Stanford School of Medicine
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Medicine Clerkship Listing*

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MED 300A. Internal Medicine Core Clerkship (SUMC, PAVAMC, SCVMC, KPMC)     Closed to Visitors
Teaches the natural history, pathophysiology, diagnosis, and treatment of medical illness. Emphasis is placed on acquiring the understanding, skills, and attitudes desirable in a scientific and compassionate physician. Students record histories, physical examinations, and laboratory data for patients for whom they are responsible and present their findings, together with their diagnoses and treatment plans, at rounds and conferences. Developing sound clinical reasoning skills is continuously emphasized. An essential aspect of the clerkship is the students’ gradual assumption of direct responsibility for, and full-time involvement in, patient care with the house staff and faculty team. To take advantage of the differences in patient populations and teaching staffs of the four hospitals, students spend four weeks at either SUMC or PAVAMC, and four weeks at either SCVMC in San Jose or KPMC in Santa Clara. The resulting eight week experience is an integrated curriculum designed to cover the essentials of internal medicine. The Department of Medicine supervises a random draw-based assignment to two of the four locations shortly before the beginning of each odd-numbered clerkship period. A passing grade will require both a satisfactory performance at both clinical sites and passing the NBME Subject Exam at the end of 8 weeks.
Prereq: MED 208 or INDE 206.
Periods Avail: 1-12, full-time for eight weeks. 18 students per period from P1-P4, 18 students per period from P5-P12.
Reporting Instructions: Varies depending on site assignment. Students will be notified prior to the first day.
Units: 12     DropCode:     Call Code: 4
Director: Abraham Verghese, MD, MACP (650-721-6966).
Other Faculty: Staff
Coord: Nancy D’Amico (650-721-1640), Room S101, MC 5109.

MED 302A. Infectious Diseases Clerkship (SUMC)     Open to Visitors
The infectious diseases clerkship features an active inpatient service at Stanford Hospital, which averages two to four new consults per day. As a consulting specialty service within the Department of Medicine, participants are able to see a wide variety of community-acquired and nosocomial infections. Particular emphasis is placed on clinical and diagnostic reasoning, as well as in developing a good working knowledge of antimicrobial agents and a rational approach for their use. The training and teaching opportunities are rich because of the case mix (medical, surgical, ICU) and broad patient populations that are seen at Stanford Hospital. The service is supervised on a daily basis by the infectious diseases fellow, who will work closely with students rotating on the clinical service. Students attend daily patient rounds, weekly infectious diseases conferences, clinical microbiology rounds, and may attend other research or patient-care conferences at Stanford. Two-week rotations are possible, but four weeks is preferred. Course objectives and resources are provided at the beginning of the rotation.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 2 students per period.
Reporting Instructions: On the first day of the rotation, page the Stanford general infectious diseases fellow through the Stanford page operator: (650) 723-6661 at 8:30 am. The infectious diseases fellows’ team room, L-134, is located in the Division of Infectious Diseases and Geographic Medicine home office on the first floor of the Lane building.
Units: 6     DropCode:     Call Code: 1
Director: Andrew Nevins, M.D.
Other Faculty: B. Blackburn, C. Blish, P. Bollyky, S. Deresinski, S. Einav, P. Grant, D. Ho, J. Montoya, J. Parsonnet, G. Schoolnik, U. Singh, L. Tompkins, A. Zolopa.
Coord: Anita Kafer (650-725-8338).

MED 302B. Infectious Diseases Clerkship (PAVAMC)     Open to Visitors
The infectious diseases clerkship features an active inpatient service at the Palo Alto VA, which averages one to two new consults per day. As a consulting specialty service within the Department of Medicine, participants are able to see a wide variety of community-acquired and nosocomial infections. Particular emphasis is placed on clinical and diagnostic reasoning, as well as in developing a good working knowledge of antimicrobial agents and a rational approach for their use. The training and teaching opportunities are rich because of the case mix (medical, surgical, ICU) and patient populations that are seen at the Palo Alto VA. The service is supervised on a daily basis by the infectious diseases fellow, who will work closely with students rotating on the clinical service. The Palo Alto VA maintains an active HIV primary care clinic, as well as a weekly general infectious diseases clinic that provides a broad experience in the outpatient management of common infectious diseases problems. Students attend daily patient rounds, weekly infectious diseases conferences, clinical microbiology rounds, and may attend other research or patient-care conferences at the VA and/or Stanford. Two-week rotations are possible, but four weeks is preferred. Course objectives and resources are provided at the beginning of the rotation.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 2 students per period.
Reporting Instructions: On the first day of the rotation, page the Stanford general infectious diseases fellow through the Stanford page operator: (650) 723-6661 at 8:30 am. The infectious diseases fellows’ team room is located in building 100 on the second floor, near unit 2C.
Units: 6     DropCode:     Call Code: 1
Director: David Relman, M.D.
Other Faculty: A. Chary, M. Holodniy, A. Nevins, J. Parsonnet, C. Renault, U. Singh.
Coord: Trenise Wildon, (650-493-5000 x63157.

MED 302C. Infectious Diseases Clerkship (SCVMC)     Open to Visitors
Teaches the skills of diagnosis and treatment of infectious diseases, including acute illnesses seen in the economically disadvantaged, and subspecialty patient referrals. The format of the clerkship at SCVMC is the same as at SUMC and PAVAMC, but the patient population at SCVMC differs from that of the other two hospitals. Two infectious diseases teaching conferences are held weekly for all three hospital services, and there are two additional conferences per month at SCVMC. Consultations are provided to all general (medical, ob-gyn, surgical) and specialized (burn, nursery, rehabilitation, dialysis) units. Tuberculosis clinic and HIV clinic experiences are also available during the rotation. The director of the diagnostic microbiology laboratory will instruct students on diagnostic microbiology lab use and interpretation of results. The Infection Prevention nurses provide an orientation to hospital epidemiology. Students will be supervised by an attending, fellow and one to two residents. Students wishing to do this clerkship must get approval from Dr. Supriya Narasimhan first before registering.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 2 students per period.
Reporting Instructions: Where: SCVMC, Room 6C095, 6th floor, Old Main Hospital, SCVMC; Time: 8:30 am.
Units: 6     DropCode:     Call Code: 1
Director: Supriya Narasimhan, M.D., (408-885-4673).
Other Faculty: S. Narasimhan, L.F. Mirels, J. Lin, J. Kim, H. Sahni, A. Polesky, A. Sturt, C. Kemper.
Coord: Amy Ferrari (408-885-4673; Amy.Ferrari@hhs.sccgov.org).

