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Chair: Debra Romberger, M.D.
M3 Student Clerkship Director/David V. O’Dell, M.D.
M4 Student Director: Allison Ashford, M.D.
Jill McIntosh-Carnes, Education Programs Coordinator
MSB 5585, 402-559-6422, jill.mcintoshcarnes@unmc.edu

IMED 714 DERM OMAHA/LINCOLN 4 Credit Hours

ELECTIVE

This full time elective is spent away from University Hospital, with a volunteer dermatologic faculty member in their private practice. Activity-Hours/Week. Rounds-35. Didactic conferences-0. Independent learning-0. Research project-0. Independent patient care-0.

Credit Hour Breakdown: 4 Cr Hours; Clinical 40

Instructor: Dr. Rex Largen (Lincoln).

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: July and January.

Capacity: 1.

Visiting Student Information: This course is NOT available to visiting students.

IMED 715 OUTPATIENT GENERAL MEDICINE CLERKSHIP 4 Credit Hours

ELECTIVE

An outpatient general internal medicine experience. Activity Hours/Week. Rounds 10. Didactic conferences 10. Independent learning 0. Research project 0. Independent patient care 0. Private Office 10.

Instructor: Dr. Osterholm, Dr. Eilts, and Dr. Sheehan.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 1 per service.

Visiting Student Information: This course is NOT available to visiting students.

IMED 717 INPATIENT MICU 4 Credit Hours

ELECTIVE

A Nebraska faculty intensivist attends regularly on the VA CCM team, alternating every month with a Creighton faculty intensivist. Objectives. Evaluate and assist in management of patients with acute presentations of common medical problems. Describe ventilator changes requires for a patient on mechanical ventilation based on ABG. interpretation. Define the various types of shock and describe their management. Categorize the variety of vasoactive medications and their use in clinical situations. This clerkship offers opportunity for participation in the management of acutely ill patients, working closely with an ICU supervisory resident, the pulmonary and critical care fellow and attending physician. As a Subinternship, clinical expectations will include primary responsibility for all patients assigned to their care, writing a note each day on their patients to be cosigned by the supervising resident and attending physician, active participation on rounds, and the option of taking in-house overnight call with their supervising resident. Learning objectives for this rotation include management of respiratory failure, acute coronary syndrome, acute and chronic renal failure and hyperglycemia among others. The students will be expected to learn interpretations of chest radiograph and common dysrhythmias. They will participate in bedside procedures and they will be expected to be able to evaluate and recognize patients with a variety of life threatening disorders and participate in their management. The student will be enrolled in a Blackboard Critical Care Medicine course containing various lectures and content and to attend any scheduled didactic lectures. Honors work will require enthusiasm and initiative, as well as student presentations to the CCM team of clinical topics related to clinical problems. This ICU rotation is appropriate for a motivated student seeking a moderate intensity of critical care medicine. Activity-Hours/Week. Rounds-24. Didactic conferences-9. Independent learning-Blackboard CCM course, approx.3 hrs. /week. Research project-None. Independent patient care-Not expected. Procedures-2. Any leave requests, either for residency interviews or other needs should be cleared with the attending physician by calling Sheryl Latenser; 402-559-8115.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 9, Clinical 28, Asynchronous 3

Instructor: Dr. Craig Piquette and Omaha VA Medical Center ICU Staff.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 1. Location: Omaha VA.

Visiting Student Information: This course is NOT available to visiting students.

IMED 718 HISTORY & PHYSICAL TEACHING ASSISTANTSHIP 4 Credit Hours

ELECTIVE

This elective no longer meets the senior selective requirement for the senior year. You will be assigned to a small group of m1 students in HP practice small groups. You will also assist in other M1 and M2 HP teaching assessment activities. Your level of participation will depend on the number of planned activities, the number of M4s participating and individual and group schedules.M4 Student Requirements (Approximate) First Semester *Training session (TBA) 1 hour *4 small group session (1 hour each) 4 hours *Session prep time/review M1 assignments 4 hours *Assist with M1 OSCE 8 hours *Assist with OSCE 6 hours *Review M2 HP write-ups 4 hours No more than ~29 hours. M4 Student Requirements (Approximate) Second Semester *4 small group sessions (1 hour each) 4 hours *Session pre time/review M1 assignments 8 hours *Assist with M1 GYN workshop 4 hours *Assist with M1 OSCE 8 hours *Assist with M2 OSCE 6 hours *Review M2 HP write-ups 8 hours *Assist with M1 suture lab 4 hours. No more than-42 hours. Total* - 71 hours. *Time Commitment will vary but will not exceed 71 hours for the year.

