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
EXPECTATIONS Expectations of a Resident on Elective: Review the pertinent elective material (schedule, goals & objectives) in the elective manual located on the residency website prior to starting the elective. Patient encounters: Take a thorough history and physical, document appropriately in the chart, present cases to the attending, discuss management. Demonstrate self-directed learning through independent reading about the diseases encountered during the elective. Report to the elective on time. Attend all required educational activities of the program as per the elective schedule sheet. Maintain a professional demeanor at all times. Expectations of an Elective Attending: Discuss the goals and objectives of the elective with the resident on day 1. Teach residents the history and physical exam skills that are pertinent to the specialty. Teach residents diagnosis, pathophysiology, management and disease course on a case by case basis. Instruct residents on the diagnostic modalities that should be undertaken prior to referral to the specialty. Educate residents about when to initiate a referral to the specialty. Instruct residents on the diagnostic tools used by the specialty for further evaluation of the disease. Educate residents about the cost of various diagnostic and treatment modalities. Discuss evidence-based medicine. 2
INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION 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 MEB-358 (732) 235-7712 Dr. Maccia Dr. Caucino Dr. Maccia Cranford Office: Stacy Dr. Maccia- Warren Office: 19 Holly Street (732) 627-0900 Cranford, NJ 07016 Cranford Office: clement.maccia@gmail.com (908)276-0666 Dr. Caucino 666 Plainsboro Rd Dr. Caucino: Bldg 1000 Ste 1B (609) 799-8111 Plainsboro, 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 NO NIGHT CALL NO WEEKENDS OUTPATIENT _X_ INPATIENT MIXED STUDENTS YES NO X 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. Warren, NJ 07059 Maacia Suite 9 Dr. Maacia Cranford, NJ 07016 PM CAB 1 World Fair CAB CAB Dr. Monteleone Dr. Monteleone Dr. Monteleone Drive (PM only after September 1 st ) Suite 1200 Warren Office Dr. Maccia 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. 3 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: Allergy & Immunology Elective Educational Purpose To recognize and treat commonly encountered outpatient problems in allergy and immunology. To familiarize the resident with frequently used diagnostic techniques such as allergy skin testing and PFTS. To enhance occupational and environmental history taking skills. To determine when it is appropriate to initiate a referral to an allergist. To gain exposure to the business aspects of running a private practice. Please refer to the Allergy section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course. Didactics: Attendings provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Includes, but is not limited to, asthma, allergic rhinoconjunctivitis, contact dermatitis, atopic dermatitis, urticaria, angioedema, food and drug allergies, and humoral deficiencies. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Solely outpatient encounters in the allergy clinic of the RWJ CAB and in the private offices of community Allergists. Procedures: Allergy skin testing, desensitizations Services: Full range of services including access to a PFT laboratory and skin testing in the office. Educational Materials Recommended Reading: Packet of pertinent allergy and immunology articles is given to each resident at the start and discussed throughout the elective. Pathological Materials: N/A Other educational resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through 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 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 the diagnostic and management plans under the supervision of attending physicians. 4
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 DIRECTOR: Dr. Payal Dave ELECTIVE FACULTY: See Below ELECTIVE CONTACT NAME / ADDRESS Refer to schedule CONTACT PHONE: Refer to schedule Dr. Kathy Robison krobison@princetonhcs.org 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_ NO NIGHT CALL INPATIENT YES NO X 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 Felix_urman@yahoo.com Robert Pickens, MD Felix_urman@yahoo.com 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 609-252-8756 609-924-6487 fax: 609-921-7020 USE: svittmann@ugpnj.com PM Orthopedic 1:30 5 PM GYN Female Pelvic Medicine Orthopedic 1:30 5 PM W. Thomas Gutowski, MD W. Thomas Gutowski, 1:30-5 PM MD Medical Arts Pavilion Dr. Saya Segal UMCPP, 4th Floor Research/QI 609-655-4848 CAB 4100 Princeton, NJ fax: 609-924-8532 609-924-8131 vermass@rwjms.rutgers.e du Cell: 732-998-7121 325 Princeton Ave. Research/QI 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
