Visiting Student Elective Course Descriptions

A100 Human Gross Anatomy

The Human Gross Anatomy elective provides an advanced level, anatomical review of selected regions of the human body in preparation for residencies in surgically-oriented specialties, diagnostic imaging and radiology. Elective students are required to participate in cadaveric dissection. The goals of dissecting are to enhance the experience and the knowledge base of the elective student. The elective is held in the Dissection Laboratories on the 6th floor of the Forchheimer building. Students can sign up for 4 weeks anytime between April and August.

Regions of the body covered in this elective are:
Back & Thorax
Abdomen
Pelvis & Perineum
Head & Neck
Upper & Lower Limb

At the end of the elective students will be able to:

Discuss and demonstrate the organizational principles of the specific region of the body.

Describe how the anatomy relates to the function of the specific region of the body.

Demonstrate the key anatomical structures and relations of the specific region of the body.

There is NO maximum limit on number of students who can sign up for this elective. Students do NOT need the approval of the Course Director to register for the elective AND the Course Director appreciates that many students who sign up for these modules may be doing interviews that will take them away from the College. Every effort will be made to accommodate interviews during each module.

Adi Pinks, PhD
adi.pinkas@einsteinmed.edu
(718) 430-4260

Priti Mishall, MD
priti.mishall@einsteinmed.edu
(718) 430-3423

Administrative Support: Lynette Vega
lynette.vega@einsteinmed.edu
718-430-2973
Blocks: 2, 3 & 4

On the first day of the elective students should report to Dr. Pinkas’ office, 620 Forchheimer.

F200 Jewish Medical Ethics

The advances in modern medicine have spawned a wide variety of ethical dilemmas in such areas as genetics, reproductive technology, the determination of death, organ, ansplantation, euthanasia and assisted suicide. While the secular ethical approach to these issues is often well publicized and adequately represented at many medical schools, the religious viewpoint, and in particular, that of Orthodox Judaism, is rarely given a voice. This half-module (one month) guided reading elective allows the student to choose a topic of their interest and will provide an overview of the Orthodox Jewish approach to medical issues by analyzing texts from the Bible, Talmud and Rabbinic commentaries throughout the ages.

Prerequisites: As many of the texts are in the Hebrew language, a rudimentary knowledge of Hebrew would be helpful, although not essential.

Rabbi Edward Reichman, MD
646-702-0155.
ereichma@montefiore.org
Blocks: All
Maximum: 6

F204 Nutrition and Health: Literature Review and Communication “Lessons Learned”

This course is designed to engage students in self-directed learning as each student chooses a nutrition-related health topic of professional or personal interests. Students will develop course projects that will consist of:

1) literature review to establish an evidence base for consultation advice, and

2) anslation of information for target population (providers, patients, policymakers, etc) selected based on clinical or social determinants of health needs.

Course resources include local, national, and global nutrition-related databases, not-for profit hospital (Montefiore, Jacobi) i-annual collaborative community needs assessments and service plans. Legislated nutrition-related mandates in the Affordable Care Act (ACA), Farm Bill (federally funding food programs) etc. Students will have the opportunity to choose a nutrition issue to investigate. Students will develop an evidence-base, which may be informed by a literature review and/or by community or clinical need assessment, to create a brief “lessons learned” tool to anslate the key findings to patient or public. Students will address the “user friendliness” of their tools using publicly available readability software, stakeholder population feedback, and guidance from course faculty. Sessions will be conducted via zoom on Tuesday(s) at 11:00am – 12pm, individual meeting(s) can be scheduled as needed.

Zoom Group Meeting: Tuesdays 11 AM-12 PM

Please click on: https://einsteinmed.zoom.us/j/94757447103?pwd=aW12VFh1QTFqdnIwNTlNeFFYQ0dJdz09

Meeting ID: 947 5744 7103
Passcode: 713964

Week 1: During the first week, students will select a nutrition issue and develop aims and an action plan their project.

Week 2: Students will be implementing project procedures/ review methods for gathering information. Students may opt to focus on comparing original research articles considering differences in study designs, populations, methods, and outcomes as well as to address generalization challenges. Alternatively, students may opt to use evidence-based reviews or guidelines and for service projects, students will be compiling information through data collection as well as other methods.

Week 3: Students will continue their work and start to synthesize information to develop a “lessons learned” review paper and anslational document for patients and/or the public

Week 4: Students will complete their F204 review paper and anslational document/tool.

Faculty

Heather Archer-Dyer. MPH 
Heather.Archer-Dyer@einsteinmed.edu
718-430-4024
Blocks: All
Maximum: 6

Students should contact the instructors before the start of the elective for meeting time and location.

F205 Clinical Informatics and Research in Primary Care

Students will participate in implementing a web-based curriculum for using electronic health records (EHRs) and other “big data” sources to conduct clinical and anslational research in primary care by joining a research team at Clinical Directors Network (CDN). CDN (see www.CDNetwork.org) is a national primary care practice-based research network (PBRN) headquartered in NYC,  and CDN’s N2-PBRN is an AHRQ-designated Center of Excellence (P30) for primary care practice-based research and learning (see https://pbrn.ahrq.gov/pbrn-profiles/p30-centers) that is a network of 12 established PBRNs, three clinical data research networks, a health information exchange and several other electronic data sources.  These ongoing clinical and health services research projects are designed to develop, evaluate and disseminate evidence-based clinical practice guidelines for clinicians practicing in underserved community-based primary care settings, such as Federally Qualified Health Centers (FQHCs), Emergency Departments (EDs) and other Community Health Centers (CHCs).

Learning experience :

Students will help with curriculum development and evaluation, identification of online clinical decision-support tools, and developing presentations at Community Health Centers, as well as assist with (and receive co-authorship) development of scientific presentations and publications. Students will participate in research ainings from a PCORI-funded study, Enhancing Community Health Center PCORI Engagement (EnCoRE – see www.CDNetwork.org/ENCORE) whose goal is to adapt, enhance, and implement a aining curriculum designed to educate and engage Health Center teams including patients, clinical and administrative staff in Patient Centered Outcomes Research (PCOR).

Measurable learning objectives of elective :

Learn to distinguish between observational and experimental studies

Distinguish among laboratory, physiological, clinical, patient-reported, and public health outcomes

Understand differences between comparative effectiveness research (CER), patient-centered outcomes research (PCOR), dissemination and implementation research (DIR)

Identify strategies to combine clinical and patient-reported outcomes in research

Recognize the strengths and limitations of using existing “Big Data” sources such as Electronic Health Records (EHRs) and administrative datasets for conducting clinical research

Method of student feedback and evaluation: Student and Elective Director will complete a survey

Textbook(s) information (If you have a textbook(s) that are either required or suggested reading, please provide this information as it is mandated by the U.S. Department of Education.

See CDN Orientation Curriculum

Location of elective (hospital): Meetings are held at the NYC offices of Clinical Directors Network (CDN) 5 West 37th Street, 10th Floor, New York, NY 10018, as well as onsite at participating Federally Qualified Health Centers in the metropolitan NYC area, and via web/telephone conference calls.

Jonathan N. Tobin, PhD
212-382-0699 ext 234
jonathan.tobin@einstein.yu.edu or JNTobin@CDNetwork.org
Administrative support: Melissa Samanoglu
CDNResearch2@CDNetwork.org
212-382-0699 ext 227
Blocks: All
Maximum: 4 students

On the first day students report to: Dr.Tobin at CDN Headquarters, 5 Wet 37th Street, 10th Floor New York NY at 9:00am (please confirm location and time by phone/email)

FM520 Health, Medicine, and Social Justice

(Einstein/Montefiore Medical Center)

The wellbeing of society reflects upon the wellbeing of its individuals, and American society is sick. Capitalism and rising fascism are eroding our fundamental rights to live free, healthy, and joyous lives. Medicine and health are intimately tied to these political forces, and physicians must understand how our profession can perpetuate – or help cure – societal ills. This four-week elective will teach 4th year medical students important knowledge and skills in health justice in relation to community organizing and political education. Students will be expected to thoughtfully engage with assigned readings and participate in daily discussions and routine workshops with prominent labor, community, and political organizers, as well as important health care workers, scholars, and academics. Students will also be expected to develop a community project of their choosing with ongoing mentorship.

Learning Objectives:

Following the completion of this course, learners will be able to:

1. Assess the current state of the healthcare industry in the United States

2. Describe how health and medicine impact and are impacted by national and local politics

3. Demonstrate that physicians can participate in labor, political, and community organizing to advance policies that promote the health and wellbeing of patients and their communities

4. Develop a theory of change that centers people and patient power through base-building

5. Obtain labor, community, and political organizing skills by participating with local groups in the Bronx and NYC

Course Expectations:

Students will be expected to:

1. Engage with and lead discussions about the daily readings that will be assigned. This may be accompanied by audio and visual content. These readings and the supplementary content are foundational to learn about health, medicine, and social justice

2. Participate in discussions with important speakers who offer their expertise and experience with community, labor, political, and health care organizing

3. Discover the history of the Bronx and engage with its present communities

4. Collaborate with local organizations to advance the health and wellbeing of their communities

Typical Schedule: 9AM – 5PM from Monday – Friday. Schedules may vary slightly, but Thursdays and Fridays are generally free to complete readings and assignments, learn about the Bronx, interface with local political and local organizations, develop a community project, and one-on-one mentorship.

Evaluation
Students will receive formal feedback at the midpoint and end of the elective. Evaluation will be based on attendance, participation and engagement with daily readings and during discussion sessions, completion of assignments, and presentation of their community project.

Textbook Information: Readings will be assigned and provided throughout the course.

Musaub Khan, MD
mkhan6@montefiore.org
718-920-7173
Maximum Students: 15
Block: 7

On the first day students report to Division of General Internal Medicine (3300 Kossuth Ave, Bronx, NY 10467)

Prerequisites: OB/GYN and Anesthesia rotations
Restrictions: 4th Year Medical Students only
Goals of Elective: by the end of this elective, the MSIV should be familiar with and/or be able to:

• Assess pregnant patients prior to cesarean sections or labor analgesia.
• Formulate and discuss anesthetic plans, including labor analgesia.
• Formulate a plan for relief and prevention of pain during and following surgical or obstetrical procedures.
• Be familiar with commonly used noninvasive monitors and how to interpret them.
• Know some of the fundamental skills of anesthetic management of laboring patients and patients under spinal anesthesia in the obstetric setting.
• The MSIV will participate in:
• Preoperative evaluations
• Anesthesia consultations
• Neuraxial labor analgesia
• Neuraxial anesthesia
• Basics of management of C-sections
• Post-cesarean pain management techniques and follow-ups
• Post-epidural follow-ups
• Basics of anesthesia recovery
• Criteria for post-anesthesia care unit (PACU) discharge

Additionally, students will learn and/or improve on the following basic anesthesia skills during our time on the L&D unit and our weekly day in the main OR providing anesthesia for GYN procedures. These skills are cumulative, and students should continue to practice and build on the skills each week of the rotation.

• Evaluate a patient’s airway before surgery
• Know the components of a basic room set-up, including IVs, airway, medications, and
• anesthesiology machine check
• Basic mask ventilation skills and by end of rotation, proficiency in bag mask ventilation
• Attempt and/or improve direct laryngoscopy and LMA placement
• Attempt peripheral IV placement
• Classify a patient based on ASA status
• Begin to understand the pharmacology of different medications used for induction, maintenance,
• and emergence
• Perform a focused pre-anesthesia physical and exam on a patient before surgery
• Interpret intra-operative monitors
• Name key indicators for extubation, both clinical and subjective criteria
• Explain the concept of MAC, particularly how it varies in different patients
• Identify co-morbidities that may affect anesthetic management
• Go through the steps of the ASA difficult airway algorithm
• Give a detailed sign out of a patient
• Set up a room for the start of a case (including drugs, airway, suctioning, etc).
• Start to develop an anesthetic plan based on a patient’s comorbidities
• Give suggestions for interventions during intraoperative management

When appropriate, and at the sole discretion of the attending anesthesiologist, the student may perform spinal and epidural anesthesia. The student will be expected to set up the L&D ORs every morning and after every case. On Friday’s, the student will set up in the main OR.

Topics to be covered in detail via reading and discussion include:

• Maternal physiology
• Regional analgesia for labor and delivery
• Complications of neuraxial anesthesia
• Most common emergencies such as emergency C-section delivery and postpartum hemorrhage
• Anesthesia for C-section delivery
• Anesthesia for postpartum tubal ligation
• Common OB comorbidities: Pre-eclampsia, Obesity, Diabetes mellitus

Measurable learning objectives of elective:

Students will be expected to demonstrate proficiency with the objectives outline in the Goals of the Elective section.

• Assess pregnant patients prior to cesarean sections or labor analgesia.
• Formulate and discuss anesthetic plans, including labor analgesia.
• Formulate a plan for relief and prevention of pain during and following surgical or obstetrical
• procedures.
• Be familiar with commonly used noninvasive monitors and how to interpret them.
• Know some of the fundamental skills of anesthetic management of laboring patients and patients under spinal anesthesia in the obstetric setting.

They will submit a log of the Basic Anesthesia Skills and are expected to have performed at least 8/17 skills listed. Additionally, students will be assessed on their knowledge and clinical reasoning demonstrated in case-based discussion with content derived from assigned reading.

Learning experience:

Flexibility is a hallmark of anesthesia practice. The following description is of a typical day. Students attend morning report on L&D at 8am sharp. Students then set up the two L&D ORs, and participate in consenting patients for the day’s procedures (cesarean section, labor epidural, anesthesia consults, etc). In the afternoon, students will be expected to evaluate patients from the day before and present their findings to the attending. Free time is used to do the reading assignments, discuss the reading assignments and/or cases past/future cases with the attending. On most days, students will leave between 3:30-5pm. No call or weekends are expected. See “Goals of Elective” for a list of activities and procedures the student will participate in.

Method of student feedback and evaluation:

The MSIV will be evaluated based on professionalism and clinical performance (50%), completion and submission of log of Basic Anesthesia Skills completed during the rotation (25%), and participation in case-based discussions that rely heavily on reading assignments (25%).

Tania Cossio, MD, MPH
cossiot1@nychhc.org 
718-519-2350 or ext. 3062
Blocks: 2-8, 14, 15
Maximum: 1

On the first day students report to North Central Bronx Hospital, 7th floor, 7A, 7:55AM. Please text Dr Cossio (646-265-4832) the day before for instructions.

(Montefiore Medical Center)

The department of Anesthesiology is proud to offer an elective rotation available to senior medical students in cardiac anesthesia. The rotation will consist of a 4-week block and should be undertaken by those students who have a previous exposure to general anesthesiology. During this rotation, the medical student will assist inpatient care while obtaining a fundamental understanding of how a cardiac surgical case is managed by the anesthesiology team. They will be involved in the didactics during this month, which will be provided, by the attending anesthesiologist, the three cardiac anesthesia fellows, and the cardiac resident.

Goals:

1. Preoperative assessment: The medical student will be responsible for reviewing patient medical records and laboratory studies. They will form an anesthetic plan and discuss it with the team. The assessment will include physical examination with an understanding of angiographic and echocardiographic findings.
2. Intraoperative: Medical students will be expected to assist with patient monitoring. They will learn the necessary access for patients undergoing cardiac surgery. The medical student will understand the need for placement of central lines, arterial lines, and peripheral IV lines. In most cases, central venous access will be performed by the resident, but in certain cases; the medical student may perform part of this procedure as well. Medical students will obtain an understanding of all monitors used during cardiac surgery (EKG, arterial acing, CVP acing, PAP acing). A brief introduction to ansesophageal echocardiography will take place in the operating room.
3. Postoperative: Medical students on this rotation will follow their patients during the hospitalization. This will provide them with an understanding of the complex follow-up that cardiac surgical patients endure. The postoperative checks will be discussed with another member of the cardiac team.

Didactic Goals:

1. Cardiopulmonary bypass
2. Ischemic heart disease
3. Valvular heart disease
4. Congestive heart failure (Ventricular assist devices, cardiac ansplant)
5. Pacemakers
6. Management of coagulopathy
7. Monitors
8. Anticoagulation

Reading:
A copy of the chapter on cardiac anesthesia by Barash will be provided to each medical student during the rotation. This will be supplemented with other sources as deemed necessary.

Course Director:
Dr. Jason Adkins , MD
jaadkins@montefiore.org 
718-920-4316
Administrative support:
Beverly Mcgonagle, bmcgonag@montefiore.org
Ms. Debbie Lopez, deblopez@montefiore.org
718-920-4383
Blocks: All
Maximum: 2

(Montefiore Medical Center)

This 4 week rotation in anesthesiology will expose students to the anesthetic management and care of patients in the peri-operative period. Students will experience anesthetic care for a large variety of cases, encompassing all surgical sub-specialties. The overall goal of this elective is for students to acquire a basic understanding of the physiology, pharmacology, and clinical management involved in anesthesia care and peri-operative medicine.

At the end of this rotation, Students will be expected to:

• Demonstrate the ability to perform the fundamental components of the preoperative evaluation
• Demonstrate the core principles and techniques of airway management
• Demonstrate a basic understanding of the pharmacology of agents used for anesthesia
• Demonstrate an understanding of standard monitoring employed for patients undergoing general and regional anesthesia
• Be familiar with the basics of invasive monitoring
• Be acquainted with the modalities available to eat acute pain
• Have an appreciation of the anesthesiologist as a care provider/problem solver in the hospital and outpatient settings

Students will be expected to arrive daily (Monday-Friday) at 6:30 to help set up the operating room for anesthetic care. Students will then participate in the preoperative evaluation, the intra-operative management, and the postoperative care of their patients. The day will end in the mid afternoon when students will pick up their room assignments for the following day. Students will be paired with a mentor for the rotation who will help reach educational goals. All students will be expected to spend time exploring subspecialties in anesthesiology. Lectures will be given 3 times per week. Further detailed instructions will be sent to students prior to starting the elective. Evaluation will be from attending anesthesiologists the students have worked with.

Required Text Book:
Understanding Anesthesiology A Learner’s Guide by Dr. Karen Raymer, MD, MSc, FRCP(C), Clinical Professor, Department of Anesthesia, Faculty of Health Sciences, McMaster University

Michael Rufino, MD
mrufino@montefiore.org
Administrative support:
Beverly Mcgonagle, bmcgonag@montefiore.org
Ms. Debbie Lopez, deblopez@montefiore.org
718-920-4383
Blocks: All
Maximum: 10

(Montefiore Medical Center-Moses)

Echocardiography is a diagnostic modality that is being increasingly utilized by non-cardiologists such as emergency room and critical care physicians. In this rotation, students will be exposed to echocardiography in the perioperative period, primarily ansesophageal echocardiography (TEE) in cardiac surgery. Working with our TEE board-certified cardiac anesthesiologists, students will see first hand how echo is routinely used to guide cardiac operations and anesthetic management. Students will have the opportunity to practice image acquisition on our TEE simulator, and after demonstrating competency, perform exams on patients. The rotation will emphasize the interpretation of TEE images in a wide variety of cardiac surgery patients, and how it correlates to anatomy and physiology. Students will also be exposed to ansthoracic echocardiography (TTE) and its utility in the perioperative period.

Measurable learning objectives of elective: By the end of the rotation, students will be expected to:

• Understand appropriate use of echocardiography, including indications and contraindications.
• Be familiar with basic ultrasound and Doppler physics as it pertains to echocardiography.
• Know the views in the basic perioperative TEE exam and the associated anatomy.
• Be familiar with quantitative and qualitative methods to assess ventricular and valvular function.
• Demonstrate safe probe manipulation and proper image acquisition.

Learning experience: Students will primarily be in the cardiac surgery operating rooms, working intimately with cardiac anesthesiology attendings, as well as fellows and residents on rotation. Students will be expected to arrive daily (Monday to Friday) at 6:30 am to help set up for cases. For each day, the chief fellow will direct the student which operating room to report to ahead of time. Students will also be expected to visit other cardiac operating rooms during the day to review TEE exams. Students are also required to attend any didactic sessions for the fellows and residents relating to cardiac anesthesiology. When time is available, students will practice TEE skills on the simulator with faculty and fellows. Students interested in TTE will also have an opportunity to learn TTE on the simulator or with the Department of Cardiology.

Method of student feedback and evaluation: Students will be required to maintain a log of all exams interpreted and performed under supervision. Students will also be assigned reading material from the course text and may be tested on the material on an ongoing basis. The TEE simulator will be used to assess knowledge of anatomy and if students will be allowed to perform exams on patients. At the end of the rotation, students will present an interesting case to the faculty and fellows. During the presentation, students will be evaluated on knowledge and interpretation and will serve as an end-of-rotation exam.

Textbook(s) information:
ISBN ISBN-13: 978-0702034275
Cost $74.73 (On amazon.com)
Title Practical Perioperative ansesophageal Echocardiography: Text with DVD-ROM
Edition: 2nd edition
Author: David Sidebotham
Is this required or suggested? Required. Department will provide copies for students to borrow.

Dr. Jason Adkins , MD
jaadkins@montefiore.org 
718-920-4316
Administrative support:
Beverly Mcgonagle, bmcgonag@montefiore.org
Ms. Debbie Lopez, deblopez@montefiore.org
718-920-4383 or 4308
Maximum: 1
Blocks: All
 

On the first day students report to: Moses Campus Silver Zone 4th Floor- Department of Anesthesiology Graduate Education Office at 8:30 AM

(Hutchinson Campus/Wakefield)

The goal of the Regional Anesthesia and Inpatient Pain Medicine Rotation is to enhance the medical student’s overall knowledge, understanding, and application of regional anesthesia and inpatient acute and chronic pain medicine principles. Clinical experience in the ASU, OR, PACU, ICU, and inpatient Floor will provide exposure to all aspects of regional anesthetic and inpatient pain medicine practice in a busy tertiary care medical center. Students should expect significant hands on experience and anesthesia team/pain service member responsibility.

Learning objectives: At the conclusion of the elective the student is expected to have the following skills:

• Understand pre-operative assessment principles to determine if a particular patient is a candidate for a regional anesthetic technique.
• Identify the best regional anesthetic technique and perioperative analgesia for a particular surgery.
• Understand the components of patient informed consent discussing all of the risks, benefits, and alternatives of the procedures.
• Basics of performing peripheral nerve blocks/catheters and spinal and epidural technique in regards to anatomy and landmarks.
• Gain an understanding of both nerve stimulator and ultrasound techniques for a variety of blocks along with an ability to read and identify relevant sonoanatomy.
• Understand principles of patient assessment and plan for inpatient pain management consults utilizing the multidisciplinary approach to inpatient pain medicine.
• Able to discuss basic options for eatment of pain and utilization of opioids, NSAIDs, neuropathic, and other agents.

Learning experience: Students who have completed this elective will have an understanding of how a Regional Anesthesia and Inpatient Pain Service functions at an academic medical center. They will have an opportunity to learn use of ultrasound and identification of relevant anatomy as well as performing entry-level blocks. They will be present at the inpatient pain rounds with the acute pain team. The students will be at two main campuses, Wakefield and Hutchinson. The rotation will be Monday to Friday from 7 am to 3 pm. The rotating student will also be included in resident didactics in the rotation, including case conferences, journals clubs, and lectures. Interested students can also present a journal club. At the end of their rotation, the student will be expected to present a researched topic of interest to the team, in form of a lecture, decided on during the rotation, giving him/her an opportunity to further explore their interest in the field.

Recommended texts:
Textbook of Regional Anesthesia and Acute Pain management by Admir Hadzic.
Students are also advised to use websites usra.ca and nysora.com to understand basics of ultrasound guided regional anesthesia.

Method of student feedback and evaluation: Students will be given ongoing feedback during the rotation. They will be evaluated on their understanding of ultrasonography as well as sonographic anatomy and skill in performing entry-level blocks. Students will be evaluated by the course directors at the end of rotation also.

Johnny an, MD
jotran@montefiore.org
718-920-8946
Administrative support:
Beverly Mcgonagle, bmcgonag@montefiore.org
Ms. Debbie Lopez, deblopez@montefiore.org
Blocks: All
Maximum: 2 (If more than 2, contact the course director)
An email will be sent detailing where to arrive on the first day.

