Elective Manual Table of Contents
1. Expectations of an Elective Resident and Elective Attending………...... page 2
2. Allergy & Immunology (RWJ ALLERGY)……………………………. page 3
3. Ambulatory Non-IM Specialty Princeton (UMCP AMB)..…………...... page 5
4. Cardiology CAB (RWJ/ CAB)…………………………….…………...... page 7
5. Cardiology UMCP (UMCP CARD)…………………………….…………... page 9
6. Congestive Heart Failure (RWJ CHF)……………………………………… page 11
7. Developmental Medicine (UMCP DEVMED-MAY)……………………… page 13
8. Emergency Medicine UMCP (UMCP ER)…………………………….. page 15
9. Endocrinology (RWJ ENDO)……………………………………………. Page 17
10. EP (RWJ EP)……...... ……………………………………. Page 19
11. Gastroenterology Inpatient (RWJ GI INPT)….…………………………... page 21
12. Gastroenterology Outpatient (RWJ GI OUTPT)………………………….. page 23
13. Gastroenterology Princeton (UMCP GI)………………………………….. page 25
14. Gastroenterology VA (VA GI)……………………………………………. page 27
15.General Internal Medicine Consult Service (RWJ GIM)…………………. page 29
16 Geriatrics (UMCP GERI)………………………………………………….. page 31
17. Hematology (RWJ HEME)……………………………………………….. page 34
18. Heme Path (RWJ HEMEPATH)………………………………………….. page 36
19. Hospital Administration RWJ HOSP ADM).……………………………... page 38
20. Hypertension/Nephrology (UMCP HTN-RUDDY)……………………….. page 40
21. IM Specialty – Endo/Rheum/HIV (RWJ IM SPEC)………………………. page 42
22. Infectious Disease (RWJ ID)………………………………………………. page 44
23. Infectious Disease-Nahass (UMCP ID-NAHASS)………………….…….. page 46
24. Nephrology (RWJ NEPH)…………………………………………………. Page 48
25. Oncology CINJ (RWJ CINJ-ONC)…………………………………………page 50
27. Oncology Princeton (UMCP ONC)……………………………………….. page 52
28. Palliative Care (RWJ PALL CARE)……………………………………….. page 54
29. Practice Tailoring (PRAC TAILOR)………….………………………….....page 58
30. Psychiatry (RWJ PSY)………………………………………………………page 59
31. Pulmonary Medicine Inpatient (RWJ PULM INPT)………………………. page 61
32. Pulmonary Medicine Outpatient (RWJ PULM OUTPT)………………….. page 63
33. Radiology (UMCP RAD)…………………………………………..………page 65
34. Rheumatology (RWJ RHEUM)……..…………………………………….. page 67
35. Transplant (RWJ XPLANT) ……...……………………………………….. page 69
EXPECTATIONS
Expectations of a Resident on Elective:
· Review the pertinent elective material (schedule, goals & objectives) in the elective manual located on the residency website prior to starting the elective.
· Patient encounters: Take a thorough history and physical, document appropriately in the chart, present cases to the attending, discuss management.
· Demonstrate self-directed learning through independent reading about the diseases encountered during the elective.
· Report to the elective on time.
· Attend all required educational activities of the program as per the elective schedule sheet.
· Attend weekly continuity clinic.
· Maintain a professional demeanor at all times.
Expectations of an Elective Attending:
· Discuss the goals and objectives of the elective with the resident on day 1.
· Teach residents the history and physical exam skills that are pertinent to the specialty.
· Teach residents diagnosis, pathophysiology, management and disease course on a case by case basis.
· Instruct residents on the diagnostic modalities that should be undertaken prior to referral to the specialty.
· Educate residents about when to initiate a referral to the specialty.
· Instruct residents on the diagnostic tools used by the specialty for further evaluation of the disease.
· Educate residents about the cost of various diagnostic and treatment modalities.
· Discuss evidence-based medicine.
