ACADEMIC YEAR REVISED : 8/29/03 2:52 PM

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1 ELECTIVE ADDENDUM APPROVED AFTER JANUARY 1, 2003 FOR THE ACADEMIC YEAR REVISED : 8/29/03 2:52 PM This summary listing electives approved or renewed after January 1, They are not included in the printed version of the handbook. NEW ELECTIVES: Elective profiles are listed following on the following pages of this section. ADDED MD Literature and Medicine/Collins CHS 6/16/03 3 ME Geriatric Medicine, Home Care / Weintraub SVA 7/11/03 4 RA Radiology in Practice/ Rice HARBOR 6/16/03 5 CANCELLED ELECTIVES: CANCELLED MD Clinical Studies in Parasitology, Infectious Disease, Tropical Medicine / Seidel HARBOR 8/4/ MD Community Medicine in Mexico / Christiani ASSOC 2/10/ MD Transition to Internship / Christiani CHS 7/21/ PS PACE Psychiatry Clerkship / Quintana SFVMP 7/17/ CHANGES IN ELECTIVES: CHANGED RA Radiation Oncology / Selch. Mel Fleetwood ( , mfleetwood@mednet.ucla.edu) PE Pediatric Neurology / Sankar. Kesha Eason ( , keason@mednet.ucla.edu) is the new student coordinator. ME Psychiatry UCLA Cardiology / Kaushik. Mae Galimore ( ) is the new student coordinator. Martie Banks ( , mbanks@mednet.ucla.edu) is the new student coordinator for all of the psychiatry electives at UCLA. PS MR/Child Psychiatry PS Consultation Liaison Psychiatry PS Geriatric Consultation Psychiatry PS Inpatient Psychiatry PS Community and Cross-Cultural Psychiatry PS Transcultural Psychiatry PS Adult Psychiatry PS Inpatient Geriatric Psychiatry CHS 8/29/ CHS 8/29/ KDMC 8/21/ CHS 8/4/03 1

2 CHANGES IN ELECTIVES: Obstetrics/ Gynecology electives at UCLA Niki Robinson ( , is the new student coordinator for all of the Obstetrics/Gynecology electives at UCLA. OG Reproductive Endocrinology & Infertility OG High Risk Obstetrics OG Gynecology Oncology OG Inpatient Gynecology CHANGED CHS 8/4/03 ME Comprehensive Pain Management / Pham. Michelle Murray (murray.michelle_d@west/la.med.va.gov , x48322) is the new student coordinator. WVA 7/21/ ME Cardiology. Debby Whang (dgwhang@mednet.ucla.edu, ) is the new student coordinator. CHS 7/16/ ME Infectious Disease. Crystal Jones (Cjones@rei.edu, ( ) is the new student coordinator. HARBOR 7/15/ ME Geriatric Medicine. Has been changed to Geriatric Medicine: Nursing Home Care. Dr Nancy Weintraub is the new course chair. SVA 7/15/ ME AN Geriatric Medicine has been revised: The new course is Geriatric Medicine: Nursing Home Care. Dr. Nancy Weintraub ( ) is the new course chair. Dr. Michelini ( x5325, giulia.michelini@med.va.gov ) is the student Coordinator. Subinternship in Anesthesiology. Dr. Mitchell Lin is the new course chair. SVA 7/10/ CHS 7/1/03 85 PE Neonatology. The correct number for the student coordinator, Ayesha Islian, is KDMC 6/19/ Medicine Sepulveda VAMedical Center ME Dr. Giulia Michelini ( , x5325, giulia.michelini@med.va.gov ) is the new student coordinator for all of the medicine electives at Sepulveda VA Medical Center. ME Advanced Clinical Diagnosis ME Physical Medicine & Rehab. ME Ambulatory Internal Medicine ME Geriatric Medicine Endocrinology & Metabolism (Med). The student coordinator's phone number is SFVMP 6/17/03 HARBOR 6/16/ ME Shortage Area Medical Ed. & Training Program (SAMET) / Hayes-Bautista. The course has been revised and is only offered week 33. Please see updated course profile. ASSOC 6/16/

