IUSM Elective Course Listing -Internal Medicine

IU Student Electives
INTERNAL MEDICINE

Internal Medicine	Ambulatory Care - General
Allergy and Immunology	Hematology/Oncology
Cardiology	Infectious Disease
Nephrology	Endocrinology and Metabolism
Pulmonary Disease	Gastroenterology
Rheumatology

93MI710	SCIENTIFIC BASIS OF CLINICAL THERAPEUTICS
*Course Director:* Dr. K. Hilgarth	*Objectives:* 1. Review current therapeutics applied to select major classes of acute and chronic disease syndromes. 2. Develop lifelong learning skills to keep up with advances in therapeutics. 3. Improve clinical skills to develop, monitor, and adjust therapeutic regimens. 4. Practice the above in a supportive small group setting which will allow the time and opportunity to gain further insight into therapeutics. *Description: The purpose of this elective, given near the end of the senior academic year, is to survey in depth selected medical topics useful to a physician entering internship, especially an internal medicine or family practice residency. Emphasis is placed on (1) correlation of the basic science and clinical aspects of the diseases being discussed, and (2) current therapies and the rationale behind them. To achieve maximal medical success, differential therapeutics must follow as logical a course as differential diagnosis. Clinical therapeutics and problem solving will be highlighted. Teaching methods will include lectures, and discussion groups focusing on clinical case histories. Attendance is required at the discussion groups and the student is expected to come with previously prepared management plans for each of the clinical cases. The subject matter is clinical but there are no patient care responsibilities. Level 3 achievement in Lifelong Learning competency is offered. TOP*	*Hospital(s):* IUMC
		*Availability*: March only
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 50
		*Prerequisites:* 4th year status
		*Course components:* lecture/small group sessions
		*Competency offered:* IV: Lifelong Learning

93MI720	MEDICINE
*Course Director:* Dr. Brad Allen *Other Faculty:* Medicine Staff	This course may be dropped or added within 15 days of the beginning of the elective month. *Note: This elective does not participate in the computer match.* Interested students should check with the medicine coordinator at 630-2673 for availability. This course is the elective counterpart to one of the required fourth year sub-internships. Availability of this course will depend on enrollment in its associated sub-I. Students interested in enrolling should contact the medicine coordinator (630-2673) for approval procedures. This elective is designed for students wanting an additional month of medicine sub-I experience beyond the required sub-I clerkship. Successful completion of this elective WILL NOT SATISFY THE MEDICINE SUB-I REQUIREMENT. *Description: This elective is designed as a short course to extend the base Internal Medicine framework of knowledge and experience gained in the Junior year. Problem solving techniques will be emphasized. Each student will be supervised by a House Staff Team. Participation in the ward team educational rounds and conferences will be mandatory. Increased responsibility for patient care will be given as the student progresses. TOP*	*Hospital(s):* V.A. Hospital (IUMC)
		*Availability*: All year.
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 5
		*Prerequisites:* 4th year status
		*Course components:*
		*Competency offered:* IX: Professionalism and Role Recognition

93MI730	MEDICINE EXTERNSHIP
*Course Director:* Dr. Kirsten Kaisner-Duncan *Other Faculty:* Medicine Staff	*Note: This elective does not participate in the computer match.* *This elective is offered on a case-by-case basis.* This course is the elective counterpart to one of the required fourth year sub-internships. Availability of this course will depend on enrollment in its associated sub-I. Students interested in enrolling should contact the medicine coordinator (630-2673) for approval procedures. This elective is designed for students wanting an additional month of medicine sub-I experience beyond the required sub-I clerkship. Successful completion of this elective WILL NOT SATISFY THE MEDICINE SUB-I REQUIREMENT. *Description: This elective is designed to give the student experience normally gained in the Internship year. The student will have complete diagnostic and patient care responsibilities supervised by the Ward Resident and Attending physician. These responsibilities include history and physical examination, all orders, progress notes, procedures, and discharge summaries. By the end of the rotation the student should be and feel confident in the day to day management of patients hospitalized on a General Internal Medicine Service. TOP*	*Hospital(s):* Wishard Memorial Hospital (IUMC)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 8
		*Prerequisites:* 4th year status
		*Course components:*
		*Competency offered:* I: Effective Communications IX: Professionalism & Role Recognition

93MI810	CRITICAL CARE
*Course Director:* Dr. D. Miller	This course may be dropped or added within 15 days of the beginning of the elective month. *Note: This elective does not participate in the computer match.* This course is the elective counterpart to one of the required fourth year sub-internships. Availability of this course will depend on enrollment in its associated sub-I. Students interested in enrolling should contact the medicine coordinator(630-2673) for approval procedures. This elective is designed for students wanting an additional month of medicine sub-I experience beyond the required sub-I clerkship. Successful completion of this elective WILL NOT SATISFY THE MEDICINE SUB-I REQUIREMENT. *Description: The student on this elective will work closely with the 3 residents assigned to the "closed" ICU at the VA Medical Center. Students also interact daily with the pulmonary/critical care medicine staff and fellow. The student will enjoy participating in the care of complex patients with multiple acute and chronic medical problems in the ICU. The student will be delegated increasing responsibility for patient care as he/she progresses. The course will introduce the student to total management of the critically ill and will be taught in bedside and didactic sessions by the attending staff, fellows, and residents. TOP*	*Hospital(s):* V.A. Hospital (IUMC)
		*Availability*: All year. Interested students should check with the medicine coordinator at 630-2673 for availability.
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4^th year status
		*Course components:* 90% Clinical; 10% Conference
		*Competency offered:* None

93MI830	GERIATRIC MEDICINE
*Course Director:* Dr. Westmoreland *Other Faculty:* Dr. R. Beck Dr. M. Boustani Dr. E. Lammers Dr. C. Schubert Dr. Y. Sennour Dr. M. Sha	*Description: This elective will give the students experience in the health care of older adults that will be fundamental for adult medical and surgical residencies. Students will select from a menu of clinical venues where they would like to focus their time during the rotation and will meet with the Course Director prior to the rotation to decide these areas of clinical emphasis. Options for clinical training venues include, for example, the Acute Care for Elders Service, House calls for Seniors and Center for Senior Health at Wishard Memorial Hospital; and Older Adult Clinic at the Veterans Administration Hospital. Students will see both "well" older adults and those who have functional and cognitive disabilities in these venues. During their rotation, students will practice along side residents who are completing a one-month required geriatrics rotation and will be supervised by geriatricians. In addition to the clinical experiences, students will attend an interactive conference series that covers core geriatrics clinical topics including delirium and drug prescribing in older adults. There are no night call or weekend responsibilities for this elective. Objectives: After completing this elective, students will be able to: Define the principles of geriatric medicine Identify normal aging Demonstrate the ability to perform geriatric assessment Manage older patients in a variety of settings Show consideration for the heterogeneity of function among older adults Pay attention to patient autonomy and individual health care wishes Achieve level 3 of Lifelong Learning Competency as measured by the student recognizing personal limits in knowledge of geriatrics, performing a systematic review of the literature (with residents on the geriatrics rotation) to answer a specific question, and making an oral presentation of the research to faculty and staff. TOP*	*Hospital(s):* Wishard Memorial (IUMC); VA Medical Center; Methodist Hospital
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status
		*Course components:* 70% Clinical; 20% Library; 10% discussion group
		*Competencies offered:* I: Effective Communication IV: Lifelong Learning

