Third Year Rotation Information and Affiliates Guide 2019-2020

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Third Year Rotation Information and Affiliates Guide 2019-2020
Third Year Rotation Information and Affiliates Guide
Third Year Rotation Information and Affiliates Guide 2019-2020

As our first two years of medical school are nearing an end, we can look forward to putting our knowledge
and skills to use in the clinical setting. This experience is an exciting time which will give us further insight
into our interests and final career decisions.

While the core rotations are the same for all of us, each of the sites is distinctive in its own way. We have
many options available to us, ranging from small community hospitals to large academic medical centers.
As such, we will each have a unique set of clinical experiences from which to draw on for the rest of our

This guide was created to provide information about each affiliate hospital and the various rotations they
offer. We have tried to make this as helpful and complete as possible. Please keep in mind that while
every effort has been made to provide the most accurate information, this guide is not the final word. The
Office of the Registrar will provide the official information regarding individual course locations, enrollment
limits for each site, and the blocks when each course is offered.

We hope the information in this guide will help you select rotation sites to fit your own goals. We wish you
all the best of luck next year!


                                   Affiliations Committee Representatives

                Nilanjan Haldar                                        George Titomihelakis
Third Year Rotation Information and Affiliates Guide 2019-2020

List of Hospitals and Contacts                         3

Sidney Kimmel Medical College Contacts                 4

Third Year Curriculum
       Scheduling Procedure                            5
       Curriculum Overview                             6
       Phase 2 Block Schedule                          7
       Longitudinal Integrated Clerkship               8-9

       Family Medicine                                 11 - 16
       Internal Medicine                               17- 21
       Neurology                                       22 - 24
       Obstetrics & Gynecology                         25 - 29
       Pediatrics                                      30- 33
       Psychiatry                                      34 - 38
       Surgery                                         39 - 44

Affiliate Hospital Information
       Abington Memorial Hospital                      45
       A.I DuPont Hospital for Children                46
       Albert Einstein Medical Center                  47
       Jefferson Health Northeast (ARIA)               48
       Bryn Mawr Hospital                              49
       Christiana Care Health System                   50
       Crozer-Keystone Health System                   51
       Excela Health Latrobe Hospital                  52
       Inspira Medical Center                          53
       Lankenau Medical Center                         54
       Methodist Hospital                              55
       Morristown Medical Center (Atlantic Health)     56
       Overlook Medical Center (Atlantic Health)       57
       Reading Hospital                                58
       Thomas Jefferson University Hospital            59 - 60
       Virtua Health                                   61
       Wilmington Veterans Affairs Medical Center      62
       WellSpan York Hospital                          63

Affiliate Security Procedure                           64

Third Year Rotation Information and Affiliates Guide 2019-2020
List of Hospitals Offering Junior Electives 2019 - 2020
      HOSPITAL                LOCATION                                         E-MAIL/WEB SITE
  Abington Memorial                            David Gary Smith, M.D.
                              Abington, PA
       Hospital                                    215-481-2606   

Alfred I. DuPont Hospital                                           
                            Wilmington, DE          Steve Selbst, M.D.
      for Children                                                    
    Albert Einstein                             Douglas McGee, D.O. 
                            Philadelphia, PA
    Medical Center                                 215-456-7056      
   Jefferson Health                              Robert Danoff, D.O.
                             Bensalem, PA
   Northeast (ARIA)                                215-949-5066      
   Main Line Health                                 Barry Mann, M.D. 
                             Bryn Mawr, PA
  Bryn Mawr Hospital                                 484-476-3409       
    Christiana Care                              Lisa Maxwell, M.D.
                              Newark, DE
    Health System                                   302-733-1039   
    Crozer-Keystone                                 Elise Hogan, M.D.
                             Springfield, PA
     Health System                                    610-690-4471     
     Excela Health                             Michael Semelka, D.O.
                              Latrobe, PA
    Latrobe Hospital                              724-537-1485     
                                                Aarti Aggarwal, M.D. 
 Inspira Medical Center      Woodbury, NJ
   Main Line Health                                 Barry Mann, M.D.  
                            Wynnewood, PA
 Lankenau Medical Ctr.                               484-476-3409      
                                               Martin Koutcher, M.D.
  Methodist Hospital        Philadelphia, PA
                                                James Alexander, MD
Morristown Medical Ctr.      Morristown, NJ
                                                James Alexander, MD
 Overlook Medical Ctr.        Summit, NJ
                                                Mark Martens, M.D.
   Reading Hospital         West Reading, PA
   Sidney Kimmel
                             (see page four)
 Medical College at TJU
                                               Mary Campagnolo, M.D.
     Virtua Health            Voorhees, NJ
    Veterans Affairs                            Robert Boucher, M.D.
                            Wilmington, DE
     Medical Ctr.                                  302-633-5203         
                                                     David Emrhein
WellSpan York Hospital          York, PA

Third Year Rotation Information and Affiliates Guide 2019-2020
Sidney Kimmel Medical College Contacts 2019 - 2020


                                 Laura Monroe
                        Education Program Administrator         Fred Markham, M.D.
                                215- 955- 2362                     215-955-2350
  Family Medicine
                                  Amy Levine                  Marisyl de la Cruz, M.D.
                             Program Coordinator                   215-503-3461

                              Amanda White
                                                             Sarah Rosenberg, M.D.
      Medicine                 215-955-8737

                                 Jasmine King                 Daniel Kremens, M.D.
     Neurology                  215-955-4967                       215-503-2724

                                 Diana Brooks                 Katherine Lackritz, M.D.
Obstetrics/Gynecology            215-955-8462                      215-955-5000

                                                                Alisa LoSasso, M.D.
     Pediatrics                      TBD                           215-955-6525

                                 Jaynie Estrada                Mitchell Cohen, M.D.
     Psychiatry                  215-955-9823                      215-955-6592

                                 Sherry Weitz                 Gerald Isenberg, M.D.
      Surgery                    215-955-6879                      215-955-6879

Third Year Rotation Information and Affiliates Guide 2019-2020
Phase 2: Core Clinical Rotations
                            Scheduling Procedures

In early November,           students will begin to select the rotation and location of clerkships with the
Registrar's Office. Specific dates will be emailed from the Registrar’s Office.

