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Anesthesiology
Course Goal:
Observe and participate in two disciplines of anesthesiology, pain management and surgical anesthesia. As a component of pain management, students will partake in the evaluation of the chronic pain patient, and learn a variety of procedural techniques, pain management measures and basic medication management for chronic pain.
During the surgical anesthesia component, students will be exposed to preoperative techniques such as airway management, obtaining vascular access and the continued monitoring of anesthetized patients. Students will study each admitted case, understand the patient’s history of present illness, decipher the type of anesthesia required for the procedure and be aware of the indications, contraindications and complications of such procedures.
During the surgical anesthesia component, students will be exposed to preoperative techniques such as airway management, obtaining vascular access and the continued monitoring of anesthetized patients. Students will study each admitted case, understand the patient’s history of present illness, decipher the type of anesthesia required for the procedure and be aware of the indications, contraindications and complications of such procedures.
Program:
• Rotate through various inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Cardiology
Course Goals:
As a sub-specialty of internal medicine, the cardiology elective clerkship provides an educational experience in the evaluation and management of a wide variety of patients with acute and chronic cardiovascular conditions, such as coronary heart disease, congestive heart failure, arrhythmia, acute myocardial infarction, and other acute ischemic syndromes. Students are exposed to a variety of patients and pathologies such as, lipid disorders, hypertension, cardiomyopathy, vascular heart disease, peripheral vascular disease, and infectious and inflammatory heart disease. Students learn how to interpret electrocardiograms and learn in-depth knowledge of cardiac assessment modalities, such Holter monitoring, stress testing, echocardiography and cardiac catheterization.
Program:
• Rotate through various inpatient and outpatient services.
• Daily rounds, consults and case presentations with attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Emergency Medicine
Course Goals:
Students learn to manage various patients presenting to the Emergency Department, including exposure to core emergency medicine guidelines as outlined by the American Board of Emergency Medicine (ABEM). Medical students assist in performing basic procedures (intravenous insertion, venipuncture, Foley catheter insertion, NG insertion, ECG administration and interpretation, splinting, simple suturing, wound care, etc.) and observing the triaging process. Students learn how to triage, assess, formulate differential diagnoses, and plan and manage patients in an acute care setting.
Program:
• Rotate through various inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Supplemental Reading Materials:
• Master the Boards USMLE Step 2 CK, 3rd Edition. Fischer et al
• Washington Manual of Medical Therapeutics, 31st Edition. Green et al
• Pocket Medicine: The Massachusetts General Hospital. Marc S. Sabatine
• Handbook of Internal Medicine, 4th Edition.
• Goldman’s Cecil Medicine. Goldman et al
• Harrison’s Principles of Internal Medicine, 17th Edition. Fauci et al
• Step-Up to Medicine, 2nd Edition. Agabegi & Agabegi
• First Aid for the USMLE Step 2 CK, 8th Edition. Le et al
Family Medicine
Course Goal:
You may register for Family Medicine as an elective or as a subinternship. Please register through this website.
You make also take Family Medicine as a core clerkship, usually as a six-week rotation in the third year of medical school. Please make a request for Family Medicine as a core clerkship through your medical school clinical coordinator. Most medical schools require a minimum of four consecutive weeks for this clerkship.
This rotation provides an understanding of family medicine, in inpatient and outpatient ambulatory care. Students observe how the practice of Family Medicine is integrated into the spectrum of care delivered by a large multi-specialty institution. Students are able to develop patient rapport, refine history taking and physical examinations skills, and learn to formulate proper assessment and management plans.
-Prior knowledge of the patient
-Care for heterogeneous patient population
-Multiple clinical settings with different diagnostic prevalence
-Multipurpose visits (providing different types of care within the same visit)
-Staged diagnostic approach
-Opportunity for follow-up care
These key characteristics are interwoven in the didactic sessions and in the learning objectives of everyday patient contact. Teaching is based on developing the students’ content knowledge as well as advancing their skills in history assessment, physical examination, communication, and critical thinking and decision-making. Together, these skills will be employed in planning screening, treatment, and care continuity for the acute, chronic condition, preventive, and health promotion visits encountered at the clinic site. At the end of the rotation, students should be able to assess and address regular office visits as well as conditions of common presenting symptoms, and be able to differentiate their common etiologies from those that are more serious or urgent. Including, but not limited to:
With focus on problem-based learning, system-based practice, and professionalism, students should also enhance their understanding of mechanisms of disease process, inpatient care, referrals, consultations, and general resources for health promotion and disease prevention in a manner that is evidence based, individualized, and cost effective.
