Courses Descriptions

Columbia, SC 29208 | 803.777.7000

Greenville

Courses

M1 Required Courses

GMED G601 - Integrated Practice of Medicine I

Credits: 6

The first half of the M1 IPM Course: The Integrated Practice of Medicine is a multi-year module that prepares students for the multi-faceted aspects of clinical medicine including application of basic science knowledge, clinical proficiency in physical diagnosis, diagnostic testing and fundamental therapeutic procedures, patient interactions, population health, effective communication skills, behavioral and social considerations, team-based health care delivery, ethical issues, professionalism, life-long learning, research and evidence-based practice. The Integrated Practice of Medicine-1 (IPM-1) Module is presented in a “Case of the Week” format, and provides an introduction to history taking, physical examination skills, clinical reasoning, and patient-centered care. The structure of this module focuses on a team-based approach to clinical problem-solving that includes the application of basic science knowledge and social science concepts to patient care. Weekly, student teams will focus on a clinical case and identify the problem, formulate hypotheses, and develop a comprehensive approach to the case. Students will examine the role of psychological, social, behavioral, economic, and environmental factors in the health of individuals and populations. Through this process, IPM-1 will promote an understanding of patients in their varying contexts: as individuals, in a societal context, within the healthcare delivery system, and as members of a larger population. The premise of the material is that an understanding of the multifactorial aspects of health and the need to understand patients as individuals is necessary for the provision of high quality, patient-centered care. Throughout the year, students will learn to perform physician examinations. Students will begin to develop strategies to formulate differential diagnoses and explain the underlying basic science principles that lead to their hypotheses. Students will practice evidence-based strategies to support their differential diagnoses for each case.

Note: Pass/Fail/Honors

GMED G602 - Integrated Practice of Medicine II

Credits: 6

The second half of the M1 IPM course: The Integrated Practice of Medicine is a multi-year module that prepares students for the multi-faceted aspects of clinical medicine including application of basic science knowledge, clinical proficiency in physical diagnosis, diagnostic testing and fundamental therapeutic procedures, patient interactions, population health, effective communication skills, behavioral and social considerations, team-based health care delivery, ethical issues, professionalism, life-long learning, research and evidence-based practice. The Integrated Practice of Medicine-1 (IPM-1) Module is presented in a “Case of the Week” format, and provides an introduction to history taking, physical examination skills, clinical reasoning, and patient-centered care. The structure of this module focuses on a team-based approach to clinical problem-solving that includes the application of basic science knowledge and social science concepts to patient care. Weekly, student teams will focus on a clinical case and identify the problem, formulate hypotheses, and develop a comprehensive approach to the case. Students will examine the role of psychological, social, behavioral, economic, and environmental factors in the health of individuals and populations. Through this process, IPM-1 will promote an understanding of patients in their varying contexts: as individuals, in a societal context, within the healthcare delivery system, and as members of a larger population. The premise of the material is that an understanding of the multifactorial aspects of health and the need to understand patients as individuals is necessary for the provision of high quality, patient-centered care. Throughout the year, students will learn to perform physician examinations. Students will begin to develop strategies to formulate differential diagnoses and explain the underlying basic science principles that lead to their hypotheses. Students will practice evidence-based strategies to support their differential diagnoses for each case.

Note: Pass/Fail/Honors

GMED G605 - Emergency Medical Technician

Credits: 5

The Emergency Medical Technician (EMT) course is a minimum State-required 200 hour program that teaches the practice of emergency healthcare delivery to patients who become unexpectedly ill or injured. The course focuses on examining the role and competencies of the prehospital care provider and exposes the student to the many psychological, social, behavioral, economic, and environmental factors in the health of individuals and populations. The course culminates in a field exercise that serves as a capstone for the didactic and experiential skills learned. Following successful course completion, students will take a National Registry psycholmotor skill and written examination, and become certified as a South Carolina EMT. This course will be organized according to the folowing sections: 1) Introduction and Preparation, 2)Patient Assessment, 3)Airway Management, 4)Medical Emercencies, 5) Traumatic Emergencies, 6) EMS Operations. Additionally, principle concepts relevant to non-clinical aspecxts of medicine including ethics, communication, and professionalism will be integrated into material across content area domains. The Premise of the material is that an understanding of the multifacorial aspects of health and the need to understand patients as individuals is nevessary for the provision of high quality, patient-centered care.

Note: Pass/Fail/Honors

GMED G620 - Molecular and Cellular Foundations of Medicine

Credits: 3

This instructional module vertically integrates the disciplines ofmolecular biology, genetics, and cell biology along with an introduction to biochemistry as the foundation of understanding the human body at the molecular and cellular level. Students will be introduced to cellular structure and its influence on cellular communication, organization and integration of cellular functions, utilization of biomolecules in metabolic pathways, and processes of cell division and transmission of genetic information. The goal of this module is an understanding of the biology and biological processes of healthy humans from the molecular to cellular scale, processes and patterns of inheritance, and the role of genomics in medicine.

Note: Restricted to medical students

GMED G630 - Structure and Function of the Human Body I

Credits: 7

This module will focus on the gross anatomy of the human body from a clinically relevant perspective. Knowledge of this information will be fully integrated in real time to learning physical examination and EMT evaluation skills. Imaging techniques including x-ray, ultrasound, computerized tomography and magnetic resonance will be applied and compared with respect to information they provide in the clinical analysis of structure function relationships and the consequences of abnormalities in health and disease.

Note: Restricted to medical students

GMED G635 - Structure and Function of the Human Body II

Credits: 7

A multidisciplinary approach to fully integrate the basic disciplines of Histology, Embryology, Biochemistry and Physiology of the human body. The instructional module builds upon the information in the Foundations module to understand the interaction and communication of cells to form tissues, the embryological development and differentiation of tissues into organ systems, the organization and function of tissues and organ systems, and the dynamic relationship between structure and physiological functions.

GMED G640 - Neuroscience

Credits: 3

The Neuroscience module provides the basis for understanding the structure and function of the nervous system from the cellular level, to the living patient. The electrochemical basis of neurotransmission, autonomic vs. somatic systems, feedback mechanisms, reflexes, and special senses will all be addressed from the peripheral nerves to central monitoring and processing within the brain. Students will incorporate imaging techniques with dissection to visualize the three dimensional perspective of the nervous system.

Note: Restricted to medical students

GMED G650 - Defenses and Responses

Credits: 3

The Defenses and Responses module is focused on understanding the immune system and mechanisms by which the body defends against pathophysiological and pathological influences, including infectious organisms and malignant transformations. This module also addresses how abnormalities in the immune system lead to disease, from infection to autoimmune disorders. Integrated within this module is the basic introduction to pathology, understanding pathogenesis, and the study of the body’s response to disruptions including those induced by trauma, infection, congenital defects and drugs.

M2 Required Courses

GMED G610 - Integrated Practice of Medicine III

Credits: 7

Clinical Diagnosis and Reasoning I is a 2 semester module (2 credits/semester) focused on an interprofessional approach to the application of basic knowledge for clinical problem solving. Teams of students from different health care professions will focus on a clinical case related to the information and experiences from their different educational programs during the week. They will identify the problem, formulate hypotheses, and develop a comprehensive approach to the case. Resolution of these cases requires development of a differential diagnosis, explanation of underlying basic science principles of the problem, and development of diagnostic, treatment, and long term follow-up and maintenance plans for each patient case. Each case will be enriched with ethical, cultural, psychosocial, and epidemiological considerations. The comprehensive patient care plans developed by these teams will demonstrate the use of evidence based medicine and information resources, and an understanding of the validity of these sources based on levels of evidence.The first half of the M2 IPM course: The Integrated Practice of Medicine is a multi-year module that prepares students for the multi-faceted aspects of clinical medicine including application of basic science knowledge, clinical proficiency in physical diagnosis, diagnostic testing and fundamental therapeutic procedures , patient interactions, population health, effective communication skills, behavioral and social considerations, team-based health care delivery, ethical issues, professionalism, life-long learning, research and evidence-based practice. The Integrated Practice of Medicine-2 (IPM-2) Module is presented in a “Case of the Week” format, and provides an introduction to history taking, physical examination skills, clinical reasoning, and patient-centered care including cost effective knowledge of appropriate diagnostic studies and fundamental therapeutic procedures. The structure of this module focuses on a team-based approach to clinical problem-solving that includes the application of basic science knowledge and social science concepts to patient care. Weekly, student teams will focus on a clinical case and identify the problem, formulate hypotheses, and develop a comprehensive approach to the case. Students will examine the role of psychological, social, behavioral, economic, and environmental factors in the health of individuals and populations. Through this process, IPM-2 will promote an understanding of patients in their varying contexts: as individuals, in a societal context, within the healthcare delivery system, and as members of a larger population. The premise of the material is that an understanding of the multifactorial aspects of health and the need to understand patients as individuals is necessary for the provision of high quality, patient-centered care. Throughout the year, students will learn to perform physician examinations understand the role of appropriate diagnostic studies and procedures including fundamental therapeutic procedures. Students will begin to develop strategies to formulate differential diagnoses and explain the underlying basic science principles that lead to their hypotheses. Students will practice evidence-based strategies to develop diagnostic, procedural, treatment, follow-up and maintenance plans for each case.

Note: Restricted to medical students OR by permission of the Associate Dean for Education
Pass/Fail/Honors

GMED G611 - Integrated Practice of Medicine IV

Credits: 4

The second half of the M2 IPM course: The Integrated Practice of Medicine is a multi-year module that prepares students for the multi-faceted aspects of clinical medicine including application of basic science knowledge, clinical proficiency in physical diagnosis, diagnostic testing and fundamental therapeutic procedures , patient interactions, population health, effective communication skills, behavioral and social considerations, team-based health care delivery, ethical issues, professionalism, life-long learning, research and evidence-based practice. The Integrated Practice of Medicine-2 (IPM-2) Module is presented in a “Case of the Week” format, and provides an introduction to history taking, physical examination skills, clinical reasoning, and patient-centered care including cost effective knowledge of appropriate diagnostic studies and fundamental therapeutic procedures. The structure of this module focuses on a team-based approach to clinical problem-solving that includes the application of basic science knowledge and social science concepts to patient care. Weekly, student teams will focus on a clinical case and identify the problem, formulate hypotheses, and develop a comprehensive approach to the case. Students will examine the role of psychological, social, behavioral, economic, and environmental factors in the health of individuals and populations. Through this process, IPM-2 will promote an understanding of patients in their varying contexts: as individuals, in a societal context, within the healthcare delivery system, and as members of a larger population. The premise of the material is that an understanding of the multifactorial aspects of health and the need to understand patients as individuals is necessary for the provision of high quality, patient-centered care. Throughout the year, students will learn to perform physician examinations understand the role of appropriate diagnostic studies and procedures including fundamental therapeutic procedures. Students will begin to develop strategies to formulate differential diagnoses and explain the underlying basic science principles that lead to their hypotheses. Students will practice evidence-based strategies to develop diagnostic, procedural, treatment, follow-up and maintenance plans for each case.

Note: Restricted to medical students
Pass/Fail/Honors

GMED G660 - Biomedical Principles of Disease and Therapy

Credits: 3

Presents core concepts underlying organisms of infectious disease, disease vectors, modes of transmission, mechanisms of pathogenesis, and pharmacologic principles of treatment. These principles lay the foundation to an understanding of the infectious diseases of the different organ systems and a basic epidemiologic approach to prevention and treatment. In addition, basic principles of pharmacokinetics will be discussed as related to an understanding of the development of therapeutic regimens, the importance of pharmacogenomics, manipulation of kinetics for enhanced therapeutic response or treatment of drug overdose, and avoidance of adverse drug interactions. Pharmacodynamics will explore the mechanisms of drug action as related to receptor signaling mechanisms, mechanisms of resistance, toxicity and margins of safety.

Note: Restricted to medical students

GMED G665 - Mind, Brain, and Behavior

Credits: 3

The Mind, Brain and Behavior Module focuses on the pathology, pathophysiology, signs and symptoms, diagnostic methods, and drugs used for the treatment of neurological disorders including psycho-affective disorders. This module emphasizes the ongoing development of clinical reasoning skills, an understanding of the clinical-pathologic correlations of the diseases, and skills of critical judgment based on evidence. Diagnostic methods and procedures, their indications, contraindications, and complications will be discussed. An understanding of ethical, psychosocial, and cultural factors that affect patient behavior and influence treatment plans will be integrated into the topics presented in this module.

