Allergy/Immunology | Anesthesiology | Cardiology | Critical Care | Emergency Medicine
Endocrinology | Family Medicine | Gastroenterology | Gynecology/Oncology | Hematology/Oncology | High Risk Obstetrics | Infectious Disease |
Internal Medicine/Geriatrics | Nephrology | Neurology | Ob/GYN | Pathology |
Pediatrics
| Psychiatry | Radiology | Surgery |

Title/Hospital/Faculty Duration/
Prerequistes
Desciption
Allergy - Immunology - Rheumatology
Truman Medical Center - Hospital Hill
Lynn DeMarco, M.D.
Amr Edrees, M.D.

Contact: Eve Medlock

One Month Meet daily with instructor. Read material, review slides, answer oral and written questions. Consults at Truman Medical Center (East & West). Explore individual interests in subspecialty fields. Understand & develop basic concepts and problem-solving abilities in these subspecialties.

Summary of Daily Activities:

Monday a.m. - Blue Clinic - Consults - Review slides; Noon - Conference; p.m. - Blue Clinic; consults
Tuesday a.m. - Allergy, Immunology, Rheumatology Clinic at TMC-East; Noon - Conference; p.m. - reading & review slides
Wednesday a.m. - Blue Clinic - Consults; Noon - Conference;
p.m. - Slide review
Thursday a.m. - Derm Clinic (2nd & 4th Thursdays) - Consults; Noon - Conference; p.m. - reading & review slides
Friday a.m. - Allergy, Immunology, Clinic - Consults;
Noon - Conference; p.m. - Study time - consults
Anesthesiology
St. Luke's Hospital
James Rasinsky, D.O.
Mark Matthews, M.D.

Contact: Julie Harris
One Month Students will be exposed to a wide range of clinical experiences from minor to the most complex anesthetics in all subspecialty areas. Students will also become familiar with the pain clinic, recovery room, critical care unit and ambulatory surgery center. Students will participate in the departmental teaching conferences. Clinical responsibilities will be assigned by the faculty.
Cardiology
Truman Medical Center - Hospital Hill
Doug Bogart, M.D.
Darcy Conaway, M.D.
Mukesh Garg, M.D.
Annette Quick, M.D.

Contact: Eve Medlock
One Month Students become members of the Cardiology Consultation Service, which also includes residents, a cardiology fellow, and staff attending. The service provides critical care consultations and daily management advice for all departments in the hospital, including the Emergency Department, MICU, and SICU.

Recommended reading:

Students should read the sections on cardiovascular diseases in one of the major internal medicine textbooks, such as Harrison's, Cecil's, or Stein.
Physical Diagnosis Texts:
1. Horwitz LD, Groves BM: Signs and Symptoms in Cardiology J.B. Lippincott, Phil.; 1985.
2. Perloff JK: Physical Examination of the Heart and Circulation W.B. Saunders; 1982 (or current edition).
Electrocardiography Text:
1. Mariott HJL: Practical Electrocardiography Williams & Wilkins; (current edition)
Cardiology Texts:
1. Hurst JW (ed): The Heart McGraw Hill (current edition)
2. Braunwald E (ed): Heart Disease W.B. Saunders (current edition)
Cardiology
St. Luke's Hospital
John Spertus, M.D.
Anthony Magalski, M.D.

Contact: Julie Harris
One Month This elective will provide students with a broad exposure to clinical cardiology. Students will be expected to participate in daily patient rounds and teaching conferences. Emphasis will be on history and physical examination, non-invasive testing, electrocardiography, cardiac catheterization and management of acutely ill patients.
Critical Care
Truman Medical Center - Hospital Hill
Abid Bhat, M.D.
Ashraf Gohar, M.D.
Dennis Pyszczynski, M.D.
Gary Salzman, M.D.


Contact: Eve Medlock

One Month or Arrange
Must have successfully completed a clerkship in Internal Medicine.
The elective experience on the Critical Care Service involves working with medical residents, critical care fellows, and critical care attendings performing consultations in the 12-bed Medical Intensive Care Unit. All patients in the MICU ar evaluated by the critical care team. Students will learn to evaluate, construct differential diagnoses and devise management plans on patients with a wide variety of critical care problems. Students will take an active role in the management of patients on mechanical ventilation. Students will have extensive exposure to hemodynamic monitoring. Students will observe critical care procedures: endotracheal intubation, fiberoptic bronchoscopy, Swan-Ganz catheter placement, arterial line placement, chest tube placement, thoracentesis, etc. Students may get the opportunity to perform or assist with some procedures under close supervision. Students will learn how to interpret portable chest radiographs and other radiologic studies performed in the Intensive Care Unit. A reading list is provided to the students and daily lectures are scheduled on critical care topics.

No night call is required. Weekend rounds may be required (every other weekend). No housing is available.
Emergency Medicine
Truman Medical Center - Hospital Hill
Steven Go, M.D.

Contact: Jayna Ross
One Month
Must have successfully completed Surgery, Ob/Gyn and Medicine rotations. Must be a senior in good standing with their medical school (no probation). Must be committed to a career in Emergency Medicine. Must have passing score on USMLE Step I. Must be a current ACLS provider.
Students will be primary caretakers of approximately six to twelve patients per shift and see a full range of emergency medicine problems. The extern will do one twelve-hour shift as an observer on an Advanced Life Support ambulance. The student will attend didactic lectures and Morbidity and Mortality conference. The student will be graded on a bedside History and Physical exam, pass a Violence Prevention test, complete a procedure card and take a final written exam.
Emergency Medicine
St. Luke's Hospital
Gary Gaddis, M.D.
Robert Bonness, M.D.
Brad Barth, M.D.
Chris Bower, M.D.
Tiina Butler, M.D.
David Duethman, M.D.
Glen Georger, M.D.
Rodrigo Guzman, M.D.
Jim Hart, D.O.
Todd Hayes, M.D.
John Hendren, M.D.
Mark Larsen, M.D.
Sarah Linderman, M.D.
Dawna McCulloch, M.D.
David Scheffler, D.O.
Alie Scholes, M.D.
Mary Thiessen, M.D.
Lance Waldo, M.D.
Christian Willingham, D.O.
Mike Weaver, M.D.

