Medical student rotations
Rotation Requirements
Elective Descriptions
- MEDI 811Mg - General Medicine-Acting Internship-Medicine Sub-I
- MEDI 811Ig - Medical Intensive Care Unit/Coronary Care Unit
- MEDI 810Ag (sect 2) - Ambulatory Care
- MEDI 811Gg (sect 2) - Primary Care Combined Medicine/Pediatrics
- MEDI 815Gg (sect 3) - Infectious Diseases
- NEUR 810Bg (sect 2) - Neurology
- MEDI 815Hg (sect 1) - Pulmonary Diseases
- MEDI 815Kg - Nephrology, Renal Diseases
- MEDI - Hepatology Elective
- MEDI - Geriatric Medicine
MEDI 811Mg - General Medicine-Acting Internship-Medicine Sub-I
(Banner Good Samaritan Medical Center, Phoenix)
Cheryl O’Malley, MD, & Faculty (Maria Ross 602-839-2792 or e-mail)
- Four weeks length; offered year round (excluding last two weeks in June and first two weeks in July)
- Directly supervised/Patient care.
- Maximum enrollment of four
Prerequisites: Fourth-year medical students
Goals:
Format: Each student will be an Acting Intern, under the supervision of housestaff and faculty of the Banner Good Samaritan Medical Center/VAMC Internal Medicine Residency Program.
Approximately five new patients will be assigned weekly for the performance of history, physical exam, diagnostic and treatment plan. Each student will develop and write appropriate daily orders and progress notes on their patients.
Daily work rounds will be made with the medical resident and interns, as well as daily teaching rounds conducted by the attending physician. The student will be expected to present patients at rounds when appropriate and should be prepared to discuss the medical literature pertinent to each patient. Acting Interns will receive training on computerized literature retrieval and critical appraisal of articles of potential clinical importance to their patients.
Students will be assigned night call on a rotational basis with the residents on the service. Daily sub-specialty medicine conferences are held at 12:00 PM, and Morning Report is held daily.
Evaluation Methods: Student performance will be evaluated by the attending physician and supervising resident. Each student’s performance will be discussed during and at the completion of this rotation.
MEDI 811Ig - Medical Intensive Care Unit/Coronary Care Unit
(Banner Good Samaritan Medical Center, Phoenix)
Robert Raschke, MD, & Faculty (Maria Ross 602-839-2792 or e-mail)
- Four weeks length; offered year round (excluding last two weeks in June and first two weeks in July)
- Directly supervised/Patient care.
- Maximum enrollment of two
- Prerequisites: Fourth-year medical students
Goals: To acquaint the student with the general approach to critically ill patients in the ICU/CCU setting.
Format: This rotation provides general exposure to a medical intensive care unit and coronary care unit. The student will function as part of the housestaff team assigned to the units, under the direct supervision of full-time intensivists, hospitalists, and residents.
Daily rounds will be made with residents, interns and the full-time teaching faculty of the Banner Good Samaritan Medical Center/VAMC Internal Medicine Residency Program. Students will be assigned night call on a rotational basis with their team.
Evaluation Methods: Student performance will be evaluated by the residency intensivist and supervising resident. Each student’s performance will be discussed during and at the completion of this clerkship.
MEDI 810Ag (sect 2) - Ambulatory Care
(Banner Good Samaritan Medical Center, Phoenix)
Jayne Peterson, MD, & Faculty (Maria Ross 602-839-2792 or e-mail)
- Four weeks length; offered year round (excluding June and July)
- Directly supervised/Patient care.
- Maximum enrollment of one
- Prerequisites: Fourth-year medical students must be interested in IM/MP's to apply for this rotation.
Goals: To provide the student the basis for developing skills in evaluation, diagnosis and development of differential diagnoses and therapeutic plans for patients with acute and chronic medical problems both common and complex in a “group practice” setting with the residents of the Banner Good Samaritan Medical Center/VAMC Internal Medicine Program based at the Banner Good Samaritan Outpatient Clinic.