Note: Restricted to medical students

GMED G671 - Cardiovascular/Pulmonary/Renal

Credits: 7

The Cardiovascular, Pulmonary and Renal module is an integrated multidisciplinary overview of major diseases of the heart, vasculature, lungs, kidney and lower urinary tract. This module builds upon knowledge learned in Year 1. Descriptions of the pathophysiological and histological processes associated with common cardiovascular, pulmonary and renal disease will be given through active lecture and case studies. Examples of other systems (e.g. endocrine) generating cardiopulmonary and renal disorders will be included. Disease etiology, clinical presentation, and evidence-based clinical management will be emphasized. Diagnostic techniques will be evaluated and compared with respect to the information they provide in the clinical analysis and treatment of these diseases. The educational format will include active lectures, self-learning modules, microscope laboratories and small-group learning.

Note: Restricted to medical students; Standard A-F grading

GMED G675 - Hematology and Oncology Systems

Credits: 2

Focuses on the pathology, pathophysiology, signs and symptoms, diagnostic methods, and drugs used for the treatment of disorders related to the hematopoietic systems, and to an understanding of the principles of neoplastic diseases. This module emphasizes the ongoing development of clinical reasoning skills, an understanding of the clinical-pathologic correlations of the diseases, and skills of critical judgment based on evidence. Diagnostic methods and procedures, their indications, contraindications, and complications will be discussed. An understanding of ethical, psychosocial, and cultural factors that affect patient behavior and influence treatment plans will be integrated into the topics presented in this module.

Note: Restricted to medical students

GMED G680 - Musculoskeletal and Dermatology Systems

Credits: 2

Focuses on the pathology, pathophysiology, signs and symptoms, diagnostic methods, and drugs used for the treatment of disorders related to these organ systems. This module emphasizes the ongoing development of clinical reasoning skills, an understanding of the clinical-pathologic correlations of the diseases, and skills of critical judgment based on evidence. Diagnostic methods and procedures, their indications, contraindications, and complications will be discussed. An understanding of ethical, psychosocial, and cultural factors that affect patient behavior and influence treatment plans will be integrated into the topics presented in this module.

Note: Restricted to medical students

GMED G685 - GI and Hepatic System

Credits: 2

The GI and Hepatic Systems Module focuses on the pathology, pathophysiology, signs and symptoms, diagnostic methods, and drugs used for the treatment of disorders related to these systems. This module emphasizes the ongoing development of clinical reasoning skills, an understanding of the clinical-pathologic correlations of the diseases, and skills of critical judgment based on evidence. Diagnostic methods and procedures, their indications, contraindications, and complications will be discussed. An understanding of ethical, psychosocial, and cultural factors that affect patient behavior and influence treatment plans will be integrated into the topics presented in this module.

Note: Restricted to medical students

GMED G695 - Endocrine and Reproductive Systems

Credits: 3

The Endocrine and Reproductive Systems Module focuses on the pathology, pathophysiology, signs and symptoms, diagnostic methods, and drugs used for the treatment of disorders related to these systems. This module emphasizes the ongoing development of clinical reasoning skills, an understanding of the clinical-pathologic correlations of the diseases, and skills of critical judgment based on evidence. Diagnostic methods and procedures, their indications, contraindications, and complications will be discussed. An understanding of ethical, psychosocial, and cultural factors that affect patient behavior and influence treatment plans will be integrated into the topics presented in this module.

Note: Restricted to medical students

M2 Elective Courses

FPMD G670 - Occupational Medicine/ Physical Medicine and Rehabilitation Elective

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Occupational Medicine/Physical Medicine and Rehabilitation. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

GENE G670 - Genetics Elective

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Genetics. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

MEDI G670 - Dermatology

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Dematology. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

MEDI G671 - Genetics

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Genetics. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

MEDI G672 - Internal Medicine Private Practice

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Internal Medicine. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

NEUS G670 - Neurological Surgery

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Neurologic Surgery. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

OPTH G670 - Ophthalmology Elective

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Opthalmology. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

ORSU G670 - Orthopedic Surgery

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Orthopedic Surgery. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

PAMB G670 - Pathology and Laboratory Medicine

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Pathology and Laboratory Medicine. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

PEDI G670 - Pediatrics Private Practice

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Pediatrics. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

RADI G670 - Radiology Elective

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Radiology. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

SURG G670 - Anesthesiology

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Anesthesiology. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

SURG G671 - Emergency Medicine Elective

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Emergency Medicine. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

SURG G672 - Otolaryngology Elective

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Otolayngology. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

SURG G673 - Plastic Surgery Elective

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Plastic Surgery. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

SURG G674 - Urology Elective

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Urology. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

SURG G675 - Radiologic Oncoloy/Medical Oncology/Surgical Oncology

Credits: 2

This elective is offered to students who have satisfactorily completed their 2nd year course requirements. The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Radiologic Oncology, Medical Oncology, and Surgical Oncology. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians.

M3 Required Courses and Clerkships

FPMD G700 - Family Medicine Clerkship

Credits: 7

This clerkship is designed to be a clinical experience in which the concepts taught in the first two years are applied in actual practice. During the rotation, students spend two weeks at the Center for Family Medicine, two weeks on the inpatient team at Greenville Memorial Hospital, and two weeks working with a community/rural preceptor within the Greenville Health System network. During the time spent in Greenville Memorial Hospital and on our hospital service, students are assigned with faculty and/or residents to care for patients under their supervision. They perform complete initial evaluations on new patients in addition to caring for those with established problems. An opportunity is provided to work with nurses and other paramedical personnel in the team setting. This portion of the clerkship also offers opportunities for the student to review his/her performance and to receive guidance in improving interviewing skills. All students spend two weeks of the clerkship in the offices of family physicians in private practices in suburban and rural settings. This gives the student an opportunity to experience health delivery from the standpoint of the community physician. The student will be assigned to a community practice in the Upstate or Greenville area. Students may request to rotate at approved clinical sites from other locations (some students pursue opportunities in their hometown) but it will be the student’s responsibility to arrange housing. The student may participate in both outpatient and in-hospital patient care in these community settings.

GMED G702 - Integrated Practice of Medicine V

Credits: 1

The Integrated Practice of Medicine (IPM) is a multi-year longitudinal module that prepares students for the multi-faceted aspects of clinical medicine including application of basic science knowledge, clinical proficiency in physical diagnosis, diagnostic testing and fundamental therapeutic procedures , patient interactions, population health, effective communication skills, behavioral considerations, team-based health care delivery, ethical issues, professionalism, life-long learning, research and evidence-based practice. The first half of the M3 IPM Curriculum, IPM-V is designed to facilitate the students’ transition into the real world of health care delivery as practicing professionals. Building on clinical experiences via third-year clerkships, students discuss the importance and application of topics such as quality and risk management, medical-legal issues, advanced diagnostics, lifestyle medicine, and medical practice in the context of societal challenges. Proficiency in the maintenance of competency in basic and advanced procedural skills will be integrated into the curriculum throughout IPM-V. Student-led interdisciplinary grand rounds, revisiting the biomedical sciences and including the psychosocial and behavioral aspects of patient care are facilitated by interprofessional panels of content experts.

Note: Restricted to medical students
Pass/Fail

GMED G703 - Integrated Practice of Medicine VI

MEDI G700 - Internal Medicine Clerkship

Credits: 7

During the seven-week inpatient/outpatient block, patients admitted to the hospital are assigned to the students for history taking and physical examination. Students then participate in diagnostic and therapeutic decisions concerning their patients and follow them throughout their hospital stay. They are responsible for daily notes and orders under the supervision of the residents and the attending physician on the service. In addition to daily rounds with the ward team, there is a program of noon-time conferences and grand rounds presentations that the students are expected to attend. They also meet with the clerkship directors, faculty, and residents on a regular basis for educational conferences. Formal didactic sessions will be held. The rotation is designed to help develop the student’s clinical skills and to direct his or her approach to patient care towards a problem-oriented frame. Also, through active participation, the student should observe the diagnostic process as it unfolds and develop his/her own method of evaluating clinical problems.

NPSY G700 - Psychiatry/Neurology Clerkship

Credits: 9

The Neurology and Psychiatry clerkship is designed to teach students the skills that are required for any competent physician regardless of specialty. The curriculum is integrated over 8 weeks with four weeks of experience in each area with a final week for integration and testing. Additionally, the didactic curriculum will be a combined and blended over the 8 weeks with a large proportion being case based clinical education. The didactic and rotational education will build from the M1 and M2 knowledge of neurosciences. The expectation at the conclusion of the clerkship is that the student will have the ability to obtain an appropriate history, examination, referral and treatment of patients at the level expected of a general medical practitioner. The Neurology portion of the clerkship will incorporate both inpatient and outpatient experiences including exposure to areas integral to the optimal management of neurological disease such as rehabilitation, palliative care and neurosurgery. The expectation at the conclusion of the clerkship is that the student will have the ability to obtain an appropriate history and examination, localize the lesion and develop a differential diagnosis. The ability to develop an initial evaluation and treatment plan is also emphasized. The Psychiatry portion of the clerkship will incorporate both inpatient and outpatient experiences including exposure to areas integral to the optimal management of psychiatric diseases as well as potential rotations in Emergency and Consultation services. These rotations will be primarily located at the GMH campus but may also include Harris Psychiatric Hospital, the Brownell Center-Simpsonville, as well as one or more of the community mental health centers. In addition to rotational exposure, students will have experience in AA meetings and electroconvulsive therapy.

OBGY G700 - Obstetrics and Gynecology Clerkship

Credits: 7

The 6 week Clinical Clerkship in Obstetrics & Gynecology is designed to be a comprehensive educational experience that fulfills the learning objectives recommended by the Association of Professors of Gynecology and Obstetrics. The best environment for student learning is one in which expectations are clear, both student and teacher have defined responsibilities, and consequences of behavior are consistent and reliable. Creating an optimal learning environment requires an equal commitment from the teachers (faculty, residents) and learners (students). Towards this end, this curriculum draws upon three sources of learning: Direct Patient Care, Structured Didactics, Self-Directed Study. Learning obtained through direct patient care is divided into 4 clinical venues: Community-based preceptors, Inpatient obstetrics, Gynecologic surgery, and Ambulatory OBGYN. Both the Community-Based and Inpatient Obstetrics blocks are 2 weeks in duration whereas Gynecologic Surgery and Ambulatory OBGYN are each 1 week in duration. All clinical blocks involve participation in direct patient care under the supervision of resident staff and faculty. Primary modes of instruction include teaching rounds, lectures, and conferences. The last week (week 7) of the clerkship will include Assessments, Medicine & Society, and Research. Modes of assessment include the Obstetrics and Gynecology NBME subject examination, an Objective Structured Clinical Evaluation (OSCE), an Objective Structured Assessment of Technical Skills (OSAT), and Oral Examination. The goal of the clerkship is to introduce medical students to the unique aspects of the medical care of women. In the process they are exposed to the specific type of practice encompassing OB/GYN.

PEDI G700 - Pediatrics Clerkship

Credits: 7

The pediatrics clerkship is designed to serve as an introduction to general pediatrics. In addition to gaining specific knowledge of common and classic pediatric pathologies, the student will refine skills in obtaining an accurate history from the patient and family, performing a physical exam on pediatric patients, and developing appropriate diagnosis and management plans. Students will have exposure to multiple pediatric conditions, both acute and chronic, newborn care, well child care, adolescent health maintenance, safety and prevention, and exposure to a patient centered medical home. Special attention is paid to the role physical, cognitive, emotional, and developmental stages play in pediatric medicine. Rotation schedule: The student will spend 3 weeks on the pediatric inpatient service where they will function as a member of the health care team under the direct supervision of residents and attendings. Student will be expected to take overnight call with their supervising resident during this block of the rotation. The students will spend one week in the newborn nursery where they will focus on care of the newborn and perform circumcisions . One evening this week will be spent in the NICU. There will also be two weeks of exposure to the outpatient practice of pediatrics including time at the Center for Pediatric Medicine and subspecialty pediatric practices. During these two weeks, the student will spend an evening in the Pediatric Emergency Department. The last week (week 7) of the clerkship will include review, integration, Medicine & Society, and assessment.

