The University of Tennessee Graduate School of Medicine, Knoxville


Medical Student Education

Fourth Year Electives

Anesthesiology

ANE2-4010/F CLINICAL ANESTHESIOLOGY - KNOX
Course Coordinator: Audie Smith, MD
Location: University of Tennessee Medical Center
Maximum Class Size: 3 Students

This elective provides an opportunity to experience the many facets of the practice of anesthesiology while emphasizing the role of the anesthesiologist as a perioperative physician. The main focus of the rotation is centered on supervised practical experience in the administration of intravenous, inhaled and regional anesthesia. Exposure to the anesthesiologist's role in critical care medicine, acute and chronic pain management, obstetrical anesthesia and pre-operative evaluation is also provided. During the rotation, medical students will have multiple opportunities to improve clinical skills in airway management, central venous and arterial cannulation.

Emergency Medicine

EME2-4030/F EMERGENCY MEDICINE - KNOX
Course Coordinator: Dr. Leo Lamsen
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

Students participating in this elective will become acquainted with the diverse medical, surgical, and pediatric cases routinely treated in a busy Emergency Department. This Level I Adult and Pediatric Trauma Center treats approximately 70,000 patients per year and serves as the EMS and air-ambulance control for the area. Students will be encouraged to be involved in the care of acutely ill patients. This rotation allows the student the opportunity for a variety of different procedures. Students will be supervised at all times by an attending staff physician with an excellent opportunity for learning as they participate in patient care. All cases will be reviewed with faculty prior to treatment and final disposition.

Family Medicine

FME2-3010/F JI ANY - FAMILY PRACTICE PRECEPTORSHIP - KNOX
Course Coordinator: William S. Dabbs, MD
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

Medical students at the M4 level may negotiate their learning activities with the course coordinator, as MANY options are available.  Here is just one choice (traditional):  University Family Practice (UFP), adjacent to the University of Tennessee Medical Center in Knoxville, is a 30 year old family medicine practice staffed by residents and faculty. Students provide patient care for a patient population that is diverse and challenging in their health care needs under the direct supervision of family medicine residents and faculty. Various procedures are performed in the office including colposcopy, LEEP, OB ultrasound, minor surgery, “no-scapel” vasectomy, and others. Students may assist on procedures under direct faculty supervision. Students are also integrated into the UFP Inpatient Team, admitting and managing University of Tennessee Medical Center inpatients.   Patient care activities with family physicians at the Community Free Clinic round out the learning experience. The student’s clinical interests are definitely integrated into the curriculum of their elective.   Rotation sites in the local or adjacent rural area with a board certified family physician in our area will be considered for approval.

Internal Medicine

BIO2-4011/F MEDICAL GENETICS - KNOX
Course Coordinators: Dr. Ilse Anderson
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students - (Course is not offered in Blocks 3, 7 and 8)

This elective course combines clinical experience in the evaluation of genetic disorders with basic understanding of medical genetics. The clinical experience involves assisting in obtaining family pedigree, physical examinations of patients, investigative tests, differential diagnosis and genetic counseling. The course includes a rotation through the CytogeneticsLaboratory and the Biochemical and Molecular Genetic Laboratory with emphasis on the application of new cytogenetics and molecular genetic discoveries to clinical genetic practice. The topics to be discussed are: 1) Clinical case reports; 2) Disorders of inborn errors of metabolism; 3) Chromosomal syndromes (cytogenetic, molecular cytogenetic diagnosis, and comparative hybridization arrays) and 4) Molecular diagnosis. A short presentation on a case of interest is required.

MED2-3010/F - VISITING SENIOR CLERKSHIP IN MEDICINE - KNOX (Visiting Elective Only)
Course Coordinator: Dr. Janet L. Purkey
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 1 Student

This clinical elective in internal medicine affords the visiting medical student opportunity to develop advanced skills in comprehensive patient evaluation and management under daily supervision of medical faculty through the care of patients admitted to the housestaff service at UT Medical Center.

MED2-3030/F JI ANY - CRITICAL CARE INTERNAL MEDICINE - KNOX
Course Coordinator: Dr. Paul Branca
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

The objective of this course is to learn about pathophysiology, the appropriate diagnostic process, and the best management techniques for common medical problems and acute medical emergencies in the Critical Care Internal Medicine setting. Our goals include learning the technical and interpretative skills of common procedures performed in a Medical ICU (ventilator management, arterial lines, Swan Ganz catheters, etc.) The student will be expected to be the primary care provider for one or two critically ill patients under the supervision of an upper level medicine resident and critical care attending. The student will perform the admission history and physical examination and write the admission orders (under the supervision of the upper level resident). In addition, the student will present the patient on rounds in a problem and organ-oriented fashion. Daily orders will be written by the student on management rounds with the critical care attending. The student will also write problem-orientated daily notes and will be responsible for seeing that therapeutic plans are carried out.

