Department of Medicine

MEDI 406	Clinical Cardiovascular Physiology
Faculty:	Drs. Eric Yang, David Tate, Mauricio Cohen, and Sid Smith
Prerequisites:	Completion of medicine clerkship
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Cardiac Catheterization Lab, Room 2227 Old Clinic Building
Meeting Times:	9:00 a.m.
Credit Hours:	6
Learning Objectives:	1. To understand what information is available from invasive cardiac procedures including right heart catheterization, left heart catheterization, and coronary evaluation. 2. To understand the risks and benefits of invasive cardiac procedures and which patients should undergo invasive evaluation. 3. To understand cardiovascular physiology and its application to patient treatment decisions. 4. To be introduced to radiographic imaging and hemodynamic monitoring technology. 5. To understand the hemodynamic changes associated with coronary, valvular, myocardial, and congenital heart disease.
Learning Activities:	The elective will be tailored to the interests of the student. Activities in which the student can participate include: observation of invasive procedures, instruction in use of imaging equipment, pre- and post-procedure evaluation of patients, rounds with interventional cardiologists and /or the cardiology consult team, cardiology conferences and case reviews. The majority or time will be spent in the catheterization laboratory but students can also participate in ward rounds and/or observe echocardiograms if they choose.
Evaluation:	Student will receive a written evaluation from the Course Director at the end of the elective.
Date Updated:	3/10/2008

MEDI 407	Digestive Diseases and Nutrition
Faculty:	Drs. Bozymski, Darling, Drossman, Fried, Gangarosa, Grimm, Hayashi, Herfarth, Isaacs, Lesesne, Madanick, Morgan,Nuzum, Orlando, Plevy, Ransoff, Ringel, Sandler, Sartor, Scarlett, Shaheen and staff Sandler, Sartor, Isaacs, Ransohoff, Whitehead, Morgan, Brown, Gangarosa, Ringel, Russo, Scarlett, Shaheen, Watkins, Zacks, and staff
Prerequisites:	Third year clerkship in Medicine
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	2 (additional student with permission)
Duration:	One elective period
Meeting Place:	4162F Bioinformatics Building, ask for Stephen Kennedy
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	1. To understand the appropriate management of gastrointestinal hemorrhage. 2. To identify the appropriate usage of invasive GI testing in an in-patient service. 3. To generate broad, deep, and correct differential diagnoses in response to gastrointestinal complaints. 4. To plan cost-effective, concise work-ups of subjects with gastrointestinal complaints.
Learning Activities:	The elective gives the student broad exposure to consultative management of gastrointestinal diseases. By working with our hepatology service, as well as our gastrointestinal consultative services, the student will be intimately involved in the diagnosis and management of subjects with gastrointestinal complaints. Under the direction of the attending physicians of the GI and Hepatology consultative services, the student will perform the primary work-up of in-patients and out-patients seen on the wards and in GI clinic. Students will present cases to the faculty and fellows, and both bedside and didactic teaching are performed. Additionally, the students will be expected to attend and participate in the many learning conferences that the GI service holds on a weekly basis. Expected hours are Monday through Friday from 8-5:30, with no call or weekend duties.
Evaluation:	The student will be evaluated by observation by the attending physician. Skills to be graded include the student's ability to elicit a timely and appropriate history, their ability to recognize pertinent and abnormal findings on physical exam, their ability to generate an appropriate and deep weighted differential diagnosis, and their ability to plan a cost-effective and reasonable testing and treatment algorithm.
Date Updated:	11/19/2008

MEDI 408	Hematology/ Oncology Consults
Faculty:	Alice Ma, M.D.
Prerequisites:	Senior medical students (juniors by arrangement)
Offered:	All elective periods
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	Physician's Office Building, please note that this building is locked 24/7, on the corner ofManning and East Drive and meet with Ms. Terri King
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	This elective is designed to provide fourth year medical students with a broad experience in the principles and practice of clinical hematology, as well as an exposure to the management of patients with solid tumors. A physician, fellow and one or two medical residents is assigned to the rotation at all times. Each student will be expected to participate in morning report & seminars, in-patient & out-patient consultations, weekly conferences, oncology/pathology/ radiology conferences, bone marrow conferences, weekly hematology/oncology/coagulation grand rounds, Friday clinical conferences and hematopathology. Students will participate in daily teaching lectures and be taught how to perform and interpret bone marrows and peripheral blood smears. A schedule of weekly activities will be given to each student at the beginning of the rotation.
Special Notes:	Please note that the Physician's Office Building is locked 24/7. Please call Terri at 919-966-1996 or 919-966-3856, if she does not answer. Please email Terri King at twking@med.unc.edu prior to arriving for your elective
Date Updated:	11/19/2008

MEDI 411	Diagnosis and Management of Infectious Diseases
Faculty:	Drs. Cohen, Kenney, Sparling, Quinlivan, van der Horst, Weber, Adimora, Kelley, and Fellows
Prerequisites:	Admission to Med School, Completion of Medicine/Surgery clerkships
Offered:	All elective periods
Max. Enrollment:	3
Duration:	One elective period
Meeting Place:	2115 Bioinformatics Building
Meeting Times:	9:00 a.m.
Credit Hours:	6
Learning Objectives:	This program allows students to learn diagnostic approaches relevant to infectious diseases as well as the clinical and laboratory basis of antibiotic therapy. Students will have opportunities to learn the principles of clinical microbiology. The functions of an infectious disease consultant and hospital epidemiologist will be demonstrated, along with special emphasis on AIDS diagnosis and management. Students will work as active members of the infectious disease group. The elective provides the opportunity to study in-depth selected patients with infectious diseases in order to develop the skills required for effective diagnosis and treatment.
Date Updated:	4/4/2007

