Medicine (MED)

Prerequisites: Foundations in Biomedical Sciences (BMSC 5003) or equivalent. This course provides an advanced understanding of immunological processes, including innate and adaptive immune responses, antigen presentation, and immunological memory. The course also covers immune system dysfunctions, such as autoimmunity and immunodeficiencies, and explores the role of the immune system in cancer and infectious diseases. (F, SP; I)

Prerequisites: None. This one-week elective course is to include an introduction to spirituality in medical situations and dilemmas, exposure to various faith traditions to encourage spirtual sensitvity, exposure to palliative care through a hospice visit, and consideration of spiritual challenges experienced by providers.

Assisting the student in gaining an appreciation of the patient- physician encounter and developing and refining the techniques of history taking and physical examination.

Prerequisites: MS 3 or MS 4 Standing. Students will be taught via didactics, readings, and direct patient care. The rotation provides an opportunity for the student to gain foundational knowledge and explore career options in Geriatrics Palliative Medicine. (Summer, Fall, & Spring III & IV)

Ambulatory clinic experience providing individualized supervision and instruction for each patient seen. Patients may have intermittent acute disease or short/long term chronic disease.

Prerequisties: Satisfactory completion of clerkships in Internal Medicine and Pediatrics. The purpose of this course is to provide medical students with exposure to the scope of combined Medicine/Pediatrics practice through a combination of inpatient and ambulatory experiences.

The vascular medicine rotation provides experience for initiating proficiency in the diagnosis and treatment of peripheral vascular, arterial, and lymphatic disorders. This is to be accomplished by participation in in-patient and out-patient care, vascular laboratory activities, vascular conference discussions, observations of radiologic intervention and intra-operative arterial reconstruction, as well as didactic sessions and presentations.

Experience in clinical rheumatology. Didactic experience, directed reading and clinical work, including active involvement in the care of patients with common as well as unusual collagen vascular diseases, utilizing facilities of several hospitals and clinics. Experience may be customized for students interested in research.

Study of evaluation,maintenance,and improvement of level of functioning in chronically ill, but medically stable aging patient. Student will participate as part of a multi-disciplinary team at the VA in evaluation & rehabilitation of patients after deconditioning secondary to acute illness. Student will be expected to participate in management of patients, become familiar with geriatric syllabus, possibly participate in journal club, and attend clinic once a week.

Prerequisites: Promotion to year 3 in program. An eight-week experience with adult inpatients with non-surgical illnesses at various levels of activity and complexity. Students will learn the application of the clinical method, development of a therapeutic relationship, effective medical record-keeping, and efficient utilization of resources.

Working with a regular ward team, the student extern will admit one to three patients per week, take admitting calls with a resident, attend curriculum conferences and medical grad rounds except when patient care needs supervene, and meet weekly with selected faculty at the VAMC and OU Medicial Center for review purposes.

A multidisciplinary overview of computer applications in the medical field. Workshops and lectures will focus on literature-retrieval, electronic medical record, voice recognition, decision support, and practice management systems. Students will be exposed to software, hardware, and networks through lectures, small group discussions, demonstrations, tours, and hands-on experience.

A team consisting of a medical resident, attending physician and student will manage general patients. Selected readings and conference participation are essential components of this elective.

Basic clinical allergy primarily through supervised patient contact, supplemented by assigned reading and tutorial discussions. Coordinated studies in other areas of clinical immunology can be arranged. Schedule and content will be individualized on the basis of the student's needs and goals.

Prerequisites: None. May be repeated; maximum credit 160 hours. Participants gain experience in the evaluation and management of common clinical problems in chest disease including perioperative care and ventilatory support, pulmonary infections and neoplasm, and less common disorders, such as sarcoidosis, fibrotic lung disease, and pulmonary hypertension.

Evaluate inpatients and outpatients with a variety of renal, fluid/electrolyte, acid/base, and hypertensive disorders. Participate in small-group discussions on clinical renal-electrolyte pathophysiology and interpretation of renal biopsies.

Clinical experience with the diagnosis of anemia, erythrocytosis, white-cell disorders, problems with hemostasis and thrombosis, the diagnosis and management of paraneoplastic syndromes and cancer. Learn to interpret bone marrow smears, understand the modalities of cancer therapy, and develop appreciation for the natural history of patient-physician relationships in patients with cancer.

Clinical responsibility in CCU and PCCU dealing with the diagnosis and management of myocardial infarction and other acute cardiac disease, arrhythmia, shock, and hemodynamic monitoring. Attendance at rounds and cardiology conferences.

Primary patient responsibility in the intensive care unit, under the immediate supervision of the medical resident, pulmonary fellow, attending physician and the general supervision of the director. Participate in detailed patient care, including significant responsibility during every fourth-night call.

Clinical responsibility in MICU dealing with the management of acute cardiac disease, respiratory failure and mechanical ventilation, coma, renal failure, peritoneal dialysis, gastrointestinal hemorrhage, and other critical conditions.

