prepared for their first year of residency by providing that student with the responsibilities, confidence, and skills necessary to evaluate and treat inpatients as an intern would. Technical Skills to be acquired: Proficiency in acquisition of in-depth historical and objective information about the pediatric patient, enabling cogent determination of the major problem; use of clincal and research laboratory support; proficiency in common pediatric procedures such as venous cannulation, lumbar puncture, bone marrow aspiration, etc.; methods of continuing self-education concerning clinical problems. Factual knowledge to be gained: Knowledge necessary to work-up and handle the child with an acute or chronic illness, i.e. how to recognize diagnose, and formulate a therapeutic regimen for the sick child; approach to solving clinical problems; specific information about those illnesses manifested by patients under your care, i.e. obtain the most recent knowledge available from texts and journals regarding your patient's disease process. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily Activities: Responsibility for evaluation and management of assigned patients under supervision of pediatric resident and attending staff. 2. Presentation of patients on rounds to attending physicians and ward team members. 3. Reading assignments: Pediatric Textbook (Nelson or Rudolph) and/or current literature regarding illnesses manifested by assigned patients. 4. Conferences as scheduled at the AHEC's or affiliated hospitals. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 130 O.R.: Total: 46 COURSE: DIRECTOR: Drs. Robin Ray and Henry Gomez AI in General Pediatrics PHONE: MAIL SLOT: (870) 862-2489 599 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: AHEC-South Arkansas (El Dorado) COURSE#: EAIPD OBJECTIVES AND/OR GOALS: Goal: The goal of the acting intership in Pediatrics is to help a student become better prepared for their first year of residency by providing that student with the responsibilities, confidence, and skills necessary to evaluate and treat inpatients as an intern would. Technical Skills to be acquired: Proficiency in acquisition of in-depth historical and objective information about the pediatric patient, enabling cogent determination of the major problem; use of clincal and research laboratory support; proficiency in common pediatric procedures such as venous cannulation, lumbar puncture, bone marrow aspiration, etc.; methods of continuing self-education concerning clinical problems. Factual knowledge to be gained: Knowledge necessary to work-up and handle the child with an acute or chronic illness, i.e. how to recognize diagnose, and formulate a therapeutic regimen for the sick child; approach to solving clinical problems; specific information about those illnesses manifested by patients under your care, i.e. obtain the most recent knowledge available from texts and journals regarding your patient's disease process. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily Activities: Responsibility for evaluation and management of assigned patients under supervision of pediatric resident and attending staff. 2. Presentation of patients on rounds to attending physicians and ward team members. 3. Reading assignments: Pediatric Textbook (Nelson or Rudolph) and/or current literature regarding illnesses manifested by assigned patients. 4. Conferences as scheduled at the AHEC's or affiliated hospitals. HOURS PER WEEK: Conference: 4 Clinic: Ward: 40 Lecture: Lab: Reading: 2 Library: Other: Page 131 O.R.: Total: 46 COURSE: DIRECTOR: Dr. Hank Farrar AI in In-Patient Gen Pediatrics 4 weeks DURATION: MAX STUDENTS: 5 PHONE: MAIL SLOT: (501) 364-1874 512 - 19A MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: UAIPD OBJECTIVES AND/OR GOALS: 1. Technical skills to be learned: a. Proficiency in acquisition of in-depth historical and objective information about the pediatric patient, enabling cogent determination of the major problem. b. Use of clinical and research laboratory support. c. Proficiency in common pediatric procedures: venous cannulation, lumbar puncture, bone marrow aspiration, etc. d. Methods of continuing self-education concerning clinical problems. 2. Factual knowledge to be gained: a. Knowledge necessary in working up and handling the child with an acute or chronic illness, i.e. how to recognize, diagnose and formulate a therapeutic regimen for the sick child. b. Approach to solving clinical problems. c. Specific information about those illnessess manifested by patients under your care, i.e., obtain the most recent knowledge available from texts and journals regarding your patient's disease process. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily Activities: Responsibility for evaluation and management of assigned patients under supervision of pediatric resident and attending staff. Student will be assigned to one of three general pediatric ward teams. 2. Presentation of patients on rounds to attending physicians and ward team members. 3. Reading Assignments: Pediatric Textbook (Nelson or Rudolph) and/or current literature regarding illnesses manifested by assigned patients. 4. Conferences Scheduled: Morning report Monday, Wednesday, Thursday, and Friday at 8:00 a.m. and Pediatric Grand Rounds Tuesdays at 8:00 a.m.; other pediatric housestaff conferences at noon Wednesday, Thursday, and Friday (lunch provided). 5. Expected patient load: 1-2 admissions daily. 6. Night call: Every fourth night on average. Time off must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days in addition to scheduled days off. At least a one week notice is required to add or drop this rotation. HOURS PER WEEK: Conference: 6 Ward: 40 Clinic: Lecture: Lab: Reading: Library: Other: Page 132 O.R.: Total: 46 COURSE: DIRECTOR: Department Honors Prog in Surgery PHONE: MAIL SLOT: (501) 686-6627 520 8 weeks DURATION: MAX STUDENTS: 10 MIN STUDENTS: 5 Blocks 1 and 3 only AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Richard Turnage, M.D. USHAI OBJECTIVES AND/OR GOALS: 1.Provide senior students with an in-depth survey of general surgery and a surgical specialty; 2.Provide senior students with an in-depth understanding of the pathophysiology of common surgical diseases; 3.Provide senior students with supervised responsibility for the care of surgical patients; 4.Provide senior students opportunities to observe, learn, and demonstrate professionalism, ethical behavior, and commitment expected of a surgical resident and an attending surgeon; 5.Provide senior students opportunities to hone their presentation skills of medical topics and clinical data; 6.Provide senior students opportunities to enhance their technical skills of laparoscopy, knot tying, suturing, ultrasonography, and the use of surgical staplers; NOTES 1.Enrollment in this course requires the approval of the course director; 2.This course is two blocks in duration and can only be taken during blocks 1 & 2 or blocks 3 & 4; 3.Longitudinal electives are not permitted during this rotation; SPECIFIC DUTIES OF SENIOR STUDENTS: 1.The student will serve for four weeks as an Acting Intern on one of the principal general surgery services at the University Hospital, Veterans Affairs Hospital, or Arkansas Childrens’ Hospital. During this rotation, the student will have the supervised responsibilities equivalent to that of a surgical intern. The students will participate in the care of a limited number of patients under the direct supervision of senior residents and surgical faculty. This rotation will include both inpatient and outpatient experiences as well as elective and emergency surgical services. The students will take call on a rotating basis similar to junior house officers; 2.The student will serve for four weeks on a specialty surgery service (pediatric surgery, vascular surgery, cardiothoracic, plastics, breast oncology, surgical oncology, pediatric cardiac surgery, burn surgery, surgical critical care, trauma surgery). The students will be directly involved in the care of a limited number of patients in both the inpatient and outpatient settings. The students will take call on a rotating basis similar to junior house officers; 3.The students will each give a 30 - 45 minute seminar on a topic in surgery approved by the course director. The topic must consist of a detailed discussion of the pathophysiology of a surgical disease; 4.The students will participate in a weekly skills laboratory experience which includes both basic surgical techniques as well as laparoscopic skills designed to facilitate the student’s transition to their residency. 5.The student will participate in a weekly meeting in which a member of the faculty will present a seminar about the clinical features and management of a surgical disease or condition; 6.The students will participate in a weekly conference with the chairman in which they present a patient to him or his designee; 7.The students will attend and participate in the educational activities of the Department of Surgery; HOURS PER WEEK: Conference: 6 Ward: 20 Clinic: 4 Lecture: 0 Lab: 1 Reading: 6 Library: 0 Other: 0 Page 133 O.R.: 18 Total: 55 COURSE: DIRECTOR: Surgery AI PHONE: MAIL SLOT: (501) 686-6627 520-1 4 weeks DURATION: MAX STUDENTS: 10 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Richard Turnage, M.D. UAISU OBJECTIVES AND/OR GOALS: 1.Provide senior students with an in-depth survey of general surgery; 2.Provide senior students with an in-depth understanding of the pathophysiology of common surgical diseases; 3.Provide senior students with supervised responsibility for the care of surgical patients; 4.Provide senior students opportunities to observe, learn, and demonstrate professionalism, ethical behavior, and commitment expected of a surgical resident and an attending surgeon; 5.Provide senior students opportunities to hone their presentation skills of medical topics and clinical data; 6.Provide senior students opportunities to enhance their technical skills of laparoscopy, knot tying, suturing, ultrasonography, and the use of surgical staplers; NOTES : 1. This rotation should primarily be reserved for those students wanting to improve their surgical and patient care skills but not necessarily intending on pursuing a residency in general surgery. 2. Students interested in a residency in general surgery should apply for the Honor’s AI (see course USHAI) SPECIFIC DUTIES OF SENIOR STUDENTS: 1.The student will serve for four weeks as an Acting Intern on one of the principal general surgery services at the University Hospital, Veterans Affairs Hospital, or Arkansas Childrens' Hospital. During this rotation, the student will have the supervised responsibilities equivalent to that of a surgical intern. The students will participate in the care of a limited number of patients under the direct supervision of senior residents and surgical faculty. This rotation will include both inpatient and outpatient experiences as well as elective and emergency surgical services. The students will take call on a rotating basis similar to junior house officers; 2. The students will attend and participate in the educational activities of the Department of Surgery including but not limited to Morbidity and Mortality conference, Grand Rounds, and ICU rounds. HOURS PER WEEK: Conference: 6 Ward: 20 Clinic: 4 Lecture: Lab: Reading: Library: Other: Page 134 O.R.: 18 Total: 48 COURSE: DIRECTOR: Geriatrics Senior Requirement 4 weeks DURATION: MAX STUDENTS: PHONE: MAIL SLOT: (501) 686-6097 LOCATION: UAMS and Associated Hospitals/Clinics Vinay Kutagula, M.D. MIN STUDENTS: AVAILABLE: All Blocks COURSE#: UGERA OBJECTIVES AND/OR GOALS: 1. Understand the importance of geriatric problems and issues that you will encounter in any specialty. 2. Demonstrate the ability to evaluate newly assigned patient for common geriatric syndromes by performing a problem-focused H&P. 3. List the characteristics of the normal aging process. 4. Diagnose and treat a patient with any of the three major geriatric psychiatric disorders (depression, delirium and dementia with behavior problems.) 5. Describe the role of an interdisciplinary team in ambulatory care and palliative care. 6. Describe the resources that constitute the continuum of care for geriatric patients by using a multidimensional approach to solve common problems in the following domains: physical, cognitive, nutritional and functional status of the geriatric patient. 7. State the common techniques for rehabilitation of a functionally and nutritionally debilitated geriatric patient. 8. List health promotion and disease prevention techniques for a healthy elderly patient. 9. Demonstrate appropriate demeanor while interacting with patients, peers and the health care team. 10. Understand the financing and systems of health care available to older persons. 11. Identify basic principles of geriatric medicine, including unique aspects of disease presentation, and geriatric pharmacology. 12. Describe the role of geriatric assessment, health promotion, palliative care and rehabilitation in patient management. 13. Understand the diagnosis and management of geriatric syndromes, including dementia, delirium, urinary incontinence, malnutrition, osteoporosis, falls, pressure ulcers, pain, dysphasia, dizziness and polypharmacy. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. To establish a positive working relationship with instructors, peers, and other health care professionals with respect to this rotation. 2. Perform complete H&Ps, develop differential diagnoses and treatment plans for assigned patients. Demonstrate proper geriatric patient management for cardiovascular disease, cerebrovascular disease, chronic pain, delirium/acute confusion, dementia, depression, diabetes mellitus, hypertension, hypothyroidism, malignancy, osteoporosis, respiratory disorders, or urological disorders, etc. 3. Participate in daily rounds and attend weekly Geriatric Grand Rounds. HOURS PER WEEK: Conference: Clinic: Ward: Lab: Library: O.R.: Lecture: Reading: Other: Total: Page 135 COURSE: DIRECTOR: Required Geriatrics on NW Campus 4 weeks DURATION: MAX STUDENTS: Chris Smith, M.D. PHONE: MAIL SLOT: LOCATION: NW Arkansas Campus MIN STUDENTS: AVAILABLE: All blocks COURSE#: NGERI OBJECTIVES AND/OR GOALS: 1. Understand the importance of geriatric problems and issues that you will encounter in any specialty. 2. Demonstrate the ability to evaluate newly assigned patient for common geriatric syndromes by performing a problem-focused H&P. 3. List the characteristics of the normal aging process. 4. Diagnose and treat a patient with any of the three major geriatric psychiatric disorders (depression, delirium and dementia with behavior problems.) 5. Describe the role of an interdisciplinary team in ambulatory care and palliative care. 6. Describe the resources that constitute the continuum of care for geriatric patients by using a multidimensional approach to solve common problems in the following domains: physical, cognitive, nutritional and functional status of the geriatric patient. 7. State the common techniques for rehabilitation of a functionally and nutritionally debilitated geriatric patient. 8. List health promotion and disease prevention techniques for a healthy elderly patient. 9. Demonstrate appropriate demeanor while interacting with patients, peers and the health care team. 10. Understand the financing and systems of health care available to older persons. 11. Identify basic principles of geriatric medicine, including unique aspects of disease presentation, and geriatric pharmacology. 12. Describe the role of geriatric assessment, health promotion, palliative care and rehabilitation in patient management. 13. Understand the diagnosis and management of geriatric syndromes, including dementia, delirium, urinary incontinence, malnutrition, osteoporosis, falls, pressure ulcers, pain, dysphasia, dizziness and polypharmacy. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. To establish a positive working relationship with instructors, peers, and other health care professionals with respect to this rotation. 2. Perform complete H&Ps, develop differential diagnoses and treatment plans for assigned patients. Demonstrate proper geriatric patient management for cardiovascular disease, cerebrovascular disease, chronic pain, delirium/acute confusion, dementia, depression, diabetes mellitus, hypertension, hypothyroidism, malignancy, osteoporosis, respiratory disorders, or urological disorders, etc. 3. Participate in daily rounds and attend weekly Geriatric Grand Rounds. HOURS PER WEEK: Conference: Clinic: Ward: Lab: Library: O.R.: Lecture: Reading: Other: Total: Page 136 COURSE: DIRECTOR: Resident Survival Week 1 weeks DURATION: MAX STUDENTS: Ms. Mary Cantrell PHONE: MAIL SLOT: LOCATION: UAMS and Associated Hospitals/Clinics MIN STUDENTS: AVAILABLE: Week after 10th Block COURSE#: ULAST OBJECTIVES AND/OR GOALS: This one week course is designed to review knowledge and skills to ease the graduating senior into the first post-graduate year. It includes ACLS training for those students who need it, along with various lectures and lab sessions. SPECIFIC DUTIES OF SENIOR STUDENTS: The graduating senior student is required to pass this one week summary course as part of their requirements for the MD degree HOURS PER WEEK: Conference: Clinic: Ward: Lecture: Lab: Reading: Library: Other: Page 137 O.R.: Total: COURSE: DIRECTOR: Alan J. Budney, Ph.D. Alcohol and Drug Dependency PHONE: MAIL SLOT: (501) 686-5207 843 Variable DURATION: MAX STUDENTS: 8 MIN STUDENTS: 4 Block 5 AVAILABLE: LOCATION: VARIABLE COURSE#: LABUB OBJECTIVES AND/OR GOALS: 1. To review the abuse aspects of alcohol, depressants, stimulants, opiates, hallucinogens, nicotine, solvents, and steroids from a pharmacological and behavioral point of view. 2. To discuss vulnerability in terms of genetic, environmental, and co-morbidity aspects. 3. To discuss treatment in terms of pharmacological, abstinance, and other approaches. 4. To learn about special topics such as workplace testing for drugs, ethical issues in research and treatment, research on drug abuse at UAMS, the VA, and ACH, and epidemiology of substance abuse. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. To read and be prepared to discuss with faculty the assigned reading materials. To attend and participate in lecture/discussion sections with faculty members each day. To attend a minimum of one open AA meeting. Students will be accompanied by an AA member. To spend at least one day at a rehabilitation program. ***You must see Dr. Budney in advance to arrange for this elective. A maximum number of 8 students and a minimum number of 2 students will be allowed in the combination of electives LABUB and UABUC Students completing this elective will receive one hour of credit. HOURS PER WEEK: Conference: 8 Clinic: Ward: Lecture: Lab: Reading: Library: Other: Page 138 O.R.: Total: 8 COURSE: DIRECTOR: Alan J. Budney, Ph.D. Alcohol and Drug Dependency PHONE: MAIL SLOT: (501) 686-5207 843 4 weeks DURATION: MAX STUDENTS: 8 MIN STUDENTS: 4 Block 5 AVAILABLE: LOCATION: VARIABLE COURSE#: UABUC OBJECTIVES AND/OR GOALS: 1. To review the abuse aspects of alcohol, depressants, stimulants, opiates, hallucinogens, nicotine, solvents, and steroids from a pharmacological and behavioral point of view. 2. To discuss vulnerability in terms of genetic, environmental, and co-morbidity aspects. 3. To discuss treatment in terms of pharmacological, abstinance, and other approaches. 4. To learn about special topics such as workplace testing for drugs, ethical issues in research and treatment, research on drug abuse at UAMS, the VA, and Arkansas Cares, and epidemiology of substance abuse. 5. To learn management of acute overdose and drug detoxification. 6. To learn about AA, NA, and other long-term rehabilitation programs. 7. To particiate in clinical programs at UAMS, the VA, the Bridgeway, and Arkansas Cares. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. of To read and be prepared to discuss with faculty the assigned reading materials. To attend and participate in lecture/discussion sections with faculty members each day. To attend a minimum of one open AA meeting. Students will be accompanied by an AA member. To spend at least one day at an intensive drug rehabilitation program. To participate in the clinical activities of an alcohol and drug unit (eg. SATC, Ft Roots, etc.) for a minimum 120 hours. This course will involve 32 hours of lecture/discussions, plus attendance at an AA meeting. In addition, 120 hours of clinical work will be required as described in number 5 above. Four hours of credit will be given. A maximum number of 8 students and a minimum number of 2 students will be allowed in the combination of electives LABUB and UABUC. On the first day, students should meet in the third floor conference room of the Biomedical Research Building. HOURS PER WEEK: Conference: 8 Ward: Clinic: 30 Lecture: Lab: Reading: 2 Library: 4 Other: Page 139 O.R.: Total: 44 COURSE: DIRECTOR: Pediatric Allergy/Immunology PHONE: MAIL SLOT: (501) 364-1060 512-13 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: Arkansas Children's Hospital COURSE#: Stacie Jones, M.D. UALLE OBJECTIVES AND/OR GOALS: a. Basic information about atopic and immune deficiency diseases in childhood (atopic dermatitis, allergic rhinitis, asthma, food, drug allergy, immunodeficiency), and chronic pulmonary disease including evaluation (allergy history and physical examination) and treatment (topical therapy, drugs used for these illnesses and immunotherapy). b. Observe performance of direct skin tests for IgE sensitivity (prick skin testing). c. Observe performance of screening pulmonary function tests, suitable for office use. d. Familiarity with work of the Pulmonary Function Laboratory, Respiratory Therapy and Immunologic Laboratory tests. e. Understanding the principles of an immune system evaluation. Taught by Drs. Jones, Perry, Scurlock, and Bufford SPECIFIC DUTIES OF SENIOR STUDENTS: Daily activities: Rounds on all hospitalized patients with the attending physician Clinics: Allergy Clinic - Monday p.m., Tuesday a.m./p.m., Wednesday a.m and p.m., Thursday a.m./p.m.; Immunology Clinic - Monday a.m. Clinical Material: Students will work-up 10-15 new patients, see 30-40 return patients in clinics and see consultations and follow-up patients in hospital. Conferences: Grand Rounds - Tuesday, 8 a.m.; Noon Allergy/Pulmonary Journal Club - monthly, Allergy/Immunology case conference Friday 8:30-9:30 a.m. Review article for A/I case conference while on elective Other Activites: It can be arranged for the students to spend one day a week with one of the Pediatric Allergists at the Arkansas Allergy Clinic or the Little Rock Allergy Clinic (private practice). Time may also be spent in the Immunology Laboratory, Respiratory Therapy Department or Pulmonary Function Laboratory. Individual Study: Pre/Post tests and review articles are provided to the student on Blackboard. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days. HOURS PER WEEK: Conference: 1 Ward: 6 Clinic: 24 Lecture: 1 Lab: 2 Reading: 6 Library: Other: Page 140 O.R.: Total: 40 COURSE: DIRECTOR: Gross Anatomy Preceptor PHONE: MAIL SLOT: (501) 686-5373 510 Variable DURATION: MAX STUDENTS: 2 MIN STUDENTS: 0 Blocks 4,5,6,7,8,9 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Pat Tank, Ph.D. LANAB OBJECTIVES AND/OR GOALS: Senior students will obtain a focused review of regional anatomy by teaching in the Freshman Gross Anatomy course. Instructional guidance will be provided by the gross anatomy faculty. Students must be in the top 20% for their class (cumulative GPA) and must have earned a grade of "A" in the Gross Anatomy course as a freshman. SPECIFIC DUTIES OF SENIOR STUDENTS: Attend lectures and teach in lab immediately following lecture. Perform selected prosections. Provide tutorial assistance to selected students. Assist in setup of practical exams. In-class contact time with students will be approximately 40 hours over the four week block. Classes are nearly always in the 1:00 to 4:30 p.m. time slot. Credit will be assigned depending on effort. A minimum of one credit hour and a maximum of four credit hours can be earned over the four weeks. To earn four credit hours, the course director must be convinced that your effort is at least 36 hours a week. If taken for four hours of credit over four weeks, it will be considered a fulltime elective and cannot be taken at the same time as any other full-time elective. If there are questions, talk with Dr. Tank or Dr. Wheeler. Topics: See M1 course schedule. Note: M1 schedule dos not correspond to senior block schedule. HOURS PER WEEK: Conference: 0 Ward: 0 Clinic: 0 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 141 O.R.: 0 Total: COURSE: DIRECTOR: Regional Gross Anatomy PHONE: MAIL SLOT: (501) 686-5373 510 Variable DURATION: MAX STUDENTS: 48 MIN STUDENTS: 4 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Dr. Pat Tank LANAT OBJECTIVES AND/OR GOALS: To provide an opportunity for the students to dissect in detail a region or regions of the body. Units of dissection which are available (1 block duration each). Include: Head and Neck, Thorax and Abdomen, Abdomen, Pelvis and Perineum, Extremities (upper, lower, back and spinal cord) Duration: Variable, established by course director Credit Hours: One hour of credit for each block listed above: 4 hours of credit for whole body dissection. This elective counts toward the on-campus hours requirement SPECIFIC DUTIES OF SENIOR STUDENTS: Complete the dissections, demonstrate the material dissected and discuss any selected reading assignments. * maximum of 9 groups of 4 will be accepted * no more than 4 groups at a time in blocks 4, 5,6,7, 8, and 9 HOURS PER WEEK: Conference: Clinic: Ward: Lecture: Lab: Reading: Library: Other: Page 142 O.R.: Total: COURSE: DIRECTOR: Suresh Thomas, M.D. Acute and Chronic Pain Management PHONE: MAIL SLOT: (501) 364-1330 515 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 Blocks 2 through 10 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UANEG OBJECTIVES AND/OR GOALS: The Department of Anesthesiology and Pain Medicine at the University of Arkansas for Medical Sciences offers a four week elective clerkship to fourth year medical students. During this rotation students will receive the essential and basic training/experience in this specialized branch of medicine with emphasis on the practice of Pain Medicine. This rotation is also available to interested students from other medical schools. Personalized, on-the-spot teaching and experience will be provided to all students regardless of their future area of expertise or interest. Objectives: Upon completion of the program, the student will: 1.Define and describe common terminology and techniques used in the management of acute and chronic pain. 2.Describe the role of family and culture in the development of attitudes towards pain and pain relief. 3.Assess pain and evaluate response to pain management interventions using a standard pain management scale based on patient self report or assessment. 4.Educate patients and families in a culturally sensitive manner regarding appropriate expectations for pain management, including ensuring informed consent. 5.Describe and utilize common and current methods of pain management (pharmacologic and nonpharmacologic), including interventions to minimize side effects. 6.Describe the objectives and goals of Hospice care. 7.Describe the principles of acute medicine as practiced in the management of the anesthetized patient in both the operating room and recovery room. 8.Describe the principles of applied physiology and pharmacology with regards to anesthetized patients. SPECIFIC DUTIES OF SENIOR STUDENTS: Objectives (continued): 9.Describe the management of fluid, electrolyte, and metabolic disturbances that can be encountered in the anesthetized (surgical) patient. 10.Assess and evaluate preoperative risk factors for anesthesia and surgery. To achieve these objectives, students will participate in supervised patient care both in and out of the operating room. During the Pain Medicine rotation students will be provided the opportunity to examine and evaluate patients with the Attending in-charge, and discuss in detail the diagnosis and management decisions. Students will also have the opportunity to participate in pain procedures and also discuss reading assignments related to the cases. Most of the clinical experience and teaching will be shared out between the Medical Center (UAMS), the Veterans Administration Hospital and the Arkansas Children’s Hospital. One day will be spent at the Arkansas Hospice Center. In addition to the clinical experience, all students will take part in didactic sessions offered by the department. At the beginning of the rotation each student is given a folder with several important and interesting reprints which are updated from time to time, a standard textbook (Stoelting and Miller), a rotation schedule, and evaluation forms. HOURS PER WEEK: Conference: 2 Ward: 5 Clinic: 30 Lecture: 5 Lab: Library: Reading: 3 Other: Page 143 O.R.: 5 Total: 50 COURSE: DIRECTOR: Intro To Clinical Anesthesiology PHONE: MAIL SLOT: (501) 686-7931 515 4 weeks DURATION: MAX STUDENTS: 3 MIN STUDENTS: 1 Blocks 2 through 10 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Muhammad Jaffar, M.D., FCCP UANEE OBJECTIVES AND/OR GOALS: The Department of Anesthesiology offers a one-month comprehensive rotation for 4th year medical students. This rotation is available to UAMS students and students from other medical schools in the United States. Students are rotated through four major areas of anesthesiology including, general anesthesiology, pediatric anesthesiology, obstetric anesthesiology, surgical critical care, and pain management. Students are assigned to one or two senior residents. Knowledge: The students will learn about 1. Preoperative evaluation and optimization of patient before surgery 2. Options for anesthetic management for individual surgical procedures 3. Airway anatomy and importance of airway assessment before surgery 4. Pharmacology and physiology related to anesthesia practice 5. Management of common intraoperative problems (hypoxemia, hypotension, hypertension, bronchospasm, bleeding and resuscitation, hyperthermia and hypothermia). 