MEDI 412	Medicine and Pediatric Endocrinology
Faculty:	Medicine: Drs. Buse, Braithwaite, Clemmons, Dostou, Ontjes, O'Connell and Sharpless. Pediatrics: Drs. D'Ercole, Calikoglu, Davenport, Loechner, Puri, Spagnoli and Morris.
Prerequisites:	Completion of 3rd year clinical clerkships
Offered:	All elective periods
Min. Enrollment:	2
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	9:00 am
Credit Hours:	6
Learning Objectives:	1. To understand the basics of endocrine physiology. 2. To recognize potent endocrine disorders. 3. To learn an approach to the diagnosis of endocrine disorders. 4. To become familiar with laboratory tests to evaluate and manage endocrine disorders. 5. To learn to manage common endocrine disorders, especially diabetes mellitus.
Learning Activities:	Attend pediatric and medicine endocrinology and Diabetes clinics, attend endocrinology clinical conferences and seminars, attend in-patient rounds on pediatric and medicine endocrinology services, and prepare for and participate in problem solving exercises on endocrine disorders. The latter will provide an overview of endocrine diseases for students. Hours are generally 8:00 am to 5:00 pm. There are no on-call requirements. Students will rotate according to the followng schedule. If there is just one student, the schedule for Student A should be followed. Student A Student B Week 1 Pediatrics Medicine Week 2 Pediatrics Medicine Week 3 Medicine Pediatrics Week 4 Medicine Pediatrics
Evaluation:	Student evaluations will be based on: a) skills in interviewing patients, doing physical exams, and evaluation clinical and laboratory data, b) participation in problem solving exercises, c) presentations and case conferences, d) patient write-ups, and e) participation on rounds.
Special Notes:	Medicine clinics are held at the UNC Highgate Specialty Center located at 5316 Highgate Drive, Suite 125 in Durham. Students are responsible for their own transportation. Pediatric clinics are held in the Pediatric Subspecialty Outpatient Center II area on the ground floor of the Children's Hospital in Chapel Hill. Visiting students should report to the Pediatric Education office on the 3rd floor of the NC Women's Hospital on the first day. Prior to the rotation, students should email the Endocrinology office (ncoulon@unc.edu) to request course information by email.
Date Updated:	3/12/2008
Clinical:	Y

MEDI 413 (PEDS 413)	Nephrology
Faculty:	Drs. R. Colindres, W. Conley, C. Denu-Ciocca, R. Detwiler, R. Falk, M. Ferris, P. Gipson,W. Finn, S. Grossman, G. Hladik, P. Klemmer, M. Kiser, and A. Kshirsager and W. Primack
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	1) To perform and interpret urinalysis. 2) To learn etiology, evaluation, and treatment of hypertension. 3) To understand the differential diagnosis of acute and chronic glomerulopathies. 4) To understand tubular/acid-based disorders and fluid and electrolyte management. 5) To learn the differential diagnosis of and obstructive.
Learning Activities:	This elective will provide an in-patient and out-patient experience in the broad area of Nephrology, including a program of supervised reading and tutorial sessions designed to meet the interests and needs of the student. He/she may have the opportunity to learn about the special techniques of Nephrology including: renal biopsy (along with an understanding of the indications and interpretation), the use of artificial kidney, peritoneal dialysis, and common lab procedures. He/she will work in the outpatient department once a week. He/she will work up approximately three in-patients a week. He/she will be assigned to the faculty Nephrology consultant in Medicine and Pediatrics. He/she will be encouraged to find out from each member of the division something of the nature of their research activities. The first two weeks will be spent on the medicine adult service and the last two weeks will be spent on the pediatrics service. He/she will attend weekly post clinic conferences and weekly nephrology grand rounds. He/she will also participate in the discussions taking place at the in-patient rounds. Expected hours are Monday through Friday 8-5, no on call or weekend duties are expected.
Evaluation:	The student will be evaluated in several ways: observed procedures, interviewing patients, presentation at case conference, participation in rounds, and patient. Feedback will be given to the students at mid-rotation and at the end of the rotation.
Special Notes:	Visiting students should report to the Pediatric Education Office on the 3rd floor of the NC Women's Hospital at 9:00 on the first day and ask for Kelly Lear. UNC students - you will be contacted to arrange a meeting time.
Date Updated:	4/2/2007

MEDI 414	Pulmonary Medicine
Faculty:	Full-time attending faculty, Pulmonary Division
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	4127 Bioinformatics Building, 130 Mason Farm Rd.
Meeting Times:	9:00 am
Credit Hours:	6
Learning Objectives:	The student will work with the Pulmonary Medicine consult service responsible for evaluation of patients requiring out-patient & in-patient diagnostic procedures. The staff includes a pulmonary attending, a fellow and a medicine resident. The following activities will be emphasized: a) decision making in patients with pulmonary disease; b) disease mechanisms, risk factors and pulmonary disease prevention; c) use of diagnostic tools including lung function measurements, radiologic procedures, bronchoscopic procedures and biopsy; d) airways disease with a focus on asthma and cystic fibrosis; e) respiratory disorders of sleep (sleep apnea); f) lung transplantation; and g) approach to management of common problems such as pleural effusion, hemoptysis, dyspnea, lung nodule/masses, lung infiltrates/ infections, chronic hypoxemia. The student will participate in scheduled divisional conferences and will present patients to these conferences as appropriate and will interpret pulmonary function test results under the supervision of the attending.
Date Updated:	10/9/2007

MEDI 415	Clinical Rheumatology and Immunology
Faculty:	Drs. Jonas, Berger, Dooley, Jordan, Roubey, Tarrant and Rivadeneira
Prerequisites:	Completion of medicine clerkship
Offered:	All elctive periods
Min. Enrollment:	1*
Duration:	One or two elective periods
Meeting Place:	Musculoskeletal Modules, Ambulatory Care Center 966-4191
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	This elective provides the student with an introduction to the clinical skills and knowledge required for differential diagnosis, evaluation, and management of patients with arthritis and autoimmune diseases. Emphasis is placed on the clinical diagnosis of common types of arthritis, use of immunologic tests, and interpretation of radiographs. Students will develop a good working knowledge of the therapeutic strategies in the rheumatic diseases. Participation includes five days of Arthritis Clinic. The student is an active member of the rheumatology group that participates in the work up and management of patients and interacts with nursing and allied health personnel and other consultants. The opportunity for experience in Clinical Allergy is available on an optional basis.
Learning Activities:	1. Rheumatology clinic: M-F 8:30 a.m. - 5:00 p.m. 2. Rheumatology grand rounds: Fri 8:30 a.m. - 9:30 a.m. 3. Rheumatology case conference: Fri 9:30 am.. - 10:15 a.m. 4. Combined Rheumatology/Allergy journal club: Wed 1:00 pm.
Evaluation:	Students will be graded on their supervised workups of patients seen in the Rheumatology clinic. Students will also be evaluated on the performance of procedures including a complete musculoskeletal examinatino and joint aspiration and injection. Emphasis is placed on the ability to perform a careful history and physical examination. Participation in planning of the workup and therapeutic interventions is encouraged.
Special Notes:	*a second student will be considered at the discretion of the faculty supervisor on a case by case basis.
Date Updated:	3/10/2008

