Today is Wednesday, Mar. 29, 2017

Medical Student Education


Third Year Curriculum

 

Core Clerkship Student Learning Outcomes 

 
       
 

The following outcomes are relevant to all core clerkships and are aligned with the Entrustable Professional Activities (EPA’s) as defined by the AAMC.  For more information, see the Core Entrustable Professional Activities for Entering Residency publication.

  • Gather appropriate and accurate patient history.
  • Perform appropriate patient exam for the presenting problem/reason for visit.
  • Generate an appropriate problem-based differential diagnosis and plan.
  • Communicate effectively with patients of diverse backgrounds (e.g. age, gender, social, racial and economic backgrounds).
  • Communicate patient information to the clinical team (e.g. written and oral form).
  • Follow through on the appropriate diagnostic and therapeutic action plan.
  • Collaborate with an inter-professional health care team.
  • Demonstrate a commitment to lifelong learning by developing your knowledge and skills outside of the traditional learning environment.
  • Demonstrate professional behavior in clinical interactions (e.g. empathy, attire, punctuality, motivation, reliability).
   
       
 

Family Medicine Core Clerkship 

 
       
  Clerkship Director: 
Robert Ellis, MD
Email: robert.ellis@uc.edu

Clerkship Coordinator: 
Nancy Jamison
Office: Medical Sciences Building Room 4304
Phone: 513-558-1435
Email: nancy.jamison@uc.edu
   
       
  The Family Medicine third-year clerkship is a required four-week outpatient rotation. Students are placed in a community or residency site and become an integral part of the health care team.  The clerkship emphasizes strengthening competencies in history taking, physical examination skills, problem differentiation, disease prevention and management, written and oral presentations.  In applying these basic skills the student will develop an understanding of the importance of the concept of a medical home in patient care: comprehensive, patient-centered, longitudinal primary care.  Working one-on-one with family physicians, students will integrate knowledge of the basic sciences with the biopsychosocial factors that critically impact a patient’s experience of illness and health in the care of the patient.


       
       
 

Internal Medicine Core Clerkship

   
       
  Clerkship Director: 
LeAnn Coberly, MD
Email: leann.coberly@uc.edu

Clerkship Coordinator: 
Julie Lefebvre
Office: Medical Sciences Building Room 6055
Phone: 513-558-2592  
Email: julie.lefebvre@uc.edu
   
       
  The Internal Medicine third-year clerkship is an eight-week rotation consisting of four weeks on an inpatient service and four weeks in ambulatory care.  Our goal is to help students make the transition from a basic science student to a member of the health care team.  On the inpatient service, students are assigned to general internal medicine and subspecialty ward teams and given patient care responsibility commensurate for their level of training under the supervision of interns, senior residents and attending physicians.  The educational emphasis is on history and physical examination skills and problem definition.  In the ambulatory setting, students are given significant patient-care responsibility in the Student Clinic, community preceptor office, and in an Internal Medicine subspecialty clinic.

       
       
 

Neuroscience Core Clerkship

   
       
  Clerkship Director:
John Quinlan, MD
Email: john.quinlan@uc.edu

Clerkship Coordinator:
Mahima Sathe
Office: Medical Sciences Building Room 7103B
Phone: 513-558-1753
Email: mahima.sathe@uc.edu
 
 
       
  The Neuroscience third-year clerkship is a four-week rotation consisting of four weeks on inpatient and/or outpatient service, dependent on chosen discipline.  This clerkship is designed to train physicians to approach neurological disease in a step-by-step fashion that helps them to accurately diagnose common neurological problems (both life-threatening and not)  by developing excellent history taking and physical exam skills, utilizing diagnostic tests skillfully and improving patient outcomes by selecting treatments that are effective, safe and not wasteful of people’s money. Students can choose from one of four disciplines in which to learn clinical neuroscience: neurology, neurosurgery, pediatric neurology or physical medicine rehabilitation.

