TTUHSC School of Medicine at Amarillo
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4th Year Clinical Electives

Kristin Stutz
Director, Office of Medical Education
Texas Tech University HSC
1400 Wallace Boulevard, Suite 4100
Amarillo, TX 79106
Phone: (806) 354-5417 FAX: (806) 351-3787
Application
(Please print, fill out, and return to the person and address above.)

Electives Available

Section: Anesthesiology

Course Title: Anesthesiology
Course Number: MANE-806A-401
Course Description:

This elective is for students interested in anesthesiology and the insights which this discipline gives into the application of physiological and pharmacological principles to the care of patients in acute life-threatening situations. Daily lectures, laboratory demonstration, and the pre-operative and post-operative care of patients undergoing anesthesia will enable the student to acquire the basic skills necessary to care for the unconscious and critically ill patient during anesthesia and other similar situations. These skills include airway management, ventilatory support, cardiovascular support, fluid replacement, and intravenous techniques. The student will also have an opportunity to learn the fundamentals of respiratory therapy and its application to patient care.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: Required, frequency varies
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Thomas D. Easley, M.D.-Baptist Saint Anthony; Steve Goeitsche, D.O.-Baptist Saint Anthony; Bruce Pistocco, M.D.-Northwest Texas; Ahmed Shoukath, M.D.-Veterans Administration

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Section: Cell Biology and Biochemistry

Course Title: Biochemical Research
Course Number: MBCH-806A-401
Course Description:

This elective is designed to meet the needs of those students who wish to obtain experience in biochemical research as it relates to human health. Students will work on an ongoing project of one of the Faculty members of the department.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: n/a
Max. # of Students: Varies
When Offered: Available all year
Faculty: Catherine Phillips, Ph.D.; Steven Wright, M.D.
Course Title: Biomedical Research In Molecular Medicine
Course Number: MBCH-806B-401
Course Description:

This elective is designed for the student interested in enhancing their understanding of the basic science of molecular diagnostic technology and recent advances in immunoprophylaxis. Special emphasis will be placed on pathogens of interest in Agricultural Medicine and Rural Health. The student will receive an introduction to both basic and advanced biochemical, immunological and molecular research techniques. The student will also gain experience in designing an experimental protocol, conducting experiments, statistical analyses of data, and preparing a scientific report. It is anticipated that the student will present the data at the student research forum and serve as author-co-author on abstracts and manuscripts submitted for publication.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: n/a
Max. # of Students: 2
When Offered: Available all year
Faculty: Afzal A. Siddiqui, Ph.D.; Steven L. Berk, M.D.

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Section: Dermatology

Course Title: Office Dermatology
Course Number: MDER-806A-401
Course Description:

This private office experience is combined with reading assignments and weekly staff conferences. Whole or half-day schedule is allowed with permission of the instructor.

Prerequisite: Completion of Year III
Duration: n/a
Call: n/a
Max. # of Students: Three (3) per month
When Offered: Available all year at Veterans Administration Medical Center; available September through June at Baptist St. Anthonys
Faculty: Elizabeth Archer, M.D.-Baptist St. Anthony; James Yeary, M.D.-Veterans Administration Medical Center

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Section: Family and Community Medicine

Course Title: Family Medicine Preceptorship
Course Number: MFAM-806A-401
Course Description:

Students are assigned to a variety of practices within the urban or rural area for a supervised exposure to day-to-day practice problems. Emphasis is on the application of clinical skills within the demands and limits of actual practice. Program is sponsored by the Texas Academy of Family Practitioners. Applications are available in the Education Office and must be completed several months in advance.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: Varies
When Offered: Available all year
Faculty: Urban and rural locations
Course Title: Family Medicine - Women's And Children's Healthcare
Course Number: MFAM-806I-401
Course Description:

Guidelines for 4th year rotation in Family Medicine - Women's and Children's Healthcare In-patient responsibilities: the student will be responsible for rounding on unassigned postpartum and nursery patients, also know as "team moms and babies". Notes should be completed by 09:00, and the student will be available to round with the Faculty physician at that time. Call responsibilities: the student will have 5 calls in the 4 week rotation, with one call being on a weekend day. While on call, the student will follow the upper level resident and be responsible for seeing patients with obstetrical and gynecologic complaints. Continuity obstetrics: during the rotation, the student will be assigned a patient at approximately 37-38 weeks. The student will then be responsible for coming to labor and delivery to work-up complaints, under the supervision of the resident assigned to that patient and the Faculty physician on call. The student will assist in the peripartum management to the level of their ability, and follow the patient in the postpartum period. Clinic responsibilities: the student will see primarily women and children patients in the outpatient setting, but also be available to see walk-in obstetric patients. In-patient procedures and responsibilities will take precedence. Academic responsibilities: the student will prepare 2 presentations during the 4 week elective, one dealing with women's health and the other dealing with newborn care. The goal of this rotation is for the 4th year student to become familiar with and appreciate the continuity of care family physicians are in the unique position to provide their obstetric patients and their families. Grading will be based on clinical performance (90%) and presentations (5% each).