MEDI 417	CDC Epidemiology Elective
Faculty:	CDC Representative
Prerequisites:	Completion of all clinical clerkships
Offered:	September - June
Max. Enrollment:	To be determined by the CDC
Duration:	Six to eight weeks
Meeting Place:	To be determined by assignment
Meeting Times:	To be determined by assignment
Credit Hours:	6
Learning Objectives:	The purpose of this elective from the Epidemiology Program Office of the Centers for Disease Control and Prevention is to provide an introduction to preventive medicine, public health, and the principles of applied epidemiology. Students are offered the opportunity to actively assist in epidemiologic investigations of infectious diseases and areas such as cancer, congenital malformations, environmental and occupational diseases, injuries, chronic diseases, and reproductive health and population dynamics. Students are exposed to the day to day operations of the CDC's nationwide surveillance system also. Most assignments are at the CDC headquarters in Atlanta. However, assignments to the National Institute for Occupational Safety and Health in Cincinnati, Ohio and Morgantown, West Virginia, can be arranged. Occasionally, students can be assigned to state and local health departments as well. Elective is 6 - 8 weeks. One rotation period takes place between September and January and the second period is between January and June. There is no clinical experience or patient contact involved in this elective. More information can be obtained from Anthony Viera, M.D. A strong commitment is necessary for this elective.
Special Notes:	Students must apply directly to the CDC to be accepted for this program; see website: http://www.cdc.gov/eis/applyeis/elective.htm Application deadline is May 30 of your third year.
Date Updated:	3/10/2008

MEDI 430	General Medicine Consults, Carolinas Medical Center
Faculty:	Elizabeth Abernathy, MD, Furney, Susi, Gee, Jacobs, Monroe, Cheng, Kinsler, Dreyer, Lloyd
Prerequisites:	Completion of all clinical clerkships
Offered:	All
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One month
Meeting Place:	See notes section
Credit Hours:	6
Learning Objectives:	Learning Objectives: The student will acquire basic clinical skills in general internal medicine, focusing on the expanding field of medicine consults.
Learning Activities:	The student will participate in consultation, teaching rounds, twice weekly pre-operative clinic and perioperative care of patients. Primary objectives include physical diagnosis, interpretation of laboratory and radiologic studies, EKGs and participation in the clinical decision making process.
Evaluation:	The student will receive formative and summative feedback directly from the attending in both verbal and written form. Feedback will be based on oral presentatins, participation in rounds and clinic, patient write-ups and interviewing skills.
Special Notes:	Student should report to the Department of Internal Medicine, Medical Education Building (5th floor), Carolinas Medical Center to Gina Ernsberger at 9:00am on the first day of the rotation. Contact Gina at 704-355-3165 for more information.
Date Updated:	8/25/2008

MEDI 431	Pulmonary Consults, Carolinas Medical Center
Faculty:	Richard Rissmiller, MD, Robert Taylor, MD, Robert Heyer, MD, Robert Lombard, MD, Jaspal Singh, MD, Cheryl Garin, MD
Prerequisites:	Completion of all clinical clerkships
Offered:	All
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One month
Meeting Place:	See notes section
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	Learning Objectives (what the student will be able to do as a result of this experience) 1. Utilize the skills of patient history-taking and physical diagnosis to diagnose and manage inpatient and outpatient pulmonary complications and disease. 2. Develop accurate and succinct communication skills for oral presentations and consulting physicians in the inpatient and outpatient setting. 3. Integrate Evidence-Based medicine practices into diagnosis and management of acute and chronic pulmonary disease. 4. Observe and gain familiarity with the basic procedures and tests utilized in pulmonary medicine. 5. Develop an awareness of the complex ethical issues involving inpatient and outpatient pulmonary consultation and disease management. This rotation will teach the student to evaluate, treat, and manage acute and chronic pulmonary complications in both the inpatient and outpatient setting. Students independently evaluate patients in the inpatient and outpatient specialty setting, develop a management plan, and present to the team for review.
Learning Activities:	Students will participate in: 1. Daily morning conferences in general internal medicine and pulmonary medicine, including morning report and grand rounds 2. Small group didactic sessions with a pulmonary specialist 3. Inpatient consultation and rounds 4. Outpatient specialty clinics, including pulmonary hypertension clinic and sleep medicine clinic 5. Experience with interpretation of common pulmonary tests, including pulmonary function tests, chest x-rays, and other radiographic studies
Evaluation:	Students will be evaluated by: 1. Each attending the student works with will provide feedback and formal evaluation 2. Attendance and participation at conferences and learning workshops 3. Direct observation assessment
Special Notes:	Student should report to the Department of Internal Medicine, Medical Education Building (5th floor), Carolinas Medical Center to Gina Ernsberger at 8:30am on the first day of the rotation. More information will be provided prior to the rotation by email.
Date Updated:	8/25/2008

MEDI 432	Acting Internship in Medicine, Carolinas Medical Center
Faculty:	Dr. Scott Furney, Beth Susi, and others
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Dept. of Medicine, 5th floor Medical Education Building
Meeting Times:	9:00 a.m.
Credit Hours:	6
Learning Objectives:	This rotation emphasizes primary patient care involving a blend of in-patient and out-patient experiences. Primary objectives include acquiring clinical skills in hospital and out-patient medicine, including physical diagnosis, interpretation of laboratory and radiologic studies, and participating in the clinical decision making process.
Learning Activities:	The student functions as an acting intern on one of five ward services and will experience primary responsibility for the care of assigned patients under the supervision of a resident and an attending. Required conferences include daily noon conferences, weekly grand rounds, and a morning report three mornings a week. Attending teaching rounds are also required. The acting intern will also attend the general medical or urgent care clinic two times each week
Evaluation:	The student will receive formative and summative feedback directly from the attending in both verbal and written form. Feedback will be based on oral presentations, participation in rounds, patient write-ups, and interviewing skills.
Date Updated:	8/25/2008

