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Clerkship Opportunities - 4th Year Electives
Details
Arthritis/Rheumatic Disease
Consult
Sacred Heart Medical Center - Eugene
Course No.: ARTH
Duration: 4 weeks
Credits: 6
Term: Any
Prereq: IMED 720
Contact: Chris Traver, 541.686.6863
Students are expected to learn diagnosis/therapy of common rheumatic disorders,
interpretation of lab tests and musculoskeletal x-rays, and simple procedures such as joint
injections. Problems commonly seen include osteoarthritis, rheumatoid arthritis, systemic
lupus erythematosus, osteoporosis, gout, bursitis, vasculitis and fibromyalgia. Students
participate in approximately five outpatient clinics per week averaging 1-2 new patients
each clinic or 4-5 return patients. No call responsibilities. Students assist and possibly
perform joint aspiration/injection, tendon injections, and bursa injections. Conferences
include medical Grand Rounds at Sacred Heart Medical Center, Rheumatology journal club, and
daily tutorials based on assigned reading.
Cardiology Consult
Sacred Heart Medical Center in Eugene
Course No.: CARD
Duration: 4 weeks
Credits: 6
Term: Any
Prereq: IMED 620
Contact: Chris Traver- 541-686-6863
Students will be working with physicians from Oregon Cardiology, a high volume practice.
They will be exposed to a full spectrum of cardiac pathology including heart artery
disease, cardiac dysrhythmias, heart valve disease and heart failure. During the rotation,
students will see both new and follow-up patients in a variety of hospital and clinical
settings such as the ICU, office, catheterization lab and operating room.
Students will be expected to learn how to organize and present a routine cardiac history
and physical exam. Students will formulate assessments and plans based on their patient
encounters. Focused reading of guidelines, textbooks and pertinent literature should
support these assessments. Through this process, it is expected that the student will
become familiar with the manifestations and treatment of common cardiac pathology.
Students will be exposed to the full range of cardiac diagnostic and therapeutic
modalities; including, open heart surgery, cardiac catheterization, echocardiography,
nuclear cardiology, electrocardiography, electrophysiological testing and non-invasive
stress testing. Students will be expected to understand the basic utility of these
modalities as they apply in the broad context of medical care.
At the end of their rotation it is hoped that students will better be able to: 1) recognize
commonly encountered cardiac pathophysiology 2)know how to initiate a course of
treatment/investigation/consultation based on their assessments 3) understand the role
cardiologists play in caring for the medical and surgical patient.
Gastroenterology Consult
Sacred Heart Medical Center, Eugene
Course No.: GSTR
Duration: 4 weeks
Credits: 6
Term: Any
Prereq: IMED 720
Contact: Chris Traver, 541-686-6863
Students learn an integrated approach to the diagnosis and therapy of gastroenterology
diseases with emphasis on pathophysiology and exposure to the utility and application of
the various diagnostic therapeutic endoscopic procedures. Problems commonly seen include
diagnosis/treatment of GI bleeding, abdominal pain, peptic ulcer disease, gastrointestinal
tumors, pancreatitis, chronic liver disease and inflammatory bowel disease. Students see
approximately two inpatient consults per day and in addition to other consultations seen as
emergencies. No night call responsibilities. Conferences include Medicine Grand Rounds and
GI Pathology Rounds. Evaluation is by observed clinical performance. Students will be
based at Sacred Heart Medical Center, a 432 bed tertiary care hospital in Eugene.
Hematology/Oncology Consult
Sacred Heart Medical Center - Eugene
Course No.: HEMA
Duration: 4 weeks
Credits: 6
Term: Any
Prereq: IMED 720
Contact: Chris Traver-541.686.6863
Students will participate in consultation, evaluation and management of a broad spectrum of
neoplastic diseases. This is primarily an outpatient experience at the Willamette Valley
Cancer Center. There will be opportunity to learn more about Radiation Therapy as well.
Hematological problems will be a significant part of the learning experience. Rounds at
Sacred Heart Medical Center are made daily and inpatient consultation will also be
expected. No night call responsibility. Students will attend weekly tumor boards in
specific areas allowing for clinical, pathologic and radiologic correlation. Evaluation
will be based on observed performance.
Infectious Disease Consult
Sacred Heart Medical Center - Eugene
Course No.: INFD
Duration: 4 weeks
Credits: 6
Term: Any, except June - August
Prereq: IMED 720, *see below
Contact: Chris Traver, 541-686-6863
Students obtain a working knowledge of the management of common infectious diseases.
Management will include diagnostic procedures and appropriate use of antimicrobial agents.
Students will participate in the ID consultative service which involves both outpatient and
inpatient consultation. They will perform 2-3 complete consultations per week. In each
instance, they evaluate patients independently and then present their findings to the
infectious diseases faculty. They are then obligated to follow the course of the patient's
illness for the duration of hospitalization and outpatient follow-up where appropriate.
There are home reading assignments with learning objectives. Students also are required to
complete a medical knowledge self-assessment test in the area of infectious diseases.
Students may also have an opportunity to participate in a clinical trial on an outpatient
and inpatient basis. *NOTE: Closed to 3rd year students prior to June elective block.
Nephrology/Hypertension Consult
Sacred Heart Medical Center - Eugene
Course No.: NEPH
Duration: 4 weeks
Credits: 6
Term: Any
Prereq: IMED 720
Contact: Chris Traver- 541.686.6863
Students are expected to learn the clinical approach and therapy of common renal diseases
and hypertension. Students are active participants on the nephrology inpatient consultation
services at Sacred Heart Medical Center, a tertiary care hospital. Problems commonly seen
include acute renal failure, glomerulonephritis, nephrotic syndrome, electrolyte and
acid-base abnormalities, diabetic nephropathy and hypertension. Students also participate
in renal and hypertension clinics. Students average one new patient per day on the
inpatient consultative service and generally follow between 3-5 patients. Students may
attend clinic one half day per week and see between 2-4 patients. Students may observe
placement of central catheters for hemodialysis and renal biopsies. Conferences include
monthly Biopsy Review, Clinical Case Conference, and Medicine Grand Rounds as well as
informal journal review and didactic sessions. Written evaluation and oral feedback are
provided based on observed case presentations and knowledge acquired. Students will
acquire a good understanding of the management and diagnosis of renal disease and
hypertension. *NOTE: Closed to 3rd year students prior to June elective block.
Clinical Dermatology Consult
Sacred Heart Medical Center in Eugene
Course No.: DERM
Duration: 4 weeks
Credits: 6
Term: Any
Prereq: MS3 or above
Contact: Chris Traver- 541-686-6863
Students are expected to learn the basic clinical approach to diagnosis and treatment of a
wide range of common and some uncommon dermatologic diseases. Students will have the
opportunity to observe patients in a private clinic setting and in a multi-specialty group
clinic. The standard dermatologic lexicon will be emphasized and mastered. Students will
learn the basics and perform or assist in minor dermatologic procedures like KOH slide
preparation, skin biopsies, and excisions. Conferences include a clinical case conference
and regular meetings with preceptor. Written evaluation and oral feedback are provided
based on observed case presentations and knowledge acquired.
Emergency Medicine Clinical Experience
Sacred Heart Medical Center - Eugene
Course No.: EMED
Duration: 4 weeks
Credits: 6
Term: Any
Prereq: All core
Contact: Chris Traver – 541.686.6863
This elective provides students with an introduction to all aspects of Emergency Medicine.
Students participate in the daily care of emergency patients with attending staff and
attend weekly lectures covering a broad range of topics in Emergency Medicine. An
introduction to pre-hospital care and toxicology will also be included. Students will be
assigned shifts at Sacred Heart Medical Center, a 432 bed tertiary care, level II trauma
facility.
Ophthalmology Consult
Sacred Heart Medical Center - Eugene
Course No.: OPHT
Duration: 4 weeks
Credits: 6
Term: Any
Prereq: MS3 or Above
Contact: Chris Traver- 541.686.6863
This Eugene elective in Ophthalmology is offered through Drs. Fine, Hoffman & Packer and
the Oregon Eye Surgery Center, 1550 Oak St., Eugene. The clerkship is clinically oriented
with emphasis placed on examination techniques and the diagnosis and treatment of common
eye problems. Opportunity also exists for student involvement in ongoing research
projects.
Students will be instructed in basic techniques of ophthalmic examination and basic
concepts of ocular anatomy and pathophysiology. Students will learn through observation of
ophthalmic technicians and physicians, both in the clinic and operating room, and by
performing basic steps of the ophthalmic examination on selected patients. Students will have required reading from Basic Ophthalmology for Medical Students and
Primary Care Residents, 8th Edition. American Academy of Ophthalmology, 2004, and they will
attend weekly didactic lectures.
Sports Medicine Consult
Sacred Heart Medical Center - Eugene
Course No.: SPORTS MED
Duration: 4 weeks
Credits: 6
Term: Any
Prereq: MS3 and Above
Contact: Chris Traver, 541.686.6863
Students actively participate in a Sports Medicine Practice. Conferences include medical
Grand Rounds at Sacred Heart Medical Center, journal club, and daily tutorials based on
assigned reading.
International Medicine
Course No.:
Duration: 4 weeks
Credits: 6
Term: Jan-Feb, 2008
Prereq: IMED 720, Conversant Spanish
Contact: Chris Traver, 541-686-6863
This four week elective will combine course work in global medicine in developing countries with a 10 day experience on a medical brigade in rural El Salvador. The student will:
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learn principles of travel medicine, eg understand how to access information and counsel patients on immunizations, illness/disease prevention, and travel preparation.
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acquire the medical diagnostic and treatment knowledge/skills related to common infectious diseases in developing countries and specifically in rural El Salvador (eg dengue fever, malaria, intestinal parasites, etc).
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learn the community/public health principles that are basic to developing countries.
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understand the importance of treating and preventing disease within the context of the culture, community, family and person.
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participate in the preparation and delivery of a healthcare medical mission in rural El Salvador.
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