6. Management of common postoperative complications (nausea/ vomiting, hypoxemia, hypothermia, myocardial ischemia, decreased urine output and airway compromise. SPECIFIC DUTIES OF SENIOR STUDENTS: Skills: 1. Hands on experience in airway management and mask ventilation on simulator. 2. Skills for IV line placement and arterial sticks for blood gas monitoring 3. Fluid resuscitation in hemodynamically stable and unstable patients 4. Techniques for endotracheal intubation and use of airway adjuvant This rotation is designed for medical students who are considering a career in Anesthesiology. This elective will provide supervised teaching in the area of: Airway management skills, (mask ventilation, endotracheal intubation and ventilator management), in the operating rooms. Basic concept of monitoring patient’s peri-operatively Cardiovascular and pulmonary physiology Clinical pharmacology (inhalational agents, Intravenous anesthetics, local anesthetics) Use of crystalloid and colloids during the peri-operative period HOURS PER WEEK: Conference: 2 Clinic: Ward: 5 Lecture: 5 Lab: Reading: Library: Other: Page 144 O.R.: 37 Total: 49 COURSE: DIRECTOR: Pediatric Anesthesiology PHONE: MAIL SLOT: (501) 364-1333 203 4 weeks DURATION: MAX STUDENTS: 4 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: Arkansas Children's Hospital COURSE#: Taranjit S. Sangari, M.D. UANEP OBJECTIVES AND/OR GOALS: Knowledge: The students will: 1. Gain knowledge of preoperative airway evaluation of pediatric patients. 2. Get familiarize with induction agents for anesthesia in pediatric patients. 3. Discuss about common congenital abnormalities (Tracheo-esophageal Fistula, Congenital Diaphragmatic Hernia, Gastrochesis & Omphalocele and Pyloric Stenosis) and how they affect choice of anesthetics. 4. Introduction to common pediatric cardiac anomalies seen for surgical repair (Tetrology of Fallot, Hypoplastic left heart, Atrioventricular canal and Atrial/Ventricular septal defects) 5. Get familiarize with common pain medications used for intra & post operative pain control. 6. Exposure to caudal epidural block in pediatric patients. (Indications, contraindications, local anesthetics used and hands on training to perform the procedure). Skills: 1. Improve the skills for intravenous line placement. 2. Introduction to invasive procedures like arterial line and central line. (Indications, contraindications and hands on training to how to perform them) 3. Will be taught about the fluid resuscitation and management in pediatric patients. 4. Improve airway management and endotracheal intubation skills in pediatric patients. 5. Introduction to ventilator management and hemodynamic management, intra operatively. SPECIFIC DUTIES OF SENIOR STUDENTS: Student will expand on skills and knowledge gained in Introduction to Clinical Anesthesia course. Student will attend conferences and lectures. HOURS PER WEEK: Conference: Ward: Clinic: Lecture: 5 Lab: Reading: Library: Other: Page 145 O.R.: 35 Total: 40 COURSE: DIRECTOR: Research In Biochemistry Alan Elbein, Ph.D. Variable DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-5196 516 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: LBIOC OBJECTIVES AND/OR GOALS: 1. 2. 3. 4. 5. 6. Biochemical Toxicology Metabolic Control and Enzyme Mechanisms Mechanism of Biological Transport Systems Chemistry of Enzymes (1) Dietary N-3 fatty acids and their effect on cholestrol metabolism (2) Lipid transport kinetics and metabolism (3) mechanism of oxidative Biosynthesis and Function of Glycoproteins Dr. DeLuca Dr. Smith Dr. Winter Dr. Winter Dr. Bhuvaneswaran Dr. Elbein SPECIFIC DUTIES OF SENIOR STUDENTS: A research project in some area of biochemistry will be undertaken by the student. Specific duties of the senior student are to confer with the advisor periodically to discuss the progress of the project. The goal of these projects is to provide a laboratory research experience in biochemistry for interested students. **Credit for this course is variable. Please see Dr. Wheeler. HOURS PER WEEK: Conference: Clinic: Ward: Lecture: Lab: Reading: Library: Other: Page 146 O.R.: Total: COURSE: DIRECTOR: Dr. David Rutlen Adult Cardiology PHONE: MAIL SLOT: (501) 296-1401 532 4 weeks DURATION: MAX STUDENTS: 4 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UCARL OBJECTIVES AND/OR GOALS: Preparation of the senior medical student to improve their understanding of Clinical Adult Cardiology. The integration of technical skills and imaging techniques into the day-to-day care of patients with cardiovascular disease. Early detection and prevention will be emphasized as will be appropriate cost-effective use of tests. The elective will include cardiovascular disease subspecialty observation of their "typical" day. Ward Rounds, Clinics, CCU, Labs, ECG's, consult service coverage, and technical interpretation will be discussed during the rotation. SPECIFIC DUTIES OF SENIOR STUDENTS: The work day will be modest. There will be no call. There will be no direct patient care responsibilities. HOURS PER WEEK: Conference: 6 Ward: 10 Clinic: 7 Lecture: 5 Lab: 2 Reading: 5 Library: 5 Other: Page 147 O.R.: Total: 40 COURSE: DIRECTOR: Pediatric Cardiology Brian Eble, M.D. 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 364-1895 512-3 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: UCARI OBJECTIVES AND/OR GOALS: A. To enhance clinical skills (especially history taking and physical examination) needed in the recognition and management of congenital and acquired heart disease in children. 1. To become proficient in the recognition of common murmurs and to become confident in differentiating innocent from organic murmurs. 2. To become proficient in the clinical recognition of common congenital heart lesions by correlating history, physical exam findings, ECG and chest radiographic findings. 3. To develop a clinical plan in the management of cyanosis and obstructive heart disease in the newborn. 4. To develop proficiency in the interpretation of pediatric electrocardiograms. B. To gain an understanding of the pathophysiology of the common cardiac conditions seen in children and adolescents. 1. To gain insight into the interpretation of cardiac catheterization and echocardiographic data. 2. To recognize when catheterization or echocardiograms may be necessary to enhance clinical evaluation. 3. To understand long term management goals. C. To gain a working knowledge of the clinical management of congestive heart failure and common cardiac arrhythmias in children. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily Activities: Pediatric Cardiology Clinics, Monday through Friday; Morning Rounds daily; Possible time spent on inpatient ward service per student interest 2. Reading Assignments: Pediatric Cardiology, A Problem Oriented Approach. Gessner and Victorico, editors. 3. Conferences Scheduled: Monday AM - CV Surgery Conference Tuesday AM - Pediatric Grand Rounds Tuesday PM - Didactic Cardiology Lectures to be scheduled Thursday PM - Cardiac Catheterization Conference 4. Night Call: Should be available when Pediatric Cardiac emergencies occur. No regular call required. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days. HOURS PER WEEK: Conference: 5 Ward: 8 Clinic: 26 Lecture: Lab: 0 Reading: 4 Library: Other: Page 148 O.R.: Total: 43 COURSE: DIRECTOR: Dermatologic Surgery PHONE: MAIL SLOT: (501) 686-8275 576 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Daniel Davis, M.D. UDERH OBJECTIVES AND/OR GOALS: Become familiar with the instrumentation, dermatohistotechnology, wound care, and indications for skin cancer surgery SPECIFIC DUTIES OF SENIOR STUDENTS: Present in clinic shadowing preceptor and residents during all hours not in lecture. Daily routine includes: patient encounter and education, surgical scrubbing, assist team in cancer removal, "read" slides, assist team in wound reconstruction, assist team in wound care, and interviewing follow-up and new patients in the afternoon Attend multidisciplinary conference, Dermatology Grand Rounds, and resident journal club and conferences. HOURS PER WEEK: Conference: 5 Ward: 0 Clinic: 35 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 149 O.R.: 0 Total: 40 COURSE: DIRECTOR: Dermatology Marla Wirges, M.D. 4 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (501) 686-5110 576 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UDERC OBJECTIVES AND/OR GOALS: Students will learn how to take a pertinent history and perform a physical exam of the skin, hair, nails and mucosa. Students will learn how to use correct dermatological terminology when describing and documenting physical findings. Students will learn how to generate a basic differential diagnosis and develop a treatment plan for patients with common skin diseases. Students will become familiar with the common dermatological diagnostic procedures including biopsies, potassium hydroxide examinations, Woods lamp evaluation, hair mounts, Tzanck smears and patch testing. Students will also become familiar with basic skin histology and how it correlates with clinical disease. Students will learn how and where to obtain additional information regarding the diagnosis and treatment of skin disease. Students will learn about career opportunities in dermatology including academic positions, private practice and research endeavors. ***On the first day of the rotation, students should report to the first floor Dermatology clinic at the VA (Green Atrium) at 9am*** Dr. Wirges's e-mail address is: [email protected] and Kathy Graham's (Clerkship Coordinator) e-mail is: [email protected] SPECIFIC DUTIES OF SENIOR STUDENTS: Students are expected to attend clinics at the University Outpatient Clinic, the VA Hospital and Arkansas Children’s Hospital. These generally begin at 9am and 1pm weekdays. Students are expected to see inpatient consults with the resident on call when assigned to consults or not otherwise assigned to clinic. There are no night call or weekend call requirements. Students are encouraged to attend all resident conferences including journal club, dermatopathology conference, and textbook review. Students are also expected to attend Grand Rounds Conference held weekly on Wednesdays at 7:30am at the VA Hospital green atrium. Students are strongly encouraged to read after clinic hours. Course Requirements: Attendance mandatory to successfully complete the course. Students must notify the course director by email of any absence. Any student interested in pursuing a residency in dermatology is encouraged to give a short presentation at the end of their rotation on a topic of interest. HOURS PER WEEK: Conference: 2 Ward: 3 Clinic: 28 Lecture: 2 Lab: Reading: 5 Library: Other: Page 150 O.R.: Total: 40 COURSE: DIRECTOR: Emergency Medical Services PHONE: MAIL SLOT: (501) 686-5516 584 4 weeks DURATION: MAX STUDENTS: 4 MIN STUDENTS: 0 Blocks 7,8,9 AVAILABLE: LOCATION: VARIABLE COURSE#: Dr. David Cheng UEMGF OBJECTIVES AND/OR GOALS: Students will learn the principles of prehospital management and stabilization of a variety of emergent conditions. They will become familiar with the organization of an EMS system, including dispatch of services and on- and off-line medical direction. Through their experiences, students should gain an appreciation for the challenges facing EMT's and paramedics in the field. Specific skills to be acquired include, but are not limited to: spinal immobilization, airway management, extremity immobilization, IV access. This course will be taught with MEMS and the UAMS Emergency Medicine Department. SPECIFIC DUTIES OF SENIOR STUDENTS: Students are expected to be observers while third-riding with MEMS ambulance crews and will participate in patient care under the direct observation of the senior paramedic on duty. They are expected to ride for a minimum of three 12 hour shifts per week. At least 4 shifts should be weekends (Friday evening through Sunday). Students will also be expected to spend a minimum of six hours observing MEMS dispatch radio procedures. An interesting case write-up is to be presented to the course director at the end of each week. Students are also expected to attend four hours of Emergency Medicine conferences, from 8-12 on Thursdays each week. Required reading material will be provided and other material will be available for loan on request. HOURS PER WEEK: Conference: 4 Ward: Clinic: 40 Lecture: Lab: Reading: 2 Library: Other: Page 151 O.R.: Total: 46 COURSE: DIRECTOR: Emergency Medicine Drs. David Cheng and Delaney Kinchen 4 weeks DURATION: MAX STUDENTS: 6 PHONE: MAIL SLOT: (501) 686-5516 584 MIN STUDENTS: AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UEMGD OBJECTIVES AND/OR GOALS: Students will learn the principles of early recognition and stabilization of acute, life-threatening emergent medical-surgical problems and will actively participate in these activities as the opportunity presents. Because of the broad mix of patients in the emergency department, students will have the opportunity to see the full spectrum of episodic medical and surgical complaints. Students should develop their skills in collecting medical history and performing physical examination pertinent to the presenting complaint. They will have the opportunity to formulate plans and initiate management of a wide range of urgent and emergent problems. Please see the course director in advance for any unusual scheduling requests. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will see patients in the emergency department as the primary encountered physician and interact directly with attending physicians in patient evaluation and treatment. They will interact with emergency medicine residents and other residents from all adult services. Didactic material in selected emergency topics is presented weekly. Students attend emergency medicine clinical conferences and didactic sessions which are held weekly. Grade is based on faculty and resident assessment of clinical performance and interaction at conferences. Emergency Medicine rotations outside UAMS must be approved by the Course Director, Department of Emergency Medicine. Rotations will be approved where students have opportunity to work with Emergency Medicine residents and under the direct supervision of board qualified faculty. Additional rotations at other facilities will be granted after this requirment is satisfied. Students taking Emergency Medicine rotations in Little Rock are required to attend the didactic sessions at UAMS. All Emergency Medicine rotations are standardized for work hours and rotating schedule to provide a full experience. On the first day of this rotation, come to the Emergency Department Conference Room (Connected to the ER) at 7:00 a.m. HOURS PER WEEK: Conference: 5 Ward: Clinic: 42 Lecture: Lab: Reading: Library: Other: Page 152 O.R.: Total: 47 COURSE: DIRECTOR: Pediatric Emergency Medicine Kendall Stanford, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 364-1050 512-16 MIN STUDENTS: AVAILABLE: Blocks 1 through 8 LOCATION: Arkansas Children's Hospital COURSE#: UEMGG OBJECTIVES AND/OR GOALS: General: 1. To provide exposure to emergently and urgently ill or injured children 2. To become familiar with code situations as they apply to pediatrics 3. To provide exposure to specific social/psychological problems which present to the ER Pediatrics: To allow the senior medical student the opportunity to evaluate/assess, diagnose and treat emergent and urgent conditions in the pediatric (0-21 years) population. This will include such wide-ranging areas as trauma, surgical, orthopedic, gynecologic, and medical problems in this population. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 4 - 11 p.m. - See patients in the ER 2. Problem-Based Learning - The student will receive a packet of problem-based learning cases to solve. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days. HOURS PER WEEK: Conference: Clinic: 35 Ward: Lecture: Lab: Reading: 5 Library: Other: Page 153 O.R.: Total: 40 COURSE: DIRECTOR: Clinical Endocrinology Dr. Stravos Manologas 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-5130 587 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UEDOB OBJECTIVES AND/OR GOALS: 1. Technical skills: proficiency in acquisition of information about clinical endocrine-metabolic problems; proficiency in formulation of problems; familiarity with diagnostic procedures in endocrine-metabolic medicine. 2. Knowledge to be gained: approaches to solving endocrine-metabolic problems; therapies for specific endocrine-metabolic problems; specific information about problems seen in patients and discussed in conferences. Clinical Experience in Endocrine-Metabolic Medicine, UAMS and/or LRVAH Hospital. Clinical Experience in diabetes (integrated with primary care) in the UA firm. SPECIFIC DUTIES OF SENIOR STUDENTS: Serve as initial consultant to all hospital services for patients with endocrine-metabolic diseases and attendance in weekly Endocrine Out-Patient Clinics; responsibility for initial evaluation and formulation on all patients seen. Attendance at least 3/week Diabetics-Primary Care firm clinic at the UA Sometime before the first day of class, get the schedule from Ms. Melissa Johnson (686-5130) HOURS PER WEEK: Conference: 2 Ward: 20 Clinic: 12 Lecture: 2 Lab: Reading: 10 Library: Other: Page 154 O.R.: Total: 46 COURSE: DIRECTOR: Endocrinology (Basic Science) PHONE: MAIL SLOT: (501) 686-5125 505 Variable DURATION: MAX STUDENTS: MIN STUDENTS: 5 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Dr. Howard Conaway LEDOE OBJECTIVES AND/OR GOALS: 1. 2. 3. 4. To provide an indepth endocrinology course integrating selected basic and clinical sciences. To provide a thorough understanding of normal physiological features of the endocrine system as a basis for diagnosing and solving selected endocrine-metabolic problems. To present recent physiological advances in the endocrine field and relate them to the clinical setting. To provide students an opportunity to gain experience in evaluating scientific data for purposes of presentation. SPECIFIC DUTIES OF SENIOR STUDENTS: Recent advances in endocrine mechanisms to which students have not been exposed will be covered by lecture. Students also may be assigned topics for presentation which will elaborate on these new areas. Basic endocrine topics (i.e. pancreas - diabetes mellitus) will be covered by lectures as well as by student review and presentation based upon the preceived needs of the individual students. Credit in this course is variable, depending on the amount of time involved. (See Dr. Wheeler) HOURS PER WEEK: Conference: Clinic: Ward: Lecture: Lab: Reading: Library: Other: Page 155 O.R.: Total: COURSE: DIRECTOR: Pediatric Endo And Metabolism Dr. Steve Kemp 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 364-1430 512-6 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: UEDOC OBJECTIVES AND/OR GOALS: a. b. c. d. e. f. Ability to use diagnostic procedure for evaluation of patients with possible endocrine-metabolic problems. Performance and evaluation of specialized tests, i.e., growth hormone secretion, cortisol secretion, etc. Proficiency in acquisition of endocrine metabolic history and performance and evaluation of physical examination. An approach to the diagnosis and solving of endocrine-metabolic problems. An approach to methods of management of patients with endrocrine- metabolic problems. In-depth study of patients with specific endocrine metabolic problems. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Senior students electing Pediatric Endocrinology will see patients in the Clinic on the following schedule Monday and Tuesday on the ACH campus (general pediatric endocrinology), Wednesday (all day), Thursday a.m. and Friday a.m. Students will attend Pediatric Grand rounds (Tuesday at 8: a.m.), Endocrine Metabolic Conferences and Endocrine Journal Club weekly. Reading is encouraged and Thursday afternoon is available for discussion of topics in Pediatric Endocrinology with a faculty member. 2. Patient Load - 3 - 5 in each half-day clinic. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days. HOURS PER WEEK: Conference: 2 Ward: Clinic: 32 Lecture: 2 Lab: Reading: Library: 4 Other: Page 156 O.R.: Total: 40 COURSE: DIRECTOR: Private Family Practice Arlo Kahn, M.D. 4 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (501) 686-6564 530 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: VARIABLE COURSE#: UFAMD OBJECTIVES AND/OR GOALS: 1. 2. 3. 4. 5. 6. 7. To gain knowledge of and skill in dealing with the health problems frequently encountered by the family physician in private practice. To gain insight into the role of the family physician in the management of the family unit. To learn the relationship of the family physician with other members of the health care team. To gain experience and knowledge of the interface between Family Medicine and secondary and tertiary health care providers (referrals, consultations, etc.) To gain knowledge and skill in utilizing community resources. To acquire knowledge of the business, the personnel, and practice management aspects of a family practice. To help the student clarify educational and professional goals. THIS ROTATION DOES NOT COUNT TOWARD THE 12 HOUR ON-CAMPUS RULE. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. The student will observe and participate in all phases of the designated physician's private practice (clinic, hospital, etc.) The student will be responsible for reviewing the literature pertinent to the cases encountered. The student will receive on-going and end-of-course evaluations from his private practice preceptor(s). Students may elect to attend conferences and/or participate in limited patient care activity at the Family Medical Center at UAMS. *IMPORTANT NOTE: STUDENTS WILL ASSUME RESPONSIBILITY FOR CONTACTING THE PHYSICIAN WITH WHOM THEY PLAN TO WORK. Assignment may be arranged from a list of approved preceptors or by approval of the physician of student's choice with the course director. All preceptors must be board- certified family physicians recognized and approved by the Department of Family and Preventive Medicine. A description of the anticipated activities during the course (type and amount of ambulatory care, hospital care, nursing home care, etc.) must accompany requests for participation in this elective. The student must provide the above mentioned information to the course director at least 2 weeks before the course starts. HOURS PER WEEK: Conference: Clinic: 40 Ward: Lecture: Lab: Reading: Library: Other: Page 157 O.R.: Total: 40 COURSE: DIRECTOR: Gastroenterology Dr. Jonathan Dranoff 4 weeks DURATION: MAX STUDENTS: 3 PHONE: MAIL SLOT: (501) 686-7154 567 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Little Rock or North LR VA Hospital COURSE#: UGASF OBJECTIVES AND/OR GOALS: 1. Actual knowledge to be gained: Acquisition of factual knowledge concerning principles of diagnosis and treatment of patients with common digestive disorders as well as unusual GI problems. Emphasis is placed on pathogenesis and pathophysiology of digestive diseases. 2. The staff believes that medical students should learn the indications for and the limitations of diagnostic endoscopic studies and other gastrointestinal tests that are available. 3. Students wil learn to interpret gastrointestinal X-ray, CT scans, MRI's, esophageal motility and pH studies, abdominal ultrasounds and others. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. Daily activities of both UAMS and LRVAH divisions -- including ward rounds and evaluation. Participation in the weekly clinic at UAMS and LRVAH. Participation in the conferences at UAMS, and LRVAH, which include Case presentation, Journal Club, GI-Radiology-Surgery Conference, GI Physiology Seminar, and GI Chief of Service Rounds. Diagnostic and therapeutic procedures on patients are performed both on a scheduled and emergency basis. This includes all the tests and procedures mentioned under Item 2 above. The expected patient load is 20 patients per week on the consultant service, of which several will be assigned to each student. On the first day, report to Shorey 8/68 at 9:00 a.m. HOURS PER WEEK: Conference: 5 Ward: 15 Clinic: 4 Lecture: 2 Lab: 5 Reading: 10 Library: 10 Other: Page 158 O.R.: Total: 51 COURSE: DIRECTOR: Gastroenterology Dr. Jonathan Dranoff 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-7154 567 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UGASE OBJECTIVES AND/OR GOALS: 1. Actual knowledge to be gained: Acquisition of factual knowledge concerning principles of diagnosis and treatment of patients with common digestive disorders as well as unusual GI problems. Emphasis is placed on pathogenesis and pathophysiology of digestive diseases. 2. The staff believes that medical students should learn the indications for and the limitations of diagnostic endoscopic studies and other gastrointestinal tests that are available. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. Daily activities of both UAMS and LRVAH divisions -- including ward rounds and evaluation. Participation in the weekly clinic at UAMS and LRVAH. Participation in the conferences at UAMS, and LRVAH, which include Case presentation, Journal Club, GI-Radiology Conference, and GI Grand Rounds. Diagnostic and therapeutic procedures on patients are performed both on a scheduled and emergency basis. This includes all the tests and procedures mentioned under Item 2 above. The expected patient load is 20 patients per week on the consultant service, of which several will be assigned to each student. On the first day, report to Shorey 8/68 at 9:00 a.m. HOURS PER WEEK: Conference: 5 Ward: 15 Clinic: 4 Lecture: 2 Lab: 5 Reading: 10 Library: 10 Other: Page 159 O.R.: Total: 51 COURSE: DIRECTOR: Peds Gastroenterology/Nutrition PHONE: MAIL SLOT: (501) 364-1004 512-7 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: Arkansas Children's Hospital COURSE#: Dr. Troy Gibbons UGASJ OBJECTIVES AND/OR GOALS: A. Proficiency in the approach to the history and physical examination of a pediatric patient with gastrointestinal/nutritional illness to yield maximum information B. Understanding laboratory and radiological testing and efficient use of such testing in diagnosing gastrointestinal disease C. Use of clinical and supportive date to arrive at a diagnosis D. Introduction to endoscopy procedures as a tool for diagnosis and therapeutic management E. Devising a logical approach to the management of patients with gastrointestinal/nutritional disease F. Instilling an interest in the field of pediatric gastroenterology SPECIFIC DUTIES OF SENIOR STUDENTS: a. Active participation in daily rounds with the inpatient attending and team b. Admit and follow patients on the GI service. No more than 3 patients will be assigned to any senior student at any given time c. Senior students will be required to see initial consultations requested d. Senior students will be required to be present at endoscopy procedures on their assigned patients e. Senior students will be required to attend 3 clinical sessions per week f. Unless there are exceptional circumstances, no elective student will be academically assessed if they miss more than one day per week of their elective rotation HOURS PER WEEK: Conference: 1 Ward: 15 Clinic: 12 Lecture: 2 Lab: 2 Reading: 3 Library: 2 Other: 0 Page 160 O.R.: 3 Total: 40 COURSE: DIRECTOR: G. Bradley Schaefer, M.D. Adult Medical Genetics 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 686-6564 530 MIN STUDENTS: AVAILABLE: All blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UGENB OBJECTIVES AND/OR GOALS: 1. Work with geneticists to care for patients with a spectrum of medical problems which have or are suspected to have an underlying genetic etiology. 2. Apply concepts and principles of medical genetics to clinical medicine. 3. Obtain complete family histories from patients, understand their importance and learn how to assess them for risk (cancer and recurrence risk). 4. Effectively use resources such as medical textbooks, research articles, and computer-based systems to obtain information necessary for up-to-date genetics care. 5. Become familiar with diagnostic methods for identifying genetic problems, including karyotyping, DNA analysis and biochemical testing. 6. Identify and discuss appropriate patient education resources and material. 7. Appreciate the importance of genetics in disease prediction and prevention. 8. Gain understanding of the ethical issues regarding patient confidentiality as it pertains to families and individual family members with genetic disorders. 9. Learn to respect the autonomy of all patients while giving appropriate consideration to the difficulties certain disabling genetic conditions may pose for decision-making. 10. Gain familiarity with relevant local and national support groups that can benefit the patient and family regarding their specific genetic condition. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will learn by providing care to patients at UAMS and ACRC. An appreciation for clinical genetics will be gained by working alongside clinical geneticists in the office and hospital settings. Students will be directly supervised by faculty physicians and will be a part of all aspects of a genetics consultation including counseling, risk assessment and genetic testing. Students will use the electronic medical record to collect and interpret family history as it pertains to cancer genetics. In addition, students will complete specific coursework (reading and online resources) on common problems encountered in clinical genetics. The student will be assessed on performance in the medical setting on a pass/fail basis. This elective will take part at UAMS and ACH. Dr. Schaefer's contact information is: 501-364-2966 and his slot number is 512-22 at ACH. THE AVAILABILITY OF THIS ELECTIVE IS BASED UPON PHYSICIAN SCHEDULES. PLEASE CALL MS. MICHELLE HAYGOOD TO CHECK BEFORE ADDING THIS ELECTIVE TO YOUR SCHEDULE. HOURS PER WEEK: Conference: 5 Ward: 2 Clinic: 20 Lecture: 3 Lab: 2 Reading: 8 Library: 0 Other: Page 161 O.R.: 0 Total: 40 COURSE: DIRECTOR: Pediatric Medical Genetics G. Bradley Schaefer, M.D. 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 364-2966 512-22 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: UGENA OBJECTIVES AND/OR GOALS: Become competent in: 1. pedigree composition, 2. obtaining appropriate genetic/medical information, 3. performing a genetic/physical examination to form a diagnosis/differential diagnosis, 4. making appropriate recommendations. 5. using web-based and printed references to aid in diagnosis and management. Understand inheritance patterns. Develop the ability to interpret cytogenetic, molecular genetic, newborn screening, and biochemical test results. Recognize common genetic syndromes and biochemical disorders. SPECIFIC DUTIES OF SENIOR STUDENTS: Attend scheduled pediatric conferences including Grand Rounds, morning report, and neuroradiology conference as appropriate. Participate in all scheduled genetic clinics - hands-on expected. Participate in genetic consults to be staffed by faculty. Attend special lectures, conferences related to genetics. Prepare for clinic including review of medical records - 1-5 days before the patient's appointment, and doing background reading. Research a genetic topic of interest and present to the Genetics Division. Students interested in more in-depth experiences in genetics, such as writing case reports for publication, should contact the course director. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation. HOURS PER WEEK: Conference: 6 Ward: 10 Clinic: 16 Lecture: Lab: Reading: 8 Library: Other: Page 162 O.R.: Total: 40 COURSE: DIRECTOR: Chronotherapy of Cancer PHONE: MAIL SLOT: (501) 686-5139 510 Variable DURATION: MAX STUDENTS: 0 MIN STUDENTS: 0 7,8,9,10 or TBA AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: E.R. Burns, Ph.D. LONCD OBJECTIVES AND/OR GOALS: The student will learn about the recent advances in using biological time to significantly increase the cure rate in a variety of human chemotherapy (chronochemotherapy) situations and also in the surgical treatment of breast cancer. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will present and discuss papers from the literature. Credit will be variable and determined by participation. See Dr. Wheeler. HOURS PER WEEK: Conference: 1 Ward: 0 Clinic: 0 Lecture: 0 Lab: 0 Reading: 2 Library: 0 Other: 0 Page 163 O.R.: 0 Total: 3 COURSE: DIRECTOR: General Hematology/Oncology PHONE: MAIL SLOT: (501) 686-5222 508 4 weeks DURATION: MAX STUDENTS: 4 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Dr. Laura Hutchins UHMOB OBJECTIVES AND/OR GOALS: 1. To develop a broad ranged knowledge of common clinical problems. Instruction will center around patient contact and management on the consultation service, under the direct supervision of the Attending Physician. The student will learn how to diagnose, stage, and treat various hematologic and oncologic diseases. 2. Instruction in the interpretation of normal and abnormal blood and bone marrow morphology. 3. Performance of bone marrow aspirates and biopsies. SPECIFIC DUTIES OF SENIOR STUDENTS: Daily rounds on the consultation patients followed by the Division. Attend an outpatient clinic half-day twice weekly. The senior student will initially evaluate consultations and present them to faculty for discussion. Attend Division conferences and seminars. The rotation may be taken at UAMS or LRVAH. On the first day, report to the ACRC, room 235 at 9:00 a.m. HOURS PER WEEK: Conference: 4 Ward: 20 Clinic: 10 Lecture: 2 Lab: Reading: 2 Library: 2 Other: Page 164 O.R.: Total: 40 COURSE: DIRECTOR: Hematology/Onc - Basic Research Staff Variable DURATION: MAX STUDENTS: PHONE: MAIL SLOT: (501) 686-5222 508 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: LHMOC OBJECTIVES AND/OR GOALS: 1. To develop an understanding of basic techniques and/or procedures in a basic science laboratory in Hematology/Oncology in order to learn the approach of a basic science project developed by the mentor and student. 2. To develop an approach to the design of a simple laboratory experiment or a rational approach to the evaluation and description of an unusual patient. SPECIFIC DUTIES OF SENIOR STUDENTS: The senior student with an interest in bench research will, prior to the rotation, select a mentor with mutual research interests. A project will be developed and the student will learn, understand, and perform the procedures or experiments required under the direction of the mentor. A goal will be to expose the student to as many research experiments as feasible in an attempt to introduce basics in molecular biology, immunology, gene therapy, and cancer diagnostics. Credit in this course is variable and dependent on exact activity. Please see Dr. Wheeler. On the first day, report to room 235 of the ACRC at 9:00 a.m. HOURS PER WEEK: Conference: 2 Clinic: Ward: Lecture: Lab: 26 Reading: 10 Library: 2 Other: Page 165 O.R.: Total: 40 COURSE: DIRECTOR: Pediatric Hematology/Oncology Drs. Becton and Saccente 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 364-1494 512-10 MIN STUDENTS: AVAILABLE: 3,4,5,7,8,9,10 LOCATION: Arkansas Children's Hospital COURSE#: UHMOD OBJECTIVES AND/OR GOALS: 1. Technical skills to be learned: a. Aspirate, smear, stain, and interpret peripheral smears and selected bone marrows. 2. Factual knowledge to be Gained: a. Basic information regarding childhood leukemia and solid tumors with emphasis on diagnosis and management of malignant disease as well as intercurrent infections. b. Diagnostic evaluation and management of coagulation disorders, hemoglobinopathies, hepatosplenomegaly, and lymphadenopathy. c. Diagnosis and management of anemia, thrombocytopenia, leucopenia in infancy and childhood. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily activities: All day clinics on Monday, Tuesday, Wednesday, and Thursday, with a 1/2 day clinic on Friday. 2. Reading Assignments: Weekly oral presentation by student on selected topic. 3. Conferences Scheduled: Pediatric Grand Rounds, Pediatric Tumor Board, Weekly Pediatric Hem/Onc Patient Conferences. 4. Expected Patient Load: A student will see 30-50 outpatients weekly. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days. HOURS PER WEEK: Conference: 4 Ward: 8 Clinic: 12 Lecture: Lab: 2 Reading: 14 Library: Other: Page 166 O.R.: Total: 40 COURSE: DIRECTOR: Immunohematology (Blood Banking) Dr. Michele Fox 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 686-5955 503 MIN STUDENTS: AVAILABLE: 2,3,4,5,6,7,8,9,10 LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UPATJ OBJECTIVES AND/OR GOALS: This elective is offered for those students who wish to learn more about transfusion medicine and coagulation. The student will learn how to manage simple to complex transfusion and coagulation problems. The student will become comfortable with ordering the appropriate blood and blood products as well as gaining insight and understanding into myriad of coagulation procedures. This elective is especially important for those students who are going into residency training where hemotherapy is important such as Internal Medicine, Anesthesiology, Surgery, or Emergency Medicine. Of course, all students are welcome. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will be given instruction on basic blood procedures such as the crossmatch, Coombs test, and antibody identification. The student will observe the preparation of blood components (FFP, platelets, and RBCs) and will learn the appropriate indications for transfusion and untoward reactions. The student will observe therapeutic and donor apheresis and have an opportunity to study the various diseases treated by this modality. The student will assist in management of these cases as well help to manage the donor facility. The student will participate in daily working rounds in the Blood Bank and Laboratory. The student will actively participate in daily patient management decisions and will be given the opportunity to take first call for the blood bank, if desired. The student will be given fundamental instructions on routine (PT, PTT, d-DIMER, fibrinogen, etc.) and special coagulation procedures (Factor assays, mixing studies, etc.) The student will become knowledgeable in the application and interpretation of these tests. Special tests such as platelet function studies will likewise be performed. The student should report to the Clinical Laboratory at 8:00 a.m. on the first day of the rotation. HOURS PER WEEK: Conference: 6 Ward: 6 Clinic: 2 Lecture: 4 Lab: 16 Reading: 4 Library: 2 Other: Page 167 O.R.: 2 Total: 42 COURSE: DIRECTOR: Infectious Disease Drs. Bradsher and(*) 4 weeks DURATION: MAX STUDENTS: 3 PHONE: MAIL SLOT: (501) 686-5585 639 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UIFDA OBJECTIVES AND/OR GOALS: 1. Factual knowledge to be gained: a. Diagnostic and therapeutic aspects of infectious diseases in normal and compromised hosts. b. Principles of antimicrobial therapy. c. Pathogenesis and pathophysiology of infectious diseases including relevant aspects of humoral and cell-mediated immune responses. d. Correct interpretation of results from the clinical microbiology laboratory. e. Hospital epidemiology; surveillance, prevention and control of nosocomial infections. 2. Technical skills to be learned: a. Examination of clinical materials (wet mounts, smears, stains) b. Experience in correlation of microbiologic culture results and reports with clinical information. c. Literature review of topics for presentation on rounds. (*) Faculty: Drs. Bradsher, Martin, Bariola, Monson, Vyas, and Saccente. To add the course, you need the signature of Dr. Bradsher or Dr. Saccente on your Drop/Add form. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. As the initial consultant for patients for whom infectious disease consultation is requested, the Senior Student evaluates, makes recommendations for management of, and follows the patient with the faculty. 2. Consultation rounds with housestaff and faculty daily. 3. Prepare an in depth review of an infectious disease topic and present this to the faculty and other students. 4. Participation in the clinical microbiology laboratory, as assigned. 5. Infectious Diseases Conferences: a. Infectious disease cases conference; 12:00 noon, Monday, UAMS. b. Infectious disease journal club; 7:30 a.m., Wednesday, UAMS c. Laboratory rounds; 2 p.m., Tuesday & Thursday, UAMS. 6. Night call: none Two weeks at UAMS, two weeks at LRVAH. You can sign up for additional time with drop/add forms. On the first day of class, report to the Shorey Bldg., room 3-S13 at 9:00 a.m. HOURS PER WEEK: Conference: 4 Clinic: Ward: 20 Lecture: Lab: 2 Reading: 7 Library: 7 Other: Page 168 O.R.: Total: 40 COURSE: DIRECTOR: Infectious Disease NWA PHONE: MAIL SLOT: (479) 713-8301 599 4 weeks DURATION: MAX STUDENTS: 3 MIN STUDENTS: 1 Blocks 4, 5, and 9 AVAILABLE: LOCATION: NW Arkansas Campus COURSE#: Dr. Spalter NINFA OBJECTIVES AND/OR GOALS: 1) Factual Knowledge: a) Diagnostic and therapeutic aspects of infectious diseases in normal and compromised hosts b) Principles of antimicrobial therapy c) Pathogenesis and pathophysiology of infectious diseases and humoral and cellular immune responses d) Correct interpretation of clinical microbiological and serological data e) Approach to hospital epidemiology and nosocomial infections 2) Technical Skills: a) Examination of clinical materials (wet mounts and stained material) b) Ordering of diagnostic material c) Literature review for presentation on rounds Faculty: Dr. Joel Spalter To add this course, you need the signature of Dr. Spalter SPECIFIC DUTIES OF SENIOR STUDENTS: 1) Act as the initial consultant for patients for whom infectious disease consultation is requested - including evaluation, formulation of a plan of management, and presentation of the plan to faculty. 2) Follow the patient and round daily with faculty 3) Prepare and present to faculty and other students an in depth review of an infectious disease topic. 4) Interact with laboratory, as assigned 5) Participate in infectious disease conferences - TBA 6) Night Call - None Location: Washington Regional Medical Center and Veterans' Health Care System of the Ozarks, Fayetteville, Arkansas On the first day of the rotation report to Dr. Spalter's office - location: UAMS-Northwest, 1125 N. College, Fayetteville, Arkansas. HOURS PER WEEK: Conference: 4 Clinic: Ward: 20 Lecture: Lab: 2 Reading: 7 Library: 7 Other: Page 169 O.R.: Total: 40 COURSE: DIRECTOR: Pediatric Infectious Disease Dr. Jose R. Romero 4 weeks DURATION: MAX STUDENTS: 3 PHONE: MAIL SLOT: (501) 364-1416 512-11 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: UIFDB OBJECTIVES AND/OR GOALS: 1. To familiarize the student with pediatric infectious diseases from the standpoint of diagnosis, pathophysiology, epidemiology, therapy and prognosis in both inpatient and outpatient settings. 2. To become familiar with a variety of diagnostic procedures, including isolation and identification of microorganisms (bacteria, fungi, and viruses), radiological and other laboratory studies. 3. To become acquainted with hospital epidemiology, surveillance and control of nosocomial infections. 4. To learn to integrate science to clinical medicine. 5. To familiarize the student with anti-infectives. All students will leave the service with a better understanding of antibiotics, anti-fungal and anti-viral agents. 6. To become familiar with Public Health aspects of Infectious Disease SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Assist in the initial examination of all pediatric patients for whom infectious disease consultation is requested at Arkansas Children's Hospital. 2. Follow and assist in the management of hospitalized infectious disease consultation patients and continually provide information to the faculty, house- staff and nursing personnel involved in the care of the patients. 3. Perform consultations with Infectious Disease faculty daily. 4. Attend all educational conferences five times per week. 5. Night call: None ; Weekend call: None 6. Present at case conference and selected short topics at morning conferences. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the time off and should be reasonable. HOURS PER WEEK: Conference: Clinic: 0 Ward: 30 Lecture: 2 Lab: 1 Reading: 10 Library: Other: Page 170 O.R.: Total: 43 COURSE: DIRECTOR: Critical Care Medicine PHONE: MAIL SLOT: (501) 686-7931 515 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 Blocks 2 through 10 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Muhammad Jaffar, M.D., FCCP UANEJ OBJECTIVES AND/OR GOALS: The student is expected to participate in daily rounds in the ICU and function as a sub-intern. He/she will present assigned patients on rounds, attend all lectures and conferences and read required material. Students will also have the opportunity to do procedures under close supervision. There will not be night and weekend call. Course Objectives: Learn criteria for admission to and discharge from the ICU. Learn how to assess and manage critically ill patients. Understand the basic physiology of shock and how to manage it using appropriate monitoring devices. Understand the common modes of mechanical ventilation and management of airway compromised patients. Learn the differential diagnosis of acute renal failure and different modes of renal replacement therapy. Learn indications for blood and blood products transfusion. Learn how to identify and manage infections in the ICU patients. Learn indications for enteral and parenteral nutrition. Become aware of ethical issues in the ICU, including advance directives, medical futility, and withholding and withdrawing therapy. Learn how to do common procedures in the ICU. Note: Not all topics may be covered during formal lectures. SPECIFIC DUTIES OF SENIOR STUDENTS: Complete required readings. Present patients and participate in bedside rounds. Attend and participate in rotation lectures and Department of Anesthesiology conferences (M&M, Grand Rounds). Keep a log of all patients followed and procedures performed. Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service. Students are allowed to take off up to 1 day per week to interview between November 1 and February 1. Specific days missed must be approved by the Attending on Service. Suggested preparatory reading: The ICU Book Paul L. Marino, MD, PhD, FCCM HOURS PER WEEK: Conference: 0 Ward: 40 Clinic: 0 Lecture: 5 Lab: 0 Reading: 5 Library: 0 Other: 0 Page 171 O.R.: 0 Total: 50 COURSE: DIRECTOR: Surgical Intensive Care Drs. Cone, Robertson, and Jensen 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-6184 520 MIN STUDENTS: AVAILABLE: 1,4,5,6,7,8,9,10 LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: USUGT OBJECTIVES AND/OR GOALS: The student will be expected to learn: a. The principles of hemodynamics including the intepretation of the hemodynamic profile and how to select the appropriate therapy based on this data. b. Pulmonary physiology as applied to respiratory failure and the care of patients on mechanical ventilation. c. The basics of enteral and parenteral nutrition. d. The principles of diagnosis and treatment of shock. e. The care of seriously ill post-operative patients including sepsis and multiple organ system failure. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Make daily rounds with the residents and attending staff in the surgical intensive care units. 2. Attend the various scheduled teaching and case conferences. 3. Assist with the various procedures in the SICU including placement of Swan-Ganz catheters, arterial and central venous lines, bronchoscopy, etc. 4. Develop the necessary skills needed to control the airways and ventilation of patients. *****This elective may be available in Blocks 2 and 3 depending on enrollment in the Honors Program in Surgery. HOURS PER WEEK: Conference: Clinic: Ward: 40 Lecture: 5 Lab: Reading: 5 Library: Other: Page 172 O.R.: Total: 50 COURSE: DIRECTOR: Complementary/Alternative Medicine PHONE: MAIL SLOT: (501) 526-8441 843 4 weeks DURATION: MAX STUDENTS: 25 MIN STUDENTS: 6 Block 9 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Alison Oliveto, Ph.D. and Allen Sherman, Ph.D. UPSAK OBJECTIVES AND/OR GOALS: This course is designed to enhance familiarity with integrative therapies that are used in conjunction with or as alternatives to standard medical practice. Growing attention has focused on an array of complementary and alternative medicine (CAM) strategies, including acupuncture, traditional Chinese Medicine, yoga, herbal remedies, chiropractic, massage therapies, meditation, and energy medicine. These practices are widely used in the US, although physicians are often unaware that their patients are pursuing them. There is an expanding research base evaluating the efficacy of some of these approaches, and a growing number of medical centers offer them. It is imperative that physicians be aware of the indications, benefits, and risks associated with these therapies so they can appropriately advise their patients. In this course, senior students will explore this area with seasoned CAM practitioners and investigators as well as UAMS faculty. The course will be comprised of seminars involving lectures, discussions, field trips to CAM clinics, and a student presentation; it will include both experiential and didactic learning. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. regular attendance at all seminars and fieldtrips 2. presentation of an evidence-based review of a CAM therapy (small-group oral presentation) 3. reading materials as assigned LOCATION: On the first day of class students should report to IDW room 206 COURSE DIRECTORS: Allen Sherman, Ph.D: phone: 686-8700 Mail slot: 756 Email: [email protected] Alison Oliveto, Ph.D: phone: 526-8441 Mail slot: 843 Email: [email protected] HOURS PER WEEK: Conference: 5 Ward: 0 Clinic: 5 Lecture: 15 Lab: 0 Reading: 5 Library: 0 Other: 10 Page 173 O.R.: 0 Total: 40 COURSE: DIRECTOR: Womens Primary Care PHONE: MAIL SLOT: (501) 526-5968 769 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 0 Blocks 7, 8, and 9 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Sara Tariq, M.D. UWPCA OBJECTIVES AND/OR GOALS: The goal of this rotation is to assist senior medical students in developing basic competencies in women's health care using a holistic approach. This will include not only gynecological, reproductive, and breast health issues, but will also emphasize the importance of women's issues found in other areas of medical practice such as internal medicine and urology. There will be an emphasis on screening, prevention, and patient education. The objectives of this rotation are based on the Women's Health Care Competencies Learning Objectives for Undergraduate Medical Education and the Association of Professors of Gynecology and Obstetrics 1. Incorporate a gynecologic-obstetric history and assessment for every woman as part of the general medical history 2. Comfortably perform a gynecological exam as part of the general medical exam. 3. Discuss the etiology, pathophysiology, differential diagnosis and treatment options for conditions and functions that are specific to women or that are more common in women. 4. Effectively communicate with patients, demonstrating awareness of gender and cultural differences. 5. Know the current recommendations for routine health surveillance in regards to not only women's health issues, but also primary care prevention screening. 6. Demonstrate a basic knowledge of contraceptives and counseling for contraception. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Attendance at the various outpatient clinics, including the VA Women's Health Clinic with Dr. Miriam Oakum, Women's Urology and Sexual Dysfunction Clinic with Ms. Jody Purifoy, NP, Ob/Gyn Clinic with Dr. Katrina Davis, and UAMS Breast Clinic with Dr. Rhonda Henry-Tillman. 2. Attendance on the Community Mammogram Van 3. Attendance and participation with case presentations and a solid knowledge of syllabus material as will be discussed by Dr. Sara Tariq. 4. Research into a health care topic specific to women to be presented at the close of the rotation. Dr. Tariq's contact numbers: Phone = 526-5968 and Pager = 405-8091 HOURS PER WEEK: Conference: 0 Ward: 0 Clinic: 0 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 40 Page 174 O.R.: 0 Total: 40 COURSE: DIRECTOR: Biomedical Ethics PHONE: MAIL SLOT: (501) 661-7970 646 Semester DURATION: MAX STUDENTS: 25 MIN STUDENTS: 6 Spring Semester AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Chris Hackler, Ph.D. LHUMA OBJECTIVES AND/OR GOALS: This seminar will build on the sophomore Medical Ethics course, studying some problems in greater detail while introducing new social and ethical issues. Topics will be selected by the class according to student interest and need. They may include physician-assisted suicide, withholding futile treatment, pharmaceutical abortion, in vitro fertilization, surrogate motherhood, maternal-fetal conflicts, severely handicapped newborns, genetic engineering, chronic illness and dementia, involuntary psychiatric commitment, the homeless mentally ill, organ procurement and transplantation, experimentation with human subjects, allocation of scarce resources, and health care reform. THE ACTUAL LOCATION OF THIS ELECTIVE IS: Freeway Medical tower, suite 500 SPECIFIC DUTIES OF SENIOR STUDENTS: Students will discuss assigned readings together with classic and current medical cases presenting important moral and legal dilemmas. Each student will prepare short analyses identifying and resolving the ethical issues in two cases and will present one analysis to the class. * 2 hrs/week. One afternoon or evening to be arranged. Students taking the course will receive two credit hours. This course takes place at the Freeway Medical Towers Building, Suite 500. Course Details are available at: http://www.uams.edu/humanities/senior.asp HOURS PER WEEK: Conference: Clinic: Ward: Lecture: 2 Lab: Reading: 3 Library: Other: Page 175 O.R.: Total: 5 COURSE: DIRECTOR: Conversational Spanish PHONE: MAIL SLOT: (501) 686-7407 603 variable DURATION: MAX STUDENTS: 40 MIN STUDENTS: 0 Spring Semester AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Ms. Paula Wilson LSPAN OBJECTIVES AND/OR GOALS: This brief course in conversational Spanish will be designed to help anyone in the medical profession to more effectively communicate in the Spanish language with patients and their families. The course will emphasize basic language structure, pronunciation, and vocabulary, with special emphasis on medical terminology. This course is offered as a senior elective, but it is also open to other medical students, residents, and faculty. No registration is required except for senior medical students wanting to take it for credit. The class will meet on a single weekday from 6 until 8 p.m. There will be 11 classes starting in January or February. (The class will meet 10 times with the extra class used only if one of the regular 10 classes is cancelled due to bad weather.) 70% attandance is one requirement to pass the course. SPECIFIC DUTIES OF SENIOR STUDENTS: The textbook will be the same for both levels: "Complete Medical Spanish" by Joanna Rios, Ph.D. and Jose Fernandez Torres (ISBN-0-07-143979-X) which has a list price of approximately $11.95 and was recently seen on Amazon.com for $9.56. Students will be required to have at least 70% attendance and completion of special assignments to receive a passing grade. During the first class, the course director will go over the course requirements and will work with each student to determine their most appropriate course level. After the initial session, the class will be broken into beginner and intermediate classes. You will need to attend just one of these sessions to received your 2 credits. If you stay the full 2 hours, you still only receive 2 credits. Students who are proficient in Spanish are asked not to register for the course HOURS PER WEEK: Conference: 0 Ward: 0 Clinic: 0 Lecture: 1 Lab: 0 Reading: 2 Library: 0 Other: 2 Page 176 O.R.: 0 Total: 5 COURSE: DIRECTOR: Death and Dying PHONE: MAIL SLOT: (501) 686-6498 522 Semester DURATION: MAX STUDENTS: 12 MIN STUDENTS: 2 Spring Semester AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Karen Drummond, Ph.D. and Micah Hester, Ph.D. LGERA OBJECTIVES AND/OR GOALS: At the completion of this course, the student will be able to: 1) 2) 3) 4) 5) 6) explore their own issues, feelings, and beliefs regarding death and dying; describe the roles of patients, family, and health care team members with regard to death and dying; demonstrate skills in communicating with patients and families about dying; discuss the ethical issues in limiting treatment at the end of life; examine, plan, and evaluate symptom management and care goals at the end of life; and explore economic and institutional factors affecting terminal care. THE ACTUAL LOCATION OF THIS COURSE IS: Freeway Medical Towers, Suite 500 SPECIFIC DUTIES OF SENIOR STUDENTS: This course will be offered one afternoon a week (location to be announced). It will entail a two hour session per week of lecture, case discussions, and analysis of assigned readings. Students satisfactorily completing this course will earn 2 hours of credit. Course Details are available at: http://www.uams.edu/humanities/senior.asp HOURS PER WEEK: Conference: Clinic: Ward: 0 Lecture: 2 Lab: Reading: 3 Library: Other: Page 177 O.R.: Total: 5 COURSE: DIRECTOR: Diseases from Antiquity to Now PHONE: MAIL SLOT: (501) 569-8389 646 16 weeks DURATION: MAX STUDENTS: 25 MIN STUDENTS: 5 Fall Semester AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Laura Smoller, Ph.D. LHUMK OBJECTIVES AND/OR GOALS: This course introduces students to a variety of ways of thinking about the relationship between diseases and the societies in which they occur. We follow an essential dichotomy between seeing disease as an agent in history (e.g., the argument that smallpox brought down the Aztec empire) and viewing disease and the experience of sick people as "socially constructed" (e.g., the definition of AIDS, in the early years of the epidemic, as a "gay cancer" and the subsequent stigmatization of its victims). The course begins with several weeks of readings that introduce various ways of imagining the relationship between diseases and cultures; we then begin to move chronologically through the history of the west, spotlighting one disease and one historical moment each week. THE ACTUAL LOCATION OF THIS COURSE IS: Freeway Medical Tower, Suite 500 SPECIFIC DUTIES OF SENIOR STUDENTS: Students will read assigned readings, attend class, and participate in class discussions. Short written responses will be required for all readings. Students taking this course will receive two credit hours. Course Details are available at: http://www.uams.edu/humanities/senior.asp Dr. Smoller's e-mail address is [email protected] Ms. Carol Van Pelt, in the Medical Humanities Office, can also sign drop/add forms for this course. HOURS PER WEEK: Conference: Clinic: Ward: Lecture: 2 Lab: Reading: 3 Library: Other: Page 178 O.R.: Total: 5 COURSE: DIRECTOR: Law and Medicine PHONE: MAIL SLOT: (501) 661-7970 646 Semester DURATION: MAX STUDENTS: 25 MIN STUDENTS: 6 Fall Semester AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Harold Simpson, J.D. LHUMF OBJECTIVES AND/OR GOALS: 1. Obtain a basic overview of the legal process as it affects the practice of medicine. 