(Montefiore Medical Center-Hutchinson Campus)

The goal of the Outpatient Pain Medicine Rotation is to enhance the medical student’s overall knowledge, understanding, and application of outpatient chronic pain medicine practices. Clinical experience in the Montefiore Pain Center involves participation in both office visits as well as interventional pain procedures using both fluoroscopic and ultrasound guidance and will provide exposure to all aspects of outpatient chronic pain medicine practice in a tertiary care medical center. Students should expect significant direct experience and chronic outpatient pain medicine service member responsibility.

Learning objectives: At the conclusion of the elective the student is expected to have the following skills:

• Understand the components of comprehensive consultative patient assessments to determine type of pain and pain differential diagnosis.
• Understand the different modalities used to eat chronic pain and learn to form a eatment plan involving different modalities, from medications to physical therapy to interventions.
• Learn to identify the rationale for interventional eatment for specific pain conditions
• Understand the components of patient informed consent discussing all of the risks, benefits, and alternatives of the procedures.
• Understand basics of the technical aspects of simple interventional pain procedures under ultrasound and fluoroscopic guidance.
• Understand a multidisciplinary approach to outpatient chronic pain medicine while working with fellowship aining pain medicine physicians from different primary specialties. This involves knowledge as to how pain medicine physicians work with the other specialties, as pain physicians work extensively with all specialties of medicine and refer patients to each other.
• Understand the rationale for the different approaches in eatment of pain and discuss basic pharmacology of pain medications including opioids, NSAIDs, and other agents (such as anti-convulsants, anti-depressants, and anti-spasmodics) in the eatment of chronic pain in outpatients.

Learning experience: Students who have completed this elective will develop an understanding of how a Chronic Outpatient Pain Medicine Service functions at an academic medical center. The rotation schedule will be from 8:30 am to about 4 pm. They also have the opportunity to assist in performing image-guided interventions.

Recommend texts:
“Essentials of Pain Medicine and Regional Anesthesia, 3rd ed. by Benzon” and “Atlas of Image Guide Interventions, 2nd ed. by Rathmell”, both are available for the students to read in our library during the rotation. Most teaching will be “at the bedside” however the medical student will participate in teaching alongside the resident’s didactic schedule which includes lectures as well as articles from the literature. Students will be provided with the articles prior to the activity upon request. In addition, once a month there is an institution wide multidisciplinary spine/pain meeting that the student can attend with the pain service.

Method of student feedback and evaluation: The feedback will be given by the course director with input from the rotating attendings. Evaluation will be primarily on level of participation in meeting the stated objectives including quality of patient interactions, evaluations, and H&Ps.

 Amaresh Vydyanathan, MD
avydyana@montefiore.org
917-577-1811
Administrative support:
Beverly Mcgonagle, bmcgonag@montefiore.org
Ms. Debbie Lopez, deblopez@montefiore.org
Blocks: All
Maximum: 1

On the first day student(s) report to: The Hutch metro center, 1250 Waters Place, Bronx, NY 10461 at 8:30 am Please contact the Course Director, Dr. Vydyanathan prior to the start of the elective for specifics before starting the rotation. The Pain clinic is on the 8th floor of Tower 2.

(Montefiore Medical Center – Moses & Weiler)

**Einstein students must contact Dr. Spindel for approval prior to registration**

The Department of Cardiothoracic and Vascular Surgery offers a comprehensive Sub-internship elective in Cardiothoracic Surgery. The sub-intern will be assigned to one of the busy Cardiothoracic services at the Moses Campus and will function as an integral member of the Cardiothoracic team. Students will be exposed to all areas of adult cardiac surgery including arterial surgical revascularization, heart transplantation, lung transplantation, mechanical circulatory support, complex aortic surgery, minimally invasive and robotic heart surgery, valve repair and replacement. Opportunities also exist to rotate on the thoracic service with exposure to VATS and robotic lung resection and esophageal and foregut surgery. The student will be expected to round daily with the team and will learn the critical care management of complex post-operative patients. Daily operating room assignments provide for a robust operative experience. The sub-intern will also have the opportunity to participate on the organ procurement team and the ECMO team.

Objectives:

• History taking skills
  • Obtain a full history with all relevant questions to the preoperative cardiac surgery patient
• Physical examination skills
  • Preoperative physical exam including detailed auscultation skills
  • Postoperative physical exam with focus on parameters necessary to examine after heart or lung surgery
  • Understanding of chest tube management and troubleshooting
• Knowledge/diagnostic skills
  • Basic knowledge of chest x-ray, CT scan, and coronary catheterization interpretation
  • Echocardiogram performance and interpretation
  • Manage and understand the detailed workup required for common post-operative complications
• Procedural skills
  • Understand and be able to perform steps of opening and closing the chest
  • Understand the operative steps of the commonly performed procedures – CABG, valve repair/replacement, lobectomy, esophagectomy
  • Participate in wound care as needed
• Professionalism
  • Prompt arrival each day with participation in rounds
  • Respect for all members of the heart and lung teams
  • Development of appropriate communication skills with both the patients and members of the team
  • Demonstrate honesty and integrity at all times

Learning experience:

•  The student will arrive at 0630 each day and round on preoperative and postoperative cardiothoracic surgery patients
• Attend an operative case from start to finish each day
• See cardiac and thoracic surgery consultations with resident/fellow and PA supervision
•  Comprehensive follow up of operative patients throughout their hospital stay

Method of student feedback and evaluation:

• Students will receive direct feedback during morning rounds and in the operating room
•  Formal feedback session at the completion of the sub-internship
• Written feedback session at the end of the sub-internship

Suggested Text
Title: STS Cardiothoracic Surgery E-book
Edition: https://www.sts.org/online-learning/sts-cardiothoracic-surgery-e-book

Stephen Spindel, MD 
sspindel@montefiore.org
Maximum: 2

On the first day students report to: CSICU at 0630 to the senior resident on the service.

(Jacobi and Weiler)

**Not Available to International Exchange Students**
 

The purpose of the elective is to provide clinical experience in out-patient and in-patient Endocrinology accompanied by didactic instruction. The elective is full-time. There are two similar programs, one on the East Campus (K502) and one on the West campus (K516). The outpatient component is the same in both electives. The in-patient consultation service is similar but at different locations. The student will function as a member of the Department of Medicine Endocrinology Consultative Team, including medical residents and endocrinology fellows, to provide service to inpatients at one of two sites:

1. MMC-Weiler (K502) and Jacobi Medical Center or

2. Moses Division of Montefiore and North Central Bronx Hospital (K516). Work rounds are held daily, and attending rounds occur daily – generally three times weekly. The student will have the opportunity to participate in the following clinics:

1. Monday Morning- CFCC Diabetes and Endocrinology Clinic;

2. Tuesday Morning – Jacobi Endocrinology Clinic;

3. Thursday Morning- Montefiore Diabetes clinic;

4. Friday Afternoon- Montefiore Endocrine Clinic. The student will have the opportunity to attend the following conferences:

1. Monday AM- Multidisciplinary Diabetes Conference (preceding CFCC Clinic);

2. Wednesday Morning – Endocrinology Fellows Conference (at Moses);

3. Thursday Morning- Diabetes Journal Club (preceding Montefiore Diabetes Clinic);

4. Friday Morning- Clinical Endocrinology Grand Rounds followed by Diabetes Research Center Conference. It is expected that the student will develop familiarity with endocrine evaluation and pathophysiology in a variety of endocrine disorder diseases. Emphasis on basic physiological concepts as related to endocrine disorders is stressed.

General description and goals of elective:

Student is expected to follow the endocrine fellow, attending the same activities, including in-patient and out-patient consults, rounds, and conferences. The goal is to learn a general understanding of endocrine evaluation and testing, and pathophysiology of a variety of endocrine disorders and diseases.

Method of student feedback and evaluation:

Direct feedback from Attending and Fellow.

Jill Crandall, MD
Contact: Maritza Reyes, Program Supervisor, marreyes@montefiore.org, 718-920-2017
Blocks: All
Maximum: 2

On the first day students report to: contact Endocrine Fellow

(Montefiore Medical Center)

Four week elective during which third and fourth year students will have a wide range of clinical and didactic experiences. Students will be assigned to resident clinic sites 7-8 half days a week (Montefiore Medical Center, Wakefield Division, Children’s Hospital at Montefiore, North Central Bronx Hospital and Jacobi Medical Center). Students will have opportunities to see complex medical and pediatric dermatology. In addition, students will have opportunities to work with residents in cosmetic and dermatological surgery. The elective includes two half days a week of varied didactics, including weekly Grand Rounds, Morning Report, Basic Science, Dermatopathology, Journal Club, Textbook Review, Clinical Slides Conference, and lectures. Students will have ample opportunity to work closely with residents and a wide range of faculty. The rotation will conclude with a brief presentation on a dermatology topic of their choosing.

Measurable learning objectives: –Learn to describe cutaneous findings employing the specialized dermatology vocabulary –Attempt to recognize common dermatologic disease processes –Understand the line of responsibility from patient to biopsy/lab result to physician and back to patient. –Identify clinical situations in which a dermatologist should be consulted and other clinical situations which may be managed without referral.

Ranon Mann, MD
RMANN@montefiore.org
Karen Grant, kagrant@montefiore.org
Blocks: All (please do not sign up for this module if you have more than 3 interviews scheduled during your rotation)
Maximum: 4

On the first day students report to: 3411 Wayne Avenue, 2nd Floor, Suite D, Bronx, NY 10467 at 7:30AM

(Montefiore Medical Center – Moses)

**NOT OFFERED DURING 2024-2025 ACADEMIC YEAR**

Fourth year medical student elective; requisite 4-week rotation.

Students will work primarily with either Dr. Steven Cohen or other core academic faculty four-full days of the week in conjunction with two half-days of attending resident didactics. The clinical service features complex medical and pediatric dermatology, as well as dedicated sessions for hidradenitis suppurativa. Presentation of live cases at Dermatology Grand Rounds and other didactic sessions are encouraged. The elective incorporates participation in all teaching conferences, including Grand Rounds, Morning Report, Basic Science, Dermatopathology, Journal Club, Textbook Review, Clinical Slides Conference, and lectures.

TBD
Contact: Karen Grant, kagrant@montefiore.org , (718) 920-2680
Blocks: All
Maximum: Einstein students only during blocks 2-5; 1 student during blocks 6-14

On the first day students report to: 1250 Waters Place, 6th Floor, Suite D, Bronx, NY 10467 at 8:30AM. Schedule is subject to change and must be confirmed with Karen Grant one week prior to start date.

(Montefiore Medical Center – Moses)

In this rotation, students will work as an integral member of the Dermatology consult team, comprised of a second-year dermatology resident and the dermatology hospitalist, Dr. Wu. The clinical settings will include the Montefiore Medical Center Moses campus, Wakefield campus, Children’s Hospital at Montefiore (CHAM), and North Central Bronx (NCB). Students will also see inpatient follow-ups and urgent care visit at Dr. Wu’s clinic on Thursday afternoons and Fridays mornings.

Students will be exposed to dermatologic disease requiring inpatient admission, systemic disease with cutaneous manifestations, and skin complications among hospitalized patients. Students will learn how dermatologists approach these patients (initial evaluation, differential diagnoses, workup, role of biopsy and histologic evaluation, treatment plan). We encourage students to see one new consult per day under the resident’s guidance and follow that patient throughout the course of his/her hospital admission.

Lastly, this course is intended for the student considering postgraduate training in dermatology with strong interests in complex medical dermatology and academic dermatology.

Suggested Textbook:
ISBN:978-1455728756
Title: Lookingbill and Marks’ Principles of Dermatology
Edition: 5th Edition (This book can be found in the Einstein library.)

Prerequisite: Einstein students must complete the MED K503A – Dermatology elective.

Benny Wu, DO, PhD
718-920-8493
bewu@montefiore.org
Contact: Maria Campanelli, mcampane@montefiore.org
718-920-2680
Blocks: 4-10
Maximum: 1 student (Strict policy of 1 student per block for blocks 4-8. Approval to register over the capacity (blocks 9 and 10) can be made after approval by Dr. Wu. Please register for open blocks only)

On the first day students report to: 3411 Wayne Avenue, Suite 2D at 13:00

(Montefiore/Weiler/Jacobi )

This is a highly valuable elective with a very strong education component for anyone interested in internal medicine since many of the rheumatic diseases are multi-systemic. Students will have the opportunity to learn the procedure skill of arthrocentesis in addition to improving their MSK exam skills while evaluating patients at either Moses, Weiler or Jacobi hospital depending on availability. Hospital patients are evaluated under the supervision of the Rheumatology fellow and attending currently rotating on the inpatient service and medical students will present patients, discuss management and while reading and presenting the relevant literature.

Students are welcome to attend weekly Journal Club and Grand Rounds on Fridays at 8 am – 10 am (currently held online via Zoom). Inpatient consult rounds typically take place daily in the afternoon. Outpatient clinic exposure is not currently offered but can be arranged if a student wishes to spend time there in addition to the inpatient experience.

Learning objectives and assessment:

Medical Knowledge: The student will have gained medical knowledge in the field of Rheumatology and be able to evaluate and eat common Rheumatologic conditions. Gain knowledge in interpretation of common Rheumatologic laboratory tests and imaging. Assessment Method: Self Assessment, Global Faculty (Attending and Fellows) Assessment.

Patient care: Demonstrate the ability to gather information from a patient with a Rheumatologic condition and do a thorough Rheumatologic examination of joints and other appropriate areas. Assessment Method: Self Assessment, Global Faculty Assessment, Direct Bedside Observation. The student will be able to interpret the history, physical exam, laboratory tests and radiologic studies and come up with a differential diagnosis and eatment plan for Rheumatology patients. Assessment Method: Self Assessment, Global Faculty Assessment, Direct Faculty Bedside Observation.

Practice-Based Learning and Improvement: Learned to use local resources to research issues and read regarding their Rheumatologic patient as an independent adult learner. Assessment Method: Self Assessment, Global Faculty Assessment, Global Peer Assessment.

Interpersonal and Communication Skills: Communicate clearly, compassionately, and effectively with patients and their families regarding Rheumatologic conditions. Assessment Method: Self Assessment, Global Faculty Assessment, Direct Faculty Bedside Observation. Communicate clearly, and effectively both in written and verbal form with other clinicians and health care personnel regarding Rheumatologic patients. Assessment Method: Self Assessment, Global Faculty Assessment, Direct Faculty Bedside Observation.

Professionalism: The student will demonstrate respect, compassion, integrity and honesty with regard to patient care and maintain patient confidentiality when consulting on a Rheumatologic patient. Assessment Method: Self Assessment, Global Faculty Assessment, Direct Faculty Bedside Observation. Demonstrate a commitment to carrying out professional responsibilities and adherence to ethical principles regarding patients with Rheumatologic diseases. Assessment Method: Self Assessment, Global Faculty Assessment.

Systems Based Practice: The student will interact with the primary physician team, consulting attending, and allied health care personnel as part of a health care team. Learn to help the patient navigate the healthcare system to obtain needed aide and care for those with Rheumatologic conditions. Assessment Method: Self Assessment, Global Faculty Assessment.

Supervision: The resident on Rheumatology elective is supervised by the Rheumatology attending and fellow on consults that month.

Learning experience:

• Participation in patient evaluations
• Perform focused musculoskeletal history and physical exam
• Participate in patient care and Attending Rounds
• Interpret laboratory results and basic imaging pertinent to MSK Medicine
• Attempt to perform the procedure skill of arthrocentesis and joint injection. Students are responsible to work with the Rheumatology fellow to see inpatient consults and present them on attending rounds that day. There are teaching rounds at least three times per week with the fellow and attending during which the resident presents new consults and follow-ups on previously seen patients. The student should be prepared to discuss the differential diagnosis and pertinent medical literature.
• Participation in weekly educational and clinic activities:

Resources:
-American College of Rheumatology on-line Educational Resources
https://www.rheumatology.org/I-Am-A/Student-Resident
-Up-To-Date for topic review
-Einstein Library (and electronic library) resources to look up articles on patients
-Kelly’s Textbook of Rheumatology is available through the Einstein Library

Textbook(s) Information (suggested):
ISBN: 0323641865
Cost: $24.99 (or free if available at Einstein library)
Title: Rheumatology Secrets (Elsevier)
Edition: 4th
Author: Sterling West

ISBN: 0323639208
Cost: via Einstein library
Title: Firestein & Kelley’s Textbook of rheumatology [electronic resource]
Edition: 11th
Author: Gary S. Firestein et al.

Konstantinos Loupasakis, MD 
kloupasaki@montefiore.org
Administrative support: Itzamarie Ayala, itayala@montefiore.org, 718-920-6682
Blocks: All
Maximum: 2

On the first day students report to: 3411 Wayne Avenue, 2nd floor, Rheumatology suite, Bronx, NY 10467 at 1 pm. Students must contact Ms. Itzamarie Ayala one week before the rotation to confirm meeting location and time.

(Montefiore Medical Center – Weiler)

**Einstein students must contact the elective director, Dr. Nori, for approval prior to registration**

The purpose of this elective is to provide students with a highly valuable inpatient experience rotating on the infectious diseases consultative service. Adult patients with suspected bacterial, viral, mycotic, or parasitic diseases are evaluated and presented on rounds daily to the infectious diseases fellow and attending physician for differential diagnosis, recommendations for basic and advanced microbiologic testing, therapeutic options, and discussion. Basic techniques of clinical microbiology learned during the second-year course in Microbiology and Infectious Diseases are reviewed with particular reference to the patients seen. Students also attend didactics and combined Pediatric-Medicine Infectious Disease Grand Rounds. This rotation is a highly useful elective no matter what field a student is considering for a career because nearly all types of physicians see patients with infections and use antibiotics.

Measurable learning objectives of elective :
• Improve history taking and physical examination skills by caring for patients admitted with infectious disease complications
• Understand the microbiology and basic work up for patients with suspected infections
• Gain appreciation for choosing appropriate antibiotics for both empiric and targeted coverage

Learning experience: Students will be an active participant on our inpatient Infectious Diseases consultative service, where they will be responsible for following assigned patients currently admitted to the hospital. In this role, they will provide initial consultative history and physical examinations as well as daily follow up visits. All patient encounters will be discussed with the attending physician on service during afternoon rounds. During rounds, additional educational opportunities will be presented by residents, fellows and attendings. In addition to clinical work, medical students are expected to attended all weekly didactic sessions and conferences that are scheduled during their rotation. Schedule is Monday-Friday 8:00am-5:00pm and there are no weekend responsibilities.

Method of student feedback and evaluation: Verbal and written evaluation will be provided at the end of the rotation. Students will also receive ongoing feedback during their rotation on their case presentations, physical examination skills and medical management.

Rachel Bartash, MD
rbartash@montefiore.org
Contact: Ms. Ana Capella
acapella@montefiore.org
718-920-5438
Blocks: All
Maximum: 2

On the first day students report to 3411 Wayne Avenue, 4th Floor, suite H at 9:00 am. Students should contact Ms. Ana Capellan a few days in advance to be connected to the right team and to receive instructions on where to report on day 1. They will also receive Grand Rounds and core curriculum lecture schedule by e-mail. 

(Montefiore Medical Center – Weiler and Moses)

Students participate as an active team member in the work-up, management and eatment of hospitalized and ambulatory patients with renal disease, high blood pressure, electrolytes and acid base disorders, and renal ansplant. Students will recognize the significance of renal dysfunction to the morbidity faced by patients living with these diseases. Students will recognize renal emergencies and be able to explain the indications and potential complications of eatments used for patients with renal diseases.

Rotation Breakdown

• Einstein (Weiler) Inpatient Nephrology Consult– 2 weeks
• Moses Silver Service (Inpatient Nephrology Consult)– 1 week
• Moses ansplant Service- 1 week
• Visit to Monte 4 outpatient dialysis unit: half a day
• Two Weeks Elective: A two-weeks elective is also available upon request. You will spend 1 week at Weiler doing inpatient nephrology consults and 1 week at Moses in the ansplant service. However, you may request to substitute the week of ansplant for an additional week of general nephrology consult at Weiler or Moses if you so desire.

Learning objectives:

• Perform and record complete history and physical exams including differential diagnosis, assessments, and plan for patients with kidney problems.
• Interpret laboratory tests, medical imaging and diagnostic studies employed in the assessment of renal function.
• Identify the signs, symptoms, and management of common renal syndromes including acute kidney injury and chronic renal failure.
• Analyze urinary sediment and be able to identify cells, casts, and crystals during the evaluation of patients with acute kidney injury.
• Recognize urgent and emergent indications for hemodialysis.
• Discuss the diagnosis and management of fluid, electrolyte and acid-base disorders.
• Summarize the diagnosis and management of primary and secondary hypertension.
• Describe the principles related to the use of phosphate binders, vitamin D supplements and calcimimetic drugs for eatment of bone mineral disease and hyperparathyroidism.
• Explain ansplant eligibility criteria, evaluation, and inpatient management of ansplant patients.
• Review the mechanism of action and management of immunosuppression medications.

Teaching Methods

1. Supervised Direct Patient Care
2. Independent Reading
3. Didactic Lectures:
   • Case discussions with fellows and attendings will occur during rounds.
   • You are also required to attend weekly Grand Rounds and Journal Clubs as well as the weekly fellows’ clinical conference.
   • In addition to the above required lectures, while in ansplant, you are required to attend the ansplant lectures/meetings.
   • You will meet once a week with the directors of the nephrology elective (Dr. Azzi and Dr. Liriano-Ward) to discuss an interesting case of your choice seen during the rotation.

Method of student feedback and evaluation: The nephrology attending will provide immediate feedback at points during and after the rotation verbally to the student, and complete the written evaluation provided by AECOM.

Textbook(s) information:
Koeppen and Stanton, Renal Physiology, 2018 (6th edition)
Rose and Post, Clinical Physiology of Acid-Base and Electrolyte Disorders, 5th edition
Johnson, Feehally and Floege, Comprehensive Clinical Nephrology, 6th edition

Luz Liriano-Ward, MD
lliriano@montefiore.org
718-828-6840
Blocks: All
Maximum: 4
 

Prior to starting the elective, Dr. Liriano-Ward will give you a brief orientation to the elective and inform you where to report on your first day. 

(Jacobi Medical Center)

*Einstein Students must contact Dr. Leiderman and CC Kamala Ramprashad for approval prior to registration*

A closely supervised experience of clinical techniques in the diagnosis and management of patients with cardiac disease of a diverse etiology. Participation is expected daily, and experiences include attending consultation rounds, Cardiac ICU rounds, cardiology specialty clinic and cardiology conferences. This course also provides an introduction to cardiac catheterization and electrophysiology as well.

Goals:  

1. Gain an understanding and develop management skills for common cardiac pathology
2. Interpretation skills of ECG and the basics of echocardiogram
3. Develop cardiac physical exam skills

Method of Student Feedback and Evaluation: 

Student will meet with faculty at end of rotation for in person feedback. An evaluation will be submitted to the medical school on the student's performance. 

Ephraim Leiderman, MD

leiderme@nychhc.org

516-359-1884

Administrative Support: Kamala Ramprashad

ramprask@nychhc.org

 646-630-0836

Maximum: 2

Blocks 1-15

On the first day student report to: Building 1 Room 5E2 – Jacobi Medical Center at 9:00 A.M.

(Jacobi Medical Center)

**NOT OFFERED DURING 2024-2025 ACADEMIC YEAR**

At both sites, students participate in all departmental functions under the direct supervision of a Gastroenterology Fellow and Attending. The student examines patients in the clinic and hospital and discusses patients with both Fellows and assigned attending physicians. Students participate in 16-20 hours of rounds and conferences per week including Research Seminars, GI-Pathology review, GI Radiology review, Journal Club, and Grand Rounds. Students are encouraged to attend and participate in all diagnostic and therapeutic procedures on their patients including diagnostic and therapeutic endoscopies (gastroscopy, ERCP, colonoscopy, sigmoidoscopy), esophageal motility studies, and liver biopsies.

Donald Kotler, MD
718-918-5907
dkotler@montefiore.org
Blocks: All
Maximum: 3

First day meeting location and time: G.I. Office, 2nd Floor, Endoscopy Suite, Jacobi Medical Center at 9:00 AM

(Jacobi Medical Center)

**Einstein students must contact Dr. Acharya for approval prior to registration**

The goal of this rotation is to learn to evaluate and eat common kidney diseases. It includes history and physical examination, ordering and analyzing laboratory and radiological data, and formulating eatment strategies.

