College of Medicine
Electives Manual
1998-99

X. PHOENIX AND OTHER AREA ELECTIVES

PLEASE NOTE
All electives require the consent of the Course Director to register. Failure to follow these instructions may prevent you from enrolling.

Guidelines for Visiting Students

ANESTHESIOLOGY
Steven J. Barker, M.D., Ph.D., Head

ANES 810Ae - Anesthesiology (Maricopa Medical Center, Phoenix)
Dr. Jerry Calkins & Faculty (602-267-5039)
4 weeks; Maximum length of 4 weeks
Offered (September - May), year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Successful completion of first half of third year (mid-December). Medical students must have consent of Course Director before registering.

Goals:
1. To develop an understanding of the scope of anesthesiology, especially the various roles of the anesthesiologist in the care of patients in the operating room, in the labor and delivery suite, and in the pain clinic
2. To participate in the care of patients throughout the perioperative period-from the pre- operative assessment of patients and development of the anesthetic plan through the delivery of anesthetic care intraoperatively and postoperatively.
3. To gain a deeper understanding of the principles underlying anesthesia (pharmacology, physiology, pathophysiology, and psychology), and to better apply these concepts clinically.
4. To develop basic cognitive and mechanical skills necessary for the safe delivery of anesthetic care to include: intravenous catheter placement, airway management, regional block techniques, patient evaluation and risk assessment, anesthetic plan design (based on the patient assessment, monitoring requirements, and surgical needs), and problem olving strategies to deal with common complications of anesthesia.
Format: While working in the operating room, a student will be assigned daily to cases with a resident and a faculty member. As a team, they will make preoperative rounds, develop an anesthetic plan, implement this plan, and follow the patient postoperatively until the patient is judged free of possible anesthetic complications. Experience in obstetrical anesthesia and the anesthesia pain clinic are optional parts of the rotation. Didactic sessions include a Wednesday morning Case Discussion Conference and a Monday teaching conference.
Evaluation Method: Student performance is evaluated at the end of each period using standard evaluation forms. Students are evaluated on the basis of improvement in cognitive knowledge of anesthesia and psychomotor skills, and attention to clinical duties and attendance at teaching conferences.

ANES 810Am - Anesthesiology (Mayo Clinic, Scottsdale)
Dr. Renee Caswell & Faculty (602-301-4338)
4 weeks; Maximum length of 4 weeks
Offered Sept. - June
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1 per rotation
This is a Patient Care elective.
Prerequisites: Successful completion of three years of medical school. Medical students must have consent of Course Director before registering.

Goals: The goals of the anesthesiology clerkship include:
1. To develop an awareness of the breadth and depth of the practice of anesthesiology.
2. To participate in all aspects of anesthesiology including preoperative assessment, administration of anesthesia and intraoperative management, and postoperative care.
3. To understand the basic principles of airway management, advantages and disadvan- tages of regional vs. general anesthesia, intraoperative monitoring techniques, preoperative anesthetic concerns for surgical patients with coexisting diseases, risks of local anesthesia and sedation, contraindications for anesthetic techniques, and common complications of anesthesia and management.
4. To understand the basic pharmacologic and physiologic phenomena occurring during the perioperative period.
Format: Students will be a part of the anesthesia care team at Mayo Clinic, Scottsdale and Scottsdale Memorial Hospital-North. Their immediate supervisor will be Dr. Milde. Students will be assigned daily to a particular list of cases together with a resident or CRNA and anesthesiologist. Students will be expected to attend all teaching conferences and to participant in these as appropriate.
Evaluation: Methods: Student performance is evaluated using standard elective evaluation forms.

ANES 810Be - Pain Management (Maricopa Medical Center, Phoenix)
Drs. Jerry Calkins & Loes (602-267-5039)
4 weeks; Maximum length of 4 weeks
Offered September - May
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Fourth-year medical students or consent of instructor

Goals: The goals of this elective are manifold, but include:
1. Teaching the student basic technical familiarity with the evaluation of the pain patient.
2. Encouraging skills and scientific reasoning in clinical pharmacology and clinical physiology problems presented by the pain patient.
3. Developing rational approaches to both acute and chronic pain management.
Format: The student serves as an active team member of a busy clerkship in pain management program. The student will interact with faculty and residents on a daily basis including clinics, therapeutic rounds and therapeutic procedures. A reading list and syllabus will be provided. Each student will have direct patient care responsibility in assessment and planning therapeutic regimen development. Students will have an opportunity to learn the fundamentals of regional anesthesia, acupuncture and other adjunct modalities.
Evaluation Methods: Each student will be evaluated by a full-time faculty member in the Department of Anesthesiology. Evaluation will occur throughout the rotation. Students are evaluated on the basis of the improvement of cognitive knowledge, and regular attendance to clinical duties and teaching activities.

ANES 810Ce - Clerkship In Critical Care Medicine (Maricopa Medical Center, Phoenix)
Drs. Jerry Calkins & Patel (602-267-5039)
4 weeks; Maximum length of 4 weeks
Offered (September - May), year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Fourth-year medical students or consent of instructor

Goals: The goals of the Clerkship in ICU are manifold but include:
1. Teaching the student basic technical familiarity with the evaluation of the ICU patient.
2. Encouraging skills and scientific reasoning in clinical pharmacology and clinical physiology problems presented by the ICU patient.
3. Developing rational approaches to monitoring the ICU patient.
Format: The medical student serves as an active member of a busy clerkship in the ICU. The student will interact with faculty and residents on a daily basis including ICU, therapeutic rounds, and therapeutic procedures. A reading list and syllabus will be provided. Each student will have direct patient care responsibility in assessment and planning therapeutic regimens development. Students will have an opportunity to learn the fundamentals of ICU.
Evaluation Methods: Each student will be evaluated by a full time faculty member in the Department of Anesthesiology. Evaluation will occur throughout the rotation. Students are evaluated on the basis of the improvement of cognitive knowledge, and regular attendance to clinical duties and teaching activities.

ANES 815Af - BNI Neuroanesthesiology (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. Elizabeth Wilkinson, Raudzens & BNI Faculty
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 4; minimum of 2
This is a Patient Care elective.
Prerequisites: Completion of basic sciences & Anesthesiology 810Aa or 810Ae

Goals: The Barrow Neurological Institute clerkship in neuroanesthesiology is designed to expose the student to general anesthesia principles with a focus on anesthesia for neurological surgery. The student will participate in the neuroanesthesia team, learning intraoperative monitoring techniques, pre- and post-operative patient management and may expect to be involved with one of several ongoing research protocols. Counseling with Department Head or Departmental Electives Coordinator is mandatory before enrolling in this course.
Format: Preceptorship format with faculty and rotating anesthesia residents.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

ANES 815Be - Obstetrical Anesthesia (Maricopa Medical Center, Phoenix)
Drs. Jerry Calkins, Khan & Kryc (602-267-5039)
4 weeks; Maximum length of 4 weeks
Offered (September - May), year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Completion of basic sciences & Anesthesiology 810Aa or 810Ae

Goals: To expand knowledge in regional and general anesthesia as it relates to the pregnant patient and better understand the pharmacology and physiology involved. Counseling with Department Head or Departmental Electives Coordinator is mandatory before enrolling in this course.
Format: Clerkship time spent on OB Anesthesia service under direct faculty supervision.
Evaluation Methods: Direct supervision by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

FAMILY & COMMUNITY MEDICINE
Paul R. Gordon, M.D., Co-Head
Craig L. McClure, M.D., Co-Head

SUBINTERNSHIPS
Subinternships are offered at all five family practice residencies in Arizona. All students wishing to take subinternships at the five Phoenix locations must contact and make arrangements through the subinternship coordinator at the residency of interest prior to registration (see list below). This is a critical step because students from other medical colleges also apply for these subinternships. When a UA student is accepted by a Phoenix site, the subinternship coordinator at that hospital will notify Dr. Watkins so that registration can proceed. Priority is given to UA students who make arrangements prior to March 1; sites become open to all students from all medical colleges (including UA students) after March 1, 1998.

Subinternship coordinators at Phoenix sites and telephone numbers are:

MEDICINE
Joseph S. Alpert, M.D., Head

MEDI 810Ae - Ambulatory Care (Maricopa Medical Center, Phoenix)
Drs. Maricela Moffitt, Jayne Peterson & Faculty (602-681-1218)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To strengthen student skills in the care of ambulatory patients including evaluation, differential diagnosis and the appropriate use of diagnostic testing in both the acute (walk-in) and continuity clinic settings.
Format: An individualized program will be developed to give the student a well-rounded experience which meets their particular needs and interests. This will include experience in community-based internal medicine continuity clinics, sub-specialty clinics and various non-medical clinics such as podiatry, ophthalmology and otolaryngology. Students will also rotate through a Same Day Clinic (walk-in) gaining exposure to a wide variety of medical, gynecologic, orthopedic and surgical disorders. Students will participate in journal club and other conferences where pertinent ambulatory topics will be discussed.
Evaluation Methods: Students will be directly supervised by attending physicians in the Department of Medicine with an attending preceptor to give ongoing feedback and a final written evaluation.

MEDI 810Af - Ambulatory Care (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. Donald Opila, Bob Heiligman & Danielle Sink (602-406-3375)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803. Contact Dr. Sink before registering.

Goals: To develop a logical system of diagnostic work-up and therapeutic intervention for ambulatory care of patients with complex medical problems considering issues such as providing cost-effective yet appropriate care in the current health care environment.
Format: The student will see new and established patients at the Mercy Care Adult Clinic then follow these patients as needed through their evaluation and treatment. The rotation will place emphasis on prioritizing problems then selecting among diagnostic and treatment plans. Computerized references, literature searches, referral guidelines, practice guidelines, and formulary information are available in the office. Additional experience at private offices is optional. The student will also attend all medicine educational conferences.
Evaluation Methods: Students will be tested on their ability to elicit appropriate physical findings and correlate these with known pathophysiology. The preceptor will evaluate the students' achievement of stated objectives.

MEDI 810Ag - Ambulatory Care (Good Samaritan Regional Medical Center, Phoenix)
Dr. Mary Ellen Dirlam & Faculty (Michelle Alleman 602-239-5822)
4 weeks; Maximum length of 8 weeks
Offered year round (except June)
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To provide the student the basis for developing his/her skills in evaluation, diagnosis and development of differential diagnoses and therapeutic plans for patients with acute and chronic medical problems both common and complex in a "group practice" setting with the residents of the Good Samaritan Regional Medical Center/VAMC Internal Medicine Program based at the Good Samaritan Regional Medical Center Outpatient Clinic.
Format: At the Good Samaritan Regional Medical Center the student will participate in half-day blocks in the Internal Medicine Clinic and in the offices of participating faculty General Internists. The student will interact with faculty and residents from the Good Samaritan Regional Medical Center/VAMC Internal Medicine Program. The student will have his/her own patients identified and will be the first to evaluate new patients or to provide follow-up. The student will also have mini-lectures on outpatient management. The remainder of the schedule will include experiences in the various sub-specialty clinics and consult services at the Good Samaritan Regional Medical Center Outpatient Clinic.
Evaluation Methods: Each student will be evaluated by a full-time faculty member in Internal Medicine. Evaluation will occur throughout the rotation, formally at the midpoint and at the conclusion and will assess knowledge and skills in diagnosis and treatment in the outpatient setting.
Subsidized housing available on a limited basis, prior reservation MANDATORY.

MEDI 811Ae - Internal Medicine (Maricopa Medical Center, Phoenix)
Drs. Maricela Moffitt, Richard Carlson & Faculty (602-681-1218)
6 weeks, 4 weeks; Maximum length of 12 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 5
This is a Patient Care elective.
Prerequisites: Medicine 803. Medical students must have consent of Course Director before registering.

Goals: Development of clinical skills via supervised, advanced experience in examination and care of hospitalized patients. Improvement in problem identification and problem-solving ability.
Format: This clerkship offers a subinternship experience in general internal medicine. Students become a member of the attending-resident-intern team with direct patient care responsibility. It is an excellent rotation which provides a tremendous amount of clinical experience and is invaluable in preparing for the internship year.
Evaluation Methods: Subjective by instructors.

MEDI 811Af - Internal Medicine (Subinternship) (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. John Heffner, Danielle Sink & Faculty (602-406-3375)
6 weeks, 4 weeks; Maximum length of 12 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Medicine 803. Medical students must have consent of Course Director before registering.

Goals: To acquire basic information about certain common medical diseases and to apply this knowledge to assess and manage patients with these diseases. The clerkship in Internal Medicine will emphasize the following:
1. Understanding and acquisition of basic theories
2. Principles and problems of medical knowledge
3. Problem solving
4. Management and decision-making
5. Organization and communication of clinical data
6. Skills in physical examination and technical procedures
7. Establishment of effective team and patient relationships
Format: The senior student will have increased responsibility for patient management in preparation for internship. The acting intern will evaluate new patients on each of the team's admitting days and follow those patients throughout their hospitalization. The senior resident and attending will assist in formulation of the plan for diagnosis and treatment. The student will make daily work rounds with the team and also attend all educational conferences.
St. Joseph's Hospital and Medical Center is a 640-bed tertiary referral center and community-based hospital. The Department of Medicine has 168 beds with 138 beds assigned to the teaching service. The hospital has an average daily occupancy rate of 86%. Each general medical service has two interns, one senior resident and one attending staff assigned to the service. There is a Chief Resident (fourth-year) assigned to the general medical ward services. Third and fourth-year students on clerkship rotations have priority for the utilization of dormitory rooms. These are provided at no charge for students rotating on clerkships from The University of Arizona College of Medicine. Meal tickets are provided for students for both dinner and breakfast on "on-call" days.
Evaluation Methods: Students will be evaluated by housestaff and attendings as well as by the program director as to how well they have achieved stated objectives.

MEDI 811At - Family Medicine Subinternship (Phoenix Baptist Hospital, Phoenix)
Drs. Christopher Shearer, Subinternship Coordinator, (Jo Sullivan 602-246-5521) & Ward
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students. Medical students must have consent of
Dr. Christopher Shearer before registering.

Goals: This elective is designed to give the student an exposure to the variety of patients and illnesses seen in Family Practice and Internal Medicine. The student will help care for patients from obstetrics to geriatrics and will include nursery, surgery and ICU medicine.
Format: The student will serve in the capacity of a subintern on our busy inpatient Primary Care service. As such, the subintern will admit, write orders and progress notes and discharge patients with the direct supervision of the Family Practice faculty, private physicians and senior residents. The subintern will also have one or two half days in the Family Medicine Center. Other experiences such as nursing home care can be arranged. The hospital will provide housing.
Evaluation Methods: Evaluation of the student will be done through direct observation and supervision by the faculty and housestaff. Verbal feedback will be offered during the rotation and a written evaluation will be discussed with the student. The student will evaluate the faculty, housestaff and the rotation experience.
*Crosslisted with FCM 811At

MEDI 811Bm - Medicine Subinternship (Mayo Clinic, Scottsdale)
Dr. Philip Lyng
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Completion of all prior courses and clerkships. Completion of ACLS course. Demonstration of clinical competence adequate to function as a subintern. Promotion to fourth-year status. Medical students must have consent of Course Director before registering.

Goals: The primary goal of the internship is to prepare students for their role as house officers. The subinternship is structured to provide students with increased responsibility for patient care so they will be better prepared to function as a resident physician. Students will be assigned to one of the teaching services at Scottsdale Memorial Hospital-North.
Format: During the subinternship, students will work under the supervision of an assigned Mayo second or third internal medicine resident. Night call will be rotated with the residents on the service. The subintern will assume first line responsibility for the patients he/she admits to the service. The number of patients assigned to the subintern will be determined by the supervising resident (SR) and will depend on the complexity of the cases, size of the student's service, and the student's clinical skills. Student responsibilities will include, but are not limited to:
1. Performing a comprehensive history and physical examination on new admissions.
2. Formulating a complete patient problem list.
3. Formulating a diagnostic and therapeutic plan for all active problems.
4. Writing all the orders for assigned patients.
5. Writing progress notes at least once daily on all patients.
6. Presenting each new admission to the attending and other members of the ward team.
7. Writing discharge and off-service summaries on all patients and arranging for follow-up care.
8. Taking call (in-house) every fourth night.
9. Admitting the first two patients assigned to the service and then alternating admissions with the backup resident.
10. Performing procedures on assigned cases.
Evaluation Methods: Evaluation of student performance of stated learning goals will be provided by the Attending consultant, supervising resident and resident using the standard Division of Academic Resources evaluation forms issued by the College of Medicine.
*Clerkships of slightly longer or shorter duration may be arranged.

MEDI 811Ce - Coronary Care Unit-Acting Internship (Maricopa Medical Center, Phoenix)
Drs. Rajul Patel & Klein (602-681-1218)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803. Medical students must have consent of Course Director before registering.

Goals: To provide a broad overview of contemporary issues in the management of patients presenting with a wide variety of problems involving the cardiovascular system.
Format: The student becomes an active and participating member of the CCU team, consultation service and outpatient clinic team. Routine activities include EKG interpretation. CCU rounds, new patient work-ups, interpretation of hemodynamic and angiographic data, journal club, educational conferences and night call (approximately every 6th night). Emphasis is placed on the basic approach to patient evaluation, problem solving and decision making in the setting of a busy, clinically oriented coronary care unit.
Evaluation Methods: Ongoing feedback and a written evaluation by the attending at the end of the rotation.

MEDI 811Fg - Honors Course In Internal Medicine (Good Samaritan Regional Medical Center, Phoenix)
Drs. Alan Leibowitz, Applefeld, Dirlam & Maynard (Michelle Alleman 602-239-5822)
4 weeks, 12 weeks, Maximum length of 12 weeks
Offered September-November
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Medicine 803. Medical students must have consent of Course Director before registering.

Goals: The student will incorporate the concept of "evidence-based medicine" into their clinical care of patients in a variety of health care settings. They will become proficient at applying case-based readings to their patient related problems and become competent at Internal Medicine skills at the intern level.
Format: This 12 week Internal Medicine Honors Rotation consists of 3 four week blocks. The student will serve as an Acting Intern on the General Medicine wards at Good Samaritan Regional Medical Center, the ICU, and the Internal Medicine outpatient setting. A maximum of 3 students may be assigned to this rotation, each starting at a different point in the Honors track. During the
3 blocks, the Acting Intern will be involved in direct care of patients on the General Medicine ward, the ICU, or the outpatient setting. Throughout the three month rotation, the student will work in small group sessions and independently to formulate a clinical research protocol. This protocol will be presented at a noon conference near the end of the elective.
Evaluation Methods: Will occur informally throughout the rotation and by written evaluation at the end of each month. Emphasis will be placed on content knowledge, clinical judgement and professionalism.
Subsidized housing available on a limited basis, prior reservation MANDATORY.