Instructor: Dr. Regan Taylor,

Contact: Ron Bechdolt; rbechdolt@unmc.edu; 402-559-8689; MSC 4031 (Zip 5525).

Typically Offered: Each four weeks (the commitment is year round).

Capacity: Variable.

Visiting Student Information: This course is NOT available to visiting students.

IMED 720 ADULT CARDIOLOGY 4 Credit Hours

ELECTIVE

Educational Goals and Objectives: Knowledge Base. The student will: Begin to develop the acumen to obtain a detailed history from cardiac patients focusing on the pertinent aspects pertaining to the particular diagnosis or chief complaint as well as other medical diagnoses that either are included in the differential or will have an impact on the evaluation and treatment of the cardiac problem. Specific symptom complexes include but are not limited to: 1. History of chest pain. 2. History suggestive of heart failure. 3. Syncope. 4. Cardiac Pre-operative evaluation. Learn the proper techniques for a detailed cardiac examination to include: 1. Complete cardiac examination; 2. Examination for valvular diseases; 3. Examination for heart failure symptoms. Correlate the physical examination in a "bidirectional" manner. The student will learn how the history directs the key points of the physical examination and similarly how the examination aids in coming to the correct diagnosis. Understand how to implement guideline-driven care of the cardiac patient. Develop and understand the rationale for cost-effective and appropriate testing required to confirm a diagnosis and implement treatment. Acquired Skills. The student will apply the knowing base to: Perform the cardiac examination. Interpret the electrocardiogram. Learn how to perform and write-up a good history and physical. Learn basic coronary anatomy and the correlation to the ECG in ischemic syndromes. Learn the appropriate rationale for ordering tests for the cardiac evaluation. The Cardiology Service. The UNMC Service. The University service is both a primary and consultative service. It generally consists of a faculty member and a fellow of which the faculty rotate in two-week blocks. The fellow is on the service for the entire month. There are 3-4 internal medicine residents, Emergency Medicine, Family Medicine, Anesthesia and Pharmacy residents on the inpatient service. A nurse coordinator is also part of the team. The team usually meets for pre-rounds in the conference room on the 7th floor of the Clarkson Tower with the fellow on the service. Attending rounds usually follow but may vary depending on the faculty member. All students will have a pager for the month, which will be distributed by the Education Coordinator. Students will generally be assigned no more than 3-4 patients while on the service which they will follow until discharge or the student rotates off the service. The student should write daily notes on the patient as designated by the fellow on the service who essentially will be the "team leader." Students are expected to attend at least four conferences per month and review assigned articles. ECG review will be scheduled as time permits. Students are not required to round on the weekends but can do so if they so choose. Educational resources. A list of relevant reading resources will be provided by the fellow. Evaluations. The faculty, fellow and residents will evaluate the student by standard process. There is no examination at the end of the rotation. The students will be evaluated on their ability to be a team member and their skills for evaluation and treatment of the patients they follow.

Prerequisite:  Pre-arrange with Tuwanda Mayberry; 402-559-9268.

Instructor: Dr. John Windle and staff.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 4.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

IMED 720A ADULT CARDIO METH/IMM 4 Credit Hours

ELECTIVE

Four (4) weeks of inpatient and outpatient cardiology. Student will see consultations (with supervision) and review lectures in various aspects of Cardiology. Student will have an opportunity, if they wish, to observe interventional cardiology, electrophysiology and cardio-thoracic surgery procedures, as well as covering aspects of non-invasive cardiology including indications and benefits of non-invasive testing. Didactics: Acute Coronary Syndrome, Congestive Heart Failure, pacing and anti-arrhythmics, rheumatic heart disease and murmurs, ECG and coronary artery disease, and cardiac rehabilitation and prescription. Activity-Hours/Weeks. Rounds-10 hours/week during inpatient service. Didactic conferences-1 hour/week. Independent learning-4 hours/week. Research project-0. Independent patient care-10 hours/week during inpatient service. Clinic-40 hours/week during outpatient service. There is additional paperwork to be completed for the hospital so it is advisable to start this paperwork 2-3 months in advance of your scheduled date.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 1, Clinical 35, Other 4

Prerequisite:  Additional paperwork to be completed 2-3 months before scheduled rotation.

Instructor: Dr. S. George Sojka and staff.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 1. Location: Immanuel Hospital.

Visiting Student Information: This course is NOT available to visiting students.