MED 303A. Cardiology Clerkship-Inpatient/Outpatient Consult (SUMC)   S1   Open to Visitors
Emphasizes the acquisition of diagnostic skills related to cardiovascular evaluation. This experience is derived through active participation in the inpatient consultative cardiology program, which is directed by Dr. Stanley Rockson. In addition, at least three half days per week are spent in the outpatient setting, which encompasses aspects of preventive cardiology as well. Direct patient experiences are supplemented with one-on-one didactic sessions and directed reading. The elective also emphasizes the acquisition of ECG reading skills via electrocardiographic reading sessions.
Prereq: MED 208 or INDE 206.
Periods Avail: 4-12, full-time for four weeks. 2 students per period.
Reporting Instructions: Where: Dr. Rockson, CVRC CV-267; Time: 8:30 am.
Units: 6     DropCode:     Call Code: 0
Director: Stanley Rockson, M.D. (650-725-7571).
Other Faculty: Staff
Coord: Stanley Rockson, M.D.

MED 303B. Cardiology Clerkship (PAVAMC)   S1   Open to Visitors
Exposes the students to all areas of clinical cardiology. Students participate in four half-day ambulatory care cardiology clinics, perform at least 3-5 new consultations per week, with each consultation being presented to an attending physician and having a consultation note written. Additionally, each student “rounds” five days a week on patients on the consultation service. Students read electrocardiograms almost daily. Their physical examinations are reviewed by the attending physician and/or cardiology fellow. They are exposed to all areas of clinical cardiologic testing: exercise treadmill/stress testing, radionuclide testing (thallium scans and radionuclide ejection fractions), cardiac ultrasound studies, cardiac catheterization and percutaneous transluminal coronary intervention (PTCI). Students follow each of their patients through these tests. When surgery is required, they observe the procedure in the operating room. Students participate in daily didactic sessions covering all areas of basic cardiology and are present at daily coronary care unit/medical intensive care unit rounds. Each student also has the opportunity to participate in any other ongoing medical or surgical teaching conferences as time permits.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 5 students per period. (Upon request, 2 students may be added).
Reporting Instructions: Where: PAVAMC, Second Floor, Rm E2-426; Time: 7:30 am.
Units: 6     DropCode:     Call Code: 0
Director: John Giacomini, M.D.
Other Faculty: V. Froelicher, P. Heidenreich, P. Milner, M. Hlatky, W. Fearon, K. Friday.
Coord: Donna Harris (650-858-3932), PAVAMC (111C).

MED 303C. Cardiology Clerkship (SCVMC)   S1   Open to Visitors
Students are part of a cardiology team that consults on hospitalized patients, sees outpatients in seven half day sessions weekly, and attends conferences. Opportunities are available to be involved in the various procedures performed by the department: stress test, echo, Cath and implantable devices.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks by arrangement only. 2 students per period.
Reporting Instructions: Where: Valley Specialty Center, 3rd Floor, Suite 340; Time: 9:00 a.m.
Units: 6     DropCode:     Call Code: 0
Director: Thomas Wentzien, D.O., FACC
Other Faculty: H. Brewster, P. Gregor, M. Aggarwal, T. Wentzien, C. Smith, A. Swaminathan, S. Zhao, E. Choe.
Coord: Janine Kinsey (408-885-4372), Med Admin, SCVMC.

MED 304A. Cardiovascular Medicine Clerkship-Inpatients (SUMC)   S2   Open to Visitors
General cardiology rotation remains part of the “bread and butter” core of internal medicine inpatient rotations. Together with the CCU/heart failure (PGY II) and the cardiology consult service (VA and Stanford), these rotations form the foundation of the cardiology knowledge base for students. Advances in diagnostic imaging, rapid bedside testing and evidence based clinical trials have allowed us to deliver coordinated complex care to our patients with ample opportunities for teaching and learning. The development of the skills and knowledge required for the practice of cardiac vascular medicine is an essential part of the educational process of internal medicine training. Cardiovascular diseases affect millions of Americans and now we have tools and drugs to treat and/or prevent this problem. It is an essential large component of a daily internal medicine practice. Involves four weeks of intensive experience with clinical cardiology inpatients. ECG reading will be included. Students are required to attend daily teaching rounds with the attending cardiologist and house staff, Division of Cardiovascular Medicine conferences, and formal teaching sessions, including electrocardiography. Cardiac patients who do not require CCU care, e.g. AF, NSTEMI, chest pain, SBE are admitted primarily via the ER 7 days a week. Students will work directly with R1 and a supervisory R2 Medicine Resident and Cardiology faculty member. Work day usually is from 7 am – 7 pm with one day off/week. No night call as patients are covered by R2 and R3 night float residents. Please note: Visiting students must obtain approval from the clerkship director prior to applying for this clerkship. Please email your CV to Edralin Laus at elaus@stanford.edu.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 1 student per period (one additional student, requires approval from clerkship coordinator).
Reporting Instructions: Where: General Cardiology Conference room (HD-116) on D-1 Ground for rounds; Time: 7:30 am.
Units: 6     DropCode:     Call Code: 1
Director: John Schroeder, M.D.
Other Faculty: A. Yeung ,W. Fearon, I. Schnittger, M. McConnell, S. Rockson, D. Lee, D. Liang, P. Yang, F. Haddad, T. Brinton, R. Dash, S. Lin, I. Rogers, J. Wu, S. Wu, J. Knowles, J. Spin, M. Hlatky, N. Leeper, R. Harrington, K. Mahaffey, D. Maron, A. Khandelwal.
Coord: Edralin Laus (E-mail: elaus@stanford.edu, Phone: (650) 723-5561).