MEDI 433	Infectious Disease Consults, Carolinas Medical Center
Faculty:	James Horton, MD, Roger Lovell, MD, Pam Cox, MD and David Weinrib, MD
Prerequisites:	Completion of all clinical clerkships
Offered:	All
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One month
Meeting Place:	See notes section
Credit Hours:	6
Learning Objectives:	Learning Objectives (what the student will be able to do as a result of this experience) 1. Utilize the skills of patient history-taking and physical diagnosis to diagnose and manage inpatient and outpatient infectious complications and infectious disease, including HIV . 2. Develop accurate and succinct communication skills for oral presentations and consulting physicians in the inpatient and outpatient setting. 3. Integrate Evidence-Based medicine practices into diagnosis and management of acute and chronic infectious disease. 4. Observe and gain familiarity with the basic procedures and tests utilized in infectious disease medicine. 5. Develop an awareness of the complex ethical issues involving inpatient and outpatient infectious disease consultation and disease management, including HIV. This rotation will teach the student to evaluate, treat, and manage acute and chronic infectious disease complications in both the inpatient and outpatient setting. Special attention will be focused on the outpatient and inpatient management of HIV. Students independently evaluate patients in the inpatient and outpatient specialty setting, develop a management plan, and present to the team for review.
Learning Activities:	Students will participate in: 1. Daily morning conferences in general internal medicine and infectious disease medicine, including morning report and grand rounds 2. Small group didactic sessions with an infectious disease specialist 3. Inpatient consultation and rounds 4. Outpatient specialty clinics, including HIV clinic 5. Experience with interpretation of common tests and familiarity with common medications used in infectious disease
Evaluation:	Students will be evaluated by: * Each attending the student works with will provide feedback and formal evaluation * Attendance and participation at conferences and learning workshops * Direct observation assessment
Special Notes:	Student should report to the Department of Internal Medicine, Medical Education Building (5th floor), Carolinas Medical Center to Gina Ernsberger at 8:30am on the first day of the rotation. More information will be provided prior to the rotation by email.
Date Updated:	11/19/2008

MEDI 434	Gastroenterology, Carolinas Medical Center, Charlotte NC
Faculty:	Martin Scobey, MD; Andrew Dries, MD; Mark Russo, MD; others
Prerequisites:	Completion of all clinical clerkships
Offered:	Jan - May 2009
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	one elective period
Meeting Place:	5th Floor Medical Education Building, Department of Internal Medicine
Credit Hours:	6
Learning Objectives:	The student will learn basic clinical skills related to the practice of consultative gastroenterology, including appropriate history taking, physical diagnosis and interpretation of gastroenterologic related laboratory testing. The student will learn the indications, contraindications, limitations and basic interpretation of common gastrointestinal radiologic and endoscopic procedures. There will be an emphasis on basic pathophysiology of common gastroenterologic disorders with an understanding of basic treatment principles for these disorders.
Learning Activities:	During the four week rotation, the student will perform in-patient consultations including the initial evaluation (review of pertinent laboratories, X-rays and endoscopies) and construct an appropriate differential diagnosis and treatment plan with subsequent presentation to the attending physician during daily attending rounds. The student will be expected to round on his/her patients daily. Teaching will be case specific during rounds and the student will be expected to be present for any endoscopic procedures that are performed on his/her patient. The student will also present one disease topic of interest weekly to the attending physician/consultative team with focus on pathophysiology of the chosen disorder. This will be primarily an in-patient rotation, although the student will also attend either general gastroenterology clinic or hepatology clinic for one-half day per week.
Evaluation:	The student will receive formative and summative feedback directly from the attending in both verbal and written form. Feedback will be based on oral presentations, participation in rounds, patient write ups and interviewing skills.
Date Updated:	9/29/2008
Clinical:	Y

MEDI 435	Aging and Public Policy
Faculty:	Mary Altpeter, MSW, MPA; Sheryl Zimmerman, Ph.D.
Prerequisites:	Admission to medical school
Offered:	Spring Semester
Max. Enrollment:	25
Duration:	Semester Course
Meeting Place:	To be arranged
Meeting Times:	To be arragned
Credit Hours:	3
Learning Objectives:	Upon completion of the course, students should be able to: 1) Discuss the challenges facing patients as they age. 2) Discuss how current economic, health, and social policy issues affect delivery of care to the elders. 3) Identify the challenges that face the nation with changing demographics patterns.
Learning Activities:	Aging and Public Policy is a three credit, interdisciplinary course sponsored by Institute on Aging. The course is designed to provide students in all discipline, including graduate students and upper level undergraduates, with a general background in the major economic, health, and social policy issues facing the nation and the state resulting from the aging of our society and an in-depth analysis of an emerging issue. The content is relevant to students who plan to work in programs that serve older persons, to researchers in fields related to aging and to students who want to better understand the policy environment associated with the changing demographics of the nation and state. Composition (per week): Lecture: 2 hours, Seminary/Discussion: 1 hour
Evaluation:	Evaluation will be based on student projects, , and final examinations.
Date Updated:	6/6/2007

MEDI 445	Acting Internship in Medicine, New Hanover Regional Medical Center, Wilmington, NC
Faculty:	Charles J. Schleupner, MSc, MD; Jorge Gonzalez, MD; Joseph Pino, MD; Isabella Bentsen, MD; John Snyder, MD MD; Sosena Kebede, MD; Nancy Capoferi, MD; Norman Robinson, MD; Suleiman Ali, MD
Prerequisites:	Completion of clinical clerkships
Offered:	All
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	4-8 weeks
Meeting Place:	ORPCE Office
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	The student will: - demonstrate perseverance in the care of patients - collaborate with other healtcare professionals - interact with patients appropriately - exhibit advanced evaluation and communication skills in patient care - demonstrate competence in appropriate procedural skills - make concise and comprehensive patient presentations - generate complete and timely write ups for assigned patients - use evidence-based medicine in the development of advanced directives and treatment plans
Learning Activities:	In addition to daily core curriculum resident conferences, there is a monthly Interdisciplinary Grand Rounds for the four residency programs; additionally, there is a weekly Wednesday morning (8:00 a.m.) Department of Internal Medicine Grand Rounds, often provided by visiting faculty members. There are twice weekly core curriculum lectures for third year students, for which the Acting Intern is welcome to attend. The Friday morning Tumor Board which occurs at 7:00 a.m. is also available as part of the teaching Cancer Center role of New Hanover Regional Medical Center.
Evaluation:	The Acting Intern will be expected to provide the Program Director/Department Head at an exit interview an evaluation verbally of the attending, senior resident, interns and overall experience as an Acting Intern while with Coastal AHEC/New Hanover Regional Medical Center. The attending will evaluate the student's patient care skills, procedural skills and case presentations. The attending and members of the health care team will evaluate the student's communication and collaboration skills.
Date Updated:	7/19/2006

