Clerkships and Electives

Sponsor

George L. Martin, MD, Division Chief

Contact information

lattanziok@mlhs.org

The student will:

• Write-up consultations which will be reviewed with the attending
• Round daily with the attending on all patients
• Learn the value and technique of allergy testing
• Learn immunologic principles

Sponsor

Dr. Eric Gnall
Clerkship Director

Contact information

Elizabeth Fleming
Cardiology Fellowship Program Coordinator
484.476.8032
flemingel@mlhs.org

The student will:

• Work-up and write-up cardiology consultations. These will be reviewed with the attending cardiologist.
• Round daily with the fellows, residents and the attending cardiologists on all patients.
• Attend cardiac catheterizations.
• Learn cardiac echocardiography and other cardiology testing.
• Learn cardiac physical diagnosis and see a wide variety of cardiac diseases in our Tertiary Care Heart Center.

Contact information

Kathryn Lattanzio
lattanziok@mlhs.org

The student experience will include:

• Work-up and write-up endocrinology consultations. These will be reviewed with the attending endocrinologist.
• Round daily on all patients with the endocrinologist.
• See office patients with the endocrinologist.
• A wide variety of endocrine disorders will be seen and the student will learn how to manage insulin requirement in the labile diabetic.

Bryn Mawr Family Medicine

Sponsors

Wendy Fuhr, MD
Site Director for Family Medicine Clerkships

Daniel Wolk, MD
Site Director for Family Medicine Clerkships

Contact information

Christina Bouikidis
bouikidisch@mlhs.org

Bryn Mawr Family Practice Rotation will include:

• Seeing patients together and independently with 2nd and 3rd year residents and attendings. Student will present patients directly to the resident or attending.
• Assisting in procedures when appropriate (Gyn, skin, joint).
• 2+ sessions at Beaumont at Bryn Mawr for a focused Geriatric experience with Dr. Wolk.
• Spending a week at Broomall Urgent Care under UC Attending supervision.
• 1 session with Sarah Johnston, CPNP to see well and ill pediatric patients (when available).
• Mid-clerkship and end of clerkship meetings with feedback and debriefing.
• Didactics every Thursday morning on a wide range of Family Medicine topics.

Goals:

• Learn about the depth and breadth of Family Medicine
• Improve skills in History, Physical Exam, Differential Diagnosis, Plans of Care
• Improve skills in giving efficient, organized presentations
• Improve patient communication skills (including but not limited to avoiding jargon, discussion of plans of care, patient-centered treatment plans, managing mental health diagnoses)

City Line Family Medicine

Sponsor

Megan Jones, DO

Contact information:

Christina Bouikidis
bouikidisch@mlhs.org

City Line Family Practice Rotation will include:

• Seeing patients ages 14 and older independently with Dr. Ali Kadkhoda, Dr. Megan Jones, and the residents
• Assisting in office procedures (point of care testing, gyn, joint)
• Weekly feedback
• Didactics every Thursday morning with the Bryn Mawr Family Residency program

Goals:

• Preventative care: learning up to date guidelines (USPSTF)
• Improve skillsets: HPI taking, Physical Exam, discussion of differentials and treatment plans
• Communication: improve interviewing skills, presentations
• Medical knowledge: daily discussions on relevant topics within primary care

Sponsor

Patricia Wong, MD
Fellowship Program Director

Contact information

Kathryn Lattanzio
lattanziok@mlhs.org

The student will:

• Work-up and write-up gastroenterology consultations. These will be reviewed with the attending gastroenterologist.
• Round daily on all patients with the gastroenterologist.
• Attend procedures such as endoscopy, ERCP, etc.
• Learn about hyperalimentation and nutrition.

Sponsor

Arezoo Ghaneie, MD
Fellowship Program Director

Contact information

Kathryn Lattanzio
lattanziok@mlhs.org

The student will:

• Work-up and write-up hematology/oncology consultations. These will be reviewed with the hematology/oncology attendings.
• Attend bone marrow aspirations and review slides with the attendings.
• Learn principles and use of chemotherapeutic agents.
• Participate in weekly tumor conferences.

Sponsor

Fredy Chaparro-Rojas, MD
Lankenau Medical Center Campus Chief

Contact information

Kathryn Lattanzio
lattanziok@mlhs.org

The student will:

• Work-up and write-up infectious disease consultations. These will be reviewed with the attending infectious disease specialist.
• Round daily on all infectious disease patients with the consulting specialist and residents and fellows on the infectious disease service.
• Learn the appropriate use of diagnostic tests, including antibiotic susceptibility testing.

