Visiting Student Elective Course Descriptions

Class Selections

Classroom Electives

Department of Anatomy & Structural Biology

A100 Human Gross Anatomy

The Human Gross Anatomy elective provides an advanced level, anatomical review of selected regions of the human body in preparation for residencies in surgically-oriented specialties, diagnostic imaging and radiology. Elective students are required to participate in cadaveric dissection and to demonstrate their work to first-year medical students during daily morning dissection laboratory sessions. The goals of dissecting and demonstrating are to enhance the experience and the knowledge base of the elective student and to provide an exemplar for the first-year students as they undertake their dissections. Elective students are required to attend morning lectures. The elective is held in the Dissection Laboratories on the 6th floor of the Forchheimer building.

Regions of the body covered in different modules are:
A100A Human Gross Anatomy – Back & Thorax, Module 3B only
A100B Human Gross Anatomy – Thorax and Abdomen, Module 4A only
A100C Human Gross Anatomy – Pelvis & Perineum, Module 4AZ only
A100D Human Gross Anatomy – Head & Neck, Module 4B only
A100E Human Gross Anatomy – Upper & Lower Limb, Module 5A only

At the end of the module students will be able to:

- – Discuss and demonstrate the organizational principles of the specific region of the body.
- – Describe how the anatomy relates to the function of the specific region of the body.
- – Demonstrate the key anatomical structures and relations of the specific region of the body.
- – Explain to first-year students the role of anatomy in the clinical encounter and in clinical decision making.

There is NO maximum limit on number of students who can sign up for any one module. Students do NOT need approval of the Course Director to register for the elective AND the Course Director appreciates that many students who sign up for these modules will be doing interviews that will take them away from the College. Every effort will be made to accommodate interviews during each module.

Sherry Downie, PhD

Administrative Support: Iris Villatoro, Iris.villatoro@einstein.yu.edu,

On the first day of the module students should report to Dr. Downie’s office, 620S Forchheimer.

A400 Student as Teacher (Einstein and MMC)

**Einstein students must receive approval from Dr. Risley prior to registration**

The word doctor is derived from the Latin verb docere, meaning to teach. At many points during a physician’s career, from medical school through residency and into practice, he or she will be expected to educate peers, students and faculty. This elective seeks to provide fourth year medical student-teachers (STs) the opportunity to gain and develop pedagogical knowledge, skills and attitudes. We will accomplish this through three approaches: a standard didactic curriculum, opportunities for practical application of theoretical learning and, finally, the expectation to work with a faculty member of their choice on a curricular enhancement project (discussed below).

Currently, many opportunities exist for fourth year students to teach at Einstein. Between electives assisting in the anatomy labs to leading small group case conferences as part of the MCFM course, students who are interested in education can find opportunities to teach. This elective seeks to consolidate these opportunities. Additionally, this elective will create a didactic curriculum for interested students to learn about educational principles in adult education as well as learning environments specific to clinical medicine (i.e. precepting). The didactic curriculum also utilizes currently-existing opportunities such as lessons from the ongoing Resident-as-Teacher program in the Montefiore department of Internal Medicine, and the graduate course “Fundamentals of Course Design and Teaching”.

The product is an elective that continues an Einstein tradition (initiated by Dr. Richard Hayes prior to his death), materializes learning objectives that are stated within the Physician as Educator curricular sub-competencies, and provides the framework for the growth of medical education innovation at Einstein.

Michael Risley, PhD

Sheira Schlair, MD, MS

Epidemiology and Population Health (EPID)

F200 Jewish Medical Ethics

The advances in modern medicine have spawned a wide variety of ethical dilemmas in such areas as genetics, reproductive technology, the determination of death, organ, transplantation, euthanasia and assisted suicide. While the secular ethical approach to these issues is often well publicized and adequately represented at many medical schools, the religious viewpoint, and in particular, that of Orthodox Judaism, is rarely given a voice. This half-module (one month) guided reading elective allows the student to choose a topic of their interest and will provide an overview of the Orthodox Jewish approach to medical issues by analyzing texts from the Bible, Talmud and Rabbinic commentaries throughout the ages.

Prerequisites: As many of the texts are in the Hebrew language, a rudimentary knowledge of Hebrew would be helpful, although not essential.

Rabbi Edward Reichman, MD
646-702-0155.
saraneddie@optonline.net
Modules: All
Maximum: 2 students

F204 Nutrition and the Development of Chronic Disease

There is an increasing interest in the role of nutrition and obesity in the etiology and development of chronic diseases. Each student will be provided with guidance in reviewing literature and can potentially participate in data analysis or in developing curriculum materials. Students can use their elective time to pursue work on a nutrition-related Independent Scholars project. Students may have the opportunity to attend seminars and/or research meetings appropriate to the topic. Students will meet Dr. Wylie-Rosett to select a specific focus for this elective.

Review Paper Content

Judith Wylie-Rosett, EdD
718-430-3345
judith.wylie-rosett@einstein.yu.edu
Modules: All
Maximum: 4 students
Students should contact instructor before start of the elective for meeting time and location. Meetings will be in Belfer 1307.

F205 Clinical Informatics and Research in Primary Care

**Einstein students must contact Dr. Tobin for approval prior to registration**
Students will participate in developing and implementing a web-based curriculum in
evaluating the e-Clinican Project (see www.eclinician.org ), funded
as part of the Health Alert Network of the New York City Department of Health
and Mental Hygiene (see www.nyc.gov/health)
administered by Clinical Directors Network (see www.CDNetwork.org), a
primary care practice-based research network (PBRN) in NYC. The eClinician
Project is designed to disseminate evidence-based clinical practice guidelines
and to improve access to the clinical decision-support tools on handheld
personal computers (HPC/PDA) for clinicians practicing in patient care.
Students will help with curriculum development and evaluation, identification
of online clinical decision-support tools, and provide presentations at
Community Health Centers, as well as assist with (and receive co-authorship)
development of articles for publication and scientific presentations. Students
will also participate in a PCORI funded study (Enhancing Community Health
Center PCORI Engagement (EnCoRE)) whose goal is to adapt, enhance, and
implement an existing year long training curriculum designed to educate and
engage Health Center teams including patients, clinical and administrative
staff in Patient Centered Outcomes Research (PCOR).

CDN Orientation Curriculum

Jonathan N. Tobin, PhD
212-382-0699 ext 234
jonathan.tobin@einstein.yu.edu or JNTobin@CDNetwork.org
Modules: All
Maximum: 4 students
Please Note: Meetings are held in Manhattan at the offices of Clinical Directors Network (CDN) 5 West 37th Street, 10th Floor, New York, NY 10018 and via web/telephone conference calls.

F209 Culinary Medicine

This elective will take place in a combination of Belfer
and Block classrooms and the cafeteria kitchen in the Block building. MS4s may
register without the permission of the instructor. The course is open to
visiting MS4 medical students. On the first day of the course, students report at 10am to Belfer 708 for the introductory session.

The goal of this elective is provide MS4s an integrated nutrition and culinary medicine elective that includes four components: a) Classroom discussions that integrate medical nutrition therapy and theory with behavioral medicine and practice. The elective will include the following topics: cardiovascular disease, diabetes, cancer, obesity, pediatric feeding issues, sports nutrition, herbs patients use, and sustainable agriculture. b) Relevant field trips and shadowing of nutrition experts. c) Selected readings of the relevant evidence-based medical/nutritional literature. d) Four weekly cooking sessions on the preparation of multi-cultural healthy food. e) Completion of two projects: 1) Students will also analyze their own diets and compare them to national norms; 2) Students will do a medical literature research project that involves a brief review of the literature around the role of dietary fats and cardiovascular disease.

Measurable learning objectives of elective:
Students will:
1. Will develop beginning skills at patient counseling for the following medical nutrition topics: obesity, type 2 diabetes, cardiovascular disease, cancer, pediatric feeding issues, sports nutrition, environmentally sound diets, and herbs patients commonly use.
2. Be able to briefly summarize the current evidence-based literature for medical nutrition therapy for the topics mentioned above.
3. Be able to discuss the relationships between diet and cardiovascular disease as well as some of the controversies about these relationships.
4. Enhance their food preparation skills as a tool for both better self-care and to guide patients towards healthier dietary and food preparation habits.
5. Increase their knowledge of the cultural food patterns of several key Bronx patient populations so they may suggest culturally sensitive modifications to patients’ diets to improve patients’ health.

Learning experience:

• The MS4 Culinary Medicine Elective will be held over a four week time-frame.
• The Course Director will be present at all discussions but will also invite Guest Faculty with expertise in the 9 topic areas. The Course Director will work closely with guest faculty to insure discussion sessions are structured as interactive, lively discussions and do not devolve into a lecture.
• Students will participate in 8-9 two hour discussions led by topic experts.
• Students will be expected to prepare before sessions with topic experts with assigned readings, videos and projects.
• Students will be able to shadow nutritionists who specialize in diabetes, cancer and pediatric feeding issues.
• Students will participate in several field trips to learn more about patient use of herbs.
• Students will participate in four cooking sessions, each culminating in a shared dinner.
• Classroom discussion sessions will use several techniques to stimulate discussion including clinical vignettes that require students to integrate the readings they’ve done for the session medical best practices, multiculturalism, and health behavior education.

Method of student feedback and evaluation:

1. Pre and post elective questionnaire about their dietary habits and their perception of their professional competancy with respect to counseling patients about food, nutrition and diet therapy for chronic disease.
2. Students will also be asked to evaluate the
literature on specific aspects of diet and cardiovascular disease and in a
separate assignment the literature on a specific nutritional supplement. They
will be assigned a letter grade for each assignment.
They will be assigned a letter grade for each
assignment.

3. Students will receive a passing grade in in kitchen skills if they achieve competance in four of the six following factors:
a. Competance at both sharpening a chef’s knife and using it to chop and slice food.
b. Skill at accurately following a recipe but also taking the initiative to adjust seasonings as needed.
c. Skill at planning the timing of a menu item so that it is finished at the same time as the rest of the meal.
d. Maintaining an orderly and clean workstation and kitchen.
e. Presenting the finished dish in a tasteful and attractive fashion.
f. Working cooperatively with other class members and the course director.
5. Students will also be asked for their suggestions on improving the elective.

No Textbook — Readings will be provided by Course Director to students

Dr. CJ Segal-Isaacson

cj.segal-isaacson@einstein.yu.edu
718 462-5607
Maximum # of students per module: 10
Module: 5A only
On the first day students report to: To be announced

Anatomy and Structural Biology (ANTS)

Department of Anatomy & Structural Biology

A100 Human Gross Anatomy

At the end of the module students will be able to:

- – Discuss and demonstrate the organizational principles of the specific region of the body.
- – Describe how the anatomy relates to the function of the specific region of the body.
- – Demonstrate the key anatomical structures and relations of the specific region of the body.
- – Explain to first-year students the role of anatomy in the clinical encounter and in clinical decision making.

Sherry Downie, PhD

Administrative Support: Iris Villatoro, Iris.villatoro@einstein.yu.edu,

On the first day of the module students should report to Dr. Downie’s office, 620S Forchheimer.

A400 Student as Teacher (Einstein and MMC) **Einstein students must receive approval from Dr. Risley prior to registration**

Michael Risley, PhD

Sheira Schlair, MD, MS

Anesthesiology (ANES)

E201 Cardiothoracic Anesthesiology (Montefiore Medical Center)
**NOT OFFERED TO OSTEOPATHIC VISITING STUDENTS**
The department of Anesthesiology is proud to offer an elective rotation available to senior medical students in cardiac anesthesia. The rotation will consist of a 4-week block and should be undertaken by those students who have a previous exposure to general anesthesiology. During this rotation the medical student will assist in patient care while obtaining a fundamental understanding of how a cardiac surgical case is managed by the anesthesiology team. They will be involved in the didactics during this month, which will be provided, by the attending anesthesiologist, the three cardiac anesthesia fellows, and the cardiac resident.

Goals:
1.Preoperative assessment: The medical student will be responsible for reviewing patient medical records and laboratory studies. They will form an anesthetic plan and discuss it with the team. The assessment will include physical examination with an understanding of angiographic and echocardiographic findings.

2. Intraoperative: Medical students will be expected to assist with patient monitoring. They will learn the necessary access for patients undergoing cardiac surgery. The medical student will understand the need for placement of central lines, arterial lines, and peripheral IV lines. In most cases, central venous access will be performed by the resident, but in certain cases; the medical student may perform part of this procedure as well. Medical students will obtain an understanding of all monitors used during cardiac surgery (EKG, arterial tracing, CVP tracing, PAP tracing). A brief introduction to transesophageal echocardiography will take place in the operating room.

3. Postoperative: Medical students on this rotation will follow their patients during the hospitalization. This will provide them with an understanding of the complex follow-up that cardiac surgical patients endure. The postoperative checks will be discussed with another member of the cardiac team.

Didactic Goals:
1. Cardiopulmonary bypass
2. Ischemic heart disease
3. Valvular heart disease
4. Congestive heart failure (Ventricular assist devices, cardiac transplant)
5. Pacemakers
6. Management of coagulopathy
7. Monitors
8. Anticoagulation

Reading:
A copy of the chapter on cardiac anesthesia by Barash will be provided to each medical student during the rotation. This will be supplemented with other sources as deemed necessary.

Course Director: Christopher Y. Tanaka, MD
ctanaka@montefiore.org,
718-920-4316
Administrative support: Beverly Mcgonagle, bmcgonag@montefiore.org or Ms. Debbie Lopez, deblopez@montefiore.org
718-920-4383
Modules: All
Maximum: 2

E501 Sub-Residency in Clinical Anesthesiology (Montefiore Medical Center)
**NOT OFFERED TO OSTEOPATHIC VISITING STUDENTS**
This 4 week rotation in anesthesiology will expose students to the anesthetic management and care of patients in the peri-operative period. Students will experience anesthetic care for a large variety of cases, encompassing all surgical sub-specialties. The overall goal of this elective is for students to acquire a basic understanding of the physiology, pharmacology, and clinical management involved in anesthesia care and peri-operative medicine.

At the end of this rotation, Students will be expected to:

Demonstrate the ability to perform the fundamental components of the preoperative evaluation
Demonstrate the core principles and techniques of airway management
Demonstrate a basic understanding of the pharmacology of agents used for anesthesia
Demonstrate an understanding of standard monitoring employed for patients undergoing general and regional anesthesia
Be familiar with the basics of invasive monitoring
Be acquainted with the modalities available to treat acute pain
Have an appreciation of the anesthesiologist as a care provider/problem solver in the hospital and outpatient settings

Students will be expected to arrive daily (Monday-Friday) at 6:30 to help set up the operating room for anesthetic care. Students will then participate in the preoperative evaluation, the intra-operative management, and the postoperative care of their patients. The day will end in the mid afternoon when students will pick up their room assignments for the following day. Students will be paired with a mentor for the rotation who will help reach educational goals. All students will be expected to spend time exploring subspecialties in anesthesiology. Lectures will be given 3 times per week. Further detailed instructions will be sent to students prior to starting the elective. Evaluation will be from attending anesthesiologists the students have worked with.

Required Text Book:
Understanding Anesthesiology A Learner’s Guide by Dr. Karen Raymer, MD, MSc, FRCP(C), Clinical Professor, Department of Anesthesia, Faculty of Health Sciences, McMaster University

Michael Rufino, MD
mrufino@montefiore.org
Administrative support: Beverly Mcgonagle, bmcgonag@montefiore.org or Ms. Debbie Lopez, deblopez@montefiore.org
718-920-4383
Modules: All
Maximum: 10

E502 Basic Transesophageal Echocardiography (Montefiore Medical Center-Moses)
**NOT OFFERED TO OSTEOPATHIC VISITING STUDENTS**
Echocardiography is a diagnostic modality that is being increasingly utilized by non-cardiologists such as emergency room and critical care physicians. In this rotation, students will be exposed to echocardiography in the perioperative period, primarily transesophageal echocardiography (TEE) in cardiac surgery. Working with our TEE board certified cardiac anesthesiologists, students will see first hand how echo is routinely used to guide cardiac operations and anesthetic management. Students will have the opportunity to practice image acquisition on our TEE simulator, and after demonstrating competency, perform exams on patients. The rotation will emphasize the interpretation of TEE images in a wide variety of cardiac surgery patients, and how it correlates to anatomy and physiology. Students will also be exposed to transthoracic echocardiography (TTE) and its utility in the perioperative period.

Measurable learning objectives of elective: By the end of the rotation, students will be expected to:
• Understand appropriate use of echocardiography, including indications and contraindications.
• Be familiar with basic ultrasound and Doppler physics as it pertains to echocardiography.
• Know the views in the basic perioperative TEE exam and the associated anatomy.
• Be familiar with quantitative and qualitative methods to assess ventricular and valvular function.
• Demonstrate safe probe manipulation and proper image acquisition.

Learning experience: Students will primarily be in the cardiac surgery operating rooms, working intimately with cardiac anesthesiology attendings, as well as fellows and residents on rotation. Students will be expected to arrive daily (Monday to Friday) at 6:30am to help set-up for cases. For each day, the chief fellow will direct the student which operating room to report to ahead of time. Students will also be expected to visit other cardiac operating rooms during the day to review TEE exams. Students are also required to attend any didactic sessions for the fellows and residents relating to cardiac anesthesiology. When time is available, students will practice TEE skills on the simulator with faculty and fellows. Students interested in TTE will also have an opportunity to learn TTE on the simulator or with the Department of Cardiology.

Method of student feedback and evaluation: Students will be required to maintain a log of all exams interpreted and performed under supervision. Students will also be assigned reading material from the course text and may be tested on the material on an ongoing basis. The TEE simulator will be used to assess knowledge of anatomy and if students will be allowed to perform exams on patients. At the end of the rotation, students will present an interesting case to the faculty and fellows. During the presentation, students will be evaluated on knowledge and interpretation, and will serve as an end-of-rotation exam.

Textbook(s) information:
ISBN ISBN-13: 978-0702034275
Cost $74.73 (On amazon.com)
Title Practical Perioperative Transesophageal Echocardiography: Text with DVD-ROM
Edition: 2nd edition
Author: David Sidebotham
Is this required or suggested? Required. Department will provide copies for students to borrow.

Christopher Tanaka, MD
ctanaka@montefiore.org
718-920-4316
Administrative support: Beverly Mcgonagle, bmcgonag@montefiore.org or Ms. Debbie Lopez, deblopez@montefiore.org
718-920-4383 or 4308
Maximum: 1
Modules: All

On the first day students report to: Moses Campus Silver Zone 4th Floor- Department of Anesthesiology Graduate Education Office at 8:30AM

E600 Regional Anesthesia and Inpatient Pain Medicine (Hutchinson Campus/Wakefield)
The goal of the Regional Anesthesia and Inpatient Pain Medicine Rotation is to enhance the medical student’s overall knowledge, understanding and application of regional anesthesia and inpatient acute and chronic pain medicine principles. Clinical experience in the ASU, OR, PACU, ICU and inpatient Floor will provide exposure to all aspects of regional anesthetic and inpatient pain medicine practice in a busy tertiary care medical center. Students should expect significant hands on experience and anesthesia team/pain service member responsibility.

Learning objectives: At the conclusion of the elective the student is expected to have the following skills:
– Understand pre-operative assessment principles to determine if a particular patient is a candidate for a regional anesthetic technique.
– Identify the best regional anesthetic technique and perioperative analgesia for a particular surgery.
– Understand the components of patient informed consent discussing all of the risks, benefits, and alternatives of the procedures.
– Basics of performing peripheral nerve blocks/catheters and spinal and epidural technique in regards to anatomy and landmarks.
– Gain an understanding of both nerve stimulator and ultrasound techniques for a variety of blocks along with an ability to read and identify relevant sonoanatomy.
– Understand principles of patient assessment and plan for inpatient pain management consults utilizing the multidisciplinary approach to inpatient pain medicine.
– Able to discuss basic options for treatment of pain and utilization of opioids, NSAIDs, neuropathic and other agents.

Learning experience: Students who have completed this elective will have an understanding of how a Regional Anesthesia and Inpatient Pain Service functions at an academic medical center. They will have an opportunity to learn use of ultrasound and identification of relevant anatomy as well as performing entry-level blocks. They will be present at the inpatient pain rounds with the acute pain team. The students will be at two main campuses, Wakefield and Hutchinson. The rotation will be Monday to Friday from 7am to 3 pm. The rotating student will also be included in resident didactics in the rotation, including case conferences, journals clubs and lectures. Interested students can also present a journal club. At the end of their rotation, the student will be expected to present a researched topic of interest to the team, in form of a lecture, decided on during the rotation, giving him/her an opportunity to further explore their interest in the field.

Recommended texts:
Textbook of Regional Anesthesia and Acute Pain management by Admir Hadzic.
Students are also advised to use websites usra.ca and nysora.com to understand basics of ultrasound guided regional anesthesia.

Method of student feedback and evaluation: Students will be given ongoing feedback during the rotation. They will be evaluated on their understanding of ultrasonography as well as sonographic anatomy and skill in performing entry level blocks. Students will be evaluated by the course directors at the end of rotation also.