Kingsbrook Program:
Supplemental Reading Materials:
| Fischer et al. | Master the Boards USMLE Step 2 CK, 2nd Edition |
| Green et al. | Washington Manual of Medical Therapeutics, 31st Edition |
| Marc S. Sabatine | Pocket Medicine, 4th Edition |
| Goldman et al. | Goldman’s Cecil Medicine |
| Fauci et al. | Harrison’s Principles of Internal Medicine, 17th Edition |
| Agabegi & Agabegi | Step-Up to Medicine, 2nd Edition |
| Le et al. | First Aid for the USMLE Step 2 CK, 8th Edition |
ROTATION SCHEDULE
Didactic Lectures :
Clinicals:After Lecture, please report to your respective Attending Physician for clinical hours, case presentations and topic-based discussions.
Time and commitment is based on your individual Attending Physician for that particular clerkship week. Note the time that you leave for clinic in the Log Book.
Write SOAP note for assigned patients, as per Attending Physician.
Follow assigned patients from admission to discharge. Perform a mini H&P of each new patient to present to the Attending and colleagues in your respective group, as well as follow up on, and presentation of, the patient’s continuing in-house care.
Maintain comprehensive list of patient log/cases: Chief Complaint, DDX, H&P, PMH, Meds, Labs, Assessment & Plan.
FRIDAYS, by 4:00 pm : Submit weekly Case Logs online.
THURSDAY by 11:59 pm : Submit H&P Case Write-Ups online (Week 2, 4 & 6). The report must be done on one patient that the student has seen within the past 7 days of the paper due date.
Midterm exam (Thursday, Week 3); subject to change by UME.
Final Exam, (Friday, Week 6)
| Tuesday | 9:00-10:00 | Lecture | Classroom C |
| Tuesday | 10:00-11:00 | Clinical OSCE Sessions | SimLab (M411) |
| Wednesday | 8:00-10:00 | Lecture | Classroom A |
| Thursday | 9:00-10:00 | Lecture | Classroom A |
| Thursday | 10:00-11:30 | FM cases/Review |
Clinicals:
FRIDAYS, by 4:00 pm : Submit weekly Case Logs online.
THURSDAY by 11:59 pm : Submit H&P Case Write-Ups online (Week 2, 4 & 6). The report must be done on one patient that the student has seen within the past 7 days of the paper due date.
Midterm exam (Thursday, Week 3); subject to change by UME.
Final Exam, (Friday, Week 6)
Patient Interview & Examination: Students are not permitted to see any patient until the attending physician has introduced the student to the patient and identify him or her as a member of the medical team. Students are not permitted to write in the charts. Review of patient records is encouraged.
Evaluation and Management Documentation Provided by Students: Any contribution and participation of a student to the performance of a billable service must be performed in the physical presence of a teaching physician or resident in a service that meets teaching physician billing requirements (other than the review of systems [ROS] and/or past medical history, family history and/or social history [PFSH], which are taken as part of an E/M service and are not separately billable). You, the student, may document services in the medical record; however, the teaching physician may only refer to your documentation of an E/M service that is related to the ROS and/or PFSH. The teaching physician may not refer to your documentation of physical examination findings or medical decision making in his or her personal note. If you document E/M services, the teaching physician must verify and re-document the history of present illness and perform and re-document the physical examination and medical decision-making activities of the service.
Please Note: Removal of patient data (notes, meds, labs, etc.) from the chart is strictly prohibited.
Evaluation and Management Documentation Provided by Students: Any contribution and participation of a student to the performance of a billable service must be performed in the physical presence of a teaching physician or resident in a service that meets teaching physician billing requirements (other than the review of systems [ROS] and/or past medical history, family history and/or social history [PFSH], which are taken as part of an E/M service and are not separately billable). You, the student, may document services in the medical record; however, the teaching physician may only refer to your documentation of an E/M service that is related to the ROS and/or PFSH. The teaching physician may not refer to your documentation of physical examination findings or medical decision making in his or her personal note. If you document E/M services, the teaching physician must verify and re-document the history of present illness and perform and re-document the physical examination and medical decision-making activities of the service.
Please Note: Removal of patient data (notes, meds, labs, etc.) from the chart is strictly prohibited.
Family Medicine
Course Goal:
You may register for Family Medicine as an elective or as a subinternship. Please register through this website.
You make also take Family Medicine as a core clerkship, usually as a six-week rotation in the third year of medical school. Please make a request for Family Medicine as a core clerkship through your medical school clinical coordinator. Most medical schools require a minimum of four consecutive weeks for this clerkship.
