Duration: 4 weeks
The Clerkship in Emergency Medicine is designed to provide the student with the clinical skills and ability to interpret data required for the appropriate diagnoses and management of patients requiring emergency and/or critical care.
The medical activities appropriate to emergency care include: 1) the acquisition of a situation-specific history; 2) performance of a situation- appropriate physical examination; 3) determination of differential diagnosis; 4) resuscitation; 5) acquisition and analysis of biochemical, physiologic, laboratory and radiologic data specific to the life-threatening situation; 6) stabilization; and 7) rapid disposition of the case for further assessment and care.
The medical activities appropriate to critical care include: 1) thorough history taking and physical examination; 2) monitoring and assessment of vital function through a variety of technical devices; 3) acquisition and analysis of laboratory and radiologic data; 4) prevention of mortality through early recognition and speedy implementation of therapy in the presence of increased risk; 5) determination of etiology of the disease state; and 6) institution of therapy.
In addition to these activities, emergency and critical care medicine involve attention to record keeping and the establishment of a relationship with the patient and family as they cope with the emotional trauma of emergencies, critical illness, dying and death.
Physical Medicine and Rehabilitation
Duration: 2 weeks
The primary goal of the Physical Medicine and Rehabilitation clerkship is to teach students the importance of caring for persons with a physical disability. The training provided the student with the ability to take a functional history and to develop an approach of care to maximize function in multiple domains (physical, social, vocational, recreational, etc). The clerkship highlights the caring for persons with major disabling conditions and chronic disease such as stroke, brain injury, spinal cord injury, amputation, cancer, aging, musculoskeletal disorders, and pain. Neuro-musculoskeletal examination skills are reinforced, as well as the concepts of interdisciplinary teamwork between various specialists and healthcare providers and the importance of patient and family education. Additionally, the clerkship reviews the options for post-acute hospital discharge planning to understand the difference levels of service and care.
Acting Internship in Family Medicine
The Acting Internship in Family Medicine presents an opportunity for the fourth year medical student to function as a first year resident and address primary, secondary, and tertiary care problems predominantly in the in‐patient setting. During the rotation, students are expected to identify and find solutions to clinical problems and to become familiar with the concept of integrated medical care with an emphasis on the family as the basic health unit.
During the four week in‐patient rotation, students will be expected to apply knowledge and skills acquired during the third‐year clerkships to a variety of patients in the hospital setting. The student will identify the family physician as a role model for providing comprehensive, humanistic medical care.
Acting Internship in Internal Medicine
The educational goals of the Acting Internship in Internal Medicine are to provide fourth year medical students with advanced clinical and cognitive abilities required for problem solving and decision‐making in clinical medicine. These goals are to be accomplished with didactic sessions, supervised clinical experiences in the inpatient setting and with critical reading.
Student performance is evaluated on a daily basis and formally at mid‐month and at the end of the AI clerkship by faculty and residents (including the Chief Medical Residents). In addition, students are evaluated by their participation in morning report, small group sessions and daily rounds.
Acting Internship in Neurology
Taken after the Neurology Clerkship, this elective gives the student who is interested in obtaining further neurological training the opportunity to function as a house officer in neurology with direct patient responsibility under close supervision.
Acting Internship in Neurological Surgery
Students act as members of the neurosurgical team and are responsible for the work-up and care of neurosurgical patients; they are involved in operative procedures. Students will scrub on cases, take some night calls with the residents, and will be asked to prepare and present conferences. The elective is recommended for students interested in neurosurgery, neurology, trauma surgery or critical care.
Acting Internship in Obstetrics and Gynecology
The Acting Internship in Obstetrics is available all year and seeks to enhance the skills acquired during the third year clerkship and provide the fourth year student with the opportunity to function as a first year obstetric resident. With supervision by senior residents and attendings, the acting intern will become proficient in the diagnosis and management of obstetric problems. This will be especially important for those students who may choose a residency in a field other than obstetrics and gynecology.