Course Director: Anis Dizdarevic, MD
adizdare@montefiore.org, 917-468-4628
Co-Director: Naum Shaparin, MD
nshapari@montefiore.org, 718-920-8946
Administrative support: Beverly Mcgonagle, bmcgonag@montefiore.org or Ms. Debbie Lopez, deblopez@montefiore.org
Modules: All
Maximum: 3 (If more than 3, contact course director)

On the first day student(s) report to: Wakefield PACU/Block Area on the 2nd Floor of 600 East 233rd Street, Bronx, NY 10456 or Hutch PACU/Block Area on the 3rd Floor, Tower Two, 1250 Water Place, Bronx, NY 10461, at 6:45am. Please contact the Course Director, Dr. Dizdarevic prior to the start of the elective for where and when to report on the first day. Dr. Naum Shaparin, the Co-Course Director is also available for questions.

E601 Research in Regional Anesthesia & Pain Medicine (Montefiore Medical Center-Moses)

Projects in both basic science and clinical research are available for the motivated medical student interested in a career in Regional Anesthesia and Pain Medicine. Areas of research include (but are not limited to): usage of peripheral nerve blockade/catheters and epidural catheters in acute and chronic pain, opioid and non-opioid therapies for acute and chronic pain syndromes, different medications/interventions in spine acute and chronic pain, joint acute and chronic pain, peripheral nerve pain, vulvodynia/perineal pain, and coccygodynia including radiofrequency ablation; and neuromodulation. You get exposure to generating independent research ideas as also industry collaborations. Interested students should make arrangements to meet with
Dr. Shaparin and Dr. Vydyanathan and the research co-ordinator Dr. Nair to identify a research project.

Learning objectives: At the conclusion of the elective the student will have the following skills:

Identified a project at the discretion of Dr. Shaparin and Dr. Vydyanathan
Performed relevant literature search
Developed a project plan under the direction of mentoring faculty
Implemented the plan, which may or may not be completed by the conclusion of the elective. Projects that run beyond the elective may be continued with knowledge of the faculty mentor.
Preparation and presentation of completed projects as abstracts in regional and national conferences.
Preparation of completed projects as manuscripts for publication

Learning experience: Students who have completed this elective will have an understanding of how to conduct a research project in regional anesthesia and pain medicine through application. Interested students are expected to work towards submission of abstracts and manuscripts for publication under the direction of faculty mentor. They will also have the opportunity to submit and present abstracts at regional and national conferences. The typical workday will be Monday to Friday from 9 am until 3 pm, however hours will vary based on the specific project the student is working on.

Method of student feedback and evaluation: Students will be evaluated on their level of participation in conducting the research project and meeting the stated objectives. Emphasis will be placed upon the student’s ability to be instrumental in advancing an ongoing research project or developing an original research idea.

Course Director: Amaresh Vydyanathan, MD
avydyana@montefiore.org, 917-577-1811
Co-Director: Naum Shaparin, MD
nshapari@montefiore.org, 718-920-8946
Modules: All
Maximum: 2

On the first day student(s) report to: Please contact the Course Director, Dr. Vydyanathan prior to the start of the elective for where and when to report on the first day. The rotation usually starts in the PACU of Montefiore North/Wakefield campus or the chronic pain clinic. Dr. Naum Shaparin, the Co-Course Director is also available for questions.

E602 Outpatient Chronic Pain Medicine (Montefiore Medical Center-Moses)
The goal of the Outpatient Pain Medicine Rotation is to enhance the medical student’s overall knowledge, understanding and application of outpatient chronic pain medicine principles. Clinical experience in the Montefiore Pain Center involves participation in both office visits as well as interventional pain procedures using both fluoroscopic and ultrasound guidance and will provide exposure to all aspects of outpatient chronic pain medicine practice in a tertiary care medical center. Students should expect significant hands on experience and chronic outpatient pain medicine service member responsibility.

Learning objectives: At the conclusion of the elective the student is expected to have the following skills:

Understand the components of comprehensive consultative patient assessments to determine type of pain and pain differential diagnosis.
Learn to form a treatment plan involving different modalities, from medications to physical therapy to interventions.
Learn to identify the best interventional pain technique suited for pain type.
Understand the components of patient informed consent discussing all of the risks, benefits, and alternatives of the procedures.
Understand basics of the technical aspects of simple interventional pain procedures under ultrasound and fluoroscopic guidance.
Understand a multidisciplinary approach to outpatient chronic pain medicine while working with fellowship training pain medicine physicians that all completed multidisciplinary fellowships. This involves knowledge as to how pain medicine physicians work with the other specialties, as pain physicians work extensively with all specialties of medicine and refer patients to each other.
Understand the rationale for the different approaches for treatment of pain and discuss basic pharmacology of opioids, NSAIDs, and other agents (such as anti-convulsants, anti-depressants, and anti-spasmodics) in the treatment of chronic pain in outpatients.

Learning experience: Students who have completed this elective will have an understanding of how a Chronic Outpatient Pain Medicine Service functions at an academic medical center. The rotation schedule will be from 8:30am to about 4pm. They will also have the opportunity to learn the basics of performing image guided interventions.

Recommend texts:
“Essentials of Pain Medicine and Regional Anesthesia, 3rd ed. by Benzon” and “Atlas of Image Guide Interventions, 2nd ed. by Rathmell”, both are available for the students to read in our library during the rotation. Most teaching will be “at the bedside” however the medical student will participate in teaching alongside the resident’s didactic schedule which includes lectures as well as articles from the literature. Students will be provided with the articles prior to the activity upon request. In addition, once a month there is an institution wide multidisciplinary spine/pain meeting that the student will attend with the pain service.

Method of student feedback and evaluation: The feedback will be given by the course director with input from the rotating attendings. Evaluation will be primarily on level of participation in meeting the stated objectives including quality of patient interactions, evaluations and H&Ps.

Course Director: Amaresh Vydyanathan, MD
avydyana@montefiore.org, 917-577-1811
Co-Director: Naum Shaparin, MD
nshapari@montefiore.org, 718-920-8946
Administrative support: Beverly Mcgonagle, bmcgonag@montefiore.org or Ms. Debbie Lopez, deblopez@montefiore.org
Modules: All
Maximum: 1

On the first day student(s) report to: The Hutch metro center, 1250 Waters Place, Bronx, NY 10461 at 8:30am Please contact the Course Director, Dr. Dizdarevic prior to the start of the elective for where and when to report on the first day. The rotation usually starts in pain clinic on the 8th floor of the building. Dr. Naum Shaparin, the Co-Course Director is also available for questions.

Cardiothoracic Surgery (CARD)

Cardiothoracic Surgery

Reading:
A copy of the chapter on cardiac anesthesia by Barash will be provided to each medical student during the rotation. This will be supplemented with other sources as deemed necessary.

At the end of this rotation, Students will be expected to:

Demonstrate the ability to perform the fundamental components of the preoperative evaluation
Demonstrate the core principles and techniques of airway management
Demonstrate a basic understanding of the pharmacology of agents used for anesthesia
Demonstrate an understanding of standard monitoring employed for patients undergoing general and regional anesthesia
Be familiar with the basics of invasive monitoring
Be acquainted with the modalities available to treat acute pain
Have an appreciation of the anesthesiologist as a care provider/problem solver in the hospital and outpatient settings

Michael Rufino, MD
mrufino@montefiore.org
Administrative support: Beverly Mcgonagle, bmcgonag@montefiore.org or Ms. Debbie Lopez, deblopez@montefiore.org
718-920-4383
Modules: All
Maximum: 10

E601 Research in Regional Anesthesia & Pain Medicine (Montefiore Medical Center-Moses)

Learning objectives: At the conclusion of the elective the student will have the following skills:

Identified a project at the discretion of Dr. Shaparin and Dr. Vydyanathan
Performed relevant literature search
Developed a project plan under the direction of mentoring faculty
Implemented the plan, which may or may not be completed by the conclusion of the elective. Projects that run beyond the elective may be continued with knowledge of the faculty mentor.
Preparation and presentation of completed projects as abstracts in regional and national conferences.
Preparation of completed projects as manuscripts for publication

Learning objectives: At the conclusion of the elective the student is expected to have the following skills:

Understand the components of comprehensive consultative patient assessments to determine type of pain and pain differential diagnosis.
Learn to form a treatment plan involving different modalities, from medications to physical therapy to interventions.
Learn to identify the best interventional pain technique suited for pain type.
Understand the components of patient informed consent discussing all of the risks, benefits, and alternatives of the procedures.
Understand basics of the technical aspects of simple interventional pain procedures under ultrasound and fluoroscopic guidance.
Understand a multidisciplinary approach to outpatient chronic pain medicine while working with fellowship training pain medicine physicians that all completed multidisciplinary fellowships. This involves knowledge as to how pain medicine physicians work with the other specialties, as pain physicians work extensively with all specialties of medicine and refer patients to each other.
Understand the rationale for the different approaches for treatment of pain and discuss basic pharmacology of opioids, NSAIDs, and other agents (such as anti-convulsants, anti-depressants, and anti-spasmodics) in the treatment of chronic pain in outpatients.

A608 Clinical Cardiothoracic Surgery (Montefiore Medical Center)
Emphasis placed on understanding the pathophysiology of cardiac and thoracic disease as well as the rationale behind surgical treatment and postoperative care. The student will spend time in the Cardiothoracic ICU, observe many different types of procedures in the operating room, including anesthetic management conduct of cardiopulmonary bypass, and will be expected to attend the following conferences:

Moses:
6:30 a.m. Daily: Attending teaching round in ICU (CT Surgery)
7:00 a.m. Daily: Rounds on step-down unit
8:00 a.m. Daily: Attending teaching round in ICU (Critical Care)
8:00 a.m. Friday: Cardiothoracic surgery conference

Weiler:
6:30 a.m. Daily: Attending teaching rounds in ICU (CT surgery)

Robert Michler, MD
Contact: Rosa Peguero at rpeguero@montefiore.org or 718-920-5381
All Modules
Maximum: 1

Students should contact Rosa Peguero prior to the start of the elective for meeting time and location.

A609 Clinical Cardiothoracic Critical Care (Montefiore Medical Center)
The majority of the student’s time will be spent in the Cardiothoracic ICU which is staffed daily by the cardiothoracic surgery resident and critical care fellow. Both cardiothoracic and critical care attending rounds are given daily. The student will learn pathophysiology of hemodynamic monitoring, as well as the principles of cardiac and ventilator support. In addition to the below conference schedule, the student will have the opportunity to attend several conferences a month given by the critical care department, concerning related topics.

Weiler:
6:30 a.m. Daily: Attending teaching rounds in ICU (CT surgery)

Robert Michler, MD
Contact: Rosa Peguero at rpeguero@montefiore.org or 718-920-5381
All Modules
Maximum: 1
Students should contact Rosa Peguero prior to the start of the elective for meeting time and location.

A610 Combined Clinical Cardiology and Cardiothoracic Surgery(Montefiore Medical Center)
This elective provides a more in-depth understanding of the pathophysiology of cardiac disease and allows the student to follow several disease processes from the point of diagnosis to the planned treatment. The rotation includes exposure to the cardiac catheterization laboratory, echocardiography, and stress testing. The student will participate in discussions concerning patient selection for surgery and plans for preoperative assessment. In addition to the main conference schedule, cardiology grand rounds occur every Tuesday morning.

Moses
6:30 a.m. Daily: Attending teaching round in ICU (CT Surgery)
7:00 a.m. Daily: Rounds on step-down unit
8:00 a.m. Daily: Attending teaching round in ICU (Critical Care)
8:00 a.m. Friday: Cardiothoracic surgery conference

Weiler:
6:30 a.m. Daily: Attending teaching rounds in ICU (CT surgery)

Robert Michler, MD
Contact: Rosa Peguero at rpeguero@montefiore.org or 718-920-5381
All Modules
Maximum: 1
Students should contact Rosa Peguero prior to the start of the elective for meeting time and location.

A612 The Montefiore Cardiothoracic Surgery Program (Montefiore Medical Center)
The Montefiore Cardiothoracic surgery program is a preceptorship program aiming to provide students the opportunity to observe first-hand the full spectrum of care of the cardiothoracic patient as practiced in one of the premiere heart centers of New York. It consists of a three week period of lectures, meetings and conferences on theory, reinforced by actual observation and experience of the practice of cardiothoracic surgical care.

Community Objectives:
To provide an opportunity for the youth of the surrounding neighborhoods for development of social awareness and service involvement consistent with the call for volunteerism.

Institutional Objectives:
To provide learning opportunities about the medical sciences and the health industry particularly in the area of the practice of medical-surgical care of the cardiothoracic patient.
To educate on cardiothoracic disease and its prevention.
To demonstrate institutional practice and leadership in community health care in general and the care of the cardiothoracic patient in particular.

Activities of the Program:

I. Lecture Series
A. Orientation
B. Basic and Clinical Science introductory lecture
C. Career Paths in Cardiothoracic Surgery – emphasis on the team approach

II. Hospital and Department Activities
A. Monday Conferences
B. Cardiac Surgical ICU rounds
C. Surgical Floor rounds

III. Preceptorship Rotations
A. Outpatient clinics
B. Operating Room
C. Cardiac Surgical ICU
D. Cardiac Cath Lab and Echo
E. Social/Case Work

Robert Michler, MD
Contact: Rosa Peguero at rpeguero@montefiore.org or 718-920-5381
All Modules
Maximum: 1
Students should contact Rosa Peguero prior to the start of the elective for meeting time and location.

Dentistry (DENT)

Dentistry

A404 Introduction to Oral Diseases (Jacobi Medical Center)

The student will be exposed to oral pathology, management of oral disease, maxillofacial surgery, repair of traumatic injuries to the teeth and jaws and concepts of oral health. This elective will include the operating room, ward rounds, and emergency dental and maxillofacial treatment. Students planning careers in primary care, emergency medicine, plastic surgery, or otolaryngology will find this elective invaluable.

Victor Badner, DMD, MPH
718-918-3418
victor.badner@nbhn.net
Modules 1A,2B and 6B
Maximum 2
First day students meet 3N34 – Jacobi Medical Center – 8:30am

Emergency Medicine (EMED)

Only students strongly considering going into the field of EM should take the elective from May through December. Others are welcomed to take it during the rest of the year.

Students interested in K500 – Emergency Medicine must complete a full 4 week rotation. No exceptions will be made.

______________________________________________________________________________________________________

K500 Emergency Medicine (Jacobi Medical Center & Montefiore Medical Center)

**Not Available to International Exchange Students**
The EM rotation is a four week elective for fourth year students. Students will be rotating through the very busy EDs of Jacobi Medical Center and Montefiore Medical Center. Their clinical shifts will average 36-40 hours/week. Students will have direct patient care responsibilities under the supervision of ED attendings and senior residents. They will have the opportunity to evaluate and treat their own patients, perform procedures, and assist during resuscitations. In addition to bedside teaching, students will get several hours of mandatory workshops primarily focused on hands on education. These workshops include airway management, suturing, simulation, IV placement, and ultrasound. Additionally there will be hyperbaric and snake envenomation related site visits with associated lectures. This rotation is valuable and educational to students interested in all fields, but particularly to those applying to Emergency Medicine. There will be opportunity for students to get mentoring from the faculty who are all EM trained.

Method of student feedback and evaluation: Evaluations and final grades will be based on clinical performance, as well as grades on the end of rotation test and case presentation.

Textbook information: None required

Joshua Silverberg, MD
Joshua.Silverberg@nychhc.org
Contact: Ms. Elizabeth Morales, Elizabeth.Morales@nychhc.org, 718-918-5820 and Greidy Diaz, diazg1@nychhc.org
Modules: 1A and 1B – Einstein Students only, 2A-4A all students
Maximum students: 10

On the first day students report to Ms. Elizabeth Morales at Jacobi Medical Center, Building 6, Suite 1B25. Students must contact Ms. Morales two weeks prior to the start of the rotation to obtain the required clearance before the rotation begins, and for the meeting time. Reporting day/time may be changed if first day falls on a hospital holiday.

Epidemiology and Population Health (EPID)

F200 Jewish Medical Ethics
The advances in modern medicine have spawned a wide variety of ethical dilemmas in such areas as genetics, reproductive technology, the determination of death, organ, transplantation, euthanasia and assisted suicide. While the secular ethical approach to these issues is often well publicized and adequately represented at many medical schools, the religious viewpoint, and in particular, that of Orthodox Judaism, is rarely given a voice. This half-module (one month) guided reading elective allows the student to choose a topic of their interest and will provide an overview of the Orthodox Jewish approach to medical issues by analyzing texts from the Bible, Talmud and Rabbinic commentaries throughout the ages.

Prerequisites: As many of the texts are in the Hebrew language, a rudimentary knowledge of Hebrew would be helpful, although not essential.

Rabbi Edward Reichman, MD
646-702-0155.
saraneddie@optonline.net
Modules: All
Maximum: 2 students

F204 Nutrition and the Development of Chronic Disease
There is an increasing interest in the role of nutrition and obesity in the etiology and development of chronic diseases. Each student will be provided with guidance in reviewing literature and can potentially participate in data analysis or in developing curriculum materials. Students can use their elective time to pursue work on a nutrition-related Independent Scholars project. Students may have the opportunity to attend seminars and/or research meetings appropriate to the topic. Students will meet Dr. Wylie-Rosett to select a specific focus for this elective.

Review Paper Content

F205 Clinical Informatics and Research in Primary Care
**Einstein students must contact Dr. Tobin for approval prior to registration**
Students will participate in developing and implementing a web-based curriculum in
evaluating the e-Clinican Project (see www.eclinician.org ), funded
as part of the Health Alert Network of the New York City Department of Health
and Mental Hygiene (see www.nyc.gov/health)
administered by Clinical Directors Network (see www.CDNetwork.org), a
primary care practice-based research network (PBRN) in NYC. The eClinician
Project is designed to disseminate evidence-based clinical practice guidelines
and to improve access to the clinical decision-support tools on handheld
personal computers (HPC/PDA) for clinicians practicing in patient care.
Students will help with curriculum development and evaluation, identification
of online clinical decision-support tools, and provide presentations at
Community Health Centers, as well as assist with (and receive co-authorship)
development of articles for publication and scientific presentations. Students
will also participate in a PCORI funded study (Enhancing Community Health
Center PCORI Engagement (EnCoRE)) whose goal is to adapt, enhance, and
implement an existing year long training curriculum designed to educate and
engage Health Center teams including patients, clinical and administrative
staff in Patient Centered Outcomes Research (PCOR).

CDN Orientation Curriculum

F209 Culinary Medicine

Learning experience:

Method of student feedback and evaluation:

No Textbook — Readings will be provided by Course Director to students

Dr. CJ Segal-Isaacson

cj.segal-isaacson@einstein.yu.edu
718 462-5607
Maximum # of students per module: 10
Module: 5A only
On the first day students report to: To be announced

Family and Social Medicine (FMED)

For general questions regarding electives
in our department, please contact:

Ms. Adriana Nieto, 718-430-2900,
adriana.nieto@einstein.yu.edu

For questions about a specific elective, please contact the elective
director indicated below.

STEPS FOR PROCURING A FAMILY MEDICINE
ELECTIVE (These steps are for EINSTEIN STUDENTS ONLY. Visiting students should NOT contact the course director or contact person for approval. The Office of the Registrar will handle all approvals for visiting students.)

Step One: Arrangement and Approval from the Course Director

Einstein students MUST contact the course director or contact person (listed under each course below) for initial approval. Once approval has been received, the Office of the Registrar should be informed by the student.

Before
contacting the course director, please note the following policies:

Eligibility
All students attending a medical school outside of the US, or from a medical
school which is not LCME-accredited, MUST contact the Einstein Office of the Registrar at registrar@einstein.yu.edu or 718-430-2102.

Availability
Rotations may occasionally be unavailable due to conflicting faculty responsibilities.
Always confirm availability, and where to report on the first day of the
rotation, directly with the sponsoring faculty.

Commitment

The
student must commit to a minimum of 4 weeks in duration (see FM524 ECHO Free
Clinic for detailed commitments).

Fourth-year
students can take up to 3 days off to interview for residency programs with
advanced approval of the course director.

Unofficial
electives and preceptorships are strongly discouraged and will not be approved.

Affiliate Sites

Jamaica Hospital
Family Medicine Residency Program

Contact Ms. Aja Holmes at (718)
206-6919 or aholmes@jhmc.org.

Skip the rest of the steps below, as
Jamaica has its own application process.

Step Two:
Finalize with Department of Family and Social Medicine

The student and
course director MUST contact our Department of Family and Social Medicine
(DFSM), Medical Student Education Office via Adriana Nieto at adriana.nieto@einstein.yu.eduor 718-430-2900 to confirm mutual approval.

Step Three: Final Approval and Registration with the Office of
Registrar

Visiting and Osteopathic students should view the Visiting Student website for
detailed application requirements and instruction as to how and when to apply
for electives. All paperwork and fee requirements must be satisfied before
final approval is granted by the Office of the Registrar.

All students from Einstein, LCME-accredited medical schools and osteopathic
medical schools are eligible to apply for electives listed below (see
individual listings for electives that are only offered to Einstein students).
Once the student has satisfied all DFSM requirements, the DFSM will notify
the Office of the Registrar. The Office of the Registrar will register
students accordingly. Please check with the Office of the Registrar Registrar@einstein.yu.edu,
for more information regarding registration and final approval.

