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Emory University (School of Medicine)




Emory University School of Medicine, a component of Emory’s Robert W. Woodruff Health Sciences Center, is ranked among the nation’s finest institutions for biomedical education. The School of Medicine is located on the main Emory University campus in the Druid Hills section of Atlanta and in Emory-owned and affiliated medical facilities throughout metropolitan Atlanta.

The School of Medicine’s three-part mission encompasses teaching, scholarship, and service. Its wide-ranging educational and training programs include medical students, graduate students, residents, fellows, postdoctoral students, and students in the allied health professions. The school received more than 60 applications in 1999 for each of its 110 first-year positions. In addition to 456 medical students, the school trains almost 950 residents and fellows in 64 primary care and specialty medicine programs. It also includes 43 MD/PhD students, including some in a joint program with the Georgia Institute of Technology. The MD/PhD program is one of 34 selected for sponsorship by the National Institutes of Health. Students also may earn the MD/MPH degree or the Master of Science in Clinical Research degree through joint programs with the Rollins School of Public Health. Six allied health programs train 425 students. Allied health programs include a physician assistant program ranked second in the nation by US News & World Report and a physical therapy program ranked seventh. Nearly 6,000 physicians and other health care professionals come to Emory each year to participate in one of the nation’s largest and most successful continuing medical education programs.

Medical education at all levels emphasizes problem solving within the context of excellent patient care, advanced biomedical research, preventive medicine, and ethical concerns. Graduates of Emory School of Medicine are trained to become leaders in medicine and science. Ongoing changes in the curriculum are designed to help students become active and independent learners and thinkers — skills they will need to deal effectively, efficiently, and humanely with the multiple challenges that will confront them as physicians in the 21st century. Atlanta’s large and diverse patient population, combined with Emory’s extensive research facilities, provide an excellent environment for a complete medical education. National public health organizations located nearby, such as the US Centers for Disease Control and Prevention, the American Cancer Society, and The Carter Center, also provide special educational opportunities. Distinguished faculty members who are dedicated to their clinical and research areas of expertise, yet committed to a close, interactive relationship with students, provide the foundation of the School of Medicine’s teaching programs. Faculty include 1,243 full-time members and 1,250 volunteer members.

Emory School of Medicine is renowned as a premier research institution. The school received $142.8 million in research funding in 1998-1999, ranking 21st among American medical schools for federal research expenditures. Among Emory’s extensive research facilities are the newly renovated Woodruff Memorial Research Building, the state-of-the-art Rollins Research Center, the Winship Cancer Institute, the Biomedical/Dental Building, and a new vaccine research center. Emory’s newest research building, the Whitehead Research Building, is scheduled for completion in 2001 and will be among the largest buildings on campus.Emory medicine is well known for its pioneering treatment and research in specialty areas, including cardiovascular diseases, cancer, renal diseases, ophthalmology, and geriatrics. As clinicians in Emory’s seven owned or affiliated teaching hospitals, faculty members are responsible for 2,975 hospital beds and more than 2 million patient encounters annually. Emory Healthcare, the clinical arm of Emory’s health sciences center, is the most comprehensive health care system in metropolitan Atlanta, including 14 primary and multispecialty health care centers as well as affiliations with 48 communities comprising a network of 68 hospitals.
Emory doctors also operate within Grady Health Systems, one of the the Southeast's largest & busiest Emergency Care facilities. Grady Memorial Hospital (pictured above) treats over 100,000 emergency cases per year and an average 300 per day.

Emory University School of Medicine is accredited by the Liaison Committee on Medical Education of the American Medical Association and the Association of American Medical Colleges. Emory University is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools.

Emory University School of Medicine is committed to excellence in medical education, biomedical research, and patient care.
Emory University School of Medicine seeks to develop leaders in medicine, science, and clinical care by fostering a culture that integrates and recognizes the interdependence of biomedical science and the delivery of health care. This goal encompasses the following objectives:
• To provide outstanding educational programs in health and biomedical sciences;
• To create new knowledge leading to innovative technology and treatments and to integrate them into the practice of medicine;
• To advance the detection, treatment, and prevention of disease processes;
• To teach and exemplify the highest standards of professionalism and ethical behavior; and
• To develop outstanding clinicians who provide quality patient care that assures compassion and concern and serves the needs of the community.

