MED 701 Core Clerkship: Internal Medicine
This clerkship is designed to introduce students to the study and skills of clinical medicine. Through the case study approach, students have the opportunity to evaluate and manage a variety of patients and their problems. In this manner, students can develop their skills in history taking and physical examination and will review pathophysiological principles in caring for patients. Students will develop an understanding of relationships between disease states and patient hosts from the medical, social and emotional points of view. The ward team approach allows students the opportunity to actively work toward the goals of good patient care and the acquisition of a solid foundation of medicine. Students are expected to supplement their learning through a self-study program of learning objectives. This will provide the students with exposure to basic technical skills as well as a core set of topics in internal medicine. FA WI SP SU [12 weeks]

MED 710 Internal Medicine Subinternship
Students function at an advanced level, doing histories and physical examinations, diagnostic evaluations, and initiation of appropriate therapy. There is close supervision by the staff of the Department of Internal Medicine. The course is primarily intended for students desiring additional clinical experience in internal medicine. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 711 Cardiovascular Medicine
Includes study of the diagnostic spectrum of cardiac evaluation including bedside assessment, critical care cardiology, electrocardiography, electrophysiology, echocardiography, cardiac catheterization, coronary angiography, coronary care, interventional cardiology, preventive cardiology and exercise testing. Patient study is carried out under direction of the clinical staff. This rotation is not offered in July. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 712 Medical Intensive Care Unit (MICU)
Experience in recognition/management of medical emergencies, particularly the use of temporary pacemakers, bedside hemodynamic monitoring, use of mechanical ventilators, and management of renal emergencies and cardiac arrhythmias. Patient care is carried out under the direction of the clinical staff. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 713 Cardiovascular Research
The student's program is individually planned with emphasis on understanding basic research techniques and completion of a project with the goal of submitting an abstract and/or manuscript. The student will be assigned to a specific faculty member based on his/her individual interest. The research program of the Section of Cardiology encompasses treatment and prevention of chronic heart failure, arrhythmias, and coronary artery disease; echocardiography; myocardial cell contraction; molecular biology of heart cell differentiation; and vascular biology. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 716 Poison Control
The Illinois Poison Center is a 24-hour emergency service fielding approximately 90,000 calls a year from parents, schools, work sites, emergency rooms, occupational medicine clinics, etc. regarding a variety of toxicological emergencies. Students will learn the basics in management of a poisoned or overdosed patient, including decontamination of toxins via all routes (i.e., ingestion, oculardermal, inhalation). The student will gain a working knowledge of signs/symptoms, antidotal therapy, toxicologic laboratory, nomogram interpretation monitoring parameter and management appropriate to a variety of poisons including prescription and OTC medicines, household products, and plants. Students will attend morning rounds and case conferences at the Toxikon Group at John H. Stroger, Jr. Hospital of Cook County at 9:00 a.m. This course must be pre-arranged at least four weeks in advance. Prerequisites: none. FA WI SP SU [2 weeks]

MED 721 Endocrinology/Metabolism
Endocrine and metabolic disorders are studied under the direction of the clinical faculty. Regular didactic sessions, departmental conferences and seminars supplement clinical work, which involves both outpatients at John H. Stroger, Jr. Hospital of Cook County and Rush and
inpatients at Rush. Prerequiste: MED 701. FA WI SP SU [4 weeks]

MED 724 Coronary Care Unit
[2 or 4 weeks]

MED 726 Nephrology
Clinical diagnosis and management of patients with renal disease as well as various fluid, acid-base, and electrolyte abnormalities are studied. Additionally, the course is directed toward the proper interpretation of pathophysiologic findings and the practical management of various disorders involving the excretory system and body fluids. Prerequiste: MED 701. FA WI SP SU [4 weeks]

MED 732 Digestive Diseases
The rotation is divided into two-week sessions; Gastroenterology and Hepatology. Students rotate on the Rush gastroenterology and hepatology inpatient services, including liver transplant. Students actively participate in consults, didactic lectures and bedside rounds. Students attend all conferences including Gastroenterology Grand Rounds, Medical-Surgical conference, Liver Transplant conference and Journal Club. An outpatient experience in both gastroenterology and hepatology is available once per week, if desired. There is an optional opportunity for those students wishing to participate in clinical research in the area of digestive diseases to incept projects during this rotation. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 736 Hematology
An intensive exposure to clinical hematology. Students meet with residents, fellows and a teaching-attending hematologist daily for presentation and discussion of hospitalized hematology patients. Students work-up patients, present them to the attending and participate in patient care with medical residents. Blood and bone marrow slides on the service patients are reviewed daily with attending hematologists using a teaching (multi-headed) microscope. Bedside rounds follow the daily presentation of cases. A weekly multidisciplinary lymphoma conference presents diagnostic and therapeutic aspects of the malignant lymphomas. A weekly clinical conference is held in which a patient is presented and discussed in depth by students, residents and faculty. A recent addition is a daily self-learning session with a faculty member on a core topic of hematology. Twenty of these topics cover the spectrum of hematologic diseases. All conferences held by the Rush Cancer Institute are available to the students on an optional basis. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 746 Infectious Disease
Students are exposed to a wide variety of acute and chronic infectious disease problems with emphasis on diagnostic and therapeutic approaches. Teaching is conducted in a case-study format in which students see new patients and present them to the attending on consultation rounds. Students spend two weeks at Rush and two weeks at John H. Stroger, Jr. Hospital of Cook County on the respective Infectious Disease Consultative Services. Rush and John H. Stroger, Jr. Hospital of Cook County have a joint Fellowship Training Program in Infectious Diseases. In addition, students attend a weekly two-hour infectious disease conference at Rush and a one-hour infectious disease conference at John H. Stroger, Jr. Hospital of Cook County where they may present cases. Sixteen lectures on basic infectious disease topics are presented over the four weeks. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 751 Rheumatology
Students participate in all activities of the Section of Rheumatology, including patient care in clinics, inpatient consultations, conferences and didactic sessions. A wide variety of musculoskeletal conditions and connective tissue diseases are seen. Objectives include performance of musculoskeletal exam, synovial fluid analysis, arthrocentesis, therapeutic injection of joints and other structures, ability to formulate differential diagnosis of rheumatic conditions, and formulate long-term management programs. An interdisciplinary approach relies on contributions of immunology, orthopedics, diagnostic radiology, physiotherapy, and occupational therapy. The combined faculty and facilities of Rush University Medical Center and John H. Stroger, Jr. Hospital of Cook County are utilized. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 761 Medical Oncology
Patients provide an ample and varied spectrum of oncological problems. Various therapeutic approaches and complications occurring in the course of the disease are discussed. The program stresses the importance of the combined interdisciplinary approach using resources of the Departments of Surgery and Therapeutic Radiology, as well as those of Pathology and Nuclear Medicine. Students may participate in the teaching programs of the Medical Oncology Ward on 11 Kellogg. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 771 Pulmonary Medicine
Students are exposed to the diagnosis and management of patients with a wide variety of pulmonary disorders. The essentials of pulmonary physiology, the use and interpretation of pulmonary function testing, and the provision of mechanical ventilatory support are emphasized. Prerequisites: MED 701, SUR 701. FA WI SP SU [4 weeks]

MED 777 Allergy/Immunology
Clinical approaches to the problems of allergy, other immune-mediated diseases and immunodeficiency in children and adults. Diagnosis and treatment of commonly encountered IgE-mediated diseases (allergic rhinitis, asthma, eczema and urticarla), as well as connective tissue diseases and Immunodeficiency syndromes are explained. Rotators are responsible for following inpatients admitted or referred to the Allergy/Immunology service and report to the attending physician-on-service on daily rounds. Allergy/Immunology Clinic outpatient care is demonstrated at John H. Stroger, Jr. Hospital of Cook County Children's Hospital (three times/week) and RUMC (four afternoons/week). Rotators also learn about skin testing techniques, spirometry and immunological tests performed by the Rush Medical Laboratory. Teaching (basic science or clinical lecture, journal club, research and chart review) conferences are held at Rush. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 781 Research in Medicine
Students may arrange research rotations individually with faculty at Rush. In order to receive credit for such a rotation, the person to whom the student will be responsible must write a letter describing the student's activities, responsibilities, amount of supervision, and the specific dates of the rotation. Credit toward graduation is granted assuming that the research project is ongoing throughout the academic year. [4 weeks]

MED 795 Geriatric Medicine
The Bowman Health Center, Rush Homecare, Geriatric Care Partners and the Rush Alzheimer's Disease Center are a few of the sites of care where students will learn about models of care for older adults throughout the continuum of care. Students will help design a curriculum which will provide a broad exposure to inter-disciplinary care, medical ethics, end-of-life care, medical economics and medical care for older adults. Didactic endeavors will complement a variety of clinical experiences. This elective requires one month's notice and the course director's approval. Prerequisite: FAM 701 or MED 701. FA WI SP SU [2 or 4 weeks]

MED 799 Combined Internal Medicine/Pediatrics
This elective is based at Lifetime Medical Associates, the continuity practice which is the focus of the Rush Combined Internal Medicine/Pediatrics Residency Program. This integrated resident-faculty outpatient practice focuses on family-oriented primary care. Students spend the day dealing with common outpatient problems in patients of all ages. Students will gain experience in office management, insurance issues, quality improvement, urgent care, and other areas important to general practice. Prerequisites: FAM 701, MED 701, PED 701, OBG 701. FA WI SP SU [2 or 4 weeks]

MED 812 Medical Intensive Care (MICU)
Students will work with extremely sick medical patients, mechanical ventilators, and pulmonary artery catheters at John H. Stroger, Jr. Hospital of Cook County. Students will analyze critical care data, including arterial blood gases. Patient care is carried out under the direction of the clinical staff. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 821 Endocrinology/Metabolism
[4 weeks]

MED 826 Nephrology
[4 weeks]

MED 828 Cardiology
The rotation consists of two weeks of CCU and two weeks of inpatient cardiology consults, or four weeks of CCU at John H. Stroger, Jr. Hospital of Cook County. Students will see patients on their own and present/discuss them with the team. They will attend cardiology rounds and conferences. Students will learn about presentation and treatment of common cardiac diseases including chest pain, acute coronary syndrome, and arrhythmia. Students will improve skills in the cardiac examination and in interpretation of EKGs. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 832 Digestive Diseases
[4 weeks]

MED 836 Hematology
This program at John H. Stroger, Jr. Hospital of Cook County is designed to train students to learn to apply the skills of history taking and physical examination and to acquire the skill of morphologic interpretation of blood and bone marrow aspirates to the diagnosis and treatment of hematologic problems. Prerequisite: MED 701. FA WI SP SU [4 weeks]

MED 847 Infectious Disease Externship
As externs on the Infectious Disease inpatient ward, students will act as daily care providers for newly admitted patients with HIV/AIDS, most of whom have opportunistic infectious and/or malignancies requiring in-hospital diagnostic evaluation and therapy. Students will participate in daily multi-disciplinary team courses that include an Infectious Disease attending, Intern Medicine house staff, clinical pharmacist, nurse practitioners, weekly multi-disciplinary rounds which include a psychologist, social worker, dietitian, and a dedicated nursing staff. Students will spend one-half day per week in the outpatient HIV clinic under the supervision of a Infectious Disease physician. Didactic sessions include a weekly one-hour Infectious Disease conference
conducted at Cook County Hospital, a two-hour clinical Infectious Disease conference held at Rush, and sixteen lectures on basic Infectious Disease topics. Prerequiste: MED 701. FA WI SP SU [4 weeks]

MED 848 HIV Primary Outpatient Care
The CORE Center provides comprehensive outpatient Infectious Disease services. Founded by Rush and Cook County, the Center is operated by John H. Stroger, Jr. Hospital of Cook County. Students will learn about HIV primary care including HIV counseling and testing; prevention, diagnosis, and treatment of opportunistic infections; and antiretroviral therapy. Experiences include adult, adolescent and pediatric HIV clinics, and brief exposure to a walk-in sexually transmitted disease clinic, and specialists in HIV dental, eye, cancer, hematology, and neurology specialty care, as well as mental health, social work, and chemical dependency support services. Didactic sessions include one-hour weekly Infectious Diseases conferences at the Core Center and two hour clinical conferences at Rush. Prerequisites: MED 701. FA WI SP SU [4 weeks]

MED 850 Short Stay Telemetry Elective
[4 weeks]

MED 851 Rheumatology
[4 weeks]

MED 861 Medical Oncology
[4 weeks]

MED 872 Pulmonary Consultation Services
[4 weeks]