IMED 722 GENERAL MEDICINE 4 Credit Hours

ELECTIVE

In this period of one month, this elective will review basic concepts in Internal Medicine, EKG, problem-solving and Introduction to Journal Club. Activity-Hours/Week. Rounds-0. Didactic conferences-7.5. Independent learning-4. Research project-0. Independent patient care-0. Small Groups-15.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 7.5, Clinical 13.5, Other 19

Instructor: Dr. David O'Dell and Dr. J. Scott Neumeister.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: July, August, October and November.

Capacity: 6 min for class to be held - 18 maximum.

Visiting Student Information: This course is NOT available to visiting students.

IMED 723 DIAB, ENDO & METAB 4 Credit Hours

ELECTIVE

Each student will have direct management responsibility for care of patients on the Diabetes, Endocrinology and Metabolism Service under the supervision of house officers, Endocrine fellows, and staff. Particular emphasis is placed on the diagnosis and treatment of those endocrine disorders encountered with the greatest frequency in the practice of medicine; specifically, diabetes mellitus and thyroid diseases. Students may decide if they would prefer to do the rotation predominantly in the outpatient clinic, predominantly on the inpatient service, or have an equal mix of both. There will be adequate opportunity to acquire a working understanding of the complex diagnostic approaches for other endocrine disorders (adrenal, pituitary, reproductive problems, lipid disorders and osteoporosis). All students will give a 15 minute presentation on an endocrine topic of their choice by the end of the rotation. Activity-Hours/Week. Rounds-6 to 20. Didactic conferences-4. Independent learning-3. Research project-0. Independent patient care-4. Clinic-6 to 20.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 4, Clinical 33, Other 3

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 2.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

IMED 724 GASTROENTEROLOGY 4 Credit Hours

ELECTIVE

The Gastroenterology and Hepatology elective emphasizes the correlation of the basic science principles of physiology, pharmacology, and pathologic anatomy to clinical consultative gastroenterology. The two medical center locations utilize an inpatient consult service; neither are primary care services. Active student participation in the patient management team, in both ambulatory clinic and hospital settings, is required and will emphasize bedside discussion, as well as attendance at regular scheduled conferences. There will be one position available monthly at each medical center.

Instructor: Dr. Mailliard and Division Faculty.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 2.

Visiting Student Information: This course is NOT available to visiting students.

IMED 726 INFECTIOUS DISEASE 4 Credit Hours

ELECTIVE

During this rotation students spend time on the general Infectious Disease consult service. They will gain practical experience in the evaluation and management of numerous common and unusual infections along with training in the pathogenesis and prevention of infections. A series of formal, one hour didactic sessions on ID topics (e.g. antibiotics, outpatient ID, infections in immunocompromised hosts, nosocomial infections, and HIV) is presented during the month. Clinical microbiology training is also included with both lecture and lab time. Students attend and may have the opportunity to present at the weekly City-wide Infectious Disease Care Conference where unusual or interesting ID cases are presented and discussed. Time in the HIV/AIDS clinic is also a component. Activity-Hours/Week. Rounds-20. Didactic conferences-4. Independent learning-6. Research project-Negotiable. Independent patient care-10.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 4, Clinical 30, Other 6

Instructor: Dr. Van Schooneveld.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 2.

Visiting Student Information: This course is NOT available to visiting students.

IMED 727 RENAL 4 Credit Hours

ELECTIVE

The nephrology rotation is offered continuously as a four-week rotation at the University of Nebraska Medical Center. Students participate in the evaluation and treatment of inpatients and outpatients with renal disease, hypertension, and electrolyte/acid-base disorders. Daily inpatient rounds are oriented to bedside teaching and are supplemented by a seminar and lecture series on the range of nephrology topics important for primary care and specialists. Students see patients for initial evaluation and follow-up with the nephrology team. Students are encouraged to participate in any of the six nephrology and transplant clinics that are available weekly. There are at least three scheduled conferences every week. By special request, additional students may take the nephrology rotation as a research or basic science reading course under the direction of an individual faculty member. Activity-Hours/Week. Rounds-15. Didactic conferences-3. Independent learning-5. Research project-0. Independent patient care-10.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 3, Clinical 32, Other 5

Instructor: Dr. Plumb, Dr. M. Florescu and Dr. Miles.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each for weeks.

Capacity: 3.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

IMED 727A RENAL-CLARKSON 4 Credit Hours

ELECTIVE

This course is designed to introduce the student to inpatient nephrology, including the fluid and electrolyte abnormalities common in patients with acute renal failure, the clinical situations involved in development of acute renal failure, and the appropriate therapy. Chronic renal failure also will be stressed in the rotation, with everything from drug therapy to hemodialysis and peritoneal dialysis being reviewed. Activity-Hours/Week. Rounds-20. Didactic conferences-3. Independent learning-2-12. Research project-0. Independent patient care-20. Dialysis-3.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 3, Clinical 30, Other 7

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 1. Location: Clarkson.