MED 305A. Hematology Clerkship (SUMC)     Open to Visitors
Exposes students to the conceptual basis of hematology, the factual information that is available, and the responses required for consultation and patient care in rapidly evolving and frequently complex clinical circumstances. Under the supervision of the resident, fellow, and faculty attending physician, students admit and follow patients on the very well balanced inpatient Hematology Service (Med VIII) and do consultations. Students also round with the Med VIII team in the morning and attend outpatient clinics in the afternoon. In addition, students participate in the bone marrow reading sessions two mornings a week. Students also learn the requirements for prospective clinical protocol research. There is a weekly research conference, a journal club and a patient-oriented post-clinic conference.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 2 students per period.
Reporting Instructions: Where: F Ground, in basement of main hospital; Time: 7:45 am.; meet heme fellow and heme attending.
Units: 6     DropCode:     Call Code: 0
Director: Michaela Liedtke, M.D.
Other Faculty: L. Boxer, S. Coutre, J. Zehnder, C. Berube, J. Gotlib, B. Martin, L. Leung, B. Medeiros, E. Price, M. Liedtke.
Coord: Veronica Vilchis (650-723-7078).

MED 306A. Endocrinology and Metabolism Clerkship (SUMC, PAVAMC, SCVMC)   S1   Open to Visitors
Provides students with a comprehensive experience in clinical endocrinology by combining inpatient and outpatient experiences at SCVMC, SUMC, and PAVAMC. Students will attend six clinics per week at the three institutions. Each clinic has approximately 15 to 30 patients who are seen by students, residents, and fellows with faculty members in endocrinology. In addition, students can choose between the inpatient endocrine consultation services at the three hospitals. Two conferences each week will cover a broad array of endocrine and metabolic problems in both clinical and research spheres. Working at the three hospitals during the clerkship will require travel.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 2 students per period.
Reporting Instructions: Where: Valley Specialty Center, Rm. 2Q261; Time: 8:30 am.
Units: 6     DropCode:     Call Code: 0
Director: Lawrence Crapo, M.D.
Other Faculty: Staff
Coord: Kristi Townsend (650-724-2474), S025.

MED 307E. Palo Alto Medical Clinic Preceptorship (PAMC)     Closed to Visitors
Enables students to study in the environment of the practitioner at the Palo Alto Medical Foundation. Students come to appreciate the influence of socioeconomic and other relevant factors in the care of the patient. Students can also develop their medical judgment, skills, and a sense of responsibility. Individual programs are arranged so that students can spend one week or multiples thereof in designated departments, including medicine and its subspecialties, general practice, surgery and its subspecialties, pediatrics, gynecology and obstetrics, allergy, radiology, dermatology, neurology, psychiatry, the Palo Alto Medical Research Foundation, and general and specific laboratories. While assigned to a department, the student is responsible to a single physician. Each physician acts as a preceptor to only one student during any given period of time. Students are expected to make hospital rounds with their preceptors, take an active part in the office visits and daily care of patients, attend lectures and seminars, and observe and add to their skills in various procedures, minor surgery, or emergency care, as their particular goals and program dictate. Although students in their final year of the MD program will benefit most from this offering, other students may take the course by special arrangement. All students should make arrangements as far in advance as possible to facilitate scheduling.
Prereq: None
Periods Avail: 1-12, full-time for one to four weeks. The number of clerks per period varies; approximately 2 per period in each subspecialty.
Reporting Instructions: Where: Contact Dr. Ronald Kaye at 650-321-4121.
Units: 1-12     DropCode:     Call Code: 0 (unless desired)
Director: Ronald Kaye, M.D. (650-853-1030)
Other Faculty: Ronald Kaye, M.D.
Coord: Ellen Evans, 650-853-6551, PAMC.

MED 308A. Immunology/Rheumatology Clerkship (SUMC)     Open to Visitors
A comprehensive clinical experience in rheumatology and clinical immunology. Students attend five weekly clinics in rheumatology, and clinical immunology, gaining familiarity with the evaluation of new patients and the longitudinal follow-up of complex rheumatological problems such as SLE and vasculitis and common rheumatological problems such as rheumatoid arthritis, gout and spondyloarthropathies. Inpatient consultations provide experience with management of the acute crisis. Journal clubs, noon conferences, and division rounds provide didactic teaching. The costs and benefits associated with evaluation and treatment are emphasized. Stanford Students wishing to do this clerkship must receive prior approval from Clerkship Director before registering. Please note: Visiting students must obtain approval from Gwen Madison prior to applying for this clerkship. Please email requests to gmadison@stanford.edu. Interested students must send their CV and 2 letters of recommendation – one from the clerkship director, and the other letter from an attending attesting to the students clinical abilities (i.e. proficient H&P’s and exam skills). These must be sent to Gwen at least 4 to 6 weeks prior to the start of the period that the student would like to enroll in.
Prereq: Successful completion of a full medicine clerkship.
Periods Avail: 1-12, full-time for four weeks. 1 student per period (More than one student only if reviewed & approved by clerkship director.)
Reporting Instructions: Where: 1000 Welch Rd. Suite #203, see Gwen Madison (call one week prior to confirm); Time: 8:30 am.
Units: 6 or 12     DropCode:     Call Code: 0
Director: Stanford Shoor, M.D. (650-725-5070).
Other Faculty: C.G. Fathman, J. Fries, H. Holman, E. Lambert, S. Strober, L. Tarter, M. Genovese, W. Robinson, P. Utz, L. Chung, M. Lyon.
Coord: Gwen Madison (650-498-5630).

MED 308C. Immunology/Rheumatology Clerkship (SCVMC)     Open to Visitors
Introduces students to patients with different forms of arthritis and related rheumatic diseases. Emphasis is on the specific examination of muscles, bones, and joints and important systemic signs and symptoms pertinent to the diagnosis of rheumatic diseases. Laboratory tests, X-rays, and biopsies are reviewed. Students see both new and returning patients and participate in both inpatient and outpatient consultations. Formal and informal participation in conferences is encouraged. The minimum clinical exposure necessary is two weeks full-time; four weeks full-time is preferable.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for two or four weeks. 1 student per period.
Reporting Instructions: Where: Check in with SCVMC Housestaff Office (Room 54, 7th floor of main hospital), 751 S. Bascom Avenue, San Jose, between 8:00 and 8:30 am the first day of clerkship. Report to the Arthritis Clinic at Valley Specialty Center, 751 S. Bascom, 5th Floor; Time: 9:00 am.
Units: 3 or 6     DropCode:     Call Code: 0
Director: Tom Bush, M.D. (408-885-6777).
Other Faculty: J. Burkham, V. Sharp, U. Marvi.
Coord: Tom Bush, MD, or secretary, Lupe Ibanez (408-885-6777), SCVMC.

MED 311D. Advanced Medicine Clerkship (KPMC)   S2   Open to Visitors: At discretion of Clerkship Director
The Santa Clara Medical Center offers a dynamic academic clinical clerkship in advanced medicine. Students serve as the primary provider for their patients: documenting H&P’s, progress notes and discharge summaries, arranging and completing procedures, participating in daily follow-up care, and communicating with patients. Supervision is provided by the supervising resident and the attending staff. There are weekly teaching didactics specifically for sub-interns and daily conferences. If you want to be sure to have a slot for a particular period, you should register to it as soon as possible as the slots are limited and fill quickly. Please note: Visiting students must email Susan Krause at susan.krause@kp.org to apply for the clerkship. Interested students must send the following requirements to Susan: A letter from the Dean of your medical school verifying: - Academic Standing - Approval of Clerkship - Proof of malpractice insurance (responsibility of medical school) - Medical School Transcript - Personal Statement - USMLE Step 1 - CV Written proof of TB screening and vaccinations for Rubella, Rubeola and Hepatitis B.
Prereq: Medicine 300A.
Periods Avail: 2-12, full-time for four weeks. 2 students per period. No adds or drops less than one week before start of each period.
Reporting Instructions: Where: KPMC, Graduate Medical Education Office, Call 408-236-4921 for site location; Time: 7:00 am.
Units: 6     DropCode:     Call Code: 5 (not overnight)
Director: Sudhir S. Rajan, MD, FACP
Other Faculty: Staff
Coord: Susan Krause (408-851-3836), KPMC, Santa Clara.

MED 312C. Advanced Medicine Clerkship (SCVMC)   S2   Open to Visitors
Involves an advanced level of inpatient care responsibility. Under the close supervision of faculty and residents the student is expected to function as an intern, caring for the same number of patients and working the same hours. Beepers are provided; meals are free. Note: Open to visiting students, with approval of the site director.
Prereq: Medicine 300A.
Periods Avail: 1-12; full-time for four weeks. 6 students per period.
Reporting Instructions: Where: SCVMC, Room 4C004, 4th Floor Conference Room in the Department of Medicine [Visitors call (408-885-5110) and bring proof of PPD and malpractice insurance to 7th Floor Room 54]; Time: 8:30 am.
Units: 6     DropCode:     Call Code: 4
Director: Stephanie Chan, M.D. (408-885-7744).
Other Faculty: Staff
Coord: Emi Williams (408-885-7724), Mail Slot 6897-3, SCVMC.

MED 313A. Ambulatory Medicine Core Clerkship (SUMC, PAVAMC, SCVMC)     Closed to Visitors
The Ambulatory Medicine clerkship (AMC) combines clinic sessions in both general internal medicine and subspecialty medicine. It includes assigned readings, small group discussions, computer-assisted drills, posing and answering clinical questions with critical appraisal of the literature, and problem-based cases to reinforce principles and complexities of diagnosis and management. The didactics emphasize preventive medicine, cardiovascular, respiratory, and endocrinological disorders, and common clinical presentations in outpatient practice.
Prereq: None
Periods Avail: 1-12, full-time for 4 weeks only. 9 students per period.
Reporting Instructions: Varies depending on site assignment. The students are notified prior to the first day of the clerkship. No student may miss more than two clerkship days without prior approval of the clerkship director.
Units: 6     DropCode:     Call Code: 2 (most students won't have weekend clinic, but a few will)
Director: Jacqueline Tai-Edmonds, M.D. and Co-Director Mitchell Wong, M.D.
Other Faculty: J. Tai, M. Wong, N. Cuan and others.
Coord: Nancy D’Amico (650-721-1640), Room S101, MC 5109.

MED 314A. Advanced Medicine Clerkship (SUMC)   S2   Open to Visitors
Intended for students in their second clinical year who are able to proceed to an advanced experience similar to an internship. Students see patients with a wide variety of internal medical diseases in both the inpatient and outpatient settings, and gain experience in the practical aspects of internal medicine. The variety of patients and the contact with many private practitioners provide a valuable complement to other clerkship experiences. The clerkship experience is enhanced by exposure to a broad variety of patients as well as clinical teaching from community attendings and Stanford faculty. Please note: Visiting students must obtain approval from Nancy D'Amico prior to applying for this clerkship. Please email requests to ndamico@stanford.edu. Interested students must send their CV and 2 letters of recommendation – one from the clerkship director, and the other letter from an attending attesting to the students clinical abilities (i.e. proficient H&P’s and exam skills). These must be sent to Nancy at least 4 to 6 weeks prior to the start of the period that the student would like to enroll in.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 5 students per period.
Reporting Instructions: Students will be notified a week prior to the first day.
Units: 6     DropCode:     Call Code: 4
Director: Abraham Verghese, MD, MACP (650-721-6966).
Other Faculty: Staff
Coord: Nancy D’Amico (650-721-1640), Room S101, MC 5109.

MED 317C. Medical ICU Clerkship (SCVMC)     Open to Visitors
An in-depth, four week rotation in the general medical ICU of the SCVMC. Students work as an integral part of a large ICU team aiding housestaff in managing a wide range of critically ill patients. Direct student participation in ICU activities is the essential element of this clerkship. With guidance, students gain experience with a variety of procedures, actively apply their knowledge of physiology, and hone their patient management skills.
Prereq: Anesthesia 306A or Medicine 300A.
Periods Avail: 1-12, full-time for four weeks, longer by arrangement. 2 students per period.
Reporting Instructions: Where: SCVMC, Valley Specialty Center, 5th Floor, Pulmonary Division Office; Time: 8:00 am. On the first day of their rotation, all medical students must sign-in at the Medical Staff Office Rm 7C054.
Units: 6     DropCode:     Call Code: 4
Director: Vibha Mohindra, M.D.
Other Faculty: C. Kirsch, J. Wehner, V. Mohindra, E. Hsiao, F. Kagawa, A, Friedenberg, W.Chen, A. Gohil.
Coord: Amy Bodine (408-885-2051), Building Q, Suite 5Q153, Valley Specialty Center.

MED 321A. Inpatient Medical Oncology Clerkship (SUMC)   S2   Open to Visitors
Offers an intensive, inpatient, subspecialty care experience, equivalent to a subinternship. Students are responsible for 2 to 5 patients who are seriously ill with a broad range of internal medical problems in the setting of underlying malignant disease. Students work with the inpatient team composed of an attending, a medical oncology fellow, a medical resident and 3 medicine interns.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 1 student per period.
Reporting Instructions: Where: Stanford Hospital, F Ground (Oncology Fellow); Time: 8:00 am.
Units: 6     DropCode:     Call Code: 5
Director: Heather Wakelee, M.D.
Other Faculty: Staff
Coord: Sarah Larson (650-724-9705), 875 Blake Wilbur Dr. CC-2233A.

MED 322A. Outpatient Medical Oncology Clerkship (SUMC)   S1   Open to Visitors
Familiarizes students with the subspecialty of medical oncology through subspecialty patient care in clinics and tumor boards and attending the weekly conferences of the Division of Oncology. The experience draws heavily on and will expand skills in internal medicine, emphasizing differential diagnosis, physical examination, utilization of laboratory, X-ray, and imaging studies, as well as approaches to psycho-social problems for patients with suspected or established malignant disease.
Prereq: Medicine 300A .
Periods Avail: 1-12, full-time for four weeks. 3 students per period.
Reporting Instructions: Where: Cancer Center, CC-2233; Time: 9:00 am.
Units: 6     DropCode:     Call Code: 0
Director: Heather Wakelee, M.D.
Other Faculty: Staff
Coord: Sarah Larson (650-724-9705), 875 Blake Wilbur Dr. CC-2233A.

MED 325A. Gastroenterology Clerkship (SUMC)     Open to Visitors
Involves participation in inpatient consultations and outpatient clinics. Students are responsible for evaluating patients with major diseases of the liver and gastrointestinal tract. They assume primary responsibility in both inpatient and outpatient settings and present cases regularly to the faculty attending physician. Daily inpatient rounds are made with the attending physician, fellow, and resident. Clinics are held on Mondays. Clinical conferences and journal clubs are held once weekly.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 1 student per period.
Reporting Instructions: Where: Endoscopy Unit, 300 Pasteur Dr, Basement Room H0262; Time: 8:30 am (Please ask for GI attending fellow).
Units: 6     DropCode:     Call Code: 0
Director: Subhas Banerjee, M.D. (phone: 650-736-0431).
Other Faculty: C. Cartwright, S. Banerjee, A. Lowe, J. Van Dam, S. Shah, L. Nguyen, A. Chen, U. Ladabaum, J. Pasricha, M. Chan, T. Nguyen, L. Becker, N. Fernandez-Becker, T. Winter.
Coord: Carlos Perez (650-736-0431, fax: 650-498-5174).

MED 325B. Gastroenterology Clerkship (PAVAMC)     Open to Visitors
Gives students responsibility for both inpatient consultations and the evaluation and treatment of referred patients in the Gastroenterology clinic. Rounds with the faculty consultant, fellow and resident, as well as GI endoscopic procedures are conducted daily. Conferences on clinical gastroenterology, hepatology, gastrointestinal radiology, and gastrointestinal and liver histopathology are held weekly. A combined medical-surgical conference is held every other week.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four or eight weeks. 1 student per period.
Reporting Instructions: Where: PAVAMC, Bldg. 100, Endoscopy Suite; Time: 8:30 am.
Units: 6 or 12     DropCode:     Call Code: 0
Director: Ramsey Cheung, M.D.
Other Faculty: R. Cheung, R. Soetikno, S. Matsui, B. Omary, S. Friedland.
Coord: Vivian Miller (493-5000 x65083), Rm. B2-130, Bldg.101, PAVAMC (111) .

MED 325C. Gastroenterology Clerkship (SCVMC)     Open to Visitors
This clerkship provides experience in outpatient and inpatient gastroenterology. In the mornings, students will evaluate outpatients referred to GI clinic and will also have an opportunity to observe outpatient endoscopic procedures. In the afternoons, they will participate in inpatient rounds along with the GI fellow and medicine residents rotating on the GI service. Under the supervision of the GI fellow, students will assume primary responsibility for the inpatients they provide consultation on. Students will also have the opportunity to observe inpatient endoscopic procedures performed in patients with acute indications. In addition to direct patient care in the outpatient clinics and inpatient service, students will attend weekly didactic lectures, as well as multiple conferences, including a bi-weekly GI/Surgery conference at SCVMC, bi-weekly GI/Radiology conference at SCVMC, monthly Liver Tumor Board conference at SCVMC, monthly GI/Pathology conference at SCVMC, bi-weekly GI Journal Club at SCVMC, weekly GI Journal Club at Stanford and a weekly multi-disciplinary conference (GI/Surgery/Radiology/Pathology) at Stanford. This clerkship is closed to registration unless given prior approval by Clerkship Coordinator.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 1 student per period.
Reporting Instructions: Where: SCVMC, Valley Specialty Center, 5th Floor, GI Clinic; Time: 8:00 am. On the first day of their rotation, medical students should sign-in at the Housestaff Office at SCVMC, Old Main Building, 7th floor, Room 7C054.
Units: 6 or 12     DropCode:     Call Code: 0
Director: Susan Cummings, M.D. (408-885-7947).
Other Faculty: A. Davila, E. Hwang, A. Kamal, R. Kramer, N. Shah, J. Williams.
Coord: Louise Leprohon (408-885-7947), Louise.Leprohon@hhs.sccgov.org, GI Division, SCVMC.