———————————————————————————————————————-

The following electives are offered by the faculty of the Department of Family
and Social Medicine at Einstein through the Montefiore Family Medicine Residency
Program (Bronx, NY), the Jamaica Hospital Family Medicine Residency Program
(Jamaica, Queens), the Institute for Family Health (Bronx, Manhattan, and
Kingston, NY). Electives are
available in the following categories:

COMMUNITY AND CULTURAL MEDICINE

FM530 Medical Spanish Immersion in the Bronx (Einstein / Institute for Family
Health)

COMPLEMENTARY MEDICINE

GLOBAL
HEALTH

FM529 Global Health in Guatemala (Montefiore)

INPATIENT FAMILY MEDICINE
FM510 Family Medicine Inpatient Service (Montefiore)

PALLIATIVE CARE
FM528 Palliative Care (Montefiore)

REPRODUCTIVE HEALTH
FM501 Reproductive Health (Montefiore)
FM515 Reproductive Health (Institute for Family Health: Manhattan)

RESEARCH IN FAMILY MEDICINE
FM521 Family Medicine Research (Einstein / Montefiore)

SOCIAL MEDICINE
FM520 Research-Based Health Activism (Montefiore)

WOUND HEALING
FM506 Preceptorship in Wound Healing (Montefiore)

—————————————————————————————-

FM501 Reproductive Health (Family Health Center: Bronx)
**Einstein students must contact Dr. Gold for approval prior to registration**
Tailored to needs, interests, and experience of each student. Measurable learning objectives of elective: 1.Describe strategies to integrate full-spectrum reproductive health care into routine family medicine practice 2.Demonstrate woman-centered contraceptive counseling. Learning experience: The month will be composed of clinical care with supervision, reading relevant articles, and reflection on experience/learning after each clinical session. Method of student feedback and evaluation: written and oral

Marji Gold, MD
marji.gold@einstein.yu.edu
Administrative support: Stephanie Ezoeke, sezeoke@montefiore.org , 212-366-9320
Module: All
Maximum: 1
On the first day students report to: 126 Fifth Ave, suite 805, NY NY 10003 at 10 AM

FM506 Preceptorship in Wound Healing (Montefiore Medical Center)
**Einstein students must contact Dr. Bulauitan and Cary Andrews for approval prior to registration**
Chronic wounds, such as diabetic foot ulcers, venous stasis ulcers, and pressure ulcers, are highly prevalent in chronically ill and elderly patients. They represent a significant public health burden and cause untold morbidity, disability, and mortality. In this elective, students will learn how to evaluate patients with chronic wounds; diagnose underlying factors that lead to physiologically impaired healing; formulate evidence-based treatment plans including topical, medical, surgical, and biologic treatment modalities; apply basic techniques of wound debridement; recognize secondary complications of wounds; and prevent wound recurrence. Upon completion of this elective, student will have the skills to become leaders in improving medical outcomes and quality of life for patients with chronic wounds. This course is highly relevant to students entering a variety of career paths, including but not limited to family medicine, internal medicine, surgery, plastic surgery, geriatrics, rehabilitation medicine, endocrinology, and infectious disease. Opportunities are available to participate in ongoing research in addition to clinical work. The elective can be tailored to students’ specific interests, in discussion with the instructor. Objectives: Evaluate patients with chronic wounds. Diagnose underlying factors that lead to physiological impaired healing. Formulate evidence-based treatment plans including topical, medical, surgical, and biologic treatment modalities. Apply basic techniques of wound debridement. Recognize secondary complications of wounds. Prevent wound recurrence. Understand health systems needs for wound patients. Learning Experience: Active participation in the inpatient Wound Healing consultation service. Outpatient care of patients with chronic wounds. Bimonthly nursing home Wound Rounds. Visits can be arranged to related services, e.g. hyperbaric medicine, home visits, vascular laboratory. The core schedule will include daily inpatient rounds, participation in bedside debridement, outpatient wound clinic 1-2 times per week, and nursing home rounds every other week. See consults at the 3 Montefiore campuses (Moses, Wakefield and Weiler).

Feedback & Evaluation: Students will receive formal feedback midway through the elective and at its completion. The evaluation is compiled by the supervising physician.

Whitney Dessio, MD
wdessio@montefiore.org
Giacomo Vinces, MD
gvinces@montefiore.org
Cary Andrews, PA
candrews@montefiore.org
Administrative Support: Tanya Nair, TNAIR@montefiore.org, 718-920-4678
Maximum: 1
Module: All

Students should contact Cary Andrews 2 weeks prior to the start of the rotation for meeting location and time

FM510 Family Medicine Inpatient Service (Montefiore Medical Center)
**Einstein and visiting students must contact Dr. Santos for approval prior to registration**

**Visiting Students interested in this elective must submit a personal statement indicating why they are interested in this elective at Montefiore and what their interest/experience is in working with the underserved. Students must also
submit a letter from their FM clerkship director, adviser or dean verifying that they are going into Family Medicine.

The sub-internship is a four-week rotation in the Family Medicine adult inpatient unit (NW7) at Montefiore Medical Center. During this rotation, the student will gain an understanding of the family physician’s role in the hospital management of patients. He/she will be expected to function at an intern level and carry the primary responsibility for his/her patient panel. The student will work within an interdisciplinary team to provide culturally appropriate and family-centered medical care. The focus will be on the patient as a whole person, and the student will address the medical, socioeconomic and psychosocial issues to provide the best care for the patient. There will be opportunities to attend core Family Medicine and Social Medicine curriculum activities in the department.

Measurable learning objectives:
– Obtain a comprehensive medical and social admission history
– Perform a complete and relevant physical exam
– Develop clinical decision making/problem solving skills, and the ability to exercise judgment about the appropriate level and options for care in the inpatient setting
– Formulate a rational differential diagnoses for the presenting clinical symptoms
– Formulate patient-centered treatment and management plans that integrate bio-psychosocial considerations and respect patient’s preferences
– Prioritize tasks for daily patient care to ensure patient safety and for effective time management
– Interpret and apply the results of routine labs and diagnostic tests
– Formulate a patient and family-centered discharge plan encompassing a comprehensive and longitudinal patient care plan while demonstrating understanding of financial and insurance constraints
– Communicate clearly with all members of the health care team and ancillary staff (including end of day and end of service coverage) to ensure the optimum care of the patient
– Communicate discharge plans, including medication reconciliation and follow-up, with the outpatient primary care provider
– Develop self-directed learning skills essential for life-long learning in the field of medicine, including the appraisal of evidence-based studies related to health problems encountered in the inpatient setting

Learning experience: Students will work with the team, which is comprised not only of the medical staff but also includes nurses, social workers, a clinical pharmacist and others. Sub-interns will work up admissions, place orders, present patients on rounds, perform procedures, discuss management with consultants and formulate comprehensive discharge plans. They will encounter patients with diagnoses typical for an adult population in an academic medical center (e.g., pneumonia, CHF, renal failure, alcoholism, and COPD). Sub-interns will participate in the team’s call schedule. There are daily teaching and educational activities as well as regular conferences to expand the student’s clinical knowledge base and enhance the sub-internship experience. These include daily presentation rounds, ongoing radiology rounds, specialty rounds, morbidity and mortality conferences, psychosocial rounds and Grand Rounds.

Method of student feedback and evaluation: Students will receive ongoing feedback as well as formal feedback midway and at the end of the rotation. Teaching attending physicians and senior residents contribute to the final evaluation.

Maria Teresa Santos, MD
maria.santos@einstein.yu.edu
Purnima Garg, MD
pgarg@montefiore.org
718-430-2900 (2757)
Administrative support: Ms. Adriana Nieto, Adriana.nieto@einstein.yu.edu, 718-430-2213
Maximum: 1
Modules: All modules except 3B (Availability is limited)
On the first day students report to: Montefiore Medical Center – Moses Campus, Unit NW7, 111 E 210th St, Bronx, NY 10467) at 7AM.

FM520 Research-based Health Activism (Einstein/Montefiore Medical Center)
**Einstein students must contact Dr. Fox for approval prior to registration**
This four week elective will offer motivated 4th year medical students an opportunity to develop skills and knowledge in research methods, health policy, and advocacy. Learning experiences range from seminars with leading health policy experts to skill-building workshops with health care activists. Each student is expected to develop a research proposal and advocacy plan that addresses a health care issue of his or her choosing. Following the course, projects are completed in the remaining academic year with ongoing mentorship.

Learning Objectives:
Following completion of this course, learners will be able to:
1. Describe the concept of Research Based Health Activism
2. Develop a feasible research question to better understand health disparities in their communities
3. List ways that physicians participate in advocacy for individual patients, within health systems, and at a policy level
4. Utilize multiple advocacy skills: public speaking, writing op-eds, meeting with legislators

Evaluation: Students will receive formal feedback at the midpoint and end of the elective. Evaluation will be based on attendance, effort during seminars, completion of weekly assignments, and presentation of project proposal.

Typical Schedule: Morning and afternoon seminars running from 9am – 5pm. Thursdays are free for project development, home work assignments, and one-on-one mentorship. There is no clinical duty or call schedule.

Textbook Information: (Suggested)
Hulley, SB, Cummings SR, Browner WS, Grady D, Hearst N, Newman TB. Designing Clinical Research (2nd Edition). Philadephia: Lippincott Williams & Wilkins, 2001.
ISBN: 9781608318049
Cost: $75.99

Mariya Masyukova, MD
marimasy@montefiore.org
718-920-7173
Maximum Students: 15
Module: 3B Only October 15 – November 9, 2018 (course offered annually)

On the first day students report to Division of General Internal Medicine (3300 Kossuth Ave, Bronx, NY 10467)

FM521 Family Medicine Research (Einstein)
**Einstein students must contact Dr. Lucan for approval prior to registration**
Students who are interested in conducting primary care research, health
services research or epidemiology of urban populations may arrange to work with
a faculty member of the DFSM research division. Students will be matched to a faculty supervisor whose research area and
expertise matches the student’s interest and goals. Objectives: Students will
identify a topic and specific learning objectives with the faculty supervisor
at the beginning of the elective.
Students will acquire skills in some or all of the following areas,
depending on experience and scope of project: literature synthesis, study design, data collection, data analysis, and
writing for publication. All students
will acquire a basic understanding of human subjects concerns as they relate to
their project. Learning
Experience: Specific learning experiences will vary with the project
selected. Feedback &
Evaluation: Students will receive formal feedback midway and the end
of the rotation. The course director
will complete the final evaluation. First
Day Location: DFSM Research Division, 1300 Morris Park Ave, Block Building, Room 408, Bronx, NY.

Sean Lucan, MD, MPH, MS

718-430-3667
sean.lucan@einstein.yu.edu or selucan@montefiore.org

Modules: All

Maximum: 2

FM528 Palliative Care (Montefiore Medical Center)
**Einstein students must contact Dr. Cardenas for approval prior to registration** (Dr. Cardenas is on leave, please contact Dr. Eti)
The purpose of this elective is to introduce fourth year medical students to the philosophy, principles and practice of Palliative Care.

Measurable learning objectives of elective:
– Learn how to assess pain and non-pain symptoms.
– Observe palliative care assessment and management provided across settings.
– Recognize the role of the interdisciplinary team in delivery of hospice and palliative care.
– Describe how to assess and communicate prognosis.
– Describe the use of opioids in pain and non-pain symptom management during serious illness.
– Describe the use of non-opioid analgesics, adjuvant analgesics, and other pharmacologic approaches to the management of both pain and non-pain symptoms.
– Recognize common social problems experienced by patients and families facing life-threatening conditions and describe appropriate clinical assessment and management.

Learning experience:
– Participation in the daily morning rounds
– Participation in weekly interdisciplinary team meetings, monthly grand rounds, journal clubs or case conferences.
– Participation in Interdisciplinary meeting
– Participation in Teaching activities with fellows
– One week rotation in the Palliative Care-Hospice Unit – optional

Method of student feedback and evaluation:
– Introductory lecture and review of objectives
– Pre and post evaluation
– Formal feedback by the supervising physician

Serife Eti, MD
seti@montefiore.org
718-920-6378
Administrative Support: Luisa Lambert, Lulamber@montefiore.org, 718-920-6378
Maximum: 2
Modules: All except 1B and 2A
On the first day students report to 3347 Steuben Ave Bronx, NY at 8:30 am

Medicine (MED)

A400 Student as Teacher (Einstein and MMC)
**Einstein students must receive approval from Dr. Risley prior to registration**

Michael Risley, PhD
michael.risley@einstein.yu.edu
718-430-2389
Sheira Schlair, MD, MS
sheira.schlair@einstein.yu.edu
718-862-1782
Modules: 5A and 5B only
Max:2
On the first day, students report to Forchheimer Building Room 620S. Please contact Dr. Risley for time.

The ICM program offers a longitudinal teaching elective for fourth-year students who have an interest in medical education and teaching. The elective runs from July through to May and introduces students to teaching in the areas of communication skills, physical examination, clinical reasoning and bedside teaching.
The goals of the elective are to:
1. Provide fourth-year students with opportunities to develop teaching skills through direct faculty and course director mentorship
2. Increase students’ confidence in their teaching skills
3. Enable students to identify specific areas of teaching interest
4. Enhance the educational experience of first and second-year students through the addition of fourth-year teaching assistants.

Measurable learning objectives of elective
1. Demonstrate small group teaching and facilitation skills
2. Facilitate physical examination teaching and practice sessions
3. Utilize faculty feedback to improve teaching skills
4. Apply concepts from assigned readings and materials to teaching in ICM
5. Identify areas of professional growth through personal reflection
Learning experience

Required Activities:
1. Orientation (1 hr)
2. Teaching in ICM sessions (30 hours minimum)
3. Attend 2 Journal clubs (60-90 min each)
4. Facilitate 1 journal club (4 hrs)
5. Complete 2 reflective narrative exercises (2 hrs)
6. Complete scholarly curriculum project (approx. 75 hours)
Total Hours: 115

Description of Required
Activities:

1. Teaching in ICM:
Students will be paired with experienced ICM faculty members and will have responsibility for assisting with in-class physical examination demonstrations and teaching, and extracurricular physical examination practice sessions. Students may also choose to teach in the communication skills and/or clinical experience modules during ward visits or other sessions of interest.
2. Journal Clubs:
Students will be expected to prepare for and participate in a minimum of two journal club discussions of educational literature that is pertinent to their practical activities. Each student must serve as the primary facilitator of one journal club discussion.
3. Reflective Writing:
Students will be required to write a pre-elective reflection in which they discuss the reason(s) for their interest in the elective, goals for the course and attributes of an exceptional teacher. Students will write another reflective piece at the conclusion of the elective discussing any changes in their perspective, goal achievement and teaching philosophy.
4. Scholarly Curriculum Development Project:
Students will be required to select a scholarly project from a list of options provided by the ICM course directors and complete the project by no later than the first week of May.

Possible Scholarly Project Topics:
• Structural and social determinants of health in clinical skills teaching and assessment
• Narrative project on students’ written reflection on faculty feedback
• Physical examination – instructional resources (development & enhancement)
• Clinical reasoning – instructional resources (development & enhancement)
• Project designed by student- student may submit a proposal to the ICM course directors for approval

Additional Activities:

In addition to the required activities above, students must take a role in faculty development.
Interested students may also participate in ICM team meetings and discussions of curriculum development.
Areas and method of student evaluation:
Each student will work with and receive feedback from one of the ICM course directors on their scholarly project, reflective writing, journal club contributions, and overall performance. Students will also be assessed and have the opportunity for feedback and mentorship from multiple different ICM faculty, depending on what teaching activities and scholarly project are chosen. There is an opportunity for longitudinal mentorship by one faculty member in the physical exam module and the ICM course directors in the communications and bedside teaching modules as the students can be assigned to a consistent small group.

Student performance will be assessed based on their ability to:
1. Work collaboratively
2. Deliver and receive constructive feedback
3. Demonstrate effective teaching skills during ICM sessions
4. Describe the application of concepts discussed in journal club sessions to teaching in ICM
5. Critically reflect on their professional growth during the elective experience
6. Complete a scholarly project that aligns with their personal goals and objectives

Method of student feedback and evaluation
Students will receive feedback in the following forms:
1. Longitudinal verbal feedback from their assigned ICM PE faculty member on teaching in small groups
2. Longitudinal verbal feedback from the assigned ICM course director
3. Verbal feedback from ICM communication skills and clinical experience faculty based on teaching in those modules
4. Written feedback at the end of the elective from their ICM faculty member(s) as well as their assigned ICM course director
5.Guided self-evaluation through reflective writing

Felise Milan, MD felise.milan@einsteinmed.org
Sandra Oza, MD, MA sandra.oza@einsteinmed.org
Sheira Schlair, MD, MS sheira.schlair@einsteinmed.org
Tara Jenner-Donaldson, DMH tara.jenner@einsteinmed.org
Contact: 718-862-1778
Modules: 5A, 5B, 6A or 6B

Max: 3
On the first day students report to the Clinical Skills Center

K502 Clinical Endocrinology (Jacobi and Weiler)

**Not Available to
International Exchange Students**
The purpose of the elective is to provide clinical experience in out-patient and in-patient Endocrinology accompanied by didactic instruction. The elective is full time. There are two similar programs, one on the East campus (K502) and one on the West campus (K516). The outpatient component is the same in both electives. The in-patient consultation service is similar but at different locations. The student will function as a member of the Department of Medicine Endocrinology Consultative Team, including medical residents and endocrinology fellows, to provide service to inpatients at one of two sites: 1. Jacobi Medical Center and MMC-Weiler (K502) or 2. Moses Division of Montefiore and North Central Bronx Hospital (K516). Work rounds are held daily, and attending rounds occur daily – generally three times weekly. The student will have the opportunity to participate in the following clinics: 1. Monday Morning- CFCC Diabetes and Endocrinology Clinic; 2. Tuesday Afternoon- Jacobi Endocrinology Clinic; 3. Thursday Morning- Montefiore Diabetes clinic; 4. Friday Afternoon- Montefiore Endocrine Clinic. The student will have the opportunity to attend the following conferences: 1. Monday AM- Multidisciplinary Diabetes Conference (preceding CFCC Clinic); 2. Monday Afternoon- Endocrinology Fellows Conference (at Moses); 3. Thursday Morning- Diabetes Journal Club (preceding Montefiore Diabetes Clinic); 4. Friday Morning- Clinical Endocrinology Grand Rounds followed by Diabetes Research Center Conference. It is expected that the student will develop familiarity with endocrine evaluation and pathophysiology in a variety of endocrine disorder diseases. Emphasis on basic physiological concepts as related to endocrine disorders is stressed.General description and goals of elective: Student is expected to follow the endocrine fellow, attending the same activities, including in-patient and out-patient consults, rounds and conferences. The goal is to learn general understanding of endocrine evaluation and testing, and pathophysiology of a variety of endocrine disorders and diseases.Method of student feedback and evaluation: Direct feedback from Attending and Fellow.Jill Crandall, MD
Contact: Maritza Reyes, Program Supervisor, marreyes@montefiore.org, 718-920-2017
Modules: All
Maximum: 2
On the first day students report to: contact Endocrine Fellow

K503A Dermatology (Montefiore Medical Center)
A four week elective during which time fourth year students will spend time at Jacobi and MMC participating in: Adult and Pediatric Dermatology clinics, Dermatology rounds, Clinical Conferences, Didactic Sessions, Faculty Practice. Specific student-oriented conferences occur throughout the elective, e.g. post-clinic, clinical diagnostic conference.Steven R. Cohen, MD
Contact: Madeline Solis, msolis@montefiore.org
Modules: All (please do not sign up for this module if you have more than 3 interviews scheduled during your rotation)
Maximum 6

On the first day students report to: 3411 Wayne Avenue, 2nd Floor, Suite D, Bronx, NY 10467 at 7:30AM

K503B Dermatology Preceptorship (Montefiore Medical Center – Moses)
Fourth year medical student elective; requisite 4-week rotation. Students will work primarily with either Chief of Service or other core academic faculty* four-full days of the week in conjunction with two half-days of attending resident didactic. The clinical service features complex medical and pediatric dermatology, as well as dermatologic surgery. Presentation of live cases at Dermatology Grand Rounds and other didactic sessions are encouraged. The elective incorporates participation in all teaching conferences, including clinical slide sessions and dermatopathology (Two half days weekly).Steven R. Cohen, MD
Contact: Karen Grant at (718) 920-2680 or kagrant@montefiore.org
Modules: All
Maximum: 1 Einstein students only during modules 1B-2B; 1 student during remaining modules
On the first day students report to: 1250 Waters Place, 6th Floor, Suite D, Bronx, NY 10467 at 8:30AM.
Schedule is subject to change and must be confirmed with Karen Grant one week prior to start date.

