Preventive Medicine Clerkship Site Description

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					                            Table of Contents
Welcome……………………………………………………….........................…………….ii

Site Descriptions………………………………………………………..…….………....1- 25


Anesthesiology and Perioperative Medicine                                        1

Biostatistical Consulting                                                        2

Cancer Screening in an Urban Environment                                         3

Community Based Mental Health Promotion and Disease Prevention                   4

HIV / STD Risk Reduction Interventions for Adolescents                           5

Improving Care in the Nursing Home                                               6

Injury Prevention and Control                                                    7

Medical Toxicology                                                               8

Navigating Patients from Emergency Medicine to Primary Care                      9

Preventive Otolaryngology                                                        10

Preventive Cardiology                                                            11

Preventing Institutionalization of the Elderly                                   12

Public Health Practice                                                           13

Quality Improvement in Health Care: Reducing Healthcare-related Infections       14

The Role of the Electronic Medical Record in Prevention and Healthcare Quality   15

Role of Preventive Medicine in Gastroenterology                                  16

Sub Acute Care and Comprehensive Treatment of HIV/AIDS Patients                  17

Tuberculosis Prevention, Control, and Therapeutics                               18

UMDNJ-SN Mobile Healthcare Project: The New Jersey Children’s Healthcare Project 19

Utilization issues and contemporary radiology                                    20




                                        i
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
Thursday, January 24th, so please take the time to familiarize yourself
with your choices before that time.

You will note that availability for each clerkship is listed as August A,
August B, September A, September B, etc. These names match the
August, September, November, February, March and April that are
referred to in the Registrar’s schedule, not the actual calendar month.
The dates for each rotation are as follows:

August A:        July 28 - August 8          August B:         August 11 - August 22
September A:     August 25 - September 5     September B:      September 8 – September 19
November A:      October 20 - October 31     November B:       November 3 – November 14
February A:      January 26 – February 6     February B:       February 9 - February 20
March A:         February 23 – March 6       March B:          March 9 – March 20
April A:         March 23 – April 3          April B:          April 6 – April 17

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
Holland@umdnj.edu

Lisa Marie Bronson
Clerkship Coordinator, PMPH Clerkship
BronsoLM@umdnj.edu




                                        ii
Name of Clerkship: Anesthesiology and Perioperative Medicine

Site Location and Director:
Department of Anesthesiology
UMDNJ – New Jersey Medical School
Newark, NJ 07103

Ellise Delphin, M.D. MPH
Professor and Chair
delphiel@umdnj.edu
973-972-5007

Goals for clerkship participants:
       - The student will gain awareness of the two distinct phases of anesthetic care: (1)
preoperative evaluation, planning and preparation and (2) conduct of anesthetic regimen and
postoperative care
       - The student will monitor the anesthetic plan as it is executed and follow the frequency of
adaptations to dynamically changing events (impact events defined as undesirable, unexpected
leading to at least moderate morbidity)
       - Adverse outcomes will be assessed in the postoperative period to determine whether
system error or human error were responsible
       -The student will gain an understanding of aspects of performance and safety in the
perioperative period

Typical Activities:
The student will spend the day with a faculty member in the operating room observing the
conduct of anesthesia, monitoring impact events and postoperative outcome. The student will
explore and review the extensive literature on safety in the perioperative period with the course
director. Cases will be analyzed in a group setting in terms of impact events, outcomes and
mechanism of error. This may lead to the design of research projects involving large surveys.

Structure:
Full-time two week assignment.

Availability:
September B, November A & B, February B, April A

Indexed as: Anesthesiology




                                                 1
Prevention and Public Health Clerkship
Site Description

Name of Clerkship:

Biostatistical Consulting


Site Location and Director:

Department of Preventive Medicine and Community Health
UMDNJ-New Jersey Medical School
Newark, NJ 07103

Michael Brimacombe, Ph.D., Associate Professor
brimacmb@umdnj.edu
973/972-5229


Goals for clerkship participants:

Gain first-hand acquaintance with issues affecting the validity of knowledge gained from actual
on-going clinical or epidemiological studies, such as potential biases, sample size, and study
design issues.

Gain experience collaborating with statistician and clinical investigators in the acquisition and
statistical analysis of observational or experimental data.


Typical activities:

Meetings with investigators to understand the context and aims of their research; review of book-
and internet-based materials to understand the scientific background and statistical issues in the
research questions under investigation; use of computer packages to perform statistical analyses.
Written or oral reporting of results to investigator.


Structure:
Full-time two-week assignment.