Contact information

Lia Desposito, DO
Associate Program Director for the Internal Medicine Residency and 3rd year Clerkship Director
DespositoL@mlhs.org
Office: Annenberg G-10

Expectations

Welcome to your third year medicine rotation at Lankenau Medical Center. Our goal is to provide you with a true general medicine experience and help you develop the clinical skills and confidence to become an outstanding house officer. Your duties will include but are not limited to:

• Performing full detailed histories and physical exams
• Developing assessments, differential diagnoses and treatment plans
• Daily detailed progress notes
• Attending various medical lectures and conferences
• Presenting on daily rounds to your attending and residents
• Carry two to three patients at one time
• Discuss and present your patient to consultants

The most important thing is that you know your patients extremely well (better than anyone on the team) and provide excellent patient care. You will also learn the organizational skills that it takes to manage multiple patients at one time. You should actively read about your patients’ disease processes and always ask questions when you are not sure of something.

Team set-up

Our system here at Lankenau Medical Center consists of eight general medicine services. You will each be assigned to a team consisting of one resident, one intern, and possibly one fourth-year medical student or another third-year student. You will have one attending on your service that is responsible for your teaching and evaluations; they are the “team leaders”. While it is important to recognize you are part of a team you will be working mostly with your residents.

Daily schedule and call

You will be expected to arrive to Lankenau at 6:30 a.m. to start your day. Upon arrival you will meet with your team for sign out from the night float intern of overnight events or new patients.

You should round on your patients and write progress notes in EPIC between 7–9 a.m. Bedside teaching rounds will take place between 9–11 a.m. Each team will have case management rounds between 11 a.m. and 11:30 a.m. There will be daily Noon conference taking place between 12–1:00 p.m. You should be excused from rounds to attend these as well as all other teaching conferences on your calendar.

During the afternoon you will be responsible for following up on studies and consults your patient may have had, as well as new admissions which may come in after noon. Your team will be available to take admission to the team in the afternoon. You will pair with your resident on “long day” every fourth day to admit new patients until 7 p.m. You are expected to work one Saturday and one Sunday during your rotation, again following the call schedule of your resident. You must sign out your patients every day to either the on-call intern (during regular days) or the night float intern (during long days).

Conferences and rounds

Grand rounds
Grand rounds are held via Zoom at 8 a.m. every Friday morning.

Case Presentation & SIM Labs
Each student will be assigned a day to bring a case they have been following on the floors for a group discussion. A senior resident on a teaching elective plus one member of the faculty will guide you through the case including differential diagnoses, diagnostic evaluations, and recommended treatments. These conferences take place every Tuesday and Thursday from 2–3 p.m. in the McLean conference room. You may also have SIM sessions scheduled – for one session a month. SIM lab is located on the top floor of Annenberg.

Core lecture series
You also have a series of core lectures that you are required to attend as part of your curriculum through your medical school. These may be held at 12 p.m. in lieu of your attendance at noon conference. You are excused from your floor duties for all lectures.

Evaluations

You will be evaluated during this rotation by your attendings and residents. You should be receiving feedback throughout your rotation at the end of each week from the attending. You should also seek mid-rotation feedback.

Contact information

Erin Carnish, MD
Clerkship Director
CarnishE@mlhs.org

Expectations

Welcome to your fourth-year medicine sub-internship at Lankenau Medical Center. Our goal is to provide you with as close to a real “intern” experience as possible, so you develop the clinical skills and confidence to become an outstanding house officer. Your duties will include but are not limited to:

• Performing full detailed histories and physical exams
• Developing assessments, differential diagnoses, and treatment plans
• Daily detailed progress notes
• Attending various medical lectures and conferences
• Presenting on daily rounds to your attending and residents
• Carry four to five patients at one time
• Enter orders for your patients
• Discuss and present your patient to consultants

The most important thing is that you know your patients extremely well and provide excellent patient care. You will also learn the organizational skills that it takes to be a strong resident next year. You should actively read about your patients’ disease processes and always ask questions when you are not sure of something.

