THIRDYEARROTATIONINFORMATIONAND
AFFILIATESGUIDE
2016-2017
TABLEOFCONTENTS
ListofHospitalsandContacts
SidneyKimmelMedicalCollegeContacts
ThirdYearCurriculum
3
4
5
6
7
9-16 17-24
25-28
29-35
36-39
40-46
47
48-55
56-57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73-74
75
AffiliateSecurityProcedure 78-79
SelectionProcedure ClinicalCurriculumOverview
2016-2017AcademicCalendar
FamilyMedicine
InternalMedicine
Neurology
Obstetrics&Gynecology
Pediatrics
Psychiatry
RehabilitationMedicine
Surgery
AffiliateHospitalInformation
HospitalStatistics
AffiliateMaps AbingtonMemorialHospital A.IDuPontHospitalforChildren
AlbertEinsteinMedicalCenter BrynMawrHospital
ChristianaCareHealthSystem Crozer-KeystoneHealthSystem
ExcelaHealthLatrobeHospital InspiraMedicalCenter LankenauMedicalCenter
MageeRehabilitationHospital MethodistHospital
MorristownMedicalCenter
OverlookMedicalCenter
ReadingHospital
ThomasJeffersonUniversityHospital VirtuaHealth WilmingtonVeteransAffairsMedicalCenter
YorkHospital 2
76
77
ListofHospitalsOfferingJuniorElectives2016-2017
HOSPITAL
LOCATION
AbingtonMemorial
Hospital
Abington,PA
AlfredI.DuPont
HospitalforChildren
AlbertEinstein
MedicalCenter
MainLineHealth
BrynMawrHospital
ChristianaCare
HealthSystem
Crozer-Keystone
HealthSystem
ExcelaHealth
LatrobeHospital
Wilmington,DE
Philadelphia,PA
BrynMawr,PA
Newark,DE
Springfield,PA
Latrobe,PA
InspiraMedicalCenter
MailLineHealth
LankenauMedicalCtr.
Woodbury,NJ
Wynnewood,PA
MageeRehabHospital
Philadelphia,PA
MethodistHospital
Philadelphia,PA
MorristownMedicalCtr.
Morristown,NJ
OverlookMedicalCtr.
Summit,NJ
ReadingHospital
SidneyKimmel
MedicalCollegeatTJU
WestReading,PA
(seepagesix)
Voorhees,NJ
VirtuaHealth
VeteransAffairs
MedicalCtr.
Wilmington,DE
YorkHospital
York,PA
CONTACT
INFORMATION
DavidGarySmith,M.D.
215-481-2606
SteveSelbst,M.D.
302-651-5874
DouglasMcGee,D.O.
215-456-7056
JamesBurke,M.D.
484-476-2577
NeilJasani,M.D.
302-733-2704
dgsmith@abingtonhealth.org
www.abingtonhealth.org
ChristopherStenberg,M.D.
christopher.stenberg@crozer.org
www.crozer.org
610-447-6354
sselbst@nemours.org
www.nemours.org
mcgeed@einstein.edu
www.einstein.edu
burkej@mlhs.org
www.mlhs.org
njasani@christianacare.org
www.christianacare.org
MichaelSemelka,D.O.
724-537-1485
AartiAggarwal,M.D.
917-379-0904
msemelka@excelahealth.org
www.excelahealth.org
JamesBurke,M.D.
484-476-2551
MichaelMallow,M.D.
215-955-1200
MartinKoutcher,M.D.
215-952-9197
JeffreyLevine,PhD
908-522-5546
JeffreyLevine,PhD
908-522-5546
DavidGeorge,M.D.
484-628-8333
burkej@mlhs.org
www.mlhs.org
MaryCampagnolo,M.D.
856-355-0009
RobertBoucher,M.D.
302-633-5203
DavidEmrhein
717-851-2967
3
E-MAIL/WEBSITE
aggarwala@ihn.org
www.inspirahealthnetwork.org
michael.mallow@jefferson.edu
martin.koutcher@jefferson.edu
www.jefferson.org
jeff.levine@atlantichealth.org
www.atlantichealth.org
jeff.levine@atlantichealth.org
www.atlantichealth.org
david.george@readinghealth.org
www.readinghealth.org
mcampagnolo@virtua.org
www.virtua.org
robert.boucher@va.gov
www.va.gov
demrhein@yorkhospital.edu
www.yorkhospital.edu
SidneyKimmelMedicalCollegeContacts2016-2017
DEPARTMENT
CLERKSHIPCOORDINATORS
DIRECTORS
FamilyMedicine
NatalieNederostek
215-955-1372
natalie.nederostek@jefferson.edu
FredMarkham,M.D.
215-955-2350
fred.markham@jefferson.edu
NinaMingioni,M.D.
215-955-6180
nina.mingioni@jefferson.edu
DanielKremens,M.D.
215-503-2724
daniel.kremens@jefferson.edu
KatherineLackritz,M.D.
215-955-5000
katherine.lackritz@jefferson.edu
AlisaLoSasso,M.D.
215-955-6525
alosasso@nemours.org
Medicine
Neurology
Obstetrics/Gynecology
Pediatrics
HannaFlite
215-955-8737
hannah.flite@jefferson.edu
JaclynSliben
215-955-4967
jaclyn.sliben@jefferson.edu
DianaBrooks
215-955-8462
diana.brooks@jefferson.edu
SybilFullard-McLaurin
215-955-6525
sybil.fullard@jefferson.edu
AlisonWashkalavitch
215-955-9823
Psychiatry
alison.washkalavitch@jefferson.edu
MitchellCohen,M.D.
215-955-6592
mitchell.cohen@jefferson.edu
Surgery
SherryWeitz
215-955-6879
sherry.weitz@jefferson.edu
GeraldIsenberg,M.D.
215-955-6879
gerald.isenberg@jefferson.edu
4
ThirdYearClerkshipSelectionProcedure
Mid – February 2016, students will begin to select the rotation and location of clerkships with the
Registrar'sOffice.SpecificdateswillbeemailedfromtheRegistrar’sOffice.
Approx.April15ththeresultsofthelotterywillbeavailabletoallsecondyearstudents.
STUDENTSAREPROHIBITEDFROMHOLDINGMORETHANONESLOTPER CORESUBJECTandtheRegistrar
willautomaticallydeleteextraslotsheldtherebyjeopardizingastudent'sfirstchoice.
Sinceitisrealizedthatattimeschangesarenecessaryoncetheacademicyearbegins,ANYCHANGESmust
bemadeunderthefollowingprocedure:
AllchangesmustbemadesixweeksormorebeforethescheduledrotationonlineviaBannerWeborusing
thestandardpaperdrop/addform.
Theclerkshipbeingchanged,whetherlocationorrotation,MUSTbearrangedbyandwiththeCoordinator
of thatclerkship(inconsultation with the Director).Iftwo ormorestudentsortwoormoreclerkships are
involvedinthechange,allCoordinatorsthatpertainMUSTbeinvolved.TheCoordinatorswilltheninform
boththeSITEandtheREGISTRAR.
TheCoordinatorwillinformthenewsiteCoordinatorandtheoriginalsiteCoordinatorofthechange.This
informationwillbebyphoneandbyemailandwillbetotheclerkshipcoordinatorsandtochiefacademicofficer
atanyaffiliatedMedicalCenter.TheDeansofAffiliationswillalsobecopied.Studentsmayenlisttheadvice
orhelpofanyfacultymemberorDeanineffectingachange;howeverthechangemayonlybemadeby
aCLERKSHIPCOORDINATOR.AllchangesmustbereportedtotheRegistrar.
5
CLINICALCURRICULUMOVERVIEW
GeneralInformation
ThefollowingisanoverviewoftheClinicalCurriculum,itsrequirements,prerequisites,andprocedures.JeffersonMedical
Collegereservestherighttomodifyinformationand/orrequirementsaslistedinthisbooklet.Studentswillbenotifiedifany
changesaremaderegardingcourserequirements/policies.Determinationoflocationandsequencingofallrotationsisreserved
tothecollege.Affiliatesiteavailabilityandenrollmentnumbersmaychangeafterthepublicationofthesematerials.Official
entryintotheClinicalCurriculumiscontingentuponobtainingapassingscoreinStep1oftheUnitedStatesMedical
LicensingExamination.
TheclinicalcurriculumprogramstartsinJulyandconsistsof100weeks,ofwhich:
84weeksarerequiredclerkships,
4weeks’vacationsaremandatory(2weeksduringeachWinterHolidayperiod),
2weeks’vacationinJunebetweenthethirdandfourthyears,
2weeks’vacationimmediatelypriortograduation,and
th
8weeksofvacationduring4 Yeartobescheduledtofittheneedsofthestudents.
Thebasicunitsofthecalendararesix-weeksandfour-week’sblocks.
th
rd
PhaseIRequirements–Priortobeginning4 Year,each3 studentmustcompletethefollowing:
Duringthefirst48weeks,thesequenceofcourseswillvary,butbytheendofthe48weeks
(correspondingtotheendoftheeighthsix-weekblockofthethirdyear)allstudentsmusthavecompleted:
- sixweeksofFamilyMedicine(FMED350)
- twelveconsecutiveweeksofSurgery/SurgicalSpecialties/Selectives(consistingof:
-sixweeksofGeneralSurgery(SURG350),and
-twothree-weekrotationsofSurgicalSpecialtiesandSelectives
- twelveconsecutiveweeksconsistingofeightweeksofInternalMedicine(MED350)
andfourweeksofNeurology(NEUR350),
- sixweeksofPediatrics(PED350)
- sixweeksofPsychiatryandHumanBehavior(PSYH350)
- sixweeksofObstetrics/Gynecology(OBGY350)
AllPhaseIrotations,withtheexceptionoftheNeurologyandSelectiverotations,haveacomprehensivewritten
examinationattheconclusionoftheteachingblock.Examinationgradesearnedwillbepostedasaseparateentryon
thetranscript.
GeneralInformationConcerningtheSchedulingProcess
• Themajorobjectiveistogiveeachstudentthehighestorderofcoursesandlocationspreferred,whilealso
meetingJeffersonandaffiliatedhospitalrequirements.Determinationoffinallocationandsequencingofall
rotationsisreservedtothecollege.
• Ifthestudent'sfirstpreferenceisnotavailable,duetoenrollmentlimitationsorotherfactors,theprocesswillmoveto
thenexthighestselectiondependingonthepreferenceselectedbythestudentontheschedulerequestscreen.
Ifastudentfailstoprovidealternatechoicesoftimeperiodsandlocations,andthefirstchoiceisnotavailable,thestudentwill
beassignedwhenand/orwherespaceisavailable.
6
ACADEMICCALENDAR
2016–2017
ClinicalCurriculum
SIX-WEEKBLOCKS
FOUR-WEEKBLOCKS
2016–2017
2016-2017
16-01 July5-August12 16-02 August15–September23 16-03 September26–November4 16-04 November7-December16 16-05 January4-February12
16-06 February13–March24
16-07 March27-May5 16-08 May8-June16
16-10July5–July29
16-11August1–August26
16-12August29–September23
16-13September26-October21
16-14October24-November18
16-15November21-December16
16-16January3–January27
16-17January30–February24
16-18February27–March24
16-19March27-April21
16-20April24-May19
16-21May22–June16
AllPhaseImustbecompletedattheconclusionof16-08fortheClassof2018.
7
ImportantNote!!!!!
ALLHOUSINGARRANGEMENTSFORROTATIONSMUST
BEMADEWITHTHEAFFILIATEHOSPITALSDIRECTLY
ONCEYOUAREASSIGNEDTOYOURROTATIONS.THE
LISTOFCONTACTSISINCLUDEDWITHINTHE
GUIDEBOOK.
8
FAMILY
MEDICINE Abington
BrynMawr
Christiana
Crozer
Latrobe/
Excela
Inspira
Min/MaxNumberof
Students
1
2/3
PrimarySupervisor
(A)attending(R)resident
(I)Intern
A/R
A/R
7
1
2-4
1/2
A/R
A/R
A/R
A/R
Numberof
Students/Supervisor
1-1
1-1
1-1
1-1
1-1
1-1
YES-2
WEEKS
YES-1WEEK
ONLY4 YEAR;1WEEK
YES-1WEEK
OPTIONAL-
1WEEK
YWS-1WEEK
Outpatient
YES
YES
YES
YES
YES
YES
ICU
NO
NO
NO
NO
NO
NO
CommunityPreceptor
YES
NO
2WEEKSOUTSIDE
OFOFFIE
3SATELLITE
OFFICES
YES
NO
WOUND
CARE
NURSING
HOME
SESSION
UPON
REQUST,ER
ADMITS
NO
HOMEVISTIS
NO
METHADONECLINIC,
WOUNDCARECTR.,
INFECTIOUSDISEASE
CLINIC,DIABETESCTR.,
SCHOOLBASEDWELLNESS
CENTERS,NURSINGHOME
VISITS,GERIATRIC
ASSESSMENTPROGRAM,
URBANCENTER
POSSIBLY
HOMEVISITS,
NURSINGHOME,
SPORTSMEDICINE
ANDDERM
CLINICS
NO
STUDENT
RUNCLINIC
NO
HOSPICE,
WOUNDCARE,
OMT
RequiredText
YES
YES
YES
YES
YES
YES
RequiredReadings
YES
YES
YES
YES
YES
YES
NONE
NONE
NONE
NONR
NONE
NONE
TimeBreakdown:
Inpatient
ER
Other
Beeper
TH
9
FAMILY
MEDICINE
Teaching:
LectureHours/Week
NumberofNightsonCall
Housing
Transportation
Abington BrynMawr
Christiana
WEDNESDAYS-912,WEDNESDAY
SMALLGROUP
WITHRESIDENTS
DIDACTIC
MORNING
AND
AFTERNOON
LECTURES
M-FMORNING
REPORT@8;
THURSDAY
MORNING
DIDACTICS
THURSDAYAM
DIDACTIC
LECTURES
DIDACTICSAND
RESIDENTSLECTURES
NONE
NONE
NONE
NONE
NONE
NONE
NONE
YES,
ARRANGEMENTS
WITHRESIDENCY
COORDINATOR
FREE
HOUSING
NONE
CAR
RECOMMENDED
NOT
REQUIRED
ONCE
THERE
ACCESSIBLE
VIAPATCO
NONE
NONE
ACCESSIBLE
VIASEPTA
CAR
RECOMMENDED
CARRECOMMENDED,
FREEPARKING
10
Inspira
RESIDENT
LECTURES
Latrobe/
Excela
Crozer
FAMILY
MEDICINE
Overlook
Medical
Center/
Atlantic
Health
System
Reading
Min/MaxNumberof
Students
1-2
1-2
PrimarySupervisor
(A)attending(R)resident
(I)Intern
A/R
A/R
Numberof
Students/Supervisor
TJU
VirtuaHealth
York
11-15
1
1
A/R
A/R
A/R
1-1
1-1
1-1
1-1
1-1
NO
NO
YES-1WEEK
YES-2
WEEKS
TimeBreakdown:
Inpatient
Outpatient
YES
YES
YES
YES
YES
ICU
NO
NO
NO
NO
NO
YES
YES
YES,ONEAWEEK
YES
NO
NURSING
HOME
NO
HOSPICE,
SPORTS
MEDICIE,
ADDICTION
CENTE,
DERM
CLINIC,GI
CLINIC,
COLLEGE
STUDENT
CLINICS
NO
HOSPICE,HOMEVISITS,
REFUGEECLINIC
NO
NURSINGHOME,
HOMEVISITS
NO
2VzDAYSA
WEEKIN
PRIVATE
FAMILY
MEDICINE
OFFICE
RequiredText
YES
YES
YES
YES
YES
RequiredReadings
YES
YES
YES
YES
YES
NONE
NONE
NONE
NONE
NONE
CommunityPreceptor
ER
Other
Beeper
11
FAMILY
MEDICINE
Teaching:
LectureHours/Week
NumberofNightsonCall
Housing
Transportation
Overlook
Medical
Center/
Atlantic
Health
System Reading
TJU
MORNING
REPORT
ANDCME
LECTURE
RESIDENTLECTURESAND
GRANDROUNDS
NONE
NONE
NONE
NONE
NONE
YES
YES
NONE
NONE
YES
NOT
REQUIRED
ONCETHERE
NOT
REQUIRED
ONCE
THERE
CARRECOMMENDED
CAR
RECOMMENDED
CAR
RECOMMENDED
York
MORNING
REPORT,
DIDACTICS,
RESIDENT
LECTURES
12
VirtuaHealth
WEDNESDAY
MORNINGS
HALFDAY
FAMED350 FAMILYMEDICINE
AbingtonMemorialHospital
Asafamilymedicineteachingprogram,wehaveastrongcommitmenttoteachingmedicalstudents.Thirdyear
studentsfrommanylocalmedicalschoolsrotatewithourresidentsontheFamilyMedicineInpatientServiceand
intheFamilyMedicineCenter.Wealsoofferfourweekandtwoweekfourthyearelectiverotationsforinterested
medicalstudents.
Students are incorporated into all aspects of the Family Medicine Residency during their rotations with us. The
majorityofstudenttimeisspentcaringforpatientsintheoutpatientsettingbutalsomayincludeactivitiessuchas
roundinginthehospitalwiththefamilymedicineresidentsandattending’s,geriatricfacilityvisits,andhomevisits.
MedicalstudentsareinvolveinallconferencesanddidacticprogramsattheAbingtonFamilyMedicineduringtheir
rotationsandparticipateinaseriesoflecturesonthetop20diagnosesinprimarycarespecificallydesignedforthe
students.Thereisalsotheopportunityforinterestedstudentstoworkwithourresidentsinotheractivitiessuch
aspreparticipationsportsphysicals,outpatientofficeproceduresandresearchprojectsandpublications.
BrynMawrHospital
Thegoalofthissix-weekrotationisforthestudenttopracticeandimprovehis/herinterviewingandphysical
examinationskillsandtobeginintegratingpatientdatawithbasicsciencetomakerelevantclinicaldecisions.
ThisFamilyPracticerotationisintendedtoprovidethethird-yearstudentwithabroadclinicalexperience.