2. Focus on the rights, obligations, and legal liabilities of physicians in their daily practice. 3. Discus various medicolegal issues raising important questions of ethics and public health. Topics include: The legal standard of care and medical malpractice Sources of legal authority applicable to medical practice Battery, consent, and informed consent Death and dying (including refusal of consent, withholding of life support and withdrawing of life support Insurance and claims management Contracts (illustrated by physician employment and recruiting contracts) Confidentiality, privacy, and medical records Medical licensure and discipline Health care economics Healthcare fraud and abuse Legal structures and arrangements for medical practice Medical staff issues Other laws affecting medical practice SPECIFIC DUTIES OF SENIOR STUDENTS: Review of text and other materials. Participation in class discussion. This elective will meet two hours per week, one afternoon or evening, to be arranged. Students taking this course will receive two credit hours. The course is held at the Freeway Medical Towers Building, suite 500. Course Details are available at: http://www.uams.edu/humanities/senior.asp Ms. Carol Van Pelt, in Medical Humanities, may sign drop/add forms for this course. THE ACTUAL LOCATION OF THIS COURSE IS: Freeway Medical Towers, Suite 500 HOURS PER WEEK: Conference: Ward: Clinic: Lecture: 2 Lab: Reading: 3 Library: Other: Page 179 O.R.: Total: 5 COURSE: DIRECTOR: Medical Anthropology PHONE: MAIL SLOT: (501) 661-7970 646 Semester DURATION: MAX STUDENTS: 25 MIN STUDENTS: 6 Spring Semester AVAILABLE: LOCATION: VARIABLE COURSE#: Dr. Karen Drummond LHUML OBJECTIVES AND/OR GOALS: This course examines health, illness, and healing from a cross-cultural perspective. Topics include nonWestern health systems, medical pluralism, anthropological studies of biomedicine, and issues of concern regarding the treatment of diverse patient populations. THE ACTUAL LOCATION OF THIS COURSE IS: Freeway Medical Tower, Suite 500 SPECIFIC DUTIES OF SENIOR STUDENTS: Students will be expected to: read all assigned materials before class, attend all seminar meetings, actively participate in discussions, led at least one discussion, write several brief reflective papers on selected readings, and write a final reflective paper on a selected course theme. Students completing this course will receive 2 credit hours. HOURS PER WEEK: Conference: 0 Ward: 0 Clinic: 0 Lecture: 2 Lab: 0 Reading: 3 Library: 0 Other: 0 Page 180 O.R.: 0 Total: 5 COURSE: DIRECTOR: Medicine In Literature PHONE: MAIL SLOT: (501) 661-7970 646 Semester DURATION: MAX STUDENTS: 25 MIN STUDENTS: 6 Spring Semester AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Charles Anderson, Ph.D. LHUMB OBJECTIVES AND/OR GOALS: Medicine in Literature is concerned with the ways medicine and medical matters have been represented in literary texts. Its intention is to enrich each participant's understanding of medical events by exploring the narrative and symbolic dimensions of illness from as many perspectives as possible. THE ACTUAL LOCATION OF THIS COURSE IS: Freeway Medical Tower, Suite 500 SPECIFIC DUTIES OF SENIOR STUDENTS: Participants will read and discuss poems, plays, short stories, essays, and novels. *2 hrs/week, one evening to be arranged. This course takes place at the Freeway Medical Towers building, Suite 500. Students taking this course will receive two hours of credit Course Details are available at: http://www.uams.edu/humanities/senior.asp Ms. Carol Van Pelt, in the Medical Humanities office, may also sign drop/add forms for this course. HOURS PER WEEK: Conference: Clinic: Ward: Lecture: 2 Lab: Reading: 3 Library: Other: Page 181 O.R.: Total: 5 COURSE: DIRECTOR: Religion and Clinical Practice PHONE: MAIL SLOT: (501) 661-7970 646 Semester DURATION: MAX STUDENTS: 25 MIN STUDENTS: 6 Spring Semester AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Larry Burton, Th.D. LHUMS OBJECTIVES AND/OR GOALS: Gallup Polls have documented the fact that Americans are a pretty religious people, with up to 95% of Americans stating that they believe in God. Does this have any relevance for clinical practice? This course will examine (1) ways of understanding religion from the perspective of psychology and sociology, (2) scientific research about the relationship between religion and health - as well as critiques of this work - and (3) practical and ethical implications of including religion as an element of clinical medical practice. Here are just a few of the questions we will ask: "Should religion be included as part of the context of medical care?" "What should we do when a physician's religion - or lack of religion- conflicts with that of a patient?" "How far should we go in honoring a patient's religious wishes when delivering care?" "If prayer is proven to work, shouldn't we require it?" SPECIFIC DUTIES OF SENIOR STUDENTS: The class will involve a combination of presentation, discussion, case studies, and in some cases, practice. In the latter half of the term, it will evolve into a seminar with students making presentations on subjects of particular interest to them. Weekly reading will be required as well as a "final" consisting of a role-playing interview and debriefing involving a spiritual history. Course Details are available at http://www.uams.edu/humanities/senior.asp HOURS PER WEEK: Conference: Clinic: Ward: Lecture: 2 Lab: Reading: 2 Library: Other: Page 182 O.R.: Total: 4 COURSE: DIRECTOR: Religion and Medicine PHONE: MAIL SLOT: (501) 661-7970 646 Semester DURATION: MAX STUDENTS: 25 MIN STUDENTS: 6 Fall Semester AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Larry Burton, Th.D. LHUMR OBJECTIVES AND/OR GOALS: From its inception, medicine was linked with religious beliefs and practices. A great number of religions continue to have teachings and practices that impact healthcare yet today. Frequently these teachings involved ethical injunctions. As America becomes increasingly multi-cultural (there are more Muslims than Episcopalians in the US), doctors need to be sensitive to the impact of religious culture on their patients. But physicians must be careful not to stereotype various religions or their practitioners. This course will examine (1) ways to understand religion from the perspective of psychology, sociology, anthropology, and theology, (2) practices and beliefs of major world religions regarding health, medicine, and ethics, and (3) strategies for respectful clinical interactions with patients and families. SPECIFIC DUTIES OF SENIOR STUDENTS: Initially the class will involve lecture presentations, discussions, and case studies. It will evolve into a seminar with students making presentations on subjects related to cross-cultural religious/ethical issues in medicine. Weekly reading will be required as well as participation in interview and discussions, and making one class presentation. Topics include: The study of religion, belief systems, worldviews and religion, brief introduction to world religions, variety in Judaism, Roman Catholicism, Mainline Protestantism, Evangelical Christianity, Islam and Hinduism. Students completing this course will receive 2 credit hours. HOURS PER WEEK: Conference: Clinic: Ward: Lecture: 2 Lab: Reading: 3 Library: Other: Page 183 O.R.: Total: 5 COURSE: DIRECTOR: Research Microbiology & Immunology Dr. Richard P. Morrison Variable DURATION: MAX STUDENTS: 5 PHONE: MAIL SLOT: (501) 686-5145 511 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: LMICB OBJECTIVES AND/OR GOALS: Students will have the opportunity to participate in the ongoing research programs of individual faculty members. Laboratory work will be conducted in the research laboratories of the department. Topics Available: 1. Immunology, Viral Pathogenesis and Viral Structure-function analysis of poliovirus capsid proteins: Dr. Marie Chow 2. Cellular and molecular mechanisms of T cell tolerance induction, and association with autoimmunity: Dr. Kathleen Gilbert 3. Molecular biology of herpes virus gene expression; development and evaluation of viral vaccines: Dr. Wayne Gray 4. Understanding the biochemical and molecular basis of immune dysregulation, focusing on the role of transcription factor NF kappa B and the multicatalytic protease, 26S Proteasome: Dr. Usha Ponnappan 5. Molecular pathogenesis of staphylococcus Disease: Dr. Mark Smeltzer 6. Regulation of coronavirus RNA transcription and Mechanisms of coronavirus pathogenesis: Dr. Xuming Zhang 7. Innate Immune Response to Chlamydia infection: Dr. Uma Nagarajan 8. Immunity to Chlamydia genital infection: Dr. Richard Morrison 9. Immune mechanisms of atherosclerosis: Dr. Shanmugam Nagarajan 10. Parasitism of host cells by the intracellular pathogen Coxiella burnetii: Dr. Dan Voth 11. Bacterial morphology and cell wall lsynthesis: Dr. Kevin Young 12. Transmission and pathogenesis of the Lyme Disease spirochete, Borrelia burgdorferi: Dr. Jon Blevins SPECIFIC DUTIES OF SENIOR STUDENTS: Objectives Continued: 13. Virus-host interactions in gammaherpesvirus pathogenesis and cellular transformation: Dr. Craig Forrest 14. Regulation of virulence genes in staphylococci: Dr. Chia Lee Student Duies: Following selection of topic of interest, the student will consult with the faculty members involved and will be supplied with reference reading material. There will be briefing sessions as to the research currently being conducted. The student will then be assigned a role in the experiments and will be trained in the techniques employed. Depending on the nature of the experimentation, students will work either independently or directly with the faculty and technical personnel. * TO REGISTER FOR ABOVE, STUDENTS SHOULD CONTACT DR. RICHARD P. MORRISON, 686-5145 BIOMEDICAL RESEARCH BUILDING - ROOM 506. Credit for this course is variable depending on effort. See Dr. Wheeler. The number of hours per week is also variable. HOURS PER WEEK: Conference: Clinic: Ward: Lab: Library: O.R.: Lecture: Reading: Other: Total: Page 184 COURSE: DIRECTOR: Mary Cantrell, M.A. Attending - ACH PULSE Center PHONE: MAIL SLOT: (501) 364-4338 ACH-852 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: Arkansas Children's Hospital COURSE#: UCSCB OBJECTIVES AND/OR GOALS: Senior students would be assigned to the PULSE Center as the attending senior medical students just as a real clinic has an attending physician. Through this experience, the student will develop skills in teaching clinical medicine, facilitating small groups, performance testing, and instructional design and research. Course Objectives: The goal of this course is to introduce students to the practice of academic pediatric medicine. This course has several objectives. 1. To enable you to use educational literature and instructional design methods in the context of an implementable project. 2. To foster communication and instruction skills by participating in clinical teaching activities. SPECIFIC DUTIES OF SENIOR STUDENTS: This student/s would be responsible for the following: Develop a teaching/assessment plan using a standardized patient or simulation case that is written and trained by the student Assist all student teaching activities in the PULSE Center Dry run any SP or simulation cases for testing and teaching Assist any practice sessions for students HOURS PER WEEK: Conference: 0 Ward: 0 Clinic: 40 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 185 O.R.: 0 Total: 40 COURSE: DIRECTOR: Mary Cantrell, M.A. Attending-Clinical Skills Center PHONE: MAIL SLOT: (501) 686-8792 735 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UCSCA OBJECTIVES AND/OR GOALS: Senior students will be assigned to the Center for Clinical Skills Education (CCSE) as the attending senior medical students just as a real clinic has an attending physician. Through this experience, the student will develop skills in teaching clinical medicine, facilitating small groups, performance testing, and instructional design and research. Course Objectives: The goal of this course is to introduce students to the practice of academic medicine. This course has several objectives. 1. To enable you to use educational literature and instructional design methods in the context of an implementable project. 2. To foster communication and instruction skills by participating in clinical teaching activities. SPECIFIC DUTIES OF SENIOR STUDENTS: The student(s) would be responsible for the following: Develop a teaching/assessment plan using a standardized patient case that is written and trained by the student Assist all student teaching activities in the CSC Substitute for all ICM small groups Dry run any SP cases for testing and teaching Assist any practice sessions for students HOURS PER WEEK: Conference: Clinic: 40 Ward: Lecture: Lab: Reading: 0 Library: Other: Page 186 O.R.: Total: 40 COURSE: DIRECTOR: ICM I Small Group Preceptor PHONE: MAIL SLOT: (501) 686-5800 769 Variable DURATION: MAX STUDENTS: 30 MIN STUDENTS: 1 Blocks 2 through 10 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: James Graham, M.D. LPEDI OBJECTIVES AND/OR GOALS: This elective will provide an opportunity for the senior student to develop medical teaching skills by coprecepting (with a clinical faculty member) a group of 10 first-year medical students in the Introduction to Clinical Medicine 1 course. Specifically, the student will: 1. 2. 3. 4. 5. Foster his/her communication and leadership skills by facilitating small group meetings. Facilitate student learning through the use of effective feedback. Demonstrate professional attributes by serving as a role model for the student group. Improving his/her teaching skills by participating in faculty development activities. Enhance his/her medical history and physical examination skills by preparing for and participating in small group sessions. SPECIFIC DUTIES OF SENIOR STUDENTS 1. Attend faculty orientation and read preceptor notes. 2. Contact the attending in your rotation ahead of time, making up any necessary work (A letter can be sent from the ICM course directors anytime it would be helpful.) 3. Contact the ICM office to arrange for a substitute when you are unavailable to teach a scheduled session and let your co-preceptor know you will not be present. 4. Attend the faculty meetings from 2:15 - 2:30 before each small group meeting 5. Attend small group sessions from 2:30-4:00 on the Wednesday afternoons of small group meetings. SPECIFIC DUTIES OF SENIOR STUDENTS: 6. 7. 8. 9. Prepare for each small group meeting by reviewing the syllabus, assigned readings, and preceptor notes. Observe and assist M-1 students with interview and PE skills. Critique written assignments and return them to students on a timely basis. Evaluate each medical student in your group via formative (i.e., brief, timely feedback) and summative (i.e., semester evaluations) means. 10. Help find patients on wards for interviews and physical examinations. (This is especially helpful to nonphysician faculty). Hours: 2.5 hours for faculty and small group meetings 16 times a year = 40 hours 2 hours/week preparation time for small group meetings, critiquing student write-ups, responding to e-mail journals, reading assigned readings on small group teaching = 64 hours 4 hours of faculty development Total of 148 hours This course is "worth" 4 credit hours HOURS PER WEEK: Conference: 0 Ward: 0 Clinic: 0 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 96 Page 187 O.R.: 0 Total: 96 COURSE: DIRECTOR: Medical Missions - Third World Don Foster, M.D. Variable DURATION: MAX STUDENTS: 10 PHONE: MAIL SLOT: (501) 364-2991 512 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: VARIABLE COURSE#: LPEDM OBJECTIVES AND/OR GOALS: 1. Study travel medicine relevant to the country(s) the student will visit, e.g. what vaccinations &/or chemical prophylaxis are required. 2. Observe living conditions and the lifestyle of the people and how these impact wellness and public health in an underprivileged country. 3. Experience cross-cultural physician-patient relationships. 4. Appreciate the practice of medicine with only limited resources. 5. Gain opportunities to treat the whole patient by integrating his/her faith with the practice of medicine, and discover his/her interest in short- or long-term medical missions. 6. Improve the well-being of patients treated through education about the patients' specific conditions and about preventive health in general. This rotation can be taken for between 3 and 12 weeks. Please consult with Dr. Foster about timing. Even though it is listed as a longitudinal, it will be considered a full time elective (one week's credit for one week's work - and you can't do this and another block elective at the same time). If you have any questions about the calulation of credit hours, please see Dr. Wheeler. DOES NOT COUNT TOWARD 12 WEEKS OF ON-CAMPUS TIME. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Determine his/her destination, the organizational association and the length of stay by searching resources available through the Course Director, the Dean's office, and/or other sources. Provide a description of the expected clinical activities to the course director at least 4 weeks before the elective begins. 2. Prepare for his/her time abroad by studying the local culture, beliefs and economy, as well as conditions he/she is likely to encounter. This may include travel guides, the internet, textbooks, and interviews of students, physicians, and/or others who have visited the country. 3. Deliver care to patients under the supervision of a licensed physician in clinic and/or outpatient settings that vary according to the locale. Assist and/or perform various clinical and/or laboratory procedures as they occur in the context of patient care. 4. Read about unexpected conditions that he/she encounters which were not reviewed prior to the elective. 5. Return a UAMS Evaluation Form (completed by the physician preceptor) to the course director ASAP upon return to Little Rock. 6. Prepare a brief, written summary (that highlights his/her educational and personal experiences) to the course director after the trip. HOURS PER WEEK: Conference: Ward: Clinic: 35 Lecture: Lab: Library: Reading: 5 Other: Page 188 O.R.: Total: 40 COURSE: DIRECTOR: Quality Improvement Elective PHONE: MAIL SLOT: (501) 212-8609 Below 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 1 -2 Student/Semester AVAILABLE: LOCATION: VARIABLE COURSE#: J. Gary Wheeler, M.D., Assistant VP, HCQIP UAFMC OBJECTIVES AND/OR GOALS: AFMC offers this elective to senior medical students as an opportunity to experience working in the quality improvement field. All physicians must interact with quality improvement organizations. Quality improvement is one of the keys to reforming health by optimizing resources and controlling costs. OBJECTIVES AND/OR GOALS 1.To introduce a medical student into quality of care concept and methodology 2.To familiarize student with Quality Improvement Organizations (QIO) work and challenges as we attempt to improve quality of care in different settings (hospital/nursing home/home/clinical offices) Location:1020 W. Fourth St., Suite 300, Little Rock, AR. This rotation will only accept 1 or 2 students per semester. This elective cannot be selected in the original computer runs, but only added later with a drop/add form. Also, there will be an additional form to be filled out before taking the drop/add form to the course director - please see the Academic Affairs office for this additional form if it isn't attached to this course description. SPECIFIC DUTIES OF SENIOR STUDENTS: Interact with various departments within Arkansas Foundation for Medical Care, Inc. that perform quality assessments of the Arkansas federal and state medical programs. 1. Review relevant medical and health care literature for concepts, projects, and activities applicable to the work and mission of AFMC. Share germane copies with applicable team members. Review clinical literature for ideas for data mining and quality improvement Monitor clinical literature and provide selected, relevant copies to staff Monitor literature, contacts and meetings for new quality improvement opportunities and provide written information and feedback to AFMC staff 2. Provide clinical leadership to team members relative to data mining opportunities and construction of performance measures. Provide clinical assistance to data mining team Construct performance measures for initiatives and co-lead projects Understand health information and security issues involved in quality improvement 3. Participate in the development of written communications, including articles for publication in medical journals, stakeholder/provider newsletters, CME projects, letters to providers, or other projects relating to the work and mission of AFMC. 4. Participate in quality academic detailing activities with AFMC field staff. 5. A 30 minute presentation will be given by the last day of the elective at AFMC. HOURS PER WEEK: Conference: 4 Ward: Clinic: Lecture: Lab: Reading: 8 Library: 2 Other: 26 Page 189 O.R.: Total: 40 COURSE: DIRECTOR: Dr. Harik AI In Neurology 4 weeks DURATION: MAX STUDENTS: 3 PHONE: MAIL SLOT: (501) 686-7236 500 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UNEUE OBJECTIVES AND/OR GOALS: To achieve advanced and specialized knowledge of the diseases of the nervous system. This elective will be given to senior medical students who already have had their rotation in the clinical neurosciences and who desire advanced and specialized knowledge in understanding the clinical features and the pathophysiology of nervous system diseases. BEFORE STUDENTS WILL BE ALLOWED TO SIGN UP FOR THIS ELECTIVE, THEY MUST TALK WITH DR. HARIK AND OBTAIN HIS PERMISSION. SPECIFIC DUTIES OF SENIOR STUDENTS: I. Students may elect one of three tracks: 1. Intensive subspecialty clinic experience; These include neuro-oncology, neuromuscular diseases and EMG, epilepsy and EEG, and movement disorders. Students will examine patients in the subspecialty clinics at UAMS and the VA. They will have assigned readings on subjects of interest. 2. Intensive consult experience; Students will be assigned to the consult attending of the month and will have assigned readings on the neurological complications of systemic diseases. 3. Intensive in-patient ward experience; Students will be assigned as subinterns to the attendings on the University or VA ward services. They will also have assigned readings. II. Students are required to attend weekly conferences and lectures including Neurology Grand Rounds, neuroradiology conference and neuropathological conference, in addition to a weekly seminar with selected faculty to discuss specific neurological topics in depth. Students also attend the lecture series for Neurology residents. III.Students will be encuraged but are not required to prepare a presentation or write a paper on a topic of their choice. HOURS PER WEEK: Conference: 4 Ward: Clinic: 24 Lecture: 4 Lab: Reading: Library: 8 Other: Page 190 O.R.: Total: 40 COURSE: DIRECTOR: Child Neurology Dr. Bassem El-Nabbout 4 weeks DURATION: MAX STUDENTS: 3 PHONE: MAIL SLOT: (501) 364-1850 512-15 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: UNEUG OBJECTIVES AND/OR GOALS: 1. Factual Knowledge: a. The purpose of this rotation will be to provide an understanding of normal neurologic development and practical clinical training in the diagnosis and continuing care of all children with acute and chronic neurologic diseases. b. Skills to perform an adequate neurologic evaluation of an infant and child will be improved. 2. Technical Skills to be Learned: a. A neurologic examination of the infant and child. b. The ability to reach a diagnosis and formulate a diagnostic and/or treatment plan. c. The indications for and interpretation of results of selected diagnostic neurologic procedures, including electroencephalography, lumbar puncture, radiologic procedures, muscle biopsy, and evoked potentials. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily Activities: a. Attend in-patient teaching rounds. b. Perform neurologic consultations and attend Pediatric Neurology clinics c. Attend designated conferences. d. Usually rotate one or two weeks on an inpatient/clinic service. 2. Reading Assignments: A syllabus, reading list and lecture material will be provided for the senior student and will include material in basic neuroscience as it relates to clinical problems. 3. Assigned projects, if any: Depending upon the rotator's interest and expertise special short term and clinical investigational projects can be arranged or the student may take part in such ongoing projects. 4. Night Call: None In the Hours per week listed, the student will either spend 30 hours per week on the ward, or 30 hours per week in the clinic, depending on assignment. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days. HOURS PER WEEK: Conference: 5 Clinic: Ward: Lecture: Lab: Reading: 5 Library: Other: Page 191 O.R.: Total: 10 COURSE: DIRECTOR: Neurophys of Voluntary Movement PHONE: MAIL SLOT: (501) 686-5167 510 Variable DURATION: MAX STUDENTS: MIN STUDENTS: 4 1,2,3,4,5,6 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Dr. E. Garcia-Rill LNEUD OBJECTIVES AND/OR GOALS: Duration: Nine 2-hour sessions (9 weeks) in Fall Semester; days and times to be arranged by democratic process. Objectives: This course will consist of lectures and discussion on topics related to the neural bases of voluntary movement. The first few sessions will be devoted to detailing methods used in the study of central control of movement, showing the types of questions asked and answered with each approach, as well as the limitations, pitfalls and problems generated by them. The course will use "I of the Vortex" by Rodolfo Llinas as a guide, and will cover about 1/2 of the chapters in this book. SPECIFIC DUTIES OF SENIOR STUDENTS: The students must be ready to discuss and evaluate the material in a weekly 2-hour meeting. The emphasis will be to evaluate critically the research in any given area. There will be a choice of writing a short paper or presenting an oral report on a specific topic for final evaluation. See above Credit = 1 hour HOURS PER WEEK: Conference: Clinic: Ward: Lecture: Lab: Reading: Library: Other: Page 192 O.R.: Total: COURSE: DIRECTOR: Topics In Neurobiology PHONE: MAIL SLOT: (501) 686-5183 847 Variable DURATION: MAX STUDENTS: MIN STUDENTS: 1 Blocks 7 through 10 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Dr. Skinner LNEUC OBJECTIVES AND/OR GOALS: This course consists of an introduction to current topics in neuroscience. These will include new neurotransmitters and the coexistence of transmitters in the same neuron, and the activation of membrane channels by transmitters. The basis for understanding results of current research in neuroscience using anteroand retrograde tracer substances, deoxyglucose (including PET), MRI, MRA, fMRI, and magnetic (SQUIDS) recording and stimulating devices may be discussed. SPECIFIC DUTIES OF SENIOR STUDENTS: Current research topics in the neurological sciences as applied to clinical practice will be discussed. Students will read material from text books and scientific journals in preparation for class discussion. RESIDENTS ARE INVITED TO PARTICIPATE. **Student credit for this course is variable. Please check with Dr. Wheeler for details. HOURS PER WEEK: Conference: Clinic: Ward: Lecture: 2 Lab: Reading: 4 Library: Other: Page 193 O.R.: Total: 6 COURSE: DIRECTOR: J. D. Day, M.D. AI In Neurological Surgery PHONE: MAIL SLOT: (501) 296-1138 507 4 weeks DURATION: MAX STUDENTS: 3 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UNSUG OBJECTIVES AND/OR GOALS: This elective is designed for medical students planning a career in neurosurgery, neurology, neuropathology, or neuroradiology. Since this is an advanced AI elective, previous experience in a third year neuroscience (N/NS) rotation is recommended. Students who are planning to enter the national neurosurgery residency match are especially encouraged to apply for this elective. 1. To perform & coherently present competent neurological evaluations including history & examination. 2. To understand the fundamentals of spine & cranial neuroimaging (CT, MR, Angiography, Myelography) and recognize normal structures and common pathological entities. 3. To understand the clinical manifestations of acute and chronic intracranial hypertension & the principles of emergency management. 4. To recognize the spectrum of mild and severe head injury and to diagnosis and initiate its management. 5. To understand the categories, presenting symptoms, and management principles of brain tumors and abscesses, including indications for surgical intervention including biopsy. 6. To differentiate common headache syndromes with emphasis on recognition and diagnosis of subarachnoid hemorrhage and intracerebral hematoma and their acute management. 7. To recognize presenting symptoms and signs of occlusive cerebrovascular disease and general diagnostic and treatment strategies including indications for surgical and/or endovascular intervention. 