Measurable learning objectives of elective:
-Take history and physical exam which is problem oriented
-Come up with differential diagnosis of the disease condition
-Supervised decision making related to eatment and management, including indications for a renal biopsy
-Perform urine analysis, dipstick and microscopy, and be able to identify common urine abnormalities in form of cellular casts, crystals, dysmorphic red cells and proteinuria

Learning experience: The location of the elective will be at Jacobi Medical Center where the student will be expected to present patients during teaching rounds and to participate in the critical discussion of patients on the renal service. They will be introduced to the interpretation of renal biopsies. This rotation emphasizes didactic teaching and practical management of renal patients in an academically nurturing environment. Students will report to the renal fellow each morning and will be assigned new cases. They will follow the renal division schedule while on the rotation. The student will need prior approval from the division chief and the elective is open to visiting medical students at Einstein

Method of student feedback and evaluation: The nephrology attending will provide feedback during and after the rotation verbally to the student, and complete the written evaluation.

Textbook(s) information (Suggested)

ISBN 0-07-134682-1
Title: Clinical Physiology of acid-base and electrolyte disorders
Edition: 5th or later
Author: Burton Rose, Theodore Post

Anjali Acharya, MD
anjali.acharya@nychhc.org
718-918-7901
Administrative support: Eduardo Naranjo, eduardo.naranjo@nychhc.org, 718-918-3176
Blocks: All except 1- 5
Maximum: 2

On the first day students report to: 6E-19 Building I, Jacobi at 8.30 am

(Montefiore Medical Center – Einstein, Moses and NCB)

At both sites, students participate in all departmental functions under the direct supervision of a Gastroenterology Fellow and Attending. The student examines patients in the clinic and hospital and discusses patients with both Fellows and assigned attending physicians. Students participate in 16-20 hours of rounds and conferences per week including Research Seminars, GI-Pathology review, GI Radiology review, Journal Club, and Grand Rounds. Students are encouraged to attend and participate in all diagnostic and therapeutic procedures on their patients including diagnostic and therapeutic endoscopies (gastroscopy, ERCP, colonoscopy, sigmoidoscopy), esophageal motility studies, and liver biopsies.

Daniel Behin, MD
dbehin@montefiore.org
James Dilorenzo, MD
jadilore@montefiore.org
Administrative Support: 718-920-4154
Blocks: All
Maximum: 2

On the first day students report to GI Endoscopy Suite – Red Zone Montefiore Hospital at 7:45 AM

(Montefiore Medical Center – Moses)

**Not Available to International Exchange Students**

The purpose of the elective is to provide clinical experience in-patient and out-patient Endocrinology accompanied by didactic instruction. The elective is full-time. There are two similar programs, one on the East Campus (K502) and one on the West campus (K516). The outpatient component is the same in both electives. The in-patient consultation service is similar but at different locations. The student will function as a member of the Department of Medicine Endocrinology Consultative Team, including medical residents and endocrinology fellows, to provide service to inpatients at one of two sites:

1) Jacobi Medical Center and Weiler Hospital or

2) Moses Division of Montefiore and North Central Bronx Hospital. Work rounds are held daily, and attending rounds occur generally three times weekly. The student will have the opportunity to participate in the following clinics:

1. Monday Morning- CFCC Diabetes and Endocrinology Clinic;

2. Tuesday Afternoon- Jacobi Endocrinology Clinic;

3. Wednesday Morning- Peds Endocrinology Clinic;

4. Wednesday Afternoon- Obesity Clinic;

5. Friday Afternoon- Montefiore Endocrine Clinic. The student will have the opportunity to attend the following conferences:

1. Monday AM- Multidisciplinary Diabetes Conference (preceding CFCC Clinic);

2. Wednesday Afternoon- Endocrinology Fellows Conference (at Moses);

3. Thursday Morning- Diabetes Journal Club (preceding Montefiore Diabetes Clinic);

4. Friday Morning- Clinical Endocrinology Grand Rounds followed by Diabetes Research Center Conference. It is expected that the student will develop familiarity with endocrine evaluation and a variety of endocrine diseases. Emphasis on basic physiological concepts as related to endocrine disorders is stressed.

For further information, contact
Textbook Information: (Suggested)Williams Textbook of Endocrinology, 14th EditionISBN: 9780323297387Cost: $229.99Author: Shlomo Melmed et al

Noah Bloomgarden, MD
Nbloomga@montefiore.org
Contact: Ms. Maritza Reyes, Program Supervisor, marreyes@montefiore.org,718-920-7923
Blocks: All
Maximum: 2

On the first day student report to: Endocrine fellow on inpatient services in the respective campus.

(Mamaroneck, NY)

NOT OFFERED DURING 2024-2025 ACADEMIC YEAR

**Einstein students must contact the elective director Samantha for approval prior to registration**

Students will participate in a private medical practice devoted exclusively to the eatment of diabetes and its complications. Patients of ages greater than 10 years will be seen. Participants will be ained in the most advanced methods for outpatient blood sugar normalization and weight control, as well as demonstrations of how to reverse diabetic complications. Topics to be covered include patient aining, intensive physical examination geared toward acking diabetic complications, routine and research level laboratory studies, special diagnostic equipment, diet, self-monitoring of blood glucose, modern exercise aining, intensive insulin therapy, selection and use of oral agents, the use of new agents and psychological techniques to curb overeating and carbohydrate craving. Diagnosis and eatment of the following diabetic complications will be covered in depth: gastrointestinal motility disorders, autonomic neuropathies, peripheral vascular disease, Moenckeberg’s Atherosclerosis, new cardiac risk factors, foot ulcers, nephropathy, hypertension, ophthalmologic problems, musculoskeletal complications, and erectile dysfunction. Also covered will be diabetes associated diseases such as hypothyroidism, psoriasis snd the newly discovered association with Common Variable Immune Deficiency.

The preceptor of this course (Dr.Bernstein) has had type 1 diabetes for more than 75 years. During his prior career as an engineer, he reversed his diabetic sequelae, including advanced glomerular nephropathy. This was accomplished by violating dogmatic eatment guidelines that still advocate high blood sugars, high carbohydrate diets, and industrial doses of insulin. His “common sense” methods appear in the text cited below and on his internet series “Dr.Bernstein’s Diabetes University”, freely available via “YOUTUBE” or “GOOGLE”.

Needlestick precautions not necessary as bloods are drawn elsewhere.

MODULES – All modules in 2023, sooner if COVID conditions permit.

Required textbook:

DIABETES SOLUTION, by Richard K. Bernstein, MD
ISBN: 987-0-316-18269-0
Edition: 2011
Cost: $25.21 from <amazon.com>, $15.99 in Kindle format.

Richard K. Bernstein, MD
914-698-7525
md@diabetesscientist.com
Elective Director: Samantha Flynn, samflynn@diabetesscientist.com, 914-698-7500
Blocks: All
Maximum: 2 students per block

Students must provide their own ansportation to Mamaroneck, New York (15 miles north of AECOM). Buses run from the Bronx and ains from Fordham Station. First day of elective, meet at 10:00 a.m. – 1160 Greacen Point Road -Mamaroneck, New York 10543 (maps and ansportation details are available from preceptor)

(Montefiore Medical Center – Wakefield)

The Cardiology rotation will provide the student with experience in the evaluation and treatment of cardiovascular problems. This rotation will emphasize the approach to diagnosis and management of acute and chronic cardiac diseases, as well as management of risk factors for disease. In addition, the rotation will emphasize the practice of primary care cardiology in medically underserved environment. Learning goals focus on complete and accurate history and cardiovascular examination, ECG interpretation, indications for various invasive and noninvasive diagnostic studies, and understanding of first line medical therapy for common cardiac diseases. This will provide them the opportunity to transition from didactic to integrated clinical evaluation and patient management.

At the end of the rotation the medical students should be able to: Obtain complete and accurate history pertinent to the differential diagnosis. Complete a pertinent physical examination for the evaluation of cardiovascular system distress and pertinent to the differential diagnosis. Distinguish normal from abnormal cardiovascular signs and symptoms. Formulating a differential diagnosis based on the findings from the history and physical examination. Describe information resources for determining diagnostic options for patients with cardiac problems. Demonstrate knowledge of the criteria for diagnosis of common cardiology problems. Approach ECG interpretation in a systematic and logical fashion. Demonstrate ability to evaluate and manage patients with the following conditions: Stable coronary syndromes, Cardiac dysrhythmias, Congestive heart failure, and Hypertension. Know about common critical cardiac conditions. Recognize unstable patients in need of urgent evaluation and management. Know the first-line therapies for most common cardiac conditions. Recognize gaps in own knowledge; be self-directed at reading on those issues and initiating discussion of those topics with the team. Demonstrate professional responsibility in working as a team member with other members of the Cardiology Consult care team, patients and families. Provide compassionate and empathic patient care and be sensitive to the diverse factors affecting patients and their health care beliefs and needs including race, culture, income and ethnicity.

Basic structure of the day is to start with cardiology teaching sessions in the morning. Medical students are expected to attend Cardiology Teaching Conferences including cardiology grand rounds, journal clubs, morning reports, cardiology subspecialty lectures, etc every day 7:30-8:30 in one of Albert Einstein medical campuses. The day following by visiting admitted patients, writing notes on them and meeting the teaching attending later in the day to discuss the cases with. The teaching attending will then round at the bedside with the team on each of these patients. The remainder of the day is spent performing new consultations, as assigned by the resident of attending. Students will have the opportunity to read and interpret ECGs. Students have the option of rotating on the Cardiology Telemetry Service during part of their elective. In addition, students will be able to observe standard exercises stress testing, exercise stress imaging studies or pharmacologic stress testing, echocardiography.

The student is encouraged to feedback on a daily basis, but especially at the mid-point of the rotation by the cardiology attending. This will be an opportunity to address any issues from the student’s perspective. Upon completion of the rotation, the student will receive a written evaluation in accordance with the medical school policy. This will be completed by the teaching attending responsible to oversee the clinical aspects of the rotation after discussion with any other attending, resident and cardiology fellow who worked directly with the student.

Richard Lucariello, MD
rilucari@montefiore.org
718-920-9256
Blocks: All
Maximum: 2

First day of the rotation student should report to the Department of Cardiology at 9 AM

(Montefiore Medical Center – Moses and Weiler )

The goal of this elective is to teach students the basic hematology that is essential to all aspects of medicine. Students are assigned to the Consult Service at Montefiore and will see hospital consults with the Hematology Fellows and Consult Attending. In addition to daily Attending Rounds, students will attend two Hematology Clinics each week, a case-based thrombosis conference and red cell conference, morphology review of both bone marrows and blood smears, and weekly teaching conferences with the Attendings. There is an 8 am teaching conference every morning of the week, with the exception of Fridays – 1st conference begins at 7:30am.

Ellen Friedman, MD
elfriedm@montefiore.org
Contacts: Mrs. Tawana Villalba, taalvare@montefiore.org & Harry Rosado, hrosado@montefiore.org
718-920-4137
Blocks: All
Maximum: 1

First day of elective students will meet at Montefiore Medical Center – Moses Campus, 3411 Wayne Avenue, ground Floor, Suite A, 8:00 AM.

(Montefiore Medical Center – Moses)

The goal of this medical student elective is to introduce advanced medical student to the fundamentals of Pulmonary Medicine. Students are assigned to a very busy consult service at Montefiore/Moses and Weiler division and will see hospital consults with Pulmonary Fellows and Consults Attending. In addition to daily Attending Rounds, students will attend weekly Pulmonary Clinics and multiple interdisciplinary conferences addressing diseases of the chest, including joint conferences with radiology, pathology, oncology, and thoracic surgery. Pulmonary physiology, including performing and interpreting pulmonary function studies measuring mechanics, volumes, gas ansfer and exchange, and their use in disease diagnosis and management, will be part of the rotation. Exposure to regulation of Ventilation/Sleep Medicine is integral to the rotation. Students will also have the opportunity to observe and assist in Pulmonary Medicine procedures, including thoracentesis, fiberoptic bronchoscopy, and related endo- and ans-bronchial procedures.

Divya Reddy, MD
dreddy@montefiore.org
718-920-6054
Contact: Ms. Lynette Bradberry, lbradber@montefiore.org, 718-920-6054
Blocks: All
Maximum: 2

On the first day students report to: assigned site (Weiler or Moses) campus at 8:00 AM.

(Montefiore Medical Center – Moses)

The purpose of this elective is to provide students with a highly valuable inpatient experience rotating on the infectious diseases consultative service. Adult patients with suspected bacterial, viral, mycotic, or parasitic diseases are evaluated and presented on rounds daily to the infectious diseases fellow and attending physician for differential diagnosis, recommendations for basic and advanced microbiologic testing, therapeutic options, and discussion. Basic techniques of clinical microbiology learned during the second-year course in Microbiology and Infectious Diseases are reviewed with particular reference to the patients seen. Students also attend didactics and combined Pediatric-Medicine Infectious Disease Grand Rounds. This rotation is a highly useful elective no matter what field a student is considering for a career because nearly all types of physicians see patients with infections and use antibiotics.

Measurable learning objectives of elective :
• Improve history taking and physical examination skills by caring for patients admitted with infectious disease complications
• Understand the microbiology and basic work up for patients with suspected infections
• Gain appreciation for choosing appropriate antibiotics for both empiric and targeted coverage

Learning experience: Students will be an active participant on our inpatient Infectious Diseases consultative service, where they will be responsible for following assigned patients currently admitted to the hospital. In this role, they will provide initial consultative history and physical examinations as well as daily follow up visits. All patient encounters will be discussed with the attending physician on service during afternoon rounds. During rounds, additional educational opportunities will be presented by residents, fellows and attendings. In addition to clinical work, medical students are expected to attended all weekly didactic sessions and conferences that are scheduled during their rotation. Schedule is Monday-Friday 8:00am-5:00pm and there are no weekend responsibilities.

Method of student feedback and evaluation: Verbal and written evaluation will be provided at the end of the rotation. Students will also receive ongoing feedback during their rotation on their case presentations, physical examination skills and medical management.

Rachel Bartash, MD
rbartash@montefiore.org
Contact: Ms. Ana Capella
acapella@montefiore.org
718-920-5438
Blocks: All
Maximum: 2

On the first day students report to 3411 Wayne Avenue, 4th Floor, suite H at 9:00 am. Students should contact Ms. Ana Capellan a few days in advance to be connected to the right team and to receive instructions on where to report on day 1. They will also receive Grand Rounds and core curriculum lecture schedule by e-mail. 

(Jacobi Medical Center/MMC-Moses and Weiler)

A clinical or combined clinical/research elective designed to teach the student the fundamentals of diagnosis, management and research methods in allergy and immunology. Students will directly participate in the care of patients in all of the hospital clinics and faculty practice locations of the Allergy Division and be exposed to a complete range of allergic and immunologic disorders. The rotation includes time in the drug desensitization program, food allergy center and severe asthma center. Typical research projects include etiology and treatment of chronic urticaria, asthma, sinusitis, drug and food allergies. The elective can be customized to the needs and wishes of individual students. If you are planning to use the elective for research we strongly recommend contacting your mentor a few months in advance to decide your project and complete necessary formalities such as IRB applications. The rotation will include participation in the Adult Allergy Journal Club on Wednesdays and Combined Allergy Division Friday conferences.

Measurable learning objectives of elective:

• Learn the fundamental principles of Allergy/Immunology diagnosis.
• Learn how to treat asthma and allergic disorders.

Method of student feedback and evaluation: Oral and written.

Suggested Textbook: “Middleton’s Allergy Essentials, 1st ed. / O’Hehir, Robyn E. 2017” which is available at no cost online through the AECOM library

Jessica Oh, MD

joh1@montefiore.org
Blocks: All
Maximum: 1

For students coming to Montefiore/ Einstein on an away elective: The student should contact Whitley Carter (wcarter@montefiore.org) and cc Madeline Solis (msolis@montefiore.org) and Jessica Oh (joh1@montefiore.org) as soon as the elective request is approved. This is to ensure that we can help facilitate ID and computer access requirements in time for the rotation.

Student should come to Hutchinson Metro Center Tower II 12th Fl Allergy, 1250 Waters Pl, Bronx NY by 8:30 am on the first day of their rotation. They should email Whitley Carter (wcarter@montefiore.org) to obtain the rotation schedule 

(Montefiore Medical Center – Weiler)

This elective is based at the Weiler division of Montefiore Medical Center. The focus is on learning to provide consultation and continued care to patients with pulmonary problems in the inpatient and outpatient settings. The student will also participate in interpreting pulmonary function studies and conferences. There is the opportunity to observe and participate in procedures.

Jay Dobkin, MD
jdobkin@montefiore.org
718-904-2983 or 866-633-8255
Modules: All
Maximum: 1 student

On the first day of elective, the student is requested to come to the pulmonary office at Weiler – 2 South Room 28 at 9:00 A.M.

(Montefiore Medical Center – Moses)

*Einstein Students must contact Dr. Michael Bogaisky at mbogaisk@montefiore.org for approval prior to registration*

The purpose of this elective is to provide an introduction to the principles of geriatric medicine including broad exposure to the clinical issues that face older adults including Medication Management, Cognitive and Behavioral Disorders, Self-Care Capacity, Falls-Balance-Gait Disorders, Health Care Planning and Promotion, Atypical Presentation of Disease, Palliative Care, and Hospital Care of Elders.

Learning Objectives:
Upon completion of the 4-week Geriatrics elective, the student should be able to:
1. Identify medications, including anticholinergic, psychoactive, anticoagulant, analgesic, hypoglycemic, and cardiovascular drugs that should be avoided or used with caution in older adults and explain the problems associated with each.
2. Differentiate among the clinical presentations of delirium, dementia, and depression, and create appropriate patient-centered eatment plans.
3. Perform and interpret a cognitive assessment in older patients for whom there are concerns regarding memory or function.
4. Assess and describe baseline and current functional abilities (instrumental activities of daily living, activities of daily living, and special senses) in an older patient by collecting historical data from multiple sources and performing a confirmatory physical examination.
5. Ask all patients 65 y.o., or their caregivers, about falls in the last year, watch the patient rise from a chair and walk (or ansfer), then record and interpret the findings.
6. Define and differentiate among types of code status, health care proxies, and advanced directives
7. Identify the psychological, social, and spiritual needs of patients with advanced illness and link these identified needs with the appropriate interdisciplinary team members.
8. Identify potential hazards of hospitalization for all older adult patients (including immobility, delirium, medication side effects, malnutrition, pressure ulcers, procedures, peri and post- operative periods, and hospital acquired infections).
9. Gain knowledge in and begin to learn to assess and manage common diseases and syndromes in geriatrics. These include but are not limited to Depression, Dementia, Delirium, Falls, Incontinence, Osteoporosis, Pressure Ulcers, and Pain.
10. Discuss the unique aspects of care for the Geriatric patient as it pertains to healthcare finance, community resources, and ansitions of care.

Learning Experience:
Students participate in patient care on the inpatient, outpatient, home care, and nursing home setting

Students will see patients independently on the inpatient and outpatient settings and present directly to the attending and or fellow on the team. Both immediate and delayed feedback is provided.

At the nursing home, students will work with fellows and attendings to follow-up on overnight events, admit new patients, discharge patients, and perform monthly evaluations of nursing home residents.

Students will participate in home visits (when available) with an attending or fellow.

Additionally, students are expected to complete a rotation check-list demonstrating completion of specific patient assessments (i.e. perform and interpret a Mini-Cog Test, Fall Risk Screen, Geriatric Depression Scale and Confusion Assessment Method Screen), and patient experiences (i.e. discuss establishing a health care proxy with a patient,
develop a management plan for a patient with impairments in ADL’s) and an understanding of key Geriatrics content.

Method of student feedback and evaluation: Students will be graded with either Honors, High Pass, Pass, Low Pass or Fail. There is no shelf exam or final exam.

• Feedback is elicited from both faculty and non-faculty preceptors who were involved in teaching during the rotation. All are encouraged to complete the Einstein Clinical Performance evaluation form if they have worked with the student for more than one session. Preceptors with limited exposure to the students are encouraged to forward comments regarding the student’s clinical performance.

• The grading rubric for the elective is: 100% of the grade is determined by faculty, fellow, and/or resident completion of the Einstein Clinical performance evaluation form with the elective director/s reviewing all submitted forms to arrive at the final grade. Student Professionalism is also assessed on the rotation and students who demonstrate unprofessional behavior, regardless of evaluation performance, many receive an elective grade of fail.

Michael Bogaisky, MD
mbogaisk@montefiore.org
Alice Guo, MD
aguo@montefiore.org
718-920-6722
Blocks: All
Maximum: 2

On the first day students report to 3411 Wayne Avenue, 2nd Floor, Geriatrics Division at 9 AM and contact Velona Duncan.

(Jacobi Medical Center)

Students who choose this elective will see patients on the Pulmonary Consultation service and Critical Care Medicine Consultation service at Jacobi Medical Center. They will also attend to rapid responses and cardiac arrests with the rest of the consult team. This is an opportunity to learn about in-depth various Pulmonary and Critical Care problems that present both classically or unusually. On the Consultation services, students will see patients either independently or with the PCCM fellows and Internal Medicine resident(s) who may be taking the elective as well. The Consult Attending will round during different times of the day depending on the acuity of the patients. Chest Clinic takes place Wednesday afternoons and Friday mornings where fellows and Attendings see their follow-ups or new patients referred by Primary Care, other specialties, or the ED. Depending on interest, students may see outpatients independently or in conjunction with a fellow or Attending. Students will be expected to attend any Divisional Conferences being given during their time on the elective. Finally, students will have opportunities to observe procedures done by the fellow/resident with Attendings supervising.

Reka Salgunan, MD
Reka.Salgunan@nychhc.org
718-918-4505
Administrative Support: Pamela Lopez , Pamela.Lopez@nychhc.org
Blocks: All
Maximum: 1 student

First day report to Bldg # 1, 5N50 at 8:30am

(Montefiore Medical Center – Nyack Hospital)

The goal of the elective is for students to develop cognitive skills and competency to evaluate patients with pulmonary diseases. The students will see patients in consultation and will follow them with the consulting pulmonologist. As a part of daily rounds with the consulting pulmonologist, they will present patients, review pertinent articles or topics, verify historical and physical findings at the bedside, reevaluate diagnostic and therapeutic decisions, and rite progress notes. In the office, they will have the opportunity to examine patients with common pulmonary disorders

The objectives include:
• To gain experience in obtaining a history, performing a clinical exam, and developing a eatment
plan for pulmonary patients in the office and the hospital
• To teach students the proper interpretation of pulmonary function tests and arterial blood gases and the principles of assisted mechanical ventilation.
• To make students familiar with the diagnostic and therapeutic modalities applicable to patients with common respiratory disorders.
• To make students familiar with the clinical, chemical, and radiologic features of common
respiratory disorders: pulmonary embolus, chronic obstructive airway disease, acute respiratory failure, sleep apnea, pulmonary hypertension, carcinoma of the lung, etc.
• To enable the student to formulate a problem list and a diagnostic and management plan for patients with complaints referable to the respiratory system.

SUGGESTED TEXT:

1. Text of Respiratory Medicine, John F. Murray, M.D. and Jay A. Nadel, M.D.
2. Pulmonary and Critical Care Medicine, Bone, MD et al., editors

Schedule: Mon to Fri 9 am to 4 pm

Responsibilities – two patients per day, assigned by attending physician, medical student to obtain history from patient/ family/ nurse, perform a physical exam, review labs and imaging and present the patients at rounds at 11 am daily.

Method of student feedback and evaluation :
1. Clinical evaluation form
2. Evaluation of daily case presentations
Each of these 2 components contributes 50% to the final grade.

MURALI KRISHNA, MD
KRISHNAM@HIGHLANDMEDICALPC.COM
Administrative Support: ALLETTE BASTIEN, (845) 348-2200, bastiena@montefiorenyack.org
Maximum: 1
Blocks: All
On the first day students report to: MONTEFIORE NYACK HOSPITAL- PULMONARY OFFICE—2ND floor- 9 am and contact the front desk 845-897-8371 and they will contact the pulmonologist covering that day.