Approximately on January 15, 2019 the results of the lottery will be available to all second year students.
automatically delete extra slots held thereby jeopardizing a student's first choice.

Due to the complex nature of the scheduling process, the schedules received by students are final. If a
student desires a change to a different rotation or a different site, they must find someone to switch with
them directly. This must be done at least 6 weeks before the start of the rotation in question via standard
drop/add form, and will require an approval by the Clerkship Coordinators and/or Directors for both
clerkships. In an event of an approval, the Clerkship Coordinator will notify the affiliate site and the

The major objective is to give each student the highest order of courses and locations preferred, while also
meeting Jefferson and affiliated hospital requirements. Determination of final location and sequencing of
all rotations is determined by SKMC.

If the student's first preference is not available, due to enrollment limitations or other factors, the process
will move to the next highest selection depending on the preference selected by the student on the
schedule request list.

If a student fails to provide alternate choices of time periods and locations, and the first choice is not
available, the student will be assigned when and/or where space is available.

Phase2: Important Dates

4/15/2019           Phase 2 starts
5/27/2019           Memorial Day: students are off
6/3/2019            Mandatory Interclerkship Session
7/4/2019            Independence Day: students are off
7/15/2019           Mandatory Interclerkship Session
8/26/2019           Mandatory Interclerkship Session
9/2/2019            Labor Day: students are off
10/7/2019           Mandatory Interclerkship Session
11/18/2019          Mandatory Interclerkship Session
11/28-29/2019       Thanksgiving: students are off
12/23/2019-1/3/2020 Winter Vacation
1/13/2020           Mandatory Interclerkship Session
2/24/2020           Mandatory Interclerkship Session
4/6/2020-4/17/2020 Spring Vacation

Third Year Rotation Information and Affiliates Guide 2019-2020
Phase 2 Curriculum Overview

Phase 2 curriculum consists of 49 weeks of instruction

Transition to Clerkships Course (JMD300)        1 week

Surgery/Emergency Medicine Block
    • General Surgery (SURG 350)                6 weeks
    • Surgical Subspecialty Selective           3 weeks
    • Emergency Medicine (EMRG350)              3 weeks

Internal Medicine/Neurology Block
    • Internal Medicine (MED 350)             8 weeks
           o 4 weeks at TJUH
           o 4 weeks at an Affiliate Hospital
    • Neurology (NEUR 350)                    4 weeks

Family Medicine/Psychiatry Block
   • Family Medicine (FMED 350)                 6 weeks
   • Psychiatry (PSYH350)                       6 weeks

Obstetrics & Gynecology/Pediatrics Block
   • Obstetrics & Gynecology (OBGY 350)         6 weeks
   • Pediatrics (PED 350)                       6 weeks

You will be automatically enrolled in Transition to Clerkships Course (JMD300) as well as Scholarly Inquiry
(JMD350), which will run through the entire Phase 2.

Each clerkship block is taken as a pair – i.e. Surgery is always paired with Surgical Subspecialties and
Emergency Medicine, Internal Medicine with Neurology, Family Medicine with Psychiatry, and Obstetrics &
Gynecology with Pediatrics. Please keep this in mind when you are compiling your request list.

Students have a choice of Surgical Subspecialties. They are:
    • Anesthesia (ANES352)
    • Neurosurgery (NRSG352)
    • Ophthalmology (OPHT352)
    • Orthopedics and Musculoskeletal Disease (ORTH352)
    • Otolaryngology (OTOL352)
    • Urology (UROL352)

During the first day of each 6 weeks throughout Phase 2 you will return to the main SKMC campus for the
Interclerkship Days, during which will focus on interdisciplinary curricular content. Attendance at all 7
Interclerkship Days is mandatory to successfully complete Phase 2.


Third Year Rotation Information and Affiliates Guide 2019-2020
Phase 2 Block Schedule

    Start       End                                  Phase 2 IM/Neuro           Phase 2 Surg/EM   Phase 2 FM/Psych/Peds/OB
   4/15/19    4/19/19                                       Trans ition to Clerks hips Cours e
   4/22/19    4/26/19       No Interclerkship

   4/29/19     5/3/19                                                              Block MY 4
                                                        Block MY 1
   5/6/2019   5/10/19
                                                                                                      Block 18-08 (MY )
  5/13/2019   5/17/19
  5/20/2019   5/24/19                                                              Block MY 5
   5/27/19    5/31/19
                                                        Block MY 2
    6/3/19     6/7/19      Interclerkship 6/3/19

   6/10/19    6/14/19                                                              Block MZ4
   6/17/19    6/21/19
                                                                                                      Block 18-09 (MZ)
   6/24/19    6/28/19
                                                        Block MY 3
    7/1/19     7/5/19                                                              Block MZ5
    7/8/19    7/12/19
   7/15/19    7/19/19      Interclerkship 7/15/19

   7/22/19    7/26/19                                                              Block MA4
                                                        Block MA1
   7/29/19     8/2/19
                                                                                                      Block 19-01 (MA)
    8/5/19     8/9/19
   8/12/19    8/16/19                                                              Block MA5
   8/19/19    8/23/19
                                                        Block MA2
   8/26/19    8/30/19      Interclerkship 8/26/19

    9/2/19     9/6/19                                                              Block MB4
    9/9/19    9/13/19
                                                                                                      Block 19-02 (MB)
   9/16/19    9/20/19
                                                        Block MA3
   9/23/19    9/27/19                                                              Block MB5
   9/30/19    10/4/19
   10/7/19    10/11/19     Interclerkship 10/7/19

   10/14/19   10/18/19                                                             Block MC4
                                                        Block MC1
   10/21/19   10/25/19
                                                                                                      Block 19-03 (MC)
   10/28/19   11/1/19
   11/4/19    11/8/19                                                              Block MC5
   11/11/19   11/15/19
                                                        Block MC2
   11/18/19   11/22/19   Interclerkship 11/18/2019

   11/25/19   11/29/19                                                             Block MX4
   12/2/19    12/6/19                                                                                 Block 19-04 (MX)
   12/9/19    12/13/19                                  Block MC3
                                                                                   Block MX5
   12/16/19   12/20/19
   12/23/19   12/27/19
   12/30/19    1/3/20
    1/6/20    1/10/20
   1/13/20    1/17/20     Interclerkship 1/13/2020

   1/20/20    1/24/20                                                              Block MF4
                                                        Block MF1
   1/27/20    1/31/20
                                                                                                      Block 19-05 (MF)
    2/3/20     2/7/20
   2/10/20    2/14/20                                                              Block MF5
   2/17/20    2/21/20
                                                        Block MF2
   2/24/20    2/28/20    Interclerkship 02/24/2020

    3/2/20     3/6/20                                                              Block MG4
    3/9/20    3/13/20
                                                                                                      Block 19-06 (MG)
   3/16/20    3/20/20
                                                        Block MF3
   3/23/20    3/27/20                                                              Block MG5
   3/30/20     4/3/20
    4/6/20    4/10/20
   4/13/20    4/17/20

Third Year Rotation Information and Affiliates Guide 2019-2020
Thomas Jefferson University’s Sidney Kimmel Medical College (SKMC)
         Longitudinal Integrated Clerkship (LIC) at Atlantic Health System

What is a Longitudinal Integrated Clerkship (LIC)?