MED 326A. Hepatology Clerkship (SUMC, PAVAMC, etc.)     Open to Visitors
Involves participation in inpatient consultations for 2 weeks and outpatient clinics for 2 weeks. The goals are to familiarize students with evaluation and management of patients with major liver diseases. Students are responsible for evaluating patients with major diseases of the liver diseases. They assume primary responsibility in both inpatient and outpatient settings and present cases regularly to the faculty attending physician. Daily inpatient rounds are made with the attending physician, fellow, and resident. Clinics are held on Mondays to Friday. Journal clubs are held once weekly. Pathology conferences are held on Thursday and radiology conferences on Friday. Patient care conferences are held on Tuesday and Friday.
Prereq: None.
Periods Avail: 1-12, full-time for four weeks. 2 students per period.
Reporting Instructions: Where: 750 Welch Road #210; Time: 8:30 am.
Units: 6     DropCode:     Call Code: 0
Director: Mindie Nguyen, M.D., MAS (phone: 650-722-4478).
Other Faculty: A. Ahmed, G. Lutchman, T. Daugherty, G. Garcia, P. Gregory.
Coord: Donna Medved (650-498-5691).

MED 330A. Pulmonary Medicine Clerkship-Rotating (SUMC)     Open to Visitors
Helps students develop the attitudes and skills necessary for the evaluation and management of patients with pulmonary disease. Students are expected to understand pulmonary disease in the context of internal medicine, using general as well as specific approaches to diagnosis. The clerkship affords direct patient involvement under supervision in the outpatient clinic and on inpatient consultation services. Critically ill patients with pulmonary disease in the ICU will be evaluated. Pulmonary function tests are evaluated daily, and student involvement in specialized studies is emphasized. Divisional clinical conferences are held weekly, and a joint medical-surgical conference bi-weekly. Each student has the option of spending one-half of the clerkship at the PAVAMC and one-half at the Stanford University Hospital on a rotational basis (that is, two weeks at the PAVAMC and two weeks at Stanford). These options are discussed and determined on the first day of the clerkship.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks (half-time at SUH; half-time at PAVAMC). 2 students per period.
Reporting Instructions: Where: H3147; Time: 8:45 am
Units: 6     DropCode:     Call Code: 1
Director: Peter N. Kao, M.D, Ph.D.
Other Faculty: R. Chitkara, M. Gould, P. Kao, G. Krishna, W. Kuschner, N. Rizk, G. Rosen, S. Ruoss, P. Sarinas, A. Weinacker, D. Upadhyay, R. Zamanian.
Coord: Ashvinder Khanna (650-723-6381), H3147.

MED 330C. Pulmonary Medicine Clerkship (SCVMC)     Open to Visitors
Affords students an opportunity to deal with a broad range of clinical pulmonary problems. Working as part of a busy consulting service, students develop a practical approach to evaluating and managing patients with respiratory disease. The spectrum of patients ranges from ambulatory outpatients, to patients with tuberculosis, to ICU patients with acute respiratory failure. The application of the basic principles of physiology to clinical problems is emphasized. Under supervision, students participate in interpreting pulmonary function tests and other diagnostic procedures.
Prereq: Medicine 300A and consent of instructor.
Periods Avail: 1-12, full-time for four weeks. 1 student per period.
Reporting Instructions: Where: Valley Specialty Center, 5th Floor, Room 5Q153; Time: 8:00 am. On the first day of their rotation, all medical students must sign-in at the Housestaff Office at SCVMC, Room 7C054.
Units: 6     DropCode:     Call Code: 0
Director: Carl Kirsch, M.D.
Other Faculty: V.Chen, F. Kagawa, J. Wehner, V. Mohindra, E. Hsiao, A. Friedenberg.
Coord: Amy Bodine (408-885-2051), Building Q, Suite 5Q153, Valley Specialty Center.

MED 331A. Advanced Work in Pulmonary & Critical Care Medicine (SUMC)     Open to Visitors
The content of this clerkship is flexible. Students can do additional clinical work in Pulmonary and Critical Care Medicine or research work in the Division of Pulmonary and Critical Care Medicine. Specific arrangements for content should be made with the faculty in advance.
Prereq: Medicine 330 and consent of instructor.
Periods Avail: 1-12, full-time for 4 weeks only. 1 student per period.
Reporting Instructions: Where: H3147; Time: 9:00 am.
Units: 6     DropCode:     Call Code: 1
Director: Peter Kao, M.D.
Other Faculty: R. Chitkara, R, Doyle, M. Gould, P. Kao, G. Krishna, W. Kuschner, N. Rizk, G. Rosen, S. Ruoss, P. Sarinas, A. Weinacker, L. Vaszar.
Coord: Ashvinder Khanna (650-723-6381), H3147.