93MI860	PALLIATIVE MEDICINE
*Course Director:* Dr. Gramelspacher *Other Faculty:* Dr. Fettig	*Description: This elective will provide medical students the experiences associated with end of life care in a palliative care setting at Wishard Hospital and Lockefield Village. Students will learn about: pain assessment and management assessment and management of non-pain symptoms conflict management and advance care planning effective use of an interdisciplinary team to care for patients and families administrative activities related to palliative care Responsibilities during the elective include making rounds with a palliative care team (social work, chaplain, nurse, and physician) and making home visits. Students will be participating in end of life scenarios to learn about ethical and legal issues, importance of various self-care techniques, and the importance of community engagement. Objectives/Goals:* This course will offer an exposure to end of life care in a palliative care setting. The student will learn interdisciplinary approach to patient care, the value of expert emotional, social, and spiritual support, and the importance of biopsycho-social factors in patient care. The student will be expected to make rounds with the palliative care team (social worker, chaplain, nurses, and physicians) and will also make home visits. The student will be exposed to ethical scenarios related to end of life care. TOP	*Hospital(s):* Wishard Memorial Hospital
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status

		*Competencies offered:* I: Effective Communication VII: Moral Reasoning and Ethical Judgment

93MI990	SPECIAL ELECTIVE IN MEDICINE
	*Description: The student should refer to the section of the Preface entitled "Special Electives" for information concerning the availability of elective opportunities especially designed to meet his/her needs and interests. The "Special Electives" section will also identify the procedures for arranging and scheduling special elective courses. TOP*

20MI711		CLINICAL PRACTICE OF INTERNAL MEDICINE
*Course Director:* Dr. William Buckley		*Description: Experience inpatient Hospitalist care and/or outpatient Internal Medicine adult primary care in a group practice setting. Private hospital in community of 40,000 to 50-000. Busy pace with full days. Student will participate in history taking and physical exam of patients. Intense, but meaningful didactic sessions pertaining to patient care objectives and diagnostic skills. Housing is available if need with in-hospital duties most weekends. TOP*	*Hospital(s):* Elkhart General Hospital
			*Availability*: Sept, Oct, Nov, Feb, March, April
			*Number of units:* 1-2 Full Time
			*Max Students/Unit:* 1
			*Prerequisites:* 4th year status
			*Course components:* 75% Clinical; 20% Lecture, 5% Library
			*Competency offered:* None

49MI714	GENERAL MEDICINE (SERVICE - INPATIENT)
*Course Director:* Dr. John Black *Other Faculty:* Medicine Resident Staff	Note: This course may be dropped or added up to the 15th day of the month preceding the elective month. *Description: This general medicine inpatient rotation differs from others in several respects. First, the attending physicians are drawn from private practice Hospitalist medicine physicians, IU clinical teaching faculty, and HealthNet physicians. Second, a preceptorial approach to teaching increases the direct interaction between student and faculty. Third, a multidisciplinary approach to hospital medicine utilizing pharmacists, nutritionists, care coordinators, nurse practitioners, social workers and Geriatrics personnel is employed. The student may be assigned four to six inpatients to co-manage with the attending. Diseases encountered will be typical for the broad range of general internal medicine admissions to non-ICU beds at Methodist and are likely to include TIAs/stroke, syncope, GI bleeding, acute coronary syndromes, arrhythmias, community acquired pneumonia and other acute infectious diseases, COPD and hepatobiliary disease. The student will be expected to attend teaching conferences including daily morning report and the departmental noon conferences. At the completion of the rotation, a student should be capable of a logical approach to patient evaluation and development of an appropriate management plan. The student will be required to take call on this elective approximately every fifth night. Any student wanting to drop or add this elective after the initial computer scheduling should contact Mia Mimms at 962-3369 or mmimms@clarian.org. TOP*	*Hospital(s):* Methodist Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 20% Library
		*Competency offered:* None

20MI721	INTERNAL MEDICINE
*Course Director:* Dr. S. Hanberg	*Description: The student will be exposed to a wide variety of medical patients in the community setting. By the end of the month, the student will be able to: 1) complete a general internal medicine history; 2) perform a general internal medicine physical exam; 3) evaluate a wide range of internal medicine symptoms; 4) create appropriate differential diagnoses; 5) incorporate preventive medicine into practice; and 6) establish treatment plans for patients. Student will be exposed to both inpatient and outpatient general internal medicine. TOP*	*Hospital(s):* Elkhart General Hospital
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* None

49MI754	ADULT CRITICAL CARE MEDICINE
*Course Director:* Dr. Weller *Other Faculty:* Dr. Bostenschlager Dr. Ferry Dr. Naum	Note: This course may be dropped or added up to the 15th day of the month preceding the elective month. *Description: The course will provide an introduction to the care of the critically ill adult with emphasis on the concept of titrated care. The student will be an active member of the ICU team and will be taught current concepts of: airway management and mechanical ventilation; hemodynamic pressure monitoring; enteral and parenteral nutrition; management of shock; management of multi-system trauma and burns; fluid and electrolyte therapy. The student will gain an awareness of cost containment issues and the medical, legal and ethical dilemmas of critical care. A core curriculum for senior students will provide the basis for teaching on ICU rounds, clinical conferences, and didactic lectures. Night call is optional. Any student wanting to drop or add this elective after the initial computer scheduling should contact Mia Mimms at 962-3369 or mmimms@clarian.org. TOP*	*Hospital(s):* Methodist Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 3
		*Prerequisites:* 4th year status
		*Course components:* 85% Clinical; 10% Lecture; 5% Library
		*Competency offered:* None

