Internal Medicine (VS)

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 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

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 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 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 PA or APRN from the Hospitalist Service.  The team performs preoperative evaluations, general medicine consultation and co-management and evaluates patients for possible transfer to the internal medicine service. Students are responsible for their own patients and perform independent evaluations of all types of consults, with supervision by the Attending MD and/or the PA/APRN. Didactic teaching sessions are held with the attending and/or the assigned PA or APRN.   The rotation is Monday through Friday.

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

Scheduling Restriction: Not offered 06/20/16-07/15/16; 11/7/16–12/2/16; 1/2/17–1/27/17

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

Prerequisite: Internal Medicine Clerkship

Accept Visiting Students: no 

Learning Objectives:

  1. History skills. Gather the important information that is needed for the general medical consult history and complete a history in the medical record for at least 20 patients.
  2. Physical examination skills. Complete a physical examination for the evaluation of delirium on at least 3 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common medical conditions requiring inpatient consults and the general principles of how to manage such conditions. These include anticoagulation, antibiotic prophylaxis, DVT prophylaxis and treatment, blood transfusions, and diabetes management.
  4. Attitude: Demonstrate professional responsibility in working as a team member with all members of the multidisciplinary care team, patients and families.
  5. Career/context: Know the training/career pathway for Hospitalist medicine.

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

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 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

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