MEDICINE
Course name and number: Acting Internship -
Internal Medicine (LSU-MCLNO) MEDC 420a.
Faculty: Charles V. Sanders, MD and Internal Medicine Faculty, LSU–MCLNO
Duration: 4 weeks
Availability:
Senior acting internships may be taken as an elective if spots are available after assignment of acting internships to students at the LSU School of Medicine (New Orleans).
Objectives/Means of Implementation:
The Department of Medicine offers this Senior Acting Internship at the Medical Center of Louisiana – New Orleans (University Hospitals).
To allow the senior student to function as an integral member of a clinical team responsible for inpatient and outpatient care of ill patients in a setting which will closely simulate their expected experience as house officers. This experience will be under the supervision of house officers and faculty at each affiliated hospital. The participating hospital will establish criteria for student supervision recognizing that there may be minor variations in the level of clinical responsibility permitted to the student. In general, students will be regarded as interns with the limitation that their patient care activities are under the continuous supervision of responsible and qualified physicians.
In this setting, students are expected to perfect their skills in diagnosis, the handling of patients with specific emphasis on formulation of plans for management, refine techniques for the writing of appropriate orders for all phases of inpatient and outpatient care, prescription writing, and the performance of diagnostic invasive procedures such as lumbar puncture, thoracentesis, paracentesis, bone marrow aspiration, etc. In each instance, the determination of need for these procedures must have prior approval by appropriate responsible physicians. Immediate supervision by a physician is imperative whenever such a procedure is undertaken.
During this time, students will broaden their fund of knowledge in general Internal Medicine with the opportunity to fill in those areas where they may feel a need for additional learning. This educational process will be assisted by appropriate conferences conducted by faculty of the department, guided reading, and the utilization of appropriate teaching aids available in each of the hospital programs.
At the conclusion of this block, the Department of Medicine will presume that it has provided all students with the basic fund of knowledge required for a foundation in clinical medicine. Students will be expected to build upon this foundation by continued self-education during the remainder of their medical school curriculum, during subsequent years of training as a house officer, and during their professional life as practicing physicians.
Evaluation:
Clinical skills and judgment in both inpatient and outpatient settings will count for 100% of the final grade. Any failing grade must be reviewed by the Fourth Year Promotions Committee. A failing grade due to inadequate fund of knowledge may be changed to a passing grade by an oral examination. Failing grades due to non-cognitive deficiencies may require repeating part, or all, of the block.
Faculty members are expected to promptly notify students not performing satisfactorily in the clerkship. Conversely, students should make faculty (or the course director) aware of any problems, either personal or professional, which may interfere with his or her performance. Appropriate intervention and guidance should help rectify problems that may compromise the students’ academic performance. Students are entitled and encouraged to request feedback from faculty and house officers at any time during the block.
Course name and number: Internal Medicine - Clinical Ambulatory (LSU-UMC, Lafayette) MEDC 421h
Faculty: Dr. Gerald Hubbell
Duration: 4 weeks
Availability: All blocks (check with preceptor)
Number of students: 1
Objectives:
A four week course intended to provide the student with exposure to commonly encountered problems in Internal Medicine in an ambulatory setting.
To learn initial work-up, evaluation and treatment of medical problems such as hypertension, diabetes, arthritis, and asthma. Also treat other common problems such as respiratory infections, urinary tract infections, etc.
To learn about surgical pre-op clearance and in-house consultations on non-medicine services.
Follow-up of above patients as well as recently discharged Internal Medicine in-patients with acute problems.
To learn pharmaco-economics of commonly prescribed drugs including anti-hypertensives, antibiotics, anti-arthritic and anti-hypoglycemic agents.
Means of Implementation:
Student will examine new cases assigned to him/her by faculty, with immediate supervision in the medical OPD Clinic and formulate a diagnostic/therapeutic plan.
Follow-up of patients seen previously by the student.
Rounds with faculty/resident on in-house consultations.
Attend scheduled conferences and morning report as per the out-patient schedule.
Evaluation:
Written evaluation by faculty in charge.
Course name and number: Acting Internship – Internal Medicine (LSU – UMC-Lafayette) MEDC 422h
Faculty: Dr. Leela Lakshamiprasad
Duration: 4 weeks
Availability: All blocks
Number of students: 4 (includes assigned and elective)
Objectives:
This senior medicine rotation at University Medical Center, Lafayette, Louisiana, is designed to give the senior student a broad but comprehensive outlook into the management of patients with acute/chronic internal medicine problems both in an inpatient and ambulatory setting, as well as exposure to various subspecialties of medicine in a clinical rotation. We hope this experience, while not only providing education, will help the senior student in taking his/her USMLE exams as well as consider Internal Medicine as a career opportunity.
Means of Implementation:
Student is assigned to a ward team of 2 - 3 residents and an attending staff; student will function as a team-member on the ward-team and will stay in-house on on-call days.
He/she will perform an H & P on at least one new patient on each call day and present patient(s) at morning report.
He/she will follow the progress of these patients and write notes/orders which are co-signed by the resident/staff on the team.
He/she will attend all morning reports, other conferences as scheduled, as well as attending rounds and work rounds with the team.
He/she will also attend all patient clinics as assigned.
He/she will be given reading assignments for team rounds or conferences.
Method of Evaluation:
The final evaluation form will be completed by the attending staff and senior resident on the team.
Course name and number: Medicine Subspecialties (LSU-EKL, Baton Rouge) MEDC 423i.
Faculty: Dr. George H. Karam and other LSU-EKL faculty
Duration: 4 weeks
Availability: All blocks
Number of students: 4
Objectives:
The major objective of this rotation is to give exposure to the various subspecialties in internal medicine. The student will be supervised by physicians who are board-certified in the respective subspecialty. A major focus of the rotation will be to provide one-on-one teaching using patients with diseases that are the most representative and important in that subspecialty. Didactic lectures will be included in addition to the actual clinical care of patients. Students will be expected to attend morning report, which will focus on pathophysiology of disease, thought processes related to clinical decision-making, and relevant medical literature. Neither night call nor weekend clinical responsibilities will be required of the student during this rotation.
Course name and number: Ambulatory HIV Care - Infectious Diseases (HIV Outpatient Clinic LSU-MCLNO) MEDC 424a.
Faculty: Rebecca Clark, MD - Course Coordinator; Fred Lopez, MD; Anne Hull, MD;Joanne Maffei, MD;Michael Hagensee, MD; Ronald Wilcox, MD;C. Lynn Besch, MD
Duration: Four (4) week rotations
Number of students: One (1)
Objectives:
Following participation in this rotation, the student will be able to:
Integrate the concepts of etiology, epidemiology, pathophysiology and preventive measures involved in HIV infection.
Conduct an effective risk assessment.
Recognize the importance of pre/post HIV test counseling.
Perform a history and physical exam as part of the work up of a newly diagnosed HIV disease.
Interpret symptoms, signs and diagnostic tests in staging HIV diseases.