There is ample time spent in the hospital-based residency practice and in the office of a community-based
family practitioner. The array of exposures will include the family practitioner in the office, making home
visitsandnursinghomevisits.Inaddition,thestudentsmeetwithfacultyforseminarsonclinicalproblem
solvingandinterviewingskills.Studentsareresponsibleforreadingnecessaryinformationtoappropriately
learn about the patients they have seen. An evaluation will be made by the preceptor with whom the
studentsworkandthefacultyandresidentsatBrynMawrFamilyPractice.
ChristianaCareHealthServices
Studentswillbeexposedtoawiderangeofclinicalexperiencesandsettings.Studentsspendtwoweeksina
private family physician’s office, at least one week in our residency practice, several sessions in an urgent
caresetting,aswellasseveralvariedexperiencesincommunitymedicine,includingHIVClinic,nursinghome
and home visits. Finally students have the unique opportunity to participate in a weekly medical student
clinic where they see their own patients, formulate their own assessments and plans and may see them in
followup.Thelecturescheduleincludespracticalsessionsonanintroductiontosuturingandanintroduction
tomusculoskeletalexams.Lecturesalsoincludeinteractivedidacticsessionsoncommonoutpatienttopicsas
well as an introduction to evidence-based medicine. Students are evaluated by the course director outside
preceptors,faculty,residentsandstaff.Mid-rotationmeetingsareinformalduetothewiderangeofassigned
locations.TheclerkshipdirectormeetswithallstudentsforseveralsessionsoforientationandmostFridays
thereafter.Duetothevariedlocationstowhichthestudentsmusttravel,anautomobileisrecommendedfor
thisrotation.
13
FAMED350 FAMILYMEDICINE
Crozer-KeystoneHealthSystem
AttheCrozer-KeystoneCenterforFamilyHealthinSpringfield,weoffer2and4-weekfourthyearelectives
anda6-weekthirdyearclerkshipforinterestedmedicalstudents.Duringyourrotation,youwillspendthe
majority of the time caring for patients in the outpatient setting which is located in Delaware County (20
minutes outside of Philadelphia.) Our Springfield office recently received Level 3 recognition from the
NationalCommitteeforQualityAssuranceforourPatientCenteredMedicalHome.Patientcareactivitieswill
routinelyincludeexposuretoglobalhealth,officeprocedures,cosmeticmedicine,sportsmedicineactivities,
medical informatics, inpatient service and behavioral science sessions. In addition, students will also be
involvedthecommunitythroughschoolphysicals,homevisitsandnursinghomevisits.Studentsparticipate
in the weekly didactic sessions with our residents as well as dedicated weekly medical student teaching
sessions.IfyouareinterestedindoingarotationinFamilyMedicineatCrozer,pleasecontactourStudent
Coordinator at (610) 690-4471 or via email at FMResidency@crozer.org. We greatly look forward to
participatinginyourmedicaleducationandexposingyoutothedynamicspecialtyofFamilyMedicine!For
moreinformation,pleasevisitourwebsiteatfammed.crozer.org.
ExcelaHealthLatrobeHospital
Students get to interview and examine patients first at Latrobe. The student takes an active role in
care/managementofpatients,andstudentsparticipateinclinicalanalysisprocesses.Studentsaresupervised
byboard-certifiedfamilypracticeattendings.ThereisprobablynoothersitewithintheJeffersonsystemat
whichthestudentsgetthisopportunitytoactascliniciansandtocontributesodirectlytothecareofactual
patients. Students receive informal feedback from every preceptor with whom they work. Preceptors relay
informationverballyorinwritingtotheclerkshipcoordinator,whohasaformalfacetofacediscussionwith
thestudentsinmid-courseandattheendoftherotation.Theclerkshipcoordinatorcompilestheevaluations
and writes the narrative grade report to send back to Jefferson. Students are evaluated compared to the
theoreticalexpectationsforastudentattheirleveloftrainingandexperience.Knowledge,professionalism,
personalskills,andabilitytothinkinclinicaltermsareallimportantgradingfactors.
InspiraMedicalCenterWoodbury
Our faculty has training in sports medicine in addition to a focus on geriatrics. We have our own prenatal
clinic,whichissupervisedbylocalobstetricians.Midrotationevaluationsoccursat3weeks,andareinthe
formofverbalfeedback.Weevaluatestudentsbasedoncompositescorescollectedfromallphysiciansthat
worked with the student. Our forms mirror the criteria present on the final evaluation forms sent from
Jefferson.Allsubjectivecommentsareincorporatedintheevaluations.
14
FAMED350 FAMILYMEDICINE
OverlookMedicalCenter(partofAtlanticHealthSystem)
We are a family medicine teaching program, and as such we teach medical students from several medical
schools along with our residents. Students will work with both residents and attendings in our outpatient
office in Summit, NJ. Students will meet patients from a variety of backgrounds, take histories, conduct
physicals,developdifferentialsandpresenttoattendingsandseniorresidents.Theywillalsospenttimeon
geriatric rounds in our nursing home facility and in our prenatal clinic. There is also opportunity for
interested students to round with the family medicine inpatient team. Medical students are involved in all
conferences/ didactic sessions along with the residents. These periodically might include procedure
conferences such as suturing, GYN procedures or joint injections. Additionally, there are medical student
behavioralsciencesessions.
ReadingHospitalandMedicalCenter
The Reading hospital is a large, community based hospital with many resources. Students have the
opportunitytocustomizepartsoftherotation,dependingupontheirparticularinterest.Students“formally”
stay within the residency program, but have the opportunity to work with specialists along with Family
MedicineResidents.Studentstypicallyworkwith3-5residentsand2-3facultymembers.Themid-rotation
andfinalevaluationsareacompositeofinputfromthosewhoworkedwiththestudent.Foreachpatient,the
student will use the standardized history and physical outlined by the SOAP format, which is critiqued and
returned to the student. Home visits w/Berks visiting Nurses – 1 day rotation; PSU Berks / Alvernia
University. Student Health Clinic, 1 afternoon / rotations, Second Street Clinic – 1 day / rotation. Special
FeaturesofyourclerkshiprequiredBiopsychosocialProjectwhichinvolvesinterviewingalong-termpatient
andwritinga3-pagepaperwithagenogram.TheClerkshipDirectormeetswithstudentsweeklytopractice
casepresentationsandtopresentphysicalexampearls.
ThomasJeffersonUniversityHospital
ForclerkshipstudentsrotatingatJefferson,thebulkofclinicaltimeisspentintheJeffersonFamilyMedicine
Associatespractice.There,studentstypicallymeetpatients,takethehistory,conductthephysicalexam,and
present patients to precepting faculty. Students are responsible for formulating a differential diagnosis,
developinganassessmentandtherapeuticplan,andperforminghealthmaintenanceactivities.Studentsmay
be responsible for labs, follow-up, notes, and referrals as needed. The patient population in the Family
PracticeCenterislargelyurban,andstudentsencounterarichmixofpersonalities,backgrounds,andhealth
issues.Studentmayalsobeassignedtoacommunitypreceptorandwillbeexpectedtotravelbycar.
15
FAMED350 FAMILYMEDICINE
VirtuaHealth
StudentswhorotateatVirtuaHealthwillbeconsideredapartofourFamilyMedicineResidencyduringtheir
6weekrotationwithus.Asateachingprogramwithover30yearsofexperiencetrainingresidents,weare
dedicatedtoensuringthatstudentsgetanexcellentexperienceinseeingwhatFamilyMedicineisallabout.
Students will spend the majority of their time at our outpatient facility, the Virtua-Tatem Brown Family
Practice Center, and also spend 1 week on inpatient rounds on our family medicine service at Virtua
Voorhees.Weareabout30minutesfromCenterCityPhiladelphia,makingaccessforJeffersonstudentsquite
easy. Our practice has a very diverse patient population, with a broad demographic mix including 30%
pediatrics.Intheoffice,studentswillworkwithresidentsand1on1withanattending,andwillseeawide
variety of patients that encompass everything from well child and preventive health visits to the most
complex chronic disease management cases, as well as office procedures. Our practice is recognized by the
NCQA as a level 3 medical home, and students will gain experience learning in an environment that
emphasizes patient satisfaction, patient safety and continuous quality improvement. Students will also be
involved in participating in nursing home rounds and home visits, in addition to opportunities with school
healthandotheroutreachactivitiesastheyarise.OurgoalistoexposeyoutotheexcitingspecialtyofFamily
Medicineandallithastooffer!Wealsooffer4thyearrotationsforthoseinterestedinFamilyMedicineasa
careerchoice.Pleasecontactourcoordinatorsat(856)325-3737andvisitourwebsitetolearnmoreabout
VirtuaFamilyMedicineResidency.
YorkHospital
Students see patients at the Thomas Hart Family Practice Center which is part of the family medicine
residencyprogramfoundedin1968.Thefamilypracticecenterisconnectedtothehospitalandhas24exam
rooms,twoprocedurerooms,alab,andaconferenceroomaswellasofficesforthefacultyandresidents.The
average number of outpatient visits per year is approximately 23,000. These visits include well-child care,
maternitycare,adultcare,andnumerousoutpatientprocedures.Thefamilypracticecenterhasbeenusingan
electronic health record since September 2006. Students will spend most of their time at the Thomas Hart
FamilyPracticeCenterbutwillalsospendtwohalf-daysperweekataprivatefamilymedicineofficeinthe
community.Studentswillalsospendtwoweeksonthefamilymedicineinpatientservice.Therearedidactics
held on Thursday mornings which all students participate in as well as weekly visits to the York Hospital
SimulationLab.StudentsaresupervisedbyStaceyRobert,MDandtheProgramCoordinatorforthestudent
rotations,ChristieColon.
16
INTERNAL
MEDICINE
Min/MaxNumberofStudents
Albert
Einstein Christiana
4
7
ResidencyinSpecialty?
YES
YES
PrimarySupervisor
(A)attending(R)resident
IforMS4
(I)Intern
RforMS3
I
NumberofStudents/Supervisor
Methodist
7
4
2/4
YES
YES
YES
IFORMS4;
RFORMS3
A
I/R/A
1-2
4
1-2
1-2
%
FDE
FDE
FDE
100
22-24
10HRS/DAYSFOR8
WKS
30
100
Outpatient
0
2
0
0
0
ICU
0
0-1
0
0
0
PrivateMD
0
1
0
0
0
ER
0
0
ONLYONCALL
0
0
OR
0
0
0
0
0
L&D
0
0
0
0
0
Other
0
0-2
0
0
DAILY
~DAILY
PRESENTDAILY
8-12
1-2/WEEK
NumberAdmissionWrite-ups
PerRotation
3FORMAL
WRITE-UPS
VARIABLE
DONEATJEFF
VARIABLE
1-2/WEEK
NumberofNewPatientsPer
Rotation
20
VARIABLE
8-10
8-14
VARIABLE
1-2/WEEK
RequiredText?
NO
NO
NO
NO
NO
TimeBreakdown:
Inpatient
NumberRequiredCase
PresentationsPerRotation
17
Lankenau
Morristown
MedicalCtr./
AtlanticHealth
System
INTERNAL
MEDICINE
RequiredReadings
Teaching:
Albert
Einstein Christiana
YES
NO
Lankenau
Methodist
Morristown
MedicalCtr.
AtlanticHealth
System
NO
YES
NO
9
Lecture
Hours/Week
8
4
8
5-8
Rounds/Day
~2
1-2
1-2
1
Q4
(NOOVERNIGHTS)
NumberofnightsonCall
1
6
Q4
Beeper
YES
YES
NO
YES
FDE:FULLDAYEQUIVALENTS
18
NO
INTERNAL
MEDICINE
Reading
TJUH
WilmingtonVA
York
Min/MaxNumberofStudents
2/2
24
3
2/2
YES
YES
YES
I/R/A
I
A/R
ResidencyinSpecialty
YES
PrimarySupervisor
(A)attending(R)resident(I)
Intern
I/R/A
NumberofStudents/Supervisor
1-2
1-2
1-2
2
TimeBreakdown:
FDE
%
FDE
FDE
Inpatient
100
100
24
100%
Outpatient
0
0
0
0
ICU
0
0
0
NO
PrivateMD
0
0
0
0
ER
0
0
0
0
OR
0
0
0
0
L&D
0
0
0
0
Other
1STUDENT
LECTURETIME
NOSUBSPECIALTIES;
SERVICESAREMULTIDISCIPLINARY
6
2/WEEK
8-12
10-12
VARIABLE
4
8–12
10-12
VARIABLE
NumberRequiredCase
PresentationsPerRotation
NumberAdmissionWrite-upsPer
Rotation
NumberofNewPatientsPer
Rotation
-
2-3/WEEK
8-12
2-3ATATIME
-
RequiredText?
NO
NO
19
NO
INTERNAL
MEDICINE
RequiredReadings
Teaching:
LectureHours/Week
Rounds/Day
NumberofNightsonCall
Beeper
Reading
TJU
WilmingtonVA
York
NO
SUGGESTED
-
YES
6-10
5-7
8
10
1
1
1
1
Q4
(NOOVERNIGHT)
6(NOOVERNIGHT)
10
EVERY4DAYS;
NOCALLPAST8PM
YES
YES
YES
YES
FDE:FULLDAYEQUIVALENTS
20
MED350
INTERNALMEDICINE
AlbertEinsteinMedicalCenter
Students are evaluated based on Jefferson provided evaluation forms, by the interns, residents, and
attendings that have worked with the student during their rotation. These evaluations are compiled and
reviewed with the student at the end of their rotation if they have not already been reviewed by their
individual evaluators. Albert Einstein Medical Center offers several unique educational opportunities for
thirdyearmedicalstudents.Thereare6-10studentlecturesgivenbyfull-timefacultymemberseverymonth
including a monthly medical jeopardy to review the topics presented. Students meet with the Chairman of
Medicine,Dr.StevenSivak,weeklytodiscussinterestingcaseswiththeirpeers.Duringtherotation,students
have access to the Johnson Learning Center, a state-of-the-art learning center with Harvey©, a model that
simulatesheartsounds,anIVCathetersimulatortopracticeIVcatheterinsertionandphlebotomy.Students
alsohaveachancetoroundwiththephlebotomyandIVteamstoacquireandpracticetheseskills.
ChristianaCareHealthSystem–ChristianaHospital
StudentsinteractwithconsultantsfromallsubspecialtyInternalMedicineservices.TheseincludeCardiology,
Infectious Disease, Gastroenterology, Hematology, Nephrology, Pulmonary and Rheumatology. On the
internal medicine service, students are evaluated by the intern and resident with whom they worked most
closely.Dependingontheservice,anattendinghospitalistevaluatesthemaswell.Theseindividualsfillout
the Sidney Kimmel Medical College evaluation form, which is then turned into the student’s individual
preceptor.Thepreceptorthencomplieshisorherownevaluationincorporatingcommentsfromtheinterns
andresidentsandthenthisfinalevaluationformissenttoJeffersonforthefinalgrade.Atthebeginningofthe
clerkship,studentsaregivenaproceduralformtofillout.Theyareencouragedtodoasmanyproceduresas
possible and these include phlebotomies, blood draws, nasogastric tube placements, and Foley catheter
placements, ABGs, vaccinations and accuchecks. A workshop in IV insertion is provided for students and is
schedule each month. Students are also required to prepare a one-page response to an evidence-based
questionassignedtothem.Severalliteraturereferencesareexpected.TheACPInternalMedicineEssentials
forClerkshipStudentsBookandCDIMPrimertotheInternalMedicineClerkshiparegiventoeachstudent.
An observed physical examination is strongly encouraged. Mandatory lecture included Grand Rounds and
studentcorelectures.Alectureofcommonx-rayfindingsisscheduledandconductedbyaradiologist.Each
studentwillspendoneweekintheoutpatientsetting.Duringthisweektheyattendtheresidentcontinuity
clinic,andspendondayataprivateinternist’soffice.Theyarealsoencouragedtoperformproceduresand
visitsomeorallofthefollowing:MICU/CCU,GILab,CardiacCatheterizationLab,LabandHemodialysis.They
alsoattendresidentambulatoryconferencesduringtheoutpatientweek.
LankenauHospital
Lankenau Hospital has over 100 years of experience in training medical students and residents. Indeed,
educating students is a core value at Lankenau Hospital where medical students are considered valued
membersofthehealthcareteam.Weprideourselvesonprovidingauniversity-levelacademicexperiencein
awarm,supportivecommunityenvironment.StraddlingthecityofPhiladelphiaandits“MainLine”suburbs,
Lankenauprovidesafascinatingdiversityofpatientsandpathology.
21
MED350
INTERNALMEDICINE
AtLankenau,thirdyearstudentsrotateononeofoureightcoreteachingteams.Eachteamisledyeitheran
AcademicHospitalistoranAcademicGeneralInternistwhoisfocusedonprovidingexcellentpatientcareand
anexcellenteducationalexperienceforresidentsandstudentsontheirteam.Inadditiontoourcorestudent
Didacticconferences,students(MS-3only)attendandpresentataweeklystudentcaseconferencethatisled
by core teaching faculty. Students also attend regularly scheduled Lankenau conferences such as Noon
Conference,MorbidityandMortalityConferenceandGrandRounds.Bedside,didactic,andmultidisciplinary
roundstakeplacedailyandinformalbedsideteachingexperienceswithsubspecialtyconsultantstakeplace
daily.
Studentshavetheopportunitytolearnandpracticebedsideproceduressuchasphlebotomy,IVplacement,
and the drawing of arterial blood gases. All students are strongly encouraged to attend and observe any
procedurestheirpatientsareundergoingsuchascardiaccatheterizations,endoscopies,andsurgeries.
Studentsareevaluatedinface-to-facesessionswiththeirfloorAttendingsatboththemidpointoftheblock
and at the end of each block. End of block evaluations are completed by the student’s Attending, their
resident, and occasionally their intern, if desired. Our medicine Clerkship Director William Surkis, MD,
regularly meets with students to provide feedback and is always available to students for assistance with
patientpresentations,notes,orassistancewithshelf-examstudyplans.