K503C Dermatology Clinical Research
The Dermatology Clinical Trials Unit at Montefiore Medical Center/Albert Einstein College of Medicine provides an in-depth experience in clinical research related to Dermatology. A clinical clerkship with our team will allow motivated senior medical students to gain valuable experience in all aspects of clinical research and a working knowledge of the research process. Students will participate in day-to-day activities of the Dermatology Clinical Trials Unit, including devising and implementing studies, submitting proposals and amendments to the IRB, writing research grants, recruiting and enrolling patients, and following study procedures. In doing so, students will gain an understanding of the drug development process and learn good clinical practices and ethics of medical research. They will develop proficiency in the planning, implementation and conduct of clinical trials and develop effective interpersonal and communication skills with study patients, their families, members of the research staff, and pharmaceutical sponsors in the clinical research setting.Steven R. Cohen, MD
Contact: Jose A. Jaller, MD, 718-920-8352, dermpharmeinstein@gmail.com and Madeline Solis, msolis@montefiore.org
Modules: All except 4AZ and 4B.
Maximum: 1

On the first day students report to: 3411 Wayne Avenue, 2nd Floor, Suite D, Bronx, NY 10467 at 7:30AM

K504 Rheumatology (Montefiore/Jacobi )
The student will examine and evaluate selected Wakefield and Moses Hospital patients under the supervision of the Rheumatology Trainee and Attending and read some of the relevant literature. This student will, at times, be responsible for performing both initial and follow up history and physical examinations of our clinical outpatients and inpatients on the consult service. This is a highly valuable elective, very strong educations component since many of our diseases are multi-systemic. Finally, students will have the opportunity to learn the procedure skill of arthrocentesis as well. The student will attend clinic in the morning at Jacobi or Moses through Thursday and weekly Journal Club and Grand Rounds Fridays 8 AM to 10AM. Inpatient rounds scheduling will be variable depending on the Attending but typically are three times per week.Learning objectives and assessment:
Medical Knowledge: The student will have gained medical knowledge in the field of Rheumatology and be able to evaluate and treat common Rheumatologic conditions. Gain knowledge in interpretation of common Rheumatologic laboratory tests and imaging. Assessment Method: Self Assessment, Global Faculty (Attending and Fellows) Assessment.
Patient care: Demonstrate the ability to gather information from a patient with a Rheumatologic condition and do a thorough Rheumatologic examination of joints and other appropriate areas. Assessment Method: Self Assessment, Global Faculty Assessment, Direct Bedside Observation. The student will be able to interpret the history, physical exam, laboratory tests and radiologic studies and come up with a differential diagnosis and treatment plan for Rheumatology patients. Assessment Method: Self Assessment, Global Faculty Assessment, Direct Faculty Bedside Observation.
Practice-Based Learning and Improvement: Learned to use local resources to research issues and read regarding their Rheumatologic patient as an independent adult learner. Assessment Method: Self Assessment, Global Faculty Assessment, Global Peer Assessment.
Interpersonal and Communication Skills: Communicate clearly, compassionately, and effectively with patients and their families regarding Rheumatologic conditions. Assessment Method: Self Assessment, Global Faculty Assessment, Direct Faculty Bedside Observation. Communicate clearly, and effectively both in written and verbal form with other clinicians and health care personnel regarding Rheumatologic patients. Assessment Method: Self Assessment, Global Faculty Assessment, Direct Faculty Bedside Observation.
Professionalism: The student will demonstrate respect, compassion, integrity and honesty with regard to patient care and maintain patient confidentiality when consulting on a Rheumatologic patient. Assessment Method: Self Assessment, Global Faculty Assessment, Direct Faculty Bedside Observation. Demonstrate a commitment to carrying out professional responsibilities and adherence to ethical principles regarding patients with Rheumatologic diseases. Assessment Method: Self Assessment, Global Faculty Assessment.
Systems Based Practice: The student will interact with the primary physician team, consulting attending, and allied health care personnel as part of a health care team. Learn to help the patient navigate the healthcare system to obtain needed aide and care for those with Rheumatologic conditions. Assessment Method: Self Assessment, Global Faculty Assessment.
Supervision: The resident on Rheumatology elective is supervised by the Rheumatology attending and fellow on consults that month.Learning experience:
Participation in outpatient and inpatient evaluations
Perform focused musculoskeletal history and physical exam
Participate in patient care and Attending Rounds
Interpret laboratory results and basic imaging pertinent to MSK Medicine
Attempt to perform the procedure skill of arthrocentesis and joint injection.Students are responsible to work with the Rheumatology fellow to see inpatient consults and present them on attending rounds that day. There are teaching rounds at least three times per week with the fellow and attending during which the resident presents new consults and follow-ups on previously seen patients. The student should be prepared to discuss the differential diagnosis and pertinent medical literature.The residents will participate in weekly educational and clinic activities:
Monday AM Jacobi Joint Pain Clinic Building 8:30AM, 4A
Tues AM Lupus Clinic at 8:30 AM MMC
Wed AM- Rheumatology Clinic, 8:30AM MMC
Thurs AM- Jacobi Rheumatology Clinic Building 8:30AM, 4B
Friday 8AM-10AM Journal Club and Grand Rounds, AECOM
There are also Rehab and Radiology teaching sessions during each month.Resources:
-American College of Rheumatology on-line Educational Resources http://www.rheumatology.org/education/resources/index.asp
-Up-To-Date for topic review
-AECOM Library (and electronic library) resources to look up articles on patients
-MKSAP on Rheumatology
-Kelly’s Textbook of RheumatologyIrene Blanco, MD
Irene.blanco@einstein.yu.edu
Administrative support: Itzamarie Ayala, itayala@montefiore.org, 718-920-6682
Modules: All
Maximum 2 Student
Students must contact Ms. Itzamarie Ayala one week before the rotation for meeting location and time

K506 Infectious Diseases(Montefiore Medical Center – Weiler)
Adult patients with probable bacterial, viral, mycotic, parasitic, or rickettsial diseases are evaluated and presented on rounds daily to the infectious disease fellow and attending physician for differential diagnosis, recommendations for basic and advanced microbiologic testing, therapeutic options, and discussion. Basic techniques of clinical microbiology learned during the second year course in Microbiology and Infectious Diseases are reviewed with particular reference to the patients seen. Students also attend seminars and combined Pediatric-Medicine Infectious Disease Grand Rounds. A highly useful elective no matter what field a student is considering for a career because nearly all types of physicians see patients with infections and use antibiotics. Faculty: Drs. J. Achkar, J. Daily, M. Desruisseaux, M. Feldmesser, M. Keller, K. Kim, I. Leviton, T. Madaline, J. Nosanchuk, L. Pirofski, A. Sharma, H. Tanowitz, G. Westonand and L. Weiss.Priya Nori, MD
Contact: Ms. Ana Capellan, acapellan@montefiore.org, 718-920-5438
Modules: All
Maximum 2 students
On the first day of the elective report to 10S-21 at 8:30 A.M. Students should contact Ms. Ana Capellan at least one day in advance to make sure that the fellows will be available at these times and to get the Grand Rounds and core curriculum lecture by e-mail.

K511A – Cardiology (Jacobi Medical Center/Weiler Hospital)
A closely supervised experience with clinical and laboratory methods currently employed in the diagnosis and management of patients with cardiac disease of diverse etiology. Participation is expected in daily attending consultation rounds, the CCU, a weekly cardiology specialty clinic and conferences. This also provides an introduction to cardiac catheterization, angiography, pacing, and bedside monitoring. Major time is spent interpreting EKGs and arrhythmias with close faculty interaction.Martin Cohen, MD, macohen@montefiore.org
Morris Stampfer, MD, morris.stampfer@nbhn.net
Contact: Susana Pattavina 718-918-5900
Modules: All
Maximum: 6 students
First day student meet Room 5E2 – Jacobi Medical Center at 9:00 A.M.K512 Unified Gastroenterology/Liver Disease-East Campus (Jacobi Medical Center)
At both sites, students participate in all departmental functions under the direct supervision of a Gastroenterology Fellow and Attending. The student examines patients in the clinic and hospital and discusses patients with both Fellows and assigned attending physicians. Students participate in 16-20 hours of rounds and conferences per week including Research Seminars, GI-Pathology review, GI Radiology review, Journal Club, and Grand Rounds. Students are encouraged to attend and participate in all diagnostic and therapeutic procedures on their patients including diagnostic and therapeutic endoscopies (gastroscopy, ERCP, colonoscopy, sigmoidoscopy), esophageal motility studies, and liver biopsies.
Douglas Simon, MD
718-918-5907
doug.simon@nychhc.org
Modules: All
Maximum: 3
First day meeting location and time: G.I. Office, 2nd Floor, Endoscopy Suite, Jacobi Medical Center at 9:00AMK513 Renal (Jacobi Medical Center)
**Einstein students must contact Dr. Acharya for approval prior to registration**

The goal of this rotation is to learn to evaluate and treat common kidney diseases. It includes history and physical examination, ordering and analyzing laboratory and radiological data, and formulating treatment strategies.Measurable learning objectives of elective:
-Take history and physical exam which is problem oriented
-Come up with differential diagnosis of the disease condition
-Supervised decision making related to treatment and management, including indications for a renal biopsy
-Perform urine analysis, dipstick and microscopy, and be able to identify common urine abnormalities in form of cellular casts, crystals, dysmorphic red cells and proteinuriaLearning experience: The location of the elective will be at Jacobi Medical Center where the student will be expected to present patients during teaching rounds and to participate in the critical discussion of patients on the renal service. They will be introduced to the interpretation of renal biopsies. This rotation emphasizes didactic teaching and practical management of renal patients in an academically nurturing environment. Students will report to the renal fellow each morning and will be assigned new cases. They will follow the renal division schedule while on the rotation. The student will need prior approval from the division chief and the elective is open to visiting medical students at Einstein

Method of student feedback and evaluation: The nephrology attending will provide feedback during and after the rotation verbally to thestudent, and complete the written evaluation.

Textbook(s) information (Suggested)

ISBN 0-07-134682-1
Title: Clinical Physiology of acid-base and electrolyte disorders
Edition: 5^th or later
Author: Burton Rose, Theodore Post

Anjali Acharya, MD
anjali.acharya@nychhc.org
718-918-7901
Administrative support: Eduardo Naranjo, eduardo.naranjo@nychhc.org, 718-918-3176
Modules: All except 1A-2B
Maximum: 2

On the first day students report to: 6E-19 Building I, Jacobi at 8.30am

K514 Nephrology (Montefiore Medical Center – Moses)
**Einstein students must contact Dr. Mokrzycki for approval prior to registration**
The student sees renal, electrolyte and hypertensive patients in consultation and presents the cases to the Renal Fellow and to the Renal Attending on Service at the Montefiore Hospital. Attending rounds are made 5 days a week for two to four hours each session. The student attends 1 Renal-Hypertension Clinic and 1 Transplantation clinic each week. He/she also attends a weekly Journal Club, clinical conferences and Renal Grand Rounds.
Goals of elective:
1. To describe and explain the pathogenesis, differential diagnosis and treatment of Acute kidney injury (AKI) and Chronic kidney disease (CKD).
2. To recognize pathologic features in the urine microscopic exam
3. To list and explain the causes of glomerulonephritis (GN) and nephrotic syndrome (NS), and to describe the evaluation and treatment of
4. To list and explain the causes of secondary hypertension, and to describe the evaluation and treatment of secondary hypertension.
5. To describe the major transporters in the nephron and describe their role in acid-base and electrolyte disorders, (ie. potassium, magnesium, phosporous and sodium).
6. To describe the pathogenesis, histologic appearance and treatment of diabetic nephropathy and hypertensive nephrosclerosis.
7. To list and explain the types of renal replacement therapy, including hemodialysis, peritoneal dialysis and renal transplant.

Learning objectives:
-To list the causes of AKI
-To list the stages of CKD and their corresponding eGFRs
-To identify cells and casts in the urine sediment
-To list the secondary causes of GN and NS according to the presence/absence of immune complexes and the corresponding relevant serologic testing
-To list the causes of secondary HTN
-To illustrate the structure of the capillary loop and relevant cell types in the glomerulus
-To illustrate the relevant transporters in the nephron, including those in the nephron.
-To discuss water, acid-base, sodium and potassium handling along the nephron
-To discuss how HD and PD work

Learning experience: The student is expected to function as a member of the consult team, which consists of a nephrology attending, fellow, and medicine resident. This includes performing initial consults and daily follow-up on the student’s panel of patients, and attending daily rounds. The student is also expected to attend the renal clinic on Wednesday afternoons (1-5pm), Medicine grand rounds on Thursdays (12:15-1:15pm), Renal grand rounds (Thursdays 5-6pm), Renal journal club on Friday mornings (8am), Renal clinical conference on Fridays (1-2pm). In addition, the student is encouraged to attend any additional conferences that precede Renal grand rounds on Thursdays (4-5), including NephSAP review, Renal physiology, and Morbidity/mortality conference.

Method of student feedback and evaluation: The nephrology attending will provide immediate feedback at points during and after the rotation verbally to the student, and complete the written evaluation provided by AECOM.

Suggested Textbook(s) information:
ISBN 0-7216-7072-5
Title: Fluid Electrolyte and Acid-Base Physiology
Edition: 3^rd or later
Author: Halperin and Goldstein
ISBN 0-07-134682-1
Title: Clinical Physiology of acid-base and electrolyte disorders
Edition: 5^th or later
Author: Burton Rose, Theodore Post

Michele Mokrzycki, MD
718-920-5442
mmokrzyc@montefiore.org
Modules: All
Maximum 4
On the first day students report to: 3411 Wayne Ave, Suite 5H, Renal Division 9am

K515 Unified Gastroenterology/Liver Disease-West Campus(Montefiore Medical Center – Moses and NCB)
At both sites, students participate in all departmental functions under the direct supervision of a Gastroenterology Fellow and Attending. The student examines patients in the clinic and hospital and discusses patients with both Fellows and assigned attending physicians. Students participate in 16-20 hours of rounds and conferences per week including Research Seminars, GI-Pathology review, GI Radiology review, Journal Club, and Grand Rounds. Students are encouraged to attend and participate in all diagnostic and therapeutic procedures on their patients including diagnostic and therapeutic endoscopies (gastroscopy, ERCP, colonoscopy, sigmoidoscopy), esophageal motility studies, and liver biopsies.

Dr. Thomas Ullman, tullman@montefiore.org or
Dr. Daniel Behin, dbehin@montefiore.org
Administrative Support: Rosalyn Andrews, rbarnes@montefiore.org
718-920-4154
Modules: All
Maximum: 3

On the first day students report to GI Endoscopy Suite – Red Zone Montefiore Hospital at 7:45AM

K516 Clinical Endocrinology (Montefiore Medical Center – Moses)
**Not Available to International Exchange Students**
The purpose of the elective is to provide clinical experience in-patient and out-patient Endocrinology accompanied by didactic instruction. The elective is full time. There are two similar programs, one on the East campus (K502) and one on the West campus (K516). The outpatient component is the same in both electives. The in-patient consultation service is similar but at different locations. The student will function as a member of the Department of Medicine Endocrinology Consultative Team, including medical residents and endocrinology fellows, to provide service to inpatients at one of two sites: 1) Jacobi Medical Center and Weiler Hospital or 2) Moses Division of Montefiore and North Central Bronx Hospital. Work rounds are held daily, and attending rounds occur generally three times weekly. The student will have the opportunity to participate in the following clinics: 1. Monday Morning- CFCC Diabetes and Endocrinology Clinic; 2. Tuesday Afternoon- Jacobi Endocrinology Clinic; 3. Wednesday Morning- Reproductive Endocrinology Clinic; 4. Thursday Morning- Montefiore Diabetes clinic; 5. Friday Afternoon- Montefiore Endocrine Clinic. The student will have the opportunity to attend the following conferences: 1. Monday AM- Multidisciplinary Diabetes Conference (preceding CFCC Clinic); 2. Monday Afternoon- Endocrinology Fellows Conference (at Moses); 3. Thursday Morning- Diabetes Journal Club (preceding Montefiore Diabetes Clinic); 4. Friday Morning- Clinical Endocrinology Grand Rounds followed by Diabetes Research Center Conference. It is expected that the student will develop familiarity with endocrine evaluation and a variety of endocrine diseases. Emphasis on basic physiological concepts as related to endocrine disorders is stressed. For further information, contact
Textbook Information: (Suggested)

Williams Textbook of Endocrinology, 14th Edition

ISBN: 9780323297387

Cost: $229.99

Author: Shlomo Melmed et al

Dr. Vafa Tabatabaie, MD vtabatab@montefiore.org
Contact: Ms. Maritza Reyes, Program Supervisor, marreyes@montefiore.org, 718-920-7923
Modules: All
Maximum 2
On the first day student report to: Endocrine fellow on inpateint services in the respective campus.

K517 Cardiology (Montefiore Medical Center – Moses)
As part of the selected elective at Montefiore Einstein Center for Heart and Vascular Care the student is to report to the Cardiology Administrative Office, at 7:30am, located at the Foreman Pavilion, Silver Zone, at 111 East 210th Street. There he/she will meet the on-call fellow – who will be the mentor for the duration of the elective. As part of the Cardiology Elective Program, the student will be given an introduction to cardiology, emphasizing various aspects such as: physical examination, clinical evaluation and therapy, EKG sessions, as well as reviews of cardiac catheterization and echocardiograph studies. He/she will participate on morning activities in the fellow’s Conference room, and other activities such as Cardiology Grand Rounds. The student will also be provided temporary computer access (a form will be provided for access a few weeks before the elective is set to begin).

Textbook Information: (Suggested)
The Only EKG Book you will Ever Need by Malcolm Thaler

Joao Fontes, MD
jfontes@montefiore.org
Contact: Gicenia DeLeon-Lam at gdeleonl@montefiore.org or 718-904-2471
Modules: All except 1B & 2A
Maximum 2

K518 Diabetes: Blood Sugar Normalization & Rehabilitation of the Whole Patient (Mamaroneck, NY)
**Einstein students must contact Dr. Bernstein for approval prior to registration**
Students will participate in a private medical practice devoted exclusively to the treatment of diabetes and its complications. Patients of ages greater than 6 years will be seen. Participants will be trained in the most advanced methods for outpatient blood sugar normalization and weight control, as well as demonstrations of how to reverse diabetic complications. Topics to be covered include: patient training, intensive physical examination geared toward tracking diabetic complications, routine and research level laboratory studies, special diagnostic equipment, diet, self-monitoring of blood glucose, modern exercise training , intensive insulin therapy, selection and use of oral agents, the use of new agents and psychological techniques to curb overeating and carbohydrate craving. Diagnosis and treatment of the following diabetic complications will be covered in depth: gastrointestinal motility disorders, autonomic neuropathies, peripheral vascular disease, Moenckeberg’s Atherosclerosis, new cardiac risk factors, foot ulcers, nephropathy, hypertension, ophthalmologic problems, musculoskeletal complications and erectile dysfunction. Also covered will be diabetes associated diseases such as hypothyroidism, psoriasis snd the newly discovered association with Common Variable Immune Deficiency.

Required textbook:
DIABETES SOLUTION, by Richard K. Bernstein, MD
ISBN: 987-0-316-18269-0
Edition: 2011
Cost: $25.21 from <amazon.com>, $15.99 in Kindle format.

Richard K. Bernstein, MD
914-698-7525
md@diabetesscientist.com

Elective Director: Samantha Flynn, samflynn@diabetesscientist.com, 914-698-7500
Modules: All
Maximum: 2 students per module

Students must provide their own transportation to Mamaroneck, New York (15 miles north of AECOM). Buses run from the Bronx and trains from Fordham Station. First day of elective, meet at 10:00 a.m. – 1160 Greacen Point Road -Mamaroneck, New York 10543 (maps and transportation details are available from preceptor)

K519 Cardiology (Montefiore Medical Center – Wakefield)
The Cardiology rotation will provide the student with experience in the evaluation and treatment of cardiovascular problems. This rotation will emphasize the approach to diagnosis and management of acute and chronic cardiac diseases, as well as management of risk factors for disease. In addition, the rotation will emphasize the practice of primary care cardiology in medically underserved environment. Learning goals focus on complete and accurate history and cardiovascular examination, ECG interpretation, indications for various invasive and noninvasive diagnostic studies, and understanding of first line medical therapy for common cardiac diseases. This will provide them the opportunity to transition from didactic to integrated clinical evaluation and patient management.

At the end of the rotation the medical students should be able to: Obtain complete and accurate history pertinent to the differential diagnosis. Complete a pertinent physical examination for the evaluation of cardiovascular system distress and pertinent to the differential diagnosis. Distinguish normal from abnormal cardiovascular signs and symptoms. Formulating a differential diagnosis based on the findings from the history and physical examination. Describe information resources for determining diagnostic options for patients with cardiac problems. Demonstrate knowledge of the criteria for diagnosis of common cardiology problems. Approach ECG interpretation in a systematic and logical fashion. Demonstrate ability to evaluate and manage patients with the following conditions: Stable coronary syndromes, Cardiac dysrhythmias, Congestive heart failure, and Hypertension. Know about common critical cardiac conditions. Recognize unstable patients in need of urgent evaluation and management. Know the first-line therapies for most common cardiac conditions. Recognize gaps in own knowledge; be self-directed at reading on those issues and initiating discussion of those topics with the team. Demonstrate professional responsibility in working as a team member with other members of the Cardiology Consult care team, patients and families. Provide compassionate and empathic patient care and be sensitive to the diverse factors affecting patients and their health care beliefs and needs including race, culture, income and ethnicity.

Basic structure of the day is to start with cardiology teaching sessions in the morning. Medical students are expected to attend Cardiology Teaching Conferences including cardiology grand rounds, journal clubs, morning reports, cardiology subspecialty lectures, etc every day 7:30-8:30 in one of Albert Einstein medical campuses. The day following by visiting admitted patients, writing notes on them and meeting the teaching attending later in the day to discuss the cases with. The teaching attending will then round at the bedside with the team on each of these patients. The remainder of the day is spent performing new consultations, as assigned by the resident of attending. Students will have the opportunity to read and interpret ECGs. In addition, students will be able to observe standard exercises stress testing, exercise stress imaging studies or pharmacologic stress testing, echocardiography.

The student is encouraged to feedback on a daily basis, but especially at the mid-point of the rotation by the cardiology attending. This will be an opportunity to address any issues from the student’s perspective. Upon completion of the rotation, the student will receive a written evaluation in accordance with the medical school policy. This will be completed by the teaching attending responsible to oversee the clinical aspects of the rotation after discussion with any other attending, resident and cardiology fellow who worked directly with the student.