49MI706	HOSPITALIST MEDICINE
*Course Director:* Dr. C. Wilson *Other Faculty:* Medicine Staff	This elective requires night call; therefore, changes in the schedule must be made by the 10th of the preceding month the elective is scheduled to begin. This course is the elective counterpart to one of the required fourth year sub-internships. Availability of this course will depend on enrollment in its associated sub-I. Students interested in enrolling should contact the medicine coordinator (630-2673) for approval procedures. This elective is designed for students wanting an additional month of medicine sub-I experience beyond the required sub-I clerkship. Successful completion of this elective WILL NOT SATISFY THE MEDICINE SUB-I REQUIREMENT. *Description: The student will participate on a team with one Senior Resident and two Intern Residents, functioning as an acting Intern on an academic hospitalist service. The student will: Gain experience in the collection of patient data from the history and physical examination, and in the formulation of an appropriate clinical problem list. Learn to utilize clinical information to direct a cost-efficient, focused and appropriate diagnostic and therapeutic management plan. Learn to collect, record and synthesize clinical data, and then to communicate those data to your colleagues and supervisors in a complete and concise manner. Gain experience in accepting the primary care responsibility for adult patients with a wide variety of medical problems, within the context of supervision from your senior resident and attending physician. Gain insight and experience in physician-patient and physician-physician relationships, as they relate to comprehensive and high quality patient care. Gain experience with in-hospital, on-call responsibilities in the cross coverage of your colleagues' patients, and in the evaluation and management of newly admitted patients. Become acquainted with the practice of adult hospital medicine in a large community hospital setting. Gain experience working with a variety of in-patient attending physicians including: hospitalists, primary care internal medicine and family physicians, and various subspecialty faculty. The student will be on overnight call every fifth during the month, and will provide the primary care for 2-5 patients at a time. Didactic sessions will include morning report daily Attending Teaching Rounds, daily Noon Conference and weekly Medicine Grand Rounds. Goals:* Provide the student with a sub-internship experience in a private tertiary care facility. This course requires a lot of autonomy but with the support of a senior IM resident and attending IM hospitalist. This provides exposure to the broad range of hospitalized patients across the entire spectrum of adult inpatient medical care. There are mandatory didactics (morning report, grand rounds, noon conference...) but the strength of the rotation is in the bedside clinical care experience where the student will directly interact with their resident and attending. TOP	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 4
		*Prerequisites:* 3rd or 4th year status; must have completed Medicine clerkship
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* IX: Professionalism and Role Recognition

49MI726	CRITICAL CARE MEDICINE
*Course Director:* Dr. Jerome Barnes *Other Faculty:* Internal Medicine Attendings & House Staff	This elective requires night call on consecutive nights; therefore, changes in the schedule must be made by the 10th of the preceding month the elective is scheduled to begin. *Note: This elective does not participate in the computer match.* This course is the elective counterpart to one of the required fourth year sub-internships. Availability of this course will depend on enrollment in its associated sub-I. Students interested in enrolling should contact Patty Neureiter (630-2673) for approval procedures. This elective is designed for students wanting an additional month of medicine sub-I experience beyond the required sub-I clerkship. Successful completion of this elective WILL NOT SATISFY THE MEDICINE SUB-I REQUIREMENT. *Description: The student will actively participate in the management of patients with acute and life-threatening illnesses in the Medical ICU setting, under the supervision of senior Internal Medicine Residents and Pulmonary/Critical Care Sub-specialists. The duty hours include 17-20 day shifts and 7-10 consecutive night shifts per month, with one full day off per week. The daily patient census will be 2-6 patients per student, with new admissions during most shifts. Procedural experience will include insertion of central venous catheter, Swan-Ganz catheter, radial arterial catheter, and endotracheal tube. Didactic sessions include daily Core Curriculum lectures, daily Noon Conference lectures, and daily staff interaction. Goals:* Gain supervised clinical experience in the primary care management of adult patients with critical illnesses, with responsibility for decision making at every step in management. Gain a working knowledge of the pathophysiology, evaluation and management of adult patients with Severe Sepsis, Acute Respiratory Failure, Acute Cardiac Failure, Cardiac Arrhythmias, and advanced Metabolic Diseases. TOP	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 5
		*Prerequisites:* 4th year status
		*Course components:* 95% Clinical; 5% Lecture
		*Competency offered:* None

49MI746	HOSPICE AND PALLIATIVE CARE
*Course Director:* Dr. Sally Kelley	*Description:* The student will be expected to: (1) Make rounds on the hospice inpatient unit; (2) Discuss cases one-on-one with staff; (3) Make home visits with hospice physicians, nurses, and social workers; (4) Read assigned papers and manuals. *Goals: The course will offer an initial exposure to end of life care in an inpatient hospice setting. The student will have experience with pain and symptom management at home and in the inpatient hospice unit. The student will gain experience in managing patients as a member of an interdisciplinary group. Students are required to schedule this elective through the medical education office at 338-2281. TOP*	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 20% Library
		*Competency offered:* IX: Professionalism and Role Recognition

49MI766	PRIMARY CARE INTERNAL MEDICINE IN A COMMUNITY/URBAN SETTING
*Course Director:* Dr. William Slama	*Note: This elective does not participate in the computer match.* *Description: Objective of the course is to familiarize the student who is considering a career in Internal Medicine with the "realities" of such a practice. The student will have exposure to such topics as office/practice management, income/lifestyle expectations, medical staff dynamics, etc., while participating in the care of my patients. TOP*	*Hospital(s):* St. Vincent Hospital
		*Availability*: All year (317-338-2281)
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 60% Clinical; 30% Discussion 10% Library
		*Competency offered:* None

49MI707	CHEMICAL DEPENDENCY AND INTERNAL MEDICINE
*Course Director:* Dr. T. Kelly *Other Faculty:* Dr. D. Rhyne	*Description: The objective of this elective is to help the student develop an understanding of alcoholism and drug abuse and to provide the skills necessary to deal effectively with chemically dependent patients. The student will also have the opportunity to evaluate, treat, and follow patients with medical and psychosocial complications of alcohol and drug abuse. A curriculum of teaching materials including films and journal articles emphasizing issues in chemical dependency as well as topics in internal medicine, will be presented and discussed under the supervision of a staff internist. TOP*	*Hospital(s):* Fairbanks Hospital, Inc. (Indianapolis)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 70% Clinical; 15% Lecture; 15% Library
		*Competency offered:* None

02MI701	INTERNAL MEDICINE
*Course Director:* Dr. Tatara *Other Faculty:* Dr. Scheeriga & Staff	*Description: The student will have an opportunity to see a wide variety of medical problems, including both acute and semi-acute medical admissions, as well as treatment and management of chronic disease. This elective will emphasize, under supervision, a first person experience in the workup, diagnosis and management of patients. A minimum of three selected patients per week will be assigned for a complete history and physical examination; diagnosis and therapeutic recommendations. This experience will be supplemented by seminars, didactic lectures, continuing medical education conferences and therapeutic conferences with the Radiologists and Pathologists. In addition to general medicine ward patients, there will be the opportunity to assist with the care of patients in the CCU and ICU. TOP*	*Hospital(s):* Fort Wayne Center for Medical Education
		*Availability*: June through December
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 5% Laboratory; 5% Lecture
		*Competency offered:* None