Contact: Julie Harris
One Month
The student should be in the last year of medical school.
Students will actively participate in the Emergency Department as providers of emergency services under the direct supervision of the attending emergency physician and the Medical Director of Emergency Services. St. Luke's Hospital is a Level I trauma center and students will be exposed to a wide variety of patient problems.
Endocrinology
Truman Medical Center - Hospital Hill
Dorota Walewicz, M.D.
Lamont Weide, M.D.

Contact: Eve Medlock
One Month Students will become familiar with both the inpatient and outpatient care of patients with endocrinologic and metabolic problems.

Students should develop facility in appropriate endocrinologic history-taking and physical exam, as well as therapy of endocrinologic disorders.

Recommended reading:

The references for this rotation include Textbook of Endocrinology 3rd ed., Ernest L. Mazzaferri, M.D., Elsevier Science Publishing Company, Inc., 1986.
Family Medicine
Truman Medical Center - Lakewood
Todd Shaffer, M.D.

Contact: Eve Medlock
One Month

This elective will provide students with experience in primary care. Two students per month will be assigned to our family medicine services in our residency program. Sample curriculum is one week in each of Family Medicine OB, Family Medicine Inpatient, Geriatrics, and outpatient family medicine clinic. The students are given primary responsibility under the faculty's supervision and most teaching is one on one. The student will learn about the diagnoses and management found in a busy primary care office.
During the elective, students are a vital team member on the services and are expected to attend daily noon conferences, morning report and other didactic lectures. Students may meet weekly with the program director to discuss clinical work and family medicine concepts. Goals and objectives emphasize preventative and community medicine.
Evaluation will be based upon performance of physical exam skills, history taking, differential diagnoses creation, treatment plans, and teamwork concepts. Overnight call will be 2 to 4 times during the rotation for after hours experience.
This elective is primarily for those interested in family medicine but is also valuable for others interested in other clinical specialties. Those interested in one area more than others may have their block customized for them.
This elective is for US students in good standing and permission from their medical school to take the course. Two students per month are allowed and UMKC Students get first priority--so let us know early if this elective is for you before all the spots fill up.

Learning Objectives:
1. Assemble the skills and values needed for healthcare of people of all ages, their families, and communities.
2. Synthesize the dynamics of an integrated health system and overall well-being of patient care.
3. Examine community strategies to help the underserved population.
4. Utilize hands on training with obstetrics and neonates.
5. Developing and promoting interest in Family Medicine.

Family Medicine - Obstetrics
Truman Medical Center - Lakewood
Todd Shaffer, M.D.
Chad Shaffer, M.D.

Contact: Eve Medlock

One Month

Must have one month of Family Medicine

This elective will provide students with primary interest in Family Medicine experience in family medicine obstetrics and gynecology. Family Medicine Obstetrical experience will be continuous throughout the month. One student per month will be assigned to our family medicine obstetric service in our residency program. Sample curriculum is three weeks of Family Medicine OB, One week in out patient gynecology clinic. During the time on labor and delivery the students will be expected to take several calls with the residents. Experience in bedside ultrasound, colposcopy, and outpatient clinics, and nursery will also be scheduled. The students are given primary responsibility under the faculty's supervision and most teaching is one on one. The student will learn about the diagnoses and management of common disorders and perform hands on procedures under the direct supervision of faculty. This is a busy service with over 900 deliveries being performed by the residents and faculty of the Department of Community and Family Medicine.
During the elective, students are a vital team member on the services and are expected to attend daily noon conferences, morning report and other didactic lectures. Students may meet weekly with the program director to discuss clinical work and family medicine concepts. Goals and objectives emphasize family medicine physicians performing obstetrics.
Evaluation will be based upon performance of physical exam skills, history taking, differential diagnoses creation, treatment plans, and teamwork concepts. Overnight call will be 3-5 times during the rotation for after hours experience.
This elective is for U.S. students in good standing and permission from their medical school to take the course. One student per month is allowed and UMKC students get first priority — so let us know early if this elective is for you before all the spots fill up.

Learning Objectives:
1. Identify the skills and values for a family physician performing obstetrics.
2. Utilize hands on training with obstetrical and neonatal patients.
3. Continue to develop and promote interest in family medicine physicians performing obstetrics.
4. Develop skills for basic bedside ultrasound.
5. Develop knowledge in colposcopy and triage of abnormal pap smears.
6. Perform outpatient antepartum continuity skills.
If interested, please contact us.

Family Medicine - Geriatrics
Truman Medical Center - Lakewood
Todd Shaffer, M.D.
Jon Dedon, M.D.

Contact: Eve Medlock
One Month

This elective provides the student with exposure to the frail elderly in the nursing home, and the community dwelling elderly in an outpatient clinic setting. Students will learn about the diseases and conditions of geriatric patients, social issues such as financing of healthcare, elder abuse, ethical issues such as end of life care and advanced directives, and surrogate decision makers, and assessment of the elderly patient with screening instruments and functional assessment.
The setting for this elective is the highly regarded 212 bed long term care facility physically contiguous with the Truman Medical Center Lakewood complex, and the Geriatric Outpatient Assessment Clinic at Truman Medical Center Lakewood.
The students will see many elderly patients and be supervised by the Geriatric Medicine Faculty, Geriatric Medicine Fellows and Family Medicine and Internal Medicine resident doctors. There may be as many as five students participating monthly. The elective is open to junior and senior level medical students who have permission from their medical school. UMKC School of Medicine students receive first priority for this rotation.

