Anesthesiology (ANES)

E201 Cardiothoracic Anesthesiology

(Montefiore Medical Center)

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 inpatient 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:
Dr. Jason Adkins , MD
jaadkins@montefiore.org 
718-920-4316
Administrative support:
Beverly Mcgonagle, bmcgonag@montefiore.org
Ms. Debbie Lopez, deblopez@montefiore.org
718-920-4383
Blocks: All
Maximum: 2

 

E501 Sub-Residency in Clinical Anesthesiology

(Montefiore Medical Center)

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
Ms. Debbie Lopez, deblopez@montefiore.org
718-920-4383
Blocks: All
Maximum: 10

 

E502 Basic Transesophageal Echocardiography

(Montefiore Medical Center-Moses)

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 6:30 am 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.

Dr. Jason Adkins , MD
jaadkins@montefiore.org 
718-920-4316
Administrative support:
Beverly Mcgonagle, bmcgonag@montefiore.org
Ms. Debbie Lopez, deblopez@montefiore.org
718-920-4383 or 4308
Maximum: 1
Blocks: All

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

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 7 am 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.

Johnny Tran, MD
jotran@montefiore.org
718-920-8946
Administrative support:
Beverly Mcgonagle, bmcgonag@montefiore.org
Ms. Debbie Lopez, deblopez@montefiore.org
Blocks: All
Maximum: 2 (If more than 2, contact the course director)
An email will be sent detailing where to arrive on the first day.

 

E602 Outpatient Chronic Pain Medicine

(Montefiore Medical Center-Hutchinson Campus)

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 practices. 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 direct 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.
• Understand the different modalities used to treat chronic pain and learn to form a treatment plan involving different modalities, from medications to physical therapy to interventions.
• Learn to identify the rationale for interventional treatment for specific pain conditions
• 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 from different primary specialties. 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 in treatment of pain and discuss basic pharmacology of pain medications including 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 develop an understanding of how a Chronic Outpatient Pain Medicine Service functions at an academic medical center. The rotation schedule will be from 8:30 am to about 4 pm. They also have the opportunity to assist in 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 can 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.

 Amaresh Vydyanathan, MD
avydyana@montefiore.org
917-577-1811
Administrative support:
Beverly Mcgonagle, bmcgonag@montefiore.org
Ms. Debbie Lopez, deblopez@montefiore.org
Blocks: All
Maximum: 1

On the first day student(s) report to: The Hutch metro center, 1250 Waters Place, Bronx, NY 10461 at 8:30 am Please contact the Course Director, Dr. Vydyanathan prior to the start of the elective for specifics before starting the rotation. The Pain clinic is on the 8th floor of Tower 2.

Cardiothoracic Surgery (CARD)

A608 Clinical Cardiothoracic Surgery 

(Montefiore Medical Center – Moses & Weiler)

The Department of Cardiothoracic and Vascular Surgery offers a comprehensive Sub-internship elective in Cardiothoracic Surgery. The sub-intern will be assigned to one of the busy Cardiothoracic services at the Moses Campus and will function as an integral member of the Cardiothoracic team. Students will be exposed to all areas of adult cardiac surgery including arterial surgical revascularization, heart transplantation, lung transplantation, mechanical circulatory support, complex aortic surgery, minimally invasive and robotic heart surgery, valve repair and replacement. Opportunities also exist to rotate on the thoracic service with exposure to VATS and robotic lung resection and esophageal and foregut surgery. The student will be expected to round daily with the team and will learn the critical care management of complex post-operative patients. Daily operating room assignments provide for a robust operative experience. The sub-intern will also have the opportunity to participate on the organ procurement team and the ECMO team.

Objectives:

• History taking skills
  • Obtain a full history with all relevant questions to the preoperative cardiac surgery patient
• Physical examination skills
  • Preoperative physical exam including detailed auscultation skills
  • Postoperative physical exam with focus on parameters necessary to examine after heart or lung surgery
  • Understanding of chest tube management and troubleshooting
• Knowledge/diagnostic skills
  • Basic knowledge of chest x-ray, CT scan, and coronary catheterization interpretation
  • Echocardiogram performance and interpretation
  • Manage and understand the detailed workup required for common post-operative complications
• Procedural skills
  • Understand and be able to perform steps of opening and closing the chest
  • Understand the operative steps of the commonly performed procedures – CABG, valve repair/replacement, lobectomy, esophagectomy
  • Participate in wound care as needed
• Professionalism
  • Prompt arrival each day with participation in rounds
  • Respect for all members of the heart and lung teams
  • Development of appropriate communication skills with both the patients and members of the team
  • Demonstrate honesty and integrity at all times

Learning experience:

•  The student will arrive at 0630 each day and round on preoperative and postoperative cardiothoracic surgery patients
• Attend an operative case from start to finish each day
• See cardiac and thoracic surgery consultations with resident/fellow and PA supervision
•  Comprehensive follow up of operative patients throughout their hospital stay

Method of student feedback and evaluation:

• Students will receive direct feedback during morning rounds and in the operating room
•  Formal feedback session at the completion of the sub-internship
• Written feedback session at the end of the sub-internship

Suggested Text
Title: STS Cardiothoracic Surgery E-book
Edition: https://www.sts.org/online-learning/sts-cardiothoracic-surgery-e-book

Stephen Spindel, MD 
sspindel@montefiore.org
Maximum: 2

On the first day students report to: CSICU at 0630 to the senior resident on the service

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)

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 at the Moses and Weiler Campuses. 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, and ultrasound. Additionally, there will be hyperbaric related site visit with an associated lecture. This rotation is valuable and educational to students interested in all fields, but particularly to those applying to Emergency Medicine. There will be an 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 & Yadell Tavarez, tavarezy2@nychhc.org
Blocks: 6-10
Maximum: 12-16

PLEASE NOTE: Students are required to contact the department six weeks in advance for onboarding. 

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.

Family and Social Medicine (FMED)

 

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

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

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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 that is not LCME-accredited, MUST contact the Einstein Office of the Registrar Einstein-MDRegistrar@einsteinmed.edu at 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 the 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@einsteinmed.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 Einstein-MDRegistrar@einsteinmed.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

FM529 Global Health in Guatemala

(Montefiore)

FM531 Care of Latino Patients and Communities

(Family Health Center (FHC)-Montefiore Medical Center)

HEALTH CARE SYSTEMS

FM524 ECHO Free Clinic Longitudinal Outreach

(Einstein / Institute for Family Health)

INPATIENT FAMILY MEDICINE

FM510 Family Medicine Inpatient Service

(Montefiore)

PALLIATIVE CARE

FM528 Palliative Care

(Montefiore)

REPRODUCTIVE HEALTH

FM501 Reproductive Health

(Montefiore)

SOCIAL MEDICINE

FM520 – Health, Medicine, and Social Justice

(Montefiore)

FM532 – Social Justice in Medicine: Physician as Advocate

(BHC)

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; visiting students must contact Dr. Gold  prior to  applying via VSLO**

Applications are approved on a first-come-first serve basis. Applications must be received by Sept 10.

Clinical and reading elective focused on the provision of respectful and non-coercive patient-centered sexual and reproductive health care in the family medicine setting, using a reproductive justice and anti-racist framework. The elective is tailored to each student’s needs, interests, and experience.