MEDI 446	Clinical Gastroenterology - New Hanover Regional Medical Center
Faculty:	Drs. Meyer, Mastrangelo, Mertesdorf, Opper, Gramley, King, Henihan & Kittinger
Prerequisites:	Completion of all clinical clerkships
Offered:	During specific elective periods which must be prearranged
Max. Enrollment:	1 (additional student by arrangement)
Duration:	One elective period
Meeting Place:	The office of physician who will serve as mentor
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	The student will be expected to become familiar with a variety of disorders of the gastrointestinal tract, including diseases of the esophagus, peptic ulcer disease and gastritis, problems of the upper intestinal tract, disorders of absorption, inflammatory bowel disease, diseases of the small bowel and colon, tumors of the intestinal tract, acute appendicitis, disease of the peritoneum and mesentery and the management of acute intestinal obstruction. Additionally, the student will be expected to become familiar with diseases of the pancreas and liver.
Learning Activities:	The students will see private patients in the respective physician's office, in addition to inpatient consults and patients on the service of the private gastroenterologist. The student will participate in the initial assessment of the patients, development of a diagnostic and therapeutic treatment plan and assist with the implementation of the assessments and treatment modalities. Reading assignments will be provided each day and conferences will be appropriately provided to discuss relevant topics with regard to patients who have been seen. Students will also be encouraged to attend gastroenterology conferences provided to residents, daily noon teaching conferences at Coastal AHEC and the Internal Medicine Grand Rounds of Coastal AHEC.
Evaluation:	The student will receive a mid-elective verbal evaluation and a written evaluation at the end of the elective, which will be discussed with the student at the conclusion of the elective.
Date Updated:	2/6/2006

MEDI 447	Clinical Cardiology, New Hanover Regional Medical Center
Faculty:	Clinical faculty cardiologist - Charles J. Schleupner, MD (program director) and Drs. Buchanan, Barber, Winslow, Hobart, Snyder, Conley, Holt, Moeller, Crafford, Sawyer, Wiegman, Calhoun, Harper, Murphy, H Patel, P Patel, Richards, Brezinski, Everhart, Helak, Singh, Capoferi and Robinson.
Prerequisites:	Completion of all clinical clerkships
Offered:	All
Max. Enrollment:	1 (additional by arrangement)
Duration:	One elective period
Meeting Place:	The office of the physician to which the student is assigned
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	To become familiar with the pathophysiology and the diagnosis and clinical management of common cardiac problems, including coronary artery disease, acute myocardial infarction, cardiomyopathy with congestive heart failure, conduction system disease, electrocardiography, cardiac imaging techniques and non-invasive assessment, invasive assessment with intervention, Bradyarrhythmias and Tachyarrhythmias, valvular heart disease and pericardial disease.
Learning Activities:	When involved in learning activities: students will work under the mentorship of a clinical faculty member for the duration of the 4-week block. The experience will include assessment of ambulatory patients in the private office of the respective physicians, inpatient consultation and the management of patients admitted to the service of the elective supervisor. The student will do assessments, propose a pathophysiology of disease and management thereof, and implement work-up and management under the direction of the elective director. Reading assignments and conferences will be held on a regular basis during the elective in order to allow didactic learning to occur. The student will be encouraged to attend other teaching conferences offered by Coastal AHEC at the noon hour and on Wednesday morning at 8:00 AM for Grand Rounds.
Evaluation:	Student will receive written evaluation, which will either be reviewed directly or circumspectly with the student at the conclusion of the elective. A mid-elective evaluation will be provided verbally to the student.
Date Updated:	11/15/2007

MEDI 448	Cardiology, Carolinas Medical Center
Faculty:	Drs. Laszlo Littmann and Sanger Clinic Cardiologists
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Department of Medicine, - 5th floor AHEC for orientation
Meeting Times:	9:00 am, the first Monday of the rotation unless otherwise notified
Credit Hours:	6
Learning Objectives:	The student will acquire basic clinical skills in cardiology including physical diagnosis, interpretation of electrocardiograms and other imaging modalities, exercise tests, and to participate in the clinical decision-making process.
Learning Activities:	Student experiences during three of the four weeks will include cardiology consultations, preoperative cardiovascular evaluations, daily clinic, and teaching rounds. Attendance in a weekly heart failure clinic is also part of the rotation. One week of the rotation will occur in the coronary care unit. The student will admit patients requiring intensive care and participate in the continuous evaluation and management of these patients including diagnostic procedures and therapeutic interventions. Responsibilities during the Coronary Care Unit rotation will include call responsibilities, two weekdays, 24 hours each.
Evaluation:	The student will receive formative and summative feedback directly from the attending in both verbal and written forms. Feedback will be based on oral presentations, participation in rounds, patient write-ups, and EKG interpretative skills.
Date Updated:	2/6/2006

MEDI 449	Critical Care Medicine
Faculty:	Dr. James Yankaskas, Dr. Shannon Carson, MICU/RICU Attending and Fellow Staff
Prerequisites:	Successful completion of medicine, surgery, pediatrics, obgyn and psychiatry clerkships
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	1 (except for block 11 which can have 3)
Duration:	One elective period
Meeting Place:	4 bedtower, UNC Hospitals
Meeting Times:	7:45 am
Credit Hours:	6
Learning Objectives:	1. Evaluate and manage patients with single and multi-system organ failures. 2. Organize and concisely present essential medical data, including problem lists, differential diagnoses, and evaluation and management plans. 3. Work effectively with consultants, nurses, respiratory care, and other medical personnel to diagnose and treat problems effectively. 4. Understand the pathophysiology and management of shock, respiratory failure, ARDS, and multi-system organ failure. 5. Understand the benefits and risks of mechanical ventilation, cardiovascular pressors, and other intensive care unit (ICU) treatment modalities. 6. Understand and deal effectively with patient preferences for use of medical care options.
Learning Activities:	The student will work as a member of the Medical and Respiratory Intensive Care Unit medical team. They will assist in the evaluation and management of Medical Intensive Care Unit and Respiratory Intensive Care Unit patients, including morning and afternoon work rounds. They will participate with ventilator management and necessary procedures. The didactic lecture series focuses on understanding the pathophysiological basis or organ dysfunction. Responsibilities include in-hospital call every third night.
Evaluation:	Students will be evaluated based on their participation in patient care, presentations on morning rounds, participation in didactic lectures, and initiative in studying the medical literature relevant to the problems of their patients. Feedback will be provided near the middle and at the end of the rotation.
Special Notes:	Visiting medical students are not eligible to participate in this elective.
Date Updated:	5/31/2007

