Elective Manual Table of Contents 1. Expectations of an Elective Resident and Elective Attending………...... page 2 2. Allergy & Immunology (all-r)……………………………………….. page 3 3. Ambulatory Non-IM Specialty Princeton (amb)..………………............ page 5 4. Cardiology CAB (card-o-r)………………………………….…………..........page 7 5. Cariology Inpatient (card-i-r)………………………………………………....page 9 6. Cardiology UMCP (card-p)…………………………….……………... page 11 7. Congestive Heart Failure (chf-r)…………………….…………………… page 13 8. Emergency Medicine UMCP (er-p)………………........…………….. page 15 9. Endocrinology (endo-r)…………………………………………....…. Page 17 10. Electrophysiology (ep-r)……........................……………………………. Page 19 11. Gastroenterology Inpatient (gi-i-r)….…………………......………... page 21 12. Gastroenterology Outpatient (gi-o-r)………………………........….. page 23 13. Gastroenterology Princeton (gi-p)………………………………….. page 25 14. Gastroenterology VA (va-gi)……………………………………………. page 27 15.General Internal Medicine Consult Service (gim)…………...………. page 29 16 Geriatrics (geri-1, geri-2)………………………………………………….. page 31 17. Hematology (hem-r)………..……………………………………….. page 35 18. Heme Path (hemepath)……………………………………………….. page 37 19. Hospital Administration (hospad-r).………………………………... page 39 20. Hypertension/Nephrology (htn-p)…………………………….…….. page 41 21. IM Specialty – Endo/Rheum/HIV (im-sub-r)………………………. page 43 22. Infectious Disease (id-r)………………………………………………. page 45 23. Infectious Disease-ID Care (id-p)…………………………….…….. page 47 24. Nephrology (nephro-r)…………………………………………………. Page 49 25. Oncology CINJ (cinj-r)……………………………………………...………page 51 27. Oncology Princeton (onc-p)………………………………………….. page 53 28. Palliative Care (pallca-r)……………………………………………. page 55 29. Practice Tailoring (prac)………….…………………………........................page 58 30. Psychiatry (psy-r)……………………………………………………………page 59 31. Pulmonary Medicine (pulm-o-r)……………………………………… page 61 33. Radiology (rad-p)………………………………………….. ………….……page 63 34. Rheumatology (rheum-r)……..………………………………….…….. page 65 35. Transplant (xplant-r) ……...………………………………………... page 67 1 EXPECTATIONS Expectations of a Resident on Elective: Review the pertinent elective material (schedule, goals & objectives) in the elective manual located on the residency website prior to starting the elective. Patient encounters: Take a thorough history and physical, document appropriately in the chart, present cases to the attending, discuss management. Demonstrate self-directed learning through independent reading about the diseases encountered during the elective. Report to the elective on time. Attend all required educational activities of the program as per the elective schedule sheet. Maintain a professional demeanor at all times. Attend your continuity clinic according to elective schedule Expectations of an Elective Attending: Discuss the goals and objectives of the elective with the resident on day 1. Teach residents the history and physical exam skills that are pertinent to the specialty. Teach residents diagnosis, pathophysiology, management and disease course on a case by case basis. Instruct residents on the diagnostic modalities that should be undertaken prior to referral to the specialty. Educate residents about when to initiate a referral to the specialty. Instruct residents on the diagnostic tools used by the specialty for further evaluation of the disease. Educate residents about the cost of various diagnostic and treatment modalities. Discuss evidence-based medicine. 2 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: all-r Elective Title: ALLERGY AND IMMUNOLOGY ELECTIVE DIRECTOR: Elective Site: CAB, Cranford/Warren, and Plainsboro ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS Dr. Monteleone MEB-358 montelca@umdnj.edu Dr. Monteleone: (732) 235-7712 Dr. Maccia Cranford Office: Stacy 19 Holly Street Cranford, NJ 07016 clement.maccia@gmail.com Dr. MacciaWarren Office: (732) 627-0900 Cranford Office: (908)276-0666 Dr. Monteleone Dr. Maccia Dr. Caucino Dr. Monteleone Dr. Maccia Dr. Caucino 666 Plainsboro Rd Bldg 1000 Ste 1B Plainsboro, NJ 08536 MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME 2 MAX 4 RESIDENTS LEVEL OF TRAINING (Include residents from other programs) All MIN Dr. Caucino: (609) 799-8111 PGY 2/3 MIN_____ MAX 1 STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT _X_ INPATIENT__ MIXED __ YES NO X SCHEDULE AM PM MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY CAB Dr. Monteleone Cranford Office Dr. Maccia Warren Office Dr. Maccia Cranford Office Dr. Maccia Warren Office Dr. Maccia Plainsboro Dr. Caucino RESIDENT CONTINUITY CLINIC CAB Dr. Monteleone CAB Dr. Monteleone RESIDENT CONTINUITY CLINIC Residents are required to attend the following program activities: Daily Board Review, and Monthly Humanism & Professionalism and Business of Medicine Conference. Residents are not required to attend Noon Report/Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 3 Goals and Objectives: Allergy & Immunology Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in allergy and immunology. To familiarize the resident with frequently used diagnostic techniques such as allergy skin testing and PFTS. To enhance occupational and environmental history taking skills. To determine when it is appropriate to initiate a referral to an allergist. To gain exposure to the business aspects of running a private practice. Please refer to the Allergy section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Includes, but is not limited to, asthma, allergic rhinoconjunctivitis, contact dermatitis, atopic dermatitis, urticaria, angioedema, food and drug allergies, and humoral deficiencies. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Solely outpatient encounters in the allergy clinic of the RWJ CAB and in the private offices of community Allergists. Procedures: Allergy skin testing, desensitizations Services: Full range of services including access to a PFT laboratory and skin testing in the office. Educational Materials Recommended Reading: Packet of pertinent allergy and immunology articles is given to each resident at the start and discussed throughout the elective. Pathological Materials: N/A Other educational resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of the attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 4 INTERNAL MEDICINE HOUSESTAFF SELECTIVE ROTATION Amion Legend: amb Elective Title: AMBULATORY Non IM Specialty ELECTIVE DIRECTOR: Dr. Payal Dave davepa@umdnj.edu ElectiveSite: PRINCETON and New Brunswick ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS Refer to schedule CONTACT PHONE: TOTAL RESIDENTS AT ANY GIVEN TIME (Including from other programs) MIN___ MAX ___1 RESIDENTS LEVEL OF TRAINING Refer to schedule See Below Dr. Kathy Robison krobison@princetonhcs.org MONTHS AVAILABLE: DURATION/WEEKS All MIN: 2 weeks MAX: 4 weeks PGY 2/3 STUDENTS OUTPATIENT_X_ INPATIENT __ MIXED __ NO NIGHT CALL NO WEEKENDS NO NIGHT CALL MONDAY AM 8:30-12pm Orthopedic W. Thomas Gutowski, MD Sports Medicine Forsgate 11 Centre Drive Jamesburg, NJ 08831 609 655-4848 fax: 609-924-8532 PM RESIDENT CONTINUITY CLINIC TUESDAY 8:30-12pm Inpatient Neurology Dr. Gupta Cell phone: 732-425-8422 Call or text at 8:30am to find out where to meet for inpatient RWJUH consults 1-5pm Outpatient Neurology Dr. Gupta 81 Veronica Avenue Suite 201 Somerset, NJ SCHEDULE WEDNESDAY 8:30-12pm Urology Stanley Rosenberg, MD Barry Rossman, MD Robert Pickens, MD Alexander Vukasin, MD Urology Group of Princeton Forrestal Village 134 Stanhope St. Princeton, NJ 609 924-6487 fax: 609-921-7020 RESIDENT CONTINUITY CLINIC YES THURSDAY 9 am – 5 pm Dermatology Dr. Pappert/Rao NO X FRIDAY 9:30-12pm Gynecology@9:30am Kyra Williams, MD (contact person: AnnMarie/ext.6308) 1 Worlds Fair Drive 2nd Floor Somerset, NJ 08873 Phone: 235-7765 Fax: 235-6568 gallinvk@umdnj.edu UMCP Outpatient Gynecology Clinic, Suite B 253 Witherspoon St. Princeton, NJ 08540 609-497-4240 fax: 609-497-4027 RESIDENT CONTINUITY CLINIC 1-5pm Otolaryngology Scott Kay, MD 7 Schalk’s Crossing Road Suite 324 Plainsboro, NJ 08536 609-897-0203 Fax: 609-897-0213 Residents are required to attend the following program activities: Daily Board Review, Weekly Grand Rounds and Monthly Humanism & Professionalism and Business of Medicine Conference. Only required to attend Noon Report/Conference on Tuesdays. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 5 Goals and Objectives: Ambulatory Non-IM Specialty Princeton Selective Educational Purpose To recognize common problems encountered in some non-internal medicine specialties that pertain to the practice of medicine, such as ophthalmology, dermatology, ENT, orthopedics, gynecology, neurology and urology. To improve physical exam skills in specific areas such as the HEENT, skin, joint, prostate, pelvic, and neuro exam. To gain exposure to the business aspects of running a private practice. To determine when it is appropriate to initiate a referral to an ophthalmologist, dermatologist, otolarynogologist, orthopedic surgeon, gynecologist, neurologist and urologist. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management and course of disease. Educational Content Mix of Diseases: Includes, but is not limited to, red eye, uveitis, keratitis, glaucoma, cataracts, chronic sinusitis, chronic ear infections, neck masses, fractures/sprain/sports injuries, amennorhea, menorrhargia, cervical dysplasia, gyn infections, pelvic pain, BPH, prostate CA, prostatitis, impotence and incontinence, skin cancer, skin lesions, seizures, stroke, headaches, neuropathies, myopathies. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Mainly outpatient encounters in the private offices of community physicians. Procedures: Skin biopsies, joint aspirations, digital rectal exam, pap smears, EMGs. Services: Broad range of services available in the office including the procedures listed above as well as full services available at UMCP and RWJUH. Educational Materials Recommended Reading: Standard medical texts in the fields of ophthalmology, otolaryngology, dermatology, gynecology, urology, neurology and orthopedics are available in the MEB library. Pathological Materials: Review of skin, prostate, cervical biopsy results. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients and see return visits under the supervision of attendings. 6 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: card-o-r Elective Title: CARDIOLOGY CAB Elective Site: RWJ CAB Clinic ELECTIVE DIRECTOR: ELECTIVE FACULTY: Dr. Lili Cohen UCG Faculty MONTHS AVAILABLE: DURATION/WEEKS ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS: Dr. Cohen 908-229-0956 (cell) 125 Paterson Street Resident to call Dr. New Brunswick, NJ 08903 Cohen 3 days prior to start of rotation TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING (Including other programs) All MIN 2 weeks MIN__ MAX 2 MAX 4 weeks NO NIGHT CALL NO WEEKENDS OUTPATIENT _X_ INPATIENT__ MIXED __ PGY __ ALL X STUDENTS YES X NO SCHEDULE From 8:00 – 9:00 AM PM MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Cardiology Conference 2 CORE Conf Room Cardiology Conference 2 CORE Conf Room Cardiology Conference 2 CORE Conf Room Cardiology Conference 2 CORE Conf Room Cardiology Conf 2 CORE Conf Room CAB Clinic Dr. Agarwal CAB Clinic Dr. Vagaonescu CAB Clinic Dr. Cohen CAB Clinic Dr. Weinberg Cardiac Rehab : Cardiodynamics 2nd Floor RWJUH Nurse : Maureen CAB Clinic Dr. Morerya RESIDENT CONTINUITY CLINIC CAB Clinic Dr. Kostis RESIDENT CONTINUITY CLINIC RESIDENT CONTINUITY CLINIC Thursday 12:00 – 1:00 EKG Conference Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 7 Goals and Objectives: Cardiology Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in cardiology. To familiarize the resident with frequently used diagnostic tools such as stress testing, ECHO, Cath, MRI. To improve EKG reading skills To enhance cardiac physical diagnosis skills. To determine when it is appropriate to initiate a referral to a cardiologist. Please refer to the Cardiology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Includes, but is not limited to, CAD, hyperlipidemia, CHF and cardiomyopathy, valvular disease, arrhythmias, congenital disorders, and preoperative cardiac evaluation. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Primarily outpatient encounters in a UMCP cardiology practice and in the office of a community cardiologist. Occasional inpatient consults at UMCP. Procedures: Review ECHO and Cath reports; Interpret stress test results. Services: Services include access to a cardiac cath lab, nuclear and exercise stress lab, and an ECHO lab. Educational Materials Recommended Reading: Braunwald’s Textbook of Cardiology, Cardiovascular Medicine by Topol & Marso Pathological Materials: N/A Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 8 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: card-i-r Elective Title: Cardiology Inpatient Elective Site: RWJUH ELECTIVE DIRECTOR: ELECTIVE FACULTY: Dr. Lili Cohen UCG Consult Attending MONTHS AVAILABLE: DURATION/WEEKS ELECTIVE CONTACT NAME / ADDRESS: CONTACT PHONE: 908-229-0956 (cell) Dr. Cohen Resident to call Dr. 125 Paterson Street Cohen 3 days prior to New Brunswick, NJ 08903 start of rotation. Resident must page the UCG consult fellow on the first morning of the rotation. TOTAL RESIDENTS RESIDENTS LEVEL AT ANY GIVEN TIME OF TRAINING (Include other programs) All MIN 2 weeks MIN__ MAX 1 MAX 4 weeks NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT _X_ MIXED __ PGY __ ALL X STUDENTS YES NO X SCHEDULE MONDAY AM PM Inpatient Consults and Rounds TUESDAY WEDNESDAY Inpatient Consults and Rounds Inpatient Consults and Rounds RESIDENT CONTINUITY CLINIC THURSDAY Inpatient Consults and Rounds FRIDAY Inpatient Consults and Rounds RESIDENT CONTINUITY CLINIC Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 9 Goals and Objectives: Cardiology Inpatient Elective Educational Purpose To recognize and treat commonly encountered inpatient problems in cardiology. To familiarize the resident with frequently used diagnostic tools such as stress testing, ECHO, Cath, MRI. To improve EKG reading skills To enhance cardiac physical diagnosis skills. To determine when it is appropriate to initiate a referral to a cardiologist. Please refer to the Cardiology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Includes, but is not limited to, ACS, arrhythmias, CHF exacerbation, valvular disease, and preoperative cardiac evaluation. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Primarily inpatient encounters at RWJUH. Procedures: Review ECHO and Cath reports; Interpret stress test results. Services: Services include access to a cardiac cath lab, nuclear and exercise stress lab, and an ECHO lab. Educational Materials Recommended Reading: Braunwald’s Textbook of Cardiology, Cardiovascular Medicine by Topol & Marso Pathological Materials: N/A Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 10 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: card-p Elective Title: UMCP CARDIOLOGY ELECTIVE DIRECTOR: Elective Site: UMCP ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS: Dr. Lisa Motavalli Dr. Lisa Motavalli 609-853-7220 Dr. Lisa Motavalli Pager: lmotavalli@longcall.com University Medical Center of (Medicine Office) Princeton at Plainsboro Resident must Dr. Sheryl Croiter Department of Medicine contact Dr. Motavalli 1 Plainsboro Road prior to the start of Pager: SCroiter@longcall.com Plainsboro, NJ the elective via her long call email. MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL AT ANY GIVEN TIME OF TRAINING (Include other programs) All MIN 2 weeks MIN__ MAX 1 MAX 4 weeks NO NIGHT CALL NO WEEKENDS OUTPATIENT INPATIENT MIXED _X_ PGY __ ALL X STUDENTS YES NO X SCHEDULE MONDAY AM PM TUESDAY WEDNESDAY THURSDAY GRAND ROUNDS 8am-9am Consults, Clinics, Consults, Clinics, and Procedures and Procedures RESIDENT CONTINUITY CLINIC FRIDAY Consults, Clinics, and Procedures Consults, Clinics, and Procedures Consults, Clinics, and Procedures RESIDENT CONTINUITY CLINIC Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 11 Goals and Objectives: Cardiology Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in cardiology. To familiarize the resident with frequently used diagnostic tools such as stress testing, ECHO, Cath, MRI. To improve EKG reading skills To enhance cardiac physical diagnosis skills. To determine when it is appropriate to initiate a referral to a cardiologist. Please refer to the Cardiology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Includes, but is not limited to, CAD, hyperlipidemia, CHF and cardiomyopathy, valvular disease, arrhythmias, congenital disorders, and preoperative cardiac evaluation. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Primarily outpatient encounters in a UMCP cardiology practice and in the office of a community cardiologist. Occasional inpatient consults at UMCP. Procedures: Review ECHO and Cath reports; Interpret stress test results. Services: Services include access to a cardiac cath lab, nuclear and exercise stress lab, and an ECHO lab. Educational Materials Recommended Reading: Braunwald’s Textbook of Cardiology, Cardiovascular Medicine by Topol & Marso Pathological Materials: N/A Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 12 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: chf-r ELECTIVE TITLE: Congestive Heart Failure ELECTIVE DIRECTOR: Elective Site: RWJUH ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS Dr. Almendral Dr. Jesus Almendral Director, Mechanical Circulatory Support Program MONTHS AVAILABLE: Dr. Almendral Plum Street, 7th Floor New Brunswick DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME TEL: (732) 253-3356 Resident must page the CHF fellow on the first morning of the rotation. RESIDENTS LEVEL OF TRAINING (Including other programs) ALL MIN MAX 2 __ MIN_____ 4 MAX __ PGY 2/3 1_ STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT _X_ MIXED __ YES NOX SCHEDULE MONDAY AM PM TUESDAY WEDNESDAY THURSDAY FRIDAY Inpatient Consults Inpatient Consults Inpatient Consults Inpatient Consults Inpatient Consults and Rounds and Rounds and Rounds and Rounds and Rounds RESIDENT RESIDENT CONTINUITY CONTINUITY CLINIC CLINIC Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism and Business of Medicine Conference, in addition to their Weekly Medicine Continuity Clinic. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 13 Goals and Objectives: Congestive Heart Failure Elective Educational Purpose To recognize and manage decompensated heart failure in the hospital and chronic heart failure in the outpatient setting. To learn the clinical indications and criteria for heart transplant. To familiarize the resident with frequently used diagnostic techniques such as stress testing, ECHO, and Cath. To enhance cardiac physical diagnosis skills. To determine when it is appropriate to initiate a referral to a cardiologist and heart failure specialist. Please refer to the Cardiology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings and fellows including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Conferences: Weekly Cardiology Grand Rounds (1st Monday at noon). Educational Content Mix of Diseases: Includes heart failure from all causes including ischemic heart disease and various cardiomyopathies. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Patients are seen both on the heart failure service in the hospital and in the heart failure clinic at RWJ CAB. Procedures: Review Cath reports and myocardial biopsy results. Services: Full range of specialty and subspecialty services; access to a cardiac cath lab, cardiac MRI, nuclear and exercise stress lab, EP and ECHO lab. Educational Materials Recommended Reading: Braunwald’s Textbook of Cardiology, Cardiovascular Medicine by Topol & Marso Pathological Materials: N/A Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attending/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings and fellows. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 14 INTERNAL MEDICINE HOUSESTAFF SELECTIVE ROTATION Amion Legend: er-p Elective Title: Emergency Medicine Elective Site: UMCP Emergency Room—Fast Track ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS Dr. Craig Gronczewski (Chair of UMCP ED) MONTHS AVAILABLE: Dr. Craig Gronczewski (Chair of UMCP ED) Dr. Craig Gronczewski CONTACT PHONE: 609-497-4431 (UMCP ED) 609-497-4111 (Fast Track) cgronczewski@princetonhcs.org DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING (Including other programs) All MIN 2 wks MIN_______ MAX _4 wks_ MAX PGY 2/3 2 STUDENTS OUTPATIENT X INPATIENT __ MIXED __ Evenings and occasional weekends YES NOX At the beginning of your first shift, please ask the ER desk clerk where to find Sue Sunyak. She is in charge of Wellsoft and will give you a brief orientation to the ED computer system. SCHEDULE SATURDAY MONDAY Noon 12:00- Report/ 1:30 Noon PM conference UMCP ER 1:3010:00 PM TUESDAY WEDNESDAY THURSDAY Noon Report/ Noon Report/ Noon Noon conference conference RESIDENT UMCP ER CONTINUITY CLINIC SUNDAY FRIDAY Noon Report/ Noon Noon Report/ conference Noon conference UMCP ER RESIDENT UMCP ER CONTINUI TY CLINIC UMCP ER There will be 2 residents on ER at a given time. The chief resident at UMCP will assign each resident to three 8.5-hour ED shifts per week on days when they do not have continuity clinic. Each resident will have 3 of the remaining 4 days off. On the other day (the day of their clinic), they will go to noon report/NC at the site closest to their clinic and then proceed to clinic. Residents are required to attend the following program activities: Daily Noon Report and conference at UMCP The following activities are optional: Weekly Grand Rounds, Daily Board Review 15 Goals and Objectives: ER Selective Educational Purpose To expose the resident to urgent care problems seen in an emergency room. To demonstrate clinical skills in initial triage, diagnostic evaluation and management of above patients. To manage common emergencies that an internist is likely to encounter in an office practice. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: A wide range of acute medical, neurological, surgical, and gynecologic problems are seen. Patient Characteristics: All age groups are seen. Types of Clinical Encounters: Pts are seen on the urgent care side of the UMCP ED. Procedures: Some procedure may be done in the ED including suturing, splinting, joint aspiration/injection, and venous blood draws. Services: Full range of specialty and subspecialty services are available through UMCP. Educational Materials Recommended Reading: Rosen’s Emergency Medicine Pathological Materials: N/A Other Educational Resources: A full service library with computers is available at UMCP where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients and see return visits under the supervision of attendings. 16 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: endo-r Elective Title: ENDOCRINOLOGY Elective Site: CLINICAL ACADEMIC BUILDING ELECTIVE DIRECTOR: ELECTIVE FACULTY: Dr. Amorosa Drs. Amorosa, Schneider, Asali, Kolaczynski, Lubitz, Meninger, Reinhardt, Santora, Stein, Wang, Wimalawansa, MONTHS AVAILABLE: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS DURATION/WEEKS Catherine Harris MEB-384 TEL: (732) 235-7748 email: Harrisca@umdnj.edu FAX: (732) 235-7096 TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING (Including other programs) All MIN 2 MAX __4 PGY 1/2/3 MIN______ MAX 4 OUTPATIENT X INPATIENT __ MIXED __ NO NIGHT CALL NO WEEKENDS STUDENTS YESX NO SCHEDULE MONDAY AM (8am) PM CAB Dr. Lubitz TUESDAY WEDNESDAY CAB CAB Dr. Schneider /Wang Dr. Kolaczynski, Lubitz/ Meninger Clinic RESIDENT Dr. CONTINUITY Amorosa/Lubitz/ CLINIC Wang THURSDAY FRIDAY CAB CAB Dr. Wimalawansa/ Drs. Asali / Wang Santora CAB CAB Dr. Amorosa/Lubitz Dr. Amorosa/ Schneider RESIDENT CONTINUITY CLINIC Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 17 Goals and Objectives: Endocrinology Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in endocrinology. To increase familiarity with frequently used diagnostic tools such as HgbAIC and glucose tolerance test, hypothalamic-pituitary-adrenal axis testing, and thyroid testing including ultrasound, RAIU scan and biopsy. To learn appropriate screening modalities for monitoring the complications of diabetes. To apply the algorithm for working up a thyroid mass. To determine when it is appropriate to initiate a referral to an endocrinologist. Please refer to the Endocrinology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Includes, but is not limited to, diabetes, hypo- and hyperthyroidism, adrenal insufficieny, Cushing’s disease, and pituitary tumors. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Solely outpatient encounters in the endocrine clinic of the RWJ CAB. Procedures: Occasionally observe FNA of thyroid masses. Services: Full range of specialty and subspecialty services, such as nutrition; access to an extensive laboratory and radiology department. Educational Materials Recommended Reading: William’s Textbook of Endocrinology Pathological Materials: thyroid biopsy results reviewed Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings and fellows. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 18 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: ep-r Elective Title: ELECTROPHYSIOLOGY ELECTIVE DIRECTOR: Dr. Deepak Saluja MONTHS AVAILABLE: Elective Site: RWJUH ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS James Coromilas Archana Patel Deepak Saluja Dr. Saluja 125 Paterson St New Brunswick, NJ, 08903 DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME CONTACT PHONE: Edie: (732) 235-6566 FAX:(732) 235-8371 RESIDENTS LEVEL OF TRAINING (Including other programs) All MIN 2 wks MIN____ MAX 4 wks MAX PGY 2, 3 1 STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT X MIXED __ YES X NO SCHEDULE MONDAY AM PM TUESDAY Inpatient Consults Inpatient Consults and Rounds and Rounds EP Procedure Observation RESIDENT CONTINUITY CLINIC WEDNESDAY THURSDAY FRIDAY ECG conf ( 8-9 am) Inpatient Inpatient Consults EP conference Consults and and Rounds Rounds Inpatient Consults CCU and Rounds lecture(10:30RESIDENT 11:15 am) EP Procedure CONTINUITY Observation CLINIC EP Procedure Observation Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 19 Goals and Objectives: Electrophysiology Elective Educational Purpose To recognize and treat commonly encountered inpatient problems in cardiology/EP To significantly improve ECG reading skills To enhance cardiac physical diagnosis skills To determine when it is appropriate to call a consult to a cardiologist/EP Be familiar with initial and subsequent management of common cardiac arrhythmias (tachycardia and bradycardia) Know who is at risk for sudden cardiac death and their management Familiarize residents with use of antiarrhythmic medications Teaching Methods Supervised direct patient care Case discussions with attendings and cardiology fellows including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings and cardiology fellows will provide didactic lectures on subjects of interest Weekly didactic lectures for cardiology fellows are accessible to residents as per their interest, but ECG conference on thursday and CCU lecture on wednesday will be requirement (as their schedule allows it) Educational Content Mix of Diseases: Includes, but is not limited to, CAD, CHF and cardiomyopathy, valvular disease, arrhythmias, congenital disorders Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups Types of Clinical Encounters: Primarily inpatient encounters, some outpatient encounters in EP clinic Procedures: observing EP study, ablation procedure and pacemaker implantation Educational Materials Recommended Reading: Electrophysiology Testing by Richard Fogoros, Arrhthymia section in Braunwald’s Textbook of Cardiology, Cardiovascular Medicine by Topol & Marso A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings Residents will take histories and physicals on new patients, see them on follow up visits, and play an active role in the diagnostic and management plans under the supervision of attendings and cardiology fellows. 20 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: gi-i-r Elective Title: GASTROENTEROLOGY- INPATIENT ELECTIVE DIRECTOR: Elective Site: RWJUH ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS GI Consult Attending Aida Cardona GI Division MEB-478 GI Fellow CONTACT PHONE: (732) 235-7784 Dr. Kiron Das MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME FAX:(732) 235-7792 Resident must page the GI consult fellow on the first morning of the rotation RESIDENTS LEVEL OF TRAINING (Including other programs) All MIN 2 wks MIN_____ MAX 4 wks MAX PGY 2/3 1 STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT X MIXED __ YES X NO SCHEDULE MONDAY AM PM TUESDAY WEDNESDAY THURSDAY Inpatient Consults Inpatient Consults Inpatient Consults Inpatient Consults and Rounds and Rounds and Rounds and Rounds RESIDENT CONTINUITY CLINIC FRIDAY GI Conference MEB 492 RESIDENT CONTINUITY CLINIC Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 21 Goals and Objectives: Gastroenterology Inpatient Elective Educational Purpose To recognize and treat commonly encountered inpatient problems in gastroenterology. To familiarize the resident with frequently used diagnostic tools such as plain films, abdominal ultrasound, abdominal CT scan, barium swallow, EGD, colonoscopy and capsule endoscopy in the diagnosis of GI disorders. To determine when it is appropriate to consult a gastroenterologist. Please refer to the Gasteroenterology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Conferences: Weekly conferences (Friday morning and noon) are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time. Pathology slides are reviewed with a pathologist. Educational Content Mix of Diseases: Including, but not limited to, Upper and lower GI bleeding, IBD flares, infectious diarrhea, malabsorption syndromes, acute and chronic liver disease, acute pancreatitis, cholecystitis and cholangitis. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Primarily inpatient consults in the ICU and general wards and across all specialties at RWJUH. Procedures: Observe EGDs and colonoscopies. Services: Broad range of consultative and clinical services; access to a full endoscopy suite, radiology department and extensive laboratory. Educational Materials Recommended Reading: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease Pathological Materials: Biopsies from EGDs and Colonoscopies are reviewed. Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The GI consult attending evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attending/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings and fellows. Residents will do initial consults, daily follow ups and play an active role in the diagnostic and management plans under the supervision of attendings. 22 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: gi-o-r Elective Title: GASTROENTEROLOGY OUTPATIENT ELECTIVE DIRECTOR: Dr. Kiron Das ELECTIVE FACULTY: Drs. Das, Ebert,Griffel, Manoukian, Pooran Rampertab and Repaka MONTHS AVAILABLE: Elective Site: CAB ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS TEL:(732) 235-7784 Aida Cardone MEB-478 FAX:(732) 235-7792 DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME MIN 2 wks MIN_______________ RESIDENTS LEVEL OF TRAINING (Including other programs) All MAX MAX _4 wks_ PGY 1/2/3 2 EXCEPT: NO NIGHT CALL NO WEEKENDS OUTPATIENT X INPATIENT __ MIXED __ STUDENTS YES X NO SCHEDULE MONDAY AM READING/ RESEARCH CAB Clinic PM Dr. Rampertab Dr. Manoukian TUESDAY WEDNESDAY THURSDAY FRIDAY CAB Clinic CAB Clinic CAB Clinic GI Conference MEB 492 Dr. Das Dr. Manoukian Dr. Repaka Dr. Pooran Dr. Rampertab RESIDENT CONTINUITY CLINIC CAB Clinic CAB Clinic Dr. Griffel (1x month) Dr. Manoukian RESIDENT CONTINUITY CLINIC Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. GI Conferences are held every Friday from 9-10am and from 11-1pm 23 Goals and Objectives: Gastroenterology Outpatient Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in gastroenterology. To familiarize the resident with frequently used diagnostic tools such as plain films, abdominal ultrasound, abdominal CT scan, barium swallow, EGD, colonoscopy and capsule endoscopy in the diagnosis of GI disorders. To determine when it is appropriate to initiate a referral to a gastroenterologist. Please refer to the Gasteroenterology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Conferences: Weekly conferences (Friday morning and noon) are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time. Pathology slides are reviewed with a pathologist. Educational Content Mix of Diseases: Including, but not limited to, GERD, PUD including H. Pylori, Lower GI bleeding, IBD, IBS, Malabsorption syndromes, chronic liver disease, chronic pancreatitis, and biliary disease. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Solely outpatient encounters in the gastroenterology clinic at RWJ CAB. Procedures: Review EGD and colonoscopy results. Services: Broad range of specialty and subspecialty services; access to an extensive laboratory, radiology department, and endoscopy suite. Educational Materials Recommended Reading: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease Pathological Materials: Biopsies from EGDs and Colonoscopies are reviewed. Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings and fellows. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 24 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: gi-p Elective Title: GASTROENTEROLOGY Princeton ELECTIVE DIRECTOR: Dr. Gary Forester MONTHS AVAILABLE: ELECTIVE FACULTY: Dr. G. Forester Dr. Skole DURATION/WEEKS Elective Site: UMCP ELECTIVE CONTACT NAME / ADDRESS CONTACT PHONE: Dr. G. Forester gforester@longcall.com (609) 853-7220 (Medicine Office) TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING (Including other programs) All MIN __2 wks_ MAX _4 wks MIN______ MAX PGY 1/ 2/3 1 EXCEPT: August NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT __ MIXED _X_ STUDENTS YES NO X SCHEDULE MONDAY AM PM Clinic Consults Procedures Clinic Consults Procedures TUESDAY Clinic Consults Procedures RESIDENT CONTINUITY CLINIC WEDNESDAY Clinic Consults Procedures Clinic Consults Procedures THURSDAY Clinic Consults Procedures Clinic Consults Procedures FRIDAY Conference RWJ MEB RESIDENT CONTINUITY CLINIC PLEASE CONTACT DR. FORESTER ON THE FIRST MORNING OF THE ELECTIVE FOR THE SCHEDULE Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 25 Goals and Objectives: Gastroenterology Princeton Elective Educational Purpose To recognize and treat commonly encountered problems in gastroenterology. To familiarize the resident with frequently used diagnostic tools such as plain films, abdominal ultrasound, abdominal CT scan, barium swallow, EGD, and colonoscopy in the diagnosis of GI disorders. To determine when it is appropriate to initiate a referral to a gastroenterologist. Please refer to the Gasteroenterology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attending will provide didactic lectures on subjects of interest. Conferences: Weekly conferences (Friday morning and noon) are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time. Pathology slides are reviewed with a pathologist. Educational Content Mix of Diseases: Including, but not limited to, GERD, PUD including H. Pylori, Upper and lower GI bleeding, IBD, IBS, infectious diarrhea, malabsorption syndromes, chronic liver disease, pancreatitis, and biliary disease. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Patients are seen during procedures in the endoscopy suite, during outpatient encounters in the office setting and on occasional inpatient consults. Procedures: Assist with EGDs and colonoscopies. Services: Broad range of specialty and subspecialty services; accesss to an extensive laboratory, radiology department and endoscopy suite. Educational Materials Recommended Reading: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease Pathological Materials: Biopsies from EGDs and Colonoscopies are reviewed Other Educational Resources: A full service library with computers is available at UMCP where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attending. Level of Resident Supervision Primary responsibility for care lies with the attending. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 26 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: va-gi Elective Title: GASTROENTEROLOGY VA Elective Site: Lyons, VA ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS CONTACT PHONE: Dr. Lenza Dr. Lenza Dr. Lenza Tel: (908) 647-0180 dial 1 then ext. 4540 or 4644 Fax: 908-604-5271 (VA) 973-395-7076 (East Orange) MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING (Including other programs) MIN __2__ MIN______ PGY 1/2/3 All MAX NO NIGHT CALL NO WEEKENDS 4__ MAX 1 OUTPATIENT _X_ INPATIENT __ MIXED __ STUDENTS YES NO X Please follow the instructions for “Processing”: 1) GI is located in Bldg 3, 1st floor but resident must first report to bldg 1, 2nd floor where Isabella, the secretary, will give you a form to fill out and take to another bldg. There you will present the form and two forms of ID for fingerprinting and background check. 2) Residents must also obtain a computer code, which can be picked up in building 11. All of this should be accomplished on the first day of rotation. SCHEDULE FROM 8:15 am UNTIL 5 pm MONDAY TUESDAY WEDNESDAY THURSDAY GI Procedures Consults Lyons, VA GI Clinic GI Procedures Consults GI Procedures Consults RESIDENT CONTINUITY CLINIC Lyons, VA GI Clinic RESIDENT CONTINUITY CLINIC RESIDENT CONTINUITY CLINIC FRIDAY RWJ – MEB Conference Lyons, VA GI Clinic Residents are required to attend the following program activities: Daily Board Review, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. Residents are exempt from attending Noon Report/Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 27 Goals and Objectives: Gastroenterology VA Elective Educational Purpose To recognize and treat commonly encountered problems in gastroenterology. To familiarize the resident with frequently used diagnostic tools such as plain films, abdominal ultrasound, abdominal CT scan, barium swallow, EGD, colonoscopy and capsule endoscopy in the diagnosis of GI disorders. To determine when it is appropriate to initiate a referral to a gastroenterologist. Please refer to the Gasteroenterology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Conferences: Weekly conferences (Friday morning and noon) are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time. Pathology slides are reviewed with a pathologist. Educational Content Mix of Diseases: Including, but not limited to, GERD, PUD including H. Pylori, Upper and lower GI bleeding, IBD, IBS, Malabsorption syndromes, chronic liver disease, pancreatitis, and biliary disease. Patient Characteristics: Given the VA setting, patients are generally elderly males of varying socioeconomic status. Patients of greater diversity are seen during the afternoons spent in the RWJ CAB. Types of Clinical Encounters: Patients are seen during procedures in the VA endoscopy suite, during outpatient encounters in the VA and CAB clinics and on occasional inpatient consults. Procedures: Assist with EGDs and colonoscopies. Opportunity for flexible sigmoidoscopy certification. Services: Broad range of specialty and subspecialty services; access to an extensive laboratory, radiology department and endoscopy suite. Educational Materials Recommended Reading: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease Pathological Materials: Biopsy results from EGDs and Colonoscopies are reviewed. Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings and fellows. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 28 INTERNAL MEDICINE HOUSESTAFF SELECTIVE ROTATION Amion Legend: gim Elective Title: General Internal Medicine CONSULT SERVICE ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS GIM Faculty Pat Affrunti email: affrunpa@umdnj.edu PHONE: (732) 235-6968 TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING Consult Attending MONTHS AVAILABLE: All Elective Site: RWJUH_ DURATION/WEEKS MIN 2 wks CONTACT PHONE: FAX: (732) 235-7144 PGY MIN_______________ MAX ___4 wks MAX 2/3 1 STUDENTS OUTPATIENT __ INPATIEINT _X_ MIXED __ YES NOX SCHEDULE MONDAY FROM 8am4:30pm 4:308pm RWJUH CONSULTS RESIDENT CONTINUITY CLINIC Admit and Cross Cover Liquid Oncology after returning from clinic TUESDAY WEDNESDAY THURSDAY FRIDAY RWJUH CONSULTS RWJUH CONSULTS RWJUH CONSULTS RWJUH CONSULTS RWJUH CONSULTS RWJUH CONSULTS RWJUH CONSULTS RWJUH CONSULTS And Admit for and And Admit for and And Admit for and And Admit for Cross Cover Liquid Cross Cover Cross Cover and Cross Cover Oncology Liquid Oncology Liquid Oncology Liquid Oncology On day 1 of rotation, please contact the GIM consult attending for details Resident is expected to perform consults at RWJUH and Plum St. Resident can not leave RWJUH to go to Plum St. if they are covering an inpatient service (Liquids). ** Access the syllabus for this rotation on the residency website ** Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 29 Goals and Objectives: General Internal Medicine Consult Service Selective Educational Purpose To obtain the skills required for effective consultation and communication with other specialists (orthopedic surgeons, neurologists, ophthalmologists, general surgeons,etc.). To learn to risk stratify patients and become proficient in preoperative evaluations. To learn the management of medical illnesses in the perioperative setting. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Including, but not limited to, diabetes and hypertension treatment, coagulopathy management, and chest pain and dyspnea evaluation of patients on various services including general surgery, vascular, orthopedics, neurology, and gynecology. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Solely inpatient consultations at RWJUH. Procedures: May perform procedures as needed such as paracentesis, thoracentesis, and LP. Services: Full range of specialty and subspecialty services are available at RWJUH; full access to an extensive laboratory, radiology department, and ICU. Educational Materials Recommended Reading: A link to articles pertinent to in-hospital medical consultation, preoperative evaluation and perioperative medical care is available on the residency website. Pathological Materials: N/A Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The attending on consult service evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attending. Level of Resident Supervision Primary responsibility for care lies with the attending. Residents will do the initial consultation, daily follow ups, and play an active role in the diagnostic and management plans under the supervision of attendings. 30 INTERNAL MEDICINE HOUSESTAFF GERIATRICS Amion Legend: geri-1, geri-2 Elective Title: Geriatrics ELECTIVE DIRECTOR: Dr. Qian Wang Office: 609-395-2470 Beeper: 888-565-7141 Email: qwang@princetonhcs.org MONTHS AVAILABLE: All Elective Site: UMCP/Merwick/Meadowlakes Dr. Harpreet Sidhu Merwick Nursing Home 79 Bayard Lane Princeton, NJ 08540 609-617-1314 Ellen Land, NP Meadowlakes Clinic 609-495-5364 DURATION/WEEKS Dr. Schwartz-Chevlin Physician Home Visits 908-507-4503 Dr. Ramzy, Geriatric Psychiatry Merwick Nursing Home 609-924-5250 Sandy/Debbie Hospice Home Visits 609-497-4952/4932 Dr. Carol Sonatore Acute Rehab 732-735-2841 (c) **Before 3pm on Tuesday call Sandy or Dr. Schwartz-Chevlin to set up wed home visit** TOTAL RESIDENTS AT ANY GIVEN TIME 4 weeks MIN_______ NO NIGHT CALL NO WEEKENDS RESIDENTS LEVEL OF TRAINING MAX OUTPATIENT _X_ INPATIENT __ MIXED __ PGY 1 2 STUDENTS YES NOX ** UMCP Geriatrics - Prior to starting the elective, please contact Dr. Wang (qwang@princetonhcs.org) to find out when and where to meet on the first day of the elective. Geriatrics Schedule Addendum: Noon Conference Presentation — to be assigned at the end of the month Geriatrics Rotation Contacts: Dr. Qian Wang Cell: 609-495-4062, Office: 609-395-2470, Beeper: 888-565-7141, Email: qwang@princetonhcs.org; qwang@longcall.com Dr. Sidhu - 609-617-1314 Dr. Ramzy - 609-924-5250 (call on Thursday to let office know if that is the Friday for drivers assessment program and let them know you will not be there) Dr. Schwartz-Chevlin - 908-507-4503 Ellen Land, NP - 609-495-4364 Sandy/Debbie - 609-497-4952/4932 Buckingham Place, Paul ,Administrator of day program - 732-329-8888 or cell at 732-2417949 31 SCHEDULE- Weeks 1&2 are GERI 1/ Weeks 3&4 are GERI 2 Week 1 GERI 1 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 9:00 am – 12:00pm Meeting with Dr. Wang UMCPP Dr. Wang & Ellen Land, NP Home Visits Dr. Schwartz-Chevlin Home Visits (visiting nurse) St. Lawrence Rehab Driver Assessment 8am Neuropsych Testing 9am 1:30 5:00 pm Merwick Nursing Home Dr. Sidhu Clinic Merwick Nursing Home Dr. Sidhu Acute Rehab Dr. Sonatore Clinic Week 2 GERI 1 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 9:00 am – 12:00pm Research UMCPP Dr. Wang & Ellen Land, NP Home Visits (Hospice Home Visitsmeeting) Home Visits (Nursing Home) Geriatric Psychiatry Merwick Dr. Ramzy 1:30 5:00 pm Merwick Nursing Home Dr. Sidhu Clinic Merwick Nursing Home Dr. Sidhu Acute Rehab Dr. Sonatore Clinic Week 3 GERI 2 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 9:00 am – 12:00pm Research UMCPP Dr. Wang & Ellen Land, NP Home Visits (Hospice Home Visits) Home Visits (Home PT/OT) Geriatric Psychiatry Merwick Dr. Ramzy 1:30 5:00 pm Merwick Nursing Home Dr. Sidhu Clinic Merwick Nursing Home Dr. Sidhu Acute Rehab Dr. Sonatore Clinic Week 4 GERI 2 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 9:00 am – 12:00pm Buckingham Place Assisted Living Adult Day Program (9:30 – 11:30) UMCPP Dr. Wang & Ellen Land, NP Home Visits (Hospice Home Visits) 1:30 5:00 pm Merwick Nursing Home Dr. Sidhu Clinic Merwick Nursing Home Dr. Sidhu Home Visits (home PT/OT) GeriatricsPresentation Noon Conference Acute Rehab Dr. Sonatore Geriatric Psychiatry Merwick Dr. Ramzy Clinic Residents are required to attend the following program activities: Daily Board Review, Weekly Grand Rounds, and Monthly Humanism & Professionalism and Business of Medicine Conference at UMCP. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 32 Goals and Objectives: Geriatric Medicine Rotation Attitudes Identify stereotypes of older adults Recognize “ageism” in the practice of medicine Understand how goals of care influence treatment decisions Appreciate patient autonomy in decision making Knowledge Distinguish between normal aging and disease Appreciate the striking heterogeneity among older adults Understand basic principles of pharmacokinetics/dynamics in the elderly Understand health promotion and disease prevention strategies Appreciate atypical presentations of illness in older adults Understand the hazards of hospitalization for older adults Understand basic principles of psychiatric disease in the elderly Understand basic principles of wound care Skills Accurately estimate prognosis in acute and chronic disease states Initiate a Comprehensive Geriatric Assessment Implement risk-reduction strategies in the hospitalized elder Diagnose, evaluate and manage the following syndromes: Agitation and altered mental status Cognitive Impairment Adverse Drugs Events/polypharmacy Gait disorders Dysphagia Educational Purpose To recognize and treat commonly encountered outpatient problems in geriatrics. To learn about the care of institutionalized Long-Term Care patients. To understand the aging process and its influence on disease, medication use, and quality of life. To obtain a grasp of end-of-life issues and palliative care. To learn to evaluate decision making capacity. To recognize the importance of an interdisciplinary approach to the care of the elderly. To determine when it is appropriate to initiate a referral to a geriatrician. Please refer to the Geriatrics section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings and fellows including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings provide didactic lectures on subjects of interest. Conferences: Weekly conferences. Presentations: Monthly presentation to be done by Geriatric interns Educational Content Mix of Diseases: Includes, but is not limited to, falls/gait imbalance, dementia, incontinence, pressure ulcers, immobility, pain management, and terminal illness. Patient Characteristics: Elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Pts are seen in a variety of venues including a nursing home, rehabilitation center, private geriatric office practice, in-hospital hospice, and on home visits. Procedures: N/A Services: Full range of consultative and clinical services available through UMCP. Educational Materials Recommended Reading: Essential’s of Clinical Geriatrics, Hazzard’s Geriatric Medicine and Gerontology (Access Medicine) Pathological Materials: N/A 33 Other Educational Resources: A full service library with computers is available at UMCP where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients and see return visits under the supervision of and attendings. 