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Back to table of contents Elective Manual Table of Contents 1. Expectations of an Elective Resident and Elective Attending………......page 2 2. Allergy & Immunology (r-e-allergy)…………………………………… page 3 3. Ambulatory Non-IM Specialty UMCPP (p-e-non-IM)..……………….... page 5 4. Cardiology CAB (r-e-o-card)………………………………….…………... page 7 5. Cardiology Inpatient (r-e-i-card)…………………………………………. page 9 6. Cardiology UMCPP (p-e-card)…………………….……………......... page 11 7. Congestive Heart Failure (r-e-chf)…………………………………………. page 13 8. Emergency Medicine UMCPP/IM subspecialty (p-e-er/im).......………... page 15 9. Emergency Medicine UMCPP/Psychiatry RWJ (p-e-er/psych) ................. page 18 10. Endocrinology (r-e-o-endo)……………………………………....………. page 21 11. Endocrine Consults/Thyroid (p-e-endo)………………………………… page 23 12. Electrophysiology (r-e-ep)……........................………………………….. page 25 13. Gastroenterology Inpatient (r-e-i-GI)….………………......………………. page 27 14. Gastroenterology Outpatient (r-e-o-GI)……………………........…………. page 29 15. Gastroenterology UMCPP (p-e-gi)……………………………….............. page 31 16. Gastroenterology VA (GI-VA)……………………………………………. page 33 17. Hematology (r-e-hematology)……………………………………………. page 35 18. Heme Path (r-e-heme/path)………………………………………………... page 37 19. Hospital Administration (r-e-hospad).…………………………………….. page 39 20. Hypertension/Nephrology (p-e-htn)………………………….……………. page 41 21. Infectious Disease (r-e-id)…………………………………………………. page 43 22. Infectious Disease-ID Care (p-e-id)………………………….……………. page 45 23. Nephrology (r-e-nephro)………………………………………………….. page 47 24. Oncology CINJ (r-e-cinj)………………………………………….............. page 49 25. Oncology UMCPP (p-e-heme/onc)………………………………………... page 51 26. Palliative Care (r-e-pallcare)……………………………………………... page 53 27. Practice Tailoring (p/r-prac)………….……………..…………............... page 56 28. Pulmonary Medicine (r-e-pulm)………………………………………..page 58 29. Pulmonary Consults/Sleep (p-e-pulm) ………………………………….. page 60 30. Radiology (p-e-rad)……………………………………….. ………… page 62 31. Rheumatology (r-e-rheum)……..………………………………….…….. page 64 32. Transplant (r-e-transplant) ……...………………………………………... page 66 33. Geriatrics Rotation (clinic week for interns)……………………………… page 68 1

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Elective Manual Table of Contents

1. Expectations of an Elective Resident and Elective Attending………......page 2

2. Allergy & Immunology (r-e-allergy)…………………………………… page 3

3. Ambulatory Non-IM Specialty UMCPP (p-e-non-IM)..……………….... page 5

4. Cardiology CAB (r-e-o-card)………………………………….…………... page 7

5. Cardiology Inpatient (r-e-i-card)…………………………………………. page 9

6. Cardiology UMCPP (p-e-card)…………………….……………......... page 11

7. Congestive Heart Failure (r-e-chf)…………………………………………. page 13

8. Emergency Medicine UMCPP/IM subspecialty (p-e-er/im).......………... page 15

9. Emergency Medicine UMCPP/Psychiatry RWJ (p-e-er/psych) ................. page 18

10. Endocrinology (r-e-o-endo)……………………………………....………. page 21

11. Endocrine Consults/Thyroid (p-e-endo)………………………………… page 23

12. Electrophysiology (r-e-ep)……........................………………………….. page 25

13. Gastroenterology Inpatient (r-e-i-GI)….………………......………………. page 27

14. Gastroenterology Outpatient (r-e-o-GI)……………………........…………. page 29

15. Gastroenterology UMCPP (p-e-gi)……………………………….............. page 31

16. Gastroenterology VA (GI-VA)……………………………………………. page 33

17. Hematology (r-e-hematology)……………………………………………. page 35

18. Heme Path (r-e-heme/path)………………………………………………... page 37

19. Hospital Administration (r-e-hospad).…………………………………….. page 39

20. Hypertension/Nephrology (p-e-htn)………………………….……………. page 41

21. Infectious Disease (r-e-id)…………………………………………………. page 43

22. Infectious Disease-ID Care (p-e-id)………………………….……………. page 45

23. Nephrology (r-e-nephro)………………………………………………….. page 47

24. Oncology CINJ (r-e-cinj)………………………………………….............. page 49

25. Oncology UMCPP (p-e-heme/onc)………………………………………... page 51

26. Palliative Care (r-e-pallcare)……………………………………………... page 53

27. Practice Tailoring (p/r-prac)………….……………..…………............... page 56

28. Pulmonary Medicine (r-e-pulm)………………………………………..page 58

29. Pulmonary Consults/Sleep (p-e-pulm) ………………………………….. page 60

30. Radiology (p-e-rad)……………………………………….. ………… page 62

31. Rheumatology (r-e-rheum)……..………………………………….…….. page 64

32. Transplant (r-e-transplant) ……...………………………………………... page 66

33. Geriatrics Rotation (clinic week for interns)……………………………… page 68

1

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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 encounteredduring 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.

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 casebasis.

● Instruct residents on the diagnostic modalities that should be undertaken prior to referral to thespecialty.

● 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 thedisease.

● Educate residents about the cost of various diagnostic and treatment modalities.

● Discuss evidence-based medicine.

2

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-allergy

Elective Title: ALLERGY AND IMMUNOLOGY

Elective Site: CAB, Cranford, Warren, Iselin, Plainsboro

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS

Dr. Monteleone Dr. Monteleone Dr. Monteleone:

Dr. Monteleone Dr. Maccia (732) 235-7712

Dr. Maccia Dr. Caucino

Dr. Maccia- Warren Office:

MEB-358

Dr. Maccia Cranford Office: Stacy

19 Holly Street (732) 627-0900Cranford, NJ 07016 Cranford Office:

[email protected] (908)276-0666

Dr. Caucino Dr. Caucino: 666 Plainsboro Rd

Bldg 1000 Ste 1B (609) 799-8111Plainsboro, NJ 08536

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: AT ANY GIVEN TIME TRAINING MIN 1 week (Include residents from other

programs) All MAX 4 weeks PGY 2/3 MIN_____

MAX 1

STUDENTS OUTPATIENT _X_

YES NO X NO NIGHT CALL INPATIENT__

NO WEEKENDS MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

CAB 1 World Fair 10am - Cranford 1 World Fair Warren Office AM Dr. Monteleone Drive Office Drive Dr. Maccia

Suite 1200 Dr. Maccia Suite 1200 65 Mountain Blvd Somerset NJ 19 Holly Street Somerset NJ Ext, Suite 107

Dr. Maacia Suite 9 Dr. Maacia

Warren, NJ 07059

Cranford, NJ 07016

PM CAB CAB CAB Dr. Monteleone

1 World Fair DriveSuite 1200

Dr. Monteleone Dr. Monteleone

(PM only after

September 1st

)

Residents are required to attend the following program activities: Weekly Grand Rounds, Monthly Humanism & Professionalism and/or Business of Medicine Conference. Residents are

not required to attend Noon Report/Conference when they are off-site.

If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective.

3

Warren Office

Dr. Maccia

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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 skintesting 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, anddisease 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, acrossmany ethnic and socio-economic groups.

● Types of Clinical Encounters: Solely outpatient encounters in the allergy clinic of the RWJ CAB and in theprivate 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 whereresidents 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 New Innovations: 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 New Innovations. The elective is evaluated on theextent 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 physician.