SURG G700 - Surgery Clerkship

Credits: 7

The Surgery Clerkship is a seven week required clerkship in the third year consisting of primarily inpatient and outpatient experiences. Under the supervision of attending staff physicians and residents, students spend variable amounts of time on general surgery, vascular surgery, and trauma. Students continue to develop skills in medical history-taking, physical examination, and the use of laboratory data in an organized fashion to understand surgical diseases. During this clerkship, students should develop an understanding of the metabolic and physiologic effects of injury and trauma; correlate disordered physiology with the surgical pathologic process; recognize surgical illness and the place of operative intervention in treatment of diseases; understand the impact of surgery on the patient and family, including the psychological and socioeconomic changes that result from an operation; and acquire surgical techniques and skills basic to all physicians, including wound care, suture technique, and the ability to assist in the operating room. Primary methods of instruction include self directed study, case-based discussion/presentation, conferences, small-group discussion, and teaching rounds. Modes of assessment include the Surgery NBME subject examination, clinical evaluations, and an Objective Structured Clinical Examination (OSCE). Student teaching on the wards is provided by direct interaction with all level of the staff, including faculty, senior and junior house staff. Students should expect to scrub on all cases. They should meet patients they have operated on daily. They should strive to write orders with resident supervision. Students are also expected to attend the weekly surgery clinic, morbidity and mortality conference, and grand rounds, as appropriate. The overall goal of the clerkship is to provide relevant experiences for the student in the care of the patients with both acute and elective surgical problems.

M3 Selective Courses

ANES G710 - Anesthesiology

Credits: 2

The anesthesia clinical rotation will provide the medical students with hands on experiences at airway management including bag/mask ventilation, laryngoscopy, and intubation. The student will learn basic principles of anesthetic management and the indications for different general and regional anesthetic techniques. He/she will also experience a practical review and refinement of pharmacology and physiology in the clinical setting. Students will also receive an overview of acute and chronic pain management.

EMED G710 - Emergency Medicine

Credits: 2

This two week elective is designed for second and third year medical students who are interested in gaining in depth exposure to the specialty of Emergency Medicine. Students rotate through a variety of clinical settings, including the level one trauma center and tertiary care facility of Greenville Memorial Hospital and the outlying community emergency departments of Hillcrest in Simpsonville and Greer Memorial in Greer. Rotations at Greenville Memorial Hospital may include time in the Children’s Emergency Center, Critical Care, and Intermediate Care. The Emergency Medicine rotation will introduce students to the principles of acute care medicine. Students will have the opportunity to evaluate patients, formulate effective testing and treatment strategies , and arrive at dispositions. Active participation in patient care and procedural skills are emphasized in a strictly supervised setting.

FPMD G710 - Sports Medicine

Credits: 2

This course is designed to give medical students exposure to full complement of Sports Medicine Care. You will spend time with certified athletic trainers in/at their high school training room/events, physical therapists treating acute and overuse athletic injuries, and physicians and surgeons practicing Sports Medicine.

FPMD G715 - Rural Medicine

Credits: 2

This elective is designed to offer the student an intensive rural family/suburban medicine experience. The student will have a “hands on” experience working with patients in the office of a small town family physician. During this time, the student will be precepted by the community physician and learn first-hand of the unique issues these physicians face in the delivery of health care in a rural setting. The student will have the opportunity to learn the benefits of a team approach to health care through interaction with nurse practitioners and other health care professionals. The student will also acquire first-hand information about the lifestyle of primary care physicians in the rural/suburban setting and the impact they have on their patients and their community. Finally, the student will be introduced to practice management issues pertaining to private practice in a rural/suburban setting. The elective offers rotations in several small communities within reasonable driving distances from Greenville. Other sites are available which will allow the student to stay in the community to better experience the lifestyle of a small town physician. It is important that arrangements be made for selecting the practice site as early as possible, preferably with at least 6 weeks lead time.

GENE G710 - Genetics Elective

Credits: 2

This medical student rotation in Clinical Genetics is largely observational and will provide an introduction to this specialty that focuses on the genetic disorders that impact the physical, emotional, and/or developmental well-being of infants, children, adolescents, and adults. The student will observe and participate in the evaluation and management of individuals with known or suspected genetic disorders. The student will have the opportunity to interact with members of the multidisciplinary team that includes physicians, genetic counselors, genetic service coordinators, and genetic clinic coordinators. There will also be an opportunity to learn about the outreach efforts and collaborative projects with community and state agencies that are focused on promoting healthy child development and supporting families with children who have special needs.

MEDI G710 - Cardiology

Credits: 2

Students are assigned to work with a specific group of cardiologists. Students will be assigned specific patients to examine and follow hospitalized and ambulatory patients. It shall be the student’s responsibility to record a history and physical examination on each assigned patient. History and physical findings will be presented to the attendings on rounds, and students will participate in rounds each day. There is an opportunity to observe procedures done on patients in the unit which include pacemaker insertion, cardioversion, hemodynamic monitoring, coronary angiography, and stress testing. The 20 bed Coronary Care Unit and 34 bed post-CCU offer excellent updated physical facilities for this experience. The Cardiac Clinic meets once each week and provides an opportunity to review the history and physical findings on a variety of cardiovascular problems. Considerable emphasis is placed on instruction and interpretation of electrocardiograms. The student is responsible for interpreting an average of 10 records a day. There will be a review session each day with one attending to review all interpretations of EKGs. At these sessions, students receive ongoing instruction in electrocardiography, as well as reading assignments. Other graphics, included M Mode echocardiography, 2-D echocardiography, and phonoechocardiography, color Doppler and angiograms are also included to a lesser degree.

MEDI G715 - Pulmonary Teaching Service

Credits: 2

This elective is designed to give students exposure to the evaluation and management of patients with pulmonary disease. Emphasis is placed on differential diagnosis of various clinical and radiologic problems in pulmonary disease. The use and interpretation of pulmonary function tests as well as the role of bronchoscopic and other diagnostic procedures will be reviewed. Students will have the opportunity to observe bronchoscopy.

MEDI G720 - Pulmonology Critical Care Elective

Credits: 2

This elective presents students the opportunity to manage critically ill patients in the Intensive Care Unit. Together with their teams, students take in-house overnight call every fifth night, usually admitting 2-3 new patients each call night with maximum census of 6-8 patients for ongoing care. Patient load may be adjusted as needed based on student comfort and patient complexity. Students evaluate all assigned patients, completing and recording the medical interview, physical examination, diagnostic assessment, and management plan. Students reevaluate their impressions on daily rounds and in teaching conferences with the Pulmonary/Critical Care faculty. Students will also have the opportunity to observe bronchoscopy.

MEDI G725 - Infectious Disease

MEDI G730 - Clinical Hematology/Oncology

Credits: 2

Student will be paired with preceptors in a busy consultative hematology/oncology practice involving inpatient and outpatient diagnosis and treatment. Patients with hematological neoplasms, immunohematological problems including blood banking problems, clotting difficulties, various cytoses and cytopenias, and patients undergoing plasmapheresis for a variety of disorders are evaluated and discussed. The student will also be exposed to and be involved in various aspects related to all stages in the diagnoses and management of malignant disorders. The student can expect to attend daily Internal Medicine conferences. At the conclusion of the rotation, the student should be able to reasonably approach a patient with various cytopenias, clotting disorders and hematological neoplasms as well as solid tumors.

MEDI G735 - Nephrology

Credits: 2

The medical student will round daily with the attending physician; all aspects of nephrology and hypertension will be discussed. Acid base electrolytes, water metabolism and other subjects of interest will be discussed daily by the attending. The format of these discussions with be on a one-to-one basis with preassigned topics. The student will be in inpatient and outpatient settings, where under supervision, they will be able to examine urinary sediments. The student will evaluate both inpatients on various specialty services and outpatients on the Nephrology Consultation Service. The student will present and discuss these patients with staff attending nephrologists and be guided to the appropriate reading on topics related to these patients.

MEDI G740 - Gastroenterology Elective

Credits: 2

The Gastroenterology and Hepatology medical student elective will involve the student seeing general GI and liver patients in an outpatient setting and also watching endoscopic procedures (EGD, colonoscopy, etc) performed by a gastroenterologist. The student may have additional involvement in inpatient consults.

MEDI G745 - Geriatrics

Credits: 2

The Geriatrics and Palliative Medicine elective is designed to help the student expand on prior experiences to advance knowledge of common Geriatrics Syndromes and improve skills in Geriatric patient assessment. The student will have the opportunity to engage in patient care in a variety of settings including acute care, outpatient care and long term care facilities with a focus on frail elderly patients. By the end of the rotation, the student will be required to demonstrate skills in functional, cognitive and social assessment. We encourage opportunities for student research and participation in program development.

MEDI G750 - Rheumatology

Credits: 2

This elective rotation is designed to provide students with an overview into rheumatic diseases such as various arthritides and connective tissue disorders. Diseases include, but are not limited to, rheumatoid arthritis, psoriatic arthritis, gout, osteoarthritis, lupus, scleroderma, vasculitis, inflammatory myositis. The student will observe, in an outpatient clinic setting, the stepwise approach into diagnosis and treatment of rheumatic disease. Emphasis will be placed on learning the basics of a musculoskeletal history and pertinent physical examination findings.

MEDI G755 - Dermatology

Credits: 2

Second year medical students may choose to spend two weeks in a private dermatology office. The student will be assigned to follow a specific dermatologist in the group which may change on various week days, but the rotation consists of full days, Monday through Friday. When there is a GHS Dermatology Clinic, the student should be in attendance at that clinic rather than in the private office. Each student will follow their assigned dermatologist as he/she sees patients throughout the day. They will be expected to read about various dermatologic conditions observed during these times. Dermatology text books, journals and other reference materials will be made available. Students may be allowed to assist with minor surgeries and procedures. In addition to following the dermatologist, a core curriculum will be provided to familiarize the students with basic dermatologic terms and common dermatoses.

MEDI G760 - Community/Private Practice

Credits: 2

Introduction to community based primary care Internal Medicine including preventative medicine, chronic disease management and acute urgent care in an ambulatory setting.

MEDI G770 - Adult and Pediatric Palliative Care

Credits: 2

This course provides opportunities to develop knowledge and skills in the comprehensive care of patients and their families during various stages of life-limiting illness. Students will identify periods of transition in illness, as well as appropriate interventions. Communication skills, decision-making, care coordination, family support interventions and management of symptoms will be emphasized. The course will include didactic and clinical time with members of the interdisciplinary team (nursing, social work, chaplaincy, therapies). Students will engage in assessment, management recommendations for, and follow-up of patients, as well as a range of activities examining the clinical, ethical and research aspects of comprehensive palliative and end-of-life care.

NEUR G710 - Focus in Neurology

Credits: 2

The M3 2 week elective for neurology is designed to allow students to deepen their exposure to neurology in a specific area of their interest. The elective is appropriate for students who are either considering pursuing neurology as a career or for students who would like to strengthen their skills in the field. The elective will be individualized to the specific needs and interest of the student. Opportunities for the elective include inpatient and outpatient exposures or focused experiences in a specific subspecialty such as stroke etc.

NPSY G710 - Focus on Psychiatry

Credits: 2

Inpatient and outpatient opportunities exist for electives in Psychiatry and subspecialties in child/adolescent and geropsychiatry. The content of this course is designed to provide the student a broader experience in comprehensive psychiatric patient evaluation and treatment. He/she will be assigned to a practicing psychiatrist within a variety of inpatient, outpatient, emergency and consultative fields. The presenting problems of patients include personality disorders, acute psychotic disorders, mood disorders, anxiety disorders, schizophrenia, psychosomatic illness, organic brain syndrome and substance abuse disorders. The student will be responsible for intake assessments, to include a mental status examination. He/she will also participate in the decision-making processes and in continuity of care. Additional assignments will be made to specialized treatment programs including individual and family psychotherapy. The student may see outpatients being treated at the Brownell Center collocated with Marshall I. Pickens Hospital. Additionally, rotations may occur at the Piedmont Mental Health Center located in Simpsonville, near Hillcrest Hospital. Additional inpatient rotations may be at Marshall I. Pickens Hospital or Harris Psychiatric Hospital in Anderson. Consultation and emergency services are located at Greenville Memorial Medical Center. The course is designed to provide the student with maximum patient contact. Reviews of interviewing techniques and the principles of general psychiatry with the introduction of individual and family psychotherapy techniques will complement the student’s clinical contact with patients. The student will be evaluated by both his/her preceptors and the Clerkship Director for Psychiatry or his designee. Input will be obtained from the other health professionals with whom the student has worked. Additionally, successful completion of the stated objectives will be required to pass this course.

OBGY G710 - Urogynecology

Credits: 2

Experience will be offered in both an ambulatory office-based setting an inpatient hospital-based setting under the direct supervision of resident and attending physicians. The student will be actively engaged in the evaluation and management of urogynecologic conditions and the intraoperative and perioperative care of patients undergoing urogynecologic surgical procedures.