(Montefiore Medical Center – Moses)

The primary purpose of this elective is to provide senior medical students with a diverse, well-rounded, meaningful, and focused exposure to the field of Critical Care Medicine. The student will be exposed to our Consult Service as part of our “ICU without walls” (providing critical care outside the ICU) and learn how critical care triage decisions are made. They will spend time in our Medical ICU, the classic critical care environment, and get an opportunity to rotate through our non-medical intensive care units including Surgical and Cardiothoracic ICUs where they will be exposed to patients with different types of surgical and thoracic pathology.

Over the course of the month, providers including attendings and fellows will provide students with scheduled lectures as well as learning during rounds and with direct patient encounters. Topics of learning will generally include shock/multi-organ failure, respiratory failure, sepsis, pressors, sedation, bedside ultrasound, and more. Students will also be introduced to the nuanced personal aspects of critical care, including goals of care discussions, interactions with patients’ loved ones, and team interpersonal communication. Students will be invited to attend our morning report, educational conferences for the fellows, and other presentations for and by the critical care department. Medical students will attend daily work rounds, follow one or two patients closely each week, learn how to present critically ill patients on rounds, perform relevant literature searches, and learn fundamental cardiovascular and pulmonary pathophysiology as it relates to the critically ill or injured patient. They will also learn the indications for and techniques of various procedures in the ICU.

Measurable learning objectives of elective:

– Conduct thorough but targeted pre-rounding, history, and examination on a critically ill patient, as demonstrated by ability to present the patient to the CCM attending
– Formulate a differential for a variety of critical care “problems” and place said differential within the context of specific patients.
– List the types of shock (including cause, how it presents, and treatment) and apply this knowledge to at least one patient encounter (for instance, be able to discuss a patient who has septic shock, explain why they think that patient has septic shock and how they think it should be treated).
– Understand the basic definition of sepsis, and identify the most critical treatment responses (source identification and treatment, appropriate antimicrobials, fluids, pressors)
– Become a part of the critical care team, as demonstrated by knowing their patients and presenting on them, following up on their patients, and engaging in the care of patients in the ICU on whom they are not specifically rounding on
– Define hypoxic respiratory failure, and identify the different treatment modalities (HFNC, NIV, intubation) and indications/contraindications for each therapy
– Identify basic structures on bedside ultrasound and list ways in which bedside ultrasound can impact patient care
– Acknowledge which patients are in need of critical care, as well as compare which patients may not benefit from critical care and/or an ICU
-Identify how goals of care factor into decisions made regarding critically ill patients

Logistics:
– This will be a 4-week elective and will be located at the Weiler and/or Moses Campus of Montefiore Medical Center.
– The medical student’s time will generally be allocated as follows:
– 1 week on the Critical Care Consult service
– 1 week in the Medical ICU at Weiler
– 1 week in the Surgical/Thoracic ICU at Weiler
– 1 week again in one of the above mentioned services or at Moses

Consults/MICU
The duration of time that a student spends in each unit may be modified after discussion between the student and one of the course co-directors.

– The medical students’ hours are generally 7:30/8 am- 4 pm Monday-Friday.

Method of student feedback and evaluation:

Students will provide attendings/fellows with whom they work with evaluations; these will be used for a composite grade/evaluation at the end of the rotation. In addition, students will be receiving real-time feedback during the course.

Recommended textbooks:
The ICU Book, 4th edition, by Paul R. Marino
$25 and up 
ISBN 10: 1451121180

Matthew Levitus, MD
mlevitus@montefiore.org
Co-Director:

As of 7/1/24
Timothy Tong, MD
titong@montefiore.org

Contact: Ms. Ledina Nikolla
leknight@montefiore.org, 718-904-3015
Blocks: All
Maximum: 4

On the first day students report to: Jack D. Weiler Hospital, 1825 Eastchester Road Bronx, NY 10461 on 4th floor at 8 AM

(Montefiore Medical Center)

Einstein Students must contact Dr. Myers for approval prior to registration**

– To have inpatient and/or outpatient exposure to 4 weeks of dermatology or 4 weeks of primary care/medicine subspecialties
– To have weekly meetings with diverse faculty and medicine leadership

– To participate in weekly career development sessions

– To understand the unique issues of marginalized populations as defined by race, gender, sexual orientation, socioeconomic status, weight, or disability

– To complete a case report to be submitted for publication or to a professional society meeting (or Capstone project for Einstein student)
-To assess the impact of social determinants of health on patient care

Measurable learning objectives of elective:
1. Assessing the Determinants of Health
2. Engaging in the Community, students should be able to:
a. Understand the community connections between Montefiore and the Bronx
3. Understanding the needs of marginalized populations, students should be able to:
a. Define terms such as implicit bias, microaggressions, racism, or transphobia
b. Identify stigmatizing language
4. Writing a case report, students should be able to:
a. Conduct a literature search
b. Compose a case report based on a novel case which highlights health inequity
c. Submit the case report for publication to a journal or an abstract for a meeting

Method of student feedback and evaluation: Grading will be honors/high pass/pass/fail. Grading components include: completion of case report (30%), attendance/participation in didactics (20%), and clinical performance as determined by the Y4 Elective Evaluation Form(50%).

Alyson Myers, MD
alymyers@montefiore.org
718-430-3035

Administrative support: Ashley Cunningham, 718-430-2729, ahunter@montefiore.org

Blocks: 5 only
Maximum: 6

On the first day students report to: Price Building Room 351 at 10 AM and contact Ashley Cunningham (718)430-2729

(Children’s Hospital at Montefiore/Jacobi Medical Center)

**Not available to International Exchange Students**

The Child Neurology elective course will familiarize students with the skills needed for general evaluation and management of children with a broad range of neurologic disorders, including in the acute care setting and outpatient longitudinal care.

The student in this elective will work under the supervision of the Pediatric Neurology attending and fellow in both the inpatient and outpatient setting at the Children’s Hospital at Montefiore, Jacobi Medical Center and will consist of inpatient evaluations, ward rounds, conferences, attendance at consultation, work in neurology clinic and attendance at teaching sessions and seminars.

Learning objectives:

1. To learn to perform the neurological examination in infants and children.
2. To become familiar with the evaluation of pediatric patients with actual or suspected acute neurologic problems, including emergencies, in the pediatric emergency room and in-patient setting.
3. To become familiar with evaluating and treating sub-acute and chronic neurological problems presenting on the inpatient/outpatient pediatric service.
4. To become familiar with neurologic manifestations of general pediatric illnesses.
5. To become familiar with diagnosis and management of pediatric neurologic emergencies, such as status epilepticus, coma, raised intracranial pressure and herniation syndromes, spinal cord compression, meningitis/encephalitis, and severe neuromuscular weakness from acute neuropathies and neuromuscular junction disorders.
6. Approach/Management to hypotonia, febrile seizures, epilepsy, headaches, neurocutaneous syndromes, neuromuscular disorders, etc. (bread and butter pediatric neurology).
7. To learn to present a pediatric neurological history and examination precisely and succinctly.

Learning experience:

1.Participate in consultations from the emergency room, pediatric intensive care unit, neonatal intensive care unit, and pediatric and other services, as directed by the senior Child Neurology Resident.

2. Become familiar with the initial evaluation of patients to be admitted to the Child Neurology and Epilepsy Services.
3. Participate in daily Child Neurology and Epilepsy service rounds, including presenting new patients and discussing active issues on follow-up patients.
4. Become familiar with how to write consultation and follow-up notes.
5. Participate in discussions for each patient consulted on with the primary care team to ensure appropriate coordination of the diagnostic evaluation and treatment plan.
6. Attend all scheduled conferences and clinics.

Method of student feedback and evaluation:
Students are expected to give a short 10-minute presentation on an interesting diagnosis during their last week of the rotation.

Students will receive formal feedback at the end of the rotation. Evaluation will be complied by the supervising physician.

Textbook information:
Pediatric Neurology: Clinical Assessment and Management 1st Edition By E. Steve Roach, MD

Nagma Dalvi , MD
732-672-5363 (cell)
718-920-4378 (office)
ndalvi@montefiore.org
Daniel N. Lax, MD
347-545-0741 (cell)
dalax@montefiore.org
Administrative Staff: Jacqueline Ravelo, jacqueline.ravelo@einsteinmed.edu
Blocks: All
Maximum: 1

On first day students report to Montefiore Moses Blue Zone – Child Neurology Fellow’s Office. Please reach out to the course directors above prior to start date for directions.

(Montefiore Medical Center)

This elective is offered to fourth-year medical students seeking more extensive exposure to neurology. The experience will be individualized by the course director to suit the interests of each student and allow for exposure to several neurology subspecialty clinics, including dementia, movement disorders, multiple sclerosis, epilepsy, headache, neuromuscular disease, and/or inpatient services including stroke, consult, epilepsy monitoring unit, and neurological intensive care unit.. This will be integrated with review of literature and a brief presentation on a topic of the student’s choice.

Learning objectives:

• Learn about common neurological diseases and eatments through exposure to outpatient clinics and/or inpatient services
• Perform a competent neurological examination in a reasonable amount of time
• Review new and landmark neurology literature relevant to student’s interests

Learning Experience:

• Rotate with different neurology attendings and ainees
• Present a brief presentation the neurology-focused topic of the student’s choice

Method of Student Feedback and Evaluation:

1. Observation by Neurology attendings and residents
2. Oral presentation

Lauren Gluck, MD
lgluck@montefiore.org
516-532-6191
Blocks: All except 9 (or whichever is Christmas/New Years)
Maximum: 2 students per block

On the first day students report to: The Hutch Tower 2, 1250 Waters Place, 8th Floor at 8:30 am

(Montefiore Medical Center)

The Subinternship in Neurological Surgery is available to all students who wish an introduction to clinical neurosurgery and participate in the care of patients with neurological diseases requiring surgery. Student’s will be closely associated with the Neurosurgical resident staff and join them on ward rounds and in all their educational activities. The evaluation of patients will emphasize the neurological history and examination. The student will have an opportunity to observe or assist all aspects of clinical neurosurgery, and in all divisions, including skull base, brain tumor, cerebrovascular, spine, functional, and pediatrics. Students will be an active participant in the conferences of the Department at Montefiore Medical Center (Moses Division), including tumor board, spine conference, and other resident education activities. It is expected that a “mini-presentation” will be prepared on a subject of interest to the student prior to the end of the module. The Subinternship is particularly designed for those with a serious interest in pursuing further study in Neurological Surgery, Neurology, or for those with career goals in other fields of medicine who would like to gain a more intimate appreciation of Neurological Surgery.

Neil Haranhalli, MD
nharanha@montefiore.org
718-920-8056
Administrative support: Katherine Ramirez,katramir@montefiore.org, 718-920-4216
Blocks: All
Maximum: 4

Please contact either Dr. Haranhalli or Katherine Ramirez (Program Manager; katramir@montefiore.org) one week prior to you rotation for initial instructions. On the day before your rotation starts, please contact the Chief Residents or page the neurosurgery resident-on-call at (917) 956-6986 for specifics on when/where to meet for rounds on the first day.

s on where to meet for rounds on the first day.

(Montefiore Medical Center – Moses Campus)

Students participate in the daily activities of the Ophthalmology Clinic and attend the regularly scheduled conferences of the Department. Students observe major and minor surgical procedures in the Moses, Wakefield, and Hutchinson Tower operating rooms and minor procedure rooms. Students also participate in case conferences and review surgical videos with the instructor. Participants are encouraged to participate in patient care with resident and attending faculty supervision. Suggested texts, videos, sentinel papers are presented for review prior to initiating the rotation. The elective allows participation of selected visiting students.

Measurable learning objectives of elective:

– To become facile with the basic eye exam  and patient work up
– To learn how to use the direct and indirect ophthalmoscope and the slit lamp biomicroscope
– To understand how systemic disease affects the eye
– To gain exposure to the field of ophthalmology as a potential career

Method of student feedback and evaluation: Students participate in case conferences with immediate feedback from the preceptor.

Please note: Visiting student applications or requests must be made to the Einstein Registrar’s Office through AAMC VSLO program.

Richard P. Gibralter, MD
rgibralter@montefiore.org
718-920-7646
Administrative support:
Margaret Kealy
mkealy@montefiore.org
718-920-7646
Maximum: No visiting students in block 1. Blocks 1-9, 4 students & Blocks 8-14, 2 student.

Students must contact Margaret Kealy for meeting time and location 2 weeks prior to the start date.

Visiting students must apply through VSLO using Einstein’s pre-set rotation dates. Once you’ve submitted your application for the elective, please contact Courtney Matlach at cmatlach@montefiore.org to make any requests to change your preferred rotation dates.

**Einstein students must contact Courtney Matlach for approval prior to registration** 

The course consists of a four-week rotation on specific orthopaedic services contained within the Department of Orthopaedic Surgery. This rotation offers the 4th year medical student an opportunity to participate in the management of patients with musculoskeletal injury and disease. Rotating students will have a chance to join the orthopaedic team on the ward, in the emergency room, in the operating room, and in the outpatient setting. Students will also participate in the didactic program of the department and the specific service to which they have been assigned. It is the goal of the rotation to have the student gain an overview of and experience in musculoskeletal evaluation and eatment. It is designed for students interested in gaining additional knowledge about orthopaedic surgery and/or students wishing to become orthopaedic surgeons. Students are given the opportunity to spend time at Jacobi where there is more exposure to high energy auma.

Measurable learning objectives of elective:

• To gain an understanding of the different types of orthopaedic practices and procedures.
• To understand the principles behind the evaluation and eatment of orthopaedic patients.
• To gain operating room exposure and experience.
• To demonstrate the ability to present and give a comprehensive case history presentation and discussion.

Learning experience:

Each student is assigned to 1-2 specific orthopaedic teams in the following services:

• Adult Reconstruction Service
• Sports Medicine Service
• Shoulder & Elbow Service
• Pediatric Orthopaedic Service
• Foot & Ankle Service

1. The student is an integral member of the team and responsible for rounding on patients and providing clinical care in the emergency room and operating room.
   2. The student is required to spend one night during the rotation on-call at the Jacobi Hospital Emergency Room. While on-call, the students are expected to assist the junior resident on-call in the evaluation and management of acute orthopaedic injuries.
   3. The student is responsible for actively participating in didactic and service-specific conferences. The didactic program consists of weekly conferences and Grand Rounds, at which time the student should be prepared to answer questions tailored to their abilities and knowledge.
   4. Students will be required to prepare and present a formal talk at the end of the rotation.

Method of student feedback and evaluation:
The students are evaluated by the residents and faculty with whom they have interacted with on their assigned service. They are evaluated based on their performance during the rotation, including knowledge base, ability to work as a team member, and interactions with patients and peers. In addition, students are requested to submit an evaluation of the rotation itself prior to the end of the rotation.

Course Director: Konrad I. Gruson, MD kgruson@montefiore.org
Program Administrator: Courtney Matlach, cmatlach@montefiore.org , 347-577-4410
Maximum: 4
Blocks: 4-9

On the first day students report to: Students will report to the Hutch Campus for an orientation meeting and then will report to their assigned service.

(Rotation locations include the following campuses: Wakefield, Moses, Hutchinson Metro Center, and Jacobi Medical Center)

A message to Einstein Students:

• All home students must contact Courtney Matlach at cmatlach@montefiore.org for approval prior to registration.

Course Description:

The course consists of a four-week rotation on specific orthopaedic services contained within the Department of Orthopaedic Surgery. This rotation offers the 4th year medical student an opportunity to participate in the management of patients with musculoskeletal injury and disease. Rotating students will have a chance to join the orthopaedic team on the ward, in the emergency room, in the operating room, and in the outpatient setting. Students will also participate in the didactic program of the department and the specific service to which they have been assigned. It is the goal of the rotation to have the student gain an overview of and experience in musculoskeletal evaluation and treatment. It is designed for students interested in gaining additional knowledge about orthopaedic surgery and/or students wishing to become orthopaedic surgeons. Students are given the opportunity to spend time at Jacobi where there is more exposure to high energy trauma.

Measurable learning objectives of elective:

• To gain an understanding of the different types of orthopaedic practices and procedures.
• To understand the principles behind the evaluation and treatment of orthopaedic patients.
• To gain operating room exposure and experience.
• To demonstrate the ability to present and give a comprehensive case history presentation and discussion.

Learning experience:

Each student will be assigned to two specific orthopaedic services for the duration of their rotation (Adult Reconstruction Service, Sports Medicine Service, Shoulder & Elbow Service, Pediatric Orthopaedic Service, Orthopaedic Trauma Service). Depending on which service you have been assigned you may rotate through any of the following campuses; Hutch, Jacobi, Moses, or Wakefield.

• The student is an integral member of the team and responsible for rounding on patients and providing clinical care in the emergency room and operating room.
• The student is required to spend one night during the rotation on-call at the Jacobi Hospital Emergency Room. While on-call, the students are expected to assist the junior resident on-call in the evaluation and management of acute orthopaedic injuries.
• The student is responsible for actively participating in didactic and service-specific conferences. The didactic program consists of weekly conferences and Grand Rounds, at which time the student should be prepared to answer questions tailored to their abilities and knowledge.
• Students will be required to prepare and present a formal talk at the end of the rotation.

Method of student feedback and evaluation:
The students are evaluated by the residents and faculty with whom they have interacted with on their assigned service. They are evaluated based on their performance during the rotation, including knowledge base, ability to work as a team member, and interactions with patients and peers.

Course Director: Konrad I. Gruson, MD kgruson@montefiore.org
Program Administrator: Courtney Matlach, cmatlach@montefiore.org , 347-577-4410

Maximum Number of Students Per Block: 6

Blocks Students Can Apply For:

• Block 3, May 19- Jun 15, 2025
• Block 4, Jun 16- Jul 13, 2025
• Block 5, Jul 14- Aug 10, 2025
• Block 6, Aug 11- Sep 7, 2025
• Block 7, Sep 8- Oct 5, 2025
• Block 8, Oct 6- Nov 2, 2025

Start Time/Location:

Students will be contacted prior to their first day with the all of the details, but should plan on reporting to the Hutch Campus for an orientation meeting and then will report to their assigned service.

(Montefiore Medical Center: Moses, Hutchinson Metro Center)

This 4-week rotation is designed for students interested in careers in Family Practice, Medicine, Pediatrics and Otolaryngology- Head and Neck Surgery. Students will obtain skills in the clinical examination and diagnosis of problems in the Head and Neck including otoscopy, nasal endoscopy and laryngoscopy for both adult and pediatric patients. They will learn and participate in the basics of airway management, sinus disease and hearing disorders, cancers of the head and neck as well as general ear, nose and throat anatomy and disease. Students are expected to be an active part of the otolaryngology team, supplement their clinical exposure with reading, and participate in office hours with attendings. Amply opportunity will be created for student to observe or assist with surgical procedures, tailored to each individual’s interest. The rotation will be split between Montefiore Medical Center and the Hutchinson Ambulatory Center (located approximately 5 miles from Montefiore near the Einstein campus), with two weeks at each site. In addition, students are expected to attend all conferences and give a brief presentation on a topic related to otolaryngology at the end of the rotation.

Method of student feedback and evaluation: Real-time feedback, school evaluation form

Suggested Textbook:
ISBN: 9780323733571
Cost: approx $50
Title: ENT secrets
Edition: 5th
Author: Scholes, Ramakrishnan

Mona Gangar, MD
mgangar@montefiore.org
Contact: Ms. Maggie Ayala, marayala@montefiore.org, 718-920-4267
Blocks: All, expect 10 & 11
Maximum: 4

On the first day students report to: Students will get an email prior to the rotation start date with meeting location and time

(Montefiore Medical Center)

This two-week elective introduces medical students to the multiple laboratories that make up the Department of Pathology at the Montefiore Medical Center. This elective is beneficial to all medical students as it allows the students to experience the various areas of Pathology, examine the role of Pathologists in a hospital/clinical setting, and observe their interactions with clinicians from multiple hospital departments.

Goal of Elective: Introduction to how Anatomic and Clinical Pathology contribute to patient care, specifically in diagnosis of disease and laboratory analysis of various specimens.

Learning Objectives:

• Learn the different specialties in pathology
• Learn how specimens are processed when received in pathology
• Diagnostic tools and skills applied in making diagnosis

Learning Experience: Participate in daily work of assigned areas with help of resident or faculty. Participate in applicable conferences. Schedule will depend on the site and area of specialty.

Method of student feedback and evaluation: As per Einstein evaluation forms

Bryan Harmon, MD
Bharmon@montefiore.org
718-920-2174
Blocks: All
Maximum: 2

(Montefiore Medical Center/Weiler Hospital)

Diagnostic surgical pathology is an integral part of patient care. During the student’s rotation in surgical pathology they become part of the pathology team and will learn and be involved in the workflow of the pathology lab. More specifically, the students will observe and gross specimens (under guidance), perform microscopic examinations, and develop diagnoses based on the pathologic material and clinical input from various clinical services. Students will be expected to work-up and present an interesting case at the end of the rotation. Additional elective time in surgical pathology is available for interested students.

Dr. Sun Chung
suchung@montefiore.org
718-920-4976
Blocks: All except blocks 6, 7, 8
Maximum: 2

One month prior to the approved, scheduled rotation, students must contact the pathology chief residents at pathology.mmc@gmail.com to organize their rotation itinerary.

(Montefiore Medical Center)

**Einstein students must contact the course directors for approval prior to registration**

Hematopathology is offered as a concentrated elective in the Anatomic and Clinical Pathology aining program. It includes exposure to the major morphologic classification schemes of lymph node based diseases such as non-Hodgkin malignant lymphomas and Hodgkin lymphoma. When evaluating leukemia’s, as well as myelodysplastic and myeloproliferative disorders, bone marrow biopsies are correlated with bone marrow aspirate and peripheral blood smears in the majority of cases. Because of the nature of the diagnostic work-up for these diseases, there is additional emphasis placed on immunologic features using flow cytometry and immunohistochemistry and also on T or B cell gene rearrangement abnormalities using the polymerase chain reaction, as well as cytogenetic/FISH and molecular study by NGS. Teaching sets are available for study.

Textbook Information: (Suggested) 
Ioachim’s Lymph Node Pathology, 4th edition
Chapter 1 (The normal lymph node)
Author: Harry L. Ioachim(Editor), L. Jeffrey Medeiros MD (Editor)

Henry’s Clinical Diagnosis and Management by Laboratory Methods, 22nd Edition

Chapter 30 Basic examination of blood and bone marrow  part ‘Bone marrow examination’ page 533-538

ISBN-13: 978-0781775960

ISBN-10: 0781775965

ISBN-13: 978-1437709742

ISBN-10: 1437709745

Qing Wang, MD, PhD
qwang@montefiore.org 
Administrative Support: Ms. Debrah Negron, denegron@montefiore.org, 718-920-6459
Blocks: All except block 3
Maximum 1

On the first day students report to: Ms. Negron at Moses campus, silver zone 4th floor, surgical pathology 8:30 am 

(Montefiore Medical Center – MMP)

**Einstein students must contact Dr. Ramesh for approval prior to registration**

Cytogenetic aining for students consists of a rotation of one month or more if interested or required. Routine pre, post-natal; cancer/molecular cytogenetic procedures; includes state of the art molecular cytogenetic diagnosis of constitutional and hematopoietic/solid tumor patient samples. Students are instructed in all aspects of cytogenetic analysis including indications for different procedures, sample accessioning, cell culture, harvesting chromosomes for cytogenetic/FISH/Microarray studies. This includes chromosome banding, computerized image analysis of karyotypes and FISH preparations, and including Microarray Testing. Cytogenetic, FISH, and Microarray nomenclature, analysis, and interpretation of chromosome/FISH/Microarray test results are also covered.  The cytogenetics rotation provides excellent exposure and background for students/residents/fellows to acquire competence to advise other physicians about indications for cytogenetic/FISH and Microarray testing, appropriate test procedures, and interpretation of test results. Additional elective time in cytogenetics is available for interested students to complete a small project if they wish to pursue.

General description and goals of elective: Introduce students to basic cytogenetic and molecular (FISH and Microarray Methodology) cytogenetic testing for genetic and malignant disorders.

Measurable learning objectives of elective: Cytogenetics; cancer genomics; molecular cytogentic testing.

Method of student feedback and evaluation: Student case reports; cytogenetic/molecular cytogenetic questionnaire.  Feedback can be done online – New Innovation.

