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Medical Student Education

Cleveland Clinic Florida offers the Medical Student Elective Rotation Program to teach students essential clinical and practical skills. Participating students rotate with Cleveland Clinic Florida faculty and residents in a variety of specialties areas.

For more information about Cleveland Clinic Florida Medical Student Elective Rotations, email medstudents@ccf.org or call us locally at 954.659.6211.


Medical Student Elective Rotation Programs

Allergy & Clinical Immunology

Frank J. Eidelman, MD

Program Coordinator
Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of core clerkship in internal medicine and course in physical diagnosis. Open to senior medical students.

Objectives

To provide students with extensive clinical experience designed to enhance their skills in evaluating and diagnosing patients who present with symptoms of an allergic disease, autoimmune disorders and immunodeficiency disorders.

Description

Students actively participate in all outpatient clinics to ensure a broad and comprehensive experience. Where pertinent to our training goals, students will also have the opportunity to evaluate inpatients. There will be no night call or weekend call.

Emphasis will be placed on history-taking and the physical examination. Students will develop basic skills in the evaluation of and interpretation of immunological studies performed on blood specimens, pertinent imaging studies, and allergy skin testing.

Evaluation

Evaluations are performed by the staff members to whom the students are assigned. A report is given to the dean and phase coordinators upon request.

Anesthesiology

Wagih Gobrial, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Objectives

To introduce the interested student to the many facets of Anesthesiology.

Description

Anesthesiology is a form of acute care medicine. The student can expect to be exposed to and taught:

  • The management of procedures for rendering a patient insensible to pain during surgical and certain medical procedures.
  • The support of life functions under the stress of anesthetic and surgical manipulation.
  • The clinical management of the patient unconscious from whatever cause.
  • The management of problems in pain relief.
  • The management of problems in cardiac and respiratory resuscitation.
  • The clinical management of various fluids, electrolyte and metabolic disturbances. The methods of accomplishing the above are flexible and can be modified according to the needs of the student. Teaching will be done primarily in the operating room and will be supplemented with exposure to the Intensive Care Unit, Pain Management Center, and the recovery room. Instruction will be given in the medical knowledge, the techniques and the judgmental aspects of anesthesiology.

Didactic teaching will include:

  • On-going lectures of the Division of Anesthesiology, including clinical management conferences and basic science lectures.
  • A medical student handbook covering basic anesthesia pharmacology, preoperative patient assessment, and the anesthesia machine.
  • Supplementary reading material will be provided. Audiovisual aids are available in the library.

Evaluation

Daily evaluation forms are given to the staff members and residents to whom the student is assigned. A report reflecting accumulated daily evaluations will be given to deans and phase coordinators on request.

Clinical Cardiology

Gian Novaro, MD, Program Coordinator

Kenneth R. Fromkin, MD

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of core clerkship in internal medicine and course in physical diagnosis. Open to senior medical students.

Objectives

To further the student’s skill in obtaining a history, performing a physical examination and interpreting laboratory data pertaining to the cardiovascular system.

Description

Working closely with a staff cardiologist, each student actively participates in the evaluation of patients with a wide spectrum of cardiovascular diseases. Students work in the outpatient clinic with no night or weekend call. Emphasis is placed on clinical cardiology, consultations, preoperative evaluations, and non-invasive diagnostic testing. Students develop basic skills in electrocardiography, stress testing, Holter monitoring, echocardiography and nuclear cardiology. Students also become acquainted with cardiac catheterization and percutaneous coronary intervention procedures and become acquainted with all aspects of a full service interventional cardiology laboratory. Referred patients with specific cardiovascular disorders are seen in detail to obtain the pertinent data needed for evaluation and development of a treatment plan.

Regular teaching conferences are conducted by students and the staff cardiologist assigned to the service for that month.

Evaluation

Evaluations are performed by the staff members to whom students are assigned. A report is given to the dean and phase coordinator upon request.

Colorectal Surgery

Colorectal Surgery

Title of Elective: Surgical Care
Faculty sponsor: Dana Sands, MD, Steven D. Wexner, MD, Juan Nogueras, MD, Eric Weiss, MD, David Maron,MD, Lester Rosen,MD, Giovanna Da Silva, MD
Duration: 4 weeks. The Sugical Care Elective is offered during all months except July & December.

Number of Students: 4
Prerequisites: Completion of internal medicine core rotations & surgery core rotations.
Location: Weston

Student Learning Objectives for Surgical Care Elective:

Patient Care

  • Observe history & physical exam w/ assessment of colorectal patients.
  • Learn how to document in the medical record.