OBGY G715 - High Risk Obstetrics

Credits: 2

Students will be exposed to a breadth of medical and obstetrical complications and fetal conditions. The student will participate in clinical experiences in the Antepartum Ward and Labor and Delivery. Students might also be assigned to the outpatient OB clinic under the direct supervision of resident and attending MFM physicians for a small minority of their rotation time.

OBGY G720 - Gynecology Oncology

Credits: 2

This four week elective in Gynecologic Oncology is offered to students who have satisfactorily completed their third year clinical rotations. Experience will be offered in an inpatient hospital-based setting under the direct supervision of resident and attending physicians. The student will be actively engaged in intraoperative and perioperative care of patients undergoing gynecologic oncology surgical procedures.

ORSU G710 - Orthopedic Surgery: Adult/Geriatric Elective

Credits: 2

This course is designed to give a broad experience regarding adult and geriatric musculoskeletal problems of upper and lower extremities. The student’s education includes multiple aspects of patient care: initial diagnosis in the E.D. or clinic; development and execution of treatment plans; ongoing assessment of treatment and follow-up care. The student will work with the team of orthopedic attending physicians and resident physicians. All student activities will be supervised and appropriately directed.

ORSU G715 - Orthopedic Surgery: Sports Medicine and Trauma

Credits: 2

This course is designed to give a focused experience in the fields of orthopedic sports medicine and trauma. Attention will be given to adult and pediatric pathology within these subspecialties of orthopedic care. This includes acute and chronic athletic injuries, fractures, post-fracture deformity and dysfunction. The student’s education includes all aspects of patient care: initial diagnosis in the E.D. or clinic; development and execution of treatment plans; ongoing assessment of treatment and follow-up care. The student will work with the team of orthopedic attendings and resident physicians. There are daily rounds and didactic education. All student activities will be supervised and appropriately directed.

PATH G710 - Pathology

Credits: 2

The student will be exposed to anatomic pathology, which can include surgical pathology, autopsy pathology/medical examiner, hematopathology, cytology, and dermatopathology. The student should gain a general understanding of the process involved in arriving at pathologic diagnoses as well as how the general pathology laboratory functions. The student will have opportunities for one-on-one interaction with the pathology staff. The staff is board certified in anatomic and clinical pathology with certification in numerous sub-specialties. The course is flexible and can often be tailored to meet the specific needs or interests of the student.

PEDI G710 - Pediatric Hematology/Oncology

Credits: 2

This rotation will allow 3rd year medical students to participate in the care of hematology and oncology patients in the hospital and clinic settings. Under the guidance of an attending hematologist/oncologist, the medical student will shadow and observe direct clinical care of pediatric hematology/oncology patients. By rotation end, they will perform history and physical exams; interpret basic laboratory tests; review peripheral blood and bone marrow aspirate smear; and participate in the planning of comprehensive whole-family care that is the hallmark of the pediatric hematology/oncology team, which consists of physicians, nurse practitioners, nurses, child life, chaplains, social workers and psychologists. Furthermore, the student will be expected to give a brief review of relevant hematology/oncology topics on a weekly basis. Also, bedside teaching occurs during rounds and during clinic visits, so that the student’s exposure to most of the common disorders in hematology/oncology will be complete.

PEDI G715 - Pediatric Neurology

Credits: 2

The Pediatric Neurology elective is designed to expose the 3rd year student to a wide range of common neurologic problems of childhood, including epilepsy, headache, cerebral palsy, developmental delay, and tics. The student will work one-on-one with the pediatric neurologist in the outpatient setting. Students will learn the basics of taking the neurologic history and performing the neurologic examination.

PEDI G720 - Neonatal Intensive Care

Credits: 2

This elective will present the student with the essential aspects of premature and sick newborn care. Students will have the opportunity to attend high risk deliveries. He/She will be assigned several new patients in the NICU and will be responsible for completing a history, physical, and maturity assessment on each. He/She will observe and participate in special treatment procedures performed on his/her patients, e.g., intravenous and intra-arterial catheter insertions, nasal continuous positive airway pressure, mechanical ventilation procedures, endotracheal intubations and resuscitation. In addition, the student may attend a weekly follow-up clinic for those infants discharged from the NICU. He/She will be responsible for talking with the infant’s parents with guidance from the attending. He/She will make work rounds with the house staff and teaching rounds with the attending physician daily and will participate in all regularly scheduled neonatal and perinatal conferences.

PEDI G725 - Pediatric Critical Care

Credits: 2

The purpose of the rotation is to provide students with an introduction to the evaluation and care of critically ill children. The student will function as a member of the pediatric team in the pediatric intensive care unit. Students will be expected to admit and work up patients assigned to them by the senior resident or PICU attending. These patients will be followed on a daily basis by the student. Students should be able to discuss the patient’s diagnosis and management plan under the supervision of a pediatric senior resident and the PICU attending. Educational material is presented via bedside didactic rounds and guided reading of the PICU notebook, a compilation of relevant critical care articles, etc. No night call is required.

PEDI G730 - Pediatric Pulmonology

Credits: 2

The course offers firsthand experience with pediatric lung disease. Students will see new patients as often as possible, either independently commensurate with their abilities and prior experience and precept with attending faculty, or work with faculty initially in a shadowing role, striving to become capable of more independent patient interactions. This is the most effective way to broaden differential diagnostic skills, develop a basic understanding of subspecialty evaluation and treatment plans, and gain a familiarity with the variety of patients commonly referred for potential respiratory problems. Students will also be free to round with providers in the inpatient setting, perform interesting and educational new inpatient consults, and attend flexible bronchoscopy cases as schedules and individual interests may allow.

PEDI G735 - Pediatric Sleep Medicine

Credits: 2

Students will receive exposure to common respiratory and nonrespiratory sleep disorders which effect pediatric patients including but not limited to the following: obstructive sleep apnea, restless leg syndrome, narcolepsy, behavioral insomnia of childhood, circadian rhythm disorders, parasomnias, nocturnal enuresis, nocturnal seizures, periodic limb movement disorder. Students are expected to see patients in the clinic, present new patients to the attending, and shadow follow-up patients. Students will be expected to present on a topic of interest toward the end of the rotation. Students will spend at least one evening in the pediatric sleep lab to understand patients experiencing the pediatric sleep, this will be a 2 to three-hour experience. The student will also sit with a sleep medicine specialist while interpreting interpreting 1-2 polysomnograms. Evaluation will be based on enthusiasm, professionalism and how well the student meets the expectations of the rotation.

PEDI G740 - Clinical Genetics

PEDI G745 - Community/Private Practice

Credits: 2

The focus of this elective is for the medical student to gain exposure to the practice of general pediatrics in a community setting. Students will see a variety of pediatric patients from birth to age 21 for well child care, continuing care for chronic medical issues, and acute sick visits. The well care includes check-ups, sports and college physicals, developmental screenings, behavioral management, parenting, anticipatory guidance, and immunizations. The student will get an understanding of a Medical Home for Children by seeing how children with chronic issues such as asthma, obesity, ADHD, depression, and a variety of other issues, are care for in a comprehensive manner. The acute sick visits include patients with fever, respiratory difficulties, gastrointestinal illnesses, unusual rashes, minor traumas, and a plethora of other issues. The student will also be able to see how a pediatric practice functions by observing how the practice manager, clerical, and nursing staff perform their various duties. The student may also have the opportunity to round with an attending in the nursery at either GMH or Greer. The goal of this elective is for the medical student to have not only an overview of general pediatric practice but also to have an understanding of the challenges and rewards that come with providing comprehensive medical care for pediatric patients.

PMDR G710 - Physical Medicine and Rehabilitation

Credits: 2

This two-week clerkship provides students exposure to the scope of services provided by physical medicine and rehabilitation specialists. One week is spent on an inpatient service with exposure to spinal cord injury, brain injury, stroke, etc. and another week is spent in the outpatient clinic with exposure to musculoskeletal/sports, spasticity, and electrodiagnositcs. On the inpatient service, students will be exposed to all aspects of rehabilitation, including physical, occupational, speech, and psychological therapies and assistive devices. On the outpatient side, students will work one-on-one with an attending and observe outpatient diagnostics and treatment. There is one 30 minute required case presentation at the end of the rotation.

RADI G710 - Radiology

Credits: 2

This clerkship is designed to impart a broad basic understanding of the role of radiology in diagnosis and management. Emphasis is placed on terminology, proper workup, the fundamentals of diagnostic image interpretation, and clinical indications for imaging examinations and interventional radiology procedures. Instruction occurs through didactic lectures, problem-based learning exercises, computer tutorials, conferences, self-learning exercises, observation of film interpretation, and observation of special procedures. The indications and contraindications for radiologic examination as well as the benefits and limitations of radiological methods will be presented. In addition, the student has the opportunity of to work closely with attending radiologists, observing and participating in all phases of their daily work.

SURG G710 - Multidisciplinary Oncology

Credits: 2

This elective is meant to introduce clinical surgical oncology, radiation oncology and medical oncology to medical students. This rotation is ideal for both students interested in pursuing a career in one of these fields and for those simply interested in learning about oncology. The majority of students’ time will be spent on the surgical oncology team with appropriate outreach to radiation oncology and medical oncology. The main focus of the rotation will be to be understanding the multidisciplinary center concept of tumor management, including the demanding complexities of integrating multiple specialties in a timely and effective manner to maximize patient management based on nationally based cancer guidelines and clinical trial options. Students will have the opportunity to participate in surgery and medical therapies as well.

SURG G715 - Neurological Surgery

Credits: 2

This elective introduces medical students to diseases of the nervous system amenable to surgical treatment. The students will participate in outpatient office evaluations, emergency room consultations, hospital-based patient care activities, didactic conferences, and operating room procedures to achieve the course objectives. Students will present new cases to Attending Neurosurgeons, prepare presentations for academic conferences, participate in clinical research activities, and scrub in the operating room, with assigned activities commensurate with the student’s academic level. Evaluations are based on achievement of the six course objectives. Completion of core surgery and neurology clerkships are strongly encouraged.

SURG G720 - Ophthalmology

Credits: 2

This two week rotation is designed for medical students who wish to become familiar with ophthalmology as a medical and surgical specialty. During the rotation, students are expected to learn the principles of the ophthalmic history and physical examination. Students will become familiar with the most common ophthalmic conditions including cataracts, glaucoma, diabetic retinopathy, and strabismus. They will also have the opportunity to work with subspecialists within the field of ophthalmology. Students will see a wide variety of ophthalmic pathology and become familiar with all that ophthalmology has to offer as a career. The students will be given the opportunity to use specialized ophthalmic instruments including direct and indirect ophthalmoscopes, slit lamps, tonometers, and ultrasounds. They will be exposed to advanced testing performed in the office and observe surgery if interested. For students interested in an ophthalmology residency, this rotation will be a stepping stone on that path. For students not interested in an ophthalmology residency, the rotation will provide invaluable insight into ophthalmology as it relates to primary care as well as other specialties. The focus is integrative care of the patient.

SURG G725 - Orthopaedic Surgery

Credits: 2

There are three different electives you may choose based off locations. Each location represents a different elective. Shriner’s Hospital: Pediatric Orthopaedics—This course is an outstanding introduction to caring for musculoskeletal pathology in children. It will encompass congenital, acquired, and traumatic conditions. The student will work in conjunction with Pediatric orthopedic specialists and orthopedic resident physicians. All student activities will be supervised and appropriately directed. Daily activities will include didactic sessions, outpatient care, inpatient care, and surgical procedures. Patewood: Adult and Geriatric General Orthopaedics—This course is designed to give a broad experience regarding adult and geriatric musculoskeletal problems of upper and lower extremities. The student’s education includes multiple aspects of patient care: initial diagnosis in the E.D. or clinic; development and execution of treatment plans; ongoing assessment of treatment and follow-up care. The student will work with the team of orthopedic attending physicians and resident physicians. All student activities will be supervised and appropriately directed. GHS: Sports Medicine and Orthopaedic Surgery Trauma—This course is designed to give a focused experience in the fields of orthopedic sports medicine and trauma. Attention will be given to adult and pediatric pathology within these subspecialties of orthopedic care. This includes acute and chronic athletic injuries, fractures, post-fracture deformity and dysfunction. The student’s education includes all aspects of patient care: initial diagnosis in the E.D. or clinic; development and execution of treatment plans; ongoing assessment of treatment and follow-up care. The student will work with the team of orthopedic attendings and resident physicians. There are daily rounds and didactic education. All student activities will be supervised and appropriately directed.