MEDI 811Gg - Primary Care Combined Internal Medicine/Pediatrics (Good Samaritan Regional Medical Center, Phoenix)
Drs. Donna Holland, (Director, Med/Peds Program) (Shani Nova 602-239-2296) & Faculty
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Core Medicine and core Pediatric rotations. Medical students must have consent of Course Director before registering.

Goals: Educate students in the primary care of both children and adults with complex chronic diseases with emphasis on following and managing adolescents with chronic medical problems.
Training Sites: GSRMC, PCH, ASU and ASU West Student Health Centers.
Format: Students will practice primary care of both children and adults with special emphasis on evaluating patients in a student health clinic setting and managing adolescents with chronic medical problems i.e., cystic fibrosis, diabetes mellitus, inflammatory bowel disease, asthma, behavioral disorders, and complex congenital heart disease. Emphasis will be on health screening, continuity of care, psychosocial issues, preventative medicine and evaluation of acute problems in this patient population. Students will also rotate in the ambulatory settings of adolescent gynecology, sports medicine, adult cystic fibrosis clinic and the ASU Student Health Center. Students will be taught methods to critically review relevant literature and develop a presentation on a related topic.
Evaluation Methods: The students will be evaluated based on clinical performance, fund of knowledge and completion of listed objectives using interim examinations, group discussions and individual faculty evaluations. The students will have the opportunity to evaluate each aspect of the rotation. Subsidized housing available on a limited basis, prior reservations MANDATORY.
*Crosslisted with PED 811Gg

MEDI 811If - Medical Intensive Care Unit/Coronary Care Unit (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. John Heffner & Philip Fracica (Co-Director, MICU) & Martin Kraus (Director, CCU) (602-406-3375)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803. Medical students must have consent of Course Director before registering.

Goals: The senior subintern in critical care participates in an active tertiary care setting with a
16-bed modular adult ICU/CCU. Direct responsibility for critically ill adult patients under faculty supervision gives the medical student a familiarity with the majority of critical care problems, from basic pathophysiology to advanced technology. Daily bedside teaching rounds occur with critical care faculty.
Format: Direct patient care subinternship under supervision of senior resident and faculty.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluation discussed with the medical student. The medical student evaluate the faculty, housestaff and rotation experience.

MEDI 811Ig - Medical Intensive Care Unit/Coronary Care Unit (Good Samaritan Regional Medical Center, Phoenix)
Drs. Evan Selsky (Director, Coronary Care Unit), Jack Applefeld (Director, Critical Care) & Faculty (Michelle Alleman, 602-239-5822)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Fourth-year medical students. Medical students must have consent of Course Director before registering.

Goals: To acquaint the student with the general approach to critically ill patients in the ICU/CCU setting.
Format: This rotation provides general exposure to a medical intensive care unit and coronary care unit. The student will function as part of the housestaff team assigned to the units, under the direct supervision of full-time intensivists, the CCU director, and resident staff. Daily rounds will be made with residents, interns and the full-time teaching faculty of the Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency Program. Students will be assigned night call on a rotational basis with their team.
Evaluation Methods: Student performance will be evaluated by the residency program director, intensivist, CCU director, attending physician and supervising resident. Each student's performance will be discussed during and at the completion of this clerkship.
Subsidized housing available on a limited basis, prior reservation MANDATORY.

MEDI 811Mg - General Medicine-Acting Internship (Good Samaritan Regional Medical Center, Phoenix)
Drs. Alan Leibowitz (Director, Internal Medicine), Maynard, Applefeld, Dirlam & Faculty
(Michelle Alleman, 602-239-5822)
8 weeks, 6 weeks, 4 weeks; Maximum length of 8 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Fourth-year medical students. Medical students must have consent of Course Director before registering.

Goals:
1. To provide training and experience through observation and participation in total hospital care of patients on a general Internal Medicine Service.
2. To perfect skills in the performance of complete medical histories and physical examination.
3. To provide experience in differential diagnosis through in-depth study, history and physical exam. Appropriate routine and sophisticated laboratory and radiologic procedures will be emphasized.
4. To develop judgment in assessing the need for consultation from other specialists and subspecialists in internal medicine and other medical disciplines.
5. To develop the ability to present the facts of a case as obtained in items 2 and 3 above in a complete, logical and concise manner.
6. To formulate and conduct an inpatient treatment program.
7. To further the student's medical knowledge base by in-depth reading in textbook and journal articles concerning the problem presented by the assigned patients.
Format: Each student will be an Acting Intern, under the supervision of housestaff and faculty of the Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency Program. Approximately five new patients will be assigned weekly for the performance of history, physical exam, diagnostic and treatment plan. Each student will develop and write appropriate daily orders and progress notes on their patients. Daily work rounds will be made with the medical resident and interns, as well as daily teaching rounds conducted by the attending physician. The student will be expected to present his/her patients at rounds when appropriate and should be prepared to discuss the medical literature pertinent to each patient. Acting Interns will receive training on computerized literature retrieval and critical appraisal of articles of potential clinical importance to their patients. Students will be assigned night call on a rotational basis with the residents on the service. Daily sub-specialty medicine conferences are held at 12:30 PM, and Morning Report is held daily.
Evaluation Methods: Student performance will be evaluated by the residency program director, attending physician and supervising resident. Each student's performance will be discussed during and at the completion of this rotation.
Subsidized housing available on a limited basis, prior reservation MANDATORY.

MEDI 815Am - Clinical Cardiology (Mayo Clinic, Scottsdale)
Dr. Hassan Loutfi (602-301-4338)
4 weeks; Maximum length 4 weeks
Offered September - April
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: The cardiovascular disease clerkship offers an exposure to a variety of cardiovascular problems in the inpatient setting, primarily in a consultative fashion. Students will become familiarized with basic problems in clinical cardiology, from initial evaluation to enhancing skills of assimilation of diagnostic data. Student supervision will be provided by staff consultants and resident house staff.
Format: Students will perform a minimum of two patient evaluations per day. Daily morning work rounds will be led by the consultant. Case presentations, including the students preliminary assessment and recommendations, will be given during consultative rounds and then reviewed. Students are expected to visit their assigned patient's daily and provide a progress note in the medical record. Though not required, students are encouraged to observe their own patient's procedures, i.e. echocardiograms, cardiac catheterization, electrophysiology students, etc. Time permitting, observational experiences in the outpatient setting are available in the echocardiographic and nuclear stress laboratories. Students are encouraged to attend the weekly CPC and cardiovascular conferences and will be the presenter at one cardiovascular conference during the rotation. Presentations are informal and topics chosen are either an interesting case presentation and/or subject review.
Evaluation Methods: Evaluation will be provided by a written evaluation form.

MEDI 815Be - Clinical Dermatology (Maricopa Medical Center, Phoenix)
Dr. Gosia Nowak, Timothy Salmon & Faculty (602-681-1218)
6 weeks, 4 weeks, Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To strengthen the student's skills in the basic terminology and classification of disorders of the skin.
Format: The student is an active member of the consultive team under the direct supervision of subspecialist staff. Activities include consultive service as well as outpatient clinic experience. No call or weekend coverage.
Evaluation Methods: Ongoing feedback and written evaluations by the attending at the conclusion of rotation.
Meals are provided, housing available, no charge to The University of Arizona College of Medicine students, prior reservation MANDATORY.

MEDI 815Bh - Clinical Dermatology (VAMC, Phoenix)
Drs. James Kalivas, Shapiro & Kwittken (602-222-6433)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Completion of required clerkships

Goals: The primary goal of this elective is to acquire sufficient experience in the recognition and management of common skin disorders to enable the student to function adequately in a primary care setting. This knowledge is acquired through participation in supervised patient care and in frequent, informal teaching seminars. Instruction in basic dermatologic procedures and diagnostic techniques such as mycology preparations, patch testing, skin biopsy, use of the Wood's light, chemosurgery, and cryotherapy is included.
Format: The elective will be based on a preceptor-preceptee experience utilizing the Phoenix VAMC and the Good Samaritan Regional Medical Center Outpatient Clinics.
Evaluation Methods: Students will be evaluated on the basis of informal questioning while working under the guidance of the various preceptors involved with the elective. Each student receives a written evaluation at the end of the rotation.

MEDI 815Ce - Endocrinology (Maricopa Medical Center, Phoenix)
Drs. Todd Brodie & Sydney Westphal (602-681-1218)
6 weeks, 4 weeks, Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To strengthen student skills in the evaluation and care of patients with endocrine and metabolic diseases in both the inpatient and outpatient settings. Includes experience in thyroid, reproductive endocrinology, bone disease, and diabetes.
Format: The student is an active member of the consultive team under the direct supervision of subspecialist staff. Activities include consultive service as well as outpatient clinic experience. No call or weekend coverage.
Evaluation Methods: Ongoing feedback and written evaluations by the attending at the conclusion of rotation.
Meals are provided, housing available, no charge to The University of Arizona College of Medicine students, prior reservation MANDATORY.

MEDI 815De - Clinical Gastroenterology (Maricopa Medical Center, Phoenix)
Drs. Stephen Winograd & Syed Oqail (602-681-1218)
6 weeks, 4 weeks, Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To provide the student with a broad exposure to gastrointestinal and hepatic disorders in both the acute and outpatient setting.
Format: The student is an active member of the consultive team under the direct supervision of subspecialist staff. Activities include consultive service as well as outpatient clinic experience. No call or weekend coverage.
Evaluation Methods: Ongoing feedback and written evaluations by the attending at the conclusion of rotation.
Meals are provided, housing available, no charge to The University of Arizona College of Medicine students, prior reservation MANDATORY.

MEDI 815Dh - Clinical Gastroenterology (VAMC, Phoenix)
Drs. Francisco Ramirez, Johnson, Shaukat, Young & Fellows
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To provide students with experience in primary care of patients with gastrointestinal disease. Emphasis will be placed on developing the history, physical examination, diagnostic plan and therapeutic regimen on patients seen with a wide spectrum of gastrointestinal and hepatic disorders.
Format: Students will participate in evaluation of inpatients and consultations. Pathophysiology, social implications and outcome of care will be stressed. Developing a concept of cost effectiveness regarding the many expensive diagnostic tests used in this specialty will be a part of the program. The student will receive instruction in the performance of fibersigmoidoscopy and attend clinics dedicated to the diagnosis and prevention of colorectal cancer. Interpretation of laboratory data,
X-rays and physiological tests of gastrointestinal function will be emphasized. Daily conferences will be held with the students, rotating residents from the combined Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency Program and attending staff.
Evaluation Methods: Observation of daily performances and short oral examinations during the course. A pre-course evaluation will be conducted to determine the strength and weakness of the student and effectiveness of the rotation in imparting factual knowledge.

MEDI 815Dm - Clinical Gastroenterology (Mayo Clinic, Scottsdale)
Dr. M. Edwyn Harrison (602-301-4338)
6 weeks, 4 weeks, 3 weeks, Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: This will primarily be a hospital-based experience making daily teaching rounds in the morning with the hospital staff consultant. In the afternoons, the senior clerk will see hospital consults in conjunction with the hospital staff person. Opportunities will be provided for the senior student to see the consult and formulate their impressions and plan prior to the hospital staff consultation.
Format: During this time the student will attend GI Pathology Conferences held bi-monthly at the Mayo Clinic, Scottsdale. The student will also attend the Medical Surgical conferences held monthly and the Clinical Pathological Conference at Scottsdale Memorial Hospital North held weekly. The monthly CPC teleconferences from Rochester will also be made available for your attendance and video tapes from Rochester GI conferences could be reviewed in the afternoon. The senior clerk will be on night call with the staff gastroenterologist 2 days per week. There will be no weekend duties assigned.
Evaluation Methods: The senior clerkship will be evaluated primarily by the hospital consultant who will have gained an intimate knowledge of the senior clerk's abilities during the rotation.
*Clerkships of slightly longer or shorter duration may be arranged.

MEDI 815Ee - Hematology/Oncology (Maricopa Medical Center, Phoenix)
Dr. Michael Lobell & Staff (602-681-1218)
6 weeks, 4 weeks, Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To strengthen students' skills in the management of patients with malignant disease and in the clinical evaluation of hematologic disorders.
Format: The student is an active member of the consultive team under the direct supervision of subspecialist staff. Activities include consultive service as well as outpatient clinic experience. No call or weekend coverage.
Evaluation Methods: Ongoing feedback and written evaluations by the attending at the conclusion of rotation.
Meals are provided, housing available, no charge to The University of Arizona College of Medicine students, prior reservation MANDATORY.

MEDI 815Em - Hematology/Oncology (Mayo Clinic, Scottsdale)
Dr. Theodore Braich (602-301-4338)
4 weeks, 8 weeks, Maximum length of 8 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: Students will work with members of the Hematology/Medical Oncology Section in the outpatient setting at Mayo Clinic Scottsdale and in a hospital setting at Scottsdale Memorial Hospital-North. The student will learn the diagnostic and therapeutic approaches for hematologic and oncologic disease. Students will learn this through direct patient contact. In addition, students will have an opportunity to expand their basic knowledge with appropriate reading materials as well as weekly clinical conferences. The students will have the opportunity to participate in bone marrow aspirate and biopsy procedures as well as interpretation of peripheral blood smears and serum protein electrophoretic strips.
Format: The student will round with a staff physician at the hospital in the morning. The student will see new Hematology/Oncology consults in the hospital and present the case to the staff. In the afternoon the student will see a new sub-specialty consultation at the Clinic with staff supervision.
Evaluation Methods: Written evaluation will be provided by each consultant working with the student. A consensus evaluation will then be formulated by the Program Coordinator. A debriefing session will be held with the student for appropriate feedback.
*Clerkships of slightly longer or shorter duration may be arranged.

MEDI 815Fe - Geriatrics (Maricopa Medical Center, Phoenix)
Dr. Philip Poirier & Staff (602-681-1218)
6 weeks, 4 weeks, Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To strengthen the students skill in care of the geriatric patient in both the acute hospitalized and outpatient setting.
Format: The student is an active member of the in-patient care team under the direct supervision of subspecialist staff. Activities include in-patient service as well as outpatient clinic experience. No call or weekend coverage.
Evaluation Methods: Ongoing feedback and written evaluations by the attending at the conclusion of rotation.
Meals are provided, housing available, no charge to The University of Arizona College of Medicine students, prior reservation MANDATORY.

MEDI 815Ft - Geriatrics (Phoenix Baptist Hospital)
Dr. Christopher Shearer & Staff (602-246-5521)
4 weeks, Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: This elective is designed to give the student an exposure to geriatric care from hospital discharge through skilled nursing home care to home care.
Format: The student will work under several Family Practice Faculty, senior residents (in Family Practice) and practicing physicians in their care of geriatric patients at the point of discharge from the hospital through skilled nursing home care to home care. The student will also work with case managers, nurse specialists, home care nurses and internists.
Evaluation Methods: Evaluation will be through direct observation and supervision. Verbal feedback will be offered during the rotation and a written evaluation will be discussed with the medical student. The medical student will evaluate the faculty, housestaff and rotation.
*Crosslisted with FCM 815Ft

MEDI 815Ge - Infectious Diseases (Maricopa Medical Center, Phoenix)
Dr. Peter Kelly & Staff (602-681-1218)
6 weeks, 4 weeks, Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To familiarize the student with the management of common infectious disease problems.
Format: The student is an active member of the consultive team under the direct supervision of subspecialist staff. Activities include consultive service as well as outpatient clinic experience. No call or weekend coverage.
Evaluation Methods: Ongoing feedback and written evaluations by the attending at the conclusion of rotation.
Meals are provided, housing available, no charge to The University of Arizona College of Medicine students, prior reservation MANDATORY.

MEDI 815Gg - Infectious Diseases (Good Samaritan Regional Medical Center, Phoenix)
Drs. Peter McKellar (Head, Infectious Diseases Section) & Mike Saubolle (602-239-4335)
6 weeks, 4 weeks; Maximum length of 8 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803; Students must have consent from Dr. McKellar (602-239-4335) BEFORE REGISTERING

Goals: The student will gain an understanding of the differential diagnosis and management of both common and uncommon infectious disease problems.
Format: The student will see consultations at Good Samaritan Regional Medical Center with the attending physicians and members of the health care team who assist with consultation of the infectious disease patient, including the clinical pharmacologist and microbiologist. The student will follow all patients in association with residents from the Good Samaritan Regional Medical Center/VAMC Internal Medicine Program who are on this service as an elective rotation. A reading list and references will be provided to each student. The student will attend the city-wide Infectious Disease Conference which occurs weekly in conjunction with the other teaching hospitals in Phoenix.
Evaluation Methods: Each student will be evaluated by a full-time faculty member in Internal Medicine. Evaluation will occur throughout the rotation formally at the midpoint and at the conclusion and will assess the student's knowledge and skills in diagnosis and treatment of infectious diseases.
Subsidized housing available on a limited basis, prior reservations MANDATORY.

MEDI 815Hg - Pulmonary Diseases (Good Samaritan Regional Medical Center, Phoenix)
Drs. Bernard Levine (Director, Pulmonary Fellowship - GSRMC), Westfall, Bachus, Gotfried, Ross, Comp, Rohwedder (Director, Pulmonary Fellowship - PVAMC), Baratz & Servi
(Michelle Alleman, 602-239-5822)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students

Goals: To provide the student extensive exposure to clinical pulmonary medicine as seen in a large metropolitan hospital.
Format: This elective offers an opportunity to the student to view the broad range of diagnostic and therapeutic problems in pulmonary medicine as well as learn about fiberoptic bronchoscopy, pulmonary function and respiratory sleep disorders. The student will interact with housestaff, fellows, and faculty of the GSRMC/Phoenix VA Internal Medicine Residency and Pulmonary Fellowship.
Evaluation Methods: Student performance will be evaluated by the Program Director, attending pulmonologist and supervising fellow. Each student's performance will be discussed during and at the completion of this clerkship.
Subsidized housing available on a limited basis, prior reservation MANDATORY.