MethodistHospital
This rotation provides an excellent education in medicine at a community hospital. The PGY1’s are in
Emergency Medicine, Family Practice, or Internal Medicine and the PGY2’s – PGY4’s are all in Internal
Medicine. Students will have exposure to the subspecialty services of Cardiology, Dermatology,
Gastroenterology, Infectious Disease, Hematology & Oncology, Nephrology, Physical and Rehabilitation,
Psychiatry, Rheumatology, and Endocrinology. Junior students have an assigned attending for each fourweekrotation.Theattendingmeetswithstudentstwiceaweekforthecasepresentationsanddiscussions.
The students also attend morning report, daily conference, and resident teaching rounds. Evaluation is by
intern, resident, and teaching attending based on the criteria of the Jefferson Medical College evaluation
forms.MethodistHospitaloffersfreemealswhenoncall.Thereisalsofreeparking.
MorristownMedicalCenter(partofAtlanticHealthSystem)
Morristown Medical Center (MMC) is the flagship teaching hospital for Atlantic Health System in northern
New Jersey. We function as a tertiary referral center for the region with over 680 beds and over 77,000
emergencyroomand286,000outpatientvisitseachyear,providingourstudentsexcellentclinicalexposure
to patients from diverse socioeconomic backgrounds. There are 9 residency programs at MMC, and two
internal medicine fellowships including cardiology and primary care sports medicine. Third year medical
students are assigned to one of the Department of Medicine teaching teams which are led by an academic
hospitalist. They will be able to admit patients, write notes, present cases on rounds and interact with a
varietyofmedicalandnon-medicalconsultantsunderthesupervisionofaseniorresidentand1or2interns.
Daily teaching rounds are conducted with the attending. Students attend morning report, noon conference,
radiology rounds, Mortality/Morbidity and Quality Improvement Rounds, and Medicine Grand Rounds. In
addition,studentshaveacoredidacticseriesoflecturesincludingaweeklycardiacauscultationconference
andmeetingswiththeclerkshipdirectorstoreviewnotes.OnestudentreportweeklyisledbytheClerkship
Directorstohelpdeveloppresentationskillsanddiscussdifferentialdiagnosisandclinicalreasoning.The
22
MED350
INTERNALMEDICINE
third year core curriculum is focused on the integration of patient information to identify presenting
problem(s), development of differential diagnoses, improvement of critical thinking skills, and practicing
writtennotesandoralpresentations.Studentsareevaluatedbymembersoftheteambasedontheirclinical
performance,writtenandverbalpresentations,andprofessionalism.
ReadingHospital
Reading Hospital is located in West Reading, PA, which is approximately a 90-minute commute from
Philadelphia. Students rotating here are an integral part of the general medicine team with each student
workingcloselywithone-twointerns,oneseniorresident,andonefull-timefacultyattending.Therangeof
experiences includes the evaluation of potential admissions in the emergency room, admission and care of
those patients on general medical floors or telemetry units, and disposition to the appropriate outpatient
setting.Studentsperformhistoriesandphysicals,writedailyprogressnotes,gainexperiencewritingnotes
and orders in EPIC EMR, and provide ongoing care for two-three patients at any given time. They are
encouraged to accompany their patients to any procedures of interest. Arrangements are made with
respiratorytherapytoprovideexperiencedrawingABGs.Writtenhistoriesandphysicalsareturnedintothe
clerkshipdirectoreveryotherweekforfeedback.Studentsattendmorningreport,grandrounds,andeither
mid-day resident conferences or student conferences. Communication and physical exam skills, as well as
development of differential diagnosis, are emphasized. A mid-rotation meeting is scheduled with the
ClerkshipDirectorforfeedbackandsettingofgoalsfortheremainderoftherotation.Evaluationisbyintern,
resident,andfull-timeattendingbasedonthecriteriaoftheSidneyKimmelMedicalCollegeevaluationforms.
On-campushousingandparkingareavailablefreeofcharge.Dailymealallowanceisprovidedforthevarious
on-campuseateries.
Thestudentsareanintegralpartofthegeneralmedicineteam,witheachstudentworkingcloselywith1-2
interns,1seniorresident,and1full-timefacultyattending.Therangeofexperiencesincludestheevaluation
of potential admissions in the emergency room, admission and care of those patients on general medical
floorsortelemetryunitsanddispositiontotheappropriateoutpatientsetting.Studentsperformhistoriesand
physicals,writedailyprogressnotes,andprovideongoingcarefor2-3patientsatanygiventime.Theyare
encouraged to accompany their patients to any procedures of interest. Arrangements are made with
respiratorytherapytoprovideexperiencedrawingABGs.Writtenhistoriesandphysicalsareturnedintothe
clerkship director every other week for feedback. A mid-rotation meeting is scheduled with the clerkship
directorforfeedbackandsettingofgoalsfortheremainderoftherotation.Studentsattendmorningreport,
grandroundsandeithermid-dayresidentconferences,orstudentconferences.Communicationandphysical
examskillsaswellasdevelopmentofdifferentialdiagnosisareemphasized.Evaluationisbyintern,resident,
and full-time attending based on the criteria of the Jefferson Medical College evaluation forms. On-campus
housing,andparkingareavailablefreeofcharge.Dailymealallowanceifprovidedforthecafeteria.
ThomasJeffersonUniversityHospital
During their Internal Medicine clerkship at TJUH students may be exposed to cardiology, GI, pulmonary,
renal, GIM and oncology subspecialties. Students will attend a core conference series, student morning
reports, simulation exercises, physical diagnosis rounds, and chairman rounds. All students are evaluated
using criteria set by student promotions and Curriculum Committee Evaluations are compiled from all
individuals who submit written evaluations – typically 6-8 per 8-week rotation. All students are asked to
meetwithevaluatorseachmonthformid-rotationfeedback.
23
MED350
INTERNALMEDICINE
WilmingtonVAMedicalCenter
Students are responsible for history taking, physical examination, and formulation of differential diagnosis
and therapeutic plan for their patients as well as ordering pertinent laboratory work and writing progress
notes.Studentsactivelyparticipate,underclosesupervision,inperformingproceduressuchasIVandCVP
lines, thoracentesis, paracentesis, blood gases, EKG’s. Students are considered an integral part of the team
here!Thereareindividualizedconferencesaswellasgeneralandspecialtyconferencesheldforstudents.
YorkHospital
ThethirdyearclerkshipininternalmedicineatYorkHospitalprovidesstudentswithexcellentexposureto
the broad range of diagnoses and multiple, complex medical problems characteristic of internal medicine.
Thirdyearstudentsareanintegralandvaluedpartofeachofthefourinpatientmedicineteams.Eachteamis
comprised of one attending physician (typically an academic hospitalist) one second or third year senior
resident,oneintern,andusuallyonetotwothirdyearmedicalstudents.Studentstakecallwiththeirteam,
admitpatientsinconjunctionwiththeirinternsandresidents,andfollowtheiradmittedpatientsthroughout
their hospitalization. The student is responsible for presenting the initial history and physical, as well as
presentingthesepatientsonsubsequenthospitaldays.Becausemedicinespecialistsandneurologiststendto
act as consultants rather than the primary attendings for internal medicine patients at York Hospital,
studentsgethands-onexperiencecaringforpatientswithdiagnosesdiverseascongestiveheartfailure,acute
coronary syndrome, gastrointestinal bleeding, delirium, stroke, inflammatory bowel disease exacerbations,
andCOPD,tomentionjustafew.
Other educational activities include a core lecture series, with contributions from both general internist as
well as subspecialists, specifically for the third year students. A weekly Student Report with the Clerkship
Directorhelpstosharpenpresentationanddifferentialdiagnosisskills,aswellasclinicalreasoning.There
arealsoweeklyadvancedphysicaldiagnosissessionsledbymasterclinicians,specificallygearedtowardthe
third year students. Additionally, there are scheduled opportunities to work with ancillary services to
practice and hone skills on venipuncture, IV placement, as well as urinalysis and peripheral blood smear
interpretation.
The students are evaluated primarily by attending’s, as well as the upper level resident on their team (the
junior or senior resident). Interval feedback is given at the midpoint of the rotation. The students are
evaluated based on their performance on the wards, including written history and physical, oral patient
presentations,theirfundofknowledge,professionalism,andinteractionswithpatients,housestaff,ancillary
services,andothermembersofthehealthcareteam.
24
NEUROLOGY
Albert
Einstein Christiana
Lankenau
Min/MaxNumberofStudents
4/4
2
PrimarySupervisor
(A)attending(R)resident
(I)Intern
R
A
1/2
NumberofStudents/Supervisor
1:1
1:1
TimeBreakdown:
%
Inpatient
50
15
Outpatient
25
75
ICU
25
10
100
10
5(IFDESIRED)
2
2
NumberAdmissionWrite-ups
PerRotation
N/A
2
NumberofNewPatientsPer
Rotation
20
40
NO,BUTMUST
CONSULTUPTO
DATEDAILY
PrivateMD
A
ER
OR
L&D
Other
NumberRequiredCase
PresentationsPerRotation
RequiredText?
NO
FDE:FULLDAYEQUIVALENTS
25
NEUROLOGY
Albert
Einstein Christiana
RequiredReadings
YES
Teaching:
Lankenau
YES,ASASSIGNED&
UPTODATE
ONGOING
LectureHours/Week
11
1-2
6
Round/Day
1
1
NumberofNightsonCall
0
0
0
NO
NO
NO
Beeper
FDE:FULLDAYEQUIVALENTS
26
NEURO350NEUROLOGY
AlbertEinsteinMedicalCenter
Duringthisrotation,studentswillhaveacquirethefollowing:
a.Asoundfoundationforprinciplesofneurologicdiagnosis;
b.Introductiontocommonneurologicalsyndromesanddiseases,focusingonpathophysiology,common
presentations,andprinciplesofmanagement.
Foreachpatientassigned,studentswillperformathoroughH&Pwithspecialattentiontoneurological
symptomsandsigns.AllpatientswillbepresentedtoanAttendingandmostwillbediscussedwitha
Neurologyresidentbeforehand.Weexpectyoutoproposeaneurologicallocalizationanddifferential
diagnosisoneverypatient.Thiswillincreaseyourfacilityin“thinkingneurologically.”
RotationsDuringtheClerkship:
1.InpatientAdmittingService
2.InpatientConsultService
3.OutpatientClinics/Neuroradiology/Neuropathology
4.ICU
OtherClerkshipRequirements:
1.Neuropathologyslidereviewandassignment
2.Patienteducationhandoutassignmentfor“NeurologyPatientLibrary”
3.Attendneurologytraineeconferencesandstudentcenteredconferences,unlessexcusedforotherduties.
ChristianaCareHealthServices–ChristianaHospital
Students are paired with an attending neurologist. They work with the attending directly in terms of
performing consultations, seeing follow-up patients and learning to further their skills in the neurological
examination.
There is close attention to helping develop a through differential dx and plan. Students are encouraged to
reviewanddiscussthemedicalliteraturewiththeneurologistwithwhomtheyareworking.
Opportunities to work with inpatient neurology attendings in the ICU and floors settings are under
development.
27
NEURO350NEUROLOGY
LankenauHospital
TheLankenauJeffersonstudentneurologyrotationisamentor/menteedrivenmodelthatissingularinthemedical
schoolexperienceatJefferson.ThestudentwhoselectsLankenauwillbeassignedtoaspecificneurologyattending;
therearenoneurologyresidentshere.Allofourattendingshavesubstantialsubspecialtyexperienceandseveralof
ourstaffmembersarenationallyrecognizedintheirrespectivefields.Thestudentwillworkintensivelywiththeir
assignedattendingwhowillalsodirecttheirclinicalandlearningexperiencesuchthatitwillbediversifiedacrossthe
spectrum of neurological disorders and their treatment, predominantly in the outpatient setting where most
neurologicdiseaseistreated,aswellasontheinpatientserviceandintheemergencyroom.
28
OBSTETRICS&
GYNECOLOGY
Albert
Abington Einstein
Bryn
Mawr
Christiana
Lankenau
Min/MaxNumberofStudents
1/2
3/4
PrimarySupervisor
(A)attending(R)resident
(I)Intern
R
R
1/2
1/6
3/4
A
R
R
NumberofStudents/Supervisor
1-2
1
1
FDE
FDE
2
1-2
TimeBreakdown:
FDE
FDE
Inpatient
13
10
15
14
7.5
Outpatient
5
10
5
5
6
ICU
5
ELECTIVE
1
PrivateMD
ER
CONSULTS
2
5
1
OR
VARIES
10
5
5
6
10
PARTOF
INPATIENT
7NIGHTS
5
6
L&D
Other
5(ELECTIVE)
5NIGHTS
OFNIGHT
FLOAT
OUTPATIENT
SURGERY(2)
NIGHTFLOAT
NumberRequiredCase
PresentationsPerRotation
2TO3
1
12
6
1
NumberAdmissionWrite-ups
PerRotation
VARIES
30
20
1
10
NumberofNewPatientsPer
Rotation
6
30
YES
YES
YES
YES
RequiredText?
YES
FDE:FULLDAYEQUIVALENTS–REI:REPRODUCTIVE,ENDOCRINEANDINFERTILITY
29
OBSTETRICS&
GYNECOLOGY
Morristown
Medical
Ctr.
/Atlantic
Health
System
Reading
Min/MaxNumberofStudents
2/4
3/3
PrimarySupervisor
(A)attending(R)resident
(I)Intern
R/A
I/R
NumberofStudents/Supervisor
TimeBreakdown:
Inpatient
Outpatient
ICU
PrivateMD
ER
OR
L&D
TJUH
Virtua
York
4/6
4/7
2/3
R
R
R/A
2
1-2
2
2
1
2WEEKOB
ROTATION
2WEEKGYN
ROTATION
FDE
FDE
DAYS/WEEK
FDE
13
13
HALF
8/9
5
5
3.5
5-6.5
1
1
2WEEK
ROTATION
N/A
VARIES
VARIES
10
10
1
5-7
10
Other
4/5
FMX1
DAY
5(ELECTIVE)
LABORHALL
DAYTIME5;
NIGHTFLOAT4
NumberRequiredCase
PresentationsPerRotation
2
1OR
MORE
NumberAdmissionWrite-ups
PerRotation
2ONGYNAND
ITVARIESON
OB
VARIES
NumberofNewPatientsPer
Rotation
VARIES
YES
YES
RequiredText?
2TO3
N/A
3/4
VARIES
N/A
NONE
REQUIREDBUT
ENCOURAGED
YES
YES
20
YES
FDE:FULLDAYEQUIVALENTS–REI:REPRODUCTIVE,ENDOCRINEANDINFERTILITY
30
OBSTETRICS&
GYNECOLOGY
RequiredReadings
Albert
Abington Einstein
YES
Bryn
Mawr
Christiana
Lankenau
YES
YES
YES
YES
Teaching:
LectureHours/Week
4TO6
6TO8
1
9
5
Round/Day
1TO2
5TO6
(NIGHT
FLOAT)
1
5
NO
WEEKENDS
1
1
2
5
4
6
NO
NO
NO
NO
NO
NumberofNightsonCall
Beeper
Morristown
Medical
Ctr./
Atlantic
Health
System
Reading
TJUH
Virtua
York
YES
YES
YES
YES
YES
4-8
6TO7
4TO6
2
3-4
Round/Day
2
VARIES
1TO2
1
1TO2
NumberofNightsonCall
3
(NIGHTFLOAT)
5–6
(NIGHTFLOAT)
5–6
(NIGHTFLOAT)
4
NO
NO
NO
NO
NOS
OBSTETRICS&
GYNECOLOGY
RequiredReadings
Teaching:
LectureHours/Week
Beeper
31
OB/GYN350OBSTETRICSANDGYNECOLOGY
AbingtonJeffersonHealth
As an OB/GYN teaching program, we have a strong commitment to teaching medical students. Third year
students from many local medical schools rotate with our residents and faculty on several services. These
servicesinclude:gynecologiconcology,nightfloat,gynecology,andobstetrics.Studentsalsogetthechanceto
rotateinourOB/GYNCenterfortheunderserved.Didacticsessionsandareheldweeklyforbothresidents
andstudents,andweeklymorbidityandmortality(M&M)conferencesarealsoheld.Morningconferencesare
helddaily.
StudentsareincorporatedintoallaspectsoftheOB/GYNresidencyduringtheirrotationswithus.Students
receive training both on the inpatient and outpatient EMR in the hospital. EMR write access is available to
studentsduringthegynecologyservice.
AlbertEinsteinMedicalCenter
The clerkship in women’s health, obstetrics & gynecology in the Department of Obstetrics and Gynecology,
AlbertEinsteinMedicalCenter,isasix-weeklearningexperiencedesignedtoprovidethebasicinformation
aboutwomen’shealth,obstetricsandgynecologyneededbymedicalstudentstosuccessfullycompletetheir
clerkships and pass national standardized examinations. Students are assigned to rotations in general
obstetrics,gynecology,andnightfloatteams,providingampleopportunitytolearnthebasicknowledgeand
skills while experiencing hands-on training in deliveries and surgery. Students are included as active
members of the ObGyn care teams and are allowed and encouraged to do as much as their knowledge and
skillspermit.
InObstetrics,studentsareinvolvedinlaboranddeliveryactivities,theantepartumandpostpartumfloorand
inclinicalscenariossuchasnormallaboranddeliveryandhigh-riskpregnancies(i.e.,pretermlabor,multiple
gestation, premature rupture of membranes). In Gynecology, students participate in both general and
oncologicGynsurgeryandcoverageforGynconsultationsrequestedbytheemergencydepartment,inpatient
service, and in pre-operative clinic one half-day each week. During the outpatient experience, students
participateinambulatorycareclinics,whichrangeinfocusfromcolposcopyclinic,tohigh-riskobstetrics,to
newobstetricsandtoroutinecontinuitycareGYNclinic.