INTERNAL MEDICINE HOUSESTAFF
ELECTIVE ROTATION
Amion Legend: RWJ ALLERGY
Elective Title: ALLERGY AND IMMUNOLOGY Elective Site: CAB, Cranford/Warren, and Plainsboro
1
1
ELECTIVE DIRECTOR:Dr. Monteleone
Dr. Maccia / ELECTIVE FACULTY:
Dr. Monteleone
Dr. Maccia
Dr. Caucino / ELECTIVE CONTACT
NAME / ADDRESS
Dr. Monteleone
MEB-358
Dr. Maccia
Cranford Office: Stacy
19 Holly Street
Cranford, NJ 07016
Dr. Caucino
666 Plainsboro Rd
Bldg 1000 Ste 1B
Plainsboro, NJ 08536 / CONTACT PHONE:
Dr. Monteleone:
(732) 235-7712
Dr. Maccia-
Warren Office:
(732) 627-0900
Cranford Office:
(908)276-0666
Dr. Caucino:
(609) 799-8111
MONTHS AVAILABLE:
All / DURATION/WEEKS
MIN 2
MAX 4 / TOTAL RESIDENTS
AT ANY GIVEN TIME
(Include residents from other programs)
MIN_____
MAX 1 / RESIDENTS LEVEL OF TRAINING
PGY 2/3
NO NIGHT CALL
NO WEEKENDS / OUTPATIENT
100% ELECTIVE TIME SPENT IN AMB. SETTING / INPATIENT
0_% ELECTIVE TIME SPENT IN THIS SETTING / STUDENTS
YES NO X
TYPICAL SCHEDULE
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAYFROM 8:30 am
/ CAB
Dr. Monteleone / Cranford Office
Dr. Maccia / Warren Office
Dr. Maccia / Cranford Office
Dr. Maccia / Warren Office
Dr. Maccia
UNTIL 5pm
/ Plainsboro
Dr. Caucino / Dr. Maccia
Childrens Health Institute / CAB
Dr. Monteleone / CAB
Dr. Monteleone / Warren Office
Dr. Maccia
Residents are required to attend the following program activities:
Daily Board Review, and Monthly Humanism & Professionalism and Business of Medicine Conference, in addition to their Weekly Medicine Continuity Clinic
Goals and Objectives: Allergy & Immunology Elective
Educational Purpose
· To recognize and treat commonly encountered outpatient problems in allergy and immunology.
· To familiarize the resident with frequently used diagnostic techniques such as allergy skin testing and PFTS.
· To enhance occupational and environmental history taking skills.
· To determine when it is appropriate to initiate a referral to an allergist.
· To gain exposure to the business aspects of running a private practice.
· Please refer to the Allergy section of our Competency Based Curriculum for further details.
Teaching Methods
· Supervised direct patient care.
· Case discussions with attendings including differential diagnosis, pathophysiology, management, and disease course.
· Didactics: Attendings provide didactic lectures on subjects of interest.
Educational Content
· Mix of Diseases: Includes, but is not limited to, asthma, allergic rhinoconjunctivitis, contact dermatitis, atopic dermatitis, urticaria, angioedema, food and drug allergies, and humoral deficiencies.
· Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.
· Types of Clinical Encounters: Solely outpatient encounters in the allergy clinic of the RWJ CAB and in the private offices of community Allergists.
· Procedures: Allergy skin testing, desensitizations
· Services: Full range of services including access to a PFT laboratory and skin testing in the office.
Educational Materials
· Recommended Reading: Packet of pertinent allergy and immunology articles is given to each resident at the start and discussed throughout the elective.
· Pathological Materials: N/A
· Other educational resources: A full service library with computers is available in the MEB where residents are expected to read primary literature and standard medical texts.
Evaluation Method
· The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.
· The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of the attendings.
Level of Resident Supervision
· Primary responsibility for care lies with the attendings.
· Residents will take histories and physicals on new patients, see return visits, and play an active role in the diagnostic and management plans under the supervision of attendings.
INTERNAL MEDICINE HOUSESTAFF
SELECTIVE ROTATION
Amion Legend: UMCP AMB
Elective Title: AMBULATORY Non IM Specialty ElectiveSite: PRINCETON and New Brunswick
ELECTIVE DIRECTOR:Dr. Payal Dave
Dr. Kathy Robison
/ ELECTIVE FACULTY:
See Below / ELECTIVE CONTACT
NAME / ADDRESS
Refer to schedule / CONTACT PHONE:
Refer to schedule
MONTHS AVAILABLE:
All / DURATION/WEEKS
MIN: 2eeks
MAX: 4 weeks / TOTAL RESIDENTS
AT ANY GIVEN TIME
(Including from other programs)
MIN___
MAX ___1 / RESIDENTS LEVEL OF TRAINING
PGY 2/3
NO NIGHT CALL
NO WEEKENDS
NO NIGHT CALL / OUTPATIENT
100% ELECTIVE TIME SPENT IN AMB. SETTING / INPATIENT
0 % ELECTIVE TIME SPENT IN THIS SETTING / STUDENTS
YES NO X
NON-IM AMBULATORY MEDICINE SCHEDULE
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAYAM: / 8:30-12pm
Orthopedic
W. Thomas Gutowski, MD
Sports Medicine Forsgate
11 Centre Drive
Jamesburg, NJ 08831
609 655-4848
fax: 609-924-8532 / 8:30-12pm
Inpatient Neurology
Dr. Gupta
Cell phone:
732-425-8422
Call or text at 8:30am to find out where to meet for inpatient RWJUH consults / 8:30-12pm
Urology
Stanley Rosenberg, MD
Barry Rossman, MD Robert Pickens, MD
Alexander Vukasin, MD
Urology Group of Princeton
Forrestal Village
134 Stanhope St.
Princeton, NJ
609 924-6487
fax: 609-921-7020 / 9 am – 5 pm
Dermatology
Dr. Pappert/Rao1 Worlds Fair Drive
2nd Floor
Somerset, NJ 08873
Phone: 235-7765
Fax: 235-6568
/ 9:30-12pm
Gynecology@9:30am
Kyra Williams, MD
(contact person: AnnMarie/ext.6308)
UMCP
Outpatient Gynecology Clinic, Suite B
253 Witherspoon St.
Princeton, NJ 08540
609-497-4240
fax: 609-497-4027
PM: / 1-5pm
Ophthalmology
Richard Wong, MD
David Reynolds, MD
Samuel Liu, MD
Anita Miedzak,MD
Princeton Eye Group
Contact:
Diane Wronko
419 No. Harrison St.
Princeton, NJ 08540
609 921-9437
fax: 609-921-0277 / 1-5pm
Outpatient Neurology
Dr. Gupta
81 Veronica Avenue
Suite 201
Somerset, NJ /
1pm-5pm
Dermatology
David Nieves, MDPsoriasis Treatment Center of Central NJ
59 One Mile Road,
Suite G
East Windsor, NJ 08520
609 443-4500
fax: 609-426-0530
requirement:
read “Principles of Dermatology” by Lookingbill & Marks,
available at UMCP on: Language of Derm & Principles of Topical Therapy. / 1-5pm
Otolaryngology
Scott Kay, MD
7 Schalk’s Crossing Road
Suite 324
Plainsboro, NJ 08536
609-897-0203
Fax: 609-897-0213
Residents are required to attend the following program activities:
Daily Board Review, Weekly Grand Rounds and Monthly Humanism & Professionalism and Business of Medicine Conference, in addition to their Weekly Medicine Continuity Clinic.
Only required to attend Noon Report/conference on Tuesdays.
Goals and Objectives: Ambulatory Non-IM Specialty Princeton Selective
Educational Purpose
· To recognize common problems encountered in some non-internal medicine specialties that pertain to the practice of medicine, such as ophthalmology, dermatology, ENT, orthopedics, gynecology, neurology and urology.
· To improve physical exam skills in specific areas such as the HEENT, skin, joint, prostate, pelvic, and neuro exam.
· To gain exposure to the business aspects of running a private practice.
· To determine when it is appropriate to initiate a referral to an ophthalmologist, dermatologist, otolarynogologist, orthopedic surgeon, gynecologist, neurologist and urologist.
Teaching Methods
· Supervised direct patient care.
· Case discussions with attendings including differential diagnosis, pathophysiology, management and course of disease.
Educational Content
· Mix of Diseases: Includes, but is not limited to, red eye, uveitis, keratitis, glaucoma, cataracts, chronic sinusitis, chronic ear infections, neck masses, fractures/sprain/sports injuries, amennorhea, menorrhargia, cervical dysplasia, gyn infections, pelvic pain, BPH, prostate CA, prostatitis, impotence and incontinence, skin cancer, skin lesions, seizures, stroke, headaches, neuropathies, myopathies.
· Patient Characteristics: Varied in age from adolescents to the elderly, males and females, across many ethnic and socio-economic groups.
· Types of Clinical Encounters: Mainly outpatient encounters in the private offices of community physicians.
· Procedures: Skin biopsies, joint aspirations, digital rectal exam, pap smears, EMGs.
· Services: Broad range of services available in the office including the procedures listed above as well as full services available at UMCP and RWJUH.
Educational Materials
· Recommended Reading: Standard medical texts in the fields of ophthalmology, otolaryngology, dermatology, gynecology, urology, neurology and orthopedics are available in the MEB library.
· Pathological Materials: Review of skin, prostate, cervical biopsy results.
Evaluation Method
· The elective coordinators evaluate the resident at the end of the rotation through EValue: an online evaluation system. The resident is evaluated on a 9 point scale in each component of clinical competence: patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based practice.
· The resident is also required to evaluate the elective via Evalue. The elective is evaluated on the extent to which educational goals and objectives were met, the resident’s clinical experience and learning opportunities, and the teaching interest and ability of attendings
Level of Resident Supervision
· Primary responsibility for care lies with the attendings.
· Residents will take histories and physicals on new patients and see return visits under the supervision of attendings.
INTERNAL MEDICINE HOUSESTAFF
ELECTIVE ROTATION
Amion Legend: RWJ CARD
Elective Title: CARDIOLOGY CAB Elective Site: RWJ CAB Clinic
5
ELECTIVE DIRECTOR:Dr. Lili Cohen / ELECTIVE FACULTY:
UCG Faculty / ELECTIVE CONTACT
NAME / ADDRESS:
Dr. Cohen
125 Paterson Street
New Brunswick, NJ 08903 / CONTACT PHONE:
908-229-0956 (cell)
Call at LEAST 3 days prior to start of rotation
MONTHS AVAILABLE:
All / DURATION/WEEKS
MIN 2 weeks
MAX 4 weeks / TOTAL RESIDENTS
AT ANY GIVEN TIME
(Including other programs)
MIN__
MAX 2 / RESIDENTS LEVEL OF TRAINING
PGY __
ALL X
NO NIGHT CALL
NO WEEKENDS / OUTPATIENT
100 % ELECTIVE TIME SPENT IN AMB. SETTING / INPATIENT
0 % ELECTIVE TIME SPENT IN THIS SETTING / STUDENTS
YES X NO
TYPICAL SCHEDULE
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAYFrom
8:00 – 9:00 / Cardiology Conference
2 CORE Conference Room / Cardiology Conference
2 CORE Conference Room / Cardiology Conference
2 CORE Conference Room / Cardiology Conference
2 CORE Conference Room / Cardiology Conference
2 CORE Conference Room
FROM
9:00 am / CAB Clinic
Dr. Agarwal
CAB Clinic
Dr. Schindler
Dr. Agarwal / CAB Clinic
Dr. Vagaonescu / CAB Clinic
Dr. Cohen / Cardiac Rehab
Cardiodynamics
2nd Floor RWJUH
Nurse: Maureen / CAB Clinic
Fellows Clinic
CAB Clinic
Dr. Morerya
UNTIL
5:00 pm / CAB Clinic
Dr. Kostis / CAB Clinic
Dr. Shindler / CAB Clinic
Dr. Coromilas
Dr. Cohen
Thursday 12:00 – 1:00 EKG Conference
Residents are required to attend all program activities:
Daily Board Review, Daily Noon Report and Conference, Weekly Grand Rounds, and Monthly Humanism & Professionalism Conference and Business of Medicine Conference, in addition to their Weekly Medicine Continuity Clinic
Goals and Objectives: Cardiology Elective
Educational Purpose
· To recognize and treat commonly encountered outpatient problems in cardiology.
· To familiarize the resident with frequently used diagnostic tools such as stress testing, ECHO, Cath, MRI.
· To improve EKG reading skills
· To enhance cardiac physical diagnosis skills.
· To determine when it is appropriate to initiate a referral to a cardiologist.