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Title: Housecalls and Home Care Medicine
Preceptors:
Dr. Rajeev Babbar, M.D. Dr. Peter Gliatto, M.D. * Dr. Arik Olson, M.D.
Telephone #: 646-654-0516
*contact person
Course Code: 04-40
Prerequisite(s): None
Description:
Our staff is composed of two physicians,
a nurse practitioner, and a nurse coordinator. This elective is designed to
teach medical students about home-based primary care, the social aspects of
medicine, and palliative care as it applies to homebound patients.
Objectives of the Elective:
Home care is an increasingly large sector
of healthcare. It is essential for medical students today to know what care
patients receive at home, as they will be responsible for directing this care
in the future. The elective will expose students to the interdisciplinary nature
of homecare, the economics that influence care, and the burden of illness of
homebound adults. Housecalls are instrumental in helping students understand
barriers to care and how social factors effect health.
Key Responsibilities of the student while on Elective:
Students on
the elective will accompany one of the physicians or the nurse practitioner
on home visits for 5 days a week. During the visits, students will be expected
to participate in the interviewing and examining of patients. We will also
coordinate a time for students to visit patients with a visiting nurse and
with a home physical therapist. There are no night or weekend responsibilities.
Didactive Program:
Students will receive instruction during the visit about the patientsä medical
conditions and the social factors that influence the experience of illness
and delivery of care. Home visits provide a unique opportunity for one-on-one
teaching of history-taking and exam skills.
Informal lectures on topics in geriatrics, palliative care and cultural issues
will be incorporated into the elective during the weekly staff meeting, which
students should attend.
Method of Evaluation:
Students will be evaluated by their skills in
interviewing and physical exam, their professionalism in their interactions
with patients, and their interest and enthusiasm in patient care. The evaluation
will be a composite drawn from the opinions of the staff with whom they work
during their time on the elective.
Scheduling Information:
Months Offered: All year except for December
2002 and May 2003
Report to: Downtown Family Care Center, 150 Essex Stree, 9:00 a.m. on the
first Monday of the block
Students per period: 1
Duration: Two to four weeks
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Title: Infectious Disease
Course Code: 04-18
Preceptors: Harold Horowitz, M.D. Jeffery Greene, M.D., Melanie Maslow, M.D.
Telephone # : 263-6400 (Rita Pearl)
Prerequisites: Third Year Medicine or Pediatrics Clerkship
Description:
The Infectious Diseases Division provides consultations to the adult, medical and surgical, psychiatric and emergency services at the 3 primary teaching hospitals of the NYU School of Medicine. The consult services are busy, and the fellows, residents, and medical students are responsible for providing service and education to those who request assistance with the management of their patients with suspected or proven infectious diseases. Problems referred to the service include unexplained fevers, failures of common infections to respond to therapy, uncommon or unusually severe infections, evaluation of immune deficiencies, and questions on the choice or administration of antimicrobial agents. Residents and students are the first to see patients in need of consultations and are expected to analyze the problem and formulate a plan of management for presentation to their mentors. In addition, after the initial consultation they follow patients to assess the evolving course of disease, additional diagnostic information, and responses to therapy, and reassess diagnostic and therapeutic plans as necessary.
Objectives of the Elective:
As a result of participating, students should become familiar with
- the approach of specialists in infectious disease to patients suspected of having infections.
- diagnostic microbiology, to understand the capabilities and limitations of current diagnostic techniques, and the integration of microbiology and serology results with clinical information in diagnosing infectious diseases.
- the management of the major types of community and hospital acquired infectious disease and their etiologies.
- the optimal use of antibiotics in empiric and definitive therapy.
- the major types of immunodeficiencies, including but not limited to the Acquired Immunodeficiency Syndrome.
- the evaluation and management of people with HIV, including the management of antiretroviral drugs.
Key Responsibilities of the student while on Elective:
The following responsibilities apply to each of the teaching hospitals:
- Students are expected to be present from approximately 9 AM (8 AM for conferences) till close of business. They are not on call evenings or weekends.
- Students are expected to attend all regularly scheduled infectious disease conferences and journal clubs. Currently these include:
- Daily rounds with the fellow at the institution to which the student is assigned.
- Weekly department-wide didactic conference. (8AM Mondays Year-round)
- Weekly division-wide clinical conference. (8AM Fridays, September through June)
- Weekly Journal Clubs (8AM Thursdays, September through June)
- Intercity Infectious Diseases Rounds (Mondays 4PM, September through June) when held at one of the NYU teaching hospitals.
- Students are expected to function as junior consultants, under supervision of fellows and attendings. They will examine patients, collect clinical data, present cases at daily attending rounds and prepare consultation notes for countersignature by their mentors.
- Students are expected to become familiar with the literature of infectious diseases, and to investigate the current state of knowledge (as it exists in the literature and/or the expertise of acknowledged outside experts) on the problems of their patients, and to present the result of their searches at rounds.
Didactic Program:
Informal teaching is an explicit goal of the daily attending rounds just as formal teaching is the goal of the scheduled conferences. Teaching is directed at fellows, house staff, and students alike. Fellows may present didactic lectures to the students, but the emphasis is on self-study of conditions found in the patients for whom the student shares responsibility. Students are expected to make use of standard texts, and relevant primary medical literature, as applies to their patients.