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 thediagnostic and management plans under the supervision of attending physicians.

4

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INTERNAL MEDICINE HOUSESTAFF

SELECTIVE ROTATION

Schedule Legend: p-e-non-IM

Elective Title: AMBULATORY Non IM Specialty Elective Site: UMCPP and RWJ CAB Clinic

ELECTIVE CONTACT CONTACT PHONE: ELECTIVE FACULTY: NAME / ADDRESS

ELECTIVE DIRECTOR: Dr. Payal Dave

Refer to schedule Refer to schedule

See Below

Dr. Kathy Robison [email protected]

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL AT ANY GIVEN TIME OF TRAINING

MIN 1 week (Including from other All MAX 4 weeks programs) PGY 2/3

MIN___ MAX ___1

STUDENTS OUTPATIENT_X_

YES NO X NO NIGHT CALL INPATIENT __

NO WEEKENDS MIXED __

NO NIGHT CALL

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY AM Dermatology Urology (call or email Dermatology Gynecology (call

9 AM – 12 PM before!) 9 AM – 12 PM before!) Dr. Felix Urman 9 AM – 12 PM Stanley Dr. Felix Urman 9:30 AM – 12 PM 75 Veronica Ave. Ste 205 Rosenberg, MD 75 Veronica Ave. Ste 205 Drs. Ibrahim, Sison, Somerset, NJ 08873 Barry Rossman, MD Somerset, NJ 08873 Resnick, Naraine [email protected] Robert Pickens, MD [email protected] Research/QI Comprehensive OB/Gyn

Alexander Vukasin, MD Care of Princeton Urology Group of UMCPP Clinic on Friday Princeton mornings Forrestal Village (contact person: Ann 134 Stanhope St. Marie/ext.6308) Princeton, NJ 609-252-8756609-924-6487fax: 609-921-7020USE:

[email protected]

PM Orthopedic GYN – Female Pelvic Orthopedic 1:30 – 5 PM Medicine 1:30 – 5 PM W. Thomas Gutowski, MD W. Thomas Gutowski,

1:30 -5 PM MD

Medical Arts Pavilion Research/QI

Dr. Saya Segal Research/QI UMCPP, 4th Floor 325 Princeton Ave.

609-655-4848 CAB 4100 Princeton, NJ fax: 609-924-8532 609-924-8131

[email protected]

du

Cell: 732-998-7121

Residents are required to attend the following program activities: Weekly Grand Rounds, Monthly Humanism & Professionalism and/or Business of Medicine Conference.

Residents are not required to attend noon report if they are off-site.

If residents need to be excused from the rotation for any other reason such as recruitment activities or

fellowship interviews, they must notify their elective preceptor after obtaining Chief Resident approval.

5

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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, neurologyand urology.

● To improve physical exam skills in specific areas such as the HEENT, skin, joint, prostate, pelvic, andneuro 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 attending physicians including differential diagnosis, pathophysiology, managementand 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, acrossmany ethnic and socio-economic groups.

● Types of Clinical Encounters: Mainly outpatient encounters in the private offices of communityphysicians.

● 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 wellas full services available at UMCPP 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 New Innovations: 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 New Innovations. The elective is evaluated on the

extent to which educational goals and objectives were met, the resident’s clinical experience and learningopportunities, and the teaching interest and ability of attending physicians

Level of Resident Supervision

● Primary responsibility for care lies with the attending physician.

● Residents will take histories and physicals on new patients and see return visits under the supervision ofattending physicians.

6

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-o-card

Elective Title: CARDIOLOGY CAB Elective Site: RWJ CAB Clinic

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS:

201-406-3599 (cell)Dr. James Coromilas UCG Faculty Dr. Coromilas 732-235-7856 (office)

MEB 5th

Floor, 582B Resident to call Dr.New Brunswick, NJ 08903 Coromilas 1 week

prior to start of rotation

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL

AT ANY GIVEN TIME OF TRAINING MIN 1 week (Including other programs)

All MAX 4 weeks MIN__

PGY __

MAX 1 ALL X

STUDENTS NO NIGHT CALL OUTPATIENT _X_

YES NO X NO WEEKENDS INPATIENT__

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

From Cardiology Cardiolog

y Cardiology Cardiology Cardiology Conf

ConferenceConferenc

eConference Conference

2 CORE Conf Room MEB 583 8:00 – MEB 583 MEB 583

MEB 583 MEB 583 9:00am

AM CAB Clinic CAB Clinic CAB Clinic CAB Clinic CAB Clinic

CAB 5200 (5th

Floor)

PM CAB Clinic CAB Clinic CAB Clinic CAB Clinic CAB Clinic

Thursday 12:00 – 1:00 EKG Conference (Excused from RWJ Journal Club) Residents are required to attend all program activities:

Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and/or 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

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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 attending physicians including differential diagnosis,pathophysiology, management, disease course.

● Didactics: Attending physicians 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, acrossmany ethnic and socio-economic groups.

● Types of Clinical Encounters: Primarily outpatient encounters in a UMCPP cardiology practice and in theoffice of a community cardiologist. Occasional inpatient consults at UMCPP.

● Procedures: Review ECHO and Cardiac Catheterization reports; Interpret stress test results.

● Services: Services include access to a cardiac catheterization lab, nuclear and exercise stress lab, and anECHO lab.

Educational Materials

● Recommended Reading: Braunwald’s Textbook of Cardiology.

● Pathological Materials: N/A

● Other Educational Resources: A full service library with computers is available in the MEB whereresidents 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 New Innovations: 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 New Innovations. The elective is evaluated on theextent to which educational goals and objectives were met, the resident’s clinical experience and learning

opportunities, and the teaching interest and ability of attending physicians.

Level of Resident Supervision

● Primary responsibility for care lies with the attending physicians..

● Residents will take histories and physicals on new patients, see return visits, and play an active role in thediagnostic and management plans under the supervision of attendings.

8

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-i-card

Elective Title: Cardiology Inpatient Elective Site: RWJUH

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS:

201-406-3599 (cell)Dr. James Coromilas UCG Consult Attending Dr. Coromilas 732-235-7856 (office)

MEB 5th

Floor, 582B Resident to call Dr.New Brunswick, NJ 08903 Coromilas 1 week

prior to start of rotation

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL

AT ANY GIVEN TIME OF TRAINING MIN 1 week (Include other programs)

All MAX 4 weeks MIN__

PGY __

MAX 1 ALL X

STUDENTS

NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT _X_ YES NO X

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

AM Inpatient Inpatien

t Inpatient Inpatient Inpatient Consults

Consults and Consults and Consults and Consults and and Rounds

Rounds

Rounds Rounds Rounds

PM

Residents are required to attend all program activities:

Cardiology Morning Report, Monday, Wednesday and Friday at 7:30am. Cardiology Grand Rounds Tuesday AM from September – June. Cardiology Conference 8:00am – 9:00 AM, Monday

- Friday ECG Conference 12:00 Noon – 1:00pm. (Excused from Journal Club)

Medicine Grand Rounds on Wednesday Morning at 8:00 am takes precedence over any of the above conflicting events.

Residents will be expected to attend Daily Noon Report and Conference in MEB 108B, except on Thursdays.

If residents need to be excused for any other reason such as recruitment activities or fellowship interviews, they must notify their elective preceptor in advance.

9

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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, diseasecourse.

● 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 manyethnic and socio-economic groups.

● Types of Clinical Encounters: Primarily inpatient encounters at RWJUH.

● Procedures: Review ECHO and Cardiac 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 CardiologyPathological Materials: N/A

● Other Educational Resources: A full service library with computers is available in the MEB whereresidents 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 New Innovations: 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 New Innovations. The elective is evaluated on the

extent to which educational goals and objectives were met, the resident’s clinical experience and learningopportunities, 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 thediagnostic and management plans under the supervision of attendings.