Team set-up

Our system here at Lankenau Medical Center consists of eight geographically based medical services. You will each be assigned to a floor-based team consisting of one resident, one intern, and one third year medical student. You will have one attending on your service that is responsible for your teaching and evaluations; they are the “team leaders”. Each team may have patients who are assigned to private attendings, thus the “team leader” attending is not responsible for their care. You occasionally may have a patient of a private attending, especially if it is a good learning case. While it is important to recognize you are part of a team you will be working mostly with your intern. They should be supervising your work and helping you place any orders that you write.

Daily schedule and call

You will be expected to arrive to Lankenau between 6:30–6:45 a.m to start your day. Upon arrival you will go to your assigned conference room to pick up your sign out from the night float intern as well as any new admissions from the night float resident.

You should round on your patients and write your progress notes between generally 7–9 a.m. Bedside teaching rounds will generally begin around 9 a.m. Each team will have case management rounds beginning around 11 a.m.

There will be daily Noon conference taking place between 12–1 p.m. in the Annenberg building. You should be excused from rounds to attend these as well as all other teaching conferences. During the afternoon you will be responsible for following up on studies and consults your patient may have had, as well as new admissions which may come in after 12 p.m. On regular days you will be available to take admissions until 3:30 p.m.

You will take “long call” every fourth day along with your intern and admit new patients until 7 p.m. You are expected to take call on one Saturday and one Sunday during your rotation, again following the call schedule of your intern. You do not have to come in on your post-call day on the weekends. You must sign out your patients every day to either the on-call intern (during regular days) or the night float intern (during long call days).

Conferences and rounds

(The format will be announced as this is subject to change due to the current state of the pandemic.)

Grand Rounds
Grand rounds are held at 8 a.m. every Friday morning.

Fourth year report
This year you will have bi-weekly small group lectures and case presentations. These sessions will be held at 1 p.m. on Tuesdays and Thursdays. You will be randomly scheduled to present a patient you have encountered at one of the conferences for a case-based discussion. You will be notified in advance of your scheduled day.

Evaluations

You will be evaluated during this rotation by your team attending and intern. You will be provided with an evaluation form which you should hand to each person prior to completion of your rotation. You should be receiving feedback throughout your rotation, and more specifically should ask for a mid-rotation feedback session with your evaluators.

How to apply for internal medicine clerkships and electives

If you are interested in being assigned to a medicine floor team, please contact Kathryn Lattanzio at lattanziok@mlhs.org with your requests including block dates you are available to participate.

To schedule an elective:

You must be a fourth-year student to participate in our electives due to the complexity of the rotation. Please send us more than one elective choice in your order of preference and more than one block of dates to work with. Please send this information to Kathryn Lattanzio at lattanziok@mlhs.org.

Contact information

Kathryn Lattanzio
lattanziok@mlhs.org

Lankenau Medical Center is a tertiary care hospital. The Intensive Care Unit has a wide variety of critically ill patients. Multidisciplinary care of these patients is provided under the guidance of the critical care senior medical residents, fellows and attending staff.

The student will participate in all aspects of care of the critically ill patients. The student will attend bedside rounds daily with the team and will also attend daily teaching rounds with the attending staff.

Sponsor

Geoffrey Teehan, MD
Lankenau Medical Center Campus Chief

Contact information

Kathryn Lattanzio
lattanziok@mlhs.org

The student experience will include:

• Work-up and write-up nephrology consultations. These will be reviewed with the attending nephrologist.
• Round daily on all patients with the residents, fellows and attending nephrologist.
• See a wide variety of renal and electrolyte disorders with exposure to hemodialysis, peritoneal dialysis and renal biopsy.
• Review biopsies with the nephrologists and pathologists.

Contact information

Patricia Luner
lunerp@mlhs.org
484.476.2325

The department of obstetrics and gynecology at Lankenau Medical Center has been teaching the third-year CORE curriculum to Jefferson’s junior medical students for more than 30 years. Our faculty and residents are committed to teaching students, who readily become part of the OB/GYN team, function at a high level, and uniformly report a positive experience.