Discuss and utilize current guidelines for care of the early symptomatic HIV-positive individual, male and female. Introduction to current guidelines for HAART Therapy. Exposure to monitoring side effects of HAART Therapy. Use of resistance testing.
Discuss the prophylaxis and treatment of the most common opportunistic infections.
Experience the multi-disciplinary HIV Primary Care model, including the role of nurse practitioners, social workers, case manager, and health educators.
Perform safer sex counseling.
Means of Instruction:
Didactic lectures.
"Hands on" clinical experience with preceptors in the HIV Outpatient Clinic.
Team meeting/case management discussions.
Observation of group sessions.
Method of Evaluation:
Final evaluation will be based on input from faculty members and preceptors. Grading by Infectious Disease faculty in consultation with house staff and residents.
Course name and number: Cardiovascular Diseases (LSU-UMC, Lafayette) MEDC 429h.
Faculty: Dr. Padumane Lakshmi Prasad; Mark Stellingworth, M.D.
Duration: 4 weeks
Availability: All blocks, including summer (check with preceptor)
Number of students: 1 or 2
Educational Goals and Objectives:
After a four week rotation in the cardiology service, it is expected that the student will be able to recognize cardiovascular disease, elicit and recognize physical signs in the cardiovascular diseases, interpret electrocardiograms and chest roentgenograms, do deductive analysis of objective data to arrive at an etiologic, anatomic, physiological and functional categorization of common cardiovascular diseases. The student will also be introduced to various cardiovascular diagnostic techniques/procedures.
Means of Implementation:
Work up of selected patients assigned to him/her by the cardiology resident/faculty and discuss the problems in detail and provide a management plan as a consultant.
Opportunity to evaluate and manage cardiovascular problems on an out-patient basis in consultation with his/her resident/faculty in the cardiology clinic (once a week).
Bedside rounds.
Formal lectures/conferences.
Sharpen EKG interpretation skills with daily EKG reading, supervised by the resident/faculty.
Exposure to various cardiovascular diagnostic procedures including cardiac stress testing, echocardiography including color-flow Doppler studies, Holter monitoring, cardiac catheterization techniques, cardiac pacemaker implantation, various nuclear cardiac scans, etc.
Method of Evaluation:
Overall performance during the entire block will be evaluated by both the resident and faculty with final approval from the cardiology faculty.
Course name and number: Acting Internship - Internal Medicine (LSU-EKL, Baton Rouge) MEDC 431i
Faculty: Internal Medicine Faculty of LSU-EKL, Baton Rouge
Duration: 4 weeks
Availability:
Senior acting internships may be taken as an elective if spots are available after assignment of acting internships to students at the EKL Hospital
Objectives/Means of Implementation:
The Department of Medicine offers this Senior Acting Internship at Earl K. Long Hospital in Baton Rouge.
To allow the senior student to function as an integral member of a clinical team responsible for inpatient and outpatient care of ill patients in a setting which will closely simulate their expected experience as house officers. This experience will be under the supervision of house officers and faculty at each affiliated hospital. The participating hospital will establish criteria for student supervision recognizing that there may be minor variations in the level of clinical responsibility permitted to the student. In general, students will be regarded as interns with the limitation that their patient care activities are under the continuous supervision of responsible and qualified physicians.
In this setting, students are expected to perfect their skills in diagnosis, the handling of patients with specific emphasis on formulation of plans for management, refine techniques for the writing of appropriate orders for all phases of inpatient and outpatient care, prescription writing, and the performance of diagnostic invasive procedures such as lumbar puncture, thoracentesis, paracentesis, bone marrow aspiration, etc. In each instance, the determination of need for these procedures must have prior approval by appropriate responsible physicians. Immediate supervision by a physician is imperative whenever such a procedure is undertaken.
During this time, students will broaden their fund of knowledge in general Internal Medicine with the opportunity to fill in those areas where they may feel a need for additional learning. This educational process will be assisted by appropriate conferences conducted by faculty of the department, guided reading, and the utilization of appropriate teaching aids available in each of the hospital programs.
At the conclusion of this block, the Department of Medicine will presume that it has provided all students with the basic fund of knowledge required for a foundation in clinical medicine. Students will be expected to build upon this foundation by continued self-education during the remainder of their medical school curriculum, during subsequent years of training as a house officer, and during their professional life as practicing physicians.
Evaluation:
Clinical skills and judgment in both inpatient and outpatient settings will count for 100% of the final grade. Any failing grade must be reviewed by the Fourth Year Promotions Committee. A failing grade due to inadequate fund of knowledge may be changed to a passing grade by an oral examination. Failing grades due to non-cognitive deficiencies may require repeating part, or all, of the block.
Faculty are expected to promptly notify students not performing satisfactorily in the clerkship. Conversely, students should make faculty (or the course director) aware of any problems, either personal or professional, which may interfere with his or her performance. Appropriate intervention and guidance should help rectify problems that may compromise the students’ academic performance. Students are entitled and encouraged to request feedback from faculty and house officers at any time during the block.
Course name and number: Emergency Medicine (LSU-MCLNO) MEDC 432a.
Faculty: Jennifer Avegno, MD, Director, Student Clerkship (javegn@lsuhsc.edu); James Aiken, MD; Nicole Bergeron, MD; Christine Butts, MD ;John Couk, MD; Peter DeBlieux, MD; Lala Dunbar, MD; Edward Halton, MD; Sean Hardy, MD; Terry Hauver, MD; Kathleen Hubbell, MD; Tracy LeGros,MD; Steve Lesser, MD; Jorge Martinez, MD; Lisa Mills, MD; Heather Murphy-Lavoie, MD, Assistant Clerkship Director; Theo Stafford, MD; Ellen Slaven, MD; Victor Tuckler, MD; Keith Van Meter, MD
Duration: 4 weeks
Availability: July - June
Number of students: 16
Objective:
To obtain insight into the principles and practice of emergency medicine and trauma care in the Emergency Department. To improve clinical and technical skills in an emergency setting and develop familiarity with ambulatory care. To obtain skills in simple suturing, eye examinations, gynecological exams, and other common emergency procedures. Students function as interns while on the rotation and are given appropriate limited autonomy to further enhance their clinical and medical decision making skills.
Means of Implementation:
Each student is required to work twelve 12-hour shifts during their rotation: 7a-7p and 7p-7a; eight shifts in the Main Emergency Room (MER) and 3 shifts in the Fast Track (FT). Shifts should be equally divided between nights and days and are scheduled by the students themselves on the first day. Three weekend shifts are also required. Student lectures are mandatory and held in the MER every Tuesday and Thursday at 8 am. Students will be responsible for obtaining daily evaluations from faculty during their rotation. They will also be responsible for a brief case presentation and discussion of a selected disease topic.