10

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: p-e-card

Elective Title: UMCPP CARDIOLOGY Elective Site: UMCPP

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS:

Dr. Lisa Motavalli Dr. Lisa Motavalli 609-853-7220Dr. Lisa Motavalli [email protected] (Medicine Office)

Resident must contact Dr.

Daily start time is 8am 1 Plainsboro Road Motavalli prior to Plainsboro, NJ the start of the

elective.

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL AT ANY GIVEN TIME OF TRAINING

MIN 1 week (Include other programs)

All MAX 4 weeks MIN__

PGY __

MAX 1 ALL X

STUDENTS

NO NIGHT CALL OUTPATIENT NO WEEKENDS INPATIENT YES NO X

MIXED _X_

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

8 AM Grand Rounds 8- 9am

Clinics Clinics

Clinics Clinics Clinics Procedures Procedures Procedures Procedures

Procedures

M

Residents are required to attend all program activities: Daily Noon Report and Conference and Weekly Grand Rounds.

If residents need to be excused for any other reason such as recruitment activities or fellowship interviews, they must notify their elective director.

11

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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,Cardiac Catheterization, 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 attending physicians including differential diagnosis,pathophysiology, management, disease course.

● Didactics: Attending physicians 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 manyethnic and socio-economic groups.

● Types of Clinical Encounters: Primarily outpatient encounters in a UMCPP cardiology practice and in theoffice of a community cardiologist. Occasional inpatient consults at UMCPP.

● Procedures: Review ECHO and Cardiac Catheterization reports; Interpret stress test results.

● Services: Services include access to a cardiac catheterization lab, nuclear and exercise stress lab, and anECHO 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 whereresidents 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 New Innovations: 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 New Innovations. The elective is evaluated on the

extent to which educational goals and objectives were met, the resident’s clinical experience and learningopportunities, and the teaching interest and ability of attending physicians.

Level of Resident Supervision

● Primary responsibility for care lies with the attending physicians.

● Residents will take histories and physicals on new patients, see return visits, and play an active role in thediagnostic and management plans under the supervision of attending physicians.

12

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-chf ELECTIVE TITLE: Congestive Heart Failure Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS

Dr. Almendral Dr. Almendral TEL: (732) 253-3356

Drs. Almendral, Iyer Drs. Almendral, Iyer Plum Street, 7th

Floorand Modi and Modi New Brunswick Resident must contact

Dreamy James, APN

[email protected] on the first morning of the rotation. 732-853-

4918

(If unavailable, contact Dr. Almendral)

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AT ANY GIVEN TIME TRAINING ALL MIN 1 week (Including other programs)

MAX 4 weeks MIN_____

PGY 2/3

MAX 1 _

STUDENTS NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT _X_

YES NOX MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

AM Inpatient Inpatient Inpatient Inpatient Inpatient Consults

Consults and Consults and Consults and Consults and and Rounds

Rounds Rounds Rounds Rounds

PM

Residents are required to attend all program activities:

Cardiology Morning Report, Monday, Wednesday and Friday at 7:30am. Cardiology Grand Rounds Tuesday AM from September – June. Cardiology Conference 8:00am – 9:00 AM, Monday

- Friday ECG Conference 12:00 Noon – 1:00pm. (Excused from Journal Club)

Medicine Grand Rounds on Wednesday Morning at 8:00 am takes precedence over any of the above conflicting events.

Residents will be expected to attend Daily Noon Report and Conference in MEB 108B, except on

Thursdays. If residents need to be excused for any other reason such as recruitment activities or fellowship

interviews, they must notify their elective preceptor in advance.

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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, andCath.

● 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 manyethnic and socio-economic groups.

● Types of Clinical Encounters: Patients are seen both on the heart failure service in the hospital and in theheart failure clinic at RWJ CAB.

● Procedures: Review Cath reports and myocardial biopsy results.

● Services: Full range of specialty and sub-specialty 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

● Other Educational Resources: A full service library with computers is available in the MEB whereresidents 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 New Innovations: 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 New Innovations. The elective is evaluated on theextent 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 attending physicians and fellows.

● Residents will take histories and physicals on new patients, see return visits, and play an active role in thediagnostic and management plans under the supervision of attending physicians.

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INTERNAL MEDICINE HOUSESTAFF

SELECTIVE ROTATION

Schedule Legend: p-e-er/im Elective Title: Emergency Medicine/IM subspecialty

Elective Site: UMCPP Emergency Room—Intake Area

CAB/Chandler-Subspecialty offices

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: Dr. Craig NAME / ADDRESS

Gronczewski Please see below Please see below

(Chair-UMCPP ED) Please see below

Dr. Ranita Sharma

[email protected]

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

All AT ANY GIVEN TIME TRAINING

MIN 1 week (Including other programs)

MIN______ MAX 4 weeks PGY 2/3 MAX 2

Some evenings in ED, OUTPATIENT X STUDENTS

no weekend INPATIENT __

MIXED __ YES NO X

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

9 AM –

12 PM Neurology Endocrine Neurology CAB CAB 5100 CAB

Dr. Wang / Sharma

12:00- Noon Report/ Noon Report/ Noon Noon Report/ Noon Noon Report/ Noon Report/ 1:00 Noon conference at conference at Noon Noon

PM conference UMCPP UMCPP conference conference

UMCPP ER UMCPP ER Endocrine 1:00 – Neurology 1-8pm 1-8pm

5 PM CAB Dr. Craig Dr. Craig CAB 1500 HIV Clinic

(IM) Gronczewski Gronczewski Dr. Wang Chandler (Chair-UMCPP ED) (Chair of UMCPP

Dr. Jacob Or cgronczewski@princeton ED) hcs.org cgronczewski@princeton 609-497-4431(Main

1:00 – hcs.org

ED) 609-497-4431(Main8:00

609-497-4111(Intake ED) PM Area) 609-497-4111(Intake(ER) Area)

At the beginning of your ER 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. Also, meet Dr. Gronczewski in his office for a brief orientation. There will be a maximum of 2 residents on the rotation per block. Residents will be provided with a sign-in sheet that will need to be

submitted at the end of the rotation to the chief resident. Residents are required to attend the following program activities:

Daily Noon Report and conference, Monthly Humanism & Professionalism Conference and Business of Medicine Conference (at RWJ on Mondays, Thursdays and Fridays and UMCPP on Tues and Weds) If residents need to be excused for any other reason such as

recruitment activities or fellowship interviews, they must notify their elective.

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Goals and Objectives: IM Specialty Selective (HIV, Endo) and Neuro

Educational Purpose ● To ensure all residents get exposed to commonly encountered outpatient problems in endocrinology,

neurology, 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 andbiopsy.

● To learn appropriate screening modalities for monitoring the complications of diabetes.

● To apply the algorithm for working up a thyroid mass.

● To understand the principles of drug therapy in management of HIV and to learn the classside effects.

● To increase familiarity with the complications of HIV/AIDS.

● To determine when it is appropriate to initiate a referral to an endocrinologist and neurologist

● Please refer to the Endocrinology, Neurology and Infectious Disease sections of our Competency BasedCurriculum for further details.

Teaching Methods

● Supervised direct patient care

● Case discussions with attendings including differential diagnosis, pathophysiology, management, diseasecourse.

● 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; HIV and its complications, headaches, strokes, neuromusculardisorders, dementia.

● Patient Characteristics: Varied in age from adolescents to the elderly, males and females, acrossmany ethnic and socio-economic groups.

● Types of Clinical Encounters: Solely outpatient encounters in the endocrine clinic at RWJ CAB, neurologyclinic at RWJ CAB, and HIV clinic at Chandler Health Center.

● Procedures: Occasionally observe FNA of thyroid masses.