Richard Lucariello, MD
rilucari@montefiore.org
718-920-9256
Modules: All
Maximum: 4
First day of the rotation student should report to the Department of Cardiology at 9AM

K520 Hematology (Montefiore Medical Center – Moses and Weiler )
The goal of this elective is to teach students the basic hematology that is essential to all aspects of medicine. Students are assigned to the Consult Service at Montefiore and will see hospital consults with the Hematology Fellows and Consult Attending. In addition to daily Attending Rounds, students will attend two Hematology Clinics each week, a case-based thrombosis conference and red cell conference, morphology review of both bone marrows and blood smears and weekly teaching conferences with the Attendings. There is an 8 am teaching conference every morning of the week.

Ellen Friedman, MD
elfriedm@montefiore.org
Contact: Ms. Tawana Alvarez, taalvare@montefiore.org, 718-920-4137
Modules: All
Maximum: 1

First day of elective students will meet at Montefiore Medical Center- Building 1, 3411 Wayne Avenue, 8:00AM

K523 Pulmonary Medicine(Montefiore Medical Center – Moses)
The goal of this medical student elective is to introduce advanced medical student to the fundamentals of Pulmonary Medicine. Students are assigned to a very busy consult service at Montefiore/Moses division and will see hospital consults with Pulmonary Fellows and Consults Attending. In addition to daily Attending Rounds, students will attend weekly Pulmonary Clinics and multiple interdisciplinary conferences addressing diseases of the chest, including joint conferences with radiology, pathology, oncology, and thoracic surgery. Pulmonary physiology, including performing and interpreting pulmonary function studies measuring mechanics, volumes, gas transfer and exchange and their use in disease diagnosis and management, will be part of the rotation. Exposure to regulation of Ventilation/Sleep Medicine is integral to the rotation. Students will also have the opportunity to observe and assist in Pulmonary Medicine procedures, including thoracentesis, fiberoptic bronchoscopy and related endo- and trans-bronchial procedures.

Chirag Shah, MD
cshah@montefiore.org
718-920-6054
Contact: Ms. Lynette Bradberry, lbradber@montefiore.org, 718-920-6054
Modules: All
Maximum: 2

K524 Infectious Diseases(Montefiore Medical Center – Moses)
**Einstein students must contact Dr. Leviton for approval prior to registration**
Adult patients with probable bacterial, viral, fungal, parasitic, or rickettsial diseases are evaluated and presented on rounds daily to the infectious disease fellow and attending physician for differential diagnosis, recommendations for basic and advanced microbiologic testing, therapeutic options, and discussion. Basic techniques of clinical microbiology learned during the second year course in Microbiology and Infectious Diseases are reviewed with particular reference to the patients seen. Students also attend seminars and combined Pediatric-Medicine Infectious Disease Grand Rounds. A highly useful elective no matter what field a student is considering for a career because nearly all types of physicians see patients with infections and use antibiotics. Faculty: Drs. P. Alpert, J. Brust, J. Chan, U. Felsen R. Grossberg, R. Khedimi, I. Leviton, G. Minamoto, V. Muggia, B. Ostrowsky, P. Nori, C. Park, Y. Puius, P. Riska, N. Robbins, M. Slosar-Cheah, J. Shuter, B. Zingman

Priya Nori, MD, pnori@montefiore.org
Contact: Ms. Ana Capella, acapella@montefiore.org, 718-920-5438
Modules: All
Maximum: 2
On the first day student should report to 3411 Wayne Avenue, Suite 4H at 8:30 A.M. Students should contact Ms. Angie Vega at least one day in advance to make sure that the fellows will be available at these times and to get the Grand Rounds and core curriculum lecture schedule by e-mail.

K526 Allergy & Immunology (Jacobi Medical Center/MMC-Moses and Weiler)
A clinical or combined clinical/research elective designed to teach the student the fundamentals of diagnosis, management and research methods in allergy and immunology. Students will directly participate in the care of patients in all of the hospital clinics and faculty practice locations of the Allergy Division and be exposed to a complete range of allergic and immunologic disorders. The rotation includes time in the drug desensitization program, food allergy center and severe asthma center. Typical research projects include etiology and treatment of chronic urticaria, asthma, sinusitis, drug and food allergies. The elective can be customized to the needs and wishes of individual students. If you are planning to use the elective for research we strongly recommend contacting your mentor a few months in advance to decide your project and complete necessary formalities such as IRB applications.The rotation will include participation in the Adult Allergy Journal Club on Wednesdays and Combined Allergy Division Friday conferences.

Measurable learning objectives of elective: Learn the fundamental principles of Allergy/Immunology diagnosis. Learn how to treat asthma and allergic disorders.

Method of student feedback and evaluation: Oral and written.

Suggested Textbook: “Middleton’s Allergy Essentials, 1st ed. / O’Hehir, Robyn E. 2017” which is available at no cost online through the AECOM library

Manish Ramesh, MD
mramesh@montefiore.org
Modules: All
Maximum: 4
Students should contact Dr. Ramesh for first day meeting time and location 2 weeks prior to the start of the rotation

K529 Pulmonary(Montefiore Medical Center – Weiler)
This elective is based at the Weiler division of Montefiore Medical Center. The focus is on learning to provide consultation and continued care to patients with pulmonary problems in the inpatient and outpatient settings. The student will also participate in interpreting pulmonary function studies and conferences. There is the opportunity to observe and participate in procedures.

Jay Dobkin, MD
jdobkin@montefiore.org
718-904-2983 or 866-633-8255
Modules: All
Maximum: 1 student
On the first day of elective, the student is requested to come to the pulmonary office at Weiler – 2 South Room 28 at 9:00 A.M.

K532 Medical Oncology-West Campus(Montefiore Medical Center – Moses)
Cancer is the second leading cause of death in the US. Physicians must be familiar with the diagnosis and care of cancer patients. This rotation will prepare students to diagnose, evaluate, stage or treat patients with hematological malignancies, solid tumors, oncological and hematological emergencies, and to provide supportive/palliative care. This is a 4 week rotation on the Moses oncology service under supervision of the assigned attending team. **

Measurable learning objectives of elective:
– Etiology, epidemiology, natural history, diagnosis, pathology, staging and management of a wide variety of neoplastic disorders
– Chemotherapeutic drugs, growth factors and their mechanisms of action, clinical indications, and limitations
– Assessment of tumor imaging by CT, MRI and nuclear imaging techniques
– Multiagent chemotherapy protocols and combined modality therapies
– Management of neutropenia and immunocompromised patients
– Oncologic effects of HIV
– Pain management, palliative care and psychosocial management of patients with hematologic and neoplastic disorders

Learning experience: Students will care for patients with solid tumors, hematologic malignancies, and hematopoetic stem cell transplant therapy.

Method of student feedback and evaluation: Written Evaluation

Textbook(s) information: We provide articles to review during rotation. Standard textbooks are available in our library 1. Vita, Hellman, and Rosenberg’s cancer : principles & practice of oncology (0-7817-7207-9, 978-0-7817-7207-5), 8th ed. / DeVita, Vincent T. Wolters Kluwer/Lippincott Williams & Wilkins, 2008. 2. Cancer medicine 6 (1-55009-213-8, 978-1-55009-213-4), 6th ed. / Kufe, Donald W. BC Decker, 2003.

Rasim Gucalp, MD
rgucalp@montefiore.org
Administrative support: Lillian Cruz, lillicru@montefiore.org, 718-920-4826
Modules: All
Maximum : 2
On the first day students report to Dr. Gucalp at Hofheimer First Floor at 8:00AM

K546 Pulmonary & Critical Care Medicine(Jacobi Medical Center)
Students who choose this elective will see patients on the Chest Medicine service, Pulmonary Consultation service, Critical Care Medicine Consultation service, and the Medical Intensive Care Unit at Jacobi Medical Center. This is an opportunity to learn about in-depth various Pulmonary and Critical Care problems that present both classically or unusually. On the Chest Medicine Service or MICU, students will join the team for Attending rounds in the morning. Radiology conference takes place three times each week at 11am where the imaging is reviewed with a Radiology attending and resident. On the Consultation services, students will see patients either independently or with the PCCM fellows and Internal Medicine resident(s) who may be taking the elective as well. The Consult Attending will round during different times of the day depending on the acuity of the patients. Chest Clinic takes place Wednesday afternoons and Friday mornings where fellows and Attendings see their follow-ups or new patients referred by Primary Care, other specialties, or the ED. Students may see OPD patients independently or in conjunction with a fellow or Attending. Students will be expected to attend any Divisional Conferences being given during their time on the elective. Pulmonary Function Tests will be interpreted with the fellow or Attending. Finally, students will have opportunities to observe procedures done by the fellow/resident with Attendings supervising.

Virginia Chung, MD
virginia.chung@nychhc.org
718-918-4505
Modules: All
Maximum : 1 student
First day report to Bldg # 1, 5N50 at 8:30am

K608 Critical Care(Montefiore Medical Center – Moses)
The primary purpose of this elective is to provide the senior medical student with a diverse, well-rounded, meaningful, and focused exposure to the field of Critical Care Medicine. The student will be exposed to our Consult Service as part of our “ICU without walls” (providing critical care outside the ICU), and learn how critical care triage decisions are made. They will spend time in our Medical ICU, the classic critical care environment, and get an exciting opportunity to rotate through our non-medical intensive care units: the Surgical ICU, where critically ill neurosurgical and general surgical/liver transplant patients are cared for, as well as the Cardiac Surgical ICU, where patients are cared for after cardiac surgery. Over the course of the month, the co-directors will be providing weekly small group lectures on the following topics: Advanced Cardiac Life Support, shock/multiple organ failure, respiratory failure/Acute Respiratory Distress Syndrome, acid-base issues, mechanical ventilation/ventilator weaning, as well as sedation in the ICU, oxygen delivery equations, and hemodynamic monitoring. In addition, the students will be taught about national critical care patient safety initiatives, such as the Institute for Healthcare Improvement ventilator associated pneumonia bundle, central line bundle, and the surviving sepsis campaign guidelines. Students will be invited to attend our morning report, educational noon conferences for the fellows, and our Critical Care Journal Club (in addition to medicine and surgical grand rounds). Medical students will attend daily work rounds, follow one or two patients closely each week, learn how to present critically ill patients on rounds, perform relevant literature searches, and learn fundamental cardiovascular and pulmonary pathophysiology as it relates to the critically ill or injured patient. They will also learn the indications for and techniques of various procedures in the ICU. By the end of the elective, medical students should have developed a broader perspective on what it means to manage a critically ill patient, improved their ability to recognize in which patients critical care is most likely to be helpful (and, conversely, when critical care should perhaps not be provided), as well as enhanced their knowledge of end-of-life issues as they relate to the critically ill patient. They should learn about (and temporarily become part of) the multidisciplinary critical care team, and discover the crucial role of that team in providing high-quality critical care. They will learn the challenges and rewards of a career in Critical Care Medicine. Goals of Rotation: Learn a thoughtful and organized approach to ICU patients; Gain experience with interpretation of ICU patient data. Improve their understanding of common ICU problems such as invasive monitoring, mechanical ventilation, sedation, sepsis, ARDS; Enhance their knowledge of the cardiovascular and pulmonary pathophysiology pertinent to the ICU; Learn to write initial orders for mechanical ventilator support and sedation; Learn the rationale for commonly used ICU protocols such as ARDS ventilator management, insulin drips, weaning from ventilatory support, fast-track extubation after cardiac surgery; Become familiar with some of the important clinical trials in critical care medicine, and the impact of evidence-based medicine on current ICU patient management. This will be a 4-week elective, and will be located at the Moses Campus of Montefiore Medical Center. The medical student’s time will be allocated as follows: one week on the Critical Care Consult service working with the consult fellow and attending; one week in the Medical ICU at Moses; one week in the Surgical ICU at Moses; one week in the Cardiac Surgical ICU at Moses. The duration of time that a student spends in each unit may be modified after discussion between the student and one of the course co-directors. The medical students will meet at 8 am on the first day of the elective in the Critical Care Administration area, Gold Zone. Student Evaluations: We will be distributing a pre-test at the beginning of the course, and a post-test at the end. Please see course description and goals and objectives for more detail as to our expectations. In addition, students will be receiving real-time feedback during the course, as well as exit interviews from one of the course co-directors.

Recommended textbooks:
The ICU Book, 3^rd edition, by Paul R. Marino, 2006, Lippincott Williams and Wilkins. Critical Care Secrets, 4^th edition, Parsons/Wiener-Kronish, 2007, Mosby. In addition, students will be provided key critical care references from the past decade or so in the field of critical care medicine. They will also be distributed the Society of Critical Care Medicine “Medical Student’s Guide to Intensive Care Medicine” PDF document.

Anthony Carlese, MD 718-920-5440, acarlese@montefiore.org
Ariel Shiloh, MD 718-920-5440, ashiloh@montefiore.org
Contact: Ms. Ledina Knight, leknight@montefiore.org, 718-904-3015
Modules: All
Maximum: 4

Neurology (NEUR)

R501 Pediatric Neurology (Children’s Hospital at Montefiore/Jacobi Medical Center) **Not available to International Exchange Students**

**Visiting Student Prerequisite: Student must interested in a career in Pediatric Neurology/Pediatrics or a related specialty. Students will NOT be considered without this prerequisite.**

The student in this elective will work under the supervision of the Pediatric Neurology attending and fellow in both the inpatient and outpatient setting at the Children’s Hospital at Montefiore, Jacobi Medical Center and will consist of inpatient evaluations, ward rounds, conferences, attendance at consultation, work in neurology clinic and attendance at teaching sessions and seminars.

Learning objectives: 1. To learn to perform the neurological examination in infants and children. 2. To become familiar with the evaluation of pediatric patients with actual or suspected acute neurologic problems, including emergencies, in the pediatric emergency room and in-patient setting. 3. To become familiar with evaluating and treating sub-acute and chronic neurological problems presenting on the inpatient/outpatient pediatric service. 4. To become familiar with neurologic manifestations of general pediatric illnesses. 5. To become familiar with diagnosis and management of pediatric neurologic emergencies, such as status epilepticus, coma, raised intracranial pressure and herniation syndromes, spinal cord compression, meningitis/encephalitis and severe neuromuscular weakness from acute neuropathies and neuromuscular junction disorders.
6. Approach/Management to hypotonia, febrile seizures, epilepsy, headaches, neurocutaneous syndromes, neuromuscular disorders, etc. (bread and butter pediatric neurology). 7. To learn to present a pediatric neurological history and examination precisely and succinctly.

Learning experience: 1.Participate in consultations from the emergency room, pediatric intensive care unit, neonatal intensive care unit and pediatric and other services, as directed by the senior Child Neurology Resident. 2. Become familiar with the initial evaluation of patients to be admitted to the Child Neurology and Epilepsy Services.3. Participate in daily Child Neurology and Epilepsy service rounds, including presenting new patients and discussing active issues on follow-up patients. 4. Become familiar with how to write consultation and follow-up notes. 5. Participate in discussions for each patient consulted on with the primary care team to ensure appropriate coordination of the diagnostic evaluation and treatment plan. 6. Attend all scheduled conferences and clinics.

Method of student feedback and evaluation: students will receive formal feedback at the end of the rotation. Evaluation will be compiled by the supervising physician.

Textbook information: Fenichel: Clinical Pediatric Neurology

Koshi Cherian, MD
718-430-2447
drkoshi@aol.com
Modules: All
Maximum:4 Students

On first day students report to Children’s Hospital at Montefiore 10th floor at Welcome Center at 9AM and page pediatric neurology at 917-457-7461.

R502 Outpatient Neurology (Montefiore Medical Center/Jacobi Medical Center)
**Not available to International Exchange Students**
This elective is offered to fourth-year medical students seeking a more extensive exposure to outpatient Neurology. The experience will be individualized by the course director to suit the particular interests of each student. The student may choose from a wide variety of neurologic subspecialty experiences including: dementia, movement disorders, neuro-geriatrics, epilepsy, headache, EMG, neuromuscular disease, and others.

Learning objectives: 1. Expand knowledge of the art of neurological diagnosis Have up-to-date understanding of the manifestations and treatments of common neurological disorders. 2. Be able to perform a competent neurological examination in a reasonable period of time. 3. Develop skills in selecting diagnostic tests in an efficient and cost-effective manner.

Learning Experience: Students will evaluate and examine neurologic patients under the supervision of residents and attendings, and will gain exposure to diagnosis and treatment of neurologic disorders.

Method of Student Feedback and Evaluation: 1. Observation by Neurology attendings and residents 2. Oral presentation (optional, but required for Honors)

Howard Geyer, MD, PhD
718-405-8140
hgeyer@montefiore.org
Modules: All
Maximum: 1 student

On the first day students report to 1515 Blondell Ave, Suite 220 at 9AM

P539 Mouse Models of Neuropsychiatric Disorders
**This elective is part of the Psychiatry Department**
**Einstein students must receive approval from Dr. Audrey Walker, auwalker@montefiore.org, and Dr. Hiroi prior to registration**
The human genome includes many variations, ranging from duplications and deletions of full chromosomes to single nucleotide polymorphisms. Moreover, a large number of kilo- to mega-base copy number variations (CNVs) are associated with autism spectrum disorders, intellectual disability and schizophrenia. Human chromosome 22q11.2 is one of those CNVs. Children and adolescents with 22q11.2 duplications and deletions consistently exhibit these neuropsychiatric disorders, along with associated cognitive and intellectual impairments during development. However, because duplications and deletions of 22q11.2 encompass 1.5 Mb or larger regions, it is not possible to determine whether segments or single genes are responsible for specific phenotypes in humans. To circumvent these obstacles, our laboratory examines the role of individual 22q11 genes in distinct aspects of cellular and behavioral phenotypes in genetically engineered mice.

Dr. Noboru Hiroi
noboru.hiroi@einstein.yu.edu
718-430-3124
Modules: All
Maximum 2
Please contact Dr. Hiroi 2 weeks prior to the start of the rotation for the first day meeting location and time.

Neurosurgery (NEUS)

X504 Subinternship in Neurosurgery (Montefiore Medical Center)
The Subinternship in Neurological Surgery is available
to all students who wish an introduction to clinical neurosurgery and
participate in the care of patients with neurological diseases requiring
surgery. He/She will be closely associated with the Neurosurgical resident staff
and join them on ward rounds and in all their educational activities. The
evaluation of patients will emphasize the neurological history and examination.
The student will have an opportunity to observe or assist all aspects of
clinical neurosurgery, and in all divisions, including skull base, brain tumor,
cerebrovascular, spine, functional, and pediatrics. The student will be an
active participant in the conferences of the Department at Montefiore Medical
Center (Moses Division), including tumor board, spine conference, and other
resident education activities. It is expected that a
“mini-presentation” will be prepared on a subject of interest to the
student prior to the end of the module. The Subinternship is particularly
designed for those with a serious interest in pursuing further study in
Neurological Surgery, Neurology, or for those with career goals in other fields
of medicine who would like to gain a more intimate appreciation of Neurological
Surgery.

Vijay Agarwal, MD
Contact: Maria Camacho, marrodri@montefiore.org
Modules: All
Maximum: Unlimited

Please page the neurosurgery resident on call at (917)
956-6986 the day before your rotation starts for specifics on where to meet for
rounds the first day

Obstetrics/Gynecology (OBGY)

The Department offers a variety of electives for students to get an opportunity to be exposed to the full breadth and depth of the field of Obstetrics/Gynecology and Women’s Health.

STEPS FOR PROCURING AN OBSTETRICS/GYNECOLOGY AND WOMEN’S HEALTH SUBINTERNSHIP OR ELECTIVE:

PLACEMENT INTO SUBINTERNSHIPS AND ELECTIVES ARE ON A FIRST COME/FIRST SERVED BASIS
**Please note elective locations, as transportation is not provided by Einstein**

Einstein students:
Please contact Dr. Staci Pollack (staci.pollack@einstein.yu.edu), Dr. Tamar Goldwaser (tgoldwas@montefiore.org) and the acting OBGYN Medical Education Administrator, Sasha Nathaniel (sanathan@montefiore.org) for approval. Dr. Pollack and Ms. Nathaniel will contact the Subinternship or Elective Director for approval and final placement. Students must submit their approval email to the Registrar’s office for registration.

Visiting Students:

Only visiting students who have taken USMLE Step 1 can participate in OBGYN electives at Einstein. Step 1 score report must be uploaded in VSAS in order to be considered for any OBGYN elective.
Visiting students can take ONLY ONE OBGYN Rotation
All Visiting students must adhere to Einstein’s set rotation dates, and commit to a 4 week rotation, according to Einstein policy

Step 1: Visiting students must submit an application in VSAS upon which the Office of the Registrar will determine eligibility
Step 2: If the student is eligible, the Office of the Registrar (registrar@einstein.yu.edu) will make initial placements

Step 3: The Registrar will contact the OBGYN Subinternships and Electives Director, Staci Pollack, MD MS and the acting OBGYN Undergraduate Medical Education Administrator, Sasha Nathaniel for approval and secondary placements

Step 4: Dr. Pollack and Ms. Nathaniel will contact the Subinternship or Elective Director for approval and final placement (it is not necessary to contact the Subinternship or Elective Directors directly)

Step 5: The Registrar will contact the student with final approval and complete the registration process

**Once students have been notified of their approval, please contact Sasha Nathaniel (sanathan@montefiore.org) for further instructions.