Format: At Banner Good Samaritan Medical Center the student will participate in rotating scheduled half-day clinic sessions in the Internal Medicine Clinic and in the offices of participating faculty General Internists.
The student will interact with faculty and residents from the Banner Good Samaritan Medical Center/VAMC Internal Medicine Program. The student will have his/her own patients identified and will be the first to evaluate patients with urgent issues or to provide follow-up care for patients with chronic diseases. The student will also have mini-lectures on outpatient management and participate in the Utilization Review/Patient Care Committee to learn more about system-based practice. The remainder of the schedule will include experiences in the various sub-specialty clinics and consult services at the Banner Good Samaritan Medical Center Outpatient Clinic.
Evaluation Methods: Each student will be evaluated by a full-time faculty member in Internal Medicine. Evaluation will occur throughout the rotation, formally at the midpoint and at the conclusion and will assess knowledge and skills in diagnosis and treatment in the outpatient setting.
MEDI 811Gg (sect 2) - Primary Care Combined Medicine/Pediatrics
(Banner Good Samaritan Medical Center, Phoenix)
Donna Holland, MD, & Faculty (Maria Ross 602-839-2792 or e-mail)
- Four weeks length; offered year round (excluding last two weeks in June and first two weeks in July)
- Directly supervised/Patient care.
- Maximum enrollment of one
- Prerequisites: Fourth-year medical students/Core Medicine and core Pediatric rotations.
This course is not intended to satisfy core requirements for internal medicine or pediatrics. It is a combined elective experience in both internal medicine and pediatrics which focuses on special populations.
Goals: Educate students in the primary care of both children and adults with complex chronic diseases with emphasis on following and managing adolescents with chronic medical problems. Training Sites: BGSMC outpatient clinic, Phoenix Children's Hospital outpatient clinic and Crews’n Healthmobile for Homeless Teens.
Format: Students will practice primary care of both children and adults with special emphasis on evaluating patients in an outpatient setting and managing adolescents with chronic medical problems i.e., cystic fibrosis, diabetes mellitus, inflammatory bowel disease, asthma, behavioral disorders, and complex congenital heart disease.
Emphasis will be on health screening, continuity of care, psychosocial issues, preventative medicine and evaluation of acute and chronic problems in this patient population. Students will be taught methods to critically review relevant literature and develop a presentation on a related topic.
Evaluation Methods: The students will be evaluated based on clinical performance, fund of knowledge and completion of listed objectives using group discussions and individual faculty evaluations.
MEDI 815Gg (sect 3) - Infectious Diseases
(Banner Good Samaritan Medical Center, Phoenix)
Edwin Yu, MD, & Faculty (Maria Ross 602-839-2792 or e-mail)
- Four weeks length; offered year round (excluding last two weeks in June and first two weeks in July)
- Directly supervised/Patient care
- Maximum enrollment of two at Good Sam,
- Prerequisites: Fourth-year medical students/Completion of core medicine rotations
Goals: The student will gain an understanding of the microbiology, diagnosis and evidence-based management of both common and uncommon infectious disease problems, including HIV. They will also learn about the clinical pharmacology of antimicrobial agents.
Format: The student will be assigned, based on their preference, to either Good Sam or Estrella and will remain at that hospital for the duration of the rotation. They will see inpatient consultations under the supervision of attending ID physicians, and will be expected to perform full H&Ps on initial consultations. They will have the opportunity to interact with residents, clinical pharmacologists and microbiologists during this rotation.
A guide on how to perform ID consultations, learning syllabus, and references (available on-line in PDF format) will be provided to each student. The student will attend the citywide Infectious Disease Case Conferences which occur semi-monthly with the other teaching hospitals in Phoenix as well as the Maricopa County Department of Public Health. The student can also attend the daily Internal Medicine Residency morning reports and noon conferences.