MED2-4060/F CLINICAL CARDIOLOGY - KNOX
Course Coordinators: Drs. James Cox and Stuart Bresee
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

This is a clinical elective offering the student an intensive experience in clinical cardiology under a single preceptor cardiologist for a four to five week period of time. During that time, the student will evaluate and follow a number of the cardiologist's patients, participate in their care, and accompany them to the cardiovascular laboratory and cardiac surgery as indicated.

Students will attend cardiology conferences, twice-weekly teaching rounds, weekly EKG teaching sessions and review a prepared sampling of the literature. Other literature reviews will be suggested as clinical material warrants.

MED2-4070/F CLINICAL ENDOCRINOLOGY - KNOX (NOT AVAILABLE IN BLOCKS 7, 8 OR 12)
Course Coordinator: Bill Law, Jr. M.D., FACE/FACP, Chief, Section of Endocrinology
Location: University of Tennessee Medical Center (Knoxville); clinical experience occurs in the private office of Endocrinology Consultants of East Tennessee, located 5 miles from University of Tennessee Medical Center
Max. Class Size: 1 Student (REQUIRES ADVANCED REGISTRATION)
Advance registration required - students must call Knoxville Student Affairs at least 3 blocks prior to registering.

This elective is designed to provide an opportunity for students to observe the outpatient evaluation and management of patients with a wide variety of endocrine disorders, including thyroid and parathyroid disease, osteoporosis, multiple endocrine neoplasia, pituitary disorders, etc. Students will work under the direct supervision of nine BC practicing clinical endocrinologists. Students can observe patients undergoing thyroid ultrasounds, U/S-guided fine needle biopsies of thyroid nodules, radioactive iodine therapies, and bone density testing. Additional experience in evaluation and intensive outpatient management of diabetic patients using insulin pumps, continuous glucose sensing, and multiple daily injection regimens will be incorporated through time spent with several specialized physician extenders and Certified Diabetes Educators in our office.

MED2-4080/F CLINICAL GASTROENTEROLOGY - KNOX
Course Coordinator: Dr. Thomas Young
Location: University of Tennessee Medical Center (Knoxville)
Maximim Class Size: 2 Students

This elective is designed to acquaint the student with the clinical approach to the patient presenting with a GI illness including a pertinent history and physical, intelligent selection of laboratory, x-ray, and endoscopic studies to the ultimate culmination of diagnosis. Clinical management of the patient and therapy will be emphasized.

MED2-4090/F NARRATIVE MEDICINE IN CLINICAL PRACTICE - KNOX COURSE OFFERED ON VARIABLE SCHEDULE
Course Coordinator: Dr. Ronald Lands
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 1 Student
Students must contact the Office of Student Affairs for prior approval

The general objective of the course is to allow a senior student medical student to learn more of what an illness means to a patient while building on what they have already learned about what a disease is. During the inpatient rotation, the student will participate on rounds with the House Staff Medicine Team allowing an opportunity to be exposed to 15-20 patients daily. The palliative care service maintains a census of 12-20 patients, of which the student may see 3-5 patients along with the attending. The hematology clinic is one day per week, and the schedule averages 8-10 returns and 2-3 new patients per clinic session. The student will not have primary care responsibility for patients or the inpatient service, and therefore, will not compete with M-3 students doing their core clerkship or M4s doing their Junior Internship. They will participate with the attending in a consulting role in the hematology and palliative care rotations. The primary supervision will be one to one with attending. The student will only see patients that the attending evaluates, either in the clinic, on the internal medicine inpatient service or on the palliative care service. The student will follow the Department of Medicine Residency conference schedule including morning report, clinical-pathologic conferences, morbidity and mortality conference, safety and quality improvement, and the noon didactic lecture series. The student will be assigned readings relevant to patients encountered in the rotation and prepare one 15-minute presentation about any aspect of narrative medicine relevant to a patient encountered on the house staff medicine service. The student will practice reflective writing, including one page nightly during the rotation regarding something that touched, inspired or surprised him/her during that day. He or she may or may not share the details of this writing as desired. The student will complete one reflective work worthy of submission to a refereed journal. The student will see patients during the daytime only while working on the inpatient service and during the remaining two weeks of work in the hematology clinic and the palliative care service. There will be no call schedule for the student during this rotation.