● Services: Full range of clinical and consultative services available at RWJUH; access to an extensivelaboratory and radiology department.

Educational Materials ● Recommended Reading: William’s Textbook of Endocrinology, Mandell’s Principles and Practice of

Infectious Disease.

● Pathological Materials: thyroid biopsies reviewed

● Other Educational Resources: A full service library with computers is available in the MEB whereresidents 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 New Innovations: 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 New Innovations. The elective is evaluated on theextent to which educational goals and objectives were met, the resident’s clinical experience and learningopportunities, and the teaching interest and ability of attendings/fellows.

Level of Resident Supervision

● Primary responsibility for care lies with the attendings and fellows.

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● Residents will take histories and physicals on new patients, see return visits, and play an active role in thediagnostic and management plans under the supervision of attendings.

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 ofabove 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, diseasecourse.

● 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 UMCPP ED.

● Procedures: Some procedure may be done in the ED including suturing, splinting, jointaspiration/injection, and venous blood draws.

● Services: Full range of specialty and subspecialty services are available through UMCPP.

Educational Materials

● Recommended Reading: Rosen’s Emergency Medicine

● Pathological Materials: N/A

● Other Educational Resources: A full service library with computers is available at UMCPP whereresidents 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 New Innovations: 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 New Innovations. The elective is evaluated on theextent 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.

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INTERNAL MEDICINE HOUSESTAFF

SELECTIVE ROTATION

Schedule Legend: p-e-er/psych Elective Title: Emergency Medicine/Psychiatry

Elective Site: UMCPP Emergency Room—Intake Area

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

NAME / ADDRESS 609-497-4431(Main

ED)

ED: Dr. Craig Gronczewski 609-497-4111 (Intake

Area)

Please see below Please see below Psych: TEL: (732)235-4403 Psych: Dr. Anthony Tobia

FAX: (732) 235-5644 MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AT ANY GIVEN TIME TRAINING All MIN 1 week (Including other programs)

MAX 4 weeks MIN_______ PGY2/3 MAX

2

Some evenings, no OUTPATIENT X STUDENTS weekends INPATIENT __ YES X (Psych) NO X (ER)

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

9 AM – Psychiatry Psychiatry 12 PM Rounds with Rounds with Dr.

Dr. Tobia start Tobia start at at 9:00 (meet 9:00 (meet in

in CAB Suite CAB Suite

2200) 2200)

Noon Report/ Noon Report/ Noon Report/ Noon Report/ Noon Report/ 12:00- Noon conference Noon Noon conference Noon conference Noon 1:30 conference conference

PM

UMCPP ER Psychiatry UMCPP ER UMCPP ER Psychiatry

1:30 – 1-8pm Contact Dr. 1-8pm 1-8pmContact

Dr. 5 PM Dr. Craig Tobia after Dr. Craig Dr. Craig Tobia after noon

(IM) Gronczewski noon Gronczewski Gronczewski conference

(Chair-UMCPP conference (Chair-UMCPP (Chair-UMCPP 732-470-9679OR ED) 732-470-9679 ED) ED)

cgronczewski@pr cgronczewski@pri cgronczewski@pr 1:30 – incetonhcs.org ncetonhcs.org incetonhcs.org

8PM 609-497-4431 609-497-4431 609-497-4431(UMCPP ED) (UMCPP ED) (UMCPP ED)609-497-4111 609-497-4111 609-497-4111(Intake Area) (Intake Area) (Intake Area)

At the beginning of your first ER 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. Also, meet Dr. Gronczewski in his office

for a brief orientation.

There will be a maximum of 2 residents on the rotation per block. Residents will be provided with a sign-in sheet that will need to be submitted at the end of the rotation to the chief resident.

Residents are required to attend the following program activities: Daily Noon Report and conference, Monthly Humanism & Professionalism Conference and Business of

Medicine Conference, at whichever site is closest to their next shift.

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If residents need to be excused for any other reason such as recruitment activities or fellowship interviews, they must notify their elective.

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 ofabove 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 attending physicians including differential diagnosis,pathophysiology, management, disease course.

● Didactics: Attending physicians 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: Patients are seen on the urgent care side of the UMCPP 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 UMCPP.

Educational Materials

● Recommended Reading: Rosen’s Emergency Medicine

● Pathological Materials: N/A

● Other Educational Resources: A full service library with computers is available at UMCPP whereresidents 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 New Innovations: 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 New Innovations. The elective is evaluated on theextent to which educational goals and objectives were met, the resident’s clinical experience and learningopportunities, and the teaching interest and ability of attending physicians.

Level of Resident Supervision Primary responsibility for care lies with the attending physician. Residents will take histories and physicals on new patients and see return visits under the supervision of attending physicians.

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Goals and Objectives: Psychiatry Elective- Dr. Tobia

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 New Innovations: 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 New Innovations. 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.

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-o-endo

Elective Title: ENDOCRINOLOGY Elective Site: RWJ CAB Clinic

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

NAME / ADDRESS

Dr. Lubitz Drs. Amorosa, Dr. Lubitz TEL: (732) 235-7748

Schneider, Ohri, MEB-384

PLEASE EMAIL DR. LUBITZ Sharma,

AT LEAST ONE WEEK

Lubitz, Wang, Salsali,

[email protected] FAX: (732) 235-7096

BEFORE STARTING THE

Erondu, Santora

ROTATION.

PLEASE EMAIL DR. LUBITZ AT

LEAST ONE WEEK BEFORE

STARTING THE ROTATION.

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

MIN 1 week

AT ANY GIVEN TIME TRAINING

(Including other programs)

All MAX 4 weeks PGY 1/2/3

MIN______

MAX 4

OUTPATIENT X STUDENTS

NO NIGHT CALL INPATIENT __

NO WEEKENDS MIXED __ YESX NO

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

CAB 5100 CAB 5100 Inpatient with CAB 5100 8am Didactics

AM (8am) Dr. Ohri/ Dr. Ohri/ fellow Dr. Wang/Sharma MEB 393

Wang/Sharma Wang/Sharma

CAB 5100

Dr.

Salsali/Santora/

Erondu

CAB 5100 CAB 5100 Inpatient with CAB 5100 CAB 5100

PM Dr. Amorosa/ Dr. Ohri/ Wang fellow Dr. Amorosa/ Dr. Lubitz /

Lubitz Schneider Sharma / Wang

PLEASE EMAIL DR. LUBITZ AT LEAST ONE WEEK BEFORE STARTING THE ROTATION.

Residents are required to attend all program activities: Daily Noon Report and Conference, Weekly Grand Rounds, and Special Humanism

& Professionalism Conference and Business of Medicine Conferences in MEB 108B.

If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective site director and obtain chief resident approval

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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 attending physicians including differential diagnosis,

pathophysiology, management, disease course. ● Didactics: Attending physicians 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

insufficiency, 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 New Innovations: 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 New Innovations. 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 attending physicians 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 attending physicians.

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: p-e-endo

Elective Title: ENDOCRINE Consults/Thyroid Elective Site: UMCPP/Outpatient Endocrine

ELECTIVE DIRECTOR: ELECTIVE ELECTIVE CONTACT CONTACT PHONE:

FACULTY: NAME / ADDRESS

Princeton Endocrine

Dr. Hollander Dr. Hollander Office:

Bembo/Hollander [email protected] 609- 924-4433

PLEASE EMAIL DR. HOLLANDER AT Lawrenceville Endocrine

LEAST ONE WEEK BEFORE Office:

STARTING THE ROTATION.

