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M-ID 717 CLIN CONTINUOUS QUALIT 4 Credit Hours

SELECTIVE

This selective will allow students to learn about the principles of clinical continuous quality improvement (CQI) and design and complete a clinical CQI project in a Family Medicine Clinic. Instruction will include readings and faculty discussions. The student will perform data gathering and analysis under the supervision of family medicine faculty.

Contact: Dr. Paul Paulman.

Typically Offered: Variable.

Capacity: 2 per session.

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

M-ID 719 NUTR IN PATIENT CARE 4 Credit Hours

SELECTIVE

Arranged with Jolene Wees at 402-559-9327. This selective is an in-depth, comprehensive study of the role of nutrition in patient care in both the outpatient and inpatient clinical settings. Proper nutrition plays a role in the prevention of chronic disease, the promotion of good health, and supports healing for sick and malnourished patients. Poor nutrition habits can lead to malnutrition or obesity and increase the risk of diseases such as diabetes, heart disease and cancer. This course reviews and builds upon nutrition instruction from the basic science years and provides clinical opportunities to enhance nutritional assessment, counseling, and management skills. Objectives: After completing the selective, the student will: Have a greater appreciation of the role nutrition plays in health and disease. -Be able to discuss the current basic science aspects of important nutritional problems. -Be more competent in diagnosing, treating, and managing patients with nutrition problems. -Have a greater awareness of community resources for patients with nutrition problems. -Have an increased understanding of evidence-based pharmacological nutritional therapy. Learning Activities : -Inpatient nutritional support: enteral/parenteral nutrition -Outpatient chronic disease management: diabetes mellitus, cardiovascular disease, renal disease, and obesity -Self-directed learning and assessment utilizing online Nutrition in Medicine modules -Patient case study presentation including interview and background research -Lectures: Normal nutrition across the lifespan and motivational interviewing cases -Visits to community resources -Culinary nutrition class and lab at Metro Community College Culinary Institute -Weekly discussion with faculty.

Prerequisite:  Pre-arrange with Jolene Wees at 402-559-9327 prior to July of the senior year.

Instructor: COM: Susan Evans, M.D. SAHP: Corri Hanson, Ph.D., R.D., Megan Timmerman, M.P.A., R.D.

Contact: Jolene Wees at 402-559-9327.

Typically Offered: October.

Capacity: 4.

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

M-ID 743 NICOTINE ADDICTION 4 Credit Hours

SELECTIVE

This selective will allow the student to research the literature and practice of smoking cessation including current best practices. The student will design and present a smoking cessation program to be implemented in the student¿s future practice.

Contact: Dr. Paul Paulman.

Typically Offered: Variable.

Capacity: 1 per rotation

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

M-ID 752 ADDICTION MEDICINE 4 Credit Hours

SELECTIVE

Students will spend this Selective month on the Substance Use Disorders Program (SUDP) at the Omaha VA Hospital. Under the supervision of Dr. Dewan, students will participate in the evaluation, assessment and treatment of chemically dependent patients. Students will also be required to complete assigned readings, including literature on basic science issues related to chemical dependency. Objectives: 1.Students will become skilled in taking substance abuse histories. 2.Students will identify physical and psychiatric consequences of substance abuse. 3.Students will achieve familiarity with the classes of drugs of abuse and their use. 4.Students will be conversant with DSM-V criteria for the diagnosis of substance abuse and dependence. 5.Students will become knowledgeable of detoxification methods used to treat physical withdrawal. 6.Students will participate in both inpatient and outpatient therapeutic interventions including group therapy, individual counseling, 12-step groups (e.g., A.A.). 7.Students will explore basic science topics relevant to an understanding of the etiology, natural history, and treatment of substance abuse (e.g., neurobiology, pharmacology, genetics). Performance Objectives: 1.Skillful completion of history and physical exams on patients admitted to SUDP. 2.Appropriately diagnose and develop treatment plans for patients based on HP and DSM-V criteria. 3.Daily follow-up of patients as they progress through detoxification and treatment, with an emphasis on identifying denial, minimization, craving and other symptoms. 4.Accurate evaluation of patients' status in recovery and recognition of the need for changes in treatment modalities. 5.Students will be expected to review one topic related to addictions and present topic in a conference to patients and/or staff. 6.Students are expected to attend some evening outpatient groups and/or 12-step meetings.

Contact: Vijay Dewan, M.D. (VA Medical Center).

Typically Offered: Every month.

Capacity: 2

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