Learning Objectives
1. Learn the demographics of an aging society
2. Learn Geriatric Medicine syndromes such as dementia, falls, and urinary incontinence
3. Learn Geriatric Diseases such as osteoporosis, heart failure, DMII
4. Learn Geriatric Assessment, including use of screening instruments
5. Become familiar with the educational path leading to becoming a Family Medicine Geriatrician:
i.e. Family Medicine Residency and Geriatric Medicine Fellowship

Gastroenterology
Truman Medical Center - Hospital Hill
Laura Alba, M.D.
Stuart Chen, M.D.
Wendell Clarkston, M.D.
Esmat Sadeddin, M.D.

Contact: Eve Medlock

One Month The rotation in Gastroenterology is an experience for students under the direct tutelage of the faculty of the Division of Gastroenterology. Although the precise content can be altered to fit the knowledge of each student, essential elements of the field will be defined and a minimum level of expertise will be attained by each participant. The fundamental goal of the rotation is to acquire the knowledge and practical experience that will enable student to recognize and manage the most common digestive diseases.

The experience in Gastroenterology will contain intensive exposure to both inpatient and outpatient consultative medicine. Students will learn to perform an initial history and physical examination, and review available laboratory data.

The Gastroenterology Service is designed to provide an intensive experience in the diagnosis and treatment of digestive diseases. Didactic teaching sessions with the teacher attending shall be held three to four mornings per week and shall last for 1 1/2 hours.

Recommended reading:

To supplement didactic teaching and patient encounters, students should read from the major textbooks of interal medicine and gastroenterology to become familiar with the following disorders:

-disorders of swallowing,
-peptic ulcer diseases,
-cholecystitis and cholelithiasis,
-viral hepatitis,
-jaundice,
-acute and chronic pancreatitis,
-alcoholic liver diseases,
-infectious diarrhea,
-AIDS-related gastrointestinal infections,
-common gastrointestinal malignancies, and
-inflammatory bowel disease.
Gastroenterology
St. Luke's Hospital
Jay Culver, M.D.
Mark Allen, M.D.
John Helzberg, M.D.
Don Campbell, M.D.
Laura Alba, M.D.

Contact: Eve Medlock
One Month Emphasis will be on pathogenesis, manifestations and complications of gastrointestinal disorders, including behavioral adjustments of patients to their problems. Through reading materials, didactic sessions and observation, the student will become familiar with: GI emergencies, total parenteral nutrition, liver diseases, diseases of the gall bladder and pancreas, diseases of the esophagus, diseases of the colon, inflammatory bowel disease, diseases of the gastroduodenum, and malabsorption/diarrhea/steatorrhea.
Gynecology/Oncology
St. Luke's Hospital
Darryl Wallace, M.D.
Lowell Byers, M.D.
Michelle Dudzinski, M.D.

Contact: Julie Harris
One Month Students will participate in rounds and bedside teaching under the direction of a gynecologic oncologist. Emphasis will be placed on utilization of screening techniques and treatment planning, including surgery, chemotherapy and radiation therapy. Students will be exposed to skills necessary for ambulatory and hospital gynecologic problems, diagnoses and management.
Hematology/Oncology
St. Luke's Hospital
Jay Peterson, M.D.
Robert Belt, M.D.
John Davis, M.D.
Stuart Hinton, M.D.

Contact: Julie Harris
One Month Students on this elective will participate actively in the day-to-day diagnosis and care of hematology and oncology patients in the hospital. Instruction will include the appropriate use and potential toxicity of chemotherapy and radiation therapy. Students will be able to evaluate bone marrows and peripheral blood smears. Students will be expected to take an active part in rounds and conferences.
Hematology/Oncology
Truman Medical Center - Hospital Hill
Navanshu Arora, M.D.
William Jennings, M.D.
Jill Moormeier, M.D.
Hitendra Patel, M.D.
.

Contact: Eve Medlock

One Month This rotation includes inpatient and outpatient care of patients with hematologic and oncologic problems. It is expected that students will have experience with a wide range of disease and problems related to diagnosis and treatment.

Objectives:

* To learn skills necessary to satisfactorily perform a hematologic/oncologic history and physical examination;
* To become familiar with the treatment of a variety of hematologic/oncologic diseases;
* To become familiar with the pathologic interpretation of common malignancies;
* To become familiar with blood banking techniques and use of transfusion products;
* To become familiar with the pharmacology, toxicity, administration, and therapeutic indications of chemotherapy;
* To become familiar with palliative care (pain management, nutrition, psychosocial support) and hospice home health care

Methodology:

Experience will be gained by the following:
* Participating in daily patient care rounds;
* Attending outpatient clinics;
* Participating in daily conferences and weekly hematology/oncology conferences, including tumor conferences

Evaluation:

Students will receive a written evaluation at the end of the rotation by faculty
High Risk Obstetrics
St. Luke's Hospital
John Yeast, M.D.
Gary Cohen, M.D.
Jim Thorp, M.D.

Contact: Julie Harris
One Month This elective is intended to provide a comprehensive understanding of the high-risk obstetrical patient. Students will have an opportunity to become familiar with the knowledge of and technical facilities available for the detection and support of high-risk mothers and their babies. Students will rotate on the maternal fetal medicine service within the Perinatal Center, which contains a Level III Nursery. Students will present a resident conference at the end of the rotation.
Infectious Disease
Truman Medical Center - Hospital Hill
David Bamberger, M.D.
Alan Salking, M.D.
James Stanford, M.D.

