MED 701 Core Clerkship: Internal Medicine
The clerkship in Internal Medicine is designed to introduce students to the study and skills of clinical medicine. Through the case study approach, students have the opportunity to evaluate and manage a variety of patients and their problems. In this manner, students can develop their skills in history taking and physical examination and will review pathophysiological principles in caring for patients. Students will develop an understanding of relationships between disease states and patient hosts from the medical, social and emotional points of view. The ward team approach allows students the opportunity to actively work toward the goals of good patient care and the acquisition of a solid foundation of medicine. Students are expected to supplement their learning through a self-study program of learning objectives. This will provide the students with exposure to basic technical skills as well as a core set of topics in Internal Medicine. FA WI SP SU [12 weeks]

MED 710 Internal Medicine Subinternship
Students function at an advanced level, doing histories and physical examinations, diagnostic evaluations, and initiation of appropriate therapy. There is close supervision by the staff of the Department of Internal Medicine. The course is primarily intended for students desiring additional clinical experience in internal medicine. The four (4) week subinternship rotation is taken during the fourth year. This clerkship will be scheduled during the elective lottery, which takes place in the spring of the M3 year. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 711 Cardiovascular Medicine
Includes the study of the diagnostic spectrum of cardiac evaluation including bedside assessment, critical care cardiology, electrocardiography, electrophysiology, echocardiography, cardiac catheterization, coronary angiography, coronary care, interventional cardiology, preventive cardiology and exercise testing. Patient study is carried out under the direction of the clinical staff. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 712 Medical Intensive Care Unit (MICU)
This course provides experience in the recognition and management of medical critical care issues, particularly the use of bedside hemodynamic monitoring, use of mechanical ventilators, and management of cardiovascular, pulmonary, renal and endocrine emergencies. Patient care is carried out under the direction of the clinical staff. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 713 Cardiovascular Research
The student's program is individually planned with emphasis on understanding basic research techniques and completion of a project with the goal of submitting an abstract and/or manuscript. The student will be assigned to a specific faculty member based on his/her individual interest. The research program of the Section of Cardiology encompasses treatment and prevention of chronic heart failure, arrhythmias, and coronary artery disease; echocardiography; myocardial cell contraction; molecular biology of heart cell differentiation; and vascular biology. Students must submit a proposal to the Office of Clinical Curriculum for approval at least eight weeks before the rotation and must have written approval from the Office of Clinical Curriculum before beginning the rotation. Depending on the proposal, the weeks of credit may or may not apply to the rule of 8-weeks’ maximum credit for coursework in a single subspecialty. This decision is at the discretion of the Office of Medical Student Programs. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 716 Poison Control
The Illinois Poison Center is a 24-hour emergency service fielding approximately 90,000 calls a year from parents, schools, work sites, emergency rooms, occupational medicine clinics, etc., regarding a variety of toxicological emergencies. The student will learn the basics in management of a poisoned or overdosed patient, including decontamination of toxins via all routes (i.e., ingestion, oculardermal and inhalation). The student will gain a working knowledge of signs/symptoms, antidotal therapy, toxicologic laboratory, nomogram interpretation monitoring parameter and management appropriate to a variety of poisons including prescription and OTC medicines, household products, and plants. Students will attend morning rounds and case conferences at the Toxikon Group at John H. Stroger Jr. Hospital of Cook County or the UIC College of Medicine at 9:00 a.m. Students will then commute to the IPC and work on the emergency telephone lines under supervision of IPC staff until 4:00 p.m. Prerequisites: none. FA WI SP SU [2 weeks]

MED 721 Endocrinology/Metabolism
Endocrine and metabolic disorders are studied under the direction of the clinical faculty. Regular didactic sessions, departmental conferences, and seminars supplement clinical work, which involves both outpatients and inpatients. Prerequisite MED 701. FA WI SP SU [4 weeks]