MED 334A. Nephrology Clerkship (SUMC, PAVAMC)     Open to Visitors
Provides students with an introduction to clinical nephrology, including diseases of the kidney and disorders of fluid, electrolyte, and acid-base balance. The clerkship is available at SUMC and the PAVAMC. Students evaluate inpatients as members of the nephrology consulting team and see outpatients in the nephrology and dialysis clinic. They are taught to evaluate and manage a wide variety of acute and chronic disturbances of renal function, as well as hypertension, and fluid and electrolyte disorders. They also participate in the management of patients with end-stage renal failure by chronic dialysis. There is a weekly schedule of grand rounds, journal club, lectures, research conferences, and a monthly renal biopsy conference. Students learn a systematic approach to patients with fluid, electrolyte, and acid-base abnormalities.
Prereq: Medicine 300A, Surgery 300A or Pediatrics 300A are preferred but not required.
Periods Avail: 1-12, full-time for four weeks. 4 students per period. 2 will be assigned primarily at SUMC and 2 at PAVAMC.
Reporting Instructions: Where: 777 Welch Road Suite DE Palo Alto, CA 94304; Time: 8:30 am. Please email Lani Demchak ljlucente@stanford.edu or Tim Meyer twmeyer@stanford.edu the week before you start.
Units: 6     DropCode:     Call Code: 0
Director: Timothy W. Meyer, M.D. (650-493-5000 x63314).
Other Faculty: T. Meyer, R, Lafayette, J. Scandling, J. Tan, Y. Lit, G. Chertow, V. Bhalla, A. Pao, M. Tamura, J. Yabu, N. Arora, R. Isom, T. Chang, S. Anand, T. Sirich, K. Erickson.
Coord: Lani Demchak (650-725-4738), 777 Welch Road Suite DE Palo Alto, CA 94304

MED 334C. Nephrology Clerkship (SCVMC)     Open to Visitors
Students see patients in the outpatient renal clinic, and on an active inpatient service. The diverse patient population at SCVMC enables student to encounter patients with a wide variety of acute and chronic renal diseases, hypertension, and fluid and electrolyte disturbances. The clerkship is also designed to acquaint students with a systematic approach to patients with fluid, electrolyte, and acid-base abnormalities. A series of seminars covering a broad range of topics in nephrology and designed specifically for medical students is given by the faculty. An optional self-study program on fluid and electrolytes consisting of 8 taped lectures with slides is also available. Weekly divisional nephrology conferences are held at SCVMC, and address various topics in nephrology. Additionally, there is a monthly nephrology resident conference, in addition to a monthly renal pathology conference. Videotaped lecture series on the entire field of nephrology are also available.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 2 students per period.
Reporting Instructions: Where: SCVMC, Renal Dialysis Unit, 3rd Floor [Visitors call (408-885-5110) and bring proof of PPD and malpractice insurance as directed]; Time: 8:30 am.
Units: 6     DropCode:     Call Code: 0
Director: Anjali Bhatt Saxena, M.D.
Other Faculty: A. Saxena, J. Lugovoy, A. Jobalia, B. Young, N. Pham, F. Luo, staff.
Coord: Mary Jane Monroe (408-885-7019), SCVMC.

MED 338A. HIV Outpatient Elective (HOPE)   S1   Closed to Visitors
This clerkship provides medical students with an elective course of 2-4 (two-four) weeks of outpatient HIV and sexually transmitted diseases (STD) experience. The Stanford HIV Integrated Program will offer a month of clinical experience in the outpatient management of HIV infection, antiretroviral chemotherapy and evaluation of opportunistic infections and prophylaxis under the supervision of an attending physician and infectious disease fellows. There is also the opportunity to work in a County sexually transmitted infection clinic. Students will be required to attend outpatient HIV clinics at the Palo Alto Vetarans Administration Medical Center, the Stanford affiliated Positive Care Clinic, and the San Mateo County and Santa Clara Valley HIV programs. There is potential flexibility for students interested in a focus area at a specific clinic, or with a specific clinician, to arrange more concentrated clinical work at one of the clinics with permission of the attending. Each student will be asked to choose a small research project consisting of a case, chart or literature review to be presented at the conclusion of the rotation. Students planning on doing the HIV/STD rotation should contact Dr. Levy at vlevy@stanford.edu as soon as possible but at least 8 weeks prior to rotation beginning to verify that there is period availability for the desired period of rotation, and that all needed IDs and computer permits for clinic sites have been obtained.
Prereq: MED 208 or INDE 206 and completion of Internal Medicine core clerkship.
Periods Avail: 3-12, full-time for four weeks. 1 student per period.
Reporting Instructions: Where: Dr. Levy will send the student a schedule, curriculum and orientation materials prior to starting the rotation of clinics and physicians.
Units: 6     DropCode:     Call Code: 0
Director: David Katzenstein, M.D. (650-725-8304).
Other Faculty: Staff
Coord: Vivian Levy, M.D. (vlevy@stanford.edu or 650-573-3987)

MED 339B. Advanced Medicine Clerkship (PAVAMC)   S2   Closed to Visitors
Intended for clinically experienced students who seek an advanced experience similar to an internship.
Prereq: Medicine 300A.
Periods Avail: 1-12, full-time for four weeks. 5 students per period.
Reporting Instructions: Where: First Monday of rotation, Bldg 101; Time: 08:30 a.m.
Units: 6     DropCode:     Call Code: 4
Director: Arlina Ahluwalia, M.D. (493-5000 x66759)
Other Faculty: Staff
Coord: Nicole Pecson (493-5000 x64944), Bldg. 5, 3rd Fl Rm C-367, PAVAMC.

MED 340B. Critical Care Clerkship (PAVAMC)     Open to Visitors
This clerkship provides experience managing adult patients in a critical care unit. Students learn how to optimize care for the acutely ill patient and the multidisciplinary approach to complex patients. Teaching emphasizes the review of basic organ physiology, the ability to determine the pathophysiologic mechanisms involved in critical illness, and the formulation of a physiologic based treatment plan. Students gain experience with the implementation of monitoring and therapeutic devices used in the intensive care units and begin to become adept at the evaluation, stabilization and management of the most critically ill patients expected to be encountered in today's acute care hospitals. Ward rounds, bedside evaluation and treatment, and individual interactions with attending, fellows and residents are part of the educational process. Students must attend mandatory simulator courses in order to receive passing grade for this clerkship. Students wishing to do this clerkship must get approval from Theresa Kramer first before registering. Students must register for Anes 340B for this clerkship.
Prereq: Anesthesia 306A or Medicine and Surgery core clerkships.
Periods Avail: 1-12, full-time for four weeks. 1 student per period.
Reporting Instructions: Where: PAVAMC, MSICU, 3rd Floor; Time: 8:00 am.
Units: 6     DropCode:     Call Code: 4 (weeknights only; no weekends)
Director: Juliana Barr, M.D. (650-493-5000 x64452), Building 1, Room F315, PAVAMC (112A).
Other Faculty: E. Bertaccini, R. Chitkara, G. Lighthall, W. Kuschner, G. Krishna, J. Olsson.
Coord: Theresa Kramer (650-498-5624) H-3580, Stanford Hospital.

