Specialty / Subspecialty:  Internal Medicine - Allergy & Immunology
Inpatient vs Outpatient:  Both
Inpatient Consult Service:  Yes
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4:30 p.m.
On-Call Shifts:  No
Night Shift:  No
Primary interaction(s):  Faculty
Any required tests or presentations:  20-minute presentation at the end of the rotation
Rotation Eligibility:

• MS4s:  HSPS, HSCP, and USU
• MS3s:  Core Clerkship site for USU MS3s; space available for other MS3s

Brief rotation description:

Medical students will be assigned to interview, examine, and evaluate patients in clinic with faculty supervision. The full range of Allergy & Immunology disorders is potentially available. Students will see inpatient consults with faculty. Participation in Internal Medicine academic conference is required. A 20-minute presentation on a topic of the student’s choice at the end of the rotation.

Specialty / Subspecialty:  Anesthesia
Inpatient or Outpatient Rotation:  Both
Inpatient Consultation Service:  Yes - RAS and Chronic Pain
Time Spent in Operating Room:  80%
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4:30 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  No
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

The anesthesia rotation is intended to introduce the practice of anesthesiology to MS3 and MS4 medical students. The goal is to provide an understanding of the basics of anesthesia. Teaching will be divided into three areas:  preanesthetic assessment, intraoperative anesthesia management, and post-anesthesia care. To fulfill the goals and objectives, the student will be assigned to the Preoperative Evaluation Clinic and appropriate surgical patients.

Specialty / Subspecialty:  Internal Medicine - Cardiology
Inpatient vs Outpatient:  Outpatient
Inpatient Consult Services:  No
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4:30 p.m.
On-Call Shifts:  No
Night Shift:  No
Primary Interaction(s):  Fellows and Faculty
Required tests or presentations:  20-minute presentation at the end of rotation
Rotation Eligibility:

• MS4s:  HSPS, HSCP, and USU
• MS3s:  Core Clerkship site for USU MS3s; space available for other MS3s

Brief rotation description:

Medical students will be assigned to interview, examine, and evaluate patients in clinic under faculty and faculty supervision. The full range of cardiovascular disorders is potentially available. Students will see inpatient consults with fellows and faculty. Participation in Internal Medicine academic conference is required. A 20-minute presentation on a topic of the student’s choice at the end of the rotation.

Specialty / Subspecialty:  Dermatology
Inpatient or Outpatient Rotation:  Both
Inpatient Consult Service:  Yes
Time Spent in Operating Room:  10% (Clinic OR)
Shift Assignment:  Monday - Friday, 7 a.m. - 4 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Senior Residents, Faculty
Required tests or presentations:  Yes (see below)
Rotation Eligibility:  MS4s

Brief rotation description:

Medical students will be assigned to a Senior Resident or Faculty member daily while on service. Medical students are expected to have and build upon basic knowledge of superficial anatomy, relevant history taking, and physical examination skills. When participating in surgical procedures, the medical student will also be expected to scrub in, safely maintain a sterile field, and have a basic understanding of the applicable anatomy. Medical students will attend daily academic sessions and relevant skills labs with the residents.

• MS4s are expected to work through the American Academy of Dermatology's (AAD) Basic Dermatology Curriculum learning modules and will be given an examination to complete while on rotation (the examination is made available and can be worked on throughout the rotation). 
• A short 5 - 10 minute presentation will be given by the medical student during an internal academic session or Grand Rounds. Assistance with the presentation will be available. Of note, there will be exposure to dermatopathology during the rotation as well.

Specialty / Subspecialty:  Emergency Medicine
Inpatient vs Outpatient:  Both
Inpatient Consult Service:  No
Time Spent in Operating Room:  None
Shift Assignment:

• 12-14 9-hour clinical shifts
• 5 Didactic days

On-Call Shifts:  No
Night Shift:  Yes: 3-4 night shifts per rotation
Primary interaction(s):  Residents and Faculty
Any required tests or presentations:  End of Rotation test
Rotation Eligibility:

• MS4s
• MS3s rotations are available on a space-available basis

Brief rotation description:

Medical students will be assigned 12-14 clinical shifts in the emergency department rotating through day, evening, and night shifts in both the main emergency department (ED) and fast track area.  Medical students are expected to have knowledge of performing history and physicals on an undifferentiated patient, creating a differential diagnosis including all potential life-threatening etiologies, creating an assessment and plan for risk stratification and disposition, and interpreting imaging and lab studies to evaluate patients presenting for acute unscheduled care. They will learn and perform ED procedures necessary for resuscitation and integrate EKG and imaging interpretation into their patient care. The students will be allowed to participate in the care of ED patients under the direct supervision of residents and faculty. Students will attend weekly academics and skills labs with the residents. A short exam is given at the end of the rotation on emergency medicine topics.

