Internal Medicine Housestaff

Elective Manual Table of Contents

1. Expectations of an Elective Resident and Elective Attending………...... page 2 2. Allergy & Immunology (all-r)……………………………………….. page 3 3. Ambulatory Non-IM Specialty Princeton (amb)..………………...... page 5 4. Cardiology CAB (card-o-r)………………………………….…………...... page 7 5. Cariology Inpatient (card-i-r)………………………………………………....page 9 6. Cardiology UMCP (card-p)…………………………….……………... page 11 7. Congestive Heart Failure (chf-r)…………………….…………………… page 13 8. Emergency Medicine UMCP (er-p)………………...... …………….. page 15 9. Endocrinology (endo-r)…………………………………………....…. Page 17 10. Electrophysiology (ep-r)……...... ……………………………. Page 19 11. Gastroenterology Inpatient (gi-i-r)….…………………...... ………... page 21 12. Gastroenterology Outpatient (gi-o-r)………………………...... ….. page 23 13. Gastroenterology Princeton (gi-p)………………………………….. page 25 14. Gastroenterology VA (va-gi)……………………………………………. page 27 15.General Internal Medicine Consult Service (gim)…………...………. page 29 16 Geriatrics (geri-1, geri-2)………………………………………………….. page 31 17. Hematology (hem-r)………..……………………………………….. page 35 18. Heme Path (hemepath)……………………………………………….. page 37 19. Hospital Administration (hospad-r).………………………………... page 39 20. Hypertension/Nephrology (htn-p)…………………………….…….. page 41 21. IM Specialty – Endo/Rheum/HIV (im-sub-r)………………………. page 43 22. Infectious Disease (id-r)………………………………………………. page 45 23. Infectious Disease-ID Care (id-p)…………………………….…….. page 47 24. Nephrology (nephro-r)…………………………………………………. Page 49 25. Oncology CINJ (cinj-r)……………………………………………...………page 51 27. Oncology Princeton (onc-p)………………………………………….. page 53 28. Palliative Care (pallca-r)……………………………………………. page 55 29. Practice Tailoring (prac)………….…………………………...... page 58 30. Psychiatry (psy-r)……………………………………………………………page 59 31. Pulmonary Medicine (pulm-o-r)……………………………………… page 61 33. Radiology (rad-p)………………………………………….. ………….……page 63 34. Rheumatology (rheum-r)……..………………………………….…….. page 65 35. Transplant (xplant-r) ……...………………………………………... page 67

1 EXPECTATIONS

Expectations of a Resident on Elective:  Review the pertinent elective material (schedule, goals & objectives) in the elective manual located on the residency website prior to starting the elective.  Patient encounters: Take a thorough history and physical, document appropriately in the chart, present cases to the attending, discuss management.  Demonstrate self-directed learning through independent reading about the diseases encountered during the elective.  Report to the elective on time.  Attend all required educational activities of the program as per the elective schedule sheet.  Maintain a professional demeanor at all times.  Attend your continuity clinic according to elective schedule

Expectations of an Elective Attending:  Discuss the goals and objectives of the elective with the resident on day 1.  Teach residents the history and physical exam skills that are pertinent to the specialty.  Teach residents diagnosis, pathophysiology, management and disease course on a case by case basis.  Instruct residents on the diagnostic modalities that should be undertaken prior to referral to the specialty.  Educate residents about when to initiate a referral to the specialty.  Instruct residents on the diagnostic tools used by the specialty for further evaluation of the disease.  Educate residents about the cost of various diagnostic and treatment modalities.  Discuss evidence-based medicine.

2 INTERNAL MEDICINE HOUSESTAFF

ELECTIVE ROTATION

Amion Legend: all-r Elective Title: ALLERGY AND IMMUNOLOGY Elective Site: CAB, Cranford/Warren, and Plainsboro

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS

Dr. Monteleone Dr. Monteleone Dr. Monteleone Dr. Monteleone: Dr. Maccia Dr. Maccia MEB-358 (732) 235-7712 [email protected] Dr. Caucino Dr. Maccia Dr. Maccia- Cranford Office: Stacy Warren Office: 19 Holly Street (732) 627-0900 Cranford, NJ 07016 [email protected] Cranford Office: (908)276-0666 Dr. Caucino 666 Plainsboro Rd Dr. Caucino: Bldg 1000 Ste 1B Plainsboro, NJ 08536 (609) 799-8111

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All (Include residents from other programs) MIN 2 MIN_____ PGY 2/3

MAX 4 MAX 1 STUDENTS OUTPATIENT _X_ NO NIGHT CALL INPATIENT__ YES NO X NO WEEKENDS MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

CAB Cranford Office Warren Office Cranford Office Warren Office AM Dr. Monteleone Dr. Maccia Dr. Maccia Dr. Maccia Dr. Maccia

PM Plainsboro RESIDENT CAB CAB RESIDENT Dr. Caucino CONTINUITY Dr. Monteleone Dr. Monteleone CONTINUITY CLINIC CLINIC Residents are required to attend the following program activities: Daily Board Review, and Monthly Humanism & Professionalism and Business of Medicine Conference. Residents are not required to attend Noon Report/Conference.

If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective.

Goals and Objectives: Allergy & Immunology Elective

Educational Purpose  To recognize and treat commonly encountered outpatient problems in allergy and immunology.  To familiarize the resident with frequently used diagnostic techniques such as allergy skin testing and PFTS.  To enhance occupational and environmental history taking skills.  To determine when it is appropriate to initiate a referral to an allergist.  To gain exposure to the business aspects of running a private practice.  Please refer to the Allergy section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings provide didactic lectures on subjects of interest.

Educational Content  Mix of Diseases: Includes, but is not limited to, asthma, allergic rhinoconjunctivitis, contact dermatitis, atopic dermatitis, urticaria, angioedema, food and drug allergies, and humoral deficiencies.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Solely outpatient encounters in the allergy clinic of the RWJ CAB and in the private offices of community Allergists.  Procedures: Allergy skin testing, desensitizations  Services: Full range of services including access to a PFT laboratory and skin testing in the office.

Educational Materials  Recommended Reading: Packet of pertinent allergy and immunology articles is given to each resident at the start and discussed throughout the elective.  Pathological Materials: N/A  Other educational resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of the attendings.

Level of Resident Supervision  Primary responsibility for care lies with the attendings.  Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings.

SELECTIVE ROTATION

Amion Legend: amb Elective Title: AMBULATORY Non IM Specialty ElectiveSite: PRINCETON and New Brunswick

ELECTIVE DIRECTOR: ELECTIVE CONTACT CONTACT PHONE: Dr. Payal Dave ELECTIVE FACULTY: NAME / ADDRESS [email protected] Refer to schedule Refer to schedule See Below Dr. Kathy Robison [email protected] MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING (Including from other All MIN: 2 w eeks programs) PGY 2/3 MAX: 4 weeks MIN___ MAX ___ 1 STUDENTS OUTPATIENT_X_ NO NIGHT CALL INPATIENT __ YES NO X NO WEEKENDS MIXED __ NO NIGHT CALL

SCHEDULE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY AM 8:30-12pm 8:30-12pm 8:30-12pm 9 am – 5 pm 9:30-12pm Orthopedic Inpatient Neurology Urology Dermatology Gynecology@9:30am W. Thomas Gutowski, MD Dr. Gupta Stanley Rosenberg, MD Kyra Williams, MD Barry Rossman, MD Dr. Pappert/Rao (contact person: Cell phone: Robert Pickens, MD AnnMarie/ext.6308) 732-425-8422 Alexander Vukasin, MD 1 Worlds Fair Drive Call or text at 8:30am 2nd Floor Sports Medicine Forsgate to find out where to Urology Group of Somerset, NJ 08873 11 Centre Drive meet for inpatient Princeton UMCP Jamesburg, NJ 08831 RWJUH consults Forrestal Village Outpatient Gynecology 609 655-4848 134 Stanhope St. Phone: 235-7765 Clinic, Suite B fax: 609-924-8532 Princeton, NJ Fax: 235-6568 253 Witherspoon St. 609 924-6487 [email protected] Princeton, NJ 08540 fax: 609-921-7020 609-497-4240 fax: 609-497-4027 PM RESIDENT 1-5pm RESIDENT RESIDENT 1-5pm CONTINUITY Outpatient CONTINUITY CONTINUITY Otolaryngology Neurology Scott Kay, MD CLINIC Dr. Gupta CLINIC CLINIC

81 Veronica Avenue Suite 201 Somerset, NJ 7 Schalk’s Crossing Road Suite 324 Plainsboro, NJ 08536 609-897-0203 Fax: 609-897-0213

Residents are required to attend the following program activities: Daily Board Review, Weekly Grand Rounds and Monthly Humanism & Professionalism and Business of Medicine Conference. Only required to attend Noon Report/Conference on Tuesdays.

5 Goals and Objectives: Ambulatory Non-IM Specialty Princeton Selective

Educational Purpose  To recognize common problems encountered in some non-internal medicine specialties that pertain to the practice of medicine, such as ophthalmology, dermatology, ENT, orthopedics, gynecology, neurology and urology.  To improve physical exam skills in specific areas such as the HEENT, skin, joint, prostate, pelvic, and neuro exam.  To gain exposure to the business aspects of running a private practice.  To determine when it is appropriate to initiate a referral to an ophthalmologist, dermatologist, otolarynogologist, orthopedic surgeon, gynecologist, neurologist and urologist.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings including differential diagnosis, pathophysiology, management and course of disease.

Educational Content  Mix of Diseases: Includes, but is not limited to, red eye, uveitis, keratitis, glaucoma, cataracts, chronic sinusitis, chronic ear infections, neck masses, fractures/sprain/sports injuries, amennorhea, menorrhargia, cervical dysplasia, gyn infections, pelvic pain, BPH, prostate CA, prostatitis, impotence and incontinence, skin cancer, skin lesions, seizures, stroke, headaches, neuropathies, myopathies.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Mainly outpatient encounters in the private offices of community physicians.  Procedures: Skin biopsies, joint aspirations, digital rectal exam, pap smears, EMGs.  Services: Broad range of services available in the office including the procedures listed above as well as full services available at UMCP and RWJUH.

Educational Materials  Recommended Reading: Standard medical texts in the fields of ophthalmology, otolaryngology, dermatology, gynecology, urology, neurology and orthopedics are available in the MEB library.  Pathological Materials: Review of skin, prostate, cervical biopsy results.

Evaluation Method  The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings

Level of Resident Supervision  Primary responsibility for care lies with the attendings.  Residents will take histories and physicals on new patients and see return visits under the supervision of attendings.

ELECTIVE ROTATION

Amion Legend: card-o-r Elective Title: CARDIOLOGY CAB Elective Site: RWJ CAB Clinic

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS: Dr. Cohen 908-229-0956 (cell) Dr. Lili Cohen UCG Faculty 125 Paterson Street Resident to call Dr. New Brunswick, NJ 08903 Cohen 3 days prior to start of rotation

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING (Including other programs) All MIN 2 weeks PGY __ MIN__ MAX 4 weeks MAX 2 ALL X STUDENTS NO NIGHT CALL OUTPATIENT _X_ NO WEEKENDS INPATIENT__ YES X NO MIXED __

SCHEDULE

From Cardiology Conference Cardiology Conference Cardiology Conference Cardiology Conference Cardiology Conf 2 CORE Conf Room 2 CORE Conf Room 8:00 – 9:00 2 CORE Conf Room 2 CORE Conf Room 2 CORE Conf Room AM CAB Clinic CAB Clinic CAB Clinic CAB Clinic Cardiac Rehab : Dr. Agarwal Dr. Vagaonescu Dr. Cohen Dr. Weinberg Cardiodynamics 2nd Floor RWJUH Nurse : Maureen PM RESIDENT CAB Clinic RESIDENT RESIDENT CAB Clinic CONTINUITY Dr. Kostis CONTINUITY CONTINUITY Dr. Morerya CLINIC CLINIC CLINIC

Thursday 12:00 – 1:00 EKG Conference Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference.