Method of Evaluation:
Students will be evaluated daily by faculty during each ED shift. A daily log of patient encounters and procedures is also required. In addition, the student’s formal case presentation will be evaluated for content, style, and depth of knowledge. All evaluations, case presentations, and patient encounter sheets will be turned in and compiled at the end of the rotation
Course name and number: Emergency Medicine Fast Track (LSU-MCLNO) MEDC 433a.
Faculty: Jennifer Avegno, MD, Director, Student Clerkship (javegn@lsuhsc.edu); James Aiken, MD; Nicole Bergeron, MD; Christine Butts, MD;John Couk, MD; Peter DeBlieux, MD; Lala Dunbar, MD; Edward Halton, MD; Sean Hardy, MD; Terry Hauver, MD; Kathleen Hubbell, MD; Tracy LeGros, MD; Steve Lesser, MD; Jorge Martinez, MD; Lisa Mills, MD; Heather Murphy-Lavoie, MD, Assistant Clerkship Director; Theo Stafford, MD; Ellen Slaven, MD; Victor Tuckler, MD; Keith Van Meter, MD
Duration: 4 weeks
Availability: July - June
Number of Students: 6
Objective:
To gain insight into ambulatory urgent care needs of an urban hospital in a Fast Track emergency department setting. To obtain skills in simple suturing, eye examinations, gynecological exams and the evaluation of non-critical patients in a clinic setting. The student will gain experience in managing urgent and emergent complaints in a focused manner. Simple surgical procedures such as incision and drainage of abscesses, laceration repair, wound care, etc. will be covered.
Course Outline:
A one month elective in the ambulatory care setting of the University Hospital Emergency Department Fast Track. Each student is required to work twelve 12-hour shifts during their rotation: 7a-7p and 7p-7a. Students will be supervised by LSU Emergency Medicine faculty members and residents at all times. Shifts should be equally divided between nights and days and are scheduled by the students themselves on the first day. Three weekend shifts are also required.
Student lectures are mandatory and held in the MER every Tuesday and Thursday at 8 am. Students will be responsible for obtaining daily evaluations from faculty during their rotation. They will also be responsible for a brief case presentation and discussion of a selected disease topic.
Method of Evaluation:
Students will be evaluated daily by faculty during each ED shift. A daily log of patient encounters and procedures is also required. In addition, the student’s formal case presentation will be evaluated for content, style, and depth of knowledge. All evaluations, case presentations, and patient encounter sheets will be turned in and compiled at the end of the rotation.
Course name and number: Research Elective in Emergency Medicine (LSU-MCLNO) MEDC 434a.
Faculty: Dr. Jennifer Avegno, Director, Student Clerkship (javegn@lsuhsc.edu); Dr. Heather Murphy-Lavoie, Assistant Clerkship Director; Dr. James Aiken; Dr. Peter DeBlieux; Dr. Lala Dunbar; Dr. Micelle Haydel; Dr. Kathleen C. Hubbell; Dr. Tracy LeGros; Dr. Steve Lesser; Dr. Jorge Martinez; Dr. Jeff St. Clair; Dr. Ellen Slaven; Dr. Theo Stafford; Dr. Victor Tuckler; Dr. Keith Van Meter
Duration: 4 weeks
Number of students: 2
Availability: All rotations
Objective:
To introduce medical students to the mechanics of research in a mentoring relationship with emergency medicine faculty.
Course Outline:
A one-month elective coordinated with an existing LSU-NO Emergency Medicine faculty member. The research subject must relate to emergency medicine as a specialty with the goal of submission of this research for presentation, or publication to a national meeting. The selection of a research topic and faculty member must be accomplished one month ahead of the selected rotation. A one page, double-spaced, typed-written summary of the research goals should be submitted to the LSU-NO Emergency Medicine Director of student rotations one week prior to the beginning of the rotation. A two page, double spaced, typed summary of the research must be submitted to the LSU-NO Emergency Medicine Director of student rotations at the end of the rotation.
Method of Evaluation:
Based on typed summary of research and faculty evaluation.
Course name and number: Emergency Medicine (LSU-EKL, Baton Rouge) MEDC 437i.
Faculty: EKL Emergency Medicine Faculty
Duration: 4 weeks
Availability: All blocks
Number of students: 8
Objectives:
To obtain insight and experience in the field of Emergency Medicine. To improve clinical skills.
Means of Implementation:
Students will spend 4 weeks in the Emergency Department, working an average of 50 hours per week on assigned shifts. Under staff supervision, students will evaluate patients, formulate plans for therapy, and perform procedures. They are expected to attend student and resident conferences which average 5 hours per week.
Method of Evaluation:
Students will also be evaluated as to participation, attitude, competence, and quality of oral presentations and medical record documentation.
Course name and number: Emergency Medicine Research (LSU-EKL, Baton Rouge) MEDC 438i.
Faculty: EKL Emergency Medicine Faculty
Duration: 4 weeks
Availability: All blocks
Number of students: 6
Objectives:
To become acquainted with research design and implementation as well as perform a small project for presentation and publication.
Means of Implementation:
Students will spend 4 weeks in the Emergency Department doing research. They will perform study design, data collection, study analysis, and manuscript preparation. They will be expected to work 5 days a week with hours dependent on the study design.
Method of Evaluation:
There will be a written evaluation of the student's research progress and presentation to the entire department at the end of the elective.
Course name and number: Medicine – Gastroenterology (LSU-MCLNO) MEDC 440a.
Faculty: G.I. staff
Duration: 4 weeks
Availability: January - December
Number of students: One (1)
Objectives:
A four-week comprehensive course intended to educate the student in the area of clinical gastroenterology at the Medical Center of Louisiana in New Orleans (University Hospital).
Means of implementation:
Student electing to spend time on the G. I. service will attend all activities of the section including consultation rounds, endoscopy clinics, outpatient clinics, conferences, etc. The students is thus afforded the opportunity of observing a wide variety of gastrointestinal pathology and correlating this with the clinical situation.
Method of Evaluation: Observation
Course name and number: Endocrinology and Metabolism (LSU-MCLNO) MEDC 442a.
Faculty: Dr. Frank Svec ; Dr. Robert Richards
Duration: 4 weeks
Availability: All year at MCLNO (Charity Hospital and University Hospital)
Number of students: 2
Objectives:
There are two pathways in this elective program. The first is designed to afford students a unique clinical opportunity to become thoroughly familiar with the diagnosis, pathophysiology, and management of the major endocrine disorders (diabetes mellitus, thyrotoxicosis, myxedema, hypo and hyperpituitarism, adrenocortical and gonadal diseases, and abnormalities of bone and calcium metabolism). The second pathway allows the student to become involved in a research program. The problem should be decided in advance through discussions with the faculty.
Means of Implementation:
Students on the clinical pathway will participate with a faculty preceptor, fellows and residents in regular in-patient consultation, in-patient teaching rounds, a weekly endocrine clinic, and formal clinical teaching conferences. Ample time will be provided for reading textbook material as well as the current endocrine literature. Students on the research pathway will design a program with a faculty member to accomplish the research goal.