The students experience will include:

• Performing history and physicals
• Write progress notes and orders
• Assisting in deliveries
• Assisting with gynecology surgeries
• Attending obstetric/gynecology clinic sessions

Clinical experience

Students will be assigned to the following services during there rotation:

• Gynecology – Surgeries while on this service will take place in both the Ambulatory Procedure Center (APC), and main OR. You will have exposure to major abdominal, laparoscopic and vaginal surgery. You have the opportunity to assist not only senior residents but also private faculty, thereby witnessing different operative techniques. You are expected to be knowledgeable of the patient’s history, diagnosis and impending procedure.
• Obstetrics – You will not only be responsible for labor and delivery patients but also those on the mother baby unit. The resident who is covering the “board” will be supervising you on this service. You will also have guidance from our advance practice nursing staff. While on this service you will have ample exposure to both normal and high risk deliveries. You will also see a variety of delivery methods including vacuum, forceps and cesarean sections.
• Outpatient Clinic Care Center – During your time in the Clinical Care Center you will have exposure to the ob/gyn and family planning clinics. The residents and attending faculty will supervise and teach the student during your time here. You will observe a variety of obstetric and gynecologic conditions — from normal through high risk obstetrics and from routine annual GYN exams through serious gynecologic pathology requiring medical and surgical intervention.
• Night Float – During your week on this service you are the only OB/GYN student and will cover the entire house for OB/GYN issues just as the night float residents do. The majority of your time will be spent on labor and delivery as obstetrics is a 24-hours per day service. You will also gain experience seeing patients with the residents in the emergency room. These visits to the ER could be a consult or possible emergent surgery. Like the residents, students on night float are considered to be on a shift and stay up all night. Night float begins on Sunday night at 6 p.m.–7:30 a.m. Monday and from Monday to Thursday evenings begin at 5:30 p.m–7:30 a.m.

Didactics

Mandatory attendance is required at:

• Daily sign in
• Weekly department meetings (held every Wednesday morning except in August)
• The residents academic conferences (held every Friday morning)
• Student lectures given by members of the Lankenau faculty
• Jefferson Friday afternoon lecture series

Conferences, lectures and rounds take precedence over all other duties. Students are responsible for all material given in conferences whether or not they attend.

Work hours

Typically your day will begin at 5:45 a.m. and end at 6 p.m. after sign out. Always touch base with the resident on your service about your responsibilities.

Call outs

You are only permitted to be off for two days during this six-week block. You MUST inform Jefferson, the resident on your service and Patricia Luner of your absence.

Contact information

Darylynn Lindo
LindoD@mlhs.org

The Lankenau Medical Center’s fourth-year clinical clerkship for medical students consists of four weeks. This inpatient acting internship focuses on obstetrics. This includes the delivery room, postpartum and ante partum/high-risk floors.

While on this service you are under the direction of the obstetrics chief who will give you your assignments during the rotation. While on the obstetrics service, you gain valuable experience on labor and delivery, ante partum unit (APU) and the mother baby unit. With five maternal-fetal medicine specialists and a level III NICU you will have ample exposure to both normal and high risk deliveries. You will have contact with both private and clinic patient population and will witness a variety of delivery methods including vacuum, forceps and cesarean sections. You will be expected to follow patients from admission to delivery when possible. You will also be responsible for presenting a topic during a resident led conference (morning report) which is held on Friday mornings.

We can only have one student per four-week rotation. If you are interested in applying please contact Darylynn Lindo (lindod@mlhs.org) with your dates and an application will be sent to you. Please, no phone calls.

Surgical gynecology rotation at Lankenau

This is an inpatient acting internship focused on surgical gynecology. This fourth year student will assist in the operating room, round on patients and put together a presentation for a resident led conference (morning report). The student will be primarily on the general gynecology service. Surgeries you will have the most exposure to include but are not limited to abdominal, laparoscopic and vaginal. You will first assist in cases as appropriate.

We can only have one student per four-week rotation. If you are interested in applying please contact Darylynn Lindo (lindod@mlhs.org) with your dates and an application will be sent to you. Please, no phone calls.

Sponsor

Benjamin Larson, MD
Associate Program Director Internal Medicine

Contact information

Kathryn Lattanzio
lattanziok@mlhs.org

The student will:

• Attend the outpatient medical clinic daily, Monday through Friday
• Work-up and write-up new clinic patients and see them in follow-up visits

Susan Burke, the Medical Director of the clinic or the other attending staff physicians will review the case in detail with the student. The student will see other clinic patients with the senior medical resident assigned to the clinic.

Emphasis is placed on getting a detailed medical history. Physical findings are reviewed with the attending physician.

The approach to diagnosis and management are then discussed.