—————————————————————————————————————————————————

H601W Obstetrics Subinternship (site to TBD by the Department)
H601N Obstetrics Subinternship (site to TBD by the Department)
**this is the same experience as the Selective Subinternship for Einstein students

Students participating in this subinternship will have the unique opportunity of becoming an active and integral part of the house staff team on our Labor and Delivery (L&D) Unit as well as our Antepartum and Postpartum units. The student will participate in the management of in-patient obstetrical and high-risk patients, from admission through delivery. The student will be involved in daily rounds and all educational conferences. The student will be an active member of the labor floor team whose responsibilities will be similar to that of an OBGYN intern.

Measurable learning objectives:
– Obtain history and physical examinations for antepartum and intrapartum patients
– Determine intrapartum management of labor (including being able to describe the labor process and interpret fetal monitoring)
– Perform normal vaginal deliveries
– Describe indications for and assist in operative deliveries
– Describe obstetric team functions and safety measures
– Discuss diagnosis and management of commonly encountered obstetrical problems (Preterm labor, Premature Rupture of Membranes, Preeclampsia, Hypertension in pregnancy, etc)

Learning experience:
The student will evaluate and participate in all aspects of patient care from triage through admission, management and treatment, including delivery when appropriate. The student will participate in daily sign out/morning report, rounding on antepartum/postpartum patients and spend the majority of their time in the L&D Unit. The student will participate in obstetrical ultrasound procedures and lactation consultant rounds. The student will divide their time on both daytime and nighttime shifts. The student will be an integral part of the obstetrical team and attend Statistics Conference, Departmental Grand Rounds and Resident School (on Tuesdays). The student will make a formal case/topic presentation.

Method of student feedback and evaluation: midclerkship feedback, end-of-clerkship feedback, in-the-moment feedback, FOCE, house staff/attending evaluations, Subinternship Director written evaluation

Weiler Hospital (MMC-Wakefield)
Diana Wolfe, MD Rodney Wright, MD

dwolfe@montefiore.org rwright@montefiore.org
718-904-2767 718-920-9647

Modules: 2B – 6B

On the first day report to: If scheduled at Weiler, L&D 4th floor (7 AM) if scheduled at Wakefield L&D 3rd floor (7 AM)

H602W GYN Oncology Subinternship (Weiler Hospital)

This elective will provide an opportunity for the student to participate in the management of gynecologic oncology patients. The student will be exposed to the management of acutely and chronically ill patients with gynecologic malignancies.

Measurable learning objectives:
– Demonstrate technical skills (venous access, thoracentesis, paracentesis, etc)
– Describe pre- and post-operative management gynecologic oncology patients
– Describe basic principles of chemotherapy and radiotherapy
– Present patients in a variety of settings (tumor board, bedside rounds, etc)
– Discuss diagnosis and management of commonly encountered gynecologic oncology conditions

Learning experience:
The student will have exposure to different clinical settings and extensive surgical opportunities in the operating room. The student will be expected to participate in all the educational meetings of the division including tumor board, journal club and case presentations. The student will make a formal presentation at one of these meetings. Didactic and bedside teaching with attendings, fellows and residents occurs on a daily basis. Interested students are encouraged to participate in the ongoing clinical and/or basic research projects. Previous students have published their research in peer reviewed journals and presented their data at national meetings. The student will be an integral part of the gynecologic oncology team and attend Statistics Conference, Departmental Grand Rounds and Resident School (on Tuesdays).

**Visiting Students interested in pursuing a residency spot are given the optional opportunity of taking a weekend call on Labor and Delivery at Weiler Hospital.

Method of student feedback and evaluation: in-the-moment feedback, house staff/attending evaluations, Elective Director written evaluation

Textbook (suggested):
Practical Gynecologic Oncology, 4th edition by Berek and Hacker

Yi-Shin Kuo, MD
dykuo@montefiore.org
Administrative support: Nicole Potenzo, npotenzo@montefiore.org
Maximum: 1
Modules: All

On the first day report to Weiler Hospital, 11 South at 7:30 AM

H603J Benign Gynecology Subinternship (Jacobi Hospital)

The student will be given an in-depth exposure to benign gynecology, gynecologic surgery and the gynecologic aspects of a career in OBGYN. The student will be expected to function on an intern level as an integral member of the team, and to play an active role in the pre-operative, intra-operative and postoperative management of benign gynecological patients. The student will participate in comprehensive patient management, including pre-operative evaluation, Emergency Room consults, admission evaluation, development of diagnostic and therapeutic plans, and subsequent management.

Measurable learning objectives:
– Discuss diagnosis and management of commonly encountered gynecology conditions (fibroids, polyps, endometriosis, urinary incontinence, prolapse, etc)
– Describe indications for common abdominal, vaginal and laparoscopic procedures
– Discuss work up and treatment options for common gynecologic disorders (abnormal vaginal bleeding, pelvic pain, etc)
– Discuss anticipated results and potential complications for various treatments of gynecological disorders
– Demonstrate knowledge of preoperative and post-operative care

Learning Experience:
The student will participate in all gynecology conferences, and will have the opportunity to hone their technical skills (including surgical skills, gynecologic exams, D&Cs, hysteroscopies, fascia and skin closures, gynecology ultrasounds, endometrial biopsies, etc) and will first assist on a variety of major and minimally invasive gynecology procedures. The student will round daily with the team and present to the attending on service. The student will perform complete admission histories and physicals, formulate a differential diagnosis, develop a diagnostic and therapeutic plan and present to the senior resident. The student will be responsible for subsequent management and daily follow-up for each patient assigned. The student will make a formal oral topic presentation to the gynecology residents and attending as well as submit a written case write-up. A typical day is 7 AM – 6 PM Monday thru Friday, plus two weekend day calls covering the gynecology consult service. The student will attend Statistics Conference, Departmental Grand Rounds and Resident School (on Tuesdays).

**Visiting Students interested in pursuing a residency spot are given the optional opportunity of taking a weekend call on Labor and Delivery at Weiler Hospital.

Method of student feedback and evaluation: in-the-moment feedback, house staff/attending evaluations, Elective Director written evaluation

Stephen Li, MD

TBA

Maximum: 1
Modules: All

TBD

H604H Reproductive Endocrinology and Infertility ( Montefiore’s Institute for Reproductive Medicine and Health – located in Hartsdale, New York)

Students will participate in the full breadth and depth of complex reproductive endocrine conditions (such as PCOS, ovarian failure, and congenital adrenal hyperplasia) and infertility disorders (including recurrent pregnancy loss), and get an extensive exposure to all aspects of reproductive endocrinology and infertility, spanning from pediatric/adolescent reproductive abnormalities all the way through menopausal conditions and osteoporosis. Students will have direct interactions with our attending faculty and fellows, and be part of our healthcare team.

Measurable
learning objectives:
– Determine appropriate evaluations of a couple presenting with infertility
– Demonstrate the ability to take a compassionate history of a patient
presenting with infertility, including a sexual history and preconception
screening
– Demonstrate technical skills (such as transvaginal ultrasounds)
– Discuss the major treatment options for infertility, and when these options
are indicated
– Discuss the evaluation and treatment of reproductive endocrine abnormalities
– Describe the evaluation and treatment of menopausal complaints

Learning
experience:
The student will participate in all divisional seminars and conferences, including clinical case reviews. They will be intimately involved in all aspects of fertility treatments, including office evaluations, participation in ultrasound and hormonal monitoring of follicle growth, intrauterine inseminations, oocyte retrievals, embryo transfers and other advanced fertility treatments. The student will be allowed entry into the embryology and andrology laboratories, to witness various procedures, including gamete manipulation and embryo biopsies. The student will participate in and learn to interpret various imaging tests, such as ultrasounds, saline infusion ultrasounds, hysterosalpingograms and bone densitometry (DXA) scans. Opportunities to participate in reproductive surgeries will be available. The student will spend the majority of their time at our Hartsdale office, but also rotate through our Bronx location (near Weiler Hospital) and at Jacobi Medical Center, in order to enrich their experience. Interested students will be able to participate in a research project. The student will make a formal oral topic presentation to the REI division. The student will attend Statistics Conference, Departmental Grand Rounds and Resident School (on Tuesdays).

**Visiting Students interested
in pursuing a residency spot are given the optional opportunity of taking a
weekend call on Labor and Delivery at Weiler Hospital.

Method of
student feedback and evaluation: in-the-moment feedback,
house staff/attending evaluations, Elective Director written evaluation

Staci Pollack, MD
staci.pollack@einstein.yu.edu
Maximum: 1
Modules: All
On the first day report to our Hartsdale location (141 S Central Ave-Suite
201) at 7:30 AM

H605W Maternal Fetal Medicine Elective (Weiler Hospital and CFCC)

Students will join with the perinatal team in diagnosing and managing various complications of pregnancy. Students will gain experience by participating in direct patient care in the Obstetrical ultrasound unit, the Maternal-Fetal Assessment Center, and various high-risk pregnancy programs (such as: the Diabetes in Pregnancy Program and the High Risk pregnancy program at the MMG-CFCC site. The student will have opportunities to also participate in the management of inpatient obstetrical high-risk patients, from admission through delivery, including involvement in daily rounds and all educational conferences.

Measurable learning objectives:
– Describe the assessment of various maternal conditions affecting pregnancy
– Discuss the diagnosis and management of commonly encountered obstetrical problems (such as Preterm Labor, Premature Rupture of Membranes, Preeclampsia, etc)
– Describe fetal monitoring and antepartum fetal testing
– Discuss the utilization of ultrasound in assessing fetal conditions
– Perform a biophysical profile and basic biometric measurement on ultrasound
– Describe prenatal diagnostic procedures (amniocentesis, chorionic villus sampling, fetal blood sampling, etc) and screening tests for aneuploidy (nuchal translucency, etc)
– Present high-risk obstetrical patients in both outpatient and inpatient settings

Learning experience:
As part of the perinatal team, the student will see high-risk patients in various outpatient and inpatient settings, participating in screening, diagnosis and management of maternal and fetal disorders. Significant time will be spent in the Obstetrical ultrasound unit. The student will make a formal oral topic presentation to the MFM team. The student will attend Statistics Conference, Departmental Grand Rounds and Resident School (on Tuesdays).

**Visiting Students interested in pursuing a residency spot are given the optional opportunity of taking a weekend call on Labor and Delivery at Weiler Hospital.

Method of student feedback and evaluation: in-the-moment feedback, house staff/attending evaluations, Elective Director written evaluation

Diana Wolfe, MD
dwolfe@montefiore.org
Maximum: 1
Modules: 2B – 6B
On the first day report to Comprehensive Family Care Center (CFCC), 1621 Eastchester Rd, Bronx-1st floor OBGYN Conference Room at 9 AM

H606G Ultrasound in Obstetrics and Gynecology (Montefiore Medical Park)

The student will be involved with both Obstetrical and Gynecological ultrasound examinations, and will learn diagnostic skills, technical aspects of the examination and management protocols. In addition to routine scanning, the student will be exposed to diverse aspects of fetal medicine, such as prenatal diagnostic invasive testing, management of anomalies and management of complicated cases of multiple gestations and fetal growth restriction. The student will participate in the divisional multidisciplinary meetings including the fetal diagnosis rounds and fetal management meetings.

Measurable learning objectives:
– Discuss the utilization of Obstetrical ultrasound (including the diverse aspects of prenatal diagnosis, prenatal ultrasound, fetal medicine/therapy)
– Discuss the utilization of Gynecologic ultrasound (including uterine and adnexae scan in longitudinal and transverse planes, ovarian cysts, fibroids, endometrial abnormalities)
– Perform basic ultrasound scans
– Present cases in a professional manner
– Describe the technical aspects ultrasound scanning

Learning experience:
The specific student schedule is provided on the first day of the rotation. In the first week the student will accompany the sono-tech to learn the technical aspect of the scan (operating the ultrasound machine and reporting software), routines and protocols. From the second week the student will login patient information, will take relevant patient histories, assist in scanning and reporting. After the scan the student will present the case to the attending and will suggest a management plan. The student will attend Statistics Conference, Departmental Grand Rounds and Resident School (on Tuesdays).

**Visiting Students interested in pursuing a residency spot are given the optional opportunity of taking a weekend call on Labor and Delivery at Weiler Hospital.

Method of student feedback and evaluation: in-the-moment feedback, verbal feedback will be given in mid-rotation and by the end of the rotation, house staff/attending evaluations, Elective Director written evaluation

Textbooks:
Available at the ultrasound unit for use during the rotation

Peer Dar, MD
peerdar@yahoo.com
718- 405-8218
Maximum: 1
Modules: All

Specific instructions on where to report the first day will be sent after enrollment

H607G Reproductive Genetics (Institute for Women’s Health Genetics and Human Reproduction-Montefiore Medical Park)

Reproductive Genetics offers a clinic experience dealing with patients and couples with genetic or genetically-related disorders seen in obstetrical practice and those at risk for hereditary cancer syndromes. This includes couples with a pregnancy with fetal anomalies, problems of infertility, recurrent pregnancy loss, and factors contributing to adverse pregnancy outcomes, as well as patients with recent and remote diagnoses of cancer and/or with family histories of cancer.

Measurable learning objectives:
– Describe the process of providing genetic screening and counseling
– Describe options of prenatal screening and prenatal diagnosis, including amniocentesis and chorionic villus sampling
– Discuss how to provide teratogen counseling, and where to access the information necessary for counseling
– Discuss work-up for couples with reproductive loss
– Discuss various approaches useful in the application of the most current genetic knowledge to reproductive genetics practice

Learning experience:
The student will join the reproductive genetic team of attendings, fellows and genetic counselors, during counseling, ultrasound screening, and prenatal diagnostic procedures. Opportunities will be provided for the student to actively participate in genetic screening and counseling, prenatal diagnostic procedures and teratogen counseling. The student will attend Statistics Conference, Departmental Grand Rounds and Resident School (on Tuesdays).

**Visiting Students interested in pursuing a residency spot are given the optional opportunity of taking a weekend call on Labor and Delivery at Weiler Hospital.

Method of student feedback and evaluation: in-the-moment feedback, house staff/attending evaluations, Elective Director written evaluation

Textbook: (Suggested)
Thompson and Thompson – Genetics in Medicine, 8th edition

Susan Klugman, MD
sklugman@montefiore.org
Maximum: 1
Modules: All, except 2B
Specific instructions on where to report the first day will be sent after enrollment

H608G Family Planning (Weiler Hospital/Montefiore Medical Park)

The student participating in this elective will be part of the family planning team and will contribute to the management of women in our outpatient ambulatory care facility. In addition, the student will also participate in OR cases and inpatient consultations. Clinical exposures include medical and surgical management of abortion and pregnancy failure in the first and second trimester, high-risk contraception consultation and provision of all contraceptive methods, including intrauterine devices, contraceptive implants and transcervical sterilization. Upon completing this rotation, the student should have a comprehensive understanding of the complexities of reproductive decision making, procedural and non-procedural aspects of pregnancy management in the first and second trimester and modern methods of contraception. It is hoped that the student will also learn compassionate, patient-centered and nonjudgmental strategies to communicate with patients about these issues as well.

Measurable learning objectives:
– Discuss the public health impact of unintended pregnancy in the U.S. and abroad
– Discuss medical abortion and pregnancy failure management in the first trimester
– Discuss the full range of contraceptive medications, devices and surgical procedures
– Analyze the family planning medical literature in a critical manner
– Demonstrate clinical skills, including counseling, sonography, preoperative and postoperative management, as they relate to surgical abortion and pregnancy failure management

Learning experience:
The student will participate in the evaluation and management of patients who present for care in the ambulatory setting. They will actively participate in sonography for pregnancy dating. The student will first observe and then actively participate in providing comprehensive contraception counseling. The student will observe and participate in surgical cases at both Weiler Hospital and Jacobi Medical Center, as well as inpatient consultations at Weiler Hospital. Participation in monthly Family Planning Journal Clubs is expected. The student will complete the Family Planning Curriculum, which will be provided the first day of the elective, and will present a formal case/topic presentation to the Family Planning team. The student will attend Statistics Conference, Departmental Grand Rounds and Resident School (on Tuesdays).

**Visiting Students interested in pursuing a residency spot are given the optional opportunity of taking a weekend call on Labor and Delivery at Weiler Hospital.

Method of student feedback and evaluation: in-the-moment feedback, house staff/attending evaluations, Elective Director written evaluation

Nerys Benfield, MD Erika Levi, MD
nbenfiel@montefiore.org elevi@montefiore.org
718-405-8030
Maximum: 1
Modules: All

On the first day report to 1695 Eastchester Rd-Suite 302 at 9 AM

Ophthalmology and Visual Sciences (OPHT)

T502 Clinical Ophthalmology (Montefiore Medical Center – Moses Campus)
Students participate in the daily activities of the Ophthalmology Clinic and attend the regularly scheduled conferences of the department. Students observe major and minor surgical procedures in the Moses, Wakefield, and Westchester Square operating rooms and minor procedure rooms. Students also participate in case conferences with the instructor. Students are welcome to get involved in ongoing research projects in the department if they are interested.

Orthopaedic Surgery (ORTH)

A505 Adult Orthopaedic Surgery (Montefiore North (Wakefield), Hutchinson Metro Center, Jacobi Medical Center)
**Einstein students must contact Courtney Matlach for approval prior to registration**

**VISITING STUDENTS MUST SUBMIT STEP 1 SCORE REPORT ON VSAS**
Visiting student must apply through VSAS using Einstein’s pre-set rotation dates. Once approved for the elective, please contact the orthopaedic department to arrange your preferred rotation dates. Once confirmed with the department, the dates will be updated in VSAS.

The course consists of a four-week rotation on specific orthopaedic services contained within the Department of Orthopaedic Surgery. This rotation offers the 4th year medical student an opportunity to participate in the management of patients with musculoskeletal injury and disease. Rotating students will have a chance to join the orthopaedic team on the ward, in the emergency room, in the operating room, and in the outpatient setting. Students will also participate in the didactic program of the department and the specific service to which they have been assigned. It is the goal of the rotation to have the student gain an overview of and experience in musculoskeletal evaluation and treatment. It is designed for students interested in gaining additional knowledge about orthopaedic surgery and/or students wishing to become orthopaedic surgeons. Students are given the opportunity to spend time at Jacobi where there is more exposure to high energy trauma.

Measurable learning objectives of elective:
• To gain an understanding of the different types of orthopaedic practices and procedures.
• To understand the principles behind the evaluation and treatment of orthopaedic patients.
• To gain operating room exposure and experience.
• To demonstrate the ability to present and give a comprehensive case history presentation and discussion.

Learning experience:
Each student is assigned to a specific orthopaedic team in one of the following services:
• Adult Reconstruction Service
• Sports Medicine & Shoulder Service
• Pediatric Orthopaedic Service
1. The student is an integral member of the team and responsible for rounding on patients and providing clinical care in the emergency room and operating room.
2. The student is required to spend one weekend day/night during the rotation on-call at the Jacobi Hospital Emergency Room. While on-call, the students are expected to assist the junior resident on-call in the evaluation and management of acute orthopaedic injuries.
3. The student is responsible for actively participating in didactic and service-specific conferences. The didactic program consists of weekly conferences and Grand Rounds (Friday), at which time the student should be prepared to answer questions tailored to their abilities and knowledge. Students are given the opportunity to attend basic skills sessions during the rotation.
4. A formal talk will be prepared and presented at the end of the rotation.

Method of student feedback and evaluation:
The students are evaluated by the residents assigned to their service and also by the faculty members with whom they have interacted. They are evaluated based on their performance during the rotation, including knowledge base, ability to work as a team member and interactions with patients and peers. In addition, students are requested to submit an evaluation of the rotation itself prior to the end of the rotation.

Konrad I. Gruson, MD and Evan M. Schwechter, MD
kgruson@montefiore.org and eschwech@montefiore.org
347-577-4412
Contact Person: Courtney Matlach, cmatlach@montefiore.org, 347-577-4410
Maximum: 4
Modules: All
On the first day students report to: TBD based on service to which they are assigned

Otolaryngology (OTOL)

A405 Clinical Clerkship in Otolaryngology (Montefiore Medical Center)
This 4-week rotation is designed for students interested in careers in Family Practice, Medicine, Pediatrics and Otolaryngology- Head and Neck Surgery. Students will obtain skills in the clinical examination and diagnosis of problems in the Head and Neck including otoscopy, nasal endoscopy and laryngoscopy for both adult and pediatric patients. They will learn and participate in the basics of airway management, sinus disease and hearing disorders, cancers of the head and neck as well as general ear, nose and throat anatomy and disease. Students are expected to be an active part of the otolaryngology team, supplement their clinical exposure with reading, and participate in office hours with attendings. Amply opportunity will be created for student to observe or assist with surgical procedures, tailored toeach individual’s interest. The majority of the rotation will be at Montefiore Medical Center with one week spent at the Hutchinson Ambulatory Center, located approximately 5 miles from Montefiore. In addition, students are expected to attend all conferences and give a brief presentation on a topic related to otolaryngology at the end of the rotation.