Measurable learning objectives of elective:

On completion of this elective, students will be able to:

1. Describe strategies to integrate full-spectrum sexual and reproductive health care into routine family medicine practice
2. Demonstrate patient-centered contraceptive and abortion counseling
3. Apply a reproductive justice framework to sexual and reproductive health care

Learning experience:

The month will include clinical care with supervision, reading articles that cover clinical topics as well as the history of racism and oppression in sexual and reproductive health care, and reflection on experience/learning after each clinical session and reading assignments.

Method of student feedback and evaluation: written and oral

Marji Gold, MD
marji.gold@einsteinmed.edu
718-920-4678
Blocks: All
Maximum: 1

Students need to contact Marji Gold at least one week prior to the rotation to clarify where to report on the first day.

FM506 Preceptorship in Wound Healing

(Montefiore Medical Center)

**Elective on pause for the Fall 2023, tentative for the Spring 2024. Visiting students must contact TBD 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, students 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 student’s 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.

TBD
718-920-4678
Maximum: 1
Blocks: All

Students should contact TBD 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 Acting 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 on a patient admitted to the Family Medicine inpatient service.
• Perform a complete and relevant physical exam on an adult patient admitted to the Family Medicine inpatient service.
• Demonstrate clinical decision-making and problem-solving skills (e.g., prioritize urgent problems, recognize changes in patient status, utilize specialty consults, and adjust level of care).
• Formulate a rational differential diagnosis for the presenting clinical symptoms based on history, physical exam, and diagnostic testing.
• Formulate patient-centered treatment and management plans that integrate bio-psychosocial considerations and respect patient’s preferences
• Demonstrate appropriate time management skills (e.g.  prioritize and complete tasks on-time).
• Interpret and apply the results of routine labs and diagnostic tests
• Formulate a patient and family-centered discharge plan encompassing longitudinal care, recognition of financial and insurance constraints, and other structural barriers to care.
• Integrate patient-specific preventative and screening recommendations into management plans and health education counseling.
• Communicate the rationale, risks, and benefits for procedures/treatments in clear, simple language to the patient and family (e.g., informed consent for procedures, treatment options).
• Document all appropriate information clearly in the patient record.
• Deliver an accurate and well-organized case presentation.
• Communicate all relevant information at end of day and end of service coverage to appropriate members of the health care team (including outpatient primary care provider) and ancillary staff to ensure the continuous and optimum care of the patient.
• Exhibit sensitive, reliable, and respectful behavior in interactions with patients, families, and colleagues.
• Develop life-long, self-directed learning skills to appraise and apply evidence-based information to health problems encountered in the clinical setting.
• Compose patient-centered and clinically appropriate orders and prescriptions.

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. Acting 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). Acting interns will participate in the team’s call schedule. There is 1 week of overnight shifts. 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 contributes to the final evaluation.

Maria Teresa Santos, MD
maria.santos@einsteinmed.edu
Purnima Garg, MD
pgarg@montefiore.org
718-430-2900 (2757)
Administrative support: Ms. Adriana Nieto
Adriana.nieto@einsteinmed.edu
718-430-2213
Maximum: 1
Blocks: All except Block 10 (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 7 AM.

 

FM528 Palliative Care

(Montefiore Medical Center)

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 the 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- starting in our office at 830 AM
•  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

Textbook Information:

The available resources for online training;

• CAPC self-learning modules: www.Capc.org   (preferred) AECOM students can create a user account while rotating with us. The students can use this link www.capc.org/accounts/register-member/1C9B81E462/  to create user accounts.  The students will be able to receive certificates upon completion of each module.

• MJHS Palliative Institute: Online webinar are available in wide range of topics in Hospice and Palliative Medicine  at  https://www.mjhspalliativeinstitute.org/e-learning/?w=evidencebased-advocacy-for-the-hospice-and-palliative-care-clinician-11756
• ACC American College of Cardiology also offers free courses in palliative medicine and communication skills  at   https://www.acc.org/Membership/Sections-and-Councils/Geriatric-Cardiology-Section/Section-Updates/2022/11/07/22/12/Access-Free-Palliative-Care-Education

Tina Wexler, MD
twexler@montefiore.org
718-920-6378
Christina Tamsukhin, MD
ptamsukhin@montefiore.org
Administrative support: Richard Ventura, riventur@montefiore.org
Maximum: 2
Blocks: All

On the first day students report to Palliative consult team or NW7 Palliative unit at Moses Hospital 111 East 210th street Bronx NY 10467.

Location of elective: 3347 Steuben Ave Bronx, NY 10467 at 8:30 am

 

FM531 Care of Latino Patients and Communities

(Family Health Center (FHC)-Montefiore Medical Center)

The Department of Family and Social Medicine/Albert Einstein College of Medicine is committed to providing culturally competent care to underserved communities. This advanced elective offers 4th-year medical students the opportunity to serve and learn about the Latino patient and population within the Bronx in an outpatient setting. This elective will provide exposure to a wide range of unique aspects of the care of Latino patients and communities including clinical and social determinants of health. The student(s) will also gain knowledge and skills with particular emphasis on the patient-doctor interactions, clinical diagnosis, management, and community partnerships and resources. In addition, the student will have the opportunity to refine their
cultural and communication (e.g. Medical Spanish) competencies. The rotation will take place at the Family Health Center (FHC), an academic family medicine federally qualified health center (FQHC) that offers a range of clinical care models including but not limited to Centering Pregnancy, HIV care, Teen health, group medical visits, among others. FHC serves Latino communities from Central America (Honduras, El Salvador, Nicaragua, Guatemala, Panama), the Caribbean (mainly Puerto Rican and the Dominican Republic), and Mexico.

One important and required component of this rotation is that the student will engage in scholarly activities that focus on addressing issues affecting the care of Latino patients and communities including healthcare disparities, barriers to access to healthcare, immigrant populations, and medically underserved communities. The students can tailor their clinical experience and scholarly project to their interests.

Objectives:

By the completion of the elective the student(s)… 

• will be able describe and explain the social determinants of health and barriers for access to care for Latino patients. 
• can recognize the diversity of Latino culture and communities. 
• will be able to recognized the impact of socio-cultural factors (e.g., of religion, family units and dynamics, alternative medicine, food) in the health of Latino patients  
• will recognize specific aspects and dynamic of the patient-doctor interactions that might be unique to the care of Latino patients  
• will produce a scholarly project focused on health issues affecting Latino communities 
• will be familiar with community resources available to patients.  

Requirement: 
Advanced Spanish language proficiency

Method of student feedback and evaluation: 

Medical students will receive formal in-person feedback on a weekly basis. Their overall performance will be based on the level of participation and engagement in course activities and scholarly work project progress or completion.

Dr. Juan Robles
jrobles@montefiore.org
917-696-3091
Block: 7
Maximum: 3

On the first day students report to: August 14, 2023 (location) at The Family Health Center, Montefiore Medical Center, 1 Fordham Plaza, Bronx, NY at 8.30 am.

 

 

FMED FM532 – Social Justice in Medicine: Physician as Advocate

(BHC-Bronx Health Collective)

The Bronx Health Collective (BHC) Physician as Advocate elective offers a four-week hybrid clinical and didactic elective for fourth-year students who have an interest in working with marginalized communities, learning about and becoming involved in social justice movements within and related to medicine, and strengthening their ability to be a physician advocate. BHC is a Federally Qualified Health Center (FQHC) that provides high quality care to different marginalized communities – including families experiencing homelessness, immigrants seeking asylum through Terra Firma, LGBTQ+ patients (including patients seeking gender affirming care), and marginalized patients seeking full spectrum reproductive and sexual healthcare (including medical abortions). Additionally, time will be dedicated throughout the rotation for readings, podcasts, and videos providing historical context and current best practices in caring for marginalized communities.