Method of Evaluation: Observation
Course name and number: Cardiology (Ochsner Medical Center-Kenner) 444d.
Faculty: Dr. Pramilla Subramaniam and other LSU Cardiology Faculty
Duration: 4 weeks
Availability: All blocks, including summer
Number of students: 1
Objectives:
To teach the fundamentals of clinical and laboratory diagnosis and treatment of cardiovascular disease with emphasis on bedside clinical cardiac diagnosis.
Means of Implementation:
Activities include daily cardiac care unit rounds, cardiac rounds and consultations six times weekly, cardiac clinic twice weekly, and cardiology conference four days per week. Students will be expected to work up cases for presentation at all of the scheduled activities, to accompany fellows and residents on consultations, and to participate in non-invasive procedures. Rotation is available at Mercy-Lindy Boggs Hospital.
Method of Evaluation:
Grading by Cardiology faculty in consultation with house staff and residents.
Course name and number: Cardiology (LSU-MCLNO) MEDC 445a.
Faculty: Dr. Pramilla Subramaniam; Dr. D. Luke Glancy; Dr. Frederick Helmcke; Dr. Neeraj Jain; Dr. Viviana Falco
Duration: 4 weeks
Availability: All blocks, including summer
Number of students: 2
Objectives:
To teach the fundamentals of clinical and laboratory diagnosis and treatment of cardiovascular disease with emphasis on bedside clinical cardiac diagnosis.
Means of Implementation:
Activities include daily cardiac care unit rounds, cardiac rounds and consultations six times weekly, cardiac clinic twice weekly, and cardiology conference four days per week. Student will be expected to work up cases for presentation at all of the scheduled activities, to accompany fellows and residents on consultations, and to participate in non-invasive procedures. Rotations are available at University Hospital, or the Medical Center of Louisiana at New Orleans (University Hospital and Charity Hospital).
Method of Evaluation:
Grading by Cardiology faculty in consultation with house staff and residents.
Course name and number: Cardiology (Touro) MEDC 446t.
Faculty: Dr. Roberto Quintal; Dr. Sudhanva Wadgaonkar; Dr. Rajendra Jain; Dr. Royce Dean Yount; Dr. Thanh Nguyen; Dr. Viviana Falco; Dr. Murat Celebi
Duration: 4 weeks
Availability: All year
Number of students: 1
Objectives:
To teach the fundamentals of clinical and laboratory diagnosis and treatment of cardiovascular disease as well as EKG interpretations on a daily basis.
Means of Implementation:
Student will see both inpatients and outpatients, and will be responsible for their care under close supervision.
Method of Evaluation:
Grading by Cardiology faculty in consultation with house staff and residents.
Course name and number: Cardiology (LSU-Chabert, Houma) MEDC 447j.
Faculty: Neeraj Jain, M.D.
Duration: 4 weeks
Availability: February through August
Number of Students: 1
Objectives:
Practice skills in EKG interpretation.
Practice skills in cardiovascular physical exams including heart murmurs, bruits, and performing ankle brachial index.
Practice skills using portable bedside echocardiography.
Through assigned readings and bedside patient exams, prepare for internship by hands on experience in routine cardiovascular care.
Course Outline:
Observe cardiac catheterizations, angioplasty and electrophysiologic procedures and practice EKG interpretation.
Reading assignments include the latest evidence based medicine American College of Cardiology practice guidelines on various topics including pre-op evaluation, congestive heart failure, unstable angina, valvular heart disease and more.
Introduction to disease management by participating in the evaluation of patients in the award winning CHF program at Chabert Medical Center.
Review six hours of core lectures on hypertension, vascular disease, murmurs, coronary artery disease, and heart failure.
Method of Evaluation:
Faculty observation. No examination.
Course name and number: Hematology-Oncology (LSU-MCLNO) MEDC 450a.
Faculty: Dr. Lowell Anthony; Dr. Perry Rigby; Dr. Marianne Barnhill
Duration: 4 weeks
Availability: Year round
Number of students: Maximum of 2 per block
Objectives:
A four-week course offering additional training to students with a special interest in hematology and/or medical oncology. Under the direct supervision of faculty, fellows, and house staff the student will:
Learn how to evaluate patients with hematologic and neoplastic diseases.
Obtain and interpret bone marrow and peripheral blood smears.
Formulate treatment plans and select parameters of response to therapy.
Work as acting interns.
Means of Implementation:
The student will actively participate in all scheduled rounds and clinics of the hematology-oncology section, and may participate in subspecialty consultations. Case material preparation and presentation to the staff and at Tumor Conference will be an integral part of the student's responsibilities. Students may be assigned to the Bone Marrow Transplant Service. The student will also be encouraged to attend Medicine Grand Rounds, Case Management Conference and Morning Report.
Method of Evaluation:
Oral or written examination, or written assignment, may be required if the student cannot be evaluated solely on participation.
Course name and number: Allergy and Immunology (LSU-MCLNO) MEDC 456a.
Faculty: Prem Kumar, MD and other LSU Faculty
Duration: 4 weeks
Availability: All year
Number of students: 2 students per block
Objectives:
To introduce the clinical aspects of allergic diseases.
To introduce the clinical aspects of Transplantation, Immunology, and Immuno-deficient Diseases.
To provide experience in basic and clinical aspects of immunological research.
Means of Implementation:
Clinical Experience: Allergy/immunology clinics and allergy/immunology ward rounds
Conferences: Allergy/Immunology Journal Club
LSU/Tulane Combined Allergy Immunology Seminar series
Research meeting
Fellow Tutorial
Laboratory Experience and Research: The Allergy/Immunology Section has a well-equipped Immunocytogenetics Lab for transplantation immunology.
Method of Evaluation:
Students will be evaluated by their performance in the clinics and on the wards (60%), and in the laboratory and research project (40%).
Course name and number: Infectious Diseases (LSU-MCLNO) MEDC 459a.
Faculty: Dr. David H. Martin; Dr. Charles V. Sanders; Dr. Anne Hull; Dr. Julio Figueroa; Dr. Richard DiCarlo; Dr. Rebecca Clark; Dr. Joanne Maffei; Dr. Stephanie Taylor; Dr. Michael Hagensee; Dr. Lynn Besch; Dr. Fred Lopez
Duration: 4 weeks
Availability: All blocks and summer
Number of students: 3 (more can be approved by ID section)
Objectives:
The student will learn how to evaluate and treat patients with a variety of infectious diseases.
The student will be instructed in the principals of antimicrobial therapy.
The student will learn how to collect, transport and process specimens collected from patients seen in consultation with infectious disease staff.
Means of Implementation:
Scheduled activities include:
Clinical rounds six days each week with the consulting service at University Hospital. Series of seminars with in-depth handouts covering the various topics of infectious diseases including: antimicrobial agents, HIV/AIDS and host defense mechanisms.
