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Medical Student Fourth-Year Electives
Internal Medicine

MED2-3010/F JI ANY - SENIOR CLERKSHIP IN MEDICINE-KNOX
Course Coordinator: Dr. Janet L. Purkey
Location:   University of Tennessee Medical Center
Maximum Class Size: 2 students

This clinical elective in internal medicine will afford the 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 selected services at University of Tennessee Memorial Hospital.

MED2-3030/F JI ANY - CRITICAL CARE INTERNAL MEDICINE-KNOX
Course Coordinator: Dr. Paul Branca
Location:   University of Tennessee Medical Center
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.

MED2-4020/F CLINICAL DERMATOLOGY-KNOX
No LONGER offered at University of Tennessee Medical Center.

MED2-4060/F CLINICAL CARDIOLOGY-KNOX
Course Coordinators: Drs. James Cox and Stuart Bresee
Location:  University of Tennessee Medical Center
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. Also, students will attend cardiology conferences and twice-weekly teaching rounds and review a prepared sampling of the literature. Other literature reviews will be suggested a 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
Location: University of Tennessee Medical Center; clinical experience occurs in the private office of Endocrinology Consultants of East Tennessee, located 5 miles from University of Tennessee Medical Center
Maximum 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 eight 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
Maximum 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.

MED2-4100/F HEMATOLOGY - CLINICAL AND RESEARCH-KNOX
Course Coordinator: Dr. Wahid T. Hanna
Location:   University of Tennessee Medical Center
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>5 new patients 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 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 STD’s 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. Richard Obenour
Location:   University Of Tennessee Medical Center
Max 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 private patients patients in the office and when admitted to the University of Tennessee Memorial Hospital by the faculty of the Knoxville Pulmonary Group. 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 
Maximum Class Size: 2 students

Medical clerks in their senior year may elect a one or two month rotation in Rheumatology where systemic autoimmune diseases as well as a number of articular and nonarticular regional musculoskeletal pain disorders will be encountered. Physical exam skills and interpretation of radiographic and laboratory studies will be emphasized. Outside reading will be encouraged, as will opportunities to independently interact with patients.

NEU2-4010/F CLINICAL NEUROLOGY-KNOX
Course Coordinator: Dr. William Paulsen
Location: University of Tennessee Medical Center 
Max Size: 1 Student (REQUIRES ADVANCE APPROVAL)
Advanced registration - Students must call Knoxville Student Affairs at least 3 months prior to registering.

This elective will provide students with an opportunity to gain experience in the assessment, diagnosis, and management of patients with neurological problems. Students will participate in the care of inpatients, including the consultation service, and ambulatory patients in the private office and clinic setting. Exposure to EMG and other neuro-diagnostic procedures will be available. Monthly conferences are held.

 

 

 

 

 

 

Office of Student Affairs

Graduate School of Medicine
University of Tennessee Medical Center
1924 Alcoa Highway, Box 94
Knoxville, TN 37920
(865)305-9618
(800)596-7249
Fax(865)305-6819
Email: students@utmck.edu

 

 

 

Links of Interest

The Department of Internal Medicine