Specialty / Subspecialty:  Internal Medicine - Endocrinology
Inpatient vs Outpatient:  Both
Inpatient Consult Services:  Yes
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4:30 p.m.
On-Call Shifts:  No
Night Shift:  No
Primary Interaction(s):  Faculty
Required tests or presentations:  20-minute presentation at the end of rotation
Rotation Eligibility:

• MS4s:  HSPS, HSCP, and USU
• MS3s:  Core Clerkship site for USU MS3s; space available for other MS3s

Brief rotation description:

Medical students will be assigned to interview, examine, and evaluate patients in the endocrinology clinic under faculty supervision. The full range of endocrinology disorders is potentially available in these realms: diabetes, thyroid, parathyroid, lipid, adrenal, pituitary, osteoporosis, sex hormone, etc. Students also have the option to participate in the multi-disciplinary transgender clinic, held once weekly. Students will see inpatient endocrinology consults with faculty. Participation in Internal Medicine academic conference is required. A 20-minute presentation on a topic of the student’s choice at the end of the rotation.

Specialty / Subspecialty:  Internal Medicine - Gastroenterology
Inpatient vs Outpatient:  Both
Inpatient Consult Services:  Yes
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4:30 p.m.
On-Call Shifts:  No
Night Shift:  No
Primary Interaction(s):  Fellows and Faculty
Required tests or presentations:  20-minute presentation at the end of rotation
Rotation Eligibility:

• MS4s:  HSPS, HSCP, and USU
• MS3s:  Core Clerkship site for USU MS3s; space available for other MS3s

Brief rotation description:

Medical students will be assigned to interview, examine, and evaluate patients in clinic under faculty and faculty supervision. The full range of Gastroenterology disorders is potentially available. Students will see inpatient consults with fellows and faculty. Participation in Internal Medicine academic conference is required. A 20-minute presentation on a topic of the student’s choice at the end of the rotation.

Specialty / Subspecialty:  General Surgery
Inpatient or Outpatient Rotation:  Both
Inpatient Consultation Service:  Yes
Time Spent in Operating Room:  ~40% (variable)
Shift Assignment:  One day off per week, 5 a.m. - 6 p.m.
On-Call Shifts:  Weekends
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  Presentations on every case or daily
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

Medical students will spend the rotation with one of the three general surgery teams that provide comprehensive inpatient, and outpatient, surgical, teaching service as well as emergency/trauma care. The student is expected to follow specific patients through their clinical courses from the clinic/ER, to the ward, to the OR, and afterwards for a very broad exposure. Each service sees a wide variety of General Surgery problems and the student takes call every third day with his/her respective team. Academic activities occur with daily teaching rounds, pre-op conference, and a weekly morning of lectures covering Morbidity & Mortality, Interesting Case, Grand Rounds, Tumor Board, and "Belly Board." The staff and chief residents regularly evaluate students with feedback given during and at the completion of the rotation. Each student is encouraged to keep a log of activities to allow documentation of their education experience. The students also complete a rotation evaluation prior to their departure.

Specialty / Subspecialty:  Gynecologic Surgery & Obstetrics
Inpatient or Outpatient Rotation:  Both
Inpatient Consultation Service:  Yes
Time Spent in Operating Room:  ~30% (variable)
Shift Assignment:  One day off per week, 6a.m. - 6 p.m.
On-Call Shifts:  Yes - inhouse call
Night Shifts:  Yes
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  20-minute presentation at the end of the rotation
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

The following rotations are generally broken into 2-week blocks giving you the opportunity to experience two subspecialties during a roughly 4-week period. Every effort will be made to accommodate your choice of rotation services however, some circumstances i.e., personnel, patient volume and/or available case-mix and complexity may require adjustments to your schedule.

Comprehensive Obstetrics

• Complicated OB rounds and clinic (COB clinic)
• Ultrasound clinic/experience.
• Labor and delivery

Benign Gynecologic Surgery

• Outpatient/ER(inpt) GYN consultations
• Contraception clinic
• Inpatient surgery

Gynecologic Subspecialties (Urogynecology and Gynecologic Oncology)

• Outpatient consultations for oncology/dysplasia and prolapse/incontinence
• Inpatient surgery

Infertility

• Outpatient evaluation and management for female and male (limited) fertility evaluation.
• ***Loss of IVF/Inpatient services as of June 2023, expected to return September 2024

Specialty / Subspecialty:  Internal Medicine - Hematology & Oncology
Inpatient vs Outpatient:  Both
Inpatient Consult Services:  Yes
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4:30 p.m.
On-Call Shifts:  No
Night Shift:  No
Primary Interaction(s):  Faculty
Required tests or presentations:  20-minute presentation at the end of rotation
Rotation Eligibility:

• MS4s:  HSPS, HSCP, and USU
• MS3s:  Core Clerkship site for USU MS3s; space available for other MS3s

Brief rotation description:

Medical students will be assigned to interview, examine, and evaluate patients in clinic under faculty and faculty supervision. The full range of Hematology & Oncology disorders is potentially available. Students will see inpatient consults with faculty. Participation in Internal Medicine academic conference is required. A 20-minute presentation on a topic of the student’s choice at the end of the rotation.