Attendance to the following conferences:
Infectious Diseases Journal Club, Case Conference and Research Conference
Clinical Microbiology Conference
New Orleans Citywide Infectious Disease Conference
Method of Evaluation:
Evaluation of student performance is indicated by a final grade of Honors, High-Pass, Pass, or Fail. In most electives, evaluation is based mainly on the student's participation in the program. This includes attendance, performance of assigned tasks, and non-cognitive aspects such as attitude, appearance, and deportment. The student should discuss performance evaluation with the preceptor before and during the course. The Harry Emerson Dascomb Award in Infectious Diseases will be presented to the student taking this elective who demonstrates the most outstanding performance and the highest aptitude. The recipient will be selected by the infectious disease staff at the end of the academic year. The award will be presented at pre-commencement activities.
Course name and number: Infectious Diseases (LSU-UMC, Lafayette) MEDC 461h.
Faculty: Dr. R. Saenz
Duration: 4 weeks
Availability: All blocks, including summer (check with preceptor)
Number of students: 1 - 2
Objectives:
To introduce the student to the diagnosis and management of patients with infectious diseases.
To review Clinical Microbiology with emphasis on the most common pathogens.
To stress the importance of host defense mechanisms in the control of infections.
To provide the student with training in the use of antibiotics with emphasis in the proper use, indications, dosage and adverse effects.
To expose students to the management of patients with AIDS.
Means of Implementation:
Examination of selected new cases by the student and patient follow-up under the direct supervision of the preceptor.
The student will attend the Microbiology Lab, will do Gram's stains and will see the results of the cultures of his/her patients.
Bedside Rounds.
Formal Lectures.
Audiovisual Aids.
Weekly I.D. Conferences.
Method of Evaluation:
A quiz at the end of the block.
Course name and number: Nephrology (LSU-MCLNO) MEDC 465a.
Faculty: Efrain Reisin, MD; Stephen A. Morse, DO; Arshad Asghar, MD; Avanelle Jack, MD
Duration: 4 weeks
Availability: All blocks
Number of students: 2
Objectives:
A course designed to acquaint the student with nephrology in the academic and clinical setting.
Means of Implementation:
The student will be responsible for the work-up of at least one patient per week, and will attend all rounds and conferences of the subspecialty and weekly medical staff clinic. The student will learn the techniques of hemodialysis and peritoneal dialysis. The student will also observe and work on the transplantation service. There will be participation in the evaluation and care of private nephrology patients one or more days a week.
Research Hypertension Clinic: Students will be able to participate in the clinical study of patients enrolled in the protocols of our Research Hypertension Clinic/Section of Nephrology (Room A323). This will involve the performance for physical examinations, renal function studies and the use of new techniques such as the 24-hour ambulatory blood pressure monitor.
Method of Evaluation:
Evaluation of student performance is indicated by a final grade of Honors, High-Pass, Pass, or Fail. In most electives, evaluation is based mainly on the student's participation in the program. This includes attendance, performance of assigned tasks, and non-cognitive aspects such as attitude, appearance, and deportment. The student should discuss performance evaluation with the preceptor before and during the course.
Course name and number: Nephrology (Ochsner Medical Institutions) MEDC 466b.
Faculty: Ochsner Staff
Duration: 4 weeks
Availability: All year
Number of students: 1 or 2
Objectives:
To familiarize the student with diagnostic evaluation and therapy of patients with acute and chronic renal diseases, fluid and electrolyte problems, acid base disturbances, kidney and kidney-pancreas transplantation, and hypertension of renal parenchymal or renovascular origin.
Course Outline:
The student will be assigned patients with renal, hypertension, or fluid and electrolyte problems for initial evaluation and follow-up during the clinical clerkships. During the rounds with the attending nephrologist, discussions will focus on differential diagnosis, evaluation and therapy of the patients’ problems. Physiologic and pathophysiologic concepts will be emphasized. Nephrology conferences are conducted at least twice weekly to cover basic topics in nephrology and hypertension. Renal pathology review is accomplished through study of current biopsy material. Post kidney and kidney- pancreas transplant patients may be managed by the student if admitted to the service.
Method of Evaluation:
Subjective evaluation by the attending nephrologist on hospital service during time of the elective using standard evaluation sheets provided by Ochsner Clinic Foundation, Office of Graduate Medical Education.
Course name and number: Pulmonary Medicine (Ochsner Medical Center-Kenner) MEDC 470d.
Faculty: LSU Pulmonary Faculty
Duration: 4 weeks
Availability: All blocks and summer
Number of students: Maximum of 3
Objectives:
This four-week course is designed to develop fundamental skills in evaluation and management of patients with pulmonary disease in the inpatient and outpatient setting.
Means of Implementation:
The student will make daily rounds with interns, residents, fellows and attending staff on the Inpatient Pulmonary and Pulmonary Consult services. The student will be instructed in chest radiograph, chest CT and pulmonary function test interpretation, and will have an opportunity to develop these skills during the month. A wide variety of pulmonary conditions will be encountered while performing consultations and primary patient care. The student may participate in procedures including: thoracentesis, percutaneous tracheostomy, fiberoptic brochoscopy and pleural needle biopsy. Students will receive instruction in the outpatient evaluation of common and unusual pulmonary diseases in the weekly Chest Clinic and Tuberculosis Clinic. Weekly teaching conferences in the Section of Pulmonary and Critical Care Medicine include Chest Conference (Tuesday at 3:00 p.m.), Journal Club (Wednesday at noon), and Pulmonary Core Curriculum lectures (Friday at noon).
Method of Evaluation:
Students are evaluated by pulmonary attendings, with input from fellows and residents, based on: patient care, written and oral communication skills, professionalism and knowledge base development. To compete for an honors grade, a student must function at a very high level throughout the rotation. In addition, an honors grade requires exceptional performance on examination of clinical skills in pulmonary medicine. Students who achieve an honors grade will also be eligible for the John Bobear Pulmonary Award.
Course name and number: Pulmonary Medicine (LSU-MCLNO) MEDC 472a.
Faculty: Dr. Warren Summer; Dr. Ben DeBoisblanc; Dr. Carol Mason; Dr. Juzar Ali; Dr. Steve Nelson; Dr. Judd Shelito; Dr. Steve Kantrow; Dr. Peter DeBlieux; Dr. Dwayne Thomas; Dr. David Welsh; Dr. David Taylor
Duration: 4 weeks
Availability: All blocks and summer
Number of students: Maximum of 3
Objectives:
This four-week course is designed to develop fundamental skills in evaluation and management of patients with pulmonary disease in the inpatient and outpatient setting.
Means of Implementation:
The student will make daily rounds with interns, residents, fellows and attending staff on the Inpatient Pulmonary and Pulmonary Consult services. The student will be instructed in chest radiograph, chest CT and pulmonary function test interpretation, and will have an opportunity to develop these skills during the month. A wide variety of pulmonary conditions will be encountered while performing consultations and primary patient care. The student may participate in procedures including: thoracentesis, percutaneous tracheostomy, fiberoptic brochoscopy and pleural needle biopsy. Students will receive instruction in the outpatient evaluation of common and unusual pulmonary diseases in the weekly Chest Clinic and Tuberculosis Clinic. Weekly teaching conferences in the Section of Pulmonary and Critical Care Medicine include Chest Conference, Journal Club, and Pulmonary Core Curriculum lectures.
