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Advanced Clinical Medicine

Advanced Clinical Medicine year requires students to take the following:

The goals of the sub-internships are to:

(1) assist the student in the recall, synthesis and application of knowledge at the bedside, (2) gain experience in the delivery of medical care and develop clinical judgment, and (3) emphasize the importance of professional behavior and humanistic attributes in daily patient care.

Internal Medicine Sub-internship: The sub-intern functions as an integral part of the medical delivery team which includes senior and junior medical residents, as well as 3rd year students. The sub-intern assumes the primary care responsibility for approximately six patients from the time of admission until discharge. They are responsible for the initial evaluation and daily care of patients including admitting and follow-up orders (which must be counter-signed), daily progress notes and diagnostic/therapeutic procedures.

Or, Pediatrics Sub-internship: As a sub-intern, the student will assume the role of an intern on the pediatric inpatient service at either UHB or KCHC or SIUH. The student will have all the responsibilities of an intern in providing direct patient care under the supervision of senior residents and attending faculty and serve as part of the inpatient team. The student will participate fully in daily morning work rounds, daily attending rounds, sign-out rounds and all departmental conferences. Goals: To learn the principles of managing hospitalized children and to learn common disorders of children requiring hospitalization.

Highly structured, full-time, one-month course for 3rd and 4th year medicine students at SUNY Downstate Medical Center. Self-instruction online interactive clinical scenarios and tutorials in hospital Radiology Department, radiology rotating exhibits, round table discussions, seminars, film reading sessions, all clinically orientated. No international visiting medical students are accepted. U.S. visiting medical students are accepted.

Course Director: Steven Ostrow, M.D.

Course Coordinator: Nicole Snead, MPA

The critical care experience may be taken in a variety of units so there will be differences in patient population and prevalent conditions that will result in different teaching topics and recommended reading. The basic topics students should gain familiarity with regardless of unit are these:

  • Respiratory failure and mechanical ventilation
  • Acute Respiratory Distress Syndrome
  • Sepsis/SIRS
  • Hypotension/shock
  • Coma

The curriculum ensures a foundation in attitudes, knowledge and skills required for competent and compassionate care of older patients. It is focused on acquiring proficiencies in the attitudes, knowledge, and skills needed for elder care. Knowledge and experience are gained of the common geriatric syndromes, including altered mental status, iatrogenesis, mobility including falls, sensory deficits, failure to thrive, sleep disorders, pressure ulcers, incontinence, and nonspecific presentation of disease. Risk-reduction and preventive care are emphasized. The Clerkship includes a lecture series on Palliative Care with emphasis on the EPEC, a site visit to Calvary Hospital, and direct clinical experiences at the individual sites. A palliative care website is available for student participation and will be an additional requirement for completion of this segment.

Clerkship Director: Paul Harris, M.D.

Clerkship Coordinator: Cheryl Ullah

As an acute care rotation, this clerkship allows students to synthesize clinical skills from all their prior experiences in the diagnosis and management of adult and pediatric patients.

Students will have to opportunity to rotate through the emergency departments at Kings County Hospital (KCH), University Hospital of Brooklyn (UHB) or Maimonides Medical Center (MMC). All emergency departments are open 24 hours a day, 7 days a week. We evaluate everybody who presents for care. Every shift will be different and students will have many opportunities to learn from their patients. Students will appreciate a structured learning environment in which they will have the responsibility of providing patient care under direct supervision.

No matter your career path, in this course you should find many things that interest and engage you: a wide breadth of clinical pathology, opportunities to care for critically ill patients, interacting with patients, their families, consultation services, and other healthcare providers, hands-on procedures, and more. We hope that you appreciate the role that emergency medicine plays within the community and how patients utilize the ED to access medical care.

Clerkship Director: Linda Fan, MD MEd

Assistant Clerkship Director: Nayla Delgado Torres, MD

Clerkship Coordinator: Tiesha Saunders

The REP is a 4-week stand-alone selective that is meant to reinforce principles of scientific research and scholarly activity that have been introduced throughout the prior curriculum. This is accomplished by means of meeting with a mentor of the student’s choosing who will guide the student in the choice of a research topic.

REP provides students with direct exposure to Downstate research and faculty, and in conducting research in their chosen area of interest.  Students receive training in the fundamentals of research and scientific communication, and enhances critical thinking, analysis, and teamwork.

Course Director: Jason Lazar, MD