Specialty / Subspecialty:  Internal Medicine - Infectious Disease
Inpatient vs Outpatient:  Both (primarily inpatient)
Inpatient Consult Services:  Yes
Time Spent in Operating Room:  None
Shift Assignment:  5 days per week, 12-hour shifts
On-Call Shifts:  No
Night Shift:  No
Primary Interaction(s):  Fellows and Faculty
Required tests or presentations:  evidence-based case presentation
Rotation Eligibility:

• MS4s: HSPS, HSCP, and USU
• MS3s: Core Clerkship site for USU MS3s; space available for other MS3s

Brief rotation descriptions:

The standard Infectious Diseases rotation is a four-week rotation, the majority of which is inpatient. Medical students are expected to spend 4 weeks on service in a contiguous rotation and will present an evidence-based case presentation during Friday academics toward the end of their rotation. As an elective, weekends are considered liberty periods for rotators (though it is expected that some off-hours time will be spent on reading and generation of a presentation). The presentation will have a minimum of 5 peer-reviewed references and should last approximately 30 minutes.

Rotators should check in with the inpatient team the day prior to starting on service. Checking in to the Command is separate from checking in with the team for the rotation. If arriving from an outside facility, then please arrive NLT 0700 to check in with the team and then coordinate going forward. Credentials and computer access processes should be initiated prior to arrival, and a point of contact for the anticipated staff on the team can also be requested in advance. Rotators should expect to spend full days on service. Depending on the census of the service, a typical day may start around 6:15 - 7 a.m. Rounds will begin in the morning, and depending on competing schedule items, may be split into parts and continue in the afternoon. Notes will be completed outside of rounds.

Attendance at Noon Conference is expected for medical student rotators, unless superseded by ID-specific activities. In addition, ID has dedicated academic periods, including Thursday afternoon case conferences (2nd Thursdays of the month for cross town case conference; Journal club, multi-disciplinary conference, and other activities on other Thursdays), Friday morning academics (8 - 10 a.m.), and Micro Rounds Fridays at 1 p.m..

Specialty / Subspecialty:  Internal Medicine - Critical Care (Sub-Internship)
Inpatient vs Outpatient:  Inpatient
Inpatient Consult Services:  N/A
Time Spent in Operating Room:  None
Shift Assignment:  One day off per week, 6 a.m. - 6 p.m.
On-Call Shifts:  Every other day
Night Shift:  Optional but highly encouraged (2 overnight calls shifts)
Primary Interaction(s):  Residents, Fellows, and Faculty
Required tests or presentations:  None
Rotation Eligibility:  MS4s

Brief rotation description:

The medical ICU rotation is specifically designed for 4th-year medical students who are ready to take on the role of sub-interns within a dynamic and challenging critical care environment. As sub-interns, students will become integral members of the critical care team, which typically consists of an attending physician, a fellow, a senior resident, three interns, and 1-2 medical students. This team-based approach fosters a collaborative learning environment, allowing students to learn from a broad range of experiences and perspectives.

In their sub-intern role, students will be entrusted with a higher level of responsibility compared to traditional rotations. They will be tasked with interviewing, examining, evaluating, admitting, and managing patients in the adult ICU under the direct guidance and supervision of residents, fellows, and faculty. A key feature of this rotation is the potential for procedural experience. While not guaranteed, students may have opportunities to participate or assist in real-life procedures under supervision. Furthermore, hands-on simulation of procedures will be carried out in the simulation center, offering students a safe and controlled environment to learn and practice essential critical care procedures. Students will also receive in-depth training on the management of mechanically ventilated patients. They will learn how to interpret ventilator settings, adjust them based on patient requirements, and manage potential complications. In addition, training on the use of vasopressors to manage shock and other critical conditions will be provided, further enhancing their critical care skillset.

Another unique aspect of this rotation is that it takes place in a mixed ICU, where care is provided to both medical and surgical patients. This will expose students to a wide array of critical care scenarios, bolstering their adaptability and versatility in managing different types of patients. To augment their practical experience, students will be required to participate in daily academic conferences with the residents. These conferences offer them the opportunity to delve deeper into the theoretical aspects of critical care, discuss complex cases, review recent research, and engage in stimulating intellectual discourse. Students will provide an informal 20-minute presentation at the end of the rotation on a critical care topic to the ICU team.