Method of Evaluation:
Students are evaluated by pulmonary attendings, with input from fellows and residents, based on: patient care, written and oral communication skills, professionalism and knowledge base development. To compete for an honors grade, a student must function at a very high level throughout the rotation. In addition, an honors grade requires exceptional performance on examination of clinical skills in pulmonary medicine. Students who achieve an honors grade will also be eligible for the John Bobear Pulmonary Award.
Course name and number: Pulmonary/Critical Care Medicine (Ochsner Medical Institutions) MEDC 473b.
Faculty: C. Brad Burns, MD; W. Brooks Emory, MD; Leo Seoane, MD; Suma Jain, MD; David Taylor, MD
Duration: 4 week rotations can include Pulmonary, Critical Care Medicine, or combined experiences.
Number of students per Rotation: 2
Objectives:
Students are expected to develop the skills necessary to obtain a history and perform a complete physical examination as required to care for patients with respiratory complaints and critical illness. Trainees are also expected to gain familiarity with consultation in the management of pulmonary and ICU patients. Students have direct responsibility for performing these functions under the supervision of the Ochsner medical residents, LSUHSC-Ochsner Pulmonary/Critical Care fellows, and Ochsner attending staff in the Pulmonary/Critical Care Medicine Section.
Students obtain exposure to the diagnosis and care of disorders of the lungs, upper airways, and chest wall, as well as gain experience in the coordinated care of critically ill patients. Students should gain familiarity with the management of common clinical presentations of Pulmonary/Critical Care Medicine. In addition to skills in differential diagnoses and patient care, they should develop the ability to perform selected procedures safely, interpret primary date appropriately, and understand the indications and limitations of more specialized testing.
Specific educational aims include:
Develop expertise in diagnosis and management of patients with respiratory diseases and/or critical illness.
Reinforce basic concepts in respiratory and cardiovascular physiology.
Understand the role of the Pulmonary specialist as a consultant and primary care provider.
Learn the diverse roles of the general internist in the ICU.
Provide primary care for medical patients.
Coordinate care in complicated patients with multiple medical problems necessitating multi-specialty physician input.
Provide medical consultation in the care of critically ill surgical patients.
Become familiar with procedures and technological devices utilized in the diagnosis and monitoring of patients in Pulmonary/Critical Care.
Gain experience in complicated ethical and social issues.
Principal Teaching Methods:
During clinical rotations in Pulmonary/Critical Care Medicine, students are predominantly trained by their supervising attending. All attendings are members of the Attending Staff at Ochsner Clinic Foundation, as well as Louisiana State University Health Sciences Center at New Orleans. Supervising faculty are Board-certified in Internal Medicine and Pulmonary Diseases as well as Critical Care Medicine. The style of teaching is unique to each attending but is typically “hands on” and “patient-directed” based upon topics suggested by clinical experiences. The setting for these experiences includes both the bedside for daily teaching rounds to discuss new patients and the classroom for more formal lectures several times per week. In addition to faculty teaching, subspecialty fellows from the LSUHSC-Ochsner Pulmonary/Critical Care Medicine fellowship participate in education efforts. Each month the ICU attending staff and fellows conduct lectures in critical care for students and residents assigned to the rotation. Usual discussions cover acid-base derangements, hemodynamic monitoring, vasoactive drugs, respiratory failure, multi-organ, and ventilator management.
Additional teaching occurs through other didactic avenues including the Ochsner Clinicopathologic Pulmonary Conference, Internal Medicine Morning Report, and noon resident conferences. Trainees are also expected to augment the above by independent reading. By complementing organized components of the program, this commitment to self-study and acquisition of new knowledge is considered to achievement and maintenance of lifelong expertise in Pulmonary and Critical Care Medicine.
Specific teaching methods include:
Daily bedside teaching rounds to discuss new admissions/consults
Didactic lectures by faculty and fellows ~ 3 times/week in ICU
Ochsner Clinicopathologic Pulmonary Conference
Internal Medicine Morning Report with attendance of Pulmonary/Critical Care staff
Internal Medicine lecture series
Independent reading as suggested by patient encounters
Description of Clinical Encounters and Patient Mix:
Pulmonary Consults at Ochsner Foundation Hospital
During this rotation, trainees join with an LSUHSC-Ochsner fellow in Pulmonary/Critical Care Medicine to function as a consultant in Pulmonary Medicine at Ochsner Clinic Foundation Hospital. Students are expected to develop expertise in the diagnosis and management of pulmonary diseases, including peri-operative pulmonary management, infectious diseases in normal and immunocompromised hosts (including the transplant population), pulmonary vascular diseases, pleural diseases, interstitial lung diseases, and immunologic disorders affecting the respiratory system. Additionally, students gain a broad exposure to the management of malignant diseases of the chest including lung cancer, mediastinal masses, metastatic lesions of the lungs, malignant pleural disease, and the solitary nodule. They perform consultations on both medical and non-medical wards. As such, trainees are required to interact with physicians from all disciplines of anesthesia, surgery, obstetrics-gynecology, and medicine. The experience also includes: interpretation of radiographic studies and exposure to pulmonary diagnostic procedures.
Working directly with Pulmonary specialists from the Ochsner staff and subspecialty fellows, students function in a one to one fashion. Under the guidance of supervising faculty, trainees are responsible for evaluating all patients on the Consult service during initial and follow-up care over the course of hospitalization. There are no non-teaching patients on the inpatient services at Ochsner Clinic Foundation Hospital. Although there are no absolute limits to the number of patients followed on the service, the average daily census is typically 4-8 patients with 1-3 new consults each weekday.