7 Goals and Objectives: Cardiology Elective

Educational Purpose  To recognize and treat commonly encountered outpatient problems in cardiology.  To familiarize the resident with frequently used diagnostic tools such as stress testing, ECHO, Cath, MRI.  To improve EKG reading skills  To enhance cardiac physical diagnosis skills.  To determine when it is appropriate to initiate a referral to a cardiologist.  Please refer to the Cardiology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care  Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course.  Didactics: Attendings provide didactic lectures on subjects of interest.

Educational Content  Mix of Diseases: Includes, but is not limited to, CAD, hyperlipidemia, CHF and cardiomyopathy, valvular disease, arrhythmias, congenital disorders, and preoperative cardiac evaluation.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Primarily outpatient encounters in a UMCP cardiology practice and in the office of a community cardiologist. Occasional inpatient consults at UMCP.  Procedures: Review ECHO and Cath reports; Interpret stress test results.  Services: Services include access to a cardiac cath lab, nuclear and exercise stress lab, and an ECHO lab.

Educational Materials  Recommended Reading: Braunwald’s Textbook of Cardiology, Cardiovascular Medicine by Topol & Marso  Pathological Materials: N/A  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings.

8 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION

Amion Legend: card-i-r Elective Title: Cardiology Inpatient Elective Site: RWJUH

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS: 908-229-0956 (cell) Dr. Lili Cohen UCG Consult Attending Dr. Cohen Resident to call Dr. 125 Paterson Street Cohen 3 days prior to New Brunswick, NJ 08903 start of rotation. Resident must page the UCG consult fellow on the first morning of the rotation. MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING (Include other programs) All MIN 2 weeks PGY __ MIN__ MAX 4 weeks MAX 1 ALL X STUDENTS NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT _X_ YES NO X MIXED __

SCHEDULE

Inpatient Consults Inpatient Consults and AM Inpatient Consults and Rounds Inpatient Consults Inpatient Consults Rounds and Rounds and Rounds and Rounds RESIDENT RESIDENT PM CONTINUITY CONTINUITY CLINIC CLINIC

Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference.

9 Goals and Objectives: Cardiology Inpatient Elective

Educational Purpose  To recognize and treat commonly encountered inpatient problems in cardiology.  To familiarize the resident with frequently used diagnostic tools such as stress testing, ECHO, Cath, MRI.  To improve EKG reading skills  To enhance cardiac physical diagnosis skills.  To determine when it is appropriate to initiate a referral to a cardiologist.  Please refer to the Cardiology section of our Competency Based Curriculum for further details.

Educational Content  Mix of Diseases: Includes, but is not limited to, ACS, arrhythmias, CHF exacerbation, valvular disease, and preoperative cardiac evaluation.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Primarily inpatient encounters at RWJUH.  Procedures: Review ECHO and Cath reports; Interpret stress test results.  Services: Services include access to a cardiac cath lab, nuclear and exercise stress lab, and an ECHO lab.

ELECTIVE ROTATION

Amion Legend: card-p Elective Title: UMCP CARDIOLOGY Elective Site: UMCP

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS: Dr. Lisa Motavalli Dr. Lisa Motavalli 609-853-7220 Dr. Lisa Motavalli Pager: [email protected] University Medical Center of (Medicine Office) Princeton at Plainsboro Resident must contact Dr. Sheryl Croiter Department of Medicine Dr. Motavalli prior to the Pager: [email protected] 1 Plainsboro Road start of the elective via Plainsboro, NJ her long call email.

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING (Include other programs) All MIN 2 weeks PGY __ MIN__ MAX 4 weeks MAX 1 ALL X STUDENTS NO NIGHT CALL OUTPATIENT NO WEEKENDS INPATIENT YES NO X MIXED _X_

SCHEDULE

GRAND ROUNDS AM 8am-9am Consults, Clinics, and Consults, Clinics, Procedures Consults, Clinics, and Procedures Consults, Clinics, Consults, Clinics, PM and Procedures and Procedures and Procedures RESIDENT RESIDENT CONTINUITY CONTINUITY CLINIC CLINIC

Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism and Business of Medicine Conference.

11 Goals and Objectives: Cardiology Elective

Educational Purpose  To recognize and treat commonly encountered outpatient problems in cardiology.  To familiarize the resident with frequently used diagnostic tools such as stress testing, ECHO, Cath, MRI.  To improve EKG reading skills  To enhance cardiac physical diagnosis skills.  To determine when it is appropriate to initiate a referral to a cardiologist.  Please refer to the Cardiology section of our Competency Based Curriculum for further details.

Educational Content  Mix of Diseases: Includes, but is not limited to, CAD, hyperlipidemia, CHF and cardiomyopathy, valvular disease, arrhythmias, congenital disorders, and preoperative cardiac evaluation.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Primarily outpatient encounters in a UMCP cardiology practice and in the office of a community cardiologist. Occasional inpatient consults at UMCP.  Procedures: Review ECHO and Cath reports; Interpret stress test results.  Services: Services include access to a cardiac cath lab, nuclear and exercise stress lab, and an ECHO lab.

ELECTIVE ROTATION

Amion Legend: chf-r ELECTIVE TITLE: Congestive Heart Failure Elective Site: RWJUH

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS Dr. Almendral Dr. Jesus Almendral Dr. Almendral TEL: (732) 253-3356 Director, Mechanical Plum Street, 7th Floor Circulatory Support New Brunswick Resident must page the Program CHF fellow on the first morning of the rotation.

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING ALL (Including other programs) MIN 2 __ MIN_____ PGY 2/3

MAX 4 __ MAX 1 _ STUDENTS NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT _X_ MIXED __ YES NOX

SCHEDULE

AM Inpatient Consults Inpatient Consults Inpatient Consults Inpatient Consults Inpatient Consults and and Rounds and Rounds and Rounds and Rounds Rounds RESIDENT RESIDENT PM CONTINUITY CONTINUITY CLINIC CLINIC

Residents are required to attend all program activities: Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism and Business of Medicine Conference, in addition to their Weekly Medicine Continuity Clinic.

13 Goals and Objectives: Congestive Heart Failure Elective

Educational Purpose  To recognize and manage decompensated heart failure in the hospital and chronic heart failure in the outpatient setting.  To learn the clinical indications and criteria for heart transplant.  To familiarize the resident with frequently used diagnostic techniques such as stress testing, ECHO, and Cath.  To enhance cardiac physical diagnosis skills.  To determine when it is appropriate to initiate a referral to a cardiologist and heart failure specialist.  Please refer to the Cardiology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings and fellows including differential diagnosis, pathophysiology, management, disease course.  Didactics: Attendings and fellows provide didactic lectures on subjects of interest.  Conferences: Weekly Cardiology Grand Rounds (1st Monday at noon).

Educational Content  Mix of Diseases: Includes heart failure from all causes including ischemic heart disease and various cardiomyopathies.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Patients are seen both on the heart failure service in the hospital and in the heart failure clinic at RWJ CAB.  Procedures: Review Cath reports and myocardial biopsy results.  Services: Full range of specialty and subspecialty services; access to a cardiac cath lab, cardiac MRI, nuclear and exercise stress lab, EP and ECHO lab.

Educational Materials  Recommended Reading: Braunwald’s Textbook of Cardiology, Cardiovascular Medicine by Topol & Marso Pathological Materials: N/A  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attending/fellows.

Level of Resident Supervision  Primary responsibility for care lies with the attendings and fellows.  Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings.

INTERNAL MEDICINE HOUSESTAFF

SELECTIVE ROTATION

Amion Legend: er-p Elective Title: Emergency Medicine Elective Site: UMCP Emergency Room—Fast Track

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS 609-497-4431 (UMCP ED) Dr. Craig Dr. Craig Gronczewski Dr. Craig Gronczewski 609-497-4111 (Fast Track) Gronczewski (Chair of UMCP ED) [email protected] (Chair of UMCP ED) MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AVAILABLE: AT ANY GIVEN TIME TRAINING (Including other programs) All MIN 2 wks PGY 2/3 MIN______MAX _4 wks_ MAX 2

STUDENTS Evenings and OUTPATIENT X occasional weekends INPATIENT __ YES NOX MIXED __

At the beginning of your first shift, please ask the ER desk clerk where to find Sue Sunyak. She is in charge of Wellsoft and will give you a brief orientation to the ED computer system.

SCHEDULE SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Noon Noon Report/ Noon Report/ Noon Report/ Noon 12:00- Report/ Noon Noon Noon Report/ 1:30 PM Noon conference conference conference Noon conference conference UMCP ER RESIDENT UMCP ER UMCP ER RESIDENT UMCP ER UMCP ER 1:30- CONTINUITY CONTINUI 10:00 CLINIC TY CLINIC PM

There will be 2 residents on ER at a given time. The chief resident at UMCP will assign each resident to three 8.5-hour ED shifts per week on days when they do not have continuity clinic. Each resident will have 3 of the remaining 4 days off. On the other day (the day of their clinic), they will go to noon report/NC at the site closest to their clinic and then proceed to clinic.

Residents are required to attend the following program activities: Daily Noon Report and conference at UMCP The following activities are optional: Weekly Grand Rounds, Daily Board Review

15 Goals and Objectives: ER Selective

Educational Purpose  To expose the resident to urgent care problems seen in an emergency room.  To demonstrate clinical skills in initial triage, diagnostic evaluation and management of above patients.  To manage common emergencies that an internist is likely to encounter in an office practice.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course.  Didactics: Attendings provide didactic lectures on subjects of interest.

Educational Content  Mix of Diseases: A wide range of acute medical, neurological, surgical, and gynecologic problems are seen.  Patient Characteristics: All age groups are seen.  Types of Clinical Encounters: Pts are seen on the urgent care side of the UMCP ED.  Procedures: Some procedure may be done in the ED including suturing, splinting, joint aspiration/injection, and venous blood draws.  Services: Full range of specialty and subspecialty services are available through UMCP.

Educational Materials  Recommended Reading: Rosen’s Emergency Medicine  Pathological Materials: N/A  Other Educational Resources: A full service library with computers is available at UMCP where residents are expected to read primary literature and standard medical texts.

Level of Resident Supervision Primary responsibility for care lies with the attendings. Residents will take histories and physicals on new patients and see return visits under the supervision of attendings.

