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OBGY 350 | Med 350 | Ped 350 | Psych 350 | Surg 350
OBGY 350: Obstetrics & Gynecology Clinical Clerkship Min/Max: 3/4
The AEMC Obstetrics and Gynecology clerkship is a learning experience designed to provide the information about women’s health needed by medical students to successfully complete their rotation and pass national standardized examinations. Students are assigned to the services in general obstetrics, gynecology and on night float teams, providing ample opportunity to learn the basic knowledge and skills needed, as well as, experience hands-on training in deliveries and surgery. Students are included as active members of the OB/GYN care teams and are allowed and encouraged to do as much as their knowledge and skills permit. In obstetrics, students are involved in labor and delivery activities, the antepartum and postpartum floor and in clinical scenarios such as normal labor and delivery, and high-risk pregnancies (i.e., preterm labor, multiple gestation, premature rupture of membranes). In gynecology, students participate in both general and oncologic GYN surgery, in coverage for GYN consultations requested by the emergency department, inpatient service, and in pre-operative clinic one half-day each week. During the outpatient experience, students participate in ambulatory care clinics, which range in focus from colposcopy clinic, to high-risk obstetrics, to new obstetrics and to routine continuity care GYN clinic. The student didactic schedule includes lectures from faculty, and attending the morningmeetings throughout the week: Morning Report, Tuesday Resident Academic time, Wednesday Grand Rounds, and monthly morning Perinatology/Neonatology and REI conferences.A mid-rotation evaluation is done halfway through the rotation and a final evaluation at the conclusion of the rotation. Students are nominated for Honors on the basis of fund of knowledge, participation in daily activities, and level of interaction with the residents and attending physicians. Traditional on-call responsibilities are supplanted by a night float system where each student is scheduled for 5 consecutive nights (6:00 p.m. to 8:30 a.m.) on the labor & delivery unit. Lockers (possibly shared) and meal tickets are provided for students during the rotation.
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Med 350: Medicine Clinical Clerkship Min/Max: 9/15
The third year clerkship at Einstein consists of an eight-week experience on the general inpatient medical service. The other four weeks of each student’s medicine clerkship is performed at TJUH. While on service at Einstein, students are integrated onto a resident team and linked to an individual senior resident and intern. Students are expected to work up at least three new patients per week and follow these patients through the course of their care. Students are responsible for writing daily progress notes and orders on their patients, which are then reviewed and cosigned by the intern. Students work as part of a team and participate fully in morning work rounds, teaching rounds, literature searches and sign-out rounds.Einstein Medical Center offers several unique educational opportunities for third-year medical students. There are 6-10 student lectures given by full-time faculty members every month including a monthly medical jeopardy to review the topics presented. Students meet weekly with the Chairman of Medicine, Dr. Steven Sivak, to discuss interesting cases with their peers. Students also meet weekly with one of their chief residents for physical diagnosis rounds, code simulation and to discuss subjects of interest. There is a weekly ECG lecture. During the rotation, students have access to the Johnson Learning Center, a state-of-the-art learning center with Harvey©, a model that simulates heart sounds and an IV Catheter simulator to practice IV catheter insertion and phlebotomy. Students are not required to stay overnight on call. However, students are required to do short call with their team (usually every fourth or fifth night). Short call provides students with ample opportunity to admit new patients and to perform procedures. Meal tickets are provided to students for short call evenings. The Medicine clerkship director meets with students for an orientation session at the beginning of the rotation. The clerkship director also meets with each student at the end of the rotation to review their evaluations with him or her and to solicit student feedback on their experience at Einstein.
Ped 350: Pediatric Clinical Clerkship Min/Max: 3/6
The third-year student clerkship is designed to provide a broad exposure to different aspects of pediatrics, primarily from the point of view of the generalist pediatrician. The clerkship is divided into three sections: two weeks of inpatient pediatrics (at the A.I. DuPont Hospital for Children in Wilmington, Delaware), three weeks of outpatient Pediatrics in the Pediatric and Adolescent Ambulatory Center at Einstein Medical Center, and one week of newborn pediatrics in the Einstein nursery. During the course of this clerkship, students will acquire basic knowledge of the physical and psychosocial growth and development of children from birth through adolescence and learn how to apply that knowledge to the care of well and sick children. In addition, students will have the opportunity to develop communication skills and professional attitudes and behaviors that will facilitate interactions with children and their families. Students will become competent in obtaining a pediatric history and performing the physical examination of infants, children and adolescents. Students also will acquire the knowledge necessary for diagnosis and initial management of common acute and chronic illnesses of children and develop their clinical problem-solving skills. Understanding the influence of family and community society on the child in health and disease and learning how pediatricians promote the health care of children and adolescents will be emphasized throughout the rotation.Students at Einstein are expected to attend all of the following conferences: morning report, Infectious Disease conference, Grand Rounds, noon conference and student conferences. Additional conferences may be scheduled in the clinic and the nursery; students may be asked to present at some of these conferences. Student conferences are interactive sessions based on the clinical vignettes that students receive with their orientation materials from Jefferson. There is no evening or overnight call. Students receive ongoing precepting and informal feedback during their clerkship time at Einstein. At the end of the clerkship students will meet with an attending physician who will provide an overview of their clinical performance. Final grade depends on both clinical performance and results of a written examination given at Jefferson on the last day of the clerkship.
Psych 350: Psychiatry Clinical Clerkship Min/Max: 11/13
Students may preference one of two clinical campuses (Einstein Medical Center or Belmont Center for Comprehensive Treatment). Each student spends three weeks on two of three services. At Einstein, the services are inpatient psychiatry, consultation and liaison psychiatry and emergency psychiatry - Crisis Response Center (CRC) for adults, adolescents and children. At Belmont, the services include inpatient psychiatry, adolescent inpatient psychiatry and co-occurring disorders inpatient psychiatry. Five of the six clinical services are inpatient settings. The CRC is an outpatient setting. After orientation and observation, students assume significant patient care responsibilities on all placements, serving as an integral part of the treatment team. Each student has two primary supervisors, one staff psychiatrist and one psychiatry resident. All students participate in night call psychiatry on either the Einstein or Belmont campus. Meal tickets are provided.Students attend the core clerkship didactic program on Wednesday afternoon at Jefferson. In addition, students on both the Einstein and the Belmont campus attend the Einstein Psychiatry Grand Rounds. There are also inpatient and outpatient case conferences on the Einstein and Belmont campuses.At the end of each portion of the clerkship, students meet with the attending physician who will, in concert with the supervising resident, complete an evaluation of their performance.
Surg 350: Surgery Clinical Clerkship Min/Max: 3/6
During this clerkship, students are exposed to the many aspects of general surgery as well as several subspecialties (Transplant, Neurosurgery, CT Surgery, etc). The hospital also is a Level 1 Trauma Center, which exposes students to a variety of cases while taking call. Students are required to take call at least 6 nights during this rotation. While on night call, students receive meal cards to cover their food expense. Students are expected to attend Weekly Case Review (M&M Conference), scheduled Grand Rounds which are presented by the residents, Core Curriculum which is moderated by an attending or a Chief Resident, and Basic Science which is moderated by the Chief Residents. Various other student lectures are held at Jefferson Medical College. Mid rotation evaluations are performed by Clerkship Director. Final evaluations are also given by the Clerkship Director. Evaluations are based on the students attitude, motivation, knowledge and skills (H&P, factual knowledge, independent reading done by students, patient care, and OR performance-manual skill).