MEDI 451	Acting Internship in Medicine, Fayetteville V.A. Hospital
Faculty:	Dr. Lorenzo Briones, et al.
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	3
Duration:	One elective period
Meeting Place:	Office of Medicine and Geriatrics
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	The student would become proficient in history taking and physical examination, understand the responsibilities and functions of a clinician in an outpatient setting, be able to offer diagnoses and plan of treatment in a primary care setting, and understand the principles of follow-up, and continuity of care. The student will also develop an understanding of the organizational structure of a VA facility and its sophisticated Computerized Patient Record System (CPRS). He/she should also have the opportunity to observe and learn the principles of some procedures such as thoracentesis, joint aspirations, and injections, lumbar puncture, etc., and possibly assist or do with supervision.
Learning Activities:	There is no on-call requirement. The student will se at least one patient per day to do history & physical examination, offer differential diagnoses and plan of treatment, in a variety of settings i.e. Primary Care, Cardiology, Pulmonology, Neurology, and Geriatrics. He/she will attend all conferences and rounds with the assigned attending.
Evaluation:	The student will be jointly evaluated by the assigned attending and chief of service. The areas involved will be clinical competence achieved i.e. patient write-ups, procedures administered, patient care presentations, participation in rounds, and secondly personal qualities i.e. dependability, relations with staff, ethics and rapport with patients.
Date Updated:	2/6/2006

MEDI 455	Research in Endocrinology
Faculty:	Drs. Clemmons, Buse, Earp, and Ontjes
Prerequisites:	Admission to medical school and permission of desired faculty preceptor
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	One to three months
Meeting Place:	Thurston Bowles, Room 6111A
Meeting Times:	9:00 am
Credit Hours:	6
Learning Objectives:	This course is designed to give the student experience in the experimental approach to solving questions in basic or clinical endocrinology. During the elective the student will work closely with an individual faculty member on a research problem of mutual interest. Students will be expected to plan and carry out appropriate experiments or clinical studies and to write a summary of the results. There will be ample opportunity to participate in conferences and seminars in the Endocrine Division.
Learning Activities:	Per week: Conference: 4 hours, Library: 2 hours, Lab: 26 hours, Read: 8 hours, and Clinical Research: 26 hours
Date Updated:	2/6/2006

MEDI 460	Endocrinology, Moses H. Cone Memorial Hospital
Faculty:	Drs. Steven South and Ravi Avva
Prerequisites:	Completion of all clinical clerkships
Offered:	By arrangement per Ms. Linda Newman - 336-832-7800
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Internal Medicine Office. Room 1006 (West Wing) Moses H. Cone Memorial Hospital, Greensboro (336) 832-8062
Meeting Times:	8:30 a.m.
Credit Hours:	6
Learning Objectives:	Students will evaluate patients with common endocrinology problems. Learning objectives include proficiency in diagnosing and learning management of diabetes, thyroid disorders, disorders of the adrenal gland, and disorders of pituitary function. The student will also be exposed to screening, diagnosis, and appropriate intervention in osteoporosis.
Learning Activities:	The student will perform initial work-ups and participate in management of patients under the supervision of a medical resident and/or a senior endocrinologist. He/she will also accompany the resident and endocrinologist on consultations in the hospital and participate in the evaluation and management of ambulatory patients in the office of the preceptor. The student will attend the general medical conferences and lectures and will participate in endocrinology rounds. Composition (per week): Conferences and Lectures: 4 hours, Ward: 6 hours, Clinic: 20 hours, Library: 5 hours, Reading: 5 hours.
Evaluation:	Student will receive a written evaluation at the end of the rotation by the attending and verbal feedback throughout the month.
Date Updated:	2/6/2006

MEDI 461	Infectious Diseases, Moses H. Cone Memorial Hospital
Faculty:	Drs. Timothy W. Lane, John Campbell, Jeffrey Hatcher, and Ward Robinson
Prerequisites:	Completion of al clinical clerkships
Offered:	All periods, by arrangement with Ms. Linda Newman 336-832-7800
Min. Enrollment:	1
Max. Enrollment:	2 by request
Duration:	One elective period
Meeting Place:	Internal Medicine Office, Room 1006 (West Wing), Moses H. Cone Memoral Hospital, Greensboro (336) 832-8062
Meeting Times:	8:30 a.m.
Credit Hours:	6
Learning Objectives:	To consult on patients with the major infectious diseases that present in the hospital, both community-acquired and nosocomial, including evaluation of patients with prolonged fevers. Understanding the presentation, diagnosis, and management of these disorders and the proper use of antibiotics will be the major learning objectives. Diseases commonly encountered will include pneumonias, endovascular infections, bacteremias, and fevers of unknown origin, meningitis, and bone and joint infections.
Learning Activities:	Student will work under the direction of a full-time faculty member (Drs. Lane, Campbell, Hatcher, or Robinson), who attend for a month at a time. The core of the experience will be consultations on hospitalized patients at Moses Cone Hospital. The hospital is a tertiary care center and offers a broad range of clinical infectious disease problems. The student will examine and present new patients to the attending and be expected to follow the progress of such patients through daily "work" rounds. A monthly infectious diseases conference and a case management discussion will be the joint responsibilities of the student, the medical resident, and the attending. Composition (per week): Conference: 3 hours, Ward: 15 hours, Library: 10 hours.
Evaluation:	Student will receive a written evaluation at the end of the rotation by the attending and verbal feedback throughout the month.
Date Updated:	2/6/2006

MEDI 465	Acting Internship, Ward Medicine, UNC Hospitals
Faculty:	All attendings in the Department of Medicine
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods (Note: Beginning and ending dates depend on intern switch days in the Department and may differ slightly from the elective period dates. Discuss this with the program director in the Department of Medicine.)
Max. Enrollment:	8
Duration:	One elective period
Meeting Place:	Chief Resident's office, Room 126 MacNider Building (966-1042)
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	Students will serve as acting interns on the medical services of UNC Hospitals. They will assume the duties and responsibilities of an intern under the supervision of a medical resident and an attending physician. Students can expect to be exposed to a wide range of acute medical problems.
Learning Activities:	Students will participate in morning work rounds, attending rounds, and departmental conferences. Call is every fourth day. On each call day students will be assigned two new patients to evaluate.
Evaluation:	Students will be evaluated based upon case presentation and participation in rounds. Each student will also have write-ups critiqued by the supervising resident and attending.
Date Updated:	3/10/2008