ELECTIVE ROTATION

Amion Legend: endo-r Elective Title: ENDOCRINOLOGY Elective Site: CLINICAL ACADEMIC BUILDING

Dr. Amorosa Drs. Amorosa, Schneider, Catherine Harris TEL: (732) 235-7748 Asali, Kolaczynski, Lubitz, MEB-384 Meninger, Reinhardt, Santora, Stein, Wang, Wimalawansa, email: FAX: (732) 235-7096 [email protected]

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING (Including other programs) All MIN 2 MIN______PGY 1/2/3 MAX __4 MAX 4

OUTPATIENT X STUDENTS NO NIGHT CALL INPATIENT __ NO WEEKENDS MIXED __ YESX NO

SCHEDULE

CAB CAB CAB CAB CAB AM (8am) Dr. Lubitz Dr. Schneider /WangDr. Kolaczynski, Dr. Wimalawansa/ Drs. Asali / Santora Lubitz/ Meninger Wang Clinic RESIDENT CAB CAB RESIDENT PM Dr. CONTINUITY Dr. Amorosa/Lubitz Dr. Amorosa/ CONTINUITY Amorosa/Lubitz/ CLINIC Schneider CLINIC Wang

17 Goals and Objectives: Endocrinology Elective

Educational Purpose  To recognize and treat commonly encountered outpatient problems in endocrinology.  To increase familiarity with frequently used diagnostic tools such as HgbAIC and glucose tolerance test, hypothalamic-pituitary-adrenal axis testing, and thyroid testing including ultrasound, RAIU scan and biopsy.  To learn appropriate screening modalities for monitoring the complications of diabetes.  To apply the algorithm for working up a thyroid mass.  To determine when it is appropriate to initiate a referral to an endocrinologist.  Please refer to the Endocrinology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course.  Didactics: Attendings and fellows provide didactic lectures on subjects of interest.

Educational Content  Mix of Diseases: Includes, but is not limited to, diabetes, hypo- and hyperthyroidism, adrenal insufficieny, Cushing’s disease, and pituitary tumors.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Solely outpatient encounters in the endocrine clinic of the RWJ CAB.  Procedures: Occasionally observe FNA of thyroid masses.  Services: Full range of specialty and subspecialty services, such as nutrition; access to an extensive laboratory and radiology department.

Educational Materials  Recommended Reading: William’s Textbook of Endocrinology  Pathological Materials: thyroid biopsy results reviewed  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows.

ELECTIVE ROTATION

Amion Legend: ep-r Elective Title: ELECTROPHYSIOLOGY Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS Edie: James Coromilas Dr. Saluja (732) 235-6566 Dr. Deepak Saluja Archana Patel 125 Paterson St Deepak Saluja New Brunswick, NJ, FAX:(732) 235-8371 08903

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AVAILABLE: AT ANY GIVEN TIME TRAINING (Including other programs) All MIN 2 wks MIN____ PGY 2, 3

MAX 4 wks MAX 1

STUDENTS NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT X YES X NO MIXED __

SCHEDULE

ECG conf ( 8-9 am) Inpatient Consults AM Inpatient Consults Inpatient Consults EP conference and Rounds Inpatient Consults and Rounds and Rounds and Rounds Inpatient Consults CCU lecture(10:30- and Rounds EP Procedure RESIDENT 11:15 am) RESIDENT PM Observation CONTINUITY EP Procedure CONTINUITY CLINIC EP Procedure Observation CLINIC Observation

19 Goals and Objectives: Electrophysiology Elective

Educational Purpose  To recognize and treat commonly encountered inpatient problems in cardiology/EP  To significantly improve ECG reading skills  To enhance cardiac physical diagnosis skills  To determine when it is appropriate to call a consult to a cardiologist/EP  Be familiar with initial and subsequent management of common cardiac arrhythmias (tachycardia and bradycardia)  Know who is at risk for sudden cardiac death and their management  Familiarize residents with use of antiarrhythmic medications

Teaching Methods  Supervised direct patient care  Case discussions with attendings and cardiology fellows including differential diagnosis, pathophysiology, management, disease course.  Didactics: Attendings and cardiology fellows will provide didactic lectures on subjects of interest  Weekly didactic lectures for cardiology fellows are accessible to residents as per their interest, but ECG conference on thursday and CCU lecture on wednesday will be requirement (as their schedule allows it)

Educational Content  Mix of Diseases: Includes, but is not limited to, CAD, CHF and cardiomyopathy, valvular disease, arrhythmias, congenital disorders  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups  Types of Clinical Encounters: Primarily inpatient encounters, some outpatient encounters in EP clinic  Procedures: observing EP study, ablation procedure and pacemaker implantation

Educational Materials  Recommended Reading: Electrophysiology Testing by Richard Fogoros, Arrhthymia section in Braunwald’s Textbook of Cardiology, Cardiovascular Medicine by Topol & Marso  A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Level of Resident Supervision  Primary responsibility for care lies with the attendings  Residents will take histories and physicals on new patients, see them on follow up visits, and play an active role in the diagnostic and management plans under the supervision of attendings and cardiology fellows.

ELECTIVE ROTATION

Amion Legend: gi-i-r Elective Title: GASTROENTEROLOGY- INPATIENT Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS (732) 235-7784 GI Consult Attending Aida Cardona Dr. Kiron Das GI Division MEB-478 FAX:(732) 235-7792 GI Fellow Resident must page the GI consult fellow on the first morning of the rotation MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AVAILABLE: AT ANY GIVEN TIME TRAINING (Including other programs) All MIN 2 wks MIN_____ PGY 2/3

MAX 4 wks MAX 1

SCHEDULE

GI Conference AM Inpatient Consults Inpatient Consults Inpatient Consults Inpatient Consults MEB 492 and Rounds and Rounds and Rounds and Rounds RESIDENT RESIDENT PM CONTINUITY CONTINUITY CLINIC CLINIC

21 Goals and Objectives: Gastroenterology Inpatient Elective

Educational Purpose  To recognize and treat commonly encountered inpatient problems in gastroenterology.  To familiarize the resident with frequently used diagnostic tools such as plain films, abdominal ultrasound, abdominal CT scan, barium swallow, EGD, colonoscopy and capsule endoscopy in the diagnosis of GI disorders.  To determine when it is appropriate to consult a gastroenterologist.  Please refer to the Gasteroenterology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings and fellows provide didactic lectures on subjects of interest.  Conferences: Weekly conferences (Friday morning and noon) are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time. Pathology slides are reviewed with a pathologist.

Educational Content  Mix of Diseases: Including, but not limited to, Upper and lower GI bleeding, IBD flares, infectious diarrhea, malabsorption syndromes, acute and chronic liver disease, acute pancreatitis, cholecystitis and cholangitis.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Primarily inpatient consults in the ICU and general wards and across all specialties at RWJUH.  Procedures: Observe EGDs and colonoscopies.  Services: Broad range of consultative and clinical services; access to a full endoscopy suite, radiology department and extensive laboratory.

Educational Materials  Recommended Reading: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease  Pathological Materials: Biopsies from EGDs and Colonoscopies are reviewed.  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The GI consult attending evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attending/fellows.

Level of Resident Supervision  Primary responsibility for care lies with the attendings and fellows.  Residents will do initial consults, daily follow ups and play an active role in the diagnostic and management plans under the supervision of attendings.

ELECTIVE ROTATION

Amion Legend: gi-o-r Elective Title: GASTROENTEROLOGY OUTPATIENT Elective Site: CAB

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS Drs. Das, Ebert,Griffel, TEL:(732) 235-7784 Dr. Kiron Das Manoukian, Aida Cardone Pooran Rampertab and MEB-478 FAX:(732) 235-7792 Repaka

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AVAILABLE: AT ANY GIVEN TIME TRAINING (Including other programs) All MIN 2 wks MIN______PGY 1/2/3

MAX _4 wks_ MAX 2 EXCEPT:

OUTPATIENT X STUDENTS NO NIGHT CALL INPATIENT __ NO WEEKENDS MIXED __ YES X NO

SCHEDULE

CAB Clinic CAB Clinic CAB Clinic GI Conference AM READING/ MEB 492 RESEARCH Dr. Das Dr. Manoukian Dr. Pooran Dr. Repaka Dr. Rampertab

CAB Clinic RESIDENT CAB Clinic CAB Clinic RESIDENT PM CONTINUITY CONTINUITY Dr. Rampertab CLINIC Dr. Griffel Dr. Manoukian CLINIC Dr. Manoukian (1x month)

GI Conferences are held every Friday from 9-10am and from 11-1pm

23 Goals and Objectives: Gastroenterology Outpatient Elective

Educational Purpose  To recognize and treat commonly encountered outpatient problems in gastroenterology.  To familiarize the resident with frequently used diagnostic tools such as plain films, abdominal ultrasound, abdominal CT scan, barium swallow, EGD, colonoscopy and capsule endoscopy in the diagnosis of GI disorders.  To determine when it is appropriate to initiate a referral to a gastroenterologist.  Please refer to the Gasteroenterology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings and fellows provide didactic lectures on subjects of interest.  Conferences: Weekly conferences (Friday morning and noon) are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time. Pathology slides are reviewed with a pathologist.

Educational Content  Mix of Diseases: Including, but not limited to, GERD, PUD including H. Pylori, Lower GI bleeding, IBD, IBS, Malabsorption syndromes, chronic liver disease, chronic pancreatitis, and biliary disease.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Solely outpatient encounters in the gastroenterology clinic at RWJ CAB.  Procedures: Review EGD and colonoscopy results.  Services: Broad range of specialty and subspecialty services; access to an extensive laboratory, radiology department, and endoscopy suite.

Educational Materials  Recommended Reading: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease  Pathological Materials: Biopsies from EGDs and Colonoscopies are reviewed.  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

ELECTIVE ROTATION

Amion Legend: gi-p Elective Title: GASTROENTEROLOGY Princeton Elective Site: UMCP

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS

Dr. G. Forester Dr. G. Forester (609) 853-7220 Dr. Gary Forester Dr. Skole [email protected] (Medicine Office)

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AVAILABLE: AT ANY GIVEN TIME TRAINING (Including other programs) All MIN __2 wks_ MIN______PGY 1/ 2/3

MAX _ 4 wks MAX 1 EXCEPT: August

OUTPATIENT __ STUDENTS NO NIGHT CALL INPATIENT __ NO WEEKENDS MIXED _ X_ YES NO X

SCHEDULE

Clinic Clinic Clinic Clinic Conference AM Consults Consults Consults Consults RWJ MEB Procedures Procedures Procedures Procedures Clinic RESIDENT Clinic Clinic RESIDENT PM Consults CONTINUITY Consults Consults CONTINUITY Procedures CLINIC Procedures Procedures CLINIC

PLEASE CONTACT DR. FORESTER ON THE FIRST MORNING OF THE ELECTIVE FOR THE SCHEDULE

Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism and Business of Medicine Conference.

25 Goals and Objectives: Gastroenterology Princeton Elective

Educational Purpose  To recognize and treat commonly encountered problems in gastroenterology.  To familiarize the resident with frequently used diagnostic tools such as plain films, abdominal ultrasound, abdominal CT scan, barium swallow, EGD, and colonoscopy in the diagnosis of GI disorders.  To determine when it is appropriate to initiate a referral to a gastroenterologist.  Please refer to the Gasteroenterology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attending will provide didactic lectures on subjects of interest.  Conferences: Weekly conferences (Friday morning and noon) are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time. Pathology slides are reviewed with a pathologist.

Educational Content  Mix of Diseases: Including, but not limited to, GERD, PUD including H. Pylori, Upper and lower GI bleeding, IBD, IBS, infectious diarrhea, malabsorption syndromes, chronic liver disease, pancreatitis, and biliary disease.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Patients are seen during procedures in the endoscopy suite, during outpatient encounters in the office setting and on occasional inpatient consults.  Procedures: Assist with EGDs and colonoscopies.  Services: Broad range of specialty and subspecialty services; accesss to an extensive laboratory, radiology department and endoscopy suite.