Textbook Information: (Suggested)
Medical Genetics by Thompson and Thompson
Principles of Medical Genetics by Steve Gershen
Genetic Counseling by Sutherland
Cytogenetics of Leukemias and Solid Tumors by Felix Mittleman
ISCN: An International System for Human Cytogenomic Nomenclature (2016), Eds. McGowan-Jordan, Simons, A, Schmid M, Karger Publications.

M412 Cytogenetics Curriculum

Dr. K. H. Ramesh
kramesh@montefiore.org
718-405-8106
Administrative support: Christine Morena, cmorena@montefiore.org, 718-904-2947
Secretarial Support: Susan Arthur, sarthur@montefiore.org, 718-405-8105
Blocks: All except blocks 1 & 2
Maximum: 1

On the first day students must report to Mahnaz Zohouri at 1635 Poplar St. Bronx, NY, 2nd Floor, 9:00AM.

(Montefiore Medical Center)

The elective is intended to give medical students an introduction to the field of Cytopathology, which also would serve as preliminary exposure to Anatomic Pathology and the lab in general (especially for students with no previous electives in Pathology). The student will observe the practice of fine needle aspiration biopsy performed by Cytopathologists/ Cytopathology fellows and adequacy assessment for deep fine needle aspiration biopsies. The student will get exposure to a variety of exfoliative and aspiration Cytology cases.  Also we offer participation in a variety of projects that utilize cytology specimens. Some projects consist mainly of retrospective studies of a certain type of neoplasm or organ involvement and are primarily of clinical nature.  The student may participate at a variety of levels (search data base for cases, retrieve archival material,  case review, etc.)

Measurable learning objectives of elective: Since this is mainly an observation kind of elective, active participation in the daily activities and projects is sufficient in achieving the objective of the elective.

Learning experience: Monday to Fri  8 am-5 pm. The student is expected to participate in the daily case review and sign out with the Cytopathology fellows/ Cytopathologists, attend the weekly conferences, and observe performance of fine needle aspiration biopsies.

Method of student feedback and evaluation: Direct and immediate feedback, in addition to written evaluation.

Agnes Colanta, MD
acolanta@montefiore.org
718-920-5025
Administrative Support: Frances Mendez, fmendez@montefiore.org, 718-920-2761
Maximum: 1
Blocks: All, except 6

On the first day students report to Dr. Colanta at Moses, Hofheimer, Rm. 409 at 9:00 am 

(Children’s Hospital at Montefiore)

In this elective, students will gain a comprehensive understanding of ambulatory pediatrics while improving their ability to independently care for children and adolescents.  The rotation will span many settings, including: primary care clinic, newborn nursery, pediatric emergency room and pediatric subspecialty clinics.  In primary care clinic, students will act at a sub-intern level:  seeing patients on their own, and formulating treatment plans with supervision.  Additionally, students will be exposed to the Behavioral Health Integration Program (BHIP) with didactic and clinical sessions focusing on common pediatric mental health concerns in primary care.   This elective offers a diverse schedule with access to many settings but also gives opportunities to work closely with pediatric faculty while increasing clinical autonomy.   There will be 3 small group conferences covering practical ambulatory pediatric topics.  End of cycle feedback will be scheduled with the elective director and the evaluation will be based on feedback provided from providers you identify working closely with in the clinical environments.

Learning Objectives:

*Independently conduct a focused interview of a child, adolescent and or parent.

*Improve physical exam skills on well and ill children of different ages.

*Evaluate a newborn infant.

*Manage common ambulatory problems and illness in children and adolescents.

*Conduct health care maintenance visits and practice giving anticipatory guidance.

*Recognize the influence of families, communities, culture, and psychosocial stressors in the care of children.

*Recognize common mental health disorders in children and adolescents.

*Evaluate pediatric patients with unique system-based conditions in several subspecialty areas.

*Assume more responsibility by making independent decisions in patient care.

*Present findings of a clinical evaluation in a sensitive, timely, accurate, relevant, and structurally competent manner in both oral and written form.

Jillian Parekh, MD
jparekh@montefiore.org
Phone: 917-208-3018
Maximum: 2 
Block:  ALL, except 11/12
Need to register 6 weeks in advance.
Cycle schedule will be emailed to you the week prior.

(Jacobi Medical Center)

** Einstein students must contact Dr. Harris for approval to register. **

1. There is an orientation to the rotation given by the site director.
2. The primary site for this rotation is Jacobi Medical Center Pediatrics ambulatory center
a) Sessions in the Emergency Department and subspecialty clinics take place at Jacobi
b) General Pediatric sessions are located at Jacobi Bldg 1, 1st floor

By the end of the rotation, students will be able to:

1. Independently conduct a focused interview of a child, adolescent and or parent.
2. Improve physical exam skills on well and ill children of different ages.
3. Evaluate a newborn infant.
4. Manage common ambulatory problems and illness in children and adolescents.
5. Conduct health care maintenance visits and practice giving anticipatory guidance.
6. Recognize the influence of families, communities, culture and social determinants of health in the care of children.
7. Recognize common developmental and mental health disorders in children and adolescents.
8. Evaluate pediatric patients with unique system-based conditions in subspecialty areas
9. Assume more responsibility by making independent decisions in patient care.
10. Utilize appropriate interpersonal and communication skills in patient care.
11. Present findings of a clinical evaluation clearly and concisely in oral and written form.

Michael Harris, MD
harrism4@nychhc.org
718-918-4085
Blocks: All
Maximum: 1

On the first day students report to: Jacobi Building 8 1-1 B120 at 8:45 AM and contact Dr. Harris

(Jacobi Medical Center)

In this elective, students will be involved in the care of sick or premature newborns in the neonatal intensive care unit. Under attending supervision, the student will participate in all aspects of neonatal care. The students will be responsible for devising and implementing a management plan for each of their patients. They will be responsible for it all patient care issues, including fluid management, ventilatory management and drug therapy in the NICU. In addition, the student will attend high risk deliveries and will participate in delivery room management. Students will make daily rounds with the staff, write progress notes and attend all scheduled conferences. Students are encouraged to take night call on an every fourth night basis. Also, teaching conferences elsewhere in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.

Beth Nagourney, MD
beth.nagourney@nychhc.org
718-918-6655,
Blocks: All
Maximum: 1

On the first day students report to: Jacobi NICU, Building 1,7 North at  7:00 a.m.

(Children’s Hospital at Montefiore)

Pediatric infections play a large role in the burden of pediatric disease. This elective is offered for students who would like to gain a better understanding of childhood infections and their eatment. A wide range of areas are covered including: 1. Nosocomial and community acquired infections, 2. Infections in the immunocompromised host and 3. Infection Control. Through this elective, students will gain a better understanding of the following topics: 1. Interpretation of Microbiology Laboratory Results; 2. Rational basis for antibiotic selection and 3. Basic themes in the pathophysiology of common pediatric infections;

Learning objectives:

By the end of this elective students will be able to:

1. Describe and interpret results of positive blood cultures.

2. Understand and describe the spectrum and coverage of different antibiotics and their appropriate usage

3. Be familiar with the important elements of a complete and appropriate infectious disease consult and follow up

Learning experience:

Students will see patients Mondays – Friday from 9:00 AM to 5:00 PM, some days they may be required to stay later if rounds extend beyond 5:00 PM. They should discuss this with their attending. They are not required to attend the elective on hospital holidays. They will see Inpatient Infectious Disease consults. They will present to Infectious Disease fellows and attendings. Students will attend ID Grand rounds on Wed 8 am and Pediatric ID rounds on Friday at 1 pm (Attendance instructions provided by fellow).

Evaluation.

A. Oral

a. Feedback as necessary regarding performance throughout the rotation (Attending on Service)

B. Written

a. Summative evaluation form to be filled out at the conclusion of the rotation (Attending on Service)

David Goldman, MD
david.goldman@einsteinmed.edu
718-741-2470
Administrative support: Eric Pereira, erpereir@montefiore.org, 718-741-2470
Blocks: All
Maximum: 2

On the first day students report to: 7th floor of 3411 Wayne Avenue, at 8:30 am.

(Children’s Hospital at Montefiore)

**Einstein Students must Contact Dr. Markowitz for approval prior to registration** 

The elective aims to introduce the student to metal toxicology, specifically lead poisoning. This can be accomplished through attendance at the Lead Clinic and participation in lead related research and educational outreach activities. Clinical Experience, Clinical Research, Readings and Tutorials.
1. Trace metal metabolism related to heavy metals, nutrition and various disorders in mineral metabolism.

Learning objectives:
Be able to identify sources of lead exposure
Be able to describe routes of entry
Understand measures of lead in the environment and in humans
Learn the specifics of lead metabolism in humans
Be able to formulate a treatment plan for childhood lead poisoning

Learning experience:
Attend Lead Clinic (meets weekly)
Attend Health fairs or presentations at Head Starts for dissemination of lead/healthy homes information (1-2 a month)

Participate in advocacy activities
Possibility to develop and complete a research project

Method of student feedback and evaluation: Oral and written evaluations

Textbook information:  Important documents will be provided during elective

Morri Markowitz, MD
morri.markowitz@einsteinmed.edu
718-547-2789 ext.2717
Administrative Support: Jill Samuels, Jisamuel@montefiore.org, 718 547 2789 ext. 2716
Blocks: All
Maximum: 1

First day meeting location: 91 E. Mosholu Pkwy North

(Jacobi Medical Center)

This 4-week elective introduces the fourth year medical student to the fundamentals of Pediatric Infectious Diseases, with a focus on children with HIV infection. Through active participation in daily consultation rounds on hospitalized infants, children and adolescents, twice-weekly HIV (“PCS”) clinics, as well as Infectious Diseases clinics, students will learn the prevention, diagnosis and eatment of a broad range of diseases. Formal didactics will include core lectures, joint Einstein-Montefiore Infectious Disease Grand Rounds, Jacobi HIV Grand Rounds, and Center for AIDS Research seminars at Einstein. A microbiology laboratory mini-rotation will introduce the fundamentals of microbiological diagnosis. Teaching conferences elsewhere in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.

Joanna Dobroszycki, MD
718-918-4667
joanna.dobroszycki@nychhc.org
Blocks: All
Maximum: 1

(Jacobi Medical Center)

This elective takes place at Jacobi Medical Center and throughout NYC with community partners. The goals of this elective are:

1. Develop an understanding of the importance of non-medical issues on pediatric health.
2. Be aware of the impact of cultural issues on the medical encounter and health in general.
3. Be aware of the impact of economics on children’s health and the resources available to families.
4. Be aware of the impact of environmental issues on children’s health and development.
5. Learn to identify problems in the community and design-implement solutions through advocacy.

To accomplish these goals, the student will:

1. Attend pediatric clinic in an ethnically-diverse primary care setting.
2. Become familiar with health insurance options and the impact of access to care on health needs.
3. Assist in preparing and serving lunch at a center for homeless families.
4. Spend a day with a lactation consultant.
5. Attend the Family Advocacy Program with Dr. Olga Jimenez (center for abused children).
6. Participate in a program teaching about healthy choices to local elementary school children.
7. Spend time with a dental hygienist to learn more about the importance of oral health.
8. Learn about the work the Community Health Workers do for our patients.
9. Develop a project related to advocacy and community pediatrics.

Hannah Keppler, MD
kepplerh1@nychhc.org
Arnoldys Stengel, MD
stengela@nychhc.org
718-918-4084
Maximum: 1
Blocks: Based on Einstein Sub-Internship cycle dates. Not offered Cycles 7, 6 & 11.

On the first day students report to Jacobi Medical Center, Building #8, Room 1B-158 at 9 AM

(Jacobi Medical Center)

**Einstein Students must contact Dr. Jimenez-Scheer for approval prior to registration**

The Family Advocacy Program (FAP) is a Child Advocacy Center dedicated to the identification, assessment, and treatment of children and adolescents who present with a history of sexual abused/sexual assault and/or physical abuse and/or neglect. FAP is a member of the National Children’s Alliance. FAP consists of a diverse and culturally sensitive staff with vast knowledge and experience in working with children that have been abused. The scope of services provided at FAP include but are not limited to: forensic medical evaluations, forensic sexual assault examinations, psychosocial assessments, expert court testimony, expert consultation, trainings, assistance with crime victims’ services, advocacy and individual, family and group therapy. 

During this rotation, the medical student will observe the evaluations of children who are suspected of being physically or sexually abuse and/or neglect. The medical student will spend time with the multidisciplinary team at FAP learning each team member’s role and responsibilities. The student will join the social workers during psychosocial assessments of the families, will observe forensic interview of the children, and will join the child abuse pediatrician during the medical evaluations at the Family Advocacy Clinic. The medical student will accompany the child abuse pediatrician when consultations are requested from the inpatient unit, pediatric clinics, or emergency departments. The medical students will participate in the weekly case review meetings. The medical student will receive education on child abuse pediatrics and will be provided with educational materials to enhance his/her knowledge about child abuse topics. The student will be invited to any training offered during the FAP rotation. At the end of the rotation, the student will give a presentation to the team on a child abuse topic. The goal of this elective is to obtain general knowledge of the reporting and evaluation of children who are suspected of being physically/sexually abused/assaulted or neglected.

General description and goals of elective: The goals of this elective are to enhance student’s knowledge about child abuse and maltreatment, the evaluation process, treatment, and prevention.

Measurable learning objectives of elective: 

-Know how to report a case of suspected child abuse

-Learn basics about performing a medical evaluation when abuse is suspected

-Learn possible signs and symptoms of physical abuse

-Learn possible signs and symptoms of sexual abuse

-Learn some of the conditions commonly confused with child abuse

-Learn when to refer a child to a child advocacy center

Learning experience: 

-Students will be present at FAP from Monday through Thursday 9 AM to 4:30 PM

-Students will receive a schedule describing their activities during their rotation at FAP

-Students will attend clinic sessions at FAP

-Students will participate in case review/discussion with FAP team

-Students will attend training scheduled during their FAP rotation

-Students will be responsible for preparing and presenting a lecture on a child abuse topic

-Students will meet with each member of the FAP team to learn about the child abuse evaluation and each member’s role and responsibilities.

-Students will have dedicated time to review the educational materials provided at FAP.

Method of student feedback and evaluation: 

-Students will complete a pre-test at the beginning of the rotation and post-test at the completion of the rotation.

-Students will meet with a child abuse pediatrician at the end of their rotation for feedback and evaluation. An evaluation will be completed by the director of the rotation and returned to the medical school.

Textbook(s) information: (Suggested)

Title: Child Abuse and Neglect Diagnosis Treatment and Evidence E-Book

Authors: Carole Jenny, MD

Edition: 1st Edition

Online and/or print

Elsevier

ISBN-13: 978-1416063933 ISBN-10: 1416063935

Olga M. Jimenez-Scheer, MD

olga.jimenez@nychhc.org

718-918-4013

Maximum: 1

Blocks: Check with Dr. Jimenez-Scheer which blocks are available

On the first day students report to the Family Advocacy Program Office at Jacobi Medical Center. Building #1 3 floor North West Suite A 1400 Pelham Parkway South, Bronx NY 10461 Phone: 718-918-4183 at 9 AM.  Students should contact Dr. Jimenez-Scheer, by email or phone, the week prior to their start in order to verify time and location.

IF STUDENTS NEED TO CANCEL THE ROTATION PLEASE INFORM DR. JIMENEZ-SCHEER IMMEDIATELY IN ORDER TO MAKE THE ROTATION AVAILABLE TO ANOTHER STUDENT 

(Jacobi Medical Center)

Elective NOT offered during the 2023 – 2024 academic year

The Pediatric Endocrinology service at Jacobi cares for children with a wide variety of endocrine diseases, such as Type I and Type II diabetes, short stature, failure to thrive, pubertal disorders, menstrual disorders, polycystic ovary syndrome, thyroid disorders, and obesity. The student in this elective will work under the supervision of the Pediatric Endocrinology attending in both the inpatient and outpatient settings. The majority of the rotation will occur in the various outpatient clinics: Endocrinology, Endocrine Testing, and Diabetes. The student will be expected to see patients independently, but will be closely supervised by an attending. Less than one quarter of the time will be spent on the inpatient service, where the student will be responsible for the initial evaluation and assessment of each new consult, as well as the daily follow-up of all patients on the endocrinology service. The student will present the patient to the attending and the differential diagnosis, management and eatment options will be further discussed. Additionally, reading topics will be assigned and further discussed with the attending. The student will be expected to give a 45-minute presentation on a selected pediatric endocrine topic to a small group at the end of the rotation. Students will attend the outpatient endocrinology conferences, as well as the other teaching conferences in the Pediatrics Department (Grand Rounds, Chairman’s Rounds, noon conference, etc.).

Miriam Silfen, MD
718-918-4135
miriam.silfen@nychhc.org
Blocks: All
Maximum: 2

Student should contact Dr. Silfen 2 weeks prior to start date to confirm where to report on first day of elective.

(Jacobi Medical Center)

The Pediatric pulmonary service at Jacobi cares for children with a wide variety of pulmonary diseases. The student in this elective will work under the supervision of the Pediatric Pulmonary attending in both the inpatient and outpatient settings. About half of the time will be spent on the inpatient service, where the student will be responsible for the initial evaluation and assessment of each new consult, as well as, the daily follow up of all patients on the pulmonary service. The patients will be presented to the attending and the differential diagnosis, management plans and eatment options will be further discussed. In addition, the student will assist the pulmonologist during bronchoscopies. The other half of the rotation will occur in the Jacobi Pediatric Asthma Center, as well as, the Pulmonary and Allergy clinics. The student will be expected to see patients independently, but will be closely supervised by one of the attendings. Students will attend the bimonthly outpatient pulmonary conferences, the monthly radiology conference and other teaching conference elsewhere in the Pediatric Department (grand rounds, Chairman’s Rounds, noon conferences, etc.). Method of student feedback and evaluation will be an oral presentation at the end of the rotation.

Denise Serebrisky, MD
718-918-6984
denise.serebrisky@nychhc.org
Blocks: All
Maximum: 1

Contact Dr. Serebrisky by email for meeting time and location. 

(The Children’s Hospital at Montefiore)

**Einstein students must contact Dr. Goilav for approval prior to registration **

There are pediatric subspecialties that are facing significant gaps in workforce over the next 10 years as they are generally considered “complicated” or “challenging” based on coursework that students are exposed to in medical school. The actual practice of these subspecialties, however, is very different and it is important for a student to have an opportunity to gain this perspective before they enter pediatric training.

This elective is open to applications from all students. Applications from the following groups is highly encouraged.

• those who were raised in a medically underserved area
• those who have demonstrated a willingness to practice with medically underserved populations or studying health inequities
• those who speak multiple languages
• those who are from a family with moderate educational attainment

CHAM serves children and teenagers of marginalized populations defined by race, gender, and sexual orientation. There is a great need for physicians who can relate to the families, the teenagers, and the children. The elective will provide candidates who are underrepresented in medicine with an opportunity to immerse themselves in the care of a highly vulnerable population and derive the tremendous satisfaction of making a difference in their lives.

• To have inpatient and outpatient experience in an underserved subspecialty as applicable
• To learn about the bread-and-butter clinical cases as well as complex cases in a given subspecialty
• To debunk some of the myths associated with “complex” subspecialties that may deter students during medical school courses from developing an interest for a particular subspecialty.
• To learn about the immense value of the subspecialties in an urban, government-insured minority population and social determinants of health.

Measurable learning objectives of elective:

• Assessing the role of an underserved subspecialty in the care of a vulnerable population Students should be able to list social determinants of health and describe some avenues to assist with any needs.
• Identify a research area of interest in a given subspecialty and engage with one of the faculty members to identify opportunities for research.
• Prepare a case for presentation at the end of the rotation. Students should conduct a literature search about the case topic and generate a 20-minute presentation with up-to-date diagnostic and treatment guidelines.

Learning experience:

• Week 1-4: Join subspecialists on their daily inpatient rounds, consult service, and clinics, as applicable.
• Week 2: meet with Dr. Beatrice Goilav for a mid-cycle feedback session. Identify research project with a faculty member.
• Week 3: identify case for presentation and start literature review. Meet with Dr. Michael Cabana (Department Chair) for a career planning discussion.
• Week 4: identify next steps for research opportunity and present case to division. Meet with divisional preceptor for final feedback.

Method of student feedback and evaluation: Written evaluation 

For more information on the visiting pediatric elective, visit our website.

Beatrice Goilav, MD
bgoilav@montefiore.org
Phone: 718-655-1120
Administrative support: Michael Dwyer, 718-741-2489, mdwyer@montefiore.org
Maximum: 1
Modules: All blocks

On the first day students report to 3326 Bainbridge Avenue at 9 AM. Please contact Mr. Gene Reyes or Maria Balingit at 718-655-1120 with any questions. A different meeting location may be agreed upon prior to the start of the rotation. 

(The Children’s Hospital at Montefiore)

The goal of the elective experience is to familiarize the student with the evaluation of common clinical problems in Pediatric Endocrinology and Diabetes.
Measurable learning objectives of elective:

– Familiarity with the diagnoses and managements of common endocrine disorders, such as short stature, delayed or precocious puberty, and thyroid dysfunctions.
– Familiarity with comprehensive care of pediatric patients with diabetes mellitus.

Learning experience:

This full-time elective offers students both in-patient and ambulatory experiences at the Children’s Hospital at Montefiore. Students taking this elective will attend outpatient clinics, inpatient rounds, and weekly endocrine conferences. Tuesday and Friday afternoons are devoted to educational sessions held at our office at CHAM. Selected pediatric inpatient and outpatient cases will be discussed during these sessions followed by didactic teaching and/or journal club. Students will be invited to weekly joint clinical conferences of the pediatric and adult endocrine services which are usually followed immediately by research seminars sponsored by the Diabetes Center at the Albert Einstein College of Medicine. These activities are held on Friday mornings at the Einstein campus and CHAM office. Short research projects may also be arranged at CHAM.

Method of student feedback and evaluation:

– Feedback and evaluation will be based on collective opinions of service attendings, fellows, and staff who worked most with the student. We pay specific attention to the student’s learning progress and engagement.
– A formal presentation, which could be based on a case or a specific endocrine topic, may be asked of the student near the end of the rotation.

Suggested Textbooks:
Hardcover ISBN: 9780323625203
eBook ISBN: 9780323625210
Sperling Pediatric Endocrinology
Cost: $139.99
Edition: 5th
Author: Dr. Mark Sperling

Liane Eng, MD
leng@montefiore.org
718-920-4664
Maximum: 1
Blocks: All
On the first day students report to: 3411 Wayne Avenue, Suite 4M, Bronx, NY 10467 at 8:30 AM

(The Children’s Hospital at Montefiore)

General description and goals of elective:
To improve competency in Pediatric Gastroenterology and Nutrition.

Measurable learning objectives of elective: As per the specific competencies described on AECOM website: /education/md-program/curriculum/
Professionalism: Participants must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
Patient Care: Participants must be able to provide patient care that is compassionate, appropriate, and effective for the eatment of health problems and the promotion of health.
Skills Acquisition:
– Perform a thorough history to assess the presence of gastrointestinal disease.
– Interpret physical findings with respect to gastrointestinal disease processes.
– Order and interpret pertinent laboratory findings needed in the evaluation of gastrointestinal diseases.

Learning experience: 
1.Daily inpatient rounds with fellow and attending physician.
2.Participation in outpatient clinics.
3.Attend endoscopy sessions.
4.Attend departmental morning and division conferences
5.Choose two topics during the month to put together a 20 min oral (no need for PowerPoint) presentation for the attending, fellow, and other rotating residents
6.Complete suggested reading of enclosed articles and GI topics

Please review the GI rounding template, which contains useful information for inpatient GI care: https://docs.google.com/document/d/19mxSW2hqYEzRuv2QanxMQ9hcGpoYT-FpplEAtlDoBVE/edit?usp=sharing

Method of student feedback and evaluation: Students will receive formal feedback mid-way through the rotation and at the end of the rotation.

Readings: 
All readings can be found at: http://www.naspghan.org/content/63/en/professional-education/publications/clinical-guidelines. However, it is strongly encouraged for rotators to dive deeper into the literature depending on the assigned topic from the attending or as regards to a specific patient.

Yolanda Rivas, MD
yrivas@montefiore.org
Administrative Contact: Ebony Stewart, ESTEWART@montefiore.org & Lidija Palezac lpalezac@montefiore.org

Maximum: 1
Blocks: All

On the first day students report to 3411 Wayne Avenue 7th Floor, Bronx, NY 10467 at 8:00 AM.