An LIC is an innovative model for the clinical clerkship year founded on the organizing principle of continuity—
continuity of care, supervision, curriculum, and of relationships with patients, preceptors, and the health care system.
You will have the opportunity to follow patients longitudinally throughout the core disciplines, spanning all phases of
diagnosis and treatment.

Features of the LIC:

•    A nine-week clinical inpatient immersion experience followed by 40 weeks of longitudinal care across the core
     disciplines in the outpatient setting
•    A preceptor in internal medicine, family medicine, pediatrics, obstetrics and gynecology, surgery, neurology, and
     psychiatry will be assigned to work with you on a weekly basis
•    You will gain an understanding of the disease process through involvement of care delivery across all aspects of the
     health care system
•    Opportunities to learn from master SKMC educators in Atlantic Health’s state-of-the-art teaching hospitals, as well
     as Goryeb Children’s Hospital, Gagnon Cardiovascular Institute and Atlantic Neuroscience Institute

If I choose to participate in the LIC, will I get the same education?
Yes! The LIC delivers an equivalent curriculum to that of the traditional block model, including didactics, patient log
requirements, assignments, and NBME exams, longitudinally over the course of the entire clerkship year.

What are the benefits of participating in an LIC?
•   Learn through patient-centered care
•   Develop longitudinal relationships with faculty preceptors and patients in acute and chronic care settings
•   Perform equivalent to peers on standardized testing
•   Experience an increased connection with patients
•   Foster a greater sense of self-awareness and responsibility for your education

To apply, you must:
•   Be in good academic standing
•   Submit a brief, 500-word essay describing your interest in the program
•   Meet with program faculty

Notification of acceptance will occur prior to the general clerkship lottery.
For more information: Contact

Third Year Rotation Information and Affiliates Guide 2019-2020
The ½ day specialty sessions occur in the outpatient setting, unless stated otherwise.
                          Self-Directed Time = White Space

Important Note!!!!!


 FAMILY                 Abington
                                                    Bryn Mawr          Christiana       Crozier       Latrobe/
 MEDICINE                             (ARIA)

 Min/Max Number of
                           1-2          1-2                2              5-8             1-2            3-4

                                    Medical Ctr./
 FAMILY                  Inspira
                                                        Reading           TJUH
                                     Atlantic                                           Virtua        York
 MEDICINE                             Health                                            Health       Hospital
 Min/Max Number of
                            1              4                   1          6-12             1              1

                     FAMED 350                         FAMILY MEDICINE

The Family Medicine Clerkship is a five-six week rotation with sites around greater Philadelphia. As a 3rd
year medical student, you are now an integral part of the team providing patient care. Your focus should be
on gathering information through the history and physical exam, accurately reporting that information,
providing a differential diagnosis, and prioritizing problems. Caring for patients in an outpatient setting is a
central component of Family Medicine. At all clerkship sites, you will spend a significant portion of your
time in an outpatient practice. Some sessions may be supplemented by didactics and community-based
experiences in order to expose you to other areas of Family Medicine. These vary from site to site. Students
will be supervised by Family Medicine faculty and upper-year residents at all sites.

Abington Memorial Hospital
As a family medicine teaching program, we have a strong commitment to teaching medical students. Third
year students from many local medical schools rotate with our residents on the Family Medicine Inpatient
Service and in the Family Medicine Center. We also offer four week and two week fourth year elective
rotations for interested medical students.

Students are incorporated into all aspects of the Family Medicine Residency during their rotations with us.
The majority of student time is spent caring for patients in the outpatient setting but also may include
activities such as rounding in the hospital with the family medicine residents and attending’s, geriatric
facility visits, and home visits. Medical students are involve in all conferences and didactic programs at the
Abington Family Medicine during their rotations and participate in a series of lectures on the top 20
diagnoses in primary care specifically designed for the students. There is also the opportunity for
interested students to work with our residents in other activities such as preparticipation sports physicals,
outpatient office procedures and research projects and publications.

FAMED 350                        FAMILY MEDICINE

Jefferson Health Northeast (ARIA)
Aria Jefferson has a long standing tradition of working with medical students, residents, and allied medical
professionals in training. This is our mission and we enjoy working with the future physicians and
advanced practice professionals who will serve their patients in the future.

Our family medicine rotation is integrated into our family medicine residency program. As such, the
students work directly with community faculty in their office settings. In this way the real "feel" of being a
family physician engaged in their community is experienced. Acute, chronic, preventive and episodic care
is part of the daily professional life of family physicians, and medical students are immediately included as
part of the office team. There will be one-one preceptor experience, sometimes including a family
medicine resident as well. Additionally, once per week there will be teaching rounds at an extended care
facility, working with seniors for a geriatric component of the family medicine rotation. We also offer
medical students the option to round with the inpatient teaching service if that would be an interest.
Also, each Thursday morning the students will join us at our Family Medicine conference from 7 - noon at
the Aria Jefferson Bucks campus.