This ICU rotation offers 4th-year medical students a rigorous and rewarding learning experience in critical care, preparing them for the demanding realities of a career in this challenging field. The rotation is designed to cultivate not only their clinical skills but also critical thinking, decision-making, teamwork, and communication skills, all of which are crucial for success in the realm of critical care.

Specialty / Subspecialty:  Internal Medicine - Cardiac Care Unit (Sub-Internship)
Inpatient vs Outpatient:  Inpatient
Inpatient Consult Services:  N/A
Time Spent in Operating Room:  None
Shift Assignment:  One day off per week, 6 a.m. - 6 p.m.
On-Call Shifts:  Every other day
Night Shift:  Optional but highly encouraged (2 overnight calls shifts)
Primary Interaction(s):  Residents, Fellows, and Faculty
Required tests or presentations:  No
Rotation Eligibility:  MS4s

Brief rotation description:

Fourth year medical students will function as sub-interns, assigned to the cardiac care team.  Team generally consists of an attending physician, fellow, senior resident, three interns and 1-2 medical students.  In the sub-intern role, students will be assigned to interview, examine, evaluate, admit, and manage patients in the CCU under resident, fellow and faculty supervision.  The full range of cardiovascular disorders is potentially available.  Sub-interns typically manage 2-4 patients simultaneously.  Participation in daily academic conferences with the residents is required.

Specialty / Subspecialty:  Internal Medicine - Wards (Sub-Internship)
Inpatient vs Outpatient:  Inpatient
Inpatient Consult Services:  N/A
Time Spent in Operating Room:  None
Shift Assignment:  6 a.m. - 6 p.m, one day off per week
On-Call Shifts:  Every other day
Night Shift:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  No
Rotation Eligibility:  MS4s

Brief rotation description:

Fourth year medical students will function as sub-interns, assigned to one of the inpatient internal medicine ward teams. Teams generally consist of an attending physician, senior resident, two interns, and 2 medical students (one clerkship student, one sub-intern). In the sub-intern role, students will be assigned to interview, examine, evaluate, admit, manage, and discharge patients in the hospital under resident and faculty supervision. The full range of internal medicine disorders is potentially available. Sub-interns typically manage 3-4 patients simultaneously. Participation in daily academic conferences with the residents is required.

Specialty / Subspecialty:  Internal Medicine - Hematology & Oncology
Inpatient vs Outpatient:  Both
Inpatient Consult Services:  Yes
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4:30 p.m.
On-Call Shifts:  No
Night Shift:  No
Primary Interaction(s):  Faculty
Required tests or presentations:  20-minute presentation at the end of rotation
Rotation Eligibility:

• MS4s:  HSPS, HSCP, and USU
• MS3s:  Core Clerkship site for USU MS3s; space available for other MS3s

Brief rotation description:

Medical students will be assigned to interview, examine, and evaluate patients in clinic under faculty and faculty supervision. The full range of Hematology & Oncology disorders is potentially available. Students will see inpatient consults with faculty. Participation in Internal Medicine academic conference is required. A 20-minute presentation on a topic of the student’s choice at the end of the rotation.

Specialty / Subspecialty:  Ophthalmology 
Inpatient or Outpatient Rotation:  Both
Inpatient Consultation Service:  Yes
Time Spent in Operating Room:  ~40% (variable)
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  Test
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

Ophthalmology is an exciting and rewarding field of medicine and surgery. Patients normally value their sight only second to life itself and in some surveys of the elderly ahead of that! The DOD reports that battle eye injuries accounted for 15.8% of all recent wartime MEDEVACs. Many intracranial tumors can be detected with a full ophthalmic eye exam. Many systemic illnesses affect the eye as a target organ and timely evaluation for visual problems can often detect occult systemic illness. If fact, eye complaints account for a substantial amount of presenting complaints in general and primary care settings.

The ophthalmology rotation is rewarding and demanding. All rotators will have assigned reading and on-line training, participate in clinic, learn basic eye exam skills and triage. Additionally, they will have the opportunity to see surgery and rotate through the sub-specialty clinics in the department.

Rotational Goals:

• During the Ophthalmology rotation, all rotators are expected to be able to demonstrate and apply an evidence-based medicine approach to patients presenting with optic disease that reflects an integration of basic science and clinical knowledge.
• All rotators are also expected to improve their communication skills with patients, patients’ families, and colleagues.
• All rotators will gain an understanding of common outpatient optic diseases and their management.
• All rotators are expected to gain exposure in a variety of subspecialty clinics (glaucoma, cornea, retina, ocular pathology, refractive surgery, pediatrics, neuro-ophthalmology, oculoplastics).
• All rotators are expected to demonstrate a basic proficiency in slit-lamp examinations and work under the direction of a senior resident or staff attending with the indirect ophthalmoscope and other instruments.
  