Educational Materials  Recommended Reading: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease  Pathological Materials: Biopsies from EGDs and Colonoscopies are reviewed  Other Educational Resources: A full service library with computers is available at UMCP where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attending.

Level of Resident Supervision  Primary responsibility for care lies with the attending.  Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings.

ELECTIVE ROTATION

Amion Legend: va-gi Elective Title: GASTROENTEROLOGY VA Elective Site: Lyons, VA

Dr. Lenza Dr. Lenza Dr. Lenza Tel: (908) 647-0180 dial 1 then ext. 4540 or 4644 Fax: 908-604-5271 (VA) 973-395-7076 (East Orange)

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF TRAINING AVAILABLE: AT ANY GIVEN TIME (Including other programs) PGY 1/2/3 MIN __2__ MIN______All MAX 4 __ MAX 1

OUTPATIENT _X_ STUDENTS NO NIGHT CALL INPATIENT __ NO WEEKENDS MIXED __ YES NO X

Please follow the instructions for “Processing”: 1) GI is located in Bldg 3, 1st floor but resident must first report to bldg 1, 2nd floor where Isabella, the secretary, will give you a form to fill out and take to another bldg. There you will present the form and two forms of ID for fingerprinting and background check. 2) Residents must also obtain a computer code, which can be picked up in building 11. All of this should be accomplished on the first day of rotation.

SCHEDULE

GI Procedures Lyons, VA GI Procedures GI Procedures RWJ – MEB FROM Consults GI Clinic Consults Consults Conference 8:15 am

RESIDENT Lyons, VA RESIDENT RESIDENT Lyons, VA UNTIL CONTINUITY GI Clinic CONTINUITY CONTINUITY GI Clinic 5 pm CLINIC CLINIC CLINIC

Residents are required to attend the following program activities: Daily Board Review, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference. Residents are exempt from attending Noon Report/Conference.

27 Goals and Objectives: Gastroenterology VA Elective

Educational Purpose  To recognize and treat commonly encountered problems in gastroenterology.  To familiarize the resident with frequently used diagnostic tools such as plain films, abdominal ultrasound, abdominal CT scan, barium swallow, EGD, colonoscopy and capsule endoscopy in the diagnosis of GI disorders.  To determine when it is appropriate to initiate a referral to a gastroenterologist.  Please refer to the Gasteroenterology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care  Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings and fellows provide didactic lectures on subjects of interest.  Conferences: Weekly conferences (Friday morning and noon) are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time. Pathology slides are reviewed with a pathologist.

Educational Content  Mix of Diseases: Including, but not limited to, GERD, PUD including H. Pylori, Upper and lower GI bleeding, IBD, IBS, Malabsorption syndromes, chronic liver disease, pancreatitis, and biliary disease.  Patient Characteristics: Given the VA setting, patients are generally elderly males of varying socioeconomic status. Patients of greater diversity are seen during the afternoons spent in the RWJ CAB.  Types of Clinical Encounters: Patients are seen during procedures in the VA endoscopy suite, during outpatient encounters in the VA and CAB clinics and on occasional inpatient consults.  Procedures: Assist with EGDs and colonoscopies. Opportunity for flexible sigmoidoscopy certification.  Services: Broad range of specialty and subspecialty services; access to an extensive laboratory, radiology department and endoscopy suite.

Educational Materials  Recommended Reading: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease  Pathological Materials: Biopsy results from EGDs and Colonoscopies are reviewed.  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows.

SELECTIVE ROTATION

Amion Legend: gim Elective Title: General Internal Medicine CONSULT SERVICE Elective Site: RWJUH_

GIM Faculty Pat Affrunti PHONE: (732) 235-6968 Consult Attending email: [email protected] FAX: (732) 235- 7144

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AVAILABLE: AT ANY GIVEN TIME TRAINING

All MIN 2 wks MIN______PGY 2/3

MAX ___4 wks MAX 1

STUDENTS OUTPATIENT __ INPATIEINT _X_ YES NOX MIXED __

SCHEDULE

RWJUH RWJUH RWJUH RWJUH RWJUH FROM 8am- CONSULTS CONSULTS CONSULTS CONSULTS CONSULTS 4:30pm

RESIDENT RWJUH RWJUH RWJUH RWJUH 4:30- CONTINUITY CONSULTS CONSULTS CONSULTS CONSULTS 8pm CLINIC Admit and Cross And Admit for and And Admit for andAnd Admit for andAnd Admit for and Cover Liquid Cross Cover Liquid Cross Cover Cross Cover Cross Cover Liquid Oncology after Oncology Liquid Oncology Liquid Oncology Oncology returning from clinic

 On day 1 of rotation, please contact the GIM consult attending for details  Resident is expected to perform consults at RWJUH and Plum St.  Resident can not leave RWJUH to go to Plum St. if they are covering an inpatient service (Liquids).

** Access the syllabus for this rotation on the residency website **

Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference If residents need to be pulled for any other reason such as recruitment activities or fellowship interviews, they must notify their elective.

29 Goals and Objectives: General Internal Medicine Consult Service Selective

Educational Purpose  To obtain the skills required for effective consultation and communication with other specialists (orthopedic surgeons, neurologists, ophthalmologists, general surgeons,etc.).  To learn to risk stratify patients and become proficient in preoperative evaluations.  To learn the management of medical illnesses in the perioperative setting.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings provide didactic lectures on subjects of interest.

Educational Content  Mix of Diseases: Including, but not limited to, diabetes and hypertension treatment, coagulopathy management, and chest pain and dyspnea evaluation of patients on various services including general surgery, vascular, orthopedics, neurology, and gynecology.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Solely inpatient consultations at RWJUH.  Procedures: May perform procedures as needed such as paracentesis, thoracentesis, and LP.  Services: Full range of specialty and subspecialty services are available at RWJUH; full access to an extensive laboratory, radiology department, and ICU.

Educational Materials  Recommended Reading: A link to articles pertinent to in-hospital medical consultation, preoperative evaluation and perioperative medical care is available on the residency website.  Pathological Materials: N/A  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The attending on consult service evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attending.

Level of Resident Supervision  Primary responsibility for care lies with the attending.  Residents will do the initial consultation, daily follow ups, and play an active role in the diagnostic and management plans under the supervision of attendings.

GERIATRICS

Amion Legend: geri-1, geri-2 Elective Title: Geriatrics Elective Site: UMCP/Merwick/Meadowlakes

ELECTIVE DIRECTOR: Dr. Harpreet Sidhu Dr. Ramzy, Geriatric Psychiatry Merwick Nursing Home Dr. Schwartz-Chevlin Merwick Nursing Home 79 Bayard Lane Physician Home Visits 609-924-5250 Dr. Qian Wang Princeton, NJ 08540 908-507-4503 609-617-1314 Dr. Carol Sonatore Office: 609-395-2470 Sandy/Debbie Acute Rehab Beeper: 888-565-7141 Hospice Home Visits 732-735-2841 (c) Email: Ellen Land, NP 609-497-4952/4932 [email protected] Meadowlakes Clinic 609-495-5364 **Before 3pm on Tuesday call Sandy or Dr. Schwartz-Chevlin to set up wed home visit**

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All 4 weeks MIN______PGY 1

MAX 2 OUTPATIENT _X_ STUDENTS NO NIGHT CALL INPATIENT __ NO WEEKENDS MIXED __ YES NOX

** UMCP Geriatrics - Prior to starting the elective, please contact Dr. Wang ([email protected]) to find out when and where to meet on the first day of the elective.

Geriatrics Schedule Addendum: Noon Conference Presentation — to be assigned at the end of the month

Geriatrics Rotation Contacts:  Dr. Qian Wang Cell: 609-495-4062, Office: 609-395-2470, Beeper: 888-565-7141, Email: [email protected]; [email protected]  Dr. Sidhu - 609-617-1314  Dr. Ramzy - 609-924-5250 (call on Thursday to let office know if that is the Friday for drivers assessment program and let them know you will not be there)  Dr. Schwartz-Chevlin - 908-507-4503  Ellen Land, NP - 609-495-4364  Sandy/Debbie - 609-497-4952/4932  Buckingham Place, Paul ,Administrator of day program - 732-329-8888 or cell at 732-241- 7949

31 SCHEDULE- Weeks 1&2 are GERI 1/ Weeks 3&4 are GERI 2

Week 1 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY GERI 1

Meeting with Dr. UMCPP St. Lawrence Rehab 9:00 am – Home Visits Home Visits Wang Dr. Wang & Driver Assessment 8am 12:00pm Dr. Schwartz-Chevlin (visiting nurse) Ellen Land, NP Neuropsych Testing 9am

Merwick Nursing 1:30 - Merwick Nursing Home Acute Rehab Home Clinic Clinic 5:00 pm Dr. Sidhu Dr. Sonatore Dr. Sidhu

Geriatric Psychiatry UMCPP Home Visits 9:00 am – Research Home Visits (Nursing Merwick Dr. Wang & (Hospice Home Visits- 12:00pm Home) Dr. Ramzy Ellen Land, NP meeting)

UMCPP Geriatric Psychiatry Home Visits 9:00 am – Research Dr. Wang & Home Visits Merwick (Hospice Home Visits) 12:00pm Ellen Land, NP (Home PT/OT) Dr. Ramzy

Week 4 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY GERI 2 Home Visits Buckingham (home PT/OT) Place Geriatric Psychiatry UMCPP 9:00 am – Assisted Living Home Visits Merwick Dr. Wang & 12:00pm Adult Day (Hospice Home Visits) GeriatricsPresentatio Dr. Ramzy Ellen Land, NP Program n (9:30 – 11:30) Noon Conference

Residents are required to attend the following program activities: Daily Board Review, Weekly Grand Rounds, and Monthly Humanism & Professionalism and Business of Medicine Conference at UMCP.

32 Goals and Objectives: Geriatric Medicine Rotation

Attitudes  Identify stereotypes of older adults  Recognize “ageism” in the practice of medicine  Understand how goals of care influence treatment decisions  Appreciate patient autonomy in decision making Knowledge  Distinguish between normal aging and disease  Appreciate the striking heterogeneity among older adults  Understand basic principles of pharmacokinetics/dynamics in the elderly  Understand health promotion and disease prevention strategies  Appreciate atypical presentations of illness in older adults  Understand the hazards of hospitalization for older adults  Understand basic principles of psychiatric disease in the elderly  Understand basic principles of wound care Skills  Accurately estimate prognosis in acute and chronic disease states  Initiate a Comprehensive Geriatric Assessment  Implement risk-reduction strategies in the hospitalized elder  Diagnose, evaluate and manage the following syndromes: Agitation and altered mental status Cognitive Impairment Adverse Drugs Events/polypharmacy Gait disorders Dysphagia Educational Purpose  To recognize and treat commonly encountered outpatient problems in geriatrics.  To learn about the care of institutionalized Long-Term Care patients.  To understand the aging process and its influence on disease, medication use, and quality of life.  To obtain a grasp of end-of-life issues and palliative care.  To learn to evaluate decision making capacity.  To recognize the importance of an interdisciplinary approach to the care of the elderly.  To determine when it is appropriate to initiate a referral to a geriatrician.  Please refer to the Geriatrics section of our Competency Based Curriculum for further details. Teaching Methods  Supervised direct patient care.  Case discussions with attendings and fellows including differential diagnosis, pathophysiology, management, disease course.  Didactics: Attendings provide didactic lectures on subjects of interest.  Conferences: Weekly conferences.  Presentations: Monthly presentation to be done by Geriatric interns Educational Content  Mix of Diseases: Includes, but is not limited to, falls/gait imbalance, dementia, incontinence, pressure ulcers, immobility, pain management, and terminal illness.  Patient Characteristics: Elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Pts are seen in a variety of venues including a nursing home, rehabilitation center, private geriatric office practice, in-hospital hospice, and on home visits.  Procedures: N/A  Services: Full range of consultative and clinical services available through UMCP. Educational Materials  Recommended Reading: Essential’s of Clinical Geriatrics, Hazzard’s Geriatric Medicine and Gerontology (Access Medicine)

33  Pathological Materials: N/A  Other Educational Resources: A full service library with computers is available at UMCP where residents are expected to read primary literature and standard medical texts. Evaluation Method  The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings. Level of Resident Supervision  Primary responsibility for care lies with the attendings.  Residents will take histories and physicals on new patients and see return visits under the supervision of and attendings.