Thank you for considering the Family Medicine rotation at Aria Jefferson. We look forward to working

Bryn Mawr Hospital
The goal of this six-week rotation is for the student to practice and improve his/her interviewing and
physical examination skills and to begin integrating patient data with basic science to make relevant
clinical decisions. This Family Practice rotation is intended to provide the third-year student with a broad
clinical experience. There is ample time spent in the hospital-based residency practice and in the office of
a community-based family practitioner. The array of exposures will include the family practitioner in the
office, making home visits and nursing home visits. In addition, the students meet with faculty for
seminars on clinical problem solving and interviewing skills. Students are responsible for reading
necessary information to appropriately learn about the patients they have seen. An evaluation will be
made by the preceptor with whom the students work and the faculty and residents at Bryn Mawr Family

FAMED 350                        FAMILY MEDICINE

Christiana Care Health Services

Students will be exposed to a wide range of clinical experiences and settings. Students spend two weeks in
a private family physician’s office, at least one week in our residency practice, several sessions in an urgent
care setting, as well as several varied experiences in community medicine, including HIV Clinic, nursing
home and home visits. As part of the rotation, all students participate in a practice OSCe session in our
Virtual Education and Simulation Center. Lectures also include interactive didactic sessions on common
outpatient topics as well as an introduction to evidence-based medicine. Students are evaluated by the
course director outside preceptors, faculty, residents and staff. Mid-rotation meetings are informal due to
the wide range of assigned locations. The clerkship director meets with all students for several sessions of
orientation and most Fridays thereafter. Due to the varied locations to which the students must travel, an
automobile is required for this rotation.

Crozer-Keystone Health System
At the Crozer-Keystone Center for Family Health in Springfield, we offer 2 and 4-week fourth year electives
and a 6-week third year clerkship for interested medical students. During your rotation, you will spend the
majority of the time caring for patients in the outpatient setting which is located in Delaware County (20
minutes outside of Philadelphia.) Our Springfield office recently received Level 3 recognition from the
National Committee for Quality Assurance for our Patient Centered Medical Home. Patient care activities
will routinely include exposure to global health, office procedures, cosmetic medicine, sports medicine
activities, medical informatics, inpatient service and behavioral science sessions. In addition, students will
also be involved the community through school physicals, home visits and nursing home visits. Students
participate in the weekly didactic sessions with our residents as well as dedicated weekly medical student
teaching sessions. If you are interested in doing a rotation in Family Medicine at Crozer, please contact our
Student Coordinator at (610) 690-4471 or via email at We greatly look forward
to participating in your medical education and exposing you to the dynamic specialty of Family Medicine!
For more information, please visit our website at

Excela Health Latrobe Hospital
Students get to interview and examine patients first at Latrobe. The student takes an active role in
care/management of patients, and students participate in clinical analysis processes. Students are
supervised by board-certified family practice attendings. There is probably no other site within the
Jefferson system at which the students get this opportunity to act as clinicians and to contribute so directly
to the care of actual patients. Students receive informal feedback from every preceptor with whom they
work. Preceptors relay information verbally or in writing to the clerkship coordinator, who has a formal
face to face discussion with the students in mid-course and at the end of the rotation. The clerkship
coordinator compiles the evaluations and writes the narrative grade report to send back to Jefferson.
Students are evaluated compared to the theoretical expectations for a student at their level of training and
experience. Knowledge, professionalism, personal skills, and ability to think in clinical terms are all
important grading factors.

FAMED 350                       FAMILY MEDICINE

Inspira Medical Center Woodbury
Our faculty has training in Women’s Health and Wound Care in addition to a focus on Geriatrics. We have
our own prenatal clinic, which is supervised by staff obstetricians. Mid rotation evaluations occurs at 3
weeks, and are in the form of verbal feedback. We evaluate students based on composite scores collected
from all physicians that worked with the student. Our forms mirror the criteria present on the final
evaluation forms sent from Jefferson. All subjective comments are incorporated in the evaluations.

Morristown Medical Center (part of Atlantic Health System)
We are a family medicine teaching program, and as such we teach medical students from several medical
schools along with our residents. Students will work with both residents and attendings in our outpatient
office in Summit, NJ. Students will meet patients from a variety of backgrounds, take histories, conduct
physicals, develop differentials and present to attendings and senior residents. They will also spent time on
geriatric rounds in our nursing home facility and in our prenatal clinic. There is also opportunity for
interested students to round with the family medicine inpatient team. Medical students are involved in all
conferences/ didactic sessions along with the residents. These periodically might include procedure
conferences such as suturing, GYN procedures or joint injections. Additionally, there are medical student
behavioral science sessions.

Overlook Medical Center (part of Atlantic Health System)
We are a family medicine teaching program, and as such we teach medical students from several medical
schools along with our residents. Students will work with both residents and attendings in our outpatient
office in Summit, NJ. Students will meet patients from a variety of backgrounds, take histories, conduct
physicals, develop differentials and present to attendings and senior residents. They will also spent time on
geriatric rounds in our nursing home facility and in our prenatal clinic. There is also opportunity for
interested students to round with the family medicine inpatient team. Medical students are involved in all
conferences/ didactic sessions along with the residents. These periodically might include procedure
conferences such as suturing, GYN procedures or joint injections. Additionally, there are medical student
behavioral science sessions.

FAMED 350                       FAMILY MEDICINE

Reading Hospital and Medical Center

The Reading Hospital is a large, community based hospital with many resources. Students have the
opportunity the opportunity to customize parts of the rotation, depending upon their particular interest.
Students “formally” stay within the residency program, but have the opportunity to work with specialists
along with the Family Medicine Residents. Students typically work with 8-10 residents and 8 faculty
members throughout their rotation. The mid-rotation and final evaluations are a composite of input from
those who worked with the student. For each office hour session, the student will complete a SOAP note
which is critiqued and returned to the student. Students will have the opportunity to do home visits with
Berks Visiting Nurses 1 day per rotation, Alvernia University Student Health Clinic 1 afternoon per rotation,
Wound care one ½ day per rotation, palliative care 1 day per rotation, and other procedure and
subspecialty clinics throughout the rotation. Special features of your clerkship include a required
Biopsychosocial project which involves interviewing a long-term patient and writing a 3-page paper with a
genogram (time built into your schedule to complete). You will have the opportunity to work with skilled
nurses and gain hands-on experience as well as document directly in Epic.

Thomas Jefferson University Hospital
For clerkship students rotating at Jefferson, the bulk of clinical time is spent in the Jefferson Family
Medicine Associates practice. There, students typically meet patients, take the history, conduct the physical
exam, and present patients to precepting faculty. Students are responsible for formulating a differential
diagnosis, developing an assessment and therapeutic plan, and performing health maintenance activities.
Students may be responsible for labs, follow-up, notes, and referrals as needed. The patient population in
the Family Practice Center is largely urban, and students encounter a rich mix of personalities,
backgrounds, and health issues. Student may also be assigned to a community preceptor and will be
expected to travel by car.

