Preventive Medicine Clerkship Site Description
Dear Students,
Welcome to the inaugural year of the Preventive Medicine and Public Health Clerkship. This clerkship, which was conceived by Dean Johnson and developed by the Department of Preventive Medicine and Community Health, is the first of its kind in the nation.
Inside you will find a listing of the clerkship placements that are being offered at this time. As this is a continuously evolving and expanding list, we encourage you to check the version of the catalog that is posted on WebCT for updates. The lottery for the clerkship opens on January 24th, so please take the time to familiarize yourself with your choices before that time.
We are looking forward to working with each one of you to provide an experience that will assist you in preparing for the rigors of your residency and the needs of your patients.
William Halperin, MD PhD
Professor and Chair
Dept. of Preventive Medicine & Community Health
Bart Holland, PhD MPH
Course Director, PMPH Clerkship
Lisa Marie Bronson
Clerkship Coordinator, PMPH Clerkship
Prevention and Public Health Clerkship
Site Description
Name of Clerkship:
UMDNJ-SN Mobile Healthcare Project: The New Jersey Children’s Healthcare Project
Site Location and Director:
UMDNJ School of Nursing, Newark, NJ
Office of Community and Clinical Affairs
UMDNJ-School of Nursing
65 Bergen St, Suite GA-100
Newark, NJ07107
Gloria J. McNeal, PhD, APRN, BC, FAAN
Professor and Associate Dean for Community and Clinical Affairs
973/972-9814
Goals for clerkship participants:
Provide primary care services as part of an interdisciplinary team of physicians, advanced practice nurses, and community social service leaders.
Identify the clinical outcomes associated with a cost effective approach to the delivery of primary care services aboard an ambulatory care center on wheels designed to improve access and reduce healthcare disparities
Use a community-based model of care delivery that incorporates principles of public health nursing and medicine to provide culturally and linguistically sensitive approaches to the management and treatment of ambulatory care sensitive disorders.
Typical activities:
Attend weekly meetings with Dr. Gloria J. McNeal and members of the interdisciplinary mobile healthcare team to learn the principles of community-based models of care delivery. Deliver primary care services in the treatment and management of ambulatory care sensitive conditions aboard the ambulatory care center on wheels. Attend community advisory board committee meetings, if scheduled during block. Complete written documentation of history and physical assessment findings, diagnoses, treatment plan, and clinical evaluation for all assigned patients.
Structure:
Full-time two-week assignment.
Availability:
August A & B, September A & B, November A & B, February A & B, March A & B April A & B
Indexed as: community-based primary care practice
Prevention and Public Health Rotation
Site Description
Name of Clerkship:
Navigating Patients from Emergency Medicine to Primary Care
Site Location and Director:
Hosseinali Shahidi, MD, MPHDivision of Emergency Medicine
Assistant ProfessorDepartment of Surgery
ew JerseyMedicalSchool
973-972-5128Newark, NJ07103
Goals:
- To evaluate ED adult patients for the presence or lack of primary care
- To investigate those without primary care in relation to their access to care, progression of their illness and burden on operation of ED
Objectives:
- To survey the patients in main room of the ED for presence or lack of primary care
- To evaluate the health status of one patient without Primary care and the impact on their illness and Health.
- To review the frequency of the patient’s visit to ED within past year
- To compare the cost of one ED visit with an ambulatory care alternative
- To evaluate the patient for age appropriate screenings and immunizations
- To investigate the alternatives for the access of patient to a primary care physician
- To establish a primary care source for the patient and make first appointment
- To create an education hand out for patient stressing primary care and its benefits
Typical activities:
A. First week
1. First day Student(s) meet with the course faculty and discuss expectation. Gets to go around ED and become familiar with the space and major players. Uses a simple survey tool (attached) to see who does and who does not have a primary care physician.
Chooses one patient that student believes having primary care physician significantly impact the patient’s medical care and thus health. Ask the patient if he (she) would like to have the student help him (her) to get connected to a source of primary care. Establishes a way of follow up and communication with patient
2. Second day, writes the patients profile. Reviews literature.
3. Third day, presents patient to faculty and makes a case for benefits and impact of a plan of primary care on patient’s health status. Utilizes faculty as a resource to plan ahead.
4. Fourth day, reviews government’s preventive medicine recommendations for a patients at that age and sex and if patient has specific health problems what are preventive health services recommendation for secondary and tertiary prevention.