Emory University School of Medicine will have the highest quality educational programs in undergraduate, graduate, post-graduate, allied health, and continuing medical education. The School’s programs will achieve national and international recognition for programs that:
• Promote life-long learning by focusing on scholarship and the skills for independent and critical thinking;
• Educate outstanding clinicians with both an understanding of basic sciences and a high degree of competence and compassion in the diagnosis and treatment of disease;
• provide a strong foundation for training of both specialty and primary care physicians who are dedicated to delivery of superior health care;
• Develop clinical and academic leaders who possess a strong foundation in research;
• Foster the student-faculty relationship in an environment of cooperation that equally values education, research, and clinical service; and
• Endorse a commitment to public health and community service.

FACILITIES
The Robert W. Woodruff Health Sciences Center joins those components of Emory University concerned with patient care, education of health professionals, research affecting health and illness, and policies for prevention and treatment of disease. The Center is named for Robert W. Woodruff, a man whose vision
and generosity left a lasting imprint on Emory and the city of Atlanta.

Emory Healthcare : Comprising those components dedicated to patient care, Emory Healthcare is the clinical arm of the Health Sciences Center. As the largest, most comprehensive health care system in Georgia, it includes The Emory Clinic, Emory Children’s Center, Emory University Hospital, Emory Crawford Long Hospital, Wesley Woods Center, the jointly owned Emory-Adventist Hospital, and EHCA, LLC, a limited liability company created in collaboration with HCA–The Healthcare Company. With the addition of this LLC, Emory Healthcare now has 1,184 licensed patient beds.
In addition to Emory’s own primary and multispecialty health centers located throughout metro Atlanta, the Emory Healthcare Affiliate Network comprises 45 hospitals representing 65 communities and more than 6,000 physicians throughout Georgia and in Alabama, North Carolina, and South Carolina. The affiliate network is designed to maximize Emory’s resources as an academic medical center, enhance the provision of health care services, and support a community-based health care system.

The Clifton Corridor: consisting of approximately 250 acres along Clifton Road, extends through the Emory University campus and is the locale for most of the facilities of Emory’s Medical, Public Health, and Nursing schools and its graduate science programs.
Facilities located along this corridor include the U.S. Centers for Disease Control and Prevention and national headquarters for the American Cancer Society, the world’s largest volunteer health organization. Other facilities include: The Emory Clinic, Winship Cancer Institute, Emory University Hospital, Nell H. Woodruff
School of Nursing, Emory University School of Medicine, The Robert W. Woodruff Health Sciences Center, Children’s Healthcare of Atlanta at Egleston, Center for Rehabilitation Medicine, O. Wayne Rollins Research Center, Whitehead Biomedical Research Building, Yerkes Regional Primate Research Center, Wesley Woods Center of Emory University, Inc., and Grace Crum Rollins School of Public Health.

JOHN P. SCOTT ANATOMY BUILDING AND T. T.
FISHBURNE PHYSIOLOGY BUILDING :
This complex is currently under renovation but continues toprovide lecture rooms for use of classes in the health sciences andlaboratory facilities for anatomy and physiology.

Hospitals, Clinics, and Centers : The principal clinical facilities of the School of Medicine are Emory University Hospital, Grady Memorial Hospital, Atlanta Veterans Affairs Medical Center, Children’s Healthcare of Atlanta at Egleston, Emory Crawford Long Hospital, and Wesley
Woods Geriatric Hospital. Through other affiliated hospitals, the school offers residency training in anesthesiology, dermatology, emergency medicine, family practice medicine, gynecology/ obstetrics, internal medicine, neurology, ophthalmology, orthopaedics, otolaryngology, pathology, pediatrics, preventive
medicine, psychiatry, radiology, rehabilitation medicine, surgery, and urology and in all divisions or subspecialties of thesedisciplines.

EMORY UNIVERSITY HOSPITAL : A 579-bed adult, tertiary care facility staffed exclusively by 741 Emory School of Medicine faculty. Emory University Hospital
includes an 18-bed psychiatric facility, a 56-bed rehabilitation center, and a nine-bed clinical research center supported by the National Institutes of Health. Patients admitted in 2003: 20,500 inpatients and 70,000 outpatients. Employees: 3,223. Long known for cardiology, cardiac surgery, oncology, neuroscience,
orthopaedics and organ transplantation, Emory University Hospital was named in seven of 17 specialties ranked by U.S. News & World Report in its 2003 publication of “America’s Best Hospitals.” For the sixth year in a row, members of the Atlanta community named Emory University Hospital the Consumer’s Choice Award winner.

