PCE BCH

Prerequisites: Year III standing
Location: CHMC - Children's Hosp Medical Center (7)
Description: The course is a basic introduction to clinical pediatrics which will provide first-hand experience in the evaluation, diagnosis and management of disease in children. Major emphasis will be on development of basic assessment skills, integration of basic science knowledge with clinical data and exposure to a variety of pediatric problems. Students will spend the majority of their rotation on one of the inpatient pediatric services (general pediatric and/or subspecialty) at Children's Hospital. All students will also rotate through one of the newborn nurseries at Brigham & Women's Hospital or Beth Israel Deaconess Medical Center, as well as the Pediatric Health Associates Clinic, the Primary Care Clinic at Children's Hospital. Students meet with faculty preceptors daily both to review current clinical cases as well as for problem-based case discussions covering areas of normal growth and development, pediatric pathophysiology, organ specific diseases and preventive medicine. Students participate in a variety of hospital educational activities such as the core lecture series, grand rounds and case conferences. All core clerkships in pediatrics also now participate in a common lecture series during Friday afternoons of the rotation. These lectures will take place at either the MEC or MGH.

PCE BID

Prerequisites: Year III Standing
Location: BIDMC - BI-Deaconess Medical Center (5)
Description: Primary Care Clerkship at BIDMC PCE
Prerequisites: Year III standing
Offered: Full time for three consecutive months.
Location: BIDMC - BI-Deaconess Medical Center (5)
Description: Students spend two months on one of five Medical Firms, functioning as integral members of the housestaff team. Monthly attending physicians and Firm and Associate Firm Chiefs provide supervision and teaching. Students admit patients with their inpatient teams every other day on "long" and "short" call days. Inpatient conferences include an EKG course, didactic lecture series, interns' report, attending and Firm Chief rounds, Firm Conference, Medical Management Conference, Grand Rounds, and course director meetings. One month in ambulatory medicine includes supervision by a medical preceptor in two continuity sessions weekly; sessions in several medical subspecialties, dermatology, ophthalmology, and an urgent care setting; and regular attending rounds and case-based conferences. During the clerkship, students are encouraged to use on-site educational and simulator facilities at the Carl J. Shapiro Institute for Education and Research.
Prerequisites: Year III standing
Offered: Full time every month.
Location: BIDMC - BI-Deaconess Medical Center (5)
Description: The clerkship is an introduction to clinical neurology during which students are assigned to the inpatient ward or consultation services in Neurology at the Beth Israel Deaconess Medical Center (both East and West campuses). Students learn to take neurologic histories, examine patients with particular attention to the nervous system and learn about and perform appropriate procedures used in the evaluation of patients on the Neurology service. They learn to recognize and evaluate a wide variety of neurologic problems, including neurologic emergencies. They have a full schedule of ward and consult rounds and teaching conferences and participate in the care of patients under the supervision of Neurology residents and faculty members.
Prerequisites: Year III standing
Location: BIDMC - BI-Deaconess Medical Center (5)
Description: This course exposes the student to general OB/GYN as well as the subspecialty and primary care aspects of the field. One week is spent in the ambulatory setting, 2 weeks in labor and delivery, and 2 weeks in the gynecologic operating room and one week with the gynecologic oncology service. The ambulatory experience utilizes a preceptor model in which each student is paired with a faculty preceptor in order to enhance continuity. Students also have ambulatory experiences to expose then to OB/GYN subspecialties, including reproductive endocrinology, maternal fetal medicine, gynecology, oncology, genetics, and general Obstetrics and Gynecology. Gynecology experiences include operative gynecology, gynecologic oncology, urogynecology, family planning, and reproductive endocrine and infertility. Labor and delivery experiences include low and high risk obstetrics. Every Wednesday student seminars are scheduled on key topics to complement the clinical experience. All students will meet mid clerkship with one of the clerkship directors to provide and receive feedback as well as an exit interview at the end of the rotation. Evaluation includes clinical performance, oral examination and written examination.
Prerequisites: Year III Standing
Location: BIDMC - BI-Deaconess Medical Center (5)
Description: Principal Clinical Experience at BIDMC PCE
Prerequisites: Year III standing
Location: BIDMC - BI-Deaconess Medical Center (5)
Description: This clerkship makes use of the breadth and range of psychiatric services in the BIDMC/MMHC system to expose students to fundamental issues in psychiatry: understanding and practice of interviewing skills, knowledge of psychiatric disorders and treatments, and familiarity and ease in talking with emotionally ill patients. Under the supervision of Harvard Longwood Psychiatry Residency Training Program attendings, students will work up and treat patients and participate in unit activities in one of three settings: on the Deaconess 4 inpatient service, at the MMHC Partial Hospital, or on the BIDMC Consultation-Liaison Service. Students will also have the opportunities to participate in outpatient evaluations and on call at the BIDMC ED, where they will see acute presentations of psychiatric illness and learn about the management of crises. Additionally, students participate in tutorials and a program of didactic seminars each Wednesday and visit an inpatient unit at Children's Hospital for an exposure to child psychiatry.
Prerequisites: Year III standing
Offered: Full time for one month.
Location: BIDMC - BI-Deaconess Medical Center (5)
Description: The course is designed to teach fundamentals of diagnostic image interpretation and clinical indications for imaging examinations and special procedures. It is formally structured with didactic lectures, problem-based learning exercises, programmed audiovisual teaching seminars, algorithm tutorials, conferences, observation of film interpretation and observation of special procedures. NOTE: Attendance on the first day, fourth Monday and last day of this course is mandatory.
Location: BIDMC - BI-Deaconess Medical Center (5)
Description:
Prerequisites: Year III standing
Offered: Offered July, October, January and April.
Location: BIDMC - BI-Deaconess Medical Center (5)
Description: BIDMC's Core Clerkship in Surgery places third year students in an active learning environment. to help them: - Recognize & manage common surgical problems, - Understand the nature of surgical diseases & when patients need referral to a surgeon - Understand surgery as a curative and /or palliative agent in the treatment of disease Students participate in patient care in a variety of settings (office, clinic, inpatient ward, operating room). General Surgery rotations are 6 weeks in duration, with assignments at the BIDMC, Mt. Auburn , and Children's Hospital. Two 2-week "selectives" expose students to problems that are common and best taught by specialists, help develop skills at evaluation and PE of patient problems in these areas, and develop a sense of when patients need referral to specialists. An introductory orientation week is supplemented by weekly didactic sessions focused on topics in general surgery. Students also attend a variety of departmental conferences.