609-896-0075

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

MIN 1 week

AT ANY GIVEN TIME TRAINING

(Including other programs)

All MAX 4 weeks PGY 1/2/3

MIN______

MAX 4

OUTPATIENT X STUDENTS

NO NIGHT CALL INPATIENT __

NO WEEKENDS MIXED __ YESX NO

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Endocrine Out- Endocrine Out- Endocrine Out- Endocrine Out- Endocrine Out-

AM (8am) Patient Visits & Patient Visits & Patient Visits & Patient Visits & Patient Visits &

Thyroid US Thyroid US Thyroid US Thyroid US Thyroid US

601 Ewing St. 601 Ewing St. 601 Ewing St. Suite 601 Ewing St. 601 Ewing St.

PM Suite C8 Suite C8 C8 Suite C8 Suite C8

Residents are required to attend all program activities: Daily Noon Report and Conference, Weekly Grand Rounds, and Special Humanism

& Professionalism Conference and Business of Medicine Conferences in MEB 108B.

If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective site director and obtain chief resident approval

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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 attending physicians including differential diagnosis,

pathophysiology, management, disease course. ● Didactics: Attending physicians 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

insufficiency, 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 New Innovations: 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 New Innovations. 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 attending physician ● 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 attending physicians.

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-ep

Elective Title: ELECTROPHYSIOLOGY (EP) Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Terri:

James Coromilas Dr. Saluja (732) 235-6566

Dr. Deepak Archana Patel [email protected] Must contact Dr. Saluja

Saluja Deepak Saluja s.edu 1-2 days prior to start

William Costis 125 Paterson St of rotation at 917-957-

New Brunswick, NJ, 2598

08903 FAX:(732) 235-8371

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

(Including other programs)

All MAX 4 weeks PGY 2,3

MIN____

MAX 1

STUDENTS

NO NIGHT CALL OUTPATIENT __

NO WEEKENDS INPATIENT X YES X NO

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

AM Inpatient Inpatient Inpatient

Inpatient Consults and Consults and Consults and Inpatient

Consults and Rounds Rounds Rounds Consults and

Rounds Rounds

CCU lecture

EKG Conference

EP Procedure (2:00pm) (12:00 noon)

Observation

EP Procedure EP Procedure

Observation Observation

PM

Residents are required to attend all program activities: Daily Noon Report and Conference (exception is EKG conf on Thursday at noon), Weekly

Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine

Conference.

If residents need to be excused for any other reason such as recruitment activities or fellowship interviews, they must notify their elective.

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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 anti-arrhythmic medications

Teaching Methods

● Supervised direct patient care ● Case discussions with attending physicians 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, Arryhthymia 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 New Innovations: 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 New Innovations. 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 physicians/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 attending physicians and cardiology fellows.

26

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-i-GI

Elective Title: GASTROENTEROLOGY- INPATIENT Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

(732) 235-6994

Dr. Bandari GI Consult Attending GI Fellow FAX:(732) 235-7792

Resident must page

the GI consult fellow

on the first morning of

the rotation

MONTHS DURATION/WEEKS TOTAL RESIDENTS

RESIDENTS LEVEL OF

AVAILABLE: MIN

1 week

AT ANY GIVEN TIME TRAINING

(Including other programs)

All

MAX 4 weeks PGY 1/2/3

MIN_____

MAX 1

STUDENTS

NO NIGHT CALL OUTPATIENT __

NO WEEKENDS INPATIENT X YES X NO

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Inpatient Inpatient Inpatient Inpatient GI Conference

AM Consults and Consults and Consults and Consults and MEB 492

Rounds Rounds Rounds Rounds

Inpatient

Consults and

Rounds

PM

GI Conferences will be at 9am on Fridays until August, after which time will be 1-3pm

Residents are required to attend: Daily Noon Report and Conference, Weekly Grand Rounds, and Special 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 director.

27

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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 attending physicians including differential

diagnosis, pathophysiology, management, and disease course.

● Didactics: Attending physicians 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 New Innovations: 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 New Innovations. 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 attending physicians 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 attending physicians.

28

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-o-gi

Elective Title: GASTROENTEROLOGY OUTPATIENT Elective Site: CAB

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

GI Faculty TEL:(732) 235-7784

Dr. Bandari Dr. Bandari

FAX:(732) 235-7792

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

(Including other programs)

All MAX 4 weeks MIN_______________ PGY 1/2/3

MAX

2

EXCEPT: (Including outside

rotator

OUTPATIENT X STUDENTS

NO NIGHT INPATIENT __

CALL MIXED __ YES X NO

NO

WEEKENDS

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

CAB Clinic CAB Clinic CAB Clinic CAB Clinic

8AM Or Or Or

Or CAB Clinic

Endoscopy suite Endoscopy suite Endoscopy suite Endoscopy suite Or

Endoscopy suite

CAB Clinic CAB Clinic CAB Clinic CAB Clinic +

PM Or Or Or

Or GI Conference

Endoscopy suite Endoscopy suite Endoscopy suite Endoscopy suite

(see time below)

MEB 492

GI Conferences will be at 9am on Fridays until August, after which time will be 1-3pm

Residents are required to attend all program activities: 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.

29

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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: Attending physicians 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 sub-specialty 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 New Innovations: 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 New Innovations. 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 physicians/fellows.

Level of Resident Supervision

● Primary responsibility for care lies with the attending physicians 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 attending physicians.

30

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: p-e-gi

Elective Title: GASTROENTEROLOGY Princeton Elective Site: UMCPP

ELECTIV

E ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS (609) 853-7220

(Medicine Office)

Dr. K. Skole

Dr. Kevin Skole Dr. Skole Start time is 7:45am

Dr. Hsu [email protected]

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME OF TRAINING

(Including other programs)

All MAX 4 weeks PGY 1/ 2/3

MIN______

EXCEPT: August MAX 1

OUTPATIENT __ STUDENTS

NO NIGHT CALL INPATIENT __

NO WEEKENDS MIXED _X_ YES NO X

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

7:45 Clinic / Clinic / UMCPP or Clinic / Clinic /

AM Procedures / Procedures / 401 Ridge Rd. Procedures / Procedures /

Consults@ Consults@ Dayton, NJ with Consults@ Consults@

UMCPP UMCPP Dr. Skole UMCPP UMCPP

PM UMCPP or

281 Witherspoon

Street, Princeton

NJ with Dr. Hsu

PLEASE CONTACT DR. SKOLE ON THE FIRST MORNING OF THE ELECTIVE TO PLAN YOUR SCHEDULE

Residents are required to attend all program activities: 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.

31

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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 sub-specialty 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 at UMCPP 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 New Innovations: 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 New Innovations. 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.

32

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: GI-VA

Elective Title: GASTROENTEROLOGY VA _ Elective Site: Lyons, VA

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Dr. Lenza Dr. Lenza Dr. Lenza Tel: (908) 647-0180

dial 1 then ext. 4540 or 4644

[email protected] Fax: 908-604-5271 (VA)

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

(Including other programs)

MAX 4 weeks

MIN______

PGY 1/2/3

All

MAX 1

OUTPATIENT _X_ STUDENTS

NO NIGHT INPATIENT __

CALL MIXED __ YES NO X

NO

WEEKENDS

Please follow the instructions for “Processing”: 1) GI is located in Bldg 3, 1

st floor but resident must first report to bldg 1, 2

nd 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

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Lyons GI Lyons, VA Lyons GI Lyons GI RWJ – MEB

FROM Procedures GI Clinic Procedures Procedures Conference 8:15 am Consults Consults Consults

Lyons GI Lyons, VA Lyons GI Lyons GI Lyons, VA

UNTIL Procedures GI Clinic Procedures Procedures GI Clinic 5 pm Consults Consults Consults

Residents are required to attend the following program activities: Special Humanism & Professionalism and Business of Medicine Conferences.

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 director and have Chief Resident approval.