       
       
 

Obstetrics and Gynecology Core Clerkship 

   
       
  Clerkship Director: 
Amy Thompson, MD
Email: amy.thompson@uc.edu

Clerkship Coordinator: 
Deana Brown
Office: Medical Sciences Building Room 4408
Phone: 513-558-7651
Email: deana.brown@uc.edu
   
       
  The Obstetrics and Gynecology third-year clerkship is a six-week rotation that consists of four weeks of inpatient care and two weeks of ambulatory care. The inpatient service is equally divided between obstetrics and gynecology at one of six hospitals in the Tristate. The obstetrics portion may consist of normal labor and delivery, high-risk obstetrics (maternal fetal medicine) or routine prenatal care.  Gynecology may include benign gynecology, gynecologic oncology or reproductive endocrinology and infertility.  The objective of the curriculum in obstetrics and gynecology is that the student learns the basic skills, attitudes and knowledge that are essential in dealing with women patients and learns how to apply the science of medicine in a caring and compassionate manner so as to benefit the patient.
       
       
 

Pediatrics Core Clerkship

   
       
  Clerkship Director:
Corinne Lehmann, MD
Email: corinne.lehmann@uc.edu

Clerkship Coordinator: 
Mimi Pence
Office: Kasota 553 (Cincinnati Children’s Burnet Campus) 
Phone: 513-636-0339  
Email: mimi.pence@cchmc.org
   
       
  The Pediatrics third-year clerkship is an eight-week clinical rotation designed to present the fundamentals of pediatrics which should be mastered by any physician, as well as to provide a sound foundation for those choosing to enter the specialty.  Clinical experience is split between four weeks of inpatient and four weeks of outpatient medicine. This clerkship is a specialty of medicine dealing with the physical, mental, and psychosocial health of infants, children, and adolescents. The primary expectation of this clerkship is achievement of the competencies of an adapted curriculum developed by the Council on Medical Student Education in Pediatrics (COMSEP).


       
       
 

Psychiatry Core Clerkship

   
       
  Clerkship Director: 
Peirce Johnston, MD
Email: peirce.johnston@uc.edu

Clerkship Coordinator: 
Christina Gibson
Office: Stetson Building Room 3200
Phone: 513-558-4866
Email: christina.gibson@uc.edu
   
       
  The Psychiatry third-year clerkship is a six-week rotation in which each student is actively involved in patient care on two inpatient units, an outpatient clinic, and the Psychiatric Emergency Room. The overarching clerkship objective is to provide medical students with a broad clinical exposure and greater understanding of the epidemiology, presentation, evaluation and treatment of common psychiatric disorders.  Two consecutive three-week rotations working on an inpatient psychiatric unit allow the students to care for patients in acute crises as a part of a multidisciplinary treatment team.  At the conclusion of the clerkship, students are able to elicit a psychiatric history, mental status examination and formulate a comprehensive treatment plan that incorporates the biologic, psychotherapeutic and social needs of their patients.  


       
       
 

Surgery Core Clerkship

   
       
  Clerkship Director: 
Krishna Athota, MD
Email: krishna.athota@uc.edu 

Clerkship Coordinator: 
Bennie Patrick
Office: SRU 1586
Phone: 513-558-2134
Email: bennie.patrick@uc.edu
 
       
  The Surgery third-year clerkship is an eight-week inpatient rotation. During that time, students will be an integral part of the surgical team, be responsible for patient care, and will participate in surgical procedures. The activities of general surgeons and surgeons in specialty fields will be experienced firsthand in both inpatient and outpatient settings. The students will learn basic surgical techniques and wound management.  Upon clerkship completion, students are expected to understand the basics of surgical disease processes, as well as the decision making used to manage surgical patients.

       
       
 

Anesthesia Specialty Clerkship 

   
       
  Clerkship Director: 
Thomas James, MD
Email: thomas.james@uc.edu

Clerkship Coordinator: 
Shannon Foote
Office: Medical Sciences Building Room 3504
Phone: 513-558-2426
Email: shannon.foote@uc.edu
   
       
 

In the Anesthesia Specialty Clerkship, time is primarily spent in the operating room with the student gaining experience in the pre-, peri- and post-operative management of patients.  Techniques for vascular access are included as part of the training for patient management of fluid and electrolyte balance. Students are exposed to anesthetic techniques for patient management. The pharmacology of anesthetic agents is seen clinically with an emphasis on interpreting the interactions of these drugs and the rapid onset of medication given intravenously. The student has opportunity for airway management, including intubation, in the operating room setting.