Availability:
November A, February B, April B

Indexed as: BiostatConsult




                                                  2
Prevention and Public Health Clerkship
Site Description

Name of Clerkship:
Cancer Screening in an Urban Environment

Site Location and Director:
University Hospital, 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: MammoVan




                                                3
Prevention and Public Health Clerkship

Name of Clerkship: Community Based Mental Health Promotion and Disease Prevention

Site Director and Location: Cheryl A. Kennedy, MD, Site Director;
Community-based agencies throughout local region.

Site Description: Students will rotate through various community based agencies who are
providing health services and study health promotion and disease prevention as related to
substance use/abuse, violence and how the arts are important for good mental health


Goals for clerkship participants: To learn about the social problems of the community and how
health is adversely impacted; to learn about the environment from where our patients originate; to
learn about community based agencies and how they are trying to reverse the negative impact of
social problems, including substance use disorders, violence and lack of arts/cultural exposure for
youth.


Typical Activities: Students will participate in therapeutic community treatment processes; will
participate in other community based agency activities (therapeutic art workshops; teaching non
violent conflict resolution workshop); students will interact with individuals in community based
settings

Structure: two weeks at various sites in community; specifics to be determined with site director


Availability:
August A, November B, March A

Indexed as: PrevMentalHealth




                                                4
Prevention and Public Health Clerkship
Site Description

Prevention and Public Health Clerkship:

HIV / STD Risk Reduction Interventions for Adolescents

Site Description:

The Division of Adolescent and Young Adult Medicine (DAYAM) -University Hospital and
Community Sites – Newark New Jersey

Site Location and Director: Dr. Paulette Stanford

Goals for clerkship participants:

Learn the principles of HIV/STD behavioral intervention in the adolescent population.

Typical Activities:

   1. Weekly meeting with Dr. Paulette Stanford to 1) learn the principles of risk reduction
      intervention related to high risk sexual behaviors in adolescents 2) learn the principles of
      adolescent history taking 3) learn the principles of sexual history taking.
   2. Biweekly participation in DAYAM’s evidenced based VOICES intervention at University
      Hospital.
   3. Observation and critique of the POWER Theater intervention.
   4. Observation of prevention counseling with HIV seropositive clients in the Mylestone
      Prevention Program.
   5. Participation in HIV / STD prevention counseling on the STOP Mobile HIV/STI screening
      van.
   6. Attend DAYAM’s Adolescent Medicine Practice to perform an HIV/STI intervention
      counseling session.
   7. Observation and critique of the HIV/STD prevention project at the Jamesburg juvenile
      facility (Project JUMP).

Structure:
Full-time two –week assignment.
*Student must sign a confidentiality agreement
*Student must have NJ state clearance to participate in the juvenile facility activity.

Availability:
TBD in consultation with department

Indexed as: STDRiskReduction




                                                   5
Prevention and Public Health Clerkship
Site Description

Name of Clerkship:
Improving Care In the Nursing Home

Site Location and Director:
Geriatrics and Extended Care Product Line (11E)
VA New Jersey Healthcare Center. Lyons Campus,
151 Knollcroft Road, Lyons, NJ 07939

Samer Nasr, MD,
Associate Chief of Staff, Geriatrics & Extended Care
908-647-0180 Ext¨1-4660

Goals for clerkship participants:
   Understand the application of quality improvement to address patient-care problem areas
      in the nursing home setting
   Understand the application of the Long-Term Care Resident Assessment Instrument and
      Minimum Data Set as a quality improvement tool

Typical activities:
This rotation includes intensive training about the quality improvement process as applied to the
care of patients in the nursing home setting
Students will visit three Nursing Home settings: the Lyons VA Federal Nursing Home, one of the
NJ State Nursing Home and a private Community Nursing home to observe the application of
quality improvement for the care of elderly veterans.

      Topics covered include medication use, infection control, pressure ulcers, falls, urinary
       incontinence and behavior problems
      Weekly meetings with Dr. Samer Nasr to learn the concepts and practice of Quality
       Improvement in the Nursing Home setting
      Daily meetings with QI experts focusing on quality improvement data collection, data
       analysis and interventions including its use in the reimbursement process.
      Weekly participation in interdisciplinary care planning meetings focusing on rehabilitation
       services
      Weekly participation in interdisciplinary care planning meetings focusing on palliative care
       services
      Attend the monthly Extended Care Council meeting, the quarterly Geriatrics and Extended
       Care Steering council meetings and the Quarterly Palliative Care Council meeting (at the
       Bronx VA) if scheduled during block.

