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Clerkships


Anesthesiology

Duration: 4 weeks - October through June; 2 week rotation can be arranged on a case-by-case basis. Limited availability.

Student Level: MS4

The anesthesiology clinical rotation will provide the medical student with hands on experience at airway management including bag/mask ventilation, insertion of oral and nasal airways, laryngoscopy, and tracheal intubation. The student will learn the principles of anesthetic management and the indications for different general and regional techniques. S/he will be exposed to the anesthesiologist as a peri-operative physician. S/he will also experience a practical review of pharmacology and physiology in the clinical setting.

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Cardiothoracic Surgery

Duration: 4-8 weeks

Student Level: MS4

The Cardiothoracic Surgery Rotation will expose the student to all aspects of this specialty. It is designed for the fourth year medical student who has an interest in general thoracic or cardiac surgery. The student should have a desire to pursue a residency in cardiothoracic surgery, general surgery or have an interest in one of our medical counterparts (i.e. pulmonary medicine or cardiology).

The rotation will give the student experience in the pre- and post-operative care of the thoracic patient, and provide opportunities to participate in the surgical procedures. The student will be assigned to the surgical team covering cardiothoracic and vascular surgery. Additional time will be spent in both the cardiac catheterization laboratory and pulmonary suite to learn some of the basic principles of these studies. Didactic sessions in areas such as hemodynamics and lung cancer will supplement the clinical experience.

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Clinical Investigation Department

Duration: 4-8 weeks

Student level: MS1-4

The Clinical Investigation Department at Naval Medical Center Portsmouth is involved in a multitude of clinical research projects by a number of investigators throughout the command. Specifically, this elective is offered to allow the medical student of any level to enter into basic clinical experience in the procurement of research data. The clerk will be expected to work on a one on one basis with the investigators and their co-investigators in performing research.

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Dermatology

Duration: 4 weeks

Student level: MS4

The dermatology rotation will provide the medical student with exposure to a wide range of dermatology problems in a busy outpatient setting. He/she will be able to see and evaluate patients independently prior to presenting each case to a staff attending. The student will learn how to perform common office procedures to include: Tzanck smears, KOH preps, scabies preps, and liquid nitrogen therapy for benign skin lesions. Student will also have the opportunity to observe biopsy techniques, dermatologic surgery, Mohs, and laser presentation at the end of the rotation.

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Emergency Medicine

Duration: 4 weeks

Student Level: MS4

All core rotations must be finished first!

Rotating medical students may spend 4 weeks in our department, and function in a capacity similar to that of the typical sub-intern. Students evaluate patients autonomously and make presentations to emergency medicine attending staff and senior resident physicians. They participate in resuscitation on critically ill or injured patients, and perform necessary procedures when indicated. Didactically, the student participates in the weekly emergency medicine residency conferences, monthly intern lectures, and patient rounds. Additionally, students benefit from a specialized medical student curriculum, which covers key concepts in the field. They may also participate in the monthly animal lab and are invited to attend the monthly journal club sessions. Students also benefit from their interaction with interns and residents of varied levels of training and specialty interests. Unique features of our rotation are the exposure to emergencies presenting primarily in the military setting, emergency physician use of the ultrasound, our observation unit, and our pediatric ED.

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ENT/Otorhinolaryngology

Duration: 4 weeks

Student Level: MS4

Prerequisite: Medicine & Surgery Clerkship

This elective offers a broad and flexible orientation suitable for medical students interested in surgery or the primary care specialties. The student will receive a wide exposure to medical and surgical aspects of diseases of the head and neck in adults and children. All students obtain experience with the diagnosis and initial treatment of head and neck problems commonly encountered by primary care providers. Because the ENT department serves a large and diversified patient population, there is also ample opportunity for more in-depth experience with the complete spectrum of head and neck disorders. The proportion of time each medical student spends in the clinic or operating room will be tailored to emphasize the student's interests.

