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C. Thorpe Ray Clinical Problem Solving
Groups of 5-8 students compete against each other to solve an unknown clinical
case that corresponds to their current curriculum in pathophysiology. The goal
is to generate a differential diagnosis, order tests based on the differential,
come to a final diagnosis, and spend less money than the other teams.
Chad Miller, M.D., Course Director
Email Contact: Chad Miller, M.D.
Phone: (504) 988-7809
Fax: (504) 988-3971
Enrollment: Elective is open T2s only. 12-32 students.
Grading Policy: Pass/Fail based on attendance - at least 4 times + participation.
Time of course: Wednesdays at 2:00pm.
Sessions 1, 2, 3, 4 (individual sessions or combination of sessions)
Emergency Medical Services
Intro to pre-hospital emergency medicine, pt. assessment, and pre-hospital
treatment of various trauma & medical related problems are taught. Upon
completion, medical students are prepared to sit for national registry testing.
Dr. Peggy Chehardy, Course Director
Email Contact: Jimmy Stevens
Phone: (504) 988-2861
Fax: (504) 988-2860
Enrollment: Elective is open to T1s and T2s. 15-30 students.
Time of course: Tuesdays & Thursdays from 5:00pm-10:00pm.
Prerequisite: Healthcare provider CPR
Sessions 1, 2, 3, 4 (individual sessions or combination of sessions)
The Art of Observation: Art and Medicine
This course is designed for second year students who are interested in
developing their skills in observation, description and interpretation.
Through an educational collaboration between Tulane and The New Orleans
Museum of Art (NOMA), students will use works of art in tandem with images
of actual patients to enhance their observational skills. Students will
work with NOMA staff, Tulane faculty and fellow upperclassmen. No prior
knowledge of art is required.
This highly interactive course requires 100% attendance on the part of
all participants. The first week of the course will include an orientation
and review of the course syllabus. The syllabus includes learning objectives,
expectations, and assignments. Students will also complete a pre-test that
assesses observational skills a series of art paintings and patient photos.
The curriculum consists of three hours per week of activities designed
to improve observational skills using art. Students will begin the course
by looking at painted portraits under the tutelage of NOMA art educators.
Weeks two to four of the course will combine short lectures on the art of
observation with interactive observation exercises held in front of actual
works of art. These exercises will concentrate on descriptive and concise
communication.
Students will continue these exercises during the remainder of the course.
During this time, the NOMA instructors will expand upon these basic concepts
with additional paintings and patient portraits. Students will continue
their fine art training, and will also use their observational methods to
gain clues from actual patient photos under the guidance of the course director,
Jeff Wiese. Students will use their observational methods to gain clues from
patient video under the guidance of the course director.
Throughout the course, students will receive constructive criticism and
feedback on their progress. They will also share with each other their observations,
thereby learning observation through the perspective of others. In addition,
through the practice of describing the painting, better communication is
elicited from the viewer and confirmed by the audience interpreting those
same ideas.
Throughout the course students will be assigned medical literature that
emphasizes the descriptive word as a method of observation. Readings include
A.C. Doyle and B. Rouche.
In the final week of the course, students will engage in a team-based observation
exercise using patient photos, video and fine art to assess their interval progress.
At the end of this course the students will appreciate the importance and
value of simple observation as a tool for physical diagnosis. They will
also gain confidence in their patient presentations with improved ability
to succinctly and precisely describe their findings.
Objectives:
- Improve observation skills.
- Enhance correlation of observed symptoms to a patient's illness and environment.
- Improve communication skills amongst lay people and colleagues.
- Provide a venue for practicing clinical education skills.
- Provide a venue for implementing the arts into medical education.
Director:
- Robert Martensen, MD, PhD
- Allison Reid, Assistant Director for Education, NOMA
- Kathy Alcaine, Curator of Education, NOMA
Enrollment: 6 - 8 per block
Time offered: Third and fourth block
Method of evaluating student performance: Dr. Martensen, NOMA staff and other
students will evaluate the students. The student will be evaluated on attendance and
class participation.
Method of evaluating course: The students will be given pre- and post- assessments
as noted above. These will evaluate their ability to observe the pertinent physical
findings in patients. In addition, students will complete standard satisfaction surveys
to evaluate the course's strengths and weaknesses.
Prerequisite: Second year student taking physical diagnosis
Ambulatory Practice and Policy
Through this course, students will gain key insights into major issues facing
ambulatory practice and primary care.
Drs. Elboni Price & Karen DeSalvo, Course Directors
Department Contact: Kashley Hampton
Phone: (504) 988-7518
Location: Tulane University Medical School, Room M012 and Covenant House
Community Health Center
Mailing Address: Section of General Internal Medicine
1430 Tulane Avenue, SL 16, New Orleans, LA 70112
Grading Policy: Students will receive either pass of fail grades based on a brief literature
review on a public health topic of interest to general internal medicine (40%) and presentation
(60%). The literature review will culminate in a presentation of the findings to Clinical Staff.
