Medical Students

bulThirdYr

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Third Year
(Clinical Rotations)
(Note: The Brody School of Medicine Curriculum is subject to change)

Family Medicine - 8 weeks
Internal Medicine - 8 weeks
Obstetrics/Gynecology - 6 weeks
Pediatrics - 8 weeks
Psychiatric Medicine - 6 weeks
Surgery - 8 weeks
Radiology - intersession meetings
M3 Elective (EDMD9315 - after Psychiatry) - 2 weeks
M3 Elective (EDMD9320 - after OB/GYN) - 2 weeks

Family Medicine Clerkship
The third-year clerkship allows students to participate in the academic, hospital and ambulatory practice of family medicine. During the eight-week rotation, students work in the offices of board-certified family medicine specialists at the Family Medicine Center and at other locations throughout North Carolina. Didactic sessions are provided to augment the students' patient care experiences.

Internal Medicine Clerkship
This rotation enables students to apply basic science and clinical knowledge to patient care situations. Clinical problem solving, prioritization of problems, correlation with pathophysiology, diagnostic evaluation and therapy is emphasized. Students are encouraged to learn by daily reading pertinent to the patient problems they are encountering on the wards. Students work with members of the total patient care team by participating in morning work rounds, assuming increased responsibility for patient evaluation and care, and assisting with common procedures. During the eight-week clerkship, each student is exposed to a balance of experiences in the major areas of medicine. Four weeks are spent on a general medicine inpatient service and four weeks on one of four subspecialty services, i.e. cardiology, nephrology, neurology or hematology/oncology.

Obstetrics and Gynecology Clerkship
The six-week clerkship introduces the student to the physiology and pathology of obstetrical and gynecological conditions, and relates these to the diagnosis and management of disease in women. Students acquire knowledge and skills in health care maintenance including preventive medicine and family planning. They also achieve competence in history taking, diagnosis and clinical management. Students develop skills in utilizing health care resources in the management of patients with disease, in preventive health care, and health maintenance. Self-study, supported by frequent small group seminars, complement the clinical experiences conducted on obstetrical and gynecological units at Vidant Medical Center, the School of Medicine Outpatient Center, and county health departments within the region.

Pediatrics Clerkship
Upon completion of the eight-week clerkship, students possess the skills and knowledge necessary to perform pediatric medical evaluations. Students are able to record and communicate pertinent data, and formulate and implement management plans for common health concerns for children from birth through adolescence. Preventive health principles for optimal child health are also emphasized. Students experience clinical teaching on the pediatric inpatient service and the newborn nursery of Vidant Medical Center. Subspecialty and general pediatric care are taught at Centers. Students also experience rural health in approved pediatric practices in eastern North Carolina.

Psychiatric Medicine Clerkship
This six-week clerkship consists of inpatient, outpatient and didactic experiences. The inpatient rotation is a four-week experience at Cherry Hospital (the regional state psychiatric hospital in Goldsboro) or at the psychiatric unit of Vidant Medical Center. The outpatient experience usually involves four weeks at a community mental health center or at the Brody School of Medicine Psychiatry Outpatient Clinic. Some students spend four weeks at the local alcohol and drug treatment program. One day a week is devoted to didactic sessions covering psychopharmacology, psychiatric assessment, and child psychiatry plus Psychiatry Grand Rounds. Students perform psychiatric and physical work-ups on assigned inpatients and participate in the assessment and care of outpatients. The goals of the rotation are for the student to hone interviewing skills and to learn the psychiatric interventions that are expected of all non-psychiatrist physicians. Attending physicians and residents supervise students' performance.

Surgery Clerkship
The surgery clerkship is the core of the surgical education program. During the eight-week rotation, students serve on the general and specialty surgical services of Vidant Medical Center, the SurgiCenter and the associated outpatient clinics, and rotate through private offices and emergency facilities. They assist in the diagnosis and treatment of surgical problems under the direct supervision of the surgical faculty and resident staff. Supporting the clerkship are a series of didactic lectures, rounds and conferences which emphasize the basic principles of surgical physiology, wound care and asepsis, the historical background of surgery, the diagnosis and surgical treatment of various body systems and the emotional needs of surgical patients. Included in the rotation is a course in surgical technique and experience in the operating room suites. Upon completion of the course, the student should have the basic training to evaluate the common surgical disorders and to be knowledgeable in their management.

Elective Clerkship
The M3 elective is intended to be an opportunity to engage in career exploration. It is a mandatory experience, with the option of pursuing an elective within a chosen discipline. It is possible to choose electives in a clinical discipline; but an elective in a basic science discipline is also allowed if related to career exploration. If a career choice has been made, some aspect of that discipline could be pursued in depth (e.g. rural medicine, primary care). Time could be spent in a more "systems" oriented experience designed to enhance the understanding of health economics, health care systems, evidence-based medicine, public health, preventive medicine or similar topics. Clinical research could also serve as the basis of the elective.

Clinical Radiology
The M3 clinical radiology intercession meetings are a series of didactic lectures and conferences. The lectures are oriented toward, but not limited to, the clinical material the students are attempting to master. It is designed to give a systematic approach to the study of radiology.
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