5. Fifth day, Establishes the patient’s deficiencies and needs.
B. Second week
1. First day, Evaluates patients access issues (insurance or lack of it, mobility, living condition, companion….)
2. Second day: Identifies a suitable primary care alternative for patient.
3. Third day, Contacts patient and communicates progress with him (her).
4. Fourth day, Helps patient with financial arrangement (Medicaid, Medicare or charity care),
5. Fifth day, Makes an appointment for patient. Communicate the arrangements with patient
Creates a Hand out for patient that includes patient’s current health needs and
provides a summary of activities to the course faculty.
Structure:
Full Time 2 weeks Assignment
Availability:
August A & B, September A & B, November A & B, February A & B, March A & B April A & B
Prevention and Public Health Clerkship
Site Description
Name of Clerkship:
Unique Aspects in the Epidemiology of Pediatric Infectious Diseases.
Site Location and Director:
UniversityHospital, Newark, NJ
Department of Pediatrics
UMDNJ-NewJerseyMedicalSchool
Newark, NJ07103
James Oleske, MD, MPH
973-972-5066
Barry Dashefsky MD**
Arry Dieudonne, MD**
George McSherry, MD**
**Participation not yet confirmed.
Goals for clerkship participants:
Learn the principles of primary, secondary and tertiary prevention of perinatal, infant and older child infectious disease, including sepsis, meningitis, HIV and tuberculosis.
Explore applications of epidemiology to challenges in international pediatric HIV.
Explore the impact of chronic infectious diseases on quality of life for children and families; explore the role of palliative care in relationship to restorative care.
Typical activities:
Daily rounds and inpatient consultations with pediatric infectious disease fellows.Weekly meetings with Dr. James Oleske to learn principles of pediatric allergy, immunology, infectious disease, and palliative care. Weekly participation in Thursday afternoon consult on difficult cases.
Structure:
Full-time two-week assignment.
Availability:
TBD in consultation with department
Indexed as:Pediatric Infectious Disease
Prevention and Public Health Clerkship
Site Description
Name of Clerkship:
Cancer Screening in an Urban Environment
Site Location and Director:
UniversityHospital,Department of Medicine,Newark. Various community sites in Newark and surrounding towns.
Diana DiCosimo, MD, SAVE Program Principal Investigator;
Acting Division Chief, Department of Academic Medicine, Community and Geriatric Programs, (973) 972-5832
Catherine P. Marcial, SAVE Mammography Screening Program Coordinator,
(973) 972-0308
Goals for clerkship participants:
Participate in the activities and challenges of a mobile cancer screening program operating in diverse urban environments.
Assist in overcoming barriers to compliance with follow-up recommendations experienced by indigent patients. Apply knowledge gained to general issue of access to health care by uninsured.
Typical Activities:
Clinical duties at various locations in the city, in community agencies and on the SAVE Program mobile mammography van. Office duties in SAVE Program Suite, Bergen Building Suite GA 207.
Participate in twice-weekly screening events at different locations in Newark area. Interview patients, take brief health history, record any medical access issues which come up. Perform breast and pelvic exams under supervision of SAVE Program clinician.
Structure:
Full-time two-week assignment
Availability:
August A & B, September A & B, November A & B, February A & B, March A & B April A & B.
Indexed as: Obstetrics/gynecology
Prevention and Public Health Clerkship
Site Description
Name of Clerkship:
Tuberculosis Prevention, Control, and Therapeutics
Site Location and Director:
Global Tuberculosis Institute
225 Warren Street
Newark, NJ07101
Reynard J. McDonald, MD
973/972-3270
Goals for clerkship participants:
Attend an existing “mini-fellowship” program, including ancillary coursework and clinical experience at this internationally recognized training center.
Observe and apply innovative diagnostic, therapeutic, behavioral, preventive and educational modalities for tuberculosis.
Typical activities:
CompletionoftheCDC'sonlineTBcorecurriculum.
Attendanceatlecturesandseminarsaimedatclinicianswhoare
involvedinthecontrolandtreatmentoftuberculosis.
Gainfirst-handknowledgeandexperienceincarryingoutvarious
aspectsofTBpreventionandcontrolincludingDirectlyObserved
Therapy(DOT)andcontactinvestigations.
