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T2 Electives - Department Of Medicine

 
  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:

  1. 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.   

  2. 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;

  3. 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;

  4. to enable the student to appreciate the importance of optimizing function in older patients, rather than just focusing on diseases and their treatment;

  5. 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.

 
   
Last Updated May 15, 2008

 

 

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