Common Clinical Presentations – Pulmonary
* Chest pain * Hemoptysis * Cough * Nodule or mass on CXR* Dyspnea * Pleural effusion* Excessive daytime somnolence * Stridor or hoarseness * Fever with pulmonary infiltrate * Wheezing
Procedural Skills to be Performed – Pulmonary
* Arterial blood gas sampling* Placement of PPD and skin tests * Spirometry and peak flow assessment * Thoracentesis
Interpretative Skills – Pulmonary
* Arterial blood gas and analysis * Chest radiology * Pleural fluid analysis * Pulmonary function testing
Role of Adjunct Testing – Pulmonary
* Bronchoscopy* CT scanning of the thorax* Nuclear medicine * Pleural biopsy* Polysomnography
Critical Care Service at Ochsner Clinic Foundation Hospital
During this rotation, students participate in primary critical care delivery for patients admitted to the Medical Intensive Care Unit at Ochsner under the direction of attending staff and fellows in Pulmonary/Critical Care Medicine. Trainees are expected to develop expertise in the diagnosis and management of critically ill patients. In addition to patient care and procedural performance, experience should include: coordination of patient care with input from consultative experts from many disciplines in medicine and paramedical services, interpretation of radiographic imaging studies, and understanding ethical issues, as well as the psychosocial impact of critical illness on patients and families. Under faculty guidance, the Critical Care Service is responsible for overseeing the care of all medical patients admitted to the Ochsner ICU. Trainees should recognize the contributions of medical subspecialists to differential diagnosis and management of critically ill patients, as well as indications, contraindications, and limitations fundamental to specialized invasive procedures in the ICU setting including intracranial pressure/EEG monitoring, dialysis, and endoscopic, radiographic, surgical, and vascular procedures. As a combined Medical/Surgical intensive care unit, the Ochsner ICU encourages close interaction between the medical team and surgical services. Typically, many subspecialty surgical patients admitted to the ICU are managed jointly by the surgical team and the MICU team. In addition, in the absence of a specialized Neurology ICU at Ochsner, the Critical Care Service coordinates care for most patients suffering from neurologic disorders such as seizures, cerebrovascular accidents, intracerebral hemorrhage, and coma. The ICU Service also manages some patients admitted with cardiovascular illnesses including acute myocardial infarction, congestive heart failure, cardiac arrhythmias, and hypertensive crisis.
The ICU team consists of a Critical Care attending, 1 LSUHSC-Ochsner Pulmonary/Critical Care fellow, 3-4 upper level Medicine residents, 2-4 interns from Internal Medicine or other disciplines, and occasional fourth year medical students performing ICU electives. Under the guidance of supervising faculty, trainees are responsible for evaluating all patients on the service during the initial and follow-up care over the course of their ICU stay. Attending staff and fellows provide direct supervision of residents, although the ICU resident is the primary contact in patient management decisions. There are no absolute limits to the number of patients followed on the service, but the average daily census is typically 10-16 patients with 2-4 new admissions daily. There are no non-teaching patients on the ICU inpatient service at Ochsner.
Common Clinical Presentations – Critical Care
* Acute abdominal pain * Life-threatening arrhythmia* Acute chest pain * Massive gastrointestinal hemorrhage* Acute intoxication * Massive hemoptysis* Acute liver failure* Respiratory distress or failure* Acute renal failure * Severe hypertension* Altered mental status/coma * Status epilepticus* Hypotensive/shock
Procedural Skills to be Performed – Critical Care
* Abdominal paracentesis * Advanced cardiac life support * Arterial puncture * Lumbar puncture * Mechanical ventilator support and weaning/extubation * Non-invasive ventilator support * Placement of arterial/central venous lines for access and monitoring * Placement of pulmonary artery catheter for monitoring * Thoracentesis * Endotracheal intubation (optional) * Interpretative Skills – Critical Care
* Arterial blood gas analysis * Chest radiography * Electrocardiography * Hemodynamic indices from invasive monitoring
Role of Adjunct Testing – Critical Care
* Bronchoscopy * Computed tomography * Echocardiography
Supervision of Students:
Students are supervised directly by Pulmonary/Critical Care Medicine attendings on the Ochsner staff and LSUHSC-Ochsner fellows on a daily basis. ICU attendings make daily bedside teaching rounds to discuss new admissions each morning. In addition to teaching rounds, fellows and faculty make daily management rounds to oversee trainees in the ICU. Pulmonary/Critical Care fellows also evaluate all new consults and admissions after hours and attending staff are available on call at all times.
Method of Evaluation:
Based upon daily direct observation, supervising faculty evaluate medical students at the conclusion of each rotation. Employing the standard 9-point ABIM evaluation form, written assessments are completed in a timely manner. To provide feedback to trainees, attendings are encouraged to verbally review performance during and at the conclusion of each rotation.
Course name and number: Critical Care Medicine (LSU-MCLNO) MEDC 474a.
Faculty: Dr. Warren Summer; Dr. Ben DeBoisblanc; Dr. Carol Mason; Dr. Juzar Ali; Dr. Steve Nelson; Dr. Judd Shellito; Dr. David Taylor; Dr. Steve Kantrow; Dr. Peter DeBlieux; Dr. David Welsh; Kyle Happel, MD
Duration: 4 weeks
Availability: All blocks and summer
Number of students: Maximum of 2 per hospital
Objectives:
This four-week course is designed to develop fundamental skills in evaluation and management of critically ill patients.
Means of Implementation:
The student will make daily rounds with interns, residents, fellows and attending staff in the MICU. The student will be instructed in chest radiograph interpretation, ventilator management, hemodynamic management, and pulmonary artery catheter interpretation. A variety of critical care conditions will be discussed during daily, patient-based, teaching rounds with the Critical Care attending, fellow and residents. The student may participate in supervised procedures including central line placement, arterial cannulation, thoracentesis, percutaneous tracheostomy, and fiberoptic bronchoscopy. Weekly teaching conferences in the Section of Pulmonary and Critical Care Medicine include Chest Conference (Tuesday at 3:00 p.m.), Journal Club (Wednesday at 12:00 noon), and Pulmonary Core Curriculum lectures (Friday at 12:00 noon). Night call every third day is mandatory and allows the student to assume substantial direct patient care responsibility.
Method of Evaluation:
Students are evaluated by Critical Care attendings, with input from fellows and residents, based on: patient care, written and oral communication skills, professionalism and knowledge base development. To compete for an honors grade, student must function at a very high level throughout the rotation. In addition, an honors grade requires exceptional performance on an examination of clinical skills in critical care medicine. Students who achieve an honors grade will also be eligible for the John Bobear Pulmonary Award.
Course name and number: Critical Care Medicine (LSU-EKL) MEDC 475i
Faculty:Dr. Paul Failla; Dr. Kevin Reed; Dr. Stephen Brierre; Dr. Lisa Gamble; Dr. Roy Culotta; Dr. Tonya Jagneaux; Dr. John Godke
Duration:4 weeks
Performance Site: LSUHSC at EKL Intensive Care Unit. Baton Rouge General (Bluebonnet and Mid City Campus Sites)
Availability:All blocks and summer
Number of students:Maximum of 2 students.
Objectives:
This four-week course is designed to develop fundamental skills in evaluation and management of critically ill patients.
Means of Implementation:
The student will make daily rounds with interns, residents, and attending staff in the ICU. The student will be instructed in chest radiograph interpretation, ventilator management, hemodynamic management, and pulmonary artery catheter interpretation. Additional, best care practices to all critically-ill patients will be taught. A variety of critical care conditions will be discussed during daily, patient-based, teaching rounds with the Critical Care attending, and residents. The student may participate in supervised procedures including central line placement, arterial cannulation, thoracentesis, intubation, lumbar puncture, percutaneous tracheostomy, and fiberoptic bronchoscopy. Weekly teaching conferences in the Section of Pulmonary and Critical Care Medicine include Chest Conference (Tuesday at 3:00 p.m.). Additional didactic lectures are held each Monday, Wednesday and Friday by the Section of Internal Medicine. Attendance at morning report is mandatory. Night call is not mandatory. Students will be directly responsible for the formulation of diagnostic and therapeutic plans under the supervision of residents and the Critical Care staff.