Duringthesix-weekrotation,studentsattendweeklydidacticactivitiesofthedepartmentthatincludeGrand
Rounds,dailylecturesfortheresidentsandperinatology/neonatologyconferences.Specificstudentlectures
areprovidedthroughouttherotationbytheClerkshipDirectoronsite.StudentsreturntoJeffersononFriday
afternoonsforlectures.Evaluationsincludeboththemid-rotationevaluation,andthefinalevaluation.Both
evaluationsaregoneoverwiththestudentbytheClerkshipDirectorinone-on-onemeetingmidwayandat
theendoftherotation.5consecutiveweeknightsarescheduled(NightFloat)inlieuoftraditional(Q4)callon
the Labor & Delivery unit. On call facilities, lockers and meal tickets are provided for students during the
rotation.StudentsreturntoJeffersononFridayafternoonsforlectures
32
OB/GYN350OBSTETRICSANDGYNECOLOGY
BrynMawrHospital
TheOB/GYNstudentstrainatBrynMawrHospitalforsixweeks.Studentswillhaveexposuretoavarietyof
surgical and obstetric techniques along with subspecialty services in perinatal medicine and reproductive
endocrine.Writtenevaluationsfromattendingstaffarecompiledbythemedicalstudentclerkshipdirector.
Evaluatorsconsiderthestudent’sattitude,conscientiousness,motivation,historytaking,patientinteraction,
medicalknowledge,casepresentationandproblemanalysis.Verbalfeedbackisprovidedonadailybasisby
the attending the student works with. Each student will have a formal mid-rotation meeting with the
Clerkship Director to evaluate the student’s progress, opportunities to improve, strengths, etc.
Communication skills and team participation are important. The students work with residents from the
specialties of Family Practice and Radiology, but are directly supervised by their attending physicians.
LocatedinthewesternsuburbsofPhiladelphia,BrynMawrisafullserviceacute-careteachinghospital.Our
patientsknowusforourhighlevelofpersonalizedcarebyexceptionalphysicians,surgeonsandnursingstaff
in both inpatient and outpatient settings. Students return to Jefferson on Tuesday afternoons for PBL and
smallgroupsessionsandonFridayafternoonsforlectures.StudentsreturntoJeffersononFridayafternoons
forlectures.
ChristianaCareHealthServices(CCHS)
The OB/GYN residents all train at the Christiana Care Health Services (CCHS). Students interact with
consultantsfromallOB/GYNsubspecialties.Wedo7,000deliveriesperyearandover6,000gynprocedures
per year. Students will be exposed to the subspecialties of Maternal Fetal Medicine, Reproductive
Endocrinology, Reproductive Health, Urogynecology and Gynecologic Oncology. Students are expected to
performorassistwithadmissionsworkups,pre-opchecks,in-patientevaluations,outpatientcare,laborand
delivery, surgical assistance (including laser and pelviscopy), fetal monitoring, cytology, pathology,
ultrasoundandx-rayevaluations,antenataltesting,episiotomyrepair,GYNER,etc.Studentsareinvolvedin
continuityclinicstoallowtheexperienceoffollow-upoutpatientcare.Studentsareassessedbaseduponthe
evaluation of work done in the clinic, on OB in-patients, on surgical patient services, on written patient
evaluationandonparticipationingroupdiscussions.Theemphasisisontheclinicalaspectofpatientcare
and the ability to interact with patients and staff. Students are evaluated by the residents, full time
attendings, private attendings, the Medical Student Coordinator (Dr. Jeffrey Fagan) and the Departmental
Chair, Dr. Richard Derman. Grades are based on technical abilities, academics, clinical abilities and
competence. Communication skills as well as team participation are important. Written mid-rotation and
finalevaluationswillbeheld.StudentsreturntoJeffersonononeFridayafternoonduringtherotationfora
clinicalskillssession.Thereisanopendoorpolicy.TheJeffersonevaluationformisusedaswellassupplied
guidelines.
33
OB/GYN350OBSTETRICSANDGYNECOLOGY
LankenauHospital
TheOB/GYNstudentstrainatLankenauHospitalfor6weeks.Duringthisrotation,thestudentisexpectedto
perform or assist with labor and delivery, postpartum care, gynecological surgery, post-operative care,
admission,H&P's,medicalandsurgicalgynecologicaloncology,andpre-operativework-ups.Studentswill
have exposure to a variety of surgical and obstetric techniques including those pertaining to high risk
pregnancies. Subspecialty services to which the students are exposed during the OB/GYN rotation include
GynecologicOncology,Maternal-FetalMedicine,andReproductiveEndocrinology.Writtenevaluationsfrom
attending staff and residents are compiled by the physician coordinator of the medical student program.
Evaluators consider cognitive skills, clinical skills, professionalism and house staff potential. Mid-rotation
evaluation is a private meeting with the student director to discuss progress, opportunities to improve,
strengths,etc.Residentscompletefinalevaluationsasagroup,whicharethenreviewedandapprovedbythe
student director. Academically, Lankenau provides the students with over 9 hours of formal lecturing
exclusively for students. These lectures attempt to compliment the lecture series at JMC. Additionally,
students attend department and resident conferences. Breakfast and dinner meal tickets are provided to
studentsoncall.StudentsreturntoJeffersononFridayafternoonsforlectures.
MorristownMedicalCenter–(partofAtlanticHealthSystem)
The OB/GYN students train at Morristown Medical Center for six weeks. During the six-week rotation,
students work with residents and faculty in all subspecialties. In Obstetrics, students are involved in labor
anddeliveryactivities,theantepartumandpost-partumfloorandinclinicalscenariossuchasnormallabor
and delivery and high-risk pregnancies. In Gynecology, students participate in both general and Gyn
Oncology surgery and coverage for Gyn consultations requested by the ER, inpatient service and in preoperativecliniconehalf-dayeachweek.Duringtheoutpatientexperience,studentsparticipateinambulatory
care clinic, which range in focus from colposcopy clinic, to high-risk obstetrics, to new obstetrics and to
routine continuity care GYN Clinic. Students also spend 1 half day with an Attending Faculty at Planned
Parenthood. This location is accessible by public transportation when returning to Jefferson for Friday
lectures.Housingisprovided;itisveryfartocommutefromJefferson
ReadingHospitalandMedicalCenter
TheReadingHospitalandMedicalCenterisan600bedcommunityteachinghospital,whichperformsover
3,000deliveriesandover3,500majorgynecologicproceduresperyear.ThethirdyearOB/GYNstudentis
quickly assimilated into the health care team. The student OB experience includes two weeks of
inpatient/outpatientexperienceandoneweekofOBnightfloat.Studentswillattendregularprenatalclinic
andgenerallyperformatleastonesuperviseddeliveryduringtherotation.Onecompleteworkdayisdevoted
to Maternal Fetal Medicine and Genetic counseling. The GYN experience consists of two weeks of routine
gynecology and one week of GYN Oncology. Students participate in a wide range of gynecologic operative
procedures including oncologic, pelviscopy, and pelvic reconstructive surgery. In addition to routine GYN
clinics, students are introduced to advanced Urodynamic testing, colposcopy and family planning clinics.
Private office outpatient experience is also available. There are at least seven hours of protected
teaching/lectures per week. In addition, each student is encouraged to prepare a 12-minute didactic
presentation at the end of his/her rotation. Students receive mid-rotation evaluations (assessing
professionalism, communication skills, and skill sets such as History and Physicals) and final grade
recommendations are issued by resident consensus opinion with input from the Assistant Director of the
ResidencyProgram/ClerkshipDirector.StudentsreturntoJeffersononFridayafternoonsforlectures.
34
OB/GYN350OBSTETRICSANDGYNECOLOGY
ThomasJeffersonUniversityHospital
Subspecialties to which the student will have exposure include Gynecologic Oncology, Maternal-Fetal
Medicine, Reproductive Endocrinology, Infertility, and Urogynecology. Students are evaluated by both
residentsandattendings.StudentsrotatingatTJUHareexpectedtobeprofessional,well-read,andclinically
skilled.Studentswhoareabletoworkindependentlywillfindthissiteveryrewarding.Eachstudenthasa
mid-rotationmeetingwiththeClerkshipDirectortodiscussthestudent’sprogress.Studentswillmeetwith
theDirectoragainattheendoftherotationtoreviewtheirperformance.AtTJUH,studentsareexposedtoa
widevarietyofpatientsandclinicalscenariosandhavetheopportunitytoactivelyparticipateinpatientcare.
StudentsattendWednesdaysmallgroupsessionsandFridayafternoonlecturesatJefferson.
VirtuaVoorheesHospital
During the clerkship at Virtua West Jersey, students will have exposure to Maternal-Fetal medicine,
Gynecologic Oncology, and Reproductive Endocrinology. The students are evaluated on history taking,
physicalexamination,labresultsreviewandfollow-up,duringtheclerkshipatVirtuaWestJersey,students
willhaveexposuretoMaternal-Fetalmedicine,GynecologicOncology,andReproductiveEndocrinology.The
students are evaluated on history taking, physical examination, lab results review and follow-up, patient
interaction,casepresentations,andproblemanalysis.Theyareevaluatedbyattendingsinthedepartment,
the residents and by Dr. Kristen McCullen. Virtua West Jersey does the largest number of deliveries in the
SouthJerseyarea(5500+/year)withanumberofhighriskobstetricalcases.TheCenterforWomenisour
outpatient unit – this is a privately run clinic setting rendering GYN and OB needs for the community.
Students will experience all aspects of office gynecology (routine annual care, colposcopies, pap smears,
family planning counseling, and STD screens. In addition, the Center deals with the management of the
menopausalstatewithemphasisonhormonereplacementandalternativemedicine.OB/GYNresidentsand
atleastoneattendingstaffwillbewiththestudentsatalltimestosupervise
Prenatal and gynecological exams. We are a dynamic, forward-looking institution in a suburban setting.
Ampleparkingisprovided,freemealtickets,oncallsleepingaccommodations,medicallibrary,andexercise
facility shared with the residents. Students return to Jefferson on Friday afternoons for lectures. This
locationisnoteasilyaccessiblebypublictransportation.
YorkHospital
WhileatYork,studentswillbeexposedtoLaborandDelivery,GynOperatingRoom,OB/GYNofficepractices,
Gyn Oncology and Maternal Fetal Medicine. They also have the option of spending time in a Reproductive,
Endocrine and Infertility private practice and Pediatric Adolescents Gyn and urogynecology. Evaluation
includes direct one-on-one teaching with residents for surgical skills, inpatient management and both
obstetrics and gynecology as well as dedicated sessions weekly with a volunteer preceptor. Formal
summative evaluation includes feedback from: 1. attending preceptor who meets for one hour weekly with
thestudentand2.theresidentwhoworksdirectlywiththestudent.Thesetwoevaluationsarecombined
with a final clinical grade rendered by the Clerkship Director, Dr. Melanie Ochalski. The rotation is broken
into three sessions of two weeks, focusing on Obstetrics (daytime Labor Hall coverage and night float),
Surgical Gynecology (benign and oncology) and office practice (including routine annual care, colposcopy,
initial and follow-up OB visits, ultrasound, and urogynecology). Mini electives are also offered. Students
returntoJeffersononFridayafternoonsforlectures.
35
DelawareValley
(A.I.DuPont,Albert
Einstein,BrynMawr,
Christiana,TJUH)
Reading
Morristown/
GoryebChildren’s
Hospital
25/30
1/2
1/3
ResidencyinSpecialty?
Yes
BrynMawr-FamilyMed
Christiana–Med/Peds
FamilyMed
Yes
#ResidentsinSpecialty
PGY1
23
1
12
PGY2
22
1
12
PGY3
23
12
PGY4
3
2
Attending
Attending
Attending
1-2
1-2
PEDIATRICS
Min/Max#Students:
PrimarySupervisor
#ofStudents/Supervisor
TimeBreakdown:
ClinicalSkillsDay
1-2
1day
1day
1day
Inpatient
10days
8days
13days
Outpatient
14days
15days
9days
NewbornNursery
4days
5days
4days
ICN
1day
1day
2days
1
1
1
Provided
Provided
Provided
#AdmissionWrite-upsPer
Rotation
RequiredText?
Teaching:
Formal
Minimum30hours
Minimum30hours
Minimum30hours
Informal
Minimum10hours
Minimum10hours
Minimum10hours
Beeper
Yes
Yes
Yes
Car
Yes
Yes
Yes
FDE:FULLDAYEQUIVALENTS
36
PEDS350
PEDIATRICS
PEDIATRICSROTATIONOVERVIEW
Over six weeks the Pediatrics clerkship gives students a varied combination of clinical experience in the
following areas: hospital based outpatient, private practice outpatient, newborn nursery, transitional and
intensivecarenurseries,inpatientunit,emergencyroomandothercommunitysettings.Theclerkshipsites
are Delaware Clerkship (duPont, Christiana, Einstein, Bryn Mawr, Abington and TJUH), Reading and
Morristown. Each offers varied, broad and stimulating clinical experiences with frequent and extended
contact with attending pediatricians. Every site has an affiliated pediatric residency program – either
PediatricsorFamilyMedicine(ReadingandBrynMawr).
Core curriculum is based on a U.S. national curriculum in pediatrics developed to prepare students for the
pediatricportionoftheUSMLEStep2examination.Teachingatallsitesfocusesonsmall groupcase-based
learninginadditiontoweb-basedpediatriccases. Studentsatallsitesalsoattendresidentlectures,morning
report,andgrandrounds.Pediatrics:ACompetencyBasedApproachtextbookisloanedtostudentsforuse
duringtherotation.
Clinical skills are taught on the first day of the clerkship during a “Clinical Skills Day.” History taking,
communicationandphysicalexamskillsaredevelopedduringtheclerkshipusingdirectobservation(SCOs)
andvideotapingofapatientencounterwithreviewandfeedbackbyafacultymember.
Studentsreceivefeedbackattheendofeachcomponent(Nursery,Inpt,OPD)oftherotationandafterdirect
observation and video review. The final student evaluation is based on performance of all elements of the
clerkship.TheNBMEsubjectexaminationinPediatricsisgivenattheendoftherotation.
DelawareValleyClerkship
DuringtheDelawareValleyClerkship(DVC),studentsrotatethroughoneofthefollowinglocations-Jefferson
andduPontHospitalforChildren,ChristianaorBrynMawrforatwoweekinpatientexperience;Christiana,
EinsteinorJeffersonnurseriesforaoneweek;andvarioussitesinDelawareandthePhiladelphiaareafora
threeweekoutpatientexperience.Thedistributionofstudentswithineachclerkshipblockisshowninthe
tablebelow.
Table1
Service
Inpatient
Outpatient
NewbornNursery
Location
duPont Jefferson
BrynMawr
#Students
25
3
2
Einstein(OPD) Jefferson(OPD) PhiladelphiaPractice
DelawarePractices
2
15
5
8
Abington
Christiana
Einstein
Jefferson
4
4
4
18
Studentsneedtohavepersonaltransportationformanysites.However,
thereispublictransportationtosomesites.
37
PEDS350
PEDIATRICS
DelawareValleyClerkship-duPontHospitalforChildren
TheduPontHospitalforChildrenisafullservicechildren’shospitallocatedinNorthWilmington,DE.Almost
all(23of30)oftheDVC’sinpatientexperiencetakesplaceatduPont.Studentsareanintegralpartofteam
andworkcloselywiththeresidentsfromtheduPont/Jeffersonprogram.
DelawareValleyClerkship–Christiana
Christiana,whichishometoamedicine/pediatricsresidencyprogramisthesiteoftheclerkship’sinpatient
andnewbornnurseryexperiences.Studentswillalsohaveopportunitiestolearnaboutinterestingpatientsin
theneonatalintensivecareunit.
DelawareValleyClerkship-EinsteinMedicalCenter
Einstein Medical Center is part of the Jefferson Health System and is located in the Olney section of
Philadelphia. The busy pediatric outpatient department sees 20,000 children per year and the newborn
nursery handles 2,500 infants per year and offer excellent learning General pediatricians, sub-specialists,
and Einstein pediatric residents staff the program. There is free parking for students at Einstein, which is
easilyaccessiblebypublictransportationfromCenterCity.
DelawareValleyClerkship-ThomasJeffersonUniversity
Hospital
ThePediatricDepartmentatTJUHisintegratedintoafullservicehospitalinthecenterofPhiladelphia.The
program is staffed by the duPont general Pediatricians, sub-specialists and the 60+ residents from the
duPont/JeffersonResidencyProgram.Theoutpatientexperienceisatalargehospitalbasedprivatepractice
or community based private practices. The 13 bed pediatric inpatient unit is also home to the CRH unit,
which is a regional medical care facility for children with chronic illness. The newborn nursery has 2,000
deliveriesayearandtheneonatalintensivecareunitisareferralbaseforPennsylvaniaandNewJersey.
DelawareValleyClerkship–PhiladelphiaareaandDelaware
PrivatePediatricOfficers
Morethanhalfthestudentsspendthe3weeksofoutpatientexperienceworkingone-on-onewithfacultyina
privatepracticesetting.Thesepracticesservevariedpatientpopulationsandarelocatedinurban,suburban
andsemi-ruralcommunities.
38
PEDS350
PEDIATRICS
ReadingHospitalClerkship
The Children’s Health Center, part of The Reading Hospital and Medical Center; is the largest medical
assistancecareproviderinourlocalarea.Withover20,000outpatientvisitslastyear,weprovedadiverse
outpatient experience for the student. A firm background, spanning bread and butter pediatrics and
developmentissuestoindepthcareofchildrenwithcomplexmedicalproblems,willhighlightthestudent’s
training.Oninpatientservicestudentswillworkoneononewithanattendingpediatrician,inadditionto1-2
familymedicalresidents.Inpatientadmissionsruncloseto400ayearandournewbornservicehelpsusher
intotheworldabout2,000babiesayear.OurfacilityalsoboastsaNICUwith3fulltimeneonatologists.This
unithadanestimated245admissionslastyear.Wehaveaformalpediatriclectureserieseachweek,with
one of the lectures dedicated t pediatric mental health issues, hosted by one of our 2 full time pediatric
psychiatrists. Out clinic has a full time social worker who has worked with children in our community for
over 18 years. We have a full time interpreter at our clinic with excellent services also available at our
hospital.
The Children’s Health Center is steps away from the Reading Hospital and student housing. Parking is
convenientlylocatedacrossthestreetfromlodgingandclinic/hospital.Atourpositionon6thStreet,weare2
blocksfromPennAvenue,withitsbustlingcafesandboutiquesshops.Ourmedicalcenterisapproximately
1.5hourscommutetoPhiladelphia.With5staffpediatricians,eachstudentenjoysclosefacultycontactwith
daily instruction sessions both with our inpatient team and an outpatient faculty member. We have an
upbeat,dedicatedstaffthatwelcomenewlearnersandarehappytoteach.Thereareampleopportunitiesfor
independent learning at our medical library, located in our main hospital. Weekends are free to explore
Berks County and our neighboring cities. Come join us and learn pediatrics in a friendly environment in
beautifulBerksCounty!