MEDI 475	Heart Failure/Cardiac Transplantation
Faculty:	Drs. Patricia Chang, Kirkwood Adams, Jr., Carla Sueta Dupree and Beth Rosenberg
Prerequisites:	Completion of all clinical clerkships, Internal medicine, Surgery
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Please call Rebecca Gomez Farrell one week prior to your first day for instructions on when and where to meet. 919-843-5214, rgomez@med.unc.edu
Credit Hours:	6
Learning Objectives:	The student will be involved in the evaluation, diagnosis, treatment, and follow-up of patients with severe heart failure or status - post heart transplantation. The student will have exposure to the clinical assessment, the diagnostic testing, the integrated treatment plan, and the long term follow-up of such patients. In addition, the student will be exposed to new research and investigation and will be expected to attend the weekly multidisciplinary transplant conferences and other teaching sessions that will occur over the rotation period.
Special Notes:	Daily rounds will be held in the CCU, 3 Anderson, Memorial Hospital
Date Updated:	3/11/2008

MEDI 477	Longitudinal Medicine for the Elderly
Faculty:	Dr. Jan Busby-Whitehead and Center for Aging and Health Faculty
Prerequisites:	Completion of all clinical clerkships
Offered:	160 hours over at least a 6 month period
Max. Enrollment:	2
Meeting Place:	261 MacNider Building
Meeting Times:	To be arranged.
Credit Hours:	6
Learning Objectives:	Active experience in the lonitudinal care of older adults under direct faculty supervision. This will include A. Active clinical activities at sites that may include: a) the Geriatric Evaluation Clinic (GEC), b) UNC's Ambulatory Care Center, c) life care communities such as Carol Woods, The Cedars of Chapel Hill and Carolina Meadows, and d) home visits with patients. B. Attendance at Geriatric Journal Club C. Reading lists and literature review D. Depending on student interests, there are other possible options, for example the Geriatric Consult Service and opportunities for clinical research. Students may make arrangements with preceptors of other electives to spend time working with their assigned patients.
Learning Activities:	Conference: 1 hour and Clinic: 4 hours.
Special Notes:	Contact Dr. John S. Kizer at 966-1456 for jskizer@med.unc.edu
Date Updated:	3/28/2008

MEDI 480	Aging & Health
Faculty:	Philip Sloane, M.D. (psloane@med.unc.edu), Sheryl Zimmerman, Ph.D. (sheryl_zimmerman@unc.edu), and Leigh Callahan, Ph.D. (leigh_callahan@med.unc.edu)
Prerequisites:	None
Offered:	Fall Semester
Min. Enrollment:	None
Duration:	One semester
Meeting Place:	Cecil G. Sheps Center, 725 Airport Rd.
Meeting Times:	5:00 - 8:00 pm - (Tuesdays)
Credit Hours:	variable
Learning Objectives:	Upon completion of the course, students will be able to demonstrate the following: 1) Knowledge of normal aging phenomena and experiences, including common diseases and functional problems, effects of aging on body systems and mental health and aging. 2) Appreciation for racial, cultural, socioeconomic and other differences among the elderly. 3) Understanding of components of the health care system relevant to older persons, including medication use, long-term care and health care policies. 4) Ability to apply knowledge and skills in the basic concepts that are relevant to living and working with older persons. 5) Appreciation for multidisciplinary and interdisciplinary nature of aging and related ethical issues.
Learning Activities:	Class consists of a mixture of lectures by experts from across campus, seminar/discussions, media presentations and demonstrations. Presenters are drawn from a variety of fields on the UNC-CH campus, and represent medicine, nursing, orthopedics, pharmacy, psychology, public health, social work, sociology and other disciplines. Students will be encouraged to discuss material presented in the lecture and readings. Course directors will integrate the material across topics and sessions. Additional requirements include: 1) conduct and report in writing (3-5 pages) and verbally on a site of a service delivery program that benefits older adults or on an interview with an elderly person; 2) completion of an academic paper (limit of ten text pages) related to the student's interests and approved by the course directors, and 3) in-class mid-term and final examination.
Evaluation:	The course evaluation has been modified slightly from year to year. In general, student grades have been determined as follows: site visit/interview and presentation - 10%, academic paper and presentation - 40%, class participation - 10%, examinations - 40%.
Date Updated:	3/10/2008

MEDI 481	Preventive Cardiology
Faculty:	Ross J. Simpson, Jr., M.D.
Prerequisites:	Completion of second year
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Dr. Ross J. Simpson, Jr.'s office
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	The purpose of the course is to teach current skills in preventive cardiology and to foster research skills in preventive cardiology. The text for the course is Primer in Preventive Cardiology by Thomas Pearson. It is expected that the student, in addition to meeting regularly with the course directors for directed readings, will see patients in the Preventive Cardiology Clinic, and will participate on an ongoing preventive cardiology research project. Depending upon the student's interests, motivation and previous experience, development of an individual research project is possible.
Learning Activities:	Per week: Conference: 6 hours, Clinic: 2 hours, Library: 15 hours, Read: 15 hours, and Lecture: 2 hours.
Date Updated:	2/6/2006

MEDI 483	AIDS: Principles, Practice and Politics
Faculty:	Drs. Ingrid Swenson, Betty Dennis, Charles van der Horst, Ron Strauss, and Rachel Royce
Prerequisites:	Admission to Medical School
Offered:	Spring Semester
Min. Enrollment:	10
Duration:	One Semester
Meeting Place:	Lecture Hall
Credit Hours:	1
Learning Objectives:	This course offers participants a multi-disciplinary perspective on acquired immunodeficienty syndrome (AIDs), its etiology, immunology, epidemiology and impact on individuals and society. How AIDS is framed by a society determines not only how sick persons are treated by the degree to which the rights of the individual are upheld. GOAL: To understand the complexity and multi-dimensionality of the evolving phenomenon known as AIDS as a paradigm for the relationship between diseae, society and public policy. COURSE OBJECTIVE: 1. Identify the syndrome of AIDS by describing the etiology, epidemiology, clinical diseases manifestations and treatments. 2. Demonstrate a conceptual understanding of the syndrome by describing how society has framed this disease, the historical background, and the legal and ethical issues associated with it. 3. Demonstrate an understanding of disease implications for HIV-infected people, AIDS patients and their families by describing psychological considerations. 4. Demonstrate an understanding of disease implications for society, by describing infection control measures, contact tracing, education, economics, community resources, the stress of caregiving, and prospects for the future.
Learning Activities:	Weekly lectures from 5:30 p.m. - 6:45 p.m. A two page essay is required and there is only one unexcused absence permitted. The course is Pass/Fail.
Evaluation:	A two-page essay is required and there is only one unexcused absence permitted. TOPICS: 1. Select a serious problem directly related to HIV/AIDS and discuss facilitators and barriers to its resolution. 2. Select an issue from the course and discuss how it will/does affect persons engaged in your career/profession. Characterize how your profession is and should be respopnding to this issue.
Date Updated:	3/10/2008