(Children’s Hospital at Montefiore)
The MMC pediatric ED at CHAM offers a full month senior elective in Pediatric Emergency Medicine which will introduce the student to all phases of acute care of ill and injured children. The student will become part of the PED staff, which includes subspecialty ained PEM attending physicians, PEM fellows, pediatric and general EM residents and third year medical students. The PED at CHAM cares for approximately 150-160 children a day presenting with a variety of urgent and emergent problems. Students will see patients independently with close supervision by the PEM Attendings and/or PEM fellows. Through one-on-one case-based learning centered around PED patients, the student will gain skills in focused history taking, directed physical examination, generating differential diagnosis, appropriate use of consultation and laboratory tests, as well as patient management. There will be opportunity to participate, first hand, in a variety of emergency procedures. Students will also be expected to attend weekly teaching conferences given by the Division. At the completion of the elective, the student will have experience in handling most of the common emergencies seen in the Pediatric ED as well other ambulatory settings.

Measurable learning objectives of elective:
Recognition of the acutely ill or injured pediatric patient
Explain the management of common pediatric emergencies
Development of the ability to interact effectively with acutely ill children and their parents

Learning experience:
Students evaluate patients of all acuity levels in the Pediatric ED under the supervision of a Pediatric Attending physician.  Each week, students will primarily work daytime shifts in the ED and may also attend a variety of resident level conferences including: pediatric resident core conferences, PED resident conference and Professors’ Rounds.

Method of student feedback and evaluation: Students receive real-time feedback by the precepting Attending during and after each case presentation.

Textbook(s) information:
ISBN: 1605471593
Cost $252 new
Title: Textbook of Pediatric Emergency Medicine
Edition: 6th
Author: Fleisher and Ludwig
This reading is optional (a copy is available for use in the Pediatric ED)

Victoria Shulman, MD, vshulman@montefiore.org
Administrative Support: JoAnne Walters, jowalters@montefiore.org, 718-920-5312
Blocks: All
Maximum: 2

Students will be receiving an email a month prior to their start date which outlines the hours, location to start on the first day, and general expectations of the elective.  If you have not received that email please contact Dr. Shulman on her cell phone.

(Children’s Hospital at Montefiore and satellite clinics)

During the course of this one month elective, by working hand-in-hand with the staff of the Division of Genetic Medicine in the Department of Pediatrics, the student will gain experience in approaching children and adults with congenital malformations and genetic diseases. Experience is gained by working with our staff at CHAM, as well as at the Division’s outreach sites, including The Hutch. The experience will emphasize history-taking, the physical exam, techniques of syndrome identification, appropriate ordering of genetic and biochemical results and genetic counseling of the family. Ethical, legal and social implications of genetic testing will also be emphasized.  Students will be encouraged to keep a diary of their day-to-day experiences.

Suggested textbook information:
ISBN: 0-7216-0615-6
Title: Smith’s Recognizable Patterns of Human Malformation
Edition: 7th
Author: Kenneth L. Jones

Dr. Melissa Wasserstein, MD, Division Chief, mwassers@montefiore.org
718-741-2323 (Tricia Elliott, secretary)
Blocks: All
Maximum: 1

Contact Dr. Melissa Wasserstein for first day reporting information.

(Montefiore Medical Center)

The goal of the elective experience is to acquaint the student with the various aspects of allergies and immunological disease. This includes experience with patients with rhinitis, sinusitis, asthma, atopic dermatitis, HIV infection, and other immunological disorders. The student will have the opportunity to participate in various clinics and private practice situations with attendings and fellows, as well as participate in conferences and journal clubs that are part of the division’s monthly activities. The student will have the opportunity to learn the approach to diagnosis and management of allergic and immunological disorders.

Larry Bernstein, MD
labernst@montefiore.org
718-405-8530
Contact: Ms. Nicole Karcich, nkarcich@montefiore.org, 718-405-8530 x2203
Blocks: All
Maximum: 1

Students will be receiving an email 2 weeks prior to their start date which outlines the hours, location to start on the first day, and general expectations of the elective.  If you have not received that email please contact Nicole Karcich at nkarcich@montefiore.org.

(Children’s Hospital at Montefiore

The student will gain experience in the fundamentals of clinical pediatric nephrology with rotations through the inpatient and outpatient services of the Division of Pediatric Nephrology. Emphasis will be placed on the normal contribution of the kidneys to growth and development and common disturbances of fluid and electrolyte physiology in infants and children. In addition, the student will become familiar with the major causes of acute and chronic kidney failure and hypertension in infants and children. The elective will provide the student the opportunity to participate with the Pediatric Nephrology Team, consisting of Pediatric Nephrology Attendings, Renal Fellows, Pediatric Urologist, Pediatric Nephrology Social Worker, ansplant Nurse Coordinator, Dialysis Nurse Specialist, Nutritionist and Child Psychiatrist, in the medical management of pediatric nephrology patients including the Children’s Dialysis and ansplantation Center. The student will become knowledgeable in the medical and psychosocial aspects of clinical pediatric nephrology by participation in a program of formal biweekly teaching rounds, seminars and journal clubs, and by the distribution of core educational material that will complement their practical experience. The student will be encouraged and supported to initiate a research project for presentation at the annual Student’s Research Day. Goals of Elective: To understand the principles of clinical pediatric nephrology in terms of maturation of renal function, fluid and electrolyte homeostasis and pathophysiologic states, common acute and chronic renal disorders including pediatric nephrologic emergencies with acute renal failure and hypertension, and congenital and acquired abnormalities of the genitourinary act and kidneys.

Measurable learning objectives of elective:
Understanding and implementing elements of note-writing in pediatric nephrology.
Understand the stages of chronic kidney disease and how they progress from disease to dialysis to ansplantation
Understand what is needed to get a kidney ansplant
Understand the importance of disease prevention
Learning experience: shadowing with fellows at the beginning, later, depending on learner, co-manage a patient and learn to write daily notes on the inpatient setting. See patients in clinic and be precepted by fellows and faculty.

Method of student feedback and evaluation:oral and written

Suggested textbook:
ISBN: 9780781770309
Title: Pediatrics for Medical Student
Edition: Third
Author: Daniel Bernstein, MD and Steven P. Shelov, MD, MS

Beatrice Goilav, MD
bgoilav@montefiore.org
718-655-1120
Administrative Support: Maria Balingit, mdeguzma@montefiore.org and Gene Reyes gereyes@montefiore.org
Blocks: All
Maximum: 2

On the first day students report to The Children’s Kidney Center, 3326 Bainbridge Ave. at 9AM 

(Jacobi Medical Center)

The student in this elective will work along with pediatric and emergency medicine house staff in the Jacobi Pediatric Emergency Department. This is a busy service with approximately 125 patient visits per day. The elective is structured to give the student first-hand experience in the recognition and management of common acute illnesses of children and will allow the student to learn basic emergency procedures such as suturing and other minor surgical procedures.  Opportunities for involvement in the care of children with serious illness and injury are ample. The student will be expected to see patients independently with close attending instruction and supervision.  The student will learn to use the electronic medical record and have the ability to write notes and orders under direct supervision of attending physicians, and be able to review the medical record including all laboratory and radiographic studies.

 Measurable learning objectives of elective:
– Learn to perform problem-oriented histories and examinations in the ED setting.
– Learn to evaluate and manage pediatric patients who present to the ED with common signs and symptoms of illness.
– Learn to evaluate and manage acutely injured pediatric patients
– Learn basic emergency procedures

Learning experience:
The student will complete approximately 20 shifts for the rotation divided between day and evening shifts.  Day shifts are from 9 AM to 5 PM on weekdays, and evening shifts are from 1:00 PM-10:00 PM on weekdays.  Overnight and weekend shifts are not required but may be arranged with the course director if the student requests the opportunity. The student is expected to attend pediatric Grand Rounds on Wednesday mornings, and noontime conferences on Wednesdays.

Method of student feedback and evaluation:
The student will receive ongoing feedback from attending physicians and will have a formal written evaluation completed at the end of the rotation.

Textbook(s) information:

ISBN: 978-1-97-512151-8
Cost $317.99
Title  Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine
Edition: 8th Ed
Authors:  RG Bachur, KN Shaw, J Chamberlain, Eds
Is this required or suggested?  Suggested reading.  Copy available in PED

ISBN  ISBN-10: 0521736870
Cost $115.00
Title  Clinical Manual of Emergency Pediatrics
Edition  5th ed
Author EC Crain and JC Gershel, Eds
Is this required or suggested?  Suggested reading.  Copy available in PED

Katherine J. Chou, MD, MS
katherine.chou@nychhc.org 
718-918-5312
Maximum: 2
Blocks: All except block 6

On the first day students report to: PED at 9am (Students must contact Dr. Chou at least 4 weeks before the start of the rotation for further instructions)

(Children’s Hospital at Montefiore)

Students are exposed to the entire range of congenital and acquired heart disease fetuses, infants, children, adolescents, and young adults. The main objective of the elective rotation is to provide the student with a basic understanding of pathophysiology, diagnosis and management of common forms of congenital and pediatric heart disease. Students will attend pediatric cardiology outpatient clinics, participate in teaching rounds, and observe procedures such as diagnostic and interventional cardiac catheterization, invasive electrophysiology testing, and echocardiography. Students will attend weekly conferences that include interdisciplinary cardiac catheterization-surgical conference and grand rounds.
Learning objectives:
The student is expected to learn:
– Essentials of cardiovascular development and correlation of cardiac disorders with genetic syndromes.
– Applied cardiac physiology of fetal, ansitional, neonatal, and adult circulation.
– Pediatric cardiovascular examination, including appropriate diagnostic evaluation of children with murmurs (innocent versus pathological).
– Common congenital heart defects that result in left-to-right shunts. These include
i) Ventricular septal defect
ii) Patent ductus arteriosus
iii) Atrial septal defect
iv) AV canal/AV septal defect (endocardial cushion defect).
– Common cyanotic congenital heart defects. These include
i) Tetralogy of Fallot
ii) ansposition of the great arteries
iii) icuspid atresia
iv) uncus arteriosus
v) Pulmonary atresia/IVS
vi) Total anomalous pulmonary venous connection
vii) Hypoplastic left heart syndrome.
– Common obstructive cardiac lesions
i) Aortic stenosis
ii) Coarctation of the aorta,
iii) Interrupted aortic arch
iv) Pulmonary stenosis.
– Pathophysiology and basic principles of cardiac failure.
– Common acquired pediatric heart diseases
i) Kawasaki disease
ii) Rheumatic heart disease
iii) Viral myocarditis
iv) Infectious endocarditis
v) Cardiomyopathies
vi) Systemic hypertension.
– Interpretation of pediatric ECG’s, and diagnostic and therapeutic approach to common pediatric dysrhythmias (including genetic ion channelopathies).
– Common surgical procedures for congenital heart disease and the basic principles of pre-and post-operative care.
– Basic principles of echocardiography and its uses and limitations.
– Acquisition of clinical skills and medical knowledge is emphasized.

Learning experience: Key Responsibilities of the student while on Elective Pediatric Cardiology clinic : to maximize the clinical learning experience, the clinic at CHAM takes precedence over other clinical activities unless prior arrangements are made with the Pediatric Cardiology attending. The student will see patients with pediatric cardiology attendings. Clinical skills, pediatric EKG interpretation, and basic management of pediatric heart disease will be emphasized. Pediatric Cardiology rounds including PICU and CHAM 8: This offers an excellent opportunity to observe dynamic changes in the cardiovascular system, and also allows participation in the care of complex patients in an intensive care situation. Pediatric Cardiology consultation and in-patient service. The student must spend a few days of their rotation with inpatient fellow/attending and do consults. Cardiac catheterization and cardiac surgery. Observation of a couple cases is encouraged, since an understanding of invasive hemodynamic evaluation and assessment of cardiac anatomy, and principles of heart surgery, will be useful in understanding cardiac pathophysiology and the changes that can be anticipated with medical and surgical intervention.

Didactic Program
Students must attend: Cardiac Catheterization-Surgical Conference, Inpatient Rounds, EP Conference (optional), Echo Conference (optional).The student will be expected to present topics relevant to patients on the Cardiology service or of interest, as informal 10-15 minute talks at the end of the rotation.
Method of student feedback and evaluation: The Director of the Pediatric Cardiology elective, Dr. Sharma, compiles feedback from the faculty and fellows for the detailed overall evaluation. Students from outside institutions should make sure that Dr. Sharma receives their school’s evaluation forms by the end of the rotation.
Suggested Textbook:
ISBN-13 978-0-323-02367-2
Title  Pediatric Cardiology: The Requisites in Pediatrics
Author Victoria L. Vetter

Chelsie Cornelius, MD
CCORNELI@montefiore.org
718-741-2343
Administrative support: Frank Varcasia, fvarcasi@montefiore.org, 718-741-2538
Blocks: All
Maximum: 1

On the first day students report to: Rosenthal 1 at 9 AM. Dr. Rochelson provides a detailed course syllabus with schedules, a packet of articles, and an electronic version of the textbook for each ainee at the start of the rotation. Students should contact Dr. Rochelson a week prior to starting the elective to obtain an educational packet (erochels@montefiore.org).

(Children’s Hospital at Montefiore)

The elective will introduce the student to the field of pediatric rheumatology. The main objective of the elective rotation is to provide the student with a basic understanding of pathophysiology, diagnosis, and management of the most common pediatric rheumatologic conditions.

Learning objectives of elective:

– Learn to obtain a comprehensive history including all elements pertinent to a pediatric rheumatology patient

– Learn to perform a full musculoskeletal exam and to interpret physical findings with respect to pediatric rheumatology disease processes

– Learn to order and interpret labs most commonly used in pediatric rheumatology

– Learn basic management of most common pediatric rheumatology conditions

Learning experience:
Students will attend daily clinic sessions at CHAM with the option of attending additional sessions in White Plains. They will have the opportunity to see patients in outpatient clinics and be precepted by the attending physician. All outpatients are reviewed at a weekly team meeting which the student attends. The student will perform initial and follow-up consultations on inpatients and round on all inpatients with the pediatric rheumatology fellow and attending. The student will also have exposure to patients receiving minor procedures (ie. joint injections) and medication infusions in our day hospital. A didactic curriculum focused around clinical case discussions ensures that students have exposure to the most commonly encountered pediatric rheumatology diagnoses. The student will attend Pediatric Rheumatology Grand Rounds, Journal Club, Pediatric Grand Rounds, Pediatric Rheumatology Chapter Review (based on the suggested textbook listed below), and Pediatric Professors’ Rounds. The student will additionally attend monthly pathology, radiology, and combined Pediatric Nephrology/Rheumatology conferences as scheduled during each elective month. The student will be expected to prepare and present a short presentation about a topic in pediatric rheumatology mutually agreed upon with the course leader.

Method of student feedback and evaluation:
Students receive real-time feedback by the precepting attending during and after each case presentation.

Textbook(s) information: Suggested – electronic version also available online through Einstein library

ISBN: 9780323636520
Cost: $229 new
Title: Textbook of pediatric rheumatology
Edition: 8^th edition
Author: Ross E Petty Ronald Laxer Carol Lindsley Lucy Wedderburn Robert Fuhlbrigge Elizabeth Mellins

Dawn Wahezi MD, MS
dwahezi@montefiore.org
718-696-2405
Administrative support: Madeline Colon, macolon@montefiore.org, 718-696-2401
Blocks: All
Maximum: 1

First day: report to 3334 Bainbridge Ave, 9 am

(RF Kennedy Children’s Evaluation and Rehabilitation Center (CERC), Van Etten, 1st Floor)

**Einstein students must contact Dr. Schechtman for approval prior to registration** 

In this elective, the student learns about normal and aberrant child development through experiences at the Children’s Evaluation and Rehabilitation Center, primarily located at the Rose F. Kennedy Center at Van Etten. The student is exposed to children and adolescents with neuromuscular abnormalities, intellectual disabilities, language disorders, learning disabilities, school problems and autism spectrum disorders. Students have the opportunity to observe different facets of the multidisciplinary evaluation of children who present with developmental problems; as well as intervention strategies aimed at improving the child’s functional skills and/or behavior. Along with pediatric residents, students participate in a series of didactic sessions dealing with topics in child development and behavior. Visits to schools or sites offering other interventions can be arranged. Students will also be encouraged to undertake an independent study of a topic of interest. The goal of this elective is to emphasize the role of the pediatrician and family physician in identification, evaluation, and follow up of children with disabilities, through working with the family and functioning as a child advocate within the community. Students are expected to fulfill the time commitment to activities scheduled during their elective period, weekdays 8:30 am – 6 pm (some days may start later or end earlier) unless arranged with the course director in advance of registration.

Measurable learning objectives of elective:
–   Become knowledgeable about typical and atypical child development and behavior.
–   Use standardized, validated, and accurate developmental and behavioral screening instruments, plus skills in interview, exam, and medical knowledge to identify patterns of atypical development
–   Use a logical and appropriate clinical approach to the care of children who have behavioral or developmental concerns.
–  Understand the social determinants of health and the impact of adverse childhood experiences on child development and behavior.
–  Become familiar with the multidisciplinary evaluation and treatment of children with developmental and behavioral challenges

Learning experience: As above

Method of student feedback and evaluation: Oral feedback during rotation and written evaluation through the registrar at the conclusion of the rotation.

Merryl Schechtman, MD
meschech@montefiore.org
718-430-3922
Administrative support: Ms. Sarah Rodriguez, srodrig1@montefiore.org, 718-839-7072
Maximum: 1
Blocks: All except 4, 5 & 9

On the first day students report to: Dr. Schechtman at meschech@montefiore.org, and Ms. Rodriguez, srodrig1@montefiore.org, at least two weeks prior to the scheduled start of the elective to arrange a meeting pl ace and time.

(Two weeks at Weiler Hospital and two weeks at Wakefield Hospital)

This elective in Neonatal Intensive Care is offered in the Neonatal Intensive Care Units (NICUs) at the Jack D. Weiler-Einstein Hospital division and at the Wakefield division of Montefiore. It is designed to provide the student with an appreciation and understanding of critical care medicine in neonatal patients. Students will be involved in the care of patients under the supervision of the senior residents, fellows, and attending faculty at Weiler Hospital and under the direct supervision of the Neonatal attending physician at Wakefield Hospital. They will assume responsibility for 2 to 4 patients each day, write notes and present their patients on rounds. They are encouraged to attend the many available conferences including Morning Report, Perinatal Conference, Review and Management conferences, Morbidity and Mortality, Ethics, Journal Club, Radiology rounds, and Research and Performance Improvement Seminars. Night call is not required

Measurable learning objectives of elective:
– Provide family centered patient care that is developmentally and age-appropriate, compassionate, and effective for the treatment of neonatal disease and the promotion of health.
– With the help of a neonatologist, identify key history and exam findings needed to evaluate neonates presenting with conditions related to neonatal medicine.
– Generate a logical and appropriate clinical approach to the care of neonates presenting for care, applying principles of evidence-based decision-making and problem-solving.
– Prepare the birth of an infant and perform skills used in delivery room management following Neonatal Resuscitation Program (NRP) guidelines.

Learning experience:
7:30-8:00AM – Pre-round on patients (student carries 1-2 patients under the guidance of a PGY-2/3)
8:00-9:00AM – Morning report/teaching conference (M-F)
9:00AM-12:00/1:00PM – NICU attending rounds (student rounds with their assigned team)
1:00-5:00PM – Patient care activities, including attending deliveries, implementing patient management plans,   meeting with families, participating in perinatal consults and attending any afternoon conferences; sign-out/hand-off patient care to night team

Method of student feedback and evaluation: verbal and written evaluations

Textbook(s) information: (Suggested)
ISBN E-book 978-1-118-76732-0 or paper book 978-1-118-76743-6
Cost 47.95$
Title Neonatology at a Glance, 3rd Edition,
Edition 3rd
Author Tom Lissauer, Avroy Fanaroff
Is this required or suggested? Suggested

Elective directors:  Dr. Tamara Kalhan (Wakefield & Weiler)
tkalhan@montefiore.org
Administrative support:
Amanda Feliciano, AMAFELIC@montefiore.org (Weiler)
Wilmary Carrion, wcarrion@montefiore.org (Wakefield)
718-920-9014
Maximum: 1
Blocks: 6 – 14

On the first day students report to: Weiler or Wakefield NICU at 8 am. That will be decided prior to their arrival and they will be notified to where they will go.

(Weiler Hospital/Children’s Hospital at Montefiore)

This combined elective in Neonatal and Pediatric Critical Care is offered in the Neonatal Special Care Unit (NICU) at the Jack D. Weiler-Einstein Hospital division of Montefiore and the Pediatric Critical Care Unit (PCCU) at the Children’s Hospital at Montefiore (CHAM). It is designed to provide the student with an appreciation and understanding of critical care medicine in the neonatal and pediatric patient. The rotation will be equally divided between the two units. Students will be involved in the care of patients under the supervision of the senior residents, fellows, and attending faculty. They will assume responsibility for 1 to 2 patients each week, write admission notes and present their patients on rounds. They are encouraged to attend the many available conferences including but not limited to: Morning Report, Perinatal Conference, Fetal Diagnosis Rounds, Review and Management conferences, Morbidity and Mortality, Ethics, Journal Club, X-Ray and Ultrasound rounds and Research and Performance Improvement Seminars. Night call is encouraged, but not required.

Measurable learning objectives of elective:
Neonatology
– Provide family centered patient care that is developmentally and age appropriate, compassionate, and effective for the treatment of neonatal disease and the promotion of health.
– With the help of a neonatologist, identify key history and exam findings needed to evaluate neonates presenting with conditions related to neonatal medicine.
– Generate a logical and appropriate clinical approach to the care of neonates presenting for care, applying principles of evidence-based decision-making and problem solving.
– Prepare the birth of an infant and perform skills used in delivery room management following Neonatal Resuscitation Program (NRP) guidelines.

Pediatric Critical Care
– Provide family centered patient care that is developmentally and age appropriate, compassionate, and effective for the treatment of critically ill pediatric patients.
– Identify key history and exam findings needed to evaluate critically ill children.
– Begin to apply fundamental physiology and pathophysiology to assessments and management plans of critically ill children.

Learning experience:
Neonatology 
7:30-8:00 AM – Pre-round on patients (student carries 1-2 patients under the guidance of a PGY-2/3)
8:00-9:00 AM – Morning report/teaching conference (M-F)
9:00 AM-12:00/1:00 PM – NICU attending rounds (student rounds with their assigned team)
1:00-5:00 PM – Patient care activities, including attending deliveries, implementing patient management plans, meeting with families, participating in perinatal consults, and attending any afternoon conferences; sign-out/hand-off patient care to night team

PCCU
7:00-8:00 AM – Pre-round on patients (student carries 1-2 patients under the guidance of a PGY-2/3)
7:45-8:15 AM (Monday-Friday) – PCCU teaching conference
8:15-8:30 AM (Tu, Th, F) – In situ simulation
8:30 AM-11:00 AM – PCCU attending rounds (student rounds with their assigned team)
11:00 AM-6:00 PM – Patient care activities, including admitting new patients, implementing patient management plans, meeting with families, participating in procedures and attending any afternoon conferences; sign-out/hand-off patient care to night team

Method of student feedback and evaluation: verbal and written evaluations

Textbook(s) Information:
NICU
ISBN: 978-1405199513
Cost: $43.95
Title: Neonatology at a Glance 2nd Edition
Edition: 2nd
Author: Tom Lissauer, Avroy Fanaroff
Is this required or suggested? Suggested

PCCU
ISBN: 978-1496347534
Cost: $98.99
Title: Roger’s Handbook of Pediatric Intensive Care
Edition: 5th
Author: Donald H. Shaffner et al
Is this required or suggested? Suggested

Dr. Tamara Kalhan (2 week NICU part of elective), tkalhan@montefiore.org , 718-904-4105
Michelle Perez, MD (2 week PCCU part of elective), michellp@montefiore.org, 718-741-2432
Administrative support:
Amanda Feliciano, AMAFELIC@montefiore.org (Weiler)
Wilmary Carrion, wcarrion@montefiore.org (Wakefield)
Asia Nieves, anieves@montefiore.org (PCCU)

Blocks: 6-14
Maximum: 1

For the NICU portion of the elective: On the first day students report to Weiler Hospital NICU, 5th floor, 1825 Eastchester Road, Bx, NY 10461 at 7:30 AM

For the PCCU portion of the elective: On the first day students report to the Children’s Hospital at Montefiore, PCCU, CHAM 10th floor, 3415 Bainbridge Ave, Bx, NY 10467 at 7:00 AM.