Medical Knowledge

  • Discuss common colorectal pathology, appropriate diagnostic evaluation and management.

Practice based learning & improvement

  • Learn how to search literature for its application to clinical colorectal practice.

Interpersonal & Communication Skills

  • Learn how to practice in a multidisciplinary environment including urogynecology, urology, oncology & radiology.

Professionalism

  • Focus on maintenance of patient confidentiality.

Systems-based practice

  • Lear the application of diagnostic tests and value delivery.

Rotation and Students Activities
During this rotation students may be exposed to anal-rectal physiology lab including anal manometry, ultrasound, electrophysiology and defecography. The Colorectal Surgery rotation affords 4th year medical students the opportunity to develop an understanding of the management of surgical patients in an educational environment administered by full-time surgical specialist. Students are part of a team consisting of attending, surgical residents, colorectal fellows, research fellows etc… Students are assigned patients, participate on rounds and conferences, and are introduced to procedural skills all with progressively increasing complexity and responsibility. Students attend didactic session and journal clubs.

Students Assessment
Students are given feedback as needed throughout the rotation followed by a formal evaluation at the end of the rotation

Critical Care Medicine

F. Rahaghi, MD, L. Smolley, MD

Program Coordinators

Duration: 4 weeks
Availability: Year round
No. of Students: 2
Time: Full time

Objectives

To provide the student with an opportunity to gain knowledge and increase clinical skills in evaluation and therapy of the critically ill patient.

Description

The student will be expected to see patients in the medical-surgical ICUs under the close supervision of a medical resident. Patient evaluation and management will be discussed with the attending critical care physician. The student will be encouraged to perform procedures under the direction of the staff physician and senior ICU residents.

The rotation is designed to give the student exposure to patients afflicted with respiratory failure, cardiogenic shock, sepsis and other typical Intensive Care Unit problems. There will be introduction to the technical aspects of hemodynamic monitoring and some opportunity to learn the technical procedures such as insertion of internal jugular line, arterial cannulae and flow-directed catheters. In addition, the students will be expected to familiarize themselves with many of the different aspects of ventilator care.

The rotation will be designed so that the student can spend time with the medical residents in the Intensive Care Unit learning the various approaches to the critically ill patient. The student will be expected to take night call with a medical resident.

Evaluation

An evaluation will be provided for each student at the end of the rotation.

Evaluation forms are given to staff members to whom the student is assigned. A report will be given to deans and phase coordinators on request.

Diagnostic Radiology

Mark Berman, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of third year of medical school and core clerkship in medicine or surgery.

Objectives

To provide students with broad experience in basic clinical diagnostic radiology. Students acquire knowledge of the appropriate radiographic procedures indicated for specific clinical settings; the interpretation of basic radiographic studies, including chest radiographs, abdominal series and musculoskeletal plain films, as well as basic IVPs and fluoroscopic studies; the formulation of appropriate differential diagnosis; and the basics of subspecialty modalities, including CT, MRI, ultrasound, nuclear medicine and mammography.

Description

Students rotate through both the outpatient clinic and hospital radiology departments and attend general radiology reading sessions with staff members. Students follow selected patients through comprehensive diagnostic workups for full evaluation of pathologic processes, including subspecialty studies in CT, MRI, ultrasound, nuclear medicine and special procedures. Students are expected to attend neuroradiology and gastroenterology/radiology conferences and are encouraged to attend other scheduled Cleveland Clinic conferences.

Students are required to present an interesting case weekly with a short write-up. No oral or written examination is given.

Evaluation

Evaluations are performed by the staff members to whom the student is assigned. A report is sent to deans and phase coordinators upon request.

Emergency Medicine

Mazyar Rouhani, MD

Program Coordinator

Duration: 4 weeks
Availability: September-May
No. of Students: 1
Time: Full time

Prerequisite

Completion of rotations in Internal Medicine, Surgery, Pediatrics and Obstetrics/Gynecology.

Objectives

To provide students with clinical exposure to undiagnosed patients with a wide variety of symptom-based presentations.

Description

Students will actively participate in the Emergency Department care of presenting patients. The students will have the opportunity to first evaluate presenting patients and carry out a history and physical examination of these patients. They will learn the approach to and initial management of the Emergency Department patient. They will learn to form a differential diagnosis of these patients, perform emergency procedures as well as a method to prioritize care in the department. The student will give a case presentation at the conclusion of their rotation with a discussion of the relevant subject matter. Students work will be divided into 8-hour shifts to comprise a 40-hour week. There will be some weekend time, but daily hours have some built-in flexibility.