Evaluation Methods: Each student will be evaluated by a full-time faculty member in Internal Medicine. Evaluation will occur throughout the rotation formally at the midpoint and at the conclusion and will assess the student’s knowledge and skills in the diagnosis and treatment of infectious diseases.
NEUR 810Bg (sect 2) – Neurology
(Banner Good Samaritan Medical Center, Phoenix)
Barry Hendin, MD, & Faculty (Maria Ross 602-839-2792 or e-mail)
- Four weeks length; offered year round (excluding last two weeks in June and first two weeks in July)
- Directly supervised/Patient care.
- Maximum enrollment of two
- Prerequisites: Fourth-year medical students/Completion of core medicine rotations
Goals: The student will learn a systematic approach to the patient with neurological complaints. They will become proficient in the neurological history and physical exam and the other attendant diagnostic tools used in the assessment of such patients. The student will gain an appreciation of neuroanatomy as applies to diagnosis, and will be able to formulate a treatment plan with attention to pharmacologic, psychosocial, and functional aspects of each case.
Format: Students are assigned to the Neurological Teaching Service at Banner Good Samaritan Medical Center, with residents from the Banner Good Samaritan Medical Center/VAMC Internal Medicine Residency Program. In addition to regular teaching rounds, the patient will attend and participate in weekly Neurological Conferences and morning report. They will also obtain exposure to outpatient Neurology in the Banner Good Samaritan Medical Center Outpatient clinic and the office practice of the attending Neurologists. A reading list will supplement their clinical experience.
Evaluation Methods: Formal evaluation forms are completed by the Faculty Neurologists who have directly observed the student throughout their rotation. The student is evaluated on their content, knowledge, clinical judgment, interpersonal skills, and professionalism.
MEDI 815Hg (sect 1) - Pulmonary Diseases
(Banner Good Samaritan Medical Center, Phoenix)
Da-Wei Liao, MD, & Faculty (Maria Ross 602-839-2792 or e-mail)
- Four weeks length; offered year round (excluding last two weeks in June and first two weeks in July)
- Directly supervised/Patient care.
- Maximum enrollment of one
- Prerequisites: Fourth-year medical students/Completion of core medicine rotations
Goals: To provide the student extensive exposure to clinical pulmonary medicine as seen in a large metropolitan hospital and pulmonary clinic.
Format: This elective offers an opportunity to the student to view the broad range of diagnostic and therapeutic problems in pulmonary medicine as well as learn about fiber optic bronchoscopy, pulmonary function and respiratory sleep disorders. The student will interact with housestaff, fellows, and faculty of the BGSMC/Phoenix VA Internal Medicine Residency and Pulmonary Fellowship.
Evaluation Methods: Student performance will be evaluated by the attending pulmonologist and supervising fellow. Each student’s performance will be discussed during and at the completion of this clerkship.
MEDI 815Kg - Nephrology, Renal Diseases
(Banner Good Samaritan Medical Center, Phoenix)
Katharine Dahl, MD, & Faculty (Maria Ross 602-839-2792 or e-mail)
- Four weeks length; offered year round (excluding last two weeks in June and first two weeks in July)
- Directly supervised/Patient care.
- Maximum enrollment of one
- Prerequisites: Fourth-year medical students/Completion of core medicine rotations
Goals: A broad exposure to the pathophysiology, differential diagnosis, and treatment of all forms of chronic and acute kidney disease, as well as complex acid-base and electrolyte disturbances.
Format: Trainees will evaluate patients in the hospital as part of the renal consultation service, and will be acting under the guidance of the attending nephrologists. A lecture series and a reading list will be provided. Involvement in the outpatient renal clinic, outpatient hemodialysis unit, and home training unit for peritoneal dialysis patients can be arranged. The student will interact with housestaff and faculty of the Banner Good Samaritan Medical Center/VAMC Internal Medicine Residency Program.
Evaluation Methods: Student performance will be evaluated by the attending physician and supervising resident. The evaluation will be based on content knowledge, clinical skills/judgment, and professionalism. Each student’s performance will be discussed during and at the completion of this clerkship.
MEDI - Hepatology Elective
(Banner Good Samaritan Medical Center, Phoenix)
Ester Little, MD, & Faculty (Maria Ross 602-839-2792 or e-mail)
- Four weeks length; offered year round (excluding last two weeks in June and first two weeks in July)
- Directly supervised/Patient care or non-patient care.
- Maximum enrollment of one
- Prerequisites: Fourth-year medical students/Completion of core medicine rotations
Goals: The student will gain understanding of the full spectrum of liver/biliary diseases in a range of clinical settings. These settings allow contact with patients at varying stages of acuity where students will learn about the diagnosis management of liver disease and its complications.
Format: During this rotation the students will see patients in two different settings, at the Hospital and Clinics.
Outpatient Service (Liver Disease Center and Samaritan Transplant Services): During these sessions medical students will evaluate patients referred to the Program for Hepatology consultation and Liver Transplant evaluation.
Patient age will vary from adolescent to geriatric, it will include a large spectrum of liver/biliary diseases including viral hepatitis, auto-immune liver disease, PBC, PSC, cholestatic liver disease, alcoholic liver disease, non alcoholic fatty liver disease, drug induced liver disease, hemochromatosis, Wilson’s disease, alpha 1 anti-trypsin deficiency, liver cysts, liver abscess, liver tumors, HIV and liver disease, pregnancy induced liver disease and other less common liver diseases including familial cholestasis, congenital hepatic fibrosis and others.
The patients will be seen during acute and chronic stages of the above-mentioned diseases, and will present with the spectrum of complications of those conditions. In the STS clinic, medical students will see patients at different stages after liver transplant and will learn about Immunosuppression and prophylaxisregimens, surgical complications and non surgical complications of liver transplant. Library resources are available on line, on site, and actual library available on campus for students’ education.
Inpatient and ICU Service: During this experience, students will see the same age group and variety of etiologies of liver disease described on previous section, however the patients will be at a more acute state of their disease. There may be an opportunity for the student to be present for a living donor liver transplant as well.
Attendance to Conferences and Journal Club: There is a bi-weekly Pathology conference, when liver biopsies are reviewed with the pathologist. Image tests, U/S, CT and MRI are discussed with Radiologists in Radiology conference biweekly. During these conferences, decisions are made on treatment of patients with liver tumor, after case presented and films reviewed. Radiologists, Interventional Radiologists and Surgeon attend the conference.
Evaluation Methods: Feedback will be given to student informally during the rotation, and on a written evaluation form at the end of the rotation. Students will also be asked to provide us with their feed back. Students will work with Attendings as well as GI Fellows who may be rotating with us at the same time.
MEDI - Geriatric Medicine
(Banner Good Samaritan Medical Center)
Gary Salzman, MD, & Faculty (Maria Ross 602-839-2792 or e-mail)
- Four weeks length; offered year round (excluding last two weeks in June and first two weeks in July)
- Directly supervised/Patient care
- Maximum enrollment: One with preceptor approval only
- Prerequisites: Fourth-year medical students/Completion of core medicine rotations
Goals: Introduction to principles and practice of clinical geriatric medicine
Format: Students will rotate within the Department of Internal Medicine Geriatrics Fellowship program.
Experiences include an out patient geriatric medicine practice, experiences with hospice care, an assisted living facility for Alzheimer’s patients, conferences at the Banner Alzheimer’s Institute, weekly geriatric lectures, and a pharmacology conference.
Students will gain knowledge of geriatric syndromes (including dementia), geriatric assessment, drug prescribing in the elderly, and end of life care. Students will work with a geriatrician and a geriatric medicine fellow and interact with a clinical pharmacologist, and other health care providers such as nurses and caregivers. There are no call requirements.
Evaluation Methods: Direct clinical observation by a geriatrician and oral examination at the conclusion of the rotation. Evaluation by attending staff will be done on a standardized grade sheet and include qualitative feedback.