MEDI 815Je - Pulmonary Consultation Service (Maricopa Medical Center, Phoenix)
Dr. Allen Thomas & Staff (602-681-1218)
6 weeks, 4 weeks, Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To strengthen the student's skills in the care of patients with a wide variety of pulmonary diseases including evaluation, differential diagnosis, and the appropriate use of diagnostic testing in both the acute and outpatient setting.
Format: The student is an active member of the consultive team under the direct supervision of subspecialist staff. Activities include consultive service as well as outpatient clinic experience. No call or weekend coverage.
Evaluation Methods: Ongoing feedback and written evaluations by the attending at the conclusion of rotation.
Meals are provided, housing available, no charge to The University of Arizona College of Medicine students, prior reservation MANDATORY.

MEDI 815Jm - Pulmonary Consultation Service (Mayo Clinic, Scottsdale)
Dr. Philip Lyng (602-301-4338)
4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth year medical students

Goals: This clerkship is primarily a hospital-based experience. In the morning, students attend daily teaching rounds with the hospital staff consultant. In the afternoon, students see hospital consultations in conjunction with the hospital staff person. Opportunities are provided for students to see the consultation and formulate their impressions and plan prior to the hospital staff consultation. Specific goals will be:
1. Enhance skillls in history taking and physical examiniation.
2. Learn to feel comfortable with the assessment and treatment of a variety of pulmo- nary diseases, including (but not limited to) COPD, lung cancer and interstitial lung disease.
3. Learn to interpret pulmonary function tests.
Format: During this clerkship, students attend the thoracic diseases pathology conference held monthly at Mayo Clinic, Scottsdale. Students also attend the medical surgical conferences and the weekly clinical pathology conference held at Scottsdale Memorial Hospital-North. Students also may attend the monthly CPC teleconference from Rochester. Videotapes from the Rochester thoracic disease conferences are reviewed in the afternoon. Students on night call with the staff consultant two days per week. There are no weekend duties assigned.
Evaluation Methods: Hospital consultants who work closely with the students during the elective provide the primary performance evaluations.

MEDI 815Ke - Nephrology, Renal Diseases (Maricopa Medical Center, Phoenix)
Drs. Jan Mangalat & Robert Moffitt (602-681-1218)
6 weeks, 4 weeks, Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To provide the student with a broad exposure to patients with acute and chronic renal diseases, acid base and electrolyte disorders.
Format: The student is an active member of the consultive team under the direct supervision of subspecialist staff. Activities include consultive service as well as outpatient clinic experience. No call or weekend coverage.
Evaluation Methods: Ongoing feedback and written evaluations by the attending at the conclusion of rotation.
Meals are provided, housing available, no charge to The University of Arizona College of Medicine students, prior reservation MANDATORY.

MEDI 815Kg - Nephrology, Renal Diseases (Good Samaritan Regional Medical Center, Phoenix)
Dr. William Smith & Faculty (Michelle Alleman, 602-239-2296)
4 weeks, Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students

Goals: A broad exposure to patients with all forms of chronic and acute renal disease and to patients with complex acid-base or electrolyte disturbances.
Format: Trainees will evaluate patients on the renal teaching service and consultatives on the general medical service with renal diseases. A lecture series and a reading list will be provided. Involvement in the Home Training Unit with CAPD patients as well as the Dialysis Unit will also be arranged. The student will interact with housestaff and faculty of the Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency Program.
Evaluation Methods: Student performance will be evaluated by the Program Director, attending physician and supervising resident. Each student's performance will be discussed during and at the completion of this clerkship.
Subsidized housing available on a limited basis, prior reservations MANDATORY.

MEDI 815Kh - Nephrology, Renal Diseases (VAMC, Phoenix)
Drs. John Costantino & Baker
3 weeks, 4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To expose students to a wide range of kidney diseases in both the inpatient (consulting) and outpatient settings.
Format: Outpatient clinics and inpatient consulting.
Evaluation Methods: Direct observation with personal feedback.

MEDI 815Mf - Medical Sub-specialties (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. Danielle Sink, Bob Heiligman, & John Heffner (602-406-3375)
4 weeks; Maximum length of 4 weeks
Offered by arrangement made by contacting Department of Medicine, St. Joseph's Hospital and Medical Center six months in advance for availability.
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Medicine 803; contact Dr. Sink (602-406-3375) BEFORE REGISTERING

Goals: Development of clinical diagnostic skills and content knowledge in the selected medical sub-specialty under the direction of the medical staff at St. Joseph's Hospital in Phoenix.
Format: Students will participate in the full range of activities of the chosen sub-specialty. Included are: Allergy/Immunology; Cardiology; Dermatology; Endocrinology; Gastroenterology; Hematology; Infectious Disease; Nephrology; Oncology; Pulmonology; Rheumatology. Daily activities will vary according to chosen sub-specialty. Activities may include ICU rounds on critically ill patients, new patient consultations, daily inpatient rounds, and ambulatory care in subspecialist's private offices. Additionally, there are assigned reading materials and core curriculum topics for each sub-specialty. Students may also attend the full range of educational conferences at St. Joseph's in other specialties. Housing is available adjacent to the hospital. Third- and fourth-year students on clerkship rotations have priority for the utilization of dormitory rooms. These are provided at no charge for students rotating on clerkships from The University of Arizona College of Medicine. Meal tickets are provided for students for both dinner and breakfast on "on-call" days. Students may attend daily lunch didactic sessions held by the Internal Medicine Department.
Evaluation Methods: Assessments of clinical skills and content knowledge by staff preceptor.

MEDI 815Nm - Physical Medicine & Rehabilitation (Mayo Clinic, Scottsdale)
Dr. Matthew Butters (602-301-4338)
4 weeks
Offered May - December
This course is not directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth year medical students

Goals: Students work with members of Mayo's Section of Physical Medicine and Rehabilitation in an outpatient setting. Patients are evaluated by students and reviewed with a consultant. Appropriate diagnostic tests are ordered, and students are present for follow-up appointments. There also is an opportunity to learn the basics of ordering modalities and therapeutic exercise. Students may spend time with a physical or occupational therapist
Specific
Goals:
1. Improve skill in directed neuromuscular and musculoskeletal examinations.
2. Increase knowledge of rehabilitation principles in general and as they apply to specific diseases.
3. Understand and be an active member of a rehabilitation team approach.
4. Observe physical and occupational therapy treatment sessions.
Format: Students evaluate two to four patients per day and are expected to attend the regularly scheduled PM&R conferences. In addition, students are encouraged to attend other regularly scheduled Mayo Clinic, Scottsdale education programs, including CPC and neuroscience.
Evaluation Methods: The staff physiatrists and/or SEC review students' performance at the end of the elective, using the students' medical school evaluation forms.

MEDI 815Pe - Critical Care Medicine (Maricopa Medical Center, Phoenix)
Dr. Richard Carlson & Faculty (602-681-1218)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To provide the student with hands-on practical experience in the intensive care unit. The emphasis will be on learning an organized diagnostic and therapeutic approach to the critically ill patient with multiple organ system disease.
Format: The student will be given the opportunity to be an active and integral part of the ICU team participating in direct patient care, daily attending rounds and a core curriculum of lectures in critical care medicine. By the end of the rotation, the student will have begun to construct a solid foundation in ventilator management, invasive hemodynamic monitoring and procedural skills which will be invaluable for those planning a future in virtually any aspect of clinical practice. In addition to the "high tech" methods employed in a contemporary intensive care unit however strong emphasis remains on a compassionate approach to the patient, the importance of the physical exam, clinical problem solving and the learning of sound general medical principles.
Evaluation Methods: Ongoing feedback and a written evaluation by the attending at the conclusion of the student's rotation.
*Crosslisted with ANES 815P

MEDI 815Qg/815Qh - Cardiology Consultation (Good Samaritan Regional Medical Center/VAMC, Phoenix) (Sue Cox-VAMC, 602-222-6423)
Dr. Kenneth Desser (Director, Cardiology Fellowship - GSRMC) (GSRMC - Michelle Alleman, 602-239-2296)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Fourth-year medical students

Goals: To provide the student with training and experience caring for patients with both common complex cardiovascular problems. To enable the student to become proficient in the interpretation of electrocardiograms and exercise stress tests.
Format: Students will gain exposure to patients with a wide variety of cardiovascular problems and function as a consultant under the direction of the full-time faculty and cardiac fellows. An in-depth exposure to EKG interpretation will be provided. The core schedule consists of the following:
8:00-9:30 AM Interpretation of electrograms
9:30-11:00 AM Coronary Care Unit rounds
11:00-12:00 PM Exercise stress tests
12:00-2:00 PM Didactic lectures and conferences
2:00-5:00 PM The first two weeks: Cardiac Clinic, Nuclear Cardiology and Pharmacologic
Stress Tests at Good Samaritan Regional Medical Center.
Final two weeks: Cardiology Consultation Service at the Phoenix VAMC.
Evaluation Methods: Student performance will be evaluated by the residency program director, clinical faculty and supervising resident or fellow. Each student's performance will be discussed during and at the completion of this clerkship.
Subsidized housing available on a limited basis, prior reservation MANDATORY.

MEDI 815Re - Clinical Neurology (Maricopa Medical Center, Phoenix)
Drs. Joseph McDermott & Merroto (602-681-1218)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To strengthen the student's skills in evaluating patients with neurologic and neurovascular disorders.
Format: The student is an active member of the consultive team under the direct supervision of subspecialist staff. Activities include consultive service as well as outpatient clinic experience. No call or weekend coverage.
Evaluation Methods: Ongoing feedback and written evaluations by the attending at the conclusion of rotation.
Meals are provided, housing available, no charge to The University of Arizona College of Medicine students, prior reservation MANDATORY.

MEDI 815Se - Rheumatology (Maricopa Medical Center, Phoenix)
Drs. Catherine Harmon & Rafael Grau (602-681-1218)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Third or fourth-year medical student

Goals: To teach the students how to diagnose and treat rheumatic diseases by exposing the students to the diversity of rheumatologic diseases including inflammatory autoimmune diseases (RA, SLE, scleroderma, myositis, vasculitis), degenerative conditions (OA, osteonecrosis), crystal disease/arthritis (gout, hyperuricemia, pseudogout, calcium pyrophosphate), soft tissue rheumatism, seronegative spondyloarthropathies (AS, Reiters, psoriatic arthritis), metabolic bone disease (osteoporosis, osteomalacia, Paget's Disease).
Format: Outpatient and inpatient experience in diagnosing and treating rheumatic diseases. Outpatient clinics are held 3-4 times a week. Pediatric Rheumatology Clinic is held once a month. Inpatient consults average 12-14 patients per month. Students will evaluate patients and then present to attending staff. A core curriculum lecture series of eight topics (e.g. RA, Serology, SLE, X-ray interpretation, OA) is also an integral part of the rotation, as well as X-ray and laboratory interpretation in rheumatic diseases.
Evaluation Methods: Ongoing feedback and written evaluation by the attending at the completion of the rotation.

MEDI 815Sh - Rheumatology (VAMC, Phoenix)
Drs. William Finch & Nieman
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Third-year Medicine 803

Goals: To expose students to a wide range of rheumotology diseases, in both the inpatient (consulting) and outpatient settings.
Format: Outpatient clinics and inpatient consulting.
Evaluation Methods: Direct observation with personal feedback.

MEDI 815Tw - Hospice Care for the Terminally Ill (Hospice of the Valley, Scottsdale)
Dr. Jay Friedman, Medical Director, & other Hospice of the Valley staff (602-530-6900)
3 weeks; Maximum length of 3 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Fourth-year medical student. Medical students must have consent of Course Director before registering.

Goals:
1. To acquaint students with disease processes and their physical manifestations in terminal illness (cancer, AIDS, and other end-stage disease).
2. To expose students to an interdisciplinary approach which includes the physician and the hospice team. Emphasis is on helping patients and families cope with terminal illness. This would include home care and inpatient settings.
3. To provide a knowledge base for clinical assessments, pain and symptom management. This would include the use of co-analgesia, especially for neoplastic inflammatory pain and intractable pain secondary to bone metastases with special emphasis placed on cancer-related nausea and vomiting.
4. To offer students communication skills to present hospice as an option for patients and families when curative measures are no longer effective.
Format: In this didactic and clinical experience, students will participate in patient evaluations, make on-site visits to patients' homes and inpatient hospice units with various hospice team members. Students will participate in interdisciplinary case conferences, significant ethical issues via an ethics committee, clinical problem solving and initial workups of patients admitted to acute care units for symptom management. Direct experience will be supplemented by lectures, i.e. pain management. Direct experience will be supplemented by lectures, i.e. pain management, starvation/dehydration and relevant readings.
Evaluation Methods: Direct observation by team members, ongoing feedback, and a written evaluation at conclusion.
*Crosslisted with FCM 815Tw

MEDI 815Ug/815Uh - Clinical Endocrinology, Metabolism & Hypertension
(Good Samaritan Regional Medical Center/VAMC, Phoenix)
Drs. James Felicetta, Brinton, Targovnik (VAMC); Phil Levy, Faculty & Fellows
(Good Samaritan Regional Medical Center) (602-222-6436)
6 weeks, 4 weeks, 3 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To gain a familiarity with basic problem-solving techniques in endocrinology including important diagnostic tests such as thyroid function tests and pituitary function tests. A wide ranging variety of patients will be seen in both the inpatient and outpatient settings with diagnoses including hyperthyroidism, hypothyroidism, diabetes, hypertension, acromegaly, osteoporosis and Cushing's disease.
Format: This elective is based on an informal preceptor-preceptee experience utilizing both the outpatient clinics and the inpatient wards of the Phoenix VAMC. Students will receive further clinical experience with the endocrinology consult service at Good Samaritan Regional Medical Center. Students will interact on a daily basis with faculty and housestaff of the Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency.
Evaluation Methods: Students will be evaluated on the basis of informal observation by the faculty over the course of the rotation, and by a written formal evaluation at the conclusion of the rotation focusing on knowledge base, interpersonal skills, clinical judgement and professionalism.
Meals are provided. Subsidized housing available on a limited basis, Reservations MANDATORY.

MEDI 815Wm - Women's Health (Mayo Clinic, Scottsdale)
Dr. Marcia Ko (Karen Bloom, 602-301-4338)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth year medical student

Goals: This elective is designed to provide the medical student with an opportunity to focus on health issues specific to the health and prevention of disease in women of all ages. This outpatient rotation will provide a medical perspective on the epidemiology of diseases presenting in women with special emphasis on the patient including heart disease, breast and colon cancer and osteoporosis. The prevention of these diseases as a function of hormone replacement therapy, calcium supplementation, nutrition and cholesterol management will be emphasized. Exposure to other health issues such as contraception, basic outpatient gynecology, musculoskeletal diseases and psychosocial issues. At completion of elective students will have heightened awareness of the etiology, symptoms and progress of diseases experienced by women.
Specific goals are:
1. To learn the diagnostic and therapeutic approaches for diseases prevalent in women through direct patient contact.
2. Expand basic knowledge with reading materials provided and through attendance at appropriate conferences.
3. Focus knowledge on designated topic agreed with attendings through presentation of material at divisional conference.
4. Enhance awareness of disease conditions in women and gain knowledge of interactive skills with female patients.
5. Exposure to skills necessary for successful management of patient problems including clinic organization, phone services, nutrition and educational services.
6. Learn triage skills, indications for hospitalization and referral for specialty consultation.
7. Exposure to the electronic medical record.
Format: Students will attend clinic from 8-5PM each day. Reading time may occur during the day. Attendance at all conferences including Internal Medicine Grand Rounds is MANDATORY. Video tapes may be viewed in the library. There will be some exposure to mammography, the MCS breast clinic and bone mineral analysis will be available. There is no night call or weekend duty.
Evaluation Methods: Students will be evaluated by attendings with a written evaluation which will represent a consesus opinion regarding basic skill level as reflected in fund of knowledge, history and physical examination, acquisition of new knowledge, performance in presentation and patient interaction. Completion of the reading list is considered fundamental to a passing grade as is attendance on a daily basis.

MEDI 816Ae - Outpatient Geriatric (Maricopa Medical Center, Phoenix)
Dr. Anna Fuentevilla-Clifton & Faculty (602-681-1218)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To familiarize the student with the outpatient aspects of Geriatric Medicine.
Format: Individualized to the student with experience in patient care in the outpatient setting including home visits, geriatric clinic, nursing home and assisted/supportive residential living centers. Students will work closely with board certified geriatricians and allied geriatric professionals including nurse practitioners and behavioral health specialists in both clinical and administrative roles.
Evaluation Methods: Ongoing feedback through the rotation, final written evaluation based on clinical skills, fund of knowledge and active participation in this elective

MEDI 816Cp - Outpatient Private Practice - Primary Care (Private Practice Office, Phoenix)
Dr. Bruce Bethancourt
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth year medical student

Goals: This elective is in a private practice gerneral internal medicine setting. Students will learn the importance of outpatient primary care medicine. Areas of importance are preventative health and screening, care of chronic disease, ie., DM-I, hyperlipedemia, asthma, COPD, CHF, ect.. Emphasis will be in preventative health guidelines for preventative health. Students will learn to deal with common chronic problems, multiple chronic diseases. There will be one on one contact with patients who have complex problems. Students will check cholesterol screening. hypertension screening, and malignancies. There will be an option to do pre-surgery evaluation, and exercise treadmill testing. There will be no on call duties.
Format: Students will see one - two patients per hour. Students will formulate assessment and a treatment plan.
Evaluation Methods: Evaluation will be on a patient to patient basis. Final evaluation will be on patient care, medical knowledge and physician-patient relationship.

MEDI 816Dp - Gerontology and Geriatric Care (Phoenix)
Dr. Georgia Hall
3 weeks, 4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Non-Patient Care elective.
Prerequisites: Fourth year medical student. Prior permission of instructor required

Goals: This is an educational experience which will provide the student with an understanding of the multifaceted needs of the elderly and knowledge about multidisciplinary approaches to meet those needs. The assessment of the maintenance of functional abilities in the elderly will be stressed within the context of a continuum of care, with exposure to all levels of that continuum. The student will be expected to make a presentation on a health topic to a group of older persons.
Format: To introduce the student to the field of gerontology as it relates to the medical care of the aged. To increase the students' awareness of multidisciplinary approaches to geriatric care. To increase the students' awareness of the major issues in the lives of the old. To familiarize the student with various settings, both institutional and community-based, which provide service for the elderly.

