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Clinical Rotations Manual

Clinical Rotations Manuel

Clinical Rotations Manuel 2021-2022
Clinical Medicine
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Clinical Medicine

Clinical Medicine

The clinical years (OMS-III and OMS-IV) will consist of hospital and office-based training. Entry into any OMS-III rotation requires successful completion of the entire course of study of the second year and the Comprehensive Basic Science Review course.

During the OMS-III year, the student will be assigned to a core clinical rotational site. Each core site will be centered on a carefully selected hospital with sufficient resources to provide the third-year curricular plan. The core hospital experience within the site will consist of:

4 weeks: Psychiatry

8 weeks: Internal Medicine/Hospital Medicine

4 weeks: General Surgery

4 weeks: Obstetrics & Gynecology

4 weeks: Pediatrics

8 weeks: Family Medicine/Primary Care

4 weeks: Surgical Selective

8 weeks: Electives

4 weeks: Vacation/Independent Study

The OMS-IV curriculum is intended to build on the foundational experience provided during the OMS-III academic year. These experiences are in settings where more demands for independence can be expected of the senior medical student. The required rotations include:

4 weeks: Emergency Medicine

4 weeks: Rural/Underserved Outpatient Care

4 weeks × 6Electives

4 weeks: Medical Elective

4 weeks: Rural/Underserved Elective

 

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Clinical Rotation Sites
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Clinical Rotation Sites

 

LMU-DCOM CORE Rotation Sites

Site Name

City

State

Adena Health

Chillicothe

OH

AdventHealth - Manchester

Manchester

KY

AdventHealth - Ocala

Ocala

FL

AdventHealth - Tampa

Tampa

FL

Baptist Health Care - Pensacola

Pensacola

FL

Beckley ARH Hospital

Beckley

WV

CHI St. Joseph Health - London

London

KY

CHI St Vincent - Hot Springs

Hot Springs

AR

Cookeville Regional Medical Center

Cookeville

TN

Cumberland Medical Center

Crossville

TN

Florida WellCare Alliance

Lecanto

FL

Fort Sanders Regional Medical Center

Knoxville

TN

Greeneville Community Hospital

Greeneville

TN

Harlan ARH Hospital

Harlan

KY

Hazard ARH Regional Medical Center

Hazard

KY

Highlands ARH Regional Medical Center

Prestonsburg

KY

Highpoint Health - Sumner Ascension Saint Thomas

Gallatin

TN

Highpoint Health - Winchester Ascension Saint Thomas

Winchester

TN

Indian Path Community Hospital

Kingsport

TN

Jacksonville FL Market
Baptist Medical Center Jacksonville
Ascension St. Vincent's Riverside

Jacksonville

FL

Jennie Stuart Health

Hopkinsville

KY

Keralty Hospital - Miami

Miami

FL

LaFollette Medical Center

LaFollette

TN

Lake Cumberland Regional Hospital

Somerset

KY

Lexington, KY Market - Centerpoint Health

Lexington

KY

Little Rock, AR Metro/Central Arkansas
CHI St. Vincent Infirmary
National Park Medical Center

Little Rock

AR

Livingston Regional Hospital

Livingston

TN

Magnolia Regional Health Center

Corinth

MS

Maury Regional Medical

Columbia

TN

Methodist Healthcare - Olive Branch Hospital

Olive Branch

TN

Methodist Le Bonheur Healthcare

Memphis

TN

Methodist Medical Center of Oak Ridge

Oak Ridge

TN

Middlesboro ARH Hospital

Middlesboro

KY

Mobile Infirmary

Mobile

AL

Morristown-Hamblen Hospital

Morristown

TN

North Baldwin Infirmary

Bay Minette

AL

North Knoxville Medical Center

Knoxville

TN

Norton Clark Hospital

Jeffersonville

 IN

Norton Community Hospital

Norton

VA

Reid Health

Richmond

IN

Starr Regional Medical Center - Athens

Athens

TN

Sweetwater Hospital Association

Sweetwater

TN

Thomas Hospital - Infirmary Health

Fairhope

AL

UH Portage Medical Center

Ravenna

OH

Vitruvian Health - Bradley Medical Center

Cleveland

TN

West Tennessee Healthcare

Paris

TN

Whitesburg ARH Hospital

Whitesburg

KY

 