Contact: Eve Medlock
One Month Students on this rotation will learn to diagnose and treat infectious disease problems in the adult and understand the pathogenesis, epidemiology, natural history and management of these disease processes.

In addition, students will learn to understand the basic principles of common infectious disease problems, including: pediatric viral infections, vaccination, tuberculosis, parasitic infections, fungal infections, viral infections in the adult, acquired immunodeficiency syndrome infection, pneumonia, endocarditis, central nervous system infections, intra-abdominal infections, urinary tract infections, bone/joint infections, common skin infections, sepsis, sexually-transmitted diseases, and infections in the immunocompromised host.

Inpatient consultations are one of the main functions of the Infectious Disease Service.

Students may also take part in the following outpatient care clinics: infectious disease clinic, tuberculosis clinic, sexually-transmitted diseases clinic, and HIV clinic.

At the conclusion of the rotation, a written evaluation will be completed and discussed with each student.

References:

The student is free to use the staff's reprint file and textbooks.
Other sources of value are:
1. Mandell: Principles and Practices of Infectious Diseases
2. Monif: Infectious Diseases in Obstetrics and Gynecology
3. Krugman: Infectious Diseases in Children
4. Holmes: Sexually-Transmitted Diseases
5. Zinsser: Microbiology
6. Review of Infectious Diseases
7. Journal of Infectious Diseases
Infectious Disease
St. Luke's Hospital
Joseph Brewer, M.D.
Robert Neihart, M.D.
Curtis FitzSimmons, M.D.

Contact: Julie Harris
One Month Emphasis will be placed on clinical presentation and therapy of infectious diseases, pathophysiology, microbiology, and serology. Students will see, present, follow assigned patients and participate actively in discussions, conferences and other activities on the service. Students will gain an understanding of the basic principles of common infectious disease problems, including: pneumonias, endocarditis, central nervous system infections, intra-abdominal infections, urinary tract infections, bone/joint infections, common skin infections, systemic infections, sexually transmitted diseases, infections in immunocompromised hosts, nosocomial infections and AIDS.
Internal Medicine - Geriatrics
Truman Medical Center - Lakewood
Jon Dedon, M.D.

Contact: Eve Medlock
One Month Students to acquire knowledge of demographics of aging, geriatric physiology, geriatric disease states, geriatric clinical pharmacology
Nephrology
St. Luke's Hospital
Barry Wood, M.D.
Thomas Crouch, M.D.
Janardana Sharma, M.D.
Jim Mertz, M.D.
Contact: Julie Harris
One Month This elective emphasizes clinical aspects of renal function, physiology and immunology. Students will participate in the management of patients with acute and chronic renal diseases. Instructions will include hypertension and management of fluid and electrolyte disorders, and observation of the effects of conservative treatment as well as hemodialysis and peritoneal dialysis as well as participation in the management of transplant patients.
Neurology
Truman Medical Center - Hospital Hill
Vernita Hairston-Mitchell, M.D.
Kazi Syed, M.D.
Daryl Thompson, M.D.


Contact: Eve Medlock

One Month Objectives and Goals:

* To obtain chronologically-directed, neurologically-pertinent history (e.g. seizure disorder, headache, vascular disease, etc.).
* To be able to perform a neurological examination and interpret the abnormal findings.
* To become knowledgeable of the indications for and the limitations of various neurophysiological diagnostic procedures (EEG, EMG, EPs).
* To become conversant with indications for the limitations of various neuroradiologic diagnostic procedures such as CAT scan of head and spine, MRI, retrograde femoral cerebral arteriography.
* To have a good understanding of functional cerebrovascular anatomy.
* To understand pathophysiological substrate of common neurological diseases and cost-effective diagnostic evaluation, and to be able to inititate appropriate treatment.
* To be aware of potential and real neurological emergencies and institute appropriate therapy.

Schedule of Teaching Conferences:

* Morning Report daily from 8:15 a.m. to 9:00 a.m. (Conference Room - MICU)
* Noon conference daily, UMKC School of Medicine Theater C from noon to 1:00 p.m.
* Traditional ìBrain Cuttingî is held on Fridays from 10:00 a.m. to 11:00 a.m. in the Morgue (ground floor TMC) alternating with slide sessions in the Scope Room, 2nd floor Pathology Lab at TMC (Dr. Michael Handler)
* Neuroradiology Conference is held every Wednesday from 3:30 p.m. to 5:00 p.m. in the Radiology Classroom, 2nd floor at TMC under the direction of Drs. Lavin, Zollers and Matovich.
* Didactic teaching sessions by neurology faculty on a daily basis stressing techniques of neurological examination, principles of anatomical localizations.
Ob/Gyn - Reprod. , Endocrin., & Infertility
Truman Medical Center - Hospital Hill
Nezaam M. Zamah, M.D.
Contact: Eve Medlock
One Month
Must have successfully completed Ob/Gyn, Surgery, and Internal Medicine.
Perform adequate history-physical exam related to endocrine/infertility patient. List common endocrine disorders related to female reproductive system and describe their etiology, pathophysiology, symptoms, diagnosis and management. Outline plan for evaluation of various reproductive endocrine disorders and management of infertile couple and individual.
Obstetrics
St. Luke's Hospital
John Yeast, M.D.

Contact: Julie Harris
One Month Students will become familiar with and participate in the care of obstetrical patients including outpatient management in the Residents Clinic and patient management in labor and delivery. Students will be involved in rounds, bedside teaching and conferences. At the conclusion of the rotation, all students will present a resident conference.
Obstetrics - High Risk
Truman Medical Center - Hospital Hill
David Mundy, M.D.