SURG G730 - Otolaryngology

Credits: 2

This elective is appropriate for both students interested in head and neck aspects of primary care (pediatrics, family, internal medicine), as well as students interested in head and neck surgery as a career. Students will have exposure to the operating room, the inpatient service, and the outpatient clinic. Students will spend approximately 50% of their time in the operating room.

SURG G735 - Plastic Surgery

Credits: 2

What is Plastic Surgery? Plastic Surgery is a specialized branch of surgery that is defined by the treatment of deformities of the face and body. Plastic surgery is founded in restoring form and function to all areas of the body. Historically, plastic surgery has been predicated on the tradition of innovation in problem solving. Only plastic surgeons are trained to operate on the human body from head to toe. Plastic surgery, therefore, is equally vested in reconstructive and cosmetic procedures. Whether deformity is caused by trauma, cancer, congenital abnormality, previous surgery, or age, plastic surgeons are uniquely trained to restore the normal. GHS Plastic Surgery & Aesthetics is dedicated to these principles that founded the specialty of plastic surgery. The student should expect to learn the basic principles of Plastic Surgery. The student will participate in a vast range of procedures including facial reconstruction, craniofacial/pediatric plastic surgery, microsurgery, breast reconstruction, body contouring, cosmetic surgery, and oculoplastic surgery. The student will spend most of the time in the operating room with some time in clinic. There are no call responsibilities.

SURG G740 - Urology

Credits: 2

Students will gain exposure to the broad,overall concepts of urologic disease and the practice of urology in the hospital and office setting. Students will focus on basic diagnostic procedures and treatment of male and female patients with diseases of the genitourinary system . Students are expected to actively participate in diagnostic and therapeutic endeavors under staff members’ directions. Emphasis is placed on developing case presentation skills and organizing patient data in a concise, presentable fashion. Students will assist at surgery and attend related conferences.

SURG G745 - Pediatric Surgery

Credits: 2

Students will achieve objectives by direct experience in care of pediatric surgical patients by participating as a member of the pediatric surgical team in daily patient care meeting, rounds, operations and clinic sessions.

SURG G750 - Pediatric Urology

Credits: 2

This rotation emphasizes the diagnosis and management of pediatric urology patients. During this elective, students will be exposed to all aspects of pediatric urology. The experience includes outpatient clinical evaluations, in-office procedures, and operative cases. This rotation offers the opportunity for a supervised extensive hands-on experience as well as ability to work one-on-one with a physician and/or nurse practitioner.

M4 Acting Internships

EMED G800 - Emergency Medicine Acting Internship

Credits: 4

This is a four week Acting Internship designed for fourth year medical students, especially those who may be interested in pursuing a career in Emergency Medicine. It rotates students through a variety of emergency clinical settings, including the level one trauma center and tertiary care facility of Greenville Memorial Hospital (with shifts in Critical Care, Intermediate Care, and our Children’s Emergency Center), and the outlying community emergency departments of Hillcrest in Simpsonville, Greer Memorial in Greer, and North Greenville in Traveler’s Rest. Shifts will vary from 8 to 12 hours in length and incorporate some weekends, evenings, and nights in an equitable fashion. The A-I in Emergency Medicine will immerse students in the specialty of Emergency Medicine and the principles of acute care medicine. Students will encounter a wide range of patients, presenting complaints, and levels of acuity. Active management and ownership of patients is emphasized in a strictly supervised setting. There will also be an end of rotation final exam and brief patient presentation.

FPMD G800 - Family Medicine Acting Internship

Credits: 4

This course offers a brief, intensive exposure to a typical family practice, both for students considering a career in this area and those who are entering other specialties but who want to learn more about the role of the family physician. Students will be placed in an inpatient setting for two weeks and an outpatient setting for two weeks. The practice exposure shall include the care of patients of all ages including pediatrics and inpatient hospital experience.

FPMD G899 - Family Medicine Away Rotation

Credits: 4

The student will complete an intensive study of Family Practice at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

MEDI G800 - Medicine Inpatient Acting Internship

Credits: 4

Students are assigned to an inpatient general medicine team, composed of one attending physician, one PGY-2 or PGY-3 resident, one to two PGY-1 residents, and at times third-year medical student(s). Acting interns care for patients as their primary caregivers, under the direct supervision of the upper level resident. Together with their teams, acting interns take in-house call every sixth night, admitting patients with all types of medical illnesses. Acting interns usually admit 2 to 3 new patients each call night, with a maximum census of 6 to 8 patients for ongoing care. Patient load may be adjusted as needed based on student comfort and patient complexity. Acting interns evaluate all assigned patients, completing and recording the medical interview, physical examination, diagnostic assessment, and management plan. Acting interns reevaluate their patients daily, reassessing their diagnoses and therapeutic plans. Acting interns present their patients and discuss their impressions on daily rounds and in teaching conferences with the Internal Medicine residents and faculty. Acting interns learn to interpret laboratory data, chest x-rays and electrocardiograms and to perform procedures, which usually include central line placement, lumbar puncture, paracentesis, stress testing and thoracentesis.Clinical learning is supplemented by self-directed reading and required conferences. Conferences include informal discussions, lectures, grand rounds and bedside rounds. Acting interns take in-house overnight call with their team every sixth night and receive one day free of patient care duties per week.

OBGY G800 - High Risk Obstetrics Acting Internship

Credits: 4

This Acting Internship is offered to students who have satisfactorily completed their third year clinical rotations. The purpose of this course is to provide the learner with an intensive exposure to high-risk obstetrical care in an inpatient setting. Students will be exposed to a breadth of medical and obstetrical complications and fetal conditions. The student will be expected to function at the level of a PGY-1 resident, participating in clinical experiences in the Antepartum Ward and Labor and Delivery, as well as in the outpatient OB clinic under the direct supervision of resident and attending MFM physicians.

PEDI G800 - Pediatric Wards Acting Internship

Credits: 4

This rotation is a four-week inpatient experience. Students will be assigned to one of the pediatric teaching services and serve as an active team member. Students with act as the primary physician for their assigned patients, under the direct supervision of an upper level pediatric or medicine-pediatric resident . Responsibilities will include admission and initial management of patients, daily rounding and discharge planning for established patients, observation of and participation in procedures on their patients, and transition of care communication for sign out and cross cover. Clinical learning will be supplemented by lectures, small group sessions, and self-directed learning. Students will take in-house call with their team every fourth night.

PEDI G801 - Neonatal Intensive Care/ Acting Internship

Credits: 4

The content of this course is designed to present to the student the essential aspects of premature and sick newborn care. Students will get the opportunity to attend high risk deliveries. He/She will be assigned several new patients in the NICU and will be responsible for completing a history, physical, and maturity assessment on each. He/She will observe and participate in special treatment procedures performed on his/her patients, e.g., intravenous and intra-arterial catheter insertions, nasal continuous positive airway pressure, mechanical ventilation procedures, endotracheal intubations and resuscitation. In addition, the student may attend a weekly follow-up clinic for those infants discharged from the NICU. He/She will be responsible for talking with the infant’s parents with guidance from the attending. He/She will make work rounds with the house staff and teaching rounds with the attending physician daily and will participate in all regularly scheduled neonatal and perinatal conferences.

PEDI G802 - Pediatric Intensive Care Acting Internship

Credits: 4

The purpose of the rotation is to provide students with an introduction to the evaluation and care of critically ill children. The student will function as a member of the pediatric team and the primary / lead physician for their patient in the pediatric intensive care unit. Students will be expected to admit and work up patients assigned to them by the senior resident or PICU attending. These patients will be followed on a daily basis by the student. Students should be able to discuss the patient’s diagnosis and management plan under the supervision of a pediatric senior resident and the PICU attending. Educational material is presented via bedside didactic rounds and guided reading of the PICU notebook, a compilation of relevant critical care articles, etc. Night call will follow resident schedule.

SURG G800 - Acute Care Surgery and Trauma Acting Internship

Credits: 4

Students on the ACS/Trauma rotation serve as junior surgical house officers to patients with acute surgical problems and trauma. Students spend two weeks working during the day and two weeks at night. Residents and faculty will supervise all student activities. The students’ exposure will include patient encounters on the surgical floors, emergency room, trauma bay, and clinic. M4 students will also be expected to teach M3 medical students rotating through their surgical clerkships. Education material is presented through resident and attending rounds, didactic lectures, surgery conferences, morbidity/mortality conference and simulation training. M4 students are expected to give one presentation during the four week period and take the NBME Advanced Clinical Exam in Surgery.

M4 Selective Courses

ANES G810 - Anesthesiology

ANES G899 - Anesthesiology Away Rotation

Credits: 4

The student will complete an intensive study of Anesthesiology at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

Note: Pass/Fail grading

EMED G810 - Emergency Medicine

Credits: 2

This is a two week rotation designed for fourth year medical students who are interested in gaining in depth exposure to the specialty of Emergency Medicine. Students will rotate through a variety of emergency clinical settings, including the level one trauma center and tertiary care facility of Greenville Memorial Hospital (with shifts in Critical Care, Intermediate Care, and our Children’s Emergency Center), and the outlying community emergency departments of Hillcrest in Simpsonville, Greer Memorial in Greer, and North Greenville in Traveler’s Rest. Shifts will vary from 8 to 12 hours in length and incorporate some weekends, evenings, and nights in an equitable fashion. The Emergency Medicine rotation will introduce students to the principles of acute care medicine. Students will encounter a wide range of patients, presenting complaints, and levels of acuity. Students will have the opportunity to evaluate patients as well as formulate effective testing and treatment strategies. Active participation in patient care and procedural skills are emphasized in a strictly supervised setting.

Note: Pass/Fail grading

EMED G815 - Pediatric Emergency Medicine

Credits: 2

This is a two week rotation designed for fourth year medical students who are interested in gaining in-depth exposure to the specialty of Pediatric Emergency Medicine. Students will be taught at the tertiary care facility of Greenville Memorial Hospital Children’s Emergency Center. Student shifts will vary from 8 to 12 hours in length, some of which will include weekends, evenings, and nights. The Pediatric Emergency Medicine rotation will introduce students to the principles of acute care Pediatric Emergency Medicine. Students will encounter a wide range of pediatric aged patients, chief complaints, and levels of acuity. Students will have the opportunity to evaluate patients as well as formulate effective testing and treatment strategies. Active participation in patient care and procedures are emphasized in a strictly supervised setting.

EMED G899 - Emergency Medicine Away Rotation

Credits: 4

The student will complete an intensive study of Emergency Medicine at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

Note: Pass/Fail grading

FPMD G810 - Lifestyle Medicine (longitudinal component)

Credits: 4

This course is designed to give medical students exposure to Lifestyle Medicine, a hallmark of the USC-Greenville School of Medicine. This is an emerging field of medicine that uses lifestyle interventions in the prevention, treatment and management of disease. The student will learn from different resources within the Greenville community and understand how an interdisciplinary team (e.g. family physician, primary care sports medicine physician, nutritionist, exercise physiologist, physical therapist, etc.) can affect healthy changes in patients through physical activity prescriptions, healthy eating, motivational interviewing, and stress reduction. The student will apply these principles to patient care at the Center for Family Medicine. The majority of the clerkship will take place during the rotation block. However, there will be a longitudinal component of a small patient panel, lifestyle medicine project, and community outreach.

FPMD G815 - Family Medicine Rural Elective

Credits: 2-4

This elective is designed to offer the student an intensive rural family/suburban medicine experience. The student will have a “hands on” experience working with patients in the office of a small town family physician. During this time, the student will be precepted by the community physician and learn first-hand of the unique problems these physicians face in the delivery of health care in a rural setting. The student will have the opportunity to learn the benefits of a team approach to health care through interaction with nurse practitioners and other health care professionals. The student will also acquire first-hand information about the lifestyle of primary care physicians in the rural/suburban setting and the impact they have on their patients and their community. Finally, the student will be introduced to practice management issues pertaining to private practice in a rural/suburban setting. The elective offers rotations in several small communities within reasonable driving distances from Greenville. Other sites are available which will allow the student to stay in the community to better experience the lifestyle of a small town physician. It is important that arrangements be made for selecting the practice site as early as possible, preferably with at least 6 weeks lead time.

FPMD G820 - Primary Care Sports Medicine

Credits: 2-4

This course is designed to give medical students exposure to full complement of Primary Care Sports Medicine Care, which include musculoskeletal injuries, as well as medical problems such as concussion management and the prevention of sudden cardiac death in young athletes. You will spend time with Certified Athletic Trainers in/at their High School Training Room/Events, Physical Therapist treating acute and overuse athletic injuries, Physicians and Surgeons practicing Sports Medicine.