Evaluation

The staff members to whom the student has been assigned perform evaluations. A report is given to the dean and phase coordinator upon request. The student evaluates the program.

Endocrinology

Jose Cabral, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Satisfactory completion of the core clerkship in medicine or pediatrics.

Objective

To expose the student to patients with endocrine disorders and diabetes mellitus.

Description

New and former patients attending the Endocrinology Clinic are seen by the students prior to being seen by the attending endocrinologist. Students present their history and physical findings to the attending endocrinologist for review; this includes a discussion of disease pathophysiology, pertinent clinical Evaluation, diagnostic and follow-up laboratory testing, as well as the appropriate therapeutic regimen. A review of key points on the endocrinologic exam is reviewed by the staff physician with the student.

During each monthly rotation, students are responsible for presenting a selected endocrine topic at the monthly Endocrine Journal Club. No night call is expected.

Other specific requirements of the rotation include reading Endocrinology for the House Officer and Case Studies in Endocrinology for the House Officer, both by Dr. Warner Burch. Additional endocrine textbooks will be available in the department and in the Medical Library, and students have access to the National Library of Medicine. This enables them to perform any literature search they desire.

Evaluation

Evaluations are performed by the staff members to whom the student is assigned. A report is sent to deans and phase coordinators upon request.

Gastroenterology

Fernando J. Castro-Pavia, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full-time

Prerequisite

Satisfactory completion of the core clerkship in medicine.

Objectives

To provide medical students with a meaningful experience in diagnosing and treating common and unusual gastroenterology problems.

Description

Students rotate on a weekly basis with staff gastroenterologists in the outpatient clinic at Cleveland Clinic Florida, where they assist with patient evaluations in a supervised fashion. Since each gastroenterologist spends two days per week in the endoscopy unit, students may observe endoscopic procedures on their assigned staff member’s days. Students are encouraged to spend a portion of the rotation on the inpatient service at Cleveland Clinic Hospital.

Students are responsible for the care of patients who are seen under the direct supervision of their staff physician. This includes both inpatient and outpatient care. Students are not expected to take night or weekend call.

Students are expected, however, to attend Grand Rounds, Colorectal Journal Club, Gastroenterology Journal Club and General Clinic Conferences. Student presentations are optional.

Evaluation

Evaluation is completed by the staff members to whom the students are assigned. A report is given to deans and phase coordinators upon request.

General Vascular Surgery

Mark K. Grove, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of core clerkship in general surgery.

Objectives

To acquaint students with the evaluation, operative management and postoperative care of general and vascular surgery patients.

Description

The student works directly with general and vascular surgeons. During the rotation, the student is exposed to all phases of patient care, including outpatient clinic, operating room and hospital. Emphasis will be placed on initial assessment, physical examination and preoperative evaluation. When appropriate, the student follows individual patients whose cases are particularly instructive. Supplemental reading for such cases is encouraged.

While no formal projects are required, ample opportunity exists for independent projects as dictated by the student’s special interests.

Evaluation

Evaluations are performed by the staff members to whom the student is assigned and the student evaluates the program. A report will be provided to the dean and phase coordinator upon request.

Geriatrics

Jerry Ochoa Ciocon, MD, FACP, AGSF

Program Coordinator

Faculty: Jerry O. Ciocon, MD, Diana J. Galindo, MD
Location: Cleveland Clinic Florida outpatient at Weston and Sunrise Health and Rehabilitation Center (skilled nursing home).

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Description

Medical students in Geriatric Medicine to include exposure to inpatient services on older person admitted to Sunrise Health and Rehabilitation Center, a skilled nursing facility also in Sunrise and outpatient geriatric assessment at the Cleveland Clinic Florida outpatient department. The curriculum incorporates recommendations made by the American Geriatrics Society, the American College of Physicians, and the Society of General Internal Medicine. The rotation focuses on comprehensive care of the frail and older persons with chronic problems and with acute exacerbations of those problems and usually affecting their functional status. There are also permanent residents of the nursing home that will need health maintenance and evaluation during their rotation.