GoryebChildren’sHospital–(partofAtlanticHealthSystem)
GoryebChildren’sHospital,partofAtlanticHealthSystem,combinesthebestfeaturesofauniversityprogram
with a community-based children’s hospital setting. We receive more than 3,000 admissions and 50,000
outpatient visits per year, perform cutting-edge research, and employ more than 100 general pediatric and
subspecialtyfacultymembers,manyofwhomarededicatedclinician-educators.AsaLevel1regionaltrauma
center and level 3 NICU, we are the regional referral center for over 1200 square miles. The clerkship
combinesanicebalancebetweendirectpatientcareintheinpatientandoutpatientsettingsandinteractive
didacticsessions.StudentsworkcloselywithourfacultyaswellaswithourPediatricresidents.
39
PSYCHIATRY
AND
HUMAN
BEHAVIOR
Albert
Einstein
Belmont
TJUH
Min/MaxNumberofStudents
4
6
PrimarySupervisor
(A)attending(R)resident(I)
Intern
A
A
3
4
2
12/17
A
A
A
A
NumberofStudents/Supervisor
TimeBreakdown:
Inpatient
1-2
1-2
2
1-2
1
2-4
12-24
(DEPENDING
ONWHETHER
HAVEA3WEEK
ROTATIONIN
CRISIS
CENTER)
16
6AT
CHRISTIANA0
ATTHEVA
10
27
0
3-12
24
0
0
0
2AT
CHRISTIANA12
ATVA
0-12
0
0
10
4
0-12
(DEPENDING
ONROTATION
0
8
4ATCHRISTINA
20
27
Lecture/Didactics
4
4
4
4
4
4
Other–NightCall
0
0
0
0
0
2
Outpatient
ER
Consult/Liaison
NumberofRequiredCase
PresentationsPerRotation
NumberofAdmissionWrite-ups
PerRotation
5-6
1FORMAL
WRITE-UP1224ROUTINE
CHARTING
WRITE-UPS
1-3
1FORMAL
WRITE-UP,
PLUSONEFOR
EACH
ADMISSION
(12-20)
40
Bryn
Mawr
Morristown
Medical
Christiana
Ctr./
andthe
Atlantic
Wilmington
Health
VA
System
1-3
3
6-10
(DEPENDS
ONSITE)
1FORMAL
WRITE-UP,
PLUS9
ROUTINE
ADMISSIONS
1FORMAL
WRITE-UP,PLUS
3ROUTINE
ADMISSIONS
1FORMAL
WRITE-UP,PLUS
1-2
ADMISSIONS
1FORMAL
WRITE-UP,
PLUS6-10
ROUTINE
ADMISSIONS
PSYCHIATRY
AND
HUMAN
BEHAVIOR
Albert
Einstein
Belmont
Bryn
Mawr
Morristown
Medical
Christiana
Ctr./
andthe
Atlantic
Wilmington
Health
VA
System
12FOR
INPATIENT,24
FORCRISIS
ANDCONSULT
12-20
8-12
8-12
2-3PERDAY
10-20
(DEPENDS
ONSITE)
NO
NO
NO
NO
NO
NO
RequiredReadings?
PER
ATTENDING
PER
ATTENDING
PER
ATTENDING
PERATTENDING
PERATTENDING
PER
ATTENDING
Teaching:
(ATTJUH/
AEMC)
(ATTJUH/
BBH)
(ATTJUH/BH)
(ATTJUH/CCHS
/VA)
(ATTJUH/
MMC)
4/2
4/2
4/2
4/2
4/2
(ATTJUH)
4-6
(DEPENDING
ONSITE)
1
1
1
1
2
2(ATTJUH)
2(ATTJUH)
2(ATTJUH)
0
2(ATTJUH)
YES
YES
NO
NO
NO
NO
NumberNewPatientsPerRotation
RequiredText?
LectureHours/Week
Rounds/Day
NumberofNightsonCall
Beeper
FDE:FULLDAYEQUIVALENTS
41
TJUH
PSYCHB350 PSYCHIATRYANDHUMANBEHAVIOR
CLINICALASSIGNMENTS
AllstudentsattendacoreClerkshipdidacticprogramatTJUH/833ChestnutStreetonWednesdays,including
aPsychiatryGrandRoundsseries.Clinicalassignmentsarebasedonpreferencessubmittedbyeachstudent
asmuchaspossible.Studentswhodonotsubmitpreferencesbythedeadlinedatewillberandomlyassigned.
Clerkshipclinicalsitesaredescribedbelow.
ALBERTEINSTEINMEDICALCENTER
This independent academic medical center is one of the main providers of clinical education for Jefferson
students. Each student spends three weeks on two of the following three services: inpatient psychiatry;
(adultorgeriatric);consultationandliaisonpsychiatry;andemergencypsychiatry(CrisisResponseCenter,
foradults,adolescents,andchildren).Twoofthethreeclinicalsitesareinpatientsettingswiththeexception
oftheCrisisResponseCenter,whichisanoutpatientservicelocatedattheAEMCGermantowncampus.After
orientation and observation, students assume significant patient care responsibilities on all placements,
serving as an integral part of the treatment team. Each student has two primary supervisors, one staff
psychiatrist,andpsychiatryresident.ThemaincampussiteoftheAlbertEinsteinMedicalCenterislocatedin
North Philadelphia and easily accessible by public transportation via the Broad Street SEPTA line. All
students will participate in night / weekend call at Jefferson. In addition to attending the core clerkship
didacticprogramonWednesdayafternoonatJefferson,studentswillattendtheweeklyAEMCGrandRounds.
All students participate in a psychoanalytic faculty case presentation; a conference on interviewing, mental
status,anddynamicformulation;andaninpatientcaseconference.Studentsareevaluatedafterthreeweeks
and at the end of the rotation by attendings who supervise them, with input from residents. Students are
evaluated on the basis of content and thoroughness of write-ups and presentations on rounds, basic
familiaritywithdifferentialandtreatment,empathicinteractionwithpatients.Theirformalcasewrite-ups
are evaluated for clarity, detail, differential diagnosis and treatment plan. The criteria used for evaluation
includethe3domainsontheClerkshipClinicalEvaluationForm:1)ProfessionalBehavior,2)CognitiveSkills,
and 3) Clinical Skills. We also assess development in 4 broad areas: 1) functional as a physician, 2)
psychiatric knowledge base development, 3) proficiency in conducting and presenting mental status exam,
and 4) capacity to reason psychiatrically, formulate case in biopsychosocial format. Evaluations are done
collaboratively(i.e.includeinputfromattendings,residents,andseminarleaders)andalldataarecompiled
forreviewbytheClerkshipDirectorandAssociateDirector,whodeterminefinal
42
PSYCHB350
PSYCHIATRYAND
HUMANBEHAVIOR
BELMONTCENTERFORCOMPREHENSIVETREATMENT
TheBelmontBehavioralHospital(Belmont)isafor-profitpsychiatrichospital,andwhollyownedbyAcadia
Healthcare.LocatedabouthalfamilefromCityAvenueinWestPhiladelphia,Belmontiseasilyreachedeither
bypublictransportationorautomobile,withfreeon-campusparking.Belmontisknownbothregionallyand
nationallyforitsexpertiseinthetreatmentoftheentirespectrumofpsychiatricdisorders.AtBelmonteach
student will spend three weeks on two of the following three services: general adult inpatient psychiatry,
geriatric inpatient psychiatry, and specialty services (e.g. eating disorders and affective disorders); Cooccurringdisorderinpatientunit(sometimesreferredtoasthe“dualdiagnosis”program,forpatientswith
simultaneous addictive and non-addictive psychiatric disorders); and the child and adolescent inpatient
programs.MorespecializedunitssuchasEatingDisordersandAffectiveDisordersareavailabletostudents
inthe4thyearcurriculumaselectives.Afterorientationandobservation,studentsassumesignificantpatient
careresponsibilitiesonallplacements,servingasanintegralpartofthetreatmentteam.Eachstudentwill
customarilyreceivesupervisionfrombothanattendingpsychiatristandapsychiatricresidentorfellow.All
students will participate in night / weekend call at Jefferson. In addition to attending the core clerkship
didactic program on Wednesday afternoons at Jefferson, all students will also attend an inpatient case
conference, and the weekly Einstein Psychiatry Grand Rounds. Evaluations are based on oral case
presentations, daily case write-ups, interactions with patients and staff and the formal written case. Most
evaluations are completed by the supervising attending with input from the resident on the service. The
criteriausedforevaluationincludethe3domainsontheClerkshipClinicalEvaluationForm:1)Professional
Behavior, 2) Cognitive Skills, and 3) Clinical Skills. We also assess development in 4 broad areas: 1)
functional as a physician, 2) psychiatric knowledge base development, 3) proficiency in conducting and
presenting mental status exam, and 4) capacity to reason psychiatrically, formulate case in biopsychosocial
format. Evaluations are done collaboratively (i.e. include input from attendings, residents, and seminar
leaders) and all data are compiled for review by the Clerkship Director and Associate Director, who
determinefinalgrades.
BRYNMAWRHOSPITAL
Bryn Mawr Hospital operates inpatient and outpatient treatment programs. Behavioral Health services
includeaninpatientgeneraladultpsychiatryunit,ahospitalpsychiatricconsultationservice,andoutpatient
programs,includingpartialhospitalandintensiveoutpatient,formentalhealthandsubstanceabuselocated
atthemainhospitalsiteandatsatellitesthroughouttheregion.
HousestaffandmedicalstudentsfromJeffersonreceiveclinicaltrainingatBrynMawrinvariousspecialties.
Thepsychiatryrotationformedicalstudentsincludesworkinavarietyofsettings.Theinpatientexperience
is the anchor over the 6 weeks, with varying amounts of Emergency Room and Consultation Service
experience. The inpatient unit treats a wide variety of psychiatric disorders using a multidisciplinary
treatmentteamapproach.Studentsworkwith3-4inpatientattendingsoverthecourseoftherotation.The
criteriausedforevaluationincludethe3domainsontheClerkshipClinicalEvaluationForm:1)Professional
Behavior, 2) Cognitive Skills, and 3) Clinical Skills. We also assess development in 4 broad areas: 1)
functional as a physician, 2) psychiatric knowledge base development, 3) proficiency in conducting and
presenting mental status exam, and 4) capacity to reason psychiatrically, formulate case in biopsychosocial
format. Evaluations are done collaboratively (i.e. include input from attendings, residents, and seminar
leaders) and all data are compiled for review by the Clerkship Director and Associate Director, who
determinefinalgrades.
43
PSYCHB350
PSYCHIATRYAND
HUMANBEHAVIOR
CHRISTIANAHOSPITAL
ChristianaCareHealthSystem,headquarteredinWilmington,Delaware,isoneofthecountry'sleadinghealth
care providers, ranking 16th in the nation for hospital admissions. A not-for-profit, non-sectarian health
system,ChristianaCareisamajorteachinghospitalwithtwocampusesandmorethan240Medical-Dental
residents and fellows. The system is home to Delaware's only Level I trauma center, the only center of its
kindbetweenPhiladelphiaandBaltimore.ChristianaCarealsofeaturesaLevel3neonatalintensivecareunit,
theonlydeliveringhospitalinthestatetoofferthislevelofcarefornewborns.
Services in Behavioral Health at Wilmington Christiana include Alzheimer’s and Memory Disorders, Cancer
Psychology, Child and Adolescent Psychiatry, Inpatient Psychiatry, Partial Hospital Psychiatry, Perinatal
Behavioral Health, and an Adolescent Psychiatric Day Hospital. Throughout the 6 week clerkship students
spendtheirrotationevaluatingandtreatingpatientsontheinpatientpsychiatricunit,theconsultserviceand
in the outpatient setting. Students work closely with patients with a wide range of psychiatric conditions
includingpsychoticdisorders,affectivedisorders,anxietydisorders,andsubstanceusedisorders.Students
gain experience in psychiatric treatment modalities including pharmacology, individual and group
psychotherapy, ECT and TMS (transcranial magnetic stimulation) the newest FDA-approved non
pharmacologictreatmentfordepression.Studentsareactivemembersofthetreatmentteamandparticipate
inallfacetsofpatientcare.Theyspendtimewithanumberofdifferentattendingpsychiatristsandhavethe
opportunity to learn from non-physician treatment providers including psychologists, social workers and
psychiatricnurses.Thecriteriausedforevaluationincludethe3domainsontheClerkshipClinicalEvaluation
Form: 1) Professional Behavior, 2) Cognitive Skills, and 3) Clinical Skills. We also assess development in 4
broad areas: 1) functional as a physician, 2) psychiatric knowledge base development, 3) proficiency in
conducting and presenting the mental status exam, and 4) the capacity to reason psychiatrically and to
formulate cases using the biopsychosocial format. Evaluations are done collaboratively (i.e. include input
from attendings, residents, and seminar leaders) and all data are compiled for review by the Clerkship
DirectorandAssociateDirector,whodeterminefinalgrades.
WILMINGTONVAHOSPITAL
Wilmington VAMC proudly serves Veterans in multiple locations for convenient access to the services we
provide.Alongwiththechangingveteranpopulation,medicaladvancesandchangesintreatmentmodalities
have made significant alterations in the way care is provided. Initially supporting 336 beds and 5000
outpatientvisitsayear,theCenternowstaffs58acutebedsand60NursingHomebeds.Morethan22,000
veterans are treated at the facility and account for over 150,000 outpatient visits. VAMC offers a range of
outpatienttreatmentsandservicestoaddressthementalhealthneedsofVeterans.
HouseStaffandmedicalstudentsfromJeffersonreceiveclinicaltrainingattheVAinvariousspecialties.The
psychiatryrotationformedicalstudentsinvolvesworkinanoutpatientsettingwherestudentsparticipatein
the care of patients presenting with a wide range of psychiatric conditions, including Mood Disorders,
Anxiety, Substance Use Disorders, Posttraumatic Stress Disorder, and Psychotic Mental Illnesses (e.g.,
SchizophreniaandSchizoaffectiveDisorder).Studentsgainexperienceinambulatorypsychiatrictreatment,
including pharmacology, individual counseling, and group/activity therapy. Attending and resident
physicianssupervisestudents.Studentsareevaluatedonhistory-taking,mentalstatusexamination,applied
knowledgebase,professionalism,capacitytoworkaspartoftheclinicalteam,andbasiccaseformulationand
treatmentplanning.Studentsspendtimewithdifferentattendingpsychiatristsandresidentsandhavethe
44
PSYCHB350
PSYCHIATRYAND
HUMANBEHAVIOR
opportunity to learn from non-physician treatment providers, including psychologists, social workers and
psychiatric nurses. The criteria used for evaluation include the 3 domains on the Clerkship Clinical
Evaluation Form: 1) Professional Behavior, 2) Cognitive Skills, and 3) Clinical Skills. We also assess
developmentin4broadareas:1)functionalasaphysician,2)psychiatricknowledgebasedevelopment,3)
proficiencyinconductingandpresentingthementalstatusexam,and4)thecapacitytoreasonpsychiatrically
and to formulate cases using the biopsychosocial format. Evaluations are done collaboratively (i.e. include
inputfromattendings,residents,andseminarleaders)andalldataarecompiledforreviewbytheClerkship
DirectorandAssociateDirector,whodeterminefinalgrades.
MorristownMedicalCenter(partofAtlanticHealthSystem)
TheDepartmentofPsychiatryatMorristownMedicalCenterencompassesawiderangeofclinicalservices,
including a 16-bed inpatient unit (now being renovated and expanded), consultation-liaison services,
psychiatricemergency/crisisinterventionservices,outpatientservices,andtheCenterforTherapeuticBrain
Stimulation. Du4ring the six-week rotation, students will gain exposure to many of these services, working
four weeks on the consult-liaison service and two weeks on the inpatient unit. While on the inpatient unit,
students will participate in team meetings, individual meetings with patients, and group therapy; they will
followpatientsacrossthetwoweeksandproduceacasewrite-upbasedontheirwork.Whileontheconsultliaisonservice,theywillalsohaveanopportunitytoworkwithpsychiatristsinERcrisisserviceandinthe
outpatientpsychiatry,CF,and/orHIVclinics.Studentswillbeexposedtoadultandpediatricpatientsaswell
as a wide range of mental illnesses, which will include but not be limited to: mood disorders, psychotic
disorders, anxiety disorders, substance abuse/dependence disorders, delirium, dementia, encephalopathy,
disorders of childhood and adolescence, sleeping disorders, eating disorders, factitious disorders, and
somatoformdisorder.Therewillalsobebriefexposuretotopicsrelatedtoforensicpsychiatry.
45
PSYCHB350
PSYCHIATRYAND
HUMANBEHAVIOR
THOMASJEFFERSONUNIVERSITYHOSPITAL
This 6-week rotation bases on sites in and near Jefferson University Hospital and is split between 2 paired
services.Studentsspend3weeksoneachofthepairedservices.Thepairingisideallyfixedasfollowsbut
mayvary:
1. Consultations-LiaisonServiceand14ThompsonInpatientUnit
TheConsultation-Liaisonserviceservesthegeneralhospitaltohelpdiagnoseandtreatpsychiatricillnessthat
cause,complicate,andresultfromseriousmedicalproblems.Approximately4newconsultsperdayareseen
plusfollow-upvisitstopreviouslyseenpatients,workingattheinterfaceofgeneralmedicineandpsychiatry.
The 14 Thompson inpatient unit is a 16-bed locked intensive psychiatry setting. Many of the patients
demonstratepsychoticfeaturesandsomearebehaviorallyregressed.