MED2-4100/F HEMATOLOGY - CLINICAL AND RESEARCH - KNOX
Course Coordinator: Dr. Wahid T. Hanna
Location: University of Tennessee Medical Center (Knoxville) -
Maximum Class Size: 1 Student

This elective introduces the student to disease of the hematopoietic system/Oncology, their diagnosis and management by combining clinical experience and introduction to relevant research in hematology oncology. Students will spend part of their time on the clinical service and part in the laboratory.

MED2-4110/F INFECTIOUS DISEASES CLINICAL BLOCK - KNOX
Course Coordinator: Drs. Russell Smith, John Narro and Mark Rasnake -
Location: University of Tennessee Medical Center
Maximum Class Size: 1 Student

This elective will be to teach the student how to be an effective consultant and assist the student in improving his/her knowledge of infectious diseases. Upgrade the student's knowledge regarding the use of antimicrobial agents, and improve the student's understanding of the diagnosis and management of commonly encountered infectious diseases with attention to the use of the history and readily available laboratory tests. The student will be responsible for five new patients workups per week. Attending rounds will be held at least five days per week. At attending rounds the student will present his/her new patients to the attending physician. At the time of presentation the student should also have formulated an assessment and plan. The student will see new patients, make daily rounds on his/her old patients and be present at attending physician rounds. He/she will be responsible for a daily update of his/her patients to the attending. Faculty and residents will review patient assessments and plans of therapy. Students will participate in the outpatient clinics for HIV, TB, and STDs at the Knox County Health Department. Each student is given assigned reading materials. In addition, books on antimicrobial agents are given to each student for them to keep.

MED2-4130/F CLINICAL PULMONARY DISEASE - KNOX
Course Coordinator: Dr. Tina Dudney
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

This is a clinical preceptorial type elective in pulmonary disease. The student will have opportunity to evaluate, follow, and participate in the management of patients in the office and when admitted to the University of Tennessee Medical Center by the faculty of the University Pulmonary and Critical Care Physicians. . In addition to improving clinical skills in history taking and physical examination, the student will have an intensive experience in the application and interpretation of blood gases, pulmonary function testing, radiologic study, and other diagnostic modalities in medical chest diseases. Lectures on Pulmonology topics will be available.

MED2-4140/F CLINICAL RHEUMATOLOGY - KNOX
Course Coordinator: Dr. Gary Klipple
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

Medical clerks in their senior year may elect a one or two month rotation in University Rheumatology.  The purpose of this elective is to develop an approach to the assessment and management of articular diseases such as osteoarthritis or rheumatoid arthritis and of systemic rheumatic disease such as systemic lupus erythematosus.    This includes an understanding of and proficiency in the musculoskeletal exam.  

The format of this rotation is that of a clinical preceptorship.   Students will have the opportunity to evaluate, present, discuss, document and participate in the management of private patients in the office setting and  hospital consults.  In these activities students work one on one with experienced faculty.

Teaching will include brief clinical lectures, case discussions, musculoskeletal x-ray reviews and demonstration of routine joint procedures such as aspiration and injection.   At the beginning of the rotation, students will be given the 700 page Primer on the Rheumatic Diseases with suggested reading selections.  In addition, students will participate in the Department of Medicine conference schedule including noon didactic lectures.   

Medical Simulation

IDE2-4010/F PREPARATION FOR RESIDENCY SKILLS THROUGH SIMULATION - KNOXVILLE
Course Coordinator: Paul J. Huffstutter MD
Location: UT Graduate School of Medicine Medical Simulation Center
Max. Class size: 10
Note: Offered in Blocks 2, 3 and 4

Patient Care- This program is committed to the teaching, practice, and achieving proficiency in a set of standardized technical tasks and procedural skills designed for senior medical undergraduates utilizing simulation in their preparation for residency. The skills will be taught to a "mastery level" with a certificate of completion for each skill. The environment will be the UT Center for Advanced Medical Simulation at UT College of Medicine, Knoxville Campus. Upon completion of the course, learners are expected to:
1. Demonstrate a working knowledge of sterile technique
2. Identify commonly used surgical instruments.
3. Demonstrate proficiency in basic suturing and knot tying.
4. Explain basic wound care.
5. Demonstrate the ability to place urethral and nasogastric catheters.
6. Perform a thoracentesis and insert a thoracostomy
7. Demonstrate mastery of central line placement using ultrasound guidance
8. Demonstrate basic resuscitative principles.
9. Establish control of airway.
10. Demonstrate basic endoscopic skills to include bronchoscopy, endoscopy and colonoscopy.
11. Successfully investigate medical topics through library research.
12. Demonstrate proficiency in transition of care handoffs.
13. Complete Observed Structured Clinical Exams (OSCE) for communication skills and history and
physical completion.
14. Demonstrate a basic working knowledge of health team principles.