The goals of the elective are to:

1. Provide fourth year students with opportunities to learn about and gain experience working with marginalized communities in New York City through a health equity and social justice lens
2. Empower students with the tools to be physician-advocates including collaborating with local community based organizations
3. Enhance Einstein’s anti-racism, health equity, and community based-service learning curriculum

Measurable learning objectives of the elective include:

1. Identifying the impact of different levels of racism (interpersonal, institutional, systemic) as barriers for marginalized communities in achieving health equity
2. Listing 3 ways housing can serve as healthcare for unhoused families
3. Defining reproductive justice and discuss the historical context for today’s reproductive justice movement
4. Completing a basic assessment of a patient experiencing homelessness, including relevant health screeners, labs, vaccinations, and trauma-informed social history
5. Completing a basic, trauma-informed assessment of a patient who recently immigrated to the US, including relevant mental and physical health screeners, labs, vaccinations, and migration history
6. Writing one medical affidavit to support patients seeking asylum in the United States or medical advocacy letter for immigrant in detention

Activities (subject to change):

1. 2 clinical shifts at HOME Mobile Outreach Unit (mobile medical van)
2. 2 clinical shifts at Bronx Health Collective clinic sites
3. 1 clinical shift focused on medical-legal-mental health partnership via Terra Firma
4. Read, watch, and listen to suggested articles, videos, and podcasts about elective themes
5. Weekly didactic sessions
6. Experiential learning activities (ex: attending family court, writing medical advocacy letter)
7. Attend 1 South Bronx Health Community Leaders meeting
8. Complete 2 reflective narrative exercises (pre and post elective reflections)\

Method of student feedback and evaluation: 

Each student will work directly with Dr. Qadeer, Dr. Miranda, and Dr. Seehra and receive verbal feedback on their communication skills, physical exam skills, and ability to develop relevant differentials and treatment plans for patients of different backgrounds. They will also receive feedback on their ability to lead culturally aware, trauma informed interviews with patients, which will be largely informed by supplemental didactics, readings, podcasts, and videos. During didactic sessions, students will also receive weekly feedback and can provide feedback about the rotation, as well.

Dr. Rubayat “Ricky” Qadeer, rqadeer@montefiore.org (director)

Dr. Carolina Miranda, carmiran@montefiore.org (co-director)

Dr. Amrita Seehra, aseehra@montefiore.org (co-director)

Phone: 516-941-7079
Maximum: 1
Blocks: AII

Please contact Dr. Qadeer for details on where to meet on first day.

Medicine (MED)

 

 

 

 

 

K539 Geriatrics

(Montefiore Medical Center – Moses)

*Einstein Students must contact Dr. Michael Bogaisky at mbogaisk@montefiore.org for approval prior to registration*

The purpose of this elective is to provide an introduction to the principles of geriatric medicine including broad exposure to the clinical issues that face older adults including Medication Management, Cognitive and Behavioral Disorders, Self-Care Capacity, Falls-Balance-Gait Disorders, Health Care Planning and Promotion, Atypical Presentation of Disease, Palliative Care, and Hospital Care of Elders.

Learning Objectives:
Upon completion of the 4-week Geriatrics elective, the student should be able to:
1. Identify medications, including anticholinergic, psychoactive, anticoagulant, analgesic, hypoglycemic, and cardiovascular drugs that should be avoided or used with caution in older adults and explain the problems associated with each.
2. Differentiate among the clinical presentations of delirium, dementia, and depression, and create appropriate patient-centered treatment plans.
3. Perform and interpret a cognitive assessment in older patients for whom there are concerns regarding memory or function.
4. Assess and describe baseline and current functional abilities (instrumental activities of daily living, activities of daily living, and special senses) in an older patient by collecting historical data from multiple sources and performing a confirmatory physical examination.
5. Ask all patients 65 y.o., or their caregivers, about falls in the last year, watch the patient rise from a chair and walk (or transfer), then record and interpret the findings.
6. Define and differentiate among types of code status, health care proxies, and advanced directives
7. Identify the psychological, social, and spiritual needs of patients with advanced illness and link these identified needs with the appropriate interdisciplinary team members.
8. Identify potential hazards of hospitalization for all older adult patients (including immobility, delirium, medication side effects, malnutrition, pressure ulcers, procedures, peri and post- operative periods, and hospital acquired infections).
9. Gain knowledge in and begin to learn to assess and manage common diseases and syndromes in geriatrics. These include but are not limited to Depression, Dementia, Delirium, Falls, Incontinence, Osteoporosis, Pressure Ulcers, and Pain.
10. Discuss the unique aspects of care for the Geriatric patient as it pertains to healthcare finance, community resources, and transitions of care.

Learning Experience:
Students participate in patient care on the inpatient, outpatient, home care, and nursing home setting

Students will see patients independently on the inpatient and outpatient settings and present directly to the attending and or fellow on the team. Both immediate and delayed feedback is provided.

At the nursing home, students will work with fellows and attendings to follow-up on overnight events, admit new patients, discharge patients, and perform monthly evaluations of nursing home residents.

Students will participate in home visits (when available) with an attending or fellow.

Additionally, students are expected to complete a rotation check-list demonstrating completion of specific patient assessments (i.e. perform and interpret a Mini-Cog Test, Fall Risk Screen, Geriatric Depression Scale and Confusion Assessment Method Screen), and patient experiences (i.e. discuss establishing a health care proxy with a patient,
develop a management plan for a patient with impairments in ADL’s) and an understanding of key Geriatrics content.

Method of student feedback and evaluation: Students will be graded with either Honors, High Pass, Pass, Low Pass or Fail. There is no shelf exam or final exam.

• Feedback is elicited from both faculty and non-faculty preceptors who were involved in teaching during the rotation. All are encouraged to complete the Einstein Clinical Performance evaluation form if they have worked with the student for more than one session. Preceptors with limited exposure to the students are encouraged to forward comments regarding the student’s clinical performance.

• The grading rubric for the elective is: 100% of the grade is determined by faculty, fellow, and/or resident completion of the Einstein Clinical performance evaluation form with the elective director/s reviewing all submitted forms to arrive at the final grade. Student Professionalism is also assessed on the rotation and students who demonstrate unprofessional behavior, regardless of evaluation performance, many receive an elective grade of fail.

Michael Bogaisky, MD
mbogaisk@montefiore.org
Alice Guo, MD
aguo@montefiore.org
718-920-6722
Blocks: All
Maximum: 2

On the first day students report to 3411 Wayne Avenue, 2nd Floor, Geriatrics Division at 9 AM and contact Velona Duncan.

 

 

K602 Critical Care Medicine

(Montefiore Medical Center – Nyack Hospital)

*Einstein Students must contact Allette Bastein for approval prior to registration*

This elective will allow the student to participate in the evaluation and management of critically ill patients at Montefiore Nyack hospital intensive care unit. This rotation will give the student the opportunity to deepen their understanding of Critical Care medicine.

The student will work closely with the intensivist and will spend time between the medical intensive care unit and the surgical intensive care unit.

The student will participate in daily multidisciplinary rounds and have the opportunity to present during rounds.