       
       
 

Cardiovascular ICU Specialty Clerkship

   
       
  Clerkship Director: 
LeAnn Coberly, MD
Email: leann.coberly@uc.edu

Clerkship Coordinator: 
Julie Lefebvre
Office: Medical Sciences Building Room 6055
Phone: 513-558-2592
Email: julie.lefebvre@uc.edu

 
       

The student will be part of a multidisciplinary team in the care of critically ill patients with cardiac disease. She/he will support a senior resident in the care of patients with diseases such as heart failure, cardiogenic shock, acute myocardial infarction and arrythmias. There will be opportunities to observe central venous lines, arterial lines, mechanical ventilation, cardioversion etc. Given the acuity of ICU medicine and the short duration of this clerkship, it will be by necessity more shadowing and self-directed learning.

       
       
 

Dermatology Specialty Clerkship 

   
       
  Clerkship Director: 
Brian Adams, MD, MPH
Email: brian.adams@uc.edu

Clerkship Coordinator: 
Jordan Perry
Office: Medical Sciences Building Room 1202C
Phone: 513-558-0945
Email: jordan.perry@uc.edu
   
       
 
The Dermatology Clerkship is a two-week outpatient rotation that will give the student a broad exposure to common and uncommon skin disorders in children and adults. Students will rotate with an attending in not only the outpatient clinic setting at the Cincinnati VA Medical Center, Cincinnati Children's Hospital Medical Center and the Dermatology OP Resident Clinic in the Hoxworth Building but also in the private practice settings in West Chester, UC Physicians Midtown, UC Physicians Florence, Western Hills, and UC Physicians Medical Arts Building on Piedmont.  Students will also attend weekly grand rounds and are expected to read daily from the suggested text. Direct patient responsibility will be limited. 

       
       
 

Clinical Oncology Specialty Clerkship

   
       
  Clerkship Director:
William Barrett, MD
Email: william.barrett@uchealth.com

Clerkship Coordinator: 
Lydia Wocher / Karen Coleman
Office: Barrett Center, Room 1071 (Lydia) / Barrett Center, Room 1060 (Karen)
Phone: 513-584-8216 (Lydia) / 513-584-9089 (Karen)
Email: lydia.wocher@uchealth.com / karen.coleman@uchealth.com
   
       
  The Clinical Oncology Specialty Clerkship is a two-week multidisciplinary outpatient oncology rotation, including medical oncology, pediatric oncology, surgical oncology and radiation oncology, which meets at the Barrett Cancer Center, Cincinnati Children's Hospital Medical Center and the Christ Hospital Cancer Center.  Students, closely monitored by attendings on a one-to-one basis, will see outpatients for consultation, treatment planning and follow-up examinations on all four services. Students will attend new patient conferences, tumor boards and a medical student once-weekly clinical conference.  Adult and pediatric patients with cancers of breast, colon, prostate, lung, head and neck, lymphomas and leukemia, bone and soft tissue sarcomas and brain tumors constitute the patient population.  Students will learn clinical skills including new patient initial anatomic and functional staging, treatment planning strategies (radical/palliative, surgery/radiation/chemotherapy) and techniques of follow-up examination (lab tests, X-rays etc.). 

       
       
 

Emergency Medicine Specialty Clerkship

   
       
  Clerkship Directors: 
John Campbell, MD

Email: john.campbell@uc.edu
Whitney Bryant, MD
Email: whitney.bryant@uc.edu

Clerkship Coordinator: 
Melissa Murphy
Office: Medical Sciences Building Room 1654
Phone: 513-558-8084
Email: melissa.murphy@uc.edu
   
       
  The Emergency Medicine Specialty Clerkship exposes the student to a wide variety of acutely ill patients presenting to an urban emergency department. Time on the clerkship is divided between several distinct areas in the emergency department, each offering a different mix of patient types and supervising personnel.  Eight and twelve-hour shifts are spent working in the main emergency department (A-pod, C-pod) seeing patients with acute medical, surgical, gynecologic, neurologic and toxicologic presentations. This portion of the clerkship allows the student to participate in the initial evaluation of patients with unknown diagnoses and exercise skills in physical diagnosis, history taking, performance and interpretation of diagnostic tests, oral presentation, formulation of differential diagnoses and clinical reasoning.  Students will have the opportunity to participate in the performance of procedures such as venipuncture, arterial puncture and passage of nasogastric tubes and urinary drainage catheters. Students also will be exposed to critically ill patients in the Shock/Resuscitation Unit of the department.  Several 10-hour shifts are spent in the Minor Care area of the department. Minor Care serves patients with focused complaints who generally can be definitively treated in the emergency department, or referred for outpatient treatment following temporizing emergency department management. The Minor Care portion of the clerkship allows the student to participate in a broad variety of procedures including local anesthesia, wound debridement and suturing, splinting, conscious sedation, incision and drainage of abscesses and slit-lamp evaluation of the eye.