(The Children’s Hospital at Montefiore)

The Division of Hematology/Oncology at The Children’s Hospital at Montefiore cares for children with a wide variety of cancers and non-malignant blood disorders. The program is large and dynamic, but elective students will be given individual attention during their rotation. The pediatric hematology oncology attending staff will closely supervise and provide individual teaching to each student. During the rotation, students will attend daily outpatient clinic sessions, where they will see patients on their own, precepted by an attending physician. One morning per week, they will participate in outpatient procedures (bone marrow aspirations/biopsies; lumbar punctures with administration of chemotherapy). Elective students will be encouraged to participate in a wide array of educational and patient care activities of the division, including weekly Tumor Board, lectures, consult service rounds, bone marrow and blood morphology reviews, and clinical care conferences, as well as, journal clubs, hematopathology conference, and oncology protocol reviews. Short research or case reports may be available to interested students.  All students receive oral feedback in the outpatient clinics as well as writing evaluations after the completion of the elective.

Textbook(s) information:
ISBN: 978-0-12-375154-6
Cost: approx. $150 (but is also available on-line on the Einstein library website for free)
Title: Manual of Pediatric Hematology and Oncology
Edition: 5th
Author: Philip Lanzkowsky
Is this required or suggested? suggested

Kaitlin Strumph, DO
kstrumph@montefiore.org
718-741-2342
Administrative support: Rozina Pijuan, rdijuan@montefiore.org, 718-741-2342
Blocks: All
Maximum: 1

On the first day students report to: Rosenthal 3 (location). Students are expected to contact Dr. Strumph by email at least 1 WEEK PRIOR to the first day of their elective to discuss the start time and receive additional information including Zoom links to educational lectures and conferences.

(Jacobi Medical Center)

The Adolescent Medicine Division in the Dept. of Pediatrics at Jacobi serves a dynamic population of young people 12 to 21 years of age. The goal of the rotation is for the student to initiate familiarity with the challenges and rewards of provision of health care to adolescents. The student in this elective will work directly under the supervision of the Director and her staff, primarily in the outpatient setting, though exposure to adolescent in-patients may also occur.  Teenagers with a wide variety of issues will be evaluated, including morbidity from high-risk behaviors confronting urban youth and their families (violence, drugs, alcohol, unplanned pregnancy, and STI’s for example) as well as general adolescent growth and development needs. The student will become familiar with routine health issues for all adolescents such as nutrition, acne and other dermatological care, common orthopedic problems, menstrual disorders, and routine gynecology as well as psychosocial stressors involving family, the educational system, and the peer group.  Additionally, the student will be directly involved in our contraceptive services including provision of LARC to teens. Teaching conferences elsewhere in the Lewis M Fraad Dept. of Pediatrics at JMC are also open to the student.

Learning objectives:
– Obtain a complete medical history of the adolescent patient including in-depth psychosocial assessment (supervised closely by the faculty/staff).
– Do a complete physical examination of the adolescent (including maturational index staging of the breasts and genitals) under the supervision of the Director and her staff.
– Learn to provide accurate, objective written documentation of the adolescent assessment via the electronic medical record, including appropriate differential diagnoses, reviewed by the Director/staff.
– Review any laboratory data obtained on the patients with the Director/staff and recommend appropriate patient follow-up plans.
– Research and present a 20-30 minute PowerPoint discussion on a student’s area of interest in adolescent medicine with a focus on up-to-date strategies, eatments, etc.

Learning experience: Students will actively participate in all aspects of patient care for adolescents in the out-patient and in-patient arenas 5 days/week (excludes weekends). Under the supervision of the Director and her staff, the student will evaluate the patients, perform appropriate exams (determined by the nature of the patient visit/complaint), present the patients to the Director/staff and include a differential diagnosis. They will then recommend appropriate lab studies and document the evaluation in the electronic medical record. Students should come to realize that provision of healthcare to the adolescent patient while at times may be challenging it should always be rewarding and quite satisfying.  This elective seeks to optimize the medical students’ experience with this vital population.

Method of student feedback and evaluation: oral feedback providing continually with written feedback provided at the end of the elective.

Textbook(s) information: the students are guided to read relevant, updated articles pertaining to the healthcare of adolescents.

Camille Manuel, MD
718-918-4576
manuelc@nychhc.org
Blocks: All, expect 9-14 for (2023 – 2024 AY)*
Maximum: 1

On the first day students report to Building 8, 1st Floor, 1D. Student will be notified of specific details prior to the start of the rotation.

(Children’s Hospital at Montefiore)

**Einstein students must contact Dr. Arens for approval prior to registration**

The Pediatric Pulmonary Elective is a month long course that is open to residents of all levels.  It centers around the care of the patient with pulmonary disease in both inpatient and outpatient settings, including the intensive care unit.  Residents have the opportunity to experience continuity by following patients in both the inpatient and outpatient clinics.

Measurable learning objectives of elective:
-The physiology of lung function testing
-Evaluation of chest x-rays
-Respiratory disorders of the newborn with emphasis on bronchopulmonary dysplasia
-Common respiratory infections of the respiratory tract in children
-Pneumonia and management
-Asthma-NIH guidelines and management
-Sleep disorders in children

Learning experience: This one month elective provides the opportunity for students to develop skills in the field of pediatric pulmonology. The student will see a range of inpatient and outpatient pathology with an emphasis on asthma, obstructive sleep apnea, dysplasia, and evaluation of the child with chronic cough, wheezing, or stridor.

Method of student feedback and evaluation: Through new innovation or methods of student evaluation

Suggest Textbook:
Kendig’s Disorders of the Respiratory Tract in Children E-Book 9th Edition, Kindle Edition
by Robert W. Wilmott, Andrew Bush, Robin R Deterding, Felix Ratjen, Peter Sly, Heather Zar, Albert Li
ISBN-13: 978-0323448871
ISBN-10: 0323448879
Price : Kindle edition $178.00

Raanan Arens, MD
rarens@montefiore.org
718-515-2330
Administrative support: Administrative support: Maria Ojeda-Acevedo, MHA, maojeda@montefiore.org, 929-285-4395
Blocks: All
Maximum: 1

On the first day students report to: House Staff at 8:30 am (If ID is needed), then 3330 Bainbridge side door entrance at 9:00 am

(Montefiore Medical Center)

The Plastic and Reconstructive surgery elective will provide a broad exposure to our specialty. Our plastic surgery service has 6 full-time faculty and 3 part-time faculty who perform over 2,400 cases per year. As Plastic surgery has no defined territory of the body, we have quite varied and diverse patients and complex challenges that require creative solutions.  The breadth of plastic surgery includes craniofacial surgery, hand surgery, aesthetic surgery, and general reconstructive surgery.  General reconstructive surgery, including breast reconstruction, head and neck reconstruction, and body contouring, is the primary focus of this elective, and the bulk of plastic surgery practice.  Students will gain exposure and understanding to the basic principles of plastic surgery and introduction to the reconstructive ladder. They will additionally be instructed on proper tissue handling and surgical techniques.

Students will be expected to be formal members of the team which includes attending surgeons, resident surgeons, physician assistants, and nursing staff. They will participate in daily plastic surgery morning rounds (including data collection, note writing, patient management, list preparation, and dressing changes), operative case assignments, drain removal and daily patient care, and surgical consultations with the consulting resident. Students will be expected to participate in weekly conferences and prepare a 15-minute presentation on a topic of their interest at the end of the elective.

Measurable learning objectives of elective 

• Participating in daily morning rounds and afternoon rounds at the Moses Campus with the Plastic Surgery Team
• Participate in daily plastic surgery cases at the Moses campus, the Weiler campus, and Hutch campus with the team’s residents and faculty
• Attend at least one ½ day of clinic per week for exposure to outpatient plastic surgery
• Participate in skin closure, dressings, and dressing changes on floor patients and in the OR
• Attend weekly plastic surgery conferences.
• Prepare and deliver a 15-minute presentation at the end of the rotation on a topic of the student’s interest.

Learning experience
In general students will be expected to experience the life of a Plastic Surgery Resident to gain as much exposure to the field as possible. Much of plastic surgery is hands-on learning in the operating room and seeing consultations. Students are encouraged to be proactive and take initiative by learning dressings and anticipating the needs of the team. They will be expected to read the patients history prior to surgery, prepare for the surgery, and round on the patient after the surgery including note writing and presentation on rounds.  They will help with management and preparation of the patient list in the morning, attend surgical cases in the day at various campuses, and round again with the team in the evening.  Students are encouraged to see as many different types of cases to gain the broadest exposure to plastic surgery.  Finally, they will be expected to attend ½ day of clinic per week with an Attending surgeon.  In clinic, they will be required to see the patient and present to the attending physician, and document an outpatient note.  Each day will end when the team is done with surgeries, consults, and other responsibilities.

Method of student feedback and evaluation: 
Students will be evaluated daily in the OR with direct feedback based on preparedness for cases and performance with the team. They will also be formally evaluated using the Einstein evaluation at the end of the rotation.  At the midpoint of the rotation, the student will meet with the chief resident at the Moses Campus for feedback.

Suggested Textbook:
ISBN: 978-1626236578
Cost: $99.00
Title: Essentials of Plastic Surgery
Edition: Second
Author: Jeffery E Janis

Teresa Benacquista, MD
tbenacqu@montefiore.org
718-920-6168
Administrative support: Agneta Gustafasson, agustafs@montefiore.org, 718-920-6168
Maximum: 2
Blocks: All

On the first day students report to: Moses, Central Building, 3^rd floor, Room C-313 plastic surgery workroom at 6:30 am (prior to elective should contact Agneta Gustafasson who will put the student in contact with the chief resident at Moses campus who will give further instructions).

(Jacobi Medical Center)

**Visiting students are encouraged to contact the course director prior to registration**

The Stanley M. Levenson, MD Burn Unit at Jacobi Medical Center is the burn referral center for New York City Health and Hospitals. The service provides initial lifesaving intervention, critical care, primary and secondary surgical reconstruction, rehabilitation, and outpatient specialty follow up. Burn fellows, plastic and reconstructive surgery residents, general surgery residents and physician assistants staff the burn unit. Functioning essentially as a sub-intern, the student will fully participate in the care of all burn patients and be will be responsible for clinical management. Students will present and discuss patients at daily rounds and participate in didactic activities and conferences presented by house staff and faculty. By scrubbing in the operating room, they will develop many skills necessary for the operative treatment of the burn patient. Pre and postoperative care in an ICU setting provides a solid foundation in critical care. Moreover, the student will have the opportunity to follow patients in the outpatient setting so as to maintain continuity of care. The student will be closely supervised and complemented by nursing, physical and occupational therapy, social service and rehabilitation medicine. Structural determinants are emphasized. As the burn service functions under the auspices of the Department of Plastic and Reconstructive Surgery at Jacobi, the student will also gain ample exposure to plastic and reconstructive surgical patients in the operating room, emergency department, and clinics.

Learning objectives of elective: Learning objectives of the burn elective aspire to achieve Einstein Educational Competencies as follows:
Competency A: Physician as healer
Competency B: Physician as scientist
Competency C: Physician as advocate
Competency D: Physician as educator
Competency E: Physician as colleague
Competency F: Physician as role model
Competency G: Physician as life-long learner

1. Learn burn physiology and nutrition in all types of injuries (thermal, electrical, chemical and inhalation injuries). [Competency A, B, G].
   2. Recite the pathologic response to disruption of normal skin anatomy and physiology. [Competency A, B, G].
   Outline the principles of immunologic alteration, and bacteriologic pathology of the burn wound. [Competency A, B, G].
   3. Learn the immediate care of burn patients and associated wounds. [Competency A, B, G].
   4. Discuss the acute and sub-acute options for burn wound coverage and closure. [Competency A, B, G].
   5. Discuss essential principles of plastic surgery in approaching burn reconstruction. [Competency A, B, G].
   Describe the physical, emotional, and occupational rehabilitation of the burn patient. [Competency A, B, E, F, G].
   6. Appreciate the critical mandate to educate communities in burn prevention to ensure patient safety and high quality of care. [Competency C, D, E, F].
   7. Appreciate the roles and contributions of the various members of the interdisciplinary team involved in the care of the burn patient in accordance with the principles of system based practice. [Competency E, F].
   8. Assimilate the scientific method in evidence based medical practice to improve the care of the burn patient. [Competency A, B, G].

Learning experience:

• Participate in daily morning rounds in the burn unit.
• Participate in daily interdisciplinary rounds in the burn unit.
• Participate in didactic conferences given by house staff and faculty discussing topics on burn care and management.
• Manage critically ill patients in the burn unit under the direct supervision of faculty and senior burn fellows.
• Staff burn and plastics cases in the operating room.
• Staff burn, plastics, and hand clinics.
• Consult in the emergency department and floors along with senior burn fellows and faculty.
• Present cases at burn rounds.
• Consult and interact with other services.
• Take on site call accompanied by a burn fellow in compliance with 405 and ACGME guidelines.

Method of student feedback and evaluation: Students will be evaluated using the standard Albert Einstein College of Medicine evaluation form currently used for 4^th year surgical electives. Evaluation and feedback will come at the end of each two-week period.

Ralph Liebling, MD
718-918-7000
ralph.liebling@nychhc.org
Contact: Jasmine Morris,morrisj8@nychhc.org
Blocks: All
Maximum: 2 students

On the first-day students report to Burn Unit (Jacobi Medical Center, Building #6, Second Floor 2A- the burn unit) at 7AM

(Montefiore Medical Center)

The Departments of Medicine and Psychiatry & Behavioral Sciences offer this elective in Addiction Medicine to fourth-year students. Students will participate in clinical care in both inpatient and outpatient settings and will be responsible for working up and presenting patients to attending physicians. Inpatient experience will be with the Addiction Consult Service (ACS) at Weiler Hospital, which consults on hospitalized patients with substance use disorders and provides guidance on the management of acute issues such as withdrawal. Outpatient experiences will include observation and participation in the following settings: outpatient clinics in the Montefiore Division of Substance Abuse, which provide drug eatment services (including pharmacologic eatment of opiate use disorder with methadone and buprenorphine), as well as on-site medical and psychiatric care; a physician who prescribes buprenorphine at a community clinic; intensive outpatient addiction eatment program; a social service agency which provides medical and social work services based on a harm reduction model; 12 Step Meetings; and the medical service at Riker’s Island, the largest of NYC’s jails.

Melissa Stein, MD
mstein@montefiore.org
718-665-7500
Blocks: All
Maximum: 1

Students must contact the course director for first day meeting time and location

(Montefiore Medical Center)

This elective introduces medical students to the intersection of psychiatry and pediatrics, focusing on the psychosocial and psychological functioning of children and families. Students will evaluate and manage pediatric patients with medical conditions complicated by neuropsychiatric or psychiatric comorbidities under the direct supervision of experienced faculty.

Measurable Learning Objectives

Students will:

• Perform psychiatric assessments in pediatric medical settings.
• Identify major diagnostic categories and common psychiatric consultation-liaison issues.
• Deliver a 20-minute presentation on a relevant topic at the end of the rotation.
• Learn and apply skills including:
  • Reviewing medical records and obtaining collateral information.
  • Conducting psychiatric interviews.
  • Formulating differential diagnoses.
  • Designing and implementing treatment plans (medication and psychotherapy).
  • Conducting and documenting mental status examinations.
  • Liaising effectively with multidisciplinary teams and families.

Learning Experience

• Clinical Care: Active participation in patient care under the supervision of consultation-liaison attendings.
• Collaboration: Engage with fellows, residents, and other trainees to gain a holistic perspective.
• Schedule: Monday to Friday, 8:30 AM to 5:00 PM.
• Presentations: Students will prepare and deliver a case-based or topical presentation.

Feedback and Evaluation

• Direct Observation: Real-time feedback from attendings, fellows, and residents.
• Presentations: Evaluation of oral case discussions.
• Meetings: Mid-cycle and end-of-rotation evaluations with the site director.
• Formal Feedback: Comprehensive evaluation provided at the end of the elective.

Suggested Reading

1. Lewis’s Child and Adolescent Psychiatry
2. First Aid for the Psychiatry Clerkship
3. Clinical Manual of Pediatric Consultation-Liaison Psychiatry

Jenna Margolis, DO
jmargolis@montefiore.org
718-696-3011
Blocks: All
Maximum: 1

On the first day student must report to Montefiore Medical Center – at 3340 Bainbridge ave, 2^nd floor Bronx, NY 10467 (718) 696-3011 at 9 AM

(Jacobi Medical Center)

Students will join the staff of an active acute term general psychiatric inpatient unit, providing a rich variety of hands-on clinical experience. Students will evaluate and eat patients in crisis, with supervision by faculty, and become active members of an interdisciplinary team. eatment modalities employed will include individual, group, family, and milieu therapy, relaxation aining, and substance abuse therapies. Individual tutorials, case conferences, medical and research and psychopharmacology rounds, and departmental Grand Rounds will enhance students’ learning. Students will experience first-hand how an integrative model of care is applied in a brief inpatient eatment urban setting.

Learning objectives:

• Develop interview skills
• Perform a comprehensive evaluation of a psychiatric inpatient
• Perform a good MSE
• Create a clinically relevant differential diagnosis eatment
• Develop eatment plans and be able to implement them

Learning experience:
9am – 5pm Monday – Friday

• Working with a multidisciplinary team
• Attending morning reports
• Caseload of 6 -8 patients
• Inpatient admissions, evaluations, eatment, discharge planning
• Brief presentation of relevant clinical issues

Method of student feedback and evaluation: Individual supervision; team feedback; observed clinical exams; case write-ups.

Maryann Popiel, MD
maryann.popiel@nychhc.org
Administrative Support: Leonora Lulaj at Leonora.lulaj@nychhc.org
718-918-4875
Blocks: All, except 1
Maximum: 1

On the first day students report to Jacobi Medical Center – Building #1, Room #9S4 at 10AM

(Montefiore Medical Center)

The Consultation-Liaison service provides psychiatric consultations to inpatient throughout Moses Medical Center. The primary goal of the consultation service is to assist primary teams manage patient’s psychiatric need in a medical setting. Student will receive general exposure to psychiatric consultation on the medically ill patient with the opportunity to become acquainted with liaison activities in the general hospital. The student will work under the direct supervision of attendings, fellows, and residents. Students who are interested will also have the opportunity to evaluate addiction and organ ansplant patients who are admitted to the medical and surgical floors. Students who are interested should contact Dr. Shilpa Lad

Learning objectives:

Performing a thorough psychiatric interview of a patient with mental illness

Appraise the information obtained in a psychiatric interview

Describe a mental status examination

Formulating a psychiatric differential diagnosis with mental illness and medical illness in the hospital setting.

Obtaining pertinent collateral

Understanding the role of psychiatric consultation.

1. Demonstrate the ability to liaison with medical team, nursing staff, social work, ethics, hospital administration, security, other consulting teams, caregivers, and legal systems

Development and implementation of cohesive, multidisciplinary plans.

Learning experience:

• Monday-Friday 9 AM to 5 PM. Work with different Consultation-Liaison attendings, fellows, residents, and ainees

Method of student feedback and evaluation:

• Observation by Consultation-Liaison attendings, fellows, and residents
• Oral case presentation
• End of rotation feedback
• Evaluation completed and discussed with student

Suggested Text:
Title: Clinical Manual of Psychopharmacology in the Medically Ill
Edition: Second
Author: James Levenson, Steven Ferrando

Shilpa Lad, MD
Shlad@montefiore.org
718-920-7735
Administrative support: Judy Martell, jmartell@montefiore.org, 718-920-4441
Blocks: All
Maximum: 1

On the first day students report to: Moses Campus, Klau 1, Department of Psychiatry, Consult Liaison Office ay 9 AM.

(Montefiore Medical Center)

Students will function as sub-interns under the supervision of the Psychiatric Observation Suite attending staff. They will work closely with residents, social workers, psychology ainees and support staff. Duties include initial evaluation and eatment of patients presenting to the psychiatric emergency room, participation injournal club, case conferences and rounds.

Rebecca Klein, MD
reklein@montefiore.org
718-920-7460
Blocks: All
Maximum: 1 student
First day: Psychiatric Observation Suite, Montefiore Medical Center, 8:30 AM

(Montefiore Medical Center)

Students will participate in the full range of geriatric psychiatry practice including home visits to persons with dementia as well as healthy older adults. Students will also visit a teaching nursing home and perform outpatient evaluations, both in the geriatric psychiatric and medical settings. Additional exposure to legal and ethical issues in geriatric care is also part of the experience. Students will participate in weekly case conferences at each clinical site, attend ongoing lectures and journal clubs in our collaborative care model with the Division of Geriatric Medicine. Students receive individual supervision from faculty and fellows of the Division of Geriatric Psychiatry. A variety of research investigations are also underway offering students the unique opportunity to participate in clinical research.

Textbook(s) information: 
ISBN 978-1-4625-1986-6
Cost provided at no cost
Title Geriatric Depression: A Clinical Guide
Edition 1
Author Gary J. Kennedy

Gary J. Kennedy, MD
gkennedy@montefiore.org 
718-920-4236
Blocks: 9-16
Maximum: 1
 

Students MUST contact the course director for first day meeting location and time

(Montefiore Medical Center)

Of the three principal modalities for eating cancer, Radiation Oncology is probably the most unfamiliar to medical students. Spend a 2-week or 4-week elective with us to learn more about Radiation Oncology and how radiation therapy is utilized in cancer eatment.

During this time, you will see and learn about:

• Linear accelerators for delivery of radiation therapy
  • CT and MR Simulators
  • Radiation eatment planning systems
  • Procedural (brachytherapy) radiation devices
  • Proton therapy at the New York Proton Center (www.nyproton.com)

You will rotate with our expert faculty members who specialize in eatment for each cancer type and attend the respective interdisciplinary tumor board conferences:

• Central Nervous System cancer and metastases
• Head & Neck cancer
• Breast cancer
• Lung cancer
• Gastrointestinal cancer
• Genitourinary cancer
• Gynecologic cancer
• Bone and soft tissue cancer
• Skin cancer
• Pediatric cancer

You will be able to participate in specialized radiation eatments and procedures:
• Brachytherapy (intracavitary and interstitial)
• Stereotactic radiosurgery (SRS)
• Stereotactic body radiation therapy (SBRT)
• Intra-operative Radiation Therapy (IORT)

There will be opportunities to partner with a faculty member and be mentored for clinical research and/or laboratory research. At the end of the elective, you will have the opportunity to present a talk on a subject in Radiation Oncology or a related field of research in which you are interested.  We look forward to meeting you!

Method of student feedback and evaluation:

Mid-clerkship feedback, end-of-clerkship feedback, in-the-moment feedback, house staff/attending evaluations

Location of the elective:

1. 111 East 210th Street, Bronx, NY 10467
2. 1625 Poplar Street, Bronx, NY 10461

Keyur Mehta, MD & Justin Tang, MD
kmehta@montefiore.org, jtang@montefiore.org 
718-920-7750
Contact: Mr. Luke Mark, umark@montefiore.org, 718-920-5062
Blocks: All
Maximum: 2

First day students meet in Radiation Oncology Department, Yellow Zone, Montefiore Medical Center-Moses Division, 9:00 A.M.

(Jacobi Medical Center)

This four-week elective in Diagnostic Radiology can be taken any time after the required two-week Radiology Clerkship. Its purpose is to familiarize the student with imaging procedures, their importance in the diagnostic armamentaria, and with an intelligent approach to order imaging studies and filling out imaging consultation requests in a manner that will aid the radiologist in making as precise a diagnosis as possible. The student will understand the physical consequences to the patient and final impact on society of specific imaging studies. The student will achieve sufficient understanding of common imaging studies to be able to engage in a more meaningful dialog with the radiologist consultant. The student will attend didactic lectures specifically for the students and participate procedures will enable the student to understand the stress patients have to endure in these procedures as well as give the student a better three-dimensional idea of imaging anatomy. The student will participate in image interpretation in an active manner. The student will be assessed by the attendings and residents with whom they interact, and a quiz may be given at the completion of the elective. In addition, the student may undertake a research project with one of the faculty members. Such a project may require additional time and/or ongoing work after the elective is complete. If suitable, the project may be submitted for publication.