MEDI 891Bh - Ambulatory Internal Medicine: Clinical Problems (VAMC, Phoenix) Drs. Keith Piatt (Chief, Ambulatory Services - PVAMC), Burke, Reust, Peters, Koffer & Laurel (602-222-6423)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round except for June
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: To provide the student with the basis for developing his/her skills in evaluation, diagnosis and development of differential diagnosis and therapeutic plans for patients with acute and chronic medical problems both common and complex, in the setting of a federally funded facility which provides continuing care for a specific population based at the VAMC.
The residents are on required rotations through the VAMC Outpatient Department.
Format: At the VAMC the student will elect half-day blocks from a schedule which includes: 1) Primary Care Clinics; 2) Life Support Unit (Medical Emergency Room); 3) The student may elect additional sub-specialty rotations in Dermatology, Rheumatology, Endocrinology, etc., to complete the weekly format. In each outpatient block the student will be the first to make patient contact. He/she will then present the patient to one of the full-time faculty members who will guide the evaluation and treatment. Students will interact with faculty and residents of the Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency Program.
Evaluation Methods: Each student will be evaluated by a full-time faculty member in Internal medicine. Evaluation will occur throughout the rotation, formally at the midpoint and at the conclusion and will assess knowledge and skills in diagnosis and treatment in the outpatient setting.
Meals are provided. Housing: On-call - Provided; Off-call - Space available basis, no charge to
The University of Arizona College of Medicine students, prior reservation MANDATORY.

MEDI 891Ch - Pulmonary Medicine (VAMC, Phoenix)
Drs. Jay Rohwedder, Nair, Austrheim, Roche, & Fellows (602-222-6423)
4 weeks, Maximum length of 8 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: This elective involves the student actively in both the in-patient and out-patient management of patients with a wide variety of pulmonary diseases. Current management of such common pulmonary problems as tuberculosis, COPD, asthma, lung cancer, fibrotic lung diseases, bronchiectasis and pneumonia are emphasized.
Format: The student will round with the staff attendings, fellows and residents from the Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency Program on both in-patients and out-patients. There is no call for students.
Evaluation Methods: Informal one-on-one observation over the course of the elective and a formal written evaluation at the conclusion of the rotation. Special emphasis will be placed on content knowledge, clinical judgement, professionalism, and attention to psychosocial issues of patients with pulmonary disease.

MEDI 891Dh - Cardiology (VAMC, Phoenix)
Drs. Herschel Richter, Cardello (Director, Cardiology Fellowship - PVAMC), Halligan, & Cooper
4 weeks, Maximum length of 8 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Fourth-year medical students

Goals: This elective is designed to give the fourth-year student greater familiarity with diagnosis and management of the common cardiac diseases including coronary artery disease, congestive heart failure, myocarditis and valvular disease. The student will become actively involved in both the inpatient and outpatient management of cardiac disease. In relation to patient care attention is devoted to interpreting EKGs, Holter monitor results and echocardiograms. There will be emphasis on bedside physical examination and cardiac consultation. Special emphasis is devoted to improving skills inphysical examination and diagnostic techniques, synthesis of data on patients in CCU and the cardiac consultation service.
Format: Students round with the cardiology attendings, attendings, fellows and residents associated with the Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency Program, on both inpatient consults and outpatients. Students will attend daily rounds, consultations, echo ECG, treadmill testing with attending staff, cardiology fellows, and housestaff. There is no call.
Evaluation Methods: Direct observation and daily interaction with attending faculty and fellows will serve as the basis for student evaluation during the rotation and at the conclusion of the rotation. Written evaluation at conclusion and frequent feedback during the course.

MEDI 891Eg/891Eh - Hematology/Oncology (Good Samaritan Regional Medical Center/VAMC, Phoenix)
Drs. Thomas Kummet, Barb Cooper, Ed Miranda (602-222-6436)
4 weeks; Maximum length of 8 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: The student will receive both outpatient and inpatient consult experience in the diagnosis and management of a number of common malignancies including lung cancer, colon cancer, stomach cancer, lymphomas and multiple myeloma. The student will be actively involved in the decision-making process in both inpatients and outpatients, in conjunction with housestaff and faculty of the Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency Program.
Format: Hematology/Oncology Clinic meets for three mornings each week. There is also a very active inpatient consult service. There is no call for rotating students.
Evaluation Methods: Direct observation and daily interaction with faculty and residents will serve as the basis for informal feedback and evaluation throughout the course of the rotation. A formal written evaluation will also be completed at the conclusion of the rotation.

MEDI 891Fg - Medical Toxicology/Clinical Pharmacology (Good Samaritan Regional Medical Center, Phoenix)
Drs. Steven Curry (Director, Toxicology Fellowship -GSMRC) & Tony Morkunas (Michelle Alleman, 602-239-5822)
4 weeks; Maximum length of 4 weeks
Offered September through May, except Period 3-X
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This may be a Patient Care or Non-Patient Care elective.
Prerequisites: Completion of required clerkships

Goals:
1. To acquaint the student with the pathophysiology, diagnosis and treatment of acute and chronic poisonings by pharmaceuticals, household products, industrial chemicals and natural toxins.
2. To acquaint the student with drug interactions, adverse drug effects and clinical therapeutics.
Format: The students will be acting under the guidance of toxicology fellows or faculty members of the Departments of Medical Toxicology & Clinical Pharmacology. Direct care of poisoned patients, clinical pharmacology consultations and rounds, and didactic conferences account for most activities. Students will be required to take out-of-hospital call every third night and will be required to come in from off-campus to see patients when on call. Students will interact with housestaff and faculty of the Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency Program.
Evaluation Methods: Feedback and evaluation will occur informally throughout the rotation through one on one observation and interactions with the Toxicology/Pharmacology faculty. There will also be a formal written evaluation at the conclusion of the elective, with a special emphasis on content knowledge, professionalism, and clinical skills/judgement.
Subsidized housing available on a limited basis, prior reservation MANDATORY.

MEDI 891Ge - HIV Service (Maricopa Medical Center and McDowell Clinic, Phoenix)
Drs. John Post, Myers, Kelly & Faculty (602-681-1218)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine 803

Goals: Improvement of clinical skills in treating patients with HIV disease.
Format: The majority of the student's experience will be spent at the McDowell AIDS Clinic. This is an active ambulatory care clinic staffed by Maricopa Medical Center, Phoenix, physicians which in addition to providing medical care offers nutritional, social, emotional and psychiatric counselling to its patients. The student will learn primary care of HIV infected persons including early intervention and treatment of HIV infection and its complications. Interested students will have the opportunity to become familiar with and participate in ongoing clinical trials and compassionate use drug protocols. Additional inpatient experience possible.
Evaluation Methods: Written evaluation by attending at the conclusion of the elective.

MEDI 891He - Internal Medicine Preceptorship (Maricopa Medical Center, Phoenix)
Dr. Maricela Moffitt & Faculty (602-681-1218)
4 weeks; Maximum length of 8 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisite: Medical students must have consent of Course Director before registering.

Goals: To provide the student an opportunity to work closely with a particular faculty member primarily to strengthen clinical skills and knowledge base.
Format: As defined by student and instructor.
Evaluation Methods: Performance evaluation by direct observation of assessment skills and case presentation.

NEUROLOGY
Bruce M. Coull, M.D., Head

NEUR 810Bf - Neurology (BNI, St. Joseph's Hospital and Medical Center, Phoenix)
Drs. William Shapiro & BNI Neurology Faculty (602-406-3390)
6 weeks, 4 weeks; 3 weeks; Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Neurology 803. Medical students must have consent of Course Director before registering.

Goals: This elective will expose the student to a broad range of neurological problems with both hospitalized and ambulatory patients. The organization of the nervous system and the pathogenesis and treatment of various neurological disorders will be emphasized during the elective. The student will learn how to utilize various diagnostic techniques in the neurological evaluation, and formulate an appropriate treatment plan.
Format: The student will serve as an extern under direct supervision of an attending BNI Neurologist, and assume the responsibility of new patient evaluations in both the in-patient Neurology consultation service and the out-patient speciality clinics. Formal instruction in clinical neurology is covered in both daily attending rounds and a daily neuroradiology conference, where all the in-patient diagnostic radiographs and scans are reviewed. Teaching conferences such as in pediatric neurology and neuro-ophthalmology are held each week. Associated areas of Neuropathology, Neuradiology and Neurosurgery are also covered in formal joint teaching conferences, including a weekly Neurology/Neurosurgery Grand Rounds. The student will also complete an assigned topic and present material at a supervised conference.
Evaluation Methods: The student is evaluated as to knowledge, judgement and interpersonal skills. Evaluation forms will be completed by the Clerkship Director and the Attending BNI Neurologists who have directly observed the performance of the student during the elective.

NEUR 810Bg - Neurology (Good Samaritan Regional Medical Center, Phoenix)
Drs. Barry Hendin, Tamm & Yudell (Michelle Alleman, 602-239-5822)
6 weeks, 4 weeks, 3 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Neurology 803. Medical students must have consent of Course Director before registering.

Goals: The student will learn a systematic approach to the patient with neurological complaints. They will become proficient in the neurologic history and physical exam and the other attendant diagnostic tools used in the assessment of such patients. The student will gain a appreciation of neuroanatomy as applies to diagnosis, and will be able to formulate a treatment plan with attention to pharmacologic, psychosocial, and functional aspects of each case.
Format: Students are assigned to the Neurological Teaching Service at Good Samaritan Regional Medical Center, in conjunction with residents from the Good Samaritan Regional Medical Center/VAMC Internal Medicine Residency Program. In addition to regular teaching rounds, the patient will attend and participate in weekly Neurological Conferences and morning report. They will also obtain exposure to outpatient Neurology in the Good Samaritan Regional Medical Center Outpatient Clinic and the office practice of the attending Neurologists. A reading list will supplement their clinical experience.
Evaluation Methods: Formal evaluation forms are completed by the Faculty Neurologists who have directly observed the student throughout their rotation. The student is evaluated on their content knowledge, clinical judgement, interpersonal skills, and professionalism.
Subsidized housing available on a limited basis, prior reservation MANDATORY.

NEUR 810Bm - Neurology (Mayo Clinic, Scottsdale)
Dr. Katrina Gwinn (602-301-4338)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Medicine

Goals:
1. To refine skills in conducting the neurological examination.
2. To arrive at an anatomical localization of the neurological problems and to synthesize a differential diagnosis.
3. To select the appropriate sequence of laboratory tests and diagnostic procedures.
4. To learn the utility and limitations of EEG, EMG, and other neurological diagnostic tests.
5. To enable students to manage common neurological problems both in in-patient and out- patient settings.
Format: This clerkship takes place at the Mayo Clinic Scottsdale and Scottsdale Memorial Hospital-North. Students will be supervised directly by consultants, both in the outpatient clinic and hospital service. In the outpatient clinic, students will be expected to perform a history and physical examination on two patients daily. After reviewing the case with the consultant, the student will assist in ordering tests and procedures and will be present when the patient returns at the conclusion of the workup. In the hospital service students will attend rounds with their supervising consultant. Opportunities will be available to perform neurological procedures such as lumbar punctures. Students will also have the opportunity to observe the activities of the EEG, EMG, neurovascular, and autonomic laboratories. Clerks are not expected to take call, so their evenings are available for independent study. While the emphasis of the clerkship will be general neurology, students will have the opportunity to gain added experience in the fields of movement disorders, demyelinating disease, neuromuscular diseases, epilepsy, cerebrovascular disease, cognitive disorders, and neurogenic pain, if so desired.
Evaluation Methods: Written evaluations will be provided by each consultant working with the student.
*Clerkships of slightly longer or shorter duration may be arranged.

NEUR 815Ef - Vestibular Eye Movements (St. Joseph's Hospital and Medical Center, Phoenix)
Dr. Terry Fife (602-406-6300)
4 weeks; 3 weeks; Maximum length 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Completion of all 3rd year student rotations

Goals: To gain experience in the approach to patients with dizziness, nystagmus and ataxia and to learn the practical application of principles of neuroanatomy in the clinical setting.
Format: The course will be offered in Phoenix at the Balance Center of Barrow Neurological Institute. Students will spend time in clinic with the attending 4 days per week and will be tutored in relevant neuroanatomy, syndromes producing dizziness and in the clinical examination of eye movements. Research projects are available to those interested.
Evaluation Methods: Students will be evaluated by the supervising faculty member.

OBSTETRICS & GYNECOLOGY
Kenneth D. Hatch, M.D., Head

OB G 800Ae - Research (Maricopa Medical Center, Phoenix)
Drs. Dean Coonrod & Kishi (602-267-5444)
4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This may be a Patient Care or Non-Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803

Goals: Become familiar with clinical research methods in obstetrics and gynecology. This will include a review of clinical epidemiology, biostatistics and literature review techniques. Involvement with either ongoing research projects or the design of a new project will be an integral part of the course.
Format: The format will include tutorial sessions, self directed readings and participation in ongoing research projects. This may involve evaluating patients for eligability in clinical trials. Participants may also elect to be involved part time, with clinical responsibilities including labor and delivery.
Evaluation Methods: A one page summary of activities will be due from the student at the conclusion of the rotation. The student will be evaluated in writing by the faculty utilizing direct observation. The evaluation will be reviewed with the student.

OB G 810Ae/810Af - Preparation for Practice (Maricopa Medical Center, Phoenix/St. Joseph's Hospital and Medical Center, Phoenix)
Dr. Glen Kishi & Faculty (602-267-5444)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 4 for each 4 week block
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803

Goals: This program in Obstetrics & Gynecology is designed to further enhance the basic skills learned in OB G 803. It is intended to be a well rounded experience which will involve the student in the management of patients in a county hospital as well as a private hospital setting and caring for high risk and normal patients in both obstetrics and gynecology. The students will obtain a broad experience designed not only to enhance the student's ability to care for the female patient but also should be advantageous in assisting his/her personal delineation of career goals.
Format: An in-depth clinical experience in Obstetrics & Gynecology with scheduled weekly conferences. The student will be an integral part of the health care team with the residents, allied health professionals and faculty on daily rounds, direct patient care, and didactic conferences. As part of the learning experience, night call is an important part of the rotation and will offer an experience where the student may further develop their diagnostic and patient management skills. Arrangements for this elective must be made with Dr. Glen Kishi (602-267-5444).
Evaluation Methods: The student will be evaluated in writing by the faculty and housestaff utilizing direct observations. the student will also have the opportunity to discuss the rotation throughout the time of their experience. At the end of the rotation the evaluation will be discussed with the student during a constructive interview with Dr. Glen Kishi and will include student evaluation of the course.

OB G 810Cg - Gynecologic Oncology (Good Samaritan Regional Medical Center, Phoenix)
Dr. Mathew Borst
4 weeks; Maximum length of 4 weeks
Offered after August 1 through academic year
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1 per period
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803 and one other junior clerkship.

Goals: To expand the student's knowledge of gynecologic oncology including appropriate utilization of diagnostic tests and the management of malignancies of the female genital tract.
Format: The clerkship includes time spent in the operating room, outpatient and inpatient management experience with concurrent supervision by the resident and faculty. Participation in the houseofficer conferences is included. A formal presentation will be required.
Evaluation Methods: The student will be evaluated in writing by the faculty and housestaff utilizing direct observation. An opportunity will also be available for the student to assess the rotation.

OB G 810Dm - Gynecologic Surgery (Mayo Clinic, Scottsdale)
Dr. Jeffrey Cornella (602-301-4338) (Nancy Gray, 602-301-8000)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803

Goals: This clerkship is offered at Mayo Clinic, Scottsdale campus and at the affiliated hospital, Scottsdale Memorial Hospital-North, in Scottsdale, Arizona. Students will be supervised directly by staff consultants, both in the outpatient clinic and the hospital service. The student may be assigned to a specific consultant in the sub-specialty of gynecologic oncology or urogynecology. Students will have the opportunity to develop basic skills in performing a pelvic examination and to identify normal anatomy. The students will acquire the knowledge and skills in screening for gynecological malignancies, as well as the workup and follow-up of patients diagnosed or treated for such conditions. In the outpatient office, the student will be exposed to gynecological office procedures, as well as developing an understanding of the indications for surgical therapy for gynecological disorders of benign and malignant nature. Because of the referral practice, there will be opportunity to be exposed to unusual gynecological conditions.
Format: In the outpatient clinic the students may be expected to perform a history and physical examination on two patients daily. After reviewing the case with the consultant, the student will assist in ordering tests and procedures and will be present when the patient returns at the conclusion of the workup. Additionally, the student will observe in the evaluation and performance of office gynecological procedures on patients assigned to the consultant. In the hospital service, students will participate in the preoperative evaluation of gynecological patients. The student will be expected to perform daily rounds on operative patients. The student will be scrubbed during the performance of major and minor gynecological operations for benign and malignant conditions. Medical students are not expected to take on-call duty, but they can make themselves available should they be interested in participating with patients for emergency operations. An extensive literature and video reference list is available for the student to increase their knowledge on gynecological subjects. The student will present one teaching session to the OB-GYN staff on the topic of their choice.
Evaluation Methods: The student will have opportunities to discuss the rotation throughout the time of their experience. They will also provide an objective list and reading list at the inception of the rotation to the consultant. The student will have an exit interview with the consultant. The student may be questioned on their reading. A written evaluation will be provided for permanent files.
*Clerkships of slightly longer or shorter duration may be arranged.

OB G 811Af - Gynecologic Oncology (St. Joseph's Hospital and Medical Center, Phoenix)
Dr. James Freel
6 weeks, 4 weeks, 3 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803. Medical Students must have consent of Course Director before registering.

Goals: To expand knowledge in the field of gynecologic oncology and enhance basic skills in surgical anatomy.
Format: The clerkship will be balanced with time spent in the operating room, outpatient setting and regular conferences and activities of the resident staff under the supervision of the full-time faculty.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

OB G 815Cg - High Risk Obstetrics (Good Samaritan Regional Medical Center, Phoenix)
Drs. John Elliott & Clewell (Barbara Standage, 602-239-2647)
4 weeks; Maximum length of 4 weeks
Offered after August 1 through academic year
This course is directly supervised by UA College of Medicine faculty.
Minimum enrollment of 2
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803 and one other junior clerkship

Goals: To involve the medical student in the diagnosis and management of at-risk patients with medical illness or serious complications of pregnancy and to participate as a member of the tertiary care facility.
Format: This is an inpatient elective where the students become members of the health care team with nurse specialists, residents and perinatologists by participating in daily rounds, selective didactic conferences and patient-physician interaction.
Evaluation Methods: The student will be evaluated in writing by faculty and housestaff utilizing direct observation. An opportunity will also be available for students to assess the rotation.