ELECTIVE ROTATION

Amion Legend: hem-r Elective Title: HEMATOLOGY Elective Site: CAB/ RWJUH

Hematology Faculty Dr. Philipp (732) 235-7619 Dr. Claire Philipp MEB 378A FAX: (732) 235-7115

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING (Include other programs) ALL MIN 2 MIN______PGY 1/2/3

MAX 4 MAX 1

OUTPATIENT STUDENTS NO NIGHT CALL INPATIENT NO WEEKENDS MIXED _X_ YES NOX

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY General Heme Thrombosis Clinic Hemophilia Clinic General Heme General Heme AM Clinic Clinic Clinic Drs. Phillip and Dr. Phillip and Dr. Dr. Harrison Harpel Harpel Dr. Harpel Dr. Harrison Inpatient Consults RESIDENT Inpatient Consults Inpatient RESIDENT PM CONTINUITY Consults CONTINUITY CLINIC CLINIC

Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference.

35 Goals and Objectives: Hematology Elective

Educational Purpose  To recognize and treat commonly encountered outpatient problems in hematology.  To familiarize the resident with the serum tests frequently used in the diagnosis of common hematology disorders.  To determine when it is appropriate to initiate a referral to a hematologist.  Please refer to the Hematology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings and fellows including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attending and fellows will provide didactic lectures on subjects of interest.  Conferences: Weekly conferences are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time.

Educational Content  Mix of Diseases: Including, but not limited to, anemia, hemophilia, hypercoaguable disorders, polycythemia vera, neutropenia, thrombocytosis, thrombocytopenia (ITP, TTP, HIT), and anticoagulation methods.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Patients are seen in the outpatient hematology clinic at RWJ CAB and in consultation on hospitalized patients.  Procedures: Assist with bone marrow biopsies, plasmapheresis.  Services: Broad range of specialty and subspecialty services; access to an extensive laboratory, radiology department, ICU, bone marrow unit and the above listed procedures.

Educational Materials  Recommended Reading: Witrobe’s Clinical Hematology  Pathological Materials: Peripheral blood smears and bone marrow pathology slides are reviewed.  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Level of Resident Supervision  Primary responsibility for care lies with the attendings and fellows.  Residents will take histories and physicals on new patients, see return visits, follow up on consults and play an active role in the diagnostic and management plans under the supervision of attendings.

ELECTIVE FORM

Amion Legend: hemepath-r ELECTIVE TITLE: HemePath Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS Myra Martinez Dr. Goodell and other Dr. Goodell TEL: (732) 235-8121 Dr. Goodell Pathology Faculty Myra Martinez RWJMS FAX: (732) 235-8124

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AVAILABLE: AT ANY GIVEN TIME TRAINING MIN_____ ALL MIN 2 __ PGY 2/3 MAX 1 _ EXCEPT: MAX 2 __ July/August

STUDENTS NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT X MIXED __ YES NOX

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Review of slides HemePath Conference Review of slides Review of slides Review of slides and AM and biopsies Review of slides and and biopsies and biopsies biopsies biopsies RESIDENT RESIDENT RESIDENT PM CONTINUITY Review of slides and CONTINUITY CONTINUITY Review of slides and CLINIC biopsies CLINIC CLINIC biopsies

37 Goals and Objectives: Heme Path Elective

Educational Purpose  To learn to recognize hematologic diseases based on peripheral blood smears and bone marrow biopsies.  To gain a greater understanding of the diagnosis of heme disorders for those interested in pursuing a career in hematology/oncology.  To enhance the understanding of clinical laboratory medicine.

Teaching Methods  Primarily through supervised review and interpretation of hematology slides with a trained hemapathologist.

Educational Content  Mix of Diseases: Including, but not limited to, anemia, hemophilia, hypercoaguable disorders, polycythemia vera, neutropenia, thrombocytosis and thrombocytopenia, leukemia, lymphoma and MDS.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Slides are reviewed in the hematology pathology office.  Procedures: N/A  Services: Full range of clinical and consultative services are available at RWJUH including a hematology service, bone marrow unit and ICU, as well as an outpatient hematology clinic.

Educational Materials  Recommended Reading: Wintrobe’s Clinical Hematology  Pathological Materials: Peripheral blood smears and bone marrow path slides are reviewed.  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The elective coordinator evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of the attending.

Level of Resident Supervision  Primary responsibility for care lies with the attending.  Residents will review slides under the guidance of the pathologist.

ELECTIVE ROTATION

Amion Legend: hospad-r Elective Title: HOSPITAL ADMINISTRATION Elective Site: RWJUH

Dr. Joshua Bershad Hospital Administration Brenda Cuntala TEL: (732) 937-8614 Acting Medical Director FAX: (732) 937-8837 CEO, RWJUH Contact Dr. Bershad at least 1 week prior to starting this elective.

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING Special Assignment MIN______MIN 2 PGY 2/3 MAX 1 MAX 4

NO NIGHT CALL OUTPATIENT N/A NO WEEKENDS INPATIENT N/A MIXED N/A

SCHEDULE

Interview with Senior Interview with Interview with Interview with Interview with Senior Staff AM Staff and attend Senior Staff and Senior Staff and Senior Staff and and attend meetings meetings attend meetings attend meetings attend meetings RESIDENT Interview with RESIDENT RESIDENT Interview with Senior Staff PM CONTINUITY CLINIC Senior Staff and CONTINUITY CONTINUITY and attend meetings attend meetings CLINIC CLINIC

Candidates with serious interest in this area, should consider requesting this elective. Please contact Dr. Bershad 1 week prior to starting your rotation

39 Goals and Objectives: Hospital Administration Elective

Educational Purpose  To gain an understanding of how a large academic hospital is run.  To understand the role of various hospital administrators.  To appreciate the interplay between hospital administrators and clinicians.

Teaching Methods  Interviews with key hospital administrators.  Observing meetings regarding operations, strategic planning, patient services, clinical outcomes, human resources, and finances of the hospital.

Educational Materials  Recommended Reading: A packet of reading material is provided at the start and discussed throughout the elective.

Evaluation Method  The elective coordinator evaluates the resident at the end of the rotation via a letter based on the resident’s level of enthusiasm/interest and professionalism.  The resident will evaluate the elective on the annual program evaluation form.

Amion Legend: htn-p Elective Title: HYPERTENSION/NEPHROLOGY Elective Site: Princeton Junction

Dr. Michael Ruddy Drs. M. Ruddy, G. Bialy, Dr. Ruddy (609) 750-7330 (Gloria) V. Finkelstein, P. Sterman, Gloria FAX: (609) 750-7336 S. Basi 88 Princeton Hightstown Rd Suite 203 Princeton Junction, NJ 08550 email: [email protected]

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All MIN 2 MIN__ PGY 1/2/3

MAX 4 MAX 2

NO NIGHT CALL STUDENTS NO WEEKENDS OUTPATIENT X INPATIENT __ YES X NO MIXED __

SCHEDULE

GRAND ROUNDS at AM OFFICE UMCP 8-9am OFFICE OFFICE OFFICE OFFICE

RESIDENT RESIDENT PM OFFICE CONTINTUITY OFFICE OFFICE CONTINTUITY CLINIC CLINIC

Residents are required to attend the following program activities: Daily Board Review at UMCP, Weekly Grand Rounds and Monthly Humanism & Professionalism and Business of Medicine Conference. You are not required to attend noon report/conference.

41 Goals and Objectives: Hypertension/Nephrology Elective

Educational Purpose  To recognize and treat commonly encountered outpatient problems in nephrology, including uncontrolled HTN.  To understand the pathophysiology of fluid/electrolyte disorders and acid base disturbances.  To familiarize the resident with commonly used tests in the diagnosis of renal disease such as renal ultrasound, analysis of 24 hour urine samples, ambulatory blood pressure monitoring, and renal biopsy.  To develop familiarity with the principles, clinical indications and complications of nephrologic procedures including hemo- and peritoneal dialysis, renal biopsy, and vascular access placement.  To gain exposure to the business aspects of running a private practice.  To determine when it is appropriate to initiate a referral to a nephrologists and hypertension specialist.  Please refer to the Nephrology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings will provide didactic lectures on subjects of interest.

Educational Content  Mix of Diseases: Including, but not limited to, uncontrolled HTN, fluid/electrolyte/acid-base disorders, diabetic renal disease, hypertensive renal disease, glomerular and interstitial diseases, nephrolithiasis, PCKD, ESRD, and proteinuria.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Solely outpatient encounters in the office of a community hypertension/nephrology practice.  Procedures: Hemodialysis, renal biopsies reviewed.  Services: Full range of specialty and subspecialty services available at UMCP. Hemodialysis unit is located in the same building as the office practice.

Educational Materials  Recommended Reading: Hypertension Primer, Primer on Kidney Diseases, packet of articles distributed at the start of the elective.  Pathological Materials: Renal biopsies are reviewed.

Evaluation Method  The elective coordinator evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings.

42 INTERNAL MEDICINE HOUSESTAFF SELECTIVE ROTATION

Amion Legend: im-sub-r Elective Title: IM Specialty- Endo/Rheum/HIV Elective Site: CAB/Chandler

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS Dr. Ranita Sharma See Below Refer to schedule Refer to schedule [email protected] MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING

All MIN: 2 weeks MIN____ PGY 1/2/3 MAX: 4 weeks MAX ___ 2 NO NIGHT CALL STUDENTS NO WEEKENDS OUTPATIENT X INPATIENT __ YES NO X MIXED __

SCHEDULE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY AM: Endocrine Clinic Rheumatology Rheumatology Rheumatology Endocrine Clinic Clinic Clinic Clinic Dr. Lubitz CAB Dr. Schlesinger Dr. Hsu Dr. Salsali / CAB Dr.Schlesinger, Santora Contact: Catherine Contact: Hsu, Tiku CAB 732-235-7748 Dr. Schlesinger CAB [email protected] 732-235-7702 Contact: Contact: Catherine [email protected] Dr. Schlesinger Contact: 732-235-7748 732-235-7702 Dr. Schlesinger [email protected] [email protected] 732-235-7702 [email protected]

PM: Endocrine Clinic Endocrine Clinic

Resident Dr. Stein /Wong Resident Continuity Resident Dr.Amorosa/ Continuity Clinic CAB Clinic Continuity Clinic Lubitz/Wong CAB Contact: Catherine 732-235-7748 Contact: Catherine [email protected] 732-235-7748 [email protected]

43 Goals and Objectives: IM Specialty Selective (Endo/Rheum/HIV)

Educational Purpose  To ensure all residents get exposed to commonly encountered outpatient problems in endocrinology, rheumatology, and HIV management.  To increase familiarity with frequently used diagnostic tools such as HgbAIC and glucose tolerance test, hypothalamic-pituitary-adrenal axis testing, and thyroid testing including ultrasound, RAIU scan and biopsy.  To learn appropriate screening modalities for monitoring the complications of diabetes.  To apply the algorithm for working up a thyroid mass.  To learn the clinical indications for arthrocentesis and how to analyze joint aspirate.  To improve joint examination skills.  To understand the principles of drug therapy in management of HIV and to learn the class side effects.  To increase familiarity with the complications of HIV/AIDS.  To determine when it is appropriate to initiate a referral to an endocrinologist and rheumatologist.  Please refer to the Endocrinology, Rheumatology, and Infectious Disease sections of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care  Case discussions with attendings including differential diagnosis, pathophysiology, management, disease course.  Didactics: Attendings and fellows provide didactic lectures on subjects of interest.

Educational Content  Mix of Diseases: Includes, but is not limited to, diabetes, hypo- and hyperthyroidism, adrenal insufficieny, Cushing’s disease, pituitary tumors; RA, OA, crystal disease, FMS, seronegative spondyloarthropathies, SLE, scleroderma, bursitis/tendonitis.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Solely outpatient encounters in the endocrine clinic at RWJ CAB, rheumatology clinic at RWJ CAB, and HIV clinic at Chandler Health Center.  Procedures: Occasionally observe FNA of thyroid masses, arthrocentesis.  Services: Full range of clinical and consultative services available at RWJUH; access to an extensive laboratory and radiology department.

Educational Materials  Recommended Reading: William’s Textbook of Endocrinology, Primer on Rheumatic Diseases, Mandell’s Principles and Practice of Infectious Disease.  Pathological Materials: thyroid biopsies reviewed, joint aspirate analyzed  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows.

Level of Resident Supervision  Primary responsibility for care lies with the attendings and fellows.  Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings. 44 INTERNAL MEDICINE HOUSESTAFF ELECTIVE ROTATION

Amion Legend: id-r Elective Title: INFECTIOUS DISEASE Elective Site: RWJUH

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: Dr. T. Bhowmick NAME / ADDRESS Dr J. Cornett TEL: (732) 235-7708 Dr. S. Boruchoff Dr. S. Boruchoff Dr. S. Boruchoff Dr. D. Hart MEB-362 FAX: (732) 235-7951 Dr. McAuliffe Dr. M. Weinstein Resident must page the ID consult fellow on the first morning of the rotation. MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AVAILABLE: AT ANY GIVEN TIME TRAINING (Including other programs) All MIN 2 MIN 1 PGY 1/2/3

MAX 4 MAX 2

SCHEDULE

Consult Clinic or Consult Clinic or Consult Clinic or Consult Consult Rounds with AM Rounds with Rounds with fellows Rounds with fellows Rounds with fellows fellows fellows Micro Rounds/ Conference PM Conference RESIDENT Journal Club RESIDENT CONTINUITY Attending Rounds CONTINUITY CLINIC Attending CLINIC Attending Rounds Rounds

*Evaluations will be sent to ID Attending listed on RWJ schedule.

45 Goals and Objectives: Infectious Disease Elective

Educational Purpose  To recognize and treat a broad range of acute infectious diseases in the hospital setting.  To understand the principles of antibiotic use and coverage.  To learn to take a thorough immunization/travel/sexual history.  To provide exposure to the microbiology lab and learn to interpret gram stains and cultures.  To determine when it is appropriate to consult an infectious disease specialist.  Please refer to the Infectious Disease section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Teaching rounds: case-based discussions with attendings and fellows including differential diagnosis, pathophysiology, management, and disease course of patients seen in consultation.  Conferences: Weekly ID journal club (Thursday 1-2pm) during which recent literature is reviewed.  Didactics: Attendings and fellows provide didactic lectures on subjects of interest.  Microbiology Rounds: The ID consult team meets with select microbiology laboratory staff to review relevant gram stains and cultures.

Educational Content  Mix of Diseases: Including but not limited to HIV and opportunistic infections, TB, bacteremia, endocarditis, meningitis, osteomyelitis, and skin/soft tissue infections.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups, including a large immigrant population.  Types of clinical encounters: Largely during inpatient consultations in the ICU and general wards at RWJUH with once weekly outpatient clinic experience.  Procedures: Occasionally, blood cultures are drawn and lumbar punctures performed by the ID service.  Services: Full range of consultative and clinical services covering all aspects of infectious disease care are provided. This includes access to outpatient ID and HIV clinics, ER, ICU, microbiology lab, and radiology department.

Educational Materials  Recommended Reading: Principles and Practice of Infectious Disease by Mandell  Pathological Materials: Gram stains and cultures in microbiology lab.  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Methods  The ID consult attending evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning improvement, interpersonal and communication skills, professionalism, system based learning.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met and the teaching interest and ability of attendings/fellows.

Level of Resident Supervision  Primary responsibility for care lies with the faculty and fellows.  Residents will do initial consults, daily follow ups, and play an active role in the diagnostic and management plans under the supervision of attendings.

46 MEDICINE HOUSESTAFF ELECTIVE ROTATION

Amion Legend: id-p Elective Title: Infectious Disease- NAHASS Elective Site: Princeton/Somerset/New Brunswick

Dr. Rohit Balla Dr. R.Nahass’ group Rohit Balla TEL: (908) 725-2522 [email protected] FAX: (908)725-5009 PLEASE EMAIL DR. BHALLA AT LEAST ONE WEEK BEFORE STARTING THE ROTATION. MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All MIN: 2 wks PGY 2/3 MIN 0 MAX: 4 wks MAX 2 STUDENTS NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT __ MIXED X YES NOX

SCHEDULE Monday Tuesday Wednesday Thursday Friday Week 1 & 3 a.m. Inpatient Inpatient Inpatient Inpatient Inpatient Rounds Rounds Rounds Rounds Rounds p.m. Resident Inpatient Resident Resident Inpatient Continuity Rounds Continuity Continuity Rounds Clinic Clinic Clinic Week 2 & 4 a.m. Office Office Office Office Office p.m. Resident Office Resident Resident Office Continuity Continuity Continuity Clinic Clinic Clinic

PLEASE EMAIL DR. BHALLA AT LEAST ONE WEEK BEFORE STARTING THE ROTATION.

Residents are required to attend the following program activities: Daily Board Review, Noon Report and Conference (only when doing inpatient rounds), Weekly Grand Rounds and Monthly Humanism & Professionalism and Business of Medicine Conference at the nearest hospital site.

47 Goals and Objectives: Infectious Disease Nahass Elective

Educational Purpose  To recognize and treat a broad range of infectious diseases in the outpatient and hospital setting.  To understand the principles of antibiotic use and coverage.  To learn to take a thorough immunization/travel/sexual history.  To determine when it is the business aspects of running a private practice.  Please refer to the Infectious Disease section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings and fellows including differential diagnosis, pathophysiology, management, and disease course of patients seen in the office and hospital.  Didactics: Attendings provide didactic lectures on subjects of interest.

Educational Content  Mix of Diseases: Including, but not limited to, inpatient ID diseases such as opportunistic infections, TB, bacteremia, endocarditis, meningitis, and osteomyelitis; and common outpatient ID diseases such as HIV management, skin and soft tissues infections, Hepatitis B, Hepatitis C and STDs.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups, including a large immigrant population.  Types of clinical encounters: 50% of time is spent seeing patients on in-hospital consultations and 50% spent in outpatient office practice.  Procedures: Occasionally, blood cultures are drawn and lumbar punctures performed by the ID service.  Services: Full range of specialty and subspecialty services through RWJUH and UMCP.

Educational Materials  Recommended Reading: Mandell’s Principles and Practice of Infectious Disease  Pathological Materials: Gram stains and cultures in microbiology lab.

Evaluation Methods  The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning improvement, interpersonal and communication skills, professionalism, system based learning.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met and the teaching interest and ability of attendings.

Level of Resident Supervision  Primary responsibility for care lies with the attendings.  Residents will do initial histories and physicals, consultations and follow ups with supervision from attendings.

Amion Legend: nephro-r Elective Title: NEPHROLOGY Elective Site: RWJUH

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS TEL: (732) 235-4453 Drs. Lianos, Lefavour, Walker, Dr. Lefavour FAX: (732) 235-6124 Dr. G. Lefavour Sherman, and Kapoian MEB – 412D Resident must page the UKG consult fellow on the first morning of the rotation. MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All (Include Muhlenberg, JFK, etc.) MIN 2 MIN______PGY 1/2/3

MAX 4 MAX 2 STUDENTS NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT __ YES X NO MIXED X

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY RWJ Hospital RWJ Hosp. Consult RWJ Hospital RWJ Hosp. Consult RWJ CAB AM Consults & & Rounds Consult & Rounds & Rounds Nephrology Clinic Rounds RWJ Hosp. RESIDENT RWJ Hospital RWJ CAB RESIDENT PM Consult & Rounds CONTINUITY Consult & Rounds Nephrology Clinic CONTINUITY CLINIC CLINIC

49 Goals and Objectives: Nephrology Elective

Educational Purpose  To recognize and treat commonly encountered inpatient problems in nephrology.  To understand the pathophysiology of fluid/electrolyte disorders and acid base disturbances.  To familiarize the resident with commonly used tests in the diagnosis of renal disease such as renal ultrasound, analysis of 24 hour urine samples, and renal biopsy.  To develop familiarity with the principles, clinical indications and complications of nephrologic procedures including hemo- and peritoneal dialysis, renal biopsy, and vascular access placement.  To recognize the renal toxicities of commonly used medications and how to renally dose medications.  To determine when it is appropriate to consult a nephrologist.  Please refer to the Nephrology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings and fellows will provide didactic lectures on subjects of interest.  Conferences: GR (4th Tuesday 4pm), Core Curriculm (1st & 3rd Wed 4pm), Case conf (1 & 2nd Tues), JC (Friday Noon)during which interesting cases and recent literature is discussed.

Educational Content  Mix of Diseases: Including, but not limited to, fluid/electrolyte/acid-base disorders, acute renal failure, diabetic and hypertensive renal disease, glomerular and interstitial diseases, nephrolithiasis, ESRD, and proteinuria.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Primarily inpatient encounters on consultation in the ICU and general wards.  Procedures: Hemo- and peritoneal dialysis, renal biopsy, and vascular access placement.  Services: Full range of consultative and clinical services covering all aspects of nephrologic care are provided. This includes outpatient renal and transplant clinics, ER, ICU and access to all procedures listed above.

Educational Materials  Recommended Reading: Primer on Kidney Diseases.  Pathological Materials: Renal biopsies are reviewed.  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The nephrology consult attending evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of fellows/attendings.

Level of Resident Supervision  Primary responsibility for care lies with the fellows and attendings.  Residents will do initial consults, daily follow ups, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings.

Amion Legend: cinj-r ELECTIVE TITLE: ONCOLOGY- CINJ Elective Site: CINJ

Dr. Serena Wong CINJ Faculty Dr. Wong (732) 235-9692 732-206-3263-beeper (Janet Caswell) [email protected]

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All MIN 2 (Including other programs) MIN______PGY 1/2/3 MAX 4 MAX 1

STUDENTS NO NIGHT CALL OUTPATIENT X NO WEEKENDS INPATIENT __ YES NO X MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 8:15-9:15 am: 8-9am 8-9 am Fellows conference AM Wong/ Breast Tumor Stein (GU) Lung Tumor Board (5565) Board(Auditorium B) (Auditorium A)(week 2) Toppmeyer Mayar (GU) (Breast) Strair/Gharibo/Rubin Moss/Poplin (GI) Eleff (General) (Lymphoma/Leukemia) Aisner Gharibo (Lymphoma/Leukemia) (Lung)

PM Aisner (Lung) RESIDENT Stein (GU) Tan (Breast) RESIDENT CONTINUITY CLINIC CONTINUITY CLINIC Eleff (General) Moss (GI) Eleff (General)

51 Goals and Objectives: Oncology CINJ Elective

Educational Purpose  To recognize and treat commonly encountered outpatient problems in oncology.  To familiarize the resident with commonly used modalitites in the diagnosis and staging of malignancies such as tumor or lymph node biopsy, CT scan, MRI, and PET scans.  To understand the basic principles of chemotherapy and radiation.  To determine when it is appropriate to initiate a referral to an oncologist.  Please refer to the Oncology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings will provide didactic lectures on subjects of interest.  Conferences: Weekly Journal Club (Wednesday 12-1pm), Weekly Grand Rounds (Friday 7:30-8:30am).

Educational Content  Mix of Diseases: Including, but not limited to, breast/ lung/ prostate/ colon CA, leukemia and lymphoma.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Solely outpatient encounters in the offices of CINJ, a large NCI-designated Comprehensive Cancer Center.  Procedures: Bone marrow biopsies.  Services: Full range of specialty and subspecialty service available at CINJ and RWJUH.

Educational Materials  Recommended Reading: Cancer: Prinicples and Practice of Oncology by Levita  Pathological Materials: Review results of biopsies, view path slides  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings.

Level of Resident Supervision  Primary responsibility for care lies with the attendings.  Residents will take histories and physicals on new patients and see return visits under the supervision of attendings.

Amion Legend: onc-p Elective Title: ONCOLOGY PRINCETON Elective Site: UMCP

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS (609) 853-7278

Dr. Babott Dr. Babott Dr. Babott Dr. Sokol

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All MIN 2 MIN______PGY 1/2/3

MAX 4 MAX 2 STUDENTS NO NIGHT CALL OUTPATIENT X NO WEEKENDS INPATIENT __ YES NOX MIXED __

SCHEDULE

GRAND ROUNDS TUMOR BOARD AM Office 8am-9am Office Office 8am-9am

Office Office

PM RESIDENT Office RESIDENT RESIDENT Office CONTINUITY CONTINUITY CONTINUITY CLINIC CLINIC CLINIC

53 Goals and Objectives: Oncology Princeton Elective

Educational Purpose  To recognize and treat commonly encountered outpatient problems in oncology.  To familiarize the resident with commonly used modalitites in the diagnosis and staging of malignancies such as tumor or lymph node biopsy, CT scan, MRI, and PET scans.  To understand the basic principles of chemotherapy and radiation.  To determine when it is appropriate to initiate a referral to an oncologist.  Please refer to the Oncology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care  Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings will provide didactic lectures on subjects of interest.  Conferences: Tumor Board (1st Friday)

Educational Content  Mix of Diseases: Including, but not limited to, breast/ lung/ prostate/ colon CA, leukemia and lymphoma.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Mainly outpatient encounters in the office setting of faculty oncologists with some inpatient consults.  Procedures: Rarely, bone marrow biopsies.  Services: Full range of clinical and consultative services available at UMCP; access to an extensive laboratory and radiology department.

Educational Materials  Recommended Reading: Cancer: Principles and Practice of Oncology by Devita  Pathological Materials: Review results of biopsies  Other Educational Resources: A full service library with computers is available at UMCP where residents are expected to read primary literature and standard medical texts.

INTERNAL MEDICINE HOUSESTAFF

54 ELECTIVE ROTATION

Amion Legend: pallca-r Elective Title: PALLIATIVE CARE ELECTIVE Elective Site: RWJUH

ELECTIVE DIRECTOR: ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: NAME / ADDRESS Dr. Poplin Dr. Poplin Mary Kelly, RN Mary Kelly, RN Mary Kelly Beeper: 732-437-3670 [email protected] 732-828-3000 ext 5717 Contact Mary the 1st morning of the rotation

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All (Including other programs) MIN 2 PGY 1/ 2/3 MIN______MAX 4 MAX 1 STUDENTS OUTPATIENT NO NIGHT CALL INPATIENT X YES X NO NO WEEKENDS MIXED

SCHEDULE

Consults with Consults with RWJUH RWJUH Consults with AM Palliative Care Palliative Care Consults with Palliative Consults with Palliative Care Team RWJUH Team RWJUH Care Team RWJUH Palliative Care Team RWJUH Team RESIDENT Consults with RESIDENT RESIDENT Consults with PM CONITNUITY Palliative Care CONITNUITY CLINIC CONITNUITY Palliative Care CLINIC Team RWJUH CLINIC Team RWJUH

Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, Monthly Humanism and Professionalism and Business of Medicine Conference.

55 Goals and Objectives: Palliative Care Elective

Educational Purpose  Patient Care o Demonstrate knowledge and proficiency in evaluation of (a) patients at the end of life, and (b) patients with specific symptom palliation needs o Perform a careful and complete history and physical, with emphasis on communication with the patient and/or his/her family about end-of-life issues such as advance directives and prognosis o Develop a basic treatment plan for patients with common symptoms associated with life-limiting illnesses o Demonstrate knowledge of hospice, including the interdisciplinary meeting, and proficiency at determining patients’ eligibility and appropriateness for hospice referral  Medical Knowledge o Acquire basic knowledge of the following topics:

. Symptom evaluation and management:

. Pain: The trainee should demonstrate advanced and sophisticated knowledge of pain evaluation and management, including knowledge of pharmacologic, complementary and anesthetic measures to manage pain

. Dyspnea . Constipation and diarrhea . Nausea and vomiting . Anorexia and weight loss . Delirium and agitation, including terminal delirium . Anxiety and depression . End of life issues: ethics and communication . Breaking bad news . Advance directives . Resuscitation status . Artificial nutrition and hydration . Surrogate decision making . The family meeting . Prognosis . Chronic medical conditions . Patients near the end of life  Practice-Based Learning and Improvement o Utilize available resources to make both timely and appropriate diagnostic and management decisions during palliative care consults o Discuss outcomes of patient management plans with attending o Evaluate and target areas for self-improvement  Interpersonal and Communication Skills o Demonstrate the qualities of a good consultant, incorporating professionalism into the process. Such qualities include promptness, efficiency, courtesy and respect for colleagues. The trainee should demonstrate excellent communication skills, and the ability to correspond effectively with consulting clinicians and outside physicians

56 o Demonstrate sensitivity, respect and kindness when interacting with palliative care colleagues, staff, patients and families o Demonstrate consciousness of and respect for cultural differences in response to severe illness and death o Demonstrate consciousness of and respect for spiritual values held by patients and families o Demonstrate awareness of his/her reactions to grief and stress and discuss ways to deal with them o Understand the value of and how to conduct a family meeting for discussion of goals of care  Professionalism o Demonstrate respect for patients, families, palliative care staff o Professional appearance  Systems-Based Practice o Practice cost-effective, evidence-based medicine when treating palliative care patients o Access appropriate interdisciplinary consultants for patient care o Demonstrate proficiency at operating within the context of an interdisciplinary group managing patients o Demonstrate cost efficiency in ordering tests and in discharge planning, and fundamental knowledge of hospice and other case management financial plans

Teaching Methods  Palliative Care – Supervised direct patient care and rounds with the interdisclinary palliative care team including weekly interdisciplinary care team meetings. o Symptom management – Didactic as well as during rounds discussion of specific symptoms including pain, nausea/vomiting, shortness of breath, anxiety and depression o Web based didactic on all symptoms available (these will be used for didactic session as well) o Communication Skills – Introduction to communication skills through a didactic lecture during first week . Participate in family meeting/patient meetings . Through out the rotation, residents will be provided with opportunities to practice their skills and Educational Materials  We will have available following resources for the resident education 1. Textbooks 2. Web Modules for specific symptom 3. Links to other resources available at AAHPM and other websites. Evaluation Method  Pretest prior to start of the rotation  Posttest at the end of the rotation  Communication skill evaluation through out the rotation  Write up on a specific symptom or reflective exercise from an experience during the rotation  The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings.

Resident Expectations  Be part of the palliative medicine team in providing care to the consult patients  Take lead in the patients they evaluate (during team meetings, family meetings etc.)  Read the didactic material from the website

ELECTIVE ROTATION

Amion Legend: Pract. Tailor Elective Title: Practice Tailoring

 Practice Tailoring allows a resident to choose a special rotation aimed at furthering his/her interest within a specific area of medicine. This elective is designed for senior residents who wish to gain greater exposure to areas that are not heavily emphasized in our curriculum. For example, residents pursuing primary care are encouraged to arrange an elective with greater dermatology, ophthalmology and orthopedic experience. Other examples include a women’s health rotation or a unique subspecialty experience.

 Structuring this rotation requires prior approval from the Program Director or the Associate Program Director.

 If you are interested in Practice Tailoring, please contact Dr. Sharma ([email protected])

58 INTERNAL MEDICINE HOUSESTAFF SELECTIVE ROTATION

Amion Legend: psy-r Elective Title: PSYCHIATRY Elective Site: RWJUH

Dr. Anthony Tobia Dr. Tobia Dr. Tobia email: TEL: (732)235-4403 Dr. Tiu [email protected] FAX: (732) 235-5644

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING MIN______All MIN 2 PGY 2/3 MAX 2 MAX __ 4__

STUDENTS NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT _X_ YES X NO MIXED __

SCHEDULE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Rounds with Dr. Rounds with Dr. Rounds with Dr. Tiu Rounds with Dr. Tiu Rounds with Dr. Tobia AM: Tiu start at 9:00 Tobia start at 9:00 start at 9:00 (meet start at 9:00 (meet in start at 9:00 (meet in (meet in Suite (meet in Suite in Suite 2200 in the Suite 2200 in the Suite 2200 in the CAB) 2200 in the CAB) 2200 in the CAB) CAB) CAB)

Contact Dr. Tobia Contact Dr. Tobia after PM: RESIDENT after noon RESIDENT RESIDENT noon conference CONTINUITY conference CONTINUITY CONTINUITY 732-470-9647 CLINIC 732-470-9647 CLINIC CLINIC Continue Rounds Continue Rounds On the first day of the rotation, contact the Psychiatry CL office at 235-7647 to confirm that you will be working with Dr. Tobia’s team. If so, supervision will be with Gladys Tiu, MD on Mondays, Wednesdays and Thursdays; and with Anthony Tobia, MD on Tuesdays and Fridays.

Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, Monthly Humanism and Professionalism and Business of Medicine Conference.

59 Goals and Objectives: Psychiatry-Tobia Elective

Educational Purpose  To recognize and treat commonly encountered inpatient problems in psychiatry.  To become proficient with the complete mental status exam.  To understand the pharmacologic and non-pharmacologic management of psychopathology.  To determine when it is appropriate to initiate a referral to a psychiatrist.  Please refer to the Psychiatry section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care.  Case discussions with attending including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings will provide didactic lectures on subjects of interest.

Educational Content  Mix of Diseases: Mood disorders (major depression, bipolar, mania), psychoses (schizophrenia, somatization), personality disorders, cognitive disorders (delirium and dementia), and substance abuse.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Mainly outpatient encounters at the University Behavioral Health Center with some inpatient med/psych consults.  Procedures: N/A  Services: Full range of specialty and subspecialty services available through UBHC and RWJUH.

Educational Materials  Recommended Reading: DSM-IV: Diagnostic and Statistical Manual of Mental Disorders  Pathological Materials: N/A  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The elective coordinator evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of the attending.

Level of Resident Supervision  Primary responsibility for care lies with the attending.  Residents will take histories and physicals on new patients, see return visits, and do consults under the supervision of the attending.

Amion Legend: pulm-o-r Elective Title: PULMONARY MEDICINE Elective Site: RWJUH/CAB

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS Drs. Santiago, Hussain, Dr. Santiago Michele: 732-235-7840 Dr. Sunderram Sotolongo, Riley, Sunderram Page the consult fellow the Michele Salameh first morning of the rotation. MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AVAILABLE: AT ANY GIVEN TIME TRAINING (Including other programs) MIN 2 MIN___ PGY 1/2/3 All MAX 4 MAX__1

STUDENTS NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT __ YES NOX MIXED _X_

SCHEDULE Monday Tuesday Wednesday Thursday Friday AM: Inpatient Inpatient CAB Inpatient Inpatient Consults Consults Sleep Clinic Consults Consults

PM: CAB RESIDENT CAB Inpatient RESIDENT Pulm Clinic CONTINUITY Pulm Clinic Consults CONTINUITY Dr. Sunderram CLINIC Dr. Hussain & CLINIC Teba On Day 1 of Rotation, please contact the Pulmonary Fellow on consults.

Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference, in addition to their Weekly Medicine Continuity Clinic

61 Goals and Objectives: Pulmonary Medicine Elective

Educational Purpose  To recognize and treat commonly encountered inpatient and outpatient problems in pulmonology.  To familiarize the resident with clinical indications for bronschoscopy, thoracentesis, and sleep study.  To improve interpretation of CXRs, CT scans and PFTs.  To determine when it is appropriate to consult to a pulmonologist.  Please refer to the Pulmonary section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care  Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings and fellows provide didactic lectures on subjects of interest.  Conferences: Weekly conferences (Friday afternoon) are held at which problematic and instructive cases are discussed. Recent literature is reviewed during this time.

Educational Content  Mix of Diseases: Including, but not limited to, asthma and COPD exacerbations, sleep apnea, pulmonary hypertension, interstitial lung disease, pulmonary nodules, cystic fibrosis, and pneumonia.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Patients seen primarily during inpatient consults on the wards at RWJUH across many specialties including medicine and surgery.  Procedures: Assist in bronschoscopies and thoracentesis.  Services: Full range of specialty and subspecialty services including access to a bronchoscopy suite and a full PFT laboratory.

Educational Materials  Recommended Reading: Baum’s Textbook of Pulmonary Diseases  Pathological Materials: Biopsy results from bronchoscopies, VATs, and thoracenteses are reviewed.  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Evaluation Method  The pulmonary consult attending evaluates the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.  The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings/fellows.

Level of Resident Supervision  Primary responsibility for care lies with the attendings and fellows.  Residents will do initial consults, daily follow ups, and play an active role in the diagnostic and management plans under the supervision of attendings.

Amion Legend: rad-p Elective Title: RADIOLOGY Elective Site: UMCP

ELECTIVE ELECTIVE FACULTY: ELECTIVE CONTACT CONTACT PHONE: DIRECTOR: NAME / ADDRESS 609-853-7233 In-House #19788 UMCP Dept. of Radiology Dr. Denny or UMCP (Chief Resident) Dr. Denny Chief Resident

MONTHS DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF TRAINING AVAILABLE: AT ANY GIVEN TIME PGY 1/2/3 All MIN 2 MIN______

MAX 4 MAX 1_

STUDENTS NO NIGHT CALL OUTPATIENT __ NO WEEKENDS INPATIENT X YES NO X MIXED __

TYPICAL SCHEDULE

Read ER films Grand Rounds Read ER films Read ER films Read ER films AM: 8AM-9AM

Read ER films

RESIDENT CT/MRI/ RESIDENT RESIDENT CT/MRI/ PM: CONTINUITY Nucl Med/Mamo CONTINUITY CONTINUITY Nucl Med/Mamo CLINIC CLINIC CLINIC

Contact UMCP Chief Resident to schedule conference assignment.

Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, Monthly Humanism & Professionalism and Business of Medicine Conference at UMCP, in addition to their Weekly Medicine Continuity Clinic.

1.) You will be required to provide documentation of one thoracentesis, one lumbar puncture, and one paracentesis that you performed during the two week elective. 2.) If time permits, you may be asked to give a noon conference on any interesting radiology studies that you came across. 63 Goals and Objectives: Radiology Elective

Educational Purpose  To learn the indications for different radiologic studies such as contrast vs noncontrast CTs, MRIs, plain films, ultrasound, and nuclear studies.  To become more proficient at reading and interpreting radiologic studies.  To familiarize the resident with techniques used in interventional radiology.

Teaching Methods  Case by case teaching of radiographic studies by radiology attendings.  Prepare case presentation for morning report.

Educational Content  Mix of Diseases: Most diseases across all specialties are seen.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Some patient encounters in the interventional radiology department. Otherwise, most of the day is spent reviewing films.  Procedures: Assist in many interventional radiology procedures such as thoracentesis, paracentesis, and central line placements.  Services: Full range of specialty and subspecialty services including MRIs, nuclear studies, and a full interventional radiology suite.

Educational Materials  Daily film readings, Textbook of Radiology

Level of Resident Supervision  Primary responsibility for care lies with the attendings.  Residents will sit with the attendings reading films and learn from their expertise.

Amion Legend: rheum-r Elective Title: RHEUMATOLOGY Elective Site: CLINICAL ACADEMIC BUILDING

Dr. N. Schlesinger Drs. Schlesinger,Tiku, Hsu, Dr. Schlesinger (732) 235-7702 Borham, Stevens, Toma, [email protected] Wong, & Sloan FAX:(732) 235 - 7238

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All (Including other programs) MIN 2 MIN 1 PGY 1/ 2/3

EXCEPT: MAX 4 MAX 2

STUDENTS NO NIGHT CALL OUTPATIENT X NO WEEKENDS INPATIENT __ YES NO X MIXED __

SCHEDULE

CAB Clinic CAB Clinic CAB Clinic CAB Clinic CAB Clinic AM: Drs. Tiku, Borham Dr. Schlesinger or Dr. Borham or Dr. Dr. Tiku or Borham, Dr. Stevens or Toma Dr. Hsu Hsu or Schlesinger

RESIDENT CAB Clinic RESIDENT RESIDENT CAB Clinic PM: CONTINUITY Drs. Hsu or CONTINUITY CONTINUITY Dr. Toma CLINIC Borham CLINIC CLINIC

Residents must attend Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference, in addition to their weekly Medicine Continuity Clinic.

65 Goals and Objectives: Rheumatology Elective

Educational Purpose  To recognize and treat commonly encountered outpatient problems in Rheumatology.  To learn the clinical indications for arthrocentesis and how to analyze joint aspirate.  To improve joint examination skills.  To determine when it is appropriate to initiate a referral to a rheumatologist.  Please refer to the Rheumatology section of our Competency Based Curriculum for further details.

Teaching Methods  Supervised direct patient care  Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course.:  Didactics: Attendings and fellows provide didactic lectures on subjects of interest.  Conferences: Weekly conferences (Wenesday morning) are held at which instructive cases are discussed.

Educational Content  Mix of Diseases: Including, but not limited to, RA, OA, crystal disease, FMS, seronegative spondyloarthropathies, SLE, scleroderma, bursitis/tendonitis.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: Solely outpatient encounters in the rheumatology clinic of a large academic center.  Procedures: Assist in arthrocentesis.  Services: Full range of specialty and subspecialty services.

Educational Materials  Recommended Reading: Primer on Rheumatic Diseases  Pathological Materials: N/A  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Level of Resident Supervision  Primary responsibility for care lies with the attendings and fellows.  Residents will take history and physicals on new patients, see follow ups, and play an active role in the diagnostic and management plans under the supervision of attendings.

66 INTERNAL MEDICINE HOUSESTAFF ELECTIVE FORM

Amion Legend: xplant-r Elective Title: TRANSPLANT MEDICINE Elective Site: RWJUH/ CAB

Dr. Richard Mann Dr. Mann Dr. Mann (732) 235-8695 Dr. Halevy Division of Nephrology FAX: 732-235-6124

MONTHS AVAILABLE: DURATION/WEEKS TOTAL RESIDENTS RESIDENTS LEVEL OF AT ANY GIVEN TIME TRAINING All (Including other programs) MIN 2 PGY 2/3 MIN______MAX 4 MAX 1 NO NIGHT CALL OUTPATIENT __ STUDENTS NO WEEKENDS INPATIENT __ MIXED X YES NO X

SCHEDULE

CAB CAB CAB AM: Transplant Inpatient Rounds Transplant Transplant Inpatient Rounds Clinic Clinic Clinic

RESIDENT RESIDENT PM: Inpatient CONTINUITY Inpatient Rounds Inpatient CONTINUITY Rounds CLINIC Rounds/Clinic CLINIC

Residents are required to attend all program activities: Daily Board Review, Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference, in addition to their Weekly Medicine Continuity Clinic

67 Goals and Objectives: Transplant Elective

Educational Purpose  To recognize and treat commonly encountered issues in patients with kidney transplants.  To learn the indications and process for obtaining a kidney transplant.  To understand the role and complications of immunosuppressants in organ transplant patients.  To appreciate the multidisciplinary approach between surgery and nephrology in the care of a transplant patient.

Teaching Methods  Supervised direct patient care.  Case discussions with fellows and attendings including differential diagnosis, pathophysiology, management, and disease course.  Didactics: Attendings and fellows provide didactic lectures on subjects of interest.

Educational Content  Mix of Diseases: ESRD patients with renal transplants and its complications.  Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.  Types of Clinical Encounters: 75% of the time is spent in the inpatient setting seeing patients on the transplant service. The remaining portion of time is spent seeing patients in the transplant clinic at RWJ CAB.  Procedures: N/A  Services: Full range of specialty and subspecialty services including access to a dialysis unit and full surgical services.

Educational Materials  Recommended Reading: Primer on Kidney Diseases  Pathological Materials: Kidney biopsies are reviewed.  Other Educational Resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.

Level of Resident Supervision  Primary responsibility for care lies with the attendings and fellows.  Residents will take histories and physicals on new patients and see return visits under the supervision of fellows and attendings.

(updated 6/1812)