Medical Knowledge: Medical students must demonstrate a basic fund of knowledge in order to master these tasks and skills. Students are expected to:
1. Describe/demonstrate the steps involved in each skill/task.
2. List the indications, contraindications and risks for each task.
3. Identify the process for successful library utilization and research
4. Summarize a format and technique for "handoffs".
5. Demonstrate proper technique for communicating medical information.
6. Demonstrate skills for taking a medical history and performing a physical.
7. Discuss the composition and characteristics of effective medical teams.

Practice Based Improvement: This course is designed to train learners in the practice of evidence-based medicine using simulation. Each task/skill will be exhibited with time allotted for dedicated practice followed by assessment of each skill. At completion of the course learners will be able to:
1. Demonstrate self- learning through participation in simulations, dedicated practice of skills, research of literature, and assessment of each task/skill herein described.
2. Participate in self-assessment activities related to each skill.
3. Recognize personal strengths and limitations.
4. Assess the value of this course.

Inter-professional and Communications Skills: Effective communication is an absolute requirement for effective medical care. Students must be able to:
1. Demonstrate the ability to communicate effectively with staff, patients and colleagues.
2. Demonstrate effective communication skills in a simulated medical environment involving standardized patients.
3. Demonstrate the ability to accurately document findings in simulated patient encounters using standardized patients.
4. Guide communication skills within a medical team.

Professionalism: All tasks/ skills instruction, practice and assessment will be carried out in a professional and ethical manner. Specific professionalism issues will be addressed during team training as outlined in AHRQ's team STEPPS program. Students will be able to:
1. Demonstrate professional demeanor at all times while in the Simulation Center.
2. Treat all Staff and colleagues with respect and courtesy.
3. Complete all skills with honesty and accuracy.
4. Assist Staff and colleagues in completing their goals for this curriculum.

Systems Based Practice: Learners must show evidence of a working knowledge of healthcare systems including their role in the patient's overall healthcare plan.
Students will be able to:
1. Recognize the characteristics of effective medical teams and their relationship to health systems.

Direct supervision will be provided for all skills instruction and most of the learner's dedicated practice time. Staff will be present for all assessments and available throughout the 4 week course. Each task/skill will be preceded by a short didactic lecture and expert video/demonstration of the task/skill. Short lectures (30-45) minutes will precede the library research, team training and hand- off exercises. OSCE's will be conducted for communication skills and history and physical exams.

Obstetrics and Gynecology

OBG2-3010/F JI ANY - SENIOR CLERKSHIP IN OBSTETRICS - KNOX
Course Coordinator: Dr. Bobby Howard
Location: University of Tennessee Medical Center
Maximum Size: 1 Student

This clerkship in obstetrics allows the senior medical student to attend all obstetrical clinics, including high risk clinics. During this time the student will work closely with a senior resident or staff member to gain greater insight into the management of difficult obstetrical problems. On non-clinic days and while on call, the student will participate by assisting in labor and delivery activities such as spontaneous vaginal deliveries, forcep deliveries, postpartum tubal ligations and cesarean sections. Attendance at the resident didactic series will be expected.

OBG2-4011/F HIGH RISK OBSTETRICS-KNOX
Course Coordinator: Dr. Bobby Howard
Location: University of Tennessee Medical Center
Maximum Size: 1 Student

The purpose of this elective is to help the student gain greater insight into Maternal-Fetal Medicine. Emphasis is on management of medical complications and fetal ultrasound. Close faculty contact provides exposure to the most recent advances in detection, prevention, and treatment of premature labor; the latest techniques in intrapartum management, and newest imaging techniques. Students performance of procedures will be directly supervised by residents or faculty. Each student will participate in daily antepartum rounds, and weekly OB conferences. Grand rounds will be each Friday.

OBG2-4019/F OB/GYN ENDOCRINOLOGY-KNOX
Course Coordinator: Dr. Jeffrey Keenan
Location: University of Tennessee Medical Center (Knoxville)
Maximum Size: 1 Student

The purpose of this elective is to introduce the student to disease of the reproductive endocrine system, its diagnosis and management by combining selected clinical experience and material for an introduction to infertility and care of patients with diseases and conditions of the reproductive system.   These include endocrine disorders, congenital abnormalities of the urogenital tract, pelvic pain, pelvic neoplasms, and endometriosis.   Students will spend part of their time in the office setting and part of their time in the operating room.   The clinical orientation will involve direct patient evaluation and care under the direction of the attending faculty.