Goals

  1. To prepare resident to perform a comprehensive medical evaluation of frail and older persons with an acute illness and to determine the effect of chronic diseases on rate of recovery and maintenance of functional ability.
  2. To gain expertise in the evaluation and management of common and challenging geriatric syndromes, e.g. dementia, depression, delirium, urinary incontinence, gait disorders with falls, immobility, failure to thrive, pain disorders and functional decline which are commonly neglected in the frail and older persons residing at the nursing homes or undergoing rehabilitation at the hospital.
  3. To achieve the skills of effective communication with the older person.
  4. To be familiar with the psycho-social needs of the older person.
  5. To master a basic working knowledge of aging physiology and pharmacology.
  6. Explicit knowledge of geriatric syndromes and common geriatric problems.
  7. To become familiar with resources such as adult day care centers, assisted living facilities, skilled nursing facilities and rehabilitative services for the frail elderly.

Educational Content

Medical history and physical examination will be performed on new patients and all patients being followed at the clinic and the nursing home. Medical student will prepare a detailed history of the present illness, summarize the pertinent past medical history as well as focus on pertinent functional status e.g. activities of daily living, instrumental activities of daily living, social support, nutritional status, neuropsychiatric illnesses and any sensory deficits. Formal presentation will be made in a case that will be presented to the attending physicians on the last week of the rotation (usually the last Monday at 12 noon). Specific lectures on various geriatric syndromes and geriatric assessments will be given to the medical student.

Principal Educational Materials

Standard medical text books, relevant articles from peer reviewed medical literature, medical grand rounds, individual one on one teaching and computer guided literature searches will be the principal educational material used for this course.

Evaluation

Standard medical student evaluation will be reviewed with the resident at the end of the rotation. The results of this evaluation will be forwarded to the Program Director of Internal Medicine Department.

This curriculum has been reviewed by me as well as the faculty involved with this rotation. This has been distributed to the staff in my section who is involved with Internal Medicine Resident education. Each medical student will receive a copy of this curriculum before beginning the rotation. In an effort to continually improve the content of this curriculum, changes may be made throughout the academic year based on the feedback from the medical students, residents and staff.

Gynecology, Ambulatory & Operative

Maria Diaz, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full-time

Prerequisite

Completion of the third year medical school core curriculum in Obstetrics and Gynecology including the clinical rotation. This elective is open to fourth year medical students.

Objectives

To provide the student with exposure to a broad range of women’s health care issues and gynecologic care in both the ambulatory and operative settings. This will include general gynecology and women’s health care, gynecologic urology and infertility, as well as evaluation and management of gynecologic cancers.

Description

The student will participate in evaluating patients in the clinic setting with a variety of gynecologic problems including endometriosis, pelvic pain, incontinence, infertility, prolapse, menopause, abnormal bleeding and carcinoma. They will also actively participate in gynecologic urology workups and gynecologic surgery including laparoscopy, hysteroscopy, cystoscopy, laser, vaginal and abdominal surgery. The student is expected to assist with preoperative and postoperative care. There will be no night or weekend call responsibilities for this rotation.

Evaluation

The staff members of the Department of Gynecology will perform final evaluations and a report will be given to the dean and phase coordinators upon request.

Hematology & Medical Oncology

Elizabeth Stone, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of core clerkship in internal medicine. Open to senior medical students.

Objectives

To increase the student’s skill in obtaining a history, performing a physical examination and interpreting laboratory data pertinent to patients with hematologic and oncologic issues.

Description

Working with a staff member, each student actively participates in the evaluation of patients with a wide spectrum of oncologic diseases. The student works in the outpatient clinic with no night call or weekend call. Emphasis is placed on the evaluation and management of malignant diseases. The student expands their skills in physical diagnosis and evaluation / management of patients with suspected or known malignancies or benign hematologic conditions. The setting for this experience may include the hospital, but is primarily an outpatient rotation.

Evaluation

Evaluations are performed by the staff members to whom the student is assigned and the student evaluates the program. A report is given to the dean and phase coordinator upon request.

Infectious Disease

Lyssette L. Cardona, MD, LLC, MD, MPH, MSHA

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of core clerkship in medicine.

Objectives

To familiarize students with the evaluation, diagnosis and treatment of patients with both common and unusual infectious diseases.

Description

Students make hospital rounds with the attending staff and evaluate and examine patients with a variety of infectious diseases. The student is assigned to patients with representative infectious disease processes to fully assess, thus giving them the opportunity to integrate microbiology, pharmacology with clinical presentation. The student is expected to read about the medical conditions encountered and is required to choose a case to present at the end of the rotation with updated evidence based recommendations for diagnosis and management to the Internal Medicine team.