FPMD G825 - General Family Medicine

Credits: 2-4

This course offers a brief, intensive exposure to a typical family practice, both for students considering a career in this area and those who are entering other specialties but who want to learn more about the role of the family physician. Students may be placed in an inpatient setting, community setting, or CFM outpatient setting. The practice exposure shall include the care of patients of all ages including pediatrics and inpatient hospital experience.

FPMD G899 - Family Medicine Away Rotation

GENE G810 - Clinical Genetics

Credits: 2-4

The purpose of this course is to provide the learner with an exposure to the clinical, professional, and lifestyle aspects of Genetics. Students will be exposed to a breadth of medical conditions. Clinical experiences will occur at a GHS Hospital or affiliate under the direct supervision of attending and resident (if applicable) physicians. This medical student rotation in Clinical Genetics is largely observational and will provide an introduction to this specialty that focuses on the genetic disorders that impact the physical, emotional, and/or developmental well-being of infants, children, adolescents, and adults. The student will observe and participate in the evaluation and management of individuals with known or suspected genetic disorders. The student will have the opportunity to interact with members of the multidisciplinary team that includes physicians, genetic counselors, genetic service coordinators, and genetic clinic coordinators. There will also be an opportunity to learn about the outreach efforts and collaborative projects with community and state agencies that are focused on promoting healthy child development and supporting families with children who have special needs.

GENE G899 - Genetics Away Rotation

Credits: 4

The student will complete an intensive study of Genetics at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

GMED G810 - Academic Medicine-Research (longitudinal)

Credits: 4

A description of project, detailing your study and what you wish to accomplish during this elective must be submitted to the Course Director. This proposal should include background information, a research question, the methods that will be employed, and the expected outcomes and analytic methods that will be used. Specific details of the student role in the proposed project should be outlined. Approved projects will be assigned a faculty mentor.

GMED G815 - Academic Medicine-Teaching (longitudinal)

Credits: 4

This elective is designed to provide fourth year students with the opportunity to cultivate their teaching skills in order to better prepare them for residency. Students will meet with various faculty during the rotation to receive information on how to refine their teaching skills, with topics such as curriculum development, how to prepare a lecture, bedside teaching, how to give and receive feedback, and how to teach a difficult topic. Students will also develop learning sessions using various teaching methods for junior medical students under the guidance of a faculty mentor. Students may elect to work with biomedical science or clinical faculty. The course has reading requirements. Students are expected to be self-motivated and committed in their approach to this course.

GMED G820 - Global Health

Credits: 4

Student may select from AAMC Global Health Learning Opportunities offering or submit their own proposed experience which would need approval by the Course Director (Dr. Jeremy Byrd) and approval from the University of South Carolina Study Abroad Office.

GMED G825 - Health Policy and Advocacy (longitudinal)

Credits: 4

The purpose of this course is to provide learners with an exposure to the macro level health policy framework, tensions, and influences and to provide students with opportunities to work in the community and to develop and implement advocacy skills. Learners will engage in observational experiences in community health advocacy settings. Based on interests, students can be tracked into pediatric, adult, or combined focus community settings. Students are introduced to the principles of health policy and community advocacy through a series of readings, reflections, selected required conferences and web-based learning. In addition, students participate in service-based learning opportunities with community partners in the Greenville area. Each student must complete a community mapping or other approved advocacy project. Additionally, as part of the elective requirement, students will meet with individual physicians in selected GHS clinical departments to ascertain prevailing policy questions and advocacy interests. Findings from physician feedback will be incorporated into a final project and will inform relevant health policy and advocacy topics for future learners. The goal of this elective is to equip students with the skills to be effective and engaged leaders in community advocacy and influencers in health policy. The majority of the coursework should be done during the assigned block.

GMED G830 - Medical Spanish (longitudinal)

Credits: 4

This a 4 week elective that can be blocked into a 4 week segment or completed longitudinally. Students will have complete an online Medical Spanish proficiency course. Student will learn how to communicate in Spanish regarding a number of systems: cardiovascular, pulmonary, gastrointestinal, obstetrics and gynecology, psychiatry, musculoskeletal, neurology, prevention, immunizations, and screenings. In addition, students will learn how to take a history, perform physical examinations, ask review of systems, and inform patients of the necessary diagnostic evaluations. Students are required to complete an online medical Spanish course, attend lectures or online learning sessions, participate in formative weekly interviews, submit weekly history and physical examination write-ups, and observe interpreters in various settings. Students will work with a faculty mentor and/or interpreter to develop an OSCE station on a common diagnosis at the conclusion of their rotation. The majority of the coursework should be done during the assigned block.

GMED G835 - Advanced Studies in Clinical Anatomy

Credits: 4

The Advanced Studies in Clinical Anatomy elective is designed to allow 4th year medical students the opportunity to revisit a region of anatomy that will be relevant to their future career plans while expanding their teaching knowledge and skills via participation in the module ‘Structure and Function of the Human Body’. Teaching experience includes delivery of briefing sessions, production of multimedia presentations, interactive small group supervision during laboratory and in-class sessions, preparation and review of prosections, and organization of informal practical and course examination sessions.

MEDI G810 - Community Practice

Credits: 4

Students are assigned to a general medicine office, where they act as primary caregivers for their patients under the direct supervision of a faculty physician. Students provide comprehensive care for patients in all stages of illness, including initial diagnosis of disease, chronic management of established medical problems, acute management of decompensated chronic disease, and follow0up after hospitalization. Students evaluate 8-10 patients everyday, completing and recording the medical interview, physical examination, diagnostic assessment, and management plan. Students present their patients and discuss their impressions in teaching conferences with the attending physician. Conferences include informal discussions, lectures, and grand rounds.

MEDI G815 - Cardiology

Credits: 2

Students are assigned to work with a specific group of cardiologists. Students will be assigned specific patients to examine and follow hospitalized and ambulatory patients. It shall be the student’s responsibility to record a history and physical examination on each assigned patient. History and physical findings will be presented to the attendings on rounds. Students will participate in rounds each day. There is an opportunity to observe procedures done on patients in the unit which include pacemaker insertion, cardioversion, hemodynamic monitoring, coronary angiography, and stress testing. The 20 bed Coronary Care Unit and 34 bed post-CCU offer excellent updated physical facilities for this experience. The Cardiac Clinic meets once each week and provides an opportunity to review the history and physical findings on a variety of cardiovascular problems. Considerable emphasis is placed on instruction and interpretation of electrocardiograms. The student is responsible for interpreting an average of 10 records a day. There will be a review session each day with one attending to review all interpretations of EKGs. At these sessions, students receive ongoing instruction in electrocardiography, as well as reading assignments. Other graphics, included M Mode echocardiography, 2-D echocardiography, and phonoechocardiography, color Doppler and angiograms are also included to a lesser degree.

MEDI G820 - Hematology/Oncology

MEDI G825 - Infectious Disease

Credits: 2

This course is offered as a consultative rotation in clinical Infectious Disease. Students are assigned to work with the attendings and usually one PGYII or III Internal Medicine resident as related to hospitalized and ambulatory patients. The student will be responsible for first patient contact with patients referred to the Infectious Disease consult service. These patients will then be presented to the resident and the faculty. The student will be responsible for recording the history, physical and orders with countersignature by the resident and faculty. There is a biweekly Infectious Disease clinic which the student will also be expected to attend. At the end of this rotation the student should be able to discuss and understand the appropriate use of antibiotic therapy. They should be able to understand the common entities in Infectious Disease such as FUO, hepatitis, STD, septicemia, osteomyelitis, endocarditis, AIDS, postoperative wound infections, etc.

MEDI G830 - Medicine Critical Care

Credits: 2

Manage critically ill patients in the Intensive Care Unit. Together with their teams, students take in-house overnight call every fifth night, usually admitting 2-3 new patients each call night with maximum census of 6-8 patients for ongoing care. Patient load may be adjusted as needed based on student comfort and patient complexity. Students evaluate all assigned patients, completing and recording the medical interview, physical examination, diagnostic assessment, and management plan. Students reevaluate their impressions on daily rounds and in teaching conferences with the Pulmonary/Critical Care faculty. Students learn to interpret sputum samples, chest x-rays, arterial blood gases, and tests of ventilation and gas exchanges. Students learn to perform diagnostic and therapeutic procedures, which include thoracentesis, central line placement, arterial line placement, intubation, ventilator management. Students will also have the opportunity to observe bronchoscopy.

MEDI G835 - Nephrology

Credits: 2

The medical student will round daily with the attending physician; all aspects of nephrology and hypertension will be discussed. Acid base electrolytes, water metabolism and other subjects of interest will be discussed daily by the attending. These would take the format of discussion on a one-to-one basis with preassigned topics. The student will be in inpatient and outpatient settings, where under supervision, they will be able to examine urinary sediments. Reprints on topics discussed will be distributed; adequate time will be provided for the student to prepare the topic.

MEDI G840 - Outpatient Rheumatology

MEDI G845 - Pulmonary Teaching Service

Credits: 2

Prescribe respiratory therapy for hospitalized and ambulatory patients; interpret tests of ventilation and gas exchange; examine and interpret stained sputum for bacteriology; examine and interpret unstained sputum for nonmalignant cytology; perform diagnostic procedures including thoracentesis and pleural biopsy; students will also have the opportunity to observe bronchoscopy.

MEDI G850 - Dermatology

Credits: 2

Fourth year medical student may choose to spend two weeks in a private dermatology office. The student will be assigned to follow a specific dermatologist in the group which may change on various week days, but the rotation consists of full days, Monday through Friday. When there is a GHS Dermatology Clinic, the student may attend at that clinic rather than in the private office. Each student will follow their assigned dermatologist as he/she sees patients throughout the day. They will be expected to read about various dermatologic conditions observed during these times. Dermatology text books, journals and other reference materials will be made available. Students may be allowed to assist with minor surgeries and procedures. In addition to following the dermatologist, a core curriculum will be provided to familiarize the students with basic dermatologic terms and common dermatoses.

MEDI G855 - Gastroenterology and Hepatology

MEDI G860 - Procedural Cardiology

Credits: 4

The Cardiology elective is designed to help the student understand and interpret the tests available to evaluate a patient’s cardiac function. The student will observe and help perform cardiac stress tests, TEE’s, TTE’s and Cardiac catheterizations. The student will have the opportunity to discuss risks and benefits for each procedure with the patients, follow the patient through the procedure and interpret and discuss the results of the studies with cardiology faculty. The student will also have the opportunity to evaluate patients to asses their ability to tolerate surgery from a cardiac perspective.

MEDI G865 - Endocrinology

Credits: 2

The endocrine elective will expose the student to a comprehensive spectrum of endocrine conditions, including type 1 andtype 2 diabetes and their complications, thyroid disorders, conditions affecting both male and femalereproduction, obesity, adrenal and pituitary gland disease, neuroendocrine tumors and their associatedsyndromes, and conditions involving bone and calcium metabolism. The lective will be primarily outpatient with some inpatient consultations.

MEDI G870 - Medicine Pediatrics Community Practice

Credits: 2

The focus of this elective is for the medical student to gain exposure to the practice of Internal Medicine and Pediatrics in a community setting. Students will perform well child and adolescent care and well as adult preventative medicine. Students participate in initial diagnosis of disease, chronic management of established medical problems, acute management of decompensated chronic disease, and followup after hospitalization. Students evaluate patients every day, completing and recording the medical interview, physical examination, diagnostic assessment, and management plan. Students present their patients and discuss their impressions with the attending physician. The goal of this elective is for the medical student to have not only an overview of combined Internal Medicine and Pediatrics practice but also to have an understanding of the challenges and rewards that come with providing comprehensive medical care for patients.

MEDI G875 - Radiation Oncology

Credits: 4

Pending.

MEDI G899 - Internal Medicine Away Rotation

Credits: 4

The student will complete an intensive study of Internal Medicine at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

NEUR G810 - Advanced Focus in Neurology

Credits: 2-4

The M4 2 week elective for neurology is designed to allow students to deepen their exposure to neurology in a specific area of their interest. The elective is appropriate for students who are either considering pursuing neurology as a career or for students who would like to strengthen their skills in the field. The elective will be individualized to the specific needs and interest of the student. Opportunities for the elective include inpatient and outpatient exposures or focused experiences in a specific subspecialty such as stroke etc. Upon completion of the elective, students will be expected to perform at the level of a first year neurology resident.