8. To evaluate, diagnose, and initiate acute management of spine fracture, dislocation, and spinal cord injury. 9. To evaluate and initiate management of spinal degenerative disk and spondolytic disease, and to recognize neural compression syndromes and indications for surgical intervention. ********Objectives and Goals are Continued in Section Below***** SPECIFIC DUTIES OF SENIOR STUDENTS: Objectives and Goals Continued... 10. To understand primary and metastatic neoplastic disease of the spine, common presenting symptoms, and principles of acute management. 11. To diagnosis and initiate management of peripheral nerve injury and common nerve entrapment syndromes. 12. To recognize surgically treatable pain syndromes and understand the indications for surgical intervention for pain, movement disorders, and epilepsy. Specific Duties of Senior Students: This elective can be individually tailored for students with specific interests in either adult or pediatric neurosurgery. It is designed as an intensive 4 week immersion in the art and science of neurosurgery as well as life as a neurosurgical house officer. As such, the student will be integrated into the housestaff team for participation in admission history and physicals, ward work and attending rounds, outpatient clinic, and direct operative experience. Inpatient load will average 5-10 patients with responsibility shared jointly with residents and attending staff. Reading assignments will be tailored to relevant patient conditions. Scheduled weekly conferences include Neurosurgery Grand Rounds, Neuropathology Conference, Neuroradiology Conference, Basic Neuroscience Conference, and Clinical Case Conference. Students are expected to participate in abbreviated night call under direct in-house neurosurgery housestaff supervision. HOURS PER WEEK: Conference: 5 Ward: 15 Clinic: 8 Lecture: 0 Lab: 0 Reading: 7 Library: 0 Other: 0 Page 194 O.R.: 25 Total: 60 COURSE: DIRECTOR: Externship In Obstetrics Drs. Lowery and staff 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-5847 518 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UOBGE OBJECTIVES AND/OR GOALS: This course is designed for those who wish to increase their diagnostic and technical skills in normal obstetrics. 1. Factual knowledge to be mastered: a. Diagnosis of pregnancy b. Prenatal care: initial evaluation and follow-up, nutrition and hygiene, common complaints. c. Techniques to evaluate fetal health: antepartum and intrapartum testing. d. Conduct of normal labor and delivery: physiology of labor, mechanism of normal labor, analgesia and anesthesia. e. Medical and surgical illness during pregnancy and the puerperium. 2. Technical skills: a. Measurements of the gravid uterus b. Use of fetal monitoring (antepartum and intrapartum) c. Conduct of normal labor and delivery, risk assessment, management of dystocia, pudendal block anesthesia. d. Assist with operative obstetric procedures. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Make obstetric rounds with residents at 6:00 a.m. 2. Attend pertinent conferences: Weekly Grand Rounds - Wednesday 8:00 a.m., Weekly Obstetric Conference - Wednesday 9:00 a.m., and High-Risk Obstetric Conference - Thursday, 7:00 a.m. 3. Manage labor and delivery of normal parturients. 4. Assist with triage of patients in the prep room on Labor and Delivery 5. Night call is encouraged. Students may take one night per week Contact Student Coordinator, Shorey Building, 5th floor, 526-7455 on the Monday prior to the start of your rotation. At that time, students will be notified of the resident and attend-ing on service and given the resident's pager to contact prior to starting the rotation. HOURS PER WEEK: Conference: 6 Ward: 5 Clinic: 8 Lecture: Lab: Reading: Library: Other: Page 195 O.R.: 32 Total: 51 COURSE: DIRECTOR: Gynecology And Gyn Oncology Dr. Alexander Burnett 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 296-1099 793 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UOBGG OBJECTIVES AND/OR GOALS: To improve the student's overall understanding of pelvic disease encountered in women. The clinical and pathologic aspects of the benign and malignant processes are stressed. To enhance the student's medical and surgical judgment pertaining to gynecologic disease through application of the principles of individualized management. The course combines gynecologic oncology with general gynecology, medicine, and surgery, and its content is particularly useful for students seeking a career in Obstetrics and Gynecology, General Surgery, Family Practice, Internal Medicine, Medical Oncology, Urology and Pathology. TECHNICAL SKILLS GAINED: Pelvic examinations, biopsy techniques, colposcopic exams, interpretation of radiological procedures and histologic material, and surgical assistance at major, minor, and radical pelvic operations. FACTS AND KNOWLEDGE GAINED: The pathophysiologic correlation of gynecological diseases emphasizing the presenting signs and symptoms, methods of detection and evaluation of gynecologic problems, differential diagnosis, and the use of various treatment modalities. Understanding of pschosocial aspects as well. SPECIFIC DUTIES OF SENIOR STUDENTS: The student functions as a PGY I Houseofficer, and is responsible for all pre-operative assessment, surgery, and post-operative care of the patients. Students should call 296-1099 for instructions on where to report on the first day of class. HOURS PER WEEK: Conference: 7 Clinic: Ward: 10 Lecture: 4 Lab: Reading: Library: 12 Other: Page 196 O.R.: 7 Total: 40 COURSE: DIRECTOR: Maternal-Fetal Med (High Risk Ob) Drs. Lowery and staff 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 686-5847 518 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UOBGH OBJECTIVES AND/OR GOALS: This course, designed for those considering post-graduate training in obstetrics and gynecology, will afford the individual the opportunity to assess and manage parturients with specific medical or obstetric complications. 1. Factual knowledge to be mastered: a. Assessment of the parturient at risk. b. Ambulatory management to the high-risk parturient. c. Maternal adaption of pregnancy d. Medical and surgical illnesses during pregnancy and the puerperium e. Antepartum and intrapartum assessment of the fetus at risk f. Infections in obstetrics: impact of bacterial and viral infection on pregnancy outcome g. Prenatal diagnosis of genetic disorders h. Role of diagnostic ultrasound in obstetrics 2. Technical skills: a. Use of fetal monitoring (antepartum and intrapartum) b. Intrapartum and postpartum management of the parturient at risk c. Experience with diagnostic ultrasound in the high-risk parturient SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Make rounds with obstetric resident on high-risk service at 6:00 a.m. 2. Perform non-stress tests and contraction stress tests in outpatient clinic. 3. Attend pertinent conferences: Weekly Grand Rounds - Wednesday 8:00 a.m., Weekly Obstetric Conference - Wednesday 9:00 a.m., High-Risk Obstetric Conference - Thursday, 7:00 a.m. 4. Attend Obstetric Clinic with antepartum team Monday through Thursday 5. Assist with intrapartum management of high-risk parturient. 6. Assist the third year resident with Labor and Delivery patients, Friday 7. Night call is encouraged. Students may take one night per week. Contact Student Coordinator, Shorey Building, 5th floor, 526-7455 on the Monday prior to the start of your rotation. At that time, students will be notified of the resident and attending on service and given the resident's pager to contact prior to starting the rotation. HOURS PER WEEK: Conference: 6 Ward: 20 Clinic: 12 Lecture: 2 Lab: Reading: Library: Other: Page 197 O.R.: 5 Total: 45 COURSE: DIRECTOR: Outpatient Gynecology David Hutchins, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 837-9668 518 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UOBGF OBJECTIVES AND/OR GOALS: To participate in an active Gynecological practice SPECIFIC DUTIES OF SENIOR STUDENTS: The Gyn elective will consist of attendance at out-patient clinics in the Community Women's Clinic on Tuesday, Wednesday, and Thursday afternoons, as well as Monday and Thursday mornings. Attendance is required at the Gyn Operative Case Conference. Wednesday morning, OB-GYN departmental conferences occur. On Monday, and Friday mornings, the student will be expected to spend time studying texts and the medical literature guided by the clinical material encountered in the out-patient setting or to spend time in the OR with selected faculty. At the end of the month, the student will be expected to present a formal case list including those cases seen in the clinic during the course of the month. This case list will consist of names, diagnoses, and therapy. A formal paper, consisting of at least 1,000 words, describing the natural history and therapy of at least one gynecologic disease will be required. At the end of the elective, the student will be evaluated on the basis of the formal paper, the case list, and reliability and performance in the out-patient clinic. If desired, some clinic time will be spent shadowing faculty at the Freeway Medical Clinic; posssibly at Baptist. Students should call Student Coordinator at 837-9668 for instructions on where to report for the first day of class. HOURS PER WEEK: Conference: 4 Ward: 7 Clinic: 18 Lecture: 1 Lab: Reading: 6 Library: Other: Page 198 O.R.: 14 Total: 50 COURSE: DIRECTOR: Reproductive Endo & Infertility Dean Motus, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 801-1200 518 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UOBGK OBJECTIVES AND/OR GOALS: This course is designed for students wishing to increase their knowledge of clinical female reproductive endocrinology and infertility. 1. Factual knowledge to be mastered: a. physiology of normal and abnormal menstruation b. evaluation of the infertile couple c. overview of assisted reproductive technology techniques including IVF, cryoperservation d. evaluation and management of hyperandrogenism e. techniques of ovulation induction f. very simple overview of evaluation of repeated pregnancy loss g. how to do a seman analysis and interpretation h. rotation for 1 to 2 days in the IVF lab. 2. Technical Skills: a. interpretation of hysterosalpingograms b. vaginal sonography c. assist with reproductive endocrine surgery SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. Attend and assist all reproductive endocrine surgery Attend and assist performance of hysterosalpingograms Attend outpatient reproductive endocrinology/infertility clinics Assist in performance of transvaginal ultrasound for follicle monitoring Contact Student Coordinator on the Monday prior to the start of your rotation. At that time, students will be notified of the resident and attending on service and given the resident's pager to contact prior to starting the rotation. HOURS PER WEEK: Conference: 5 Ward: 1 Clinic: 20 Lecture: Lab: Reading: 5 Library: Other: Page 199 O.R.: 5 Total: 36 COURSE: DIRECTOR: Clinical Ophthalmology Inci Irak Dersu, MD 4 weeks DURATION: MAX STUDENTS: 3 PHONE: MAIL SLOT: (501) 686-5150 523 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UOPHD OBJECTIVES AND/OR GOALS: 1. Technical skills to be learned with emphasis on significance: A basic eye examination of intraocular pressure, the use of the direct ophthalmoscope for fundus evaluation, slit lamp (biomicroscopy), pupillary evaluation, and confrontatinal visual fields. Care of ocular emergencies will also be emphasized. 2. Factual knowledge to be gained: A. Eye findings related to a variety of systemic diseases. B. Differential diagnosis of various eye symptoms and findings. C. Diagnosis and management of common eye problems. D. Observation of and possibly assisting in ophthalmic surgical procedures, including laser. SPECIFIC DUTIES OF SENIOR STUDENTS: The students will have rotations, 1 week each, in the Eye Clinics at the Medical Center, VA Hospital, and Arkansas Children's Hospital. They will make hospital rounds with residents and attend surgery in the OR. During the fourth week, the student can choose to return to one of the above clinics or spend a week in the office of a private ophthalmologist. One on one conferences are scheduled each week with faculty. Preceptorships with private ophthalmologists are also available. There is no night call requirement. Clinical research is available. An opportunity will be given to present cases at Grand Rounds. Ms. Carryl Blackburn, in the Ophthalmology Department Office, is authorized to sign drop/add forms for this course in Dr. Dersu's absence. HOURS PER WEEK: Conference: 4 Ward: 2 Clinic: 20 Lecture: 2 Lab: Reading: 4 Library: 4 Other: Page 200 O.R.: 8 Total: 44 COURSE: DIRECTOR: Neuro-Ophthalmology PHONE: MAIL SLOT: (501) 686-5150 523 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 0 All blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Joseph Chacko, M.D. UOPHE OBJECTIVES AND/OR GOALS: To gain hands-on experience in the diagnosis and treatment of common neuro-ophthalmic problems. The spectrum of disorders includes optic neuritis, stroke, myasthenia gravis, cranial nerve palsies, brain tumors, malingering, etc. Emphasis will be placed on developing strong eye examination techniques, including vision screening, confrontational visual fields, pupil exams, and direct fundoscopy. The student will also learn to interpret MRIs and automated visual fields. SPECIFIC DUTIES OF SENIOR STUDENTS: To assist in the work-up of neuro-ophthalmic patients in the clinic, by participating in history and physical exams. To assist and participate in surgical and diagnostic procedures. To attend teaching conferences. To learn through reading assignments in connection with current clinical cases. There is no night call requirement. Dr. Chacko's telephone number is 501-686-5150 Extension 1219 HOURS PER WEEK: Conference: 5 Ward: 0 Clinic: 27 Lecture: 0 Lab: 0 Reading: 0 Library: 5 Other: 0 Page 201 O.R.: 3 Total: 40 COURSE: DIRECTOR: Ophthalmology Research Nallni Bora, Ph.D. 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-8293 523 MIN STUDENTS: AVAILABLE: Blocks 1,2,3,4,5,7,8,9 LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UOPHB OBJECTIVES AND/OR GOALS: Senior students engaged in this elective will investigate a specific topic in ophthalmology selected by the student and the preceptor that relates to various eye diseases such as age-related macular degeneration, uveitis, keratitis, and ocular tumors. An initial literature search of published material related to the topic will be followed by discussion of the project with the preceptor, development of a specific aim and working hypothesis, and development of a research plan with appropriate methodology to test the working hypothesis. The scientific method will be stressed during performance of the project. SPECIFIC DUTIES OF SENIOR STUDENTS: The senior student will be responsible for completion of the project in the time allocated and within the budget provided for the project. Active communication will take place between the student and preceptor during performance of the project, although the amount of supervision will vary depending on the complexity of the project. At the completion of the project, the student will present a summary of the background literature and an evaluation of the data collected in the form of a scientific manuscript. When warranted, the student will be encouraged to submit a revised manuscript for publication in a peer-reviewed journal, a process that will involve guidance and suggestions from the preceptor. HOURS PER WEEK: Conference: Clinic: Ward: Lecture: 4 Lab: 30 Reading: 2 Library: 4 Other: Page 202 O.R.: Total: 40 COURSE: DIRECTOR: Orthopaedic Surgery Drs. Hasan and (*) 4 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (501) 686-5251 531 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UORTG OBJECTIVES AND/OR GOALS: Technical skills: Learn how to perform a physical examination of the neck, back, upper and lower extremities. Learn how to interpret musculoskeletal radiographs. Learn the principles of appropriate application of splints and casts; perform diagnostic and therapeutic injections; assist in the operating room. Factual Principles: Develop student's ability to gather relevant information from a patient with musculoskeletal disease or injury through history taking, physical examination, and appropriate use of common imaging modalities. Develop student's ability to arrive at a differential diagnosis and develop an approach for further investigation and/or treatment. Develop the student's awareness for those diseases or injuries which are emergencies and where delay of diagnosis or treatment will lead to unnecessary deformity or morbidity. *Drs. Nicholas, Blasier, Aronson, VanderSchilden, Gruenwald, Thomas, Evans, and Wyrick SPECIFIC DUTIES OF SENIOR STUDENTS: Daily rounds with faculty and/or residents; ward work (histories and physicals, laboratory, dressing changes); assisting in the operating room; clinics. Reading assignments: Salter, Textbook of Musculoskeletal Diseases; Paper back, Examination of the Orthopaedic Patient; Hoppenfeld, S. Physical Examination of the Spine and Extremities; sound slide and video tapes in the Orthopaedic Teaching Library. UAMS Orthopaedic Junior Syllabus Conference Schedule: Tuesday, 7:30-8:30 a.m. Fracture Conference; Tuesday, 8:30-10:00 a.m. Bibliography Conference (topic to be assigned weekly); Tuesday, 10:00 - 11:00 a.m. Grand Rounds Patient load: 40-60 outpatients per week; 5-to 12 operative patients per week. Students may not split up their time between these hospitals. HOURS PER WEEK: Conference: 5 Ward: 12 Clinic: 8 Lecture: 1 Lab: Reading: 4 Library: Other: Page 203 O.R.: 16 Total: 46 COURSE: DIRECTOR: Otolaryngology PHONE: MAIL SLOT: (501) 603-1214 543 4 weeks DURATION: MAX STUDENTS: 4 MIN STUDENTS: 1 Blocks 1,2,3,4, 6, 8, 10 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Dr. Marcus Moody UENTH OBJECTIVES AND/OR GOALS: 1. 2. General: Gain increased knowledge of the scope of otolaryngology Specific: a. Technical skills: 1. Gain proficiency in performing a thorough ENT exam 2. Gain experience in techniques of head and neck surgery b. Factual Knowledge: 1. Diagnosis and treatment of infectious diseases in ENT; Otitis, sinusitis, pharyngitis, etc. 2. Management of ENT emergencies; e.g. upper airway obstruction, epistaxis, etc. 3. Principles of head and neck cancer therapy 4. Management of maxillofacial trauma 5. Management of the dizzy patient Students may split their time between the hospital at UAMS, Arkansas Children's Hospital, and the Little Rock VA hospital, or spend all their time at one of the hospitals. *Drs. Suen, Bower, Buckmiller, Dornhoffer, Key, Moody, Stack, Vural, Shipp, Richter, Tulunay, and Welch SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily activities: a. Rounds twice a day with faculty and/or residents b. Ward work c. Assistant in operating room (2-3 times weekly) d. Clinic (3-5 times weekly) 2. Reading assignments: 3. DeWeese and Saunders, Textbook of Otolarngology, Cancer of the Head & Neck, Suen & Meyers, and other pertinent texts and journals. Assigned projects: 10 minute presentation of any topic related to Otolaryngology. To be presented at the beginning of a Morbidity & Mortality conference. 4. Conferences schedule: 5:00 p.m., Monday - Head and Neck Tumor Conference; 6:30 a.m., Tuesday - Didactic Conference; 7:15 a.m., Tuesday - M&M Conference (students are excused from M&M conference); 7:00 p.m., 2nd Tuesday of each month - Temporal Bone Lab; 7:00 p.m., 3rd Thursday of each month - Journal Club , TBA 5. Expected patient load:40 outpatients/week; 5 surgical patients/week On the first day of class, students should report at 8:00 a.m. to room 975 of the Otolaryngology office, 9th floor, Jackson T. Stephens Spine and Neurosciences Institute. Please ask for Lisa Blair, Residency Coordinator. HOURS PER WEEK: Conference: 3 Ward: 10 Clinic: 25 Lecture: Lab: Reading: 5 Library: Other: Page 204 O.R.: 20 Total: 63 COURSE: DIRECTOR: Clinical Dermatopathology PHONE: MAIL SLOT: (501) 686-5173 517 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Dr. Kim Hiatt UPATM OBJECTIVES AND/OR GOALS: Provide medical students with an introduction to dermatopathology; exposure to the microscopic aspects of clinical dermatology and the necessity of clinicopathologic correlation. NO ONE CAN SIGN UP FOR THIS COURSE WITHOUT THE PRIOR APPROVAL OF THE COURSE DIRECTOR! SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Supervised processing of received tissue specimens. The student will learn how to process a skin biopsy for later microscopic evaluation. 2. Pre-viewing of microscopic slides on a daily basis. Microscope slides are previewed in advance of formal signout in conjunction with the residents and fellows on the service. The trainees attempt to establish a differential diagnosis and arrive at a correct diagnosis. 3. Review of microscopic slides at multi-headed microscope with the attending dermatopathologist and other trainees daily at UAMS 4. Examination of available large slide review collections. The dermatopathology unit houses several thousand slides in a readily available teaching collection which will be made accessible to rotating students. 5. Attendance at weekly conferences including: Dermatology grand rounds, Chapters of dermatopathology text review conference, dermatopathology unknown conference, Dermatology didactic lectures, Dermatology journal review. Students will be encouraged to preview slides and to generate differential diagnosis appropriate for level of training. 6. Attendance at Dermatology journal club, Dermatopathology journal club, and Pathology slide conferences. 7. Attendance at appropriate dermatology clinics to enhance the clinicopathologic correlation. On the first day of the rotation, you should report to room S7/21 in the Shorey Building at 8:00 a.m. HOURS PER WEEK: Conference: 6 Ward: Clinic: 8 Lecture: 2 Lab: 20 Reading: 3 Library: 1 Other: Page 205 O.R.: Total: 40 COURSE: DIRECTOR: Clinical Pathology Dr. John Theus 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-7434 502 MIN STUDENTS: AVAILABLE: 2,3,4,5,6,7,8,9 LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UPATF OBJECTIVES AND/OR GOALS: The student will be introduced to, and given an overview of, clinical pathology. The student will learn basic laboratory skills, effective test ordering strategies, interpretation of laboratory data and clinical application of results. The student will have daily contact with faculty and staff, reviewing interesting cases and unusual laboratory findings. Correlation of laboratory testing, clinical history, physical exam and condition, and other ancillary work will be stressed, providing the student with an all encompassing view of clinical pathology and how it relates to medicine as a whole. SPECIFIC DUTIES OF SENIOR STUDENTS: Blood Bank: Observe and perform appropriate tests, including type and crossmatch, antibody identification and Coombs test. Understand the significance of a positive antibody screen, Coombs test, and transfusion reaction. Learn the principles of transfusion component therapy, type and screen and the roll of the Blood Bank in a hospital setting. Clinical Chemistry: Gain familiarity of available laboratory tests and with instrumentation and methodology utilized in the clinical lab. Interpretation and clinical significance of results will also be reviewed and related to disease states and conditions. Hematology: Learn preparation techniques and evaluation of peripheral smear, urinalysis and other body fluids through introduction to the hematology lab and daily sign-out of specimens. Review bone marrow and lymph node biopsies in the diagnosis of hematological disorders. Microbiology: Perform and interpret a Gram stain, AFB, and KOH prep. Understand the workup of site specific infections such as those of the CSF or urine. Introduction of antimicrobial susceptibility and organism identification will be included. Rounds with Infectious Disease Service will take place twice a week. HLA/Flow Cytometry: Basic principles regarding methods, instrumentation/operation and application will be addressed. Interpretation and clinical significance of results will also be reviewed. HOURS PER WEEK: Conference: 6 Clinic: Ward: 4 Lecture: 4 Lab: 20 Reading: 4 Library: 2 Other: Page 206 O.R.: Total: 40 COURSE: DIRECTOR: Dermatopathology research PHONE: MAIL SLOT: (501) 686-5173 517 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Dr. Kim Hiatt UPATO OBJECTIVES AND/OR GOALS: Provide medical students with an introduction to dermatopathology research; introduction to techniques of laboratory investigation. This course can also be taken as a longitudinal with the advance permission of Drs. Smoller and/or Hiatt. If it is taken as a longitudinal, credit hours can vary with student effort. Please see Dr. Wheeler for an explanation of how credit hours are assigned when taken as a longitudinal. THIS COURSE CANNOT BE TAKEN WITHOUT PRIOR CONSENT OF THE COURSE DIRECTOR SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Prior to initiation of elective, the student is expected to define a project with the course director and to establish an appropriate project design. 2. The student will undertake the necessary background reading in order to be in a position to develop the project. 3. The student will develop a research plan in conjunction with the faculty member and necessary materials and space will be identified. 4. The student will perform the research project using the materials and space that have been allocated. Close faculty supervision will be available to the student. 5. The student will be encouraged to play a central role in the publication and/or presentation of the results of any successful projects. 6. The student will be encouraged to attend teaching sessions in the departments of Pathlogy and Dermatology, as time permits during the primary research elective. HOURS PER WEEK: Conference: 1 Clinic: Ward: Lecture: 1 Lab: 30 Reading: 3 Library: 5 Other: Page 207 O.R.: Total: 40 COURSE: DIRECTOR: Forensic Pathology Charles P. Kokes, M.D. 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 227-5936 ** MIN STUDENTS: AVAILABLE: All blocks LOCATION: Arkansas State Crime Lab COURSE#: UPATL OBJECTIVES AND/OR GOALS: The student(s) will become familiar with the Medical Examiner Law, view autopsies and discuss findings, review pertinent literature, read texts and journals, accompany doctors to court, and initiate and, if possible, complete a small investigative study. They will also spend time observing various sections of the State Crime Laboratory. SPECIFIC DUTIES OF SENIOR STUDENTS: ** Site: Arkansas State Crime Laboratory #3 Natural Resources Drive P.O. Box 5274 Little Rock, Arkansas 72215 (501) 227-5936 FAX (501) 227-0713 For additional information contact either Dr. Kokes at the number above, or Dr. Hough at 686-5170. Dr. Kokes is the State Medical Examiner and is also a Professor of Pathology here at UAMS. This course will not count as on-campus-time for the purposes of the 12 hour rule. On the first day of this rotation, the student should report to the front desk of the ASCL at 8:00 a.m. HOURS PER WEEK: Conference: 10 Clinic: Ward: 10 Lecture: Lab: 10 Reading: Library: 10 Other: Page 208 O.R.: Total: 40 COURSE: DIRECTOR: Hematopathology PHONE: MAIL SLOT: (501) 686-5170 517 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Robert Lorsbach, M.D., Ph.D. UPATI OBJECTIVES AND/OR GOALS: This elective is an advanced rotation in hematopathology. The goal is for the student to have primary responsibility in the diagnosis of peripheral blood, bone marrow, and lymph node disorders. Integration of cytochemistry, immunohistochemistry, flow cytometry, cytogenetic, and molecular data is required. The student will also obtain experience in directing the hematology laboratory with attending supervision. SPECIFIC DUTIES OF SENIOR STUDENTS: Participation in specimen collection, laboratory analysis, and formulation of diagnoses (sign out) of current diagnostic and staging bone marrow and lymph node biopsies. Involvement in decision making and problem solving in the hematology laboratory. Attendance at and participation in interdisciplinary patient management and didactic conferences of relevance to patients with hematologic malignancies. Study of illustrative archival cases together with pertinent literature, in order to develop an understanding of the nature and pathogenesis of these processes. Opportunities exist for students to devote their efforts to the study in depth of a particular diagnostic methodology or disease process. HOURS PER WEEK: Conference: 3 Clinic: Ward: Lecture: 2 Lab: 20 Reading: 8 Library: 10 Other: Page 209 O.R.: Total: 43 COURSE: DIRECTOR: Surgical Pathology Ziyan Salih, M.D. 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-8485 517 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UPATH OBJECTIVES AND/OR GOALS: 1. To prepare the student for the practice of medicine by exposing him/her to the pathology of diseases and the results of therapy. 2. To acquaint the student with the role of the surgical pathologist in the practice of medicine. 3. To instruct the student in the factual knowledge, methods and limitations of surgical pathology. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Gross and microscopic diagnosis of routine surgical pathology specimens on an alternate day to day basis includes: (a) frozen section diagnosis (b) touch preparation and fine needle aspiration of specimens, where indicated (c) photography of gross specimens and histopathologic slides (d) radiography of appropriate specimens (e) electron microscopy, where indicated (f) special stains, including immunohistochemical procedures with monoclonal and polyclonal antibodies, and enzyme histochemistry (g) cytologic correlation with histopathology (h) immunofluorescence The student will initially assist the pathology resident with gross surgical pathology. Ultimately he/she will take full responsibility for his/her own cases. 