The student will be assigned two patients to follow and present during daily multidisciplinary rounds. They will have the opportunity to observe different ICU procedures and to respond with the intensivist to different emergencies in the intensive care unit and across the hospital.

Measurable learning objectives of elective:

The objectives include:

To gain experience ln obtaining a history, performing a clinical exam, and developing a treatment pian for critically ill patients.

To teach students the skills and the approach to manage critically ill patients.

To make students familiar with the diagnostic and therapeutic modalities applicable to patients with critical illness.

To teach the students the skills needed to make decisions in case of an emergency.

To enable the student to formulate a problem list and a diagnostic and management pian for patients in ICU.

Learning experience (Describe student activities, responsibilities, and schedule): 

• Ventilator management
• ABG interpretation
• Shock management, Sepsis Management, Management of different electrolytes abnormalities, GI bleed management, Acute renal failure management, approach to multiorgan failure, end of life discussions and many more topics related to ICU care.
• CXR and CT scans interpretation
• Observe ICU procedures.

Schedule: Mon to Fri 8 am to 5 pm

Responsibilities-two patients per day, assigned by intensivist, medical student to obtain history from patient/ family/ nurse, perform a physical exam, review labs and imaging and present the patients at multidisciplinary rounds.

Method of student feedback and evaluation: Clinical performance evaluation

Textbook(s) information: Suggested
Title: Critical Care Medicine, principles of diagnosis and management in the adults
Author: Joseph E. Parrillo, R. Phillip Dellinger Cardiac Intensive care, David L Brown. 

Elective director: Besher Kabak, MD
Email: bkabak@montefiore.org
Phone: 845-825-0057/ 201-563-4965
Administrative support: Allette Bastein, albastien@montefiorenyack.org
Maximum: 2
Modules: All

On the first day students report to: MONTEFIORE NYACK HOSPITAL- MICU-3rd floor- 8 am and contact the intensivist at 845-825-1964.

 

 

Neurology (NEUR)

 

R501 Pediatric Neurology

(Children’s Hospital at Montefiore/Jacobi Medical Center)

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 are expected to give a short 10-minute presentation on an interesting diagnosis during their last week of the rotation.

Students will receive formal feedback at the end of the rotation. Evaluation will be complied by the supervising physician.

Textbook information:

Pediatric Neurology: Clinical Assessment and Management 1st Edition By E. Steve Roach, MD

Nagma Dalvi , MD
732-672-5363 (cell)
718-920-4378 (office)
ndalvi@montefiore.org
Daniel N. Lax, MD
dalax@montefiore.org
Administrative staff: Jacqueline Ravelo, jacqueline.ravelo@einsteinmed.edu
Blocks: All
Maximum: 1

On first day students report to Children’s Hospital at Montefiore 10th floor (PICU) in the conference room at 9 AM and page pediatric neurology at 917-457-7461.

 

R502 Advanced Neurology

(Montefiore Medical Center)

This elective is offered to fourth-year medical students seeking more extensive exposure to neurology. The experience will be individualized by the course director to suit the interests of each student and allow for exposure to several neurology subspecialty clinics, including dementia, movement disorders, multiple sclerosis, epilepsy, headache, neuromuscular disease, and/or inpatient services including stroke, consult, epilepsy monitoring unit, and neurological intensive care unit.. This will be integrated with review of literature and a brief presentation on a topic of the student’s choice.

Learning objectives:

• Learn about common neurological diseases and treatments through exposure to outpatient clinics and/or inpatient services
• Perform a competent neurological examination in a reasonable amount of time
• Review new and landmark neurology literature relevant to student’s interests

Learning Experience:

• Rotate with different neurology attendings and trainees
• Present a brief presentation the neurology-focused topic of the student’s choice

Method of Student Feedback and Evaluation:

1. Observation by Neurology attendings and residents
2. Oral presentation

Lauren Gluck, MD
lgluck@montefiore.org
516-532-6191
Blocks: All except 9 (or whichever is Christmas/New Years)
Maximum: 2 students per block

On the first day students report to: The Hutch Tower 2, 1250 Waters Place, 8th Floor at 8:30 am

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. Student’s 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. Students 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.

Neil Haranhalli, MD
nharanha@montefiore.org
718-920-8056
Administrative support: Katherine Ramirez,katramir@montefiore.org, 718-920-4216
Blocks: All
Maximum: 4

Please contact either Dr. Haranhalli or Katherine Ramirez (Program Manager; katramir@montefiore.org) one week prior to you rotation for initial instructions. On the day before your rotation starts, please contact the Chief Residents or page the neurosurgery resident-on-call at (917) 956-6986 for specifics on when/where to meet for rounds on the first day.

s on where to meet for rounds on the first day.

Obstetrics/Gynecology (OBGY)

Department of Obstetrics/Gynecology & Women’s Health

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

Visiting Students:

Visiting student applications are only accepted after a dedicated time period for Einstein students to enroll and is via VSLO. Applications for visiting students will be reviewed on a rolling basis based on materials submitted. Please include a short essay on why you want to come to Montefiore Einstein for an OBGYN elective, maximum 200 words.

_______________________________________________________________________________________

H601 Obstetrics Subinternship at Weiler Hospital

**this is the same experience as the OBGYN Acting Internship for Einstein students**

Students participating in this acting internship 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 and Postpartum units. The student will participate in the management of in-patient obstetrical and high-risk patients, from admission through delivery and post partum. 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 like 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 most 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:
Mid-clerkship feedback, end-of-clerkship feedback, in-the-moment feedback, FOCE, house staff/attending evaluations, acting internship director written evaluation

Locations, Course Directors, and Administrative Support:

Diana Wolfe, MD                                                                      Rodney Wright, MD
dwolfe@montefiore.org                                                         rwright@montefiore.org
718-904-2767                                                                          718-920-9647
Administrative Assistant (for Dr. Wolfe):                  Administrative Assistant (for Dr. Wright)
Denise Mabry                                                                     Denira Cruz
dmbry@montefiore.org                                                    dencruz@montefiore.org
718-430-2586                                                                     718-920-9647

Blocks: 2-3, 7-15
Maximum: 2

Report to on day one: at Weiler: L&D 6th floor, 7 AM 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

Sara Isani, MD
sisani@montefiore.org
718-405-8082
Blocks: 2-3, 7-15
Maximum: 1

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

 

H603J Benign Gynecology Subinternship

(Jacobi Hospital)

** NOT OFFERED FOR 2024 – 2025 ACADEMIC YEAR**

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

TBD
Administrative Assistant: Denise Mendoza
Denise.Mendoza@nychhc.org
718-918-6310
Blocks: 2-15
Maximum: 1
On the first day report to: TBD

 

H605W Maternal-Fetal Medicine Elective

(Weiler Hospital and CFCC)

Students will join the perinatal team in diagnosing and managing various Maternal and Fetal complications of pregnancy during their inpatient portion of the rotation. Students will gain experience by participating in direct patient care in multiple settings including the Obstetrical ultrasound unit, the Maternal-Fetal Assessment Center, and various high-risk pregnancy programs such as: the Diabetes in Pregnancy Program, HIV in Pregnancy Specialty Office, and the Cardio Obstetric Program. 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
917-502-1637
Administrative Assistant: Denise Mabry
dmbry@montefiore.org
718-430-2586
Blocks: 2-3, 7-15
Maximum: 1

On the first day report to 1825 Eastchester Road, 6 South, Antepartum Service, 6:30 am.