NEUR G899 - Neurology Away Rotation

Credits: 4

The student will complete an intensive study of Neurology at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

NPSY G810 - Advanced Focus in Psychiatry

Credits: 2-4

After consultation with the Clerkship Director, the student will be assigned to the area of practice to which he/she needs the most exposure before entering a residency program. Options include inpatient, outpatient, emergency, substance abuse, and consultative fields. The presenting problems of patients may include personality disorders, acute psychotic disorders, mood disorders, anxiety disorders, schizophrenia, psychosomatic illness, organic brain syndrome and substance abuse disorders. The student will be responsible for intake assessments, including a mental status examination. He/she will also participate in the decision-making processes and in continuity of care. Additional assignments will be made to specialized treatment programs including individual psychotherapy.

NPSY G899 - Psychiatric Away Rotation

Credits: 4

The student will complete an intensive study of Psychiatry at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

OBGY G810 - Longitudinal Obstetrical Antenatal Care Elective

Credits: 4

This longitudinal elective is offered to students who have satisfactorily completed their third year core clinical rotations. The elective has a unique longitudinal design that allows students to follow patients throughout the duration of their pregnancy, and ideally manage the labor and perform the delivery. The student will participate in the Centering Pregnancy group prenatal care model. He or she will help facilitate a group of 9-12 low-risk gravidas. The student will participate in a total of ten 2-hour group prenatal sessions. The visits begin at 14-16 weeks, and then occur at 20, 24, 28, 30, 32, 34, 36, 38, and 40 weeks. Along with the preceptor, the student will perform clinical assessments and provide patient education during each 2 hour group visit. Students will also have the opportunity to be “first-call” for each patient’s delivery. The student will manage the patient’s labor, conduct the delivery and provide postpartum care and counseling. Due to the longitudinal nature of this elective, the student must commit to making him or herself available for the fixed schedule of prenatal visits. Students do not have to commit to be available for the delivery, but it is strongly encouraged.

OBGY G815 - Gynecologic Oncology

Credits: 4

This four week elective in Gynecologic Oncology is offered to students who have satisfactorily completed their third year clinical rotations. Experience will be offered in an inpatient hospital-based setting under the direct supervision of resident and attending physicians. The student will be actively engaged in intraoperative and perioperative care of patients undergoing gynecologic oncology surgical procedures.

OBGY G820 - Reproductive Endocrinology and Infertility

Credits: 4

This elective is offered to students who have satisfactorily completed their third year clinical rotations. This elective provides a mentored, in-depth clinical experience in the evaluation and management of hormone related disorders at all stages of life. The rotation is conducted in the Division of Reproductive Endocrinology and Infertility (REI) under the direct supervision of attending physicians. Students will participate in clinical evaluations and procedures in the ambulatory setting, assist in surgical procedures, observe assisted reproductive technologies, and attend didactic teaching sessions.

OBGY G825 - Urogynecology

Credits: 4

This rotation is primarily an outpatient experience with some exposure to the operating room and postoperative care. The bulk of the student’s time will be spent in clinic seeing patients alongside the Urogyn faculty and residents. Students will see a wide variety of patients with complex pelvic floor disorders. The majority of patients will have prolapse and/or urinary incontinence. On average, students will be in the operating room 1-2 days per week assisting with surgical repairs. Students will follow patients postoperatively until discharge. The student will also participate in the weekly OB/GYN didactic sessions on Wednesday and (occasionally) Friday mornings.

OBGY G899 - Obstetrics and Gynecology Away Rotation

Credits: 4

The student will complete an intensive study of Obstetrics and Gynecology at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

ORSU G810 - General Orthopaedic Surgery

Credits: 4

This course is designed to provide the student with a broad exposure to orthopedic surgery. Facilities utilized during the course will include the main campus of Greenville Memorial Hospital and the Shriners Hospital for Children, Greenville Hospital. Attention will be given to basic adult and pediatric orthopedic pathology, including general affections of the musculoskeletal system, arthritis, deformity management, trauma, sports medicine, neoplasms, general spine problems, infection, and metabolic disease. The student will be assigned to a team consisting of orthopedic residents and faculty members. Completion of medical history and physician examination on assigned patients as well as formulation of a treatment plan will be the responsibility of the student. Participation in the preoperative evaluation, surgical treatment, and postoperative management will be expected. In addition to daily rounds, the student will participate in regularly scheduled orthopedic conferences and clinics. At the conclusion of the course, the student will prepare a 10-20 minute presentation relating to a specific orthopaedic condition or process. This will be presented at a regularly scheduled morning conference. Evaluation will be performed at the end of the rotation by the attending faculty. Call schedules will be arranged so that the student will be on in-house call approximately every fourth night and one weekend during the month of the rotation.

ORSU G815 - Orthopaedic Trauma and Acute Care

Credits: 2

The student will be assigned to a team consisting of orthopaedic residents and faculty members. Completion of medical history and physician examination on assigned patients as well as assisting in the formulation of a treatment plan will be among the responsibilities of the student. Participation in the preoperative evaluation, surgical treatment, and postoperative management will be expected. The two week rotation will be organized to ensure access to a focused experience in orthopedic trauma and the acute care of orthopedic patients that present to the Emergency Department and Trauma Bay. Therefore, the spectrum of pathology will include a broad spectrum of injuries, infections, and lacerations. Students can expect extensive experience in hands on techniques of laceration repair, application of casts and splints, and interpretation of radiographs. The student will be working in the 710-bed Greenville Memorial Hospital, an acute care hospital, and serves as the major tertiary referral center for the Upstate of South Carolina as well as Western North Carolina and Northeastern Georgia. The hospital also serves as the major Level I Trauma Center for this region. The course director will perform the student’s evaluation at the end of the rotation. The rotation will be organized as a night shift, working closely with the orthopedic resident In the Emergency Department. All Accreditation Commission Graduate Medical Education (ACGME), duty hour requirements will be adhered to for the students on the rotation just as they are for the residents.

ORSU G899 - Orthopedic Surgery Away Rotation

Credits: 4

The student will complete an intensive study of Orthopedic Surgery at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

PATH G810 - Clinical Pathology

Credits: 2

The student will be exposed to anatomic pathology, which can include surgical pathology, autopsy pathology/medical examiner, hematopathology, cytology, and dermatopathology. The student should gain a general understanding of the process involved in arriving at pathologic diagnoses as well as how the general pathology laboratory functions. The student will have opportunities for one-on-one interaction with the pathology staff. The staff is board certified in anatomic and clinical pathology with certification in numerous sub-specialities. The course is flexible and can often be tailored to meet the specific needs or interests of the student.

PATH G899 - Pathology Away Rotation

Credits: 4

The student will complete an intensive study of Pathology at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

PEDI G810 - Adolescent

Credits: 2

M-IV Students will have the opportunity to work at the Student Health Center at Furman University evaluating patients with a variety of acute physical complaints as well as chronic medical and/or emotional conditions. Students can expect to encounter patients with acute infectious disease, sexually transmitted diseases, orthopedic injuries, anxiety disorders, learning disorders, depression and eating disorders. Students will also be expected to complete assigned readings and a series of questions testing their knowledge of common problems encountered in the adolescent population.

PEDI G815 - Ambulatory Pediatrics

Credits: 4

This elective is designed for the student who desires exposure to the ambulatory aspects of pediatric practice. Experience will be gained in well child care, behavioral pediatrics, and acute illnesses. The student will participate in daily morning rounds and teaching conferences. Emphases will be placed on interview techniques, parenting concepts, principles of preventive health care, and the diagnosis, differential diagnosis, treatment principles and follow-up care of common acute pediatric illnesses. Services Provided at CPM are: well child exams & health supervision, childhood immunizations & flu shots, same day appointments for sick children, care of chronic illnesses (i.e. asthma, diabetes), Attention Deficit Hyperactivity Disorder, sports physicals, pre-op dental physicals, developmental delays, behavioral issues, adolescent issues, Teen-mom program, Healthy Lifestyles, nutritional counseling.

PEDI G820 - Developmental-Behavioral Pediatrics

Credits: 2-4

This 2 or 4-week medical student rotation in Developmental-Behavioral Pediatrics will provide an introduction to this subspecialty that focuses on the development of young children and the biological and environmental factors that can influence behavior and development. The student will observe the evaluation and management of children with developmental and behavioral concerns in an outpatient clinical setting and will have the opportunity to interact with members of the multidisciplinary team that includes physicians, psychologists, nurse practitioners, social workers and nurses. There will also be opportunity to learn about the outreach efforts and collaborative projects with community agencies that are focused on promoting healthy child development.

PEDI G825 - Forensic Pediatrics

Credits: 2

This elective rotation for 4th year medical students will serve as an introduction to the many facets of child abuse evaluation to include: inpatient consults, outpatient evaluation for child sexual abuse, multidisciplinary staffing, forensic interviewing, legal responses and the evaluation and care of children in foster care.

PEDI G830 - Newborn Nursery

Credits: 4

This rotation provides your best opportunity to learn about comprehensive care of the newborn. Our average daily census on the Pediatric Teaching Service is 23 babies; we care for newborns at or above 35 weeks’ completed gestational age. Each month, common diagnoses in our newborn population typically include heart murmurs, drug exposure, ABO incompatibility, jaundice, minor birth defects, tachypnea, and high-risk social situations. Every couple of months we also see clavicle fractures, Erb’s palsy, Down syndrome, developmental hip dysplasia, cleft palate, hypospadias, and other less common newborn physical findings. Students will learn to perform routine circumcision during this rotation and are expected to be proficient by rotation end.

PEDI G835 - Pediatric Cardiology

Credits: 4

The medical student is expected to actively observe the evaluation, assessment, and disposition of pediatric cardiology patients. The rotating medical student will, at a minimum, read the chapter on pediatric cardiology in Nelson’s Textbook of Pediatrics or Rudolph’s Pediatrics (current edition) OR the collection of articles located on the Pediatric Cardiology Wiki Site (available from Dr. Malpass).

PEDI G840 - Pediatric Endocrinology

Credits: 4

Students will work with experienced pediatric endocrinologist in evaluation and management of patients with diabetes and variety of pediatric endocrine disorders. They will be expected to observe and participate in history, PE, assessment, laboratory evaluation, and treatment plan. Reading material will be provided on patients seen that session if desired by student. Review articles can be accessed through the Division’s Wiki: http://ghspedendo.pbworks.com/w/page/85105726/Welcome%20to%20Pediatric%20Endocrinology

PEDI G845 - Pediatric Gastroenterology

Credits: 4

Student will attend the outpatient pediatric gastroenterology visits scheduled in the Center for Digestive Health at Patewood campus of GHS. Typically, patients are seen from 8 am to 4 pm M-Th. Student will also be invited to attend outpatient GI procedures on any of the three procedure days, performed in the Outpatient GI Lab at the Patewood campus. At their discretion, the student will have the option to spend some of the rotation doing inpatient consultation afternoons with the on-call gastroenterologist. The rotation will be primarily an observational experience, where the student will observe outpatient visits. Time can be arranged to attend outpatient visits with the pediatric dietitian as well.

PEDI G850 - Pediatric Hematology/ Oncology

Credits: 4

The course will provide 4th year medical students extensive exposure to the diagnosis and management of hematologic disorders and malignant diseases during childhood. Student can expect to become an integral member of comprehensive care team of children with chronic hematology and oncology diseases (including the psychosocial aspects of their diseases) in the hospital and clinic settings. The student will perform history and physical exams; interpret basic laboratory tests; review peripheral blood; and participate in the planning of comprehensive whole-family care that is the hallmark of the pediatric hematology/oncology team, which consists of physicians, nurse practitioners, nurses, child life, chaplains, social workers and psychologists. By the end of the rotation, the student is expected to be able to better evaluate the child with anemia, leukopenia, or thrombocytopenia, and learn how common malignant disorders first present to the pediatrician. The student will also learn the complications of therapy and the effects on the immune system of these diseases and their treatments. He or she should be comfortable in evaluating a peripheral blood smear for more common disorders such as iron deficiency, sickle cell disease and mononucleosis. Furthermore, the student will be expected to give a brief review of relevant hematology/oncology topic prior to completion of the rotation. The student will attend pediatric morning report, pediatric grand rounds and tumor board presentations during their rotation.

PEDI G855 - Pediatric Infectious Disease

Credits: 2-4

Students will participate in care of children with a wide range of infectious disease processes in both inpatient and outpatient setting. Students will participate in direct patient care and one-on-one instruction. Students will prepare a short presentation focused on answering a specific clinical question using primary literature sources.