       
       
 

Geriatric Medicine Specialty Clerkship  

   
       
  Clerkship Director: 
Jeffrey Schlaudecker, MD
Email: jeffrey.schlaudecker@uc.edu

Clerkship Coordinator: 
Melissa Bosse
Office: UC Medical Center Mont Reid Room 1011
Phone: 513-584-0650
Email: melissa.bosse@uc.edu
   
       
  The Geriatric Medicine Specialty Clerkship will provide students with an introduction to the basic principles of providing safe and effective care to frail older adults as part of an interprofessional team. The elective will include experiences (1) on an inpatient geriatric medicine special care unit for hospitalized older adults; (2) in an outpatient geriatric assessment clinic; (3) in community nursing homes; and (4) in a community agency for the aged/home care.

       
       
 

Medical ICU Specialty Clerkship

   
       
  Clerkship Director: 
LeAnn Coberly, MD
Email: leann.coberly@uc.edu

Clerkship Coordinator: 
Julie Lefebvre
Office: Medical Sciences Building Room 6055
Phone: 513-558-2592
Email: julie.lefebvre@uc.edu
   
       
 

The Students will gain exposure to the multidisciplinary care of critically ill patients. Students will be paired with an upper level resident in a supportive role in the care of the resident's panel of patients. There will be exposure to ventilator management, procedures such as central venous lines, arterial lines etc.  Given the acuity of ICU medicine and the short duration of this clerkship, it will be by necessity more shadowing and self-directed learning. 

       
       
 

Ophthalmology Specialty Clerkship 

   
 
  Clerkship Director: 
Lisa Kelly, MD
Email: lisa.kelly@uc.edu

Clerkship Coordinator: 
Michele Wyan
Office: Stetson Building Room 5302
Phone: 513-558-0815
Email: michele.wyan@uc.edu
   
       
  Students will be exposed to general and subspecialty ophthalmology at the Cincinnati Eye Institute and at UC Medical Center, and/or Cincinnati Children's Hospital Medical Center. Students will be taught essential ophthalmic examination techniques, participate in patient examinations and may have an opportunity to observe ophthalmic surgery.  Direct patient responsibility is limited.
       
       
 

Orthopaedic Surgery Specialty Clerkship 

   
       
  Clerkship Director: 
Brian Grawe, MD
Email: brian.grawe@uc.edu

Clerkship Coordinator:
Kim Reising
Office: Medical Sciences Building Room 5502
Phone: 513-558-4592
Email: kim.weingartner@uc.edu
   
       
  Students will be exposed to orthopaedic surgery in the ambulatory, inpatient and operating room settings. They will have the opportunity to work with adult and pediatric patients, some of whom have experienced trauma and others who are hospitalized for reconstructive surgery. Training in hand surgery, spine, sports medicine, shoulder, and foot/ankle surgery is also available. 
       
       
 

Otolaryngology Specialty Clerkship

   
       
 

Clerkship Director: 
Reena Dhanda-Patil, MD
Email: reenadhanda1@gmail.com 

Clerkship Co-Director:
Catherine Hart, M.D.
Email: Catherine.Hart@cchmc.org

Clerkship Coordinator: 
Alex Terhar
Office: Medical Sciences Building Room 6503
Phone: 513-558-4196
Email: Alex.Terhar@UCHealth.com

   
       
  During the Otolaryngology Specialty Clerkship, students will gain exposure to the wide range of ear, nose and throat diseases treated by the otolaryngologist. Each student will learn the appropriate history and examination techniques for head and neck diseases.  Students will learn the diagnosis and management of a variety of common otolaryngologic disorders, including otitis media, hearing loss, rhinitis, sinusitis, and cancer of the head and neck. In addition, specific otolaryngologic emergencies such as airway obstruction, epistaxis and facial trauma will be covered.  Students will participate in the day-to-day activities of the otolaryngologic team including inpatient and outpatient care and observe surgery. The experience will be divided between UC Medical Center, Cincinnati Children’s Hospital Medical Center and the Cincinnati Department of Veterans Affairs (VA) Medical Center. 