GRADY HEALTH SYSTEM : The school’s principal clinical teaching base for undergraduate medical students, Grady also provides training for residents. A
shuttle bus that runs between Grady, Crawford Long Hospital, and the Emory campus every half hour provides transportation for medical trainees. Grady’s present facility, with a bed capacity of 953, is among the largest hospitals in the Southeast. Operated under the Fulton/DeKalb Hospital Authority for the care of
indigent patients of the two counties, the Grady Health System includes ten ambulatory community health centers, a regional perinatal center for high risk mothers and babies, a diabetes center, a teen center, the Georgia Poison Center, the Rape Crisis Center, a regional burn center, a sickle cell center, a comprehensive treatment program for HIV/AIDS, a level one trauma center, a long-term care facility, and the Hughes Spalding Children’s Hospital.

WESLEY WOODS CENTER OF EMORY UNIVERSITY : This multi-level geriatric care facility is unique among academic medical centers. Founded by the United Methodist Church and Emory University, Wesley Woods Center serves thousands of older and chronically ill patients each year. The Center includes Wesley
Woods Geriatric Hospital (1987), a 100-bed specialty facility, the only dedicated geriatric hospital operated by a university health system in the U.S. In addition to the hospital, Wesley Woods has an outpatient primary care clinic staffed with specialists in Geriatric Medicine; a variety of specialty clinics in geropsychiatry, neurology and rehabilitation; a 250-bed nursing care facility; and
a 201-unit residential retirement facility with one floor of 18 units dedicated to personal assisted living care. Wesley Woods is well known for its inpatient, outpatient and partial hospitalization programs in depression, Alzheimer’s disease, Parkinsons’s disease, Huntington’s disease, sleep disorders, incontinence, and rehabilitation.

THE EMORY CLINIC : The primary port of access to adult patient care in Emory Healthcare and the largest, most comprehensive group practice in Georgia, The Emory Clinic is the nonprofit group practice of 787 Emory faculty physicians. Employees: 1,904. Outpatient
encounters in 2003: 1,146,569. Total clinic patient encounters: 1,643,087. Clinic facilities on campus include its main multispecialty headquarters; the 1525 Building, which houses primary care as well as Emory’s programs in preventive medicine and wellness; and the Winship Cancer Institute. Clinic physicians also practice in a number of health care centers throughout the
metropolitan area: Emory Crawford Long, Dunwoody, Northlake, Perimeter, Smyrna, South DeKalb, Emory Medical Affiliates at Sugarloaf, Wesley Woods, and the Emory Orthopaedics & Spine Center.

CENTER FOR REHABILITATION MEDICINE : The Center for Rehabilitation Medicine houses the Emory campus
component of the Department of Rehabilitation Medicine,
Emory’s rehabilitation research activities, the comprehensive rehabilitation patient services of Emory University Hospital, and the Rehabilitation Medicine Section of The Emory Clinic.
In addition to having 56 licensed beds, programs and activities at the Center for Rehabilitation Medicine help inpatients and outpatients work toward achieving independence and optimal function following disabling disease or injury. Teams of physicians, clinical psychologists, nurses, therapists, and a number of other rehabilitation specialists use established techniques as well as the results of recent research in the diagnosis and management of patients with physical and cognitive disabilities.

THE WOODRUFF HEALTH SCIENCES CENTER LIBRARY :
The Woodruff Health Sciences Center Library, one of five libraries on the Emory campus, is housed at 1462 Clifton Road. Clinical branch libraries are maintained in Emory University Hospital and in the Glenn Memorial Building opposite Grady Memorial Hospital. The House Staff/Medical Student Learning Center, located on the 16th floor of Grady Memorial Hospital, provides
24-hour access to health sciences literature.

The library collects resources to support the Schools of
Medicine, including allied health professional programs, Nursing, Public Health, and the Graduate Division of Biological and Biomedical Sciences. The library serves Emory students, faculty, staff, and other eligible users with a collection of more than 219,000 volumes, 1,400 current print periodicals, and access to more than 15,000 electronic journal titles. A computer laboratory
and electronic classroom are available.