FAMED 350                        FAMILY MEDICINE

Virtua Health
Students who rotate at Virtua Health will be considered a part of our Family Medicine Residency during
their 6 week rotation with us. As a teaching program with over 30 years of experience training residents,
we are dedicated to ensuring that students get an excellent experience in seeing what Family Medicine is
all about. Students will spend the majority of their time at our outpatient facility, the Virtua-Tatem Brown
Family Practice Center, and also spend 1 week on inpatient rounds on our family medicine service at Virtua
Voorhees. We are about 30 minutes from Center City Philadelphia, making access for Jefferson students
quite easy. Our practice has a very diverse patient population, with a broad demographic mix including 30%
pediatrics. In the office, students will work with residents and 1 on 1 with an attending, and will see a wide
variety of patients that encompass everything from well child and preventive health visits to the most
complex chronic disease management cases, as well as office procedures. Our practice is recognized by the
NCQA as a level 3 medical home, and students will gain experience learning in an environment that
emphasizes patient satisfaction, patient safety and continuous quality improvement. Students will also be
involved in participating in nursing home rounds and home visits, in addition to opportunities with school
health and other outreach activities as they arise. Our goal is to expose you to the exciting specialty of
Family Medicine and all it has to offer! We also offer 4th year rotations for those interested in Family
Medicine as a career choice. Please contact our coordinators at (856) 325-3737 and visit our website to
learn more about Virtua Family Medicine Residency.

WellSpan York Hospital
Students see patients at the Thomas Hart Family Practice Center which is part of the family medicine
residency program founded in 1968. The family practice center is connected to the hospital and has 24
exam rooms, two procedure rooms, a lab, and a conference room as well as offices for the faculty and
residents. The average number of outpatient visits per year is approximately 23,000. These visits include
well-child care, maternity care, adult care, and numerous outpatient procedures. The family practice center
has been using an electronic health record since September 2006. Students will spend most of their time at
the Thomas Hart Family Practice Center but will also spend two half-days per week at a private family
medicine office in the community. Students will also spend two weeks on the family medicine inpatient
service. There are didactics held on Thursday mornings which all students participate in as well as weekly
visits to the York Hospital Simulation Lab. Students are supervised by Stacey Robert, MD and the Program
Coordinator for the student rotations, Christie Colon.

INTERNAL                      Abington
                                                               Christiana        Lankenau         Methodist
                                                                                6/6 – blocks
                                                                                 10,11, 12
 Min/Max Number of Students        0/4              5/5            0/6                                4/4
                                                                                7/7 – Blocks

 INTERNAL                                 Medical Ctr.
                                                             Reading             TJUH
 MEDICINE                                  /Atlantic
                                         Health System

 Min/Max Number of Students                   4/4               2/2              0/24               2/2

                       MED 350                 INTERNAL MEDICINE

For the 2018-19 academic year, all students will start the Internal Medicine Clerkship with a mandatory
“Academic Week” during which they will participate in a variety of educational activities that will give them
foundation in Internal Medicine and Neurology. After that, students will spend 3 weeks at the Thomas
Jefferson University Hospital, and 3 weeks at one of the academic affiliate hospitals. Christiana Branch
Campus students spend entire 6 weeks at Christiana Care Health System. Each site offers unique learning
opportunities, but ultimately adheres to the unified set of educational objectives. At all sites, students will
receive education at bedside and in the classroom, and will be exposed to a wide variety of educational
methods. All students will participate in a variety of projects that will expose them to incorporating
evidence-based medicine and foundational science concepts into clinical practice, as well as introduce
them to aspects of cost-conscious care.

Students will be evaluated by both faculty and housestaff based on their clinical performance, receiving a
single grade that reflects their performance at both Thomas Jefferson University Hospital and an academic
affiliate. A shelf exam is taken at the end of the clerkship.

MED 350                 INTERNAL MEDICINE

Abington Memorial Hospital/Jefferson Health
Abington Hospital/ Jefferson Health is a tertiary care facility located in Montgomery County, 30 minutes
from Center City. It is a 660 bed Hospital with over 90,000 ER visits per year and offers patients a
comprehensive care experience. Abington Hospital has a long and rich tradition of student training in
Internal Medicine. We excel in our ability to provide a comprehensive clinical experience while also
maintaining a personal concern for each student. The clerkship offers a scholarly and effective approach to
the provision of medical care for learners alongside our internal medical residency program. Our
environment promotes a culture of safety and respect for all members of the health care team and for our
patients. The key elements of Abington’s successful training and educational programs are the broad
clinical mix, the well-prepared and dedicated medical staff and the progressive increments in patient
management responsibility delegated to our trainees.

Albert Einstein Medical Center
Einstein Medical Center Philadelphia is located in an urban, socio-economically disadvantaged area in
North Philadelphia. It is a very large, multidisciplinary tertiary-care hospital with 600 acute care beds,
caring for a diverse patient population with a large scope of complex medical illnesses. During Internal
Medicine at Einstein, students will rotate on either general medicine or subspecialty services. The robust
didactic program includes core conference series, EKG workshops, radiology rounds, subspecialty
rounds, noon student reports, and a Jeopardy-style review session. Physical diagnosis rounds are held both
at bedside and in a simulated setting. During the simulation sessions, students learn IV placement, venous
blood draws, and basic review of ACLS algorithms. Students also have a chance to round with the
phlebotomy and IV teams to acquire and practice these skills.

Christiana Care Health System – Christiana Hospital
Students interact with consultants from all subspecialty Internal Medicine services. These include
Cardiology, Infectious Disease, Gastroenterology, Hematology, Nephrology, Pulmonary and Rheumatology.
On the internal medicine service, students are evaluated by the intern and resident with whom they
worked most closely. Depending on the service, an attending hospitalist evaluates them as well. These
individuals complete the Sidney Kimmel Medical College evaluation in New Innovations. A workshop in IV
insertion is provided for students and is schedule each month. Students are also required to prepare a one-
page response to an evidence-based question assigned to them. Several literature references are expected.
A bedside physical examination session is carried out usually with two students. This may involve
performance of an entire physical examination or sections based on student needs. Mandatory sessions
include Medical Grand Rounds and student core lectures.