   
       
 

Pathology & Laboratory Medicine Specialty Clerkship

   
       
  Clerkship Director: 
Shagufta Khan, MD
Email: shagufta.khan@uc.edu

Clerkship Coordinator: 
Jessica Sloniker
Office: Medical Sciences Building Room 1257A
Phone: 513-558-7043
Email: jessica.sloniker@uc.edu
   
       
  This two-week specialty clerkship in Pathology and Laboratory Medicine is designed to provide students with a survey of the field of pathology with a focus on understanding the current and evolving role anatomic and clinical pathology plays in patient care.  An emphasis is placed on clinicopathological correlation. Students attend departmental meetings and conferences, participate in tutorials given by residents, observe sign-out sessions and one autopsy, spend time in the anatomic, clinical, molecular diagnostic and microbiology laboratories and prepare for and deliver one 20-minute presentation at the end of the rotation.  An emphasis is placed on clinicopathological correlation. Students attend departmental meetings and conferences, participate in tutorials given by residents, observe sign-out sessions and one autopsy, spend time in the anatomic, clinical, molecular diagnostic and microbiology laboratories and prepare for and deliver one 20-minute presentation at the end of the rotation.  For students interested in pursuing a career in pathology, this rotation provides a broad overview of the field and can help students gauge their interest in pathology as a profession.  For students interested in entering a specialty other than pathology, this rotation provides valuable understanding of the inner workings of a pathology department.
       
       
 

Radiology Specialty Clerkship

   
 


Clerkship Director:
Jennifer Scheler, MD
Email: Jennifer.Scheler@uchealth.com

Clerkship Coordinator: 
Tosha Feldkamp
Office: Medical Sciences Building Room 680-H
Phone: 513-584-0647
Email: tosha.feldkamp@uchealth.com 
   
       
 

The Radiology Clerkship provides a general understanding of the spectrum of diagnostic imaging and diagnostic and therapeutic image-guided interventional techniques. The student will understand the role of Radiology in medical care, and will appreciate the patient's perspective of undergoing medical imaging or intervention.  This specialty clerkship provides general education regarding the indications and appropriateness of imaging studies for common clinical problems and an understanding of the appropriate sequencing of exams and the limitations of diagnostic imaging tests.  In addition, students are presented with introductory education on imaging techniques and a general approach to the interpretation of diagnostic studies. The complexity of imaging interpretation and the value of training and experience are emphasized.   
 

       
       
 

Urology Specialty Clerkship

   
       
  Clerkship Director: 
Nilesh Patil, MD
Email: nilesh.patil@uc.edu

Clerkship Coordinator: 
Perri Wright
Office: Medical Sciences Building Room 2513
Phone: 513-558-0983
Email: perri.wright@uc.edu
   
       
  In the Urology Specialty Clerkship, students will be actively involved in the evaluation and care of urologic patients. Emphasis will be placed on eliciting an appropriate history and establishing the pertinent aspects of the physical examination.  Students will also be exposed to and may participate in urologic surgery, both in the operating room and in the Cystoscopy Suite. Students will also be afforded the opportunity to observe urologic practice in the outpatient setting. Didactic sessions will complement assigned reading, thereby allowing the student to acquire a basic knowledge of urinary tract infection, stone disease, urologic oncology and impotence/infertility. 
       
       
 

HealthCare Emergency Management Part III: Chemical, Biologic, Radiologic, and Nuclear Disasters

 
       
  Clerkship Director: 
Dustin Calhoun, MD
Email: dustin.calhoun@uc.edu

Clerkship Coordinator: 
Janet Rosing
Office: Medical Sciences Building Room G453D
Phone: 513-558-5580
Email: janet.rosing@uc.edu
   
       
  2 hours of individual study prior to a 4-hour lecture/small group session.


Overall objectives: 
  • Provide a general overview and understanding of the incident command system as it applies to the National Response Framework.
  • Provide an opportunity for students to integrate their understanding of ICS and disaster medicine into the management of a large-scale public health emergency via a hypothetical epidemic tabletop exercise. This tabletop exercise is one of the Homeland Security national scenarios’ adapted to the Greater Cincinnati Region.
  • Provide an overview of the unique aspects of the large categories of "disasters": biologic, and chemical/radiologic to include the importance of decontamination and toxicology.
  • Discussion on how a public health disaster affects the community, the healthcare community, and medical resources. Includes medical care, ethics, hospital operations and how medical school students could be utilized. The discussion centers on the physicians role in the community during and after a disaster.