02MI711	CRITICAL CARE MEDICINE
*Course Director:* Dr. Irfan Munir	*Description: The primary objective of this course is to provide the senior medical student with knowledge, skills, and attitudes in handling seriously ill patients, requiring care in the ICU/CCU units. The senior student should develop a basic understanding of the seriously ill patient, including the pathophysiology of disease, with its psycho-social implications. Assessment for admission, including preparation and transfer to the ICU/CCU units is an integral part of such a course. Objectives:* The development of skills in coordinating care, when multiple specialties are involved. The learning of procedures unique to ICU/CCU management of patients including: a. Insertion of chest tube b. Pericardiocentesis c. Paracentesis d. Thoracentesis e. Endotracheal intubation f. Insertion of Swan-Ganz catheter g. Insertion of hyperalimentation cath h. Ventilator management I. Insertion of central lines and arterial line Learning of the care of serious diseases including: a. Cardiac arrhythmias b. Acute hypertensive crisis c. Congestive heart failure d. Cardiogenic shock e. Renal failure f. Respiratory insufficiency/failure g. Coma of unknown etiology h. Multiple organ trauma or failure i. Metabolic derangements j. Acute myocardial infarction k. Diabetic ketoacidosis, severe l. Overdosage of drugs or medications m. Septic shock n. Learn to work with family of patient in ICU/CCU, handling psycho-emotional reaction to severe illness Training for this course will take place at St. Joseph Medical Center in the ICU and CCU departments. TOP	*Hospital(s):* Fort Wayne Center for Medical Education
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 5% Lecture; 5% library
		*Competency offered:* None

18MI711	WARD MEDICINE
*Course Director:* Dr. J. M. Neal *Other Faculty:* Dr. R. M. Johnston Dr. J. Miller Dr. Brandon Dickey	*Description: This elective is designed to give the student experience normally gained in the internship year. The student will have diagnostic and patient care responsibilities supervised by the Ward Resident and Staff Physicians assigned to the ward. These responsibilities include history and physical examination, order writing, daily progress notes and observation and performance of a broad spectrum of diagnostic and therapeutic medical procedures. Daily didactic conferences and ample time for reading complement the above. TOP*	*Hospital(s):* Ball Memorial Hospital (Muncie)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* I: Effective Communication VIII: Problem Solving

18MI731	CRITICAL CARE
*Course Director:* Dr. Morrical *Other Faculty:* Medicine Staff	*Description: The student will be an active member of the ICU team, consisting of a staff physician, a PGY 2 or PGY 3 resident and one or more PGY 1 residents. This elective will provide an introduction to the total management of the critically ill patient. The student responsibility will consist of overseeing the care of patients in the seventeen bed combined medical and surgical intensive care unit at Ball Memorial Hospital, Muncie, Indiana. The student will learn current concepts of airway management and mechanical ventilation, hemodynamic monitoring, nutrition, management of shock and fluid and electrolyte therapy. This elective gives the student ample opportunity to observe and to perform diagnostic procedures. This elective will include ICU attending rounds, clinical conferences, Medicine Grand Rounds and adequate reading time. TOP*	*Hospital(s):* Ball Memorial Hospital (Muncie)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 75% Clinical; 15% Lecture; 10% Library
		*Competency offered:* VIII: Problem Solving

45MI705	MEDICINE
*Course Director:* Dr. F. Adler	*Description: Each trainee will either spend his or her time on General Internal Medicine services under the preceptorships of Dr. Fred Adler, Dr. Mansueto Silverman, or Dr. Sami Ahmadzai making rounds with the physicians on a daily basis. Depending on length of the elective it will either involve General Internal Medicine or be divided between Internal Medicine and Cardiology. The internist or the cardiologist will make rounds with them, assist in the management and follow up of his/her cases and participate in discussions of case management planning. We will work up one or two new cases a day and follow them through their hospitalization. Each student is encouraged to write pertinent notes and orders under supervision. There is a voluntary night call schedule every third night which allows the students to participate in acute emergency care. The students are only called for valuable clinical problems. The student will have the opportunity to perform under supervision spinal punctures, thoracentesis, subclavian vein cannulations, endotracheal intubations, central venous pressure line, Swan-Ganz catheter insertions and other procedures commensurate with their availability, the student's ability and interest. The student will participate in weekly Oncology and Progress in Medicine conferences. There will be alternating weekly clinical pathology and radiology conferences for the students. If more than 3 students are at the institution at one time, weekly subspecialty rounds with presentation are also organized. TOP*	*Hospital(s):* St. Catherine Hospital (East Chicago)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 3
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* None

71MI707	INTERNAL MEDICINE
*Course Director:* Dr. J. Ludwig *Other Faculty:* Internal Medicine Staff Residency Faculty	*Description: During this rotation, the student will be responsible for the admission, management, and therapeutic planning of patients admitted to the internal medicine service. He/she will be expected to rotate admissions with first and second year Family Medicine Residents and participate in management and care at the first post-graduate year level. Particular emphasis will be placed on the diagnosis and management of common medicine problems. In addition to the above experiences, teaching conferences in selected medicine topics will be available throughout the rotation, as well as daily ward rounds with an internist and family physician. Students will take calls with residents a few times during the month Objectives:* The student will admit patients to inpatient service, and perform complete history and physicals including a thorough assessment and plan. Students will be expected to present their patients at morning rounds. They will also give a thorough case presentation to the team. TOP	*Hospital(s):* Saint Joseph Regional Medical Center (South Bend)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* None

ALLERGY AND IMMUNOLOGY

49MA711	ASTHMA, ALLERGY, IMMUNOLOGY
*Course Director:* Dr. P. Goldberg	*Description: NOTE: This course may be dropped/added with 15 days of the beginning date for the elective. To obtain hands-on instructions (in the private practice setting) regarding the allergic and immunologic process, the various manifestations of this process, and treatment for these manifestations. The student will be expected to make hospital rounds and attend all office clinical sessions and function as a sub-intern in an office setting. No night call or weekend time is required. After the initial match, please contact Becky at (317) 924-8295 ext. 215 to schedule this elective. TOP*	*Hospital(s):* Memorial Clinic--Allergy Dept; Private Practice
		*Availability*: All Year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 100% Clinical
		*Competency offered:* None

02MA711	ALLERGY AND CLINICAL IMMUNOLOGY
*Course Director:* Dr. D.A. Neeld	*Description: NOTE: This course may be dropped/added with 15 days of the beginning date for the elective.* The course will help students interested in primary care develop skills necessary for the outpatient management of allergic and immunologic diseases. Patients are private and include children and adults. No weekend or night call is required. The student will have the opportunity to: Participate in the evaluation and management of asthma, allergic rhinitis, anaphylaxis, drug allergy, venom hypersensitivity and food allergy. Learn appropriate use of diagnostic measures such as skin testing, RAST, pulmonary functions and rhinoscopy. Learn the fundamentals of immunodeficiency screening. Interview and examine patients with primary immunodeficiencies (e.g., Bruton's, Common Variable) receiving IV gamma globulin. This course could either be taken as a two week elective (combined with another two weeks of Dermatology, etc.) or as a full four week elective. TOP	*Hospital(s):* Ft. Wayne Medical Education Center
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 20% Library
		*Competency offered:* None