OBG2-4020/F GYNECOLOGIC ONCOLOGY-KNOX
Course Coordinator: Dr. Larry Kilgore
Location: University of Tennessee Medical Center (Knoxville)
Maximum Size: 1 Student

The purpose of this elective is to provide the student contemplating a career in Obstetrics and Gynecology the opportunity to gain greater insight into the specialty with an emphasis on gynecologic oncology. Close faculty contact provides exposure to the most recent advances in detection, prevention, and treatment of gynecologic cancers. Students will gain experience in surgical and medical management of gynecologic cancer. Students will spend time in the operating room, colposcopy clinic, and the private office setting for gynecological oncology patients.

Oral and Maxillofacial Surgery

SUR2-4011/F ORAL AND MAXILLOFACIAL SURGERY
Course Coordinator: Dr. Eric R. Carlson
Location: University of Tennessee Medical Center (Knoxville)
Maximum Size: 1 Student - Note: This elective can be half-time (SUR2-4011/H).

The student will learn about the surgical management or oral and head and neck pathology and the correction of congenital and traumatic deformities. Acute trauma care is a major component of this service. The student will have some responsibility for inpatient care each week. Students will have the opportunity to perform minor procedures in the clinic, as well as the emergency room. Operating room activity is encouraged. All activities are supervised by the chief resident and attending. All activities are supervised. Management decisions are made only after being discussed with the resident and attending. A minimum of four (4) conferences occurs each week. Grand rounds occur on Monday and Friday mornings, and didactic lectures occur on Tuesday and Thursday mornings. The enthusiastic student will be encouraged to take first call with the resident. On-call activities will be predominantly related to management of head and neck trauma patients.

Pathology

PAT2-4010/F GENERAL PATHOLOGY - KNOX (Not available in Blocks 7, 8 or 12)
Course Coordinator: Dr. Lisa Duncan
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 1 Student (REQUIRES ADVANCE APPROVAL)

Advance registration is required. Students must call Knoxville Student Affairs at least 3 blocks prior to registering. The goal of the General Pathology Elective course is to provide an overview of the function of Anatomical Pathology (AP) and Clinical Pathology (CP) within the Department of Pathology at the University of Tennessee Medical Center. The objectives for this course are to understand the function of the pathology "gross" room, understand the Surgical Pathology "sign-out" procedure, understand the basic elements of autopsy performance, learn to order and interpret laboratory tests for common clinical situations, gain an understanding of the operation of the major sections of a modern clinical laboratory and understand the role of pathology/ pathologists participation in the medical center. Students will participate in regular teaching activities of the Pathology Department including daily lectures, demonstrations, and conferences. Specific conferences the students will attend are: Anatomic Pathology, Oncology Conference, Pulmonary Conference, Breast Conference, Quality Assurance Conference and GU Conference. Students will learn the role of the pathologist in patient care by observing procedures such as FNAs, bone marrows, frozen sections, processing surgical specimens, and autopsies. At the beginning of the rotation, a customized schedule will be made for the student, and time will be allotted for study in the following major subdivisions of pathology: Surgical Pathology Autopsy Pathology, Clinical Chemistry, Hematopathology, Blood Banking, Microbiology, and Cytology. Upon conclusion of the elective, the student will have an understanding of the practice of pathology in a university medical center.

PAT2-4013/F FORENSIC SCIENCE/AUTOPSY (Not offered in Blocks 7 or 12)
Course Coordinator: Christopher Lochmuller, M.D.
Location: Regional Forensic Center, 2761 Sullins Street, Knoxville, TN 37919; ph: 865-215-8000
Maximum Class Size: 1 Student (REQUIRES ADVANCE APPROVAL)

Advance registration is required. Students must call Knoxville Student Affairs at least 3 blocks prior to registering. This elective is intended for any student who is interested in forensic pathology. The forensic autopsy is the focus from which evaluation of mechanisms of injury or illness and cause of death are determined. This information combined with the forensic investigation report (and any other sources of information, i.e. medical records, toxicology, etc.) is utilized to determine the manner of death. Opinions drawn from medical observations will be reviewed in light of their legal significance. Opportunities to observe and perform forensic, as well as hospital autopsies, will be mixed with an introduction to legal consultation and testimony. The student will demonstrate an understanding of the basic distinctions between hospital and forensic autopsies. They will participate in autopsy procedure as an observer/assistant and (as appropriate), a prosector. The students will be instructed how to properly complete an autopsy report and death certificate. They will be responsible for clinical information correlation report synthesis. They will maintain respect for, and ensure confidentiality with respect to, the personal medical information of the decedent and his/her family. Additionally, the student will maintain proper conduct with law enforcement and laboratory staff. Although the student will participate in autopsy dissection, this will always be done with a faculty member and often with a resident in Pathology to ensure direct one-on-one supervision. The student will attend an average of five conferences per week, in anatomic and clinical pathology. There will be no night or weekend call.