Contact: Eve Medlock
One Month
The student must have successfully completed a 6 to 8 week Obstetrics & Gynecology rotation through an Ob/Gyn program to qualify for a High Risk Elective. This experience cannot come from having done an Ob/Gyn rotation through another type of (i.e. Family Practice) rotation.
After completion of the course, students should be able to identify common disorders related to pregnancy, and be able to describe their etiology, pathophysiology, symptoms, diagnosis, and management. Students should be able to outline a specific plan of managment for the patient with a complicated pregnancy.
Pathology - Anatomic
Truman Medical Center - Hospital Hill
Pathology Department Staff

Contact: Eve Medlock
One Month Outline:

Week 1: Histology: Students will spend one week becoming acquainted with the workings of a histology laboratory. They are encouraged to try their hands at embedding, microtomy, routine staining, special histochemical stains, processing tissues for electron microscopy, and immunoperoxidase staining.

Week 2 - 4: Prosection: Students will describe and trim in five to ten surgical specimens under direct supervison. Students will dress in ìscrubsî and be on call for frozen sections on their prosection days with the staff pathologist. They will observe and may assist with handling fresh specimens for frozen section and special studies, cryotomy, and will accompany the pathologist into the OR to deliver the frozen section diagnosis.

Week 2 - 4: Sign Out: On days following prosection, students will receive their gross dictation and microscopic slides from their cases of the previous day. They will make any necessary corrections in the gross dictation, look at their slides and arrive at a microscopic diagnosis, and then sign out the case with the staff pathologist.

Week 1 - 4: Autopsy: Students should attend and assist with at least one autopsy.

Week 1 - 4: Conferences: Students are required to attend all conferences sponsored by the department of pathology. An up-to-date listing of the conferences is available in the department.

Week 4: Presentation: Students will present one of the cases with which they interacted during the elective. Assistance will be provided with photography, graphics, format and content. Pathology staff and residents will attend the presentation.

Optional: Research: The pathology staff participates in a wide variety of ongoing research projects. Interested students are encouraged to participate.

Objectives:

Students will gain familiarity with the workings of an anatomic pathology laboratory in a university hospital. They will be exposed to histology, electron microscopy, immunoperoxidase staining, surgical pathology, and autopsy pathology. Students will participate in all conferences sponsored by the department, and will present a case to the department at the conclusion of the one-month elective.

Evaluation:

Students will be evaluated on their performance during the month and the presentations. There is no formal examination.
Pathology - Clinical
Truman Medical Center - Hospital Hill
Chris Papasian, Ph.D.
Harold Grady, Ph.D.
William DePond, M.D.

Contact: Eve Medlock
One Month
Must have successfully completed Medical Pathology.
Students will be exposed to various aspects of a clinical pathology laboratory in an university hospital. The student will spend one week in each of the four areas of clinical pathology: Clinical Chemistry, Blood Bank, Hematology, and Microbiology. Emphasis areas may also be determined beforehand by student/instructor agreement. The student will participate in conferences sponsored by the department, and will present one clinical pathology conference on the last Friday of his/her rotation.

Outline:

Week 1: Clinical Chemistry
Week 2: Hematology
Week 3: Blood Bank
Week 4: Microbiology

Evaluation:

Students will be evaluated on the basis of their performance during the month and on their presentation of the clinical pathology conference at the end of the rotation.
Pathology - Forensic
Truman Medical Center - Hospital Hill
Thomas Young, M.D.

Contact: Eve Medlock
One Month Students will be included in all investigations by going to the scene of death with an official investigator. This will help the students understand the complex, deductive process of contributing cause and manner of death.

Students will observe autopsies in a wide variety of natural and violect death cases. Commensurate with their level of training, students will receive instruction in medicolegal death investigation. Students will be able to observe court hearings of a medical examiner's case and will learn how a medical expert interacts in the court setting.

Students will gain familiarity in:

1. Investigation of medicolegal death (homicide, suicide, motor vehicle accident, unexplained death at home and hospital, etc.).
2. Performance of autopsy with the aim of determination of cause and manner of death.
3. Court appearance by accompanying the medical examiner in his expert testimony.

Evaluation:

Students will be evaluated on their performance during the month. There is an oral examination at the end of the rotation covering assigned reading.
Pediatrics - Adolescent Medicine
Children's Mercy Hospital
Daryl Lynch, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed General Pediatrics. Student should be in the last two years of medical school.
Students will learn to recognize common medical problems seen in adolescence; Demonstrate improved techniques of interviewing and treating adolescents; and describe biological, psychological and sociocultural aspects of adolescence.
Pediatrics - Allergy/Immunology
Children's Mercy Hospital
Jay Portnoy, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed General Pediatrics Clerkship.
Learn the approach to children with allergic diseases including asthma. Learn to evaluate the immunologic status of children. Understand the principles of skin testing.
Pediatrics - Behavioral
Children's Mercy Hospital
Ed Christophersen, Ph.D.

Contact: Kristen Moore
One Month General procedures available to primary care providers to deal with behavioral problems.
Pediatrics - Cardiology
Children's Mercy Hospital
R. Gowdamarajan, M.D.

Contact: Kristen Moore
One Month
The student should be in the last year of medical school and have completed a General Pediatrics Rotation.
Learn how to approach and assess children with potential cardiac problems; learn to use basic tools in routine evaluations of cardiac patients - history, physical examination, ECG chemistry and x-ray.
Pediatrics - Clinical Toxicology
Children's Mercy Hospital
Gary S. Wasserman, D.O.