Clinical Rotation Descriptions
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Clinical Rotation Descriptions

Third Year Clinical Rotation Descriptions:

  

DO CLIN 801 Psychiatry (8.0 Credit Hours):
Four weeks of training focus on the evaluation, intervention and management of the psychiatric patient. Emphasis is placed on the medical student learning the triage and community integration of treatment models, treating the patient in the setting close to home rather than the inpatient psychiatric hospital. This month will offer the integration of the inpatient psychiatric treatment model with the goal of community treatment and placement for the mentally ill patient.

 

DO CLIN 802 Internal Medicine I/Hospital Medicine I (8.0 Credit Hours):
Four weeks of training concentrate on the care of the adult patient in the inpatient and outpatient setting. The student will learn to apply clinical knowledge while learning how to function as part of a health care team. At least one of the four-week rotations (IM I or IM II) must be completed at an inpatient facility.

 

DO CLIN 803 Internal Medicine II/Hospital Medicine II (8.0 Credit Hours):
Four weeks of training concentrate on the care of the adult patient in the inpatient and outpatient settings. The student will learn to apply clinical knowledge while learning how to function as part of a health care team. Increases the consolidation of educational goals by providing continuity of environment and faculty found in IM I.

 

DO CLIN 804 Obstetrics & Gynecology (8.0 Credit Hours):
Four weeks of training are in the inpatient or outpatient setting to become familiar with the care of medical and surgical issues related to the female genitourinary system. This will include the evaluation and care of the pregnant patient for prenatal, delivery and post-natal period.

 

DO CLIN 805 General Surgery (8.0 Credit Hours):
Four weeks of training are in the hospital setting under the supervision of a hospital-based general surgeon(s). This will include the evaluation, surgical intervention, consultation and follow-up of the adult male and female population.

 

DO CLIN 806 Pediatrics (8.0 Credit Hours):
This four-week rotation provides clinical training in general pediatrics in the outpatient setting and will have students experience the care of infants children and adolescents issues specific to infancy, childhood and adolescence. The student will learn to complete an appropriate history and physical exam for pediatric patients from birth to age 21. Emphasis will be placed on preventive health management for evaluation of growth milestones as well as immunization strategies.

 

DO CLIN 807 Family Medicine I/Primary Care I (8.0 Credit Hours):
Four weeks of training are with a family physician, where the full range of preventive and acute care of male and female patients of all ages is experienced. The role of preventive health care, triage and specialty referral process are included as an essential part of the experience.

 

DO CLIN 808 Family Medicine II/Primary Care II (8.0 Credit Hours):
Four weeks of training are with a family physician, where the full range of preventive and acute care of male and female patients of all ages is experienced. The role of preventive health care, triage and specialty referral processes are included as an essential part of the experience. Increases the consolidation of educational goals by providing continuity of environment and faculty found in Family Medicine I.

 

DO SEL 816 Surgical Selective (8.0 Credit Hours):
Third-year Selective Physician Rotations are sites designated by the Department of Clinical Medicine. Each student will be assigned to one physician/physician group to follow and work with faculty throughout their schedule of clinical activity. All physicians will be approved clinical/adjunct faculty of LMU-DCOM's Department of Clinical Medicine. The Department of Clinical Medicine will offer a pre-approved set of rotation sites from which the students may choose the required Selective Rotations. Site evaluations are collected and reviewed.