Radiology

RAD2-4010/F DIAGNOSTIC RADIOLOGY-KNOX
Course Coordinator: Dr. Anton Allen
Location: University of Tennessee Medical Center (Knoxville)
Max Size: 2 Students

The student electing diagnostic radiology at The University of Tennessee Medical Center will observe radiology staff and residents performing daily radiographic work, advanced cross-sectional and nuclear imaging, fluoroscopic GI-GU procedures, and special procedures.    The student will attend daily teaching rounds and work conferences.   There are opportunities for oral presentations and other academic projects.   The electives main goals are to educate the student regarding:   (1) the broad spectrum of diagnostic imaging used in modern patient care, (2) the critical role radiologist-clinician communication plays in management (and mismanagement) of patients, (3)  the imaging test-of-choice for most clinical problems, (4) radiological radiation, safety and cost issues,  (5) what their patient experiences when they order various radiological procedures and tests,  and (6) some basic "viewbox" imaging normal and abnormals.

Surgery

SUR2-3010/F JI ANY - CLERKSHIP IN ADVANCED GENERAL SURGERY - KNOX
Course Coordinator: Dr. Matthew Mancini, MD
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

This clerkship offers the students an advanced clinical role in patient care including pre-operative evaluation, operative treatment and post-operative care under the direct faculty supervision. It includes significant outpatient experience with one-on-one faculty involvement, evaluation of patients presenting with emergency conditions, and participation in advanced laparoscopic techniques. IV, EKG, and laboratory teams preclude the need for paramedical services by students, but students are expected to perform invasive monitoring and treatment procedures. Participation in resident conferences and rounds with house staff and faculty are expected.

SUR2-3020/F JI ANY - VASCULAR SURGERY-KNOX
Course Coordinator: Dr. Michael Freeman
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

This clerkship will allow students to learn the diagnosis, evaluation, and medical management as well as surgical and endovascular treatment options for patients suffering from peripheral vascular diseases. They will develop the familiarity with the noninvasive vascular laboratory and participate in all aspects of patient care for patients on the vascular service assigned. Students will participate in both open surgical and endovascular treatment of patients on the vascular service. Under supervision of the attending surgeon and surgical resident, the student will also be involved in writing notes and orders, performing history and physical, instituting care, making diagnosis, evaluating problems, plan therapy and seeing consultations. There will be one formal vascular conference per week in addition to the conferences regularly held in the Department of Surgery.

SUR2-3030/F JI ANY - TRAUMA SURGERY - KNOX
Course Coordinators: Dr. Brian J. Daley
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

Clinical performance at the level of a PGY1 and responses to Socratic questioning form the basis for evaluation.   All six core competencies are assessed through daily and call interactions with the faculty.

The objectives of this senior clerkship are for the student to learn how to evaluate and treat the acutely  injured patient.   Each student will manage patients during resuscitation and evaluation phase.   They follow patients and coordinate care through initial treatment to their rehabilitation from acute injury.   The students will be expected to assume primary control of a limited number of patients and will be responsible for working with their resident and faculty advisors to come up with appropriate treatment and plans.   Students are also expected to see these patients during outpatient visits in the Trauma Clinic.   Students must attend all conferences regularly held in the Division of Trauma/Department of Surgery and actively participate in discussion and lectures.   Students are expected to take night call, but may set their own schedules for this. 

SUR2-3031/F JI ANY - SURGICAL CRITICAL CARE-KNOX
Course Coordinator: Dr. Todd Nickloes
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

The student will learn how to manage the critically ill and injured surgical patient (both pre and post-operatively). In addition, they will learn how to use invasive hemodynamic monitoring and manage other support systems, such as ventilators, while dealing with multisystem failure and interacting with families of critically ill patients. The students will be expected to assume primary control of 1 or 2 critically ill patients during their shifts. They will perform admission history and physicals, write daily notes and orders, interact with the primary service and consulting services to help make diagnoses, evaluate problems and plan therapy. They will also see that the therapeutic plan is carried out. All of this will be done under the direction of residents who are assigned to the Critical Care Service, the Critical Care Fellow, and the attending physicians of both the Critical Care Service and the primary service. Students will be closely supervised by residents who are assigned to the Critical Care Service 24 hours a day, as well as the Critical Care Fellow and Faculty who are available 24 hours a day. They will also be supervised by the residents and faculty of the patient's primary service. Rounds with the attendings and residents are conducted at least twice daily. Critical Care Conferences to discuss management of critical care problems are conducted 2-3 times per week. In addition, there are daily Critical Care Service rounds, as well as the other conferences of the Department of Surgery, which include grand rounds, M & M conference, and x-ray conferences.