Contact: Kristen Moore
One Month
The student should be in the last two years of medical school.
Recognize, diagnose and manage a variety of toxicological problems, especially involving drugs, household products, industrial agents, bites and stings, plants, and substance abuse. Understand indications and become knowledgeable in the use of antidotes. Develop a better understanding and utilization of the toxicology laboratory. Emphasis on pediatric poison exposures.
Pediatrics - Dermatology
Children's Mercy Hospital
Vidia Sharma, M.D.
Amy Jo Nopper, M.D.

Contact: Kristen Moore
One Month
The student should be in the last two years of medical school.
1) Diagnose common pediatric skin conditions.
2) Manage or have an outline of management of common pediatric skin conditions.
3) Recognition of systemic diseases with dermatologic manifestations.
Pediatrics - Emergency Medicine
Children's Mercy Hospital
Laura Fitzmaurice, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed a Pediatrics Rotation.
To function as an intern working in the Emergency Department.
Pediatrics - Endocrinology
Children's Mercy Hospital
Campbell Howard, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed Anatomy, Biochemistry, Pathology, Physiology, and a Pediatrics Rotation. Student should also be in the last two years of medical school.
Understand the pathophysiology, diagnosis and treatment of childhood diabetes, hypothyroidism, growth failure, adrenogenital syndrome.
Pediatrics - Gastroenterology
Children's Mercy Hospital
Charles Roberts, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed a General Pediatric Clerkship.
General understanding of evaluation and management of common pediatric gatroenterology problems, i.e., diarrhea, vomiting, constipation, pain.
Pediatrics - Genetics
Children's Mercy Hospital
Michael Begleiter, M.S.

Contact: Kristen Moore
One Month
Must have successfully completed Biochemistry and General Genetic.
Describe modes of transmission of genetic disorders. Obtain family history and construct and analyze pedigrees. Discuss scope and implications of genetic disease on individual, family and society. Discuss some technology used in the study of genetic diseases.
Pediatrics - Hematology Oncology
Children's Mercy Hospital
Gerald Woods, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed General Pediatrics Clerkship and in the last two years of Medical School.
Improve assessment and diagnostic skills specific for pediatric Hematology/Oncology. Learn new methods of treating hematologic and oncologic diseases, including bone marrow transplantation.
Pediatrics - Infants & Toddlers with Special Needs
Children's Mercy Hospital
Christine Robertsen, M.D.
Edward Hoffman, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed a General Pediatrics Clerkship.
Infants with special medical needs require more time and attention to care for the whole child and coordinate with other care providers and interventions. The Neonatal Follow-up Clinics in Special Care Clinic specializes in this type of care. Infants and toddlers are the focus. Clinic staff includes a pediatrician, a developmental pediatrician, a psychologist, two nurse practitioners and a social worker. Medical conditions addressed include: graduates of neonatal intensive care, history of prematurity, bronchopulmonary dysplasia on home oxygen, birth defects that involve the brain and/or gastrointestinal system, prenatal drug or alcohol exposure.
Pediatrics - Intensive Care
Children's Mercy Hospital
Patricia Webster, M.D.

Contact: Kristen Moore
One Month
The student should be in the last year of Medical School.
Learn concepts and skills needed to care for critically ill children, including ventilator management and circulatory support.

This elective is geared towards students who will be starting Pediatric or Emergency Medicine Residencies.
Pediatrics - Neonatology
Children's Mercy Hospital
Howard Kilbride, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed General Pediatrics rotation and have Well Baby Nursery experience. The student should also be in the last two years of medical school.
Learn concept of regionalization of perinatal care and skills in critical care neonatology, including perinatal physiology, therapeutics, ethics and technical procedures.
Pediatrics - Orthopaedics
Children's Mercy Hospital
Thomas L. Schmidt, M.D.
Dale E. Jarka, M.D.
Nigel J. Price, M.D.
Ganesh Gupta, M.D.
Kevin Latz, M.D.

Contact: Kristen Moore
One Month
The student must have some clinical medicine experience.
This experience exposes the medical student to musculoskeletal problems in the growing child with emphasis on how growth affects the care and decision making for children with musculoskeletal problems. Students will have an appreciation for how growth in the musculoskeletal system is affected by musculoskeletal disease.
Pediatrics - Otolaryngology
Children's Mercy Hospital
Jerry Freeman, M.D.

Contact: Kristen Moore
One Month
The student should be in the last two years of medical school.
Comprehensive exposure to exam, history-taking and medical and surgical treatment of general pediatric ear, nose and throat disorders.
Pediatrics - Pathology
Children's Mercy Hospital
David Zwick, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed one year of Clinical Science.
Research elective in pediatric anatomical or pediatric laboratory medicine. Students will acquire skills in research study and design and laboratory methods, as well as simple laboratory/research statistical analysis. The student will have the opportunity to develop flow cytometry or tissue immunoperoxidase techniques.
Pediatrics - Psychiatry
Children's Mercy Hospital
J. R. Batterson, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed a General Psychiatry Rotation.
By the end of the rotation, the student should be able to perform an interview with mental status exam on an adolescent or child.

Objectives:

1. Understand concepts of Child Psychiatric diagnosis
2. Understand concepts of Child Psychiatric treatment
3. Develop a refined working knowledge of psychotropic medication in the pediatric population
4. Understand basic concepts of psychiatric coredelivery systems
Pediatrics - Pulmonary
Children's Mercy Hospital
Phillip Black, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed a General Pediatrics Clerkship and in the last two years of medical school.
Learn the approach to pediatric patients with pulmonary diseases, including asthma, cystic fibrosis, recurrent pneumonia and bronchopulmonary dysplasia. Improve skills in interpreting radiographs.
Pediatrics - Radiology
Children's Mercy Hospital
Kate Gyves, M.D.