MED 350                  INTERNAL MEDICINE

Lankenau Hospital
Lankenau Hospital has over 100 years of experience in training medical students and residents. Indeed,
educating students is a core value at Lankenau Hospital where medical students are considered valued
members of the health care team. We pride ourselves on providing a university-level academic experience
in a warm, supportive community environment. Straddling the city of Philadelphia and its “Main Line”
suburbs, Lankenau provides a fascinating diversity of patients and pathology.

At Lankenau, third year students rotate on one of our eight core teaching teams. Each team is led by either
an Academic Hospitalist or an Academic General Internist who is focused on providing excellent patient
care and an excellent educational experience for residents and students on their team. In addition to our
core student Didactic conferences, students attend and present at a weekly student case conference that is
led by core teaching faculty. Students will spend time in our simulation lab practicing their clinical skills.
Students also attend regularly scheduled Lankenau conferences such as Noon Conference, Morbidity and
Mortality Conference, and Grand Rounds. Bedside, didactic, and multidisciplinary rounds take place daily
and informal bedside teaching experiences with subspecialty consultants take place daily.
Students have the opportunity to learn and practice bedside procedures such as phlebotomy, IV placement,
and the drawing of arterial blood gases. All students are strongly encouraged to attend and observe any
procedures their patients are undergoing such as cardiac catheterizations, endoscopies, and surgeries.

Students are evaluated in face-to-face sessions with their floor attendings and residents at both the
midpoint of the block and at the end of each block. End of block evaluations are completed by the
student’s Attending, their resident, and occasionally their intern, if desired. Our medicine Clerkship
Director Jonathan Doroshow, MD, is always available to students for assistance with patient presentations,
notes, or assistance with shelf-exam study plans.

Methodist Hospital
The Medicine clerkship is a four-week rotation located on the campus of Methodist Hospital Division of
Thomas Jefferson University. It is a community teaching hospital with 120 beds, caring for a diverse patient
population with a large scope of complex medical issues. During the rotation, students will rotate on
general internal medicine services. This course emphasizes the integration and application of
pathophysiology to the diagnosis and management of patients in addition to the skills of history-taking,
physical examination, and case presentation. The course is an apprenticeship focusing on the bedside care
of patients. Students work closely with house staff members and attendings - making daily rounds,
admitting new patients, and caring for them with the team.

MED 350                  INTERNAL MEDICINE

Morristown Medical Center (part of Atlantic Health System)
Morristown Medical Center (MMC) is the flagship teaching hospital for Atlantic Health System in northern
New Jersey. We function as a tertiary referral center for the region with over 680 beds providing students
excellent clinical exposure to patients from diverse socioeconomic backgrounds. Third year medical
students are assigned to one of the Department of Medicine general medicine teaching teams which are
led by an academic hospitalist. Daily teaching rounds are conducted with the attending. In addition to
morning report and noon conference, there is a “student report”, a core didactic series of lectures including
a weekly cardiac auscultation conference and meetings with the clerkship directors to review notes.

Reading Hospital
Reading Hospital is a 695-bed acute care hospital located in West Reading, PA, which is approximately a 90-
minute commute from Philadelphia. Medical patients are admitted primarily to hospitalist services, with
subspecialties serving mainly in a consultant role. Students on Internal Medicine are assigned to the
general internal medicine teaching teams, providing care for a broad scope of medical illnesses in a diverse
patient population. Students perform histories and physicals, gain experience writing notes and orders in
EPIC EMR, refine presentation skills, and accompany patients to diagnostic procedures. Arrangements are
made with respiratory therapy to provide experience drawing ABGs. Students attend morning report,
grand rounds, and either mid-day resident conferences or small group faculty-led student conferences.
Free on-campus housing and parking are available, as well as a daily meal stipend. Additional information
about the health system and local area can be found at
research/academic-affairs/students/ .

Thomas Jefferson University Hospital
Thomas Jefferson University Hospital is located on campus of Thomas Jefferson University. It is a very large
multidisciplinary tertiary-care hospital with 950 acute care beds, caring for a diverse patient population
with a large scope of complex medial illnesses. During Internal Medicine at Jefferson, students will rotate
on either general medicine or subspecialty services. The robust didactic program includes core conference
series, small group EKG workshops, and a Jeopardy-style review session. Physical diagnosis rounds are held
both at bedside and in a simulated setting. During the simulation sessions, students will learn arterial
puncture technique, EKG lead placement, and will have a chance to practice finger stick glucose monitoring
and a subcutaneous injection.

MED 350                  INTERNAL MEDICINE

WellSpan York Hospital
As an integral part of the leading health care delivery system in South Central Pennsylvania, York hospital is
a 580 bed community teaching hospital serving 520,000 plus people in South Central Pennsylvania. Third
year clerkship in Internal Medicine at York provides the student with excellent exposure to a broad range of
diagnoses and multiple complex medical problems. Students are an integral and valued part of the team.
Students take call with the team, admit patients in conjunction with their interns and residents, present
and follow their patients. Students get a hands on experience caring for patient with congestive heart
failure, acute coronary syndrome, gastrointestinal bleeds, delirium, stroke and COPD just to mention a few.
Students participate in a core lecture series, advanced diagnosis sessions, a weekly student report with the
Clerkship Director, opportunities for SIM sessions and to work with ancillary staff to sharpen skills on
venipuncture, IV placement, urinalysis and peripheral blood smear interpretation.

NEUROLOGY                              Albert Einstein           Christiana               Lankenau

 Min/Max Number of Students                   4/4                      2                      1/1

                              NEURO 350                   NEUROLOGY
Introduction: The Neurology Clerkship provides a foundational experience in the field of Adult Neurology.
The main goals of the Clerkship are for the student to be exposed to and learn about conditions typically
seen by neurologists; to acquire core knowledge on the pathophysiology, clinical presentation, diagnostic
processes, and assessments of the different neurological conditions observed during the Clerkship; to
understand the relevant information required to perform a detailed neurological history; and to achieve
proficiency in performing a neurological examination.