AMBULATORY CARE - GENERAL

49MX714	GENERAL INTERNAL MEDICINE, OFFICE PRACTICE
*Course Director:* Dr. Fred Frick	Note: This course may be dropped or added up to the 15th day of the month preceding the elective month. *Description: The experience is in an internal medicine office practice. There is heavy exposure to diabetes mellitus (all types), hyperlipidemias and hypertension. The natural history of illnesses and the longitudinal care of patients will be emphasized. The student will regularly see patients with multiple diagnoses and complex pharmacologic regimens. In addition to patient contact and teaching, the student will receive regular one-on-one didactic sessions and will regularly receive literature assignments. This senior elective is an expansion of the elective offered over the past 12 years. In addition to general internal medicine, there is heavy emphasis on hypertension, lipid disorders and diabetes mellitus. The student will receive practical exposure and individual instruction on all aspects of diabetes management including oral agents, all types of insulin and insulin pump therapy. There is also instruction on the management of diabetic complications including nephropathy, neuropathy, vasculopathy, foot care and ketoacidosis. Lipid disorders are reviewed in detail including pathophysiology, clinical manifestations and treatment. Recent and current literature is assigned for review and discussion. The student will assess patient with simple as well as complex medical problems usually requiring multifaceted decision making. Any student wanting to drop or add this elective after the initial computer scheduling should contact Mia Mimms at 962-3369 or mmimms@clarian.org. TOP*	*Hospital(s):* Methodist Hospital and Methodist Professional Center (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* I: Effective Communications

49MX706	AMBULATORY INTERNAL MEDICINE
*Course Director:* Dr. S. Gerke	*Description: The students will participate in caring for patients in private Internal Medicine offices and in an adult Internal Medicine Clinic with emphasis on continuity of medical management. The patient population is diverse in range of age and socioeconomic status with both acute and chronic illness. Students will see patients individually and in consultation with resident physicians and full-time staff specialists. They will be involved in the on-going schedule of conferences and the teaching program of Internal Medicine. This elective is designed to enable the student to: 1) Become more familiar with the standard of preventative health practice and good personal health behavior; 2) Learn to assess patients with respect to the severity of illness; 3) Acquire skills in eliciting and evaluating complaints of ambulatory patients. TOP*	*Hospital(s):* St. Vincent Hospital
		*Availability*: Not in July or Dec
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* VIII: Problem Solving

49MX716	GERIATRIC MEDICINE
*Course Director:* Dr. P. Healey *Other Faculty:* A. Aristizabal Dr. D. Healey A. Ibrahim M. Ibrahim	*Description: This elective will give the students experience in the unique needs of delivering health care to the older adult. The student will participate in both the office and nursing home practice of 5 hospital employed geriatricians. Depending upon the student’s interest, time may also be spent on the geriatric in-patient service. While the major emphasis will be on the special needs of the often frail individual with multiple chronic illnesses, there will be exposure to the “well elderly” in the office setting. A multi-disciplinary focus is stressed in dealing with geriatric medical issues through a team approach in geriatric assessment and in care for the nursing home elderly. Importance is placed on successfully dealing with the heterogeneity of the elderly, the proper utilization of palliative care strategies and the importance of ethical decision-making. Students will interact with residents from Family Medicine and Internal Medicine who rotate through on their required geriatric medicine months and also with the Geriatric Medicine Fellow. The majority of time spent is in the clinical setting but there are core topics covered in didactic sessions covering topics such as; dementia, delirium, falls, urinary incontinence, geriatric therapeutics and normal aging. The student is required to prepare a brief presentation on a topic of their choice at the end of the month requiring library or internet research. There is no night call or weekend responsibility on this elective. Objectives:* After completing this elective, students will be able to: Define unique principles of geriatric medicine Identify normal aging changes from disease-related illness Demonstrate understanding of geriatric assessment principles Understand care of the older patient in a variety of clinical settings Demonstrate understanding of properly differentiating acute care versus palliative care Understand and define the concept of geriatric syndromes Understand the important principles of ethical decision making in the elderly TOP	*Hospital(s):* St. Vincent Hospital and Health Care Center
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 100% Clinical
		*Competency offered:* None

CARDIOLOGY

93MC700	CLINICAL CARDIOLOGY
*Course Director:* Dr. E. Williams	*Description: This is a clinically oriented elective with the aim of increasing the student's proficiency in electrocardiography and consultative clinical cardiology (bedside diagnosis and management of patients with cardiovascular disease). There are daily ECG reading sessions and consultation service rounds. TOP*	*Hospital(s):* Indiana University Medical Center
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 3rd or 4th year status; Internal medicine clerkship must be completed
		*Course components:* 100% Clinical
		*Competency offered:* None

93MC720	CARDIOLOGY
*Course Director:* Dr. Masoor Kamalesh *Other Faculty:* Dr. Bailey Dr. Das Dr. Lopshire Dr. Pande Other staff may participate at the discretion of the course director	*Description: NOTE: Course may be dropped/added within two weeks of the beginning of the elective month.* This elective is a clinical experience during which the student-physicians join the cardiovascular health care team, developing the student's skills which are useful in the diagnosis and management of cardiovascular diseases. The student-physicians are encouraged to develop a familiarity with the varied inpatient and outpatient cardiovascular diagnostic modalities available for the cardiovascular patient. The student-physician, after completion of one unit, should understand the basic principles involved in the interpretation of the surface electrocardiogram. An active electrocardiography service affords the student-physician ample opportunity to interpret ECG's and verify findings with staff cardiologists. Through the consultative process, the student-physician will develop a familiarity for the diagnosis and management of coronary artery disease, valvular heart disease, cardiac arrhythmias, and other complex cardiovascular problems. Student-physicians are responsible for the initial evaluation and case presentation for patients in whom cardiologic consultation has been requested. Cases are discussed and reviewed by the cardiology physician staff. Students are encouraged to attend all cardiology conferences which include x-ray, ECG, and the combined cardiac catheterization-cardiovascular surgery conference. Time is allowed for attendance at the weekly Medicine Grand Rounds at the Indiana University Medical Center. Student-physicians during this elective are encouraged to learn about patient experiences by obtaining their own personal baseline ECG's, echocardiograms, and may have an exercise treadmill ECG test if desired. Close observational experience is also available for the student to be familiar with cardiac catheterizations, angioplasties, and coronary surgery. TOP	*Hospital(s):* V.A. Hospital (IUMC)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1 (with option to add more per course director)
		*Prerequisites:* 3rd or 4th year status; Medicine clerkship must be completed
		*Course components:* 100% Clinical
		*Competency offered:* None