Contact: Kristen Moore
One Month
The student should be in the last two years of medical school.
Students will be able to approach x-rays and be able to use systematic approach to interpretation of films. Clinical correlation is emphasized. Students will observe various specialized exams and gain basic familiarity with functioning of x-ray department. Weekly and daily conferences provided.
Pediatrics - Rehabilitation
Children's Mercy Hospital
Ann Gettel, M.D.
Robert Rinaldi, M.D.
Fred Klingbeil, M.D.

Contact: Kristen Moore
One to two months 1. Identification of acute and chronic rehabilitation needs in children. 2. Pediatric neurological and functional examination, including basic development assessment, sensory integration function, and identification of language and cognitive problems; 3. Understand natural pathophysiology of commonly encountered conditions resulting in disabilities in children; 4. Chronic pain management in children; 5. Bowel, bladder and skin management strategies; 6. Perform good manual muscle examination, joint range of motion examination with emphasis on posture, joint alignment, stance and gait; 7. Understand basics of electrodiagnostic studies in children; 8. Write appropriate physical, occupational and speech therapy prescriptions; 9. Understand appropriate brace, adaptive device and wheelchair prescriptions; 10. Lead team conferences and case management conferences and facilitate inter and transdisciplinary approach among team members; 11. Parental counseling; 12. Discharge planning; 13. Interfacing with school and community therapy program.

Conferences: 1. Formal lecture series with special needs rotation residents; 2. Pediatric rehab team rounds weekly Tuesday at noon; 3. Daily attending rounds at CMH; 4. Rehab lecture series/seminars including neuroradiology/rehab rounds first Friday. Student and Resident Lectures (Evaluation) 1. Daily presentation of each patient with immediate feedback regarding management; 2. Direct observation of patient care at bedside and clinic setting. Two formal evaluation sessions, one in the middle of the rotation and the second at the end of the rotation. Each will be discussed with the resident at the time of the evaluation.
Pediatrics - Research in Endocrinology
Children's Mercy Hospital
Campbell Howard, M.D.

Contact: Kristen Moore
One Month
Must have successfully completed Anatomy, Biochemistry, Pathology, Physiology, and six months clinical experience. Also during the last three years of Medical School.
Demonstrate knowledge of scientific methods. Demonstrate ability to use lab equipment. Learn to collect and statistically analyze data obtained from the project.
Pediatrics - Surgery
Children's Mercy Hospital
Keith Ashcraft, M.D.

Contact: Kristen Moore
One Month
Student should be in the last two years of medical school. Student must have successfully completed rotations in Pediatrics and General Surgery.
Learn to take history and carry out physical examination on infants and children focusing on surgical or potentially surgically correctable conditions. Establish differential diagnosis and plan of work-up designed to arrive at diagnosis in those instances where it is unclear. Familiarity with some more important principles of preoperative and postoperative care.
Psychiatry - Child
Western Missouri Mental Health Center
Stuart Munro, M.D.

Contact: Lewis Arnold
One - Two Months
Must have successfully completed a Psychiatry rotation.
Students will work with the Child Psychiatry team on both an inpatient and outpatient basis. This will include the assessment of the troubled child, as well as the unique aspects of intervention with children and adolescents, including play therapy and child psychopharmacology. Experiences may occur with the Juvenile Court System, as well as residential group homes in the community.
Psychiatry - Community
Western Missouri Mental Health Center
Stuart Munro, M.D.

Contact: Lewis Arnold
One - Two Months
Must have successfully completed a Psychiatry rotation.
Students will participate as functional members of a community-based psychosocial rehabilitation team. Students will work not only with residents and staff psychiatrists, but also with case managers and other non-physician personnel. They will participate in team meetings, see patients in a community mental health center setting, and go on site visits to group homes and other patients' living quarters in the community. At the community mental health center, which is located on the Hospital Hill campus in downtown Kansas City, students will also have the opportunity to work in substance abuse clinics and observe management techniques with dual-diagnosis patients.
Psychiatry - Consultation Liaison
Western Missouri Mental Health Center
Stuart Munro, M.D.

Contact: Lewis Arnold
One - Two Months
Must have successfully completed a Psychiatry rotation.
Students will participate in the activities of the consultation liaison service in Psychiatry to a large general hospital with medical, surgical and Ob/Gyn services. Common requests include assessment of suicidality and dangerousness, competency to give informed consent for medical treatment and assessments of disorders presenting in the interface between medicine and psychiatry (e.g. somatoform disorders, mood disorders, anxiety disorders).
Psychiatry - Emergency
Western Missouri Mental Health Center
Stuart Munro, M.D.

Contact: Lewis Arnold
One - Two Months
Must have successfully completed a Psychiatry rotation.
Students will be involved in the work of a busy psychiatric referral center emergency room. Referrals are received from the Kansas City metropolitan area, as well as many surrounding rural counties. A comprehensive variety of presentations will be seen. This is a particularly good opportunity to practice the initial assessment interview, management of psychiatric emergencies and knowledge of the mental health resources in a large metropolitan community.
Psychiatry - Inpatient
Western Missouri Mental Health Center
Kemal Sagduyu, M.D.

Contact: Lewis Arnold
One - Two Months
Must have successfully completed a Psychiatry rotation.
Students will have the opportunity to hone skills learned in the prerequisite clerkship relevant to working on an inpatient psychiatric unit. Most major psychiatric disorders will be observed during this rotation and students will have the opportunity to practice techniques of assessment, diagnosis and management.
Pulmonary
Truman Medical Center - Hospital Hill
Abid Bhat, M.D.
Ashrat Gohar, M.D.
Dennis Pyszczynski, M.D.
Gary Salzman, M.D.