2. Conferences: a. Attendance at Surgical Pathology, Dermatopathology, and Residents Conferences b. Optional attendance at Autopsy Pathology, Electron Microscopy, Medicine, CARTI, Dysplasia, Gynecology Oncology, Ophthalmology, Radiology and Neuropathology Conferences. 3. Presentation of a case with clinical history, lab investigation, and radiologic correlation with presentation of pathology 4. Optional attendance at one or more autopsies. First day: Go to room S4/O9 in the Shorey Building at 8:00 a.m. HOURS PER WEEK: Conference: 4 Clinic: Ward: Lecture: Lab: 32 Reading: 4 Library: Other: Page 210 O.R.: Total: 40 COURSE: DIRECTOR: Jennifer L. Woods, MD, MS Adolescent Medicine PHONE: MAIL SLOT: (501) 364-5358 512-9 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: Arkansas Children's Hospital COURSE#: UADOL OBJECTIVES AND/OR GOALS: 1) To enhance the general knowledge base of senior students in the pediatric subspecialty of Adolescent Medicine. 2) To introduce multiple areas of Adolescent Medicine: Gynecology, Eating Disorders, Sports Medicine, Diabetes, Job Corps and Primary Care. 3) To elevate the clinical skills of senior medical students in the area of Adolescent Medicine. 4) To explore special medical circumstances encountered in Adolescent Medicine (i.e. confidentiality, contraception, sexually transmitted infections, substance abuse). SPECIFIC DUTIES OF SENIOR STUDENTS: 1) To actively participate in regularly scheduled Adolescent Medicine general clinic (and any special clinics such as Eating Disorder, Diabetes, Job Corps clinic) as a daily provider with attendings and residents. Adolescent clinic is every AM and PM Monday-Friday. The student will have Monday AM and Friday PM scheduled out of clinic. 2) To attend scheduled Adolescent Medicine lectures specifically designed for medical students on the rotation; students also to attend pediatric noon conferences, grand rounds, other special lectures while on the rotation. 3) To develop a 20-30 minute lecture/PowerPoint presentation on a topic in Adolescent Medicine to present at the end of the rotation to faculty and residents on the rotation. 4) To review articles on Adolescent Medicine as provided during the rotation, to participate in clinic discussions with attendings and residents, and to read on patient-specific topics during the rotation. *****Time off (for interviews, etc) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed 3 days.***** HOURS PER WEEK: Conference: Clinic: 30 Ward: Lecture: 5 Lab: Reading: 5 Library: Other: Page 211 O.R.: Total: 40 COURSE: DIRECTOR: Neonatology PHONE: MAIL SLOT: (501) 526-1542 512-5B 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Ashley Ross, M.D. UPENO OBJECTIVES AND/OR GOALS: 1. To be exposed to common neonatal pathology not seen during the basic Pediatric Clerkship. 2. To gain experience in resuscitating high-risk newborns in the delivery area, caring for critically ill newborns in the NICU, and performing procedures associated with those tasks. 3. At the end of this elective, student will be able to: a. Understand the physiologic changes associated with perinatal transition and appreciate how many common problems of neonatology reflect an aberrant transition. b. Obtain and record a pertinent maternal and delivery history for high risk neonates. c. Perform a complete PE including assessment of gestational age and recognizing and accurately record abnormal physical findings. d. Formulate a differential diagnosis based on the history and physical exam. e. And develop an appreciation for ethical issues that arise in a neonatal unit. *All students wishing to sign up for this elective must first contact the course director, Dr. Ashley Ross, via email at [email protected]. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily activities include attending teaching rounds, patient presentations, review of x-rays, updating and formulation of treatments plans, providing planned patient care with required charting, and attending high risk deliveries. 2. Student will take call with residents HOURS PER WEEK: Conference: 2 Clinic: Ward: 50 Lecture: Lab: Reading: Library: Other: Page 212 O.R.: Total: 52 COURSE: DIRECTOR: Pediatric Critical Care Medicine Drs. Parthak Prodhan, Richard Fiser and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 364-1479 512-3 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: UPECC OBJECTIVES AND/OR GOALS: Understand pathophysiology of respiratory failure and mechanical modes of lung support. Understand pathophysiology of shock and supportive therapies Understand principles of hemodynamic monitoring and interpretation. Learn the pathophysiology of renal disease and supportive modalities Understand the pathophysiology of low cardiac output syndrome in children with cardiac dysfunction Understand the pathophysiology of extracorporeal life support (ECMO) modalities and ventricular assist devices Understand the pathophysiology of neuronal dysfunction (cerebral edema, status epilepticus) and supportive modalities Understand blood the pathophysiology of multi-organ dysfunction Learn the ethical concepts in the ICU Note: All topics may not be completed during formal lectures. There will be no night and weekend calls. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will be expected to participate in daily rounds in the ICU, present patients, and function as a subintern spending 2 weeks in the Cardiac ICU and 2 weeks in the Pediatric ICU. Complete required readings. Attend various scheduled teaching and case conferences. Assist with various procedures in the ICU (central line placement, arterial line placement, airway intubation, running codes) Keep a log of all patients followed and procedures assisted in. Specific days missed must be approved by the attending on service. Time off (for interviews) must be arranged with the rotation supervisor and shall not exceed 3 days during the rotation. Suggested preparatory reading: Handbook of Pediatric Intensive Care: Mark Rogers, Mark Helfaer, Williams and Wilkins 3rd Edition (*)- Drs. S Schexnayder, M Moss, M Stroud, X Garcia, M Heulitt, AT Bhutta, J Green, R Sanders, P Seib, B Eble, U Dyamenahalli, and Punkaj Gupta HOURS PER WEEK: Conference: 2 Clinic: Ward: 40 Lecture: 4 Lab: Reading: 4 Library: Other: Page 213 O.R.: Total: 50 COURSE: DIRECTOR: Pediatric Sleep Medicine PHONE: MAIL SLOT: (501) 364-1893 512-17 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: Arkansas Children's Hospital COURSE#: Dr. May Griebel USLEP OBJECTIVES AND/OR GOALS: A. Understand the (new) field of sleep medicine in general and pediatric sleep medicine specifically (and how it fits with other medical specialties) B. Become familiar with the common childhood and adolescent sleep disorders C. Understand the differential diagnosis of snoring (sleep apnea, etc.) D. Understand the differential diagnosis of excessive daytime sleepiness E. Understand the differential diagnosis of insomnia or restless/interrupted sleep F. Understand the pathophysiology of common sleep disorders and snoring/sleep apnea G. Understand the link between sleep apnea and hypertension/cardiovascular disease H. Understand the importance of sleep in daytime neurocognitive functioning (understand the effects of sleep deprivation on daytime function) I. Be able to perform a complete sleep history and examination J. Understand polysomnography (sleep study) and its indications and limitations K. Understand evaluation tools and tests used to assess excessive daytime sleepiness L. Become familiar with narcolepsy and its diagnosis/management M. Understand psycho-social aspects of sleep disorders SPECIFIC DUTIES OF SENIOR STUDENTS: a. Review classification of sleep disorders and sleep disorders terminology b. Active participation in sleep clinics (1 or 2/week) c. Active participation in ENT (upper airway) clinic (once/week) d. Active participation in sleep center rounds and study review meetings e. Perform or actively participate in inpatient sleep service consultations f. Participate in scoring of sleep studies g. Participate in interpretation of sleep studies h. Attend all or part of an overnight sleep study (optional) i. Readings in sleep medicine j. Elective can be customized, to some degree, to reflect special interests of student with respect to sleep medicine. HOURS PER WEEK: Conference: 2 Ward: 4 Clinic: 8 Lecture: 2 Lab: 16 Reading: 4 Library: 2 Other: 2 Page 214 O.R.: 0 Total: 40 COURSE: DIRECTOR: Preceptorship In Pediatrics Dr. Rebecca Latch 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 364-1050 512-19B MIN STUDENTS: AVAILABLE: All Blocks LOCATION: VARIABLE COURSE#: UPEDC OBJECTIVES AND/OR GOALS: 1. Factual knowledge to be gained: Clinical management of a case load typical to private pediatric practice. 2. Technical skills to be learned: Organization of pediatric practice in a private office or clinic in a private hospital. Detailed arrangements between preceptor, electing student, and Dr. Smith must be completed and recorded in a memo, signed by those three parties before or during the elective month. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily activities: Pediatric practice under the tutelage of one or more affiliated private pediatricians selected jointly by the student and the Department of Pediatrics, to include inpatient and nursery rounds; clinic practice to include seeing patients, working in clinic lab, and learning practical aspects of private practice. 2. Reading Assignments: Current literature on clinical problems and the organization of private practice. 3. Assigned projects: not required. A student wishing to pursue some problem in-depth should discuss this several weeks in advance with Dr. Smith and the preceptor. 4. Conferences scheduled: Pediatric departmental conferences as time and geography permits. 5. Expected case load: 3-10 patients daily, depending on complexity and case load. 6. Abbreviated schedule: The weekly schedule is to be arranged with preceptor. A student may spend eight blocks in a single practice, or may divide the period into two shorter blocks spent in two sites. 7. The student is expected to attend 75% of clinic sessions. This elective does not count as on-campus time for the purposes of the twelve hour rule. This elective is only available to UAMS students. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days. HOURS PER WEEK: Conference: Ward: 5 Clinic: 30 Lecture: Lab: 3 Reading: 5 Library: Other: Page 215 O.R.: 5 Total: 48 COURSE: DIRECTOR: Transport Medicine PHONE: MAIL SLOT: (501) 364-1479 512-3 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: Arkansas Children's Hospital COURSE#: Michele Moss, M.D. UPTRM OBJECTIVES AND/OR GOALS: This elective is open to any fourth year medical student. Only one student at a time can take the elective. The elective can be for four weeks or alternatively for two weeks with the other two weeks being another elective such as PICU. The educational curriculum includes the following: A.Initial assessment and management of the severely ill or injured pediatric and neonatal patient to include: 1.Respiratory distress and failure in the neonate, child and adolescent; 2.Airway management; 3.Cardiovascular instability and shock; 4.Cardiac arrhythmias; 5.Trauma; 6.Burns; 7.Status epilepticus; 8.Altered mental status; 9.Management of the premature infant; 10.Cyanosis in the newborn B.Transport Medicine: 1.EMS systems; 2.Flight physiology; 3.Flight and ground transport safety; 4.Survival training; 5.Communication skills; 6.Stress management SPECIFIC DUTIES OF SENIOR STUDENTS: The medical student will be expected to participate on all primary pediatric transports from 8 a.m. to 5 p.m. from Monday to Friday and as many neonatal transports are possible during that time period. The student will be expected to participate in transports even if that means returning after 5 pm. The student will meet with the pilot on the first day of the rotation or prior to the rotation for a safety inservice. The medical student will keep a log of all transports he/she attended including the age and diagnosis of the patient, the location of the referring hospital and the vehicle for the transport. The medical student will attend the transport case conference the third Thursday of the month from 8 - 9:30 a.m. Debriefings will be performed by the PICU attending or fellow as needed. The medical student on elective will be encouraged to attend PICU rounds, Critical Care and Emergency Medicine didactic sessions, and Trauma Conference. Evaluation of the transport student on the elective will be performed by the medical director of transport with input from the transport team members. HOURS PER WEEK: Conference: 2 Ward: 0 Clinic: 0 Lecture: 0 Lab: 0 Reading: 0 Library: 0 Other: 45 Page 216 O.R.: 0 Total: 47 COURSE: DIRECTOR: Problems in Peds Pharmacology/Tox PHONE: MAIL SLOT: (501) 364-1874 512-19A Variable DURATION: MAX STUDENTS: 12 MIN STUDENTS: 0 Blocks 7,8,9 AVAILABLE: LOCATION: Arkansas Children's Hospital COURSE#: Hank Farrar, M.D. LPHAA OBJECTIVES AND/OR GOALS: 1. To learn the principles of management of the poisoned child with an emphasis on common childhood poisonings (acetaminophen, cyclic antidepressants, metals, alcohols, drugs of abuse). 2. To understand the principles of drug therapy in children emphasizing decision making in therapeutics and drug dosing adjustments 3. To recognize common adverse drug reactions, drug-drug interactions and sources of medication errors. * This course will be given once in the spring semester (blocks 7 through 9) SPECIFIC DUTIES OF SENIOR STUDENTS: 1. One hour of conference each week, usually at noon on Tuesday or Wednesday (can be open to discussion). 2. Four hours per week of reading selected papers in preparation for case discussions. This will include working through a series of discussion questions based on clinical cases. 3. Students are expected to attend all sessions to receive full credit. Because of the organization of this rotation, students cannot participate in off-site electives during this time. HOURS PER WEEK: Conference: 1 Ward: 0 Clinic: 0 Lecture: 0 Lab: 0 Reading: 4 Library: 0 Other: 0 Page 217 O.R.: 0 Total: 5 COURSE: DIRECTOR: Physical Med and Rehabilitation Dr. Kevin Means 4 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (501) 221-1311 602A MIN STUDENTS: AVAILABLE: All Blocks LOCATION: VARIABLE COURSE#: UHABA OBJECTIVES AND/OR GOALS: A. Technical Skills: 1. Obtain a history from patients with neuromusculoskeletal disorders with particular emphasis on functional limitations, residual abilities and socio-economic status. 2. Neuromusculoskeletal examination and functional abilities assessment. B. Factual Principles: 1. Formulate a problem list including medical, functional and socio- economic status. 2. Principles of prescription for therapies and exercise. 3. Learn appropriate functions of a rehabilitation team, physical and occupational therapists, speech pathologists, vocation and rehabilitation counseling. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will attend scheduled educational sessions (lectures, journal club, clinical conferences, etc.) with PM&R residents at least twice per week Students will attend PM&R clinics as assigned (ACH, VA, University Hospital) Students will participate in consult rounds as assigned (ACH, University Hospital) HOURS PER WEEK: Conference: Clinic: 13 Ward: 22 Lecture: 3 Lab: Reading: Library: Other: 2 Page 218 O.R.: Total: 40 COURSE: DIRECTOR: Review Of Physiology PHONE: MAIL SLOT: (501) 686-5123 505 Variable DURATION: MAX STUDENTS: MIN STUDENTS: 5 Block 9 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Physiology Staff LPHYI OBJECTIVES AND/OR GOALS: To review the normal physiology of the several organ systems of the body and their interrelationships in the maintenance of homeostasis. Emphasis will be on clinical correlates of physiological principles in health and disease. SPECIFIC DUTIES OF SENIOR STUDENTS: Students will be expected to attend all sessions. Conferences will consist of presentations, lectures and discussions by both faculty members and students. Hours for the sessions will be arranged so that each student will have no conflict in attending conferences: This is necessary because the materials can only be presented once. * This course is presented as a half time course for four weeks. Credit for this course equals 2 credit hours. HOURS PER WEEK: Conference: 20 Clinic: Ward: Lecture: Lab: Reading: Library: Other: Page 219 O.R.: Total: 20 COURSE: DIRECTOR: Stacy McBain, MD Adolescent LongTerm Sex Offender Tx 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 686-8055 703 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas State Hospital COURSE#: UPSAH OBJECTIVES AND/OR GOALS: Unit 1 Upper at the Arkansas State Hospital concentrates on sex offender specific treatment. The rotation provides for observation of multiple treatment modalities and provides the opportunity to: 1. Enhance interviewing skills; 2. Encounter and diagnose major psychiatric disorders such as depression, post traumatic stress disorder, conduct disorder, etc.; 3. Gain a greater understanding of the treatment of the disruptive behavior disorders and the treatment of sex offenders; 4. Gain exposure to group and family therapy; 5. Gain experience in working actively as a member of a multidisciplinary treatment team. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. 6. Interview prospective patients as a member of an evaluation team. Interview new admissions as a part of the psychiatric evaluation. Participate in biweekly Treatment Team meetings. Observe and participate in group therapy as well as family therapy. Attend case conferences with residents and unit staff. Attend didactic seminars with Child and Adolescent Psychiatry residents one afternoon per week. On the first day of this rotation, students should report to the Arkasnas State Hospital, Unit 1 upper at 8:30 a.m. HOURS PER WEEK: Conference: 8 Clinic: Ward: 25 Lecture: 3 Lab: Reading: Library: 4 Other: Page 220 O.R.: Total: 40 COURSE: DIRECTOR: Child and Adolescent Psychiatry PHONE: MAIL SLOT: (501) 364-4670 ACH 654 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: Arkansas Children's Hospital COURSE#: Brian Kubacak, M.D. UPSYA OBJECTIVES AND/OR GOALS: Goal: During the rotation the medical student will develop basic knowledge and clinical skills in the assessment and treatment of children and adolescents with emotional, developmental, and behavioral disorders. They will rotate at various clinical sites throughout the month on acute child inpatient unit (UAMS PRI Child Unit), adolescent acute and residential units (ASH), outpatient clinics for children and adolescent’s (ACH and UAMS PRI), the consult and liaison service at ACH, and observe at the Alexander Youth Detention mental health clinic. This will provide the student with a broad exposure to children and adolescents with emotional and behavioral health needs, along with a combination of medical/psychiatric symptom presentation to learn from. They will be exposed to several different child and adolescent psychiatrist to see different treatment settings and management styles. Medical students will work directly with Child psychiatry faculty and residents. Objectives: Upon completion of the rotation, the medical student will: 1. Demonstrate a basic understanding of assessment techniques, be introduced to the criteria for common disorders and how to diagnose and provide comprehensive psychiatric treatment for children and adolescents. 2. Observe and participate in assessments in multiple settings with faculty and residents to develop and understanding of abnormal childhood development and psychopathology. 3. Observe and participate in treatment planning and the establishment of goals for patient care, coordinating care with pediatricians, teachers, parents, and other mental health providers. 4. Observe and participate in emergency room safety assessments and assist in triage to appropriate level of care. 5. Be introduced and observe different psychotherapeutic techniques and treatment using psychotropic medications in youth. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Observe and participate in comprehensive psychiatric evaluations with children and adolescents in multiple treatment settings. 2. Understand the different levels of care and systems based approach to assessment and treatment of youth with mental health needs. 3. Demonstrate the ability to work effectively with residents, faculty physicians, nurses, youth, parents, and other mental health professionals to improve professional communication skills while providing effective care for patients. EVALUATIONS: 1. Each medical student will be given the opportunity to evaluate the rotation, and the teaching faculty will also formally evaluate the student. HOURS PER WEEK: Conference: 0 Ward: 20 Clinic: 18 Lecture: 2 Lab: 0 Reading: 0 Library: 0 Other: 0 Page 221 O.R.: 0 Total: 40 COURSE: DIRECTOR: Dx and Rx of Psychotic Patient Puru Thapa, M.D. 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-9000 703 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas State Hospital COURSE#: UPSYJ OBJECTIVES AND/OR GOALS: The Arkansas State Hospital is the inpatient site for the treatment of the most ill and indigent psychiatric patient in the state. As an acting intern, the student will experience the following: 1. Enhance Interviewing skills. 2. Encounter and diagnose major psychiatric disorders (schizophrenia, affective disorders, severe personality disorders, organic mental disorders). 3. Gain familiarity with psychiatric medications and their use in clinical settings. 4. Gain exposure to various treatment approaches on an inpatient setting. 5. Increase confidence as a primary physician. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Will admit and work-up new patients under direct supervision of attending physician 2. Will follow the patient through course of hospitalization, formulating treatment plan, implementing treatment modalities, and helping create aftercare plans in a multidisciplinary setting 3. Will attend morning report and case conferences with residents and unit staff 4. Will attend didactic seminars one afternoon per week with psychiatry residents. On the first day of this rotation, students should report to the Arkansas State Hospital, Unit A at 7:45 a.m. HOURS PER WEEK: Conference: 8 Clinic: Ward: 24 Lecture: 4 Lab: Reading: Library: 4 Other: Page 222 O.R.: Total: 40 COURSE: DIRECTOR: Dx and Tx of Adolescent Psych Pts. Veronica Williams, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 686-9495 703 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas State Hospital COURSE#: UPSAI OBJECTIVES AND/OR GOALS: Unit D of the ASH is a 17 bed acute and residential inpatient adolescent psychiatry unit. Average census is 14 to 16 patients. As an acting intern, the student will work with the treatment team with the supervision of a PGY4 child and adolescent psychiatry resident and attending physician. This experience will provide an excellent opportunity to develop skills as an in-patient psychiatric provider. Specifically, the student will experience the following: 1. Admit and workup new patients under direct supervision of psychiatry resident and attending physician. 2. Encounter and diagnose major psychiatric disorders (affective disorders, disruptive behavioral disorders, substance abuse disorders, ADHD, and organic mental disorders). 3. Attend treatment team meetings with resident and unit staff. 4. Gain exposure to treatment approaches on an in-patient setting, including individual, group, and family psychotherapy. 5. Increase confidence as a primary physician. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Admit and work-up 2-3 new patients per week under direct supervision of psychiatric resident and attending physician. 2. Follow the patient through course of hospitalization, formulating treatment plan, implementing treatment modalities, and helping create aftercare plans in a multidisciplinary setting. 3. Attend morning report and treatment team meetings with resident and unit staff. 4. Attend didactic seminars one afternoon per week with psychiatric residents. 5. Attend group therapy sessions with resident, attending physician, and unit staff On the first day of this rotation, students should report to the Arkansas State Hospital, Unit 1 upper at 8:30 a.m. HOURS PER WEEK: Conference: 8 Clinic: Ward: 24 Lecture: 4 Lab: Reading: Library: 4 Other: Page 223 O.R.: Total: 40 COURSE: DIRECTOR: Emergency Room Psychiatry LRVA ER Shanna Palmer, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 257-5719 LRVA 116 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Little Rock VA Hospital COURSE#: UPSYP OBJECTIVES AND/OR GOALS: 1. 2. 3. 4. Improve interviewing and examination skills Develop an understanding of several brain-behavior relationships Improve management skills, especially psychopharmacology. Become familiar with the evaluation and acute treatment of the emergent psychiatric patient. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Interpretation of laboratory studies with supervision 2. By the completion of the elective, the student will be observed doing a complete neuropsychiatric evaluation in an acute setting The telephone number for this rotation is 257-1000 Ext 55060 On the first day of the rotation, please report to the Little Rock VA, room 1D140, near the ER, at 8:00 a.m. HOURS PER WEEK: Conference: 2 Clinic: Ward: 30 Lecture: Lab: Reading: Library: 8 Other: Page 224 O.R.: Total: 40 COURSE: DIRECTOR: Forensic Psychiatry Raymond K. Molden, M.D. 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-9446 568 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas State Hospital COURSE#: UPSAJ OBJECTIVES AND/OR GOALS: The ASH Forensic unit is the inpatient site for the treatment of individuals found incompetent to stand trial or not guilty of a crime by mental disease or defect. It is also the location of pre-trial assessments of these and other legal issues. During the elective, the student will experience the following: 1. Encounter and diagnose major psychiatric disorders in a population of mentally disordered offenders. 2. Learn the legal criteria for Competency to Stand Trial and Legal Insanity and learn how to apply these concepts to pre-trial patients. 3. Learn about the interface between Psychiatry and the Criminal Justice System, especially the role of the psychiatrist in court and the preparation of psycholegal court reports. 4. Learn skills for testifying in court. 5. Learn how to recognize malingered symptoms of mental illness. 6. Learn how to assess risk factors for future violence in patients. 7. Observation of psychiatrists testifying in civil and criminal courts. 8. An opportunity to observe closed, secured facilities, including the Arkansas State Hospital Forensic Unit. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Will participate in the assessment of outpatient and inpatient forensic patients under the direct supervision of the attending or forensic psychiatry fellow. This assessment will include the review of medical and criminal records, contacting witnesses and family members for collateral information, and the administration of specialized psychiatric assessments to assess for malingering, incompetence, and criminal responsibility. 2. Will review forensic reports that address pertinent psychiatric and legal issues. 3. The student will be required to observe physicians in court and formulate strengths and weaknesses in observed testimony. On the first day of this rotation, students should report to the Arkansas State Hospital Forensic Unit at 9 a.m. HOURS PER WEEK: Conference: 4 Ward: 4 Clinic: 20 Lecture: 4 Lab: Reading: 4 Library: 4 Other: Page 225 O.R.: Total: 40 COURSE: DIRECTOR: Mental Health Services Research Rick Owen, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 257-1710 554 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UPSAD OBJECTIVES AND/OR GOALS: The goals of the medical student elective in mental health services research are to learn the basic assumptions, methodology, and techniques of this research field. Goals are: 1. Increased knowledge of experimental design and research methods in health services research. 2. Participation in aspects of research design, data collection, data analysis, and/or reporting research results. 3. Increased knowledge of research that is studying the implementation of evidence-based practice into routine care. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will achieve these objectives by working on ongoing research conducted by the course director or by other faculty in the Division of Health Services Research. Specific duties include: 1. Read selected literature concerning mental health services and/or implementation research. 2. Understand the hypotheses and experimental design used in the investigators research. 