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: Geriatrics1
                                                 6
Prevention and Public Health Clerkship
Site Description
The New Jersey Trauma Center
Name of Clerkship: Injury Prevention and Control
Site Location and Director:
The New Jersey Trauma Center - University Hospital
Department of Surgery
UMDNJ – New Jersey Medical School
Robert F. Lavery, MA
Instructor, School of Public Health
The NJ Trauma Center
lavery@umdnj.edu (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 Trauma Center through their surgery
rotation during third year. The Injury Prevention and Control Clerkship will expand the 3 rd 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:
Full-time two-week assignment.

Availability:
September A& B, November A& B, February A & B, March A & B, April A & B

Indexed as: NJTraumaCtr




                                                7
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-New Jersey Medical School
Newark, NJ 07101


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: MedToxicology




                                                 8
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, MPH      Division of Emergency Medicine
Assistant Professor              Department of Surgery
Shahidho@UMDNJ.edu               New Jersey Medical School
973-972-5128                     Newark, NJ 07103

Goals:
    1. To evaluate ED adult patients for the presence or lack of primary care
    2. To investigate those without primary care in relation to their access to care, progression of their illness and
       burden on operation of ED

Objectives:
    1.   To survey the patients in main room of the ED for presence or lack of primary care
    2.   To evaluate the health status of one patient without Primary care and the impact on their illness and Health.
    3.   To review the frequency of the patient’s visit to ED within past year
    4.   To compare the cost of one ED visit with an ambulatory care alternative
    5.   To evaluate the patient for age appropriate screenings and immunizations
    6.   To investigate the alternatives for the access of patient to a primary care physician
    7.   To establish a primary care source for the patient and make first appointment
    8.   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 patient’s 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 two weeks assignment
Availability:
August A & B, September A & B, November A & B, February A & B, March A & B April A & B
Indexed as: EmerMed

                                                           9
Prevention and Public Health Clerkship
Site Description

Name of Clerkship:

Preventive Cardiology

Site Location and Director:

Stanley S. Bergen Bldg and Doctors Office Center

Goals for clerkship participants:

Learn the principles of prevention of coronary heart disease and breast cancer prevention using
both pharmacologic and nonpharmacologic approaches.

Learn the principles of the design and implementation of clinical trials.


Typical Activities:

One-on-one preceptorship discussions of elements of prevention of CHD, including nutrition and
medications for treatment of hypertension and hyperlipidemia. These will occur most days.
Observation of outcomes specialists for the Women’s Health Initiative (WHI) and assisting them
in participant follow-up activities.
Participation in patient visits with course director weekly and in visits of participants in a
pharmaceutical breast cancer prevention study (ExCel).
Telephone interviews of participants in WHI and ExCel.

Structure:

Full-time two-week assignment.

Availability:

November A, February A

Indexed as: PrevCardio




                                                  10
Prevention and Public Health Clerkship
Site Description

Name of Clerkship: Preventive Otolaryngology

Site Location and Director: Dr. Huma Quraishi & staff
                            University Hospital


Goals for clerkship participants: Students become aware of preventive aspects of
otolaryngology

Typical Activities: The student becomes part of the team managing the patients on the
outpatient and inpatient Otolaryngology services. Acquisition of basic otolaryngologic history
taking and physical examination skills will be emphasized. The student will also have the
opportunity to observe and assist in the operating room. He/she will be exposed to the various
subspecialty areas in otolaryngology, including otology-neurotology, head and neck surgery,
facial plastic and reconstructive surgery, and pediatric otolaryngology. The elective can be
modified to accommodate the student's interest in a given aspect of otolaryngology.


Availability: To be determined by arrangement with the department


Indexed as: Otolaryngology




                                               11
Prevention and Public Health Clerkship
Site Description

Name of Clerkship:
Preventing Institutionalization of the Elderly

Site Location and Director:
Geriatrics and Extended Care Product Line (11E)
VA New Jersey Healthcare Center. Lyons Campus,
151 Knollcroft Road, Lyons, NJ 07939

Samer Nasr, MD,
Associate Chief of Staff, Geriatrics & Extended Care
908-647-0180 Ext¨1-4660

Goals for clerkship participants:
Understand the application of different public health community based interventions to prevent
the institutionalization of the elderly

Understand the application of Quality Management principles to improve health care services and
their delivery to the elderly

Typical activities:
This is a highly interactive clerkship involving hands on demonstration of various modalities and
visits to multiple healthcare settings including patient homes and community based institutions.

Weekly meetings with Dr. Samer Nasr to learn the concepts and practice of Total Quality
Management and Continuous Quality Management to improve health care services and delivery
to the Elderly.

Students will rotate through various community based programs and participate in home safety
evaluations, home based primary care visits, home hospice visits as well as setting up Home
Health Aids, Adult Day HealthCare, Purchased Skilled Care and Telemedicine

Weekly participation in interdisciplinary care planning meeting.