3 CHANGES IN ELECTIVES: CHANGED Medicine OVH Tony Ahankoob ( , tahankoob@dhs.co.la.ca.us) is the new student coordinator for all medicine electives at Olive View - UCLA Medical center. ME Cardiology ME Clinical Hematology-Oncology ME Infectious Diseases ME Nephrology ME Critical Care ME General Internal Medicine ME Pulmonary OVH SFVMP 6/16/03 8/29/ PE Pediatric Critical Care Subinterns. Dr. Richard Mink is the new course chair. HARBOR 6/16/ PS Consultation/Liaison Psychiatry. Dr. Javier Quintana is the new course chair. SFVMP 6/16/ RA Course name has been changed from Diagnostic Radiology to Radiology Overview. Course requirements have also been changed (see course profile). HARBOR 6/16/ ME Dermatology (Cutaneous Medicine). Dr. William Shellow ( ) is the new course chair. WVA 4/9/ ME Endocrinology, Diabetes, Metabolism. Dr. Gregory A. Brent is the new course chair. WVA 4/9/ ME Endocrinology and Metabolism. Susan Manukyan ( , smanukyan@mednet.ucla.edu) is the new student coordinator. CHS 4/8/ SU General Vascular Surgery Offered week 28 instead of week 27 HARBOR 3/5/

4 MD In-Depth LITERATURE AND MEDICINE Location: ASSOC /16/2003 COURSE CHAIR: PHONE #: Robert Collins, M.D. (310) SUPPORTING FACULTY: STUDENT COORDINATOR: PHONE #: Patrick Miller/Roberta Rey (310) REPORT TO: Call Patrick for first meeting date, place, and time. COURSE OBJECTIVES (in order of importance) 1. Develop awareness and understanding of the presentation of medical issues in literature and film. 2. Develop critical skills in analyzing insights literature provides into the medical profession, particularly from the patients perspective. 3. Develop an understanding of story telling as an essential theme of illness and the literature of illness. 4. Develop skills of story telling in conveying medical information. PREREQUISITES: 4 th year student AVAILABLE TO EXTERNS: No STUDENTS / PERIOD: max 16 min 8 DURATION: Longitudinal (1 week of credit awarded) ROTATIONS BEGIN WEEKS: By Arrangement, January - April 2004 DESCRIPTION: Students meet every other Monday for eight (8) sessions (2 excused absences) for discussion of selected readings (e.g., Mann, Solzhenitsyn, Hemingway, Woolf, Sacks) or films (e.g., My Left Foot, Awakenings ) focused on the presentation of medical issues from the patients perspective. The course runs from January to April. Students must attend a minimum of 6 sessions and will receive 1 week of credit. COMMON PROBLEMS/DISEASES STUDENT EXPERIENCES INPATIENT: % OUTPATIENT: % CONSULTATION: % PRIMARY CARE: % CLOSE CONTACT WITH: X FULL TIME FACULTY CLINICAL FACULTY FELLOWS RESIDENTS INTERNS OTHER APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday AM PM ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: The last two sessions (March & April) are devoted to student "story telling" and are located in faculty homes. 4

5 ME Subinternship GERIATRIC MEDICINE, HOME CARE Location: SVA /9/2003 COURSE CHAIR: PHONE #: Nancy Weintraub, M.D. (818) SUPPORTING FACULTY: Drs. Lawrence Rubenstein, Cathy Alessi, Sam Murray, Charles Marshall, Mark Rosenthal, Debra Saliba STUDENT COORDINATOR: PHONE #: Dr. Giulia Michelini x REPORT TO: Dr. Giulia Michelini, Bldg. 200, Room 3424, 8:30 am. PREREQUISITES: Inpatient & Ambulatory Internal Medicine and Surgery AVAILABLE TO EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45 COURSE OBJECTIVES (in order of importance) 1. Knowledge of the biological psychological and social aspects of aging. 2. Knowledge of the pathogenesis, natural history, differential diagnosis, evaluation and management of common diseases and disorders in the elderly. 3. Knowledge of pharmaccology in developing therapeutic regimens for the elderly. 4. Development of an understanding of issues unique to Home Care, inc. timing of hospitalization, end of life care, management of complex medical problems at home, caregiver stress, home safety, etc. 5. Develop Clinical skills: improving medical interviewing and physical examination with emphasis on functional assessment and approaches to assessing the elderly patient and the home. 6. Improve Medical decision making: emphasis on altered presentation of disease, multiple illness, cost-benefit factor, rehabilitative potential, and ethical issues. 7. Improve doctor-patient relationship, communication ski lls, and interaction with the elderly patient and care-givers. 8. Interpretation of tests: appreciation of normal parameters with aging and cost-effective use of diagnostic interventions. 9. Become familiar with work-up and management of common problems of geriatric patients and in the home setting. DESCRIPTION: Home Based Primary Care at Sepulveda is a model home care service, incorporating interdisciplinary team assessment and management principles to provide and enhance health care for the elderly. Students will be assigned primary care responsibilities for a panel of home bound patients, and they will make home visits with the Geriatrics Fellow and the Attending. The will attend interdisciplinary team conference weekly. They will give 1 brief talk on a Geriatric topic at the end of the rotation. COMMON PROBLEMS/DISEASES 1. Dementia 2. Affective disorder 3. Parkinson s Disease 4. Falls, gait, and balance 5. Urinary tract problems 6. Fever and Infection in Home-Bound patients 7. Pneumonia 8. Prevention and Treatment of Skin Ulcers 9. Nutrition in the frail elderly STUDENT EXPERIENCES INPATIENT: OUTPATIENT: 100% CONSULTATION: PRIMARY CARE: 100% CLOSE CONTACT WITH: X FULL TIME FACULTY X CLINICAL FACULTY X FELLOWS RESIDENTS INTERNS X OTHER: social worker, OT, KT, nutritionist, pharmacist, nurses, nurse practitioner APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 15 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 60 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday AM 8:00 AM Culver City HBPC office home visits 9:00 AM Sepulveda HBPC Interdisciplinary Team Meeting 8:30 Sepulveda Medicine Grand Rounds PM Culver City HBPC 3:00 Geriatrics Fellowship Rounds ON-CALL SCHEDULE & WEEKEND ACTIVITIES:. none ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 5