3. Participate in research opportunities, including project meetings, data analysis, report writing, and research conferences. On the first day of this rotation, students should go to the NLR VA (Ft. Roots) Building 58, room 254 at 8:30 a.m., or otherwise as arranged with the course director HOURS PER WEEK: Conference: Clinic: Ward: Lecture: 3 Lab: Reading: 10 Library: 5 Other: 22 Page 226 O.R.: Total: 40 COURSE: DIRECTOR: Outpatient Psychiatry NLRVAH PHONE: MAIL SLOT: (501) 257-3131 116F2 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: North LR VA Hospital COURSE#: Drs. Kelly Hair & Annette Slater UPSYG OBJECTIVES AND/OR GOALS: To provide a fourth year medical student a comprehensive overview of outpatient psychiatry as practiced in a large, multidisciplinary outpatient clinic. The student will appreciate the special talents contributed by a variety of mental health disciplines including psychiatry, psychology, pharmacy, social work, and nursing. The student will participate in the evaluation of new referrals and develop an understaning of treatment techniques including individual and group psychotherapies, psychopharmacology and behavioral techniques. Instruction in the role of psychological testing will be available. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. The student will work closely with a senior psychiatrist in the evaluation of new patients and their subsequent treatment. 2. Under close supervision, the student will be allowed to personally develop and carry out treatment plans for a limited number of patients. 3. The student will participate in a multidisciplinary team treatment clinic once weekly. This elective is considered an Acting Internship. On the first day of the rotation, students should report to the NLR VA hospital (Ft. Roots), Building 170 IL HOURS PER WEEK: Conference: 2 Ward: Clinic: 30 Lecture: Lab: Reading: 5 Library: Other: Page 227 O.R.: Total: 37 COURSE: DIRECTOR: Psychiatric Disorders in Seniors Lou Ann Eads, MD (UAMS), Lewis Krain, MD (VA) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 257-2840 116F2 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and LR VA Hospital COURSE#: UPSYZ OBJECTIVES AND/OR GOALS: 1. 2. 3. 4. Familiarize the student with the evaluation of psychiatric disorders in seniors. Familiarize the student with acute and chronic psychiatric syndromes in the elderly Familiarize the student with geriatric psychopharmacology Familiarize the student with dementia evaluation and management The number of students is actually 1 per block at UAMS and 1 per block at the VA SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. 6. 7. New patient evaluations of seniors on inpatient unit and outpatient clinic Follow-up evals of patients on inpatient unit and outpatient clinics Familiarize patient with various geriatric screens: GDS, MMSE, SLUMS, ETC Attend daily inpatient report and rounds Attend assigned conferences, grand rounds, readings Complete one assigned project and present Actively participate with treatment team in management of patient FIRST DAY: UAMS: Contact Dr. Lou Ann Eads for info of when and where to meet VA: Contact Dr. Lewis Krain for info of when and where to meet. HOURS / WEEK AT UAMS: INPATIENT: 10 OUTPATIENT: 20 READING: 10 PROJECT: 10 HOURS PER WEEK: Conference: 0 Clinic: Ward: 0 Lecture: 0 HOURS / WEEK AT VA: INPATIENT: 20 OUTPATIENT: 10 READING: 10 PROJECT: 10 Lab: Reading: 0 Library: 0 Other: Page 228 O.R.: Total: COURSE: DIRECTOR: Psychiatry - Adult Inpatient PHONE: MAIL SLOT: (501) 257-2847 704/116 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: Little Rock or North LR VA Hospital COURSE#: John Schay, M.D. UPSAB OBJECTIVES AND/OR GOALS: 1. Develop skills in the management of acute psychiatric inpatients. 2. Further refine interviewing skills. 3. Gain more familiarity with all aspects of treatment, especially the psychopharmacological treatment of mental illness. 4. Acquire more familiarity with the differential diagnoses of mental illness. 5. Develop further skills in formulating a psychiatric case. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. The student will perform admission psychiatric evaluation and work-up of newly admitted patients, at a rate of approximately 4 per week, under direct supervision of staff physician. 2. The student will present and discuss the case with the attending physician. 3. The student will implement a treatment program, including aspects of biological, psychological, and social components, and will carry this through until time of discharge. 4. The student will attend morning rounds and case conferences with third-year students and psychiatry residents. 5. The student will attend didactic lectures for the first-year residents one afternoon per week. First Day information - go to NLR VA (Ft. Roots) Building 170, Ward 3K HOURS PER WEEK: Conference: 7 Clinic: Ward: 25 Lecture: 4 Lab: Reading: Library: 4 Other: Page 229 O.R.: Total: 40 COURSE: DIRECTOR: Psychiatry in a Medical Setting Marcus Wellen, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 257-6585 704 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Little Rock VA Hospital COURSE#: UPSYE OBJECTIVES AND/OR GOALS: 1. Appreciation of the range of cognitive and emotional reactions to medical illness 2. Understand the medical and mental health implications of drug and alcohol abuse 3. Learn to become proficient in the diagnosis and treatment of delirium, with attention to evidenced-based medicine 4. Learn to become proficient in the diagnosis and treatment of agitated dementia, again with attention to EBM 5. Improve understanding of system-based medicine using the Consultation-Liaison service as a model SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. Evaluation of new consultations on medical/surgical/neurology wards (approx. 3-5/wk) Attending rounds daily. Follow-up of consultations and conferring with staff, family members daily. Attend conferences/lectures as scheduled (UAMS Psychiatry Grand Rounds, C/L Conference, Psychiatry Resident Didactics 5. Selective readings from attending. Email: [email protected] Optional opportunities for senior students: A senior student has the opportunity for scholastic work on the service as well. This includes either the option to present an interesting case at our weekly case conference or the option to write up a case report for possible submission to an academic journal. I can provide both input and supervision at any point during the development of this type of scholastic work. HOURS PER WEEK: Conference: 9 Clinic: Ward: 20 Lecture: 4 Lab: Reading: 5 Library: 2 Other: Page 230 O.R.: Total: 40 COURSE: DIRECTOR: Psychiatry in a Medical Setting Scott Stanley, MD 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 528-8200 554 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UPSYD OBJECTIVES AND/OR GOALS: A fourth year medical student rotating on this elective functions as an acting intern on the General Hospital Psychiatry service. This rotation gives an important glimpse of the complex overlap between medical illnesses and emotional or psychiatric symptoms. Medical students are given the opportunity to tailor the rotation to meet their professional developmental needs depending on their chosen field of medicine. For example, students who will enter Ob/Gyn are preferentially assigned to work with patients with issues related to that field, etc. Students will be encouraged to pursue their intellectual curiosity within their area of interest. 1. Understand the manner in which psychiatric illness can present in the general medical setting. 2. Understand the psychological impact of illness on patients and be able to identify their coping skills and resources. 3. Recognize patterns of behavior of "challenging" patients and learn strategies to work with them. 4. Improve interviewing skills. 5. Increase understanding of neuropsychiatric illnesses. 6. Be familiar with treatment modalities appropriate for medically ill patients 7. Understand the consultation process and the techniques, responsibilities, and limitations of the consultant role. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. Initial evaluation of assigned patients, writing up evaluation and presenting on rounds. Daily care of assigned patients writing progress note(s) and presenting progress on daily rounds. Attend educational conferences. Expand knowledge base through reading textbooks and exploring the literature in areas of interest. Give a short presentation on C-L topic of interest Please call 526-8200 for details on where to report the first day of this rotation. HOURS PER WEEK: Conference: 2 Clinic: Ward: 33 Lecture: Lab: Reading: 5 Library: Other: Page 231 O.R.: Total: 40 COURSE: DIRECTOR: Substance Abuse and Mental Illness Lisa Snow, MD 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 257-3100 2J MIN STUDENTS: AVAILABLE: All Blocks LOCATION: North LR VA Hospital COURSE#: UPSAC OBJECTIVES AND/OR GOALS: 1. To learn about the different ways that substance abuse presents, especially when combined with mental illness. 2. To learn about the different treatment modalities utilized for substance abuse rehabilitation at the VA and in the community. 3. To become familiar with biological, psychosocial, and social factors that contribute to and maintain substance abuse in the severely mentally ill. Recent studies have emphasized that substance abuse often occurs with mental illness. Moreover, substance abuse often causes or exacerbates certain psychiatric syndromes, and worsens the prognosis. The student will rotate on a dual diagnosis ward that offers mileau, group, and outpatient therapy, as well as new pharmacological interventions. The student will also have the opportunity to rotate at substance abuse programs around the city, including programs that offer methadone treatment, 12 step, support for cocaine abusing mothers, etc. Telephone number is 257-2842 SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Do consultations on other wards, which will include a substance abuse and mental status exam, to determine which patients are eligible for the program. 2. Participate in group therapy. 3. Follow selected patients and participate in the treatment program. 4. Visit at least twice off-site programs and meet with the patients and staff. 5. Attend conferences and at least one AA, NA, or CA meeting. Phone number = (501) 257-2842 On the first day of this rotation, go to Unit 2J in NLR, Building 170 (main hospital building) HOURS PER WEEK: Conference: 2 Clinic: Ward: 25 Lecture: 2 Lab: Reading: 6 Library: 5 Other: Page 232 O.R.: Total: 40 COURSE: DIRECTOR: Substance abuse:detox to discharge Lisa Snow, MD 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 257-3100 116ANLR MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Little Rock or North LR VA Hospital COURSE#: UPSYI OBJECTIVES AND/OR GOALS: 1. To learn about the various substance abuse syndromes that most commonly present. 2. To learn about the various treatment modalities utilized for substance abuse detoxification and rehabilitation. 3. To becomes familiar with psychological and social factors that contribute to substance abuse. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Follow at least one alcoholic patient and one cocaine-abusing patient from detoxification through rehabilitation. 2. Evaluate 1-2 psychiatric consultations per week on the detox and rehab clinic. 3. Attend team meetings on rehab clinic 5 times per week. 4. Attend screenings to determine appropriate placement of detoxified patients 2 times per week. 5. Participate in at least 2 rehab groups per week. 6. Attend at least 1 AA meeting. 7. Attend conferences as scheduled. On the first day of class, students should report to the NLR VA (Ft. Roots) Bldg 170 3L125 HOURS PER WEEK: Conference: 6 Clinic: Ward: 15 Lecture: 2 Lab: Reading: 12 Library: 5 Other: Page 233 O.R.: Total: 40 COURSE: DIRECTOR: Treatment of Chronic Mental Illness Lawrence Labbate, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 257-3131 554 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Little Rock or North LR VA Hospital COURSE#: UPSAR OBJECTIVES AND/OR GOALS: This course aims to teach students how to interview, evaluate and treat patients with chronic mental illnesses such as schizophrenia and bipolar disorder. The biopsychosocial model will be emphasized and students will be on developing interviewing skills and improving progress note writing. SPECIFIC DUTIES OF SENIOR STUDENTS: HOURS PER WEEK: Conference: Clinic: Ward: Lecture: Lab: Reading: Library: Other: Page 234 O.R.: Total: COURSE: DIRECTOR: General Pulmonary (Consult) Pulmonary Faculty (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 257-5786 VA/111P MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Little Rock or North LR VA Hospital COURSE#: UPULC OBJECTIVES AND/OR GOALS: Students will refine their skills in: 1. 2. 3. 4. 5. 6. Performing an H & P on pulmonary problems and writing a clear, concise consult note. Reading chest x-rays - and CAT scans When and how to use pulmonary function testing in patient work-ups. Appropriate use of invasive pulmonary procedures. Basic drug therapy of TB, asthma, COPD, pneumonia, etc. Relating basic pulmonary physiology to abnormalities seen in specific diseases. *Drs.: Johnson, Hiller, Erbland, Anderson, Joshi, and Herron. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Inpatient Pulmonary Consult Service. Average of 1-2 consult/day, evaluate patient and present at daily rounds. 2. Read about pathophysiology, diagnosis, and treatment of your patient's problems. 3. Attend Pulmonary Problems conference and cancer review conference. Occasionally make brief presentation if your patient is being discussed. 4. Attend twice-weekly talks on common lung disease problems. 5. Attend chest conferences (Monday at 12:15 p.m.) Students may elect to concentrate in one or more areas: Invasive Pulmonary Procedures: Attend bronchoscopies, lung needle biopsies, thoracentesis, etc. with hands-on participation whenever possible. Pulmonary Functions Lab: Students may have their spirometry, lung volumes, exercise testing, O2, CO2 responses done on request. Pre-read routine spirometries and review your interpretations with staff or fellow. THIS ELECTIVE CANNOT BE DROPPED WITHOUT GIVING FOUR WEEKS NOTICE On the first day of class, report at 8:00 a.m. to the VA room 5C146 (the Pulmonary Conference room) HOURS PER WEEK: Conference: 4 Clinic: Ward: 10 Lecture: 2 Lab: 4 Reading: 8 Library: Other: Page 235 O.R.: Total: 28 COURSE: DIRECTOR: Ped Pulmonary Disease Drs. Martin L. Bauer and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 364-1006 512-17 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: UPULE OBJECTIVES AND/OR GOALS: The goal of this elective rotation is to provide the student the opportunity to investigate pulmonary diseases in children in more depth than possible during the required pediatric pulmonary rotation. Specific Goals and Objectives for this elective will be negotiated between the student and the course director, based on the student's motivation for taking the elective. The "Objectives and/or Goals" listed below serve as examples for the student as he/she drafts his/her proposed curriculum. 1. To develop basic knowledge in airway and pulmonary physiology and pathophysiology as they relate to pediatric pulmonary disease 2. To develop skills in the evaluation of infants and children with pulmonary disease. 3. To develop skills in the clinical utility of diagnostic studies to assess pulmonary disease in infants and children such as pulmonary function testing, imaging studies, blood gas analysis, airway endoscopy, etc. 4. To develop skills in the management of acute and chronic pediatric lung diseases such as asthma, bronchopulmonary dysplasia, cystic fibrosis, airway disorders, respiratory control disorders, etc. 5. To develop basic knowledge concerning general principles of respiratory therapy including clinical utility of chest physical therapy, aerosol therapy, etc. 6. To introduce concepts of pulmonary rehabilitation and care of the technologically dependent child. 7. To introduce the concept of a multi-disciplinary team approach to evaluation and management of infants and children with chronic lung disorders. 8. To introduce concepts of preventive pulmonary health as they relate to pediatric lung disease. SPECIFIC DUTIES OF SENIOR STUDENTS: The student must meet with the course director at least four weeks before the elective to discuss his/her curriculum and negotiate course goals, objectives, and duties. Duties listed below describe opportunities available which can be included in the student proposal. (Course hours are approximate) Inpatient experience: Inpatient care and consultation Outpatient experience: Outpatient experience in the following: Respiratory Care: Pulmonary Clinic: per the clinic schedule, pulmonary fuction tests, airway clearance, inhaled medicine devices, oxygen delivery systems, ventilators Individual education: As arranged Section and Department conferences: Tues. 8-9 a.m.: Grand Rounds Fri. 2 p.m. until 5 p.m.: Pulmonary Conference Reading Assignments: Pulmonary Medicine Section Syllabus Pediatric Pulmonary Textbooks available in ACH library Selected articles The attending schedule can be obtained from the pulmonary office - 364-1018. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days. Hours Per Week will be confirmed by the student and the director. HOURS PER WEEK: Conference: 5 Ward: 10 Clinic: 12 Lecture: 2 Lab: 3 Reading: Library: 8 Other: Page 236 O.R.: Total: 40 COURSE: DIRECTOR: Pulmonary Consultation Dr. Larry Johnson and Staff 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-5525 555 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UPULD OBJECTIVES AND/OR GOALS: 1. Technical skills: proficiency in acquisition of clinical and laboratory information from patients with general pulmonary disease; interpretation of blood gas data in reference to patients; interpretation of gram stains and other microbiological studies. Management of respiratory therapy and appropriate use of drugs. 2. Factual knowledge to be gained: pathophysiology of altered pulmonary function in disease; pathophysiology of chronic respiratory failure, use of antimicrobial drugs, reading chest x-rays; interpretation of pulmonary function tests. Bi-weekly lectures on common chest problems. SPECIFIC DUTIES OF SENIOR STUDENTS: Consultation for patients referred from Medical, Surgical and Ob-Gyn services at UAMS. Consultation of patients in all intensive care units. Daily rounds for presentation and followup of consult patients. Work under direct supervision of subspecialty resident and fellow. This elective cannot be dropped without giving four weeks notice. On the first day of class, report to room 3S14 in the Shorey Building at 9:30 a.m. (subject to change) HOURS PER WEEK: Conference: 5 Clinic: Ward: 20 Lecture: 2 Lab: 3 Reading: Library: 4 Other: Page 237 O.R.: Total: 34 COURSE: DIRECTOR: Radiation Oncology Ken Gardner, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 526-7458 771 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UHMOE OBJECTIVES AND/OR GOALS: 1. To familiarize the medical students with: a. Basic principles of medical physics, radiation biology and radiation oncology. b. The interdisciplinary management of cancer patients. c. The role of radiation oncology in the management of cancer patients. 2. Factual knowledge to be gained: a. Fundamentals of Radiation Oncology b. Potential applications and limitations of radiation oncology c. Fundamentals of medical physics d. Natual history of cancer, pathogenesis and Pathophysiology 3. Participation of medical students in daily clinical management of cancer patients. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily activities: Active participation in the management of new cases and/or patients undergoing treatment with radiotherapy. 2. Reading assignments: Assigned text and journal articles. 3. Assigned projects: Review of literature in specific topics to be discussed with staff is recommended 4. Conferences Scheduled: a. Breast Cancer Conference (Wednesday, 7:00 a.m.) *b. New patient conference (Monday and Wednesday, 8:00-9-00 a.m.) c. VA Tumor Board (Monthly) d. Head and Neck Cancer Tumor Board (Monday, 5:00 p.m.) e. GI Tumor Conference (Wednesday, 5:00 - 6:00 p.m.) f. Pediatric Tumor Board (Wednesday, 4:00 p.m.) g. Sarcoma Conference (3rd Friday, 8:15-900a.m.) h. UAMS Lung Cancer Conference (Thursday, 5:00 p.m.) i. GU Tumor Board (Tuesday, 5 - 6 p.m.) *j. Cancer Center Institute Grand Rounds (Wednesday, 12 noon) 5. Review of Clinical Oncology 6. Expected patient load: 50-70 patients being treated daily. * Required conferences; others are optional - (2-3 per week) HOURS PER WEEK: Conference: 4 Ward: Clinic: 25 Lecture: 5 Lab: Reading: 5 Library: Other: Page 238 O.R.: 2 Total: 41 COURSE: DIRECTOR: Diagnostic Imaging Dr. Lance Runion 4 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (501) 686-6657 556 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: URADH OBJECTIVES AND/OR GOALS: An overview of diagnostic imaging procedures, including Nuclear Medicine, Ultrasound, Magnetic Resonance Imaging, and Computed Tomography will be presented, primarily as case material to the students. The student will integrate the diagnostic information gained with the clinical condition, thereby gaining: a. Knowledge of the individual tests available. b. Interpretive aspects of the tests performed. c. Technical familiarity with instrumentation available. d. The student will be required to make two power point case presentations. They will choose the interesting cases during their rotation. An opportunity to explore newer developments in the literature of diagnostic imaging, in conjunction with the clinical material is available. Dr. Runion's pager is 395-7765 SPECIFIC DUTIES OF SENIOR STUDENTS: Daily Activities: a. Morning: Attend radiology conference from 7:00 am until 8:00 am given by different sections each day. This conference includes didactic lectures and cases. After the conference, spend time with residents and staff of the section. b. Afternoon: Attend radiology conference from 1:00 pm until 2:00 pm given by staff (didactic lectures and cases). Review cases with residents and staff. Review audio-visual materials and teaching file cases. c. One week each: CT/US-UAMS; Nuclear Medicine-UAMS, Neuroradiology CT/MRI – UAMS, and Body and Musculoskeletal MRI-UAMS. They can spend one week at ACH or repeat other areas of their interest as an option. Report on the first day of the rotation at 8:00 am to the University Hospital Radiology Reading Room. HOURS PER WEEK: Conference: 10 Ward: Clinic: 20 Lecture: Lab: Reading: 5 Library: 5 Other: Page 239 O.R.: Total: 40 COURSE: DIRECTOR: Diagnostic Radiology PHONE: MAIL SLOT: (501) 686-8979 556 4 weeks DURATION: MAX STUDENTS: 10 MIN STUDENTS: 4 1,2,3,4,5,7,8,9 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Gwen Bryant-Smith, M.D. URADJ OBJECTIVES AND/OR GOALS: Overall: 1. Fundamentals of diagnostic radiology 2. Exposure to all imaging modalities Specific: 1. Radiographic anatomy 2. Plain Film Interpretation: basics 3. Applications and limitations of various imaging modalities 4. Indications for imaging in specific diagnostic workups 5. Correlation of various imaging modalities 6. Clinical observation/participation in the procedures and interpretation of examinations: plain film, CT, MRI, ultrasound, nuclear medicine and interventional radiology 7. Basic concepts of radiation biology and protection. SPECIFIC DUTIES OF SENIOR STUDENTS: On first day of rotation, report to Barton Bldg. - Room B1R-31 at 8:30 am. You will receive a schedule of lectures, clinical assignments, and responsibilities 1. Time allotted to viewing Squire slide series: plain film radiograph 2. Rotation through various interpretation and procedure areas of radiology, with daily assignments at UAMS, VA, or ACH. 3. Senior medical student lectures by radiology staff and residents: 2-3 hrs/day. 4. Attendance at radiology resident lectures and conferences is encouraged (case conferences at 7:00-8:00 am, and didactic lectures 1:00 - 2:00 pm 5. Review of teaching files 6. Students will give a 5-10 minute PowerPoint presentation to senior group and course director, that will be edited into a teaching file 7. A pre-and post-test 8. Reading Assignments: a. Squire's Fundamentals of Radiology 2004 b. Novelline - Living Anatomy (texts are loaned to students by the radiology dept. During the rotation) 9. Students are encouraged to be in the radiology department 8:00 am - 5:00 pm. HOURS PER WEEK: Conference: Ward: Clinic: 31 Lecture: 8 Lab: 0 Reading: 1 Library: Other: Page 240 O.R.: Total: 40 COURSE: DIRECTOR: Nuclear Medicine PET Service PHONE: MAIL SLOT: (501) 686-8233 556 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Tracy Brown, M.D., Ph.D. URADP OBJECTIVES AND/OR GOALS: 1. To acquaint the medical student in the basic principles of PET scanning including: Isotope production; Fundamental physics of PET; Image quality issues and artifacts; Use of complimentary imaging, such as CT, MRI, etc.; Interpretation of results. 2. To provide the student with a basic knowledge of the role of PET scanning in health care delivery and in research. 3. To provide the student with a detailed knowledge of when to apply PET scanning in patient care. 4. To provide the student with basic knowledge of areas of promising research in the field of PET scanning that will likely have impact on clinical medicine within the next five years. The student will have an excellent overall understanding of the PET imaging subspecialty of nuclear medicine by the end of the rotation. The elective should be strongly considered by students interested in pursuing a career in research, whether in an imaging specialty or a clinical field, due to the crucial role of molecular imaging in 21st Century medicine. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. PowerPoint lectures in physics, teaching cases, and journal articles provided by the faculty. 2. Daily image interpretation sessions of current patients. 3. Opportunity to observe the operation of a medical cyclotron facility and the associated radiopharmacy. 4. Opportunity to participate in PET research projects of suitable length and complexity. 5. Opportunity to participate in the operation of modern clinical PET, PET/CT and microPET scanners. HOURS PER WEEK: Conference: 0 Ward: 0 Clinic: 30 Lecture: 0 Lab: 0 Reading: 10 Library: 0 Other: 0 Page 241 O.R.: 0 Total: 40 COURSE: DIRECTOR: Pediatric Radiology Dr. Judy Craychee 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 364-2035 105 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: URADI OBJECTIVES AND/OR GOALS: 1. 2. 3. 4. Radiographic evaluation of common pediatric thoracic, abdominal and orthopedic conditions. Radiographic evaluation of neonatal respiratory and abdominal conditions. Appropriate radiographic work up of pediatric conditions. Overview of Fluoroscopy, Nuclear Medicine, CT, MRI and Interventional. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Participation in daily film interpretation and fluoroscopy at Arkansas Children’s Hospital. 2. Attendance at radiology rounds with clinical services, daily NICU 9am, Friday 830am PICU 3. Contribute one interesting case to electronic teaching file Optional conferences: a. Neuroradiology Conferences: a. Tuesday 1230pm Neurosurgery cases, Neuroradiology reading room b. Thursday 1030am Neurology cases, 3rd floor conference room. b. Pediatric Grand Rounds-Tuesday 8am; Chairman’s Hall c. Pediatric Surgery Conference, variable, 4th Thursday 4pm d. Pediatric Oncology Conference 1st and 3rd Wednesday Pathology conference e. Fellow Interesting case conference: Fridays 12 noon, Radiology Reading room f. Radiology Peer Review: monthly at noon on Friday TO TAKE THIS COURSE YOU MUST HAVE FIRST TAKEN THE DIAGNOSTIC RADIOLOGY ELECTIVE, OR MADE SPECIAL ARRANGEMENTS WITH THE COURSE DIRECTOR. HOURS PER WEEK: Conference: 3 Ward: Clinic: 30 Lecture: Lab: Reading: 10 Library: Other: Page 242 O.R.: Total: 43 COURSE: DIRECTOR: Radiation Biology Research Dr. Michael Borrelli and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 526-5897 556 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: URADK OBJECTIVES AND/OR GOALS: 1. To familarize the student with the active areas of research in radiation biology including low dose effects, neutrons, hyperthermia, etc. 2. To introduce the student to some of the techniques of radiobiology research including tissue culture and biochemical methods. 3. To allow the student to design and conduct experiments in specific areas of radiation biology. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. The student will be expected to design and conduct experiments in a chosen area of radiation research. 2. The student will be expected to participate in laboratory research discussions of experimental data and interpretations. 3. The student will write up his/her experiments in acceptable scientific form at the conclusion of the elective. 4. Grades will be passed upon participation in the laboratory (50%) and on the presentation of the experimental data (50%). *Drs.: Baker, Moss, Nagle HOURS PER WEEK: Conference: 4 Clinic: Ward: Lecture: Lab: 32 Reading: Library: 4 Other: Page 243 O.R.: Total: 40 COURSE: DIRECTOR: Vascular and Intervention Radiology PHONE: MAIL SLOT: (501) 686-6910 556 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Bill Culp, M.D. URADN OBJECTIVES AND/OR GOALS: 1. To provide the interested student an introduction to the subspecialty of interventional radiology. 2. To provide the student, choosing to specialize in radiology, an additional opportunity to gain clinical experience via the varied patient base encountered in vascular and interventional radiology. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. Observe and participate in pre and post procedure patient care, including morning report and daily rounds. Attend read-out sessions for interventional radiology cases. Observe and participate in interventional radiology cases at UAMS, VAMC, and ACH Present a 10 minute talk with visual aides on a subject of mutual interest. Attend radiology resident teaching sessions in a.m. and p.m. HOURS PER WEEK: Conference: 10 Clinic: Ward: 0 Lecture: Lab: 25 Reading: 4 Library: 1 Other: Page 244 O.R.: Total: 40 COURSE: DIRECTOR: Pediatric Nephrology Eileen Ellis, M.D. 