Bi-weekly meetings with program leaders to learn about each program and observe the
application of Quality Management.

Attend the monthly Extended Care Council meeting and the quarterly Geriatrics and Extended
Care Steering council if scheduled during block.

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: Geriatrics2
                                                 12
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, NJ 07103

Pauline Thomas, MD. Assistant Professor
Thomasp1@umdnj.edu
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: PubHealthPractice




                                                 13
Prevention and Public Health Clerkship
Site Description

Name of Clerkship:
Quality Improvement in Health Care: Reducing healthcare-related infections

Site Location and Director:

University Hospital, Newark, NJ

Department of Preventive Medicine and Community Health
UMDNJ-New Jersey Medical School
Newark, NJ 07103

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 University Hospital 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 University Hospital 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: QualityImprov/InfectCtrl




                                                14
Prevention and Public Health Clerkship
Site Description

Name of Clerkship:
The Role of the Electronic Medical Record in Prevention and Healthcare Quality

Site Location and Director:
VA New Jersey Health Care System
Ambulatory Care Service
385 Tremont Ave.
East Orange, NJ 07018

Richard Stark, MD
Associate Chief of Staff, Ambulatory Care
VA New Jersey Healthcare System
973-676-1000 x 1695

Leonard Pogach MD, MBA
National Program Director for Diabetes, VACO (Patient Care Services)
Director, VA New Jersey Healthcare System Center for Healthcare Knowledge Management
(Ph) 973-676-1000 x1693 (fax) 973-395-7111

Goals for clerkship participants:
Learn how the electronic medical record enables the implementation and monitoring of preventive
health strategies on both a local and national level. Understand the process of converting clinical
guidelines and recommendations into operational tasks and performance/outcome measures
utilizing the computerized medical record system and its associated databases.

Typical activities:
Daily observation and participation in screening and prevention activities in outpatient clinics to
examine the effectiveness and efficiency of the electronic medical record for those activities.
Students will develop sample electronic clinical reminders for specific interventions, and meet
regularly with Dr. Stark to learn how the data derived from the electronic record can be utilized to
monitor and improve the quality of care. Regular sessions with Dr. Pogach to discuss guideline
development and the use of national databases to develop public health strategies. Participation
in monthly Clinical Informatics meetings if held during rotation.

Structure:
Full-time two-week assignment.

Availability:
November A & B, February A, March B, April A & B

Indexed as: ElecMedRecord




                                                 15
Prevention and Public Health Clerkship
Site Description

Name of Clerkship:
Role of Preventive Medicine in Gastroenterology

Site Location and Director:

University Hospital, Newark, NJ
Suite E178


Zamir S. Brelvi MD, PhD, Assistant Professor
973/972-4434 or call
Administrative Assistant Ms Elaine Addeo@ 973-972-5252



Goals for clerkship participants:

To review current guidelines of screening for gastrointestinal cancers including colorectal and
esophageal cancers.


Typical activities:
Weekly meeting with Dr. Zamir S. Brelvi, to learn the current guidelines in screening for colorectal
cancer and esophageal cancer.
Daily observation of colonoscopies, upper endoscopies and other advanced endoscopic
techniques performed at the suite.
Attend GI clinic, twice a week and see patients with the fellows that come to schedule screening
colonoscopies.

Structure:
Full-time two-week assignment.

Availability:
September A & B, November A & B, February A & B, March A & B April A & B

Indexed as: Gastro Screening




                                                 16
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, NJ 07104

James Gonzalez, MPH, FACHE, LNHA
President and CEO
j.gonzalez@umdnj.edu

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: BwayHouse




                                                17
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, NJ 07101

Reynard J. McDonald, MD
mcdonarj@umdnj.edu
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:

Completion of the CDC's online TB core curriculum.

Attendance at lectures and seminars aimed at clinicians who are
involved in the control and treatment of tuberculosis.

Gain first-hand knowledge and experience in carrying out various
aspects of TB prevention and control including Directly Observed
Therapy (DOT) and contact investigations.

Observe and participate as appropriate in the clinical care and
counseling of patients at the on-site tuberculosis clinical unit.

Structure:
Full-time two-week assignment.

Availability:
August A, September B, November B, February A, March B, April A, April B

Indexed as: Tuberculosis




                                                 18
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, NJ 07107

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: PedsVan




                                                 19
Prevention and Public Health Clerkship
Site Description

Name of Clerkship:
Utilization issues and contemporary radiology

Site Location and Director:
Department of Radiology
UMDNJ – New Jersey Medical School
Newark, NJ 07103

Stephen R. Baker, MD
Professor and Chairman
bakersr@umdnj.edu
(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




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