6 RA RADIOLOGY IN PRACTICE Advanced Clinical Clerkship Location: HARBOR /16/2003 COURSE CHAIR: PHONE #: Susan Rice, M.D (310) SUPPORTING FACULTY: Drs. Diament, Fischer, Khalkhali, Mehringer, Mishkin, Morrow, Phillips, Renslo, Walot, Soto, Vasinrapee and Zimmerman STUDENT COORDINATOR: PHONE #: Mrs. Linda Tesso (310) REPORT TO: Harbor-UCLA Med Ctr Main Hospital, 2 nd Floor West, Room 34. If Monday is a holiday, call (310) PREREQUISITES: Pediatrics, Ambulatory & Inpatient Medicine, Surgery, and Ob/Gyn AVAILABLE TO EXTERNS: Yes COURSE OBJECTIVES (in order of importance) 1. The student will refine his/her skills in film interpretation of common pathologic processes. 2. The student will develop an understanding of technical factors which limit film interpretation. 3. The student will develop an understanding of the appropriate use of advanced imaging techniques such as MRI and nuclear medicine. STUDENTS / PERIOD: max 10 min 1 DURATION: 3 weeks ROTATIONS BEGIN WEEKS: By Arrangement DESCRIPTION: Students are expected to attend film review sessions in the area(s) of their choice, e.g., ER, neuroradiology, body CT, MRI, pediatrics, nuclear medicine, ultrasound, mammography. Students are also encouraged to observe radiologic and interventional procedures, and make use of the radiology teaching file. If a student wishes to concentrate his/her time within a particular specialty in radiology, it is advisable to obtain permission of the attending who heads that area prior to scheduling the rotation. COMMON PROBLEMS/DISEASES 1. Neuroradiology: stroke, tumor, trauma 2. GU: stones/obstruction, pyelonephritis, tumor 3. Musculoskel. fracture, arthritis, tumor, benign normal variants 4. Pediatrics: congenital abnormalities, prematurity 5. Thoracic: inflam (pneumonia, TB), primary & metastatic cancer, pneumothorax/effusion, inhalational, COPD 6. GI: obstruction, GI tract cancer, inflammatory STUDENT EXPERIENCES INPATIENT: 40% OUTPATIENT: 20% ER 40% CONSULTATION: PRIMARY CARE: APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: NA CLOSE CONTACT WITH: X FULL TIME FACULTY X CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER Technicians TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 7500 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday AM ER Review films in teaching library Neuro CT Pediatrics 11:00: Bone conference ER Observe CT guided procedure 8:00 Interdepartmental Neuroradiology conf. Neuro CT PM Neuro MRI Nuclear Medicine Body CT ER Observe interventional procedure 12:00 Chest conference Body CT 12:00 Body Imaging conference Review films in teaching library ON-CALL SCHEDULE & WEEKEND ACTIVITIES: No call. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Students are required to attend conferences for radiology residents. 6

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