Goals and Objectives: Gastroenterology VA Elective 33

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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 New Innovations: 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 New Innovations. 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. 34

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-hematology

Elective Title: HEMATOLOGY Elective Site: CAB/ RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Dr. Guo Dr. Guo (732) 235-7682

Dr. Claire Philipp Dr. Harpel MEB 378A

[email protected] Dr. Kaveney [email protected].

.edu Dr. Philipp edu

MONTHS DURATION/WEEKS TOTAL RESIDENTS

RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

(Include other programs)

MAX 4 weeks PGY 1/2/3

ALL

MIN______

MAX 1

OUTPATIENT STUDENTS

NO NIGHT CALL INPATIENT

NO WEEKENDS MIXED _X_ YES NOX

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

General Heme Thrombosis Hemophilia General Heme General Heme AM Clinic Clinic Clinic Clinic & Sickle Cell

Clinic

CAB 5200 CAB 5200 CAB 5200 CAB 5200

CAB 5200

Dr. Guo Dr. Guo Dr. Kaveney Dr. Harpel

Dr. Harpel Dr. Kaveney Dr. Harpel

General Heme Thrombosis Hemophilia General Heme Inpatient PM Clinic Clinic Clinic Clinic Consults w/

Fellow and Attg

Dr. Eid Dr. Philipp Dr. Philipp Dr. Guo

Dr. Kaveney Dr. Rose

Residents are required to attend all program activities: 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

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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 attending physicians 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 New Innovations: 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 New Innovations. 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 attending physicians 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 attending physicians.

36

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE FORM

Schedule Legend: r-e-heme/path

ELECTIVE TITLE: HemePath Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Myra Martinez

Dr. Salaru and other Dr. Salaru TEL: (732) 235-8121

Dr. Salaru Pathology Faculty Myra Martinez

RWJMS

FAX: (732) 235-8124

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

ALL MAX 4 weeks MIN_____ PGY 3

With Heme/Onc Interest

MAX 1 _

STUDENTS

NO NIGHT CALL OUTPATIENT __

NO WEEKENDS INPATIENT X

YES NOX

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Review of HemePath Review of Review of slides Review of slides

AM slides and

Conference slides and and biopsies and biopsies

biopsies Review of slides and biopsies

biopsies

Review of Review of slides and Review of Review of slides Review of slides

PM slides and biopsies slides and and biopsies and biopsies

biopsies biopsies

Residents are required to attend all program activities: 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

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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 New Innovations: 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 New Innovations. 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

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-hospad

Elective Title: HOSPITAL ADMINISTRATION Elective Site: RWJUH

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

NAME / ADDRESS

Dr. Joshua Bershad Hospital Administration Brenda Cuntala TEL: (732) 937-8897

Senior Vice President &

FAX: (732) 937-8930

CEO, RWJUH Contact Dr. Bershad at

least 1 week prior to

starting this elective.

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

MIN

1 week

AT ANY GIVEN TIME TRAINING

Special Assignment

MAX 4 weeks

MIN______

PGY 2/3

MAX 1

NO NIGHT CALL OUTPATIENT N/A

NO WEEKENDS INPATIENT N/A

MIXED N/A

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Interview with Senior

Interview with Interview with Interview with Interview with Senior

AM Staff and attend Senior Staff Senior Staff Senior Staff and Staff and attend

meetings and attend and attend attend meetings meetings

meetings meetings

PM

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:

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.

Goals and Objectives: Hospital Administration Elective

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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

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: p-e-htn

Elective Title: HYPERTENSION/NEPHROLOGY Elective Site: Princeton Junction

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Drs. M. Ruddy, G. Bialy, Dr. Finkielstein (609) 750-7330 (Denise)

Dr. V. Finkielstein

V. Finkielstein,,

FAX: (609) 750-7336

S. Basi Denise Mattie

88 Princeton Hightstown Rd

Suite 203

Princeton Junction, NJ 08550

[email protected]

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

All MAX 4 weeks MIN__ PGY 1/2/3

MAX 2

NO NIGHT CALL STUDENTS

NO WEEKENDS OUTPATIENT X

YES X NO

INPATIENT __

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

GRAND ROUNDS at

AM OFFICE UMCPP 8-9am OFFICE OFFICE OFFICE

OFFICE

PM OFFICE OFFICE OFFICE OFFICE OFFICE

Residents are required to attend the following program activities: Weekly Grand Rounds 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.

41

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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 UMCPP. 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 New Innovations: 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 New Innovations. 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

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-id

Elective Title: INFECTIOUS DISEASE Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: Dr. T. Bhowmick NAME / ADDRESS

Dr J. Cornett TEL: (732) 235-7708

Dr. S. Boruchoff Dr. S. Boruchoff

Dr. S. Boruchoff Dr. D. Hart MEB-362 FAX: (732) 235-

Dr. McAuliffe

7951

Dr. M. Weinstein

Resident must

page the ID consult

fellow on the first

morning of the

rotation.

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME OF TRAINING

(Including other programs)

All MAX 4 weeks PGY 1/2/3

MIN

1

MAX 2

STUDENTS

NO NIGHT CALL OUTPATIENT __

NO WEEKENDS INPATIENT X YES X NO

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Consult Clinic or Consult Clinic or Consult Clinic or Consult Consult Rounds

AM Rounds Rounds with Rounds with Rounds with with fellows

with fellows fellows fellows fellows

Micro Conference

PM Rounds/ Journal Club

Conference Attending Rounds Attending Rounds Attending Rounds

Attending Rounds

Attending

Rounds

*Evaluations will be sent to ID Attending listed on RWJ schedule.

Residents are required to attend all program activities: 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

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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 attending physicians 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 New Innovations: 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 New Innovations. The elective is evaluated on the

extent to which educational goals and objectives were met and the teaching interest and ability of attending physicians/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 attending physicians.

44

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MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: p-e-id

Elective Title: Infectious Disease- Dr. Nahass Elective Site: Princeton/Somerset/New Brunswick

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

ID CARE Attendings Rohit Balla TEL: (908) 725-2522

Dr. Rohit Balla [email protected]

FAX: (908)725-5009

PLEASE EMAIL DR.

BHALLA AT LEAST ONE

WEEK BEFORE STARTING

THE ROTATION.

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

All MAX 4 weeks PGY2/3

MIN

0

MAX 2

STUDENTS

NO NIGHT CALL OUTPATIENT __

NO WEEKENDS INPATIENT __

MIXED X YES NOX

SCHEDULE

Monday Tuesday Wednesday Thursday Friday

a.m. Inpatient or Inpatient or Inpatient or Inpatient or Inpatient or

Outpatient Outpatient Outpatient Outpatient Outpatient

(pre-plan with (pre-plan with (pre-plan with (pre-plan with

(pre-plan with

Dr. Bhalla by Dr. Bhalla by Dr. Bhalla by Dr. Bhalla by Dr. Bhalla by

p.m. email) email) email) email) email)

PLEASE EMAIL DR. BHALLA AT LEAST ONE WEEK BEFORE STARTING THE ROTATION TO PLAN YOUR

SCHEDULE

Residents are required to attend the following program activities: 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.

45

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Goals and Objectives: Infectious Disease ID Care 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 STIs.

● 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 UMCPP.

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 New Innovations: 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 New Innovations. The elective is evaluated on the

extent to which educational goals and objectives were met and the teaching interest and ability of attending

physicians.

Level of Resident Supervision

● Primary responsibility for care lies with the attending physicians. ● Residents will do initial histories and physicals, consultations and follow ups with supervision from

attending physicians.

46

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-nephro

Elective Title: NEPHROLOGY Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

TEL: (732) 235-4453

Drs. Lefavour, Leibowitz, ,

Dr. Lefavour

FAX: (732) 235-6124

Dr. G. Lefavour Sherman, Walker

MEB – 412D Resident must page the

UKG consult fellow on the

first morning of the

rotation.