The student will also rotate through the outpatient Infectious Disease and Travel Medicine Clinic in order to gain additional experience in the management of outpatient antimicrobial therapies and further insight into the management of other common diseases such as sexually transmitted disorders, HIV medicine in adults and others. In addition, the student will learn about the prevention and immunizations for travel abroad and to exotic places.

The student will have the opportunity to spend half day at the Microbiology laboratory assisting with microbiological data collection and analysis.

The student will be expected to attend all mandatory teaching rounds with Internal Medicine residents such as Clinical Conferences, Grand Rounds, CPC, M&M and departmental conferences or presentations. The student will have the option to participate in Infection Control rounds and/or Committee meetings. The student is expected to attend daily Antibiotic Team Rounds where (s)he will become familiar with commonly used antimicrobial agents, their indications, pharmacology, pharmocokinetics and side effects.

The student is supervised directly and evaluated by the ID staff/attending. No night call is required.

Evaluation

Evaluations are performed by the staff physicians to whom the student is assigned and the student evaluates the program. A report is given to the dean and phase coordinator upon request.

Internal Medicine

Jose Muniz, MD

Residency Program Director

Duration: 4 weeks
Availability: Year round
No. of Students: 2 inpatient; 2 outpatient
Time: Full time

Prerequisite

Completion of the core clerkship in medicine.

Objectives

To provide students with experience in a wide range of health care services for patients in both primary and consultative internal medicine. During each rotation, one student may participate in the active outpatient practice, and one in the active internal medicine in-service.

Description

Medical students assigned to the outpatient department are supervised by one or two of 11 board-certified internists. The rotation is particularly appropriate to those considering a career in primary care medicine.

Students follow the patients of their assigned physicians, observing and performing history-taking and physical examination. Together with their attending physicians, students formulate diagnostic and therapeutic plans. Physical examination procedures and outpatient management techniques are emphasized. Students are expected to attend all departmental rounds and activities and are assigned selected readings from textbooks and journals.

Medical students interested in inpatient internal medicine are assigned to the Internal Medicine Clinical Teaching Unit where they follow inpatient internal medicine patients and become involved with the hospital consultation service. The rotation is particularly appropriate for students interested in a career in general internal medicine.

Students perform medical histories and physical examinations under the supervision of the attending physician and formulate diagnostic and therapeutic plans. They are expected to participate in all hospital-related rounds and activities, and follow selected readings.

Evaluation

Evaluations are performed by the staff physicians to whom the student is assigned. A report is provided to deans and phase coordinators upon request.

Minimally Invasive Surgery/Bariatric Surgery

Raul Rosenthal, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Satisfactory completion of third year medicine and surgery rotations.

Objectives

To provide students with clinical and surgical exposure to the diagnosis and treatment of patients of minimally invasive surgery such as:

  • Surgery of the foregut:
    It will focus on benign and malignant disease of the foregut. Morbid obesity and gastroesophageal reflux disease, as well as associated swallowing disorders will be specifically addressed. We will focus on minimally invasive techniques for gastric bypass, gastric banding, Nissen's fundoplication, Heller's myotomy, etc.
  • Surgery of the biliary tree, liver and solid organs:
    We will concentrate in the performance of laparoscopic cholecystectomies, common bile duct exploration as well as the routine use of cholangiogram and intraoperative ultrasound to detect abnormalities of the liver and biliary tract. Excision and cryoablation of liver lesions, splenectomy or palliative bypass procedures for malignant outlet obstructions of the biliary tree will also be performed.
  • Endoscopic endocrine surgery:
    Endoscopic approaches to diseases of the adrenal glands as well as diseases of the pancreas will be implemented.
  • Abdominal wall hernias:
    Incisional as well as inguinal hernias will be approached through the laparoscope. Students will be able to identify the indications when to use the open or laparoscopic approach as well as to be familiar with the different techniques that can be used in each area.
  • Morbid obesity:
    We perform basic and advanced surgical procedures to treat obesity and metabolic syndrome.
  • Emergency and diagnostic procedures:
    When appropriate the laparoscopic approach will be used to stage patients with malignancies or assess and/or treat patients with acute diseases of the gastrointestinal tract.

Description

The rotation will focus on three main aspects patient care, teaching, and research.