MED 724 Coronary Care Unit
This clerkship is designed for senior medical students desiring advanced exposure to patients with acute cardiovascular illness. During this rotation the student will function at the sub-intern level and will be expected to admit anywhere from one to three patients per day. Although night call is not required, it is expected that the student remain until their work is fully completed and sign-out given to the intern on-call. The student then will give formal presentations of patient histories and physicals at morning rounds which occur in the CCU conference room between the hours of 8:00 a.m. and 12:00 Noon. It will be expected that the student be available for admitting and rounding six days out of seven. The student will also be exposed to the full spectrum of bedside procedures performed in the coronary care unit including pulmonary artery catheterization, indwelling arterial line, and venous central catheter. Exposure to placement of transvenous pacemakers and intraaortic balloon pumps will also be part of the CCU experience. It is anticipated that the experience in the coronary care unit be rigorous. At the conclusion of the rotation the student should be able to understand the diagnosis and treatment of the full spectrum of cardiovascular illnesses including ischemic heart disease, advanced heart failure, shock, hypertensive heart disease, valvular heart disease, congenital heart disease and pericardial disease. The student will also gain valuable experience in the diagnosis and treatment of rhythm disturbances and in 12-lead electrocardiogram interpretation. The student will be responsible for all aspects of patient care under the supervision of the physician team which includes a full-time Cardiovascular Attending Physician, a Cardiovascular Fellow, as well as Internal Medicine Residents and Interns. It is also expected that the student participate in didactic conferences and attend all the Cardiology conferences throughout their rotation. This clerkship is recommended for students intending to enter a career in Internal Medicine, the Internal Medicine Subspecialties or Critical Care Medicine. MED 701. FA WI SP SU [2 or 4 weeks]

MED 726 Nephrology
The clinical diagnosis and management of patients with acute and chronic renal disease as well as various fluid, acid-base, and electrolyte abnormalities are studied. In addition, the course is directed toward the proper interpretation of pathophysiologic findings and the practical clinical management of nephrotic syndrome, diabetic nephropathy, glomerulonephritis and patients with chronic renal failure and end-stage renal disease. Prerequisite MED 701. FA WI SP SU [4 weeks]

MED 732 Digestive Diseases
The 4-week rotation in Digestive Diseases is divided into two 2-week sessions; Gastroenterology and Hepatology. Students rotate on the Rush gastroenterology and hepatology inpatient services including liver transplant. Students actively participate in consults, didactic lectures and bedside rounds. Students attend all conferences including Gastroenterology Grand Rounds, conference, Liver Transplant conference and Journal Club. An outpatient experience in both gastroenterology and hepatology is available once per week if desired. There is an optional opportunity for those students wishing to participate in clinical research in the area of digestive diseases to incept projects during this rotation. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 736 Hematology
This course provides an intensive exposure to clinical hematology. Students meet with residents, fellows and a teaching-attending hematologist daily for presentation and discussion of hospitalized hematology patients. Students work-up patients, present them to the attending and participate in patient care with medical residents. Blood and bone marrow slides on the service patients are reviewed daily with attending hematologists using a teaching (multi-headed) microscope. Bedside rounds follow the daily presentation of cases. On Mondays, a multidisciplinary lymphoma conference presents diagnostic and therapeutic aspects of the malignant lymphomas. On Thursdays, a clinical conference is held in which a patient is presented and discussed in depth by students, residents and faculty. A recent addition to this elective is a daily self-learning session with a faculty member on a core topic of hematology. Twenty of these topics cover the spectrum of hematologic diseases. All conferences held by the Section of Hematology and Stem Cell Transplantation is available to the students on an optional basis. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 746 Infectious Disease
Students are exposed to a wide variety of acute and chronic Infectious Disease problems with emphasis on diagnostic and therapeutic approaches. Teaching is conducted in a case-study format in which students see new patients and present them to the attending on consultation rounds. Rush and Stroger Hospitals have a joint fellowship Training Program in Infectious Disease. Rush students will spend two weeks at Rush and two weeks at John H. Stroger, Jr. Hospital of Cook County on the respective Infectious Disease Consultative Services; visiting students will spend all four weeks at Rush. In addition, students will attend a weekly two-hour infectious disease conference at Rush and a one-hour infectious disease conference at Stroger where they may present cases. Sixteen lectures on basic infectious disease topics are presented over the four weeks. Students will NOT be allowed to drop the clerkship less than 8 weeks prior to the start. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 751 Rheumatology
Students participate in all activities of the Section of Rheumatology, including patient care in clinics, inpatient consultations, conferences and didactic sessions. A wide variety of musculoskeletal conditions and connective tissue diseases are seen. Objectives include performance of musculoskeletal exam, synovial fluid analysis, arthrocentesis, therapeutic injection of joints and other structures, ability to formulate differential diagnosis of rheumatic conditions, and formulate long-term management programs. An interdisciplinary approach relies on contributions of immunology, orthopedics, diagnostic radiology, physiotherapy, and occupational therapy. The combined faculty and facilities of Rush Medical Center and John H. Stroger Jr. Hospital of Cook County are utilized. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 761 Medical Oncology
Patients seen by the Section of Medical Oncology provide an ample and varied spectrum of oncological problems. Students study selected patients under the direction of members of the section. Various therapeutic approaches and complications occurring in the course of the disease are discussed. The program stresses the importance of the combined interdisciplinary approach using the resources of the Departments of Surgery and Therapeutic Radiology, as well as those of Pathology and Nuclear Medicine. Students will have the opportunity to participate in the teaching programs of the Medical Oncology Ward on 11 Kellogg. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 771 Pulmonary Medicine
The elective will give the student an exposure to the diagnosis and management of patients with a wide variety of pulmonary disorders. The rotation concentrates primarily on in-patients at Rush University Medical Center, but there is an opportunity to work with out-patients in the Rush Center for Lung Diseases. The essentials of pulmonary physiology, the use and interpretation of pulmonary function testing, and the provision of mechanical ventilatory support are emphasized during the rotation. Prerequisites: MED 701, SUR 701. FA WI SP SU [4 weeks]