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: Required, frequency varies
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Susan Goetz, M.D and Morgan McCaleb, M.D.
Course Title: Geriatric Medicine
Course Number: MFAM-806E-401
Course Description:

This elective is an introduction to geriatric assessment and evaluation. Topics covered are: Physiology of aging Demographics of the aged Long-term care policies Commonly used geriatric evaluation scales Evaluation of function in the aged Long-term care Two Faculty will be available.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Charles Wright, M.D., Dr. Dennis Zoller
Course Title: Correctional Medicine
Course Number: MFAM-806D-401
Course Description:

This elective provides the student an introduction to medicine in the prison system. Students will be supervised by Texas Tech University HSC Faculty at the Clements Unit in Amarillo. Topics covered include preventive medicine, emergency medicine, community medicine as well as general medical care.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: Tim Revell, M.D.
Course Title: Occupational Medicine
Course Number: MPRM-806A-401
Course Description:

This elective is a unique opportunity for students to observe and participate in both a previous occupational medicine clinic and an industrial clinic. Rotation includes didactic and clinical material including; diagnosis and treatment of congenital injuries and diseases, setting up preventive health services for employee groups, i.e., hearing conversation, respiratory surveillance; and designing and implementing employee health and fitness programs. The application of preventive medicine to clinical practice will be emphasized. The treatment and diagnosis capabilities as well as the competency of the medical staff assure the student of a fine learning experience.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: Four (4) per rotation
When Offered: Available all year
Faculty: Rush Pierce, M.D.

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Section: Health Communications

Course Title: Biomedical Information Management
Course Number: MIDS-806C-401
Course Description:

This elective is designed to provide the student with basic competencies in biomedical information management. The student is taught the basics of searching the biomedical literature via PubMed, designed and supported by National Library of Medicine. The student is also exposed to searching CancerLit, Physicians Data Query, and ToxNet, as desired. At the end of the rotation, the student is given a brief practical examination of his-her abilities to search using these tools. Please call Jan Rice at 354-5450 or email jrice@ama.ttuhsc.edu the week before your rotation begins to schedule the first 2 hour session.

Prerequisite: n/a
Duration: Two (2) weeks
Call: n/a
Max. # of Students: Four (4) per month
When Offered: Available all year
Faculty: Health Communications Faculty

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Section: Internal Medicine

Course Title: Cardiology
Course Number: MINT-806B-401
Course Description:

This elective will expose the student to the office and hospital practice of cardiology. The students will be expected to do extensive reading in the cardiology literature, to attend cardiology conferences at Amarillo hospitals, and to take an active role in the care of cardiac patients.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: Amarillo Diagnostic Clinic - L. Monte Slatton, M.D., et al; Amarillo Heart Group - B. Ronald Fortner, M.D., J. Martinez-Arraras, M.D., et al
Course Title: Endocrinology
Course Number: MINT-806C-401
Course Description:

This elective includes both inpatient and outpatient care, weekly conferences in both clinical and basic endocrinology, and research activity if desired. The student will have an opportunity to work-up and manage patients with a wide variety of both chronic and acute endocrinological and metabolic disorders. Patients with hypertension, especially those known or suspected to be caused by an endocrine disease, will also be seen.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: Variable
When Offered: Available all year
Faculty: Harold Werner, M.D.
Course Title: Gastroenterology
Course Number: MINT-806D-401
Course Description:

This elective provides opportunities for learning office practice of gastroenterology including evaluation of patients with peptic ulcer disease, malabsorption, liver disease, etc.. Extensive outside reading will be required. The student may be involved in direct patient care at the Veterans Administration Medical Center or at Northwest Texas Hospital.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: TTUHSC Clinical Faculty - Abdul Thannoun, M.D. and Malwinder Sidhu, M.D.; Amarillo Diagnostic Clinic; Thomas Johnson, M.D., et al.
Course Title: General Internal Medicine
Course Number: MINT-806A-401
Course Description:

This elective is an acting internship on the general medicine ward service at Northwest Texas Hospital or the Veterans Administration Medical Center.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: Required; every 4th night
Max. # of Students: Two (2) at Northwest Texas; One (1) at VAMC
When Offered: Available all year
Faculty: TTUHSC Full-time Internal Medicine Faculty
Course Title: Hematology-oncology
Course Number: MINT-806F-401
Course Description:

This elective includes an introduction to outpatient care at the Harrington Cancer Center medical oncology clinics, some inpatient consultations, and daily didactic sessions. After the one-month elective, a student should be able to recognize major diseases on peripheral blood smears and bone marrow slides, and understand the staging and management of the most common problems in oncology.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: TTUHSC - Seah Lim, M.D.; Harrington Cancer Center - Brian Pruitt, M.D., et al; VAMC - Stephen Wright, M.D., Raymond Osarobiagbon, M.D.
Course Title: Medical Icu-pulmonary Medicine
Course Number: MINT-806G-401
Course Description:

This elective utilizes patients admitted to the intensive care units of Northwest Texas Hospital. The student will gain experiences in managing common medical emergencies, including cardiopulmonary arrest, drug overdose, hypertension, acute myocardial infarction, cardiogenic shock, congestive heard failure, renal failure, and diabetic ketoacidosis. The student is also expected to become proficient in the evaluation and management of common chest problems, including asthma, chronic obstructive pulmonary disease, pleural effusions, peri-operative complications, pneumonia, atelectasis, respiratory failure, pulmonary function tests, and chest x-rays, and to become familiar with the various types of mechanical ventilators, oxygen delivery systems, and methods of delivering inhaled medication. The student will be evaluated on medical knowledge, the ability to integrate pertinent data to arrive at a proper management plan, clinical skills in history taking, physical examination and procedural skills, the ability to relate to patients and work with other physicians and ancillary staff, professional and humanistic behavior, and the students contribution as a member of the health care team.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: Required, every 4th night
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: TTUHSC Full-time Internal Medicine Faculty
Course Title: Nephrology
Course Number: MINT-806H-401
Course Description:

The student will spend four weeks evaluating renal outpatients, including patients receiving hemodialysis. The student will also follow patients in the hospital. Outside reading in the nephrology literature is expected.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: Georges Maliha, M.D., Milton Giron, M.D.
Course Title: Radiation Oncology
Course Number: MINT-806S-401
Course Description:

The field of radiation oncology is an intellectually challenging field, providing curative therapy and close longitudinal doctor-patient relationship. This elective may be taken by itself or combined with the hematology-oncology elective.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: None
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: Harrington Cancer Center Radiation Oncologist
Course Title: Clinical And Laboratory Research
Course Number: MINT-806T-401
Course Description:

Students may elect to adopt an independent research project in either the laboratory or the clinical area. The student will be instructed in how to review the literature, how to apply the scientific method to clinical and laboratory problems, how to analyze data, and how to write scientific papers. The student will discuss with the Faculty research sponsor detailed plans for the research project at least two months prior to the proposed initiation of the elective. A minimum of two months is needed to do a research project. This project can only be undertaken by special arrangement.

Prerequisite: Completion of Year III
Duration: Eight (8) weeks, minimum
Call: None
Max. # of Students: One (1)
When Offered: Available all year
Faculty: Catherine Phillips, Ph.D., Afzal Siddiqui, Ph.D., Seah Lim, M.D.
Course Title: Hospice
Course Number: MINT-806U-401
Course Description:

The student will observe hospice patients in both inpatient and outpatient settings, making daily inpatient rounds, accompanying hospice team members on some home visits, and meeting with the hospice team to discuss management problems. Reading will focus on common management problems, with an emphasis on competent pain management.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: None
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: Crown of Texas Hospice and-or Baptist St. Anthonys Hospice - Dan Jenkins, M.D., Randy Stewart, M.D., Sergio Muniz, M.D.
Course Title: Neurology
Course Number: MNEU-806F-401
Course Description:

This is a one-month elective in adult and pediatric clinical neurology. Students are responsible for the initial assessment and subsequent care of hospitalized patients on the neurology service, and the neurology consultation service at Northwest Texas Hospital and the Amarillo Veterans Administration Medical Center under the direct supervision of a full time Faculty neurologist. The goal is an intense apprenticeship experience in the care of patients with neurological disorders in preparation for residency in Family Medicine, Internal Medicine, Pediatrics, etc.

Prerequisite: Completion of Year III and Neurology senior clerkship
Duration: Four (4) weeks
Call: None
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: Rachel Philip, M.D.-VAMC, Rush Snyder, M.D.

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Section: Obstetrics-Gynecology

Course Title: General Obstetrics And Gynecology
Course Number: MOBG-806L-401
Course Description:

A General OB-GYN Rotation will be offered to the 4th year medical students wanting to participate in the continuity of care aspects of general OB-GYN. This student will be assigned to a resident-Faculty team of their choice. The student will be expected to participate as a member of the team seeing both obstetrical and gynecologic patients in the clinic, being present for surgical procedures in the operating room, participating in all activities in the labor and delivery unit, as well as the postpartum ward at the hospital. The student will participate in the teaching rounds that are held weekly, as well as the M&M Conference held on Friday morning. They will be expected to take in-house call 5 times during the month of their rotation. At the completion of their rotation, they will be expected to make a 30 minute presentation to residents and Faculty pertaining to some topic of interest to general OB-GYN.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: Required; call from home
Max. # of Students: One (1) per month
When Offered: n/a
Faculty: FUll Time and Clinical Faculty of TTUHSC
Course Title: Obstetrics And Gynecology Imaging
Course Number: MOBG-806M-401
Course Description:

This elective is designed to acquaint the 4th year medical students with clinical genetics and imaging modalities that are currently used frequently in the practice of obstetrics and gynecology. This will include taking histories and ultrasound, both obstetrical and gynecologic, and bone density scanning. The student will rotate through the various departments and will take advantage of these services that are offered through the Texas Tech Clinic, University Women's Health Center. They will also spend time with Dr. Overton reviewing and interpreting bone density scans. There will be outside reading material that will be made available to the student, as well as any pertinent video tapes and CD ROMs. At the completion of the rotation, the student will be expected to make a 30-minute presentation to the residents and Faculty concerning some aspect of reproduction genetics and imaging.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Dr. Santolaya

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Section: Ophthalmology and Visual Sciences

Course Title: Clinical Ophthalmology
Course Number: MOPH-806A-401
Course Description:

This elective will consist of an extensive exposure to clinical ophthalmology in a private practice setting. The student will be exposed to both acute and chronic eye disease and will also be exposed to ophthalmic surgery. The main objective of this elective will be to teach the student how to conduct a thorough examination of the eyes and to orient the student to the common eye conditions that every physician should be able to diagnose and treat.

Prerequisite: Completion of Year III
Duration: n/a
Call: n/a
Max. # of Students: One (1) per month
When Offered: Available all year; arrangements must be made 30 days in advance
Faculty: Avery Rush, M.D., Robert Gerald, M.D., John Murrell, M.D.

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Section: Orthopaedic Surgery

Course Title: Orthopaedic Surgery
Course Number: MORS-806A-401
Course Description:

Students will be assigned to an orthopaedic Faculty member and will participate as a member of the orthopaedic team in inpatient and outpatient care, emergency room, and operating room activities. Students should perform history and physical examinations upon all patients admitted by the attending surgeon and present these work-ups for evaluation. Each student will prepare a presentation for the teaching conference on a subject assigned by a Faculty member. The student will attend all orthopaedic conferences. This elective is for those students interested in surgical specialties or an in-depth experience in orthopaedic surgery.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: Required; frequency varies
Max. # of Students: One (1) per preceptor
When Offered: Available all year
Faculty: Bill Barnhill, M.D., Richard McKay, M.D., Keith Bjork, M.D., Aubrey Smith, M.D., Mel Huebner, M.D., Olivia Morris, D.O.

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Section: Pathology

Course Title: Pathology
Course Number: MPAT-806B-401
Course Description:

This elective is designed as an introduction to the general practice of pathology. The program will provide an opportunity for a medical student to evaluate diagnostic problems by means of radiology and to follow these patients through surgery, with a special emphasis on surgical pathology. Pathology findings at surgery are correlated with clinical history and radiology. Students will be expected to attend and occasionally present at conferences. Independent study and reading time will be included in each day.

Prerequisite: Completion of Year III
Duration: n/a
Call: n/a
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: George English, M.D.-Baptist St. Anthony; Ralph Minnemyer, M.D.-Baptist St. Anthony; James Hamous, M.D.-Northwest Texas; Evaline Thompson, M.D.-Veterans Administration

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Section: Pediatrics

Course Title: Adolescent Medicine
Course Number: MPED-806A-401
Course Description:

This elective is designed to help students acquire good interviewing skills, a basic knowledge of adolescent physical and psychosocial development, an understanding of adolescent gynecology, basic skills in evaluation and management of sexually transmitted diseases, knowledge of nutrition and eating disorders in teenagers, management of common skin disorders, ability to identify common orthopaedic problems, knowledge of psychosocial disorders common in adolescents, and insight into the common medical complaints and problems in this age group as well as chronic illnesses seen in adolescents. Students will also gain insight into the legal issues and become familiar with the interface between the adolescent health facility, community agencies and institutions.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year; prior arrangement & approval by Dr. Sheehan is required
Faculty: Marita Sheehan, M.D.
Course Title: Ambulatory Pediatrics
Course Number: MPED-806B-401
Course Description:

The purpose of this elective is to familiarize the student with preventive pediatrics and parent education, acute intervention in common childhood diseases and follow-up visits, evaluation of patients in an outpatient consulting service, and interactions with Faculty and residents about the many facets of ambulatory pediatrics. Students will participate in ambulatory clinics and various conferences and rounds associated with pediatrics. At the end of the rotation the student will present a topic in ambulatory pediatrics to residents and Faculty.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year, except December
Faculty: James Boger, M.D., Deogracias Pena, M.D.
Course Title: Developmental Pediatrics
Course Number: MPED-806N-401
Course Description:

The student will evaluate patients in two ambulatory settings: Children's Rehabilitation Center and Texas Tech Child Development Clinic. Mornings are spent at a community facility ( Children's Rehab) and afternoons at Texas Tech. Concepts of prevention of disabilities, high-risk factors and long-term outcomes are emphasized. Morning patients are usually older patients with behavioral problems or learning disabilities. Afternoon patients have evolving handicapping conditions such as cerebral palsy, post-trauma, birth defects, etc. The objectives are to teach the profound impact of neuro-developmental disabilities on the child, family, educational system, community, and physician. Chronic handicapping conditions which jeopardize the quality of a child's life will be considered in view of legal and ethical issues which pediatricians must address.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: Required; every 3-4 nights
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Leora Andrew, M.D.
Course Title: Neonatal Intensive Care
Course Number: MPED-806O-401
Course Description:

This elective is designed to familiarize the student with: Perinatal-neonatal physiology High-risk factors associated with neonatal disease Pathophysiology Diagnosis and management of common neonatal problems Dealing with acute neonatal emergencies Communicating with parents of high-risk neonates The students primary responsibility will be the total management and supervision of assigned patients. Students will also be expected to participate in daily rounds, night call, weekly discussion group on neonatal-perinatal diseases and presentation of a review on a selected aspect of neonatal-perinatal medicine towards the end of the rotation.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: Required; every 4th night
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: Evanthia Biskinis, M.D., Marion Myers, M.D., Joyce Chuachingco, M.D., Mubariz Naqvi, M.D.
Course Title: Pediatric Intensive Care
Course Number: MPED-806P-401
Course Description:

The student will be exposed to all pediatric critical care: Sepsis, Trauma, ARDs, and all potentially or life-threatening illnesses. The student will act as an acting intern with direct patient care responsibilities. There will be no outpatient, ward, or clinic responsibilities except Continuity Clinic. The student will make daily rounds with the attending physicians. The student will have an opportunity to perform procedures such as spinal taps, A-line, central lines, chest tubes, intubation and catheter placement. Emphasis will be placed on physiology, recognition of common acute life-threatening injuries-illnesses, and ventilator management.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: Required; every 4th to 5th night
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Rolf Habersang, M.D., Eric Levy, M.D.
Course Title: Pediatric Oncology
Course Number: MPED-806Q-401
Course Description:

The student will be exposed to the various clinical disciplines that form the multi disciplinary team for diagnosis and management of children with cancer. Students will gain an understanding of: The psychosocial approach to families Pathophysiology Clinical and laboratory diagnosis and management of primary oncologic disease and complications Pharmacology and various chemotherapies The need and implementation of aggressive, supportive care for problems of infection and bleeding in the compromised host The principles of clinical research and data management The role of the physician in detection and co-management of children with cancer Students will have inpatient and outpatient responsibilities and will be expected to attend and present at various conferences.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Tribhawan Vats, M.D., Ammar Morad, M.D.
Course Title: Pediatric Hematology
Course Number: MPED-806R-401
Course Description:

The student will be exposed to all hematological problems: Anemia, Coagulation, and abnormal function of WBC. The student will evaluate and read blood smears, evaluate lab data, and understand the complication of Sickle Cell Anemia and Hemoglobinemia. The student will also have inpatient and outpatient responsibilities.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Tribhawan Vats, M.D., Ammar Morad, M.D.
Course Title: Clinical Pharmacology & Therapeutics
Course Number: MPED-806T-401
Course Description:

This elective is designed to help students understand drug therapy in the management of adult as well as pediatric patients. During this rotation the student will present several cases from among inpatients either in the Departments of Internal Medicine or Pediatrics. This will be followed by a discussion of the different medication used. By the end of this rotation the student should be familiar with pharmacokinetics, mechanism of action, indications, contraindications, side effects, dosage, and drug interactions of the most commonly used medications.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: n/a
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: Tom Hale, Ph.D.
Course Title: Behavioral Pediatrics
Course Number: MPED-806C-401
Course Description:

This elective is designed to help students understand the behavioral aspects of a medical condition. Based upon the AAPs concept of the New Morbidity, the behavioral clerkship focuses on chronic conditions and the behaviors that impact upon treatment, compliance, and outcome (e.g., ADHD, diabetes, asthma, cancer, cerebral palsy, learning disabilities, prematurity, sickle cell disease, Down syndrome, blindness, deafness, or multiple impairments). Students will work with families, school personnel, and community agencies to develop long-term care. Attendance at school planning meetings, completion of documentation needed to access services (SSI, CIDC, and Special Education) as well as monitoring long-range treatment of chronic patients is presented. Included in this rotation is the follow-up of NICU graduates to monitor development and learning as well as PICU patients as they return to home, school, and community.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: None
Max. # of Students: Two (2) to Three (3) per month
When Offered: Available all year
Faculty: Ed Hammer, Ph.D.
Course Title: Pediatric Acting Internship
Course Number: MPED-806U-401
Course Description:

The student will work as a member of a team caring for patients admitted to the pediatric ward and will also participate in pediatric ambulatory clinics two afternoons per week. During this elective the student will have an opportunity to learn to formulate problem lists, management, and follow-up plans for hospitalized pediatric patients. The student will have an opportunity to perform procedures such as spinal taps, bladder taps, and IV placement. The student assumes the role of extern and will take call with the residents every fourth night. Supervision will be by a Faculty attending as well as a senior resident.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: Required, every 4th night
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: TTUHSC Faculty
Course Title: Pediatric Nephrology
Course Number: MPED-806S-401
Course Description:

The purpose of this elective is to familiarize the student with common problems in pediatric nephrology seen in a general pediatric clinic. The student will have the opportunity to interact directly with patients and their care givers, obtain history and physicals, and discuss common presentations of renal problems in children. It will also allow the student to obtain first hand insight in the medical and psychological problems associated with children who have chronic diseases. The clinics are held every Tuesday. The student will be allowed to have first contact with patients either in the clinic or the hospital. The student will formulate evaluation and treatment plans in conjunction with the pediatric nephrologist. The student will be given ample opportunity to participate in all aspects of care of the child with renal problems.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Deogracias Pena, M.D.
Course Title: Pediatric Gastroenterology
Course Number: MPED-806M-401
Course Discription:

The student will be exposed to the evaluation and management of common GI-Nutrition problems of childhood and adolescence. The service is both outpatient and inpatient. The outpatient consultation clinic is held four one-half days a week. The student will participate in inpatient consults, and will be expected to be available and be involved in the management of GI emergencies.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: Not required, but student will be expected to be available for any GI emergencies
Max. # of Students: One (1) per month
When Offered: Available all year; prior arrangement is required to ensure Faculty availability
Faculty: A.O.K. Johnson, M.D.

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Section: Psychiatry

Course Title: Assessing Children And Adolescents: Disruptive And Affective Problems
Course Number: MPSY-806H-401
Course Discription:

This elective focuses on common problems seen in children and adolescents, ways to assess for these problems, developing treatment plans and eclectic therapeutic intervention approaches. The student may accompany the psychologists as assessment opportunities occur on inpatient and outpatient services.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Joe Garms, Ph.D.
Course Title: Eating Disorders
Course Number: MPSY-806K-401
Course Discription:

A bio-psycho-social approach to understanding and treating anorexia nervosa, bulimia nervosa, and compulsive overeating. For students interested in the field of psychiatry, behavioral health, preventive medicine or biological medicine, this elective is designed to provide a broad overview of eating disorders from the complexity of the causes to the multi-dimensional treatment considerations.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Joyce ORear, Ed.D., Lynda M. Parker, M.D.
Course Title: Group Therapy Techniques
Course Number: MPSY-806O-401
Course Discription:

This elective offers the opportunity to learn about how to start and run group therapy, as well as the dynamics of group interaction. The student will act as co-therapist with the supervisor for an on-going group and possibly do the screening process to start another group.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Lynda M. Parker, M.D.
Course Title: Techniques Of Practices Of Psychotherapy
Course Number: MPSY-806R-401
Course Discription:

This elective will introduce the student to various methods of psychotherapy: Individual therapy, group therapy, and family and marital therapy. By the end of the elective the student should have acquired some of the basic techniques of those modalities and be able to determine the appropriate use of each. The student should be comfortable selecting methods for each of these therapies.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Lynda M. Parker, M.D.
Course Title: Using Computers In Mental Health
Course Number: MPSY-806T-401
Course Discription:

This elective will cover student interests blending psychiatric topics and anticipated specialization. Possible focuses are computerized personality testing, computer-assisted counseling, using the Internet to obtain mental health information. Individualized problems are possible as long as they focus on psychiatric topics. As the opportunity arises, the student may interview-assess patients.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Joe Garms, Ph.D.
Course Title: Working With Families
Course Number: MPSY-806S-401
Course Discription:

This elective will introduce the student to various forms of families seen in physicians offices. It will increase understanding of members who come from divorced, blended, single-parent, alcoholic and-or abusive families. By the end of the course students will have an understanding of the stresses which accompany the roles members play in these families.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Joe Garms, Ph.D.