Prerequisites: Must have permission form signed by Dr. Wild prior to enrolling in course. This course provides an introduction to Preventive Cardiology theory and practice. Both preceptors are Board certified in Clinical Lipidology. The major focus is the practice of prevention. The experience will be split between the two preceptors with emphasis on how Clinical Lipidology integrates with Cardiology and how Clinical Lipidology is integrated into Women's Health. Venues are Women's clinic, The VA, the Private office and on those patients who are in need of hospitalization. Evidence-Based Principles of lifestyle modification, and medical intervention are stressed.

Participation in the cardiology consultation service and cardiology clinics. Experience will include history-taking and cardiovascular physical exam, the use and interpretation of non-invasive tests such as electrocardiography, echocardiography, exercise testing, and nuclear studies; the interpretation of hemodynamic studies and angiography, and the therapy of cardiac disease. Goals are to reinforce and update the principles of diagnosis and management of common cardiac diseases.

Experience in the diagnostic workup and management of patients with cardiovascular disease including acute coronary care, clinical electrocardiography, cardiac catheterization, and coronary arteriography.

General cardiology in the intensive care unit and on the regular cardiac service in cardiac catheterization and angiography, EKG, and echocardiography, and pre-surgical care.

Experience will focus on the diagnosis and management of cardiac diseases as seen in the coronary care unit and PCCU, under the direct supervision of attending physicians, fellows, and residents. Attendance at rounds and cardiology conferences.

May be repeated; maximum credit 320 hours. Opportunity to use principles of infectious diseases and gain knowledge of pathogenesis, diagnosis, and therapy of infectious disease.

Prerequisites: None Students will gain experience in the care of patients with diabetes and endocrine diseases by working with atttending physicians, fellows, residents, and interns in both in-patient and out-patient settings. Didactic lectures by attending physicians and fellows provide a basis for understanding pathophysiology of diabetes and endocrine conditions.

Students participate in consultations, clinical rounds and procedures, learning when to order and how to interpret the diagnostic tests used in gastroenterology and nutrition. Conferences will provide additional in-depth discussions on pathology, physiology and diagnostic radiology as they relate to clinical gastroenterology and nutrition.

Intensive experience in clinical gastroenterology & medical endoscopy at Presbyterian Hospital. Participate in the Evaluation & treatment of primary & consultative patients with gastrointestinal disease, usually complicated, with emphasis on pathophysiology of gastrointestinal disease, gastrointestinal radiography, gastrointestinal pathology & psychosomatic aspects of gastrointestinal disorders. Participate in common gastrointestinal diagnostic manuevers including intubation, proctosigmoidoscopy, liver biopsy, & paracentesis.

Clinical infectious diseases consultation service rotation.The principles of antibiotic selection and use are stressed.

Consultative experience in infectious diseases, under the direction of attending faculty, including conferences at Presbyterian Hospital.

May be repeated; maximum credit 520 hours. This course provides the opportunity to explore one or more content areas by focusing on a defined clinical experience and the students specific learning objectives. Content areas include: cardiology, emergency medicine, endocrinology, geriatrics, gastroentology, hematology/oncology, nephrology, rheumatology, general medicine- inpatient (subinternship), and general medicine-outpatient (sub- internship). Content areas must be identified in advance. Students are expected to identify their learning objectives at the beginning.

Prerequisites: Approval from Associate Dean for Academic Services and student must be in and remain in good academic standing in order to participate in the Bedlam Clinic. May be repeated; maximum credit 160 hours. The purpose of this elective is to allow the student to spend a period of time in full time study working directly with a faculty member to further enhance the student's clinical and/or research skills. The elective may be repeated with a change of subject matter. The purpose of this elective is to allow the student to spend a period of time in full-time study working directly with a faculty member to further enhance the student's clinical and/or research skills. The elective may be repeated with a change of subject matter.

Prerequisites: Third-year medical student in good standing at the School of Community Medicine. This course is a clinical experience with adult inpatients with non-surgical illnesses at various levels of activity and complexity. Students will learn the application of the clinical method, development of a therapeutic relationship, effective medical record-keeping, and efficient utilization of resources. (R; III).

Prerequisites: Approval of Visiting School and OU Department Course Director. May be repeated; maximum credit 320 hours. An off-campus elective is defined as work not at the Health Sciences Center, College of Medicine-Tulsa, or in a formally affiliated hospital; nor under the direct supervision of a member of the full-time faculty of the College of Medicine. A statement from the course director of the proposed elective concerning the supervision and grading of student's experience and a detailed course description of the proposed elective are required.

Prerequisites: Approval of the head of the academic department of the Tulsa Medical College campus under which the off campus service falls, a statement from the course director of the proposed elective concerning the supervision and grading of the student's experience, and a detailed course description of the proposed elective are required. May be repeated; maximum credit 480 hours. May be repeated; maximum credit 480 hours. Credit given for work not at the Health Sciences Center, College of Medicine-Tulsa, or in a formally affiliated hospital, nor under the direct supervision of a member of the full-time faculty of the College of Medicine.

Prerequisite: None. May be repeated with change of subject, multiple enrollment in the same semester, maximum 320 clock hours. Topics of special nature or of unusual interest to the individual student.

May be repeated; maximum credit 320 hours. Final product will be a formal presentation, such as grand rounds, academic afternoon, research day or a major meeting, and/or a publication quality paper.