34 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: hem-r Elective Title: HEMATOLOGY ELECTIVE DIRECTOR: Elective Site: CAB/ RWJUH ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS CONTACT PHONE: Hematology Faculty Dr. Philipp MEB 378A (732) 235-7619 FAX:(732) 235-7115 DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING Dr. Claire Philipp MONTHS AVAILABLE: (Include other programs) MIN 2 MIN______ MAX 4 MAX PGY 1/2/3 ALL NO NIGHT CALL NO WEEKENDS OUTPATIENT INPATIENT MIXED _X_ 1 STUDENTS YES NOX SCHEDULE AM PM MONDAY General Heme Clinic TUESDAY WEDNESDAY THURSDAY FRIDAY Thrombosis Clinic Hemophilia Clinic General Heme General Heme Clinic Clinic Drs. Phillip and Dr. Phillip and Dr. Dr. Harrison Harpel Harpel Dr. Harpel Dr. Harrison Inpatient Consults RESIDENT Inpatient Consults Inpatient RESIDENT CONTINUITY Consults CONTINUITY CLINIC CLINIC Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 35 Goals and Objectives: Hematology Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in hematology. To familiarize the resident with the serum tests frequently used in the diagnosis of common hematology disorders. To determine when it is appropriate to initiate a referral to a hematologist. Please refer to the Hematology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings and fellows including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attending and fellows will provide didactic lectures on subjects of interest. Conferences: Weekly conferences are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time. Educational Content Mix of Diseases: Including, but not limited to, anemia, hemophilia, hypercoaguable disorders, polycythemia vera, neutropenia, thrombocytosis, thrombocytopenia (ITP, TTP, HIT), and anticoagulation methods. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Patients are seen in the outpatient hematology clinic at RWJ CAB and in consultation on hospitalized patients. Procedures: Assist with bone marrow biopsies, plasmapheresis. Services: Broad range of specialty and subspecialty services; access to an extensive laboratory, radiology department, ICU, bone marrow unit and the above listed procedures. Educational Materials Recommended Reading: Witrobe’s Clinical Hematology Pathological Materials: Peripheral blood smears and bone marrow pathology slides are reviewed. Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings and fellows. Residents will take histories and physicals on new patients, see return visits, follow up on consults and play an active role in the diagnostic and management plans under the supervision of attendings. 36 INTERNAL MEDICINE HOUSESTAFF ELECTIVE FORM Amion Legend: hemepath-r ELECTIVE TITLE: HemePath ELECTIVE DIRECTOR: Dr. Goodell Elective Site: RWJUH ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS Dr. Goodell and other Pathology Faculty RWJMS Dr. Goodell Myra Martinez CONTACT PHONE: Myra Martinez TEL: (732) 235-8121 FAX: (732) 235-8124 MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING MIN_____ ALL MIN 2 __ EXCEPT: July/August MAX 2 __ MAX PGY 2/3 1_ STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT X MIXED __ YES NOX SCHEDULE AM PM MONDAY TUESDAY WEDNESDAY Review of slides HemePath Conference Review of slides and biopsies Review of slides and and biopsies biopsies RESIDENT RESIDENT CONTINUITY Review of slides and CONTINUITY CLINIC biopsies CLINIC THURSDAY Review of slides and biopsies FRIDAY Review of slides and biopsies RESIDENT CONTINUITY CLINIC Review of slides and biopsies Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 37 Goals and Objectives: Heme Path Elective Educational Purpose To learn to recognize hematologic diseases based on peripheral blood smears and bone marrow biopsies. To gain a greater understanding of the diagnosis of heme disorders for those interested in pursuing a career in hematology/oncology. To enhance the understanding of clinical laboratory medicine. Teaching Methods Primarily through supervised review and interpretation of hematology slides with a trained hemapathologist. Educational Content Mix of Diseases: Including, but not limited to, anemia, hemophilia, hypercoaguable disorders, polycythemia vera, neutropenia, thrombocytosis and thrombocytopenia, leukemia, lymphoma and MDS. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Slides are reviewed in the hematology pathology office. Procedures: N/A Services: Full range of clinical and consultative services are available at RWJUH including a hematology service, bone marrow unit and ICU, as well as an outpatient hematology clinic. Educational Materials Recommended Reading: Wintrobe’s Clinical Hematology Pathological Materials: Peripheral blood smears and bone marrow path slides are reviewed. Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of the attending. Level of Resident Supervision Primary responsibility for care lies with the attending. Residents will review slides under the guidance of the pathologist. 38 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: hospad-r Elective Title: HOSPITAL ADMINISTRATION Elective Site: RWJUH ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS Dr. Joshua Bershad Acting Medical Director CEO, RWJUH Hospital Administration Brenda Cuntala MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME MIN______ Special Assignment MIN MAX NO NIGHT CALL NO WEEKENDS 2 MAX 4 CONTACT PHONE: TEL: (732) 937-8614 FAX: (732) 937-8837 Contact Dr. Bershad at least 1 week prior to starting this elective. RESIDENTS LEVEL OF TRAINING PGY 2/3 1 OUTPATIENT N/A INPATIENT N/A MIXED N/A SCHEDULE MONDAY AM PM Interview with Senior Staff and attend meetings TUESDAY Interview with Senior Staff and attend meetings RESIDENT Interview with CONTINUITY CLINIC Senior Staff and attend meetings WEDNESDAY THURSDAY FRIDAY Interview with Senior Staff and attend meetings Interview with Senior Staff and attend meetings Interview with Senior Staff and attend meetings RESIDENT CONTINUITY CLINIC RESIDENT CONTINUITY CLINIC Interview with Senior Staff and attend meetings Candidates with serious interest in this area, should consider requesting this elective. Please contact Dr. Bershad 1 week prior to starting your rotation Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 39 Goals and Objectives: Hospital Administration Elective Educational Purpose To gain an understanding of how a large academic hospital is run. To understand the role of various hospital administrators. To appreciate the interplay between hospital administrators and clinicians. Teaching Methods Interviews with key hospital administrators. Observing meetings regarding operations, strategic planning, patient services, clinical outcomes, human resources, and finances of the hospital. Educational Materials Recommended Reading: A packet of reading material is provided at the start and discussed throughout the elective. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation via a letter based on the resident’s level of enthusiasm/interest and professionalism. The resident will evaluate the elective on the annual program evaluation form. 40 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: htn-p Elective Title: HYPERTENSION/NEPHROLOGY ELECTIVE DIRECTOR: Dr. Michael Ruddy Elective Site: Princeton Junction ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS Drs. M. Ruddy, G. Bialy, V. Finkelstein, P. Sterman, S. Basi Dr. Ruddy Gloria CONTACT PHONE: (609) 750-7330 (Gloria) FAX: (609) 750-7336 88 Princeton Hightstown Rd Suite 203 Princeton Junction, NJ 08550 email: michaelcruddy@cs.com MONTHS AVAILABLE: DURATION/WEEKS All NO NIGHT CALL NO WEEKENDS TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING PGY 1/2/3 MIN 2 MIN__ MAX 4 MAX 2 STUDENTS OUTPATIENT X INPATIENT __ MIXED __ YES X NO SCHEDULE MONDAY AM OFFICE TUESDAY GRAND ROUNDS at UMCP 8-9am WEDNESDAY THURSDAY FRIDAY OFFICE OFFICE OFFICE OFFICE OFFICE RESIDENT CONTINTUITY CLINIC OFFICE PM OFFICE RESIDENT CONTINTUITY CLINIC Residents are required to attend the following program activities: Daily Board Review at UMCP, Weekly Grand Rounds and Monthly Humanism & Professionalism and Business of Medicine Conference. You are not required to attend noon report/conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 41 Goals and Objectives: Hypertension/Nephrology Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in nephrology, including uncontrolled HTN. To understand the pathophysiology of fluid/electrolyte disorders and acid base disturbances. To familiarize the resident with commonly used tests in the diagnosis of renal disease such as renal ultrasound, analysis of 24 hour urine samples, ambulatory blood pressure monitoring, and renal biopsy. To develop familiarity with the principles, clinical indications and complications of nephrologic procedures including hemo- and peritoneal dialysis, renal biopsy, and vascular access placement. To gain exposure to the business aspects of running a private practice. To determine when it is appropriate to initiate a referral to a nephrologists and hypertension specialist. Please refer to the Nephrology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings will provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Including, but not limited to, uncontrolled HTN, fluid/electrolyte/acid-base disorders, diabetic renal disease, hypertensive renal disease, glomerular and interstitial diseases, nephrolithiasis, PCKD, ESRD, and proteinuria. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Solely outpatient encounters in the office of a community hypertension/nephrology practice. Procedures: Hemodialysis, renal biopsies reviewed. Services: Full range of specialty and subspecialty services available at UMCP. Hemodialysis unit is located in the same building as the office practice. Educational Materials Recommended Reading: Hypertension Primer, Primer on Kidney Diseases, packet of articles distributed at the start of the elective. Pathological Materials: Renal biopsies are reviewed. Evaluation Method The elective coordinator evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 42 INTERNAL MEDICINE HOUSESTAFF SELECTIVE ROTATION Amion Legend: im-sub-r Elective Title: IM Specialty- Endo/Rheum/HIV ELECTIVE DIRECTOR: ELECTIVE FACULTY: See Below Dr. Ranita Sharma Sharmar1@umdnj.edu MONTHS AVAILABLE: All DURATION/WEEKS MONDAY Endocrine Clinic Dr. Lubitz CAB Contact: Catherine 732-235-7748 harrisca@umdnj.edu ELECTIVE CONTACT NAME / ADDRESS Refer to schedule CONTACT PHONE: Refer to schedule TOTAL RESIDENTS AT ANY GIVEN TIME MIN: 2 weeks MAX: 4 weeks NO NIGHT CALL NO WEEKENDS AM: Elective Site: CAB/Chandler RESIDENTS LEVEL OF TRAINING MIN____ MAX ___2 STUDENTS OUTPATIENT X INPATIENT __ MIXED __ TUESDAY Rheumatology Clinic Dr. Schlesinger Contact: Dr. Schlesinger 732-235-7702 schlesna@umdnj.edu SCHEDULE WEDNESDAY Rheumatology Clinic Dr. Hsu CAB Contact: Dr. Schlesinger 732-235-7702 schlesna@umndj.edu YES THURSDAY Rheumatology Clinic Dr.Schlesinger, Hsu, Tiku CAB Contact: Dr. Schlesinger 732-235-7702 schlesna@umdnj.edu Endocrine Clinic PM: Resident Continuity Clinic PGY 1/2/3 Dr. Stein /Wong CAB Contact: Catherine 732-235-7748 harrisca@umdnj.edu NO X FRIDAY Endocrine Clinic Dr. Salsali / Santora CAB Contact: Catherine 732-235-7748 harrisca@umdnj.edu Endocrine Clinic Resident Continuity Clinic Resident Continuity Clinic Dr.Amorosa/ Lubitz/Wong CAB Contact: Catherine 732-235-7748 harrisca@umdnj.edu Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 43 Goals and Objectives: IM Specialty Selective (Endo/Rheum/HIV) Educational Purpose To ensure all residents get exposed to commonly encountered outpatient problems in endocrinology, rheumatology, and HIV management. To increase familiarity with frequently used diagnostic tools such as HgbAIC and glucose tolerance test, hypothalamic-pituitary-adrenal axis testing, and thyroid testing including ultrasound, RAIU scan and biopsy. To learn appropriate screening modalities for monitoring the complications of diabetes. To apply the algorithm for working up a thyroid mass. To learn the clinical indications for arthrocentesis and how to analyze joint aspirate. To improve joint examination skills. To understand the principles of drug therapy in management of HIV and to learn the class side effects. To increase familiarity with the complications of HIV/AIDS. To determine when it is appropriate to initiate a referral to an endocrinologist and rheumatologist. Please refer to the Endocrinology, Rheumatology, and Infectious Disease sections of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Includes, but is not limited to, diabetes, hypo- and hyperthyroidism, adrenal insufficieny, Cushing’s disease, pituitary tumors; RA, OA, crystal disease, FMS, seronegative spondyloarthropathies, SLE, scleroderma, bursitis/tendonitis. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Solely outpatient encounters in the endocrine clinic at RWJ CAB, rheumatology clinic at RWJ CAB, and HIV clinic at Chandler Health Center. Procedures: Occasionally observe FNA of thyroid masses, arthrocentesis. Services: Full range of clinical and consultative services available at RWJUH; access to an extensive laboratory and radiology department. Educational Materials Recommended Reading: William’s Textbook of Endocrinology, Primer on Rheumatic Diseases, Mandell’s Principles and Practice of Infectious Disease. Pathological Materials: thyroid biopsies reviewed, joint aspirate analyzed Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings and fellows. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 44 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: id-r Elective Title: INFECTIOUS DISEASE ELECTIVE DIRECTOR: Dr. S. Boruchoff MONTHS AVAILABLE: Elective Site: RWJUH ELECTIVE FACULTY: Dr. T. Bhowmick Dr J. Cornett Dr. S. Boruchoff Dr. D. Hart Dr. McAuliffe Dr. M. Weinstein ELECTIVE CONTACT NAME / ADDRESS CONTACT PHONE: Dr. S. Boruchoff MEB-362 FAX: (732) 235-7951 DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME Resident must page the ID consult fellow on the first morning of the rotation. RESIDENTS LEVEL OF TRAINING TEL: (732) 235-7708 (Including other programs) All MIN 2 MIN 1 MAX 4 MAX 2 PGY 1/2/3 STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT X MIXED __ YES X NO SCHEDULE MONDAY AM PM TUESDAY WEDNESDAY THURSDAY FRIDAY Consult Clinic or Consult Clinic or Consult Clinic or Consult Consult Rounds Rounds with Rounds with fellows Rounds with fellows Rounds with fellows with fellows fellows Micro Rounds/ Conference Conference RESIDENT Journal Club RESIDENT CONTINUITY Attending Rounds CONTINUITY Attending CLINIC Attending Rounds CLINIC Rounds *Evaluations will be sent to ID Attending listed on RWJ schedule. Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 45 Goals and Objectives: Infectious Disease Elective Educational Purpose To recognize and treat a broad range of acute infectious diseases in the hospital setting. To understand the principles of antibiotic use and coverage. To learn to take a thorough immunization/travel/sexual history. To provide exposure to the microbiology lab and learn to interpret gram stains and cultures. To determine when it is appropriate to consult an infectious disease specialist. Please refer to the Infectious Disease section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Teaching rounds: case-based discussions with attendings and fellows including differential diagnosis, pathophysiology, management, and disease course of patients seen in consultation. Conferences: Weekly ID journal club (Thursday 1-2pm) during which recent literature is reviewed. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Microbiology Rounds: The ID consult team meets with select microbiology laboratory staff to review relevant gram stains and cultures. Educational Content Mix of Diseases: Including but not limited to HIV and opportunistic infections, TB, bacteremia, endocarditis, meningitis, osteomyelitis, and skin/soft tissue infections. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups, including a large immigrant population. Types of clinical encounters: Largely during inpatient consultations in the ICU and general wards at RWJUH with once weekly outpatient clinic experience. Procedures: Occasionally, blood cultures are drawn and lumbar punctures performed by the ID service. Services: Full range of consultative and clinical services covering all aspects of infectious disease care are provided. This includes access to outpatient ID and HIV clinics, ER, ICU, microbiology lab, and radiology department. Educational Materials Recommended Reading: Principles and Practice of Infectious Disease by Mandell Pathological Materials: Gram stains and cultures in microbiology lab. Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Methods The ID consult attending evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning improvement, interpersonal and communication skills, professionalism, system based learning. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met and the teaching interest and ability of attendings/fellows. Level of Resident Supervision Primary responsibility for care lies with the faculty and fellows. Residents will do initial consults, daily follow ups, and play an active role in the diagnostic and management plans under the supervision of attendings. 46 MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: id-p Elective Title: Infectious Disease- NAHASS Elective Site: Princeton/Somerset/New Brunswick ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS CONTACT PHONE: Dr. Rohit Balla Dr. R.Nahass’ group Rohit Balla roballa@gmail.com TEL: (908) 725-2522 FAX: (908)725-5009 PLEASE EMAIL DR. BHALLA AT LEAST ONE WEEK BEFORE STARTING THE ROTATION. MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING All MIN: 2 wks PGY MIN 0 MAX 2 2/3 MAX: 4 wks STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT __ MIXED X YES NOX SCHEDULE Week 1 & 3 a.m. p.m. Week 2 & 4 a.m. p.m. Monday Inpatient Rounds Resident Continuity Clinic Office Resident Continuity Clinic Tuesday Inpatient Rounds Inpatient Rounds Office Office Wednesday Inpatient Rounds Resident Continuity Clinic Office Resident Continuity Clinic Thursday Inpatient Rounds Resident Continuity Clinic Office Resident Continuity Clinic Friday Inpatient Rounds Inpatient Rounds Office Office PLEASE EMAIL DR. BHALLA AT LEAST ONE WEEK BEFORE STARTING THE ROTATION. Residents are required to attend the following program activities: Daily Board Review, Noon Report and Conference (only when doing inpatient rounds), Weekly Grand Rounds and Monthly Humanism & Professionalism and Business of Medicine Conference at the nearest hospital site. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 47 Goals and Objectives: Infectious Disease Nahass Elective Educational Purpose To recognize and treat a broad range of infectious diseases in the outpatient and hospital setting. To understand the principles of antibiotic use and coverage. To learn to take a thorough immunization/travel/sexual history. To determine when it is the business aspects of running a private practice. Please refer to the Infectious Disease section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings and fellows including differential diagnosis, pathophysiology, management, and disease course of patients seen in the office and hospital. Didactics: Attendings provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Including, but not limited to, inpatient ID diseases such as opportunistic infections, TB, bacteremia, endocarditis, meningitis, and osteomyelitis; and common outpatient ID diseases such as HIV management, skin and soft tissues infections, Hepatitis B, Hepatitis C and STDs. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups, including a large immigrant population. Types of clinical encounters: 50% of time is spent seeing patients on in-hospital consultations and 50% spent in outpatient office practice. Procedures: Occasionally, blood cultures are drawn and lumbar punctures performed by the ID service. Services: Full range of specialty and subspecialty services through RWJUH and UMCP. Educational Materials Recommended Reading: Mandell’s Principles and Practice of Infectious Disease Pathological Materials: Gram stains and cultures in microbiology lab. Evaluation Methods The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning improvement, interpersonal and communication skills, professionalism, system based learning. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met and the teaching interest and ability of attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will do initial histories and physicals, consultations and follow ups with supervision from attendings. 48 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: nephro-r Elective Title: NEPHROLOGY Elective Site: RWJUH ELECTIVE DIRECTOR: ELECTIVE FACULTY: Dr. G. Lefavour Drs. Lianos, Lefavour, Walker, Sherman, and Kapoian ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS TEL: (732) 235-4453 Dr. Lefavour FAX: (732) 235-6124 MEB – 412D MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME Resident must page the UKG consult fellow on the first morning of the rotation. RESIDENTS LEVEL OF TRAINING (Include Muhlenberg, JFK, etc.) All MIN MAX 2 MIN_______________ MAX 4 PGY 1/2/3 2 STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT __ MIXED X YES X NO SCHEDULE MONDAY AM PM TUESDAY WEDNESDAY THURSDAY FRIDAY RWJ Hospital RWJ Hosp. Consult RWJ Hospital RWJ Hosp. Consult RWJ CAB Consults & & Rounds Consult & Rounds & Rounds Nephrology Clinic Rounds RWJ Hosp. RESIDENT RWJ Hospital RWJ CAB RESIDENT Consult & Rounds CONTINUITY Consult & Rounds Nephrology Clinic CONTINUITY CLINIC CLINIC Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 49 Goals and Objectives: Nephrology Elective Educational Purpose To recognize and treat commonly encountered inpatient problems in nephrology. To understand the pathophysiology of fluid/electrolyte disorders and acid base disturbances. To familiarize the resident with commonly used tests in the diagnosis of renal disease such as renal ultrasound, analysis of 24 hour urine samples, and renal biopsy. To develop familiarity with the principles, clinical indications and complications of nephrologic procedures including hemo- and peritoneal dialysis, renal biopsy, and vascular access placement. To recognize the renal toxicities of commonly used medications and how to renally dose medications. To determine when it is appropriate to consult a nephrologist. Please refer to the Nephrology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings and fellows will provide didactic lectures on subjects of interest. Conferences: GR (4th Tuesday 4pm), Core Curriculm (1st & 3rd Wed 4pm), Case conf (1 & 2nd Tues), JC (Friday Noon)during which interesting cases and recent literature is discussed. Educational Content Mix of Diseases: Including, but not limited to, fluid/electrolyte/acid-base disorders, acute renal failure, diabetic and hypertensive renal disease, glomerular and interstitial diseases, nephrolithiasis, ESRD, and proteinuria. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Primarily inpatient encounters on consultation in the ICU and general wards. Procedures: Hemo- and peritoneal dialysis, renal biopsy, and vascular access placement. Services: Full range of consultative and clinical services covering all aspects of nephrologic care are provided. This includes outpatient renal and transplant clinics, ER, ICU and access to all procedures listed above. Educational Materials Recommended Reading: Primer on Kidney Diseases. Pathological Materials: Renal biopsies are reviewed. Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The nephrology consult attending evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of fellows/attendings. Level of Resident Supervision Primary responsibility for care lies with the fellows and attendings. Residents will do initial consults, daily follow ups, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 50 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: cinj-r ELECTIVE TITLE: ONCOLOGY- CINJ Elective Site: CINJ ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS CONTACT PHONE: Dr. Serena Wong CINJ Faculty Dr. Wong 732-206-3263-beeper wongse@umdnj.edu (732) 235-9692 (Janet Caswell) MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING All MIN (Including other programs) 2 MIN_______ MAX PGY 1/2/3 4 MAX 1 STUDENTS OUTPATIENT X INPATIENT __ MIXED __ NO NIGHT CALL NO WEEKENDS YES NO X SCHEDULE MONDAY AM Wong/ Toppmeyer (Breast) Aisner (Lung) PM Aisner (Lung) Eleff (General) TUESDAY 8:15-9:15 am: Breast Tumor Board(Auditorium B) WEDNESDAY Stein (GU) Strair/Gharibo/Rubin Moss/Poplin (GI) (Lymphoma/Leukemia) THURSDAY FRIDAY 8-9am 8-9 am Fellows Lung Tumor Board conference (5565) (Auditorium A)(week 2) Mayar (GU) Eleff (General) Gharibo (Lymphoma/Leukemia) RESIDENT CONTINUITY CLINIC Stein (GU) Tan (Breast) Moss (GI) Eleff (General) RESIDENT CONTINUITY CLINIC Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 51 Goals and Objectives: Oncology CINJ Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in oncology. To familiarize the resident with commonly used modalitites in the diagnosis and staging of malignancies such as tumor or lymph node biopsy, CT scan, MRI, and PET scans. To understand the basic principles of chemotherapy and radiation. To determine when it is appropriate to initiate a referral to an oncologist. Please refer to the Oncology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings will provide didactic lectures on subjects of interest. Conferences: Weekly Journal Club (Wednesday 12-1pm), Weekly Grand Rounds (Friday 7:30-8:30am). Educational Content Mix of Diseases: Including, but not limited to, breast/ lung/ prostate/ colon CA, leukemia and lymphoma. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Solely outpatient encounters in the offices of CINJ, a large NCI-designated Comprehensive Cancer Center. Procedures: Bone marrow biopsies. Services: Full range of specialty and subspecialty service available at CINJ and RWJUH. Educational Materials Recommended Reading: Cancer: Prinicples and Practice of Oncology by Levita Pathological Materials: Review results of biopsies, view path slides Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients and see return visits under the supervision of attendings. 52 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: onc-p Elective Title: ONCOLOGY PRINCETON ELECTIVE DIRECTOR: Elective Site: UMCP ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS Dr. Babott Dr. Sokol Dr. Babott Dr. Babott MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME CONTACT PHONE: (609) 853-7278 RESIDENTS LEVEL OF TRAINING All MIN 2 MIN_______ MAX 4 MAX PGY 1/2/3 2 STUDENTS OUTPATIENT X INPATIENT __ MIXED __ NO NIGHT CALL NO WEEKENDS YES NOX SCHEDULE MONDAY AM Office TUESDAY GRAND ROUNDS 8am-9am WEDNESDAY Office THURSDAY Office Office PM RESIDENT CONTINUITY CLINIC Office FRIDAY TUMOR BOARD 8am-9am Office RESIDENT CONTINUITY CLINIC RESIDENT CONTINUITY CLINIC Office Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 53 Goals and Objectives: Oncology Princeton Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in oncology. To familiarize the resident with commonly used modalitites in the diagnosis and staging of malignancies such as tumor or lymph node biopsy, CT scan, MRI, and PET scans. To understand the basic principles of chemotherapy and radiation. To determine when it is appropriate to initiate a referral to an oncologist. Please refer to the Oncology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings will provide didactic lectures on subjects of interest. Conferences: Tumor Board (1st Friday) Educational Content Mix of Diseases: Including, but not limited to, breast/ lung/ prostate/ colon CA, leukemia and lymphoma. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Mainly outpatient encounters in the office setting of faculty oncologists with some inpatient consults. Procedures: Rarely, bone marrow biopsies. Services: Full range of clinical and consultative services available at UMCP; access to an extensive laboratory and radiology department. Educational Materials Recommended Reading: Cancer: Principles and Practice of Oncology by Devita Pathological Materials: Review results of biopsies Other Educational Resources: A full service library with computers is available at UMCP where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 54 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: pallca-r Elective Title: PALLIATIVE CARE ELECTIVE ELECTIVE DIRECTOR: ELECTIVE FACULTY: Dr. Poplin Dr. Poplin Mary Kelly, RN MONTHS AVAILABLE: DURATION/WEEKS Elective Site: RWJUH ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS Mary Kelly, RN Mary Kelly Beeper: 732-437-3670 mary.kelly@rwjuh.edu 732-828-3000 ext 5717 Contact Mary the 1st morning of the rotation TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING (Including other programs) All MIN 2 MAX 4 PGY 1/ 2/3 MIN______ MAX 1 STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT INPATIENT X MIXED YES X NO SCHEDULE MONDAY AM Consults with Palliative Care Team RWJUH PM RESIDENT CONITNUITY CLINIC TUESDAY WEDNESDAY THURSDAY Consults with RWJUH RWJUH Palliative Care Consults with Palliative Consults with Team RWJUH Care Team RWJUH Palliative Care Team Consults with RESIDENT RESIDENT Palliative Care CONITNUITY CLINIC CONITNUITY Team RWJUH CLINIC FRIDAY Consults with Palliative Care Team RWJUH Consults with Palliative Care Team RWJUH Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, Monthly Humanism and Professionalism and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 55 Goals and Objectives: Palliative Care Elective Educational Purpose Patient Care o Demonstrate knowledge and proficiency in evaluation of (a) patients at the end of life, and (b) patients with specific symptom palliation needs o Perform a careful and complete history and physical, with emphasis on communication with the patient and/or his/her family about end-of-life issues such as advance directives and prognosis o Develop a basic treatment plan for patients with common symptoms associated with life-limiting illnesses o Demonstrate knowledge of hospice, including the interdisciplinary meeting, and proficiency at determining patients’ eligibility and appropriateness for hospice referral Medical Knowledge o Acquire basic knowledge of the following topics: Symptom evaluation and management: Pain: The trainee should demonstrate advanced and sophisticated knowledge of pain evaluation and management, including knowledge of pharmacologic, complementary and anesthetic measures to manage pain Dyspnea Constipation and diarrhea Nausea and vomiting Anorexia and weight loss Delirium and agitation, including terminal delirium Anxiety and depression End of life issues: ethics and communication Breaking bad news Advance directives Resuscitation status Artificial nutrition and hydration Surrogate decision making The family meeting Prognosis Chronic medical conditions Patients near the end of life Practice-Based Learning and Improvement o Utilize available resources to make both timely and appropriate diagnostic and management decisions during palliative care consults o Discuss outcomes of patient management plans with attending o Evaluate and target areas for self-improvement Interpersonal and Communication Skills o Demonstrate the qualities of a good consultant, incorporating professionalism into the process. Such qualities include promptness, efficiency, courtesy and respect for colleagues. The trainee should demonstrate excellent communication skills, and the ability to correspond effectively with consulting clinicians and outside physicians 56 o Demonstrate sensitivity, respect and kindness when interacting with palliative care colleagues, staff, patients and families o Demonstrate consciousness of and respect for cultural differences in response to severe illness and death o Demonstrate consciousness of and respect for spiritual values held by patients and families o Demonstrate awareness of his/her reactions to grief and stress and discuss ways to deal with them o Understand the value of and how to conduct a family meeting for discussion of goals of care Professionalism o Demonstrate respect for patients, families, palliative care staff o Professional appearance Systems-Based Practice o Practice cost-effective, evidence-based medicine when treating palliative care patients o Access appropriate interdisciplinary consultants for patient care o Demonstrate proficiency at operating within the context of an interdisciplinary group managing patients o Demonstrate cost efficiency in ordering tests and in discharge planning, and fundamental knowledge of hospice and other case management financial plans Teaching Methods Palliative Care – Supervised direct patient care and rounds with the interdisclinary palliative care team including weekly interdisciplinary care team meetings. o Symptom management – Didactic as well as during rounds discussion of specific symptoms including pain, nausea/vomiting, shortness of breath, anxiety and depression o Web based didactic on all symptoms available (these will be used for didactic session as well) o Communication Skills – Introduction to communication skills through a didactic lecture during first week Participate in family meeting/patient meetings Through out the rotation, residents will be provided with opportunities to practice their skills and Educational Materials We will have available following resources for the resident education 1. Textbooks 2. Web Modules for specific symptom 3. Links to other resources available at AAHPM and other websites. Evaluation Method Pretest prior to start of the rotation Posttest at the end of the rotation Communication skill evaluation through out the rotation Write up on a specific symptom or reflective exercise from an experience during the rotation The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Resident Expectations Be part of the palliative medicine team in providing care to the consult patients Take lead in the patients they evaluate (during team meetings, family meetings etc.) Read the didactic material from the website 57 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: Pract. Tailor Elective Title: Practice Tailoring Practice Tailoring allows a resident to choose a special rotation aimed at furthering his/her interest within a specific area of medicine. This elective is designed for senior residents who wish to gain greater exposure to areas that are not heavily emphasized in our curriculum. For example, residents pursuing primary care are encouraged to arrange an elective with greater dermatology, ophthalmology and orthopedic experience. Other examples include a women’s health rotation or a unique subspecialty experience. Structuring this rotation requires prior approval from the Program Director or the Associate Program Director. If you are interested in Practice Tailoring, please contact Dr. Sharma (sharmar1@umdnj.edu) 58 INTERNAL MEDICINE HOUSESTAFF SELECTIVE ROTATION Amion Legend: psy-r Elective Title: PSYCHIATRY Elective Site: RWJUH ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS CONTACT PHONE: Dr. Anthony Tobia Dr. Tobia Dr. Tiu Dr. Tobia email: tobiaat@umdnj.edu TEL: (732)235-4403 FAX: (732) 235-5644 MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME MIN__________ All MIN 2 MAX MAX __4__ RESIDENTS LEVEL OF TRAINING PGY 2/3 2 STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT _X_ MIXED __ YES X NO SCHEDULE AM: PM: MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Rounds with Dr. Rounds with Dr. Rounds with Dr. Tiu Rounds with Dr. Tiu Rounds with Dr. Tiu start at 9:00 Tobia start at 9:00 start at 9:00 (meet start at 9:00 (meet in Tobia start at 9:00 (meet in Suite (meet in Suite in Suite 2200 in the Suite 2200 in the (meet in Suite 2200 2200 in the CAB) 2200 in the CAB) CAB) CAB) in the CAB) RESIDENT CONTINUITY CLINIC Contact Dr. Tobia after noon conference 732-470-9647 RESIDENT CONTINUITY CLINIC RESIDENT CONTINUITY CLINIC Contact Dr. Tobia after noon conference 732-470-9647 Continue Rounds Continue Rounds On the first day of the rotation, contact the Psychiatry CL office at 235-7647 to confirm that you will be working with Dr. Tobia’s team. If so, supervision will be with Gladys Tiu, MD on Mondays, Wednesdays and Thursdays; and with Anthony Tobia, MD on Tuesdays and Fridays. Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, Monthly Humanism and Professionalism and Business of Medicine Conference. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 59 Goals and Objectives: Psychiatry-Tobia Elective Educational Purpose To recognize and treat commonly encountered inpatient problems in psychiatry. To become proficient with the complete mental status exam. To understand the pharmacologic and non-pharmacologic management of psychopathology. To determine when it is appropriate to initiate a referral to a psychiatrist. Please refer to the Psychiatry section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attending including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings will provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Mood disorders (major depression, bipolar, mania), psychoses (schizophrenia, somatization), personality disorders, cognitive disorders (delirium and dementia), and substance abuse. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Mainly outpatient encounters at the University Behavioral Health Center with some inpatient med/psych consults. Procedures: N/A Services: Full range of specialty and subspecialty services available through UBHC and RWJUH. Educational Materials Recommended Reading: DSM-IV: Diagnostic and Statistical Manual of Mental Disorders Pathological Materials: N/A Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of the attending. Level of Resident Supervision Primary responsibility for care lies with the attending. Residents will take histories and physicals on new patients, see return visits, and do consults under the supervision of the attending. 60 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: pulm-o-r Elective Title: PULMONARY MEDICINE ELECTIVE DIRECTOR: Dr. Sunderram Elective Site: RWJUH/CAB ELECTIVE FACULTY: Drs. Santiago, Hussain, Sotolongo, Riley, Sunderram ELECTIVE CONTACT NAME / ADDRESS Dr. Santiago Michele Salameh MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME CONTACT PHONE: Michele: 732-235-7840 Page the consult fellow the first morning of the rotation. RESIDENTS LEVEL OF TRAINING (Including other programs) MIN MAX All 2 4 MIN___ MAX__1 PGY 1/2/3 STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT __ MIXED _X_ YES NOX SCHEDULE AM: PM: Monday Inpatient Consults Tuesday Inpatient Consults Wednesday CAB Sleep Clinic Thursday Inpatient Consults Friday Inpatient Consults CAB Pulm Clinic Dr. Sunderram RESIDENT CONTINUITY CLINIC CAB Pulm Clinic Dr. Hussain & Teba Inpatient Consults RESIDENT CONTINUITY CLINIC On Day 1 of Rotation, please contact the Pulmonary Fellow on consults. Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference, in addition to their Weekly Medicine Continuity Clinic If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 61 Goals and Objectives: Pulmonary Medicine Elective Educational Purpose To recognize and treat commonly encountered inpatient and outpatient problems in pulmonology. To familiarize the resident with clinical indications for bronschoscopy, thoracentesis, and sleep study. To improve interpretation of CXRs, CT scans and PFTs. To determine when it is appropriate to consult to a pulmonologist. Please refer to the Pulmonary section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Conferences: Weekly conferences (Friday afternoon) are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time. Educational Content Mix of Diseases: Including, but not limited to, asthma and COPD exacerbations, sleep apnea, pulmonary hypertension, interstitial lung disease, pulmonary nodules, cystic fibrosis, and pneumonia. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Patients seen primarily during inpatient consults on the wards at RWJUH across many specialties including medicine and surgery. Procedures: Assist in bronschoscopies and thoracentesis. Services: Full range of specialty and subspecialty services including access to a bronchoscopy suite and a full PFT laboratory. Educational Materials Recommended Reading: Baum’s Textbook of Pulmonary Diseases Pathological Materials: Biopsy results from bronchoscopies, VATs, and thoracenteses are reviewed. Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The pulmonary consult attending evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings and fellows. Residents will do initial consults, daily follow ups, and play an active role in the diagnostic and management plans under the supervision of attendings. 62 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: rad-p Elective Title: RADIOLOGY ELECTIVE DIRECTOR: Elective Site: UMCP ELECTIVE FACULTY: UMCP Dept. of Radiology Dr. Denny MONTHS AVAILABLE: DURATION/WEEKS All MIN MAX ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS 609-853-7233 In-House #19788 Dr. Denny or UMCP (Chief Resident) Chief Resident TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING MIN______ PGY 1/2/3 2 4 MAX 1_ STUDENTS NO NIGHT CALL NO WEEKENDS OUTPATIENT __ INPATIENT X MIXED __ YES NO X TYPICAL SCHEDULE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Read ER films Grand Rounds 8AM-9AM Read ER films Read ER films Read ER films RESIDENT CONTINUITY CLINIC RESIDENT CONTINUITY CLINIC CT/MRI/ Nucl Med/Mamo AM: Read ER films PM: RESIDENT CONTINUITY CLINIC CT/MRI/ Nucl Med/Mamo Contact UMCP Chief Resident to schedule conference assignment. Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, Monthly Humanism & Professionalism and Business of Medicine Conference at UMCP, in addition to their Weekly Medicine Continuity Clinic. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 1.) You will be required to provide documentation of one thoracentesis, one lumbar puncture, and one paracentesis that you performed during the two week elective. 63 2.) If time permits, you may be asked to give a noon conference on any interesting radiology studies that you came across. Goals and Objectives: Radiology Elective Educational Purpose To learn the indications for different radiologic studies such as contrast vs noncontrast CTs, MRIs, plain films, ultrasound, and nuclear studies. To become more proficient at reading and interpreting radiologic studies. To familiarize the resident with techniques used in interventional radiology. Teaching Methods Case by case teaching of radiographic studies by radiology attendings. Prepare case presentation for morning report. Educational Content Mix of Diseases: Most diseases across all specialties are seen. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Some patient encounters in the interventional radiology department. Otherwise, most of the day is spent reviewing films. Procedures: Assist in many interventional radiology procedures such as thoracentesis, paracentesis, and central line placements. Services: Full range of specialty and subspecialty services including MRIs, nuclear studies, and a full interventional radiology suite. Educational Materials Daily film readings, Textbook of Radiology Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will sit with the attendings reading films and learn from their expertise. 64 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION Amion Legend: rheum-r Elective Title: RHEUMATOLOGY Elective Site: CLINICAL ACADEMIC BUILDING ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS CONTACT PHONE: Dr. N. Schlesinger Drs. Schlesinger,Tiku, Hsu, Borham, Stevens, Toma, Wong, & Sloan Dr. Schlesinger schlesna@umdnj.edu (732) 235-7702 DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME MONTHS AVAILABLE: FAX:(732) 235 - 7238 RESIDENTS LEVEL OF TRAINING (Including other programs) All MIN EXCEPT: MAX 2 MIN MAX 4 1 PGY 1/ 2/3 2 STUDENTS OUTPATIENT X INPATIENT __ MIXED __ NO NIGHT CALL NO WEEKENDS YES NO X SCHEDULE MONDAY AM: PM: TUESDAY WEDNESDAY THURSDAY CAB Clinic CAB Clinic CAB Clinic CAB Clinic Drs. Tiku, Borham Dr. Schlesinger or Dr. Borham or Dr. Dr. Tiku or Borham, or Toma Dr. Hsu Hsu or Schlesinger RESIDENT CONTINUITY CLINIC CAB Clinic Drs. Hsu or Borham RESIDENT CONTINUITY CLINIC RESIDENT CONTINUITY CLINIC FRIDAY CAB Clinic Dr. Stevens CAB Clinic Dr. Toma Residents must attend Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference, in addition to their weekly Medicine Continuity Clinic. If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 65 Goals and Objectives: Rheumatology Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in Rheumatology. To learn the clinical indications for arthrocentesis and how to analyze joint aspirate. To improve joint examination skills. To determine when it is appropriate to initiate a referral to a rheumatologist. Please refer to the Rheumatology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course.: Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Conferences: Weekly conferences (Wenesday morning) are held at which instructive cases are discussed. Educational Content Mix of Diseases: Including, but not limited to, RA, OA, crystal disease, FMS, seronegative spondyloarthropathies, SLE, scleroderma, bursitis/tendonitis. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Solely outpatient encounters in the rheumatology clinic of a large academic center. Procedures: Assist in arthrocentesis. Services: Full range of specialty and subspecialty services. Educational Materials Recommended Reading: Primer on Rheumatic Diseases Pathological Materials: N/A Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings and fellows. Residents will take history and physicals on new patients, see follow ups, and play an active role in the diagnostic and management plans under the supervision of attendings. 66 INTERNAL MEDICINE HOUSESTAFF ELECTIVE FORM Amion Legend: xplant-r Elective Title: TRANSPLANT MEDICINE ELECTIVE DIRECTOR: Elective Site: RWJUH/ CAB ELECTIVE FACULTY: ELECTIVE CONTACT NAME / ADDRESS CONTACT PHONE: Dr. Mann Dr. Halevy Dr. Mann Division of Nephrology (732) 235-8695 Dr. Richard Mann FAX: 732-235-6124 MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS AT ANY GIVEN TIME RESIDENTS LEVEL OF TRAINING (Including other programs) All MIN MAX NO NIGHT CALL NO WEEKENDS 2 PGY 2/3 MIN______ 4 MAX 1 OUTPATIENT __ INPATIENT __ MIXED X STUDENTS YES NO X SCHEDULE AM: PM: MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY CAB Transplant Clinic Inpatient Rounds CAB Transplant Clinic CAB Transplant Clinic Inpatient Rounds RESIDENT CONTINUITY CLINIC Inpatient Rounds Inpatient Rounds/Clinic Inpatient Rounds RESIDENT CONTINUITY CLINIC Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference, in addition to their Weekly Medicine Continuity Clinic If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective. 67 Goals and Objectives: Transplant Elective Educational Purpose To recognize and treat commonly encountered issues in patients with kidney transplants. To learn the indications and process for obtaining a kidney transplant. To understand the role and complications of immunosuppressants in organ transplant patients. To appreciate the multidisciplinary approach between surgery and nephrology in the care of a transplant patient. Teaching Methods Supervised direct patient care. Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: ESRD patients with renal transplants and its complications. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: 75% of the time is spent in the inpatient setting seeing patients on the transplant service. The remaining portion of time is spent seeing patients in the transplant clinic at RWJ CAB. Procedures: N/A Services: Full range of specialty and subspecialty services including access to a dialysis unit and full surgical services. Educational Materials Recommended Reading: Primer on Kidney Diseases Pathological Materials: Kidney biopsies are reviewed. Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice. The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows. Level of Resident Supervision Primary responsibility for care lies with the attendings and fellows. Residents will take histories and physicals on new patients and see return visits under the supervision of fellows and attendings. (updated 6/1812) 68