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Section: Radiology

Course Title: Radiology
Course Number: MRAD-806A-401
Course Discription:

The student will observe and participate in all phases of radiologic diagnosis to include fluoroscopy, plain film interpretation, special procedures, nuclear imaging, diagnostic ultrasound, and computed tomography where available. A radiological teaching file is provided for study purposes, and the student is expected to spend a portion of the time reviewing this file. Attendance at intra-departmental conferences is expected.

Prerequisite: Completion of Year III
Duration: n/a
Call: n/a
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: Gayle Bickers, M.D.-Northwest Texas; John Andrew, M.D.-Baptist St. Anthony; John Guest, M.D.-Baptist St. Anthony

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Section: Surgery

Course Title: Cardiovascular-thoracic Surgery
Course Number: MSUR-806B-401
Course Discription:

This elective is planned to teach the student the clinical techniques of diagnosis and management of congenital and acquired cardiovascular disease. A large number and variety of patients are available at the affiliated teaching hospitals.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Masoud Alzeerah, M.D., William Guynes, Jr., M.D., Robert Sutherland, M.D., Robert Taylor, M.D.
Course Title: Emergency Medicine
Course Number: MSUR-806C-401
Course Discription:

This elective is an introduction to emergency medicine and the evaluation of common emergencies. Instead of focusing on a single age group, a defined severity of illness or a discrete body of medical knowledge, the student will be expected to look at the big picture. The student will be asked to make decisions regarding management based upon available clinical information and limited laboratory or radiological tests in a limited time environment. Given these restrictions, emphasis will be on the approach to the problem, its management and disposition, rather than a precise diagnosis.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: Required; frequency varies
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Owen Grossman, M.D.-Baptist St. Anthony
Course Title: General Surgery Sub-internship
Course Number: MSUR-806K-401
Course Discription:

The student will serve as an A extern on the surgical service of the Veterans Administration Medical Center of Baptist St. Anthony. As an Aextern or acting intern member of a team which includes Faculty members, residents, and junior clerks, the fourth year student will participate in the care of surgical patients in the emergency room, surgical wards, operating room, and clinic. Pre--post-operative care and the management of patients in the Surgical Intensive Care units will be stressed. Assignments to selected clinical Faculty preceptors are also available.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: Required; frequency varies
Max. # of Students: Two (2) per month
When Offered: Available all year
Faculty: BSA-NWTH - Dennis Dove, M.D., David McNeir, M.D., Dan Galvan, M.D., Mark Arredondo, M.D.; Veterans Administration - Mario Feola, M.D.
Course Title: Neurosurgery
Course Number: MSUR-806L-401
Course Discription:

The student will work as a preceptor with one of the clinical Faculty surgeons listed. Clinical material is available in the affiliated hospitals: Baptist St. Anthony and Northwest Texas.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: Required; frequency varies
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Jeff Cone, M.D., Walter Piskun, M.D., Wayne Paullus, M.D., Charles Rimmer, M.D., Bill Barister, M.D.
Course Title: Otorhinolaryngology (ent)
Course Number: MSUR-806M-401
Course Discription:

The student will work as a preceptor with one of the clinical Faculty surgeons listed. Clinical material is available in the affiliated hospitals: Baptist St. Anthony and Northwest Texas.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: Required; frequency varies
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Michael Guttenplan, M.D., Geoffrey Wright, M.D.
Course Title: Plastic Surgery
Course Number: MSUR-806F-401
Course Discription:

The elective is designed to acquaint the student with the basic principles of plastic and reconstructive surgery including burns, cosmetic surgery, and trauma to extremities. Also included is an introduction to the principles of microsurgery. The student observes as well as participates in the pre--post-operative and follow-up for such patients.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: Required; frequency varies
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: Louise Ferland, M.D., John Kelleher, M.D., Richard High, M.D., Jeff Moore, M.D., Mary Ann Piskun, M.D.
Course Title: Surgical Critical Care
Course Number: MUSR-806T-401
Course Discription:

By participating in the initial assessment and subsequent management of surgical patients requiring Critical Care, the 4th year student will recognize the abnormalities in the physiologic status of these patients, the pathology which has defined these physiologic derangements, and by direct participation in the development of management strategies gain an appreciation for the complexity of interaction necessary to care for these patients. Patients admitted to the SICU by Texas Tech surgical Faculty will be assigned to the 4th year medical student patients based on severity of presenting illnesses. Evaluation and subsequent care of these patients will be provided by this student under the direct supervision of the assigned surgical Faculty member. The student participating on this Surgical Critical Care elective will interact with the 4th year student completing the Surgical Sub-Internship and direct assignment of 3rd year clerks in the assignment and follow of all Texas Tech surgery patients in the SICU. All SICU patients will be examined and a note written by the assigned student prior to morning Attending Rounds, which will be conducted daily. The 4th year student on this elective may choose to participate in daily ward rounds, but in conjunction with the attending will have the responsibility of facilitating all subsequent daily care for SICU patients as defined during A.M. rounds. This student will make evening check out rounds with the assigned attending, and will remain on call from home for these ICU patients as directed by the on call attending. The 4th year student completing this elective will have preference in the performance of all procedures to be performed in the SICU on patients to whom he-she is assigned.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: n/a
Max. # of Students: n/a
When Offered: Available all year
Faculty: Dennis B. Dove, M.D., Dan A. Galvan, M.D., David G. McNeir, M.D.
Course Title: Surgical Oncology
Course Number: MUSR-806S-401
Course Discription:

By direct involvement in the clinical practice, the 4th year student will be exposed to cancer patients at all stages of presentation, during treatment and surveillance, and at relapse and or with advanced disease. A series of didactic lectures regarding basic principles in oncology, screening recommendations, and clinical and pathologic staging supplements the office and bedside evaluation of cancer patients so that the objectives of understanding adult cancer issues as listed above can be met. Patients are referred to the surgical oncology division and will be evaluated by the 4th year student in the presence of the surgical oncology division Faculty. Thorough history evaluation, review of previously obtained imaging studies and laboratory results, and review of previously obtained pathology slides will be incorporated into a general discussion for that particular patients cancer or tumor. The 4th year student will be directly involved in patient discussions regarding evaluation and treatment. There will be a continuity of care inasmuch as pathology slides are reviewed, ordered imaging studies are reviewed and applied to ongoing or definitive decision-making, and the 4th year student will have the opportunity to evaluate patients on the hospital wards and during return visits to the clinical office practice. The close shadowing relationship with division of surgical oncology Faculty allows for a comprehensive experience and continuity. The 4th year student will be present during office practice hours on specific days including Monday afternoon at the VA Medical Center, Tuesday morning at the Texas Tech Office Practice, and Thursday afternoon at the Texas Tech Office Practice. The students will attend the Tumor Board conferences at both Harrington Cancer Center-BSA and the VAMC.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: n/a
Max. # of Students: n/a
When Offered: Available all year
Faculty: Mark A. Arredondo, M.D.
Course Title: Urology
Course Number: MSUR-806I-401
Course Discription:

The student will work as a preceptor with one of the clinical Faculty surgeons listed. Clinical material is available in the affiliated hospitals: Baptist St. Anthony, Northwest Texas, and the Veterans Administration Medical Center.

Prerequisite: Completion of Year III
Duration: Two (2) weeks or Four (4) weeks
Call: None
Max. # of Students: One (1) per month
When Offered: Available all year
Faculty: W. A. Anthony, M.D., Richard Kibbey, M.D., William Bordelon, M.D., Michael Wilkerson, M.D.
Course Title: Wound Care
Course Number: MUSR-806U-401
Course Discription:

By direct participation in the initial assessment and subsequent out patient management of patients who present with chronic wounds, the 4th year student: will review and understand the complex interactive physiology associated with wound healing; will recognize the abnormalities in the physiologic status of these patients which result in their wounds; will understand the evaluations necessary to define these derangements; will develop strategies to address these defined derangements; and directly participate in the development of management strategies designed to promote healing of these wounds. The Wound Care Center at Northwest Texas Hospital provides by referral, outpatient wound care on a daily basis, Monday thru Friday. All care provided is in accord with defined scientific protocols developed and closely monitored by the Curative Wound Care Centers of America. The Clinical and full time Faculty provide a combined four half day sessions at this Center. In addition, Dr. Bullard conducts a weekly Podiatric Wound Care Clinic at the Veterans Administration Hospital. The 4th year student assigned to this elective will be asked to be present at each scheduled session conducted at the Wound Care Center by each of the identified Faculty, and at the weekly Podiatry Wound Care Clinic sessions. This student will participate in the evaluation, assessment and treatment of each patient presented. The rationale for treatment selection will be reviewed, and the student will have the opportunity to observe the longitudinal changes which result in these management decisions over the course of this four week elective. The student will have the opportunity to review the Wound Care protocols which serve as the basis for management guidelines. Through the VA clinic, the student will have the opportunity to participate in the assessment and management of chronic wounds of the lower extremities in this aging population with multiple medical co-morbidities. No responsibilities for night call wil be requested on this elective.

Prerequisite: Completion of Year III
Duration: Four (4) weeks
Call: n/a
Max. # of Students: n/a
When Offered: Available all year
Faculty: Dennis B. Dove, M.D., David G. McNeir, M.D., Richard A. Franklin, M.D. (Clinical Faculty), Bryan P. Bullard, D.P.M. (Clinical Faculty)

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