Visiting Student Information: This course is NOT available to visiting students.

IMED 728 END OF LIFE CARE 4 Credit Hours

ELECTIVE

This elective is designed to provide students with a variety of experiences in end-of-life care. Students will improve their ability to provide competent care at the end of a person's life and increase their knowledge of available resources to assist patients and their families. Activities include: 1. Core lectures and readings include: * Family Meeting : Making a Big Decision * Common Symptoms Their Management * End of Life Care in the ICU (Withholding/Withdrawing Treatment) * Pain Management : A Pharmacist's Perspective * How to Pronounce a Patient and Complete a Death Certificate. 2. Participation with a community based hospice team by: * making home visits, nursing home visits and visiting Omaha's only Residential hospice (Hospice House) * attending interdisciplinary hospice team meeting and working with key members of the team; 3. Working with a hospice medical director; 4. Participate in the Advance Care Team at the Omaha VA. Medical Center. 5. An oral presentation (15-30 minutes) on a topic related to hospice and care of the dying is expected. This should be a topic that the student can continue to use in the future to teach others about care of dying patients. Other opportunities are available based on the interest of the student. These may include working with a pain specialist in an outpatient pain clinic, a pharmacist specializing in pain management, a radiation oncologist, visiting a local funeral home or a community bereavement resource center. Scheduling is flexible and students may arrange the schedule around interviews and other activities. Activity-Hours/Week. Rounds (Palliative Care at VA)-4-6. Didactic conferences-2. Independent learning-16. Oral presentation prep-2. Independent patient care-0. Home Visits-10. Site Visits-4. Hospice Administration-1.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 2, Research 2, Clinical 20, Other 16

Instructor: Dr. Cahterine Eberle, Dr. Debra Romberger, and Dr. William Lyons.

Contact: Travis Weyant; tweyant@unmc.edu; 402-559-3964; HIC 3003 (Zip 6155).

Typically Offered: Each four weeks.

Capacity: 3.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

IMED 730 ONCOLOGY/HEMATOLOGY 4 Credit Hours

ELECTIVE

To offer a comprehensive experience in the Division of Oncology/Hematology, the course now offers a one-month inpatient and outpatient rotation that emphasizes evaluation and decision-making in these two subspecialty fields. Over the one month elective there is a two-week rotation on the general oncology inpatient service, one week on the hematology consult service and numerous outpatient clinics throughout the month. The clinics are somewhat subject-oriented and sometimes are conducted simultaneously. Areas from which to select include lymphoma, breast cancer, lung cancer, GI, GU, head and neck cancer, non-malignant hematology including coagulation disorders, and CNS/brain cancer. A half day is also spent in the cancer treatment area, pharmacy and radiation oncology. Opportunities to observe and perform special procedures including bone marrow aspiration, bone marrow biopsy, paracentesis and thoracentesis may also occur. Core curriculum subjects are also discussed for 30 minutes before inpatient rounds with residents several times each week. There are also one hour course conferences with the fellows once or twice a week that the student can attend. In addition, students are welcome to attend multiple multidisciplinary oncology case conferences, hematology morphology conferences and various other didactic teaching happening in the section. Students are also assigned tasks and given opportunities for independent learning and presentations. Activity-Hours/Week. Rounds-Up to 30. Didactic conferences-4-5. Independent learning-Unlimited. Research project-If desired. Independent patient care-Up to 20-30 hours in clinic.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 5, Clinical 35

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 2.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

IMED 733 PULMONARY 4 Credit Hours

ELECTIVE

Objectives: Outline the daily impatient care of a patient with cystic fibrosis. Evaluate and outline management of a patient with COPD exacerbation. Outline the work-up of a patient presenting with interstitial lung disease. Describe the evaluation of the level of control of asthma. Evaluate and outline management of a patient with chronic cough. This elective is designed to provide the student with a practical background in Pulmonary Medicine. The students on the service will evaluate hospitalized pulmonary patients with the Pulmonary Consult Team; perform inpatient pulmonary consultations and evaluate patients in the UNMC Pulmonary Clinic. The course includes experience in the management of both simple and complex pulmonary problems, including primary care of cystic fibrosis, pulmonary hypertension and lung transplant patients. The students will review interpretation of arterial blood gases and pulmonary function tests with residents and fellows. A Blackboard course on Pulmonary Medicine is available and a number of didactic lectures are scheduled usually at 11:00 a.m. as a topic review; the Powerpoint slides are also available on the Blackboard site. Honors work will require enthusiasm and initiative, as well as student presentations to the Pulmonary Team of at least one clinical topic related to a clinical problem as selected by the student. This pulmonary rotation is appropriate for a motivated student seeking a broad experience in Pulmonary Medicine. Activity-Hours/Week. Rounds-12. Didactic conferences-2 or 3. Independent learning-Blackboard Pulmonary Medicine Course, approx.3 hrs/week. Research project-None. Independent patient care-Not expected. Procedures-4.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 3, Clinical 34, Asynchronous 3