MED 777 Allergy/Immunology
This elective teaches the clinical approach to the problems of allergy, other immune-mediated diseases and immunodeficiency in children and adults. Diagnosis and treatment of commonly encountered IgE-mediated diseases (allergic rhinitis, asthma, eczema and urticarla), as well as connective tissue diseases and immunodeficiency syndromes are explained. Rotators are responsible for following medicine as well as pediatric inpatient consults at RUMC and Stroger Hospitals and report to the attending physician-on-service for daily rounds. Allergy/Immunology outpatient care is demonstrated at Fantus Clinic (part of the Stroger Hospital Ambulatory Care Network) as well as the Allergy/Immunology Office at Rush University Medical Center. Rotators also learn about skin testing techniques, spirometry, and immunological tests performed by the Rush Medical Laboratory. Teaching (basic science or clinical lecture, journal club, research and chart review) conferences are held at Rush on Friday mornings. The attending physician-on-service and/or fellow-on-service also teach on daily rounds. A pretest and final quiz are given to measure achievement as a basis for evaluation. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 781 Research in Medicine
Students may arrange research rotations individually with faculty at Rush. In order to receive credit for such a rotation, the person to whom the student will be responsible must write a letter describing the student's activities, responsibilities, amount of supervision, and the specific dates of the rotation. Credit toward graduation is granted assuming that the research project is ongoing throughout the academic year. Students must submit a proposal to the Office of Clinical Curriculum for approval at least eight weeks before the rotation and must have written approval from the Office of Clinical Curriculum before beginning the rotation. Research rotations are scheduled for a minimum of four weeks of credit with the expectation that the full project will extend beyond the formal course duration. Depending on the proposal, the weeks of credit may or may not apply to the rule of 8-weeks’ maximum credit for coursework in a single subspecialty. This decision is at the discretion of the Office of Medical Student Programs.
[4 weeks]

MED 795 Geriatric Medicine
The elective in Geriatric Medicine and Palliative Care draws upon a number of resources within the Rush system, including Rush University Senior Care and its practice sites and Johnston R. Bowman Health Center. Students will learn about models of care for older adults throughout the continuum of medical care. Under the supervision of the faculty of the section of Geriatric Medicine and Palliative Care, students will participate as part of an interdisciplinary team in evaluation and assessment of the medical, psychiatric, and social needs of older adults. The curriculum includes exposure to topics in medical ethics, medical economics, and medical and legal aspects of end-of-life care. Weekly didactic sessions presented by section faculty complement clinical experiences. This elective requires the course director's approval. Prerequisite: FAM 701 or MED 701. FA WI SP SU [2 or 4 weeks]