93MC740	ECHOCARDIOGRAPHY- Special elective in Echocardiography and Cardiac Hemodynamics
*Course Director:* Dr. Feigenbaum *Other faculty:* Dr. Ghumman Dr. Gradus-Pizlo Dr. Mahenthiran Dr. Sawada	*Description: This special elective is available for selected senior students who are interested in echocardiography and cardiac hemodynamics. This elective is a unique opportunity for the student to work directly with faculty members who have expertise in interpretation of cardiac non-invasive testing. It is hoped that students will obtain a better understanding of cardiac anatomy, physiology and disease processes through the elective. Goals:* The student should become familiar with what echocardiography can provide as a diagnostic tool. He or she should be able to recognize normal echocardiographic anatomy and physiology and some common abnormalities. TOP	*Hospital(s):* Krannert Institute of Cardiology
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status; prior consultation with one of the instructors is advised.
		*Course components:* 50% Clinical; 50% Clinical Laboratory (Participation with clinical investigation available but optional)
		*Competency offered:* None

93MC770	CLINICAL CARDIOLOGY
*Course Director:* Dr. R. Kovacs	*Description: Students will round on the Cardiology Consult Service and in the Coronary Care Unit. In addition, students will read ECG's daily. This elective provides an intensive experience in patient management from the perspective of the consultant as well as the use and interpretation of specialized diagnostic tests such as ECG's, echocardiography, cardiac catheterization, stress testing and others. TOP*	*Hospital(s):* Wishard Memorial Hospital
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 3
		*Prerequisites:* 4th year status
		*Course components:* 100% Clinical
		*Competency offered:* None

49MC706	CLINICAL CARDIOLOGY
*Course Director:* Dr. J. Rippy *Other Faculty:* Staff cardiologists	*Description: NOTE: THIS COURSE MAY ONLY BE ADDED AT LEAST TWO WEEKS PRIOR TO START DATE. IT MAY BE DROPPED AT ANY TIME.* This cardiology elective will involve active participation in an all inclusive cardiac program providing wide exposure to aspects of clinical cardiology, both invasive and noninvasive. There is emphasis on electrocardiograph interpretation with the students spending three hours per week with staff to review electrocardiograms. In addition, the students will spend two weeks in the hospital working closely with the cardiologist caring for hospitalized patients and two weeks rotating through the outpatient setting with exposure to outpatient physical examinations, treadmill testing, echocardiograph testing and nuclear testing. The entire group of students will participate in staff rounds to discuss various aspects of cardiology. In addition, attendance at general conference at St. Vincent Hospital is encouraged. TOP	*Hospital(s):* St. Vincent Hospital, The Heart Center of Indiana, and The Care Group
		*Availability*: All Year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 6
		*Prerequisites:* 4th year status; or, if availability exists, 3rd year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* None

02MC701	CLINICAL CARDIOLOGY
*Course Director:* Dr. O'Shaughnessy *Other Faculty:* Dr. Brown Dr. Collis Dr. Daley Dr. Doloresco Dr. Dusman Dr. Genetos Dr. Hart Dr. Heger Dr. Kelly Dr. Mirro Dr. Phillips Dr. Presti Dr. Robertson Dr. Schleinkofer Dr. White Dr. Wilson	*Description: Students will be actively involved in all aspects of cardiovascular diagnosis and treatment. Each student will be expected to perform histories and physical examinations on selected patients and participate in cardiac consultations and EKG interpretations. In addition, there will be exposure to other non-invasive and invasive modalities utilized in clinical cardiology. Students will actively participate in the management of patients with acute myocardial infarction and arrhythmias in the coronary care unit and patients on the wards. Emphasis will be on proper ordering and analysis of accumulated data to optimally manage patients in a variety of clinical settings. TOP*	*Hospital(s):* Fort Wayne Center for Medical Education
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* None

02MC721	CLINICAL CARDIOLOGY
*Course Director:* Dr. Baltes	*Description: Students will be actively involved in all aspects of cardiovascular diagnosis and treatment. Each student will be expected to perform histories and physical examinations on selected patients and participate in cardiac consultations and EKG interpretations. In addition, there will be exposure to other non-invasive and invasive modalities utilized in clinical cardiology. Students will actively participate in the management of patients with acute myocardial infarction and arrhythmias in the coronary care unit and patients on the wards. Emphasis will be on proper ordering and analysis of accumulated data to optimally manage patients in a variety of clinical settings. TOP*	*Hospital(s):* Fort Wayne Center for Medical Education
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 20% Lecture
		*Competency offered:* None

02MC731	CLINICAL CARDIOLOGY
*Course Director:* Dr. Hambel *Other Faculty:* Dr. Hanley Dr. Hazen Dr. Jones Dr. Kaminskas Dr. Mattson Dr. Orlow Dr. Reddy Dr. Reed Dr. Rich Dr. Swint Dr. Tomlinson Dr Zee-Chang	*Description: Based on the particular interest of the student, this course will provide experience in the diagnosis and management of cardiovascular diseases both in the inpatient and outpatient settings. Emphasis will be given to physical diagnosis, EKG interpretation, and a wide range of invasive and non-invasive diagnostic techniques. Students will also be given the opportunity to participate first-hand in the evaluation and treatment of patients in several of the rural satellite clinics in surrounding areas. Student will be assigned one preceptor, but will have the opportunity to work in all areas of cardiology. TOP*	*Hospital(s):* Fort Wayne Center for Medical Education
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* None

18MC701	INTERNAL MEDICINE - EMPHASIS IN CARDIOLOGY
*Course Director:* Dr. B. Graham *Other Faculty:* Dr. W. Gray Dr. C.J. Hollon	*Description: It is the objective of this elective to provide opportunities for the student in clinical cardiology including experience in the coronary care unit, intermediate coronary care facility, and common cardiologic problems such as arrhythmias and chest pain syndromes. Emphasis will be placed on clinical cardiology with extensive exposure to coronary artery disease although the student will be exposed to both non-invasive techniques and cardiac catheterization. The students will be under the direct supervision of Dr. Wayne L. Gray, (Cardiac Specialist). In addition, the student will spend approximately 20% of his/her time in the Ball Memorial Hospital formal intern-resident teaching program which includes various topics in Internal Medicine and Family Practice. TOP*	*Hospital(s):* Ball Memorial Hospital (Muncie)
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status
		*Course components:*
		*Competency offered:* None

20MC701	CARDIOLOGY
*Course Director:* Dr. T. Nolan	*Description: The student will be exposed to a wide variety of cardiac pathology in the community setting. By the end of the month, the student will be able to: 1) take a detailed cardiac history; 2) perform an appropriate cardiovascular exam; 3) create differential diagnoses for cardio- vascular symptoms; and 4) evaluate acute and chronic cardiac pathologies with such modalities as ECG, ECHO, stress testing, nuclear studies, cardiac catheterization, and PTCA. The student will also get exposure to: 1) outpatient consultation and follow-up; 2) inpatient consultation; and 3) coronary and intensive care unit experience. TOP*	*Hospital(s):* Elkhart General Hospital
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* None