Specialty / Subspecialty:  Orthopedic Surgery
Inpatient or Outpatient Rotation:  Both
Inpatient Consultation Service:  Yes
Time Spent in Operating Room:  ~60% (variable)
Shift Assignment:  One day off per week, 6 a.m. - 6 p.m.
On-Call Shifts:  Yes - one late call per week
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  5-minute presentation
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

Medical students will be assigned to one of eight teams and will participate in inpatient rounds, assist with surgeries, take call with residents, and see patients in clinic. Medical students are expected to have knowledge of musculoskeletal anatomy, common orthopedic conditions, relevant history taking, and physical examination skills. When participating in surgery, the student will also be expected to scrub in, safely maintain a sterile field, and have a basic understanding of the applicable anatomy. The students will be allowed to participate in the care of orthopaedic patients under the direct supervision of residents and faculty surgeons. Students will attend weekly academics and skills labs with the residents. A short presentation is given by the student at the end of the rotation on an orthopaedic topic. Assistance with the presentation will be available.

Specialty / Subspecialty:  Otolaryngology (ENT)
Inpatient or Outpatient Rotation:  Both
Inpatient Consultation Service:  Yes
Time Spent in Operating Room:  ~50% (variable)
Shift Assignment:  One day off per week, 6 a.m. - 5:30 p.m.
On-Call Shifts:  Yes - at-home call
Night Shifts:  Rare
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  5-minute presentation
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

Board certified faculty in our program specialize in head and neck oncology, facial plastic and reconstructive surgery, pediatric otolaryngology, and comprehensive otolaryngology. The staff and residents are divided into two teams; clinical clerks will work as an integral member of each.

The work week is divided into two days in the operating room, two days in clinic, and one academic day. In clinic, you will learn a thorough head and neck history and physical exam, to include nasopharyngoscopy and otologic microscopy. While in clinic you will assist the duty resident with acute referrals, handling a myriad of clinical scenarios such as management and drainage of peritonsillar abscesses, closed reduction of nasal fractures, epistaxis control, deep neck abscesses and upper aerodigestive tract foreign bodies. In the operating room, you will have the opportunity to assist in the vast array of procedures performed by the various sub-specialists (rhytidectomy, septorhinoplasty, direct laryngoscopy, endoscopic sinus surgery, neck dissection, thyroidectomy, etc.). Each Friday is dedicated to academics. Regular conferences include pre-operative review, post-operative review, grand rounds, tumor board, head and neck radiology conference, resident/staff lectures, M & M, and journal club. Clinical Clerks will be asked to give a fifteen-minute to half hour lecture on a topic of their choice preferably during their last Friday on service.

Specialty / Subspecialty:  Pain Medicine (Multi-Disciplinary)
Inpatient or Outpatient Rotation:  Outpatient
Inpatient Consultation Service:  No
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 7 a.m. - 4 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  Interesting Talk presentation (for rotators on the 4 week rotation)
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

NMCSD Pain Medicine rotation can be included as a 1-5 day add on rotation or as a 4-week stand-alone rotation. The rotation is clinic-based during working hours. Medical Students will participate in all aspects of pain care including new patient intake visits, follow-up visits, interventional pain procedures, observing acupuncture and pain physical therapy. There is a weekly academic half day with pain didactics and hands on simulation training.

Cognitive Objectives:

1. Understand the anatomy, physiology and patho-physiology of pain, e.g. nociceptors, pathways, mechanisms and spinal or central modulations
2. Understand the pharmacology and pharmocodynamics of oral, IV, cutaneous and spinal opiates
3. Understand the multiple acute pain management modalities, e.g. peripheral nerve blocks, neuro-axial blocks, trigger point injections, massage therapy, acupuncture, physical therapy, NSAIDs and neurolytic medications, antidepressant, anticonvulsant and muscle relaxant medications, TENS units and psychotherapies.
4. Understand the nature of neuropathic pain and the mechanisms.
5. Understand the complex mechanisms involved in back and neck pain.
6. Understand the human aspect of pain and suffering and the possibility of failure to relieve the pain of some chronic pain sufferers.
7. Understand the purpose/role of a multidisciplinary pain clinic.

Specialty / Subspecialty:  Pathology
Inpatient or Outpatient Rotation:  Both
Inpatient Consultation Service:  No
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4:30 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Faculty
Required tests or presentations:  No
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

The intent of the pathology clerkship is to provide exposure to the aspects of both anatomic and clinical pathology by providing a “shadow” experience with staff pathologists and laboratory officers. During a four week rotation the visitor rotates among the various anatomic and clinical subspecialties depending on staff availability and the student’s personal interest. Mandatory weekly attendance includes interesting case conference, tumor board, call turnover, and dermatopathology academic conference(s).