MED 799 Combined Internal Medicine/Pediatrics
This elective is based at Lifetime Medical Associates, the continuity practice of the Rush Combined Internal Medicine/Pediatrics Residency Program. This integrated resident-faculty outpatient practice focuses on family-oriented primary care. Students spend the day working with common outpatient problems in patients of all ages. In addition, students will gain experience in office management, insurance issues, quality improvement, urgent care, and other areas important to general practice. Because this elective is essentially an outpatient subinternship, we request that students advise us as soon as possible of a need to change dates or cancel this elective. NOTE: Visiting students may only enroll in four-week rotations with the approval of the course director; they are not eligible for two-week rotations. Rush students who are interested in a 2-week rotation should contact the Office of Medical Student Programs to enroll. Prerequisites: FAM 701, MED 701, PED 701, OBG 701. FA WI SP SU [2 or 4 weeks]

MED 812 Medical Intensive Care (MICU)
This course provides experience in the recognition and management of medical critical care issues, particularly the use of bedside hemodynamic monitoring, use of mechanical ventilators, and management of cardiovascular, pulmonary, renal and endocrine emergencies. Patient care is carried out under the direction of the clinical staff. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 821 Endocrinology/Metabolism
Endocrine and metabolic disorders are studied under the direction of the clinical faculty. Regular didactic sessions, departmental conferences, and seminars supplement clinical work, which involves both outpatients and inpatients. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 826 Nephrology
The clinical diagnosis and management of patients with acute and chronic renal disease as well as various fluid, acid-base, and electrolyte abnormalities are studied. In addition, the course is directed toward the proper interpretation of pathophysiologic findings and the practical clinical management of nephrotic syndrome, diabetic nephropathy, glomerulonephritis and patients with chronic renal failure and end-stage renal disease. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 828 Cardiology
This rotation consists of two weeks of CCU and two weeks of inpatient cardiology consults, or four weeks of CCU. Each student can choose which of the two formats they prefer. Students will see patients on their own and present/discuss them with the team. They will attend cardiology rounds and conferences. Students will improve their knowledge about the presentation and treatment of common cardiac diseases including: chest pain, acute coronary syndrome, arrhythmias. Students will improve their skills in the cardiac examination and in the interpretation of EKGs. There is a daily half-hour teaching conference for the team. Students have the option of staying for an additional hour long conference geared towards the fellows. Students are invited to attend any conferences for the department of medicine residents (noon conferences three days per week). Evaluation will be based on the student's performance on rounds. Expectations will be discussed on the first day of the clerkship, and feedback will be ongoing. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 832 Digestive Diseases
The 4-week rotation in Digestive Diseases is divided into two 2-week sessions; Gastroenterology and Hepatology. Students rotate on the Rush gastroenterology and hepatology inpatient services including liver transplant. Students actively participate in consults, didactic lectures and bedside rounds. Students attend all conferences including Gastroenterology Grand Rounds, conference, Liver Transplant conference and Journal Club. An outpatient experience in both gastroenterology and hepatology is available once per week if desired. There is an optional opportunity for those students wishing to participate in clinical research in the area of digestive diseases to incept projects during this rotation. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 836 Hematology
This course provides an intensive exposure to clinical hematology. Students meet with residents, fellows and a teaching-attending hematologist daily for presentation and discussion of hospitalized hematology patients. Students work-up patients, present them to the attending and participate in patient care with medical residents. Blood and bone marrow slides on the service patients are reviewed daily with attending hematologists using a teaching (multi-headed) microscope. Bedside rounds follow the daily presentation of cases. On Mondays, a multidisciplinary lymphoma conference presents diagnostic and therapeutic aspects of the malignant lymphomas. On Thursdays, a clinical conference is held in which a patient is presented and discussed in depth by students, residents and faculty. A recent addition to this elective is a daily self-learning session with a faculty member on a core topic of hematology. Twenty of these topics cover the spectrum of hematologic diseases. All conferences held by the Section of Hematology and Stem Cell Transplantation is available to the students on an optional basis. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 847 Infectious Disease Externship
As externs on the Infectious Disease inpatient ward, students will act as daily care providers for newly admitted patients with HIV/AIDS, most of whom have opportunistic infectious and/or malignancies requiring in-hospital diagnostic evaluation and therapy. Students will participate in daily multi-disciplinary team rounds that include an Infectious Disease attending, Medicine house staff, clinical pharmacist, and physician assistants (PA'S). Students also may spend one-half day per week in the outpatient HIV clinic under the supervision of an Infectious Disease physician. Didactic sessions include a weekly one-hour Infectious Disease conference conducted at the Core Center, a two-hour clinical Infectious Disease conference held at Rush, and 12 lectures on HIV-related topics. Exposure to the microbiology lab takes place during which the following topics are reviewed; HIV Testing, Blood Cultures, Mycobacterial Testing, Susceptibilities. Prerequisite MED 701. FA WI SP SU [4 weeks]