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

All MAX 4 weeks PGY 1/2/3

MIN_______________

MAX 2

STUDENTS

NO NIGHT CALL OUTPATIENT __

NO WEEKENDS INPATIENT __ YES X NO

MIXED X

SCHEDULE

MONDAY TUESDAY WEDNESDA

Y THURSDAY FRIDAY

RWJ Hospital RWJ Hosp. RWJ Hospital RWJ Hosp. RWJ CAB

AM Consults & Consult & Consult & Consult & Rounds Nephrology Clinic

Rounds Rounds Rounds

RWJ Hosp. RWJ Hospital RWJ Hospital RWJ CAB RWJ Hospital

PM Consult & Consult & Consult & Nephrology Clinic Consult & Rounds

Rounds Rounds Rounds

Residents are required to attend all program activities: 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.

47

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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 (4

th Tuesday 4pm), Core Curriculum (1

st & 3

rd Wed 4pm), Case conf (2

nd Tues),

Practice based learning (1st Mon 4pm), Physiology (3rd Tue 8am), 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: Nephrology in 30 Days, 2nd edition, 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 New

Innovations: 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 New Innovations. 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.

48

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-cinj

ELECTIVE TITLE: ONCOLOGY- CINJ Elective Site: CINJ

ELECTIVE ELECTIVE FACULTY: CONTACT PHONE: DIRECTOR:

(732) 235-9692

Dr. Tina Mayer CINJ Faculty

ELECTIVE CONTACT

NAME / ADDRESS

Dr. Mayer (Janet Caswell)

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL

OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING (Including other programs)

All MAX 4 weeks PGY 1/2/3 MIN_______

MAX 1

STUDENTS NO NIGHT CALL OUTPATIENT X

YES NO X NO WEEKENDS INPATIENT __

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

AM

Cluster 1 - Malhotra

Cluster 2 - Poplin

Women's Center - Stein, Ferrari

East Tower, David, Patel, Strair

Cluster 2 - Mayer and Malhotra

Women's Center - Mehnert, Toppmeyer, Chan

East Tower - Cooper

Cluster 2 - Mayer, Malhotra, Poplin, Malhotra

Plum Street - Aiken

Women's Center - Stein, Omene, Ganesan

East Tower - Bannerji

Cluster 2 - Poplin

Women's - Silk

East Tower - Strair and Schaar

PM Mayer SteinMehnert Silk Toppmeyer Hirschfield

Cluster 1 - Malhotra

Women's Center - Stein, Ferrari,

East Tower- David and Patel

Cluster 2 - Malhotra

Women's Center - Toppmeyer and Chan

Plum Street- Aiken

CEast Tower - Cooper

Cluster 2- Mayer & Malhotra

Women's Center - Stein, Omene,

Ganesan

East Tower - Schaar

GU - Mayer, Ferrari, SteinGI - Usha Malhotra, Poplin

Lung - Jyoti Malhotra, AisnerBreast - Toppmeyer, Chan, Omene, Ganesan, Hirshfield

Melanoma - Silk, MehnertHeme malignancy – David, Strair, V Patel, Schaar, Bannerji, Cooper

Neuro-onc - Aiken

Though residents typically can’t access ARIA (CINJ EMR), the CINJ notes should cross-over into Centricity EMR. Printing/reviewing of patient notes in advance of clinic is encouraged.

49

(Cluster 2)Stein , MayerMehnert (Plum St) - AikenWomen’s CenterToppmeyerHirschfield

Cooper (East Tower)

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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 malignanciessuch 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, anddisease 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, acrossmany ethnic and socio-economic groups.

● Types of Clinical Encounters: Solely outpatient encounters in the offices of CINJ, a large NCI-designatedComprehensive Cancer Center.

● Procedures: Bone marrow biopsies.

● Services: Full range of specialty and sub-specialty 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 whereresidents 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 New Innovations: 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 New Innovations. The elective is evaluated on theextent to which educational goals and objectives were met, the resident’s clinical experience and learningopportunities, and the teaching interest and ability of attendings.

Level of Resident Supervision

● Primary responsibility for care lies with the attending physicians.

● Residents will take histories and physicals on new patients and see return visits under the supervision ofattending physicians.

50

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: p-e-heme/onc

Elective Title: ONCOLOGY PRINCETON Elective Site: UMCPP

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS (609) 853-7278

Dr. Sokol Dr. Sokol Start time 8am daily Dr. Sokol Dr. Shrimanker [email protected]

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

All

MAX 4 weeks

MIN_______ PGY 1/2/3

MAX 2

STUDENTS NO NIGHT CALL OUTPATIENT X

YES NOX NO WEEKENDS INPATIENT __

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

GRAND ROUNDS TUMOR BOARD

AM Office 8am-9am Office Office 8am-9am

Office Office

PM Office

Office Office Office Office

Residents are required to attend all program activities: 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

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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 modalities 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: Attending physicians 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 UMCPP; 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 UMCPP 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 New Innovations: 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 New Innovations. 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.

52

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-pall

Elective Title: PALLIATIVE CARE ELECTIVE Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Dr. Poplin Mary Kelly, RN

Mary Kelly APN-C Mary Kelly APN Mary Kelly Beeper: 732-437-3670

Gillian McKie DNP [email protected] Contact Mary Kelly at

Donna Jeskey-Lowry 8:00am the morning of

DNP Dr. Poplin the rotation

[email protected]

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

(Including other programs)

All MAX 4 weeks PGY 1/ 2/3

MIN______

MAX 1

STUDENTS

OUTPATIENT

NO NIGHT CALL INPATIENT X YES X NO

NO WEEKENDS MIXED

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

RWJUH RWJUH RWJUH RWJUH RWJUH

AM Consults with Consults with Consults with Consults with Consults with

Palliative Care Palliative Palliative Care Palliative Care Palliative Care

Team Care Team Team Team Team

PM

Residents are required to attend all program activities: 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.

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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 54

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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

● Palliative Care – Supervised direct patient care and rounds with the interdisciplinary 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 New Innovations:

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 New Innovations. 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

55

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r/p-prac

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 ([email protected])

● The following form must be filled out and approved by Dr. Sharma.

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-pulm

Elective Title: PULMONARY MEDICINE Elective Site: RWJUH/CAB

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Anthony Scardella, Jag Dr. Jagpal Michele: 732-235-7840

Dr. Sunderram Sunderram, Sabiha

Page the consult fellow

Hussain, Sugeet Jagpal, Michele Salameh the first morning of the

Olex Pistun, Naresh rotation.

Nagellanand Mathew

Scharf.

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

(Including other programs)

MAX 4 weeks PGY 1/2/3

All

MIN___

MAX__1

STUDENTS

NO NIGHT CALL OUTPATIENT __

NO WEEKENDS INPATIENT __ YESNOX

MIXED _X_

SCHEDULE

Monday Tuesday Wednesday Thursday Friday

AM: Inpatient Inpatient CAB Inpatient Physiology and

Consults consults Sleep Clinic consults Critical Care

(Sunderram, and Sleep

Fellow clinic Scharf) Fellow clinic Conferences:

CAB (Scardella, CAB (Hussain, 8AM-10AM;

Sunderram, Inpatient Jagpal and

Pistun) (After Consults after Nagella) (After Inpatient

July 25 th) July 25th July 25 th ) consults

PM: fellow clinic Adult CF clinic Fellow clinic CAB Sleep Noon Case

CAB (Scardella, Dr. Hussian & CAB (Hussain, Clinic; Conference

Sunderram, Jagpal Jagpal and Inpatient

Pistun);

Nagella);

Consults

Sleep Clinic

Inpatient

(Dr. Sunderram Inpatient consults after

after July 25) Consults after July 25th

July 25th

On Day 1 of Rotation, please contact the Pulmonary Fellow on consults.