The core curriculum includes three focus areas.

Anatomic Pathology

The rotator will spend the majority of their time, consisting of intraoperative consultation coverage, grossing, and signout of surgical cases with staff. In addition, the rotator will spend 1-2 days on the cytology service. The autopsy service has an unpredictable (and very limited) schedule; when autopsies are scheduled attendance is highly encouraged and will take priority over other assignments.

Core and Complex Laboratory Testing

Microbiology and core lab are recommended to rotate through, depending on rotators interest. Microbiology can be one day to one week, and core lab can be ½ day.

Blood Bank

The rotator will be assigned to a blood bank specialist and perform a type and screen and type and cross, observe an antibody workup, and meet with the blood bank medical director to discuss the critical role of transfusion medicine in the safe care of patients.

Specialty / Subspecialty:  Pediatrics - General Pediatrics Outpatient Clinic (Sub-Internship)
Inpatient or Outpatient Rotation:  Outpatient
Inpatient Consultation Service:  No
Time Spent in Operating Room:  None
Shift Assignment:  5 days per week, 8-hour shifts
On-Call Shifts:  Once a week
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  Moring Report
Rotation eligibility:  MS4s

Brief rotation description:

The clerkship is designed to provide a well-rounded outpatient experience in general pediatrics. The goal is to general pediatrics while caring for children of all ages but with a high proportion of children ages 0-5 years old. By the end of the rotation the 4th-year medical student should feel confident in the fundamentals of pediatric health supervision, vaccinations schedules, and routine acute care management.

The Pediatric clinic is staffed by a mix of board-certified pediatricians as well as pediatric nurse practitioners (PNP). The 4th year clerk will be assigned to work in general pediatrics Monday-Friday. Call requirements are set based on individual school mandates with overnight call taken with the pediatric ward team or NICU team. Every morning begins at 7:40 a.m. with clinic huddle followed by morning report – a department wide didactic experience. Morning clinic in the General Pediatric Teaching Clinic (GPTC) allows the clerk to see 2-3 patients each morning and staff them with one of the team members. In the afternoon, the students will be working with one of the staff who is the afternoon preceptor. Documentation is completed using Genesis, with focus on learning appropriate use of the EMR. Students will see a broad range of disease, chronic care issues, acute care needs, and a wealth of health supervision experience.

Specialty / Subspecialty:  Pediatrics - Infectious Disease
Inpatient or Outpatient Rotation:  Both
Inpatient Consultation Service:  Yes
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 8 a.m. - 4 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Faculty
Required tests or presentations:  No
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

Medical students will work one-on-one with pediatric infectious disease staff, assisting with inpatient and outpatient consults and ID clinic. Students will be expected to read independently on a wide range of pediatric infectious disease topics from the assigned reading list and also as it pertains to the clinical service. A joint UCSD/ NMCSD conference takes place at 5 - 6 p.m. on Thursdays, and students are invited to attend. Students will also be expected to attend pediatric resident Morning report from 8 - 9 a.m.

Specialty / Subspecialty:  Pediatrics - Inpatient Ward (Sub-Internship)
Inpatient or Outpatient Rotation:  Inpatient
Inpatient Consultation Service:  No
Time Spent in Operating Room:  None
Shift Assignment:  One day off per week, 5:30 a.m. - 6 p.m.
On-Call Shifts:  Once per week (may be ward, PICU, or NICU)
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  No
Rotation eligibility:  MS4s

Brief rotation description:

Fourth year medical students will function as sub-interns, carrying 2-4 patients on our general pediatric ward which also includes surgical subspecialties such as orthopedics, ENT, ophthalmology, oral and maxillofacial surgery and plastics. Sub-interns may consult, with resident oversight, on pediatric surgery and urology patients who we also follow. They may also carry hematology/oncology service patients who are under a subspecialty attending separate from the hospitalist service. On the rotation, sub-interns will perform the same duties as the intern but with closer resident or staff supervision and will write H&Ps, daily notes, discharge summaries and other appropriate notes to provide good care of their patients. Participation in daily academic conferences is required as is a presentation on a case of interest to the department to be scheduled in conjunction with the Chief of Residents. Interest in pediatrics, a willingness to read and learn and ability to work with a team of physicians, nurse practitioners, pharmacists, corpsmen and nurses is a must for the peds ward.

Specialty / Subspecialty:  Pediatrics - Intensive Care Unit (Sub-Internship)
Inpatient or Outpatient Rotation:  Inpatient
Inpatient Consultation Service:  No
Time Spent in Operating Room:  None
Shift Assignment:  One day off per week, 5:30 a.m. - 7:30 p.m.
On-Call Shifts:  Yes
Night Shifts:  One night call per rotation
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  No
Rotation eligibility:  MS4s

Brief rotation description:

Fourth year medical students will function as sub-interns, assigned to the Pediatric Intensive Care Unit. Teams generally consist of an attending physician, on occasion one resident, and the bedside clinical staff. In the sub-intern role, students will work closely with the attending physician and will be assigned to interview, examine, evaluate, admit, and manage patients in the hospital under resident and faculty supervision. The full range of pediatric critical illness is potentially available with the exception of cardiac surgery, ECMO and dialysis. Sub-interns typically manage 1-4 patients simultaneously. Participation in daily academic conferences with the residents is required.

Specialty / Subspecialty:  Pediatrics - Neonatal Intensive Care Unit (Sub-Internship)
Inpatient or Outpatient Rotation:  Inpatient
Inpatient Consultation Service:  No
Time Spent in Operating Room:  None
Shift Assignment:  One day off per week, 5:30 a.m. - 5 p.m.
On-Call Shifts:  Optional
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  No
Rotation eligibility:  MS4s

Brief rotation description:

Fourth year medical students will work as sub-interns with the team of residents in the Neonatal Intensive Care Unit (NICU). The team generally consists of an attending Neonatologist, Neonatal Nurse Practitioner, senior Pediatrics Resident, Family Medicine Resident, and Pediatrics Intern. Sub-interns will follow infants in the NICU under the direct supervision of the senior Pediatrics Resident and attending Neonatologist. They will assist in evaluation and planning the management of these infant’s care. They will attend neonatal resuscitations in the delivery room and assist in procedures such as umbilical vessel catheterization as available under direct supervision. Sub-interns who are interested in applying for the NMCSD Pediatrics Internship are encouraged to take night call once weekly and present one case at Pediatrics morning report. Participation in daily academic conferences with the residents is required.

Specialty / Subspecialty:  Pediatrics - Pulmonology
Inpatient or Outpatient Rotation:  Outpatient
Inpatient Consultation Service:  Yes
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 8 a.m. - 4 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Faculty
Required tests or presentations:

• Self-Assessment intake form
• 30-minute department presentation

Rotation eligibility:  MS3s, MS4s

Brief rotation description:

Medical students will be assigned to interview, examine, and evaluate patients in the pediatric pulmonology clinic under resident and faculty supervision. The full range of pulmonology disorders is potentially available in these realms: asthma, chronic cough, bronchopulmonary dysplasia, sleep disordered breathing, pulmonary function testing, chest imaging etc. Students also have the option to participate in the multi-disciplinary Cystic Fibrosis, held twice monthly. When available students will observe pulmonary specific procedures such as inhaler/spacer technique and flexible bronchoscopy with bronchoalveolar lavage. Students will see inpatient pulmonology consults with faculty. Participation in the daily academic conference is required, with a 30-minute presentation on a topic of the student’s choice at the end of the rotation.

Specialty / Subspecialty:  Psychiatry - Child & Adolescent Psychiatry (CAP)
Inpatient or Outpatient Rotation:  Outpatient
Inpatient Consultation Service:  No
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 8 a.m. - 4 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

The student will be an active member of the CAP clinic, seeing children and adolescent patients in need of mental health care, in a medical center that cares for active duty and retired military personnel, as well as their dependents. The team consists of 3rd-year psychiatry residents, an attending psychiatrist, social workers, and behavioral health technicians. Patients are seen as outpatients. Rotating students would have the opportunity of spending short periods of time on other psychiatric services at the institution.

Specialty / Subspecialty:  Psychiatry - Consultation Liaison & Emergency Psychiatry
Inpatient or Outpatient Rotation:  Outpatient
Inpatient Consultation Service:  No
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 8 a.m. - 4 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:
Rotation eligibility:  MS3s, MS4s

Brief rotation description:

The student will be an active member of the consult service in a medical center that cares for active-duty and retired military personnel, as well as their dependents. The team consists of a second-year psychiatry resident, attending psychiatrist, psychologist, social worker, and several additional trainees from different disciplines and specialties. Patients are evaluated in both the emergency room and medical floor setting.

Specialty / Subspecialty:  Psychiatry - Inpatient Ward (Sub-Internship)
Inpatient or Outpatient Rotation:  Inpatient
Inpatient Consultation Service:  No
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 8 a.m. - 4 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations: No
Rotation eligibility:  MS4s

Brief rotation description:

Fourth year medical students will be to work and carry a patient workload similar to that of a psychiatry intern on the inpatient ward, according to their ability. They will be assigned to a specific inpatient team consisting of 1-2 psychiatry residents, an attending psychiatrist, and social worker. They will work as part of a multidisciplinary team consisting of psychiatry, psychology, social work, psychiatric nursing, and recreation therapist.

Specialty / Subspecialty:  Psychiatry - Outpatient Psychiatric Transition Program (PTP)
Inpatient or Outpatient Rotation:  Outpatient
Inpatient Consultation Service:  No
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 8 a.m. - 4 p.m.
On-Call Shifts:  No
Night Shifts:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations: No
Rotation eligibility:  MS4s

Brief rotation description:

The student will be an active member of the Psychiatric Transition Program clinic, designed specifically for active-duty service members with severe, persistent mental illness, in a medical center that cares for active-duty and retired military personnel, as well as their dependents. The team consists of multiple 3rd-year psychiatry residents, a chief resident, an attending psychiatrist, social workers, and several behavioral health technicians. Patients are seen in the program weekly. Rotating students would have the opportunity of visiting other psychiatric services in the hospital during their rotation.

Specialty / Subspecialty:  Internal Medicine - Pulmonology
Inpatient vs Outpatient:  Both
Inpatient Consult Services:  Yes
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4:30 p.m.
On-Call Shifts:  No
Night Shift:  No
Primary Interaction(s):  Fellows and Faculty
Required tests or presentations:  30-minute presentation at the end of rotation
Rotation Eligibility:  MS3s, MS4s

Brief rotation description:

This program offers medical students an immersive experience in the field of Pulmonology. Students will be assigned patients to interview, examine, and evaluate under the supervision of experienced faculty. They will be exposed to a broad range of pulmonary disorders, gaining both theoretical knowledge and practical skills.

Students will participate in inpatient consults alongside fellows and faculty, enhancing their clinical skills. In addition, students will learn about pulmonary function testing and the interpretation of pulmonary imaging studies. This offers the students a valuable opportunity to understand the diagnostic processes involved in Pulmonology and to develop skills in using these essential tools. They will learn to conduct, analyze, and interpret pulmonary function tests and will gain experience in reading and understanding imaging studies such as chest x-rays, CT scans, and PET scans, essential for diagnosing and monitoring pulmonary conditions. Participation in the Internal Medicine academic conference is a compulsory component of the program, offering students the chance to engage with wider academic discourse in the field.

The rotation culminates in a 30-minute presentation on a chosen topic, encouraging students to delve deeper into a specific area of interest within Pulmonology. This comprehensive and hands-on rotation is designed to equip students with the foundational knowledge and skills required for a career in Pulmonology.

Specialty / Subspecialty:  Internal Medicine - Rheumatology
Inpatient vs Outpatient:  Both
Inpatient Consult Services:  Yes
Time Spent in Operating Room:  None
Shift Assignment:  Monday - Friday, 7:30 a.m. - 4:30 p.m.
On-Call Shifts:  No
Night Shift:  No
Primary Interaction(s):  Faculty
Required tests or presentations:  20-minute presentation at the end of rotation
Rotation Eligibility:

• MS4s:  HSPS, HSCP, and USU
• MS3s:  Core Clerkship site for USU MS3s; space available for other MS3s

Brief rotation description:

Medical students will be assigned to interview, examine, and evaluate patients in clinic under faculty and faculty supervision.  The full range of rheumatology disorders is potentially available.  Students will see inpatient consults with faculty.  Participation in Internal Medicine academic conference is required. A 20-minute presentation on a topic of the student’s choice at the end of the rotation. 

Specialty / Subspecialty:  Urology
Inpatient vs Outpatient:  Both
Inpatient Consult Services:  Yes
Time Spent in Operating Room:  40%
Shift Assignment:  Monday - Friday, 6 a.m. - 6 p.m.
On-Call Shifts:  No
Night Shift:  No
Primary Interaction(s):  Residents and Faculty
Required tests or presentations:  15-minute presentation at the end of rotation for MS4s
Rotation Eligibility:  MS3s, MS4s

Brief rotation description:

Medical students are an integral member of the urology team and will participate in inpatient rounds, assist with surgery and clinic procedures, evaluate outpatient patients in the urology clinic, and see urgent consults on the wards and in the emergency room. Medical students are expected to have knowledge of genitourinary anatomy, common GU conditions, relevant history taking, and physical examination skills. When participating in surgery, the student will also be expected to scrub in, safely maintain a sterile field, and have a basic understanding of the applicable anatomy. The students will be allowed to participate in the care of urology patients under the direct supervision of residents and faculty surgeons. Students will attend weekly academics and skills labs with the residents (Wednesdays). MS4’s who are applying for urology residency have the opportunity to give a 15-minute presentation at conference on the last Wednesday of their rotation. No overnight or weekend call is expected.