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Elective/Rotation List

1. General Medicine, Sub-internship

Course Director: Rebecca Mazurkiewicz, M.D., Site Director, Internal Medicine Acting Internship, Department of Medicine
Time: 4 weeks
Preferred Dates: September - June
Description: The Acting Internship (or subinternship) at Lenox Hill Hospital is a 4 week-long experience on the general internal medical wards.  During this rotation, 4th year medical students are treated and are expected to behave as interns in all ways possible.  Rotating students admit and carry their own patients (independently of interns), write their own notes, maintain their own signouts, participate in all call shifts and cross-coverage, pend orders for residents to activate, are listed as the first contact for their team for their patients and field pages as such, interact with attendings and staff, and attend housestaff conferences and special didactics dedicated to high-yield intern-oriented topics with the site director.  Successful students seize this opportunity to learn the skills necessary to be an intern in the near future – priority making, time management, and fostering their education while taking excellent care of patients.

2. Cardiology Service

Course Director: Neil L. Coplan, M.D., Program Director, Cardiology Fellowship Program
Time: 4 weeks
Preferred Dates: September - June
Description: The elective is designed to provide an experience in general cardiology for the fourth year medical student without CCU assignments. The students will work up and present patients assigned on the inpatient consultation services. The student will work closely with the cardiology Fellow andbe exposed to echocardiography, electrocardiography, exercise testing, coronary angiography, and hemodynamic assessment of various cardiac diseases and will be expected to attain a fundamental level of understanding in these areas over the four-weekperiod.

3. Gastroenterology

Course Director: David Robbins, M.D., Program Director, Division of Gastroenterology
Time: 4 weeks
Preferred Dates: September - June
Description: Clinical Gastroenterology is emphasized with exposure to a large variety of pathophysiologic entities. These include Crohn’s disease, ulcerative colitis, peptic ulcer disease, hepatobiliary disease, and cancer in different segments of the GI tract and liver and gall bladder diseases. The student is instructed in history taking, examination, diagnosis and treatment.
Rounds are made daily with the GI Fellows and Attending Gastroenterologist of the month. The curriculum includes teaching conferences, journal club, and clinico-pathologic and radiologic presentations. Consultations are performed and students customarily write them up and review them with the GI Fellows. The GI Fellows provide a source of knowledge based on the literature and practical experience on the approach to consultation from the viewpoint of the disease entity as well as humanistic aspects of physician-patient interaction. Students have the opportunity to participate in a clinical research project if desired.

4. Hematology and Oncology

Course Director: Colette Spaccavento, M.D., Program Director, Division of Hematology/Oncology
Time: 4 weeks
Preferred Dates: September - June
Description: At Lenox Hill Hospital, Hematology and Oncology are combined services under a single division.
The students rotate on the Hematology and Oncology Service, supervised by Fellows and subspecialty Attendings. The  make rounds with the Fellows and the Attending Staff and attend Hematology and Oncology Clinics and Conferences.The student will examine, evaluate and do appropriate clinical studies on assigned patients, then present these patients at appropriate rounds, as well as participate in the formulation of plans for study, treatment and management. The student will be expected to learn how to read and interpret peripheral blood and bone marrow smears and perform basic blood coagulation studies. The student is expected to develop a basic understanding of the use of the anti-neoplastic chemotherapeutic drugs as they relate to hematologic malignancies and solid tumors.

5. Clinical Nephrology

Course Director: Maria DeVita, M.D., Program Director, Division of Nephrology
Time: 4 weeks
Preferred Dates: September - June
Description: Active participation is offered to students interested in obtaining a broad background in the field of Nephrology and Hypertension. Experience in Clinical Nephrology includes the work-up and follow-up of patients with acute and chronic renal and fluid and electrolyte disorders. The student will also be provided with a wide exposure to both inpatient and outpatient dialysis, as well as with the opportunity to develop skills in the management of both inpatients and outpatients with hypertension. Students will participate in daily rounds with the Nephrology Fellows and Attendings, formal conferences, clinics and journal club, which are held weekly. In addition, a series of didactic lectures will be given by attending nephrologists to supplement the student’s exposure to the specialty. This is an excellent experience with significant staff input providing a superb environment for a broad learning experience.

6. Pulmonary Disease

Course Director: Bushra Mina, M.D., Program Director, Division of Pulmonary Medicine
Time: 4 weeks
Preferred Dates: September - June
Description: The student will function as members of the Pulmonary Consultation Service with supervised graded responsibility for care of patients with pulmonary diseases. The student will work alongside the two Pulmonary Fellows and receive intensive clinical and bedside teaching in pulmonary and critical care medicine. Students will attend weekly conferences in the following areas: pulmonary exercise testing, pediatric pulmonary, critical care, sleep, thoracic radiology and imaging, respiratory therapy, and a pulmonary and critical care journal club. In addition to the daily pulmonary and critical care attending rounds, students will work in the weekly pulmonary clinic and will also experience ambulatory pulmonary medicine as a daily tutorial seeing patients in the office of the Section Chief. Interested students may also take advantage of two-day intensive study periods in the pulmonary physiology laboratory and Respiratory Therapy department.