Method of Evaluation:
Students are graded as Pass/Fail. Honors are awarded to exceptional students. Evaluation is based on the observations and opinions of the attending physician and fellows who have worked with the student in the course of the elective.
Scheduling Information:
Months Offered: All Year
Institutions: Students will be assigned at random to a team at one of the three NYU teaching hospitals, in proportion to the available capacities at each. Students may not select the institution to which they will be assigned.
Report To: 9:15 AM, Bellevue Hospital, Rm 16S5
Students Per Period: 1 student at Tisch, 4 students at Bellevue, 1 student at VAMC
Duration: Two weeks minimum, Four weeks strongly recommended.
Return to Electives Catalogue
Title: Medical ICU
Preceptor: Vincent Donnabella,
M.D. Email: Donnav01@med.nyu.edu
Course Code: 04-28
Telephone #: 562-3616 or 263-6479
Prerequisites: Medicine Clerkship
Description:
The student spends four weeks on the MICU focusing on
critical care aspects of the management of patients with cardiopulmonary and
multisystem failure. He/she joins the staff of three interns, three residents
and a pulmonary/critical care fellow and takes part in work rounds, attending
rounds and specific diagnostic and therapeutic procedures. The student's program
is supervised by the MICU attending and pulmonary/critical care fellow.
Available only to NYU students.
Objectives of the Elective:
The objectives of this elective are to
familiarize the students with caring for patients that are critically ill.
They should develop a basic familiarity with the management of patients with
respiratory failure, including the use of mechanical ventilation; and septic
shock, including hemodynamic monitoring and vasopressor usage. Patients with
many other acute illnesses will also be seen during the rotation. Students
are also likely to gain experience with invasive procedures such as arterial
and central venous line placement.
Key Responsibilities of the student while on Elective:
- Students are responsible for attending work rounds with the house staff
and teaching rounds with the attendings 6 days per week. Afternoons are spent
participating in the care of the ICU patients including informal discussions
with the ICU house staff and the Pulmonary/Critical Care fellow assigned to
the unit.
- Students will be "on call" until 10 PM, once every 6 days with
the same resident. When on call they will participate in the evaluation and
initial management of a patient in the evaluation and initial management of
a patient admitted to the ICU. They will then follow that patient and participate
in his/her care during the patient's ICU stay. Students will follow one or
two patients at a time.
Method of Evaluation:
Students are graded pass/fail, based upon attendance
and participation.
Scheduling Information:
Months Offered: All Year
Report To: 8:30 AM, Medical ICU, 16S Bellevue Hospital
Students Per Period: 2 at Bellevue, 1 at Tisch
Duration: Four Weeks
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Title: Medical Oncology
Preceptor: Franco
Muggia, M.D.
Course Code: 04-24
Telephone # :263-6485
Prerequisites: Any One Core Clerkship
Description:
Students participate fully in the clinical, educational,
and research activities of the Division of Oncology and the Department of Medicine.
Students participate in weekly Oncology clinics at Bellevue and New York VA
Hospitals and also attend multi-disciplinary Oncology Conferences covering
specialty areas such as breast cancer, gynecology, ENT, soft tissue tumors,
and lung cancer. Participation in the research programs of the Division will
be through the weekly Protocol Planning Conferences, review of research protocols,
and participation in the periodic evaluation of clinical trials. In addition,
students participate in consultation and care of our patients in the affiliated
hospitals under the supervision of an Oncology Fellow and the Attending Physician
in Oncology. Individual tutorial arrangements with attending physicians at
Tisch Hospital are also available and are structured to provide in-depth discussion
of particular clinical problems and to allow students to observe the private
practice of oncology.
Objectives of the Elective:
During the elective, the students should
develop an understanding about the diagnostic work-up and evaluation of patients
with more common malignancies including breast cancer, lung cancer, AIDS related
malignancies and colon cancer. They should also have a better understanding
of psychosocial issues related to cancer patients. They should be involved
in evaluation of patients with pain related to cancer and oncologic emergencies.
Key Responsibilities of the student while on Elective:
- Student is expected to attend medical oncology clinic on Monday and Thursday
mornings at Bellevue Hospital and the medical oncology clinic on Tuesday mornings
at the VA.
- The student will be assigned to the work on the Bellevue wards with the
oncology fellow and will see in-patient consults with the oncology fellow.
- The student is encouraged to present the consults to the oncology attending
of the month at Bellevue Hospital.
Didactic Program:
Conferences include medical oncology grand rounds
on Wednesday and the oncology Management Conference on Friday mornings. Student
should also attend weekly rounds with the Bellevue Oncology attending. Attendings
are expected to review each consult presented with the students, housestaff,
and fellows regarding epidemiology, pathology, diagnostic workup, and physical
findings and management decisions.
Method of Evaluation:
The students will be evaluated at the
Bellevue medical oncology attending
of the month who serves as faculty preceptor. An ABIM evaluation
form will be filled out for each student.
Scheduling Information:
Months Offered: All Year
Report To: 9AM, Bellevue Hospital, C&D Bldg. Rm 556
Students Per Period: 2
Duration: Four Weeks
Medicine electives continue in following section
Return to Electives Catalogue
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