Acting Internship in Orthopedic Surgery
This acting internship is designed for the medical student contemplating a career in Orthopedic Surgery. It is designed to give the best exposure possible with various members of the orthopedic Department and provide a broad overview of orthopedic surgery at New Jersey Medical School.
Exposure includes, but is not limited to, orthopedic trauma, reconstructive surgery, pediatrics, hand, foot, ankle, oncology, spine, arthroscopy, shoulder surgery, and sports medicine. The interaction with faculty and residents is designed to be clinically oriented. This means that a large portion of the students' orthopedic education will arise from facing orthopedic problems with the residents and faculty in the emergency room, orthopedic clinics, and operating room. During the rotation, all students will have the opportunity to have interchanges with all full-time members of the faculty and will have extensive opportunities to demonstrate their baseline knowledge of anatomy and developing skills in orthopedic examination in daily presentations of patient conditions and monthly formal diagnostic reviews. Overnight orthopedic call is required in order to allow the medical students to have a closer working interaction with the orthopedic resident and provide better opportunities
Acting Internship in Otolaryngology (ENT)
The student becomes part of the team managing the patients on the outpatient and inpatient Otolaryngology services. Acquisition of basic otolaryngologic history taking and physical examination skills will be emphasized. The student will also have the opportunity to observe and assist in the operating room. He/she will be exposed to the various subspecialty areas in otolaryngology, including otology-neurotology, head and neck surgery, facial plastic and reconstructive surgery, rhinology and pediatric otolaryngology. Students will also attend and participate in rounds and departmental conferences.
Acting Internship in Pediatrics
The acting internship in pediatrics seeks to enhance the skills acquired during the third-year clerkship and provide the student the opportunity to function as a first year pediatric resident. Students are expected to independently evaluate their patients, including taking accurate and thorough history and physical exams, and then develop management plans under the direction of their supervising attendings and residents. Students will complete one week of nights similar to a standard intern schedule. As a fourth year, students will be expected to participate in teaching of the third year pediatric clerkship students.
Acting Internship in Psychiatry
The student will rotate in the Psychiatric Emergency Services and the locked inpatient psychiatric unit where patients are a mix of voluntarily and involuntarily admitted patients. AIs will be an integral part of the Inter Professional Team and Inter-disciplinary environment that provides patient centered care to psychiatrically ill patients who require hospital care. Patients will have a mix of diagnoses and a varied amount of dangerousness, but all will have conditions that so negatively impact their ability to function in an out-patient environment that they require hospitalization. AIs will be expected to function as a First Year Psych resident, be part of the teaching hierarchy and report to Junior and Senior Residents and Attending Physicians. AIs will follow patients from admission to discharge and learn the continuum of care and the varied resources available for patients when they are discharged from hospital.
Acting Internship in Surgery
This Acting Internship in Surgery seeks to enhance the skills acquired during the third‐year clerkship and provide the fourth‐year student with the opportunity to function as a first‐year surgical resident. With supervision by senior residents and attendings the acting intern will become proficient in the diagnosis and management of surgical problems. Critical decision making will be stressed so that students planning and not planning a career in surgery will gain experience in the timing of surgical consultation. Primary, secondary and tertiary care problems are addressed in the clinics and in‐patient services.
Acting Internship in Urology
This acting internship is designed for the medical student contemplating a career in Urology. This four week rotation will be a rich educational experience for you to expand your knowledge of general urology and subspecialty urology and to get to know our department. Urology is the study and treatment of diseases of the male and female genitourinary tract in both adult and pediatric patients. Urologists both medically and surgically manage urologic diseases including urologic malignancies, stone disease, acquired and congenital genitourinary anomalies, erectile dysfunction and transgender health. The sub intern will be a part of the urologic team and participate actively in the clinic, the OR, and on rounds. Every sub intern will be expected to present at Grand Rounds on a topic of their choice for 15 minutes towards the end of the rotation.