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General Surgery

Duration: 4-8 weeks

Student Level: MS3 - MS4

Report 1st Day: GME Office, Building 3, 3rd floor, room 3.1-210

The 3rd year student will be assigned to one of the general surgical teams and will work closely with residents and staff. The 4th year student will be assigned in the same manner and will function as sub-interns with increased responsibilities and expectations. Both 3rd & 4th year students will be assigned a preceptor. The goals of this rotation are to expose the student to common general surgical problems both in the operating room and the outpatient clinic, and to teach basic pre and post-operative management of common general surgical disorders. The student will also acquire basic management skills of fluids, electrolytes and parenteral nutrition. Students assist with the management of ward patients and clinic patients and take part in major and minor surgical procedures. In addition, students benefit from a specialized medical student daily lecture series which covers key surgical concepts, and participate in all weekly departmental academic sessions as well as team specific conferences and rounds. Overnight call is approximately once a week. Extensive clinic and operating room exposure is emphasized.

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Pediatric Surgery

Duration: 2-4 weeks

Student Level: MS3 – MS4

This rotation provides an opportunity for medical students to gain exposure to a wide variety of pediatric surgical conditions. The 3rd year medical student may rotate for 2 weeks as part of their surgical subspecialty clerkship and will work closely with the residents and staff. The 4th year medical student may rotate for 4 weeks and may function as a sub-intern with increased responsibilities and expectations. The rotating medical student will gain experience providing medical care to pediatric patients in the outpatient clinic, operating room, inpatient ward, pediatric intensive care unit (PICU) and neonatal intensive care unit (NICU). The medical student will gain exposure to general abdominal, thoracic, genitourinary and oncologic procedures. They will also gain exposure to management of congenital lesions. Extensive clinic and operating room exposure is emphasized.

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Internal Medicine and Subspecialties

Duration: 4-8 weeks

Clinical clerkships in Internal Medicine expose students to a diverse assortment of disease processes and allow for the management of various comorbid conditions. The majority of clinical clerks are either Armed Forces Health Profession Scholarship students or Eastern Virginia Medical School students. Responsibilities are individually assigned based on years of training and demonstrated competence.

Inpatient Clerkships (Internal Medicine): Four inpatient clerkships are available to Health Professions Scholarship Students at any one time. The clerk becomes part of a ward team consisting of an attending, a resident, two-three interns, and one-two medical students. Four teams cover patients on the general medical ward and the hematology-oncology ward. A separate team with a cardiology attending covers the Cardiac Care Unit and Progressive Care Unit. Each clerk is given responsibility for patient care, which varies with the clerk's previous experience and demonstrated competence. Duties range from performing assigned work-ups to serving as a sub-intern. The resident or credentialed staff physician must countersign all orders.

Sub-Internships (Internal Medicine): The student will assume the responsibilities of an intern in providing comprehensive care to a limited number of patients. The sub-intern receives first call for problems with his patient, and works closely with the resident in providing patient care by formulating an assessment and instituting an appropriate care plan.

The following is list of internal medicine rotations available for 3rd and 4th year medical students:

INPATIENT - Student Level: MS3/MS4

  • General Internal Medicine Ward
  • Cardiology (CCU)
  • Medical Oncology

OUTPATIENT SUBSPECIALTIES & OTHER SPECIALTY: MS4s preferred after Sub-I completed unless otherwise indicated below

  • Cardiology – MS3s also accepted
  • Endocrinology
  • Hematology/Oncology (available after January 2018)
  • Infectious Disease – MS3s also accepted
  • Nephrology – MS3s also accepted
  • Pulmonary Disease – MS3s also accepted

OTHER SPECIALTY (Internal Medicine Department)

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Neurology

Duration: 4-8 weeks

Student Level: MS3 or MS4

While rotating with the Neurology Service, the student will be primarily attached to the Consultation Service and will evaluate outpatients and inpatients as well as follow selected inpatients under the direct supervision of the attending neurologists. There will be ample time for independent study and it is expected that a brief text on the clinical exam will be read. Attending physicians will work closely with the student both on rounds and one on one.