2. OutpatientPsychiatryProgramand13ThompsonGeriatricPsychiatryInpatientUnit
StudentsassignedtotheOutpatientPsychiatryProgramwillspendtimeonfouroutpatientprograms:AOS–
(Adult Outpatient Services); NARP (Narcotic Addictions Rehabilitation Program); Family Center; and IOP
(IntensiveOutpatient),participatinginthecareofpatientsincludinginitialintakeevaluationsandfollow-up
visits in diverse settings. The Geriatric Psychiatry Inpatient Unit is a 12-bed state-of-the-art geriatric
psychiatryservicewithaspecializedstaffandpurpose-designedclinicalspace.Manypatientshavemultiple
medical and neurological problems which complicate their psychiatric illness. Dementia, delirium, and
severe depression are frequently treated. Family Medicine Geriatric Medicine Fellows are very involved in
managementofthesepatients.
Students assume major patient care in all placements, serving as an integral part of the treatment team.
Attendingandresidentphysicianssupervisestudents,focusingonteaching,andevaluationofhistory-taking,
mental status examination, quality of on-going care provision, professionalism, capacity to work with the
clinicalteam,basiccaseformulationandtreatmentplanningability.Allstudentsseehigh-acuityoutpatient
psychiatry during evenings and weekends during on-call duty in the Emergency Room. Students will also
haveanopportunitytoobserveandlearnmoreaboutElectroconvulsiveTherapy(ECT)duringtheirrotation.
Thecriteriausedforevaluationincludethe3domainsontheClerkshipClinicalEvaluationForm:1)
ProfessionalBehavior,2)CognitiveSkills,and3)ClinicalSkills.Wealsoassessdevelopmentin4broadareas:
1)functionalasaphysician,2)psychiatricknowledgebasedevelopment,3)proficiencyinconductingand
presentingmentalstatusexam,and4)capacitytoreasonpsychiatrically,formulatecaseinbiopsychosocial
format.Evaluationsaredonecollaboratively(i.e.includeinputfromattendings,residents,andseminar
leaders)andalldataarecompiledforreviewbytheClerkshipDirectorandAssociateDirector,who
determinefinalgrades.
46
REHAB
MEDICINE
MAGEEREHABILITATIONHOSPITAL
IDEPT
Min/MaxNumberof
Students
PrimarySupervisor
(A)attending(R)
resident
(I)Intern
Numberof
Students/Supervisor
10
R
2
TimeBreakdown:
%
Inpatient
80
Outpatient
20
PrivateMD
-
ER
OR
NumberRequired
CasePresentations
PerRotation
NumberofAdmission
Write-upsPer
Rotation
WEEKLYLETURESATTJUH
VARIES
2
NumberofNew
PatientsperRotation
2
RequiredText?
NO
RequiredReadings
NO
Teaching:
LectureHours/Week
4
Rounds/Day
1
NumberofNight
onCall
0
Beeper
NO
IDEPT-StudentsareevaluatedbytheAttendingwithinput
fromtheResident.
47
SURGERY
Abington
Albert
Einstein
BrynMawr
Christiana
DuPont
Min/MaxNumberof
Students
3/3
2/6
PrimarySupervisor
(A)attending(R)
resident
(I)Intern
A/I/R
A/I/R
2/3
4/5
2/2
A/R
A/R
A/R
Numberof
Students/Supervisor
TimeBreakdown:
1-2
1-2
1-2
1-2
1
FDE
FDE
FDE
FDE
FDE
12
30
Inpatient
27
Outpatient
3
10
3
6
5
5
0
0
20
5
3
0
18
10
9
24
WISEMD+4
MULTIDISCIPLINARY
CONFERENCES
WISEMD+4
MULTIDISCIPLINARY
CONFERENCES
WISEMD+4
MULTIDISCIPLINARY
CONFERENCES
WISEMD+4
MULTIDISCIPLINARY
CONFERENCES
WISEMD+4
MULTIDISCIPLINARY
CONFERENCES
1ORAL/
1COMPLETE
1ORAL/
1COMPLETE
1ORAL/
1COMPLETE
1ORAL/
1COMPLETE
1ORAL/
1COMPLETE
ATLEASTONE
COMPLETE
4MIN
VARIES
ATLEAST10
1/DAY
45
50
50
50
50
RequiredText?
NO
NO
NO
NO
NO
RequiredReadings
NO
NO
NO
NO
NO
PrivateMD
ER
OR
Other
NumberRequired
CasePresentations
PerRotation
-ATTHELEAST-
Numberof
AdmissionWriteupsPerRotation
MinimumNumber
ofNewPatients
seenbytheendof
theRotation
FDE:FULLDAYEQUIVALENTS
48
SURGERY
Lankenau
Methodist
Min/MaxNumberof
Students
2/5
2/3
PrimarySupervisor
(A)attending(R)
resident
(I)Intern
A/R
A/R
Numberof
Students/Supervisor
2
Morristown
MedicalCtr./
Atlantic
Health
System
TJUH
4/8
8/12
2/2
A/R
A/R/I
A/R(CHIEF)
2-4
1-2
FDE
FDE
10
10.5
2-3
York
TimeBreakdown:
Inpatient
Outpatient
FDE
FDE
6HALFDAYS
5
FDE
27(INCLUDING
AMBULATORY
SURGERY/ANDER)
10
3
3.5
PrivateMD
5
16
3
6
2
ER
5
ASNEEDED
2
2
OR
10
5
DAILYORCASES
12
9
WISEMD+4
MULTIDISCIPLINARY
CONFERENCES
WISEMD+4
MULTIDISCIPLINARY
CONFERENCES
WISEMD+4
MULTIDISCIPLINARY
CONFERENCES
WISEMD+4
MULTIDISCIPLINARY
CONFERENCES
WISEMD+4
MULTIDISCIPLINARY
CONFERENCES
1ORAL/
1COMPLETE
1ORAL/
1COMPLETE
1ORAL/
1COMPLETE
1ORAL/
1COMPLETE
1ORAL/
1COMPLETE
VARIES
VARIES
2
3
MIN5,MOREARE
EXPECTED
50
50
50
50
50
RequiredText?
NO
NO
NO
NO
NO
RequiredReadings
NO
NO
NO
NO
NO
Other
NumberofRequired
CasePresentations
PerRotation
–ATTHELEAST-
Numberof
AdmissionWriteupsPerRotation
MinimumNumber
ofNewPatients
seenbytheendof
theRotation
FDE:FULLDAYEQUIVALENTS
49
SURGERY
Albert
Abington Einstein
Bryn
Mawr
Christiana
DuPont
Teaching:
5
5
5
5
5
2
2
2
2
1
NumberofNightonCall
Q6
Q6
Q6
Q6
Q6
Beeper
NO
NO
NO
NO
NO
LectureHours/Week
Rounds/Day
SURGERY
Teaching:
Lankenau
Methodist
TJUH
York
LectureHours/Week
4
5
7
5
7
Rounds/Day
1
2
2
2
2
NumberofNightonCall
Q6
Q6
Q6
Q6
Q6
Beeper
NO
NO
NO
NO
NO
50
Morristown
Medical
Ctr./
Atlantic
Health
System
SURG350
SURGERY
The3rdyearSurgeryClinicalClerkshiprotationisa12weekrotation.Therotationisanintensiveintroductionto
the principles and practice of surgery. Students are expected to perform or assist with admission work-ups,
inpatient and outpatient evaluations, pre-op and post-op checks, OR junior assistance, venipuncture, IVs, suture
removal, arterial blood draws, nasogastric tubes, aseptic dressing changes, wound healing assessments, skin
suturing,Foleycatheters,andknottying(handandinstrument).StudentsspendsixweeksonaGeneralSurgery
Clinical Clerkship rotation at Jefferson or Affiliated Hospitals and six weeks on a Surgery Specialty/Selective
rotation. Students will be exposed to the general surgery and general surgical subspecialties of Transplant,
Colorectal, Plastic, Breast, Vascular, Trauma, Thoracic, Cardiac Surgery, Anesthesiology, Neurosurgery,
Ophthalmology, Orthopedics, Otolaryngology, Dermatology, Geriatrics, Interventional Radiology, Radiation
Oncology,RehabMedicine,andUrology.Studentsarerequiredtocompletebasicgeneralsurgeryclinicalskills
which is tracked on PELS (Patient Encounter Log System). PELS data is reviewed weekly by the TJU UME
Coordinator.StudentsaregivenanOSCE(ObjectiveStructuredClinicalExamination)attheendoftheirsixweek
surgeryclinicalclerkshiprotation–whichcountswhendeterminingthefinalclinicalclerkshipgrade.Studentsare
giventheSurgeryNationalBoardSubjectExaminationattheendofthe12weekrotation.Thesuggestedtextbooks
areEssentialsofGeneralSurgery,EssentialsofSurgerySpecialties,andSurgery:ACompetency-BasedCompanion
with Student Consult Online Access. Clinical grades and Final Exam grade are all listed separately on the
transcripts:Clerkship,eachSurgerySpecialty/Selective,NBMEFinalExam.
AbingtonJeffersonHealth
As a surgery teaching program, we have a strong commitment to teaching medical students. Third year
students from many local medical schools rotate with our residents and faculty on several services. These
services include: advanced laparoscopy, colorectal, general surgery, surgical oncology, and vascular.
Additionalexperiencesarealsoavailablesuchastraumaandsubspecialties.Didacticsessionsareheldweekly
for both residents and students, and weekly morbidity and mortality (M&M) conferences are also held.
Morningconferencesarehelddaily.On-calltimeisalsoincorporatedintotherotation;postcalldays,along
with a strategic napping room are available to all students. Students are assimilated into all aspects of the
surgery residency during their rotations with us. Students receive training on the inpatient EMR in the
hospital.
AlbertEinsteinMedicalCenter
Duringthisclerkship,studentsmaybeexposedtothemanyaspectsofgeneralsurgeryaswellasseveralsubspecialties (Transplant, Urology (remove), Neurosurgery (remove), CT Surgery, and Plastic Surgery). This
hospital is also a Level I Trauma Center which will expose the students to a variety of cases while taking call.
Studentsarerequiredtotakecall“Q6”duringthisrotation.Whileonnightcall,studentswillhaveaccesstoanoncall room and receive meal cards to cover their food expenses. Mid-rotation evaluations are done by the Chief
Residentandatleastoneattendingsurgeonontheservice.TheClerkshipDirectorreviewstheseevaluationswith
eachstudentindividually.FinalevaluationsarereviewedwiththestudentsbytheClerkshipDirectoralongwith
an exit interview. Evaluations are based on the student's attitude, motivation, knowledge, and skills (H&P's,
factual knowledge, independent reading done by students, patient care, and OR Performance-Manual Skill).
Studentsareexpectedtoattendweeklycasereview(M&MConference),scheduledGrandRoundswhichareput
onbytheresidents,corecurriculumwhichismoderatedbyanattendingsurgeonoraChiefResidentandBasic
Science which is moderated by the Chief Residents. (remove this sentence The students should only attend
theseconferencesiftheydonotconflictwithlecturesbeingheldatJefferson.Structuredsubspecialtyservices
thestudentsmaybeexposedtoduringthisclerkshipare:transplant,breastsurgery,colorectal,trauma.Students
are evaluated by residents and attending's and the final grade is an average of all evaluations. Mid rotations
evaluatedisverbalfeedbackfromresidentsandattending's.
51
SURG350
SURGERY
BrynMawrHospital
MedicalStudentsatBrynMawrHospitalrotateonaverybusysurgicalserviceatanexcellentcommunityhospital
andworkwithresidentsfromtheJeffersonSurgicalResidencyProgram.Studentsareexposedtoallthecommon
surgicalissuesduringtheirrotationandareexpectedtobeactivemembersofthesurgicalteam.Amid-rotation
evaluationisconductedandisverbal.Aformalrotationevaluationiscompletedattheendoftherotationbythe
clerkshipdirectorperJefferson'srequirementsandisbasedonfeedbackfromtheteam.BrynMawrHospitalis
easilyaccessiblebypublictransportation.Studentsarerequiredtotakecall“Q6”duringthisrotation.
ChristianaCareHealthSystem–ChristianaHospital
Twenty-sixsurgicalresidentsandattendingsparticipateintheeducationofthird-yearandfourth-yearstudents
during their rotation. Students spend six weeks on general surgical service at Christiana Hospital and/or the
Chiefssurgicalservice(anindigentcaregeneralsurgeryservice)atWilmingtonHospital.Whileonnightcallat
Christiana Hospital, students function as members of the "acute care surgical team" (Christiana Hospital is the
stateofDelaware'sLevelITraumaCenterwithover3600traumaadmissionsperyear).Studentsarerequiredto
takecall“Q6”duringthisrotation.WhileonserviceatWilmingtonHospital,studentsparticipateinoneandonehalfdayseachweekintheChiefsServiceoutpatientclinic.Studentswillbeexposedtothesurgicalsubspecialties
ofThoracic,Vascular,Trauma,Colorectal,Plastics,BreastSurgery,andTraumaandCriticalCare.Thestudents
will spend time in the classroom with didactic lectures and interactive sessions with the Associate Program
DirectoroftheGeneralSurgeryResidencyProgram.Studentsareexpectedtoattendthedepartment'sweekly
SurgicalGrandRounds,Chairman'sRounds,andSurgicalAudit(MortalityandMorbidityConference).Themedical
studentswillalsohaveexposuretoancillarystaff,physicianassistants,andnursepractitioners.Thisisa"handson"surgicalrotationwithstudentswelcomedandactively.
DuPontHospitalforChildren
Thisrotationprovidesanactiveclinicalexperienceinanexcellentpediatrichospital.Studentswillbeactivein
initialpatientwork-up,preandpost-opevaluation,alongwithassistingattheoperation.Proceduresstressed
willincludeCVPplacement,woundclosures,i.e.,emphasisonICUcare.Additionalfeaturesincludeexposure
to colorectal, vascular, and thoracic surgery and noteworthy presentations including: a Radiology conference
relating x-rays to surgery, endotracheal intubation instruction by the Anesthesia Department, Radiology, and
PathologyDepartmentparticipationinMorbidityandMortalityconference.EvaluationswillbebytheClerkship
DirectorandtheJeffersonResidentassignedtoDuPont.Mid-evaluationswillbebyboththeClerkshipDirector
andtheJeffersonResident.ConferenceswillalsoincludeweeklyGrandRoundsandweeklylecture.Students
arerequiredtotakecall“Q6”duringthisrotation.
52
SURG350
SURGERY
LankenauHospital
Medical students spend 2 weeks on each of 3 General Surgical Services at Lankenau Hospital. While on each
rotation the student will be exposed to a diverse spectrum of general surgical problems with more vascular
surgery concentrated on one service, more surgical oncology on the second and more colorectal on the third
service. The students will also be exposed to transplant surgery and cardiovascular surgery. Students will be
exposed to all the common surgical problems during their rotation at Lankenau. Teaching is provided by a
diverseattendingstaffaswellasby10surgicalresidents.Callscheduleis1in5androomsareprovidedwith
pagers.Studentsarerequiredtotakecall“Q6”duringthisrotation.Handsonexperiencewillincludesuturing
and placement of various tubes and catheters along with minor procedures. Students are expected to be active
members of the surgical team in following patients pre and postoperatively and in the operating room. In
addition, there is a generous outpatient experience both in the clinic and private offices. Students will be
expected to present cases on rounds and in conferences and to attend the teaching conferences with the
residents. Students will be evaluated by chief residents and attendings. Constructive feedback is provided
duringaninformalmid-rotationevaluationwiththeresidentwhohasworkedmostcloselywiththatstudent
Finalevaluationisbasedonfeedbackcollectedfromresidentsand5GeneralSurgeonsandincludesperformance
onrounds,inpatientcare,outpatientcare,and/orparticipationcombinedwithperformanceingroupdiscussions
ledbytheclerkshipsitedirector.
MethodistHospital
Thisrotationprovidesanactiveclinicalexperienceinanexcellentcommunityhospital.Studentswillbeactivein
initialpatientwork-up,preandpost-opevaluation,alongwithassistingattheoperation.Proceduresstressed
willincludeCVPplacement,woundclosures,i.e.,emphasisonICUcare.Additionalfeaturesincludeexposure
to colorectal, vascular, and thoracic surgery and noteworthy presentations including: a Radiology conference
relating x-rays to surgery, endotracheal intubation instruction by the Anesthesia Department, Radiology, and
PathologyDepartmentparticipationinMorbidityandMortalityconference.EvaluationswillbebytheChiefof
Service.Mid-evaluationswillbebyboth the Chief and Senior Resident. Conferences will also include weekly
Grand Rounds and weekly lecture. Students spend 3 to 5 hours during the rotation at Jefferson University
Hospital,maincampusfortheCriticalThinkingSessions.Studentsarerequiredtotakecall“Q6”duringthis
rotation.
MorristownMedicalCenter(partofAtlanticHealthSystem)
The clerkship in general surgery at Morristown Medical Center offers approximately 150 cases per week in
advancedlaparoscopic,general,robotic,thoracic,vascular,pediatric,plastic,urologic,andtraumasurgeryatabusy
quaternarycaremedicalcenterrankedinScategoriesasaUSNewsandWorldReportTopHospital.Insurgery,we
areratedasExemplarybytheNSQIPoftheAmericanCollegeofSurgeonsforthecarewedeliverandteachinthe
department.ThereisaweeklyinteractiveM&Maswellasdedicatedtimeinlecturesanddidacticactivitiesaswell
as the ACS certified skills laboratory. Part of our medical center's stated mission is an acknowledgment that
teachingthenextgenerationofexpertcliniciansisoneofourcorevalues.Theattentionthatthestudentreceives
fromourteachingandresidentstaffispersonalandfocusedonrelayingnotonlytheclinicalknowledgeandskills
neededtobesuccessfulinsurgerybuttheprofessionalmodelingrequiredofeverydoctor,nomattertheMeldof
study.Studentsarerequiredtotakecall“Q6”duringthisrotation.
53
SURG350
SURGERY
ThomasJeffersonUniversityHospital
The rotation is an intensive introduction to the principles and practice of surgery. Students are expected to
performorassistwithadmissionwork-ups,inpatientandoutpatientevaluations,pre-opandpost-opchecks,OR
junior assistance, venipuncture, IVs, suture removal, arterial blood draws, nasogastric tubes, aseptic dressing
changes, wound healing assessments, skin suturing, Foley catheters, and knot tying (hand and instrument).