Observeandparticipateasappropriateintheclinicalcareand
counselingofpatientsattheon-sitetuberculosisclinicalunit.
Structure:
Full-time two-week assignment.
Availability:
August A, September B, November B, February A, March B, April A, April B
Indexed as:pulmonology
Prevention and Public Health Clerkship
Site Description
Name of Clerkship:
Quality Improvement in Health Care: Reducing healthcare-related infections
Site Location and Director:
UniversityHospital, Newark, NJ
Department of Preventive Medicine and Community Health
UMDNJ-NewJerseyMedicalSchool
Newark, NJ07103
Anushua Sinha, MD MPH, Assistant Professor
973/972-6538
Beverly Collins, Director, Infection Control
Dr. Peter Wenger
Goals for clerkship participants:
Learn the principles of quality improvement in the health care setting
Use healthcare-related infections as a case study in applying quality improvement to reduce morbidity and mortality among UniversityHospital inpatients.
Typical activities:
Weekly meeting with Drs. Sinha and Wenger, to learn principles of infectious disease related to hospital-acquired infections. Daily rounds with infectious disease consult team. Bi-weekly rounds with infection control team. Bi-weekly meetings with hospital epidemiologist, Beverly Collins, to learn applications of epidemiology to UniversityHospital quality improvement efforts. Attend infection control committee meetings, if scheduled during block. Complete on-line learning module in quality improvement.
Structure:
Full-time two-week assignment.
Availability:
August A, September B, November A, November B, February A, March B, April A, April B
Indexed as: QI/ Healthcare-related infections
Prevention and Public Health Clerkship
Site Description
Name of Clerkship:
Medical Toxicology
Site Location and Director:
Dr. Steven Marcus, Director
NJPIES
ACC, floor G suite 1600
UMDNJ-NewJerseyMedicalSchool
Newark, NJ07101
Overview of NJPIES:
NJPIES has been serving the citizens of New Jersey as the state designated poison center for over 20 years. NJPIES handles 80,000 – 100,000 from health care providers, veterinarians, industrial sites as well as lay people. Additionally, NJPIES runs the New Jersey AIDS and STD hotline by which a caller could be referred to test sites and receive information on AIDS and STD’s. We have an enthusiastic staff with diverse backgrounds and experiences accentuating your learning experience. Consequently, we believe that the experience at NJPIES is unique.
Goals for clerkship participants:
The participant should become familiar with the varied nature of the calls that NJPIES receives and the resources that are used in handling these calls. The participant should develop an understanding of the approach to the poisoned patient and what modalities could be used in their care. The role of the public health importance of poison centers is emphasized throughout the rotation.
Typical Activities:
Morning rounds begin at 8am and cover active cases that NJPIES is following up on. After rounds the participant will have assignments that may include reading, literature searches, listening in on calls, attending lectures and when applicable seeing poisoned patients at U.M.D.N.J. Afternoon rounds start on or about 3pm and provide and ongoing review of poison center cases.
Structure:
Full time two week assignment
Availability:
August A & B, September A & B, November A & B, February A & B, March A & B April A & B
Indexed as: Toxicology
Prevention and Public Health Clerkship
Site Description
Name of Clerkship:
Utilization issues and contemporary radiology
Site Location and Director:
Department of Radiology
UMDNJ – New JerseyMedicalSchool
Newark, NJ07103
Stephen R. Baker, MD
Professor and Chairman
(973) 972-5188
Goals for clerkship participants:
- The student will gain awareness of the place of diagnostic imaging in the debate about the rationing of medical resources in recognition that the cost of Radiology is increasing faster than any other segment of medicine and at the same time, many imaging studies are over utilized.
- The student will also achieve insight into the continuing transformation of diagnostic paradigms process towards a heightened reliance on imaging and the implications, both short and medium term, of it relation to dose deposition and other delayed untoward consequences. The perceptions of radiology as a means of preventing disease will also be analyzed.
Typical activities:
The student will in essence be apprenticed to the radiology chairman, meeting with him during the day, or before or after hours, in pursuance of research projects which typically will involve large surveys. The expanding yet often contradictory literature on the subject will be explored along with references to non-American national medical systems. The student should be familiar with computer techniques and other methods of duties analysis.
Structure:
Elective periods throughout the year of two to four weeks in duration as well as every regulation but brief meeting with the instructor when the student is scheduled for other clinical rotations.