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Laboratory Medicine/Pathology

Duration: 4-8 weeks

Student Level: MS3 or MS4

Laboratory Medicine is an exciting discipline that includes Anatomic Pathology (Surgical Pathology, Autopsy Pathology and Cytopathology), Clinical Pathology (Hematology, Chemistry, and Microbiology), Transfusion Medicine and Blood Banking. The goal of this rotation is to provide an opportunity to learn functional aspects of each of these areas and promote a better understanding of the laboratory services at NMCP. Aspects of the laboratory service include appropriateness of test ordering, test methodology, and limitations of testing commonly used in daily clinical practice.

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Obstetrics and Gynecology

Duration: 4-6 weeks (specific rotations/length arranged on a case-by-case basis)

Student Level: MS3 or MS4

Obstetrics and Gynecology serves as a major military referral medical center allowing us to provide an abundant and vast array of obstetrical and gynecologic pathology to visiting students. We are dedicated to ensure that you will have a productive rotation on our service. You will be exposed to the various aspects of OB/GYN and its sub-specialties in order to establish a fund of knowledge that will serve you well through your medical career. Training, during your clerkship, depends on the length of the clerkship and/or area(s) you choose for training. These objectives should be encompassed by formal and informal sessions as well as individual reading. The recommended textbook is "Obstetrics and Gynecology" 2nd edition, by Beckmann and Ling, published by Williams & Watkins.

Third year medical students normally follow a pre-determined schedule including rotations in Gynecology and Obstetrics. Fourth year medical students, scheduled for an elective rotation, have a program tailored to their needs or interest in a specific specialty area.

Medical students are an integral component to any successful resident program and should be treated with respect. You are expected to work hard during the rotation and be dedicated to patient care. In turn, we are sure you will leave us with an understanding of the role of the OB/GYN in health management of women.

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Ophthalmology

Duration: 3-4 weeks

Student Level: MS3 or MS4

The student will work directly with a staff ophthalmologist, evaluating acute and chronic ocular complaints. The student will learn the 8-part eye exam and become facile in using the slit lamp. He/she will evaluate patients of all ages and be exposed to minor ocular procedures, as well as major cases. At the end of the rotation, he/she will be able to determine the gravity of certain ocular conditions and will be capable of primarily managing these cases in an isolated setting.

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Orthopaedics

Duration: 4 weeks

Student level: MS3 or MS4

Texts to serve as basic reference while on rotation, (1) Essentials of Orthopaedic Surgery, by Sam Weisel, published by Saunders. Rotators will spend approximately 0645-0800 in conference, and 0800 to 1600 in clinical setting, which will primarily be the acute care clinic, but can be other services if desired and available (i.e., total joint, sports medicine, trauma, etc.) A comprehensive curriculum of lectures intended for non-orthopaedists will be given during the course of the month. (2) Physical Examination of the Spine and Extremities by Stanley Hoppenfeld (Appleton-Century-Crofts).


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Pediatrics

Duration: Negotiable

Student Level: MS3 - MS4

Acting Internship:

Student Level: 4th year

Prerequisite: 3rd year core pediatric clerkship

The student will be primarily responsible for the admission, evaluation, and management of pediatric inpatients on the inpatient ward, neonatal intensive care unit or pediatric intensive care unit. The student will be an integral part of the pediatric team, and will attend pediatric conferences and stand night and weekend watches.

Elective:

Student Level: MS3 or MS4

Prerequisite: Pediatric Core Clerkship

The student will work with various general pediatricians and/or pediatric subspecialists to further enhance he/her knowledge and skills in pediatrics. Specific experiences will be tailored to the needs and interests of the student by the student coordinator. The rotation may involve attendance at a variety of outpatient clinics and/or inpatient responsibilities. The student may elect to concentrate on general pediatric or on one or more subspecialties. Students are required to attend all pediatric department conferences. Overnight call is not generally required, but may be arranged if the student desires. Availability of a specific specialty is subject to the availability of the appropriate attending specialist or general pediatric clinic availability.