MED 848 HIV Primary Outpatient Care
The CORE Center provides comprehensive outpatient Infectious Disease services. Founded by Rush and the County of Cook, the Center is operated by the Cook County Bureau of Health Services. Students will learn about HIV primary care including HIV counseling and testing; prevention, diagnosis, and treatment of opportunistic infections; and antiretroviral therapy. Experiences will include adult, adolescent and pediatric HIV clinics, and brief exposure to a walk-in sexually transmitted disease clinic, and specialists in HIV dental, renal, cancer, hematology, and neurology specialty care, as well as mental health, social work, and chemical dependency support services. Didactic sessions include a one-hour weekly Infectious Diseases conference at the Core Center and a 2-hour clinical conference at Rush. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 850 Short Stay Telemetry Elective
Students will get to see patients on their own and go over their presentations with senior residents and attending staff. CXRs and EKGs are also reviewed with the attending staff. Students will be exposed to the presentation and management of patients with chest pains, acute coronary syndromes as well as congestive heart failure and various arrhythmias. All patient orders will be supervised and co signed by the house staff. Students will usually see 2 patients daily and follow their patients for the ~ 48hr stay while they are on the observation unit. Students will be based on the telemetry units from Mon- Fri between the hours of 8am – 6pm. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 851 Rheumatology
Students participate in all activities of the Section of Rheumatology including patient care in clinics, inpatient consultations, conferences and didactic sessions. A wide variety of musculoskeletal conditions and connective tissue diseases are seen. Objectives include performance of musculoskeletal exam, synovial fluid analysis, arthrocentesis, therapeutic injection of joints and other structures, ability to formulate differential diagnosis of rheumatic conditions, and formulate long-term management programs. An interdisciplinary approach relies on contributions of immunology, orthopedics, diagnostic radiology, physiotherapy, and occupational therapy. The combined faculty and facilities of Rush Medical Center and John H. Stroger Jr. Hospital of Cook County are utilized. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 861 Medical Oncology
Patients seen by the Section of Medical Oncology provide an ample and varied spectrum of oncological problems. Students study selected patients under the direction of members of the section. Various therapeutic approaches and complications occurring in the course of the disease are discussed. The program stresses the importance of the combined interdisciplinary approach using the resources of the Departments of Surgery and Therapeutic Radiology, as well as those of Pathology and Nuclear Medicine. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 872 Pulmonary Consultation Services
This rotation consists of inpatient pulmonary consults and outpatient pulmonary clinics. Students will see patients on their own and present/discuss them with the team. They see a variety of new and follow-up patients. Stroger Hospital is renowned for the ethnic and clinical diversity of its patient population. Students also attend pulmonary rounds and conferences. The rotation consists of inpatient pulmonary consults and outpatient pulmonary clinics. Typical hours are 7:30 a.m. to 5:00 p.m. Students will have weekends off.

Specific Educational Objectives of Clerkship:
At the end of the rotation, students will
1. display an approach to history taking, physical examination and interpretation of radiographic and physiologic studies to allow accurate description of acute and chronic respiratory syndromes.
2. be able to classify respiratory illnesses based on tempo and findings as acute, sub-acute or chronic and categorize the illness as congenital or acquired, infectious, inflammatory, neoplastic or traumatic in nature.
3. demonstrate an organized approach to interpretation of chest imaging
4. demonstrate an organized approach to interpretation of cardiorespiratory physiology
5. demonstrate proficiency in physical examination of the patient with lung disease.

Role of Student in Clerkship (Patient Care, Conference):
The student functions at the same level as an intern. He/she will see new patients, make assessments and plans in conjunction with the attending physicians, and continue to follow to discharge those patients worked up. Is there any subgroup of students for whom this clerkship is especially appropriate/ recommended? Students planning a career in primary care, emergency medicine or any branch of internal medicine. Prerequisites: MED 701. FA WI SP SU [4 weeks]