Contact information

Kathryn Lattanzio
lattanziok@mlhs.org

The student will:

• Work-up and write-up pulmonary consultations. These will be reviewed with the attending pulmonologist.
• Round daily on all patients with the resident, fellows, and the attending pulmonologist.
• See a wide variety of pulmonary diseases and learn to interpret pulmonary functions tests.
• Learn medications and contraindications and assist at bronchoscopy, pleural biopsy and therocentesis.
• Gain experience in the Sleep Disorders Center and learn ventilator management.

Sponsor

Vikram Dravid, MD

Duration: 4 weeks
Students per block: 1–2

Our radiology clerkship offers the medical student an opportunity to participate in an active radiology department known for its Imaging Excellence, in a comfortable community setting. The department offers the highest quality diagnostic and treatment information. You will learn from very talented, dedicated doctors, residents and staff who really care.

The rotation includes ER, body CT/MRI, neuroradiology, ultrasound, angiography/interventional radiology, fluoroscopy, and mammography. Rotations may be tailored to suit the specific interest of the student.

Description of the rotation

We allow no more than two medical students and/or rotating interns in the department at any one time. Students are provided with a rotation schedule, medical student objectives and a textbook at the start of their rotation. Students do not take call during this rotation nor are any weekends required. An extensive learning file and library are available to the students. Students are expected to participate in departmental conferences as well as selected conferences in other clinical departments. Students may be asked to give a presentation during the last week of the rotation. Topics are assigned to the student well enough in advance to allow the student ample time to prepare.

Bryn Mawr Hospital is conveniently located on the Main Line. We are one block from the P & W train station and two blocks from the Bryn Mawr train station. However, most students prefer to drive and are given a parking pass to park in our garage free of charge.

If you are interested in scheduling a radiology rotation at Main Line Health please contact Sandra Ross at RossSa@mlhs.org.

Lankenau Institute for Medical Research

Sponsor

James M. Mullin, PhD, Department Head

The Lankenau Institute for Medical Research is located on the same campus as Lankenau Medical Center. The Institute offers the opportunity for training in basic and clinical research of NIH funded projects, generating on average more than 40 peer-reviewed publications per year. Traversing sixteen research groups, current investigations include the following areas: smooth muscle and endothelial vascular biology, cardiac electrophysiology, neurodegenerative processes, muscle development biology, cell adhesion, stem cell biology, mouse genomics, DNA repair mechanisms, skin cancer, programmed cell death, gastrointestinal physiology, cancer prostate cancer and the molecular mechanisms of aging.

More information on these programs and investigators may be obtained from the LIMR’s website.

Students will work closely with the principal investigators on any number of projects with participation possibly eventually leading to a co-authorship on a publication.

If you would like to learn more about our medical student rotation please call the Medical Student Clerkship Coordinator at 484.476.8144.

Sponsor

Gary V. Gordon, MD, Division Chief

Contact information

Kathryn Lattanzio
lattanziok@mlhs.org

The student will:

• Work-up and write-up rheumatology consultations. These will be reviewed with the attending rheumatologist.
• Round daily on all patients with the attending rheumatologist.
• Develop skills in examination of the muscular skeletal system and complete joint examination.
• Learn to aspirate joints and interpret the joint fluid laboratory results. Learn to identify crystals on microscopic examination.
• Learn how to relate and interact with other disciplines such as physical medicine and rehabilitation.

Contact information

Yolanda Smith
Program Coordinator, General Surgery Residency
Student Clerkship Coordinator
484.476.2176
SmithY@mlhs.org

The rotation consists of a six-week clinical experience as a junior member of the surgical team, combined with didactic instruction including problem-based learning, case presentations, and a series of lectures delivered at Jefferson Medical College. The clinical rotation is an opportunity to experience the gamut of common general surgical problems as well as the range of surgical procedures. The rotation includes exposure to transplant surgery, vascular surgery, and cardiothoracic surgery.

The third-year student splits his or her six-week rotation on three services consisting of three to five attending physicians, a chief resident, and three other junior residents. Students are expected to perform patient evaluations, write appropriate orders, and follow their patients through surgery and postoperative management. Clinical evaluation skills, introduction to and practice of technical surgical skills including suturing and minor procedures, and the understanding of anatomy are stressed.