29MC701	CLINICAL CARDIOLOGY IN THE SUBURBAN HOSPITAL
*Course Director:* Dr. Bruce F. Schilt *Other Faculty:* Dr. Felix Alva Dr. Anthony Cossell Dr. Mario Pyles Dr. Larry Gering	*Description: NOTE: Elective may be dropped/added within one week of the start of the elective month.* The purpose of this elective is to introduce the student to a balanced approach to clinical cardiology outside of the large hospital environment. The importance of history taking in cardiovascular physical diagnosis will be stressed, as well as the selection of appropriate noninvasive cardiovascular diagnostic testing. Students will be involved in the interpretation of electrocardiograms, echocardiograms, cardiac Doppler, telemetry strips, various types of ambulatory monitors, as well as nuclear myocardial perfusion scanning. Students will be actively involved in the initial evaluation of patients at Riverview Hospital and Tipton Hospital and will improve their presentation skills. There will also be opportunities to round at Tipton Memorial Hospital and to see the whole gamut of cardiovascular invasive testing and therapy. There will also be ample opportunity to be involved in the care of peripheral vascular disease and to see various peripheral vascular interventions and diagnostic arteriography. TOP	*Hospital(s):* Riverview Hospital (Noblesville), Tipton Hospital (Tipton), Hamilton Heart office
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Independent study
		*Competency offered:* None

45MC705	CLINICAL CARDIOLOGY
*Course Director:* Dr. Gambetta	*Description: The medical students will be assigned two new patients each day. The emphasis on one will be diagnostic and the other therapeutic. The history and physical will be reviewed by one of four board certified cardiologists. They will participate in the formulation of therapy and additional workup including treadmill stress testing, echocardiography, Holter monitoring, and cardiac catheterization. The students will follow their patient during the entire course of hospitalization. They will become familiar with a wide variety of cardiac problems both acute and chronic. They will see congenital and acquired heart disease of all kinds. They will get an extensive experience in electrocardiography and arrhythmia interpretation. TOP*	*Hospital(s):* St. Catherine Hospital (East Chicago)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 100% Clinical
		*Competency offered:* None

53MC701	CARDIOLOGY
*Course Director:* Dr. Rink *Other Faculty:* Dr. Alpert Dr. Faris Dr. Fix Dr. Henrich Dr. Heumann Dr. Petersen Dr. Reddy Dr. Strobel Dr. Sutliff	*Description: The student will work closely with a cardiologist and gain a wide exposure to clinical cardiology. Emphasis will be placed on history taking, physical diagnosis, diagnostic tests in cardiology and patient management. Rounds will be made daily with the cardiologist in the hospital, including the Coronary Care Unit and Progressive Care Units. The student will be encouraged and expected to participate in the decision making process regarding the care of the cardiology patient. Depending on the student's interest, ample opportunity can be given to gain exposure in the areas of Echocardiography, Electrocardiography, cardiac rehabilitation, cardiac catheterization, clinical electrophysiology, and clinical pharmacology. Students should expect to have call approximately one night per week and one weekend per month. There are no interns or residents in the hospital and, therefore, a significant amount of responsibility will be allowed for the senior student. TOP*	*Hospital(s):* Bloomington Hospital (Bloomington)
		*Availability*: September through June
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* None

71MC703	CARDIOLOGY
*Course Director:* Dr. J. Katsaropoulos *Other Faculty:* Dr. Chauhan Dr. Jenkins Dr. Kobayashi Dr. Nelson Dr. S. Szabo	*Description: The student will participate in the evaluation and management of a wide variety of cardiology cases. Emphasis will be placed on the proper history, physical examination, laboratory, and x-ray studies of the cardiac patient. The student will follow patients in the Coronary Care Unit as well as in the general hospital. Students will see patients in a private cardiology consultation office. The student will be exposed to acute and chronic cardiac patients, cardiac catheterization, thrombolysis, PTCA, electrophysiologic studies, etc. TOP*	*Hospital(s):* Memorial Hospital of South Bend
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 75% Clinical; 15% Lecture; 10% Library
		*Competency offered:* None

71MC707	CARDIOLOGY - CORONARY UNIT
*Course Director:* Dr. S. Patel *Other Faculty:* Dr. F. Jalinous Dr. W. Sarnat Dr. M. Smucker	*Description: The student will be exposed to the evaluation and management of patients with cardiovascular disease in a community based referral hospital. There is an active eight bed coronary care unit which is staffed by the course instructors. Active participation in the evaluation and management of patients with acute myocardial infarctions, unstable angina pectoris, and arrhythmias is emphasized in the unit. Bedside hemodynamic monitoring as well as appropriate electrophysiology studies are utilized. Daily instruction in the integration of electrocardiograms and the clinical usage of exercise stress testing will also be done by the instructors. Patients with non-coronary cardiovascular disease in the hospital setting will also be seen and managed. Exposure to the full complement of invasive and non-invasive cardiology techniques in the evaluation of patients is employed. Weekly lectures on cardiovascular disease are given by the instructors. TOP*	*Hospital(s):* St. Joseph's Medical Center (South Bend)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 10% Lecture
		*Competency offered:* None

82MC702	CARDIOLOGY
*Course Director:* Dr. Harrison	*This elective does not participate in the initial senior match.* *Description: The student will be actively involved in all aspects of invasive and non-invasive methods of cardiovascular diagnosis and treatment. Competence and confidence in the cardiovascular history and physical will be stressed. Office and hospital patient evaluations, analysis of accumulated data, management of the patients in a CCU setting and daily responsibilities. The student will be given responsibilities commensurate with his/her knowledge, skills and dedication. Basic skills (e.g., confidence in reading ECG's, physical examination, indications for specific studies, and basic management strategies for ASHD, CHF, valvular disease) will be stressed. This elective may be taken in sequence with any other elective offered at the Evansville Center for Medical Education. TOP*	*Hospital(s):* Deaconess Hospital & Physician's Center (Evansville)
		*Availability*: All year by arrangement.
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Diagnostic CV Lab; 5% Lecture; 5% Library
		*Competency offered:* None

84MC723	CARDIOVASCULAR DISEASE
*Course Director:* Dr. Mercho	*Description: The student enrolled in this course will be exposed to all aspects of cardiovascular medicine clinically, on hospital rounds and office consultations, in addition to being familiar with the indication of invasive and non-invasive testing as special emphasis will be given for ECG interpretation. TOP*	*Hospital(s):* Union Hospital (Terre Haute)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status
		*Course components:* 60% Clinical; 10% Research; 10% Lecture; 20% Library
		*Competency offered:* None