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 364-1847 512-14 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: UREND OBJECTIVES AND/OR GOALS: The purpose of this elective is to provide the student with an understanding of the spectrum of renal diseases as they affect children of different ages and to acquire a practical knowledge of fluid and electrolyte disturbances in a variety of clinical settings. The student will learn systematic approaches to the diagnosis of renal disorders and will be able to prescribe appropriate therapies for correction of fluid and salt imbalances. Didactic presentation of the following topics occurs monthly during inpatient rounds and in one-on-one discussions with faculty: 1. Urinary tract infection 2. Acute renal failure 3. Evaluation of renal function 4. Chronic renal failure 5. Glomerulonephritis 6. Electrolyte, water 7. Dialysis and Transplantation 8. Hypertension 9. Electrolyte disorders, RTA 10. Hematuria and proteinuria SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Consultation service - Student will attend daily ward rounds with the inpatient attending and participate in the care of Renal Service patients, as well as those seen in consultation. Patient care assignments are made by the attending. The student will perform a history and physical examination independently and present findings to the attending during rounds. Therapeutic plans will be discussed in detail. The student will be responsible for writing daily notes on the assigned patient's chart and for knowing the details of the laboratory and radiographic studies performed on the patient. 2. Clinics - Students will attend 1/2 day General Nephrology Clinics on Monday, Tuesday, Wednesday, and Thursday. On Monday, the emphasis in the clinic is hypertension. 3. Conferences - Student will attend weekly Nephrology Conference on Friday, Core Resident Curriculum Lectures on Wednesday and Friday, Pediatric Grand Rounds and Core Nephrology Curriculum lectures (2/week). 4. Readings Assignments will be suggested. Reprints will be provided. The student is asked to give one presenation on a nephrology topic of their choice during the month. Time off (for interviews, etc.) must be arranged with the rotation supervisor in advance of the rotation and shall not exceed more than 3 days. HOURS PER WEEK: Conference: 5 Ward: 15 Clinic: 9 Lecture: 3 Lab: Reading: 6 Library: 2 Other: Page 245 O.R.: Total: 40 COURSE: DIRECTOR: Renal Medicine Dr. Shah and Staff 4 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (501) 257-5832 501 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: URENB OBJECTIVES AND/OR GOALS: 1. Diagnostic evaluation and management of patients with renal disease; including nephrotic syndrome, acute glomerulonephritis and acute renal failure. 2. Diagnosis and management of fluid and electrolyte disorders. 3. Diagnosis and management of hypertension; including evaluation of secondary causes of hypertension and pharmacotherapy. 4. Mangement of patients with chronic renal failure; including the indications and complications of hemodialysis and peritoneal dialysis. SPECIFIC DUTIES OF SENIOR STUDENTS: Senior medical students will attend and participate in the following activities: (1) Renal case conference: A teaching session to discuss patient care (1 hrs/week) (2) Nephrology Teaching Conference (2 hrs/week) (3) Renal Clinic UAMS (3 hrs/week) (4) UAMS or VA Renal Consult Rounds (10 hrs/week) (5) Suggested reading assignments in specified texts and journals (6) Direct patient care: The medical student will have the opportunity to perform the initial patient assessments for renal consultation. This, along with reading, make up the balance of time. *Drs.: Shah, Portilla, Abul-Ezz, Swaminathan, Broslehan, and Krause On the first day of class, meet at 8:15 in VA room 6B-146 This elective is available during published UAMS block dates only. HOURS PER WEEK: Conference: 1 Ward: 20 Clinic: 3 Lecture: 2 Lab: Reading: 8 Library: Other: Page 246 O.R.: Total: 34 COURSE: DIRECTOR: Rheumatology Dr. Robert Ortmann 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 686-6770 509 MIN STUDENTS: AVAILABLE: 3,4,5,6,7,8,9,10 LOCATION: Little Rock or North LR VA Hospital COURSE#: URHUM OBJECTIVES AND/OR GOALS: 1. Factual goals of the elective: a. Understanding of the pathophysiology of the common types of arthritis: rheumatoid arthritis, osteoarthritis, various types of reactive arthritis, and crystal-induced arthritis. b. Knowledge of history taking techniques for examination of joints. c. Treatment of arthritis: drug, physical therapy, education. d. Understanding of clinical immunology and collagen vascular disease. e. Treatment of systemic complications of SLE, scleroderma, and other collagen vascular diseases. f. Insight into long-term care of patients with chronic pain and disability. 2. Technical skills to be learned: a. Learn specific indications for joint aspiration; perform under supervision when indicated. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will see patients initially in inpatient and outpatient consultation; will attend Rheumatology and Lupus Clinics at the University of Arkansas for Medical Sciences; will attend Rheumatology Clinic at the VA Hospital; and will attend conferences following these clinics. On the first day, report to the Barton Building, Room 1-R31 at 8:30 a.m. HOURS PER WEEK: Conference: 3 Ward: 4 Clinic: 19 Lecture: Lab: Reading: 14 Library: Other: Page 247 O.R.: Total: 40 COURSE: DIRECTOR: Cardio-Thoracic Surgery Drs. Tobler and Ozdemir 4 weeks DURATION: MAX STUDENTS: 4 PHONE: MAIL SLOT: (501) 686-7884 713 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: USURA OBJECTIVES AND/OR GOALS: A - History and physical examination of cardio-thoracic surgical patients. B - Pre-operative evaluation of patients with cardio-thoracic disease. C - Management of cardio-thoracic surgical patients on a ventilator and in the ICU. D - Technique of bronchoscopy and esophagoscopy. E - Observation of major cardio-thoracic surgical procedures. F - Technique of insertion and management of chest drains. G - Integration of anatomy and physiology of the chest into surgical management of patients. H - Accurate assessment of lung and esophageal pathology. I - Closure of incisions, surgical technique, and wound care J - Interpretation of arteriograms and cineangiograms SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. Daily rounds with residents and attending in CVICU, 6C, and/or CAVHS. Scrub and assist in the operating room. Read assigned topics in Thoracic surgical materials. Attend appropriate conferences, including Pulmonary Conference, M&M, Surgical Grand Rounds, and Tumor Board. 5. Attend Cardiothoracic surgery clinic 6. Read suggested literature On this first day of class, students should report to room 2-S08 in the Shorey Building at 8:00 a.m. HOURS PER WEEK: Conference: 4 Ward: 20 Clinic: 4 Lecture: Lab: Reading: 10 Library: Other: Page 248 O.R.: 22 Total: 60 COURSE: DIRECTOR: Emergency Surgical Trauma Service Drs. Cone and (*) 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-6184 520 MIN STUDENTS: AVAILABLE: 1,4,5,6,7,8,9,10 LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: USUGN OBJECTIVES AND/OR GOALS: 1. 2. 3. 4. 5. The initial management and resuscitation of patients in shock. The techniques of evaluating the trauma patient. To recognize the common, non-traumatic, surgical emergencies such as the acute abdomen The principles of the post-operative care of surgical patients. The principles of burn care including resuscitation, wound care, surgical wound coverage, and late rehabilitation. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. To care for assigned patients admitted to the emergency surgical service under the supervision of residents and surgical staff. Daily rounds on all patients on the service. Scrub on emergency surgical cases. Participate with the resident in the initial evaluation of urgent surgical consults from the emergency room and the non-surgical wards. Participate in the various conferences of the surgical department with particular emphasis on the Trauma conference. (*) Drs. Robertson and Jensen Contact 686-6648 to obtain reporting instructions for the first day of the rotation. ****This elective may be available in Blocks 2 and 3 depending on enrollment in the Honors Program in Surgery. HOURS PER WEEK: Conference: 5 Ward: 20 Clinic: 5 Lecture: Lab: Reading: 5 Library: Other: Page 249 O.R.: 10 Total: 45 COURSE: DIRECTOR: Endoscopy; Colon & Rectal Surgery Dr. Jonathan Laryea 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 526-6262 520 MIN STUDENTS: AVAILABLE: 1,4,5,6,7,8,9,10 LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: USUGC OBJECTIVES AND/OR GOALS: 1. Technical skills to be learned a. History and physical fo patients with gastrointestinal disease. b. Preoperative evaluation of patients with colorectal or gastrointestinal disease. c. Technique of flexible sigmoidoscopy, proctoscopy, anoscopy, esophogastroduodenscopy, and colonoscopy. d. Observing major abdominal procedures, involving gastrointestinal surgery and endoscopic procedures. e. Postoperative care of the same patients. 2. General objectives a. Integration of basic knowledge regarding the anatomy and physiology of the gastrointestinal tract into the management of patients with colorectal and gastrointestinal disease. b. Development of the ability to adequately evaluate the patients with colorectal or gastrointestinal disease. c. Some exposure to specialized surgical and endoscopic procedures. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily rounds with staff and/or residents on the endoscopy and colorectal service. 2. Attending the appropriate conferences, including Surgical Grand rounds at both VA Hospital and the University. 3. Scrubbing in, and assisting on, specific surgery as requested or elected. 4. Read appropriately the assigned material. 5. Assist the endoscopic and colorectal resident to function in clinics, and on assigned surgical and endoscopic cases. Prior to the beginning of the rotation, students should contact the CAVHS Surgical Endoscopy Resident for reporting instructions. ***** This elective may be available in Blocks 2 and 3 depending on enrollment in the Honors Program in Surgery HOURS PER WEEK: Conference: 3 Ward: 4 Clinic: 15 Lecture: Lab: Reading: 8 Library: Other: Page 250 O.R.: 15 Total: 45 COURSE: DIRECTOR: General Surgery & Surgical Oncology Drs. Broadwater, Bentley, and Kim 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-7870 520 MIN STUDENTS: AVAILABLE: 1,4,5,6,7,8,9,10 LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: USUGV OBJECTIVES AND/OR GOALS: 1. Technical and Clinical Skills: a. Perform history and physical of Surgical Oncology patients b. Case presentations to Surgery team and selected conferences c. Concept of tumor staging, surgical treatment of cancer patients, post-op adjuvant therapy and followup 2. General Objectives: a. Integration of patient work-up. Surgical decisions and treatment of a general surgical and oncological patient problem b. Improve skills in the pre- and postoperative patient care SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Daily rounds: On Surgical Oncology patients 2. Day to day patient management under resident and faculty supervision. 3. Attend the following conferences: Surgery Grand Rounds, Surgery M&M Conference, ACRC Grand Rounds, Melanoma Treatment Conference, and GI Tumor Conference. 4. Scrub in O.R. on selected patients. 5. Attend weekly student/faculty tutorial sessions. 6. Opportunity for in-depth research on selected oncological problems with possibility of publication. Prior to the first day of class, the student should contact the UAMS Surgery "A" Chief Resident for reporting instructions. One student will be accepted per block each at UAMS one at the VA. *****This elective may be available in Blocks 2 and 3 depending on enrollment in the Honors Program in Surgery. HOURS PER WEEK: Conference: 7 Ward: 20 Clinic: 7 Lecture: 2 Lab: Reading: 4 Library: 4 Other: Page 251 O.R.: 20 Total: 64 COURSE: DIRECTOR: Pediatric Cardiothoracic Surgery R.D.B. Jaquiss, M.D. 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 364-5858 677 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: Arkansas Children's Hospital COURSE#: USUGW OBJECTIVES AND/OR GOALS: The student will develop: General - (a) familiarity with the specialty of pediatric cardiothoracic surgery - obtain a general understanding of the fundamental physiologic principles which guide surgical decision making (b) familiarity with the context in which the specialty is practiced - a multidisciplinary, team approach to care. Specific - (a) familiarity with specific concepts of left-to-right and right-to-left shunts in the cardiovascular system (b) familiarity with concepts of pressure-loading and volume-loading of the cardiovascular system (c) familiarity with the concept of early repair of congenital heart disease as opposed to initial palliation and delayed repair (d) familiarity with the history and development of pediatric cardiovascular surgery. Technical - (a) an understanding of basic surgical techniques - asepsis, delicate tissue handling, and wound healing, to be demonstrated by the student primarily during wound closure (b) an understanding of the proper use of thoracostomy drains and invasive homodynamic monitoring. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will demonstrate synthesis of the concepts listed above by evaluating a patient preoperatively, participating in the surgical management and post-operative care of the patient, and delivering a 45-minute lecture which comprehensively describes the current state of knowledge about the condition for which the patient was treated. The lecture will include a succinct case presentation followed by a thorough summary of the relevant literature. HOURS PER WEEK: Conference: 5 Clinic: Ward: 5 Lecture: Lab: Reading: 3 Library: 2 Other: Page 252 O.R.: 25 Total: 40 COURSE: DIRECTOR: Pediatric Surgery Dr. Samuel Smith 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 364-2943 700 MIN STUDENTS: AVAILABLE: 1,4,5,6,7,8,9,10 LOCATION: Arkansas Children's Hospital COURSE#: USUGL OBJECTIVES AND/OR GOALS: 1. Technical skills to be learned: (a) Basic surgical procedures including suture closure of simple lacerations, incision and drainage of superficial abscesses, difficult vascular access, chest tube placement, etc. (b) Basic wound care (c) Basic ostomy care (d) Manual reduction of an incarcerated inguinal hernia 2. General objectives: (a) Familiarity with the surgical emergencies of infancy and their presentation. (b) Diagnosis and management of the more common surgically correctable, cogenital anomalies; diaphragmatic hernia, esophageal atresia, duodenal atresia, jejunal/ileal atresia, malrotation, meconium ileus, Hirschsprung's disease, imperforate anus, and anterior abdominal wall defects. (c) Diagnosis and management of the common surgical conditions of childhood; acute appendicitis, hypertrophic pyloric stenosis, intussusception, umbilical hernia, and inguinal hernia (d) Diagnosis and management of the acute surgical abdomen (e) Diagnosis and management of the major solid tumors of childhood (f) Evaluation and management of the child with multiple injuries (g) Basic pre- and postoperative care including fluid and electrolyte management, surgical antibiotics, nutritional care and respiratory care (h) Basic principles of surgical followup. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. 6. Daily ward rounds with students, residents and staff Participation in preoperative and postoperative care Participation in appropriate operative procedures Participation in weekly general clinic Participation and attendance at appropriate pediatric and surgical conferences Appropriate reading. *****This elective may be available in blocks 2 and 3 depending on enrollment in the Honors Program in Surgery. HOURS PER WEEK: Conference: 6 Ward: 10 Clinic: 6 Lecture: Lab: Reading: 16 Library: Other: Page 253 O.R.: 12 Total: 50 COURSE: DIRECTOR: Plastic and Reconstructive Surgery PHONE: MAIL SLOT: (501) 686-5736 520 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 1 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: James Yuen, M.D. USUPL OBJECTIVES AND/OR GOALS: Technical skills to be learned: Wound management, basic and advanced suture techniques with various types of wound repair, application of skin grafts, scar revision, tissue expansion, myocutaneous flaps, and microsurgery. Assist in surgery. Other principles to be learned: Principles of wound healing, management of straightforward and difficult wounds. Exposure to all aspects of aesthetic* and reconstructive plastic surgery. Congenital anomalies/craniofacial surgery*. (*) Dr. Shewmake (private Practice) SPECIFIC DUTIES OF SENIOR STUDENTS: The students will participate in all aspects of the plastic surgical evaluation and treatment. He or she will learn the nuances of dealing with aesthetic and reconstructive plastic surgical patient from preoperative evaluation to intraoperative techniques to postoperative management. The experience will be at all three teaching hospitals associated with the University of Arkansas for Medical Sciences campus as well as some exposure to the private group of clinical faculty. Students will be asked to assist in obtaining the preoperative history and physical on the reconstructive patients along with the general surgery resident. Students will be expected to participate in the operating room as either first or second assistant and will be allowed to assist in closing wounds. Post-operative ward work will be expected. Appropriate reference material will be provided. Patient load: Student can expect to participate in from 10 to 15 procedures per week and in the evaluation of approximately 15 to 40 patients per week as seen in the clinic. Basic Textbooks: Basic required reading will be from one of the recognized plastic surgery textbooks and from a provided syllabus. **** This elective may be available in Blocks 2 and 3, depending on enrollment in the Honors Program in Surgery HOURS PER WEEK: Conference: 2 Ward: 8 Clinic: 8 Lecture: Lab: Reading: 4 Library: Other: Page 254 O.R.: 18 Total: 40 COURSE: DIRECTOR: Private Surgery J. Michael Stair, M.D., Dr. Hugh Burnett 4 weeks DURATION: MAX STUDENTS: 3 PHONE: MAIL SLOT: (501) 686-6647 See belo MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: USUGQ OBJECTIVES AND/OR GOALS: 1. Technical Skills to be learned: a. Surgical history and physical b. Preoperative evaluation of patients c. Participating in major surgical procedures d. Performing some minor surgical procedures under direction e. Postoperative care f. Follow-up review and care in physician's office, individual option 2. General objectives: a. Integration of basic knowledge into care of surgical patients b. Role of general surgeon in a general community hospital c. Activities of a surgeon in his office practice, individual option Address: Pulaski Surgery 3401 Spring Hill Drive Suite 400 North Little Rock, AR 72117 Surgical Clinic of Central Arkansas 9500 Kanis Road Suite 501 Little Rock, AR 72205 Students may be assigned as follows: Pulaski Surgery = 1; Surgical Clinic of Central Arkansas = 2. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Each student will be assigned to one or more surgeons a. Perform and dictate for the chart a pertinent history and physical b. Outline a set of admission orders, call the attending physician, and place orders in the chart when confirmed by the physician. c. Will consult texts and current literature relevant to each surgical procedure planned and be prepared to discuss this with the surgeon. d. Will spend mornings in operating room observing and/or assisting in surgical procedures as arranged the previous evening. e. Will ascertain rounding time and make daily rounds with staff. 2. Students will attend conferences as scheduled. 3. Assisting in the Emergency Room can be arranged individually. 4. Will be expected to scrub on 10-20 cases per week with his preceptor or other surgeons. This elective will not count toward the 12 hour on-campus rule. HOURS PER WEEK: Conference: 3 Ward: 20 Clinic: 4 Lecture: Lab: Reading: Library: Other: Page 255 O.R.: 20 Total: 47 COURSE: DIRECTOR: Surgical Oncology/Breast Service PHONE: MAIL SLOT: (501) 686-6504 725 4 weeks DURATION: MAX STUDENTS: 1 MIN STUDENTS: 0 All Blocks AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Drs. Klimberg and (*) USRGB OBJECTIVES AND/OR GOALS: 1. Technical skills to be learned: a. History and physical examination of patients with breast disease, endocrine tumors, and melanoma. b. Preoperative evaluation of patients. c. Work-up and presentation of patients in clinic. d. Interpretation of abnormalities on mammogram, breast ultrasound, and MRI. e. Basic surgical principles while observing and assisting in surgical procedures. f. Techniques of insertion of central venous catheters. 2. General Objectives: a. Integration of basic knowledge of anatomy, pathology and physiology of the breast, endocrine organs, and skin into the management of patients with disease. b. Develop understanding of the multidisciplinary aspects involved in the care of oncology patients. c. Recognition of risk factors and genetic influences on cancer incidence and the implications for patients and their families. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. Daily rounds with residents and/or staff on service. Work-up of patients in Women's Oncology Clinic and Melanoma Clinic and presentation to staff. Observe/assist on surgical cases as scheduled. Read appropriate assigned material. Attend conferences including weekly Breast Conference, Melanoma Conference, Tumor Board, Surgical Grand Rounds, M&M and Journal Club. 6. For interested students, develop a case presentation/clinical research project for presentation and/or publication. * Drs. Westbrook, Henry-Tillman, Mancino Prior to the rotation, students should contact the UAMS Breast Oncology Resident for reporting instructions. HOURS PER WEEK: Conference: 6 Ward: 10 Clinic: 20 Lecture: 0 Lab: 0 Reading: 0 Library: 4 Other: 0 Page 256 O.R.: 12 Total: 52 COURSE: DIRECTOR: Surgical Research Dr. J. B. Cone Variable DURATION: MAX STUDENTS: PHONE: MAIL SLOT: (501) 686-6184 520 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: LSUGY OBJECTIVES AND/OR GOALS: Requires prior arrangement with a member of the surgical faculty to insure that each student has an approved project. The student should learn to: 1. 2. 3. 4. Properly design an experiement to test a chosen hypothesis. Write a research proposal as a model for research grant proposals. Read the relevant medical literature critically to spot flaws in design or conclusion. Basic statistical methods of use in medical research and the application of small computers to these methods. 5. Write a scientific paper in the format of Medical Journals. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Participate in an approved research project with a member of the surgical faculty. This may be a small individual project or a clearly defined segment of a larger, ongoing project. 2. Participant in weekly surgical research conferences. 3. Write an initial proposal outlining the scope of the planned research. 4. Submit a written report and a verbal presentation summarizing the work completed. This rotation must be taken for a minimum of eight weeks. Credit will be on a week by week basis (8 hours for 8 weeks, etc.) as long as you are taking this longitudinal full time and not combining it with another longitudinal. If you are combining it with another elective, credit will be variable according to effort: See Dr. Wheeler for details. HOURS PER WEEK: Conference: 2 Clinic: Ward: Lecture: Lab: 40 Reading: 5 Library: 5 Other: Page 257 O.R.: Total: 52 COURSE: DIRECTOR: Total Care Of The Burned Patient Dr. Pam Howard 4 weeks DURATION: MAX STUDENTS: 1 PHONE: MAIL SLOT: (501) 320-1100 520 MIN STUDENTS: AVAILABLE: 1,4,5,6,7,8,9,10 LOCATION: Arkansas Children's Hospital COURSE#: USUGU OBJECTIVES AND/OR GOALS: 1. Proper technique of burn dressing 2. Management of burn wound, including debridement with and without anesthesia, cautery excision of full thickness burns, heterografting principles using frozen pigskin and cadaver skin. 3. Proper resuscitation methods for severe burns and monitoring techniques. 4. Develop understanding of the pathophysiological changes which accompany burning. 5. Review of the energy requirements of the burned child. 6. Homografting, use of dermatones, mesher, and application of skin grafts. 7. Introduction to Intensive Care as it relates to the thermally injured patient. SPECIFIC DUTIES OF SENIOR STUDENTS: The student will work one on one with resident assigned to the Burn Center. Daily rounds including attending the burn dressing changes. *****This elective may be available in blocks 2 and 3 depending on enrollment in the Honors Program in Surgery. HOURS PER WEEK: Conference: Clinic: Ward: 40 Lecture: Lab: Reading: Library: Other: Page 258 O.R.: Total: 40 COURSE: DIRECTOR: Vascular Surgery PHONE: MAIL SLOT: (501) 686-6176 520-2 4 weeks DURATION: MAX STUDENTS: 2 MIN STUDENTS: 0 1,4,5,6,7,8,9,10 AVAILABLE: LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: Drs. Mohammed Moursi and John Eidt USRGV OBJECTIVES AND/OR GOALS: Goal: This rotation is designed to expose the fourth year medical student to the field of vascular surgery in a more detailed fashion and to add to the knowledge obtained during the third year. The student will be able to understand the basic and clinical science of pre-op, operative, and post-op vascular disease processes including aneurysm disease, carotid disease, and peripheral vascular disease. Objectives: 1. Proper history and physical examination of vascular surgical patients 2. Understanding of vascular lab studies 3. Pre-op evaluation of patients with vascular disease 4. Management of vascular patients in post-op SICU setting 5. Integration of basic science into surgical management of patients with vascular disease 6. Basic surgical skills of wound care 7. Basic vascular radiology skills and arteriography interpretation 8. Principles of hemodynamics including hemodynamic profile and how to select appropriate therapy based upon this data 9. Pulmonary physiology applied to respiratory failure and care of patients on mechanical ventilation postoperatively. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. 2. 3. 4. 5. 6. 7. 8. Daily rounds with staff and residents on vascular patients Closely follow post-op vascular patients and report to vascular fellow or staff Attend weekly vascular clinic Scrub and assist on selected vascular cases Read elected literature, and peripheral literature appropriate to vascular surgery and SICU care Attendance at appropriate weekly conferences such as Grand Rounds, M&M, etc. Assist with various procedures in the SICU One-on-one conference with Dr. Moursi or Dr. Eidt 1-2 hours per week *****This elective may be available in Blocks 2 and 3 depending on enrollment in the Honors Program in Surgery. HOURS PER WEEK: Conference: 4 Ward: 30 Clinic: 3 Lecture: 0 Lab: 0 Reading: 5 Library: 0 Other: 0 Page 259 O.R.: 10 Total: 52 COURSE: DIRECTOR: Medical Toxicology Henry Simmons, M.D., Ph.D. 4 weeks DURATION: MAX STUDENTS: 2 PHONE: MAIL SLOT: (501) 686-5540 584 MIN STUDENTS: AVAILABLE: Blocks 2 and 8 LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UPHAC OBJECTIVES AND/OR GOALS: 1. Achieve familiarity with presentations of common intoxications seen in clinical practice. 2. Become conversant with both toxicological and non-toxicological aspects of the differential diagnoses of common presentations compatible with intoxication. 3. Learn the fundamental management of common intoxications. 4. Review fundamental basic science that underlies diagnosis and management of common intoxications. SPECIFIC DUTIES OF SENIOR STUDENTS: 1. Extensive readings in the "8th Edition of Goldfrank's Toxicological Emergencies" as a basis for discussions with attending and senior resident staff. 2. Review of management protocols in use at the Arkansas Poison and Drug Information Center. 3. Review of toxicology cases selected by attending as a basis for discussions. 4. Attendance of all discussion sessions with attending and senior residents. 5. Attendance of Emergency Medicine Didactic Conferences. HOURS PER WEEK: Conference: 5 Clinic: Ward: Lecture: 11 Lab: Reading: 18 Library: 6 Other: Page 260 O.R.: Total: 40 COURSE: DIRECTOR: Urology Acting Internship Dr. Alex Finkbeiner 4 weeks DURATION: MAX STUDENTS: 3 PHONE: MAIL SLOT: (501) 686-5241 540 MIN STUDENTS: AVAILABLE: All Blocks LOCATION: UAMS and Associated Hospitals/Clinics COURSE#: UURGI OBJECTIVES AND/OR GOALS: Allow the student to function as an acting PGY1 on the urology service at UAMS, VAH and/or ACH. Acquire basic surgical skills Acquire in-patient, out-patient, and consultative clinical skills This rotation is designed to develop clinical skills regardless of the student's planned specialty SPECIFIC DUTIES OF SENIOR STUDENTS: The student's duties will include but will not be limited to: 1. 2. 3. 4. 5. 6. 7. 8. 9. Assist on in-patient rounds Assist on in-patient management Assess in-patient consultations Assess emergency room consultations Scrub in surgery Be involved in out-patient clinics Attend educational conferences in urology Prepare and give one presentation to the staff and residents on a topic in urology Be involved in urologic clinical research activities Evening/weekend call is NOT mandatory, but may be taken if the student desires. HOURS PER WEEK: Conference: 2 Ward: 16 Clinic: 16 Lecture: Lab: Reading: Library: Other: Page 261 O.R.: 16 Total: 50