4 Year Doctor of Medicine Program

Most students will follow a standard four-year program with Phase 1 focused on the acquisition of knowledge of the scientific basis of medicine allied to an introduction to clinical medicine and Phase 2 and 3 provided instruction and experiences in a variety of areas of clinical medicine.

• MSCI 5106 (Lubbock HSC) P3/DOCS 1

  This block extends throughout year 1, and provides framework for students to learn the fundamental skills of physician-patient interactions, including professionalism, communications skills, health literacy and ethical challenges to medical practice. Learning occurs in classroom settings, small group forums, and community-based settings. The students also explore ethical, cultural, psychological and economic dimensions of clinical care in a variety of learning settings. This block teaches students the fundamental skills needed for physician-patient interactions, including communication skills, obtaining a This course is split into two semester with 3 hours assigned in Fall and 3 hours assigned in Spring.

• MSCI 5108 (Lubbock HSC) Anatomy, Histology and Embryology

  This block is intended to provide students with a foundation in anatomy, basic tissue histology, embryology, and medical imaging necessary for success in the remainder of the curriculum and introduce applications of anatomy and histology to the practice of medicine. The course covers concepts of microscopic, gross and developmental anatomy presented in a clinical context. The cadaver-based experience in AHE will involve team-based dissection activities that provides the setting for students for the development of a professional attitude toward patients, colleagues, and the entire health care community.

• MSCI 5109 (Lubbock HSC) General Principles

  This block will integrate the basic principles of biochemistry, cell biology, genetics, pharmacology, pathology, and microbiology to prepare students for subsequent organ-system based blocks. Specifically, this block begins with a description of various pathways involved in human metabolism, organization of the human genome, control of gene expression and major cellular organelles and their functions. Basic principles of pharmacology including pharmacodynamics/kinetics and key pathology concepts, such as inflammation, are then introduced. This is followed by an overview of selected medically important microorganisms, their life cycles, identification, and the mechanisms through which they cause disease. Lastly, mechanisms of action and basic pharmacological properties of antimicrobial drugs are addressed.

• MSCI 5110 (Lubbock HSC) Organ Systems 1

  This block introduces immune, hematopoietic and cardiovascular systems. The physiology and histology of components of the immune system will provide the basis for disorders of immunity. The hematopoietic section will address various blood disorders including anemias, bleeding and clotting disorders, cancers, and their treatment. The cardiovascular section will cover the autonomic nervous system and excitable tissues and proceed from histology and physiology to the pathology, diagnosis and pharmacotherapy of cardiac and vascular diseases.

• MSCI 5111 (Lubbock HSC) Organ Systems 2

  This block covers the histology and physiology of the renal and respiratory systems, the respective major pathologies, diagnoses, and treatments related to each system, as well the integrative function of the renal and respiratory systems within context of acid-base balance and related pathologies.

• MSCI 6106 (Lubbock HSC) Basic Medical Spanish

  This is a 15-hour web-based course, which includes two interactive sessions to be completed by March 15 of Year 2. The goal of this course is to promote patient rapport and the cultural comfort of the student caring for our Spanish-speaking patients. Grading will be Pass-Fail and will be entered on student transcripts.

• MSCI 6109 (Lubbock HSC) Patients, Physicians and Populations/Development of Clinical Skills 2

  This block builds on the skills learned in P3/DOCS-I with more advanced communication techniques, patient safety and career development skills. They continue to explore professionalism and ethics and develop awareness of cultural and psychosocial issues using a variety of methods: workshops, small group activities, personal reflection and community-based settings. This block builds on the skills learned in Development of Clinical Skills I but at a more advanced level to reinforce the basic skills taught in year 1. Learning will occur through a mixture of didactic and clinical skills sessions. The didactic sessions will consist of a large group simulation activity during one half-day in each block integrated with the current basic science systems-based curriculum. The clinical skills sessions will consist of patient encounters that will take place in the hospital, emergency room, and ambulatory settings. Students will be assigned to preceptors who will help the students in arranging these clinical encounters.

• MSCI 6113 Organ Systems 3

  The gastrointestinal section will cover the function, pathology, pathophysiology, diagnosis and treatment of the oropharynx, digestive tract, liver and pancreas. Students will also be introduced to common digestive tract pathogens. The second section will cover the physiology and pathophysiological conditions of skin, connective tissue and the musculoskeletal system.

• MSCI 6114 Organ Systems 4

  This block begins with comprehensive coverage of the central nervous system, which integrates microscopic cellular structure, neuroanatomy, and neurological systems with both normal function and clinical signs and symptoms. The block subsequently introduces the student to aspects of neuropharmacology, neuropathology, and the etiology (biological and psychosocial factors), signs, and symptoms of various neuropsychiatric disorders. The reproductive section will cover the histology, physiology, pathophysiology, diagnosis and treatment of reproductive organ and cancer biology.

• MSCI 6115 Organ Systems 5

  The organ systems 5 block will provide instruction in basic and clinical endocrinology, covering endocrine histology, physiology and pathophysiology. Additionally, topics covered in previous organ systems (OS 1-4) may be briefly revisited. Selected diseases pertaining to multiple organ systems will also be introduced facilitating the integration and interconnections of several organ systems. Collectively, this block will help students to integrate their knowledge to analyze clinical problems and formulate differential diagnoses.

• MSCI 6111 (Lubbock HSC) Step 1 Enhancement

  This is an independent study course designed to aid students in preparing for the taking USMLE Step 1.

• MSCI 7102 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Integration Seminar-Student Grand Rounds

  The Integration Seminar is a Student Grand Rounds presented by MSIII students on each campus. The overarching objective of the seminar is to provide students with the opportunity to explore in depth a clinical case and to reapply the knowledge gained over the first two years of medical school to this case. The students work as a team to present a cogent, integrated and interactive seminar to their peers, students from other years and faculty while developing their presentation skills and their ability to interpret and evaluate data from multiple sources. The directors of the Integration Seminar choose the cases and the students are divided into six groups, each of which is assigned one case. The Integration Seminar occurs once per clerkship period. The Directors advise the students on interpretation and presentations skills and coordinate the seminar to ensure participation of the greatest number of students and faculty in the audience. Grading will be Pass/Fail as determined by the Campus Seminar Director.

• MFAM 7101 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Family Medicine Jr. Clerkship

  An eight-week core clerkship introducing students to the care of the undifferentiated ambulatory patient. Emphasis is on clinical problem solving, management of common problems, and prevention and health promotion.

• MINT 7101 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Internal Medicine Clerkship

  In this eight-week rotation, the student participates as a member of the ward team, honing skills in performing histories and physicals, and in the collection, integration, and documentation of information for comprehensive diagnosis. Concepts of practical medical therapeutics and management are presented, but emphasis is on understanding pathophysiology and accurate diagnosis. Outpatient experience is provided in a community setting.

• MOBG 7101 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Obstetrics-Gynecology JR Clerkship

  A study of the treatment of female patients by the primary care practitioner. Obstetrics-gynecology spans the entire age range of womanhood and is extensively health-oriented with emphasis on prevention of illness and on surgical and obstetrical techniques. The quality of human life is emphasized.

• MPED 7101 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Pediatrics Clerkship

  During the clerkship, students rotate through the pediatric inpatient, ambulatory care and newborn nursery services, participating in the evaluation and management of children with a variety of problems. Emphasis is placed on a comprehensive approach to total child, including his/her family and environment. Learning is augmented by a lecture series and various case conferences coupled with close faculty support and supervision.

• MPSY 7101 (Amarillo HSC, Lubbock HSC, Odessa HSC) Psychiatry JR Clerkship

  The primary goals of this rotation are to provide educational experiences that facilitate continued learning regarding the diagnosis and management of psychiatric illness and clinical experiences that allow the student to further develop skills in evaluation and treatment of selected patients. The core clinical experiences for students consist of significant exposure to inpatient psychiatry, consultation psychiatry, ambulatory psychiatry, child and adolescent psychiatry, ambulatory neuropsychiatry/behavioral neurology, and on-call emergency room coverage.

• MSUR 7101 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Surgery Clerkship

  An introduction to the pathophysiology of surgical diseases and the principles and techniques used in their diagnosis and management. The Clerkship includes participation in pre- and post-operative patient care, operating room and clinic experience as a member of a team of the surgical faculty.

• MIDS 8419 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Transition to Residency: Individualized Asynchronous Learning

  This course will extend throughout the fourth year providing four weeks of credit with grading consistent with the current year 4 grading policies. Provide opportunities for independent learning for students. The course will provide individualized learning opportunities. Develop skills in reflective learning to help prepare students for ongoing reflective practice throughout their careers.

• MDER 8101 (Lubbock HSC, Odessa HSC) Dermatology Ambulatory Rotation

  This elective is designed to expose the student to a wide variety of dermatologic conditions with the expectation that at the conclusion of the experience common conditions and disorders will be recognizable. The student should be able to better appreciate patterns and morphology of mucocutaneous conditions so they can generate a working differential diagnosis on how to manage the patient. This includes management and may include further testing, treatment, and/or referral to a specialist. The student will participate in clinics (few inpatient consults) observing a variety of dermatologic disorders and dermatologic procedures in both the adult and pediatric patient population.

• MFAM 8104 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Family Medicine Ambulatory Rotation

  This selective is set in an ambulatory clinic and emphasizes the breadth of family medicine. The student will have an opportunity to care for a wide variety of simple and complicated problems, practice patient counseling and education skills, and be able to see some patients through a brief illness with follow-up care. Family-oriented health care, family dynamics, preventive care and the team approach to health care are emphasized.

• MFAM 8105 (Odessa HSC) Geriatrics Ambulatory Rotation

  This rotation will allow students to learn about the principles of aging and become proficient in the management of certain Geriatrics syndromes.

• MINT 8102 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Internal Medicine Ambulatory Rotation

  This rotation in internal medicine’s multispecialty clinic prepares the students in ambulatory medicine where they are exposed to outpatients in various disciplines of medicine. The aim is to make students more comfortable and confident in doing focused and time-limited interaction in an outpatient setting, which is where most will practice in the future. Highly recommended for students pursuing career in internal or family medicine.

• MNEU 8101 (Lubbock HSC, Odessa HSC) Neurology Ambulatory Rotation

  This rotation exposes the student to basic principles of diagnosis and management of common neurologic conditions. Students learn skills in conducting neurologic exams, identifying signs and symptoms of neurologic disorders, and integrating signs and symptoms into syndromes. Students learn about basic neurologic disorders and neurologic complications of systemic conditions.

• MOBG 8102 (Amarillo HSC, Lubbock HSC, Odessa HSC) OB/GYN Ambulatory Rotation

  This two week selective is a compilation of the spectrum of patients seen in the ambulatory ob/gyn clinic (gynecology, antenatal care, high risk obstetrics, urogynecologic, and infertility). Hands on opportunities may include preparing for and performing the following office gynecologic procedures: cervical cytology and cultures, colposcopy, endocervical curettage, cervical, and endometrial biopsy. The student will be expected to present ob/gyn patients to the supervising physician, counsel patients concerning various contraceptive options, complications, and contraindications, and review the evaluation and management of the abnormal cervical cytology screen. The student will also be expected to formulate treatment plans and work on proper communication within interprofessional teams in order to efficiently and effectively coordinate ambulatory patient care.

• MOPH 8101 (Lubbock HSC, Odessa HSC) Ophthalmology Ambulatory Rotation

  This rotation provides exposure to diagnosis and treatment of medical and surgical eye diseases. The student rotates through a complete range of subspecialty clinics and also will be provided with the opportunity to observe and participate in ophthalmic procedures and surgery. This will allow them to become familiar with state of the art ophthalmic medical, laser and microscopic surgery treatments. Departmental seminars and lectures are open to interested students. Opportunity to observe community ophthalmologists is also possible. Emphasis will be directed toward developing competency in the basic eye examination.

• MPED 8102 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) P)ediatrics Ambulatory Rotation

  The purpose of this ambulatory rotation is to familiarize the student with preventive pediatrics and parent education, acute intervention in common childhood diseases and follow-up visits, and evaluation of patients in an outpatient consultation service.

• MPSY 8103 (Amarillo HSC, Lubbock HSC, Odessa HSC) Adult Psychiatry Ambulatory Rotation

  This rotation is designed to give students experience in evaluation, diagnosis, and management of patients with psychiatric illnesses. Students will engage in diagnostic assessment, formulation of treatment plan and provision of psychotherapy and/or psychopharmacologic treatment. The student is expected to interact with patients and participate in discussions of treatment options.

• MPSY 8104 (Lubbock HSC) Child/Adolescent Psychiatry Ambulatory Rotation

  This rotation will familiarize students with common psychiatric diagnoses and therapies for children and adolescents. Student will observe and participate in the evaluation and treatment of children/adolescents in outpatient and consults services. Particular emphasis is given to improve student skills in the areas of clinical judgment and decision-making. Students are encouraged to take increasing amounts of patient care responsibility while under close supervision. The student will attend family meetings and other relevant meetings. The student is expected to lead at least 4 comprehensive child/adolescent psychiatric interviews, assess at least 2 child/adolescent inpatient consults and present at least 1 case to the attending using a biospsychosocial formulation model for treatment plan. Depending on length of rotation the above will be modified.

• MINT 8201 (Amarillo HSC, Covenant Branch HSC, Odessa HSC) MICU/CCU Elective

  This selective/elective utilizes patients admitted to the intensive care units within various teaching hospitals. The student will gain experiences in managing common medical emergencies, including cardiopulmonary arrest, drug overdose, hypertension, acute myocardial infarction, cardiogenic shock, congestive heard failure, renal failure, and diabetic ketoacidosis. The student is also expected to become proficient in the evaluation and management of common chest problems, including asthma, chronic obstructive pulmonary disease, pleural effusions, peri-operative complications, pneumonia, atelectasis, respiratory failure, pulmonary function tests, and chest x-rays, and to become familiar with the various types of mechanical ventilators, oxygen delivery systems, and methods of delivering inhaled medication.

• MINT 8202 (Lubbock HSC) Cardiac Intensive Care Unit Rotation

  The student will gain experience in managing common medical emergencies, including cardiopulmonary arrest, hypertension, acute myocardial infarction, cardiogenic shock, and congestive heart failure. The student will also become familiar with the various types of mechanical ventilators, aortic balloon pumps, cardiac valve replacement surgeries, extracorporeal membrane oxygenation, oxygen delivery systems, and methods of delivering inhaled medication.

• MINT 8203 (Lubbock HSC) Medical Intensive Care Unit Rotation

  The student will gain experience in managing common medical emergencies, including cardiopulmonary arrest, drug overdose, hypertension, acute myocardial infarction, cardiogenic shock, congestive heart failure, renal failure, and diabetic ketoacidosis. The student is also expected to become proficient in the evaluation and management of common chest problems. These include asthma, chronic obstructive pulmonary disease, pleural effusions, peri-operative complications, pneumonia, atelectasis, respiratory failure, pulmonary function tests, and chest x-rays. The student will also become familiar with the various types of mechanical ventilators, oxygen delivery systems, and methods of delivering inhaled medication.

• MPED 8202 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC) Pediatric Intensive Care Elective

  The student will be exposed to all pediatric critical care: Sepsis, Trauma, ARDs, and all potentially or life-threatening illnesses. The student will act as an acting intern with direct patient care responsibilities. There will be no outpatient, ward, or clinic responsibilities except Continuity Clinic. The student will make daily rounds with the attending physicians. The student will have an opportunity to perform procedures such as spinal taps, A-line, central lines, chest tubes, intubation, and catheter placement. Emphasis will be placed on physiology, recognition of common acute life-threatening injuries-illnesses, and ventilator management.

• MPED 8203 (Lubbock HSC) Neonatal Intensive Care

  This selective/elective is designed to familiarize the student with perinatal-neonatal physiology, high-risk factors associated with neonatal disease pathophysiology diagnosis and management of common neonatal problems, dealing with acute neonatal emergencies, and communicating with parents of high-risk neonates. The students’ primary responsibility will be the total management and supervision of assigned patients. Students will also be expected to participate in daily rounds, night call, weekly discussion group on neonatal-perinatal disease and presentation of a review on a selected aspect of neonatal-perinatal medicine towards the end of the rotation.

• MSUR 8205 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Surgical Intensive Care Unit

  This elective exposes the fourth year medical student to the most critically ill and injured surgery patients. The student will be an integral part of a team of residents from surgery, anesthesia and other departments, led by an attending specialized in intensive care medicine. Medical student will be assigned patients appropriate for their level of training and under direct supervision of the attending, will learn to thoroughly evaluate their overall condition, develop a management plan, and get experience to round twice a day with the attending and the team, attend daily multidisciplinary conference and take in house call once a week including one weekend day. The student is expected to participate in educational activities including ICU lectures, M&M and Ground Rounds within the Department of Surgery.

• MSUR 8207 (Lubbock HSC) Burn Intensive Care Rotation

  During this rotation, the fourth year medical student will become intimately involved with the management and care of burn patients ranging from the most severe injury with life threatening burns to the less severe, both adult and pediatric patients.

• MSUR 8208 (Lubbock HSC) Neurological Intensive Care Unit Rotation

  This rotation exposes the fourth-year medical student to the most critically ill patients with neurological pathology. The student will be an integral part of a team from neurosurgery, anesthesia, and other departments, led by an attending physician. Medical students will be assigned patients appropriate for their level of training. The students will learn to thoroughly evaluate the overall condition of the patient and develop and implement a management plan. The students will become familiar with common neurological conditions including vascular pathology and hemorrhage, closed and open head trauma, and increased intracranial pressure, as well as neuro-oncology and management of intracranial pressure monitors and external ventricular drains. Additionally, the student will become familiar with common ICU management practices including central lines, arterial lines, and ventilator management. The student will be expected to round daily with the attending and the team. The student may participate in additional educational activities within the Departments of Surgery including ICU lectures, Morbidity and Mortality conferences and Grand Rounds.

• MFAM 8301 (Amarillo HSC, Lubbock HSC, Odessa HSC) Family Medicine Sub-Internship

  Patients of all ages, of both sexes, and with diverse medical problems will be managed in this sub-internship. Emphasis will be given to the total management of the patient, beginning with the ambulatory presentation, continuing through hospitalization and following dismissal from the hospital-coordinated, comprehensive, continuing medical care. The student will be responsible for complete evaluation of the patient, including initial history and physical examination, cost effective utilization of laboratory, x-ray and other procedures and the formulation and pursuit of the management plan, including cogent utilization of consultation/referral services. Emphasis will also be given to participation in community resources, which provide ongoing care of the patient, including Hospice and community health centers. Experience is afforded in the Family Practice Center, the inpatient service of family medicine, certain area nursing homes, and on occasion, in the home of the patient. The student will function with Family Practice residents under the direction of the Family Medicine faculty member assigned to the inpatient service and other Family Medicine faculty members.

• MFAM 8302 Sub Internship in Hospital Medicine

  This rotation will replicate the role of an Intern on a very busy hospital medicine service where the reporting physician is not another resident, but an attending for one on one mentoring. A very broad exposure to the entire swath of inpatient within the Academic Teaching hospital will be experienced.

• MINT 8301 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Internal Medicine Sub-Internship

  This ward-based, primary care sub-internship provides the student an individualized, case-oriented experience as a sub-intern on a general medicine ward service, designed to be the natural extension of the thirdyear clerkship. Each student will work closely with a senior resident, have primary patient responsibility, take night call with his/her team, have patient care responsibilities like an intern with close supervision by the senior resident, be assigned readings and give mini-lectures on selected subjects, and attend the regularly scheduled teaching conferences of the Department of Internal Medicine. This sub-internship is strongly recommended for students planning to pursue a career in Internal Medicine.

• MOBG 8302 (Amarillo HSC, Lubbock HSC, Odessa HSC) Maternal Fetal Med Sub-I

  This four week Sub-Internship will provide the student the opportunity to function as a first year resident on the MFM service. The student will gain ample exposure on the rotation in order develop the skills to recognize the clinical and laboratory diagnosis of medical, surgical, and obstetric complications of the high-risk pregnancy. The student will review the literature on and develop the skills to manage the fetal/neonatal complications of post term pregnancy, including the indications for induction of labor, and review the evaluation and management of the following conditions which complicate pregnancy: preterm labor, hypertension, and diabetes. During ultrasound sessions the student will be expected to discuss the essential components of a genetic counseling session with the following indications: advanced maternal age and abnormal maternal serum screening. While managing patients in labor and delivery the student will learn to interpret fetal heart rate tracings in laboring and non-laboring patients, gain the skills necessary to succinctly communicate patient sign out and hand offs on the high risk patients that she/he is following, and effectively communicate with nursing ancillary staff in order to coordinate patient care. The student will also have the opportunity to perform/assist in vaginal and abdominal deliveries, including laceration recognition and repair and forcep assisted vaginal delivery. The student will also be given the opportunity to improve their basic knot tying skills with a self-directed suture curriculum. The student will prepare for and participate in Friday afternoon didactics.

• MOBG 8303 (Amarillo HSC, Lubbock HSC) Gynecology Sub-Internship

  This four week Sub Internship will provide the student the opportunity to function as a first year resident on the Gynecologic service. The student will evaluate, present, and manage patients that present to clinic and the EC with gynecologic complaints and participate in and care for patients that undergo gynecologic surgery. On days assigned to the operating room the students will be expected to: prepare for and perform as a surgical assistant for assigned gynecologic cases, communicate with operating room nursing and ancillary staff, and become proficient in preoperative 'time out', and illustrate proper aseptic technique, and patient positioning in the operating room. Prior to surgical cases the student will review the surgical steps for and complications of commonly performed gynecologic surgeries as well as recent literature in regard to surgical outcomes. The student will gain experience in eye-hand coordinated movements relevant to basic laparoscopy in the simulation lab and with knot tying using a self-directed suture curriculum. The student will demonstrate effective communication skills regarding patient sign out and hand off, recognize and participate in systems improvements, and communicate with nursing and ancillary staff to promote teamwork, and patient care. The student will prepare for and attend Friday afternoon didactics including the participation in preoperative surgical conference.

• MORS 8301 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Orthopaedic Surgery Sub-Internship

  The Orthopaedic Surgery Sub-I offers fourth year medical students with a strong interest in the Orthopaedic Surgery subspecialty, an opportunity to acquire and assimilate advanced clinical responsibilities at an intern level, by exposure to orthopaedic patients in various clinical settings: inpatient, outpatient, and operating room. This four-week elective rotation will provide an educational curriculum that emphasizes teaching of fundamental concepts of total patient musculoskeletal care. The sub-intern will be assigned to a different faculty mentor each week in order to learn and apply information for a variety of musculoskeletal/medical disorders, based on the patient group for which he/she is responsible. This will assist in maximizing academic preparation for postgraduate clinical performance as an intern. The sub-intern will function as the primary point of contact, assisted by an Orthopaedic resident, and supervised by the attending for all care issues concerning specific patients on different services. The sub-intern will attend all Orthopaedic Department conferences, present lecture(s) specific for their team along with hospital rounds, morning trauma report, Journal Club, and all other didactic events. The sub-intern will take in-house calls at least once per week with the call day established by the orthopaedic staff, and discuss ER cases to further enhance the sub-intern’s educational experience. The sub-intern will strictly follow duty hours’ guidelines as mandated by the Accreditation Council of Graduate Medical Education's Common Program Requirements.

• MPED 8301 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Pediatric Subinternship

  The student will work as a member of a team caring for patients admitted to the pediatric inpatient service. During this elective, the student will have an opportunity to learn to formulate problem lists, management, and follow-up plans for hospitalized pediatric patients. The student assumes the role of extern and takes call with the residents.

• MSUR 8301 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) General Surgery Subinternship

  The student will serve as an extern on the surgical service and participate in the care of surgical patients in the emergency room, surgical wards, operating room, and clinic. Pre- and post-operative care and the management of patients in the Surgical Intensive Care units will be stressed. Assignments to selected clinical faculty preceptors are also available. Students will take in-house call.

• MSUR 8303 (Covenant Branch HSC) Neurological Surgery Sub-Internship

  The Neurological Surgery Sub-I offers fourth year medical students with a strong interest in the Neurological Surgery subspecialty, an opportunity to acquire and assimilate advanced clinical responsibilities at an intern level, by exposure to neurological patients in various clinical settings: inpatient, outpatient, and operating room. This four-week elective rotation will provide an educational curriculum that emphasizes teaching of fundamental concepts of total patient care. The sub-intern will be assigned to a faculty mentor each week in order to learn and apply information for a variety of neurological disorders, based on the patient group for which he/she is responsible. This will assist in maximizing academic preparation for postgraduate clinical performance as an intern. The sub-intern will present lecture(s) specific for their team along with hospital rounds and take call at least once per week with the call day established by the neurosurgical staff and discuss ER cases to further enhance the sub-interns educational experience.

• MURO 8301 Urology Sub I

  This Sub-I is an advanced experience in the management of disorders of the urinary tract and is designed to provide the student with an understanding of the principles of urological diagnosis and treatment. Students will participate in a series of lectures, ward rounds, operating room and clinical experiences. The course is of value to a student interested in a career in urology, gynecology, or surgery.

• MIDS 5402 (Lubbock HSC) Advancement of Patient Safety

  This course will introduce the healthcare student to the concepts in promoting and providing patient safety. Archived videos and live content expert presentations will build a framework of knowledge which the student can then apply to vignettes involving a sentinel event. Completion of this course will prepare the student with the fundamental knowledge required for the interprofessional root cause analysis course (CLARION). The goal of this course is to provide the all students of the Texas Tech University Health Sciences Center Schools with the opportunity to practice the core competencies recommended by the Institute of Medicine (IOM). The IOM recommended in a 2003 publication entitled "Health Education: A Bridge to Quality" that five core competencies be integrated into health professions education: patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement and informatics. In this course students will work in interprofessional teams as they study the following concepts: root cause analysis, budget analysis, professional conduct and policies, team communication, legislative initiatives, information technology.

• MIDS 6402 (Lubbock HSC) Advancement of Patient Safety

  This course will introduce the healthcare student to the concepts in promoting and providing patient safety. Archived videos and live content expert presentations will build a framework of knowledge which the student can then apply to vignettes involving a sentinel event. Completion of this course will prepare the student with the fundamental knowledge required for the interprofessional root cause analysis course (CLARION). The goal of this course is to provide the all students of the Texas Tech University Health Sciences Center Schools with the opportunity to practice the core competencies recommended by the Institute of Medicine (IOM). The IOM recommended in a 2003 publication entitled "Health Education: A Bridge to Quality" that five core competencies be integrated into health professions education: patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement and informatics. In this course students will work in interprofessional teams as they study the following concepts: root cause analysis, budget analysis, professional conduct and policies, team communication, legislative initiatives, information technology.

• MIDS 5417 (Lubbock HSC) Art in Medicine

  The relationship between artistic engagement and patients’ health has also been well documented. Multiple studies strongly suggest that artistic engagement has a positive effecton health. For this reason, many health professionals have begun implementing creative exercises as a form of health-care into their practice. This course will help medical students to learn how the arts can help them develop both critical thinking and empathy to better understand their patients’ illness experiences, the medical team-patient relationships, physician self-care, and various other aspects of healthcare.

• MIDS 6417 (Lubbock HSC) Art in Medicine

  The relationship between artistic engagement and patients’ health has also been well documented. Multiple studies strongly suggest that artistic engagement has a positive effect on health. For this reason, many health professionals have begun implementing creative exercises as a form of health-care into their practice. This course will help medical students to learn how the arts can help them develop both critical thinking and empathy to better understand their patients’ illness experiences, the medical team-patient relationships, physician self-care, and various other aspects of healthcare.

• MIDS 5422 (Lubbock HSC) Cardiology Elective

  Enrichment of the medical school curriculum and student experience through remote, educational experiences with a focus in Cardiology. The elective will introduce first- and second-year medical students to the diverse and competitive field of cardiology through online lectures and workshops. Online collaborative events with other student organizations will allow members to stay connected to a larger group of peers. Topics such as congenital heart disease, arrhythmias, ECG and chest auscultation will be presented at appropriate times during the year to supplement school lectures on these topics. An emphasis will be placed on improving HPI writing throughout the course. Student’s HPI’s will be critiqued after submission based on online modules of patient H&P’s. Students will request Cerner access and complete a case study remotely on a patient. Case studies will be presented online amongst members. A pass/fail grade will be assigned at the end of the elective based on meeting attendance requirements and completion of HPI writing assignments and case study.

• MIDS 6422 (Lubbock HSC) Cardiology Elective

  Enrichment of the medical school curriculum and student experience through remote, educational experiences with a focus in Cardiology. The elective will introduce first- and second-year medical students to the diverse and competitive field of cardiology through online lectures and workshops. Online collaborative events with other student organizations will allow members to stay connected to a larger group of peers. Topics such as congenital heart disease, arrhythmias, ECG and chest auscultation will be presented at appropriate times during the year to supplement school lectures on these topics. An emphasis will be placed on improving HPI writing throughout the course. Student’s HPI’s will be critiqued after submission based on online modules of patient H&P’s. Students will request Cerner access and complete a case study remotely on a patient. Case studies will be presented online amongst members. A pass/fail grade will be assigned at the end of the elective based on meeting attendance requirements and completion of HPI writing assignments and case study.

• MSCI 5409 (Lubbock HSC) Culinary Medicine Elective

  This elective course will complement the curriculum for medical students by providing a nutritional interactive component so that they will learn how to cook, what wholesome foods to incorporate into a meal, and how to educate patients about healthy habits. The course will incorporate lectures accompanied by evening cooking classes and open discussions regarding case studies. To complete the elective, students will create their own scholarly project to display and share what they have learned.

• MSCI 6409 (Lubbock HSC) Culinary Medicine Elective

  This elective course will complement the curriculum for medical students by providing a nutritional interactive component so that they will learn how to cook, what wholesome foods to incorporate into a meal, and how to educate patients about healthy habits. The course will incorporate lectures accompanied by evening cooking classes and open discussions regarding case studies. To complete the elective, students will create their own scholarly project to display and share what they have learned.

• MIDS 5425 Diversity and Inclusivity in Clinical Practice

  This course is designed by medical students for medical students to help prepare us during our pre-clinical years to anticipate the needs of diverse patient populations including patients of color, patients with mental/physical disabilities, LGBTQIA+ and ESL patients. Students will attend informative lectures on clinical realities faced by marginalized communities and then have the opportunity to practice clinical skills such as history taking, vitals, and physical exams with intentionally diverse/challenging SP encounters.

• MIDS 6425 Diversity and Inclusivity in Clinical Practice

  This course is designed by medical students for medical students to help prepare us during our pre-clinical years to anticipate the needs of diverse patient populations including patients of color, patients with mental/physical disabilities, LGBTQIA+ and ESL patients. Students will attend informative lectures on clinical realities faced by marginalized communities and then have the opportunity to practice clinical skills such as history taking, vitals, and physical exams with intentionally diverse/challenging SP encounters.

• MIDS 5423 (Lubbock HSC) Fitness and Nutrition Elective

  This elective teaches preclinical medical students to incorporate fitness and nutrition education in healthcare through interactive lectures and community outreach events. Preventive medicine is crucial in every medical specialty because it increases patient autonomy, improves healthcare outcomes, and decreases medical costs. This elective will equip future physicians with the knowledge to apply preventive care in their practices.

• MIDS 6423 (Lubbock HSC) Fitness and Nutrition Elective

  This elective teaches preclinical medical students to incorporate fitness and nutrition education in healthcare through interactive lectures and community outreach events. Preventive medicine is crucial in every medical specialty because it increases patient autonomy, improves healthcare outcomes, and decreases medical costs. This elective will equip future physicians with the knowledge to apply preventive care in their practices.

• MIDS 5424 (Lubbock HSC) Free Clinic Elective

  First and second year medical students enrolled in this elective will get the opportunity to attend lectures to learn about the background, operations, and how the TTUHSC Free Clinic runs, as well as commit to dedicating their time to volunteer with the clinic on at least six Wednesdays throughout the course of the year. This course will allow students to employ clinical skills with a population in need. A number of hands-on learning experiences will also be offered including ultrasound and EKG workshops to help volunteers improve the clinic workflow.

• MIDS 6424 (Lubbock HSC) Free Clinic Elective

  First and second year medical students enrolled in this elective will get the opportunity to attend lectures to learn about the background, operations, and how the TTUHSC Free Clinic runs, as well as commit to dedicating their time to volunteer with the clinic on at least six Wednesdays throughout the course of the year. This course will allow students to employ clinical skills with a population in need. A number of hands-on learning experiences will also be offered including ultrasound and EKG workshops to help volunteers improve the clinic workflow.

• MIDS 5405 (Lubbock HSC) The Future of Medicine Elective

  As medical students, most education is geared at learning the human body through what has already been learned with the integration of modern methods and technology. However, what is described as modern knowledge/methods/technology is actually from the ideas and world of yesterday. The advancements happening today are numerous and far reaching. The problem with today’s healthcare is that without the active pursuit, collaboration, and implementation of new research and peer-reviewed science into the clinical setting, progress will be slow and treatment of patients will be suboptimal. With this class, MS1s and MS2s will be able to hear from lecturers about what is nascent in the world of science today and how they try and use it for patient care. There will also be discussion sessions that will have students reading and sharing thoughts about recent peer-reviewed articles. Pre-chosen peer-reviewed articles will be available for each group session with the option of finding and reading outside articles that are relevant for the month’s theme and are of interest to the student. They will discuss how these advances can help and how they would integrate the information into today’s and tomorrow’s medicine.

• MIDS 6405 (Lubbock HSC) The Future of Medicine Elective

  As medical students, most education is geared at learning the human body through what has already been learned with the integration of modern methods and technology. However, what is described as modern knowledge/methods/technology is actually from the ideas and world of yesterday. The advancements happening today are numerous and far reaching. The problem with today’s healthcare is that without the active pursuit, collaboration, and implementation of new research and peer-reviewed science into the clinical setting, progress will be slow and treatment of patients will be suboptimal. With this class, MS1s and MS2s will be able to hear from lecturers about what is nascent in the world of science today and how they try and use it for patient care. There will also be discussion sessions that will have students reading and sharing thoughts about recent peer-reviewed articles. Pre-chosen peer-reviewed articles will be available for each group session with the option of finding and reading outside articles that are relevant for the month’s theme and are of interest to the student. They will discuss how these advances can help and how they would integrate the information into today’s and tomorrow’s medicine.

• MIDS 5404 (Lubbock HSC) Global Health 101

  There is a growing population of students who are interested in cultivating their understanding about the global health field to facilitate career choice decisions and future humanitarian involvement. The primary goal of this course is to offer exposure to topics in global health, but to also tailor the knowledge to include theory and real-world practice. Students will complete learning modules ranging from cultural competency, relevant health issues, to the process of building a clinic on their own. As part of this real-world practice, health simulations concerning two common global health issues – malaria and cholera, will be incorporated. Accordingly, another major goal is to highlight interprofessional teamwork in diagnosis, prevention, and treatment in a resource-deprived setting. It is recognized that interprofessional interactions vary greatly depending on the nature of the clinic, the location of the clinic, the situation, and resources available. In recognition of the different roles required, there will also be clinical activities that cultivate clinical skills not covered elsewhere in the curriculum.

• MIDS 6404 (Lubbock HSC) Global Health 101

  There is a growing population of students who are interested in cultivating their understanding about the global health field to facilitate career choice decisions and future humanitarian involvement. The primary goal of this course is to offer exposure to topics in global health, but to also tailor the knowledge to include theory and real-world practice. Students will complete learning modules ranging from cultural competency, relevant health issues, to the process of building a clinic on their own. As part of this real-world practice, health simulations concerning two common global health issues – malaria and cholera, will be incorporated. Accordingly, another major goal is to highlight interprofessional teamwork in diagnosis, prevention, and treatment in a resource-deprived setting. It is recognized that interprofessional interactions vary greatly depending on the nature of the clinic, the location of the clinic, the situation, and resources available. In recognition of the different roles required, there will also be clinical activities that cultivate clinical skills not covered elsewhere in the curriculum.

• MIDS 5411 Healthcare Public Policy

  This elective will educate interested medical, nursing, and health profession students about healthcare public policy in the US. It will cover a broad range of topics, including medical malpractice, reimbursement and revenue systems, insurance practice, controversial policy topics, and how best to contact your local, state, and national representatives. Along with lectures, students will participate in a hands-on activity where they will learn how to create and present a Leave Behind pamphlet.

• MIDS 6411 Healthcare Public Policy

  This elective will educate interested medical, nursing, and health profession students about healthcare public policy in the US. It will cover a broad range of topics, including medical malpractice, reimbursement and revenue systems, insurance practice, controversial policy topics, and how best to contact your local, state, and national representatives. Along with lectures, students will participate in a hands-on activity where they will learn how to create and present a Leave Behind pamphlet.

• MIDS 5418 (Lubbock HSC) Human Trafficking: Awareness and Education

  This elective course will complement the curriculum for medical students by providing a discussion based seminar series in raising awareness on the topic of human trafficking. This course will incorporate lectures from professionals that have firsthand experience in assisting victims and survivors of human trafficking.

• MIDS 6418 (Lubbock HSC) Human Trafficking: Awareness and Education

  This elective course will complement the curriculum for medical students by providing a discussion based seminar series in raising awareness on the topic of human trafficking. This course will incorporate lectures from professionals that have first hand experience in assisting victims and survivors of human trafficking.

• MSCI 6405 (Lubbock HSC) International Health Elective

  This elective is site specific with site specific learning objectives. This elective allows students to experience the challenges of health care delivery with a required physician supervisor/ evaluator in an underserved international setting for 4 weeks.

• MIDS 5401 (Lubbock HSC) Interprofessional Teamwork Honors

  This course focuses on the students’ professional development in assessing the healthcare as a system and practicing high performing interprofessional team skills that are necessary to achieve the six aims outlined by the Institute of Medicine (IOM). While working in interprofessional teams, learners apply their professional knowledge and team skills to resolve and reduce errors of a fabricated sentential event, case study. Experiential activities provide hands-on opportunities for students to develop a broad knowledge of the healthcare system and skills.

• MIDS 6401 Interprofessional Teamwork Honors

  This course focuses on the students’ professional development in assessing the healthcare as a system and practicing high performing interprofessional team skills that are necessary to achieve the six aims outlined by the Institute of Medicine (IOM). While working in interprofessional teams, learners apply their professional knowledge and team skills to resolve and reduce errors of a fabricated sentential event, case study. Experiential activities provide hands-on opportunities for students to develop a broad knowledge of the healthcare system and skills.

• MIDS 5416 (Lubbock HSC) Introduction to Obstetrics and Gynecology

  This elective will educate first and second year medical students about the field of obstetrics and gynecology. Students will gain knowledge about different sub-specialties such as Reproductive Endocrinology and Infertility, Maternal and Fetal Medicine, Female Pelvic Medicine and Reconstructive Surgery and Gynecologic Oncology.

• MIDS 6416 (Lubbock HSC) Introduction to Obstetrics and Gynecology

  This elective will educate first and second year medical students about the field of obstetrics and gynecology. Students will gain knowledge about different sub-specialties such as Reproductive Endocrinology and Infertility, Maternal and Fetal Medicine, Female Pelvic Medicine and Reconstructive Surgery and Gynecologic Oncology.

• MSCI 6404 (Lubbock HSC) Introduction to Anesthesiology Elective

  This elective will introduce the students to the specialty of anesthesia. The student will attend different types of anesthesia in various patient groups. They will participate in a pre-operative patient assessment for anesthesia, assessment of the airway and will learn basic airway management skills through hands-on sessions in the Sim Life Center. The students will be introduced to pharmacology and physiology concepts applied to anesthesia. The will have the opportunity to follow anesthesia residents on the ICU, in OB, observe pain procedures and observe regional anesthesia procedures including brief orientation of the sono-anatomy of certain nerve blocks.

• MSCI 6401 (Lubbock HSC) Introduction to Clinical Research

  At the beginning of the elective, each student will be assigned to a nurse coordinator and will be increasingly involved in working with that coordinator on the studies they are running. An opportunity will be given for the students to choose between various ongoing studies, but this must be done early since they must have passed the CITI training program and have IRB approval to participate in individual studies. Each student should be involved both with studies involving human subjects and those involving chart reviews. It would be anticipated that the students would receive authorship on any publication resulting from studies on which they are involved, provided that their participation is meaningful. Early in the elective, there will be an emphasis on didactic material beginning with discussions about the regulations and ethical considerations related to research in humans, the background for these and the role played by the IRB and an Office of Research Integrity. This will be followed by sessions on how to develop the proposal for a research project from conception of the idea through formulation of a hypothesis and specific aims, compiling the background, constructing the appropriate methods and analysis of results and, finally, a discussion of the potential significance. It will be expected that each student will develop a proposal/protocol during the elective with an ongoing active critique process.

• MIDS 5421 (Lubbock HSC) Introduction to Research

  We define the perceived barriers TTUSHC SOM students have concerning research as limited knowledge in research foundations, institutional opportunities, and scholastic commitment. The aim of our elective would be to deliver informative research content addressing these barriers. The content we plan to present would cover introduction to research types, IRB process, project development, literature searching, finding a mentor, scientific writing, and overall research importance to medical students. Currently, we have the support of both Dr. Cobbs as a research mentor and Dr. Dufour as a faculty elective advisor. Additionally, we have identified multiple faculty members that are willing to present on these topics, as our elective will consist of a series of knowledgeable guest speakers. We intend for this elective to not only provide an appropriate transition for new medical students wanting to pursue research but to correspond an reinforce the other established TTUHSC events such as the SSRP and SRW.

• MSCI 5408 (Lubbock HSC) Introduction to Ultrasound Elective

  The purpose of this elective is for students to obtain more hands-on experience in ultrasound skills and to recognize pathologies frequently observed through ultrasound. There will be a series of 10-30 minute lectures followed by hands-on practice of techniques for that session using ultrasound machines and a few lecture-only sessions. Lectures will be based on systems followed by procedures in the last two sessions. Students will be given the opportunity to shadow either a physician or ultrasound tech to experience when and how ultrasounds are used in a clinical setting. At the end of the elective, students will have greater experience and confidence in using ultrasounds in clinical settings.

• MSCI 6408 (Lubbock HSC) Intoduction to Ultrasound Elective

  The purpose of this elective is for students to obtain more hands-on experience in ultrasound skills and to recognize pathologies frequently observed through ultrasound. There will be a series of 10-30 minute lectures followed by hands-on practice of techniques for that session using ultrasound machines and a few lecture-only sessions. Lectures will be based on systems followed by procedures in the last two sessions. Students will be given the opportunity to shadow either a physician or ultrasound tech to experience when and how ultrasounds are used in a clinical setting. At the end of the elective, students will have greater experience and confidence in using ultrasounds in clinical settings.

• MSCI 6403 (Lubbock HSC) Introductory Neurology Elective

  This rotation exposes the student to basic principles of diagnosis and management of common neurologic conditions. Students learn skills in conducting neurologic exams, identifying signs and symptoms of neurologic disorders, and integrating signs and symptoms into syndromes. Students learn about basic neurologic disorders and neurologic complications of systemic conditions.

• MIDS 5426 Lesbian, Gay, Bisexual, and Transgender Health Education

  This elective course is designed to educate students on the basic aspects of providing care to Lesbian, Gay, Bisexual, and Transgender (LGBT) individuals. These aspects include awareness of the social and behavioral determinants of health that are unique to LGBT individuals, how to use inclusive language during patient interactions, and being informed of the health risks/treatment options associated with this marginalized patient population. This course follows the Fenway Guide to LGBT Health and aims to cultivate clinical skills and competencies for LGBT-centered healthcare, as supported by the American Medical Association.

• MIDS 6426 Lesbian, Gay, Bisexual, and Transgender Health Education

  This elective course is designed to educate students on the basic aspects of providing care to Lesbian, Gay, Bisexual, and Transgender (LGBT) individuals. These aspects include awareness of the social and behavioral determinants of health that are unique to LGBT individuals, how to use inclusive language during patient interactions, and being informed of the health risks/treatment options associated with this marginalized patient population. This course follows the Fenway Guide to LGBT Health and aims to cultivate clinical skills and competencies for LGBT-centered healthcare, as supported by the American Medical Association.

• MIDS 5407 (Lubbock HSC) Medical Business Elective

  This elective will educate first and second year medical students about the fundamentals of business in medicine, be it starting a private practice or working in a hospital. This elective will highlight the fundamentals in accounting, finance, management, and marketing, while providing a list of resources for the students to obtain if they desire to learn more. After completing the fundamental curriculum, basic business applications will be taught. This would include an overview of the current healthcare system, health organization management, electronic health records, billing and coding, reimbursement, advance directives, and wills. Students will be instructed on how to read and understand financial statements, do some simple financial calculations, and utilize common management techniques and concepts. These educational goals are invaluable to anyone interested in a future career in medicine.

• MIDS 6407 (Lubbock HSC) Medical Business Elective

  This elective will educate first and second year medical students about the fundamentals of business in medicine, be it starting a private practice or working in a hospital. This elective will highlight the fundamentals in accounting, finance, management, and marketing, while providing a list of resources for the students to obtain if they desire to learn more. After completing the fundamental curriculum, basic business applications will be taught. This would include an overview of the current healthcare system, health organization management, electronic health records, billing and coding, reimbursement, advance directives, and wills. Students will be instructed on how to read and understand financial statements, do some simple financial calculations, and utilize common management techniques and concepts. These educational goals are invaluable to anyone interested in a future career in medicine.

• MSCI 5403 (Lubbock HSC) MSI International Health Elect

  This elective is site specific with site specific learning objectives. This elective allows students to experience the challenges of health care delivery with a required physician supervisor/evaluator in an international setting for 4 weeks.

• MIDS 5403 (Lubbock HSC) Pre-Hospital Medicine Elective

  This elective will educate first and second year medical students about one of the major routes in which patients enter the healthcare field, namely the emergency room. Students will gain knowledge about what the patient encounters, beginning with first responders, through each subsequent step prior to hospital admission, and thus have a better understanding of the comprehensive care that a patient receives before they present to the ED physician. This educational goal is invaluable to those who are interested in a future career as Emergency Medicine physicians.

• MIDS 6403 (Lubbock HSC) Pre-Hospital Emergency Elective

  This elective will educate first and second year medical students about one of the major routes in which patients enter the healthcare field, namely the emergency room. Students will gain knowledge about what the patient encounters, beginning with first responders, through each subsequent step prior to hospital admission, and thus have a better understanding of the comprehensive care that a patient receives before they present to the ED physician. This educational goal is invaluable to those who are interested in a future career as Emergency Medicine physicians.

• MIDS 6406 (Lubbock HSC) Preventive Medicine Elective

  This elective will educate first and second year medical students about the potential to incorporate preventive practices in medicine. This will involve a series of events including brown bag lectures, film screenings, and round-table discussions. A service component will also be required to complete the course. At the end of the elective, students should have a greater awareness about the need for preventive education for their future patients, and about the various ways in which they can utilize preventive practices as future physicians.

• MIDS 5406 (Lubbock HSC) Preventive Medicine Elective

  This elective will educate first and second year medical students about the potential to incorporate preventive practices in medicine. This will involve a series of events including brown bag lectures, film screenings, and round-table discussions. A service component will also be required to complete the course. At the end of the elective, students should have a greater awareness about the need for preventive education for their future patients, and about the various ways in which they can utilize preventive practices as future physicians.

• MIDS 5419 (Lubbock HSC) Resiliency Peer Program Elective

  The Resiliency Peer Program is in response to the Student Wellness Committee’s identification of a significant need for educating our peers about topics in mental health and burnout prevention. The program is aimed at equipping medical students with tools to better mandage4 stress and reduce burnout by forming a support system of medical students and faculty who are informed about techniques to support student wellness. Currently the program exists in the form of a Spring 2021 elective

• MIDS 6419 (Lubbock HSC) Resiliency Peer Program Elective

  The Resiliency Peer Program is in response to the Student Wellness Committee’s identification of a significant need for educating our peers about topics in mental health and burnout prevention. The program is aimed at equipping medical students with tools to better mandage4 stress and reduce burnout by forming a support system of medical students and faculty who are informed about techniques to support student wellness. Currently the program exists in the form of a Spring 2021 elective

• MIDS 5408 (Lubbock HSC) Rural Health Elective

  This course will present opportunities to heighten understanding of rural health experiences and challenges. The purpose of the Rural Health Elective is to provide students an opportunity to explore and experience the practice of medicine in rural America. It also aims to raise interest in and awareness of the current state of rural healthcare both locally and nationally. Such an elective would aid in furthering TTUHSC SOM’s mission to “meet the growing needs of a diverse and largely rural patient population” and “enhance the health care of communities in the (West Texas) region”.

• MIDS 6408 Rural Health Elective

  This course will present opportunities to heighten understanding of rural health experiences and challenges. The purpose of the Rural Health Elective is to provide students an opportunity to explore and experience the practice of medicine in rural America. It also aims to raise interest in and awareness of the current state of rural healthcare both locally and nationally. Such an elective would aid in furthering TTUHSC SOM’s mission to “meet the growing needs of a diverse and largely rural patient population” and “enhance the health care of communities in the (West Texas) region”.

• MIDS 5410 (Lubbock HSC) Service in Medicine

  “Service-learning” in medical education is important and often overlooked in curricula. Fostering medical student interests in becoming more service-oriented is vital to delivering compassionate and comprehensive care to patients. Multiple studies have observed the link between serving community needs and being a practitioner that is able to understand the environments which factor in to the holistic review of a patient. By establishing an elective that provides both service opportunities and lectures from service-oriented physicians, medical students will be able to have a clear goal on how to combine medicine with service.

• MIDS 6410 (Lubbock HSC) Service in Medicine

  “Service-learning” in medical education is important and often overlooked in curricula. Fostering medical student interests in becoming more service-oriented is vital to delivering compassionate and comprehensive care to patients. Multiple studies have observed the link between serving community needs and being a practitioner that is able to understand the environments which factor in to the holistic review of a patient. By establishing an elective that provides both service opportunities and lectures from service-oriented physicians, medical students will be able to have a clear goal on how to combine medicine with service.

• MSCI 5401 (Lubbock HSC) Surgical Anatomy

  This course will provide an introduction and overview to surgical approaches to different regions of the human body from a clinical perspective. Students will observe and assist surgeons with surgical dissections of cadavers. The experience in Surgical Anatomy will provide students with a relevant correlation of anatomy as applied to surgical procedures.

• MSCI 5402 (Lubbock HSC) The Patient Experience in Film

  Monthly viewing of a film depicting a unique aspect of the patient experience. A smaller group of students enrolled in the elective will be assigned to preview the film and lead the post-film discussion (on a rotating basis). At the end of the year each student will select a film to watch independently and write a report on the unique aspect of the patient experience it portrays and how it will affect their future practice in medicine.

• MSCI 8401 Special Topics in Medicine

  Special topics in medical sciences that are not included in other classes in the medical school curriculum. May not be repeated for credit within an academic year.

• MANE 8401 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Anesthesiology

  This elective is for students interested in anesthesiology and the insights this discipline gives into the application of physiological and pharmacological principles to the care of patients in acute life-threatening situations. Daily lectures, laboratory demonstration, and the pre-operative and post-operative care of patients undergoing anesthesia will enable the student to acquire the basic skills necessary to care for the unconscious and critically ill patient during anesthesia and other similar situations. These skills include airway management, ventilatory support, cardiovascular support, fluid replacement, and intravenous techniques. The student will also have an opportunity to learn the fundamentals of respiratory therapy and its application to patient care.

• MANE 8402 (Covenant Branch HSC, Lubbock HSC) Anesthesiology and Pain Center Elective

  The student will evaluate patients using common pain assessment tools and a focused physical examination under the supervision of the Pain Attendings and Pain Management Fellows in the clinic. They will develop algorithms for treatment including pharmacologic, non-interventional and interventional therapies. The remaining time will be spent observing pain procedures in the operating room and the procedure clinic.

• MCBA 8401 (Lubbock HSC) Advanced Gross Anatomy I

  This elective is a two-week or four-week, in-depth, self-directed review of a selected area of gross anatomy including: head and neck, thorax and abdomen, pelvis and perineum, extremities and back, or anatomical imaging depending on the needs of the student.

• MDER 8401 (Lubbock HSC, Odessa HSC) Dermatology Clinics Elective

  This elective is designed to expose the student to a wide variety of dermatologic conditions with the expectation that at the conclusion of the experience common disorders will be recognizable. The student will participate in clinics (few inpatient consults) observing a variety of dermatologic disorders and dermatologic procedures in both the adult and pediatric patient population. Also offered is exposure to dermatopathology and dermatologic surgery, thus allowing clinicopathologic correlation.

• MDER 8402 (Lubbock HSC) Dermatopathology Elective

  This elective is designed to give 4th year medical students exposure to and experience in dermatopathology.

• MSUR 8423 (Amarillo HSC, Lubbock HSC, Odessa HSC) Emergency Medicine Elective

  The student will be exposed to the wide variety of surgical and medical emergencies seen on a regular basis in the emergency center. Under the supervision of the emergency center attending physicians, students will participate in the management of various emergent conditions including trauma, medicine, pediatrics and obstetrics and gynecology. The student will have ample opportunity to participate and learn the interpretation of EKG, radiologic studies and other diagnostic tests. The student will learn to perform several minor procedures including suturing small lacerations, casting and splinting and placement of central lines and chest tubes.

• MSUR 8401 (Amarillo HSC, Covenant HSC, Lubbock HSC, Odessa HSC) Otolaryngology/Head/Neck Surgery

  This is an advanced experience in the management of patients with diseases of the ear, nose, and throat. This includes diseases of the airway, esophagus as well as head and neck cancer. Included are a series of lectures, rounds, and clinical experiences with a review of pathology. The course is of value to both a primary care physician as well as a student interested in a career as a surgeon.

• MFAM 8401 (Odessa HSC) Family Medicine Preceptorship

  Students are assigned to a variety of practices within the urban or rural area for a supervised exposure to day-to-day practice problems. Emphasis is on the application of clinical skills within the demands and limits of actual practice. Program is sponsored by the Texas Academy of Family Practitioners. Applications must be completed several months in advance.

• MFAM 8402 (Covenant Branch HSC, Lubbock HSC) Palliative Care/Hospice Experience Elective

  This elective allows students to gain additional skills and experience with end-of-life care in a variety of hospice and palliative care settings. Students have the opportunity to work with multidisciplinary care teams that provide holistic medical management of persons near death, with a special emphasis on symptoms and decision management at the end of life.

• MFAM 8404 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Family Medicine Outpatient Elective

  This elective is set in an ambulatory clinic and emphasizes the breadth of family medicine. The student will have an opportunity to care for a wide variety of simple and complicated problems, practice patient counseling and education skills, and to be able to see some patients through a brief illness with follow-up care. Family-oriented health care, family dynamics, preventive care and the team approach to health care are emphasized.

• MFAM 8405 (Amarillo HSC, Lubbock HSC, Odessa HSC) Family Med Subinternship Elective

  Patients of all ages, of both sexes, and with diverse medical problems will be managed in this sub-internship. Emphasis will be given to the total management of the patient, beginning with the ambulatory presentation, continuing through hospitalization and following dismissal from the hospital-coordinated, comprehensive, continuing medical care. The student will be responsible for complete evaluation of the patient, including initial history and physical examination, cost effective utilization of laboratory, x-ray and other procedures and the formulation and pursuit of the management plan, including cogent utilization of consultation/referral services. Emphasis will also be given to participation in community resources, which provide ongoing care of the patient, including Hospice and community health centers. Experience is afforded in the Family Practice Center, the inpatient service of family medicine, certain area nursing homes, and on occasion, in the home of the patient. The student will function with Family Practice residents under the direction of the Family Medicine faculty member assigned to the inpatient service and other Family Medicine faculty members.

• MFAM 8407 Sub Internship in Hospital Medicine Elective

  This rotation will replicate the role of an Intern on a very busy hospital medicine service where the reporting physician is not another resident, but an attending for one on one mentoring. A very broad exposure to the entire swath of inpatient within the Academic Teaching hospital will be experienced.

• MFAM 8406 (Lubbock HSC, Odessa HSC) Geriatric Medicine Elective

  This elective rotation is an introduction to geriatric assessment and evaluation. Topics covered include: physiology of aging, demographics of the aged, long-term care policies and commonly used geriatric evaluation scales, evaluation of function in the aged long-term care.

• MIDS 8402 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) International Health Elective

  This elective is site specific with site specific learning objectives. This elective allows students to experience the challenges of health care delivery with a required physician supervisor/ evaluator in an underserved international setting for 2-4 weeks.

• MIDS 8403 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Clinical Research Elective

  At the beginning of the elective, each student will be assigned to a nurse coordinator and will be increasingly involved in working with that coordinator on the studies they are running. An opportunity will be given for the students to choose between various ongoing studies, but this must be done early since they must have passed the CITI training program and have IRB approval to participate in individual studies. Each student should be involved both with studies involving human subjects and those involving chart reviews. It would be anticipated that the students would receive authorship on any publication resulting from studies on which they are involved, provided that their participation is meaningful. Early in the elective, there will be an emphasis on didactic material beginning with discussions about the regulations and ethical considerations related to research in humans, the background for these and the role played by the IRB and an Office of Research Integrity. This will be followed by sessions on how to develop the proposal for a research project from conception of the idea through formulation of a hypothesis and specific aims, compiling the background, constructing the appropriate methods and analysis of results and, finally, a discussion of the potential significance. It will be expected that each student will develop a proposal/protocol during the elective with an ongoing active critique process.

• MIDS 8407 Oral & Maxillofacial Surgery

• MIDS 8409 (Lubbock HSC) Academic Medicine 1

  The elective’s goal is to provide an introduction into academic medicine to those students interested in teaching and/or research primarily in the area of simulation. Students will be exposed to the potential and operational use of simulation or other media for education, clinical training and research. Over the course of the elective, students will be required to develop an education plan, compose a simulation scenario that meets the educational goals created, execute the educational activity including any materials necessary including assessment tools as well as facilitate debriefing. For those students primarily interested in educational research, the course director and coordinator will assist in providing guidance and support in the students’ area of interest as well as guide the student to present their findings in an appropriate venue whether it is a conference presentation and/or peer reviewed journal.

• MIDS 8410 (Lubbock HSC) Academic Medicine 2 (Medical Writing)

  The elective’s goal is to provide instruction/training for students in scientific/medical writing. Students will be expected to formulate a manuscript proposal, usually based on a care report format and to complete research/literature reviews in a chosen topic area. Students will work with relevant faculty in developing their plan and will receive instruction on manuscript preparation, formatting, referencing, copyediting, etc. Students will also receive instruction on manuscript submission processes, manuscript review and other aspects of the publication process.

• MIDS 8411 (Lubbock HSC) Health Law

  The Health Law elective rotation is designed to provide the MD/JD candidate an overview into the interface between law and medicine. Legal implications in the field of medicine occur almost daily, and having the background in law will vastly enhance a medical student's, and practitioner's, grasp of the expansive responsibilities in one's medical career.

• MIDS 8412 (Lubbock HSC) MD/JD Prep for Bar

  The one month Independent Study MD/JD Elective would allow the TTUHSC student enrolled in the MD/D Program an opportunity to prepare and take the Texas State Bar Exam.

• MIDS 8413 (Amarillo HSC, Lubbock HSC) Point-of-Care Appl Ultrasound

  Ultrasound (US) has become an indispensable diagnostic imaging modality because of it's real-time capability, noninvasiveness, portability, and relatively low cost. This resulted from the fact that imaging with US does not carry the risk associated with the administration of intravenous contrast material or the potential hazards of ionizing radiation. Therefore, many medical and surgical subspecialties have embraced the use of US as an adjunct to or extension of the physical examination. Some have referred to it as the "sonoscope." Others have described US as "the visual stethoscope of the 21st century" The use of US beyond its traditional role with the department of radiology has been termed "point of care" US.

• MIDS 8414 (Odessa HSC) Spanish Immersion and Border Health

  This course would occur in Presidio. Texas at Presidio County Medical Clinic over a one month period. The student would see Spanish-speaking patients at least a half day each of the 5 days per week. The other time would be dedicated to Spanish language instruction and work on a Presidio-Ojinaga Binational Health Council project. At least one day of the month long course would involve a tour of Ojinaga, Mexico health care facilities if TTUHSC travel restrictions allow. The hours would be 8AM to 5PM Monday through Friday. No hospital call would be included in the course.

• MIDS 8415 (Lubbock HSC) Health Care Policy

  This course will provide the students an introduction to health care policy. They will learn to follow bills through the legislative process to statutes and then follow the statue to rulemaking at the agency level. The student will learn advocacy from different perspectives and be able to discuss the governance of public health agencies. They will be introduced to the process of writing a white paper for government use.

• MIDS 8417 (Lubbock HSC) Medical Humanities Capstone

  This fourth year elective course will provide medical students with an intensive study of the Medical Humanities and their relation to the practice of medicine through an immersion experience in the medical humanities. The goal of this course is to provide students with a broad exposure to medical humanities including history, literature, art history, media studies, philosophy, law, ethics, religion, theology, anthropology, psychology, sociology, and other arts and sciences-to study (a) the context of medicine, (b) the experience of medicine, (c) the goals of medicine, and (d) concepts in and of medicine. It is expected that students will spend 15-20 hours a week on reading assignments and 15 hours per week in seminar discussion.

• MIDS 8420 (Lubbock HSC) Thinking in 3D: An introduction to 3D Printing and Medical Imaging

  This two week, 2-credit elective is designed to provide the fourth-year medical student with the basic competencies in 3D modeling and printing using medical imaging data. The student will assess medical scan data to determine the appropriate method for the 3D conversion. Collaboratively, the student explores applications of relational thinking as it applies to the 3D modeling process and everyday medical practice. At the end of the rotation, the student is given a case-study to examine, diagnose and develop a 3D application for the prognosis.

• MIDS 8421 (Lubbock HSC) Introduction to Correctional Healthcare

  Correctional Healthcare involves more than just seeing a freedom impaired patient. Providing care of the Texas Department of Criminal Justice (TDCJ) prisoners involves health care policy at a state level, medical needs that must be met in conjunction with security, transportation and safety both the patient and the health care provider and a strict quality program that meets statute. During this two week rotation, the student will spend one week with administration who administer a $125M per year contract. This will involve policy meetings along with meetings with security, medical, pharmacy and psychiatry providers. The student will also have formal training in the techniques of providing telemedicine. The second week will involve 2 ½ days seeing and understanding the growing psychiatric needs of these patients and 2 ½ days understanding how a hospital is managed inside a state prison. The student will have the opportunity to review a new text book on Health Systems Science.

• MINT 8402 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Cardiology Elective

  This ward-based consult service elective consists of daily review of electrocardiograms and echocardiograms, cardiology consultation rounds, Cardiac Care Unit teaching rounds, weekly cardiology teaching conferences, and cardiac catheterization conferences. The student will prepare a review of an assigned topic for the weekly cardiology conferences. Bedside cardiovascular examination and management will be stressed.

• MINT 8403 (Amarillo HSC, Lubbock HSC, Odessa HSC) Endocrinology Elective

  This elective includes inpatient and outpatient care, weekly conferences in clinical and basic endocrinology, and research activity if desired. The student will have an opportunity to work-up and manage patients with a wide variety of both chronic and acute endocrinological and metabolic disorders. Patients with hypertension, especially those known or suspected to be caused by an endocrine disease, will also be seen.

• MINT 8404 (Amarillo HSC, Covenant Branch HSC, Odessa HSC) Gastroenterology Elective

  This elective provides opportunities for learning office practice of gastroenterology including evaluation of patients with peptic ulcer disease, malabsorption, liver disease, etc. Extensive outside reading will be required. The student may be involved in direct patient care in a hospital setting.

• MINT 8405 (Amarillo HSC, Lubbock HSC, Odessa HSC) Infectious Diseases Elective

  This ward-based elective offers the student an opportunity to evaluate and care for patients with infectious diseases and to gain an understanding of the clinical microbiology procedures important in the care of these patients. HIV and AIDS will be discussed. Each student will be encouraged to prepare and present one seminar or write a paper on a subject of his/her choice. Time for independent study will be allowed.

• MINT 8407 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Nephrology Elective

  This elective offers clinical experience in the diagnosis and management of patients with acute and chronic renal failure, hypertension, fluid and electrolyte imbalances, acid base disturbance, parenchymal renal diseases, etc.

• MINT 8408 (Amarillo HSC, Lubbock HSC) Pulmonary Medicine Elective

  This elective is offered to the student for clinical experience in pulmonary disorders, emphasizing acute and chronic respiratory failure, intensive respiratory care, and interpretation of pulmonary function tests and chest x-rays.

• MINT 8409 (Odessa HSC) Rheumatology Elective

  This elective offers an in-depth look at the clinical array of rheumatologic disorders. Students will be exposed to inpatients and outpatients with emphasis on diagnosis and long-term management of common rheumatic diseases. Depending on the student's level of proficiency and interest, the student may be allowed to participate in procedures such as joint aspiration and injection, and will interpret synovial fluid studies. Students will learn the correct indications and monitoring of common rheumatic drugs and the fundamentals of rheumatic rehabilitation.

• MINT 8410 (Lubbock HSC) Allergy/Immunology Elective

  This ambulatory consult service elective offers the student an opportunity to evaluate and manage patients with allergic disorders, such as allergic rhinitis, bronchial asthma, urticaria/angioedema, food and drug allergy, stinging insets allergy, immunodeficiency disorders, etc. Different topics in allergy and clinical immunology will be discussed two to three times per week. Students may also take a combined Ambulatory Allergy, Rheumatology, and Clinical Immunology rotation.

• MINT 8411 (Lubbock HSC) Radiation Oncology

  The field of radiation oncology is an intellectually challenging field, providing curative therapy and close longitudinal doctor-patient relationship. This elective may be taken by itself or combined with the hematology-oncology elective.

• MINT 8413 (Amarillo HSC) Hospice Elective

  The student will observe hospice patients in both inpatient and outpatient settings, making daily inpatient rounds, accompanying hospice team members on some home visits, and meeting with the hospice team to discuss management problems. Reading will focus on common management problems, with an emphasis on competent pain management.

• MINT 8417 (Amarillo HSC) Women¿s Health Student Selective

  Women's Health is a division of the Department of OB/GYN with fulltime faculty of board-certified internists Marjorie Jenkins, M.D. and Joanna Wilson, D.O. Departments with faculty participating in student instruction during the rotation include Internal Medicine, General Surgery, and Radiology. The rotation objectives incorporate Texas Tech's vision, goals, and objectives as stated in the Institutional Educational Vision, Goals, and Objectives publication.

• MINT 8418 (Lubbock HSC) Heart Station

  This rotation is a non-patient contact rotation. It will consist of reading and interpreting ECGs.

• MINT 8422 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Hematology/Oncology Outpatient Rotation

  This rotation in Hem/Onc clinic prepares the student in an outpatient setting where they get exposed to patients with hematological and medical oncology conditions. The aim is to make students more comfortable and confident in doing focused and time limited interaction in an outpatient setting and expose them to supportive management of chronic blood dyscrasias and the cancer patient. Highly recommended for students pursuing careers in Internal or Family Medicine.

• MINT 8423 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Internal Medicine Outpatient Elective

  This elective rotation in internal medicine’s multispecialty clinic prepares the students in ambulatory medicine where they are exposed to outpatients in various disciplines of medicine. The aim is to make students more comfortable and confident in doing focused and time-limited interaction in an outpatient setting, which is where most will practice in the future. Highly recommended for students pursuing career in internal or family medicine.

• MINT 8425 (Lubbock HSC, Odessa HSC) Hematology Elective

  This 2-4 week elective enhances students' knowledge and skills in the field of hematology. It is an inpatient primary and consult service where the student manages 2-4 patients every day and participates in procedures like bone marrow aspiration/biopsy. This rotation is recommended for students pursuing career in Internal or Family Medicine.

• MINT 8426 (Amarillo HSC, Lubbock HSC, Odessa HSC) Internal Med Subinternship Elective

  This ward-based, primary care sub-internship provides the student an individualized, case-oriented experience as a sub-intern on a general medicine ward service, designed to be the natural extension of the third year clerkship. Each student will work closely with a senior resident, have primary patient responsibility, take night call with his/her team, have patent care responsibilities like an intern with close supervision by the senior resident, be assigned readings and give mini-lectures on selected subjects, and attend the regularly scheduled teaching conferences of the Department of Internal Medicine. This sub-internship is strongly recommended for students planning to pursue a career in internal medicine.

• MINT 8427 (Lubbock HSC) Cardiac Intensive Care Unit Elective

  The student will gain experience in managing common medical emergencies, including cardiopulmonary arrest, hypertension, acute myocardial infarction, cardiogenic shock, and congestive heart failure. The student will also become familiar with the various procedures for surgical intervention, ventilation and medication delivery in the CICU.

• MINT 8428 (Lubbock HSC) Medical Intensive Care Unit Elective

  The student will gain experience in managing common medical emergencies, including cardiopulmonary arrest, drug overdose, hypertension, acute myocardial infarction, cardiogenic shock, congestive heart failure, renal failure, and diabetic ketoacidosis. The student is also expected to become proficient in the evaluation and management of common chest problems. These include asthma, chronic obstructive pulmonary disease, pleural effusions, peri-operative complications, pneumonia, atelectasis, respiratory failure, pulmonary function tests, and chest x-rays. The student will also become familiar with the various types of mechanical ventilators, oxygen delivery systems, and methods of delivering inhaled medication.

• MINT 8429 (Amarillo HSC, Covenant Branch HSC, Odessa HSC) Medical/Cardiac Intensive Care Unit (MICU/CICU Elective)

  The student will gain experience in man aging common medical emergencies, including cardiopulmonary arrest, drug overdose, hypertension, acute myocardial infarction, cardiogenic shock, congestive heart failure, renal failure, and diabetic ketoacidosis. The student is also expected to become proficient in the evaluation and management of common chest problems. These include asthma, chronic obstructive pulmonary disease, pleural effusions, peri-operative complications, pneumonia, atelectasis, respiratory failure, pulmonary function tests, and chest x-rays. The student will also become familiar with the various types of mechanical ventilators, oxygen delivery systems, and methods of delivering inhaled medication.

• MIDS 8401 (Amarillo HSC, Lubbock HSC, Odessa HSC) Biomedical Information Management Elective

  This elective is designed to provide the student with basic competencies in biomedical information management. The student is primarily taught the basics of searching the biomedical literature via PubMed. Searching EBM Reviews, MICROMEDEX, PDQ, TOXNET, and other biomedical literature databases are addressed as needed. The student is assigned take-home practice exercises to strengthen their literature searching skills. At the end of the rotation, the student is given a brief practical examination of his/her abilities to search these tools.

• MNEU 8401 (Amarillo HSC, Lubbock HSC, Odessa HSC) Neurology Elective

  This rotation exposes the student to basic principles of diagnosis and management of common neurologic conditions. Students learn skills in conducting neurologic exams, identifying signs and symptoms of neurologic disorders, and integrating signs and symptoms into syndromes. Students learn about basic neurologic disorders and neurologic complications of systemic conditions.

• MOBG 8404 (Amarillo HSC, Odessa HSC) Obstetrics and Gynecology Elective

  This elective includes experience in office and hospital obstetrics and gynecology, family planning, gynecological surgery, and formal and informal conferences. The schedule is flexible to accommodate special interest of the student.

• MOBG 8405 (Amarillo HSC, Odessa HSC) Perinatal Medicine Elective

  The student will gain experience in high-risk obstetrics clinic, antepartum unit, labor and delivery, and formal and informal conferences. The student will become knowledgeable in the antepartum and intrapartum diagnosis and treatment of medical and obstetrical complications of pregnancy, i.e., diabetes mellitus, hypertension, and pre-eclampsia. The student will also obtain experience with ultrasound. The schedule includes ward and clinic experience.

• MOBG 8409 (Amarillo HSC, Lubbock HSC, Odessa HSC) OB/GYN Outpatient Elective

  This four week Gynecology elective will provide the student with the opportunity to manage patients that present to clinic and the EC with gynecologic complaints and participate in and care for patients that undergo gynecologic surgery. On days assigned to the operating room the student will be expected to: prepare for and perform as a surgical assistant for assigned gynecologic cases, communicate with operating room nursing and ancillary staff, and become proficient in preoperative 'time out', and illustrate proper aseptic technique, and patient positioning in the operating room. Prior to surgical cases the student will review the surgical steps for and complications of commonly performed gynecologic surgeries. The student will have the opportunity to gain experience in eye-hand coordinated movements relevant to basic laparoscopy in the simulation lab and with knot tying using a self-directed suture curriculum. The student will demonstrate effective communication skills regarding patient sign out and hand off, recognize and participate in systems improvements, and communicate with nursing and ancillary staff to promote teamwork, and patient care. The student will prepare for and attend Friday afternoon didactics including preoperative surgical conference.

• MOBG 8411 (Amarillo HSC, Lubbock HSC, Odessa HSC) Gynecology Subinternship Elective

  This four week Sub Internship will provide the student the opportunity to function as a first year resident on the Gynecologic service. The student will evaluate, present, and manage patients that present to clinic and the EC with gynecologic complaints and participate in and care for patients that undergo gynecologic surgery. On days assigned to the operating room the students will be expected to: prepare for and perform as a surgical assistant for assigned gynecologic cases, communicate with operating room nursing and ancillary staff, and become proficient in preoperative 'time out', and illustrate proper aseptic technique, and patient positioning in the operating room. Prior to surgical cases the student will review the surgical steps for and complications of commonly performed gynecologic surgeries as well as recent literature in regard to surgical outcomes. The student will gain experience in eye-hand coordinated movements relevant to basic laparoscopy in the simulation lab and with knot tying using a self-directed suture curriculum. The student will demonstrate effective communication skills regarding patient sign out and hand off, recognize and participate in systems improvements, and communicate with nursing and ancillary staff to promote teamwork, and patient care. The student will prepare for and attend Friday afternoon didactics including the participation in preoperative surgical conference.

• MOBG 8412 (Amarillo HSC, Lubbock HSC, Odessa HSC) Maternal Fetal Medicine Sub-Internship Elective

  This four week Sub Internship will provide the student the opportunity to function as a first year resident on the MFM service. The student will gain ample exposure on the rotation in order to develop the skills to recognize the clinical and laboratory diagnosis of medical, surgical, and obstetric complications of the high-risk pregnancy. The student will formulate a history, perform a focused exam and create a management plan for a high risk obstetric patient. The student will also correctly perform the basic components of a level 1 ultrasound including assessment of: presentation, placentation, biometry, and amniotic fluid volume.

• MOPH 8401 (Amarillo HSC, Lubbock HSC, Odessa HSC) Clinical Ophthalmology Elective

  This elective will consist of an extensive exposure to clinical ophthalmology in a private practice setting. The student will be exposed to acute and chronic eye disease in addition to ophthalmic surgery. The main objective of this elective will be to teach the student how to conduct a thorough examination of the eyes and to orient the student to the common eye conditions that every physician should be able to diagnose and treat.

• MORS 8401 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Orthopaedic Surgery Elective

  Students will be assigned to an orthopaedic Faculty member and participate as a member of the orthopaedic team in inpatient and outpatient care, emergency room, and operating room activities. Students should perform history and physical examinations upon all patients admitted by the attending surgeon and present these work-ups for evaluation. Each student will prepare a presentation for the teaching conference on a subject assigned by a Faculty member. The student will attend all orthopaedic conferences. This elective is for those students interested in surgical specialties or an in-depth experience in orthopaedic surgery.

• MPAT 8403 (Lubbock HSC, Odessa HSC) Surgical Pathology

  This elective will introduce the student to the role of tissue examination in modern medicine. The student may be involved in a variety of experiences, including Gross examination of surgical pathology specimens, Processing and staining tissue, Frozen-section examination, Light microscopic diagnosis, Cytopathology, Autopsy pathology, and Electron microscopy. Clinical correlation of gross and microscopic findings is emphasized, and there will be a close affiliation with the surgical services and subspecialties. The proportion of time spent in these areas will be tailored to the student's interests. One formal presentation on a laboratory topic of the student's interest will be required in the four-week experience. Attendance and participation in a variety of surgical pathology and inter-service conferences are encouraged. Call is not generally required, but it may enhance the autopsy and surgical pathology experiences.

• MPED 8401 (Lubbock HSC) Adolescent Medicine Elective

  This elective is designed to help students acquire good interviewing skills, a basic knowledge of adolescent physical and psychosocial development, an understanding of adolescent gynecology, basic skills in evaluation and management of sexually transmitted diseases, knowledge of nutrition and eating disorders in teenagers, management of common skin disorders, ability to identify common orthopaedic problems, knowledge of psychosocial disorders common in adolescents, and insight into the common medical complaints and problems in this age group as well as chronic illnesses seen in adolescents. Students will also gain insight into the legal issues and become familiar with the interface between the adolescent health facility, community agencies and institutions.

• MPED 8403 (Amarillo HSC, Lubbock HSC, Odessa HSC) Pediatric Endocrinology/Metabolism Elective

  This elective provides exposure to outpatient management of common pediatric endocrine problems. Included will be growth assessment, Type 1 diabetes, congenital hypothyroidism, acquired hypothyroidism, hyperthyroidism, precocious puberty, delayed puberty, congenital adrenal hyperplasia, diabetes insipidus, and disorders of calcium regulation. Limited exposure to inpatient consultations is anticipated. Indications for common endocrine laboratory tests and their interpretation will be reviewed. Endocrine aspects of common pediatric clinical situations will be discussed.

• MPED 8405 (Lubbock HSC) Pediatric Infectious Diseases Elective

  The objective of this elective is to familiarize the student with the clinical and microbiologic approach to common pediatric infectious disease problems. The student will become familiar with the different classes of antimicrobial agents and learn when and how to select appropriate empirical antibiotic therapy. The student will participate in the differential diagnosis of pediatric patients presenting with signs and symptoms of an infectious disorder. The student will learn the appropriate laboratory tests and culture techniques for isolation and identification of bacterial, viral, fungal, and parasitic pathogens. Epidemiology and infection control of specific infectious pathogens will be discussed. This elective is primarily an inpatient consultation rotation involving the teaching hospital and two private hospital services with one weekly outpatient clinic for follow-up and consultation. Opportunities for research projects may be available if desired.

• MPED 8408 (Amarillo HSC, Odessa HSC) Pediatric Cardiology Elective

  Students will be provided many opportunities to learn a variety of cardiac problems in pediatric patients. The student will observe or participate in any activities that the pediatric cardiologist will perform in the diagnosis and management of children with cardiac diseases. The student will become familiar with the interpretation of normal and abnormal cardiac manifestations and physical findings of cardiac defects in children. The student will observe non-invasive and invasive diagnostic procedures and will be encouraged to interpret electrocardiograms, echocardiograms, and cardiac catheterization data. The student will also have an opportunity to observe cardiac surgery and follow the patient post-operatively with the cardiologist. Sufficient physiopathological background will be provided to make the cardiac problems more comprehensible through lectures, case discussions, and review of pathologic specimens.

• MPED 8410 (Amarillo HSC, Lubbock HSC) Pediatric Hematology/Oncology

  The purpose of this elective is to provide clinical experience to common problems in hematology and oncology by direct contact with patients. At the end of the rotation, students will be able to learn the essential knowledge in evaluating, diagnosis and managing patients with hematologic and oncologic problems, including those related to anemia, coagulation, lymphomas, leukemias and certain solid tumors, and hematologic and oncologic emergencies. The emphasis will be place on establishing the rapport with patients, logical approach for differential diagnosis, planning the management according to evidence-based medicine for each clinical situation and condition. Students may also participate in diagnosis procedures including lumbar puncture and bone marrow examination.

• MPED 8411 (Amarillo HSC) Pediatric Nephrology

  The purpose of this elective is to familiarize the student with common problems in pediatric nephrology seen in a general pediatric clinic. The student will have the opportunity to interact directly with patients and their caregivers, obtain history and physicals, and discuss common presentations of renal problems in children. It will also allow the student to obtain first hand insight in the medical and psychological problems associated with children who have chronic diseases. The clinics are held every Tuesday. The student will be allowed to have first contact with patients in either the clinic or the hospital. The student will formulate evaluation and treatment plans in conjunction with the pediatric nephrologist. The student will be given many opportunities to participate in all aspects of care of the child with renal problems.

• MPED 8412 (Amarillo HSC) Pharmacology & Therapeutics

  This elective is designed to help students understand drug therapy in the management of adult as well as pediatric patients. During this rotation, the student will present several cases from among inpatients either in the Departments of Internal Medicine or Pediatrics. This will be followed by a discussion of the different medication used. By the end of this rotation, the student should be familiar with pharmacokinetics, mechanism of action, indications, contraindications, side effects, dosage, and drug interactions of the most commonly used medications.

• MPED 8415 (Covenant Branch HSC) Pediatric Neurology Elective

  This elective provides exposure to outpatient management of common pediatric neurology problems. Included will be delays in developmental milestones, ataxia, change in sensorium, diplopia, headache, head trauma, hearing concerns, gait disturbance, hypotonia, lethargy, seizure, tremor, vertigo, visual disturbances, and weakness. Limited exposure to inpatient consultations is anticipated. Indications for common neurologic laboratory tests and their interpretation will be reviewed. Neurological aspects of common pediatric clinical situations will be discussed. At the end of the rotation, the student should be able to recognize common neurologic disorders and their presentations.

• MPED 8417 (Lubbock HSC) Genetics

  This 4-week rotation offers students the opportunity to participate in all aspects of a comprehensive clinical genetics program including clinical consultations and laboratory testing. The student will participate in genetic evaluation/counseling sessions and observe the cytogenetic/molecular testing that ensues from patient interactions. Students are encouraged to select one patient/family of interest and compile a short case presentation or report by the end of their rotation.

• MPED 8418 (Lubbock HSC) Child Abuse and Neglect Elective

  This elective is designed to prepare future clinicians to successfully identify and refer cases of suspected child abuse and neglect. Learning sessions will be provided on the following topics: Physical abuse and neglect, Sexual abuse, Multidisciplinary work, and Expert medical testimony. Students will have the opportunity to work with professional mentors within the community from the District Attorney's Office, the Police Department, and Children's Protective Services. The student will observe evaluations of children who are suspected victims of abuse and/or neglect with a pediatrician and the sexual assault nurse examiners.

• MPED 8419 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Pediatrics Outpatient Elective

  The purpose of this elective is to familiarize the student with the breadth and depth of Pediatric practice. During this rotation the student will be involved in the evaluation and management of patients being seen for a wide variety of problems to include well-child visits, acute minor illnesses commonly seen in a pediatric practice, longitudinal care for chronic conditions, and subspecialty practice in the ambulatory setting. During this elective, the student will be expected to demonstrate initiative in evaluating and managing the patients they see. They will be challenged to formulate and justify a diagnosis and management plan that is consistent with the age of the patient as well as their chief complaint.

• MPED 8420 (Odessa HSC) Pediatrics Allergy and Immunology

  This one month training experience provides the opportunity for a senior medical student to gain in depth experience with the diagnosis and management of asthma, allergy and immunodeficiency. Outpatient clinical encounters are complemented by reading, presentations and projects depending on student's interest. Clinical experience occurs in the outpatient setting at the office of west Texas allergy Midland. Students are expected to understand the role of the primary care practitioner in prevention related to allergy and immunology.

• MPED 8421 (Covenant Branch HSC) Preparation for Residency in Pediatrics (PREP)

  This course will allow students to have an in depth experience focusing on preparation for internship in pediatrics. Students will engage in simulation as well as small group discussions and activities. Students will also complete a standardized hand off curriculum and practice multiple patient management skills (fielding phone calls from nursing staff, addressing acute clinical changes in patients, writing orders and medication prescriptions, working with consultants and other health care team members, etc.). There will also be a focus on wellness and resiliency strategies for residency.

• MPED 8422 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Pediatric Subinternship Elective

  The student will work as a member of a team caring for patients admitted to the pediatric inpatient service. During this elective, the student will have an opportunity to learn to formulate problem lists, management, and follow-up plans for hospitalized pediatric patients. The student assumes the role of extern and takes call with the residents.

• MPED 8423 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Neonatal Intensive Care Elective

  This selective/elective is designed to familiarize the student with perinatal-neonatal physiology, high-risk factors associated with neonatal disease pathophysiology diagnosis and management of common neonatal problems, dealing with acute neonatal emergencies, and communicating with parents of high-risk neonates. The students’ primary responsibility will be the total management and supervision of assigned patients. Students will also be expected to participate in daily rounds, night call, weekly discussion group on neonatal-perinatal diseases and presentation of a review on a selected aspect of neonatal-perinatal medicine towards the end of the rotation.

• MPED 8424 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC) Pediatric Intensive Care Unit Elective

  The student will be exposed to many pediatric critical care conditions including sepsis, trauma, ARDS, DKA, asthma, and other potentially life threatening conditions. The student will serve as an acting intern with direct patient care responsibilities. The student will make daily rounds with the attending physician. The student will have an opportunity to learn about and perform procedures such as spinal taps, airway management procedures (including intubations and BVM), A-line, central lines, chest tubes, and catheter placement. Emphasis will be placed on physiology and pathophysiology, recognition of common acute life-threatening illnesses/injuries, and stabilization of the critically-ill pediatric patient.

• MPED 8426 (Covenant Branch HSC) Pediatric Emergency Medicine

  This course is for fourth year medical students interested in increasing their exposure to pediatric emergency medicine. This course is an elective and does not fulfill requirement for ED/ICU rotation.

• MORS 8402 (Covenant Branch HSC, Lubbock HSC) Physical Medicine/Rehabilitation

  This rotation will introduce the basic concepts of physical medicine and rehabilitation. The student will learn techniques of obtaining a complete medical history for patients experiencing musculoskeletal pain. The rotation will also stress the development of an efficient and complete neurological and musculoskeletal examination that will assist the student in developing a differential diagnosis for future patients they may see. The student will be exposed to the total spectrum of the specialty.

• MPSY 8401 (Lubbock HSC) Adult Inpatient Psychiatry Elective

  This elective is designed to give the student an opportunity to work with hospitalized inpatients suffering from major psychiatric disorders (affective disorders, schizophrenia, and organic mental disorders). Special emphasis is placed on diagnosis and formulation of treatment plan. In addition, the student will be exposed to those treatment modalities not provided as an outpatient. This would include electroconvulsive therapy (ECT). The student also will have an opportunity to be a part of a multidisciplinary approach to the diagnosis and treatment of inpatient population.

• MPSY 8409 (Lubbock HSC) Substance Use Disorder Treatment

  Substance use disorder detection and treatment is a vital part of medical practice. Given the prevalence of alcohol and drug addiction and the severity of its potential medical and psychological consequence for patients and their families, it is important that medical students have a solid foundation in this area. A new two-week rotation will be available starting in late August of each year that will be available to 10 interested students on a competitive selection basis. One week of this experience will involve training at the Betty Ford Center in Rancho Mirage, California. The week long program is experiential in nature, allowing participants to spend the majority of their time immersed in the same activities as the patients or family members. In addition, there are supplemental presentations provided to augment understanding of the disease of addiction. Participants will either participate in the Inpatient Program, the Residential Day Treatment Program, or the Family Program. This experience will involve participating in treatment activities as well as multidisciplinary treatment planning meetings. Participants will also meet as a group daily during that week to discuss their experiences in each of these programs. Two faculty members will also participate and will be involved in the same activities as the student participants. Costs of travel, lodging, and food will be provided for this training at the Betty Ford Center. The second week of the rotation will involve further discussion of the experience as well as preparation of a Medical Student Grand Rounds presentation to share with your fellow students your experiences and to discuss what you learn regarding the importance of substance use disorder detection and treatment. This is a unique training experience that is being made available to TTUHSC medical students through a generous donation. The donor's interest is in preparing future physicians to optimally deal with evaluating and guiding patients to appropriate treatment when substance use is an issue. The Betty Ford Center is one of the premier treatment facilities in the country and its program serves as a template for most of the substance use disorder treatment programs existing today. Interested students will be asked to complete a brief essay regarding their interest and goals for participating in the program and participant selection will be based on the essays and academic performance.

• MPSY 8411 (Amarillo HSC, Lubbock HSC, Odessa HSC) Psychiatry Outpatient Elective

  This rotation is designed to give students experience in evaluation, diagnosis, and management of patients with psychiatric illnesses. Students will engage in diagnostic assessment, formulation of a treatment plan and provision of psychotherapy and/or psychopharmacologic treatment. The student is expected to interact with patients and participate in discussions of treatment options.

• MPSY 8413 (Lubbock HSC) Child/Adolescent Psychiatry Ambulatory Rotation

  This rotation will familiarize students with common psychiatric diagnoses and therapies for children and adolescents. Student will observe and participate in the evaluation and treatment of children/adolescents in outpatient and consults services. Particular emphasis is given to improve student skills in the areas of clinical judgment and decision-making. Students are encouraged to take increasing amounts of patient care responsibility while under close supervision. The student will attend family meetings and other relevant meetings. The student is expected to lead at least 4 comprehensive child/adolescent psychiatric interviews, assess at least 2 child/adolescent inpatient consults and present at least 1 case to the attending using a biospsychosocial formulation model for treatment plan. Depending on length of rotation the above will be modified.

• MPSY 8414 (Lubbock HSC) Adult Psychiatry Consultation and Liaison Elective

  Students will be instructed by first demonstrating to them a psychiatric interview and evaluation including a mental status exam. The students will be given opportunities to participate during consultations and be given feedback afterward. During the second week of this elective the student will formally be evaluated through observation of a psychiatric interview including a mental status exam. The student will be given written materials regarding the procedure of a psychiatric consultation and liaison in the medical hospital setting. The student will have opportunities to discuss this during the first week of this elective. The student will observe faculty and staff responding to consultative questions in a medical hospital setting. During the second week of this elective the student will be asked to discuss the procedure of a psychiatric consultation in a medical hospital setting. The student will be present during rounds by the consultation and liaison team. Through observation and discussion with the team the student will familiarize themselves with the most common presentations of delirium. The student will also gain knowledge through observation, participation and discussion regarding the most common psychiatric consultation and liaison questions in a general medical hospital setting during this elective. The student will be evaluated on participation in discussions with team.

• MPRM 8401 (Amarillo HSC, Lubbock HSC, Odessa HSC) Public Health Elective

  This rotation is designed to teach fourth-year medical students principles and methods of population health practice and research. Students will spend approximately three half-days per week with clinical and public health practice activities at the City of Amarillo Department of Public Health, City of Amarillo Department of Environment Health, City of Amarillo Department of Emergency Management, and Region I Texas Department of State Health Services. These activities will include participation in tuberculosis treatment clinics, refugee screening clinics, communicable disease control activities, zoonosis control, restaurant inspection, disaster preparedness, planning, and population health policy development. The remainder of the time the student will do required reading in population and occupational medicine, and plan and participate in population health research activities. During this clerkship student will be expected to write a paper of quality acceptable for publication in peer-reviewed literature. Students will meet regularly with the Course Director but should be sufficiently self-motivated to complete a short research project with limited faculty input. Institutional Review Board (IRB) training (which can be one on-line) must be completed prior to beginning the clerkship.

• MRAD 8401 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Radiology Elective

  The student will observe and participate in all phases of radiological diagnosis to include fluoroscopy, plain film interpretation, special procedures, nuclear imaging, diagnostic ultrasound, and computed tomography where available. A radiological teaching file is provided for study purposes, and the student is expected to spend a portion of the time reviewing this file. Attendance at intra-departmental conferences is expected.

• MSUR 8402 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC) Pediatric Surgery Elective

  The student will be permitted to review and participate in the care of surgical diseases of infants and children, including the operative management of premature infants with congenital defects, pre-/postoperative care in the neonatal unit, Pediatric Intensive Care Unit, and diagnostic radiology in acute pediatric surgical disease. The student will be introduced to the delicate techniques and manipulative skills necessary in the care of these patients.

• MSUR 8403 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Plastic Surgery Elective

  The elective is designed to acquaint the student with the basic principles of plastic and reconstructive surgery including burns, cosmetic surgery, and trauma to extremities. Also included is an introduction to the principles of microsurgery. The student observes as well as participates in the pre-, post-operative and follow-up for such patients.

• MSUR 8406 (Lubbock HSC, Odessa HSC) Vascular Surgery Elective

  This elective exposes the medical student to patients with diseases of the vascular system including peripheral arterial occlusive disease, carotid stenosis, diseases of the venous and lymphatic system. The student will gain advanced knowledge of the pathophysiology of these diseases and the workup and management. The student will learn to evaluate these patients clinically, using non-invasive tests such as Duplex and invasive evaluation including angiography. The student will see and take care of vascular patients and this includes initial evaluation, management plan and participating in the treatment endovascular or operative. The student will follow these patients postoperatively in the intensive care until discharged.

• MSUR 8407 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) Neurosurgery Elective

  This elective is designed to expose the students to the specialty of neurosurgery. The student will be exposed to both outpatient and inpatient care. During this rotation the student will have the opportunity to participate in the management of patients with various neurosurgical diseases including brain tumors, aneurysms, and disorders of the spine. The student will also have strong exposure to neurosurgical trauma including operative management of intracranial bleedings and management of increased intracranial pressure. The student will actively participate in the patient's care pre-, intra- and postoperatively and make daily rounds with the neurosurgery service both on the floor and in the intensive care.

• MSUR 8408 (Amarillo HSC, Lubbock HSC) Surgical Oncology Elective

  By direct involvement in the clinical practice, the 4th year student will be exposed to cancer patients at all stages of presentation, during treatment and surveillance, and at relapse and or with advanced disease. A series of didactic lectures regarding basic principles in oncology, screening recommendations, and clinical and pathologic staging supplements the office and bedside evaluation of cancer patients so that the objectives of understanding adult cancer issues as listed above can be met. Patients are referred to the surgical oncology division and will be evaluated by the 4th year student in the presence of the surgical oncology division Faculty. Thorough history evaluation, review of previously obtained imaging studies and laboratory results, and review of previously obtained pathology slides will be incorporated into a general discussion for that particular patient's cancer or tumor. The 4th year student will be directly involved in patient discussions regarding evaluation and treatment. There will be a continuity of care inasmuch as pathology slides are reviewed, ordered imaging studies are reviewed and applied to ongoing or definitive decision making, and the 4th year student will have the opportunity to evaluate patients on the hospital wards and during return visits to the clinical office practice. The close shadowing relationship with division of surgical oncology Faculty allows for a comprehensive experience and continuity. The 4th year student will be present during office practice hours on specific days including Monday afternoon at the VA Medical Center, Tuesday morning at the Texas Tech Office Practice, and Thursday afternoon at the Texas Tech Office.

• MSUR 8409 (Amarillo HSC, Lubbock HSC, Odessa HSC) Female Breast Disease and Treatment

  This elective is designed to expose the 4th year medical student to and educate him/her in all aspects of female breast disease. The student will participate in the outpatient clinics evaluating patients and participate in the diagnosis and treatment of benign and malignant disease. The student will assist on breast biopsies in the outpatient clinic and will assist at hospital operative procedures. The student will spend time with the medical oncologist in the outpatient setting and at the Infusion Center. The student will also spend time at the Breast Imaging Center assisting with mammography and ultrasound.

• MSUR 8413 (Lubbock HSC) Surgical Residency Preparatory Elective

  This course is designed to provide MS4 students who intend to match to a surgical residency position to prepare for their Internship year. The course is based on the ACS/APDS/ASE Entering Surgery Resident Prep Curriculum and includes numerous sessions scheduled in the simulation center. The curriculum has been developed as a “finishing curriculum” to provide students with practical information and experience in tasks that they will be expected to perform as a beginning intern. Some examples of skills covered include order writing, performing patient hand-offs, handling emergency patient scenarios, performing surgical procedures and managing surgical patients. The course will also address issues related to professionalism, communication skills, evidence based medicine and systems processes.

• MSUR 8415 (Lubbock HSC, Odessa HSC) Acute Care Surgery

  Enter the exciting world of Acute Care Surgery and Trauma! This elective exposes the fourth year medical student to the most critically ill and injured surgery patients. The student will be an integral part of the acute care surgical team, anesthesia, and other departments, led by residents and an attending physician. This team uses a multidisciplinary approach to take care of patients from the time they are admitted until their discharge from the acute care unit. The medical students will be assigned patients appropriate for their level of training and under the direct supervision of the attending physician. They will learn to thoroughly evaluate the overall condition of the patient, develop a management plan, and get experience in executing the plan, including performing several bedside procedures. The student may be expected to round twice a day with the attending and the team, attend daily multidisciplinary conferences and take in-house call twice a week including one weekend day. The student may participate in additional educational activities including ICU lectures, morning report, Morbidity and Mortality conferences and Ground Rounds within the Departments of Surgery. The medical students will be evaluated by faculty or resident members of the acute care surgery department twice throughout the duration of the course which will include one midpoint evaluation to track progress and a final assessment. The grade will focus on medical knowledge, patient care, interpersonal and communication skills, professionalism, practice-based learning and improvement, and systems-based practice.

• MSUR 8416 (Amarillo HSC, Covenant Branch HSC, Odessa HSC) Cardiothoracic Surgery

  Through the direct pairing with a practicing Clinical Faculty Thoracic Surgeon the student will participate as a member of this team in the provision of inpatient and outpatient care, and emergency department and o9peratig room activities. This elective will provide the student an exposure to the gamut of basic principles of surgical evaluation, diagnosis and management as well as those principles specific to the clinical techniques of diagnosis and surgical management of congenital and acquired cardiothoracic disease.

• MSUR 8418 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC) Surgical Intensive Care Unit Elective

  This elective exposes the fourth year medical student to the most critically ill and injured surgery patients. The student will be an integral part of a team of residents from surgery, anesthesia and other departments, led by an attending specialized in intensive care medicine. Medical student will be assigned patients appropriate for their level of training and under direct supervision of the attending, will learn to thoroughly evaluate their overall condition, develop a management plan, and get experience in executing the plan including performing several bedside procedures. The student is expected to round twice a day with the attending and the team, attend daily multidisciplinary conference and take in house call once a week including one weekend day. The student is expected to participate in educational activities including ICU lectures, M&M and Ground Rounds within the Department of Surgery.

• MSUR 8420 (Amarillo HSC, Covenant Branch HSC, Lubbock HSC, Odessa HSC) General Surgery Subinternship Elective

  The student will serve as an extern on the surgical service and participate in the care of surgical patients in the emergency room, surgical wards, operating room, and clinic. Pre- and post-operative care and the management of patients in the Surgical Intensive Care units will be stressed. Assignments to selected clinical faculty preceptors are also available. Students will take in-house call.

• MSUR 8421 (Lubbock HSC) Burn Intensive Care Unit Elective

  During this rotation, the fourth year medical student will become intimately involved with the management and care of burn patients ranging from the most severe injury with life threatening burns to the less severe, both adult and pediatric patients.

• MSUR 8424 (Covenant Branch HSC) Neurological Surgery Sub I Elective

  The Neurological Surgery Sub-I elective offers fourth year medical students with a strong interest in the Neurological Surgery subspecialty, an opportunity to acquire and assimilate advanced clinical responsibilities at an intern level, by exposure to neurological patients in various settings: inpatient, outpatient, and operating room. This four-week elective rotation will provide an educational curriculum that emphasizes teaching of fundamental concepts of total patient care. The sub-intern will be assigned to a faculty mentor.

• MSUR 8425 (Lubbock HSC) Colorectal Surgery Elective

  This course will expose 4th year medical students to the field of colon and rectal surgery. They will have the opportunity to participate in the outpatient clinic as well as procedures. Procedures will include colonoscopies, benign anorectal cases, advanced laparoscopy, as well as large open abdominal surgeries.

• MSUR 8426 (Odessa HSC) Cardiovascular Surgery Elective

  The student will observe and participate in all phases of radiological diagnosis to include fluoroscopy, plain film interpretation, special procedures, nuclear imaging, diagnostic ultrasound, and computed tomography where available. A large number and variety of patients are available at the affiliated teaching hospitals.

• MSUR 8427 (Lubbock HSC) Neurological Intensive Care Unit Elective

  This rotation exposes the fourth-year medical student to the most critically ill patients with neurological pathology. The student will be an integral part of a team from neurosurgery, anesthesia, and other departments, led by an attending physician. Medical students will be assigned patients appropriate for their level of training. The students will learn to thoroughly evaluate the overall condition of the patient and develop and implement a management plan. The students will become familiar with common neurological conditions including vascular pathology and hemorrhage, closed and open head trauma, and increased intracranial pressure, as well as neuro-oncology and management of intracranial pressure monitors and external ventricular drains. Additionally, the student will become familiar with common ICU management practices including central lines, arterial lines, and ventilator management. The student will be expected to round daily with the attending and the team. The student may participate in additional educational activities within the Departments of Surgery including ICU lectures, Morbidity and Mortality conferences and Grand Rounds.

• MSUR 8405 (Amarillo HSC, Lubbock HSC, Odessa HSC) Urology Elective

  This elective is an advanced experience in the management of disorders of the urinary tract and is designed to provide the student with an understanding of the principles of urological diagnosis and treatment. Included with this elective are a series of lectures, ward rounds, operating room and clinical experiences with a review of pathology. The course is of value to both a primary care physician as well as a student interested in a career as an urologist.