Mona Gangar, MD
mgangar@montefiore.org
Contact: Ms. Maggie Ayala, marayala@montefiore.org, 718-920-4267
Modules: All
Max: 4
On the first day students report to: Students will get an email prior to the rotation start date with meeting location and time

Pathology (PATH)

M400 Introduction to Anatomic Pathology and Laboratory Medicine (Montefiore Medical Center)
**Einstein students must contact the course directors for approval prior to registration. Once approval has been grantedEinstein students should contact the Registrar’s Office regarding registration dates**
**Visiting Students should submit the visiting student application on VSAS and if accepted into the rotation should email the Office of the Registrar (Registrar@einstein.yu.edu) regarding exact registration dates**

Pediatrics (PEDS)

N203 Neonatal Intensive Care Unit (Jacobi Medical Center)
**Einstein student must contact Dr. Nagourney’s for approval prior to registration**
** NOT OFFERED TO OSTEOPATHIC VISITING STUDENTS**
In this elective, students will be involved in the care of sick or premature newborns in the neonatal intensive care unit. Under attending supervision, the student will participate in all aspects of neonatal care. The students will be responsible for devising and implementing a management plan for each of their patients. They will be responsible for it all patient care issues, including fluid management, ventilatory management and drug therapy in the NICU. In addition, the student will attend high risk deliveries and will participate in delivery room management. Students will make daily rounds with the staff, write progress notes and attend all scheduled conferences. Students are encouraged to take night call on an every fourth night basis. Also, teaching conferences elsewhere in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.

Beth Nagourney, MD
beth.nagourney@nychhc.org
718-918-6655,

Psychiatry and Behavioral Sciences (PSBS)

**EINSTEIN students must contact Ms. Ramonita Reyes-Rosado and the elective the course director for approval prior to registration. Once approval has been received, students must inform the Office of the Registrar for manual registration.**

———————————————————————————————————————-

K531 Addiction Medicine (Montefiore Medical Center)
**Einstein Students must contact Dr. Stein for approval prior to registration**
The Departments of Medicine and Psychiatry & Behavioral Sciences offer this elective in substance abuse to fourth year students. Students will participate in clinical care in both inpatient and outpatient settings and will be responsible for working up and presenting patients to attending physicians. Inpatient experience will be with the Substance Abuse Consultation and Referral Service (SACRS) at Montefiore Medical Center, which consults on hospitalized patients with substance abuse disorders and provides guidance on the management of acute issues, such as withdrawal. Outpatient experiences will include observation and participation in the following settings: outpatient clinics in the Montefiore Division of Substance Abuse, which provide drug treatment services (including pharmacologic treatment of opiate dependence with methadone and buprenorphine), as well as on site medical and psychiatric care; an internist who prescribes buprenorphine at a community clinic; Washington Heights Corner Project, a social service agency which provides medical and social work services based on a harm reduction model; 12 Step Meetings; and the medical service at Riker’s Island, the largest of NYCs jails.

Melissa Stein, MD
mstein@montefiore.org
718-665-7500
Modules: All
Maximum 1 Students
Students must contact the course director for first day meeting time and location

P501 Child and Adolescent Psychiatry (Montefiore Medical Center)
**Einstein students must contact the course directors for approval prior to registration**
The Division of Child and Adolescent Psychiatry offers an elective for Medical Students on the child and adolescent psychiatry consult/liaison service with special emphasis on psychological and psycho-social functioning of children and their families. Interested students will be overseen by faculty in the division of child and adolescent psychiatry in the evaluation of children and adolescents in the pediatrics setting with medical illnesses complicated by co-morbid psychiatric disorders.

Measurable learning objectives of elective: Assessment and treatment planning for children and adolescents with psychiatric disorders. Assessment and consultation in the Pediatric setting of patients with neuropsychiatric issues.

Learning experience: Patient care under
attending supervision on the consultation – liaison service at the children’s
hospital at Montefiore; the Montefiore child and adolescent child psychiatry
outpatient clinic; and the psychiatric emergency service at
Montefiore

Method of student feedback and evaluation: Mid Cycle and end of rotation feedback meeting with site director. Evaluation completed by site director and shared with student at final meeting.

Suggested Textbook:
ISBN: 978-0-7817-6214-4
Title: Lewis’s Child and Adolescent Psychiatry
Edition: Fourth
Author: Andrés Martin, Fred R. Volkmar

Scott Shaffer, MD
sshaffer@montefiore.org
718- 696-3025
Modules: All
Maximum: 1 student
On the first day student must meet at Montefiore Medical Center – 3340 Bainbridge Avenue Bronx, NY 10467 (718) 696-3011

P507 Acute Hospital Psychiatry (Jacobi Medical Center)
**Einstein students must contact Dr. Popiel for approval prior to registration**
Students will join the staff of an active acute term general psychiatric inpatient unit, providing a rich variety of hands-on clinical experience. Students will evaluate and treat patients in crisis, with supervision by faculty, and become active members of an interdisciplinary team. Treatment modalities employed will include individual, group, family, and milieu therapy, relaxation training, and substance abuse therapies. Individual tutorials, case conferences, medical and research and psychopharmacology rounds, and departmental Grand Rounds will enhance students’ learning. Students will experience first-hand how an integrative model of care is applied in a brief inpatient treatment urban setting.

Learning objectives:
-Develop interview skills
-Perform a comprehensive evaluation of a psychiatric inpatient
-Perform a good MSE
-Create a clinically relevant differential diagnosis treatment
-Develop treatment plans and be able to implement them

Learning experience:
9am – 5pm Monday – Friday
-Working with a multidisciplinary team
-Attending morning reports
-Caseload of 6 -8 patients
-Inpatient admissions, evaluations, treatment, discharge planning
-Brief presentation of relevant clinical issues

Method of student feedback and evaluation: Individual supervision; team feedback; observed clinical exams; case write-ups.

Maryann Popiel, MD
maryann.popiel@nychhc.org

Administrative Support: Laura Puschila, Laura.Puschila@nychhc.org, 718-918-6720 or Laura Arroyo laura.arroyo@nychhc.org, 718-918-6521
Modules: All, except 1A
Max: 2
On the first day students report to Jacobi Medical Center – Building #1, Room #9S4 at 10AM

P517 Consultation Liaison Service (Montefiore Medical Center)
**Einstein students must contact the course directors for approval prior to registration**
Student will receive general exposure to psychiatric consultation on the medically ill patient with the opportunity to become acquainted with liaison activities in the general hospital. The student will work under the direct supervision of attendings, fellows, and residents. Students who are interested will also have the opportunity to research how addition patients are cared for in the general medical society and ways to bring greater engagement to this often underserved population. Students who are interested should contact Dr. Howard Forman. After discussion with the student concerning his background and interests, she will arrange elective program.

Maria Gomez, MD
mfgomez@montefiore.org
Howard Forman, MD
hforman@montefiore.org
718-920-4441
Modules: All
Maximum: 1

First day: Students are to meet at Montefiore – Liaison Division Office Klau 1

P520 Emergency Psychiatry (Jacobi Medical Center)
**Einstein students must contact the course directors for approval prior to registration**
The CPE Program offers a one-month elective in the Acute Management of all psychiatric presentations. Diagnostic interviewing skills with an emphasis on generating broad differential diagnoses will be a major focus of this elective. Under direct Attending supervision, the student will have the opportunity to evaluate acute psychiatric patients. The student will interview, formulate the broad differential diagnoses, and initiate a treatment plan.

John Navas, MD
John.Navas@nychhc.org
Stephen Mondia, MD
Stephen.Mondia@nychhc.org
Modules: All
Maximum 1

Students MUST contact the course directors for first day meeting location and time

P526 The molecular genetics of schizophrenia, bipolar disorder and autism (Einstein Campus)
**Einstein and Visiting students MUST contact Dr. Lachman for approval prior to registration. Students must have prior laboratory experience, submit a CV and statement of interest. At least a 2 month commitment is preferred.**
The Lachman lab uses induced pluripotent stem cell (iPSC) technology as a means to understand the molecular basis of schizophrenia, bipolar disorder and autism spectrum disorders (ASD). iPSCs resemble embryonic stem cells in their capacity to differentiate into any cell type, given the correct combination of growth factors and culture conditions. Although originally conceived as a tool for regenerative medicine that bypasses the controversy surrounding the use of embryonic stem cells, iPSCs can also be used for disease modeling. By developing iPSCs from patients with schizophrenia and ASD, patient-specific neurons can be cultivated. We have primarily focused on patients with well-defined deletions involving chromosome 22q11.2, which is the most common genetic variant found in schizophrenia. Neurons derived from these patients and controls are being analyzed using a variety of molecular tools including RNA-seq and ChIP-seq. In addition, we use a gene knockout approach with CRISPR to manipulate schizophrenia and ASD candidate genes in control iPSCs in order to study their effect on neurogenesis. Finally, considering the observation that certain environmental factors play a role in the development of schizophrenia and ASD (maternal immune activation, for example), most likely in the context of underlying genetic variants, neurons derived from iPSCs are being used to study gene x environment interactions.

Herbert Lachman, MD
herb.lachman@einstein.yu.edu

718-430-2428
Modules: All
Maximum: 1 students
Students MUST contact the course director for first day meeting location and time

P528 Emergency Psychiatry (Montefiore Medical Center)
**Einstein students must contact Dr. Jayson for approval prior to registration**
Student will function as a junior attending under the supervision of the regular Psychiatric Observation Suite attending staff. Duties include initial evaluation and treatment of patients presenting to the psychiatric emergency room, participation in case conferences and in any ongoing research projects.

Paul Jayson, MD
pjayson@montefiore.org
718-920-7460
Modules: All
Maximum: 1 student
First day: Psychiatric Observation Suite, Montefiore Medical Center, 8:30AM

P537 Introduction to Geriatric Psychiatry (Montefiore Medical Center)
**Einstein students must contact Dr. Kennedy for approval prior to registration**
Students will participate in the full range of geriatric psychiatry practice including home visits to persons with dementia as well as healthy older adults. Students will also visit a teaching nursing home and perform outpatient evaluations, both in the geriatric psychiatric and medical settings. Additional exposure to legal and ethical issues in geriatric care is also part of the experience. Students will participate in weekly case conferences at each clinical site, attend ongoing lectures and journal clubs in our collaborative care model with the Division of Geriatric Medicine. Students receive individual supervision from faculty and fellows of the Division of Geriatric Psychiatry. A variety of research investigations are also underway offering students the unique opportunity to participate in clinical research.

Textbook(s) information:
ISBN 978-1-4625-1986-6
Cost provided at no cost
Title Geriatric Depression: A Clinical Guide
Edition 1
Author Gary J. Kennedy

Gary J. Kennedy, MD
gkennedy@montefiore.org
718-920-4236
Modules: All
Maximum: 1

Students MUST contact the course director for first day meeting location and time

Students must contact Dr. Gardner for first day meeting location and time

P601 Sub Internship Inpatient Clinical Psychiatry (Wakefield)

Rachel Noone, MD
email: rnoone@montefiore.org
telephone: 718-920-9827
Modules: All

Maximum: 1

Radiation Oncology (RADO)

C504 Radiation Oncology (Montefiore Medical Center)
**Visiting students must upload their USMLE Step I score report to VSAS in order to be considered for this elective**
Of the three principal modalities for treating cancer, Radiation Oncology is probably the most unfamiliar to medical students. During the first week of this four week elective, we introduce the student to the basic technology of radiation: the linear accelerators, the simulators, the treatment planning computers, the lead alloy block cutting photographs. In the following weeks the student rotates on various attendings’ services which feature curative treatment for head and neck cancer, Hodgkin’s Disease, early breast cancer, intracavitary insertions of radioactive isotopes for cervix and endometrial cancer, implants of tumors at various sites, at this in addition to the palliation of more advanced disease. The student accompanies residents on inpatient and outpatient consultations, and participates in the work-ups, treatment planning, supervision of set-ups on the machines, and weekly status checks of patients on treatment. Toward the end of the elective the student is asked to present a half-hour talk on a subject in Radiation Oncology or a related field that he or she has investigated. There are ample opportunities for clinical research in our department. All the student needs to bring is enthusiasm.

Keyur Mehta, MD
kmehta@montefiore.org
718-920-7750
Contact: Mr. Luke Mark, umark@montefiore.org, 718-920-5062
Modules: All
Maximum: 2

First day students meet in Radiation Oncology Department, Yellow Zone, Montefiore Medical Center-Moses Division, 9:00 A.M.

Radiology (RADI)

C400J Diagnostic Radiology (Jacobi Medical Center)
This four week elective in Diagnostic Radiology can be taken any time after the required two week Radiology Clerkship. Its purpose is to familiarize the student with imaging procedures, their important in the diagnostic armamentaria, and with an intelligent approach to order imaging studies and filling out imaging consultation requests in a manner that will aid the radiologist in making as precise a diagnosis as possible. The student will understand the physical consequences to the patient and final impact on society of specific imaging studies. The student will achieve sufficient understand of common imaging studies to be able to engage in a more meaningful dialog with the radiologist consultant. The student will attend didactic lectures specifically for the students and participate procedures will enable the student to understand the stress patients have to endure in these procedures as well as give the student a better three dimensional idea of imaging anatomy. The student will participate in image interpretation in an active manner. The student will be assessed by the attendings and residents with whom they interact, and a quiz may be given at the completion of the elective. In addition, the student may undertake a research project with one of the faculty members. Such a project may require additional time and/or ongoing work after the elective is complete. If suitable, the project may be submitted for publication.

Robert Friedman, MD
Contact: Ms. Cassandra Johnson, 718-918-3612 or 646-796-5359, Cassandra.Johnson@nychhc.org
Modules: All except 1B
Maximum: 6
On the first day students should report to Jacobi Medical Center, Building #1, Room – 4N69

C508 Emergency Radiology (Jacobi Medical Center)
The emergency radiology elective is designed to familiarize the student with all imaging modalities of use in acutely ill patients. This will include the interpretation of emergency room x-ray and CT scans of acutely ill patients. In addition the student will observe all further procedures carried out on the admitted patient as well as attend all radiology conferences. This elective will include about half time with the attending radiologist reviewing studies performed on ER patients, one fourth of the period will be spend with house staff and one forth in conference with radiology residents and attendings. In addition, the student may be asked to research any ongoing projects in emergency radiology.

Robert Friedman, MD
Contact: Ms. Cassandra Johnson, 718-918-3612 or 646-796-5359, Cassandra.Johnson@nychhc.org
Modules: All
Maximum 2
On the first day students should report to Jacobi Medical Center, Building #1, Room – 4N15

C510 Neuroradiology (Montefiore Medical Center)
The Neuroradiology elective consists of daily film review sessions in CT and MR cross sectional imaging in addition to review of neuroradiologic diagnostic and therapeutic special procedures, including myelography, angiography, stroke intervention, endovascular embolization and pain management. Emphasis is placed on head and neck and neuroanatomy in the various imaging modalities, with detailed review of the pertinent vascular anatomy visualized by CTA and MRA. Clinical case material is reviewed daily with the neurology inpatient and consult teams in consideration of differential diagnoses and indications for further diagnostic evaluation, including advanced MR imaging studies. Weekly combined conferences are held with the neurology and neurosurgery clinical services, and there are two training level conferences held weekly. Weekly adult and pediatric neuro and head and neck tumor boards are also covered. Once familiar with imaging anatomy, and clinical indications for procedures, students may observe these procedures under the direct supervision of faculty.

Measurable learning objectives of elective:
– Imaging anatomy of the CNS
– Basic principles of CT, MR imaging
– Indications for common clinical scenarios requiring CNS imaging
– Clinical correlation of imaging findings in the CNS

Learning experience:
– Students participate in cross sectional imaging interpretation , including discussion of indications, findings and differential diagnosis, as well as “next step” management.
– Students are assigned reading pertinent to discussions, with “report back”
– Students are expected to attend daily radiology resident teaching conferences from 8-9 am and 12 30-2 pm in Binswanger Auditorium, unless otherwise engaged in neuro specific activities (tumor boards, etc)

Method of student feedback and evaluation:
AECOM standard evaluation

Jacqueline A Bello, MD, FACR
jbello@montefiore.org
Administrative Support: Amanda Cruz, acruz@montefiore.org
718 920 4030
Maximum: 1-2
Modules: all

On the first day students report to: Binswanger Auditorium at 8 am for general radiology conference; 9 am neuroradiology reading room

C511 Ultrasound Radiology (Montefiore Medical Center/Weiler Hospital)
VISITING STUDENTS MUST UPLOAD A STEP 1 SCORE REPORT IN ORDER TO BE CONSIDERED FOR THIS ELECTIVE
This elective will serve to familiarize the student with Ultrasound scanning techniques and image interpretation. Emphasis will be on acquiring anatomical concepts and an appreciation of how pathology departs from normal. The student will be expected to first observe scanning in the examining room, and then to acquire hands on skill in performing the ultrasound examinations. Approximately half the time will be spent with the attendings and fellows in film interpretation and conferences. Correlation between ultrasound, other imaging modalities, and pathology will be made if it is appropriate. There will also be opportunity for the student to engage in research if desired.

Mordecai Koenigsberg, MD
718-920-5511
mkoenigs@montefiore.org
Modules: All
Maximum: 1
Students must contact Dr. Koenigsberg for meeting time and location.

C512 Multidisciplinary Approach to Breast Cancer: Imaging, Surgery, Oncology, Radiation and Pathology (Jacobi Medical Center)
Offered
by Jessica Rosenblum, MD with faculty in Surgery, Plastic Surgery, Pathology,
Oncology and Radiation Oncology. This elective is designed to introduce
the student to diagnosis and management of breast cancer. Observation and
participation in breast imaging and intervention (mammography, ultrasound, MRI,
and procedures with Drs. Rosenblum/Sanchez) comprise about half of the
elective. The student will rotate, at least once weekly, in Breast Surgery
(in both the operating room and the surgical breast clinic, with Dr. Marie
Ward), Plastic Surgery (with Dr. Ralph Liebling), and in Oncology breast clinic
(Dr. Tarek Elrafei). Several times during the rotation, the student will
have the opportunity to become acquainted with Radiation Oncology (Drs. William
Bodner/Reuven Grossman, Weiler Hospital/Jacobi Medical Center) and with
Pathology (Dr. Nichelle Simmons). Attendance at a weekly
interdepartmental conference provides additional exposure to the interrelationship
of clinical disciplines in patient care.

Jessica Rosenblum, MD
718-918-4592 or 718-918-4633
jessica.rosbenblum@nychhc.org
Marie Ward, MD
wardm5@nychhc.org
Administrative Support: Ms. Cassandra Johnson, 718-918-3612 or 646-796-5359, Cassandra.Johnson@nychhc.org
Modules: 1B, 2B, 3B, 4B, 5B, 6B
Maximum 1 student
On the first day of the elective, the student should meet in Room 3D-42, JMC, Building 6 at 9AM

C513 Interventional Radiology (Weiler Hospital)

**Einstein Students Must Contact Dr. Gohari for approval prior to registration**
This elective module is four weeks. Students will actively participate in clinical case conferences and tumor boards. Students will partake in pre-procedure and clinical appropriateness discussions. The students will be active participants in the procedures, with hands-on exposure. Experience gained in this elective will help the students in understanding and performance of wide spectrum of interventional radiology procedures such as ultrasound guidance for vascular access ( PICC lines and other central vascular access catheters), Ultrasound/ CT/ fluoroscopic guided procedures such as thoracentesis and paracentesis, pulmonary artery thrombectomy/thrombolysis, arterial embolizations.

Measurable learning objectives of elective:
-Acquire knowledge of indications and contraindications for common interventional procedures
-Demonstrate knowledge of arterial and venous anatomy important to interventional radiology
-Perform pre-procedure evaluations for most common procedures
-Apply indications and contra-indications to common procedures

Students will participate in consultation, management and treatment of patients referred to the vascular and Interventional Radiology service.

Students will have the opportunity to assist in interventional procedures.

The rotation starts normally at 8:00 AM, and cases are performed throughout the day into the evening. Students are not required to stay late and work into the evening. Students do not take evening, night or weekend call. Students are normally free to leave after 5:00 PM.

Research is encouraged. Students interested in IR research should contact elective director to delineate a suitable research project and sign up for the research module via the research elective pathway.

Method of student feedback and evaluation:
Students will give a 15 min oral presentation to the Interventional Radiology Team on an Interventional Radiology topic of their choice or a case presentation with relevant literature review of the topic. Assessment will be a written review of the student that will be submitted to the medical school, in accordance with Einstein policy. In addition, a verbal discussion with the student by the course director(s) will take place, at which time the student will be asked for a 360 assessment of the IR service, the student experience and methods to improve the elective. Anonymous student feedback will also be encouraged to be submitted directly to the director of the Einstein Radiology Student Clerkships, in a manner that will truly allow honest feedback.

Textbook information:
ISBN: 978-3-319-17238-5
Cost: $65
Title: Demystifying Interventional Radiology: A Guide for Medical Students
Edition: First
Author: Athreya, Sriharsha
Is this required or suggested? Suggested

Elective director: Arash Gohari, MD
Email: agohari@montefiore.org
Phone #: 718-904-2965
Maximum # of students per module: 1
Modules elective is available: All except 1A
On the first day students report to: Radiology Reading Room W 3009 at 9:00 am

C600 Radiology Subinternship (Montefiore Medical Center)
VISITING STUDENTS MUST UPLOAD A STEP 1 SCORE REPORT IN ORDER TO BE CONSIDERED FOR THIS ELECTIVE
This four week elective in diagnostic radiology can be taken any time after the required two week Radiology clerkship. This elective allows the student access to daily film interpretation in the subspecialty of their choice and, if desired by the student an active part in the procedural aspects of Diagnostic Radiology. Daily morning and afternoon teaching conferences are held. Teaching cases and reading materials supplement the teaching program. All effort will be made to accommodate the student in his/her choice of subspecialty or subspecialties. He/she may participate in general radiological interpretations, conferences and seminars. The student will be assessed by the attending with whom they interact. In addition, they will be required to deliver a 15-minute oral presentation on the radiological manifestations of a topic of their choice. In addition, the student may undertake a research project with one of the faculty members. Such a project may require additional time and/or ongoing work after the elective is complete. If suitable, the project may be submitted for publication.