Structure: The Clerkship at TJUH includes two rotations: one on the General Neurology Wards or Neurology
Consultation services, and one on the Stroke or Neurocritical Care services. A half-day of outpatient
experience is included during the rotations. Rotations in affiliated hospitals include a combination of
inpatient and outpatient experiences. The students will be supervised by Resident House officers and/or
Attending Neurologists. Didactics during the Clerkship include lectures, conferences, and case
presentations at the different Clerkship sites. These didactics are complemented by an academic week, a
joint Neurology and Internal Medicine educational initiative that includes topics related to various
neurological topics and subspecialties (hosted at TJUH and attended by all students on the Clerkship).
Evaluations are based on summative and formative assessments. A shelf exam is taken at the end of the

Thomas Jefferson University Hospital (TJUH)
Albert Einstein Medical Center
Christiana Care Health Services
Lankenau Hospital

NEURO 350                      NEUROLOGY

Albert Einstein Medical Center
During this rotation, students will have acquire the following:

a. A sound foundation for principles of neurologic diagnosis;
b. Introduction to common neurological syndromes and diseases, focusing on pathophysiology, common
presentations, and principles of management.

For each patient assigned, students will perform a thorough H&P with special attention to neurological
symptoms and signs. All patients will be presented to an Attending and most will be discussed with a
Neurology resident beforehand. We expect you to propose a neurological localization and differential
diagnosis on every patient. This will increase your facility in “thinking neurologically.”

Rotations during the Clerkship:

1. Inpatient Admitting Service
2. Inpatient Consult Service
3. Outpatient Clinics/ Neuroradiology/ Neuropathology
4. ICU

Other Clerkship Requirements:

1. Neuropathology slide review and assignment
2. Patient education handout assignment for “Neurology Patient Library”
3. Attend neurology trainee conferences and student centered conferences, unless excused for other

Christiana Care Health Services – Christiana Hospital
Students are paired with an attending neurologist. They work with the attending directly in terms of
performing consultations, seeing follow-up patients and learning to further their skills in the neurological

There is close attention to helping develop a through differential dx and plan. Students are encouraged to
review and discuss the medical literature with the neurologist with whom they are working. Opportunities
to work with inpatient neurology attendings in the ICU and floors settings are under development.

NEURO 350                        NEUROLOGY

Lankenau Hospital
The Lankenau Jefferson student neurology rotation is a mentor/mentee driven model that is singular in the
medical school experience at Jefferson. The student who selects Lankenau will be assigned to a specific neurology
attending; there are no neurology residents here. All of our attendings have substantial subspecialty experience
and several of our staff members are nationally recognized in their respective fields. The student will work
intensively with their assigned attending who will also direct their clinical and learning experience such that it will
be diversified across the spectrum of neurological disorders and their treatment, predominantly in the outpatient
setting where most neurologic disease is treated, as well as on the inpatient service and in the emergency room.

OBSTETRICS &                      Abington
                                                                 Bryn Mawr      Christiana      Lankenau
 Min/Max Number of Students           1/2             3/4            1/2            1/6             3/4

 OBSTETRICS &                    Medical Ctr.
                                  /Atlantic        Reading          TJUH          Virtua
 GYNECOLOGY                        Health                                                       Hospital

 Min/Max Number of Students           2/4             3/3            4/6            4/7             2/3


Abington Jefferson Health
As an OB/GYN teaching program, we have a strong commitment to teaching medical students. Third year
students from many local medical schools rotate with our residents and faculty on several services. These
services include: gynecologic oncology, night float, gynecology, and obstetrics. Students also get the chance
to rotate in our OB/GYN Center for the underserved. Didactic sessions and are held weekly for both
residents and students, and weekly morbidity and mortality (M&M) conferences are also held. Morning
conferences are held daily.

Students are incorporated into all aspects of the OB/GYN residency during their rotations with us. Students
receive training both on the inpatient and outpatient EMR in the hospital. EMR write access is available to
students during the gynecology service. The hospital is accessible by public transportation when students
are scheduled for inpatient duties; however some specialties or outpatient clinics may be in other

Albert Einstein Medical Center
The clerkship in women’s health, obstetrics & gynecology in the Department of Obstetrics and Gynecology,
Albert Einstein Medical Center, is a six-week learning experience designed to provide the basic information
about women’s health, obstetrics and gynecology needed by medical students to successfully complete
their clerkships and pass national standardized examinations. Students are assigned to rotations in general
obstetrics, gynecology, and night float teams, providing ample opportunity to learn the basic knowledge
and skills while experiencing hands-on training in deliveries and surgery. Students are included as active
members of the ObGyn care teams and are allowed and encouraged to do as much as their knowledge and
skills permit.

Albert Einstein Medical Center (Cont’d)

In Obstetrics, students are involved in labor and delivery activities, the antepartum and postpartum floor
and in clinical scenarios such as normal labor and delivery and high-risk pregnancies (i.e., preterm labor,
multiple gestation, premature rupture of membranes). In Gynecology, students participate in both general
and oncologic Gyn surgery and coverage for Gyn consultations requested by the emergency department,
inpatient service, and in pre-operative clinic one half-day each week. During the outpatient experience,
students participate in ambulatory care clinics, which range in focus from colposcopy clinic, to high-risk
obstetrics, to new obstetrics and to routine continuity care GYN clinic.

During the six-week rotation, students attend weekly didactic activities of the department that include
Grand Rounds, daily lectures for the residents and perinatology/neonatology conferences. Specific student
lectures are provided throughout the rotation by the Clerkship Director on site. Students return to
Jefferson on Friday afternoons for lectures. Evaluations include both the mid-rotation evaluation, and the
final evaluation. Both evaluations are gone over with the student by the Clerkship Director in one-on-one
meeting midway and at the end of the rotation. 5 consecutive weeknights are scheduled (Night Float) in
lieu of traditional (Q4) call on the Labor & Delivery unit. On call facilities, lockers and meal tickets are
provided for students during the rotation. Students return to Jefferson on Friday afternoons for lectures

Bryn Mawr Hospital
The OB/GYN students train at Bryn Mawr Hospital for six weeks. Students will have exposure to a variety of
surgical and obstetric techniques along with subspecialty services in perinatal medicine and reproductive
endocrine. Written evaluations from attending staff are compiled by the medical student clerkship
director. Evaluators consider the student’s attitude, conscientiousness, motivation, history taking, patient
interaction, medical knowledge, case presentation and problem analysis. Verbal feedback is provided on a
daily basis by the attending the student works with. Each student will have a formal mid-rotation meeting
with the Clerkship Director to evaluate the student’s progress, opportunities to improve, strengths, etc.
Communication skills and team participation are important. The students work with residents from the
specialties of Family Practice and Radiology, but are directly supervised by their attending physicians.
Located in the western suburbs of Philadelphia, Bryn Mawr is a full service acute-care teaching hospital.
Our patients know us for our high level of personalized care by exceptional physicians, surgeons and
nursing staff in both inpatient and outpatient settings. Students return to Jefferson on Tuesday afternoons
for PBL and small group sessions and on Friday afternoons for lectures. Students return to Jefferson on
Friday afternoons for lectures.