OB G 815Fm - Medical Gynecology (Mayo Clinic, Scottsdale)
Dr. R. Stuart Fowler (602-301-4338)
3 weeks, 4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803

Goals: This clerkship offered at Mayo Clinic, Scottsdale, with its affiliated Ambulatory Surgery Center. The student will work directly with staff consultants in both the outpatient Clinic and the outpatient Ambulatory Surgery Center. The student will have the opportunity to develop basic skills in generating gynecologic-specific history and physical examination. The student will acquire knowledge regarding the screening techniques and workup for gynecologic malignancies. In addition, the student will get extensive experience in the evaluation and treatment of benign gynecologic conditions, including hormone-related problems involving the premenopausal and postmenopausal patients. The student will be exposed to gynecologic office procedures, including breast aspiration, colposcopy, biopsy techniques, and endometrial sampling. In the setting of the Ambulatory Surgery Center, the student will assist with loop electrical excisions of the transformation zone, loop conizations, hysteroscopies, and D&C's.
Format: In the Outpatient Clinic, the student will have abundant opportunity to perform history and physical examinations. After reviewing each case with the consultant, the student will assist in ordering tests and procedures and performing office gynecologic procedures. The student will be present when the patient returns at the report consultation, when applicable. The student will scrub during outpatient gynecologic operations. The medical student will not be required to take on duty call; however, the student will present one informal teaching session to the OB/GYN staff.
Evaluation Methods: The evaluation will be based on the student's motivation and progress achieved in assimilating pertinent information and arriving at a working diagnosis.
*Clerkships of slightly longer or shorter duration may be arranged.

OB G 815He/815Hf - Reproductive Endocrinology & Fertility (Maricopa Medical Center, Phoenix/St. Joseph's Hospital and Medical Center, Phoenix)
Drs. Tawfik Rizkallah & Craig
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 6
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803

Goals: To understand the basics of infertility evaluation and treatment and expand understanding of common endocrine problems.
Format: Attend endocrine/infertility conferences and clinics and participate in management plans; attend infertility surgery.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

OB G 815Hg - Reproductive Endocrinology & Infertility (Good Samaritan Regional Medical Center, Phoenix)
Drs. John Mattox, Moffitt & Faber (Janet Anderson, 602-249-3827)
4 weeks; Maximum length of 4 weeks
Offered August 1st - academic year
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803 and one other junior clerkship

Goals: To participate in the management of patients with gynecologic, endocrine and infertility problems including assisted reproductive technology.
Format: The student will function predominantly in an outpatient setting either in clinic or private office environment with a resident and attending physician. Appropriate didactic interaction and literature review will be included. A formal presentation will be required. Night calls optional.
Evaluation Methods: The student will be evaluated in writing by the faculty and housestaff utilizing direct observation. An opportunity will also be available for the student to assess the rotation.

OB G 815Ig - Family Planning and Community Medicine (Good Samaritan Regional Medical Center, Phoenix)
Drs. John Mattox & Fred Stimmel
4 weeks; Maximum length of 4 weeks
Offered August 1 - May 31
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Successful completion of the third-year curriculum

Goals: The goal of this fourth-year clerkship is to introduce the students to the concepts and implementation of all aspects of family planning and gain an appreciation how this information is utilized in dealing with public health issues and the care of female patients.
Format: The bulk of the experience will be in an outpatient setting and will involve one-on-one interaction with a faculty member in a private office, neighborhood planned parenthood clinics, and some hospital experience. In addition, there will be an opportunity for direct patient care and didactic experience dealing with all facets of contraception and family planning. A research paper relating to this general field will be required at the end of this clerkship.
Evaluation Methods: Written evaluation will be provided from a composite of the faculty and resident who interact with the student and will be based upon the student's commitment and level of participation. The research paper will constitute a portion of the grade, but no final examination will be required.

OB G 815Vf - Perinatal Rotation (St. Joseph's Hospital, Phoenix)
Drs. Debbie Tetreult, Daily & Hall
4 weeks; Maximum length of 4 weeks
Offered August-November, April and May
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803

Goals: By rotating through the newborn nursery, a private obstetrician's office, and attending selected deliveries with a neonatologist, the student will be able to incorporate pediatric and obstetric/gynecologic issues surrounding the concept of well baby care.
Format: The student will spend time with general pediatric attendings in the newborn nursery, neonatologists at deliveries, obstetricians in their office as well as time with subspecialists such as developmental neurologists and lactation consultants. There will also be didactic sessions consisting of 13 lectures given by the neonatologists and general pediatricians.
Evaluation Methods: Students will be evaluated by the preceptors with which they worked using a standard evaluation form. Also, the student will be asked to prepare a presentation for the development pertaining to fetal, neonatal, or other aspects of perinatal care.
*Crosslisted with PED 815Vf

OB G 891Fe - Obstetrical Substance Abuse & Ultrasound Clinics (Maricopa Medical Center, Phoenix)
Drs. Glen Kishi, Graham & Chambliss
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803

Goals: Knowledge acquisition and development of competencies in:
1. The effect of substance abuse in pregnant women.
2. Management of physical, social and psychological problems of pregnant patients with substance abuse.
3. Fundamentals of obstetrical ultrasound including basic structural evaluation and dating measurements.
4. Elements of fetal anatomy, normal and abnormal.
Format: Students will play an integral role on the clinical team which cares for pregnant patients with substance abuse problems. They will be at the perinatal addiction clinics at Maricopa Medical Center. They will also be exposed to the psychosocial services and rehabilitative services which are an integral part of our perinatal addiction program. Special instruction on fetal outcome will be offered.
Evaluation Methods: A written evaluation of student performance in both clinical settings will be provided by the attending staff. Evaluations will include assessment of knowledge base, knowledge acquisition and clinical performance. Evaluations will be reviewed with the student. Written evaluation of the rotation by the student will be requested so that the elective can be improved.

PATHOLOGY
Ronald S. Weinstein, M.D., Head

PATH 810Df - Anatomic/Clinical Pathology (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. William Anderson & Trepeta (602-406-3402)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Completion of basic sciences

Goals: The Anatomic/Clinical Pathology elective at St. Joseph's Hospital offers the medical student an exposure to various pathology disciplines in a tertiary care pathology practice intended to expand the student's "basic science" pathology experience with clinical correlation. Elective time is usually split between anatomic and clinical divisions with rotations through clinical chemistry, microbiology, hematology and blood bank, surgical pathology and autopsy pathology.
Format: This elective may be individualized to suit the student's needs with prior agreement between the student, St. Joseph's faculty and The University of Arizona Departmental Electives Coordinator.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

PATH 815A - Laboratory Medicine and Pathology (Mayo Clinic, Scottsdale)
Dr. James Williams (602-301-4338)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth year medical students

Goals: Students observe a wide variety of diagnostic procedures in the department and observe, by double microscope, the signout of cases in anatomic pathology in both the hospital and the clinic.
Specific
Goals: To gain a working knowledge of a busy general pathology laboratory. To become familiar with frozen section diagnoses and anatomic pathology signout in both the hospital and clinic setting.
Format: Students will observe procedures, diagnostic tests, interpretations and interactions with other specialists as practiced by general pathologists. Students are expected to attend clinical conferences. Students also are given reading assignments related to their interests and current cases.
Evaluation Methods: Students write a short essay on their experience during the rotation and are evaluated by staff pathologists who have direct kinowledge of their performance and activities.

PATH 891Cf - Barrow Neurological Institute - Neuropathology (St. Joseph's Hospital and Medical Center, Phoenix)
Dr. Stephen Coons
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Completion of basic sciences

Goals: BNI is one of the busiest clinical neuropathology laboratories of its kind. The medical student will be exposed to a variety of neurosurgical specimens as well as diagnostic nerve and muscle biopsies evaluating these specimens at the gross and microscopic levels one to one with the neuropathology faculty.
Format: The student will have available a variety of conferences given in the hospital such as Neurology. Neurosurgery and Pathology conferences. Microscopic slide sets matched to assigned readings in an abbreviated Neuropathology text will be offered and the student will be encouraged to expand his/her knowledge in neuroanatomy which includes skull base and gross brain at autopsy, whole brain myelin stained preparations and microscopic neuroanatomy.
Dr. Johnson is a former Professor of Pathology from the The University of Arizona.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

PEDIATRICS
Fayez K. Ghishan, M.D., Head

PED 800Pe - Research (Pediatrics) (Maricopa Medical Center, Phoenix)
Dr. Mary Rimsza (602-267-5404)
6 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment not applicable
This may be a Patient Care or Non-Patient Care elective.
Prerequisites: Pediatrics 803 and prior consent*

Goals: Determined by mutual agreement of student and faculty member.
Format: The student will be afforded an opportunity to synthesize, develop and execute a research project of clinical or basic nature in any of the sections of the Department in which such an interest is demonstrated. At the present time, participating sections include Ambulatory Pediatrics, Cardiology, Hematology, Infectious Diseases, Immunology, Allergy, Neurology, Nutrition, Clinical Pharmacology, Pulmonary, Pediatrics and Adolescents, Gynecology and Child Abuse. However, such an elective needs to be arranged at least four months in advance so that a suitable research project can be planned.
Evaluation Methods:
1. Written report summarizing research progress.
2. Observation of skills in performing assigned research.
*This elective requires that the student have the approval of the course director prior to signing up for the elective so that an appropriate research experience can be planned.

PED 810Af - Externship in Inpatient Pediatrics (St. Joseph's Hospital and Medical Center, Phoenix) (602-406-3519)
Drs. John Olsson, Cole, Tetreault, Quinn & Garcia
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Pediatrics 803. Medical Students must have consent of Course Director before registering.

Goals:
1. Become familiar with a variety of pediatric medical and surgical diagnoses.
2. Development of organizational skills in managing a number of in-patients, as an active participant on the in-patient pediatric ward team.
Format:
1. Provide primary care for up to five ward patients under the supervision of a senior resident and attending physician.
2. Participate in the department teaching activities including attending rounds, grand rounds and daily noon teaching conferences.
Evaluation Methods: Observation by attending faculty and senior resident with biweekly written evaluation.

PED 810Be - Pediatric Emergency Medicine (Maricopa Medical Center, Phoenix)
Dr. Emily Pollack & Faculty (602-267-5404)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals: This rotation will provide students with an exposure to a wide variety of pediatric medical and traumatic emergencies. Clinical teaching will focus on the expeditions evaluation and management of pediatric primary care problems as well as more serious illnesses and injuries.
Format: Student will work in the pediatric emergency services/urgent care clinic under supervision of faculty. A didactic program (see below) covering essential topics in pediatric resuscitation, trauma care and management of urgent and emergent pediatric illnesses will accompany the clinical experience. Externs will also attend the weekly M&M conference with the Department of Emergency Medicine.
Lecture topics
1. Essentials of Pediatric Resuscitation
2. Fluid & Electrolyte Management in the PED
3. The Febrile Child
4. Pediatric Airway & Respiratory Emergencies
5. Stabilization & Evaluation of the Pediatric Trauma patient
6. Recognition & Reporting of Child Abuse
7. Pediatric Infectious Disease Emergencies
8. Dermatology in the PED
Evaluation Methods: By clinical performance.

PED 810De/810Dg - Inpatient Pediatrics (Maricopa Medical Center, Phoenix/Phoenix Children's Hospital, Phoenix)
Dr. Prabodh Hemmady & Faculty (MMC) (602-267-5404); Drs. Campbell & Weiss (PCH)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Pediatrics 803. Medical students must have consent of Course Director before registering.

Goals:
1. Gain more experience and expertise in the care of hospitalized children.
2. Increase knowledge of basic pathophysiologic processes as they relate to specific patient problems.
3. Refine skills of data gathering and problem solving.
4. Obtain skill in performing technical procedures.
Format:
1. Evaluation and care of patients admitted to pediatric service. Responsibility will be
commensurate with abilities and previous experiences. Night call will be included.
2. Active participation in routine teaching sessions: ward rounds (attending and resident work rounds), clinical and X-ray conferences, grand rounds and sub-specialty confer ences.
Evaluation Methods: Attainment of individual goals, improvement of problem-solving skills, patient presentations on rounds and observation of history and physical exams.

PED 811Ae - Ambulatory Pediatrics (Maricopa Medical Center, Phoenix)
Dr. Julia Kelly & Faculty (602-267-5404)
4 weeks, 3 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Pediatrics 803. Medical Students must have consent of Course Director before registering.

Goals: Students will discuss specific goals with the staff and program will be tailored to meet these needs. Goals of the elective are:
1. To gain clinical skills in diagnosis and management of acute and chronic medical illnesses in an ambulatory setting.
2. To learn how to provide cost effective, quality care in an ambulatory setting.
3. To gain knowledge and management skills in handling the psychosocial problems of an indigent population.
Format: The student will function as a subintern in the Pediatric clinic. He/she will be assigned
to both general Pediatric clinic and sub-specialty clinics. Both general pediatric clinic and
sub-specialty clinics are held simultaneously. The student may elect to attend any of the weekly sub-specialty clinics including Hematology, Cardiology, Neurology, Allergy and Gynecology. Other sub-specialty clinics are available on a biweekly basis. The student will also attend Ambulatory Pediatric Conferences five times per week.
Evaluation Methods: Attainment of individual goals, improvement of clinical skills in ambulatory pediatrics.

PED 811Ag - Ambulatory Pediatrics (Phoenix Children's Hospital)
Drs. Julie Ernst & Campbell
4 weeks; Maximum length of 4 weeks
Offered September - November & January - April
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective
Prerequisites: Pediatrics 803. Medical students must have consent of Course Director before registering.

Goals: Gain clinical skills in history and physical examinations in a clinic setting. Improve skills in diagnosis and management of acute and chronic illnesses in an outpatient setting. To experience a variety of clinic settings within Pediatric Medicine (General Pediatric Clinic, School-Based Clinic, Adolescent Clinic, Pediatric HIV Clinic). To learn cost effective outpatient care.
Format: Outpatient pediatric experience with direct attending supervision.
Evaluation Methods: Clinical performance, twenty minute student presentation of topic of choice.

PED 811Gg - Primary Care Combined Internal Medicine/Pediatrics (Good Samaritan Regional Medical Center, Phoenix)
Dr. Paul Charnetsky (Director, Med/Peds Program, 602-239-2296) & Faculty
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective
Prerequisites: Core Medicine and core Pediatric rotations. Medical Students must have consent of Course Director before registering.

Goals: Educate students in the primary care of both children and adults with complex chronic diseases with emphasis on following and managing adolescents with chronic medical problems.
Training Sites: GSRMC, PCH, ASU and ASU West Student Health Centers.
Format: Students will practice primary care of both children and adults with special emphasis on evaluating patients in a student health clinic setting and managing adolescents with chronic medical problems i.e., cystic fibrosis, diabetes mellitus, inflammatory bowel disease, asthma, behavioral disorders, and complex congenital heart disease. Emphasis will be on health screening, continuity of care, psychosocial issues, preventative medicine and evaluation of acute problems in this patient population. Students will also rotate in the ambulatory settings of adolescent gynecology, sports medicine, adult cystic fibrosis clinic and the ASU Student Health Center. Students will be taught methods to critically review relevant literature and develop a presentation on a related topic.
Evaluation Methods: The students will be evaluated based on clinical performance, fund of knowledge and completion of listed objectives using interim examinations, group discussions and individual faculty evaluations. The students will have the opportunity to evaluate each aspect of the rotation. Subsidized housing available on a limited basis, prior reservation, MANDATORY.
*Crosslisted with MEDI 811Gg

PED 815Ae - Advanced Neonatology (Maricopa Medical Center, Phoenix)
Dr. Mahesh Kotwal & Faculty
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals:
1. Learn resuscitation of the newborn.
2. Evaluation, management and follow-up care of the high risk newborn.
Format: Student will be assigned to the neonatal intensive care unit where he/she will be expected to attend high-risk deliveries and participate in the management of critically ill newborns and healthy premature infants.
Evaluation Methods: Observation of ability to perform physical exam, obtain history and help in the management of high risk newborns.

PED 815Ag - Advanced Neonatology (Phoenix Children's Hospital, Phoenix)
Drs. William Daily, Michael McQueen & Faculty
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals: The goals of this rotation are for the student to learn resuscitation of the newborn along with subsequent evaluation and management of the infant requiring intensive care support.
Format: At the start of the rotation, the student will be offered the option of attending a procedures lab, where procedures such as endotracheal intubation, thoracentesis, thoracotomy and chest tube placement, umbilical vessel catheterization, and pericardiocentesis will be taught. Subsequently, the student will be included in the Intensive Care Nursery opportunities provided to the Pediatric Housestaff, including attendance at high risk deliveries and opportunities for neonatal resuscitation, history and physical exam of the newborn, and primary care responsibilities of infants admitted to the Intensive Care Nursery. Didactic lectures covering neonatal topics are provided three days per week. In addition, the student is encouraged to attend Pediatric Grand Rounds, which occur on a weekly basis. Beside teaching pertinent to the primary patient care occurs on a daily basis. No night call is required.
Evaluation Methods: Evaluation of the student will be based on a composite of the student's ability to perform resuscitative techniques and newborn physical examinations, as well as the student's ability to obtain and present patient histories, and formulate and present management plans for the infants under his/her care.