MED 342A. Geriatric Medicine Clerkship (SUMC, PAVAMC)   S1   Open to Visitors
This clinical experience introduces students to the principles of effective geriatric care in both inpatient and outpatient settings. Geriatric faculty and fellows work with students in various clinical settings including: 1) outpatient clinics at the VA Palo Alto Health Care System 2) outpatient clinic at Stanford University 3) a community skilled nursing facility in Palo Alto. The rotation emphasizes the evaluation and management of patients with multiple chronic conditions, such as diabetes, congestive heart failure, hypertension, urinary incontinence, mental status changes, functional impairments and gait problems.
Prereq: MED 208 or INDE 206.
Periods Avail: 1-12, full-time for four weeks. 1 student per period.
Reporting Instructions: Where: Arrange with clerkship coordinator; Time: Arrange with clerkship coordinator.
Units: 6     DropCode:     Call Code: 0
Director: Peter Pompei, M.D. (650-498-7417).
Other Faculty: Staff
Coord: Peter Pompei, M.D.

MED 343B. Palliative Care Clerkship (SUMC, PAVAMC, SCVMC)   S1   Open to Visitors
Teaches the natural history, prognostication, and management of serious life limiting illnesses. Emphasis is placed on acquiring the knowledge, skills, and attitudes desirable in a compassionate clinician-scholar physician. Students record history (with special assessment to symptoms, functional assessment, mood and cognitive assessment), physical examination, and pertinent laboratory data for patients for whom they are responsible and present their findings, together with their diagnoses and management care plans, at rounds, and daily team meetings. Provision of patient centered care is continuously emphasized. An essential aspect of the clerkship is the students’ gradual assumption of direct responsibility for, and full-time involvement in, care of patients with serious illness with the house staff, fellows and faculty team. To best leverage the differences in patient populations and faculty of the three core hospitals, students spend two weeks at VA Palo Alto Medical Center in-patient palliative care unit , and two weeks on the palliative care consult service at Stanford Hospital and Clinics as well as in our affiliated home hospice agencies (visitors students may be based only at SHC and VA Palo Alto Medical Center) . The resulting four week experience is an organized learning experience designed to cover the essentials of palliative medicine. A passing grade will require both a satisfactory performance at both clinical sites and a successful 30 minute formal presentation on palliative care topic of interest (student will discuss ideas with Course Director to identify potential topics). Course highlights include (a) mentoring from the course director and or a cadre of mentors including Attendings and Fellows (b) focus on skill building and practice with special focus on communication skills (c) opportunity to work closely with multiple disciplines (d) learning to care for the patient and their family as the unit of care.
Prereq: MED 300A.
Periods Avail: 1-12, for 2 or 4 weeks. 2 students per period.
Reporting Instructions: Where: Report on Day 1 at the VA Palo Alto Health Care System to coordinators office : 3801, Miranda Avenue 100-Modular T5, Palo Alto, CA 94394. Time: 8:30 am.
Units: 6     DropCode:     Call Code: 0
Director: VJ Periyakoil, M.D. (periyakoil@stanford.edu).
Other Faculty: Staff
Coord: Farrel Quadra (650-493-5000 x65039, Fquadra@stanford.edu).

MED 344A. Elective in Quality Improvement, Patient Safety, and Organizational Change Clerkship (SUMC)     Open to Visitors
Mentored practice and growth in knowledge, skills, and attitudes in quality improvement, patient safety, and organizational change. Students engage in directed readings, attend sessions with experienced QI Champions, learn about quality improvement projects and processes at Stanford University, participate in ongoing quality and patient safety activities within the Department of Medicine and Stanford Hospital and Clinics, and design and begin a quality improvement/patient safety/organizational change project. Designed to allow the student to develop a mentoring relationship with a QI Champion who will serve as a role model, mentor, and educator. Contact Kambria Hooper Evans at khevans@stanford.edu if interested.
Prereq: None.
Periods Avail: 1-12, full-time for four weeks. 3 students per period.
Reporting Instructions: Where: 700 Welch Road, Suite 310B, Palo Alto, CA 94304; Time: TBA.
Units: 6     DropCode:     Call Code: 0
Director: Lisa Shieh, M.D., Ph.D, FHM (650-724-2917, lshieh@stanford.edu)
Other Faculty: K. Hooper, L. Shieh.
Coord: Kambria Hooper Evans (650-725-8803), 700 Welch Road, Suite 310B.

MED 398A. Clinical Elective in Medicine (SUMC, PAVAMC, SCVMC, KPMC)     Closed to Visitors
Provides an opportunity for a student in the clinical years to have a clinical experience in one of the fields of Medicine, of a quality and duration to be decided upon by the student and a faculty preceptor in the Department of Medicine. Please note: Students cannot add 398A clerkships directly to their fishbowl schedules through the regular shuffles. Please contact Caroline Cheang in the Office of Student Services at cheang@stanford.edu or 650-498-7619 with the faculty preceptor’s name and email address to add this clerkship.
Prereq: MED 208 or INDE 206.
Periods Avail: 1-12.
Reporting Instructions: Where: TBA (designated faculty preceptor); Time: TBA
Units: 1 to 12     DropCode:     Call Code: 0 (varies according to preceptor)
Director: Abraham Verghese, MD, MACP (650-721-6966).
Other Faculty: Staff
Coord: Nancy D’Amico (650-721-1640), Room S101, MC 5109.

* "S1"=Selective Clerkship Category I (Basics in Clinical Care)
"S2"=Selective Clerkship Category II (Subinternship)

 

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