This rotation provides an understanding of family medicine, in inpatient and outpatient ambulatory care. Students observe how the practice of Family Medicine is integrated into the spectrum of care delivered by a large multi-specialty institution. Students are able to develop patient rapport, refine history taking and physical examinations skills, and learn to formulate proper assessment and management plans.
Program:
• Rotate through various inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Supplemental Reading Materials:
Case Files in Family Medicine
Swanson’s Family Practice Review
Blueprints Family Medicine
Fischer et al al Master the Boards USMLE Step 2 CK, 3rd Edition
Green et al. Washington Manual of Medical Therapeutics, 31st Edition
Marc S. Sabatine Pocket Medicine, 4th Edition
Goldman et al. Goldman’s Cecil Medicine
Fauci et al. Harrison’s Principles of Internal Medicine, 17th Edition
Agabegi & Agabegi Step-Up to Medicine (outpatient medicine section), 2nd Edition
Le et al. First Aid for the USMLE Step 2 CK, 8th Edition
KJMC's Family Medicine clerkship meets California medical board licensure requirements for clinical instruction in this discipline.
For more information please click the link below:
California State Requirements for Clinical Instruction
General Surgery Sub-Internship
Course Goals:
Fourth year medical students experience the role of first-year residents. Daily activities include operating room assistance of various surgical procedures, rounds with clinical bedside teaching, opportunities to participate in surgical consultations. Students also participate in the emergency evaluation of acutely ill and injured patients requiring emergent surgery. Under supervision, students have the opportunity to develop surgical skills, as appropriate, in the context of patient care, including first assist on basic cases, central line and chest tube placement and suturing techniques.
Program:
• Rotate through various inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Geriatric Psychiatry
Course Goals:
As a sub-specialty of psychiatry and neurology, this clerkship provides in-depth clinical experience in managing elderly patients with a wide variety of psychiatric and neurological impairment. Emphasis will be placed on obtaining an in-depth psychiatric history, performing a comprehensive mental status examinations and establishing a positive professional doctor-patient relationship. Students are exposed to legal issues such as mental competency, severity, and civil commitment as well as its relevance to the clinical management of other co-existing medical conditions. Students will receive clinical experience in both primary care and consultation of patients in acute, ambulatory, community, and long-term care settings in order to understand the interaction of natural aging and disease progression, as well as the techniques of assessment, therapy and management.
Program:
• Rotate through various inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Hematology & Oncology
Course Goals:
Students learn how to assess, diagnose and manage blood dyscrasias, while applying evidence based medicine. This sub-specialty will cover such diseases as iron deficiency anemia, hemophilia, sickle cell disease, leukemias and lymphomas. Students are able to participate in the assessment and treatment of both acutely and chronically ill patients, while learning of the natural history of cancer, current ongoing research in related fields as well as the effectiveness of various therapeutic programs.
Prerequisite:
Internal Medicine Core
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Infectious Diseases
Course Goals:
Students learn how to assess and manage patients of both inpatient and ambulatory settings with a variety of communicable diseases caused by pathogens, such as bacteria, viruses, protozoa, fungi and parasites. Students follow patients from symptom onset through therapy and post-therapy surveillance. The prevention and transmission of communicable diseases will appropriately be emphasized throughout this course.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Internal Medicine Sub-Internship
Course Goal:
Our clerkship allows fourth year medical students to take on the role of a medical intern. Our sub-intern functions as an intern for patients on the inpatient medical ward, where they are exposed to patients with a wide range of medical pathologies. Students participate in assessing, diagnosing, managing and in surveillance of a variety of patients and their medical conditions. Students will become proficient in history taking, performing physical examinations and developing tailored treatment plans. They round with attendings and senior residents and become integral players in the management of patients.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Supplemental Reading Materials:
Fischer et al al Master the Boards USMLE Step 2 CK, 3rd Edition
Green et al. Washington Manual of Medical Therapeutics, 31st Edition
Marc S. Sabatine Pocket Medicine, 4th Edition
Goldman et al. Goldman’s Cecil Medicine
Fauci et al. Harrison’s Principles of Internal Medicine, 17th Edition
Agabegi & Agabegi Step-Up to Medicine (outpatient medicine section), 2nd Edition
Le et al. First Aid for the USMLE Step 2 CK, 8th Edition
Nephrology Clerkship
Course Goals:
Students are exposed to pathologies of nephrology such as, acute and chronic hemo-dialysis, continuous renal replacement therapy, peritoneal dialysis and renal biopsies. Students will gain exposure to dialysis and expert corporeal therapies and participate in decision making for patients undergoing such therapies.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Neurology
Course Goals:
Students learn and participate in the diagnosis and treatment of various neurologic pathologies such as, acute and chronic stroke, epilepsy, multiple sclerosis, myasthenia gravis, dementia, movement disorders and sleep medicine. Students work closely with attendings and partake in both inpatient and outpatient services with extensive didactic lectures.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Neurosurgery
Course Goals:
Students serve as integral members of the neurosurgical service, while improving their history taking and physical examination skills, acquiring skills in basic operative techniques and learning the basics of post-operative patient management. They participate in conferences, rounds, surgical procedures, inpatient and outpatient consultations and overnight calls.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Orthopedic Surgery
Course Goals:
This clerkship will emphasize the study and prevention of musculoskeletal diseases, disorders, and injuries and their treatment by medical, surgical and physical methods. Clinical experience will include inpatient care, pre-operative evaluation and post-operative follow-up, as well as treatment alternatives for nonsurgical patients such as cast application and arthrocenteses. Students review patient cases and learn how to assess and manage various orthopedic pathologies. Students learn the indications, contraindications and complications of various orthopedic procedures.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Otolaryngology/ENT
Course Goal:
Students participate in the assessment, diagnosis and treatment of ear, nose, throat, and head and neck pathologies. Underlying pathologies are discussed, and treatment modalities are explained including the decision to choose between medical or surgical treatment options. Students will experience Clinical and Operating Room situations under the guidance of an ENT specialist.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Pain Management
Course Goals:
Students participate fully in clinical, educational and research activities. Students participate in clinical rounds with the Palliative Care Team, which includes social workers, nurses, religious clergy, and physicians. The students benefit from observing the physician-patient interaction in this mentoring setting. Family meetings, the number of which will vary from week to week, will be an important aspect of the student's experience. Patient management involves psychiatry/psychology, pain management, and dietary components.
Program:
• Rotate through various inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Palliative Care
Course Goals:
Emphasizing on patient centered care; students will be involved with taking proper patient history, appropriate physical exams, and formulating management and plans in patients with serious life limiting illnesses. Students will pay particular attention to significant patient stressors such as the patients’ mood, cognitive ability and physical functionality. Students will work as part of a management care team comprised of attendings, residents, nurses, therapists and social workers to improve patient care.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Pathology
Course Goals:
This course will provide students with an introduction to clinical pathology with emphasis on molecular pathology and disease pathophysiology. Students participate in several pathology subspecialties, including surgical pathology, molecular pathology, cytopathology, informatics, laboratory medicine and translational research. Students work closely with faculty and trainees and will participate in tutorial sessions and attend department conferences.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Physical Medicine & Rehabilitation
Course Goals
Students are clinically involved with the rehabilitation of adult patients with a variety of pathologies such as traumatic brain injury, stroke, cardiac complications, musculoskeletal disorders and more. Students work with residents and faculty members on the inpatient rehabilitation ward, consultation service, electro-diagnostic laboratory and outpatient clinics. Student participate in the educational activities of the department, which include didactic sessions, journal club, “gym rounds,” “lunch and learn,” and guest presentations.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Pulmonary Clerkship
Course Goals:
Students observe and participate in the management of inpatients and outpatients with a wide variety of pulmonary pathologies such as, obstructive and interstitial lung disease, lung neoplasms, pulmonary embolism, respiratory tract infections and pleural and chest wall disorders. Students learn how to interpret diagnostic examinations such as, chest x-rays, MRI’s, CT scans and pulmonary function tests. They will manage a variety of pulmonary diseases from initial presentation to treatment and post-treatment surveillance.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Radiology
Course Goals:
Students are introduced to a range of imaging modalities and their role in evaluating medical conditions and providing medical diagnoses. Emphasis will be placed on appropriate utilization of imaging studies and on basic interpretation. Students will attend and participate in various imaging procedures, daily lectures, case presentations, conferences and interpretation sessions.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
Rheumatology
Course Goals:
In this subspecialty of internal medicine, students participate in inpatient and outpatient settings where they participate in the assessment, management and surveillance of acute and chronic rheumatologic patients. Students participate in rounds with attendings and residents and learn of innovative treatment options.
Program:
• Rotate through inpatient and outpatient services.
• Daily rounds, consults and case presentations with Attending physicians, fellows and residents.
• Opportunity to attend high yield lectures and board review sessions by renowned faculty.
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