Goals and Objectives: Ambulatory Non-IM Specialty Princeton Selective Educational Purpose To recognize common problems encountered in some non-internal medicine specialties that pertain to the practice of medicine, such as ophthalmology, dermatology, ENT, orthopedics, gynecology, neurology and urology. To improve physical exam skills in specific areas such as the HEENT, skin, joint, prostate, pelvic, and neuro exam. To gain exposure to the business aspects of running a private practice. To determine when it is appropriate to initiate a referral to an ophthalmologist, dermatologist, otolarynogologist, orthopedic surgeon, gynecologist, neurologist and urologist. Teaching Methods Supervised direct patient care. Case discussions with attending physicians including differential diagnosis, pathophysiology, management and course of disease. Educational Content Mix of Diseases: Includes, but is not limited to, red eye, uveitis, keratitis, glaucoma, cataracts, chronic sinusitis, chronic ear infections, neck masses, fractures/sprain/sports injuries, amennorhea, menorrhargia, cervical dysplasia, gyn infections, pelvic pain, BPH, prostate CA, prostatitis, impotence and incontinence, skin cancer, skin lesions, seizures, stroke, headaches, neuropathies, myopathies. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Mainly outpatient encounters in the private offices of community physicians. Procedures: Skin biopsies, joint aspirations, digital rectal exam, pap smears, EMGs. Services: Broad range of services available in the office including the procedures listed above as well as full services available at 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 learning opportunities, 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. 6
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 5 th Floor, 582B New Brunswick, NJ 08903 Resident to call Dr. 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_ NO WEEKENDS INPATIENT MIXED YES NO X From SCHEDULE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Cardiology Conference Cardiolog y Cardiology Cardiology Cardiology Conf Conferenc 2 CORE Conf e Conference Conference Room MEB 583 MEB 583 MEB 583 8:00 MEB 583 MEB 583 9:00am AM CAB Clinic CAB Clinic CAB Clinic CAB Clinic CAB Clinic CAB 5200 (5 th 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
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, across many ethnic and socio-economic groups. Types of Clinical Encounters: Primarily outpatient encounters in a UMCPP cardiology practice and in the office 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 an ECHO 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 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 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 the diagnostic and management plans under the supervision of attendings. 8
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 5 th Floor, 582B New Brunswick, NJ 08903 Resident to call Dr. 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 Round s 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
Goals and Objectives: Cardiology Inpatient Elective Educational Purpose To recognize and treat commonly encountered inpatient problems in cardiology. To familiarize the resident with frequently used diagnostic tools such as stress testing, ECHO, Cath, MRI. To improve EKG reading skills To enhance cardiac physical diagnosis skills. To determine when it is appropriate to initiate a referral to a cardiologist. Please refer to the Cardiology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Includes, but is not limited to, ACS, arrhythmias, CHF exacerbation, valvular disease, and preoperative cardiac evaluation. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Primarily inpatient encounters at RWJUH. Procedures: Review ECHO and 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 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. Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 10
INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION 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 609-853-7220 Dr. Lisa Motavalli lmotavalli@princetonhcs.org (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 Procedures Clinics 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
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 many ethnic and socio-economic groups. Types of Clinical Encounters: Primarily outpatient encounters in a UMCPP cardiology practice and in the office 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 an ECHO lab. Educational Materials Recommended Reading: Braunwald s Textbook of Cardiology, Cardiovascular Medicine by Topol & Marso Pathological Materials: N/A Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts. Evaluation Method The elective coordinators evaluate the resident at the end of the rotation through 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. 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 the diagnostic and management plans under the supervision of attending physicians. 12
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, 7 th Floor and Modi and Modi New Brunswick Resident must contact Dreamy James, APN Jesus.Almendral@rwjuh.edu 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 NO NIGHT CALL NO WEEKENDS OUTPATIENT INPATIENT _X_ MIXED MAX 1 _ STUDENTS YES NOX 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. 13