The following is a list of pediatric rotations available for fourth year medical students:

INPATIENT
  • General Pediatric Ward
  • Nursery
  • Neonatal ICU
  • Pediatric ICU
OUTPATIENT
  • General Pediatric Clinic
  • Adolescent medicine
  • Cardiology
  • Developmental Pediatrics
  • Endocrinology
  • Gastroenterology
  • Hematolog/Oncology
  • Neurology
  • Pulmonology
  • Infectious Disease

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Plastic Surgery

Duration: 4-6 weeks

Student Level MS3 or MS4

A clinical externship for students interested in exposure to all aspects of Plastic and Reconstructive Surgery. The goal of this rotation is to familiarize the student with the basic foundations of Plastic Surgery. Objectives are dependent upon the level of training of the student, but include principles of wound care, burn management, acquisition of wound closure techniques, basic aesthetic surgery principles, hand trauma evaluation and management. The clinical use of lasers in Plastic Surgery will be encountered. Exposure to microsurgical techniques will be encountered. Rotating students are required to prepare a PowerPoint presentation of a topic of interest and pertinence to Plastic and Reconstructive Surgery during their rotation. There will be weekend rounds on occasion but no mandatory weekend or night call.

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Psychiatry

Duration: 4 weeks (can be flexible on a case by case basis)

Student Level: MS3 or MS4

The rotation is focused on developing an understanding of the major mental illnesses from the biopsychosocial perspective. Inpatient and outpatient exposure under supervision. Work directly with the staff and residents. Attend conferences and other CME activities.

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Radiology

Duration: Negotiable

Student Level: MS3 or MS4

The department of Radiology offers an elective in general diagnostic radiology. This course involves all radiologic modalities. The student will gain experience in the imaging characteristics of a variety of disease processes. The elective rotation can vary in length; however, the course typically runs for four weeks. Shorter or longer time frames can be accommodated. For those persons interested in a career in radiology, it is recommended that the elective is taken in the late summer or early fall. Evaluation of the student is typically based on clinical observation; although a written test and unknown radiologic images are available. Additional electives in radiology, such as musculoskeletal, neuroradiology, and interventional radiology may be offered. Please contact the program coordinator for more information. Students who have already successfully completed the general elective at this facility may inquire about the electives that may be offered. Hours are generally 0800-1500 Monday through Friday and there is no overnight call.

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Urology

Duration: 4 weeks

Student Level: MS3 or MS4

Prerequisite: None

The Urology department offers an exciting elective in comprehensive Urologic care. This involves all aspects of urologic care from infants to elderly. The student will gain experience with inpatient and outpatient clinical urology under staff supervision. Attendance at weekly clinical conferences, bimonthly pathology conferences and journal club is required. Observation and participation in urologic procedures both in the clinic and main operating room is emphasized. With the combined residency program with EVMS, several days can be spent at Sentara Norfolk General Hospital for exposure to the urology residency program for students interested in a Urology residency.

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Vascular Surgery

Duration: 4-8 weeks

Student Level: MS4

The Vascular Surgery Rotation is designed for the fourth year medical student who has an interest in Vascular surgery. This student would ideally want to pursue a residency in general or vascular surgery, interventional radiology, or vascular medicine. The rotation will give the student exposure to the noninvasive vascular studies, arteriography, pre-and post-operative care of the vascular patient, and a chance to participate in the surgical procedures. The student will be assigned to the surgical team covering vascular surgery. Time will be spent in both the vascular laboratory and interventional radiography suite to learn some of the basic principles of these studies. Additional time will be spent in the vascular clinic evaluating patients. Attendance in the operating room is expected.

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Contact Information

GME Officer:

Phone: (757) 953-7001
Fax: (757) 953-6909

Medical Student Coordinator

Phone: (757) 953-0672/3677
Fax: (757) 953-6909
Email

Director for Professional Education Office:

Phone: (757) 953-5109
Fax: (757) 953-6909

Location:

Charette Health Care Center
Building 3, 3rd Deck, Room 3.1-210
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