SUR2-3040/F JI ANY - SENIOR CLERKSHIP IN SURGICAL ONCOLOGY - KNOX
Course Coordinators: Dr. James Lewis
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

Broad exposure to the diagnosis, evaluation, and multimodal treatment approach to a variety of cancers Intensive exposure to both the outpatient and inpatient management of patients with malignant disease. Outpatient: responsible for performing history and physical examinations on patients with newly diagnosed malignancies; analyzing treatment options for both new and returning patients. Inpatient: daily rounds under the supervision of the resident and attending staff, write progress notes, and assist in surgical procedures. Attend the weekly conferences of the Department of Surgery, and participate in the weekly Multidisciplinary Tumor and Breast Disease Diagnosis and Management Conferences. Weekly didactic session with a faculty proctor to guide the student's literature review of a particular topic in surgical oncology. Students' presentation of the review topic to the members of the surgical oncology division. One or two days may be spent with a faculty proctor in Radiation Therapy or Medical Oncology to allow the student an opportunity to understand more fully the concept of multidisciplinary cancer care from each disciplines perspective. Objectives of Clerkship: Improved understanding of cancer biology, surgical treatment approaches to both primary and recurrent cancer. Improved understanding of the integration of other treatment modalities in the overall management of malignant diseases.

SUR2-4024/F ADVANCED LAPAROSCOPIC SURGERY - KNOX
Course Coordinator: Dr. Gregory J. Mancini
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 3 Students

The students will learn the fundamentals of Advanced Surgical Technologies, optics, energy sources and staplers. The students will learn the basics of Laparoscopic physiology and anatomy. They will gain exposure to Laparoscopic simulator and dry lab skills experience. The students will see 3 to 10 patients per week. The students will work with residents and faculty to care for patients. They will make daily rounds, attend operative cases and evaluate patients in the clinic for pre- and post-operative care. Students are expected to work as an integral surgical team member during the rotation. Students will receive a high level of supervision from residents, faculty on the wards, in the OR, and in the clinic. Students will have a weekly lecture given by the participating (4 total lectures) faculty. Subjects will focus on advanced laparoscopic techniques, anatomy and physiology. This rotation/elective is a "patient care" elective. Additionally students will be given access Laparoscopic Laboratory facilities and will be provided with faculty teaching to learn basic Laparoscopic operative skills. Call will not be required for participation in this rotation.

SUR2-4150/F INTRODUCTION TO PHYSICAL MEDICINE & REHABILITATION
Course Coordinators: Drs. Jeffrey S. Hecht
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 1 Student - Note: This elective can be half-time (SUR2-4150/H)

Students who complete this rotation have expanded their knowledge of the musculoskeletal system and the central and peripheral nervous systems. Students will develop a beginning level of competence in management of patients with disability through exposure to an academic rehabilitation practice. This will include rehabilitative history, examination, and exposure to rehabilitation in several settings. Students will develop skills in management of complex wounds. The students will have some responsibility for about 4-6 patients per week. By the latter part of the rotation, students will examine patients, take a rehabilitative history, and work with the attending physiatrist to develop a rehabilitative plan. They will be able to follow their patients through therapy in the inpatient setting. Students will monitor their patients and directly report to the attending physician. Students will work closely with the attending faculty. The settings are University Hospital for Consultations, the outpatient UT Wound Center, an acute Inpatient Rehabilitation Center, and a Skilled Nursing Facility with a Rehabilitation unit. The attending physiatrist is a member of the Surgery department and attends Surgery Grand Rounds on Thursdays. The students will not be on call during this rotation. Students will have weekends free to study and enjoy the Knoxville area. Interested students are asked to contact Dr. Hecht at least a week in advance by text or call to 865-209-6089 to make arrangements regarding where to meet and what to read.

NSG2-4010/F NEUROSURGERY-KNOX
Course Coordinator: Dr. James Killeffer
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 1 Student

The student will serve under the preceptorship of the faculty at The University of Tennessee Medical Center and will become familiar with cranial and spinal trauma, tumors, congenital malformations, vascular disease, and benign spinal disease. The student will scrub and assist the staff with operative procedures, participate in peri-operative care,  and will become familiar with neuroanatomical basis of diagnosis and treatment.

ORS2-4010/F ORTHOPAEDIC SURGERY-KNOX
Course Coordinator: Dr. Scott Smith
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 1 Student

Serving the tenure on orthopedics, the student will attend several weekly orthopedic conferences of varying types as well as attend the general orthopedics and fracture clinics.. Rotation in the office of an attending staff with participation in patient care will be required during the clerkship. The student will be given the opportunity to develop diagnostic skills and participate in active treatment of patients, including case application, manipulation of simple fractures, attending surgery and helping with post-op cases.

