Medical Student Education

Fourth Year Electives

Anesthesiology

ANE2-3010/F ANESTHESIA CRITICAL CARE-JUNIOR INTERNSHIP (JI) - KNOX
Course Coordinator: Matthew Ison, MD
Contact Information: mison@utmck.edu
Location: University of Tennessee Medical Center
Maximum Class Size: 2 Students

The student will learn the evidence based approach to treatment and diagnosis of the critically ill patient; the pathophysiology of common intenstive care disease processes; and pharmacology pertinent to common critical illnesses. Student will learn the interpretation and utilization of common ICU lab and physiologic data. Students will follow up to 4 patients per day on service. As students demonstrate proficiency, they will gain more autonomy appropriate for level of training. Student is expected to attend weekly departmental conferences and ICU lectures. Informal teaching in the form of “chalk talks” and bedside teaching. Student will be on duty during weekdays from pre-rounding in the morning until night team handoff.

ANE2-4010/F CLINICAL ANESTHESIOLOGY - KNOX
Course Coordinator: Blake Moore, MD
Contact Information: bamoore@utmck.edu
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

This clinical rotation is for M4 students who have completed at least 6 of their 7 core clinical clerkships. The student will function as a junior intern with increased autonomy in patient care. This rotation will expose students to the full spectrum of Family Medicine in this department. The course is a combination of inpatient and outpatient Family Medicine. In our outpatient office, 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. Students are also integrated into the UFP Inpatient Team, admitting and managing University of Tennessee Medical Center inpatients for our cohort of affiliated community providers. Rotation sites in the local or adjacent rural area with a board certified Family Physician in our area may be considered for approval. The student’s clinical interests can be integrated into the curriculum of their Junior Internship and should be requested up to 30 days prior to starting the rotation. Junior Internships provide an intensive experience in patient care and an opportunity to demonstrate competency in the clinical skills, knowledge, and attitudes expected for graduation. In keeping with the focus on direct patient care, objectives and assessment are structured around the 13 Entrustable Professional Activities developed by AAMC. Additionally, students are expected to incorporate professionalism and an attitude of life-long learning into their clinical responsibilities.

FME2-4150/F  PRIMARY CARE SPORTS MEDICINE ELECTIVE
Course Coordinator: Rebecca Kendra Kemmet, MD
Location: University of Tennessee Medical Center (Knoxville)
Maximum Class Size: 1 Student

The student will learn the basic principles of sports medicine, which will increase the  understanding of diagnosis, management and treatment of patients with musculoskeletal injuries. The student will outline steps for diagnosis and management of injury, interpret diagnostic testing (ultrasound, xray, MRI, CT, etc.) , treatment approach including intervention strategies (injections, taping, splinting, casting), and outline strategies for rehabilitation and return to play for injured athlete. This elective includes weekly didactics/radiology rounds, and noon conferences. This is an outpatient rotation. No scheduled call but student is expected to attend all sports medicine related activities, which may occur during normal weekday but most likely weekends and evenings.  

Internal Medicine

BIO 45010/F MEDICAL GENETICS - KNOX
Course Coordinators: Dr. Ilse Anderson
Location: University of Tennessee Medical Center (Knoxville)
Session Length 2 and 4 weeks
Prior Approval Required
Maximum Class Size: 1 Student - (Course is not offered in Blocks 3, 7 and 8)

This is a face-to-face clinical rotation. The student should function with increased autonomy in patient care and must demonstrate competency in several of the Entrustable Professional Activities required for graduation. 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.

MED 45900 - VISITING STUDENT ELECTIVE IN MEDICINE - KNOX (Visiting Elective Only)
Course Coordinator: Dr. Janet L. Purkey
Location: University of Tennessee Medical Center (Knoxville)
Session Length: 4 weeks
VSAS Prior Approval Required
Maximum Class Size: 1 Student

This elective is for visiting fourth year medical students only. UTHSC students are not permitted to enroll. (For UTHSC students, see JI in Medicine MED-40101. This is a face-to-face clinical rotation. Due to variations in visiting students’ experiences, the student will initially work under an intern with resident and attending supervision. As the student shows aptitude and ability to function at an advanced level, he/she will be moved to direct supervision by the resident, completing the rotation as a junior intern. As an acting intern, the student will be working directly with a senior resident and attending faculty. They will be responsible for direct patient care including admitting patients, writing daily notes and orders, diagnosing and managing patients on a general medicine service. The student will attend daily work rounds and teaching rounds. Emphasis is placed on improving diagnostic and therapeutic planning and management skills. Patient care activities are paramount, and students are expected to be an integral member
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 house-staff service at UT Medical Center.