Goals and Objectives: Congestive Heart Failure Elective Educational Purpose To recognize and manage decompensated heart failure in the hospital and chronic heart failure in the outpatient setting. To learn the clinical indications and criteria for heart transplant. To familiarize the resident with frequently used diagnostic techniques such as stress testing, ECHO, and Cath. To enhance cardiac physical diagnosis skills. To determine when it is appropriate to initiate a referral to a cardiologist and heart failure specialist. Please refer to the Cardiology section of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care. Case discussions with attendings and fellows including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Conferences: Weekly Cardiology Grand Rounds (1 st Monday at noon). Educational Content Mix of Diseases: Includes heart failure from all causes including ischemic heart disease and various cardiomyopathies. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Patients are seen both on the heart failure service in the hospital and in the heart failure clinic at RWJ CAB. Procedures: Review Cath reports and myocardial biopsy results. Services: Full range of specialty and 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 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/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. 14
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 Sharmar1@rutgers.edu MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF Al l AT ANY GIVEN TIME TRAINING MIN 1 week (Including other programs) MAX 4 weeks MIN MAX 2 PGY 2/3 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 1:00 Neurology 1-8pm 1-8pm Endocrine 5 PM CAB Dr. Craig Dr. Craig CAB 1500 HIV Clinic (IM) Gronczewski Gronczewski Dr. Wang Chandler Or (Chair-UMCPP ED) cgronczewski@princeton (Chair of UMCPP ED) Dr. Jacob hcs.org cgronczewski@princeton 609-497-4431(Main hcs.org 1:00 ED) 609-497-4431(Main 8:00 609-497-4111(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. 15
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 and biopsy. 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 class side effects. To increase familiarity with the complications of HIV/AIDS. To determine when it is appropriate to initiate a referral to an endocrinologist and neurologist Please refer to the Endocrinology, Neurology and Infectious Disease sections of our Competency Based Curriculum for further details. Teaching Methods Supervised direct patient care Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings and fellows provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: Includes, but is not limited to, diabetes, hypo- and hyperthyroidism, adrenal insufficieny, Cushing s disease, pituitary tumors; HIV and its complications, headaches, strokes, neuromuscular disorders, dementia. Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups. Types of Clinical Encounters: Solely outpatient encounters in the endocrine clinic at RWJ CAB, neurology clinic 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 extensive laboratory 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 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. 16
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. Goals and Objectives: ER Selective Educational Purpose To expose the resident to urgent care problems seen in an emergency room. To demonstrate clinical skills in initial triage, diagnostic evaluation and management of above patients. To manage common emergencies that an internist is likely to encounter in an office practice. Teaching Methods Supervised direct patient care. Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course. Didactics: Attendings provide didactic lectures on subjects of interest. Educational Content Mix of Diseases: A wide range of acute medical, neurological, surgical, and gynecologic problems are seen. Patient Characteristics: All age groups are seen. Types of Clinical Encounters: Pts are seen on the urgent care side of the 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 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. 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. 17
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) Psych: Dr. Anthony Tobia Please see below Please see below Psych: TEL: (732)235-4403 FAX: (732) 235-5644 MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All MIN 1 week MAX 4 weeks (Including other programs) 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 1-8pm Contact Dr. 5 PM Dr. Craig Tobia after Dr. Craig Dr. Craig Tobia after noon (IM) Gronczewski noo n Gronczewski Gronczewski conference (Chair-UMCPP conference (Chair-UMCPP (Chair-UMCPP 732-470-9679 OR 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 of above patients. To manage common emergencies that an internist is likely to encounter in an office practice. Teaching Methods Supervised direct patient care. Case discussions with 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 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 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. 19
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. Back to table of contents 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. 20
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, Sharma, MEB-384 lubitzsa@rwjms.rutgers.ed Lubitz, Wang, Salsali, u FAX: (732) 235-7096 Erondu, Santora PLEASE EMAIL DR. LUBITZ AT LEAST ONE WEEK BEFORE STARTING THE ROTATION. PLEASE EMAIL DR. LUBITZ AT LEAST ONE WEEK BEFORE STARTING THE ROTATION. MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING MIN 1 week (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 21
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. 22
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 jasonhollandermd@yahoo.com 609-924-4433 PLEASE EMAIL DR. HOLLANDER AT LEAST ONE WEEK BEFORE STARTING THE ROTATION. Lawrenceville Endocrine Office: 609-896-0075 MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING MIN 1 week (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 23