  • Patient Care:
    Students will be supervised by attendings in all their activities. The presence of fellows will improve the quality of care and communications with patients and nursing staff. They will be involved in the pre-, peri- and postoperative care of our patients allowing us to clarify and recognize potential problems as well as early detect and manage complications. Their activities will be divided in daily morning rounds, conferences, operating room experience, outpatient clinic and data collection and analysis. The student will become familiar with handling of endoscopic instrumentation and equipment, indications and contraindications for endoscopic procedures as well as with the different surgical techniques. We may divide our outpatient work in sub specialized clinics that will concentrate on special disorders, e.g. heartburn clinic, hernia clinic, spine clinic, morbid obesity, etc. This may allow us to improve the quality of care and data collection.
  • Teaching:
    Students will be actively involved in case presentations, morbidity and mortality conferences, radiological conferences, etc. They will participate in the preparation and presentation of lectures for conferences to be given to CCF nursing and attending staff, non-staff nurses and physicians as well as sales and marketing industry personnel. This will give our fellows a comprehensive practical and teaching experience. At the same time this will facilitate the unit to offer on a regular basis courses that will update our nurses and physicians in state of the art endoscopic surgery. The student will also participate in the education program of house staff, medical students and residents.
  • Research:
    We have implemented a research program in endoscopic surgery, which will keep our unit in the forefront of basic science and technology. We welcome supporting grants from the industry in order to finance the below mentioned research program. We encourage our fellows to help develop and perform animal and human research projects. A wide variety of research protocols involving the participation of the departments of medicine, radiology, gastroenterology, pediatrics, etc. are being developed. We concentrate our efforts in two main research sites. Students are encouraged to participate in research activities and be co-authors in those papers.
  • Endoscopic surgical techniques and skills laboratories:
    Together with the industry we are developing animal protocols that will allow us to improve and develop new techniques and instrumentation in endoscopic surgery. We promote participation of our fellows as trainees and later as preceptors in animal laboratory sessions. This will help fellows, residents and attending staff to acquire and refine their ability to perform specific endoscopic procedures. We envision that this skills laboratory will become a prestigious site that will grant continuing medical education.

Evaluation

The staff physicians to whom the student is assigned perform evaluations. A report will be given to deans and phase coordinators upon request.

Nephrology & Hypertension

Dianne Sandy, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of core clerkship in medicine.

Objectives

To provide students with a case experience in diagnosis and treatment of patients with hypertension and renal disease.

Description

Students are expected to examine patients presenting with hypertension and renal disease. Supervised by a staff physician, students present a case in an organized and logical fashion including the discussion of pertinent urine exams, renal ultrasounds and other nephrological tests. The students will also be given a core curriculum with typical case scenarios and questions pertinent to the case. Staff physicians will discuss these cases and provide student with relevant literature. Ten to twelve typical cases will be discussed during the elective rotation. Students will participate in hospital and outpatient cases, teaching conferences and other medical conferences and grand rounds during the elective rotation. At the end of the rotation, the student is expected to be able to evaluate, choose correct diagnostic tests and treatments of common hypertension and nephrology problems.

Evaluation

Evaluations are completed and discussed with the student at the end of the rotation. A report will be given to deans and phase coordinators upon request.

Neurology

Virgilio D. Salanga, MD, M.S.

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of a course in physical diagnosis and at least one other medical or surgical clerkship; possession of a neurology textbook and suitable diagnostic instruments.

Objectives

To familiarize the student with the common presentation and natural history of patients with neurological diseases; to offer the student the opportunity to establish proficiency in neurological examination; to provide the student exposure to the diagnostic workup and therapy of patients with neurological diseases; and to stimulate the student to pursue basic literature regarding the diseases of the patients seen.

Description

The Neurology rotation emphasizes a longitudinal experience in the outpatient clinics of experienced neurological clinicians. Students observe and participate in outpatient history-taking and examination, appropriate use and interpretation of ancillary neurological tests (electroencephalography, electromyography, nerve conduction tests, evoked potential studies, x-rays, CT scans, MRI, etc), clinical diagnostic formulations, treatment planning and patient education. When time permits, the student may participate in hospital rounds. The student is expected to read both basic and clinical material regarding patients seen and to participate in departmental and institutional teaching conferences, including Grand Rounds, Clinical Conferences, Neurology/Radiology Conference and Journal Club.

Evaluation

Evaluations are performed by the staff physicians and based on various factors including fund of knowledge, level of interest, attention to patients, accuracy and completeness of chart notes, and contributions to discussions on diagnosis and management. Assessments are discussed with the student whenever possible, and reports given to deans and other appropriate medical school coordinators upon request.

Ophthalmology

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Satisfactory completion of the core clerkship in surgery or medicine.

Objectives

To provide the student with preliminary exposure to the evaluation of ophthalmologic disease.