MEDI 489	Advanced Study of HIV/AIDS
Faculty:	Joseph Eron, M.D., Susan Fiscus, Ph.D., Ronald Swanstrom, Ph.D., Jeffrey Frelinger, Ph.D. David Wohl, M.D. Andrew Kaplan, M.D. and Charles VanderHorst, M.D.
Prerequisites:	Admission to medical school. Completion of first and second year. Medicine Core Clerkship
Offered:	All elective periods except June, July, August
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Infectious Disease Office, 4th floor Bioinformatics Building
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	Students will study HIV in detail on both clinical and basic science levels. Students will see HIV-infected patients in the Infectious Disease clinic and participate in the management of these patients. In addition, students will identify a current basic science research topic and in conjunction with a faculty member, write and discuss a paper on the chosen topic. Students will attend appropriate basic science group meetings, journal clubs, etc. A list of potential topics will be provided.
Learning Activities:	Conference 4 hours, Ward: 5 hours, Clinic: 15 hours, Library: 8 hours, and Read: 8 hours.
Date Updated:	2/6/2006

MEDI 491	Rural and Underserved: An Interdisciplinary Approach to Health
Faculty:	Rebecca Hunter, M.Ed., Pam Frasier, Ph.D., Tina Brock, MS, Tom Ricketts, Ph.D., Iris Carlton-LaNey, DSW, Bill Powell, RN, MSN, FNP, Jan Busby-Whitehead, M.D.
Prerequisites:	Admission to Medical School, preference is given to students planning to participate in the Working with the Underserved program
Offered:	Spring Semester
Min. Enrollment:	8
Duration:	Semester Course
Meeting Place:	School of Public Health (for room #, call 966-6974) firs Monday of Spring semester classes at 6:00
Meeting Times:	Mondays, 6:00 p.m. - 9:00 p.m.
Credit Hours:	3
Learning Objectives:	Upon completion of this course, the student will be able to: 1. Describe the contemporary challenges of health and health care relevant to rural, underserved, and vulnerable populations. 2. Describe the rationale for an interdisciplinary approach to health care in rural and underserved communities. 3. Identify the competencies and contributions of various health professionals who may participate in interdisciplinary collaboration. 4. Describe the interdisciplinary team approach to patient care and its challenges and benefits. 5. Identify challenges involved in effective teamwork and community collaboration. 6. Describe the social and geographic context of health care in rural and underserved areas. 7. Describe the epidemiology of health and illness of rural and vulnerable populations, and their sub-groups. 8. Identify cultural differences in health beliefs and behaviors and their relevance to professional practice. 9. Identify the availability and use of alternative to biomedicine in rural areas. 10. Describe the relationship between individual patient care and community health approaches, including health promotion and disease and disability prevention. 11 .Analyze and suggest solutions for prevalent problems, including infant mortality, mental health and substance abuse, migrant morbidity, injury and domestic violence, and chronic disease. 12. Describe the impact of health policy on rural and vulnerable populations. 13. Define personal/professional goals for development of educational, consultative, collaborative, and leadership skills.
Learning Activities:	This course for health professions students in medicine, allied health, nursing, public health, pharmacy, dentistry, and social work provides a knowledge base and forum for discussion of issues in the health and health care of rural and underserved populations. Overall course goals are to (1) increase understanding of issues which impact on the health and health care of rural, underserved, and/or vulnerable populations; and (2) augment skills in interdisciplinary collaboration, problem-solving, and effective leadership in meeting health and health-related needs in communities and practice settings. The course included weekly lectures and discussions with academic faculty and practicing professionals, readings, reflections and discussion, interviews of practicing professionals, and a multi-disciplinary service-learning project. The project is the most demanding aspect of the course, and rightfully so, as it supports student understanding of the roles of the various health professionals and the development of collaborative problem-solving skills. Class time is allotted for work on projects during most class sessions. Student planning to participate in the Working with the Underserved project are strongly encouraged to take this class as it provides a foundation for that experience.
Evaluation:	Evaluation is based upon written assignments, class participation, and completion of a class project involving problem solving in a rural or underserved community. Students receive feedback from faculty, fellow students, and community mentors. Assignment: Description: % Class Participation & Active participation in class. This includes preparation, attendance, 10% Assignment Portfolio and thoughtful engagement in activities. Submission of Assignment Portfolio as requested. Book Review One page analysis of relevance of factors in the book to issues in 10% your project community. Practitioner Interviews Report of two practitioner interviews, written to create interest and 20% relate to lessons learned. Team project with a rural or Work as a student team will be evaluated based upon: 60% underserved community self-assessment, presentation to community sponsor, deliverables, written report to agency, and poster presentation on the last day of class Total grade: 100%
Date Updated:	2/6/2006

MEDI 496	Rural Health Coalition Seminar Series
Faculty:	Staff
Prerequisites:	Admission to medical school
Offered:	Fall and Spring semester
Min. Enrollment:	6
Max. Enrollment:	15
Duration:	One year
Credit Hours:	3
Learning Objectives:	This elective course is designed for members of the NC Student Rural Health Coalition who are participating in the support of the monthly health clinics in Bloomer Hill and Garysburg, North Carolina. The class is designed as a monthly lunchtime seminar with a significant amount of required field experience and two projects: the development of a community health education project and a journal detailing the student's experiences in working in the monthly clinics. It will also orient students to many of the health care issues facing disenfranchised residents of Eastern North Carolina and will provide an introduction to community-oriented primary care. The course is designed for second and fourth year students or for students between third and fourth years who are taking a year to study public health.
Learning Activities:	Conference: 1.5 hours/month, Clinic: 4 hours/month, Library: 40 hours/year, Read: 1-2 hours/week, and Projects: 60-80 hours/year
Special Notes:	Contact Dr. Pignone at 919-966-2276
Date Updated:	2/6/2006