Method of Evaluation:
Students are evaluated by Critical Care attendings, with input from residents, based on: patient care, written and oral communication skills, professionalism and knowledge base development. To compete for an honors grade, student must function at a very high level throughout the rotation. In addition, an honors grade requires exceptional performance on an examination of clinical skills in critical care medicine. Additionally, a presentation of the “State of the Art” on critical care topic by the student to the ICU team will be required for a grade of honors. Students who achieve an honors grade will also be eligible for the John Bobear Pulmonary Award.
Course name and number: Rheumatology (LSU-MCLNO) MEDC 476a.
Faculty: Dr. Luis Espinoza
Duration: 4 weeks
Availability: All blocks
Number of students: 2 students per block
Objectives:
A four-week course intended to integrate the clinical, immunological, and research aspects of the rheumatic diseases.
Means of Implementation:
The student will participate in the evaluation of patients at weekly Immunology and Rheumatology Clinics and will be expected to read the current literature pertinent to the patients. Other activities include teaching rounds three times a week, review of clinic X-rays, weekly case conference, and weekly seminar. One of these seminars will be given by the student.
Opportunity for research will be provided for those interested.
Method of Evaluation:
Students will be evaluated by the Department of Medicine evaluation form for Medicine rotations. A pre and post rotation questionnaire will be introduced.
Course name and number: Nephrology (LSU-UMC, Lafayette) MEDC 482h.
Faculty: Dr. Maximo LaMarche
Duration: 4 weeks
Availability: All Blocks (check with preceptor)
Number of students: 2
Objectives:
A four week course designed to integrate basic science knowledge with clinical nephrology - acid base balance, electrolyte and hypertension/renal diseases.
A “bird’s eye” view of the entire field of nephrology.
To stress the application of pathophysiology and basic science principals in clinical problem solving.
To introduce the student to the basic investigative procedures including a kidney biopsy and evaluate their place in clinical practice.
To involve the students in the management of patients with nephrology, acid base hypertension problems, clinic dialysis/transplantation.
Means of Implementation:
Evaluation of student performance is indicated by final grade of honors, high pass or pass. In most electives the evaluation is based mainly on the student’s participation in the program including attendance, performance of assigned tasks, attitude, appearance, and patient care.
Method of Evaluation:
Lecture by student
Course name and number: Rehabilitation Medicine Consults (LSU-MCLNO and Touro) MEDC 483a.
Faculty: Gary Glynn, MD
Duration: 4 weeks
Availability: All blocks
Number of students: 1
Objectives:
This 4-week course in Rehabilitation Medicine is directed toward the evaluation of prospective rehabilitation patients in a hospital setting. This will include the early rehabilitation care in the acute care setting and coordination of rehabilitation with the Trauma service.
Means of Implementation:
The student would be expected to see consults at both University Hospital and Touro Infirmary. The students will follow these patients on the consult service. The student will also attend the conferences and lectures provided by the Section of Physical Medicine and Rehabilitation.
Method of Evaluation:
Evaluation will be an overall assessment of individual's performance.
Course name and number: Musculoskeletal and Pain Medicine (LSU-Leonard J.Chabert Medical Center/Houma) MEDC 484a.
Faculty: Stephen Kishner, MD; Mary Mathai, MD; Mahmoud Sarmini, MD,
Duration: 4 weeks
Availability: All Blocks
Number of students: 1
Objectives:
This is a 4-week elective in Musculoskeletal and Pain Medicine in the Section of Physical Medicine and Rehabilitation. Concepts and treatments related to neurological and musculoskeletal disorders are emphasized. In addition, musculoskeletal injection techniques as well as EMG and Nerve Conduction Studies is part of this elective.
Means of Implementation:
The student would be expected to attend daily clinics at Leonard J. Chabert Ambulatory Care Clinic. The student will become familiar with outpatient treatment and rehabilitation of patients with neck and low back pain, arthritis, radiculopathy, entrapment neuropathies, and other neuropathic and pain disorders.
Method of Evaluation:
Evaluation will be an overall assessment of individual's performance.
Course name and number: Inpatient and Outpatient Rehabilitation (LSU-Touro and VA Hospital, New Orleans) MEDC 485a
Faculty: Gary Glynn, MD; Robert Mipro, MD; Stephen Kishner, MD; Kiersta Kurtz-Burke MD
Duration: 4 weeks
Availability: All blocks
Number of students: 2
Objectives:
This 4-week elective combines 2 weeks of Inpatient Rehabilitation at Touro Infirmary with 2 weeks of outpatient physical medicine and rehabilitation clinics at the VA. This elective is designed to provide a broad overview of both inpatient rehabilitation topics (e.g., spinal cord and brain injury), and outpatient rehabilitation topics (e.g., amputees, orthotics, and pain syndromes).
Means of Implementation:
The student will learn in- and outpatient treatment of rehabilitation of patients. The student will also attend the conferences and lectures provided by the Section of Physical Medicine and Rehabilitation.
Method of Evaluation:
Evaluation will be an overall assessment of individuals' performance.
Course name and number: Physical Medicine & Rehabilitation Medicine (VA Hospital, New Orleans) MEDC 486f.
Faculty: Robert Mipro, MD; Kiersta Kurtz-Burke, MD; Fred Defransesch, MD
Duration: 4 weeks
Availability: All blocks
Number of students: 2
Objectives:
This 4-week course in Physical Medicine and Rehabilitation is directed toward learning outpatient rehabilitation of patients with pain syndromes, spinal cord injury, stroke, arthritis and neuromuscular disease. The course also exposes the student to EMG and Nerve Conduction Studies, as well as musculoskeletal injection techniques.
Means of implementation:
The student will evaluate outpatients in various VA Clinics. The student will also participate in the regular conferences and lectures which take place in the LSU PM&R program.
Evaluation method:
Evaluation will be an overall assessment of individual's performance.
Course Name and Number: Research in Rehabilitation Medicine (LSU-MCLNO) MEDC 487a.
Faculty: Gary Glynn, MD; Stephen Kishner, MD; Robert C. Mipro, Jr., MD; Mahmoud Sarmini, MD; Mary Mathai, MD; Kiersta Kurtz-Burke, MD
Duration: 4 weeks
Availability: All blocks
Number of students: 2
Objectives:
This 4-week course is designed to allow the student to participate in a clinical research project in Physical Medicine and Rehabilitation under the supervision of a faculty member.
Means of Implementation:
A faculty member will provide assistance in the selection of a project and will supervise the student. Alternatively the student may help write a publication, such as a chapter or case report.
Evaluation Methods:
Evaluation will be an overall assessment of individual's performance.