Residents are required to attend all program activities: 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.

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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 attending physicians 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 New Innovations:

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 New Innovations. 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.

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: p-e-pulm

Elective Title: PULMONARY CONSULTS/SLEEP Elective Site: RWJUH/CAB

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Dr Buckley, Dr. Buckley Dr. Buckley:

Dr. Buckley Resp/Sleep Specialists:

[email protected] (732) 322-7045

Youssef, Khan, Bajaj,

Koganti Kendall Park

Resp/Sleep Office

(732) 737-7801

Please email Dr. Buckley one week prior to starting to

confirm schedule (subject to change)

Please call the Kendall Park office to confirm Thursday is a

good day with one of the attendings.

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME OF TRAINING

(Including other programs)

MAX 4 weeks PGY 1/2/3

All

MIN___

MAX__1

STUDENTS

NO NIGHT CALL OUTPATIENT __

NO WEEKENDS INPATIENT __ YES NOX

MIXED _X_

SCHEDULE

Monday Tuesday Wednesday Thursday Friday

AM: Outpatient Visits Outpatient Visits Outpatient Visits Respiratory and Sleep Lab with

and/or inpatient with Dr. Buckley and/or inpatient Sleep Specialist Dr. Cohn at

consults with Dr. at consults with Dr. office UMCPP

PM: Buckley at 281 Witherspoon Buckley at 3546 Rt 27 OP visits/

UMCPP Street Princeton, UMCPP Kendall Park Consults with

NJ NJ 08824 Dr. Buckley at

UMCPP

Please email Dr. Buckley 1 week prior to starting to confirm schedule (subject to change).

Please call the Kendall Park office to confirm Thursday is a good day with one of the attendings.

Residents are required to attend all program activities: 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.

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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 attending physicians including differential diagnosis,

pathophysiology, management, and disease course. ● Didactics: Attendings 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 thoracentesis. ● Services: Full range of specialty and subspecialty services including access to PFT labs and Sleep study

center.

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 New Innovations:

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 New Innovations. 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 do initial consults, daily follow ups, and play an active role in the diagnostic and

management plans under the supervision of attendings.

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: p-e-rad

Elective Title: RADIOLOGY Elective Site: UMCPP

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT PHONE:

DIRECTOR: CONTACT

NAME / ADDRESS 609-853-7233

UMCPP Dept. of Radiology (Chief Resident)

Dr. Denny Start time 8am daily

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME TRAINING

All MAX 4 weeks MIN______ PGY 1/2/3

MAX 1_

STUDENTS

NO NIGHT CALL OUTPATIENT __

NO WEEKENDS INPATIENT X YES NO X

MIXED __

TYPICAL SCHEDULE

MONDA

Y TUESDAY WEDNESDAY THURSDAY FRIDAY

Grand Rounds

AM: 8AM-9AM

Read films and Read films and Read films and Read films and

perform Read films and perform perform perform

procedures perform procedures procedures procedures

procedures

PM:

Contact UMCPP Chief Resident to schedule conference assignment.

Residents are required to attend all program activities: Noon Report and Conference, Weekly Grand Rounds, Monthly Humanism & Professionalism and

Business of Medicine Conference at UMCPP.

If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective.

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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 New Innovations: 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 New Innovations. 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.

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Schedule Legend: r-e-rheum

Elective Title: RHEUMATOLOGY _ Elective Site: CLINICAL ACADEMIC

BUILDING

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Drs. Schlesinger, Hsu, Dr. Schlesinger (732) 235-7702

Dr. N. Schlesinger Borham, Stevens, Wong,

Sloan & Morgan FAX:(732) 235 - 7238

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME OF TRAINING

(Including other programs)

All

MAX 4 weeks

PGY 1/ 2/3

MIN 1

EXCEPT:

MAX 2

STUDENTS

NO NIGHT CALL OUTPATIENT X

YES

NO X

NO WEEKENDS INPATIENT __

MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

CAB Clinic CAB Clinic CAB Clinic CAB Clinic CAB Clinic

AM: Dr. Morgan Dr. Schlesinger Dr. Borham or Dr. Borham or Dr. Drs. Stevens,

or Dr. Hsu Schlesinger Morgan

Dr. Hsu

CAB Clinic CAB Clinic CAB Clinic CAB Clinic CAB Clinic

PM: Drs. Sloan & Drs. Hsu Dr. Borham or Dr. Borham or Dr. Dr. Morgan

Morgan Dr. Hsu Wong

Residents must attend 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.

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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 New Innovations: 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 New Innovations. 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.

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INTERNAL MEDICINE HOUSESTAFF

ELECTIVE FORM

Schedule Legend: r-e-transplant

Elective Title: TRANSPLANT MEDICINE Elective Site: RWJUH/ CAB

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Dr. Mann Dr. Mann (732) 235-8695

Dr. Richard Mann And colleagues Division of Nephrology

FAX: 732-235-6124

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL

AVAILABLE: MIN 1 week

AT ANY GIVEN TIME OF TRAINING

(Including other programs)

All MAX 4 weeks PGY 2/3

MIN______

MAX 1

NO NIGHT CALL OUTPATIENT __ STUDENTS

NO WEEKENDS INPATIENT __

MIXED X YES NO X

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

CAB CAB CAB

AM: Transplant Inpatient Transplant Transplant Inpatient

Clinic Rounds Clinic Clinic Rounds

PM: Inpatient Inpatien

t Inpatient Rounds Inpatient Inpatient

Rounds Rounds Rounds/Clinic Rounds

Residents are required to attend all program activities: 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.

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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 New Innovations: 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 New Innovations. 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.

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INTERNAL MEDICINE HOUSESTAFF

ROTATION FORM

Schedule Legend: Geriatrics

Elective Title: Geriatrics Rotation Elective Site: UMCPP/Merwick

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE:

DIRECTOR: NAME / ADDRESS

Dr. Sidhu Dr. Sidhu Dr. Sidhu

[email protected]

MONTHS DURATION/WEEKS RESIDENTS LEVEL

AVAILABLE: OF TRAINING

October-January During Clinic Week

PGY 1

May-June

NO NIGHT CALL OUTPATIENT __ STUDENTS

NO WEEKENDS INPATIENT __

MIXED X YES NO X

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

7am Board 7am Board Review 7am Board Review 7am Board Review 7am Board Review

AM: Review At UMCPP At UMCPP

830am Geriatrics 830am Geriatrics

lessons/ SNF visit lessons/ SNF visit

CLINIC with Dr. Sidhu @ with Dr. Sidhu @

Merwick Merwick

100 Plainsboro Rd. 100 Plainsboro Rd.

Plainsboro, NJ Plainsboro, NJ

PM: CLINIC

CLINIC

CLINIC

CLINIC

CLINIC

Residents are required to attend all program activities: 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.

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Goals and Objectives: Mandatory Geriatrics Rotation for Interns

Educational Purpose

● To become familiar with the diagnostic and therapeutic challenge of treating geriatric patients. ● To recognize the importance of rehab, physical therapy, and skilled nursing facilities in the transition of

care for the elderly.

● To recognize the importance of prognosis in treating geriatric patients.

Teaching Methods

● Didactic sessions from attending physicians ● Survey of skilled nursing facility/rehab ● Resident interaction with geriatric patients in skilled nursing facilities

Educational Content

● Mix of Diseases: Geriatric patient population with debilities related to medical conditions and aging.

● Patient Characteristics: Geriatric.

● Types of Clinical Encounters: Patients in subacute rehab and nursing homes

● Procedures: N/A ● Services: Skilled nursing facility/Rehab

Educational Materials

● Recommended Reading: Pathy’s Principles and Practice of Geriatric Medicine, 2015 AGS Beers Criteria

● 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 New Innovations: 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 New Innovations. 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 attending

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