Enrollment: 1 student, T1 or T2
Time of course: flexible
Sessions 1 and 2
Sessions 3 and 4
Both Sessions are identical in format and substance.
Prerequisite: None
Ambulatory General Internal Medicine
Not Offered for 2008-09
The purpose of this elective is to familiarize students with principles of
the practice of General Internal Medicine with particular emphasis on the
practice of General Internal Medicine and the broad range of clinical practice
of Internists in the ambulatory setting. Students will receive guidance and
instruction in cost-effective medicine, critical appraisal, medical decision
making and screening and diagnostic clinical strategies. This monthly rotation
includes up to five clinics in diagnostic clinical strategies. Instruction in
cost effective medicine, critical appraisal, medical decision making and
screening and diagnostic strategies. This is a monthly rotation including up to
five clinics in General Internal Medicine, Adolescent Medicine, Medicine
Pediatrics and/or Geriatrics at TMC, MCLNO and/or the VA. Evaluation will be
from written notes and oral presentations.
Jan Cooper, MD, Course Director
Department Contact: Kashley Hampton
Phone: (504) 988-7518
Fax: (504) 988-8252
Mailing Address: Section of General Internal Medicine
1430 Tulane Avenue, SL 16, New Orleans, LA 70112
Enrollment: 1 student, T1 or T2
Time of course: Wednesdays-8:30 a.m.-5 p.m.
Sessions 1 and 2 (Continuation of course material)
Emergency Medicine Introduction at Tulane University Hospital
Students will become familiar with the specialty of Emergency Medicine through
observation and limited hands-on Emergency Department experience. Students are
encouraged to participate in patient care in three ways: learning the basic
approach to the emergency patient, refreshing the memories of the residents
and staff with their knowledge of basic anatomy and physiology as appropriate
to the first or second year level of medical school, and assisting in such
procedures as starting IVs, drawing blood, etc. when appropriate. They will
interact with emergency medicine faculty in the ED discussing patient care
and emergency medicine principles.
The 20 students enrolled in this course will be required to work for 5
consecutive hours on 4 separate days (a total of 20 contact hours ), and these
days will be scheduled by the student throughout Session 4 and into the summer
if need be.
Students will have a sheet for the attendings to sign, and at the conclusion
of the course students will be required to submit these to the T-1 and T-2
representative in the Office of Student Affairs and must submit a copy to
Dr. Moises.
Students may feel free to come to the Emergency Department to discuss their
experiences anytime during the rotation with the Emergency Department Staff.
Students are invited to check the ER schedule to see when Dr. Moises is
working and come to those shifts.
James Moises, MD, Course Director
Email: jmoises@tulane.edu
Phone: (504) 858-4815
Enrollment: IMPORTANT: Students will be assigned to this elective course by the
Office of Student Affairs using the random selection method.
20 students; T-1, T-2.
Time of course: Time to be individually arranged. Sessions 1, 2, 3, and 4.
Students' schedules for this course must not conflict with medical
school core courses. May be scheduled around impending tests.
Grading policy: Pass or Fail, based upon attendance sheet. All students must attend 5 sessions.
Geriatrics and Home Care
The purpose of this elective is to introduce students to the special needs of the frail
older patient. The objectives are:
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to enable the student to see
patients in the home and nursing home setting, recognizing the unique
strengths of care offered within different models of care for the older
adult.
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to enable the student to
appreciate how other health professionals (nurses, therapists, dietitians,
and social workers) can contribute to the care of the frail older patient in
an interdisciplinary setting;
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to help the student appreciate
how best to enable an older patient to recover from an acute illness and to
manage multiple chronic illnesses within the psychosocial demands and
individual expectations of the frail patient;
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to enable the student to
appreciate the importance of optimizing function in older patients, rather
than just focusing on diseases and their treatment;
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to introduce the student to some
of the physiologic changes associated with aging, including the concepts of
heterogeneity and loss of homeostatic reserve;
to introduce the student to some
of the geriatric syndromes and conditions, such as dementia, polypharmacy,
incontinence, delirium, fall, and altered disease presentation.
Students will visit in the home setting as well as see patients in the nursing
home setting. Preceptors for the course will include the faculty physicians of
Home Based Primary Care (HBPC) and the geriatrics program. Students will be
encouraged to follow patients as they transition from the inpatient to the home
setting and /or nursing home setting as they recover from an acute illness.
Student performance will be evaluated by rating of preceptors.
Dr. Lumie Kawasaki, Course Director
Email:
lkawasa@tulane.edu
Phone: (504) 988-7518
Fax: (504) 988-8252
Location: 1430 Tulane Avenue
Mailing Address: 1430 Tulane
Avenue, SL 12, New Orleans, LA 70112
Enrollment: Elective is open to
T1s and T2s. 1 student.
Time of course: Schedule will
vary to accommodate the schedules of students as well as preceptors in the
different settings.
Prerequisite: Permissions of the
Instructor
Sessions 1, 2, 3, 4 (individual sessions or combination of sessions)
Other elective opportunities are described below and may include departmental research projects
that are done under faculty supervision.
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