Didactic experience

Patient evaluation and problem-based learning and conferences are held on a weekly basis throughout the six weeks. A didactic lecture series is held at Jefferson Medical College, usually on Saturday mornings. Attending physicians from Lankenau and Bryn Mawr Hospitals proctor the patient evaluation and problem-based learning conferences. In addition, various multi-specialty conferences are held throughout the course of the rotation, including Oncology, Radiology, and GI conferences. The didactic experience should provide a broad exposure to all surgical problems as well as improve clinical evaluation skills.

Average patient load

Third-year medical students will evaluate patients in the emergency room, preoperative patients, and hospital admissions. The number of primary patient evaluations varies with the ability of the student but ranges between four and ten per week. Students usually follow three to five patients on their teams. Both junior and senior residents review the patient evaluation and provide feedback, as well as assist in writing orders. The student is responsible for follow-up evaluations and progress notes on his or her patients during their stay in the hospital. Teaching rounds are performed by the residents as well as the attending staff.

Preceptorship

The third-year student is not assigned to any one physician as a preceptor, but has access to junior and senior residents in each service, as well as the attending staff. Experience is gained both on the wards and in the operating room. Students are considered part of the team and receive the same attention in terms of education as the resident staff.

Work hours

Due to the nature of a surgical rotation, duty hours vary considerably. Since the surgical experience involves not only time on the wards evaluating patients, but also a significant amount of time in the operating room, exact start and finish times cannot be guaranteed. Sign in rounds each morning for each team occur at 6:00 a.m. and patients are usually seen prior to this time. Sign out rounds in the evening usually occur at approximately 5 p.m., but on many days OR cases and emergencies may delay the time for sign out. Third-year students are not expected to come to the hospital on Saturdays or Sundays unless they are on call. However, the lecture series at Jefferson Medical College usually involves Saturday morning lectures.

Night float

You will spend one week of your rotation on night float. You will be the only student on night float during your assigned week. You will be expected to scrub into OR cases with the on-call attending and will take consults in the Emergency Department when you are not in the OR. Night float shifts begin at 5 p.m. Shifts that end on Tuesday and Thursday mornings conclude around 8:30 a.m. following didactics. Shifts that end on Wednesday and Friday mornings conclude around 6:00 am. Weekend day calls will be utilized to make up for any missed night float shifts.

Number of students on rotation

There are usually three to five third-year medical students at Lankenau Medical Center during each six-week block. There may also be fourth-year students on rotation during any of these six-week time slots.

Description of a typical day

A typical day for a third-year clerk in surgery begins at approximately 6:00 a.m. Following round on his or her patients, sign in with the team occurs at approximately 7:00 a.m. All patients on the team are discussed at that time. Conferences are held on Tuesday and Thursday mornings following sign in and include patient management conferences. Rounds then occur with the attending staff. Students assigned to cases in the OR should be present 15 minutes prior to the procedure. Operations occur Monday through Friday beginning at 7:30 a.m. Following attending rounds, students will either be in the OR, evaluating new patients, performing procedures on the ward, or revisiting patients on the service. Educational conferences are scheduled on Tuesdays and Wednesday at 3 p.m. Sign out rounds with each team usually occur at approximately 5:00 p.m. However, there may be many reasons for staying later than 5:00 p.m. There are many opportunities for learning throughout the day and the student that is enthusiastic, inquisitive, aggressive, and independent will take away what he or she needs to learn from the surgical rotation.

Contact information

Yolanda Smith
Program Coordinator, General Surgery Residency
Student Clerkship Coordinator
484.476.2176
SmithY@mlhs.org

The fourth-year medical student clerkship in surgery at Lankenau Medical Center uses the same core curriculum as the third-year clerkship but with significantly more responsibilities and flexibility. The fourth-year clerk will be responsible for evaluating more patients, following them through the operating room and postoperatively, similar to the experience of the first-year resident. He or she will be more involved in the operating room, including opportunities to do more suturing and minor procedures.

His or her assignments will be flexible, i.e., choosing work with a single attending surgeon or mentor, or working with one or both surgical teams as a functioning intern or first-year resident. The student will have more flexibility in viewing operations of his or her choice and rotating on various subspecialty services.

A fourth-year clerk is not required to complete one 24 hour call on Saturday.stay overnight or sleep in the hospital but could certainly do so if desired. Sleeping facilities are available.

To obtain honors designation, a fourth-year clerk would be required to research and write and/or report on a specific surgical topic of his or her choice. To gain the most from this rotation, enthusiasm, a certain amount of aggressiveness, and independence are required.