Availability:
September B, November A & B, February A & B, March A, April A
Indexed as: Radiology
Prevention and Public Health Clerkship
Site Description
Name of Clerkship:
Sub Acute Care and Comprehensive Treatment of HIV/AIDS Patients
Site Location and Director:
Broadway House for Continuing Care/UMDNJ
298 Broadway
Newark, NJ07104
James Gonzalez, MPH, FACHE, LNHA
President and CEO
Goals for clerkship participants:
To gain understanding of the impact of the AIDS pandemic on our society, from a
physiologic, sociologic, and psychiatric perspective.
To gain understanding of the sub acute level of care and treatment for HIV/AIDS patients, including the social, psychiatric, and physiologic impact of AIDS upon family members and friends.
To understand the challenges of managing a specialized HIV/AIDS residential long term care treatment center, and how to deal with issues such as operations, financing, staff moral, personnel retention, and regulatory requirements.
Typical activities:
Attend a general orientation to the facility and meet clinical and administrative staff.
Attend daily morning team meetings with clinical staff.
Participate with residents in group and individual activities.
Make unit rounds with Advanced Practice Nurses and Infectious Disease Physicians.
Meet weekly with the CEO and /or Executive Director.
Rotate through various departments within the facility.
Observe and participate as appropriate in the clinical care and counseling of the residents.
Structure:
Full-time two-week assignment.
Availability:
March B
Indexed as: HIV Community Care
Prevention and Public Health Clerkship
Site Description
Name of Clerkship:
Public Health Practice
Site Location and Director:
Department of Preventive Medicine and Community Health
New Jersey Medical School- UMDNJ
Newark, NJ07103
Pauline Thomas, MD. Assistant Professor
973 972 4343
Goals for clerkship participants:
Learn the principles for addressing acute and chronic disease in the community. Learn how to use existing data to set public health priorities. Learn how to use literature review to propose an intervention strategy.
Gain experience collaborating with public health practitioners at the Newark Department of Health and Human Services.
Typical activities:
Meetings with Preventive Medicine staff who work with the Newark DHHS and meetings with Newark DHHS staff, to learn about current public health problems and current activities for addressing those problems. Using data provided (Newark’s annual reports, public data available on the internet) student will be asked to select 3 public health problems needing intervention strategies, and explain why each is appropriate for public health attention. Student will select one of the priorities and design an intervention strategy, using public health literature and reports.
The student will also have an opportunity to participate in any ongoing disease investigation, outbreak, public health survey, emergency response, or report development that is underway at Newark DHHS during the 2-week rotation.
Structure:
Full-time two-week assignment.
Availability:
August A, November B, February A, February B, March A, April A, April B
Indexed as: Public Health
Prevention and Public Health Clerkship
Site Description
The New JerseyTraumaCenter
Name of Clerkship: Injury Prevention and Control
Site Location and Director:
The New JerseyTraumaCenter - UniversityHospital
Department of Surgery
UMDNJ – New JerseyMedicalSchool
Robert F. Lavery, MA
Instructor, School of Public Health
The NJ TraumaCenter
(973)972-01485
David H. Livingston, MD, FACS
Professor and Chief of Trauma Surgery
Goals for clerkship participants:
Injury is an important public health problem, as evidenced by its ranking as the number one contributor to Years of Potential Life Lost in the U.S. and as the leading cause of death for those between the ages of 1 and 39. The clerkship will be located at the NJ Trauma Center, the busiest trauma center in New Jersey with over 3000 trauma patient activations and 1850 admissions yearly. Many NJMS students are already familiar with the TraumaCenter through their surgery rotation during third year. The Injury Prevention and Control Clerkship will expand the 3rd year clinical experience and enable students to investigate injury as continuum, not just as the assessment and treatment, but also from the Pre-Injury, Injury, and Post-Injury phases.
Typical Activities:
- Completion of Injury Prevention and Control Didactic Module {CD/Web based};
- Completion of selected injury Case-Based Teaching Modules;
- Completion of selected readings in Injury and Injury Control Prevention;
- Attendance at Trauma Service Morning Report and work rounds;
- Patient presentation incorporating clinical summary together with injury details including mechanistic, environmental and host related aspects utilizing formal injury assessment tools such as the Haddon Matrix;
- Participating in ongoing NJTC injury prevention interventions when available.
Structure: