DEPARTMENT OF MEDICINE
MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE. One (1).
LENGTH OF ROTATIONS. Four (4) weeks.
WILL TAKE STUDENTS FOR TWO WEEKS ONLY? No.
LEVEL OF STUDENTS ACCEPTED Third and fourth year.
TIME OF YEAR OFFERRED. Flexible start dates throughout the year.
PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.
- Offered primarily to medical students with an Army obligation (HPSP and USUHS).
- Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
- All students (except USUHS and University of Hawai'i) will apply for a clerkship utilizing the form entitled " Request for Approval of Clinical Clerkship Training.”
- USUHS fourth year students will apply using USUHS Form No. 1304 for clerkship request.
- The TAMC Student Coordinator will obtain permission from the appropriate rotation official upon receipt of the application and will then inform the student of approval/disapproval via e-mail.
OBJECTIVES/DESCRIPTION OF CLERKSHIP.
- The Hematology-Oncology clinical clerkship is an integral part of the Internal Medicine Residency Program.
- Our clerkship is structured around a multitude of outpatients with both hematologic and oncologic disorders as well as several inpatients with mostly oncologic diseases.
- The student will learn a basic approach to clinical diagnosis, staging and treatment of patients with blood diseases and cancer.
- The outpatient clinic is four one-half days per week.
- The student rotating can expect to see two new patients on each clinic day with adequate time blocked for the evaluation, presentation to the staff, and discussion of the case.
- At times, there are a greater number of hematologic consults than oncologic consults in the outpatient setting.
- The inpatient service is primarily consultative.
- The consults come from all medical and surgical services to include Internal Medicine, General Surgery, ENT, Urology, Orthopedic, CT Surgery, and the Medical and Surgical ICU's.
- The consults received from these services typically involve oncologic diagnoses.
- The rotating student can expect one new inpatient consult per day.
- He or she will initially interview, examine, evaluate all data and synthesize an evaluation / treatment approach at a medical student level.
- The student will make teaching rounds with one of the staff hematology-oncology physicians daily.
- Both inpatient and outpatient consultations and inpatient rounds will rotate among the hematology-oncology staff physicians, so the student will be exposed to different practice styles.
- In addition to the above clinical duties, the rotating student will have the opportunity to attend one to two teaching tumor boards a week.
- Peripheral smears and bone marrow biopsies will be reviewed with our hematopathologist on a regular basis.
- UNIQUE: The Pacific Island Program brings patients from former US Trust Territories in the South Pacific that have less common malignancies or more unusual presentations of common malignancies. This allows rotating students to appreciate the multi-cultural/multi-ethnic backgrounds to illness and treatment.
FREQUENCY OF CALL. None. Weekends will generally be free of obligation.
REQUIRED READINGS. Selected readings from textbooks and journals based on the various diagnoses identified in the clinic and on the ward.
HOW ARE STUDENTS EVALUATED?
- There is no test at the end of the rotation.
- The student's evaluation will be based on his/her performance in both the outpatient and inpatient settings.
- The evaluation will reflect fund of knowledge, ability to gather information and synthesize an appropriate plan, motivation, work habits, and interpersonal skills.