The library is open seven days a week with a schedule of 90 hours. Facilities for study and research include group study rooms and faculty carrels. Services include document delivery, circulation, reference, multi-media development and support, classes in online literature searching and reference management databases, consultations, and clinical librarianship. The library
participates in the National Network of Libraries of Medicine and obtains loans of books and photocopies of articles from health science libraries around the country.

STUDENT ACTIVITIES
The Student Government Association (SGA) is the overall governing body for student activities of Emory University. Student legislative power is vested in the student legislature of the SGA.
The student body of each school elects members to the student legislature according to a formula based on enrollment. The constitution of the Student Government Association states that it is the responsibility of all students of Emory University to obey the honor code of their schools and of the University. In addition to the University governing body, the Medical Student Advisory Council of Emory University School of Medicine is composed of the presidents and vice presidents of the four medical student classes as well as the four elected representatives of the school to the Student Government Association. This council serves as a vehicle for expression among students, faculty, and
administration of the School of Medicine.

Each year Emory University School of Medicine enrolls
approximately 115 new students in the first-year class. Emory encourages applications from Georgians as well as other wellqualified applicants regardless of geographic origin. Admission is possible only at the beginning of the academic year.
Accepted applicants to the first-year class at Emory have a mean grade-point average of 3.8 and a mean score of 11 on the various subtests of the MCAT. While these statistics serve as guidelines, Emory continues to recognize its responsibility to consider applicants as individuals. However, applicants should present an academic record competitive with those accepted
applicants at Emory. Applicants are assessed on their qualifications without discrimination in regard to gender, sexual orientation, color, age, disability, race, religion, veteran status, or national origin. It is not possible to provide places for all acceptable applicants; consequently, failure to be accepted is not an indication
that a student is considered unsuited for a medical career.


School name:Emory UniversitySchool of Medicine
Address:1440 Clifton Road N.E.
Zip & city:GA 30322 Georgia
Phone:404-727-5640
Web:http://www.med.emory.edu
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School of Medicine Courses


FIRST AND SECOND YEARS

The first two years of basic science coursework are conducted on the Emory campus. The first two years also include problem-based learning and clinical instruction. Our students are well prepared to begin caring for patients when they transition into the more clinical two years of the program.
First year medical students also complete a “Week on the Wards” program, as an introductory exposure to the clinical setting at Emory.

YEAR ONE COURSES :

■ Human Morphology : This course is an introduction to the structure and function of the human body for first-year medical students. It integrates the major topics in human cell biology, histology, embryology, and gross anatomy. The emphases are on: (1) defining the principles of organization of cells, tissues and organs in systemic and regional anatomy, and (2) utilizing those principles to correlate structure with function. The course incorporates lecture, laboratory and small group
discussion formats. It includes complete dissection of the human body, microscopic examination of cells, tissues and organs, radiological anatomy, and demonstrations.

■ Medical Biochemistry : This is a comprehensive course required for all first year medical students. Medical Biochemistry is also a core course for the
predoctoral graduate program. The course covers all areas of biochemistry and includes clinical correlations integrated into each topic. The following topics will be presented: structures of biological compounds, pH and buffers, protein structure, hemoglobin and myoglobin, enzymes (kinetics and mechanisms), intermediary
metabolism and regulation, bioenergetics, lipid metabolism, membrane structure and function, cholesterol, steroid and lipoprotein metabolism, nutrition, heme and nucleotide metabolism, molecular genetics and
amino acid metabolism. The course incorporates traditional lectures, some small group tutorials/reviews and objective-based examinations.

■ Neurobiology : The basic anatomy and physiology of the central nervous system are integrated in this course. The major portion of the course is organized by systems, i.e., sensory (e.g., visual, auditory), motor,
limbic and autonomic. In the laboratory, gross and microscopic sections of the brain and spinal cord are studied.

■ Medical Physiology : This is a required course for all first year medical students and focuses on the mechanisms of normal function in the human body. Major areas covered include general, cardiovascular, respiratory, renal, gastrointestinal and endocrine physiology. Neurophysiology is introduced in this course and covered in more detail in a Neurobiology course offered by the Department of Anatomy. A combination of formats, including lectures, written exercises, discussions, and laboratory demonstrations, is used to present basic facts and concepts as well as promote active learning and problem-solving skills in the
application of these facts and concepts. Examples of environmental adaptations and pathophysiological conditions are used to reinforce and integrate material within and across systems.

■ Community Health : This unique, interdisciplinary, community-based course includes all first-year Morehouse School of Medicine (MSM) students
in addition to nursing and social work students from other institutions.
Faculty are multidisciplinary. The course minimizes lectures, relying primarily on a format of assigning students to small interdisciplinary groups that pursue health promotion activities in inner city communities
in Atlanta. In the fall semester, students analyze the health problems of their designated community, and develop and present policy recommendations to local and state elected officials and community activists. In the spring, students develop health promotion interventions to address the community needs previously identified.

■ Fundamentals of Medicine 1 : Fundamentals of Medicine 1 is a first year course sequence that combines the courses, Clinical Preceptorship, Human Values 1, Human Behavior, and Biostatistics/ Epidemiology into a year-long interdisciplinary sequence. This sequence introduces students to the health care system, primary care practice, core clinical skills, ethics,
aspects of normal human behavior, communication skills, and principles of biostatistics and epidemiology. This interdisciplinary course sequence integrates clinical areas to enhance the student’s development and retention of core knowledge and skills in these areas.

- Clinical Preceptorship : For most students, the
Preceptorship Program is a student’s first exposure
to patient care. This experience allows students to
view the practice of medicine and the healthcare
system through the eyes of both the physician and
the patient. The course helps students learn to
develop empathetic patient relationships. Students
experience the practice of primary care medicine in
several different urban and rural settings involving
Family Practice, Internal Medicine, Pediatrics and
Obstetrics/Gynecology. The recognition of community
problems is stressed as well as the support systems
available to approach these problems.

- Human Values 1: The first year of this 2-year course
introduces students to current ethical dilemmas and
human values issues that are explored from clinical,
public health, psychosocial, economic and cultural
perspectives.

- Biostatistics/Epidemiology : This course covers
methods including epidemic investigations, study
design, Bayes, Theorem, and hypothesis testing.
Instructional methods include lecture, discussion,
problem solving, and computerbased tutorials. The
course includes computer-based tutorials.

- Human Behavior : This course covers the human life
cycle from birth to death, with a focus on normality
and adaptive behavior. It includes historical
evaluation of psychiatric nomenclature and the
efforts to define with increasing precision deviation
from normality.

YEAR TWO COURSES :

■ Pathophysiology : This is a two-semester course designed not only to cover the pathophysiological mechanisms of disease, but also to develop the
students’ clinical reasoning abilities. It is intended to be a year-long board review and, as such, integrates the basic sciences with clinical topics. The course is taught in case-based format where student participation and initiative are crucial to success. Student evaluation is
based on performance on board-type multiple choice examinations and class participation.

■ Microbiology/Immunology : Lectures, case presentations, clinical correlations, laboratory exercises and group discussions are utilized to present the basic
concepts of immunology, virology, pathogenic bacteriology, mycology and parasitology. The agents of infectious diseases, the nature of the infections they cause, host responses and the natural and clinical
defenses against infectious diseases are studied. The goal of this course is to provide the student sufficient conceptual and practical knowledge of Medical Microbiology and Immunology to enter clinical training and future practice.

■ Pathology : This course is a required course for medical students. It introduces the student to the study of disease and serves as a bridge between the basic and clinical sciences. The first part of the course deals with general processes in pathology that are common to many diseases including cell and tissue reactions to injury, neoplasia, and non organ-specific disorders such as genetic diseases, immune diseases, environmental disorders, infections, and nutritional diseases. The
remainder of the course involves discussions of organ-specific disease states (systemic pathology). Specifically, the course covers causes, pathogenetic mechanisms, morphologic and functional effects of
diseases, and relates these to the patient in terms of prevention, diagnosis, natural history, course and prognosis. The course also incorporates principles relating effective use of the clinical laboratory in the diagnosis of selected diseases. An important aspect of the course is the introduction to the language of medicine and correct use of medical terminology. Teaching methods include lectures, simulated
clinical case discussions, laboratory sessions utilizing fixed gross specimens, glass slides, color prints and transparencies. The case simulations allow the student to correlate clinical information with the morphology. These case vignettes also allow the student to begin to
organize clinical data from various sources in order to solve clinical problems and strengthen skills in clinical reasoning.

■ Pharmacology and Toxicology : Medical Pharmacology and Toxicology is a course for second year medical students and graduate students. The course lectures include: introduction to the principles of pharmacokinetics (how the body acts on the drug) and pharmacodynamics (how the drug acts on the body) and a survey of major classes of therapeutic agents with emphasis on their mechanism(s) of action and therapeutic use(s), adverse effects and drug interactions. The Department also incorporates lectures, small group-sessions (patient-oriented problem solving; peerassisted learning), case studies, clinical correlation conferences and objective-based examinations into the course.

■ Nutrition : Course is designed to increase student understanding of the basic nutritional principles needed for general patient care. Course content includes: nutritional assessment and support; diet and disease
trends; nutritional disorders.

■ Fundamentals of Medicine II : This year long course sequence combines the courses Introduction to Patient Care (Physical Diagnosis), Human Values 2, and
Psychopathology into a year long interdisciplinary experience. The course sequence uses lecture, small group, demonstration, peer practice, standardized patient experience, discussion groups, and clinical
experience with adult and pediatric patients to build skills in patient evaluation and the physician-patient relationship. This course sequence builds on the clinical skills introduced in the first year course Fundamentals of Medicine 1 to prepare the students for the clinical
clerkships. Physical diagnosis, interviewing skills, the physicianpatient relationship, ethical and cultural issues, psychiatric evaluation and diagnosis, and common clinical syndromes are addressed. The course also includes introduction to evaluation of the literature and
evidence-based medicine as well as computer-based testing. The course is interdisciplinary, with faculty from Medical Education, Psychiatry, Medicine, Pediatrics, Obstetrics and Gynecology, Surgery, and Family Medicine.

- Human Values in Medicine II : In the second year,
social and psychosocial issues are addressed and
students become sensitive to the medically
underserved, and begin to understand the rigorous
demands of the human medical practice.

- Psychopathology : Students are introduced to
techniques of psychiatric and psychological
assessment, to the most common psychiatric
disorders and emergencies, crisis intervention, and
to psychopharmacology. A survey of the relationship
of psychiatry and the applied behavioral sciences of
other disciplines and specialties is provided. Medical
students should become sensitized to a variety of
social and cultural problems infringing on patients and
physicians in receiving and delivering healthcare
services, such as sexual dysfunctions, substance
abuse, sexism, racism, and poverty.

THIRD AND FOURTH YEARS

The third- and fourth-year students spend approximately half of their clinical instruction time at Grady Hospital , with the remainder spent at Emory University Hospital , Atlanta Veterans Affairs Medical Center , Children’s Healthcare of Atlanta (CHOA) at Egleston, Hughes Spalding Children’s Hospital, Wesley Woods Geriatric Hospital and Center, Emory Crawford Long Hospital , and other facilities throughout north Georgia . The vast number of outpatient and inpatient visits to this broad range of facilities, coupled with more than 1,400 dedicated faculty, makes Emory a rich environment for learning clinical medicine.

CLERKSHIPS :

■ Internal Medicine : Students spend a two-month rotation on the medical inpatient services of Grady Memorial Hospital. The students collect the database, formulate the problem list, devise the initial plans and follow each patient in a problem-oriented fashion. To a large extent the students have primary responsibility for their patients, working under the close supervision of house staff and faculty. Working as an integral member of one service team consisting of an attending faculty member, senior resident, two interns and another student, each student makes rounds with the house staff, presents patients to the attending faculty and takes call every fifth night with the house staff members of the team. Each student completely works up two or three new patients per week during the two-month rotation. Student goals are to learn how to collect data, identify and define individual components and clarify their relationship to each other, apply pathophysiologic principles to the clinical setting, organize problems for solution and follow them systematically through to their resolution.

■ Pediatrics : Oriented to Primary Care Pediatrics in medically underserved settings, this required clerkship features a three-week ambulatory placement in a community private practice, Kaiser Office, or a
neighborhood health center. The inpatient section of the course includes a two-week rotation at Hughes Spalding Children’s Hospital and a oneweek service at the term nursery of Grady Memorial Hospital. Finally,
there are two community/subspecialty weeks where students spend time in either subspecialty offices or clinics. There are also three half-days weekly for case discussions, clinical simulations, and other classroom
activities. The clerkship is largely based on a national curriculum developed by the Council on Medical Student Education in Pediatrics and the Ambulatory Pediatrics Association.