StudentsspendsixweeksonaGeneralSurgeryClinicalClerkshiprotationandsixweeksonaSurgerySpecialty
rotation. They will be exposed to the general surgery and general surgical subspecialties of Transplant,
Colorectal, Plastic, Breast, Vascular, Trauma, Thoracic, Cardiac Surgery, Anesthesiology, Neurosurgery,
Ophthalmology,Orthopedics,Otolaryngology,andUrology.TheDirectorofUndergraduateEducation/Clerkship
Director and Clerkship Coordinator meet with all students on the rotation. They review feedback, Clinical
Skills/PalmPELSsummaryanddiscussdifferentaspectsoftherotationwiththestudents.Conferencesinclude
weekly surgical Grand Rounds (1 hr), weekly morbidity and mortality conference (1 hr), bi-weekly case
presentations, and two ethical dilemma sessions. Students are required to take an end of clerkship OSCE
(ObjectedStructuredClinicalEvaluation)attheendofthesixweekgeneralsurgeryrotation.Theyaregiventhe
Surgery National Board Subject Examination at the end of the 12 week rotation. The required textbooks are
EssentialsofGeneralSurgery,EssentialsofSurgerySpecialties,andSurgery:ACompetency-BasedCompanion
withStudentConsultOnlineAccess.Studentsarerequiredtotakecall“Q6”duringthisrotation.
SURG350
SURGERY
TJUH
SurgeryClerkship–MinimumStudents8andMaximum13
Anesthesiology-MinimumStudents3andMaximum6
Neurosurgery-MinimumStudents8andMaximum5
Ophthalmology-MinimumStudents4andMaximum8 Orthopedics–No3rdYearStudentsatJeffersonuntilDecember.Min.Students3andMaximum6
Otolaryngology–MinimumStudents3andMaximum5
Urology–MinimumStudents3andMaximum5 54
SURG350
SURGERY
YorkHospital
YorkHospitaloffersstudentstheopportunitytolearnandpracticetheprinciplesofsurgery.Weaccomplishthis
goal by providing them with a structured curriculum which includes: didactic sessions, surgical skill labs, OR
participation, general surgery rounds, outpatient surgery clinic and Trauma/ICU experience. Students have the
opportunity to interact with subspecialty services such as Urology, Vascular, Thoracic, Plastics, and ENT,
Neurology,OrthopedicsandBrest.Regularlyscheduledlecturescoveringthemajorsurgicaltopicsareprovided
byadedicatedgroupofattendingsurgeons.Inaddition,PowerPointpresentationsareavailableforreviewon
our student portal. Students also actively participate in clinical scenario sessions, which help solidify what is
learnedinlectures.RadiologyandIVaccessexperiencesareavailable.TheEducationKnowledgeCenteroffers
students and opportunity to perform online searches with the help of our dedicated librarian. All surgical
textbooksareavailableinboththeDepartmentofSurgeryLibraryandtheHospitalLibrary.Recommendedtexts
areLawrenceEssentialofGeneralSurgeryandTheSurgicalReviewbyPavanAtluri,etal.Aformalmid-rotation
evaluation is performed by both the clerkship director with input from the student's assigned team. The final
evaluation is in accordance with the medical school requirements. Clinical grades are based on clinical
performanceandparticipationinconferences.
Thestructuredsubspecialtyservicestowhichthestudentsmaybeexposedtoclerkshipare:Vascular,Thoracic,
Neurology,Urology,Plastics,ENTandOrthopedics.
Students are evaluated according to Jefferson guidelines by residents (PGY 2-5)and board-certified
physicians. York Hospital surgery requires students' to complete ro evaluations per 3 weeks to include
evaluations from attendings, and residents. We require York Hospital specific mid-rotation evaluation that
addressesaspectsofpatientcare,medicalknowledge,practicebasedlearningandimprovement,professionalism,
interpersonalandcommunicationskills,andsystems-basedpractice.Thestudentsisrequiredtoreviewthiswith
aresidentontheirassignedservicepriortoreviewingwiththeclerkshipdirector.
55
HOSPITALSTATISTICS
TotalBeds
Occupancy
Rate(%)
Setting
(S)Suburban
(U)Urban
Annual
Statistics:
Admissions
Deliveries
ERVisits
Primary
Payment
Method:
Public
Insurance
Private
Insurance
SelfPay
Other(HMO)
etc.)
PatientAge
(%):
<1year
1–17
18–39years
40–64years
>64years
Abington
A.I.duPont
Albert
Einstein
Bryn
Mawr
Christiana
Crozer
Excela
Lankenau
Magee
648
200
695
307
896
371
195
353
96
72.9
71
72.43
70.4
82
78.9
72
70
85
S
S
U
S
S
S
S
S/U
U
36,781
4,781
86,386
8,453
0
52,000
28,849
2,977
119,588
20,167
1,897
46,023
51,728
6,469
187,317
22,717
2,086
53,144
12,500
2,010
39,000
18,100
2,800
50,000
1,600
NA
NA
35
47
65.51
38.5
47
45
40
54
-
16
2
3
1
11.92
1.30
1.5
0.1
49
1
30
1
60
-
27
1
-
-
47
49
21.27
59.9
4
24
-
18
-
4
4
26
23
44
6
84
10
0
0
10.24
.53
21.35
35.96
31.94
0.8
4.2
19.5
29.3
46.3
12.19
0.88
21.13
30.99
34.81
12.19
88
21.13
30.99
34.81
0.5
0.5
30
30
49
1.1
2.0
22.1
34.7
40.1
-
1
33
33
33
56
HOSPITALSTATISTICS
Methodist
Morristown
Overlook
Reading
TJUH
Inspira
Virtua
VA
York
TotalBeds
Occupancy
Rate(%)
Setting
(S)Suburban
(U)Urban
Annual
Statistics:
Admissions
Deliveries
ERVisits
Primary
Payment
Method:
Public
Insurance
Private
Insurance
SelfPay
Other(HMO)
etc.)
PatientAge
(%):
<1year
1–17
18–39years
40–64years
>64years
207
687
504
761
741
322
398
60
566
78
85
61
63.66
74.0
72
65.64
72
71
U
S
S
S
U
S
S
S
S
6,949
0
45,000
40,000
4,254
83,440
25,000
2,471
94,239
34,811
4,209
126,415
36,363
1,942
74,988
13,000
1,188
60,000
27,558
6,245
58,464
1,664
0
6,200
28,212
2,993
76,500
51
46
-
38
32
45
35
-
58
48
.5
46
1
-
-
58
4
2
2
25
5
1
2
20
-
20
3
.5
7
0
64
25
62
20
19
11
3
19
24
43
2.24
11.46
20.43
35
30.87
-
12
2
19
25
42
2.38
1.35
20.77
41.05
34.45
15.7
23
31
16.9
1.6
3
1
21
43
32
0
0
14
38
47
4
2
22
32
40
57
AFFILIATEMAPS
58
Abington Jefferson Health
Main Hospital
1200 Old York Road
Abington, PA 19001
JUNIOR CLERKSHIPS OFFERED:
• Family
Medicine
• Surgery
• OB/GYN
RESIDENCY
PROGRAMS:
• Family
Medicine
• Internal
Medicine
• OB/GYN
• General
Surgery
• Dentistry
HOSPITAL
TYPE:
Independent, non-profit, teaching hospital
FOOD SERVICE:
Cafeteria: Open daily from 6:30AM – 2:30AM.
Java Joe’s Coffee Kiosk: Open Mondays through Fridays
from 6:45 a.m. to 6 p.m.
MEDICAL EDUCATION RESOURCE CENTER:
Wilmer Library: open 24 hours w/ ID badge; computers
and conference rooms available.
Student lockers
Strategic napping room
OTHER FACILITIES:
Call rooms are available to surgery students.
Fitness center
Lactation stations
ANCILLARY SERVICES:
EKG, blood draw, IV
PARKING:
Parking available at the Scully Parking Garage (parking
badge access needed per $10 refundable deposit) at the
hospital and in front of the building (free) at Abington
Family Medicine.
ABOUT:
Abington Hospital – Jefferson Health (AH) is a 665-bed,
regional referral center and teaching hospital, which has
been providing comprehensive, high-quality services for
people in Montgomery, Bucks and Philadelphia counties
for more than 100 years. AH employs over 5,500
employees, making it one of the largest employers in
Montgomery County. The hospital's medical staff
consists of over 1,100 physicians, including primary care,
medical and surgical specialists. More than 1,100
volunteers give their time and talents to support this notfor-profit hospital, and AH provides more than $45
million in free care to our community each year.
CONTACT:
59 Undergraduate Medical Education Office: 215-481-2603
Nemours / Alfred I. duPont Hospital For Children
1600 Rockland Road P.O. Box 269
Wilmington, DE 19899 302.651.4000
JUNIOR CLERKSHIPS OFFERED:
• Pediatrics
• Surgery
ANCILLARY SERVICES:
EKG, blood draw, IV
TRAVEL:
Parking: FREE
Travel Time: 40 Minutes by car
RESIDENCY PROGRAMS:
• Pediatrics
• Medicine/Pediatrics
• Pediatrics/Physical Medicine & Rehabilitation
SPECIAL FEATURES:
The A.I. duPont Hospital for children has
rapidly expanded and has become this region’s
tertiary care center for children. The Hospital
offers a multitude of special programs and
services to children and adolescents through age
eighteen. Along with the residents, each student
participates fully in the residency education
program. In addition, specific didactic and
bedside rounds are conducted regularly with the
students. Students work closely with pediatric
and combined medicine-pediatric residents.
HOSPITAL TYPE:
Non-Government Non-Profit
Associated with Christiana Care Hospital, Wilmington
Hospital, and TJUH
CAFETERIA:
HOURS: 0700- 1900
AVERAGE COST PER MEAL: S4.00
STUDENT DISCOUNTS: Yes, available on a regular basis
and when on call.
Free lunch provided at all noon conferences.
LIBRARY:
IN HOUSE
HOURS: 0900 - 1700 Students have after hour access
HOUSING: None
60
Albert Einstein Medical Center
Einstein Healthcare Network
5501 Old York Road
Philadelphia, PA 19141
215.456.7890
JUNIOR CLERKSHIPS OFFERED:
•
Internal Medicine
•
Surgery
RESIDENCY PROGRAMS:
•
Emergency Medicine
•
•
•
•
OB/GYN
Pediatrics
Urology
Dental: Orthodontics
HOSPITAL TYPE:
Non-Government Non-Profit
Part of Multi-Hospital System with
Einstein Medical Center Philadelphia, Einstein Medical Center
– Montgomery, Einstein Medical
Center – Elkins Park, Moss
Rehabilitation Hospital, Moss Rehab
Einstein at Elkins Park, and
Willowcrest Sub-acute Care Facility.
CAFETERIA: HOURS: 6:30 AM 8 PM Weekdays, 6:30 AM - 5PM
Weekends - AVERAGE COST PER
MEAL: $6-7
LIBRARY:
IN HOUSE
Hours: 0800 – 1700
HOUSING:
Not available to students
OB/GYN
Pediatrics
•
Psychiatry
•
•
•
Internal Medicine
Orthopedic Surgery
Psychiatry
•
Dental: General Practice
•
•
•
•
Neurology
Radiology
Surgery
Dental: Endodontics
•
•
CALL FACILITIES:
1 Bed / Room
Private Bathrooms/Showers
Phone in Room
ANCILLARY SERVICES:
Decentralized 24-hour EKG, IV, and Blood Drawing
Services
TRAVEL:
Travel Time: 20 minutes by car, 25 minutes by Public
Transportation
Parking: FREE
SPECIAL FEATURES:
The Albert Einstein Medical Center is a Level I Trauma Center and a
Level III Neonatal Intensive Care Unit. Located just
four miles north of Center City, Einstein is the largest independent
academic medical center in the area. Special programs include:
Einstein Heart Institute, Center for Liver Disease and
Transplantation, Women’s Center, Cancer Center, Center for
Orthopedic
Sciences, Drucker Brain Injury Center, and Gutman
61
Diabetes Institute.
Bryn Mawr Hospital
130 South Bryn Mawr Ave
Bryn Mawr, PA 19010
484-337-3000
JUNIOR CLERKSHIPS OFFERED:
•
•
•
•
Family Medicine
OB/GYN
General Surgery
Urology
•
•
•
•
Psychiatry
Anesthesia
Pediatrics Inpatient
Ortho
RESIDENCY PROGRAMS:
•
•
•
Family Medicine
Podiatry
Radiology
HOSPITAL TYPE:
Non-Government, Non-Profit
Part of a multi-hospital system with Paoli
Hospital, Lankenau Medical Center, Riddle
Hospital, and Bryn Mawr Rehab
HOUSING:
Not Available
ANCILLARY SERVICES:
IV service, EKG, Phlebotomy 24 hours per day
CAFETERIA:
Hours: 0700 – 1900
Average Cost per Meal: $6.00-$9.00
STUDENT DISCOUNT: On Call and Night
Float Only
LIBRARY:
In Swipe Access - Hours: 0900 - 1700, closed
weekends
CALL FACILITIES:
As needed
TRAVEL:
Travel Time: 30-40 minutes by car or public
transportation
SPECIAL FEATURES:
Established in 1893, Bryn Mawr Hospital is a not-forprofit, full service, community acute care teaching
hospital. It is known for a high level of personalized care
by exceptional physicians, surgeons and nursing staff in
both inpatient and outpatient settings.
62
Christiana Care Health System
Christiana Hospital
Wilmington Hospital
4755 Ogletown Road
501 West 14,h Street
Newark, DE 19718
Wilmington, DE 19801
302-733-2062 – Office of Academic Affairs
(FMED location)
Family Medicine Center
1401 Foulk Rd.
Wilmington, DE 19803
302.477.3315
Commute from Family Practice Office to Hospital: 15 miles
JUNIOR CLERKSHIPS OFFERED:
•
•
•
Surgery
Family Medicine
Internal Medicine
•
•
OB/GYN
Pediatrics Inpatient and
Nursery (no Housing)
•
•
•
•
Pediatrics / Medicine
Radiology Surgery
Transitional Year
Emergency Medicine
RESIDENCY PROGRAMS:
•
•
•
•
•
Emergency Medicine /
Medicine
Family Medicine
Internal Medicine
OB/GYN
EM/Family Medicine
HOSPITAL TYPE:
Non-Government, Non-Profit
CAFETERIA:
Hours: 0630-1900
Average Cost per Meal: $4.00
LIBRARY:
In House
Hours: 0700 - 1430; Students have after hours
privileges
CALL FACILITIES:
1 -2 bed/ room
HOUSING:
*Housing is available during certain rotations under specific
circumstances * if applicable, student will need to submit an
application, provided by CCHS for review and approval.
ANCILLARY SERVICES:
All expected services available with 24/7 on-call availability
TRAVEL:
Travel Time: 1 hour public transportation
Auto: 45 minutes to 1 hour Parking is
Free
63
Crozer-Keystone Health System
1260 East Woodland Avenue, Suite 200
Springfield, PA 19064-3988
610-690-4471
(FMED location)
Crozer - Keystone Health System
1260 E. Woodland Ave., Suite 200
Springfield, PA 19064
610.690.4471
Commute from Family Practice Office to Delaware County Hospital: 15 minute drive
JUNIOR CLERKSHIPS OFFERED:
•
Family Medicine
RESIDENCY PROGRAMS:
•
•
Family Medicine
Internal Medicine
•
•
OB/GYN
Pediatrics
ANCILLARY SERVICES:
HOSPITAL TYPE:
All services available with 24/7 (IV, EKG,
Phlebotomy.
etc)
Non-Government, Non-Profit, Teaching Hospital
Part of a multiple hospital system (Crozer-Keystone
ANCILLARY
SERVICES:
Health System)
including: Crozer-Chester Medical
Center, Delaware County Memorial Hospital. Taylor
All
servicesSpringfield
available with
24/7 (IV,
EKG, Phlebotomy.
Hospital.
Hospital,
Community
Hospital,
and the Healthplex Sports Club
etc)
TRAVEL:
CAFETERIA:
At Delaware
County
Memorial
Hospital
TRAVEL:
Travel
Time:
30 minutes
by car,Breakfast
20 minutes by
buffet 7 AM to 10:15 AM Lunch: 11 am to 3:30 pm
Dinner: 4:30 to 6:30 pm Average cost per meal: $6.00 /
$7.00 dollars.
At Center for Family Health (outpatient) refrigerators
and Microwaves provided.
LIBRARY:
In House - Hours: 24 hours/ 7 days a week
CALL FACILITIES:
No on-call responsibilities
HOUSING:
None
64
Travel Time: 30 minutes by car, 20 minutes by
public transportation (R3 train station across
from parking lot) Parking: FREE
SPECIAL FEATURES:
The Crozer-Keystone Family Medicine
Residency Program is proud of our wellearned national reputation for innovation,
leadership, and teaching methods. We are a
full-service, family medicine teaching center
offering prenatal to geriatric family care. In
exposing the dynamic specialty of family
medicine, students work closely with resident
and faculty in various environments to include
office hospital, nursing home, home visits,
and sports physical exams. Students are
encouraged to attend conferences, didactic
sessions, and specialty clinics.
Excela Health Latrobe Hospital
121W. 2nd Avenue
Latrobe, PA 15650
724. 537.1000
(FMED location)
Latrobe Area Hospital
Family Practice Office
121 West Second Ave.
Latrobe, PA 15650
724.537.1862
Commute from Family Practice Office to Hospital: Within walking distance
JUNIOR CLERKSHIPS OFFERED:
•
Family Medicine
RESIDENCY PROGRAMS:
•
Family Medicine
HOSPITAL TYPE:
Non-Government, Non-Profit
Part of a multi-hospital system with
Westmoreland Regional Hospital and Frick
Hospital.
ANCILLARY SERVICES:
EKG, IV Insertion. Phlebotomy, Respiratory
Therapy, and Radiology Service 24/7.
Interventional Radiology, Rapid Response
Teams
CAFETERIA:
Hours: 0700-0900, 11:30 – 13: 30, 16:30 –
18:15 Average cost per meal: $5.00
Student Discounts
TRAVEL:
5 hours by car from Center City – 6 hours by
public transportation from Philadelphia.
Parking is free
LIBRARY:
In House - Hours: 24 hours/ 7 days a week
CALL FACILITIES:
No on-call responsibilities
HOUSING:
Contact:
Melissa Neiderhiser 724-537-1485
mneiderhiser@excelahealth.org
65
Inspira Medical Center Woodbury 509 N. Broad Street
Woodbury, NJ 08096
609-845-0100
Family Medicine Residency Program
75 W. Red Bank Avenue
Woodbury, NJ 08096
856-853-2056
Commute from Family Practice Office to Hospital: On hospital campus
JUNIOR CLERKSHIPS OFFERED:
•
Family Medicine
(OP)
RESIDENCY PROGRAMS:
•
Family Medicine
CALL FACILITIES:
Not available to students
HOSPITAL TYPE:
Non-Government Non-Profit
Affiliated with Jefferson Health System
CAFETERIA:
HOURS: 600 - 2200
AVERAGE COST PER MEAL: $5.00
STUDENT DISCOUNTS: No
HOUSING:
None available
ANCILLARY SERVICES:
EKG, blood draws, nebulizer treatments,
colposcopies
TRAVEL:
Transportation service from Center City not
offered to students.
Travel Time: 25-30 minutes by car, 40 plus
minutes by public transportation. Parking is
free.
LIBRARY:
IN HOUSE: 24/7 access
66
Lankenau Medical Center
100 Lancaster Avenue
Wynnewood, PA 19096
484-476-2000
JUNIOR CLERKSHIPS OFFERED:
• Internal Medicine
• OB/GYN
• Surgery
RESIDENCY PROGRAMS:
• Internal Medicine
• OB/GYN
• General Surgery
HOSPITAL TYPE:
Non-Government Non-Profit
Part of a multiple hospital system (Main Line
Health System) including: Bryn Mawr Hospital,
Paoli Memorial Hospital, Bryn Mawr
Rehabilitation Center, and Riddle Hospital
CAFETERIA:
Hours: 0630 – 0200
Average cost per meal: $7.00-9.00
Student Discounts: Meal tickets provided when
on night call
LIBRARY:
In house hours: 24/7 for residents/students
CALL FACILITIES:
No private bath/shower – phone in room
/lockers
ANCILLARY SERVICES:
All are available 24/7 (IV, EKG, Phlebotomy, etc.).
EKG, blood draw, IV
TRAVEL
Travel Time: 30 minutes by car, 45 minutes by public
transportation. Parking: Free, $5 deposit refunded at the
end of rotation. Students must park on the outside upper
level of the Employee Parking Garage.
ABOUT:
Lankenau Medical Center is one of the Philadelphia
region’s most honored and respected teaching hospitals.
Conveniently located in suburban Philadelphia, the 353bed medical enter boasts world-class physicians, a wide
variety of diagnostic and treatment options, the latest
technology and access to cutting-edge research. At
Lankenau, patients have access to research that investigates
more effective treatments and therapies.
Lankenau
Institute for Medical Research is one of the few
freestanding, hospital-associated research centers in the
nation. Through Lankenau’s nationally ranked residency
and fellowship programs, supported through the
Annenberg Center for Medical Education, our physician
faculty are educating the next generation of physicians.
HOUSING:
Not available
67
Magee Rehabilitation Hospital
16th & Race Streets
Philadelphia, PA 19102
JUNIOR CLERKSHIPS OFFERED:
Rehabilitation Medicine
LIBRARY:
IN HOUSE HOURS: Open M-F 12PM-6PM,
NO EVENINGS
RESIDENCY PROGRAMS:
Rehabilitation Medicine
CALL FACILITIES:
Not available
HOSPITAL TYPE:
Non-Government Non-Profit
Affiliated with Jefferson Health System
HOUSING:
Not available
ANCILLARY SERVICES:
EKG, Blood draw, IV
CAFETERIA:
HOURS: Breakfast: 0730 - 1000, Lunch: 1130 1330, Dinner: 1630 – 1830
AVERAGE COST PER MEAL: $3.50
STUDENT DISCOUNTS: NO
TRAVEL:
Travel Time: Located at 16th and Race in Center
City Public Transportation: 20 min
Automobile: 10 min. Parking: not free nor
subsidized
68
Methodist Hospital
2302 S. Broad Street
Philadelphia, PA 19148
215-952-9500
JUNIOR CLERKSHIPS OFFERED:
•
Internal Medicine
•
Surgery
•
•
•
ENT
Internal Medicine
Surgery
RESIDENCY PROGRAMS:
•
•
•
Emergency Medicine
Family Medicine
Orthopedics
HOUSING:
Not available
HOSPITAL TYPE:
Non-Government Non-Profit
Affiliated with Jefferson Health System
ANCILLARY SERVICES:
EEG, EKG, IV Services, MRI, Radiology, pathology,
Heart Station, Respiratory, Infection Control,
Dialysis, Cardiac Rehab
CAFETERIA:
HOURS: M-F: 0630 - 1830
AVERAGE COST PER MEAL: reasonable
Sleeping Quarters has food
STUDENTS DISCOUNTS: Yes, free meals when
on call
TRAVEL:
Travel Time: 10 minutes by car, 15 minutes by
public transportation
PARKING: FREE
LIBRARY:
IN HOUSE HOURS: Open 0900 – 1700
JEFFLINE available for afterhour’s access
CALL FACILITIES:
1-2 Beds / Room
Private Bathrooms / Showers
Phone in Room
69
Morristown Medical Center
100 Madison Avenue
Morristown, NJ 07960
973-971-5000
JUNIOR CLERKSHIPS OFFERED:
•
Internal Medicine
•
Surgery
RESIDENCY PROGRAMS:
•
Internal Medicine
•
•
OB/GYN
Pediatrics
•
Psychiatry
•
Radiology
•
Family Medicine
•
Sports Medicine
(fellowship)
•
Dentistry
•
Surgery
•
Pediatrics
•
OB/GYN
•
Emergency Medicine
•
Urogynecology
(fellowship)
HOSPITAL TYPE:
Non-Government Non-Profit
HOUSING:
Available for students doing rotations
Contact: Lisa Siccone (973) 971 - 6442
Twin Beds 1 per room: - Private bathroom and shower
Distance from Hospital: one-half block
CAFETERIA:
Hours: 1AM to 7 PM
Average Cost per Meal: $6.00
Student Discounts: Yes
LIBRARY:
In House
Hours: 7 AM – 5 PM – Students have afterhours access
CALL FACILITIES:
1bed per room
Private Bathroom/Shower
Phone in room
TRAVEL:
Public Transportation: 3hours 15 minutes
Automobile: 2 hours
ANCILLARY SERVICES:
Services available 24/7
70
•
Emergency MedicinePediatrics (fellowship)
•
Cardiology
(fellowship)
•
Podiatry
Overlook Medical Center
99 Beauvoir Avenue
Summit, NJ 07901
908-522-2000
JUNIOR CLERKSHIPS OFFERED:
•
Family Medicine
RESIDENCY PROGRAMS:
•
•
Internal Medicine
Dentistry
•
Family Medicine
HOSPITAL TYPE:
HOUSING:
Non-Government Non-Profit
Available for students doing rotations
Contact: Tatiana Popov (908) 522-2852
Two-bedroom apartment w/one bed per room,
private bathroom and shower
Distance from hospital: located on campus
CAFETERIA:
Breakfast: 6:30am to 10:30am
Lunch: 11:00am to 2:30pm
“Grab & Go”: 2:45pm to 3:45pm
Dinner: 4:30pm to 7:00pm
Late Night: 9:00pm to 12:00am
Average Cost per Meal: $6.00
Student Discount: Yes
ANCILLARY SERVICES:
Services available 24/7
TRAVEL:
LIBRARY:
Public Transportation: 3 hours
Automobile: 1 hour 45 minutes
In-House
Hours: 8:00 am to 4:30 pm
Students have 24/7 access w/ID badge
CALL FACILITIES:
One bed per room
Private bathroom/shower
Phone in room
Computer room in call-suite
Kitchenette stocked w/beverages and snacks
71
Reading Hospital
Sixth Avenue and Spruce Street
Reading, PA 19611
484-628-8000
JUNIOR CLERKSHIPS OFFERED:
•
Family Medicine
• Pediatrics
•
OB/GYN
•
Internal Medicine
RESIDENCY PROGRAMS:
•
•
•
Family Practice
OB/GYN
Transitional Year Medicine
•
•
Internal Medicine
Podiatry
HOSPITALTYPE:
Non-GovernmentNon-Profit
CAFETERIA:
HOURS:Breakfast:0630–0900
Lunch: 1100-1400
Dinner:1630-1900
AverageCostPerMeal:Averagecost$20/daylimit
LIBRARY:
INHOUSEHOURS:
September–June:M–F0800–2100
July–August:M–F0800–1700
After-hoursaccessusingstudentIDbadge.
CALLFACILITIES:
2Bedsperroom
PrivateBathroomsandShowers
PhoneinRoom
72
CALL FACILITIES:
2 Beds per room
Private Bathroom and Shower
Phone in Room
HOUSING:
Contact: Cathy Caron 484-628-8809
Free Housing Available
2 Bed, Bathroom, Private Shower
Located on hospital campus
ANCILLARY SERVICES:
All expected services available with 24/7 oncall availability
TRAVEL:
Transportation from Center City not offered to
students.
Travel Time: 1 – 1.5 hours by car, 2+ hours by
public transportation
Parking: FREE
Thomas Jefferson University Hospital
111 So. 11th Street
Philadelphia, PA 19611
215-955-6000
JUNIOR CLERKSHIPS OFFERED:
•
Family Medicine
• Pediatrics
•
OB/GYN
• Psychiatry
•
Neurology
RESIDENCY PROGRAMS:
•
Anesthesiology
•
•
•
•
•
•
Emergency Medicine
Internal Medicine
OB/GYN
Pathology
Radiation Oncology
Surgery
HOSPITALTYPE:
•
•
•
Rehab Med
ENT
Neurology
•
Oral Surgery
•
•
•
Pediatrics
Radiology
Urology
Non-Government Non-Profit
CAFETERIAHOURS:
M – F 6:45 AM TO 7:30 PM
WEEKENDS: 6:45 AM TO 7:00 PM
No Student Discount
Average Cost Per Meal: $6.00
LIBRARYINHOUSEHOURS:
8:00 AM – 12:00 AM Mon – Thurs
8:00 AM – 10:00 PM Friday
11:00 AM – 7:00 PM Saturday
10:00 AM – 12:00 AM Sunday
•
•
•
•
•
Internal Medicine
Surgery
Dermatology
Family Medicine
Neurosurgery
Orthopedics
Psychiatry
HOUSING:
On-campus housing features two
apartment-style buildings and one
traditional dormitory-style building.
Barringer Residence (apartments,
unfurnished)
Martin Residence (dormitory,
furnished)
Orlowitz Residence (apartments,
unfurnished)
CALLFACILITIES:
4Beds/Room
PrivateBathrooms/Showers
PhoneinRoom
•
•
73
For more information please go to
www.jefferson.edu/housing or contact
the Department of Housing and
Residence Life at 215-955-8913 or at
university.housing@jefferson.edu.
Office is located in the Orlowitz
Residence (1000 Walnut Street), Suite
103.
74
Virtua Health
100 Bowman Drive
Voorhees, NJ 08043
856.247.3000
(FAMILY MEDICINE LOCATION)
Virtua – Tatem - Brown Family Medicine Center
2225 Evesham Road, Suite 101
Evesham, NJ 08043
856-795-7075
Commute from Family Medicine Office to Hospital: Could walk, car strongly recommended
JUNIOR CLERKSHIPS OFFERED:
•
•
Family Medicine
OB/GYN
RESIDENCY PROGRAMS:
•
•
Family Medicine
Dental
•
•
Podiatry
Pharmacy
TYPE:
HOSPITAL
Non-Government Non-Profit
Affiliated with Virtua Marlton, Virtua
Berlin, and
Virtua Memorial
HOUSING:
N/A
CAFETERIA:
HOURS: 0700 – 1300 & 1600 – 1900
AVERAGE COST: $5 No Student
Discount
ANCILLARY SERVICES:
24/7 EKG, Phlebotomy, IV Team, and
Radiology
LIBRARY:
IN HOUSE – VIRTUAL
TRAVEL:
Car: 30 minutes
Public Transportation: N/A
Parking: FREE
75
CALL FACILITIES:
Number of beds/room varies.
Private
Bathroom/shower
Phone in Room
Wilmington Veterans Affairs Medical Center
1601 Kirkwood Highway
Wilmington, DE 19805
302.994.2511
JUNIORCLERKSHIPSOFFERED:
• Psychiatry
RESIDENCYPROGRAMS:
• InternalMedicine
• Surgery
• Urology
TYPE:
HOSPITAL
Federal Government
CAFETERIA:
HOURS: 0730 – 1330
AVERAGE
COST PER MEAL: breakfast $3.00,
lunch
$6.00
STUDENT
DISCOUNTS: NO - But free meals when
on call
(breakfast and dinner)
LIBRARY:
IN HOUSE
HOURS:
Open 0830 - 1700. Students have
afterhours access privileges.
TRAVEL:
Travel Time: 45 minutes by car
PARKING: FREE
CALL FACILITIES:
1 Bed / Room
Private Bathrooms/Showers
Phone in Room
SPECIAL FEATURES:
Del Tech: Nurse Practitioners
Arcadia Univ.: Physician Assistnats
Christiana Hospital: Cardiology Fellowship
Program.
HOUSING: None Available
76
ANCILLARY SERVICES:
Lab
24 hrs per day
EKG: M – F: 0800 – 1630
Weekends: 0800 – 1000
Nuclear Medicine: M – F: 0730 – 1600
Radiology: 24 hours per day
OT/PT: M – F: 0800 – 1600
Pharmacy: Inpatient: 0800 – 2100
Outpatient closes at 1800
Prosthetics: M – F 0800 – 1630
Social Work: M – F 0800 - 1630
Audiology and Speech: M – F 0800 - 1630
York Hospital
1001 South George Street
York, PA 17405
(717) 851-3500
York Hospital
1001 S. George Street
York, PA 17405
717-851-2753
Commute from Family Practice Office to Hospital: On hospital campus
JUNIORCLERKSHIPSOFFERED:
• FamilyMedicine • GeneralSurgery
• OB/GYN
RESIDENCYPROGRAMS:
• FamilyMedicine
• InternalMedicine
• OB/GYN
• GeneralSurgery
• EmergencyMedicine HOSPITAL
TYPE:
Non-government not-for-profit - Affiliated
with
Gettysburg Hospital
CAFETERIA:
HOURS:
0615 – 0800 (breakfast) 1100 –
1315
(lunch) 1630 – 1830 (dinner)
AVERAGE COST PER MEAL: free for all
students
•
InternalMedicine
HOUSING:
Contact: Alexandra Zeigler
Free Housing Available
Located on hospital campus
ANCILLAY SERVICES:
All services available 24/7
TRAVEL:
90 minutes by car and parking is free
LIBRARY:
IN HOUSE HOURS:
Open 0700 - 1630
Students have afterhour access privileges.
CALL
FACILITIES:
2 Beds / Room
No Private Bathrooms / Showers
Phone
in Room
77
AFFILIATESECURITYPROCEDURES
AFFILIATE
SECURITYFEATURES
AbingtonHospital
Fulltimesecurityaroundtheclock.Keycardentrytooffices
afterhoursonlywithvalidID.Escortsavailable
A.I.DuPontHospitalforChildren
Computerizedcardscanneronlyentrancetoallhospitalunits.
Securityguardspatrolthehospitalroutinely.Allstudentscan
requestanescorttotheparkinglotatnight.
AlbertEinsteinMedicalCenter
Escortservicebysecurityavailableuponrequesttoallmedical
studentstoparkinggaragesandtonearbysubwaystation.
Parkinggaragesarewelllitandpatrolledregularly.Securityis
postedatallentrancestotheMedicalCenter
BelmontInstitute
Securityisavailablearoundtheclock,andwillescortstudents
uponrequest.Allparkingareasarewelllitandpatrolled.
BrynMawrHospital
Securityisavailablearoundtheclockandpatrolsthehospital.
Escortserviceisavailabletostudentstoandfromtheparking
lots.Oncallroomsareinthesamewingasthoseofthe
residentsandattendingsandaresecuredviakeys.
ChristianaCareHealthSystem
Fulltimesecurityaroundtheclock.Studentsmayrequesta
securityescorttoandfromparkingorforanyotherreasonat
anytime.Alloncallandsleepingroomsarelocked.
Crozer-KeystoneHealth
Aroundtheclocksecuritydepartment.Patrolsaroundhospital
campusandfullystaffedentrances.Studentsescortedto
transportationuponrequest
ExcelaHealth/LatrobeHospital
Securityonsitearoundtheclock.Escortserviceisavailableto
studentsatanytime.
InspiraMedicalCenterWoodbury
LankenauHospital
MageeRehabilitationHospital
Aroundtheclocksecuritydepartment.
Securityisavailablearoundtheclockandroundsfrequently
throughthehospital.Escortservicetoandfromtheparking
lotsisalsoavailablearoundtheclock.On-callroomsare
withinasecuresuiteandarelockedatalltimes
Aroundtheclocksecuritydepartmentwithpatrolsandstaffed
entrances.Studentescortserviceavailable
78
AFFILIATESECURITYPROCEDURES
AFFILIATE
SECURITYFEATURES
MethodistDivision-TJUH
Aroundtheclocksecuritydepartmentwithpatrolsandstaffed
entrances.Studentescortsavailableupon.
MorristownMedicalCenter
Securityonsitearoundtheclock.Escortserviceisavailableto
studentsatanytime.
MossRehabilitationHospital
Fulltimesecurityservice.Escortstoparkingareaavailable
uponrequest.
Securityonsitearoundtheclock.Escortserviceisavailableto
studentsatanytime.
OverlookMedicalCenter
Fulltimesecurityservice.Escortstoallareasavailableupon
studentrequest.
ReadingHospital
Fulltimesecuritywithescortserviceavailable.
VirtuaHealth
WilmingtonVAHospital
Aroundtheclocksecuritydepartmentwithpatrolsandstaffed
entrances.Studentescortavailableuponrequest.
YorkHospital
Aroundtheclocksecuritydepartmentwithpatrolsandstaffed
entrances.Studentescortsavailableuponrequest.
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