Medicine - MD (MED)

The clinical Clerkship in Internal Medicine is designed to build upon your previous basic science knowledge and provide you with broad exposure to the content and practice of Internal Medicine. Your experiences during the Clerkship will include: "Med A" - One four-week block during which you will function as a team member on the inpatient General Internal Medicine service at the Hershey Medical Center or an affiliated institution, Holy Spirit Hospital, Lebanon Veterans Administration Medical Center, Pinnacle Health System, or University Park/Regional Campus. "Med B" - One two-week block during which you will rotate through a clinical selective in one of the Department of Medicine subspecialties (e.g. cardiology, hematology/oncology, gastroenterology, pulmonology, nephrology). "Med C" - One two-week block during which you will rotate through a clinical selective, primarily in the ambulatory setting, in one of the Department of Medicine subspecialties (e.g. general internal medicine, endocrinology, rheumatology, allergy-immunology).

Principles of human-host defense mechanism, host-parasite interactions, manifestations of various infections, systematic approach to problem solving, rational use of antibiotics.

Students learn non-invasive and invasive cardiology procedures, then work as clinical clerks on an in-patient cardiology service.

The Acting Internship (AI) in Internal Medicine is a four-week inpatient rotation that builds upon the Internal Medicine clerkship and provides a broad exposure to the discipline at an advanced practice level. During the rotation, you will have the opportunity to care for patients and perform the general functions of an intern under appropriate supervision on an inpatient service in Internal Medicine.

A program in clinical gastroenterology to expose student to basic GI physiology, pathophysiology, and management of gastrointestinal and liver problems.

Provides students with the basic understanding of the fundamental problems of hematology.

Introduces students to cancer chemotherapy and immunotherapy with emphasis on workings of lymphoma and solid tumor patients.

A clinical program in pulmonary medicine with emphasis in pulmonary physiology, pathophysiology, and patient diagnosis and management.

Problems in clinical nephrology with emphasis placed on a pathophysiologic approach. Introduction to renal biopsy, peritoneal dialysis, and hemodialysis.

Introduction to the variety of illnesses and problem-solving techniques of the general internist.

The Acting Internship (AI) in Cardiology is a four-week inpatient rotation that builds upon the Internal Medicine clerkship and provides a broad exposure to the discipline at an advanced practice level. During the rotation, you will have the opportunity to care for patients and perform the general functions of an intern under appropriate supervision on the "Acute Cardiology" or "Congestive Heart Failure" services.

Expose students to a large number of clinical endocrine problems, familiarize them with diagnostic laboratory procedures used in evaluating patients.

This course provides exposure to the multifaceted area of obesity management, including diabetes, bariatric surgery, medical management and pediatrics

The Clinical Rheumatology elective is a TWO-week course that is designed to cover the rheumatologic conditions that are most germane to any practitioner. The course will provide an introduction to common and some less common diseases that affect the joints and systemic immune system. This course is focused on those conditions that should be known by practitioners in any field. Course material will be presented in the form of bedside teaching in the clinic and on inpatient consultation rounds, weekly teaching sessions with other trainees, conferences with faculty, and readings from textbooks and online learning modules. Central themes of the course are recognition and diagnosis of these diseases, use and interpretation of diagnostic tests and familiarity with major rheumatologic therapeutics. Students will be expected to be able to generate a differential diagnosis for patients being evaluated in clinics or on inpatient consultation rounds.

Students evaluate and follow in-patients on general non-cardiology services with cardiac problems referred to the Cardiology Consult Service.

Allergy and Immunology Clinical Elective for 3rd year students.

Students will perform assessments and develop care plans for hospitalized elders who are transitioning to home or long-term care setting.

Students in this elective will participate in clinical experiences focused in primary care for patients assigned female at birth or who identify as women. Clinical experiences are 30 hours/week for 4 weeks with most sessions in the internal medicine ambulatory clinic with physicians who have a women's health focus. Additional clinical experiences include, but are not limited to, rotations at planned parenthood, pelvic floor physical therapy, breast clinic, and the pelvic pain clinic. Students will have the opportunity to complete notes, practice oral presentations, and devise assessment and plans in clinic and to meet with faculty in internal medicine women's health to discuss how they became interested in this field. Participants will also join the internal medicine residents for their ambulatory half day didactics on two half days. The remainder of time during the elective will be for weekly meetings with the course director to reflect on clinical experiences and to work on assignments in women's health quality improvement, advocacy, research, and education.

This course provides exposure to basic concepts for diagnosis and management of children and adults with allergic and immunologic diseases and respiratory and cutaneous abnormalities. MED 747 Clinical Elective in Allergy, Asthma and Immunology (5)The fourth year student rotating on the allergy service will experience an active and up to date Allergy and Immunology clinical service. Diseases you will be managing include allergic skin disorders, asthma, sleep, rhinitis, sinusitis, primary immunodeficiencies, recurrent infections, drug, food and insect allergy, and anaphylaxis. Developing an excellent history to include occupational, environmental and travel history will be facilitated. The student will be able to participate as an active member of the clinic and will have responsible for the patient. We anticipate that you will act as an intern and will manage the patient completely from start to finish. Clinic hours are daily 8 AM to 5 PM except Weds AM which is our academic time. In addition, to clinic there is an opportunity to participate in inpatient consults; however, the majority of time (90%) will be spend in the clinic seeing patients. Techniques include skin biopsy, skin test, patch testing, spirometry, and patient education and there will be ample opportunity to practice these techniques. Most of the education is done bedside during the patient's visit. Lastly, we expect that the student will present a short power point presentation, develop a manuscript or participate in research if time permits.

This course provides exposure to concepts utilized in the diagnosis and management of rheumatic diseases in adults. MED 748 Adult Rheumatology Elective (5)This course is designed to introduce fourth year medical students to the basics of evaluation and management of adults with musculoskeletal disease with an emphasis on diagnosis and treatment of inflammatory and non inflammatory arthritis. This primarily outpatient experience will build on the concepts presented during the second year didactic course in MSK medicine that dealt with rheumatology topics as well as the Island I MSK portion which utilized physical diagnosis skills related to musculoskeletal joint evaluation. Students on this elective will serve as an integral part of the team and will be the first contact with returning and new patients in the outpatient clinic setting having had a chance to interact one on one with patients in order to practice history taking and exam skills. Students will then present the information to the attending physician where management and treatment options will be discussed. Pertinent physical exam and radiographic findings will be noted and technique for joint aspiration and injection will be demonstrated in the appropriate patients. Students will be expected to demonstrate evidence of independent reading on rheumatology topics and preparation of case based presentations for weekly conferences. Opportunities for interested students to participate in pediatric rheumatology clinics are also available during this time. The overall goal of this elective is to allow students to attain the basic skills and knowledge necessary for the initial evaluation and diagnostic work up of common presenting musculoskeletal complaints in the primary care outpatient and in-patient settings. Emphasis will be placed on pathophysiology, differential diagnosis, physical exam findings and management options as well as the essential portions of the history and physical exam. Students will be encouraged to practice their musculoskeletal exam skills under supervision in order to become proficient by the end of the four week elective. Evaluation methods will include a pre-test and post-test as well as subjective evaluation of students' fund of knowledge and patient care skills by the attending rheumatology faculty. This course will be offered throughout the entire academic year.

Senior students assume Acting Intern responsibilities for Medical ICU level patients. This intense training is recommended for highly motivated students interested in a "hands-on" experience in the critical care unit.

The Acting Internship (AI) in Cardiology is a four-week inpatient rotation that builds upon the Internal Medicine clerkship and provides a broad exposure to the discipline at an advanced practice level. During the rotation, you will have the opportunity to function as an intern under appropriate supervision and admit and care for patients on the "Blue team" inpatient service in Hematology-Oncology.

Oral anticoagulants are one of the more frequently prescribed classes of medications to treat common diagnoses (e.g., deep vein thrombosis, pulmonary embolism, nonvalvular atrial fibrillation) as well as utilized in rather complex patient populations such as transplant, oncology, and those receiving mechanical circulatory support. The appropriate use of oral anticoagulants also requires an understanding of the biochemistry of coagulation and the pathophysiology behind bleeding and thrombosis. The goal of this course is to provide students with a foundational understanding of the appropriate use of oral anticoagulants in the outpatient setting from a multidisciplinary perspective. Students will apply their knowledge of biochemistry of coagulation, the pathophysiology of bleeding and thrombosis, and the pharmacology of oral anticoagulants learned throughout Phase I during case discussions, journal club, conferences, and when participating in the direct patient care thrombosis clinic. They will work with a multidisciplinary health care team and contribute to the continuity of care these patients require in an outpatient setting.

Clinical or laboratory research on a selected topic by special arrangement with member of faculty who will act as preceptor.

Medicine individual studies for 3rd year.

Advanced clinical training in internal medicine or subspecialty --neurology, cardiology, clinical pharmacology, hematology, gastroenterology, endocrinology, pulmonary medicine, renal disease.

Cardiorespiratory

Advanced clinical training in internal medicine or subspecialty --neurology, cardiology, clinical pharmacology, hematology, gastroenterology, endocrinology, pulmonary medicine, renal disease.

Advanced clinical training in internal medicine or subspecialty --neurology, cardiology, clinical pharmacology, hematology, gastroenterology, endocrinology, pulmonary medicine, renal disease.

Advanced clinical training in internal medicine or subspecialty --neurology, cardiology, clinical pharmacology, hematology, gastroenterology, endocrinology, pulmonary medicine, renal disease.