Robert Friedman, MD
Contact: Ms. Cassandra Johnson, 718-918-3612 or 646-796-5359, Cassandra.Johnson@nychhc.org
Blocks: All except 3
Maximum: 6
On the first day students should report to Jacobi Medical Center, Building #1, 4th floor, room 4N69. Rotation starts at 8:00 am on the first day of rotation for morning conference. 

(Jacobi Medical Center)

The pediatric radiology elective serves primarily to acquaint the student with an appropriate clinic-radiological approach to problem-solving in the pediatric patient, based on knowledge of normal, departures from normal, and familiarity with radiologic tools and methods. About half the time is spent working along with one of the pediatric radiology faculty members either in inpatient care or in tutorial.

Bernard, Goldwasser, MD
Bernard.goldwasser@nychhc.org
Administrative Support:
Ms. Cassandra Johnson
Cassandra.Johnson@nychhc.org
718-918-3612 or 646-796-5359
Blocks: All
Maximum: 2

On the first day students should report to Jacobi Medical Center, Building #1, 4^th floor, room 4N69. Rotation starts at 9:00 am on the first day of rotation for the morning conference. 

(Montefiore Medical Center)

**Einstein Students Must Contact Dr. Maldjian for approval prior to registration**

Offered by Takouhie Catherine Maldjian, M.D., Department of Radiology. The goal of this 4-week elective is to provide a broad overview of oncological imaging with emphasis on screening and diagnostic imaging in the diagnosis of breast cancer. The elective is designed to expose medical students to the technical and interpretive aspects of imaging in the detection of breast cancer, in both the screening and diagnostic setting, and expose the student to the broader area of oncological imaging. Over the course of the elective, the student will learn to recognize radiologic manifestations of breast cancer and will apply critical thinking and problem-solving strategies, integrating the clinical and radiologic findings. PET/CT component of the rotation will provide an
overview of how radiology and in particular molecular imaging is used for staging tumors and for assessing eatment outcomes in breast cancer as well as many other cancers. The student will spend 2-3 days per week in breast imaging (mammography/ultrasound/MRI and image-guided procedures) and the remaining time in PET/CT and other activities. Attendance at weekly Tumor Board (Multidisciplinary Breast Case Management Conference) every Tuesday at 8 AM (zoom
conference) will give the student the opportunity to observe the impact of the various specialties on the diagnosis and management of breast cancer patients, reflecting the team approach in the diagnosis of breast cancer and in the coordination of multi-faceted eatment strategies.

Takouhie Maldjian, MD
tamaldjian@montefiore.org
718-405-8181
Blocks: 4-8 & 12, 13,14
Maximum: 1

(Jacobi Medical Center)

The emergency radiology elective is designed to familiarize the student with all imaging modalities of use in acutely ill patients. This will include the interpretation of emergency room x-ray and CT scans of acutely ill patients. In addition the student will observe all further procedures carried out on the admitted patient as well as attend all radiology conferences. This elective will include about half time with the attending radiologist reviewing studies performed on ER patients, one fourth of the period will be spend with house staff and one forth in conference with radiology residents and attendings. In addition, the student may be asked to research any ongoing projects in emergency radiology.

Robert Friedman, MD
Contact: Ms. Cassandra Johnson, 718-918-3612 or 646-796-5359, Cassandra.Johnson@nychhc.org 
Blocks: All
Maximum: 2
On the first day students should report to Jacobi Medical Center, Building #1, 4th floor, room 4N69. Rotation starts at 8:00 am on the first day of rotation for morning conference. 

(Montefiore Medical Center)

The neuroradiology elective is designed to introduce students to all aspects of diagnostic imaging in the brain, head/neck, and spine. The student will participate in daily sessions of inpatient and outpatient CT and MR cross-sectional imaging interpretation, communication of urgent results to clinicians, formal and informal consultations with clinical services, and the protocoling of imaging studies. The student will gain familiarity with appropriate use of imaging for common clinical questions, pertinent imaging anatomy, the principles of CT and MR imaging, and the role of the neuroradiology inpatient workup and management. Students are invited to attend weekly adult and pediatric neuro and head and neck tumor boards. Once familiar with imaging anatomy, and clinical indications for procedures, students may observe procedures such as myelography, angiography, stroke intervention, endovascular embolization, and pain management under the direct supervision of faculty.

Learning Objectives:

• Imaging anatomy of the CNS
• Basic principles of CT, MR imaging
• Indications for common clinical scenarios requiring CNS imaging
• Appropriateness of imaging workup for clinical indications (ACR appropriateness criteria)
• Clinical correlation of imaging findings in the CNS

Learning Experience:

• Students participate in cross-sectional imaging interpretation, including discussion of indications, protocoling, findings, and differential diagnosis, as well as “next step” management.
• Students are assigned reading pertinent to discussions, with “report back”
• Students are expected to attend daily radiology resident teaching conferences from 8-9 am and 12:30-2 pm in Binswanger Auditorium, unless otherwise engaged in neuro specific activities (tumor boards, etc)

Student Feedback and Evaluation: Students will prepare a 15 minute presentation for the neuroradiology team on a case or topic encountered during the elective focusing on the role of neuroradiology in the clinical workup and management of the patient. Course faculty will provide oral feedback and submit the AECOM standard evaluation to the medical school.

Andrew C. McClelland, MD
amcclell@montefiore.org
718 920 4030
Administrative Support: Amanda Cruz, acruz@montefiore.org, 718 920 4030
Maximum: 1-2
Blocks: All
 

On the first day students report to: Binswanger Auditorium at 8 am for general radiology conference; 9 am neuroradiology reading room

(Montefiore Medical Center/Weiler Hospital)

VISITING STUDENTS MUST UPLOAD A STEP 1 SCORE REPORT IN ORDER TO BE CONSIDERED FOR THIS ELECTIVE

This elective will serve to familiarize the student with Ultrasound scanning techniques and image interpretation. Emphasis will be on acquiring anatomical concepts and an appreciation of how pathology departs from normal. The student will be expected to first observe scanning in the examining room, and then to acquire hands on skill in performing the ultrasound examinations. Approximately half the time will be spent with the attendings and fellows in film interpretation and conferences. Correlation between ultrasound, other imaging modalities, and pathology will be made if it is appropriate. There will also be opportunity for the student to engage in research if desired.

Mordecai Koenigsberg, MD
718-920-5511
mkoenigs@montefiore.org 
Blocks: All
Maximum: 1

Students must contact Dr. Koenigsberg for meeting time and location.

(Weiler Hospital)

This elective module is four weeks. Students will actively participate in clinical case conferences and tumor boards. Students will partake in pre-procedure and clinical appropriateness discussions. The students will be active participants in the procedures, with hands-on exposure. Experience gained in this elective will help the students in understanding and performance of wide spectrum of interventional radiology procedures such as ultrasound guidance for vascular access ( PICC lines and other central vascular access catheters), Ultrasound/ CT/ fluoroscopic guided procedures such as thoracentesis and paracentesis, pulmonary artery thrombectomy/thrombolysis, arterial embolizations.

Measurable learning objectives of elective:

• Acquire knowledge of indications and contraindications for common interventional procedures
• Demonstrate knowledge of arterial and venous anatomy important to interventional radiology
• Perform pre-procedure evaluations for most common procedures
• Apply indications and contra-indications to common procedures

Students will participate in consultation, management and eatment of patients referred to the vascular and Interventional Radiology service.

Students will have the opportunity to assist in interventional procedures.

The rotation starts normally at 8:00 AM, and cases are performed throughout the day into the evening. Students are not required to stay late and work into the evening. Students do not take evening, night or weekend call. Students are normally free to leave after 5:00 PM.

Research is encouraged. Students interested in IR research should contact elective director to delineate a suitable research project and sign up for the research module via the research elective pathway.

Method of student feedback and evaluation:
Students will give a 15 min oral presentation to the Interventional Radiology Team on an Interventional Radiology topic of their choice or a case presentation with relevant literature review of the topic. Assessment will be a written review of the student that will be submitted to the medical school, in accordance with Einstein policy. In addition, a verbal discussion with the student by the course director(s) will take place, at which time the student will be asked for a 360 assessment of the IR service, the student experience and methods to improve the elective. Anonymous student feedback will also be encouraged to be submitted directly to the director of the Einstein Radiology Student Clerkships, in a manner that will uly allow honest feedback.

Textbook information:
ISBN: 978-3-319-17238-5
Cost: $65
Title: Demystifying Interventional Radiology: A Guide for Medical Students
Edition: First
Author: Athreya, Sriharsha
Is this required or suggested? Suggested

Arash Gohari, MD
agohari@montefiore.org
Phone: 718-904-2965
Maximum: 1
Blocks: All except 2

On the first day students report to: Radiology Reading Room W 3009 at 9:00 am

(Montefiore Medical Center)

This four week elective in diagnostic radiology can be taken any time after the required two week Radiology clerkship. This elective allows the student access to daily film interpretation in the subspecialty of their choice and, if desired by the student an active part in the procedural aspects of Diagnostic Radiology. Daily morning and afternoon teaching conferences are held. Teaching cases and reading materials supplement the teaching program. Every effort will be made to accommodate student’s in their choice of subspecialty or subspecialties. Students may participate in general radiological interpretations, conferences and seminars. The student will be assessed by the attending with whom they interact. In addition, they will be required to deliver a 15-minute oral presentation on the radiological manifestations of a topic of their choice. In addition, the student may undertake a research project with one of the faculty members. Such a project may require additional time and/or ongoing work after the elective is complete. If suitable, the project may be submitted for publication.

Learning objectives and experience: depends on student’s concentration

Method of student feedback and evaluation: Written and oral feedback based on performance including oral presentation at end of elective

Marjorie W. Stein, MD
marstein@montefiore.org
Contact: Jayne Egharevba, Jegharev@monetfiore.org
Blocks: All except 6
Maximum: 1 (subject to change)

On the first day report to Gold Zone main floor -radiology administration office, room G133 at 9 AM

(Montefiore Medical Center: Moses and Wakefield)

This 4-week elective will introduce the student to the specialty of Physical Medicine and Rehabilitation (PM&R) in both inpatient acute settings and outpatient clinics that span the full spectrum of physiatric specialty and subspecialty services. The student will have the opportunity to participate in the planning and implementation of both physical medicine and rehabilitation care, including acute general rehabilitation, neurorehabilitation, musculoskeletal rehabilitation, cardiac rehabilitation, and pediatric rehabilitation. The student will have opportunities to participate in diverse subspecialty services including electrodiagnosis, prosthetics & orthotics, sports medicine, spasticity management, spinal cord injury rehabilitation, wheelchair and durable medical equipment services, complementary and alternative medicine care, and interventional pain management.

Students may assist in various physiatric procedures including joint and soft tissue injections, botulinum toxin injections, neurolytic blocks, myofascial manual medicine techniques, and ultrasound or fluoroscopic guided procedures. The student will observe and participate in the interdisciplinary rehabilitation team process and become familiar with the treatment modalities employed by physical therapists, occupational therapists, and speech and language pathologists. The roles of music and recreation therapies as well as rehabilitation social workers and vocational counselors will be addressed. The student will participate in the PM&R residency didactic program, including journal clubs, lectures, workshops, and all other educational presentations.

The student will spend one week on the Wakefield acute inpatient rehabilitation unit to participate in daily work and teaching rounds, as well as team conferences. The student will spend two whole weeks in the outpatient rehabilitation setting. The student will also spend one week in a rehabilitation selective; the student will submit their choices between Interventional Pain Management, Sports Medicine, Pediatric Rehab, Cardiac Rehab, Women’s Health Rehab, and Electrodiagnosis (EMG).

Measurable Learning objectives:

• Understand of the role of Physical Medicine and Rehabilitation in different clinical settings
• Differentiate the role of physiatrists and physical/occupation/speech-language therapies
• Identify common neuromusculoskeletal disorders and their management
• Appreciate different physiatric interventions

Learning experience:
The elective will be split between inpatient and outpatient rehabilitation. The student will spend one week on the Wakefield acute inpatient rehabilitation unit to participate in daily work and teaching rounds, as well as team conferences. The student will spend two whole weeks in the outpatient rehabilitation setting. The fourth week consists of a rehabilitation selective; the student will choose between Interventional Pain Management, Sports Medicine, Pediatric Rehab, Cardiac Rehab, Women’s Health Rehab, and Electrodiagnosis (EMG). Students may assist in various physiatric procedures including joint and soft tissue injections, botulinum toxin injections, neurolytic blocks, myofascial manual medicine techniques, and ultrasound or fluoroscopic guided procedures. The student will observe and participate in the interdisciplinary rehabilitation team process and become familiar with the treatment modalities employed by physical therapists, occupational therapists, and speech and language pathologists. The roles of music and recreation therapies as well as rehabilitation social workers and vocational counselors will be addressed. The student will participate in the PM&R residency didactic program, including journal clubs, lectures, and all other educational presentations.

Method of student feedback and evaluation: 
An end of rotation evaluation will be compiled by the course director through input from the faculty/residents with whom the student has rotated.

Suggested Textbooks:
ISBN: 978-0323549479
Cost: $97.00 New, $60.00 Used
Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation – 4th Edition
Author: Walter Frontera, MD, PhD

Derek Ho, DO
deho@montefiore.org
Stephanie Rand, DO
srand@montefiore.org
718-920-2413
Administrative Support:
Wilhelmenia Williams-Aponte
wwilliam@montefiore.org
Blocks: All expect block 6
Maximum: 3 students

On the first day students report to:  Rehab Medicine, 150 East 210th Street, Montefiore Medical Center-Moses at 8:30AM. 

Detailed location and time schedule will be provided at or prior to the start of the elective.

(Jacobi Medical Center)

A four-week introductory clerkship in PMR to provide exposure to the scope of services provided by the specialty. Students will have the opportunity to rotate in the various inpatient and outpatient settings at both Jacobi and North Central Bronx Hospital. The student will participate in the various clinics that include: Injection clinic, interventional procedures, Musculoskeletal clinics, electrodiagnostics, Back Clinic and orthotics and prosthetics. In addition, the student will be exposed to the inpatient rehab service and the management of an acute stroke patient, from the initial consult, to the admission to the rehab floor, to the team conference to discharge planning. Didactic on Shoulder examination, back examination and the evaluation of a stroke patient.

Core Objectives:
To evaluate the shoulder and the back and determine which patients are appropriate for interventional procedures and the techniques involved in the procedures. To evaluate the stroke patient for their physiatric need, expected functional outcomes and team conference leadership. Residents, fellows, and attendings provide small group interactive didactics, clinical guidance and supervision and daily feedback regarding clinical and presentation skills. At the end of the rotation there is one required 15-minute oral case presentation, based upon a diagnosis seen in the outpatient or inpatient setting.

Learning Goals:

1. To become familiar with the patient populations that physiatrists eat.
2. To understand the unique roles physiatrists play as medical specialists in the care of patients with musculoskeletal disorders
3. To understand the indications for referral of patients to physiatrists.
4. To become proficient in the examination of the shoulder and the back

Michelle Stern, MD
michelle.stern@nychhc.org
718-918-5549
Blocks: All
Maximum: 6

(Montefiore Medical Center)

This four week clinical experience is meant to provide an in-depth exposure to vascular medicine and surgery for the medical student who has completed the required Junior year clerkship in general surgery. The student will be an integral part of the vascular surgical service and act as a sub-intern with patient exposure in the hospital through daily rounds, the operating room, and the outpatient office. Students will participate in open and endovascular surgical procedures and other new interventions performed on the service. Students will become familiar with the management of arterial and venous disease. Students will gain a broad experience in caring for patients with lower extremity occlusive disease, carotid disease, thoracic and abdominal aortic disease, mesenteric artery disease, renal artery disease, deep and superficial venous disease, and dialysis access. An introduction for the non-invasive vascular laboratory and vascular radiology will also be a part of this elective.

Measurable learning objectives of elective:

• Take a thorough history and physical exam specifically tailored to Vascular Surgery Patients
• Gain a basic understanding of non-invasive Vascular Lab imaging
• Begin to interpret other Vascular imaging
• Formulate a differential diagnosis
• Formulate a teatment plan for patients with Vascular disease

Suggested Textbook(s) information:
ISBN: 9781455753048
Cost: $409
Title: Rutherford’s Vascular Surgery and Endovascular Therapy
Edition: 10th
Author: Sidaway & Perler
ISBN: 9780323775571
Cost: $300
Title: Vascular and Endovascular Surgery
Edition: 9th
Author: Moore
Hardcover – ISBN: 9780323480116
eBook- ISBN: 9789323527712

Evan Lipsitz, MD
718-920-2016
elipsitz@montefiore.org
Blocks: All
Maximum: 2 students

On the first day students report to MAP 4 at 9:00 am. Students should call the week prior to confirm.

(Montefiore Medical Center)

**Not offered to International Exchange Students**

The Department of Surgery Subinternship is a 4th year rotation intended for students planning to pursue surgery as a career. This rotation is focused on preparing students for their surgery internship following completion of medical school. During the 4 or 8 week rotation students will function as a PGY-1 on the surgery services at the Montefiore Medical Center divisions of Weiler and Moses. Students can choose between the Weiler and Moses general surgery, trauma surgery and surgical critical care services and may choose to split the rotation into 4 week blocks at two of the three sites depending on particular interests and availability. If the 4 week rotation is selected, students will only rotate on one service. The rotation options are listed below by site and service. During the subinternship students will have an in-depth exposure to the surgery services which will include seeing patients on the in-patient wards, in the emergency room and in the outpatient clinics. Students will participate in operative cases appropriate for the PGY-1 level of experience and will take call overnight on the general surgery or trauma surgery services averaging once weekly during the rotation. As a subintern, students will be called first for patient issues on the inpatient wards and will work closely with the overnight consult resident. Subinterns will be responsible for the primary evaluation of some patients and for presenting these patients to chief residents and attendings. Attendance at surgical morbidity and mortality conference and specialty-specific conferences will also be required

Learning objectives of elective:
The objective of this subinternship is to prepare fourth year students both practically and intellectually for the first year of all surgical residencies. Additional surgery 4th year electives are available to explore the surgical specialties in addition to this subinternship.

Learning experience:
Responsibilities and duties will include seeing consultations and new patients in the inpatient and outpatient setting, participating in operative cases and following patients both pre- and post-operatively. As a subintern students will function at the level of a first year surgery resident and will be the first call for patient issues on their respective service. Attendance at surgical morbidity and mortality conference and specialty-specific conferences will also be required. In-house call will be required on a regular rotation basis (generally once per week) where the student will see consultations from the in-patient wards and the emergency room. Basic technical skills including suturing, abscess drainage, chest tube placement, venipuncture, IV placement, arterial line placement, (assisting with) central line placement (in the SICU) and first and second assisting in the operating room will be taught and practiced throughout the rotation.

Method of student feedback and evaluation:
Students will be evaluated and given feedback at the mid-rotation for formative purposes by the attendings on their rotation using the Einstein form for mid-rotation evaluation. At the completion of the rotation students will be evaluated by the members of the faculty on the services which they rotated and can solicit letters of recommendation for applications to surgery residency programs.

Sub-Internship Director
General Surgery
Francis B. Baccay, MD
fbaccay@montefiore.org 
Blocks: All, except 9
Maximum: TBD

Once registration is finalized it is absolutely essential that the student MUST contact the Course Director for the sites where they will be rotating at least two weeks prior to the rotation start date to allow for specialty assignment and to complete arrangements of computer access, OR scrubs, and ID/pass.

(Jacobi Medical Center)

During this 4 week elective, the student will get an introduction to the complex critical care management of the surgical patient and the critically-injured patient. The student will also be expected to participate and understand the principles of trauma resuscitations and advance trauma life support.

Measurable learning objectives of elective:

1. To identify the different types of shock and their management.
2. To understand the guiding principles of a trauma resuscitation.
3. To learn the understand the differences in management of the critically injured and surgical patient.

Learning experience: 2 weeks SICU, 2 weeks trauma (including one week night float)

Method of student feedback and evaluation: In person

Dalia Alqunaibit, MD
alqunaid@nychhc.org
718.918.5590
Administrative support: Evelyn Ramos ramose11@nychhc.org, 718-918-5590
Blocks: All
Maximum: 2 students

On the first day students report to: Jacobi Building 1, Suite 1213 at 8am 

(Montefiore Medical Center – Moses)

The student will participate in the inpatient and outpatient care of transplantation surgery and hepatobiliary surgery patients. The student’s responsibilities will include:

The student will actively participate in the operating room cases. The degree of participation will be based upon the student’s technical skills. Such operative activities will include deceased donor abdominal organ recovery, living donor and deceased donor transplantation, non-transplant hepatic surgery, and dialysis access surgery.

The student will learn how to interview and examine newly presenting patients, as well as how to formulate a care plan. The student will conduct day-to-day follow-up, allowing for continuity of care.

The student will participate in the outpatient hepatobiliary and transplant clinics, where patients will be examined and assessed. The student’s work will be reviewed with residents and attending surgeons.

The student will attend departmental transplant conferences, which include organ selection committee meetings, morbidity and mortality conference, and hepatic tumor board. The student will be included in additional didactic and research-based meetings as they are scheduled.

During this rotation the student will take call on a regular rotation and function as a PGY-1: rounding on patients, following through on decisions made on rounds, creating documentation for patient care, and collaborating with the residents to address the needs of the patients that arise during the admission. By the end of the rotation, it is expected that the student will have a good level-appropriate understanding of all aspects of liver, kidney, and pancreas transplantation, including workup of a prospective candidate, management of immunosuppression, post-operative management of transplant patients, and dynamics of multi-organ donation.

Learning Experience: The student will alternate covering the kidney/pancreas service and the liver service weekly. The student’s day will begin with fellow rounds, starting at approximately 6 am daily. The student will then participate in the multidisciplinary attending rounds or proceed to the OR, if there are cases. The student will travel for organ recovery cases with the fellows. Once weekly and on two weekend days during the 4-week rotation, the student will take general surgery call with the general surgery residents. On weekdays, the student will take night float call with the general surgery residents; on the weekend it will be a 24-hour call with the general surgery residents. The student will be post-call following their general surgery call and will not be expected to return to their transplant surgery responsibilities until 24 hours later.

Method of student feedback and evaluation: At the midpoint of the rotation and at the conclusion of the rotation, I will meet with the student to provide feedback. I will complete the evaluation forms required by his/her medical school.

Hillary Yaffe, MD
718-920-7303
hiyaffe@montefiore.org
Administrative Support: Diane Smith, dismith@montefiore.org, 718-920-6440
Blocks: All
Maximum: 2

On the first day students report to: Moses campus main lobby, 111 East 210th Street, Bronx, NY 10467 at 8:00 am 

(Montefiore Medical Center – Moses Campus)

The purpose of the elective is to get exposed to gain knowledge in field of Urologic Surgery. During the elective, the student will function as a sub-intern on service with direct and supervised patient care. The exposure to the field in addition to our service will also allow interested students (who are considering Urology as a career choice) to obtain understanding in all areas of both adult and pediatric Urologic surgery, with a special emphasis on minimally invasive robotic, laparoscopic, and endourological oncology, and reconstructive surgery. The student will have ample opportunity to formulate and arrange clinical research opportunities with our faculty members, in their areas of subspecialty interest.

Measurable learning objectives of elective:

• Proficiency in assessment of the Urologic patient and diagnostic skills
• Procedural proficiency with minor urologic interventions
• In-patient care of the acutely unwell Urologic patient
• The preoperative workup of Urologic patients with clinical follow through in the operating room
• The post-operative care
• Exposure to independent thinking and clinical research
• Exposure to clinical data entry and database research

Suggested Reading: AUA Guidelines and Core Curriculum – https://auau.auanet.org/core

Method of student feedback and evaluation: Verbal and written evaluations are provided and reviewed by course director

Miriam Harel, MD
mharel@montefiore.org
Administrative Support: Shareef Frasier, Sfrasier@montefiore.org
Maximum: 4
Blocks: All

Students should contact Dr. Harel and Shareef one week prior to the start of the rotation for the meeting location and time. If the proposed rotation dates conflict with your schedule please contact Dr. Harel or Shareef Frasier directly.