Dr. Kiran C. Patel College of Allopathic Medicine—M.D. Program 595 encountered in many areas of medicine, including internal medicine, surgery, and pediatrics, as well as specialized areas such as anesthesiology and radiology. Internal Medicine (Direct Patient Care) MDCI 9018—Cardiology Elective Cardiovascular disease is the number one killer in the U.S. and one of the most frequent presenting medical problems, both in the outpatient and the inpatient setting. This four-week rotation will provide exposure to a broad spectrum of disease processes and procedures, including evaluation of chest pain, heart failure, acute coronary syndrome, arrhythmias, valvular disease and peripheral vascular disease, and interpretation of ECGs. Students will be active members of the cardiology team under the supervision of attending physicians, fellows, and residents. Students may also have some opportunity to see patients in the cardiology outpatient clinics. This rotation includes exposure to working with residents in internal medicine and fellows in cardiology. MDCI 9020—Gastroenterology Elective This four-week elective provides the student with in-depth exposure to the specialty of gastroenterology. This is primarily an inpatient experience with some opportunity to attend a GI clinic and evaluate selected ambulatory patients presenting with GI-related complaints. The student will be an integral part of the GI service, rounding on patients on the internal medicine inpatient services under the supervision of attending faculty, residents, and fellows. The elective provides exposure to residents and fellows. Exposure to a wide range of GI procedures, including upper and lower endoscopy, will be provided in the endoscopy suite, as well as bedside procedures. MDCI 9021—Infectious Disease Elective This four-week rotation will provide students with in-depth exposure to the diagnosis and management of infectious diseases. Students will be active members of the infectious disease consult service, which cares for adult patients on a variety of inpatient units under the supervision of attending physicians, fellows, and residents. The service averages 6–10 patients and includes the attending, a fellow, a senior resident and/or intern, and medical students. Emphasis will be placed on recognizing techniques of infection prevention, appropriate choice of antimicrobial agents, and recognizing when a referral to an infectious disease specialist is appropriate. Students will learn about the diseases caused by various infectious agents, including bacteria, fungi, viruses, and protozoa, and will also learn about appropriate diagnostic test ordering and interpretation of results. MDCI 9026—Palliative Care Elective Physicians must provide compassionate, individualized care for dying patients and the unique needs of this population and their families are best addressed through dedicated training under the direction of experienced hospice and palliative medicine faculty members. During this four-week rotation, students are introduced to multidisciplinary care for dying patients and their families. Palliative care utilizes an interdisciplinary team approach to improve quality of life and relieve suffering for patients and families who face life-limiting illness. The primary goal is to treat the patient as a whole by addressing the physical, emotional, psychological, social, spiritual, and cultural needs. This is accomplished by exploring health care goals, assisting with medical decision making, developing individualized care plans, providing pain and symptom relief, and offering spiritual, cultural, and psychosocial support. The palliative care team works alongside the primary care team to provide these services. Students will be active members of the inpatient palliative care consult service. There will be exposure to internal medicine residents and hospice and palliative medicine fellows during this elective. MDCI 9028—Pulmonology Elective This four-week elective will provide students with in-depth exposure to the field of pulmonology, allowing development of knowledge and skills related to care of patients with lung disease. Students will be active members of the inpatient pulmonology service and will be involved in caring for patients with a wide range of disease processes, including COPD, asthma, lung cancer, pneumonia, bronchiectasis, and pulmonary fibrosis. They will round on patients on the general inpatient units as well as in the intensive care unit (ICU), where they will participate in the care of patients with respiratory failure who require ventilatory support. There will be exposure to residents and fellows during this elective. There will also be the opportunity to see patients in outpatient pulmonary clinics during this rotation. MDCI 9044—Ambulatory Primary Care Elective This four-week elective will provide students with robust opportunities to participate in ambulatory primary care in a local, federally qualified health center (FQHC). Students will see patients under the supervision of attending faculty and other qualified health care professionals in a variety of clinics—adult primary care, pediatric primary care, prenatal clinic, HIV clinic, and diabetes clinic. The elective will include the opportunity to spend time in the population health division of the clinic as well, focusing on preventive care and outcomes measures. There may be exposure to residents and students rotating at the site from other area institutions. MDCI 9048—Critical Care Elective This four-week rotation will give senior medical students the opportunity to develop knowledge and skills needed to care for critically ill patients. The students will work as part of the care team in the Medical Intensive Care Unit (MICU) at Aventura Hospital under the direct supervision of attending physicians, pulmonary and critical care fellows, and residents.