SUR2-4014/F RURAL SURGERY ELECTIVE
Course Coordinator:Matthew Mancini, MD
Location: Morristown-Hamblen Healthcare System, Roane County Medical Center. and Claiborne County Hospital
Maximum Class Size: 1-3 Students

This elective will provide students with diverse and challenging aspects of the practice of rural surgery by participating in clinics as well as outpatient and inpatient surgical cases experiences. The number of patients per week with whom the student will have some responsibilities is 20. The students are expected to evaluate patients presenting with emergency conditions and to perform invasive monitoring and treatment procedure. There will be direct one on one supervision by faculty and residents. There will be weekly feedback from the local faculty member and an exit interview with course coordinator at the end of the rotation. The student will participate in daily rounds with faculty. The student will attend a monthly tumor conference when held at Morristown-Hamblen. Call schedule to be determined by the local faculty. Morristown-Hamblen will be one night and one weekend. There will be no call or weekend duty at Roane Co. Med. Ctr.

SUR2-4018/F TRANSPLANT ELECTIVE
Course Coordinator: Dr. Alex Cantafio
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 students

The students will become familiar with the care and management of kidney transplant recipient, living kidney donors and patients with end stage renal disease in need of dialysis access.  The students will have responsibility for 3 to 6 patients per week.  The students will be expected to function as a junior intern in care and management of transplant patients to facilitate flow of patients in the hospital and clinic as well as participate in surgical procedures at a level commiserate with skill and experience.  The students will receive direct supervision by attending surgeon and PGY2 resident.  The student will attend selection committee to discuss donor and recipient candidates, morbidity and mortality conference, general surgery grand rounds, and optional participation in GI tumor service.  For non-patient care the typical procedure and activities the students will perform will be kidney transplant and vascular access.  No in-house, overnight call.  One weekend day rounds every other week.

SUR2-4020/F PLASTIC SURGERY-KNOX
Course Coordinator: Dr. Joseph Chun
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 2 Students

The Plastic Surgery Elective rotation is open to any 4th year student who is interested in pursuing a career in this specialty, or who would like to polish their surgical skills in preparation for a residency in another area. The student will be exposed to a wide variety of problems including facial trauma, head and neck reconstruction, breast surgery of all types, extremity trauma and body contouring procedures. We expect the student to function at a high level, and perform the duties of a 1st year resident. There will be close and intense supervision, and the student will work with our entire full-time faculty. This will be an energetic, stimulating, fun and educational surgical experience.

SUR2-4070/F PEDIATRIC SURGERY-KNOX
Course Coordinator: Dr. Carlos Angel
Location: Univeristy of Tennessee Medical Center (Knoxville) and East TN Children's Hospital
Maximum Class Size: 1 Student

The student will be an integral part of the Pediatric Surgical Team and will learn to evaluate and manage pre- and post-operative pediatric surgical patients including neonates and multisystem trauma victims, and will assist in their operative care. Related opportunities to learn the essentials of pediatric enteral and parenteral nutritional support, invasive and non-invasive monitoring procedures and techniques, respiratory support techniques, and a variety of pediatric vascular access procedures will be available. The student will learn to refine communication skills in dealing with patients' families and the children themselves. Students will be on call every fourth night. Patients will be assigned to the student and he/she will be responsible for daily assessment, progress notes, and execution of the therapeutic plan. Direct supervision will be provided by the Pediatric Surgery Resident and Faculty, each of who is accessible 24 hours a day. Rounds with residents or faculty will be held at least twice daily, and informal conferences will be held at least twice a week. One such conference during the rotation will be the responsibility of each student, where a researched, bibliographed and outlined presentation on a topic of his/her choice will be presented to the other members of the service.

URO2-4010/F UROLOGICAL SURGERY-KNOX
Course Coordinator: Dr. Frederick A. Klein
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 1 Student

The student will act as an Intern on this service and be exposed to all aspects of a University based Urology Service. The student will be responsible with one house staff member for approximately 25-30 patients and will assist in surgery. The student should obtain good 'hands on' diagnostic urological skills and be given duties commensurate with demonstrated ability, knowledge and skills. The student will attend Surgery Grand Rounds, and the weekly M & M and Cancer Meeting Conferences. In addition, the student will participate in the monthly GU Radiology Conference.

Top




Support The University of Tennessee Graduate School of Medicine

The University of Tennessee Graduate School of Medicine
1924 Alcoa Highway
Knoxville, Tennessee 37920 | 865-305-9290

Copyright © 2016