Instructor: Dr. Craig Piquette and staff.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 2.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

IMED 734 CRITICAL CARE MEDICINE 4 Credit Hours

ELECTIVE

Objectives: Evaluate and assist in management of patients with acute presentations of common medical problems. Describe ventilator changes required for patients on mechanical ventilation based on ABG interpretation. Define the various types of shock and describe their management. Categorize the variety of vasoactive medications and their use in clinical situations. This rotation offers opportunity for management of critically ill patients, working closely with an ICU supervisory resident, the pulmonary and critical care fellow and attending physician. Clinical expectations will include responsibility for all patients assigned to their care (maximum of 2), writing a note each day on their patients to be cosigned by the attending physician, active participation on rounds, and taking in-house overnight call, if desired, with their supervising resident. Clinical situations encountered on this rotation include management of respiratory failure, acute and chronic renal failure and hyperglycemia among others. Students may also have an opportunity to assist in the care of patients with acute stroke, subarachnoid hemorrhage, acute heart failure and those with ventricular assist devices. The students will be expected to learn interpretation of chest radiographs and common dysrhythmias. They will participate in many bedside procedures and they will be expected to be able to evaluate and recognize patients with a variety of life threatening disorders and participate in their management. There are three separate Critical Care Medicine teams, each with an attending, a critical care fellow, as well as residents and physician extenders. Each team provides a difference experience and students will be randomly assigned based on availability and student interest. Students will rotate on two teams for two weeks each and switch at mid-rotation to provide the broadest experience possible. Students wanting an Anesthesia critical care experience should request placement on the Red Team. The student will be enrolled in a Blackboard Critical Care Medicine Course and will be expected to read through all the CCM educational material posted on Blackboard and to attend any scheduled didactic lectures. Honors work will require enthusiasm and initiative, as well as student a presentation to the CCM team of a clinical topic chosen by the student. In addition, attending physicians on each team will schedule with all the students, one hour of student-only contact per week to review presentations and review clinical topics of interest. All students are expected to attend these sessions unless excused. This ICU rotation is appropriate for a motivated student seeking a high level of intensity of exposure to critical care medicine. Activit-Hours/Week. Rounds-24. Didactic conferences-9. Independent learning-Blackboard CCM Course, approx.3 hrs/week. Research project-None. Independent patient care-Not expected. Procedures-0.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 12, Clinical 25, Asynchronous 3

Instructor: Dr. Craig Piquette and the Critical Care Medicine Staff.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 6 (2 per team).

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

IMED 735 HONORS PROGRAM 4 Credit Hours

ELECTIVE

This is a one-on-one comprehensive review of Internal Medicine. Each day the student will meet with the Chief Resident to review pertinent Internal Medicine topics. A typical day would consist of attending and participating in morning report, giving a brief presentation on the morning report topic to the residents, and meeting with the team for informal discussion. Once the Chief finds out the case for the day, the information will be passed on to the student to start to work on the next day's presentation. Additional educational opportunities may include journal articles and presentations to the chief. These topics are at the discretion of the student and the Chief Resident. They will be customized to meet the students' educational objectives. The student will also be responsible for attending morning report, noon conferences and Grand Rounds. Activity-Hours/Week. Rounds-0. Didactic conferences-20. Independent learning-20. Research project-0. Independent patient care-0.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 20, Other 20

Prerequisite:  Internal Medicine Clerkship with a grade of Honors.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: August, September, October, February, March, April.

Capacity: 1

Visiting Student Information: This course is NOT available to visiting students.