 

DO ELEC 825,826 Elective I, Elective II (8.0 Credit Hours):
Elective facilities and physicians may be selected by the medical students. All selections must be approved by the Department of Clinical Medicine, although there is no restriction on the location of such experiences. These experiences are meant to offer the opportunity to gain insight and experience into the vast array of personal medical education experiences particular to each student's interest. It may also be time used in exploring residency training opportunities. These preceptors may or may not hold a designated clinical/adjunct faculty appointment. Site and evaluations are collected and reviewed. An individual physician must be responsible for the student during this rotation.

 

Vacation/Independent Study (8.0 Credit Hours):
Students have two (2) four-week rotation blocks designated as vacation or independent study periods during the entirety of clerkship training. This time off is inclusive of study time for COMLEX Level 2. Students are strongly encouraged to schedule this time wisely. Time may be needed to repeat a failed rotation, time off for illness or other personal reasons. Time off during the OMS-IV hear may be split to accommodate rotations that are out of sequence with LMU-DCOM dates or to schedule residency interviews.

 

Fourth Year Clinical Rotation Descriptions:

 

DO CLIN 903 Emergency Medicine (8.0 Credit Hours):
Four weeks of training in which students will be educated in the initial evaluation and stabilization of the acutely ill or traumatized patient. Education of the triage process at the entry into the Emergency Department is included in the experience.

 

DO CLIN 904 Rural/Underserved Outpatient Care (8.0 Credit Hours):
Four weeks of assignment are to a physician representing the delivery of primary care Family Medicine, Pediatrics and Internal Medicine, where the practice is located in an ambulatory clinic outside of a metropolitan statistical area. The student will be assigned to one physician to learn the problems that are unique to an area where higher level of consultative care and equipment or facilities are not available.

 

DO ELEC 924, 925, 926, 927, 928, 929 Elective I, Elective II, Elective III, Elective IV, Elective V, Elective VI (8.0 Credit Hours each):
Students will complete six (6) general four (4) week Elective rotations during the OMS-IV year. Elective facilities and physicians may be selected by the medical students. All selections must be approved by the Department of Clinical Medicine, although there is no restriction on the location of such experiences. These experiences are meant to offer the opportunity to gain insight and experience into the vast array of personal medical education experiences particular to each student's interest. It may also be time used in exploring residency training opportunities. These preceptors may or may not hold a designated clinical/adjunct faculty appointment. Site evaluations are collected and reviewed. An individual physician must be responsible for the student during this rotation.

 

DO ELEC 930 Rural/Underserved Elective (8.0 Credit Hours):
This four (4) week rotation will allow students to treat patients in a rural/underserved area. Elective facility and physician may be selected by each medical student. In order to fulfill the Rural/Underserved requirement of this rotation, the address of the rotation must be designated as "rural" or as "medically underserved" by Health Resources & Services Administration (HRSA). The website to search the address of the facility/rotation site is: https://data.hrsa.gov/topics/health-workforce/shortage-areas/by-address. All selections must be approved by the Department of Clinical Medicine. This experience is meant to offer the opportunity to gain insight and experience into the challenges and rewards of treating patients in rural or medically underserved environments. The preceptor may or may not hold a designated clinical/adjunct faculty appointment. An individual physician must be responsible for the student during this rotation. Site evaluations are collected and reviewed.

 

DO ELE 931 Medical Elective (8.0 Credit Hours):
OMS-IV Medical Elective rotation occurs at sites designated by the Department of Clinical Medicine. Each student will be assigned to one physician/physician group to follow and work with faculty throughout their schedule of clinical activity. All physicians will be approved by LMU-DCOM's Department of Clinical Medicine. Site evaluations are collected and reviewed.

 

Vacation/Independent Study (8.0 Credit Hours):
Students have two (2) four-week rotation blocks designated as vacation or independent study periods during the entirety of clerkship training. This time off is inclusive of study time for COMLEX Level 2. Students are strongly encouraged to schedule this time wisely. Time may be needed to repeat a failed rotation, time off for illness or other personal reasons. Time off during the OMS-IV hear may be split to accommodate rotations that are out of sequence with LMU-DCOM dates or to schedule residency interviews.