PED 815Ef - Pediatric Cardiology (St. Joseph's Hospital and Medical Center, Phoenix)
Dr. Robert Williams (602-406-3122)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals:
1. To become familiar with cardiologic problems encountered in the infant and child including congenital heart disease and acquired heart disease.
2. To be introduced to methods of diagnosis including electrocardiogram, echocardiogram and cardiac catheterization.
Format:
1. Patient care-primarily out-patient care, though in-patient rounds are conducted daily.
2. Instruction in methods of cardiologic diagnosis will be done in tutorial fashion by faculty.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

PED 815Fg/815Fe - Pediatric Neurology (Phoenix Children's Hospital/Maricopa Medical Center, Phoenix)
Drs. Allen Kaplan, Ronald Hadden & Saunder Bernes (602-239-5880)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1 (one student at each clinical site)
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals: The objectives of this elective are to acquire a working knowledge of the differential diagnosis of the common neurological disorders of children and to learn the techniques of neurological examination in the pediatric age group.
Format: The in- and out-patient facilities at Phoenix Children's Hospital, and Maricopa Medical Center, Phoenix, will be utilized. Daily ward rounds, evaluation of neurological consults, weekly clinics, seminars and frequent informal teaching contacts with Drs. Kaplan, Hadden and Bernes form the basis of the elective. Exposure to interpretation of newer imaging techniques, such as MRI, PET and CT scans in children, is provided.
Evaluation Methods: Students will be evaluated on how well they achieve stated objectives. Evaluations are done by the preceptor's observations of ability to collect data, formulate a differential diagnosis and therapeutic plan and to perform outside reading as appropriate.

PED 815Gg - Pediatric Hematology/Oncology (Phoenix Children's Hospital, Phoenix)
Drs. Paul Baranko, Wood, Etzl, Jr. & Singer
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round (no students in July or August)
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: None

Goals: To train students to assess the pediatric patient with possible heatologic or oncologic problems and make appropriate management decisions.
Format: Students will attend hospital rounds, outpatient clinic, a series of discussions given to the students on topics germaine to the practicing pediatrician.
Evaluation Methods: Students will be given a topic to discuss as an informal talk at the end of the rotation. Daily questions regarding patients seen.

PED 815Hf - Pediatric Orthopaedics (St. Joseph's Hospital and Medical Center, Phoenix)
Dr. Del Worthington (602-406-6480)
6 weeks, 3 weeks; Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Completion of basic sciences

Goals:
1. Exposure to the basic practice of pediatric orthopaedics.
2. Increase knowledge of basic pediatric orthopaedic problems.
3. Operating room exposure to pediatric orthopaedic procedures.
4. Obtain skill in pediatric orthopaedic decision-making process.
Format:
1. Evaluation and care of patients from seven Children's Rehabilitative Services'
out-patient clinics a week, including pediatric orthopaedic sub-specialty clinics such as cerebral palsy, scoliosis, spina bifida, and hand amputee.
2. Participation in teaching sessions, ward rounds and clinical conferences.
3. Active participation in two days of pediatric orthopaedic surgery procedures per week.
Evaluation Methods:
1. Student is expected to actively participate in ward rounds and conferences.
2. Student is expected to participate and prepare for weekly journal review sessions.
3. Evaluation of student's performance in these activities will be provided.

PED 815If - Developmental and Behavioral Pediatrics (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. John Olsson & Daniel Kessler (602-406-3122)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered September through May
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals:
1. Acquire the knowledge and skill required for the accurate assessment of normal development.
2. Gain competence in the recognition, initial evaluation and management of both pervasive and specific developmental disorders.
3. Develop the capacity to diagnose and manage common behavioral problems of infancy and childhood.
Format:
1. Provide patient care with direct attending faculty supervision in the Central Arizona ChildEvaluation Center, the Newborn Developmental Follow-Up Program and the Attention Deficit/Hyperactivity Disorders Program.
2. Independent learning from videotapes, audiocassettes and direct reading.
Evaluation Methods: Direct observation by attending faculty.

PED 815Ig - Developmental and Behavioral Pediatrics (Phoenix Children's Hospital, Phoenix)
Drs. Eric Benjamin, Ricardi, DiBartolomeo, Barton, Blackwood & Roth (602-239-7651)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals: To understand basic child-adolescent behavioral syndromes through assessment process and to become familiar with treatment.
Format: The student will observe and participate in the outpatient pediatric psychiatry and psychology clinics, i.e., ADHD, Tourette's, Pain and Biofeedback clinics. Additionally, the student will be involved in pediatric psychological testing and inpatient team assessment. The student should be able to do a basic screening of behavior problems. There is a formal weekly lecture series.
Evaluation Methods: The attending's written evaluation will be based upon the student's interest, motivation and assimilation of material through handouts, observation and discussion. The student will also be evaluated on his/her ability to interact with families and patients.
*Crosslisted with PSYI 815Ig

PED 815Kf - Child Abuse and Neglect (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. John Olsson & Kay Rauth-Farley (602-406-3122)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals:
1. Acquire knowledge and skills necessary to recognize the physical and emotional signs of abuse.
2. Acquire an understanding of the physician's role in the evaluation of abuse.
3. Develop an appreciation for the skills necessary to work in a truly multidisciplinary setting.
4. Acquire skills needed to accurately document physical findings in the context of suspected nonaccidental injury.
5. Become familiar with the colposcope and its role in evaluating for sexual abuse.
6. Observe courtroom proceedings involving medical testimony around issues of abuse and neglect.
Format: Patient Care in the Child Abuse Evaluation Center at the Children's Health Center of St. Joseph's Hospital, selected reading materials, observation of physicians and members of law enforcement, and mental health in providing assistance to children and their families.
Evaluation Methods: Direct observation by faculty with written evaluation discussed with the student. The student evaluates the faculty and the rotation.

PED 815Nf - Ambulatory Pediatrics/Newborn Nursery (St. Joseph's Hospital and Medical Center, Phoenix) (602-406-3519)
Drs. John Olsson, Quinn, Cole, Tetreault & Garcia
4 weeks; Maximum length of 8 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals:
1. Become familiar with common issues of the well newborn including: gestational age assessment, social risk factors, metabolic disorders, jaundice, polycythemia, infants at risk for sepsis, infant nutrition (including breast feeding), maternal-infant bonding, maternal conditions affecting the newborn and circumcision.
2. Become familiar with common pediatric out-patient issues including growth and development, well-child care, common acute infections as well as respiratory/metabolic disorders.
Format:
1. Daily newborn nursery rounds with student assuming primary care for 1-3 newborns.
2. Morning and afternoon clinic with student providing primary care under supervision of attending physician. Patients will represent well and sick children as well as some specialty referral patients
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

PED 815Oe - Pediatric Gastroenterology and Nutrition (Maricopa Medical Center, Phoenix)
Dr. Roxanne Hecht (602-267-5404)
4 weeks, maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: General Pediatric rotation

Goals: Familiarize trainee with major presentations and evaluations of gastrointestinal, hepatic and nutritional disease. Included will be discussion of malabsorption, GE reflux, cholesteris inflammatory bowel disease, abdominal pain, peptic disease.
Format: Participation in GI clinics, consultative service and nursery rounds. Didactic sessions will be given on major topics in pediatric GI.
Evaluation Methods: One on one feedback with GI staff on consultations and outpatient evaluations. Trainee generally presents a short talk on a GI topic of interest.

PED 815Og - Pediatric Gastroenterology and Nutrition (Phoenix Children's Hospital, Phoenix)
Drs. Mitchell Shub, Ingebo & Silber
4 weeks, maximum length of 4 weeks
Offered January-November
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals:
1. Acquire knowledge into the pathophysiology of gastrointestinal and hepatic diseases in infants and children.
2. Further improve basic skills in obtaining a history and physical examination, as well as data analysis.
3. Problem solving and decision making around patient and laboratory data.
Format: The student will participate in all aspects of the outpatient, inpatient, consultation and nutrition services under the direct supervision of the gastroenterologists. Major emphasis will be placed on diagnosis and management of various gastroenterologic and liver diseases in the pediatric patient. The student will be expected to observe diagnostic GI procedures, including upper and lower endoscopy. He or she will also be exposed to parenteral and enteral nutrition support.
Evaluation Methods: The student will be evaluated by the staff and faculty based on: formal and informal presentations, knowledge and understanding of the pathophysiology of gastrointestinal diseases in infants and children and on the degree and quality of individual study and intellectual curiosity shown during the elective.

PED 815Pg - Pediatric Endocrinology (Phoenix Children's Hospital, Phoenix)
Drs. Alvin Perelman & Hasan
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals: The primary goal will be to give the student a chance to see, study and understand the hormonal participation in normal growth and pubertal development. By understanding these processes, the student will be able to identify abnormalities of normal growth and puberty. The secondary goal will be to understand the basic pathophysiology of common endocrine disorders of childhood. An example of such disorders would include diabetes mellitus, hypothyroidism, congenital adrenal hyperplasia, etc.
Format: The student will see patients primarily in the out-patient endocrine clinic, but will also follow all endocrine in-patients and will write endocrine consultations when requested by other services.
Evaluation Methods:
1. Daily performance-gathering of the data base and physical examination done on each patient, along with the development of the problem list, will be evaluated on each patient seen.
2. Special project-after having been on the elective a week or so the student will be expected to pick one patient (or subject) to explore in-depth. During the last week of the elective, the student will summarize this study in a 30-45 minute verbal presentation.
3. The student will be evaluated on the degree and quality of individual study and intellectual curiosity.

PED 815Qg - Pediatric Nephrology (Phoenix Children's Hospital, Phoenix)
Drs. Melvin Cohen & Joseph
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals:
1. Acquire knowledge in the physiology and pathophysiology of the kidney as it relates to kidney disease in children.
2. Acquire basic knowledge in the diagnosis and treatment of kidney disease, hypertension and acid-base and electrolyte disturbances.
3. Gain a working knowledge of the functional development of the kidney in infants, children and adolescents.
Format:
1. Participate in the diagnosis and management of inpatients and outpatient with kidney and related problems.
2. Perform the initial evaluation of new patients in both the inpatient and outpatient setting.
3. Participate in the methods and procedures performed in the renal metabolic laboratory.
4. Participate in daily formal and informal discussions on pre-assigned topics relating to renal disease.
Evaluation Methods: Faculty evaluation based on individual performance, reading and
industriousness.

PED 815Sg - Clinical Genetics/Dysmorphology (Phoenix Children's Hospital, Phoenix)
Drs. Kirk Aleck, Teresa Grebe & Sarah Richter, M.S. (602-239-5880)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Completion of required clerkships

Goals:
1. To teach the student the approach to clinical evaluation, diagnosis and counseling of children and families with genetic disorders and/or congenital anomalies.
2. To teach the student the basic mechanisms by which abnormal human development occurs during embryonic and fetal life.
Format:
1. The student will attend all clinical genetics/dysmorphology clinics at Maricopa Medical Center, Phoenix Children's Hospital, St. Joseph's Hospital and Children's Rehabilitation Services including inpatient consultations. The student will attend all genetics teaching conferences.
2. The student will be responsible for reading a syllabus of original articles relating to the embryology of congenital anomalies and the approach to diagnosis of genetic disorders. Discussion will follow with faculty supervisor.
3. The student will carry out an independent, thorough literature review of a genetics/ dysmorphology topic of his/her choice. The review will be presented orally to the faculty supervisor at the end of the rotation.
Evaluation Methods: The student will be evaluated on his/her clinical performance, comprehension of the assigned readings and independent project. A grade of "pass," "fail" or "Honors" will be assigned.

PED 815Vf - Perinatal Rotation (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. Debbie Tetreult, Daily & Hall (602-406-3122)
4 weeks; Maximum length of 4 weeks
Offered August-November, April and May
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Obstetrics & Gynecology 803

Goals: By rotating through the newborn nursery, a private obstetrician's office, and attending selected deliveries with a neonatologist, the student will be able to incorporate pediatric and obstetric/gynecologic issues surrounding the concept of well baby care.
Format: The student will spend time with general pediatric attendings in the newborn nursery, neonatologists at deliveries, obstetricians in their office as well as time with subspecialists such as developmental neurologists and lactation consultants. There will also be didactic sessions consisting of 13 lectures given by the neonatologists and general pediatricians.
Evaluation Methods: Students will be evaluated by the preceptors with which they worked using a standard evaluation form. Also, the student will be asked to prepare a presentation for the development pertaining to fetal, neonatal, or other aspects of perinatal care.
*Crosslisted with OB G 815Vf

PED 815We - Pediatric Critical Care (Maricopa Medical Center, Phoenix)
Drs. Kote Chundu, Lal & MMC Peds Staff (602-267-5404)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered September to May
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students only

Goals: To provide the student with general principles of pediatric critical care with major emphasis on understanding physiology and pathophysiology in order to provide the appropriate care for the sick child. The student will learn to diagnose and manage common pediatric critical care issues including shock, respiratory failure (including different modes of mechanical ventilation), trauma, burns and postoperative care of the child.
Format:
1. Direct care of 1-2 patients under the supervision of the senior pediatric resident and pediatric critical care faculty.
2. Daily attending rounds in the ICU and direct informal teaching from the attending.
3. Formal pediatric critical care lectures twice a week.
Evaluation Methods: In depth review of a critical care topic of interest by the student, guided and supervised by the faculty.

PED 815Wg - Pediatric Critical Care (Phoenix Children's Hospital, Phoenix)
Drs. David Beyda, Bakerman, Liu & Tellez
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals: The student will be acquainted with the general principles of Pediatric Care medicine including:
1. The initial stabilization of the critically ill and injured child
2. Recognition and management of neurologic emergencies
3. Management of the post-op cardiac patient
4. Priorities in the management of children with immersion injuries
5. Priorities and management of children with multiple trauma
6. Appreciation of the ethical issues surrounding the critically ill and injured child.
Format:
1. Direct patient care for one or two patients under the supervision of the critical care faculty
2. Daily attending rounds
3. Pediatric critical care medicine lecture daily
4. Continuous direct informal attending contact in the patient care setting.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

PED 816Ae - Pediatric Surgery (Maricopa Medical Center, Phoenix)
Dr. Medo Mirza (602-267-5404)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical student

Goals: To offer a comprehensive introduction to neonatal and pediatric surgery. This experience will include exposure to patients in the newborn nursery, pediatric intensive care unit and on the pediatric floor. The student will be involved in all aspects of the child's pediatric surgical care from the clinic or inpatient environment; including diagnostic evaluation, surgical treatment and postoperative care.
Format: The student will participate, under faculty supervision, in the management of pediatric surgical patients. This will be an elective in which the student experiences a "one on one" learning opportunity with the course faculty; allowing for direct education including daily academic rounds, selected conferences, supervised procedures, operating room participation and guided topical reading.
Evaluation Methods: A written evaluation will be provided of the student's overall performance; including participation in rounds, in the operating room and clinical behavior. Each student will be given feedback during and following completion of the rotation.
*Crosslisted with SURG 816Ae

PED 816Cf - Rural Pediatric Orthopaedics (St. Joseph's Hospital and Medical Center, Phoenix)
Dr. Del Worthington (602-406-6480)
3 weeks, 4 weeks, 6 weeks; Maximum length of 6 weeks
Offered 4 times a year
This course is not directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Must be taken after at least 2 weeks in conjunction with SURG 815Pf or PED 815Hf

Goals:
1. Exposure to the basic practice of pediatric orthopaedics in the rural health care setting.
2. Increase knowledge of basic pediatric problems in a rural health care setting.
3. Obtain skills in pediatric orthopaedic decision making process in the rural health care setting.
Format:
1. Evaluation and care of pediatric orthopaedic patients in Children's Rehabilitative Services traveling outpatient clinics over a period of four days, including one clinic on the Hopi reservation, three clinics on the Navajo reservation, one on the White Mountain Apache reservation, and one in rural Arizona.
2. Active participation with the attending orthopaedic staff at these clinics.
3. Rotation will be provided through Children's Rehabilitative Services.
Evaluation Methods:
1. Student is expected to actively participate in patient evaluation and discussion and is expected to evaluate and present patients to the attending staff.
2. Evaluation of the student performance in these activities will be provided.
*Crosslisted with SURG 816Cf

PED 891Df - Chronic Illness in Childhood/Children's Rehabilitative Services (St. Joseph's Hospital and Medical Center, Phoenix) (602-406-3122)
Drs. John Olsson, Gregg & Cole
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals:
1. Develop awareness of the variety of chronic illnesses that affect children.
2. Develop familiarity with the multidisciplinary approach to managing a child with chronic illness.
3. Become familiar with the various pediatric medical and surgical sub-specialties involved with the child with chronic illness.
Format:
1. Participation in the various sub-specialty clinics at the Children's Rehabilitative Services Clinic in Phoenix.
2. Participate in pediatric rehabilitation team rounds.
3. Topic presentation dealing with chronic illness selected by the student.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

PED 891Fg - Pediatric Pulmonology (Phoenix Children's Hospital, Phoenix)
Drs. Peggy Radford (Section Chief), Fisher & Gong
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals: To acquaint the student with pulmonary diseases in children. To evaluate and manage infants, children and adolescents with bronchopulmonary dysplasia, cystic fibrosis, asthma and other general pulmonary problems including respiratory failure. To become familiar with pulmonary function testing and sleep studies.
Format: Inpatient rounds and patient evaluation of pulmonary patients in the morning. Outpatient clinic visits, evaluate and treat pulmonary patients in the afternoon. Didactic discussion regarding pulmonary diseases.
Evaluation Methods: Written evaluation forms by the faculty.

PED 891Gf - BNI Pediatric Neurology (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. Stanley Johnsen, Tarby & Kerrigan (602-406-3122)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals:
1. Become familiar with a variety of pediatric neurologic problems which may include child hood seizures, hypotonia, developmental delay, encephalopathy, neuromuscular disease and central nervous system infection.
2. Introduction to diagnostic tests including lumbar puncture, EEG, CT scan, MRI and other electrophysiologic tests.
Format:
1. Patient care with faculty member consisting of out-patient evaluation as well as in- patient consultation and service.
2. Weekly pediatric neurology/neurosurgery grand rounds.
3. Monthly pediatric neurology noon teaching conferences.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

PED 891Hf - Pediatric Critical Care (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. Jeffrey Hill, Teaford, Tong, Cheah & Graham (602-406-3122)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Pediatrics 803

Goals: To acquaint the student with general principles of pediatric critical care including:
1. Recognition and management of shock.
2. Recognition and management of respiratory failure.
3. Priorities in management of children with multiple trauma.
4. Pathophysiology and treatment of increased intracranial pressure.
5. Clinical pharmacology.
6. Recognition of the psychosocial aspects of critical care.
Format:
1. Direct patient care for 1-2 patients under supervision of the pediatric critical care faculty.
2. Daily attending rounds and continuous direct informal attending contact in the patient care setting.
3. Pediatric critical care medicine lecture series held twice weekly and daily pediatric noon luncheon series.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

PHYSIOLOGY
William H. Dantzler, M.D., Ph.D., Head

PSIO 800Bf - Research (BNI Neurobiology) (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. James Bloedel, Lukas & Faculty
6 weeks, 4 weeks, 3 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1/faculty
This is a Non-Patient Care elective.
Prerequisites: Completion of basic sciences or prior approval

Goals: To acquaint the student with research techniques in Neurobiology and to provide him/her with an opportunity to interdigitate with a research team involved in a specific research project.
Format: Direct participation in laboratory research.
Evaluation Methods: Will be performed by the supervising faculty.