PEDI G860 - Pediatric Centering Elective (longitudinal)

Credits: 4

This elective represents a unique opportunity for students to develop longitudinal pediatric relationships spanning the first year of life. The student will be an active participant in the Pediatric Centering program in which a group of infants and their parents meet together with a facilitator (NP or MD) for their 2wk, 2mo, 4mo, 6mo, 9mo, and 12mo well child visits. During these group visits, the student will assist the facilitator with clinical assessments / exams as well as discussions of developmental milestones and routine infant care. The often lively discussions in these groups offer a spectrum of the common parenting questions encountered by the general pediatrician. Over the course of the year, students will be expected to attend at least 4 visits with each of their 2 assigned groups. Each visit will require ½ day and the student will need to be excused from other clinical duties for that time. Due to the longitudinal nature of the elective, the student must commit to making himself/herself available during their groups’ scheduled visits. The course coordinator can assist with notification of other rotations but the student must provide the dates prior to the start of each block. Additionally, students are expected to read the Pediatric Centering book provided by the clinic and the appropriate age section in Bright Futures prior to the visit. Finally, the student will take on the role of primary provider in the health maintenance for their panel of patients. Under the direction of the facilitator, the student will perform periodic chart review for sick visits, mommy calls, ER visits and hospitalizations, and specialist follow-ups.

PEDI G865 - Pediatric Nephrology

Credits: 2

Students will participate in care of children with pediatric nephrologic conditions likely to include urinary tract infections, vesicoureteral reflux, chronic kidney disease, nephritic & nephrotic syndromes and hypertension, as well as patients being screened for underlying pathological causes of hematuria, proteinuria and hypertension. While most of the experience will be in the outpatient setting, there may be an opportunity for an inpatient experience depending on consultations received during the 2 week block

PEDI G870 - Pediatric Neurology

Credits: 2-4

The student will be exposed to outpatient pediatric neurology, including patients with epilepsy, headaches, developmental delay, tics, cerebral palsy, and other neurologic disorders. They will review neuroanatomy, neuropharmacology, and the neurologic exam in children. They will accompany the neurologist and will be allowed to initially evaluate the patient. They will be exposed to commonly used neurologic diagnostic tests, including EEG, MRI, and Nerve conduction studies.

PEDI G875 - Pediatric Pulmonology

Credits: 2-4

Welcome to the division of pediatric pulmonary medicine at Greenville Health System and Children’s Hospital! We are very happy to welcome medical students on rotations with us, and look forward to the time you spend in clinic and in the hospital. We currently see patients in clinic every day except Friday afternoons typically. Every Tuesday morning we have CF clinic which includes multidisciplinary involvement of our nutritionist, social worker, and child life specialist. Typically several providers will be in clinic each day, including our nurse practitioner (who will see her own patients without residents or students). Our clinic schedule typically begins on a daily basis around 8:30 and it is expected that students will arrive in a timely fashion when free of other obligations such as required conferences, didactic lectures, or other events and meetings.

PEDI G880 - Pediatrics Rheumatology

Credits: 2

Working in the pediatric rheumatology office allows the best exposure to the typical diseases and pathophysiology encountered by a pediatric rheumatologist. Inpatient consultation may also provide some exposure to these diseases. Students are expected to attend the outpatient pediatric rheumatology visits scheduled at the Patewood campus of GHS. Typically, patients are seen from 8:30 am to 12:30 pm Monday - Friday but students may leave clinic early to attend any required lunch lectures. If there are joint injections scheduled during the rotation then students may observe the procedures which take place at the main GHS campus in the afternoons. If desired, students may accompany faculty to the GHS main campus hospital for any inpatient consults that occur during the elective. Consult patients are also seen in the afternoons. The rotation will be primarily an observational experience. There are no overnight or weekend responsibilities. Because the clinic patient volumes are lower compared to other specialties, the student will be asked to prepare two short overview talks (one per week). One talk should cover JIA, the most common rheumatologic condition in childhood, and the second topic can be chosen based on the student’s interests.

PEDI G885 - Pediatric Sleep Medicine

PEDI G890 - Pediatric Intensive Care

PEDI G895 - Community Practice

Credits: 4

The focus of this elective is for the medical student to gain exposure to the practice of general pediatrics in a community setting. Students will see a variety of pediatric patients from birth to age 21 for well child care, continuing care for chronic medical issues, and acute sick visits. The well care includes check-ups, sports and college physicals, developmental screenings, behavioral management, parenting, anticipatory guidance, and immunizations. The student will get an understanding of a Medical Home for Children by seeing how children with chronic issues such as asthma, obesity, ADHD, depression, and a variety of other issues, are care for in a comprehensive manner. The acute sick visits include patients with fever, respiratory difficulties, gastrointestinal illnesses, unusual rashes, minor traumas, and a plethora of other issues. The student will also be able to see how a pediatric practice functions by observing how the practice manager, clerical, and nursing staff perform their various duties. The student may also have the opportunity to round with an attending in the nursery at either GMH or Greer. The goal of this elective is for the medical student to have not only an overview of general pediatric practice but also to have an understanding of the challenges and rewards that come with providing comprehensive medical care for pediatric patients.

PEDI G899 - Pediatrics Away Rotation

Credits: 4

The student will complete an intensive study of Pediatrics at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

PMDR G810 - Physical Medicine and Rehabilitation

Credits: 2-4

After consultation with the Clerkship Director and Clerkship Coordinator, the student will be assigned to the area of practice to which he/she needs the most exposure before entering a residency program. Options include: time in a rehabilitation hospital working with patients who have spinal cord injuries, brain injuries, stroke, etc., and/or time in outpatient clinics gaining exposure to patients with chronic and acute musculoskeletal pain, sports medicine, interventional spine procedures and electrodiagnostics. On the inpatient service, students will be exposed to all aspects of rehabilitation, including physical, occupational, speech, and psychological therapies and assistive devices. On the outpatient side, students will work one-on-one with an attending and observe outpatient diagnostics and treatment.

PMDR G899 - Physical Medicine and Rehabilitation Away Rotation

Credits: 4

The student will complete an intensive study of Phsysical Medicine and Rehabilitation at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

RADI G810 - Radiology

RADI G899 - Radiology Away Rotation

Credits: 4

The student will complete an intensive study of Radiology at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

SURG G810 - Pediatric Surgery

Credits: 4

This rotation offers the student an opportunity to work closely with pediatric surgeons in the office and hospital practice using the preceptor method to provide an exemplary approach to the management of problems in surgical pediatrics. The main emphasis of the course is to provide a basis for the comprehensive care of children requiring surgical intervention. The student will be exposed to the basic surgical techniques and be given the opportunity to participate during certain procedures. Patients presenting with complaints ranging from management of para-surgical congenital anomalies will be seen in this setting. The student will work as part of a team of the pediatric surgery service, participating in preoperative, intraoperative, and postoperative care. The patient population will consist of age groups from the premature newborn to the young adolescent. Exposure to a broad spectrum of cases needing surgical intervention, and/or management, will be provided. Hospital rounds, lectures, and conferences will be scheduled for the student to parallel the surgeon. Students will spend two weeks working during the day and two weeks working at night.

SURG G815 - Surgical Intensive Care Unit

Credits: 4

The surgical critical care rotation will provide M4 students with experience in the clinical concepts and procedures used in surgical critical care. Under the supervision of faculty and residents students provide comprehensive ICU care for complex trauma, vascular, neurosurgical and general surgery patients. Students will also participate in trauma resuscitations in the trauma bay. Students are expected to be an integral part of the ICU team and assist in daily rounds, evaluating new consults, coordinating care with the pulmonary team and performing procedures. Students are expected to present two brief oral reports on assigned topics for critical care teaching rounds. Students will spend two weeks working during the day and two weeks working at night.

SURG G820 - Urology

Credits: 2

Students will gain exposure to the broad, overall concepts of urologic disease and the practice of urology in the hospital and office setting. Students will focus on basic diagnostic procedures and treatment of male and female patients with diseases of the genitourinary system. Students are expected to actively participate in diagnostic and therapeutic endeavors under staff members’ directions. Emphasis is placed on developing case presentation skills and organizing patient data in a concise, presentable fashion. Students will assist at surgery and attend related conferences.

SURG G825 - Neurosurgery

SURG G830 - Ophthalmology

Credits: 4

This four week rotation is designed for medical students who wish to become familiar with ophthalmology as a medical and surgical specialty and may be leaning towards this field for residency During the rotation, students are expected to learn the principles of the ophthalmic history and physical examination. Students will become familiar with the most common ophthalmic conditions including cataracts, glaucoma, diabetic retinopathy, and strabismus. They will also have the opportunity to work with subspecialists within the field of ophthalmology. Students will see a wide variety of ophthalmic pathology and become familiar with all that ophthalmology has to offer as a career. The students will be given the opportunity to use specialized ophthalmic instruments including direct and indirect ophthalmoscopes, slit lamps, tonometers, and ultrasounds. They will be exposed to advanced testing performed in the office and observe surgery if interested. For students interested in an ophthalmology residency, this rotation will be a stepping stone on that path. The students will also be exposed to interesting inpatient consults and emergency room patients. They will also have the option to come in with the ophthalmologist on call on certain nights. For students not interested in an ophthalmology residency, the rotation will provide invaluable insight into ophthalmology as it relates to primary care as well as other specialties. The goal is to have the students become proficient with the direct ophthalmoscope, the slit lamp and comfortable working up ophthalmology patients. The focus is integrative care of the patient. Students will be expected to work up and present patients to the attending physicians by the end of the rotation.

SURG G835 - Otolaryngology Head and Neck Surgery

SURG G840 - Pediatric Neurosurgery

Credits: 2

This 2 week rotation will provide an introduction to the preoperative, operative and post-operative care of infants and children. The student will have the opportunity to round with the attending pediatric neurosurgeon, evaluate and present consults, perform history and physicals and scrub in on cases in the operating room. The student will also see patients in the outpatient setting.

SURG G845 - Plastic Surgery

Credits: 2

What is Plastic Surgery? Plastic Surgery is a specialized branch of surgery that is defined by the treatment of deformities of the face and body. Plastic surgery is founded in restoring form and function to all areas of the body. Historically, plastic surgery has been predicated on the tradition of innovation in problem solving. Only plastic surgeons are trained to operate on the human body from head to toe. Plastic surgery, therefore, is equally vested in reconstructive and cosmetic procedures. Whether deformity is caused by trauma, cancer, congenital abnormality, previous surgery, or age, plastic surgeons are uniquely trained to restore the normal. GHS Plastic Surgery & Aesthetics is dedicated to these principles that founded the specialty of plastic surgery.The student should expect to learn the basic principles of Plastic Surgery. The student will participate in a vast range of procedures including facial reconstruction, craniofacial/pediatric plastic surgery, microsurgery, breast reconstruction, body contouring, cosmetic surgery, and oculoplastic surgery. The student will spend most of the time in the operating room with some time in clinic. There are no call responsibilities.

SURG G850 - Pediatric Urology

SURG G855 - Vascular Medicine

Credits: 2-4

The vascular medicine clinical rotation will provide the medical students with an introduction to the diagnostic, therapeutic, and preventative approaches to all peripheral vascular diseases. The field of vascular medicine routinely uses non-invasive vascular testing to quantify disease and then determines if medical management is appropriate; and if not, assists in the application of more invasive therapies. The medical student will be introduced to the clinical characteristics of many vascular diseases, including arterial, venous and lymphatic, as they occur at peripheral, aortic, renal, mesenteric, coronary, cerebral, pulmonary, and other sites. Students will get a glimpse into the extensive knowledge base that is essential in understanding the pathogenesis of vascular diseases including PAD, aneurysms, vasculitis, arteriovenous fistulas, lipid disorders, essential hypertension, renovascular hypertension, arterial and venous thrombosis, pulmonary embolism, varicose veins, venous insufficiency (CVI), lymphedema and vasospastic disorders.

SURG G860 - Wound Care

Credits: 2

This 2 week rotation is designed to expose medical students to the assessment and management of various chronic wounds in a multidisciplinary setting. Students will spend the majority of their time at the Wound Healing Center of GHS at the Patewood Campus where they will round with the attending physician. Experience evaluating venous ulcerations, diabetic foot wounds, as well as unusual wounds such as vasculitic wounds will be provided. Hands on experience will include basic wound debridement, basic wound dressing, multilayer compression wraps and off-loading techniques. In addition, there will be opportunity to rotate at Greenville Memorial Hospital with the wound care team. The schedule will typically be 8 am to 5pm Monday through Thursday with no call or weekend duties.

SURG G899 - Surgery Away Rotation

Credits: 4

The student will complete an intensive study of Surgery at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.

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