PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Students must have completed all M3 Core Clerkships.

PURPOSE: The goal of the elective is for students to develop cognitive skills and competency to evaluate patients with hematologic diseases.

COMPETENCIES: The goals of this elective are:
•  To equip students to carry out a more accurate and better focused history and physical in patients with hematologic problems.
•  To teach students the proper interpretation of blood smears and bone marrow aspirates.
•  To make students familiar with the major diagnostic and therapeutic modalities applicable to patients with hematologic disorders.
•  To make the students familiar with the clinical and cytologic features and management of a variety of hematologic disorders: myeloproliferative syndromes, anemias, lymphoma, leukemia, thrombocytopenia, and inborn or acquired disorders of blood coagulation.
•  To acquaint students with the details of acquired and inherited disorders of blood coagulation and to teach them how to use this information to diagnose and treat such disorders.

INSTRUCTIONAL FEATURES: The students will see patients in consultation or as primary patients of the Hem/Onc Service and will follow them throughout their hospital course. During daily rounds with the attending hematologist, they will present patients, review pertinent articles or topics, verify historical and physical findings at the bedside, examine blood smears and marrow smears, formulate and reassess diagnostic and management decisions, and write progress notes. In the office, they will have the opportunity to examine patients with a variety of hem/onc disorders.

ASSESSMENT: Students are evaluated by their teaching attending, who observes their performance in the outpatient setting, at the bedside, and in rounds. Attendings use the College of Medicine Clerkship Evaluation form which evaluate s the students in terms of medical knowledge, clinical skills, professional behavior, and humanistic qualities. Attendings discuss their evaluation with the student at the end of the rotation.

ADMINISTRATIVE INFORMATION:

Program Number:ELEC 616
Location: ACMC
Coordinator: Ruth Mrochen ruth.mrochen@advocatehealth.com
Telephone: 708-684-5405
Duration:  4 Weeks
Night Call: No
Weekends: No
Students Accepted: Min. 0 Max. 1
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 32
Laboratory/Independent Study: 3
Outpatient: 8
Inpatient: 29
Total Hours /Week: 46

Reporting Instructions:

Report to Ruth Mrochen, Internal Medicine Student Coordinator, Suite 131NO, North Office Building, at 8:00 AM. Parking is in Employee Lot#4, entrance by Keeler. Required forms must be in two weeks prior to the start of rotation. Parking transponders and pagers will be issued in 131NO.

Immunization & Compliance forms can be found here.

KEY WORDS: Peripheral blood smear, bone marrow aspirate, anemia, myeloproliferative disorders, lymphoma, leukemia, disorders of blood coagulation.

Note: Clinical electives at Advocate hospitals (ACMC, AIMMC, ALGH) are only available to students from LCME and AOA accredited institutions.