Contact: Eve Medlock

One Month or arrange
Must have successfully completed a clerkship in Internal Medicine.
The elective experience on the Pulmonary Consult Service involves working with the medicine resident, pulmonary fellow, and pulmonary attending performing pulmonary consultations on patients hospitalized on the medical surgical units and the surgical intensive care unit. Students will learn how to do history and physical examinations on patients with pulmonary problems, construct differential diagnoses, and devise plans for evaluation and treatment. Students will observe procedures: fiberoptic bronchoscopy, throacentesis, chest tube placement. A reading list is provided for students. Daily lectures are scheduled on common topics in pulmonary medicine. Students will see patients in the pulmonary clinic one-half day a week working under the supervision of a pulmonary attending.

No night call is required. Weekend rounds may be required (every other weekend). No housing is available.
Pulmonary and Critical Medicine
Truman Medical Center - Hospital Hill
Abid Bhat, M.D.
Ashrat Gohar, M.D.
Dennis Pyszczynski, M.D.
Gary Salzman, M.D.

Contact: Eve Medlock
One Month or arranged Students will divide their time equally between the Pulmonary and Critical Care Services.

The elective experience on the Pulmonary Consult Service involves working with the medicine resident, pulmonary fellow, and pulmonary attending performing pulmonary consultations on patients hospitalized on the medical surgical units and the surgical intensive care unit. Students will learn how to do history and physical examinations on patients with pulmonary problems, construct differential diagnoses, and devise plans for evaluation and treatment. Students will observe procedures: fiberoptic bronchoscopy, throacentesis, chest tube placement. A reading list is provided for students. Daily lectures are scheduled on common topics in pulmonary medicine. Students will see patients in the pulmonary clinic one-half day a week working under the supervision of a pulmonary attending.

The elective experience on the Critical Care Service involves working with medical residents, critical care fellows, and critical care attendings performing consultations in the 12-bed Medical Intensive Care Unit. All patients in the MICU ar evaluated by the critical care team. Students will learn to evaluate, construct differential diagnoses and devise management plans on patients with a wide variety of critical care problems. Students will take an active role in the management of patients on mechanical ventilation. Students will have extensive exposure to hemodynamic monitoring. Students will observe critical care procedures: endotracheal intubation, fiberoptic bronchoscopy, Swan-Ganz catheter placement, arterial line placement, chest tube placement, thoracentesis, etc. Students may get the opportunity to perform or assist with some procedures under close supervision. Students will learn how to interpret portable chest radiographs and other radiologic studies performed in the Intensive Care Unit. A reading list is provided to the students and daily lectures are scheduled on critical care topics.

No night call is required. Weekend rounds may be required (every other weekend). No housing is available.
Pulmonary Diseases
St. Luke's Hospital
Mark Yagan, M.D.
Vincent Lem, M.D.

Contact: Julie Harris
One Month Students will have the opportunity to observe and manage patients with respiratory problems of diverse etiology. Emphasis will be placed on pulmonary physiology and its correlation with clinical disorders, utilization of laboratory tests and procedures for the diagnosis and treatment of pulmonary diseases. Students are expected to participate in daily hospital rounds and teaching sessions.
Radiology
Truman Medical Center - Hospital Hill
Gerald Finke, M.D.

Contact: Eve Medlock
One Month 1. Types of imaging examinations available; indications for and limitations of each.
2. Recognition of major abnormalities on chest x-rays of ICU patients.
3. Recognition of common traumatic injuries.
Radiology - Diagnostic
St. Luke's Hospital
Christie Phelan, M.D.
G. D. Dixon, M.D.
James G. Fitzsimmons, M.D.
Ken Jacob, M.D.
Graham Lee, M.D.
Mark Redick, M.D.
Tim O'Bryant, M.D.
Bert Gallet, M.D.
Thomas H. Waddell, M.D.

Contact: Julie Harris
One Month The goal of this elective is to teach the fundamentals of x-ray interpretation and the appropriate use of radiology as a diagnostic tool. Students gain a broad range of experience through gastrointestinal radiology, urography, nuclear medicine, vascular radiology, neuroradiology, CT scanning, ultrasound and magnetic resonance imaging. Regularly scheduled intradepartmental educational conferences are provided.
Surgery
St. Luke's Hospital
Charles VanWay, M.D.

Contact: Julie Harris
One Month This surgical clerkship will afford students the opportunity to serve as an integral part of the surgical team. Students will participate in all aspects of the clinical care of patients, including preoperative evaluation, operations and postoperative follow-up. Students will participate in the regular surgical conferences and teaching rounds.
Surgery - Intensive Care
St. Luke's Hospital
Charles Vanway, M.D.

Contact: Julie Harris
One Month
Must have successfully completed a Surgery Rotation.
The student is expected to learn the basics of management of patients in the surgical intensive care environment. This specifically includes management of ventilators, nutritional support, and hemodynamic monitoring.
Surgery - Plastic
Truman Medical Center - Hospital Hill & Children's Mercy Hospital
Virender Singhal, M.D., FRCS, FACS

Contact: Eve Medlock
Three months
Student should be in the last two years of medical school.
To be interested in learning various aspects of plastic surgery,and its extremely wide application. To become interested in combining art and science. To become interested in both basic science ( e.g. growth factors, gene therapy etc.) and clincial science. To realize the need for tissue engineering.

Surgery - Orthopaedics

Truman Medical Center-West
James Hamilton, M.D.

Contact: Eve Medlock

One month

Student should be in the last two years of medical school.

Exposure to basic orthopaedic principles, the evaluation of orthopaedic problems management of simple orthopaedic problems, application of casts, exposure to surgical procedures. Summary of Daily Activities: Monday - Friday a.m. - Rounds; Tuesday - HAWD Conference; Wednesday - Basic Science Conference; Thursday - Grand Rounds; Sports Medicine; Total Joint; TMC-East Sat/Sun - Call Responsibilities