 

H607G Reproductive and Medical Genetics

(Montefiore Medical Park)

Reproductive and Medical Genetics offers a clinical experience in genetic counseling, screening and testing during the prenatal, preconception, and postnatal period. You will gain experience in risk assessment for hereditary cancer syndromes for patients who have a personal or family history of cancer. This includes patients who are seen for routine aneuploidy and carrier screening, pregnancies with fetal anomalies identified on ultrasound, patients who have teratogenic exposures, recurrent pregnancy loss, family history of a genetic disorder, or at risk to have a baby with a genetic disorder.

Measurable learning objectives:

• Describe the process of providing genetic screening and counseling and important concepts related to genetic 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
• Understand risk assessment for hereditary cancer syndromes as well as possible results after genetic testing

Learning experience:
The student will join the reproductive and medical genetics 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, and to observe prenatal diagnostic procedures and teratogen counseling. The student will attend Statistics Conference, Departmental Grand Rounds and Resident School (on Tuesdays). In addition, the student will join Fetal Diagnosis Rounds (FDR) every 2nd and 4th Tuesday as well as Combined Genetics Case Conference every Friday afternoon at 3pm.

**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

Sara Rabin-Havt, MD
sschonfe@montefiore.org
1695 Eastchester Rd. Suite 301
Bronx, NY 10461
718-405-8150
Maximum: 1
Blocks: 2-15

Specific instructions on where to report the first day will be sent after enrollment – please email Dr. Rabin-Havt (sschonfe@montefiore.org)

 

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

Textbook: (Suggested):
ISBN: 978-1732055605
Cost: 100$
Title: Contraceptive Technology
Edition: 21st
Author: James Trussel

Wendy Leung, MD
wleung@montefiore.org
Blocks: 2-15
Maximum: 1

On the first day report to 1695 Eastchester Rd-Suite 306 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 Hutchinson Tower operating rooms and minor procedure rooms. Students also participate in case conferences and review surgical videos with the instructor. Participants are encouraged to participate in patient care with resident and attending faculty supervision.

Measurable learning objectives of elective:
– To become facile with the basic eye exam
– To learn how to use the direct and indirect ophthalmoscope and the slit lamp biomicroscope
– To understand how systemic disease affects the eye
– To gain exposure to the field of ophthalmology as a potential career

Method of student feedback and evaluation: Students participate in case conferences with immediate feedback from the preceptor.

Please note: Visiting student applications or requests must be made to the Einstein Registrar’s Office through AAMC VSLO program.

Richard P. Gibralter, MD
rgibralter@montefiore.org
718-920-7646
Administrative support:
Margaret Kealy
mkealy@montefiore.org
718-920-7646
Maximum: No visiting students in block 1. Blocks 1-9, 4 students & Blocks 8-14, 2 student.

Students must contact Margaret Kealy for meeting time and location 2 weeks prior to the start date.

Orthopaedic Surgery (ORTH)

 

Visiting students must apply through VSLO using Einstein’s pre-set rotation dates. Once you’ve submitted your application for the elective, please contact Courtney Matlach at cmatlach@montefiore.org to make any requests to change your preferred rotation dates.

**Einstein students must contact Courtney Matlach for approval prior to registration** 

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 1-2 specific orthopaedic teams in the following services:

• Adult Reconstruction Service
• Sports Medicine Service
• Shoulder & Elbow Service
• Pediatric Orthopaedic Service
• Foot & Ankle 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 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, at which time the student should be prepared to answer questions tailored to their abilities and knowledge.
   4. Students will be required to prepare and present a formal talk at the end of the rotation.

Method of student feedback and evaluation:
The students are evaluated by the residents and faculty with whom they have interacted with on their assigned service. 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.

Course Director: Konrad I. Gruson, MD kgruson@montefiore.org
Program Administrator: Courtney Matlach, cmatlach@montefiore.org , 347-577-4410
Maximum: 4
Blocks: 4-9

On the first day students report to: Students will report to the Hutch Campus for an orientation meeting and then will report to their assigned service.

Otolaryngology (OTOL)

A405 Clinical Clerkship in Otolaryngology

(Montefiore Medical Center: Moses, Hutchinson Metro 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 to each individual’s interest. The rotation will be split between Montefiore Medical Center and the Hutchinson Ambulatory Center (located approximately 5 miles from Montefiore near the Einstein campus), with two weeks at each site. 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.

Method of student feedback and evaluation: Real-time feedback, school evaluation form

Suggested Textbook:
ISBN: 9780323733571
Cost: approx $50
Title: ENT secrets
Edition: 5th
Author: Scholes, Ramakrishnan

Mona Gangar, MD
mgangar@montefiore.org
Contact: Ms. Maggie Ayala, marayala@montefiore.org, 718-920-4267
Blocks: All, expect 10 & 11
Maximum: 4

On the first day students report to: Students will get an email prior to the rotation start date with meeting location and time

Department of Pathology

Department of Pediatrics

 

N213 The CHAM Underserved Subspecialty Elective

(The Children’s Hospital at Montefiore)

**Einstein students must contact Dr. Goilav for approval prior to registration **

There are pediatric subspecialties that are facing significant gaps in workforce over the next 10 years as they are generally considered “complicated” or “challenging” based on coursework that students are exposed to in medical school. The actual practice of these subspecialties, however, is very different and it is important for a student to have an opportunity to gain this perspective before they enter pediatric training.

This elective is open to applications from all students. Applications from the following groups is highly encouraged.

• those who were raised in a medically underserved area
• those who have demonstrated a willingness to practice with medically underserved populations or studying health inequities
• those who speaks multiple languages
• those who are from a family with moderate educational attainment

CHAM serves children and teenagers of marginalized populations defined by race, gender, and sexual orientation. There is a great need for physicians who can relate to the families, the teenagers, and the children. The elective will provide candidates who are underrepresented in medicine with an opportunity to immerse themselves in the care of a highly vulnerable population and derive the tremendous satisfaction of making a difference in their lives.

• To have inpatient and outpatient experience in an underserved subspecialty as applicable
• To learn about the bread-and-butter clinical cases as well as complex cases in a given subspecialty
• To debunk some of the myths associated with “complex” subspecialties that may deter students during medical school courses from developing an interest for a particular subspecialty.
• To learn about the immense value of the subspecialties in an urban, government-insured minority population and social determinants of health.

Measurable learning objectives of elective:

• Assessing the role of an underserved subspecialty in the care of a vulnerable population Students should be able to list social determinants of health and describe some avenues to assist with any needs.
• Identify a research area of interest in a given subspecialty and engage with one of the faculty members to identify opportunities for research.
• Prepare a case for presentation at the end of the rotation. Students should conduct a literature search about the case topic and generate a 20-minute presentation with up-to-date diagnostic and treatment guidelines.

Learning experience:

• Week 1-4: Join subspecialists on their daily inpatient rounds, consult service, and clinics, as applicable.
• Week 2: meet with Dr. Beatrice Goilav for a mid-cycle feedback session. Identify research project with a faculty member.
• Week 3: identify case for presentation and start literature review. Meet with Dr. Michael Cabana (Department Chair) for a career planning discussion.
• Week 4: identify next steps for research opportunity and present case to division. Meet with divisional preceptor for final feedback.

Method of student feedback and evaluation: Written evaluation 

For more information on the visiting pediatric elective, visit our website.