IMED 736 ALLERGY & IMMUNOLOGY 4 Credit Hours

ELECTIVE

Allergy and immunology is a unique field in medicine that allows providers to see patients of all ages after receiving training in internal medicine, pediatrics or med-peds and the fellowship in allergy and immunology. During this elective, the student will be exposed to this unique population with a wide array of patients at various clinical locations leading to a very diverse experience in patient care. Each student will work directly with three faculty members that have differing areas of expertise in allergic diseases at three different clinical sites in Nebraska Medicine. The Student will learn to evaluate, diagnose and treat common allergic diseases such as rhinitis, asthma, eczema and food allergy. These are common complaints for patients and a good foundation of knowledge in treating these diseases becomes quite helpful in all areas of medicine. In addition, the student will become familiar with the assessment and treatment options of other diseases such as urticarial, angioedema, anaphylaxis and occasionally immunodeficiency in addition to many other diseases. During the rotation, the student will be actively engaged in seeing patients in clinic and forming his or her own assessment and treatment plan. In addition, he or she will participate in allergy division lectures and present a short lecture to allergy faculty at the end of the rotation. Evaluation of the student will be provided by all three faculty.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 4, Clinical 32, Asynchronous 4

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 1

Visiting Student Information: This course is NOT available to visiting students.

IMED 741 INTRO INPATIENT REHAB 4 Credit Hours

ELECTIVE

Physical Medicine and Rehabilitation (PMR), also referred to as physiatry, is a medical specialty concerned with diagnosing, evaluating and treating patients with limited function as a consequence of diseases, injuries, impairments and/or disabilities. The goal of the Physiatrist is to maximize an individual's functional ability and improve quality of life. This elective is especially recommended for students planning to specialize in Family Medicine, Internal Medicine, Neurology, Neurosurgery, Orthopaedics, Physiatry, or Rheumatology. The student will receive an in-depth exposure to inpatient rehabilitation. He/she will gain experience in the diagnosis and comprehensive rehabilitation management of patients with Stroke (CVA), Spinal Cord Injury (SCI), and Traumatic Brain Injury (TBI), orthopaedic injury and/or joint replacement, amputations, rheumatoid arthritis and other disabling conditions. The student will work directly with four staff physiatrists, each of whom has a specialty area of CVA, SCI or TBI. He/she will be responsible for comprehensive workups and close follow-up of assigned patients. The student will participate in the interdisciplinary team rounds and conferences and become actively involved by physical therapy, occupational therapy, speech-language pathology and psychology. The student will have the opportunity to participate in research activities being conducted at Madonna's Institute for Rehabilitation Science and Engineering. The three centers in the Institute are the Center for Movement with Gain and Motion Lab and the Seating and Positioning Lab, the Center for Communication with Speech Physiology Lab, the Assistive Technology Lab and the swallowing lab and the Center for Outcomes and Informatics. The MRH medical director will complete the evaluation of the student's performance. The staff physiatrists will provide information on the student's attendance, participation, case presentations and breadth of knowledge. Required reading: Handbook of Physical Medicine and Rehabilitation, Susan A. Garrison, M.D. (provided by MRH).

Prerequisite:  Pre-arrange with Dr. Thomas Stalder (402-486-9092).

Instructor: Dr. Thomas Stalder and staff.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 1. Location: Madonna Rehabilitation Hospital~Lincoln.

Visiting Student Information: This course is NOT available to visiting students.

IMED 743 CONSULTATIVE MEDICINE 4 Credit Hours

ELECTIVE

Students will attend clinic five half days per week and perform pre-operative assessments on surgical patients. They will also follow post-surgical patients in the hospital. A series of lectures involving consultative medicine and "hospitalist" topics will be covered. Activity-Hours/Week. Rounds-8. Didactic conferences-2. Independent learning-10. Research project-0. Independent patient care-22 (clinic and inpatient).

Credit Hour Breakdown: 4 Cr Hours; Synchronous 2, Clinical 28, Other 10

Instructor: Dr. Chad Vokoun, Dr. Micah Beachy, Dr. Andrew Vasey, and Dr. Jason Shiffermiller.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 1.

Visiting Student Information: This course is NOT available to visiting students.

IMED 744 OUTPATIENT GERIATRICS - "THE COMPLETE GERIATRIC EXPERIENCE 4 Credit Hours

ELECTIVE

This course is designed for students who anticipate careers in primary care and those whose careers will involve substantial outpatient responsibilities (most Internal Medicine subspecialties, neurology, psychiatry, physiatry, hospice and palliative care). Under health care reform an increasing proportion of care is occurring in outpatient settings, and individuals completing this experience will have a jumpstart on the necessary skills to thrive in outpatient care settings during residency. The medical knowledge conveyed through didactic and clinical experiences focuses on chronic disease management, team care, and health promotion. The faculty teaching and supervising this course are drawn from geriatrics and from hospice and palliative care. The venues of care are the following: Home Based Primary Care, Hospital and Palliative Care, Skilled Nursing Facility / Long Term Care, Geriatric Assessment and Primary Care Clinics and primary Care Medicine Home.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 10, Clinical 25, Asynchronous 5

Instructor: Dr. Edward Vandenberg and staff.

Contact: Travis Weyant; tweyant@unmc.edu; 402-559-3964; HIC 3003 (Zip 6155).

Typically Offered: Each four weeks.

Capacity: Variable.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

IMED 746 WOMEN'S HEALTH 4 Credit Hours

ELECTIVE

This elective was established for students with a strong interest in developing an additional expertise in health issues uniquely affecting women and presenting differently in women. The student will work one on one with faculty in general internal medicine, endocrinology, and gynecology clinics at UNMC along with other experiences including genetic counseling, dysplasia clinic, and pelvic physical therapy. Students will learn to manage mental health disorders common in women, menstrual dysfunction, menopausal symptoms, osteoporosis, and understand gender differences in disease presentation. Additionally, the student will present an evidenced-based, clinically appraised journal club article at the end of the month. Lectures on women's health topics may be provided during the month by participating faculty. The student will also be encouraged to attend scheduled lectures and conferences in Internal Medicine or OB/GYN as their clinical schedule allows.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 2, Clinical 35, Other 3

Instructor: Dr. Bonnema, Dr. Boerner, and Dr. Taylor.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks except December.

Capacity: 2.

Visiting Student Information: Visiting Students are not to contact faculty or clinical departments prior to acceptance through VSAS. Doing so is considered a professional breach and may disqualify the student from being offered a rotation.

IMED 749 FIELD EPIDEMIOLOGY CEDAR POINT 4 Credit Hours

ELECTIVE

Practicing evidence-based medicine requires familiarity with the basic principles of epidemiology. This three-week summer course allows students to develop a background in these principles, using as its classroom the prairies, ponds, and fields of western Nebraska. Students engage in observation and experimentation while enjoying the beautiful natural setting of UNL's Cedar Point Biological Field Station, located near Ogallala and Lake McConaughy. Collecting trips, laboratory experiments and a group project offer unique, out-of-the-classroom learning opportunities. Visit http://darwin.unmc.edu/fieldepi for more information about this course and the facilities at Cedar Point. Students will need to obtain a copy of the required text (Epidemiology by Leon Gordis, fourth or fifth editions) prior to the rotation. Students will develop an understanding of the epidemiological and biostatistical principles traditionally taught in an introductory-level epidemiology course. Students will develop skills in collection, dissection and laboratory experimentation. Students will develop an understanding of how classroom principles can be translated into real-world observation and experimentation. Instructional methods will include lecture, independent reading, field collection and observation trips and laboratory experiments. Computer-based methods may be included as well. Structured class time occurs Monday through Friday. Over the time period, roughly one-third of class time will be spent in lecture format and two-thirds in field/lab exercises. Evening reading assignments will be provided for most days. Student performance will be assessed using daily quizzes over assigned reading, class/lab participation and a final group project.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 8, Research 4, Clinical 20, Asynchronous 8

Prerequisite:  This elective is pre-arranged through Dr. Nickol in the Department of Internal Medicine.

Contact: Dr. Devin Nickol.

Typically Offered: Variable.

Capacity: Variable.

Visiting Student Information: This course is NOT available to visiting students.

IMED 751 RHEUMATOLOGY 4 Credit Hours

ELECTIVE

Students will be given an opportunity to work with both inpatients and outpatients with various rheumatic diseases such as rheumatoid arthritis, gout and systemic lupus. Active participation in a weekly rheumatology conference, as well as in monthly citywide rheumatology meetings will be required. Didactic sessions, 3-4 times weekly, covering various topics in rheumatology, will also be required. Activity-Hours/Week. Rounds-6. Didactic conferences-8. Independent learning-12. Independent patient care-7. Patient care with attending-7.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 8, Clinical 20, Other 12

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 1.

Visiting Student Information: This course is NOT available to visiting students.

IMED 760 OFF CAMPUS ELECTIVE 4 Credit Hours

ELECTIVE

Clerkships in universities or teaching hospitals elsewhere sponsored by a member of the Department of Internal medicine and in which the instructor directing the elective is not a member of our faculty. Appropriate off-campus electives are those providing opportunities in areas in which we have no comparable programs or in which the university cannot accommodate the number of students desiring the course. An Off-Campus Elective Application form must be submitted for this experience. (See Off-Campus Elective Application procedures).

Credit Hour Breakdown: 4 Cr Hours; Clinical 40

Prerequisite:  Off-Campus Approval form completed.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: Variable. Location: Variable.

Visiting Student Information: This course is NOT available to visiting students.

IMED 762 PRECEPTORSHIP 4 Credit Hours

ELECTIVE

Prerequisite:  Pre-arranged with Dr. David O'Dell.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: Variable. Location: Variable.

Visiting Student Information: This course is NOT available to visiting students.

IMED 763 VA EMERGENCY MEDICINE 4 Credit Hours

ELECTIVE

Patients are assigned to students and residents on a rotational basis according to when they arrive in the department. Patients will be a mix of ambulatory patients, ambulance arrivals and clearance of both the acute psychiatric patient and the patient wishing to undergo substance abuse treatment. There will be a wide variety of medical conditions seen including acute cardiac, pulmonary, gastrointestinal, neurological, and infectious disease. There will also be potential for many procedures including ABG's, arthrocentresis, paracentesis, thoracentesis, and central lines.

Prerequisite:  Pre-arranged with Dr. Menolascino.

Instructor: Dr. Menolascino.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: Variable.

Visiting Student Information: This course is NOT available to visiting students.

IMED 764 OFF CAMPUS DERMAT0LOGY 4 Credit Hours

ELECTIVE

Credit Hour Breakdown: 4 Cr Hours; Clinical 40

Prerequisite:  Off-Campus Approval form completed.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: Variable. Location: Variable.

Visiting Student Information: This course is NOT available to visiting students.

IMED 766 SUBINTERNSHIP-VA 4 Credit Hours

ELECTIVE

This clerkship offers an excellent opportunity for senior medical students to assume primary responsibility for the management of 4-8 general medicine patients. The student will admit, evaluate, manage and discharge typical medicine patients, all supervised directly by a senior medical resident and an attending physician. Admissions to the sub intern will be limited and the student will be expected to take 3-4 nights of in-house call during the month. Activity-Hours/Week. Rounds-50-60. Didactic conferences-Daily. Independent learning-Many opportunities. Research project-Variable. Independent patient care-Variable.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 5, Research 5, Clinical 25, Other 5

Instructor: Chief Resident.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks (Pri-Care Student receives preference).

Capacity: 3. Location: VA Hospital.

Visiting Student Information: This course is NOT available to visiting students.

IMED 766A SUBINTERNSHIP-UNMC 4 Credit Hours

ELECTIVE

This clerkship offers an excellent opportunity for senior medical students to assume primary responsibility for the management of 4-8 general medicine patients. The student will admit, evaluate, manage and discharge typical medicine patients, all supervised directly by a senior medical resident and an attending physician. Admissions to the sub intern will be limited and the student will be expected to take 3-4 nights of in-house call during the month. The student will also be responsible for attending morning teaching rounds, noon conferences, and Internal Medicine Grand Rounds during the time of the rotation. Activity-Hours/Week. Rounds-20. Didactic conferences-10. Independent learning-0. Research project-0. Independent patient care-30.

Credit Hour Breakdown: 4 Cr Hours; Synchronous 10, Clinical 30

Contact: Jillian McIntosh-Carnes;jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: 4.

Visiting Student Information: This course is NOT available to visiting students.

IMED 798 RSCH IN INFECTIOUS DIS 4 Credit Hours

ELECTIVE

This elective offers students the opportunity to work with faculty members in the Division of Infectious Diseases on a range of research projects. There are numerous projects available in the areas of HIV/AIDS, Transplant ID, Oncology ID, Antimicrobial Stewardship, Healthcare Epidemiology, Orthopaedic ID, Microbiology, and many other areas. Any infectious disease related project will be considered under the direction of an ID staff physician. Students interested in this rotation are encouraged to contact the ID division to discuss planning of projects. Activity-Hours/Week. Rounds-0. Didactic conferences-0. Independent learning-0. Research project-40. Independent patient care-0.

Credit Hour Breakdown: 4 Cr Hours; Research 40

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: Variable.

Visiting Student Information: This course is NOT available to visiting students.

IMED 799 RESEARCH IN MEDICINE 4-6 Credit Hours

ELECTIVE

Credit Hour Breakdown: 4 Cr Hours; Research 40

Prerequisite:  Pre-Arranged with an Advisor.

Instructor: Variable.

Contact: Jillian McIntosh-Carnes; jill.mcintoshcarnes@unmc.edu; 402-559-6422; MSB (Zip 2055).

Typically Offered: Each four weeks.

Capacity: Variable.

Visiting Student Information: This course is NOT available to visiting students.