Christiana Care Health Services (CCHS)

The OB/GYN students all train at Christiana Hospital and Wilmington Hospital. Christiana care health
system delivers approximately 7000 babies performs 6000 gynecologic surgical procedures annually. All of
the obstetrical care and the majority of the gynecologic surgical care is provided at Christiana Hospital in
Newark Delaware. Christiana Hospital is a full service, community based, tertiary care, academic Hospital.
Wilmington Hospital is an urban community Hospital and is the location of the clinic experience for
students rotating and OB/GYN. Students will be exposed to the subspecialty some maternal fetal medicine,
reproductive endocrinology, family planning, urogynecology, and gynecologic oncology. Students are
expected to perform or assist with patient admissions, preoperative and postoperative checks, inpatient
evaluations and consultations, outpatient care, labor and delivery, surgical assistants, fetal monitoring, and
OB/GYN triage. Students are involved in continuity clinics with residents. Students are expected to
participate in Wednesday didactics including noontime Grand Rounds and resident and student lectures on
Wednesday afternoons. Students return to Jefferson on Friday afternoon for require didactics. Students
will spend one week working nights. Local housing may be provided per Christiana policies. Students are
assessed based upon evaluation of work done in the clinic, on obstetrical inpatients, on surgical patient
services in number to sedation and group discussions. Emphasis is placed on clinical aspects of patient care
and the ability to interact with patients and staff. Students are evaluated by the residents, full-time
attendings, private attendings, and the medical student coordinator (see Dr. Matthew Fagan). The
standard evaluation form for the rotation is provided by Sidney Kimmel Medical College.

Lankenau Hospital
The OB/GYN students train at Lankenau Hospital for 6 weeks. During this rotation, the student is expected
to perform or assist with labor and delivery, postpartum care, gynecological surgery, post-operative care,
admission, H & P's, medical and surgical gynecological oncology, and pre-operative work-ups. Students will
have exposure to a variety of surgical and obstetric techniques including those pertaining to high risk
pregnancies. Subspecialty services to which the students are exposed during the OB/GYN rotation include
Gynecologic Oncology, Maternal-Fetal Medicine, and Reproductive Endocrinology. Written evaluations
from attending staff and residents are compiled by the physician coordinator of the medical student
program. Evaluators consider cognitive skills, clinical skills, professionalism and house staff potential. Mid-
rotation evaluation is a private meeting with the student director to discuss progress, opportunities to
improve, strengths, etc. Residents complete final evaluations as a group, which are then reviewed and
approved by the student director. Academically, Lankenau provides the students with over 9 hours of
formal lecturing exclusively for students. These lectures attempt to compliment the lecture series at JMC.
Additionally, students attend department and resident conferences. Breakfast and dinner meal tickets are
provided to students on call. Students return to Jefferson on Friday afternoons for lectures.


Morristown Medical Center – (part of Atlantic Health System)

The OB/GYN students train at Morristown Medical Center for six weeks. During the six-week rotation,
students work with residents and faculty in all subspecialties. In Obstetrics, students are involved in labor
and delivery activities, the antepartum and post-partum floor and in clinical scenarios such as normal labor
and delivery and high-risk pregnancies. In Gynecology, students participate in both general and Gyn
Oncology surgery and coverage for Gyn consultations requested by the ER, inpatient service and in pre-
operative clinic one half-day each week. During the outpatient experience, students participate in
ambulatory care clinic, which range in focus from colposcopy clinic, to high-risk obstetrics, to new
obstetrics and to routine continuity care GYN Clinic. Students also spend 1 half day with an Attending
Faculty at Planned Parenthood. This location is accessible by public transportation when returning to
Jefferson for Friday lectures. Housing is provided; it is very far to commute from Jefferson.

Reading Hospital and Medical Center

The Reading Hospital is a 600 bed community teaching hospital, which performs over 3,000 deliveries and
over 3,500 major gynecologic procedures per year. The third year OB/GYN student is quickly assimilated
into the health care team. The student OB experience includes six weeks of inpatient/outpatient
experience including one week of OB night float and one week of elective. Students will attend regular
prenatal clinic and generally perform at least one supervised delivery during the rotation. One complete
workday is devoted to Maternal Fetal Medicine and Genetic counseling. The GYN experience consists of
one week of routine gynecology and one week of GYN Oncology. Students participate in a wide range of
gynecologic operative procedures including oncologic, pelviscopy, and pelvic reconstructive surgery. There
are at least seven hours of protected teaching/lectures per week including 3 weekly lectures with
attendings. Students receive mid-rotation evaluations (assessing professionalism, communication skills,
and skill sets such as History and Physicals) and final grade recommendations are issued by resident
consensus opinion with input from the Clerkship Director. In the last week of rotation, students will give a
20-question written exam on Monday and return to Jefferson on Wednesday. Housing is provided,
students will be back to Jefferson every Friday for lectures.

Thomas Jefferson University Hospital
Subspecialties to which the student will have exposure include Gynecologic Oncology, Maternal-Fetal
Medicine, Reproductive Endocrinology, Infertility, and Urogynecology. Students are evaluated by both
residents and attendings. Students rotating at TJUH are expected to be professional, well-read, and
clinically skilled. Students who are able to work independently will find this site very rewarding. Each
student has a mid-rotation meeting with the Clerkship Director to discuss the student’s progress. Students
will meet with the Director again at the end of the rotation to review their performance. At TJUH, students
are exposed to a wide variety of patients and clinical scenarios and have the opportunity to actively
participate in patient care. Students attend Wednesday small group sessions and Friday afternoon lectures
at Jefferson.

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