PCE BWH

Prerequisites: Year III Standing
Location: BWH - Brigham and Women's Hospital (23)
Description: Primary Care Clerkship at BWH PCE
Prerequisites: Year III standing
Offered: Full time for three consecutive months.
Location: BWH - Brigham and Women's Hospital (23)
Description: Students are assigned to 1 month of ambulatory service at BWH or WRVA, or 2 months of in-patient service. The in-patient services take place at BWH, WRVA or Faulkner Hospital. During in-patient service, a student is responsible for up to 4 patients under the supervision of the intern, resident or attending physician. There are teaching sessions taught by the Chief of Medicine, the Clerkship Director and other faculty, with special attention given to bedside teaching. During ambulatory service, students are assigned to a preceptor for morning and afternoon clinics in both general medicine and sub-specialties. Didactic sessions are taught to emphasize approaches to solving clinical problems. All students are evaluated by attending physicians, housestaff and preceptors. The criteria for evaluation include clinical knowledge and skills in history taking, physical examinations and differential diagnosis. Learning skills and standards of professional conduct and responsibility form important components of the evaluations. In addition, a final exam is given at the end of the clerkship, which is used to determine student's grade.
Prerequisites: Year III standing
Offered: Full time every month.
Location: BWH - Brigham and Women's Hospital (23)
Description: The goals of the clerkship include gaining confidence in the evaluation of neurological problems, especially in the performance of a complete and accurate neurological examination, familiarity with the use of neurological tests, including lumbar puncture, and neuroimaging procedures, EEG, EMG, nerve conduction velocity. There is a limited time during this core rotation to expand the knowledge concerning the diagnosis and treatment of common neurological problems. The first half day will be spent in orientation. During the month, students will be assigned to either the neurology inpatient or consultation service. They will function as part of a team with house staff and be expected to work up at least four patients per week. These workups will be reviewed, and students will participate in the patients' care. Students will also participate in daily teaching and ward rounds and in all hospital and departmental neurology conferences. There is a clinical ambulatory and neuropathological experience which is part of the rotation. All students will be given beepers and lockers for their personal belongings. The clinical clerkship is a component of PARTNERS neurological training program which involves the MGH and BWH house staff and officers. Also the hospitals in the Longwood Area participate in joint teaching exercises each week, including resident conferences and ground rounds.
Prerequisites: Year III standing
Location: BWH - Brigham and Women's Hospital (23)
Description: The clerkship provides an overview of important aspects of obstetrics and gynecology. The primary objective is to impart a basic knowledge of those aspects of the care of women essential for all future physicians. Included is the fundamental clinical information and skills development necessary to care for the pregnant woman and female patients with disorders of the reproductive system. The clerkship also strives to stimulate thinking and problem-solving, to develop skills for effective communication and to strengthen self-confidence and study skills. The clerkship is divided into an obstetrics and a gynecology rotation, with sites in ambulatory clinics, health centers, the operating room, inpatient units, and Labor and Delivery. Wednesdays are devoted to comprehensive seminars. Each student will be asked to prepare a case presentation. Presentations are expected to be case-based, interactive and evidence-based. In an effort to develop team building, students are assigned to individual residents in each component of the clerkship. Students are supervised by housestaff, faculty, midwives, nurses and other professional staff. Midway in the clerkship, a review session is scheduled for feedback with the Clerkship co-Director. This provides students an opportunity to openly discuss their experiences, pro and con, and to address any difficulties. Each student is scheduled for an end of the clerkship feedback session.
Prerequisites: Year III Standing
Location: BWH - Brigham and Women's Hospital (23)
Description: Principal Clinical Experience at BWH PCE
Prerequisites: Year III Standing
Location: BWH - Brigham and Women's Hospital (23)
Description: This clerkship makes use of the breadth and range of psychiatric services in the BWH and FH to expose students to fundamental issues in psychiatry: understanding and practice of interviewing skills, knowledge of psychiatric disorders and treatments, and familiarity and ease in talking with emotionally ill patients. Under the supervision of Harvard Longwood Psychiatry Residency Training Program attendings, students will work up and treat patients and participate in unit activities in one of two settings: in the Faulkner Hospital inpatient service or on the BWH Consultation-Liaison Service. Students will also participate in the outpatient evaluations and on call at the BWH or Faulkner ED, where they will see acute presentations of psychiatric illness and learn about the management of crises. Additionally, students participate in tutorials and a program of didactic seminars each Wednesday and visit an inpatient unit at Children's Hospital for an exposure to child psychiatry.
Prerequisites: Year III standing
Offered: Full time for one month.
Location: BWH - Brigham and Women's Hospital (23)
Description: The course is designed to teach the basic principles of radiological interpretation and utilization through small group instruction. Learning methods include audiovisual programs, lectures, film tutorials directed by staff radiologists, computer tutorials, self-learning film exercises and observation of clinical radiological interpretation. The indications and contraindications for radiologic examination and the benefits and limitations of radiological methods will be presented. Students must be present for the first and last day of the rotation, as well as the date scheduled for case presentations. Questions regarding these dates should be directed to Dr. Di Salvo (617-632-2603) or Terri Smith (632-2603) Opportunities exist for clinical research in radiology, either during the advanced elective radiology elective or as separately sponsored by full-time radiology faculty. Contact the course director for further details.
Prerequisites: Year III standing
Offered: Full time for three consecutive months.
Location: BWH - Brigham and Women's Hospital (23)
Description: The overall goal of the Core Clerkship in Surgery at BWH is to offer exposure to diseases encountered by surgeons and to gain insight into surgical decision-making. The clerkship is divided into four 3-week blocks. In two blocks, the student participates in the daily activities of an inpatient General Surgery service and sees outpatients with two assigned General Surgery preceptors. In the third and fourth blocks, the student spends one week in an Anesthesia rotation, one week in a Breast disease rotation and four separate weeks in a surgical subspecialty elective. For six of the twelve weeks, the student will spend one �shift� each weekend in the Emergency Department seeing surgical consults.

PCE CAM

Prerequisites: Year III standing
Offered: Full time for one month. Not offered July and August.
Location: CAM - The Cambridge Hospital (6)
Description: This clerkship is offered for students to learn about psychiatric problems and emotional issues that any practicing physician might encounter. The course is geared to the student who feels he or she can best learn in a small group setting. The clinical experience takes place in a general hospital that is part of a comprehensive community health center program and provides broad exposure to public sector psychiatry. In addition to being integral members of a multidisciplinary inpatient team, students will be individually supervised in the outpatient clinic and the psychiatric emergency ward. To help integrate the rotation, longitudinal seminars will run parallel to the individual clinical work and will consist of case presentations correlated with readings and more formal overviews and discussion. Students may elect to extend the rotation beyond a month and are encouraged to develop a program tailored to their own special interests.

PCE CHA

Prerequisites: Year III Standing
Location: CHA - Cambridge Health Alliance (17)
Description: Primary Care Clerkship at CIC PCE
Prerequisites: Year III Standing
Location: CHA - Cambridge Health Alliance (17)
Description: Core Medicine Clerkship at Cambridge Integrated Clerkship
Prerequisites: Year III Standing
Location: CHA - Cambridge Health Alliance (17)
Description: Core Neurology Clerkship at Cambridge Integrated Clerkship
Prerequisites: Year III standing
Location: CHA - Cambridge Health Alliance (17)
Description: Women's & Children's OB/Gyn component at Cambridge Integrated Clerkship
Prerequisites: Year III Standing
Location: CHA - Cambridge Health Alliance (17)
Description: Principal Clinical Experience at CIC PCE
Prerequisites: Year III Standing
Location: CHA - Cambridge Health Alliance (17)
Description: Women's & Children's Pediatrics component at Cambridge Integrated Clerkship
Prerequisites: Year III standing
Location: CHA - Cambridge Health Alliance (17)
Description: Core Psychiatry Clerkship at Cambridge Integrated Clerkship
Prerequisites: Year 3 Standing
Location: CHA - Cambridge Health Alliance (17)
Description: Core Radiology Clerkship at the Cambridge Integrated Clerkship
Prerequisites: Year III Standing
Location: CHA - Cambridge Health Alliance (17)
Description: Core Surgery Clerkship at Cambridge Integrated Clerkship

PCE MCL

Prerequisites: Year III standing
Offered: Full time for one month. Not offered, September.
Location: MCLH - McLean Hospital (10)
Description: The clerkship at McLean Hospital will expose students to a wide range of psychopathology in order to facilitate recognition and management of psychiatric disorders encountered in the practice of medicine. Diagnostic evaluation and therapeutic considerations (for both hospitalized and non-hospitalized psychiatric patients) will be emphasized. A seminar on the biomedical aspects and pharmacologic treatments of the major psychoses will be presented. An introduction to psychodynamic psychiatry is provided through case discussions and seminars. Each student will be assigned a tutor with whom he/she will meet twice a week, as well as supervisors who will oversee their clinical work. Students will also be integrated onto the Clinical Evaluation Center where they will interview patients referred for immediate assessment. Students may elect clinical experiences on various specialty services, including bipolar psychotic disorders, geriatrics, substance abuse, child and adolescent , Partial Hospital Program and others. Exposure to research in neuropsychiatry may also be arranged. While students are expected to master a core knowledge base in psychiatry, they are encouraged to communicate with the Clerkship Director before the rotation begins, so that their individual interests can be addressed.

PCE MGH

Prerequisites: Year III Standing
Location: MGH - Mass. General Hospital (3)
Description: Primary Care Clerkship at MGH PCE.
Prerequisites: Year III standing
Offered: Full time for three consecutive months.
Location: MGH - Mass. General Hospital (3)
Description: The three month clerkship is divided between 2 months of inpatient medicine and one month outpatient medicine. On the inpatient services, students will spend 4 weeks on the Ellison Service (every 4th night on call) and 4 weeks on the Bigelow Service (every 4th night on call). On the outpatient services, the student will participate in medicine and medical subspecialty offices. Students meet approximately twice a week for sessions in patient management. These sessions allow students to manage both inpatients and outpatients in hypothetical settings and are designed to teach clinical problem solving and critical judgment. A lecture series is designed to teach students optical use of the clinical laboratories. A lecture series on electrocardiographic evaluation of cases is also included. Students also participate in auscultation rounds to redefine their physical finding techniques. Students are supplied with uniforms, beepers and have access to the house staff library and receive a password for our computer literature search program.
Prerequisites: Year III standing
Offered: Full time every month.
Location: MGH - Mass. General Hospital (3)
Description: On the Core Neurology rotation at the Massachusetts General Hospital, students are taught the essential clinical skills necessary to examine, diagnose and treat patients with neurologic illness. Two parallel teaching services, C. Miller Fisher and Raymond D. Adams inpatient teams, offer extensive inpatient experience and teaching. Weekly assigned outpatient sessions with the staff in both general and sub-specialty clinics provide exposure to the practice of outpatient neurology, and to the management of common neurologic diseases. Students contribute to discussion in brain cutting conferences, and attend neurology grand rounds. Tutorials specifically for students include weekly clinical rounds with the clerkship director, didactic sessions twice weekly with a tutor, and weekly sessions on neuroradiology and neurophysiology. Students take call with their residents, and are encouraged to spend time in the emergency room in the evaluation of acutely presenting neurologic illness. A clinical examination is offered in mid-rotation which provides direct one-on-one attending clinical teaching and an opportunity for students to develop bedside skills with the aid of a staff physician, and an opportunity for the student to assess his or her own performance.
Prerequisites: Year III standing
Location: MGH - Mass. General Hospital (3)
Description: The clerkship is designed to provide an overview of the most important aspects of obstetrics and gynecology and includes an introduction to the sub-specialty areas of maternal-fetal medicine, reproductive endocrinology and infertility, and gynecological oncology. The primary objective is to provide students with a basic knowledge of those aspects of the care of women that are essential to future physicians in any specialty. Included is the fundamental clinical information and skills development necessary to care for the pregnant female and female patients with disorders of the reproductive system. Divided between gynecology and obstetrics, the clerkship provides experiences in ambulatory clinics, the operating room, inpatient units, and labor and delivery. One full day each week is devoted to comprehensive lectures. Students are supervised by physician faculty, certified nurse midwives, nursing and other professional staff, and housestaff. The clerkship at MGH fosters - maybe as a consequence of its small size - a close working relationship between students and faculty. The students meet with the clerkship director weekly to provide feedback, discuss cases and address difficulties. Students are evaluated on the basis of their clinical performance as well as their performance on written and oral final examinations.
Prerequisites: Year III Standing
Location: MGH - Mass. General Hospital (3)
Description: Principal Clinical Experience at MGH
Prerequisites: Year III standing
Location: MGH - Mass. General Hospital (3)
Description: Working with children provides opportunities for observing the natural growth process, leading to maturation. Students can familiarize themselves with indicators of health and disease by becoming involved in the clinical management of infants, children and adolescents. Students will participate in all aspects of patient care - work rounds, visit rounds, admissions, as well as in various educational offerings. This clerkship ordinarily includes 4 weeks of pediatric wards and 2 weeks in the pediatric emergency room, general pediatric outpatient settings, and newborn nursery. Acquisition of clinical skills and approaches to patient management are emphasized. All core clerkships in pediatrics also now participate in a common lecture series during Friday afternoons of the rotation. These lectures will take place at either the MEC or MGH.
Prerequisites: Year III Standing.
Offered: Full time for one month. Not offered December, May, June and August.
Location: MGH - Mass. General Hospital (3)
Description: In the setting of MGH's locked 24-bed state-of-the-art general hospital psychiatric unit, students care for patients, age 18 to geriatric, with co-morbid medical illness who have often failed earlier treatment. Students are assigned to an attending resident-team, who round each morning, work-up, and closely follow team patients. Students will also work with Consultation- Psychiatry staff and patients on the medical wards. Students spend 2 weeknights 6-10 pm (Sun-Thurs) and one night overnight 6 pm to 9 am (Fri or Sat) per rotation on call in the busy psychiatric emergency room. Experienced clinicians conduct about 20 seminars for medical students throughout the month. Weekly teaching rounds at Lindemann State Hospital Inpatient Unit are included.
Prerequisites: Year III standing
Offered: Full time for one month.
Location: MGH - Mass. General Hospital (3)
Description: The course is designed to teach fundamentals of diagnostic image interpretation and the clinical indications for imaging examinations and interventional radiology procedures. It is formally structured with didactic lectures, problem-based learning exercises, programmed audiovisual teaching seminars, algorithm tutorials, conferences, observation of film interpretation, observation of special procedures and computer workshops. Students spend two hours per day at self-study in the Radiology Learning Center reviewing MyCourses CD-ROM and internet radiology teaching programs. A lecture on basic principles of radiation therapy is given by a staff member of the Radiation Medicine Department. The students are also instructed in the downloading, storage and presentation of digital diagnostic images.
Prerequisites: Year III standing
Offered: Full time for three consecutive months.
Location: MGH - Mass. General Hospital (3)
Description: The students will spend three weeks on the General Surgical Service, three weeks in the Emergency Department, one week on Anesthesia, one week on elective, two weeks in Orthopedics, one week in Ear, Nose and Throat and one week in Urology while on the General Surgical Service. The students will be involved under supervision with the pre-operative evaluation, the intra-operative management and the post-operative care of the surgical patients. In all areas of this rotation, the students will participate in outpatient assessment and management. In the Emergency Department, the students will become active members of the Emergency Department Surgical Team and will see Surgical patients with supervision provided by the residents and physician staff. The experience will be supplemented by frequent tutorial sessions with the Core Director, as well as didactic sessions offered throughout the week.