RADIOLOGY
Theron W. Ovitt, M.D., Head

RADI 815Ag/815As - Diagnostic Radiology (Good Samaritan Regional Medical Center, Phoenix/Scottsdale Memorial Hospital, Phoenix)
Dr. Theodore Ditchek & Faculty (Dr. Levy 602-860-3720) (Mary Min, Scottsdale 602-994-0050)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: General and Systemic Pathology 801

Goals: To expose the student to the varied modalities available in diagnostic imaging. Although interpretation of conventional radiography is stressed, the student will also observe GI fluoroscopy, angiography, neuroradiologic procedures and interpretation of images, CT, MRI and ultrasound.
Format: The experience at the University Hospital is both practical and didactic. Each staff person presents 2-3 sessions to the students, usually concentrating on a specific area of radiology. In addition, there are a large number of conferences in the department. Two conferences per day are directed to the radiology residents covering the various imaging sub-specialties. These are of considerable value to the students. In addition, many joint conferences with other departments are held each week. The student is expected to read basic radiology primers provided by the department and to review the Dr. Lucy Frank Squire medical imaging teaching series (slides) in the Medical School Library. Elective experience is also available in Tucson at TMC and St. Mary's. In Phoenix, an elective experience is offered at Good Samaritan Regional Medical Center and Scottsdale Memorial Hospital. Opportunity for these electives is based on availability of the respective private practitioners. Arrangements should be made with the Radiology secretary coordinating the elective. There is a maximum of two students per location per elective period.
Evaluation Methods: The student grade is based on subjective evaluation by the staff and on the results of a written examination. At the end of the elective, each participating faculty member submits to the course coordinator his/her impression of the student based on his/her personal contact during daily activities and student conferences. In addition, a written examination is given at the end of the elective. Questions are derived from the conferences presented to the students by the staff and from the textbook primer. Radiographs demonstrating fundamental principles or requiring a patterned approach are utilized for the examination.

RADI 891Bf - Diagnostic Radiology (St. Joseph's Hospital and Medical Center, Phoenix)
Dr. Barry Green (602-406-6994)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Completion of basic sciences

Goals: This elective exposes the student to the daily activities of a busy, modern imaging department within a private teaching hospital atmosphere. The student will become familiar with the scope of imaging and interventional procedures available, their applicability in various clinical situations and learn fundamentals in film image interpretation.
Format: Students will rotate through several different areas of the department on a weekly basis:
Week 1-GI and GU Radiology
Week 2-General Film Reading and CT Body
Week 3-Neuroradiology and Interventional Radiology/Angiography
Week 4-Nuclear Radiology and Ultrasound
Evaluation Methods:
1. Student participation in daily teaching conferences.
2. Evaluations submitted by participating faculty members.

SURGERY
Allan J. Hamilton, M.D., Acting Head

SURG 800De - Research (Techniques in Orthopedic Surgery) (Maricopa Medical Center, Phoenix)
Drs. Robert Karpman & Lipiello (Elena Sibly 602-440-7574)
6 weeks, 4 weeks; Maximum length of 8 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Non-Patient Care elective.
Prerequisites: Surgery 803

Goals: To familiarize the medical student in the various techniques utilized in orthopedic basic science research. These include the use of various biomechanical testing machines, strain gauges, preparation of microscopic specimens, etc.
Format: The student will assist the orthopedic resident staff at the Harrington Arthritis Research Center in basic science research. A weekly conference will be given by members of the faculty and also staff at the Harrington Arthritis Research Center who are primarily involved in musculoskeletal research.
Evaluation Methods: Will be written evaluations by the staff at Harrington Arthritis Center, orthopedic residents and faculty.

SURG 810Ag - General Surgery (Good Samaritan Regional Medical Center, Phoenix)
Drs. Harlan Stone, Perry, Stephens & Castillo (602-239-2282)
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 4
This is a Patient Care elective.
Prerequisites: Completion of required clerkships

Goals: A general surgery experience with emphasis on complex problems involving the Biliary tract, pancreas and gastrointestinal tract. It is also expected for the student to participate in patient care rendered in the surgeon's office as well as the wards at Good Samaritan Regional Medical Center.
Format: Typical subinternship by incorporation into the resident team.
Evaluation Methods: Standard University of Arizona College of Medicine evaluation forms used.

SURG 810Ah - General Surgery (VAMC, Phoenix)
Drs. Harlan Stone, Schmitz, Buck & Dolan
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 4
This is a Patient Care elective.
Prerequisites: Completion of required clerkships. Medical students must have consent of Course Director before registering.

Goals: To offer an intensive experience in the management and care of surgical patients, giving the student a broad exposure to general (abdominal, vascular, head and neck, etc.) surgery and more limited exposure to thoracic and gynecologic surgery as part of the General Surgical Service. It is hoped that this period on an active Surgical Service will help the student make a more informed decision regarding the possibility of a career in the surgical field.
Format: During the period of this clerkship, the senior student will function in a position comparable to the PGY-1 level. He/she will participate in daily ward rounds, conferences, clinics and assist in the operating room. An opportunity to observe and understand sophisticated monitoring devices in the Intensive Care Unit and correlate findings with clinical observation is encouraged. Pre-operative evaluation of the patient with the anesthesiologist is recommended. Attend didactic lectures as directed by the Chairman.
Evaluation Methods: Written appraisal by the faculty as to basic knowledge, skills and ability to relate to patients, one's peers, nurses and paramedical personnel.

SURG 810Am - General Surgery (Mayo Clinic, Scottsdale)
Dr. Richard Schlinkert (602-301-4338)
6 weeks, 4 weeks, 3 weeks; Maximum length of 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Completion of required clerkships. Medical students must have consent of Course Director before registering.

Goals:
1. To learn appropriate preoperative evaluation of the surgical patient.
2. To expose the student to intraoperative techniques in general surgery, including but not limited to, colon and rectal, hepatobiliary, vascular, endocrine, and laparoscopic surgery.
3. To better understand the three dimensional anatomical relationship necessary to perform surgery.
4. To learn appropriate postoperative care of the surgical patient.
Format: In the clinic the students will join the surgeon during consultations with patients and will assist with preoperative ordering of tests and the writing of preoperative orders. The student will also participate in the postoperative evaluation of patients. On the hospital service the students will make daily rounds with the supervising consultant and will have opportunities for individual assessment of patients, both pre- and postoperatively prior to consultant evaluation. Students will also participate in the operating room during surgery, and participate in all educational conferences.
Evaluation Methods: Written evaluation will be provided by each consultant working with the student.
*Clerkships of slightly longer or shorter duration may be arranged.

SURG 810Be - Burn Care (Maricopa Medical Center, Phoenix)
Dr. William Schiller (602-267-5371)
4 weeks; Maximum length of 8 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students or Surgery 803

Goals:
1. Learn the principles of burn evaluation and initial care.
2. Gain experience in the critical care of burn patients.
3. Participate in operative management.
Format: Will participate as a member of the burn team in patient resuscitation and initial management, ward rounds, conferences and operative care.
Evaluation Methods: Will be evaluated by the Director based on clinical performance.

SURG 811Bf - BNI Neurological Surgery (St. Joseph's Hospital and Medical Center, Phoenix)
Drs. Robert Spetzler, Sonntag & BNI Faculty
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Fourth-year medical students. Medical students must have consent of Course Director before registering.

Goals: This elective exposes the senior medical student to a full spectrum of clinical neurosurgery-trauma, cerebrovascular, spine, neoplastic, pediatrics. Academic activities are an integral part of the program with active participation in regular conferences of neuroradiology, neuropathology, adult and pediatric neurology.
Format: The senior student is assigned to the clinical neurological surgery service with a second-year neurosurgery resident. The student is expected to function as a full team member and is evaluated by BNI faculty and the Chief Neurosurgery Resident.
Evaluation Methods: Direct observation by faculty physicians and housestaff with written evaluations discussed with the medical student. The medical student evaluates the faculty, housestaff and rotation experience.

SURG 815Bm - Cardiothoracic Surgery (Mayo Clinic, Scottsdale)
Dr. Louis Lanza (602-301-4338)
8 weeks, 6 weeks, 4 weeks, 3 weeks; maximum length 8 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Completion of clinical clerkships

Goals: This clerkship is offered at Mayo Clinic, Scottsdale campus and the affiliated hospital, Scottsdale Memorial Hospital-North, in Scottsdale, Arizona. Students will be supervised directly by staff consultants, both in the Clinic and on the hospital services. Students will have the opportunity to develop basic skills to correlate cardiovascular and respiratory physiology in a clinical setting with emphasis on postoperative critical care. Additionally, the student will participate in surgery, and the anatomy and physiology will be pointed out. The clerk will become an integral part of the service, rounding on patients and correlating X-ray and laboratory findings with physical findings. In the outpatient setting, the student will have the opportunity to interview the patient, assess physical findings, and review these with the corresponding consultant. A broad range of cardiovascular, thoracic, and esophageal conditions will be available for student evaluation.
Format: In the outpatient setting, the student will be expected to perform a history and physical examination on a minimum of two to three patients weekly. Initial examinations and interesting cases will be stressed. After reviewing the case will the consultant, the student will assist in ordering tests and procedures, and will be present when the patient returns at the time of followup. On the hospital service, students will participate in the preoperative evaluation of cardiovascular and thoracic surgical patients. The student will be expected to perform daily rounds on operative patients, and will be available for a surgical scrub on major and/or minor thoracic and cardiovascular procedures. Medical students will not be required to take on-call duty, but they will be encouraged to participate at the bedside in the acute postoperative management of at lease one patient per week. Students will be encouraged to attend appropriate cardiovascular and thoracic teaching conferences, and will also be encouraged to present cases at these conferences. An extensive video library is available for the student to increase his knowledge in cardiovascular conditions.
Evaluation Methods: Prior to the end of the rotation, the student will be evaluated in his skills in the interpretations of physiology, drug management, volume replacement, and the interpretation of physiological data. In addition, his skills and interpersonal relationships will be evaluated. A written evaluation will be provided for the permanent file.
*Clerkships of slightly longer or shorter duration may be arranged.

SURG 815Cm - Neurosurgery (Mayo Clinic, Scottsdale)
Dr. Richard Zimmerman
4 weeks; maximum length 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 3
This is a Patient Care elective.
Prerequisites: Completion of Neurology clerkships

Goals: To gain a better undersatnding of the neurological history and physical examination as it pertains to the neurosurgical patient. To understand what constitutes a neurosurgical emergency. To gain a basic understanding of the management of the following neurosurgical problems:
a) head injury, both minor and severe
b) spinal injury, with and without neuro deficit
c) cervical and lumbar disc disease
d carotid occlusive disease
e) aneurysmal subarachnoid hemorrhage
f) brain tumor
To gain a better understanding of the different types of neuro-radiology imaging tests and how they are used in neurosurgical patients.
Format: In the morning, students participate in rounds with the attending neurosurgeon, resident and paramedical staff. Students also participate in daily observation or assist with surgical procedures at the hospital. Afternoon activities include post-operative rounds at the hospital and/or outpatient clinic activities. Students are expected to attend the monthly neuroscience conference and the weekly CPC conference at Mayo Clinic Scottsdale. Students may elect to be on call one night out of four and be available to assist with the evaluation and/or surgical treatment of trauma cases or other acute neurosurgical emergencies at the hospital.
Evaluation Methods: The consultants and residents evaluate students based on their daily performance and their understanding of the goals described above. No formal written or oral examinations are given; however, students are asked to summarize their experience for future medical student reference.

SURG 815Ee - Urology (Maricopa Medical Center, Phoenix)
Dr. Jose de Guzman & Faculty
6 weeks, 4 weeks; maximum length 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Completion of required clerkships

Goals: To provide the student with experience in all phases of the care of the urological patient. Exposure to urological procedures both in the operating room outpatient clinics and emergency room will be part of this elective experience. The student will be provided the opportunity to participate in all conferences and other exercises pertaining to the care and treatment of the urological patient.
Format: Monday through Thursday-the student makes daily ward rounds with the attending staff of the Urology Section. Monday the student will participate in the operating room. Tuesday the student will participate in the General Urology Outpatient Clinic in the morning and afternoon. The student will be assigned to inpatient ward duty with the housestaff. If time permits, the student will attend the Tumor Conference on Tuesday. This day also will be used for literature study. Wednesday the student will attend the surgical grand rounds, the morbidity and mortality conference and will participate in surgery for the rest of the day. Thursday, the student will attend an IVP conference clinic and learn to interpret urological X-rays. During the afternoon, the student will participate in the outpatient clinic. Fridays are reserved for General Urology Clinic. Following this, ward rounds are attended and the student will participate in ward activities with the housestaff. In his/her work in the outpatient clinic, the student will see new patients, returned patients and will also be instructed in the valid outpatient manipulatory procedures common to urology.
Evaluation Methods: Based on performance of patient evaluations, ward responsibilities and participation in surgical activities. Elective evaluation form will be used.

SURG 815Em - Urology (Mayo Clinic, Scottsdale)
Dr. Donald Novicki (602-301-4338)
6 weeks, 4 weeks, 3 weeks; maximum length 6 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Completion of required clerkships

Goals: The clerkship takes place at Mayo Clinic, Scottsdale and Scottsdale Memorial Hospital-North. The entire spectrum of urologic surgery, including endoscopic surgery, endourology, ESWL, major open surgery, and GU prosthetic surgery for patients with benign and malignant diseases of the urinary tract can be seen.
1. To gain a practical, working knowledge of urologic diseases, diagnostic workup, and surgical treatments.
2. To perform urethral catheterization and selected minor procedures.
3. To observe and assist at surgery.
Format: The student will be involved in all aspects of the patient's care from the initial clinic evaluation through the diagnostic workup, surgical treatment, and postoperative care. Close supervision will be provided by the urologic consultants. The student will be expected to read about the pathophysiology and other aspects of the individual cases on the service and participate in ongoing educational discussions about those cases. On-call participation is not required.
Evaluation Methods: Written and oral evaluation of the student will be provided by the urologic consultants.

SURG 815Fm - Orthopedics (Mayo Clinic, Scottsdale)
Dr. Christopher Beuchamp (602-301-4338)
4 weeks; Maximum length 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students

Goals: Students are assigned to work directly with a consultant in the Orthopedic Section. This consultant will supervise the students rotation at Mayo Clinic Scottsdale for office practice. Outpatient surgical experience occurs at the Ambulatory Surgery Center at Mayo Clinic Scottsdale, and inpatient surgery and patient management will occur at Scottsdale Memorial Hospital-North.
Specific Goals: The student will be expected to improve their skills in interviewing and examining orthopedic patients. The student will learn to diagnose common orthopedic disorders and to formulate treatment plans. Surgical experience will be gained as the student accompanies the consultant supervisor to the hospital and outpatient surgi-center. Subsequent rounds on hospital inpatients will allow the student to gain exposure to inpatient management. The student will be instructed in minor procedures: ie., casting, suturing, and injections as his/her ability and opportunity allows. The student may request to do a rotation with a special emphasis on the upper extremity, adult reconstruction, oncology, or foot and ankle surgery.
Format: The student will be assigned to a consultant in the Section of Orthopedics. The student will interview, examine and review with the supervising physician those patients presenting for initial evaluation. The student will accompany the physician in the office to see patients on re-check and pre-operative visits, in the operating suite for surgery, and on hospital rounds. There will be no call responsibilities.
Evaluation Methods: A review of the student's general performance will be provided verbally and in writing at the end of the rotation.

SURG 815Je - Otorhinolaryngology (Maricopa Medical Center, Phoenix)
Dr. Thomas VanSant, Jr.
4 weeks, 6 weeks; Maximum length of 8 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students

Goals: To familiarize the medical student with Otolaryngology as a surgical speciality.
Format: Outpatient clinics are held on Monday, Wednesday and Thursday and Operating Room experience on Tuesday and Friday. Students will assist the resident and staff in both clinical care and in the Operating Room.
Evaluation Methods: Evaluation of each student will be issued at the end of the rotation. Each student's performance will be discussed during and at the completion of this clerkship.

SURG 815Jm - Otorhinolaryngology (Mayo Clinic, Scottsdale)
Dr. Max Wertz (602-301-4338)
4 weeks, 3 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Completion of clerkships

Goals: This clerkship takes place entirely on the Mayo Clinic, Scottsdale campus and Scottsdale Memorial Hospital-North. Students will be supervised directly by consultants, both in the outpatient clinic and hospital service.
1. To expose the student to the scope of the speciality.
2. To develop skills in a complete head and neck exam using reflected light, mirrors, and hand-held instruments.
3. To learn to arrive at a diagnosis in an orderly way using history, examination, and appropriate laboratory tests.
4. To become familiar with basic hearing tests, their value and limitations.
5. Exposure, in the operating room, to the scope of the otolaryngology - head and neck surgical practice.
Format: In the outpatient clinic students will be expected to perform a history and physical examination on several patients a day. After reviewing the case with the consultant, the student will assist in ordering tests and procedures and will be present when the patient returns at the conclusion of the workup. In the hospital service, students will attend rounds with their supervising consultant. Opportunities will be available to assist with surgical procedures on patients they have evaluated in the Clinic. Clerks are not expected to take call, so their evenings are available for independent study. Exposure to the full spectrum of otolaryngology procedures can be expected including: head and neck cancer; microsurgery of the ear, nose, and paranasal sinus disease and surgery; and facial plastic surgical procedures. Time will also be spent in the Department of Audiology and Speech Pathology.
Evaluation Methods: Written evaluations will be provided by each consultant working with the student.

SURG 815Ke - Orthopedic Surgery Sports Medicine (Section of Orthopedic Surgery)
(Maricopa Medical Center, Phoenix) (Marcy Wilkinson 602-254-8372,#18, Ortho only)
Dr. Dana Seltzer (602-267-5402)
4 weeks; Maximum length of 4 weeks
Offered October - April & June - August
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This may be a Patient Care or Non-Patient Care elective.
Prerequisites: Fourth-year medical students who have completed their General Surgery and Surgery Sub-specialty clerkships. Students are required to submit the following when applying for this elective: Application for clinical clerkship (available by calling Marcy Wilkinson, 602-254-8372) and current CV.

Goals: The medical student will become an active participant in the Sports Medicine Service at Maricopa Medical Center, Phoenix. The program is under the directorship of Dana Seltzer, M.D., who is team physician for the Phoenix Roadrunners Coyotes Ice Hockey teams.
Format: This elective will be offered during the ice hockey season. Students will be exposed to the evaluation and treatment of sport injuries. It is expected that by the end of the rotation, students will have some familiarity with problems associated with athletic activities, not only musculoskeletal, but other organ systems.
Evaluation Methods: Students will be expected to put together a review article summarizing current literature on a sports medicine topic of their choice.

SURG 815Me - Trauma (Care of the Trauma Victim) (Maricopa Medical Center, Phoenix)
Drs. James Malone & Schiller & Faculty
4 weeks; Maximum length of 8 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students or completion of Surgery 803

Goals:
1. Become familiar with initial evaluation, resuscitation and treatment of all types of trauma.
2. Participate in daily patient critical care including treatment of wounds and invasive monitoring.
3. Participate in operative procedures related to the care of the trauma victim.
4. Participate in daily teaching rounds with faculty and residents.
5. Attend and participate in clinic and post injury rehabilitation of the trauma victim.
6. Participate in educational conferences including lecturers and weekly formal Burn Grand Rounds.
Format: A clinical clerkship under the supervision of senior level housestaff and surgical faculty.
Evaluation Methods: The evaluation methods include daily contact with the medical and nursing staff allowing for ample opportunity to provide written evaluation of the student's performance during the rotation.

SURG 815Mg - Trauma (Good Samaritan Regional Medical Center, Phoenix)
Dr. Charles Allen & Attending Trauma Faculty (602-239-2282)
6 weeks, 4 weeks, 3 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Prior surgical clerkship desirable

Goals: To offer a comprehensive experience in the evaluation, resuscitation and treatment of the injured patient.
Format: The student will function as an integral part of the unit with a "running mate" at the
PGY-III level. The student will follow the patient's progress from admission to discharge, including resuscitation, operation, if needed, and postoperative intensive care. Daily ICU Rounds and Trauma Conference attendance is required. A written exam at the end of the rotation will be required.
Evaluation Methods: Written appraisal by the faculty as to basic knowledge, skills and ability to relate to patients, one's peers, nurses and paramedical personnel.

SURG 815Ng - Spinal Cord Injury (Good Samaritan Regional Medical Center, Phoenix)
Dr. John Porter (602-239-2282)
3 weeks; Maximum length of 3 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Fourth-year medical students

Goals:
1. Introduce the student to the catastrophic nature of spinal cord injury
2. Offer a frame of information and skills considered essential for an acceptable level of acute and long-term care in this expanding population
3. Ultimately improve medical accessibility for the spinal injury in his/her home community
Upon completion, the interested student will be aware of most of the clinical problems unique to spinal cord injury.
Format:
A. Students will be expected to:
1. Make daily rounds with attendings, 8:00 AM.
2. Workup new admissions or assigned patients.
3. Participate in conferences and treatment decisions.
B. Students will be provided:
1. Pertinent bibliographic and resource materials, case presentations.
2. Assigned times with physical therapy, occupational therapy, social service, nursing, recreation therapy, respiratory therapy, urotechs and discharge planners.
Evaluation Methods: Because this course is a "one-on-one" experience, student performance, based on interest, abilities and fund of general clinical knowledge, will be graded by each instructor without formal examination.

SURG 815Pf - Pediatric Orthopedic Surgery (Children's Rehabilitative Services, St. Joseph's Hospital and Medical Center, Phoenix)
Dr. Richard Haynes
6 weeks, 4 weeks, 3 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Completion of basic sciences

Goals:
1. Exposure to the practice of pediatric orthopaedics.
2. Increase knowledge of basic pediatric orthopaedic problems.
3. Operating room exposure to pediatric orthopaedic procedures.
4. Obtain skill in pediatric orthopaedic decision-making processes.
Format:
1. Evaluation and care of patients from seven Children's Rehabilitative Services' out-patient clinics a week, including pediatric orthopaedic sub-specialty clinics such as cerebral palsy, scoliosis, spina bifida, hand and amputee.
2. Participation in teaching sessions, ward rounds and clinical conferences.
3. Active participation in two days of pediatric orthopaedic surgery procedures per week.
Evaluation Methods:
1. Student is expected to actively participate in ward rounds and conferences.
2. Student is expected to participate and prepare for weekly journal review sessions.
3. Evaluation of student's performance in these activities will be provided.

SURG 815Qe - Plastic Surgery (Maricopa Medical Center, Phoenix)
Drs. Rick Weimar & William Jacobsen
4 weeks, 3 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students

Goals: Introduce the student to the clinical practice of plastic and reconstructive surgery. This would be provided in a multispecialty clinic setting. The emphasis is on patient care and attempts would be made to give the student an understanding of the principles of plastic and reconstructive surgery.
Format: The student would be required to live in the Phoenix metropolitan area during that period of time. Evaluation would be made of the activities of the two surgeons involved, and the student would be assigned to what was felt to be the most interesting and rewarding activities of the two surgeons. If there are other interesting activities during the rotation in some of the other surgical specialties, the student would be allowed to attend and observe these. A one-to-one direct teaching would be utilized.
Evaluation Methods: Evaluation by the two plastic surgeons on the usual form would be forwarded to the medical school.

SURG 815Qm - Plastic Surgery (Mayo Clinic, Scottsdale)
Dr. N. Bradley Meland (602-301-4338)
4 weeks; Maximum length of 4 weeks
Offered October - May
This course is not directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students

Goals: This clerkship would take place at Mayo Clinic, Scottsdale and Scottsdale Memorial Hospital-North. The student will see patients in the Clinic with the consulting physician, make rounds in the hospital and scrub in surgery. Students are not expected to be on-call, so their evenings and weekends will be available for independent study.
1. To acquaint the student with surgical principles, sterile techniques, and operative techniques.
2. To learn the principles of basic wound care.
3. To observe problem solving situations in patient care.
4. To become familiar with the scope of plastic surgery.
5. To become familiar with the practice of medicine in a large group practice.
6. Will be exposed to hand surgery, exams & anatomy.
Format: The student will attend clinics and assist with surgical procedures. The student will be responsible for an oral presentation on a selected topic to be given at the end of the rotation.
Evaluation Methods: Written evaluation will be provided be each consultant working with the student.
*Clerkships of slightly longer or shorter duration may be arranged.

SURG 815Rg - Clinical Experience in Rehabilitation Medicine (Good Samaritan Regional Medical Center, Phoenix)
Dr. John Porter (602-239-2282)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Completion of required clerkships

Goals:
1. Familiarization with the role of rehabilitation medicine as a discipline in modern medicine.
2. Acquisition of clinical skills in the evaluation and management of patients with diseases and disabilities within the purview of rehabilitation medicine so as to be able to provide primary care for some of the more common forms of these disorders.
3. Appreciation of the contribution of rehabilitation medicine to the care of catastrophic disabilities so as to have the capability of referral of such patients for comprehensive rehabilitation services.
Format:
1. Clinical experiences at the Institute of Rehabilitation Medicine under the preceptorship of Institute Faculty to include:
a. In-patient assignments of patients representing a variety of physical disabilities such as stroke, head injury, spinal cord injury, amputations, arthritis, multiple sclerosis and other disorders involving the locomotor system including local musculoskeletal disorders as well as systemic disorders. These assignments would be divided among in-patients on the Rehabilitation Medicine Service and consultations on other services throughout the hospital.
b. Out-patient assignments including patients with similar disabilities to the above who are returning for follow-up care as well as patients who are undergoing electromyo graphic and nerve conduction studies.
2. Community experiences to demonstrate the liaison between a medical rehabilitation center and community rehabilitation agencies such as the Department of Vocational Rehabilitation, Goodwill Industries, the Hope Rehabilitation Program for the Brain Injured, the Visiting Nurse Association, etc.
3. Classwork in the form of daily one and a half hour presentations on subjects related to rehabilitation medicine by the faculty and associated staff at the Institute of Rehabilita tion Medicine. Subjects covered would include: the history and present role of rehabilita tion medicine in modern medicine, fundamentals of history-taking for the assessment of function, performance of the neurological examination, performance of the musculoskel- etal examination, gait assessment, the rationale and prescription of ambulatory aids, fundamentals of prostheses, fundamentals of orthoses, rehabilitation psychology- evaluation and management techniques, the role of the allied health professional in rehabilitation medicine (physical therapy, occupational therapy, social work, speech pathology, etc.). Presentations on common physical disability states such as stroke, head injury, spinal cord injury, arthritis, amputations, regional musculoskeletal problems, etc.
Evaluation Methods:
1. The students will be given an objective written examination at the beginning of the elective. The same examination will be repeated at the end of the elective so that the scores for each test can be compared. The examination will cover basic material covered in the didactic sessions.
2. The preceptors will score the students on the clinical experiences using the traditional
A-B-C-D-F system. The major factors in scoring will include: development of clinical skills in evaluation, development of skills in interacting with the professional team: intellectual curiosity, independent and creative thinking, professional attitude and behavior, reliability and honesty.
3. The students will evaluate the elective by completing a written evaluation form concern ing the didactic presentations using the scoring system of A-B-C-D-F based on content, method of presentation and the applicability of the material.
4. The students will complete a written evaluation at the end of the elective concerning the clinical experiences, individually rating them according to the grading system noted above. On these evaluations, the students will have some space in which to elaborate upon the suggestions for improvement of the elective.
5. The students will meet with the Medical Director (who will serve as program coordinator) at the end of the elective to review the results of their pre- and post-test scores as well as to verbally review their observations of the course itself.

SURG 815Te - Emergency Medicine (Maricopa Medical Center, Phoenix)
Dr. Paul Kozak & Faculty (Nedra Kissling, 602-267-5808)
4 weeks; Maximum length of 12 weeks
Offered year round
This course is not directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 6
This is a Patient Care elective.
Prerequisites: Rotations in Internal Medicine, Surgery and Obstetrics & Gynecology or Pediatrics

Goals: The course is designed to provide fourth-year medical students with a broad exposure to the practice of Emergency Medicine in a high volume, high acuity urban medical center. Students will see a variety of medical, surgical, gynecological, pediatric and trauma patients under the direct supervision of the Emergency Medicine residency attending staff. Students will be expected to gain experience in performing various clinical procedures and are required to attend weekly student lectures, Journal Club and resident lectures. Students are also encouraged to participate in the ride-along program with the Phoenix Fire Department Paramedics.
Format: Students will be required to work 18 eight-hour shifts during the four weeks Students will be expected to see patients and present the patient to an attending physician or senior resident including a discussion of the differential diagnosis and a coordinated diagnostic-management plan. Students will then manage the patient through discharge.
Evaluation Methods: Students receive a composite evaluation at the end of the rotation. No formal examination will be involved.

SURG 815Uh - Head & Neck Surgery (VAMC, Phoenix)
Dr. Gerald Schmitz
6 weeks, 4 weeks; Maximum length of 6 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Completion of required clerkships

Goals: To offer extensive experience in diagnosis, work-up and management of patients with diseases of the head and neck with special emphasis on the treatment of head and neck cancer.
Format: The fourth-year student will be an active member of the Head and Neck Service Clinical team functioning essentially at a PGY-I level.
Evaluation Methods: Written appraisal by the faculty based on observation of the students' skills, knowledge and ability to relate to individuals.

SURG 815Wg - Pediatric Urology (Good Samaritan Regional Medical Center, Phoenix)
Dr. Robert Bailey Jr. (602-239-2282)
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: None

Goals: Expose the students to the field of pediatric urology with emphasis on the diagnosis and treatment of the more common urological problems in children including urinary tract infections, vesicoureteral reflux, enuresis, obstructive uropathies, scrotal pathology and hypospadias.
Format: The students will accompany faculty on rounds, assist at surgery and participate in clinics. Students will be expected to perform histories and physical exams on selected patients and follow their clinical course. A pediatric urology textbook will be provided.
Evaluation Methods: A written evaluation will be provided of the student's overall performance including participation on rounds, in the operating room and the quality of workups. Each student will be required to give a short presentation on a topic in pediatric urology at the end of the rotation.

SURG 816Ae - Pediatric Surgery (Maricopa Medical Center, Phoenix)
Dr. Medo Mirza
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical student

Goals: To offer a comprehensive introduction to neonatal and pediatric surgery. This experience will include exposure to patients in the newborn nursery, pediatric intensive care unit and on the pediatric floor. The student will be involved in all aspects of the child's pediatric surgical care from the clinic or inpatient environment; including diagnostic evaluation, surgical treatment and postoperative care.
Format: The student will participate, under faculty supervision, in the management of pediatric surgical patients. This will be an elective in which the student experiences a "one on one" learning opportunity with the course faculty; allowing for direct education including daily academic rounds, selected conferences, supervised procedures, operating room participation and guided topical reading.
Evaluation Methods: A written evaluation will be provided of the student's overall performance; including participation in rounds, in the operating room and clinical behavior. Each student will be given feedback during and following completion of the rotation.
*Crosslisted with PED 816Ae

SURG 816Be - Hand Surgery (Maricopa Medical Center, Phoenix/St. Luke's Hospital)
Dr. Atef Mohty
4 weeks; Maximum length of 4 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty. Prior approval.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students

Goals: To familiarize the student with common injuries and diseases affecting the hand and to emphasize the importance of diagnosis and timely treatment.
Format: One on one instruction, both didactic and in clinical setting by faculty and Hand Fellow. Patients will be drawn from outpatient, inpatient and Emergency Room clientele.
Evaluation Methods: Written evaluation by faculty and discussion with student.

SURG 816Cf - Rural Pediatric Orthopaedics (St. Joseph's Hospital and Medical Center, Phoenix)
Dr. Richard Haynes (602-406-6994)
3 weeks, 4 weeks, 6 weeks; Maximum length of 6 weeks
Offered 4 times a year
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Must be taken after at least 2 weeks in conjunction with SURG 815Pf or PED 815Hf

Goals:
1. Exposure to the basic practice of pediatric orthopaedics in the rural health care setting.
2. Increase knowledge of basic pediatric problems in a rural health care setting.
3. Obtain skills in pediatric orthopaedic decision making process in the rural health care setting.
Format:
1. Evaluation and care of pediatric orthopaedic patients in Children's Rehabilitative Services traveling outpatient clinics over a period of four days, including one clinic on the Hopi reservation, three clinics on the Navajo reservation, one on the White Mountain Apache reservation, and one in rural Arizona.
2. Active participation with the attending orthopaedic staff at these clinics.
3. Rotation will be provided through Children's Rehabilitative Services.
Evaluation Methods:
1. Student is expected to actively participate in patient evaluation and discussion and is expected to evaluate and present patients to the attending staff.
2. Evaluation of the student performance in these activities will be provided.
*Crosslisted with PED 816Cf

SURG 891Be - General Surgery (Maricopa Medical Center, Phoenix)
Drs. James Malone, Simpson, Ferrara, Sibley & Faculty
4 weeks; Maximum length of 12 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Surgery 803

Goals:
1. To enhance skill in initial evaluation of general and endocrine surgical patients.
2. To develop ability to formulate appropriate plans for definitive evaluation and manage ment of general surgery patients in in-patient and out-patient settings, including trauma and critical care.
3. To practice diagnostic and therapeutic procedures, minor surgery and surgical assisting.
Format:
1. Function at subintern level on General Surgery "A, B, or C" section, one of three teams providing general surgery services at Maricopa Medical Center, a county hospital.
2. Participates in activities of team including patient care, working and teaching rounds, clinics and operations.
Evaluation Methods:
1. Evaluated by residents and faculty in daily work situation during teaching rounds and in didactic conferences.
2. The student's performance will be discussed during and at the completion of the rotation with counseling and written evaluation.

SURG 891Fe - Spine & Orthopedic Reconstruction (Maricopa Medical Center, Phoenix)
Drs. Robert Karpman, Haynes, Seltzer & Mallin
4 weeks, 6 weeks; Maximum length of 12 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 2
This is a Patient Care elective.
Prerequisites: Surgery 803

Goals: To familiarize the medical student with sub-specialty areas of orthopedics particularly the management of the spine and reconstructive surgery (total joints).
Format: The medical student will be part of a special orthopedic service consisting of a senior orthopedic resident and junior level general surgery resident. The student will participate in the evaluation of patients undergoing various spinal procedures including instrumentation as well as disc surgery and also the evaluation of patients undergoing total joint replacement. Students will also participate as an active member in the Operating Room as well as active participation in the postoperative management of these patients.
Evaluation Methods: Written evaluations by the senior orthopedic resident and supervising faculty

SURG 891He - Vascular Surgery (Maricopa Medical Center, Phoenix)
Drs. James Malone, Simpson & Holloway
6 weeks, 4 weeks; Maximum length of 8 weeks
Offered year round
This course is directly supervised by UA College of Medicine faculty.
Maximum enrollment of 1
This is a Patient Care elective.
Prerequisites: Fourth-year medical students or Surgery 803

Goals:
1. To obtain a basic grounding in the practice of vascular surgery with particular emphasis on the detection of vascular disease and its diagnosis by the primary care practitioner.
2. To understand the indications for vascular surgical consultation in select disease processes and the physiologic/pathologic basis of current vascular surgical interventions.
3. To understand the use of the vascular laboratory in the diagnosis of vascular disease.
Format: The student will be an integral member of the vascular surgery team with three didactic conferences, two clinics and three operating days each week. He/she will work with the team in clinics, OR and ward rounds; read non-invasive vascular studies and angiograms and have biweekly one-on-one teaching sessions with the attending surgeons. They will also spend time in the vascular laboratory. Night care will be limited to PRN calls for vascular or service emergencies.
Evaluation Methods:
1. Evaluated by residents and faculty in daily work situation during teaching rounds and in didactic conferences.
2. The student's performance will be discussed during and at completion of the rotation with counseling and written evaluation.