Internal Medicine

The rotation emphasizes a rigorous history and physical exam to develop a differential diagnosis to guide the care of patients in the hospital and clinic. Supplementary reading on topics arising from the management of the patients is an important component of the experience. Interested students should discuss their goals prior to the rotation. This elective will not be offered in the summer months but will be available for students from September - May.

Requirement: Internal Medicine clerkship. This elective offers experience in the MICU at Y-NHH. Students are on call every fourth night with an intern and resident pair, assisting them in the admission of patients. Students follow patients in the MICU and assist in their care with their intern and resident. It provides the opportunity for participating in the acute management of common medical emergencies.

The student will participate in the daily activities of the cardiology service, including rounds, consultations, conferences, and special procedures such as cardiac catheterization, echocardiography and electrocardiography. The training experience will emphasize the physiologic basis for clinical manifestations and therapy of cardiovascular diseases.

The student will participate in the daily activities of the cardiology service, including rounds, consultations, conferences, and special procedures such as cardiac catheterization, echocardiography and electrocardiography. The training experience will emphasize the physiologic basis for clinical manifestations and therapy of cardiovascular diseases.

This is an opportunity for students to see a wide variety of gastrointestinal problems and patients, with an opportunity for discussion and review. The student will be an integral part of the inpatient GI consult service, primarily working in an inpatient setting. The student should plan to attend this rotation on a full-time basis.

This is an opportunity for students to see a wide variety of liver problems and patients, with an opportunity for discussion and review. The student will be an integral part of the inpatient liver service, primarily working in an inpatient setting. The student should plan to attend this rotation on a full-time basis.

The student will participate as an active member of the endocrine training program, making daily rounds with the metabolism fellows and residents and attending physicians. He or she will see inpatient consultations, participate in the endocrine clinics and participate in the regularly scheduled metabolism-endocrine conferences. This is a full-time assignment.

The General Medicine Consult Team provides consultative services to all non-internal medicine services throughout Yale-New Haven Hospital and Yale-New Haven Psychiatric Hospital. The team consists of one attending and one medical resident. The team performs preoperative evaluations, general medicine recommendations, and evaluates patients for possible transfer to the internal medicine service. Students would be responsible for their own patients and would perform independent evaluations of all three types of consults. Daily didactic sessions are held with the attending and medical resident. In addition, a general medicine consult syllabus is provided. The rotation is Monday through Friday.

This elective will enhance student learning in the care of elderly patients on both the in-patient and out-patient services. Our emphasis is on introducing the concepts of geriatrics in alternative sites of care, with the ultimate goal of understanding care delivery in subacute care, long-term care, assisted living and home care settings including both the services available and the role of the physician in all of these settings; to appreciate how goals of care can be met differently in these settings and appreciate the unique opportunity to avoid hospitalization that these settings afford; to understand the role of geriatric syndromes in the quality of life of individuals in these settings and gain skill in approaching the multifactorial nature of the patient's illness states; to give the trainee opportunities to further their skills through interface with the hospice and palliative care team and the geropsychiatry team; and to help the student appreciate the need for appropriate information transfer in transitions in care.

This elective is designed to provide intensive exposure to clinical hematology by direct participation in the activities of a regular clinical hematology service. Students will work with new patients and consults in rotation with the fellows and residents and will attend outpatient clinics. They will participate in daily hematology ward rounds and bone marrow readings and weekly inpatient/outpatient clinical reviews and clinical research conferences.

Students who want an intensive inpatient experience with the care of HIV-infected patients may spend a month as a sub-intern on the Donaldson/Atkins Firm, which offers a combined general internal medicine/HIV ward experience. Donaldson/Atkins used to admit HIV-positive patients only. However, as improved therapies have led to fewer HIV-positive patients, the firm has started admitting general medical patients as well. (On average, 30-50% of the patients are HIV-positive.)

Donaldson/Atkins practices a multidisciplinary HIV-care approach. There are two teams, each composed of an attending, two residents, two interns, and one third-year medical student. Students who elect an externship on Donaldson/Atkins function as integral members of one of the two teams. Students don't substitute for, but work with interns, essentially as a second intern. Activities include supervised initial evaluation and daily management of patients with HIV disease; daily rounds with the team; case presentations to the attending physician; attendance of tri-weekly attending rounds, and a weekly firm conference, during which issues involving HIV-related infections and non-infectious problems are discussed.

Students work closely with members from social work, nursing, pastoral care, and discharge planning to better appreciate the multidisciplinary nature of HIV care. They may attend one outpatient HIV clinic a week in the Nathan Smith Clinic (NSC) in order to supplement their inpatient experience with the ambulatory aspects of HIV disease. This elective offers a unique opportunity to participate in comprehensive HIV care in the AIDS Care Program, preferably upon completion of all basic clinical clerkships. A previous medical or surgical sub-internship is useful preparation.

Students participate as active members of the consultative and training program in Infectious Diseases at Yale-New Haven Hospital and the West Haven V.A. Medical Center. This includes daily work rounds, daily attending rounds, microbiology rounds four times a week, two weekly clinical conferences and one didactic conference.

This is an advanced elective offered to students who have completed the general in�patient medical clerkship. This is a full-time elective.

This rotation is designed to provide senior students with an introduction to the principals and practice of occupational environmental medicine. The hope is to fill in gaps missing in most basic medical school curricula and to encourage especially interested students of opportunities for careers in this discipline. The experience is centered on the diagnostic clinic at 135 College Street, New Haven, CT. In addition, students will have an opportunity to participate in ongoing didactic and research conferences as well as to visit factories and other environmentally contaminated sites which are being evaluated for their role in disease causation.

Students will work closely with faculty and staff in the pulmonary group and participate in daily consulting and intensive care rounds. Students will assist in the examination and treatment of patients with various cardiopulmonary diseases, including tuberculosis, chronic obstructive airway disease, asthma, lung cancer, bacterial and fungal lung infection and other diagnostic problems. They will receive practical instruction in chest images and pulmonary function tests and their interpretation, clinical and laboratory methods in diagnosis and management, including intensive respiratory care and respiratory therapy, and an opportunity to observe fiberoptic bronchoscopy. Students will receive didactic lectures in a number of areas relating to airway pharmacology, lung cell biology and lung immunology (respiratory cells, immunologic reactions, etc). In addition, students may select one or more of five clinical sessions held weekly. A separate experience is available in intensive care medicine.

Students taking this elective will actively participate in the rheumatology service both in the inpatient and outpatient settings and will work closely with the attending and fellow assigned for the month. They will work closely with the faculty member and fellow assigned to the inpatient consultative service at both Yale-New Haven Hospital and the West Haven VA Medical Center. They are expected to attend rounds and evaluate patients with rheumatic conditions and other diseases with rheumatic manifestations. In addition they will participate in outpatient clinics including two VA Hospital arthritis clinics, and two general Rheumatology clinics at Yale-New Haven Hospital. They are expected to attend two weekly conferences sponsored by the Section of Rheumatology.