MED 40123 - JI CRITICAL CARE INTERNAL MEDICINE - KNOX
Course Coordinator: Dr. Tina Dudney
Location: University of Tennessee Medical Center (Knoxville)
Session Length: 4 weeks
Maximum Class Size: 2 Students

This is a face-to-face clinical rotation receiving 6 credit hours. The student will function as a junior intern with increased autonomy in patient care and must demonstrate competency in all of the Entrustable Professional Activities required for graduation. 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, 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.

MED 45004 - CARDIOLOGY - KNOX
Course Coordinators: Dr. Stuart Bresee
Location: University of Tennessee Medical Center (Knoxville)
Session: 2 and 4 weeks
Maximum Class Size: 2 Students

This is a face-to-face clinical rotation receiving 3 or 6 credit hours. The student should function with increased autonomy in patient care and must demonstrate competency in several of the Entrustable Professional Activities required for graduation. This is a clinical elective offering the student an intensive experience in clinical cardiology under select preceptor cardiologists for a four-week period of time. During that time, the student will evaluate and follow a number of cardiology 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.

MED 45026 CLINICAL GASTROENTEROLOGY - KNOX
Course Coordinator: Dr. Thomas Young
Location: University of Tennessee Medical Center (Knoxville)
Session: 2 and 4 weeks
Prior Approval Required
Maximum Class Size: 2 Students

This is a face-to-face clinical rotation receiving 3 or 6 credit hours. The student should function with increased autonomy in patient care and must demonstrate competency in several of the Entrustable Professional Activities required for graduation. 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.

MED 45032 - HEMATOLOGY - CLINICAL AND RESEARCH - KNOX
Course Coordinator: Dr. Wahid T. Hanna
Location: University of Tennessee Medical Center (Knoxville) -
Maximum Class Size: 1 Student
Prior Approval Required
Session: 2 and 4 weeks

This is a face-to-face clinical rotation receiving 3 or 6 credit hours. The student should function with increased autonomy in patient care and must demonstrate competency in several of the Entrustable Professional Activities required for graduation. 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.

MED 45042 - INFECTIOUS DISEASES CLINICAL BLOCK - KNOX
Course Coordinator: Dr. Mahmoud Shorman
Location: University of Tennessee Medical Center
Session: 2 and 4 weeks
Maximum Class Size: 1 Student

This is a face-to-face clinical rotation receiving 3 or 6 credit hours. The student should function with increased autonomy in patient care and must demonstrate competency in several of the Entrustable Professional Activities required for graduations. This elective will be to teach the student how to be and 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 >5 new patient workups per week. Attending rounds will be held at least 5 days per week. At attending rounds the student will present his/her new patients to the attending physician. At the time of presentation, the students should also have formulated an assessment and plan. The student will see new patients, make daily rounds on his/her own patients and be present at attending. Faculty and residents will review patient assessments and plans of therapy. Each student is given reading materials.

MED 45062 - CLINICAL PULMONARY DISEASE - KNOX
Course Coordinator: Dr. Tina Dudney
Location: University of Tennessee Medical Center (Knoxville)
Session 2 and 4 weeks
Maximum Class Size: 2 Students

This is a face-to-face clinical rotation receiving 3 or 6 credit hours. The student should function with increased autonomy in patient care and must demonstrate competency in several of the Entrustable Professional Activities required for graduation. The student will have the 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. Opportunities for exposure in subspecialty clinics (Cystic Fibrosis, Pulmonary Hypertension, Interstitial Lung Disease, Interventional Pulmonary and Chest Cancer Clinic).

MED 45072 - CLINICAL RHEUMATOLOGY - KNOX
Course Coordinator: Dr. Jeffry Bieber
Location: University of Tennessee Medical Center (Knoxville)
Session: 2 and 4 weeks
Maximum Class Size: 2 Students

This is a face-to-face clinical rotation receiving 3 or 6 credit hours. The student should function with increased autonomy in patient care and must demonstrate competency in several of the Entrustable Professional Activities required for graduation.  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.

OBG2-4022/F FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY-KNOX
Course Coordinator: Dr. Michael Polin
Location: University of Tennessee Medical Center (Knoxville)
Maximum Size: 1 Student

The purpose of this elective is to allow the student to learn the principles of female pelvic floor disorders. Students will obtain a pertinent history and perform a focused physical exam using the Pelvic Organ Prolaps Quantification (POP-Q) system to identify and characterize specific pelvic support defects. Student will be able to interpret results of diagnostic tests to characterize pelvic floor disorders; develop diagnostic strategies and appropriate treatment approach. Student will scrub for operative cases and be expected to round on inpatients throughout their post-op course. Inpatient and outpatient setting. Student is expected to attend weekly conferences/rounds. Typical patient load per week is 10-14 inpatients. No call responsibilities or weekend duties on this elective.

Pathology

Radiology

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. The student will attend weekly departmental conferences.