ENDOCRINOLOGY

93ME700	CLINICAL ENDOCRINOLOGY AND METABOLISM
*Course Director:* Dr. Cavaghan *Other Faculty:* Dr. Econs Dr. Evans-Molina Dr. Imel Dr. Juneja Dr. Lteif Dr. Mather Dr. Mirmira Dr. Peacock Dr. Pratt Dr. Roach Dr. Skiercyzinski Dr. Walsh	*Description: NOTE:* This elective may be dropped/added within 2 months of the start of the elective month. Objectives: To obtain a concentrated exposure to patients with endocrine and metabolic problems (including diabetes mellitus, thyroid disorders and hypertension), to demonstrate ability to research clinical problems and apply relevant literature, and to have the opportunity of applying principles of diagnosis and management under supervision, to learn and practice specialized history taking and physical examination skills. Students will provide academically oriented endocrine and/or metabolic consultations on inpatients, attend the endocrine and diabetic clinics, and participate in specialty conferences and rounds. Students will be expected to present two case summaries at our Wednesday morning clinical case conference and demonstrate problem-solving abilities. Emphasis on diabetes mellitus, hypertension or other endocrine related disorders can be provided for interested students. TOP	*Hospital(s):* University Hospital and Wishard Memorial (IUMC)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 3rd or 4th year status; Medicine clerkship must be completed.
		*Course components:* 70% Clinical; 10% Lecture; 20% Library
		*Competency offered:* VIII: Problem Solving

93ME710	ENDOCRINE AND METABOLIC RESEARCH
*Course Director:* Dr. Cavaghan *Other Faculty:* Dr. Carr Dr. Considine Dr. Evans-Molina Dr. Froehlich Dr. Johnston Dr. Marrero Dr. Mather Dr. Mirmira Dr. Peacock Dr. Pratt Dr. Roach Dr. Walsh	*Description: NOTE:* This elective may NOT be dropped/added within 30 days of the start of the elective month. Students will have the opportunity of working closely with a senior staff member who is actively engaged in basic or clinical research. Students are expected to have investigated their area of interest prior to requesting the elective by making contact with either Dr. Cavaghan or the faculty member with whom he or she wishes to work. This should include a literature review so that an area of potential interest can be identified. Electives longer than one month are encouraged. Initially, students will meet with one of the instructors to formulate a specific project, affording an opportunity to examine some aspect of endocrinology in-depth. Principles of experimental design and the interpretation of data will be stressed. Not all faculty are available each month. Contact the course director for faculty available in any given month. TOP	*Hospital(s):* Indiana University Medical Center
		*Availability*: All year
		*Number of units:* 1-3 Full Time
		*Max Students/Unit:* 10
		*Prerequisites:* 3rd or 4th year status; Medicine clerkship must be completed
		*Course components:* 0-10% Clinical; 90-100% Research
		*Competency offered:* None

49ME704	INTERNAL MEDICINE - METABOLIC EMPHASIS
*Course Director:* Dr. J. Scheidler *Other Faculty:* Dr. J. Malone Dr. J. Meacham	Note: This course may be dropped or added up to the 15th day of the month preceding the elective month. *Description: The student will receive instruction in metabolic diseases with emphasis on diabetes mellitus, though exposure to various thyroid conditions will also occur. The elective will deal with the diagnosis and treatment of diabetes mellitus, along with the diagnosis and management of its complications (retinopathy, neuropathy, and nephropathy). There will be assigned reading and lectures in dietary treatment, use of oral hypoglycemic agents and insulin management. The student will observe and read about both physiological and psychological changes in diabetes. Outpatient treatment for diabetes will be observed in the office. Any student wanting to drop or add this elective after the initial computer scheduling should contact Mia Mimms at 962-3369 or mmimms@clarian.org. Goals:* Familiarity with Diabetes diagnosis, treatment, and management. Exposure to thyroid problems, diagnosis and treatment. TOP	*Hospital(s):* Methodist Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status
		*Course components:* 90% Clinical; 5% Lecture; 5% Library
		*Competency offered:* None

49ME714	CLINICAL ENDOCRINOLOGY
*Course Director:* Dr. Roudebush	NOTE: THIS COURSE MAY OR MAY NOT BE AVAILABLE FOR 2009/2010. Please contact Mia Mimms at 962-3369 for availability. Note: This course may be dropped or added up to the 15th day of the month preceding the elective month *Description: The course is designed to introduce the student to sophisticated aspects of the management of diabetes mellitus, lipids, endocrine hypertension, pituitary disease, thyroid disorders and parthyroid disease. Students will rotate in an outpatient setting. The student will be offered the opportunity to interact in an intense diabetes management program emphasizing the use of insulin pumps and the newer therapeutic agents for diabetes or to thoroughly research the literature and actively manage patients in one non-diabetic area of endocrinology. The student will not be required to take night or weekend call. Any student wanting to drop or add this elective after the initial computer scheduling should contact Mia Mimms at 962-3369 or mmimms@clarian.org. TOP*	*Hospital(s):* Methodist Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1-2 Full Time
		*Max Students/Unit:* 2
		*Prerequisites:* 4th year status
		*Course components:* 80% Clinical; 10% Lecture; 10% Library
		*Competency offered:* None

49ME716	ENDOCRINE AND METABOLISM ROTATION
*Course Director:* Dr. Khairi	*Description: Students will have the opportunity to obtain education and experience in management of endocrine and metabolic diseases, including kidney stone disease and lipid disorders. They will have an opportunity to do full history and physical examination on new and follow-up patients in the endocrine clinic. Students will be given an opportunity to discuss the differential diagnosis and investigations, and will also be asked to give their plans for management. Physical examination findings will be checked by Dr. Khairi. The experience on this rotation is quite extensive and a student may see 10-12 patients per day. This rotation provides experience in managing endocrine and metabolic diseases in an outpatient setting. Similar diseases are seen by family practitioners and internists in their outpatient practices. Students will be quizzed on their knowledge and understanding. TOP*	*Hospital(s):* St. Vincent Hospital (Indianapolis)
		*Availability*: All year
		*Number of units:* 1 Full Time
		*Max Students/Unit:* 1
		*Prerequisites:* 4th year status
		*Course components:* 75% Clinical; 5% Lecture; 20% Library
		*Competency offered:* None

GASTROENTEROLOGY

93MG700

GASTROENTEROLOGY

Course Director:
Dr. Won Cho

Other Faculty:
Dr. Abdullah
Dr. Al-Haddad
Dr. Chalasani
Dr. Chiorean
Dr. Crabb
Dr. DeWitt
Dr. Fatima
Dr. Fayad
Dr. Fogel
Dr. Ghabril
Dr. Harris
Dr. Helper
Dr. Imperiale
Dr. Kahi
Dr. Kessler
Dr. Kim-LeBlanc
Dr. Krause
Dr. Kwo
Dr. Lacerda
Dr. Lehman
Dr. Liangpunsakul
Dr. Lumeng
Dr. McH