Learning objectives and experience: depends on student’s concentration

Method of student feedback and evaluation: Written and oral feedback based on performance including oral presentation at end of elective

Marjorie W. Stein, MD
marstein@montefiore.org
Contact: Ms. Lourdes Sicignano, 718-920-4872, lsicigna@montefiore.org
Modules: All except 1B
Max: 3

On the first day report to Gold Zone main floor -radiology administration office, room G133 at 9AM

Plastic and Reconstructive Surgery (PLSU)

A403 Plastic & Reconstructive Surgery (Montefiore Medical Center)
Students will rotate at one of three campuses (Moses, Weiler and Hutchinson
Metro Center) and participate in the full scope of activities associated with the service including: office hours and clinic visits, OR and
hospital ward rounds. They will have exposure to the broad range of activities (both clinical and didactic ) and learn about the full scope and nature of plastic surgical care of patients.

Teresa Benacquista, MD
tbenacqu@montefiore.org
Contact: Ms. Aggie Gustafsson, 718-696-2581, agustafs@montefiore.org
Modules: All
Maximum: 3
Students must call prior to the start of the elective for meeting time and location.

A500 Burn Surgery (Jacobi Medical Center)
**Visiting students are encouraged to contact the course director prior to registration**
The Burn Unit at Jacobi Medical Center is one of the busiest burn units in the state of New York. Founded more than 40 years ago, it admits approximately 200 patients per year and manages 1,400 ambulatory visits annually. The service provides initial lifesaving intervention, critical care, primary and secondary surgical reconstruction, rehabilitation, and outpatient specialty follow up. Burn fellows, plastic and reconstructive surgery residents, general surgery residents and physician assistants staff the burn unit. Functioning essentially as a subintern, the student will fully participate in the care of all burn patients and be assigned specific patients as they are admitted during the elective. He/She will be given responsibility for all phases of clinical management of the burn patient. Detailed care of both critically injured burn patients as well as routine care of less-seriously injured burn patients will be included. He/She will present and discuss patients at daily rounds. The student will participate in weekly didactic activities and conferences presented by house staff and faculty. By scrubbing in the operating room, he/she will develop many skills necessary for the operative treatment of the burn patient. Pre and postoperative care will be offered in an ICU setting, providing the student with a solid foundation in critical care. Moreover, the student will have the opportunity to follow patients in the outpatient setting so as to maintain continuity of care. The student will be closely supervised, but will have increasing responsibility in the day-to-day clinical setting, complementing nursing, physical and occupational therapy, social service, rehabilitation medicine, and other ancillary services. Students will take on site call (complying with 405 regulations and ACGME guidelines) accompanied by a burn fellow and will be responsible for patients admitted during their on-call days in conjunction with other house officers. As the burn service functions under the auspices of the Department of Plastic and Reconstructive Surgery at Jacobi, the student will also gain exposure to plastic and reconstructive surgical patients in the operating room, emergency department, and clinics.

Learning objectives of elective: Learning objectives of the burn elective aspire to achieve Einstein Educational Competencies as follows:
Competency A: Physician as healer
Competency B: Physician as scientist
Competency C: Physician as advocate
Competency D: Physician as educator
Competency E: Physician as colleague
Competency F: Physician as role model
Competency G: Physician as life-long learner

1. Learn burn physiology and nutrition in all types of injuries (thermal, electrical, chemical and inhalation injuries). [Competency A, B, G].
2. Recite the pathologic response to disruption of normal skin anatomy and physiology. [Competency A, B, G].
Outline the principles of immunologic alteration, and bacteriologic pathology of the burn wound. [Competency A, B, G].
3. Learn the immediate care of burn patients and associated wounds. [Competency A, B, G].
4. Discuss the acute and sub-acute options for burn wound coverage and closure. [Competency A, B, G].
5. Discuss essential principles of plastic surgery in approaching burn reconstruction. [Competency A, B, G].
Describe the physical, emotional, and occupational rehabilitation of the burn patient. [Competency A, B, E, F, G].
6. Appreciate the critical mandate to educate communities in burn prevention to ensure patient safety and high quality of care. [Competency C, D, E, F].
7. Appreciate the roles and contributions of the various members of the interdisciplinary team involved in the care of the burn patient in accordance with the principles of system based practice. [Competency E, F].
8. Assimilate the scientific method in evidence based medical practice to improve the care of the burn patient. [Competency A, B, G].

Learning experience:
-Participate in daily morning rounds in the burn unit.
-Participate in daily interdisciplinary rounds in the burn unit.
-Participate in didactic conferences given by house staff and faculty discussing topics on burn care and management.
-Manage critically ill patients in the burn unit under the direct supervision of faculty and senior burn fellows.
-Staff burn and plastics cases in the operating room.
-Staff burn, plastics, and hand clinics.
-Consult in the emergency department and floors along with senior burn fellows and faculty.
-Present cases at burn rounds.
-Consult and interact with other services.
-Take on site call accompanied by a burn fellow in compliance with 405 and ACGME guidelines.

Method of student feedback and evaluation: Students will be evaluated using the standard Albert Einstein College of Medicine evaluation form currently used for 4^th year surgical electives. Evaluation and feedback will come at the end of each two-week period.

Ralph Wm. Liebling, MD
718-918-7000
ralph.liebling@nychhc.org
Contact: Jasmine Morris, morrisj8@nychhc.org

Modules: All
Max: 2 students
On the first day students report to Burn Unit (Jacobi Medical Center, Building #6, Second Floor 2A) at 7AM

Rehabilitation Medicine (REME)

J501 Physical Medicine and Rehabilitation (Montefiore Medical Center/Montefiore Medical Park/Beth Abraham Health Services)

This 4 week elective
will introduce the student to the specialty of Physical Medicine and
Rehabilitation (PMR) in inpatient acute, subacute and long-term care settings
as well as in outpatient venues that span the full spectrum of physiatric
specialty and subspecialty services. The student will have the
opportunity to observe the planning and implementation of both physical
medicine and rehabilitation care, including acute and subacute general rehabilitation,
neuromusculoskeletal care, cardiac rehabilitation, and pediatric
rehabilitation. The student will have opportunities to participate in
diverse subspecialty services including electrodiagnosis, prosthetics,
orthotics, spasticity management, spinal cord injury rehabilitation, wheelchair
and durable medical equipment services, complementary and alternative medicine
care, and interventional pain management.

Students may assist in various
physiatric procedures including joint and soft tissue injections, botulinum
toxin injections, neurolytic blocks, myofascial manual medicine techniques and
ultrasound or fluoroscopic guided procedures. The student will
observe and participate in the interdisciplinary rehabilitation team process
and become familiar with the treatment modalities employed by physical
therapists, occupational therapists and speech and language pathologists. The
roles of music and recreation therapies as well as rehabilitation social
workers and vocational counselors will be addressed. The student
will participate in the PMR residency didactic program, including journal
clubs, lectures and all other educational presentations.

The student will spend one week on
the Wakefield acute inpatient rehabilitation unit to participate in daily work
and teaching rounds, as well as team conferences. The student will spend
one whole week in the outpatient rehabilitation setting, and one week split
between subacute rehabilitation and the outpatient setting. The student
will spend one week in a rehabilitation selective; the student will submit
their choices between Interventional Pain Management, Sports Medicine,
Cardiac Rehab, Women’s Health Rehab and Electrodiagnosis (EMG).

Learning objectives:
1. Understand of role of Physical Medicine and Rehabilitation in different clinical settings
2. Differentiate the role of physiatrists and physical/occupation/speech language therapies
3. Identify common neuromusculoskeletal disorders and their management
4. Appreciate different physiatric interventions

Learning experience:
The elective will be split between inpatient and outpatient rehabilitation. The student will spend one week on the Wakefield acute inpatient rehabilitation unit to participate in daily work and teaching rounds, as well as team conferences. The student will spend one whole week in the outpatient rehabilitation setting, and one week split between subacute rehabilitation and the outpatient setting. The fourth week with consist of a rehabilitation selective; the student will chose between Interventional Pain Management, Sports Medicine, Cardiac Rehab, Women’s Health Rehab and Electrodiagnosis (EMG). Students may assist in various physiatric procedures including joint and soft tissue injections, botulinum toxin injections, neurolytic blocks, myofascial manual medicine techniques and ultrasound or fluoroscopic guided procedures. The student will observe and participate in the interdisciplinary rehabilitation team process and become familiar with the treatment modalities employed by physical therapists, occupational therapists and speech and language pathologists. The roles of music and recreation therapies as well as rehabilitation social workers and vocational counselors will be addressed. The student will participate in the PMR residency didactic program, including journal clubs, lectures and all other educational presentations.

Method of student feedback and evaluation: An end of rotation evaluation will be compiled by the course director through input from the faculty with whom the student has rotated.

Suggested Textbooks:

ISBN-13: 978-0838578537

Cost: $147.24 new, used available from $8.17

Title:Physical Examination of the Spine and Extremities

Edition:1st

Author:Stanley Hoppenfeld

Stephanie Rand, DO
srand@montefiore.org
718-920-2413
Administrative Support: Marivell Viruet, mviruet@montefiore.org, 718-920-2413
Modules: All expect 1B
Maximum: 3 students

First day of elective students should report to Dr. Rand at Rehab Medicine, 150 East 210th Street, Montefiore Medical Center-Moses. Detailed location and time schedule will be provided at or prior to the start of the elective.

J504 Introduction to Physical Medicine and Rehabilitation (Jacobi Medical Center)
A four-week introductory clerkship in PMR to provide exposure to the scope of services provided by the specialty. Students will have the opportunity to rotate in the various inpatient and outpatient settings at both Jacobi and North Central Bronx Hospital. The student will participate in the various clinics that include: Injection clinic, interventional procedures, Musculoskeletal clinics, electrodiagnostics, Back Clinic and orthotics and prosthetics. In addition, the student will be exposed to the inpatient rehab service and the management of an acute stroke patient, from the initial consult, to the admission to the rehab floor, to the team conference to discharge planning. Didactic on Shoulder examination, back examination and the evaluation of a stroke patient.

Core Objectives:
To evaluate the shoulder and the back and determine which patients are appropriate for interventional procedures and the techniques involved in the procedures. To evaluate the stroke patient for their physiatric need, expected functional outcomes and team conference leadership. Residents, fellows, and attendings provide small group interactive didactics, clinical guidance and supervision and daily feedback regarding clinical and presentation skills. At the end of the rotation there is one required 15-minute oral case presentation, based upon a diagnosis seen in the outpatient or inpatient setting.

Learning Goals:
1) To become familiar with the patient populations that physiatrists treat.
2) To understand the unique roles physiatrists play as medical specialists in the care of patients with musculoskeletal disorders
3) To understand the indications for referral of patients to physiatrists.
4) To become proficient in the examination of the shoulder and the back

Michelle Stern, MD
michelle.stern@nychhc.org
718-918-5549
Modules: All
Maximum: 6

Surgery (SURG)

A400 Vascular Surgery (Montefiore Medical Center)
This four week clinical experience is meant to provide an in-depth exposure to vascular medicine and surgery for the medical student who has completed the require Junior year clerkship in general surgery. The student will be an integral part of the vascular surgical service and act as a sub-intern with patient exposure in the hospital through daily rounds and the operating room, and in the office seeing outpatients. Students will participate in vascular surgical procedures, angioplasties, and other newer interventions performed on the service including the management of arterial and venous disease of both the upper and lower extremities. Students will gain a broad experience in caring for patients with lower extremity occlusive disease, carotid Disease, aortic disease and dialysis access. An introduction for the non-invasive vascular laboratory and vascular radiology will also be a part of this elective.

Measurable learning objectives of elective:
– Be able to take a thorough history and physical exam specifically tailored to Vascular Surgery patients
– Gain a basic understanding of non-invasive Vascular Lab imaging
– Begin to interpret other Vascular imaging
– Be able to formulate a differential diagnosis
– Begin to formulate a treatment plan for patients with Vascular disease

Suggested Textbook(s) information:
ISBN: 9781455753048
Cost: $409
Title: Rutherford’s Vascular Surgery
Edition: 9th
Author: Cronenwet & Johnston
ISBN: 9781455746019
Cost: $200
Title: Vascular and Endovascular Surgery, Edition: 8th
Author: Moore

Evan Lipsitz, MD
718-920-2016
elipsitz@montefiore.org
Modules: All
Maximum: 2 students
On the first day students report to MAP 4 at 9:00 am. Students should call the week prior to confirm.

A403 Subinternship in Surgery (Montefiore Medical Center)
**Not offered to International Exchange Students**
The Department of Surgery Subinternship is a 4th year rotation intended for students planning to pursue surgery as a career. This rotation is focused on preparing students for their surgery internship following completion of medical school. During the 4 or 8 week rotation students will function as a PGY-1 on the surgery services at the Montefiore Medical Center divisions of Weiler and Moses. Students can choose between the Weiler and Moses general surgery, trauma surgery and surgical critical care services and may choose to split the rotation into 4 week blocks at two of the three sites depending on particular interests and availability. If the 4 week rotation is selected, students will only rotate on one service. The rotation options are listed below by site and service. During the subinternship students will have an in-depth exposure to the surgery services which will include seeing patients on the in-patient wards, in the emergency room and in the outpatient clinics. Students will participate in operative cases appropriate for the PGY-1 level of experience and will take call overnight on the general surgery or trauma surgery services averaging once weekly during the rotation. As a subintern, students will be called first for patient issues on the inpatient wards and will work closely with the overnight consult resident. Subinterns will be responsible for the primary evaluation of some patients and for presenting these patients to chief residents and attendings. Attendance at surgical morbidity and mortality conference and specialty-specific conferences will also be required

Learning objectives of elective:
The objective of this subinternship is to prepare fourth year students both practically and intellectually for the first year of all surgical residencies. Additional surgery 4th year electives are available to explore the surgical specialties in addition to this subinternship.

Learning experience:
Responsibilities and duties will include seeing consultations and new patients in the inpatient and outpatient setting, participating in operative cases and following patients both pre- and post-operatively. As a subintern students will function at the level of a first year surgery resident and will be the first call for patient issues on their respective service. Attendance at surgical morbidity and mortality conference and specialty-specific conferences will also be required. In-house call will be required on a regular rotation basis (generally once per week) where the student will see consultations from the in-patient wards and the emergency room. Basic technical skills including suturing, abscess drainage, chest tube placement, venipuncture, IV placement, arterial line placement, (assisting with) central line placement (in the SICU) and first and second assisting in the operating room will be taught and practiced throughout the rotation.

Method of student feedback and evaluation:
Students will be evaluated and given feedback at the mid-rotation for formative purposes by the attendings on their rotation using the Einstein form for mid-rotation evaluation. At the completion of the rotation students will be evaluated by the members of the faculty on the services which they rotated and can solicit letters of recommendation for applications to surgery residency programs.

Modules: All, except 4AZ
Maximum: TBD

Sub-Internship Director
General Surgery
Francis B. Baccay, MD
fbaccay@montefiore.org

Once registration is finalized it is absolutely essential that the student MUST contact the Course Director for the sites where they will be rotating at least two weeks prior to the rotation start date to allow for specialty assignment and to complete arrangements of computer access, OR scrubs and ID/pass.

A404 Trauma/Acute Care Surgery and Surgical Critical Care (Jacobi Medical Center)
This is a 4 week elective open to 4th year students interested in surgical critical care and trauma/acute care surgery. During this 4 week elective, the student will get an introduction to the management of the complex critically ill surgical patient or severely injured patient. Students will rotate 2 weeks in the Surgical Intensive Care Unit (SICU), followed by 2 weeks on the busiest trauma service in NYC where they will be involved in the surgical and nonsurgical management of injured patients and emergency general surgery patients. A student can choose up to 3 weeks in the SICU if interested Since most trauma and emergency general surgery admissions happen at night, the sub intern will do at least a week of night float while on the trauma service. Students who have been registered for the elective MUST contact the Administrative Assistant and Course Director at least two weeks prior to the rotation start date to complete arrangements for computer access, ID/pass and when/where to start on first day of rotation.

Melvin Stone, MD
Jacobi SICU Director and Associate Director of Trauma and Surgical Critical Care Services
melvin.stone@nychhc.org
Contact: Ms. Evelyn Ramos, ramose11@nychhc.org, 718-918-5590
Modules: All
Max: 2 students

A604 Transplantation and Hepatobiliary Surgery (Montefiore Medical Center – Moses)
The student will participate in the inpatient and outpatient care of transplantation surgery and hepatobiliary surgery patients. The student’s responsibilities will include:1. Participation in the operating room based upon the student’s technical skills. Activities will include multiple organ harvesting, living related and cadaveric transplantation, non transplant hepatic surgery, as well as dialysis access surgery.2. Patient work-ups with day to day follow-up allowing for continuity of care.3. Attendance at outpatient Hepatobiliary and Transplant clinics where patients will be examined and assessed, and reviewed with residents and attending surgeons.4. Attendance at transplant conferences which include a weekly didactic lecture, team selection committee meetings, and hepatic tumor board. During this rotation the student will take call on a regular rotation and function as a PGY-1. By the end of the rotation it is expected that the student will have a good understanding of all aspects of liver and kidney transplantation, including workup of a prospective candidate, management of immunosuppression, post-operative management of transplant patients, and dynamics of multi-organ donation.

Milan Kinkhabwala, MD
718-920-6659
mkinkhab@montefiore.org
All Modules
Maximum: 1

Urology (UROL)

A501 Adult and Pediatric Urology (Montefiore Medical Center – Moses Campus)
The purpose of the elective is to get exposed to the field of Urologic Surgery. During the elective, the student will function as a sub-intern on the service with direct, supervised patient care. The exposure to the field and our service will also allow for interested students who are considering Urology as a career choice to get exposed to all areas of adult and pediatric Urologic surgery with special emphasis on minimally invasive (robotic and laparoscopic and endourological) and oncologic and reconstructive surgery. The student will have ample opportunity to formulate and arrange for clinical research opportunities with individual faculty members in their areas of subspecilalty interest.

Measurable learning objectives of elective:
Proficiency in assessment of the Urologic patient and diagnostic skills
Procedural proficiency with minor urologic interventions
In-patient care of the acutely ill Urologic patient
The preoperative workup of Urologic patients with clinical follow though in the operating room
The post-operative care
Exposure to independent thinking and clinical research
Exposure to clinical data entry and database research

Suggested Reading: Smith’s Textbook of Urology

Method of student feedback and evaluation: Verbal and written evaluations are provided and reviewed by course director

Melissa Laudano, MD
mlaudano@montefiore.org
Administrative Support: Connie Matos, comatos@montefiore.org, 347-842-1742
Maximum: 3
Modules: All
Students should contact Dr. Laudano 1 week prior to the start of the rotation for meeting location and time. If the proposed rotation dates conflict with your schedule please contact Dr. Laudano or Connie Matos directly.

General Information:

Einstein requires visiting students to follow our set rotation dates
We are unable to respond to inquiries regarding availability of electives or applicationstatus
If a particular elective or rotation date is not posted on the VSAS catalog, it is not beingoffered to visiting students
We are unable to reserve/waitlist spots
Completed applications are registered on a first come, first serve basis
A maximum of 3 electives/12 weeks are allowed
Registration MUST be finalized and confirmed by the Office of the Registrar
Einstein does not provide housing, parking, or meal tickets for electives
A non-refundable $100 registration processing fee must be submitted to the Registrar’soffice 30 days before the elective is set to begin

General Student Eligibility Requirements

(your school must verify this information on VSAS):

Must have up-to-date training in HIPAA, Infection Control, BLS, Mask Fit
Must be in final year of medical school
Must be in good academic standing
Completed required clinical core clerkships by the starting date of the desired elective
Have Passed the USMLE Step I Exam (or the COMLEX Exam)
Completed a pre-matriculated background check
Malpractice insurance through their home medical school ($1 million per claim/$3million Aggregate) **Students who purchase malpractice coverage on their own MUST do so PRIOR to acceptance

Visiting Student Elective Course Descriptions

Class Selections

Classroom Electives

Department of Anatomy & Structural Biology

A100 Human Gross Anatomy

A400 Student as Teacher (Einstein and MMC)

Epidemiology and Population Health (EPID)

F200 Jewish Medical Ethics

F204 Nutrition and the Development of Chronic Disease

F205 Clinical Informatics and Research in Primary Care

F209 Culinary Medicine

Department of Anatomy & Structural Biology

A100 Human Gross Anatomy

Anesthesiology (ANES)

Cardiothoracic Surgery

Dentistry

A404 Introduction to Oral Diseases (Jacobi Medical Center)

Emergency Medicine (EMED)

Epidemiology and Population Health (EPID)

Family and Social Medicine (FMED)

Medicine (MED)

Neurology (NEUR)

Neurosurgery (NEUS)

Obstetrics/Gynecology (OBGY)

Ophthalmology and Visual Sciences (OPHT)

Orthopaedic Surgery (ORTH)

Otolaryngology (OTOL)

Pathology (PATH)

Pediatrics (PEDS)

Psychiatry and Behavioral Sciences (PSBS)

Radiation Oncology (RADO)

Radiology (RADI)

Plastic and Reconstructive Surgery (PLSU)

Rehabilitation Medicine (REME)

Surgery (SURG)

Urology (UROL)

General Information: ​​

General Student Eligibility Requirements

General Information: