Internal Medicine

Students electing this course will attend the Allergy & Immunology Clinic for Adults held at the Yale Allergy & Immunology Center, 6 Devine Street, North Haven.  Clinics are held Mondays, Tuesday, Wednesday, and Thursday, all have morning and afternoon sessions. In addition, students will attend the Allergy & Immunology Pediatric Clinic at 1 Long Wharf, on Wednesday and Thursdays (subject to change January 1, 2018). It is recommended that the students attend the Allergy and Clinical Immunology Seminar held on Friday mornings at 8:00am, followed by case discussions and Journal Club. Students may also join in consultations with the Allergy & Immunology service at YNHH.

Length of Rotation: 2 or 4 weeks (maximum-2 students)

Scheduling Restriction: Not offered 06/19/17 – 09/10/17 

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: Immunobiology course

Accept Visiting Students: yes - departmental approval

Learning Objectives

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. A maximum of one student can spend a minimum of two weeks on this rotation and share time between a private practice in New Haven, Connecticut and Yale-New Haven Hospital.  

Length of Rotation: 2 weeks (maximum-1 student)

Scheduling Restriction: Not offered 7/3/17-7/14/17, 7/17/17-7/28/17,   

Student's Class Level: 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

The student will participate in the daily activities of the inpatient cardiology consult service, including rounds and new consultations under the supervision of a fellow and attending.  Students will be participating in clinical case conferences and gain exposure to procedures such as cardiac catheterization, stress testing, echocardiography, nuclear imaging, and electrocardiography. The training experience will emphasize the physiologic basis for clinical manifestations and therapy of cardiovascular diseases.  A collection of pertinent review articles will be provided.

Length of Rotation: 2 or 4 weeks (maximum-1 students)

Scheduling Restriction: N/A

Student's Class Level: 4th, 5th year

Prerequisite: Internal Medicine Clerkship

Accept Visiting Students: yes.  International visiting students must be approved by Yale and VA for direct patient care; this is not an observership.

Learning Objectives

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.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: Not offered 7/1/17 – 9/5/17  

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

This is an opportunity for senior students to participate in critical care medicine activities in the medical intensive care unit (MICU).  The emphasis will be on evaluation and acute management of respiratory failure, shock and sepsis and use of invasive monitoring.  The physiological basis of disease and rationale for therapeutic interventions will also be emphasized.

Length of Rotation: 2 or 4 weeks (maximum - 1 student)

Scheduling Restriction: N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: no

Learning Objectives

The student will participate as an active member of the endocrine training program, making daily rounds with the endocrine fellows and residents and attending physicians. He or she will work primarily on the inpatient consult service at Yale-New Haven Hospital and, as time allows, will have the opportunity to attend selected endocrine clinics at YNHH and the VA.  The  student will also participate in the regularly scheduled metabolism-endocrine conferences throughout the week. This is a full-time assignment.

Length of Rotation: 4 weeks (maximum-1 student)

Scheduling Restriction: 6/19/17 - 7/14/17

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: Must have a strong command of English

Accept Visiting Students: yes 

Learning Objectives

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

Length of Rotation: 2 or 4 weeks (maximum-2 students)

Scheduling Restriction: N/A

Student's Class Level: 4th year only

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

This is an opportunity to diagnose and manage geriatric syndromes in a variety of settings. Sites include inpatient consultation service, outpatient geriatric assessment clinic, and nursing homes. Students will have the opportunity to work up and follow patients and participate in weekly team conferences.


Length of Rotation: 2 or 4 weeks (maximum-1 student)

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes - departmental approval

Learning Objectives

GOALS:  The focus of the student elective will be in the areas of geriatric assessment and identifying geriatric syndromes and gaining an appreciation of the full continuum of care for older adults and how transitions of such care occur by working direction with faculty and fellows through direct patient care and mini didactics students will learn about the core geriatric syndromes and how they directly affect function of older adults. 

Students will have an opportunity to engage with patients in a variety of clinical settings.  They include outpatient sites, both primary care and Adler Geriatric Assessment Center sites, in patient geriatric unit activities, subacute rehabilitation settings, and system-wide consultation services.  By directly caring for patients in these various sites students will gain a unique perspective into the scope of care that is available for older patients.  

METHODS:  The rotation will be either two or four weeks in duration.  Students will be exposed to patient care at various hospital subacute long-term care and outpatient sites.  Students will learn to identify basic geriatric syndromes such as memory loss, delirium, depression, falls, and polypharmacy.  In addition, there will be an opportunity to be involved with palliative care and end-of-life care issues in a variety of settings and goals of care discussion.

•    Educational activities will include direct patient care and rounds, introduction to team based care, case conferences and didactic sessions.  
•    Opportunities will exist to interact with the diverse and expert geriatric faculty.  
•    Based on student’s individual interests in particular areas of geriatrics, the focus of the elective can be structured in this manner.
•    Students will be evaluated by direct observation and will receive dynamic feedback during the course of the elective.
•    Will be able to attend the wide range of conferences, didactics and workshops Geriatric Medicine offers if schedule allows.

Length of Rotation: 2 or 4 weeks (maximum-1 student) 

Scheduling Restriction: N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: Internal Medicine Clerkships 1 & 2

Accept Visiting Students: no

Learning Objectives

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 up 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.

Length of Rotation: 2 or 4 weeks (maximum-1 student)

Scheduling Restriction: N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

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.

Length of Rotation: 2 or 4 weeks (maximum-2 students)

Scheduling Restriction: N/A

Student's Class Level: 4th year only

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

The elective offers a robust learning experience to medical student rotators in general infectious diseases including the diagnostic evaluation and management of common community acquired and nosocomial infections in a diverse patient population, as well as infections in the immunocompromised patient. There are opportunities for learning in subspecialty areas such as medical microbiology, transplant ID, HIV/AIDS, hospital infection control, antimicrobial stewardship and sexually transmitted diseases. Students will function as active members of the consultation and training program in Infectious Diseases at Yale-New Haven Hospital; and will be expected to attend and participate in daily attending rounds, microbiology rounds four times a week, weekly clinical case conferences and monthly journal clubs. Clinical settings for training are Yale-New Haven Hospital including Saint Raphael’s campus and the West Haven Veterans Affairs Hospital.  Evaluations of students by faculty and fellows would be primarily based on performance in clinical case presentations on the consult service.

Length of Rotation: 2 and 4 weeks (maximum-1 student); only Yale students may elect to participate in a 2-week rotation

Scheduling Restriction: N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

This elective offers experience in a busy MICU at Y-NHH. Students are on call every fourth day with an intern and resident pair (there are NO overnight responsibilities), assisting them in the admission of patients. Students follow patients in the MICU, are expected to present during rounds, and assist in patient care with their intern and resident. This elective provides the opportunity for participating in the acute management of common medical emergencies. Although students will be exposed to a variety of ICU based procedures, there will be limited "hands-on" opportunity.


Length of Rotation: 2 or 4 weeks (maximum-2 students)

Scheduling Restriction: Not offered 06/19/2017 – 07/14/2017, 05/21/2018 – 06/01/2018 

Student's Class Level: 4th, 5th year, will take 3rd year by special application if medicine rotation completed with Honors

Prerequisite: Internal Medicine Clerkship 

Accept Visiting Students: yes

Learning Objectives

This elective in clinical nephrology offers the student an opportunity for in-depth learning regarding problems in fluid and electrolyte disturbances, acute renal failure, chronic renal failure, and hypertension. Emphasis is placed on problem recognition, pathophysiologic diagnosis, evidence-based clinical judgment, and management based on pathophysiologic principles. The primary activity involves the inpatient consultation service in which the student works up and follows several patients per week, and participates in daily rounds with the attending physicians, postdoctoral fellows, and residents on service. An introduction to hemodialysis, peritoneal dialysis, renal transplantation, and renal biopsy histology is also provided.

Length of Rotation: 2 or 4 weeks (maximum-1 student)

Scheduling Restriction: N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

This rotation is designed to provide senior medical students (and PA and nursing students) with an introduction to the principals and practice of occupational and environmental medicine, including exposure, assessment and evaluation of disease causality. Students will learn how to evaluate workplace and environmental exposures, and assess the contribution of such exposures to patients’ diseases. The experience is centered on the YOEMP diagnostic clinic at 135 College St, New Haven, CT, VA Connecticut Healthcare System, and YNHH Employee Health. In addition, students will have the opportunity to participate in ongoing didactic and research conferences, workplace surveillance programs, and visit workplaces and other environmental sites that are being evaluated for their role in disease causation. Students will be exposed to the varied opportunities for careers in this discipline.

Length of Rotation: 2 or 4 weeks (maximum-1 student)

Scheduling Restriction: N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

This is an advanced elective offered to students who have completed their 3rd year Internal Medicine clerkship. This elective is designed to expose students to all aspects of clinical medical oncology by direct participation in the daily disease-specific out-patient oncology clinics at Yale Cancer Center. Students will have the opportunity to work-up patients with new cancer diagnoses and to participate in the on-going care of patients with diverse cancer diagnoses working closely with the medical oncology fellows and attending physicians. Students will participate as an active member of the medical oncology training program, attending the regularly scheduled daily clinical conferences as well as weekly disease-specific multi-disciplinary tumor boards and medical oncology fellow education conferences. Although the emphasis of the elective is on out-patient oncology in disease-specific units, students can also opt to work with the in-patient oncology team at Yale-New Haven Hospital. Rotations based at the VA Cancer Center can be arranged as well.

Length of Rotation: 2 or 4 weeks (maximum-3 students)

Scheduling Restriction: N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes - departmental approval

Learning Objectives

This 52-bed inpatient program at the nation's first hospice provides intensive palliative care for patients with terminal illness. The medical, psychological and spiritual needs of these patients and their families are met through the coordinated efforts of an Interdisciplinary Team (IDT) of physicians, nurses, social workers, pharmacists, clergy, art therapists and volunteers.

Students work one-on-one with an attending physician caring for patients approaching the end of life and their families. They participate fully in admissions, morning rounds, family conferences and IDT conferences. This elective offers students an opportunity to acquire advanced knowledge and skills in the management of symptoms (pain, anxiety, insomnia, etc.), which will benefit them in their future care of all patients, both those approaching the end of life as well as those who are acutely or chronically ill. It is the only elective in which symptom management receives a major focus.

The four-week rotation allows for optional time spent with allied services and/or home care. The goal of this rotation for students is to learn to provide optimal symptom management and, as members of the IDT, to learn to care for patients approaching the end of life and to give support to their families.

Length of Rotation: 2 or 4 weeks (maximum-2 students)

Scheduling Restriction: N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: All students are required to provide a letter of good academic standing from the Registrar; a copy of their recent PPD; and acceptance or declination of Hepatitis B; documentation of no communicable diseases; evidence of private health insurance and evidence of professional liability from the Registrar; and a personal letter stating why the student wants to do a rotation in Palliative/Hospice Medicine. All documentation must be sent to Mary Fitzgerald two weeks prior to the start of your rotation.

Accept Visiting Students: yes - departmental approval

Learning Objectives

The Yale New Haven Medical Center (YNHH) consult elective in Pulmonary Medicine is designed to provide medical students an in-depth knowledge of respiratory diseases through consults on the patient care floors and through didactic sessions and directed reading. Students become an integral part of the Pulmonary and Critical Care (PCCM) Section consult service, working with the attending and PCCM fellow(s). From two to six new consults on average are seen daily. Formal didactic lectures are given on Wednesday afternoons at 2:30 p.m. at the Yale State Chest Conference and Friday afternoon at 3:00 p.m. at the Fitkin Amphitheater. Students are expected (1) to learn the differential diagnosis and treatment of respiratory disorders, (2) to learn to interpret pulmonary function tests and (3) to learn to read a chest radiograph and understand the essentials of a chest CT scan. Students work closely with faculty and staff in the pulmonary group and participate in daily consulting and rounds. Students 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 receive didactic lectures in a number of areas relating to airway pharmacology, lung cell biology and lung immunology (respiratory cells, immunologic reactions, etc). A separate experience is available in intensive care medicine.

Length of Rotation: 2 or 4 weeks (maximum-1 students)

Scheduling Restriction: N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

The goal of this elective is to reinforce students' clinical skills following their time away from clinical medicine. The emphasis will be made on history, physical examination skills, interpretation of data, morning presentation, medical terminology, patient communication and coordination of care.  Students may be assigned to a house-staff team that consists of one intern, one resident, and one attending, or they may be assigned to a hospitalist team that consists of one attending and possibly a physician assistant. Students will be expected to perform at the clerkship level (not sub-intern level) performing admission history and physical exams, presentations, and following/presenting patients on daily rounds with supervision. History, physical diagnosis and laboratory interpretation skills will be emphasized daily on rounds.

Length of Rotation: 2 or 4 weeks (maximum - 1 student)

Scheduling Restriction: All students must receive approval from the elective director prior to registering for this elective.

Student's Class Level: Any student who has already completed 6 months of required clerkships who is re-entering after one year or more of clinical inactivity.

Prerequisite: N/A

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Learning Objectives

Students 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.

Length of Rotation: 2 or 4 weeks (maximum-1 student)

Scheduling Restriction: Not Offered 10/23/17-11/17/17

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: N/A

Accept Visiting Students: yes

Learning Objectives

The Internal Medicine subinternship offers medical students the opportunity to function in the role of an intern on an Internal Medicine inpatient team. Subinternship opportunities are available throughout the academic year at Yale-New Haven Hospital (York Street Campus and Saint Raphael Campus) and the VA Medical Center (West Haven, CT).  Subinterns will join a team consisting of an upper year medical resident and attending and will be responsible for admitting patients, writing admission and daily progress notes, presenting cases on rounds, communicating with consultants, ordering medications and tests, and serving as the front line physician for patients admitted to the hospital. Students will be responsible for managing approximately half the number of patients typically managed by an Internal Medicine intern. The Internal Medicine Subinternship offers medical students an outstanding opportunity to prepare for internship, whether the student intends to pursue a career in Internal Medicine or another specialty. To qualify for an Internal Medicine Subinternship, students must have successfully completed their third year Internal Medicine Clerkships.

Length of Rotation: 4 weeks

Scheduling Restriction: 4-WEEK BLOCKS as follows:

Monday, 06/19/2017 to Sunday, 07/16/2017

Monday, 07/17/2017 to Sunday, 08/13/2017

Monday, 08/14/2017 to Sunday, 09/10/2017

Monday, 09/11/2017 to Sunday, 10/08/2017

Monday, 10/09/2017 to Sunday, 11/05/2017

Monday, 11/06/2017 to Sunday, 12/03/2017

Winter Break (not offered)

Monday, 01/01/2018 to Sunday, 01/28/2018

Monday, 01/29/2018 to Sunday, 02/25/2018

Monday, 02/26/2018 to Sunday, 03/25/2018

Monday, 03/26/2018 to Sunday, 04/22/2018

Monday, 04/23/2018 to Sunday, 05/20/2018

Monday, 05/21/2018 to Sunday, 06/17/2018

Student's Class Level: 4th, 5th year

Prerequisite: Completion of inpatient Internal Medicine Clerkships required.

Accept Visiting Students: no

Learning Objectives

This one-year weekly outpatient sub- internship in the adult Primary Care Center provides experience in the longitudinal care of Internal Medicine patients. Students are directly responsible for care of medical problems and preventive care as well as coordination of specialty care for their own patient panel. The clinic is held every Wednesday evening, 5.15–8.30 p.m., except the day before Thanksgiving and between Christmas and New Year’s. Students are responsible for 3 patient visits/session. There are weekly pre-clinic conferences 4.45-5.15 pm, which include Journal Club and primary care case-centered topics presented by students.
 
It is open to a limited number of students who have completed at least half of their clerkships (MD/PhD) or all of the clerkships (MD). Students must have completed Medical Approach to the Patient clerkship. Completion of the Biopsychosocial Approach to Health Clerkship (clerkship components-Primary Care and Psychiatry) is highly recommended.
 
For additional information visit: www.yalewec.org

Length of Rotation: Longitudinal experience for 1 year Wednesday evenings (36 weeks)

Scheduling Restriction: Approval required by the Elective Director

Student's Class Level: 3rd year MD/PhD students upon review, 4th and 5th year

Prerequisite: Completion of at least half of the clerkships.
Students must have completed the Medical Approach to the Patient Clerkship (clerkship components- Internal Medicine and Neurology).
Highly recommended: Completion of the Biopsychosocial Approach to Health Clerkship (clerkship components-Primary Care and Psychiatry). Completion required starting academic year 2018-2019.

Accept Visiting Students: No

Learning Objectives


Students considering this specialty should consider the following electives or subinternships:

Dermatology

  • EL Dermatology Electives

Emergency Medicine

  • EL Emergency Medicine Electives

Frontiers in Medicine

  • EL Frontiers in Medicine Elective

Internal Medicine

  • EL Internal Medicine Analytical Clinical Cardiology Elective
  • EL Internal Medicine Cardiology Elective (VAMC)
  • EL Internal Medicine Cardiology Elective (YNHH)
  • EL Internal Medicine Geriatric Medicine Elective
  • EL Internal Medicine Geriatric Medicine Elective (YNHH/SRC)
  • EL Internal Medicine Palliative/Hospice Medicine Elective (Branford, CT)

Obstetrics & Gynecology

  • EL Obstetrics & Gynecology Outpatient Elective

Orthopaedics and Rehabilitation

  • SI Orthopaedics and Rehabilitation Subinternship

Pediatrics

  • EL Pediatrics Electives
  • EL Pediatrics Cardiology Elective

Surgery

  • SI Surgery Plastic and Reconstructive Surgery Subinternship