Description

Students are expected to observe workups on clinic patients and develop an initial comfort level with ophthalmic examination techniques and instrumentation. Students are expected to observe ophthalmic surgery. Students may progress to independent workup of ophthalmic patients.

Teaching is primarily performed on a clinical basis with direct contact between students and staff. The principles of ophthalmic history taking and examination are emphasized. The principles of ophthalmic ancillary testing are also taught. In the operating room, students learn the principles of ophthalmic surgery and are given the opportunity to assist.

Students are expected to give presentations on various ophthalmic conditions, with special emphasis placed on ophthalmic manifestations of systemic disease.

Evaluation

Upon completion of the rotation an evaluation is completed by the staff member to whom the student has been assigned. A report is sent to deans and phase coordinators upon request.

Orthopaedic Surgery

Brian Leo, MD

Program Coordinator

Duration:
4 weeks
Availability: Year round
Number of Students: maximum 2-4 students per month
Time: Full time

Prerequisites

  • Completion of physical diagnosis course and core surgical rotations.

Objectives

  • To provide medical students with an in-depth experience in the diagnosis and management of a broad range of musculoskeletal system disorders.

Description

The Orthopaedic Surgery medical student rotation at the Cleveland Clinic Florida is structured to provide medical students with a broad exposure to various aspects of musculoskeletal care. Students are instructed in the examination, diagnosis, and initial management of patients in the clinical setting. They are also actively involved in surgical cases and inpatient management of post-operative patients.

The 4-week rotation is structured to allow students to rotate with fellowship-trained surgeons in each of the following areas of Orthopaedic Surgery:

  • Adult joint reconstruction
  • Shoulder/upper extremity
  • Hand surgery
  • Sports Medicine
  • Foot and Ankle surgery

Educational activities will include regularly scheduled conferences, including hospital-wide Grand Rounds and departmental didactic sessions. Night call is optional.

Evaluation

Evaluations are performed by Orthopaedic faculty with whom students rotate. A report is sent to deans and phase coordinators upon request.

Otolaryngology

Gilberto Alemar, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of physical diagnosis course and any required surgical rotation which may include a core clerkship in surgery or medicine.

Objectives

To give the student preliminary exposure to the diagnosis and evaluation of otolaryngology conditions and disorders in an inpatient and outpatient scenario.

Description

Medical students will be involved in the ear, nose and throat clinics and will learn the examination of the ear, nose and throat/head and neck system including pertinent endoscopy procedures and office-based biopsies. The student will review CT scans of the paranasal sinuses and the head and neck with the radiologists and the staff attendings. Additionally, he/she will be exposed to the audiology section and given an interest may perform hearing tests and interpret these with the attending staff.

Additionally, the student is expected to participate in hospital rounds and in surgery, as well as other activities supplementing their rotation, such as surgical grand rounds and clinical conferences.

Evaluation

Upon completion of the rotation, an evaluation is completed by each staff member to whom the student has been assigned. These reports are sent to the appropriate coordinators at the medical school.

Pulmonary Medicine

Lawrence Smolley, MD & Eduardo Oliveira, MD

Program Coordinators

Duration: 4 weeks
Availability: Year round
No. of Students: 2
Time: Full time

Prerequisite

Completion of core clerkship in internal medicine and course in physical diagnosis. Open to senior medical students.

Objectives

To improve the student’s skills in history, physical exam, chest x-ray and CAT chest scan interpretation, as well as pulmonary function test interpretation.

Description

The student will be working with a staff pulmonologist. The student will be exposed to various pulmonary problems presenting in the outpatient and inpatient setting. Emphasis will be placed on history, physical exam and arriving at differential diagnoses. Basic skills in interpretation of a standard chest x-ray, CAT scan of the chest as well as pulmonary function tests will be stressed throughout the rotation. The student will see patients in the inpatient hospital setting AND in the outpatient clinic. There will be no night call or weekend work expected.

Evaluation

Evaluations are performed by the supervising physicians. A report is sent to deans and phase coordinators upon request.

Reconstructive Plastic Surgery

Martin I. Newman, MD, FACS

Program Coordinator

Duration: 3 – 6 weeks
Availability: Year round
No. of Students: Up to 2
Time: Weekdays (No weekends)

Prerequisite

Completion of the core courses in physical diagnosis.

Objectives

To provide a unique, personal preceptorship for medical students to learn the principles of Plastic, Cosmetic, and Reconstructive Surgery.

Description

Our practice is located in Weston, Florida – just outside Ft. Lauderdale and Miami. It is hospital and clinic based and covers most aspects of plastic surgery. Through this rotation, medical students will be exposed to both the cosmetic as well as reconstructive side of Plastic Surgery. Weekends are reserved for personal study time.

Students who have rotated with us previously speak highly of their experience with our group and cite the team camaraderie, outstanding facilities and broad clinical exposure with hands on learning as the memorable benefits.

Evaluation

Evaluations are completed by the staff surgeons to whom the student is assigned. Reports are given to deans and phase coordinators upon request. The student is requested to constructively assess the elective rotation.

Rheumatology

John Donohue, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of core clerkship in internal medicine and course in physical diagnosis. Open to senior medical students.

Objectives

To provide students with extensive clinical experience designed to enhance their skills in evaluating and diagnosing patients who present with symptoms of a musculoskeletal or rheumatic nature and autoimmune disorders.

Description

Students actively participate in all outpatient clinics to ensure a broad and comprehensive experience. Where pertinent to our training goals, students will also have the opportunity to evaluate inpatients. There will be no night call or weekend call.

Emphasis will be placed on history-taking and the physical examination. Students will develop basic skills in the evaluation of and interpretation of immunological studies performed on blood specimens, pertinent imaging studies, and synovial fluid analysis.

Evaluation

Evaluations are performed by the staff members to whom the students are assigned. A report is given to the dean and phase coordinators upon request.

 

Urogynecology

Willy Davila, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full-time

Prerequisite

Completion of the third year medical school core curriculum in Obstetrics and Gynecology including the clinical rotation. This elective is open to fourth year medical students.

Objectives

To provide the student with a unique, concentrated exposure to gynecologic urology and female urologic problems in both the ambulatory and operative settings. This will include general female urology with emphasis on the lower urinary tract, urogynecologic testing, and problems of incontinence, urgency and prolapse.

Description

The student will participate in evaluating patients in the clinic setting with a variety of urogynecologic and female urologic problems including prolapse, stress and urge incontinence, bleeding, and pain syndromes. Students will actively participate in urogynecologic testing and both medical and surgical treatments of presenting disorders as well as be exposed to research projects in these areas. They will also participate in urogynecologic surgery including laparoscopy, cystoscopy, laser, vaginal and abdominal repair procedures. The student is expected to assist with preoperative and postoperative care. There will be no night or weekend call responsibilities for this rotation.

Evaluation

The staff members of the Department of Gynecology will perform final evaluations and a report will be given to the dean and phase coordinators upon request.

Urology

Lawrence Hakim, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Satisfactory completion of the core clerkship in surgery or medicine.

Objectives

To give the student preliminary exposure to the evaluation of urological complaints on both an inpatient and outpatient basis.

Description

Students are expected to do workups on inpatients and outpatients, and write orders which are countersigned by the staff. Students are assigned patients to work up and follow during their hospital stay. (Patients who are not directly assigned are available for review.)

Teaching is primarily performed on a clinical basis with direct contact between students and staff. The principles of urologic history-taking and urologic physical examination are emphasized. The principles of urinalysis as well as how to read urograms and other urologic-related radiographic studies are also taught. In the operating room, students learn the principles of cystoscopy and are given the opportunity to assist in open surgery.

Urologic books and periodicals, as well as videotapes on various urologic procedures, are available in the Medical Library.

Evaluation

Upon completion of the rotation, an evaluation is completed by each staff member to whom the student has been assigned. Reports are sent to deans and phase coordinators upon request.

Vascular Disease

Mark Grove, MD

Program Coordinator

Duration: 4 weeks
Availability: Year round
No. of Students: 1
Time: Full time

Prerequisite

Completion of the core clerkship in medicine.

Objectives

To provide students with a core experience in both the diagnosis and treatment of patients with peripheral vascular disease.

Description

Students are expected to evaluate and examine patients who present for vascular examination. Supervised by a staff physician, students present a case in an organized and logical fashion, including the discussion of pertinent arteriograms or venograms. Students can expect to interact with the Departments of Vascular Surgery and Interventional Radiology, as cases are commonly shared. The students will have ample exposure to a non-invasive vascular laboratory, and become familiar with the indications for commonly ordered tests, such as, venous duplex ultrasonography, carotid artery ultrasound and pulse volume recordings.

They can also expect to review ten different videotaped vascular disease lectures during the rotation.

Evaluation

Evaluations are completed and discussed with the student at the end of the rotation. A report will be given to deans and phase coordinators upon request.