■ Gynecology/Obstetrics : Obstetrics and Gynecology spans the entire age range of the female patient and is extensively health-oriented with emphasis on prevention of illness and on surgical and obstetrical techniques.
Students participate actively in the prenatal, intrapartum, and postpartum care of normal and abnormal obstetrical patients. They are actively involved with the diagnosis and treatment of minor and major gynecological problems in the outpatient department and on the
hospital wards. Students are also exposed to the different obstetrical and gynecological subspecialties, including maternal fetal medicine, oncology, reproductive gynecology and infertility.

■ Psychiatry : Seven-week rotation during the third year. Emphasis is on the clinical application of principles of psychiatry and aberrant behavior learned in the first two years. Students are assigned rotations at
Ridgeview Institute, a psychiatric service facility, Fulton County Mental Health Centers (FCMHC), an outpatient community mental health facility, and Atlanta Regional Hospital, a public psychiatric facility. Ridgeview, FCMHC, and Atlanta Regional Hospital offer a broad spectrum of psychiatric disorders in both inpatient and outpatient
settings. Clinical responsibilities include performing admission histories and psychiatric examinations, formulating psychodynamic aspects of the case, psychiatric differential diagnosis and actively participating in the psychotherapeutic and psychopharmacologic treatment and management of patients. Students attend and participate in rounds and ward teaching conferences as well. Students will also
participate in group therapy to gain further insight into the psychiatric problems of patients and their families. A clinical case teaching conference is held with an attending physician on a weekly basis. This conference is to demonstrate interview techniques, discuss differential diagnosis, and to allow for in-depth discussion of psychodynamics of selected patients. A lecture series addresses clinical aspects of the diagnosis and treatment of the major psychiatric disorders. Some selected topics are interviewing skills, nosology, emergency psychiatry, behavioral medicine, psychopharmacology, suicide substance abuse and
forensic issues.

■ Surgery : Third Year Clerkship in Surgery is a required eight-week rotation offered for all students who successfully complete all Basic Science requirements. The rotation is under the guidance of Morehouse
School of Medicine, Department of Surgery’s clinical faculty at Grady Memorial Hospital. Emphasis is on the use of basic science principles, while developing clinical diagnosis and management skills. Students are expected to participate fully in the diagnosis, treatment, and
management of patients on the surgical teams, including in-house call. Didactic lectures, conferences and rounds are mandatory. Participation in the operating room is under the supervision of residents and faculty attending. Mini rotation in pediatric surgery, urology, and otorhinolarynogology give students subspecialty experience. Students participate in a suture workshop during the first week of the Clerkship.
The didactic lectures/ workshops will cover General Surgery and its subspecialties. MCQ computer administered exams are given as a part of the student evaluation.

■ Family Medicine : The Family Medicine/Maternal and Child Health clerkship is a required eight-week clerkship. It is designed to meet the educational objectives in Family Medicine, Pediatrics, and Obstetrics & Gynecology. The student will have the opportunity to evaluate acute
and chronic medical problems that frequently occur in the community. Even though the emphasis is on the development of effective clinical skills in the ambulatory patient care setting, experiences in the direct care of patients on family medicine hospital services, including labor and delivery, are also provided. Students are assigned a prenatal patient and expected to participate in delivery. Sites may include the Morehouse Family Practice Center; offices of practicing family physicians; community health centers; Southwest Hospital and Medical Center, where students serve as sub-interns. Providing healthcare for senior citizens, adolescents, and obstetrical patients is strongly emphasized.

■ Radiology : Integrated into the Grady-based clerkships in medicine, surgery and Ob/Gyn, this is a general introduction to radiology including small group sessions on indications for diagnostic imaging, including plain
film, CT, MRI and sonography.

■ Ambulatory Medicine : This is a one-month required clerkship. The course aims to provide the student with a positive experience in primary care of adults, with role modeling by faculty staff, as well as a firm grounding in the body of general internal medicine knowledge. Emphasis is placed upon data collection and integration and differential diagnosis skills. Staff physicians supervise the students in the clinical setting and MSM faculty teach the didactic sessions. There are no lectures; the course is taught in problem-based format.

■ Rural Primary Care : This ambulatory training experience focuses on common primary healthcare problems in non-urban settings. The goal of this course is to introduce students to the comprehensive primary care of rural populations and the analysis of rural health problems.
Additionally, students are required to complete a Special Study Project that focuses on a unique rural health problem, or the rural aspects of a larger problem.

■ Elective rotations

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FIRST YEAR The first year begins with a five-week summer component designed to assist students in finding the most efficient way to approach the c...
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