Beatrice Goilav, MD
bgoilav@montefiore.org
Phone: 718-655-1120
Administrative support: Michael Dwyer, 718-741-2489, mdwyer@montefiore.org
Maximum: 1
Modules: All blocks

On the first day students report to 3326 Bainbridge Avenue at 9 AM. Please contact Mr. Gene Reyes or Maria Balingit at 718-655-1120 with any questions. A different meeting location may be agreed upon prior to the start of the rotation. 

 

 

Psychiatry and Behavioral Sciences (PSBS)

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

 

K531 Addiction Medicine

(Montefiore Medical Center)

The Departments of Medicine and Psychiatry & Behavioral Sciences offer this elective in Addiction Medicine 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 Addiction Consult Service (ACS) at Weiler Hospital, which consults on hospitalized patients with substance use 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 use disorder with methadone and buprenorphine), as well as on-site medical and psychiatric care; a physician who prescribes buprenorphine at a community clinic; intensive outpatient addiction treatment program; 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 NYC’s jails.

Melissa Stein, MD
mstein@montefiore.org
718-665-7500
Blocks: All
Maximum: 1

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

 

P501 Child and Adolescent Psychiatry

(Montefiore Medical Center)

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 consultation in the Pediatric setting of patients with neuropsychiatric and psychiatric issues. Students will learn the major diagnostic categories and psychiatric consultation-liaison issues in a pediatric population. Students will have a 20-minute presentation at the end of the rotation on a relevant psychiatry CL topic of their choosing.

In addition, students will learn how to:

• Properly review medical records
• Obtain pertinent collateral
• Conduct a psychiatric interview
• Appraise the information obtained in a psychiatric interview
• Describe a mental status exam
• Formulate a differential diagnosis
• Implement medication and psychotherapeutic treatment strategies
• Work synergistically with pediatric medicine team to improve patient outcomes
• Demonstrate the ability to liaison with families, medical team, nursing staff, social work, ethics, hospital administration, security, other consulting teams, caregivers, and legal systems

Learning experience:

Patient care under attending supervision on the consultation – liaison service at the children’s hospital at Montefiore.

Students will work with different Consultation-Liaison attendings, fellows, residents, and trainees. Schedule is Monday-Friday 9 AM to 5 PM.

Method of student feedback and evaluation:

• Evaluation of the student occurs through direct observation and supervisory feedback on a frequent basis.
• Observation by Consultation-Liaison attendings, fellows, and residents
• Oral case presentation
• Mid-cycle and end of rotation feedback meetings with site director
• Evaluation completed and discussed with student

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

Jenna Margolis, DO
jmargolis@montefiore.org
718-696-3011
Blocks: All
Maximum: 1-2 students (1 student during block 2)

On the first day student must report to Montefiore Medical Center – at 3340 Bainbridge ave, 2^nd floor Bronx, NY 10467 (718) 696-3011 at 9 AM

P507 Acute Hospital Psychiatry

(Jacobi Medical Center)

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: Leonora Lulaj at Leonora.lulaj@nychhc.org
718-918-4875
Blocks: All, except 1
Maximum: 1

On the first day students report to Jacobi Medical Center – Building #1, Room #9S4 at 10AM

 

P517 Consultation Liaison Service

(Montefiore Medical Center)

The Consultation-Liaison service provides psychiatric consultations to inpatient throughout Moses Medical Center. The primary goal of the consultation service is to assist primary teams manage patient’s psychiatric need in a medical setting. 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 evaluate addiction and organ transplant patients who are admitted to the medical and surgical floors. Students who are interested should contact Dr. Shilpa Lad

Learning objectives:

Performing a thorough psychiatric interview of a patient with mental illness

Appraise the information obtained in a psychiatric interview

Describe a mental status examination

Formulating a psychiatric differential diagnosis with mental illness and medical illness in the hospital setting.

Obtaining pertinent collateral

Understanding the role of psychiatric consultation.

1. 1. Demonstrate the ability to liaison with medical team, nursing staff, social work, ethics, hospital administration, security, other consulting teams, caregivers, and legal systems

Development and implementation of cohesive, multidisciplinary plans.

 Learning experience:

• Monday-Friday 9 AM to 5 PM. Work with different Consultation-Liaison attendings, fellows, residents, and trainees

Method of student feedback and evaluation:

• Observation by Consultation-Liaison attendings, fellows, and residents
• Oral case presentation
• End of rotation feedback
• Evaluation completed and discussed with student

Suggested Text:
Title: Clinical Manual of Psychopharmacology in the Medically Ill
Edition: Second
Author: James Levenson, Steven Ferrando

Shilpa Lad, MD
Shlad@montefiore.org
718-920-7735
Administrative support: Judy Martell, jmartell@montefiore.org, 718-920-4441
Blocks: All
Maximum: 1

On the first day students report to: Moses Campus, Klau 1, Department of Psychiatry, Consult Liaison Office ay 9 AM.

 

P528 Emergency Psychiatry

(Montefiore Medical Center)

Students will function as sub-interns under the supervision of the Psychiatric Observation Suite attending staff.   They will work closely with residents, social workers, psychology trainees and support staff.  Duties include initial evaluation and treatment of patients presenting to the psychiatric emergency room, participation in journal club, case conferences and rounds.

Paroma Mitra, MD
pmitra@montefiore.org
718-920-7460
Blocks: All
Maximum: 1 student
First day: Psychiatric Observation Suite, Montefiore Medical Center, 8:30 AM

 

P537 Introduction to Geriatric Psychiatry

(Montefiore Medical Center)

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
Blocks: 9-16
Maximum: 1

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

Radiation Oncology (RADO)

 

C504 Radiation Oncology

(Montefiore Medical Center)

Of the three principal modalities for treating cancer, Radiation Oncology is probably the most unfamiliar to medical students. Spend a 2-week or 4-week elective with us to learn more about Radiation Oncology and how radiation therapy is utilized in cancer treatment.

During this time, you will see and learn about:

• Linear accelerators for delivery of radiation therapy
  • CT and MR Simulators
  • Radiation treatment planning systems
  • Procedural (brachytherapy) radiation devices
  • Proton therapy at the New York Proton Center (www.nyproton.com)

You will rotate with our expert faculty members who specialize in treatment for each cancer type and attend the respective interdisciplinary tumor board conferences:

• Central Nervous System cancer and metastases
• Head & Neck cancer
• Breast cancer
• Lung cancer
• Gastrointestinal cancer
• Genitourinary cancer
• Gynecologic cancer
• Bone and soft tissue cancer
• Skin cancer
• Pediatric cancer

You will be able to participate in specialized radiation treatments and procedures:
• Brachytherapy (intracavitary and interstitial)
• Stereotactic radiosurgery (SRS)
• Stereotactic body radiation therapy (SBRT)
• Intra-operative Radiation Therapy (IORT)

There will be opportunities to partner with a faculty member and be mentored for clinical research and/or laboratory research. At the end of the elective, you will have the opportunity to present a talk on a subject in Radiation Oncology or a related field of research in which you are interested.  We look forward to meeting you!

Method of student feedback and evaluation:

Mid-clerkship feedback, end-of-clerkship feedback, in-the-moment feedback, house staff/attending evaluations

Location of the elective:

1. 111 East 210^th Street, Bronx, NY 10467
2. 1625 Poplar Street, Bronx, NY 10461

Keyur Mehta, MD & Justin Tang, MD
kmehta@montefiore.org, jtang@montefiore.org 
718-920-7750
Contact: Mr. Luke Mark, umark@montefiore.org, 718-920-5062
Blocks: 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 importance 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 understanding 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
Blocks: All except 3
Maximum: 6
On the first day students should report to Jacobi Medical Center, Building #1, 4^th floor, room 4N69. Rotation starts at 8:00 am on the first day of rotation for morning conference. 

 

C501 Pediatric Radiology

(Jacobi Medical Center)

The pediatric radiology elective serves primarily to acquaint the student with an appropriate clinic-radiological approach to problem-solving in the pediatric patient, based on knowledge of normal, departures from normal, and familiarity with radiologic tools and methods. About half the time is spent working along with one of the pediatric radiology faculty members either in inpatient care or in tutorial.

Bernard, Goldwasser, MD
Bernard.goldwasser@nychhc.org
Administrative Support:
Ms. Cassandra Johnson
Cassandra.Johnson@nychhc.org
718-918-3612 or 646-796-5359
Blocks: All
Maximum: 2

On the first day students should report to Jacobi Medical Center, Building #1, 4^th floor, room 4N69. Rotation starts at 8:00 am on the first day of rotation for the morning conference. 

 

C506 Oncological Imaging with Emphasis on Breast Cancer

(Montefiore Medical Center)

**Einstein Students Must Contact Dr. Maldjian for approval prior to registration**

Offered by Takouhie Catherine Maldjian, M.D., Department of Radiology. The goal of this 4-week elective is to provide a broad overview of oncological imaging with emphasis on screening and diagnostic imaging in the diagnosis of breast cancer. The elective is designed to expose medical students to the technical and interpretive aspects of imaging in the detection of breast cancer, in both the screening and diagnostic setting, and expose the student to the broader area of oncological imaging. Over the course of the elective, the student will learn to recognize radiologic manifestations of breast cancer and will apply critical thinking and problem-solving strategies, integrating the clinical and radiologic findings. PET/CT component of the rotation will provide an
overview of how radiology and in particular molecular imaging is used for staging tumors and for assessing treatment outcomes in breast cancer as well as many other cancers. The student will spend 2-3 days per week in breast imaging (mammography/ultrasound/MRI and image-guided procedures) and the remaining time in PET/CT and other activities. Attendance at weekly Tumor Board (Multidisciplinary Breast Case Management Conference) every Tuesday at 8 AM (zoom
conference) will give the student the opportunity to observe the impact of the various specialties on the diagnosis and management of breast cancer patients, reflecting the team approach in the diagnosis of breast cancer and in the coordination of multi-faceted treatment strategies.

Takouhie Maldjian, MD
tamaldjian@montefiore.org
718-405-8181
Blocks: 4-8 & 12, 13,14
Maximum: 1

 

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
Blocks: All
Maximum: 2
On the first day students should report to Jacobi Medical Center, Building #1, 4^th floor, room 4N69. Rotation starts at 8:00 am on the first day of rotation for morning conference. 

 

 

C510 Neuroradiology

(Montefiore Medical Center)

The neuroradiology elective is designed to introduce students to all aspects of diagnostic imaging in the brain, head/neck, and spine. The student will participate in daily sessions of inpatient and outpatient CT and MR cross-sectional imaging interpretation, communication of urgent results to clinicians, formal and informal consultations with clinical services, and the protocoling of imaging studies. The student will gain familiarity with appropriate use of imaging for common clinical questions, pertinent imaging anatomy, the principles of CT and MR imaging, and the role of the neuroradiology inpatient workup and management. Students are invited to attend weekly adult and pediatric neuro and head and neck tumor boards. Once familiar with imaging anatomy, and clinical indications for procedures, students may observe procedures such as myelography, angiography, stroke intervention, endovascular embolization, and pain management under the direct supervision of faculty.

Learning Objectives:

• Imaging anatomy of the CNS
• Basic principles of CT, MR imaging
• Indications for common clinical scenarios requiring CNS imaging
• Appropriateness of imaging workup for clinical indications (ACR appropriateness criteria)
• Clinical correlation of imaging findings in the CNS

Learning Experience:

• Students participate in cross-sectional imaging interpretation, including discussion of indications, protocoling, 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)

Student Feedback and Evaluation: Students will prepare a 15 minute presentation for the neuroradiology team on a case or topic encountered during the elective focusing on the role of neuroradiology in the clinical workup and management of the patient. Course faculty will provide oral feedback and submit the AECOM standard evaluation to the medical school.

Steven Benitez, MD
Stbenite@montefiore.org
718 920 4030
Administrative Support: Amanda Cruz, acruz@montefiore.org, 718 920 4030
Maximum: 1
Blocks: 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
Blocks: All
Maximum: 1

Students must contact Dr. Koenigsberg for meeting time and location.

 

C513 Interventional Radiology

(Weiler Hospital)

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

Arash Gohari, MD
agohari@montefiore.org
Phone: 718-904-2965
Maximum: 1
Blocks: All except 2

On the first day students report to: Radiology Reading Room W 3009 at 9:00 am

 

C600 Radiology Subinternship

(Montefiore Medical Center)

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. Every effort will be made to accommodate student’s in their choice of subspecialty or subspecialties. Students 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: Ninja Murphy, nmurphy@montefiore.org
Blocks: All except 6
Maximum: 1 (subject to change)

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

Plastic and Reconstructive Surgery (PLSU)

 

A403 Plastic & Reconstructive Surgery

(Montefiore Medical Center)

The Plastic and Reconstructive surgery elective will provide a broad exposure to our specialty. Our plastic surgery service has 8 full-time faculty and 3 part-time faculty who perform over 2,400 cases per year. As Plastic surgery has no defined territory of the body, we have quite varied and diverse patients and complex challenges that require creative solutions.  The breadth of plastic surgery includes craniofacial surgery, hand surgery, aesthetic surgery, and general reconstructive surgery.  General reconstructive surgery, including breast reconstruction, head and neck reconstruction, and body contouring, is the primary focus of this elective, and the bulk of plastic surgery practice.  Students will gain exposure and understanding to the basic principles of plastic surgery and introduction to the reconstructive ladder. They will additionally be instructed on proper tissue handling and surgical techniques.

Students will be expected to be formal members of the team which includes attending surgeons, resident surgeons, physician assistants, and nursing staff. They will participate in daily plastic surgery morning rounds (including data collection, note writing, patient management, list preparation, and dressing changes), operative case assignments, drain removal and daily patient care, and surgical consultations with the consulting resident.  Students participating in an elective longer than one week will be required to take 2 weekend nights of buddy call with the resident for increased exposure and learning to overnight consults and patient management. Students will be expected to participate in weekly conferences and prepare a 15-minute presentation on a topic of their interest at the end of the elective.

Measurable learning objectives of elective 

• Participating in daily morning rounds and afternoon rounds at the Moses Campus with the Plastic Surgery Team
• Participate in daily plastic surgery cases at the Moses campus, the Weiler campus, and Hutch campus with the team’s residents and faculty
• Attend at least one ½ day of clinic per week for exposure to outpatient plastic surgery
• Participate in skin closure, dressings, and dressing changes on floor patients and in the OR
• Attend weekly plastic surgery conferences.
• Take overnight call in compliance with the ACGME and 405 regulations once during each two-week period
• Prepare and deliver a 15-minute presentation at the end of the rotation on a topic of the student’s interest.

Learning experience: In general students will be expected to experience the life of a Plastic Surgery Resident to gain as much exposure to the field as possible. Much of plastic surgery is hands-on learning in the operating room and seeing consultations. Students are encouraged to be proactive and take initiative by learning dressings and anticipating the needs of the team. They will be expected to read the patients history prior to surgery, prepare for the surgery, and round on the patient after the surgery including note writing and presentation on rounds.  They will help with management and preparation of the patient list in the morning, attend surgical cases in the day at various campuses, and round again with the team in the evening.  Students are encouraged to see as many different types of cases to gain the broadest exposure to plastic surgery.  Finally, they will be expected to attend ½ day of clinic per week with an Attending surgeon.  In clinic, they will be required to see the patient and present to the attending physician, and document an outpatient note.  Each day will end when the team is done with surgeries, consults, and other responsibilities.

Method of student feedback and evaluation: Students will be evaluated daily in the OR with direct feedback based on preparedness for cases and performance with the team. They will also be formally evaluated using the Einstein evaluation at the end of the rotation.  At the midpoint of the rotation, the student will meet with the chief resident at the Moses Campus for feedback.

Suggested Textbook:
ISBN: 978-1626236578
Cost: $99.00
Title: Essentials of Plastic Surgery
Edition: Second
Author: Jeffery E Janis

Teresa Benacquista, MD
tbenacqu@montefiore.org
718-920-6168
Administrative support: Agneta Gustafasson, agustafs@montefiore.org, 718-920-6168
Maximum: 3
Blocks: All

On the first day students report to: Moses C3 plastic surgery workroom at 5:45 am (prior to elective should contact Agneta Gustafasson who will put the student in contact with the chief resident at Moses campus who will give further instructions).

 

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. Students 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. Student’s will present and discuss patients at daily rounds and will participate in weekly didactic activities and conferences presented by house staff and faculty. By scrubbing in the operating room, student’s 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. Students 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. They 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 Liebling, MD
718-918-7000
ralph.liebling@nychhc.org
Contact: Jasmine Morris, morrisj8@nychhc.org
Blocks: All
Maximum: 2 students

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

Rehabilitation Medicine (REME)

 

J501 Physical Medicine and Rehabilitation

(Montefiore Medical Center: Moses and Wakefield, 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).

Measurable Learning objectives:

• Understand of the role of Physical Medicine and Rehabilitation in different clinical settings
• Differentiate the role of physiatrists and physical/occupation/speech-language therapies
• Identify common neuromusculoskeletal disorders and their management
• 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 choose 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
Dereck Ho, DO
deho@montefiore.org
Administrative Support: Wilhelmenia Williams-Aponte
wwilliam@montefiore.org
Blocks: All expect block 3
Maximum: 3 students

On the first day students report to:  Rehab Medicine, 150 East 210th Street, Montefiore Medical Center-Moses at 8:30AM. 

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
Blocks: 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 required 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, the operating room, and the outpatient office. Students will participate in open and endovascular surgical procedures and other new interventions performed on the service. Students will become familiar with the management of arterial and venous disease. Students will gain a broad experience in caring for patients with lower extremity occlusive disease, carotid disease, thoracic and abdominal aortic disease, mesenteric artery disease, renal artery disease, deep and superficial venous 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:

• 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
• Formulate a differential diagnosis
• Formulate a treatment plan for patients with Vascular disease

Suggested Textbook(s) information:
ISBN: 9781455753048
Cost: $409
Title: Rutherford’s Vascular Surgery and Endovascular Therapy
Edition: 10th
Author: Sidaway & Perler
ISBN: 9780323775571
Cost: $300
Title: Vascular and Endovascular Surgery
Edition: 9th
Author: Moore
Hardcover – ISBN: 9780323480116
eBook- ISBN: 9789323527712

Evan Lipsitz, MD
718-920-2016
elipsitz@montefiore.org
Blocks: 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.

Sub-Internship Director
General Surgery
Francis B. Baccay, MD
fbaccay@montefiore.org 
Blocks: All, except 9
Maximum: TBD

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)

During this 4 week elective, the student will get an introduction to the complex critical care management of the surgical patient and the critically-injured patient. The student will also be expected to participate and understand the principles of trauma resuscitations and advance trauma life support.

Measurable learning objectives of elective:

1. To identify the different types of shock and their management.
2. To understand the guiding principles of a trauma resuscitation.
3. To learn the understand the differences in management of the critically injured and surgical patient.

Learning experience: 2 weeks SICU, 2 weeks trauma (including one week night float)

Method of student feedback and evaluation: In person

Dalia Alqunaibit, MD
alqunaid@nychhc.org
718.918.5590
Administrative support: Evelyn Ramos ramose11@nychhc.org, 718-918-5590
Blocks: All
Maximum: 2 students

On the first day students report to: Jacobi Building 1, Suite 1213 at 8am 

 

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. The student will actively participate in the operating room cases. The degree of participation will be based upon the student’s technical skills. Such operative activities will include deceased donor abdominal organ recovery, living donor and deceased donor transplantation, non-transplant hepatic surgery, and dialysis access surgery.

2. The student will learn how to interview and examine newly presenting patients, as well as how to formulate a care plan. The student will conduct day-to-day follow-up, allowing for continuity of care.

3. The student will participate in the outpatient hepatobiliary and transplant clinics, where patients will be examined and assessed. The student’s work will be reviewed with residents and attending surgeons.

4. The student will attend departmental transplant conferences, which include organ selection committee meetings, morbidity and mortality conference, and hepatic tumor board. The student will be included in additional didactic and research-based meetings as they are scheduled.

 

During this rotation the student will take call on a regular rotation and function as a PGY-1: rounding on patients, following through on decisions made on rounds, creating documentation for patient care, and collaborating with the residents to address the needs of the patients that arise during the admission. By the end of the rotation it is expected that the student will have a good level-appropriate understanding of all aspects of liver, kidney, and pancreas transplantation, including workup of a prospective candidate, management of immunosuppression, post-operative management of transplant patients, and dynamics of multi-organ donation.

Hillary Yaffe, MD
718-920-7303
hiyaffe@montefiore.org
Blocks: All
Maximum: 1

A501 Adult and Pediatric Urology

(Montefiore Medical Center – Moses Campus)

The purpose of the elective is to get exposed to gain knowledge in field of Urologic Surgery. During the elective, the student will function as a sub-intern on service with direct and supervised patient care. The exposure to the field in addition to our service will also allow interested students (who are considering Urology as a career choice) to obtain understanding in all areas of both adult and pediatric Urologic surgery, with a special emphasis on minimally invasive robotic, laparoscopic, and endourological oncology, and reconstructive surgery. The student will have ample opportunity to formulate and arrange clinical research opportunities with our faculty members, in their areas of subspecialty 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 unwell Urologic patient
• The preoperative workup of Urologic patients with clinical follow through 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: AUA Guidelines and Core Curriculum – https://auau.auanet.org/core

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

Miriam Harel, MD
mharel@montefiore.org
Administrative Support: Shareef Frasier, Sfrasier@montefiore.org
Maximum: 4
Blocks: All

Students should contact Dr. Harel and Shareef one week prior to the start of the rotation for the meeting location and time. If the proposed rotation dates conflict with your schedule please contact Dr. Harel or Shareef Frasier directly.