College of Medicine Course Descriptions

This 1-week rotation is a brief introduction to anesthesia perioperative medicine. The student will be introduced to perioperative patient management and airway management along with commonly used anesthetic agents and anesthetic techniques. Teaching includes attendance at two to three lectures during the week, grand rounds, and possibly simulation training/education. Students will rotate through the ORs at University Hospital, Ashley River Tower, Shawn Jenkins, the VA, and Labor & Delivery.

1 credit hour

Rotation offered at AnMed Clinical Campus only. This one-week selective allows the third-year student to gain an introduction to general anesthesia management and perioperative management. The student will acquire a working knowledge of commonly used anesthetic agents, techniques and airway management. The student will work directly with one of the anesthesiologists to explore anesthesia as a career option or to get more information about anesthesia by students interested in primary care. Students will be working at the Medical Center, 800 N Fant St., Anderson, SC and/or at the North Campus, 2000 E. Greenville St., Anderson, SC.

1 credit hour

The course is an introduction to general anesthetic management and encompasses the anesthetic subspecialties of pediatric, neurosurgical, cardiothoracic, obstetrical anesthesia and pain management. The student will acquire a working knowledge of commonly used anesthetic agents, techniques and airway management. Teaching includes three weekly medical student lectures in addition to attendance at resident-oriented lectures and seminars. Night call is optional but encouraged. Overall, the rotation affords the student with a fascinating educational opportunity.

2.5-5 credit hours

This 4th-year elective will provide students with general anesthesia management and perioperative management. The student will learn adult intubation and gain a working knowledge of commonly used anesthetic agents, techniques, and airway management. Student will be assigned to work with various anesthesiologists during the rotation.

2.5-5 credit hours

This selective will allow the third year student to gain an introduction to general anesthesia management and perioperative management. The student will acquire a working knowledge of commonly used anesthetic agents, techniques and airway management. The student will work directly with one of the anesthesiologists.

2.5 credit hours

This advanced selective will build on the foundational skills and knowledge acquired during its prerequisite, ANES 863J. This course allows the third-year student to gain more extensive understanding of anesthesiology and perioperative medicine. Students will observe and participate, as appropriate, in using common anesthetic agents and performance of procedures on perioperative patients. Students will be working at the Medical Center, 800 N Fant St., Anderson, SC, at the North Campus, 2000 E. Greenville St., Anderson, SC, and Medicus Surgery Center, 107 Professional Court, Anderson, SC.

2.5 credit hours

Fourth-year medical students will work with an interdisciplinary critical care team lead by Critical Care Anesthesiologists with consultations by cardiovascular surgeons and cardiologists. Students will be directly involved in assessing, stabilizing, and treating critically ill patients with a variety of complex cardiovascular diseases. With supervision and guidance, students will be primarily responsible for their patients and will gain experience in developing clinical plans for critically ill patients. Students will become familiar with the basics of mechanical ventilation, shock and vasoactive medications, procedural indications and end-of-life care issues in the ICU. Students will observe and potentially perform invasive procedures. Students will participate in a mandatory orientation day to cover essential critical care subject matter. Participation is expected at all simulation-based procedural skills modules unless absence is excused. Students will be expected to work at least 20 shifts. Make-up dates for unexcused absences will take place the final weekend of the rotation and then at the discretion of the unit director. There is no expectation of night call, but it can be offered by the unit director as an integral learning experience or as make-up for unexcused absences. This rotation is recommended for students with interest in anesthesiology, internal/family medicine, emergency medicine and surgical subspecialties.

5 credit hours

At the completion of this clinical rotation, students will be able to:

1. Discuss cardiovascular and pulmonary physiology as applied in a variety of clinical settings and disease processes.
2. Discuss clinically applicable pharmacokinetics and pharmacodynamics across various pharmacologic therapies.
3. Start an intravenous line and have been guided through the process of intubation, starting an arterial line, and central venous access.
4. Discuss the treatment of acute pain through various modalities, including oral, intravenous, neuraxial, and regional techniques, as well the ethics involved in the treatment of pain.
5. Communicate basic ACLS principles, with particular attention placed on airway management.
6. Demonstrate professional behavior in pre-operative encounters with patients and their families, understanding the stress and anxiety involved in this period.

2.5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5-5 credit hours

Individualized research.

2.5-5 credit hours

This 1-week rotation is held at a university-affiliated private dermatology practice or MUSC clinic, and students will have the opportunity to participate in the care of a broad spectrum of patients in both the pediatric and adult age groups. Students will be assigned to an available physician.

1 credit hour

Students observe and participate in the management of a wide variety of dermatologic diseases.

2.5 or 5.0 credit hours

Students will participate in the diagnosis and management of a wide variety of dermatological diseases in a busy outpatient dermatology office.

2.5-5 credit hours

Students will observe and participate in the diagnosis and management of a wide variety of dermatologic diseases of the pediatric population. Patient encounters will occur largely in the Pediatric Dermatology outpatient clinic. Inpatient consultation and patient care will also supplement the students' clinical experiences.

2.5-5 credit hours

At the completion of this clinical rotation, students will be able to:

1. Conduct a complete skin exam.
2. Establish a differential diagnosis for a cutaneous tumor.
3. Recognize common inflammatory dermatoses.
4. Determine the appropriate diagnostic procedure to provide information for a definitive diagnosis (punch biopsy vs excision vs laboratory testing).
5. Make a decision on initiation of therapy for common dermatoses.

2.5 credit hours

Third year students may choose this selective to observe and participate in the diagnosis and management of a wide variety of common dermatological diseases seen in an outpatient dermatology practice. This is to expose primary care interested students in the concepts of dermatology commonly seen by a primary care physician.

4 credit hours

Third year students may choose this selective to participate in the diagnosis and management of a wide variety of common dermatological diseases seen in two outpatient dermatology practices. Skin Cancer Centre (Dr. DeAngelis) is heavily involved in Mohs Surgery and Dermatologic Surgery seeing mainly adult patients. Skin and Cancer Clinic (Dr. Quarterman) is a general dermatology practice that sees adults and pediatrics. The objective is to expose interested students in the concepts of diagnoses and treatment of dermatology problems commonly seen by a primary care physician.

2.5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5-5 credit hours

Individualized research.

2.5-5 credit hours

The course consists of 4 nine-hour shifts in the Emergency Department (ED). During each shift, the student will interact and learn how to perform an expeditious and focused history and physical. The student will focus on how to order appropriate diagnostic tests and formulate a differential diagnosis. The student will work closely with the attending on duty and learn how to treat and manage many various illnesses and injuries. The ED operates 24 hours a day, 7 days a week. Orientation will occur on the first day of each intersession block. Weekly didactic sessions are mandatory.

1 credit hour

Rotation offered at AnMed Clinical Campus only. This one-week course has 5 shifts in the AnMed Emergency Department (ED). Each shift varies from 8-9 hours for a total of at least 40 ED hours. Two shifts are in the evening ending at midnight. Students in the ED will interact and learn how to perform an expeditious and focused history and physical. The student will focus on how to treat and manage multiple various illnesses and injuries.

1 credit hour

In this required course, fourth-year medical students will work six 9-hour shifts in the Emergency Department as a member of the care team. During each shift, the student will interact with patients and learn how to perform an expeditious and focused H&P. The student will focus on how to order appropriate diagnostic tests and formulate a differential diagnosis. The student will work closely with the attending on duty and learn how to treat and manage many various illnesses and injuries. The ED operates 24 hours a day, 7 days a week and shifts will be scheduled accordingly with a combination of day, evening, and overnight shifts.

2.5 credit hours

Students will learn to save lives in the wilderness while earning Advanced Wilderness Life Support (AWLS) Certification. The course uses structured didactic sessions and hands-on practical instruction in a variety of outdoor settings to teach the diagnosis and initial management of the most common wilderness injuries and illnesses.

2.5 credit hours

This two week course has 10 shifts in the AnMed Health Emergency Department (ED). Each shift varies from 8-9 hours for a total of at least 80 ED hours. Four shifts are in the evening ending at midnight. Student in ED will interact and learn how to perform an expeditious and focused history and physical. The student will focus on how to treat and manage multiple various illnesses and injuries. There is one 9-hour Saturday shift. Required reading from Tintinalli's Emergency Medicine Manual will be assigned during orientation which occurs on first day of the block.

2.5 credit hours

The course consists of 8-hour shifts in the ER. Approximately 8-10 shifts will be offered. During each shift, the student will interact with patients, do an expeditious and focused history and physical examination. the student will learn to order diagnostic tests, discuss differential diagnosis and management options for treating various illnesses and injuries. The student will also have opportunities to learn procedural skills such as laceration repair, incision and drainage of abscesses, obtaining intravenous access and others. Overall, the rotation affords the student with a fascinating educational opportunity.

2.5-5 credit hours

During the four-week rotation, the student will focus on Emergency Ultrasound (EUS) skills. They will complete a minimum of 120 scans in pertinent areas of EUS including Aorta, Biliary, Trauma, Cardiac, Renal, DVT, Soft Tissue/MSK, Thoracic, Ocular, Obstetric, and Procedural Ultrasound. There will be scheduled one on one time with EUS faculty, as well as a weekly scan review. Students will present one case at the end of their month as well as completing interactive quizzes pertinent to required reading.

2.5-5 credit hours

This course will prepare students to save lives in the wilderness while earning Wilderness Life Support for Medical Professionals (WLS:MP) Certification (formerly Advanced Wilderness Life Support, or AWLS). The course uses structured didactic sessions and hands-on, practical instruction in a variety of indoor and outdoor settings to teach the diagnosis and initial management of the most common wilderness injuries and illnesses. During this course, students will be visiting Congaree National Park near Columbia, South Carolina for an overnight trip. All students will be expected to engage in moderate physical activity, such as kayaking and camping outdoors overnight. Students will experience practical field exercises such as navigation in the wilderness and water purification techniques. Students will participate in simulations for evacuating patients from situations in the wilderness. There is a required course fee that will cover the WLS:MP certification, the outdoor excursions, and a few meals.

2.5 credit hours

This two-week course has 12 shifts in the AnMed Health Emergency Department (ED). Each shift varies from 8-9 hours for a total of 107 ED hours. Six shifts are in the evening ending at midnight. Student will have continuity clinic at Anderson Free Clinic every other Thursday afternoon as well as didactic conferences every Friday afternoon. Student in ED will interact and learn how to perform an expeditious and focused history and physical. The student will focus on how to treat and manage multiple various illnesses and injuries. There is one 9-hour Saturday shift. Required reading from Tintinalli's Emergency Medicine Manual will be assigned during orientation which occurs on first day of the block.

2.5 credit hours

This 4 week, 5 credit Junior Selective course will consist of 24 shifts in the AnMed Health Emergency Department (ED). Each shift varies from 8-9 hours. Twelve shifts are in the evening ending at midnight. Student will have continuity clinic at Anderson Free Clinic every other Thursday afternoon as well as didactic conferences every Friday afternoon. Student in ED will interact and learn how to perform an expeditious and focused history and physical. The student will focus on how to treat and manage multiple various illnesses and injuries. There are two 9-hour Saturday shifts. Required reading from Tintinalli's Emergency Medicine Manual will be assigned during orientation, which occurs on first day of the block.

5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Conduct an initial assessment of a patient in the emergency department (ED) and perform stabilization techniques. 2. Establish a differential diagnosis, and order and interpret appropriate diagnostic tests (including imaging studies) related to the differential diagnosis. 3. Manage acutely ill and/or injured patients. 4. Perform procedural skills (i.e., I.V access, blood drawing from femoral sticks, arterial sticks, sutures, I&Ds, wound care, fracture splinting) 5. Participate in reading EKGs, ABG interpretation, and patient case discussions.

2.5 credit hours

The 4 week, 5 credit Junior Selective course consists of 16 nine-hour shifts in the Emergency Department (ED). During each shift, the student will interact and learn how to perform an expeditious and focused history and physical. The student will focus on how to order appropriate diagnostic tests and formulate a differential diagnosis. The student will work closely with the attending on duty and learn how to treat and manage many various illnesses and injuries. The ED operates 24 hours a day, 7 days a week. Orientation will occur on the first day of each block. Weekly didactic sessions are mandatory.

5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5-5 credit hours

Individualized research.

2.5-5 credit hours

This 1-week rotation will introduce students to an inpatient experience consistent with the practice of family medicine physicians. Based on the common discharge diagnoses, the Inpatient Service is able to provide a comprehensive educational experience for a third-year student. This rotation is completed on MUSC’s Charleston campus.

1 credit hour

This 1-week rotation will introduce students to an outpatient experience consistent with the practice of family medicine physicians. This rotation is completed on MUSC’s Charleston campus.

1 credit hour

Rotation offered only at AnMed Clinical Campus. Third year student will be exposed to ambulatory family medicine in a family medicine residency office and/or a family medicine practice. This will be Monday-Friday from 8AM to 5PM. There are specialty clinics in the residency (dermatology, sports medicine, gynecology, prenatal, and travel medicine) run by family medicine physicians to get more specialized training. Student will also gain experience in office laboratory medicine related to phlebotomy, wet prep interpretations, skin scrapings, etc

1 credit hour

During this experience students will spend time in a privately run continuing care retirement community for geriatric patients and a state run facility for disabled people. The students taking this elective will gain experience not only in the care of geriatric populations but also in the knowledge of care transitions related to the post acute and long term care environment. The rotation is located at The Village at Summerville (201 W 9th North St.) and the Coastal Center (9995 Miles Jamison Rd.). Students will spend approximately half of their time in each of these settings.

5 credit hours

Rotation offered at AnMed Clinical Campus only. The third year student will spend time working in the hospital, Post-Acute Care Clinic, and Geriatrics outpatient office in Anderson. Student will assist with direct patient care including admission, inpatient and discharge activities. Work will be Monday-Friday 8AM-5PM.

1 credit hour

The students work closely with a family physician, gaining genuine experience in family practice and health care delivery. This elective should be beneficial in choosing a career in medicine for those considering family practice, and future consultants may gain an appreciation for the role of the family practitioner.

5 credit hours

Rotation offered at AnMed Clinical Campus only. This one-week rotation will provide third-year students the opportunity to explore rural primary care through working in a rural medical practice (Monday- Friday). Students will work under direct supervision of practicing family physicians at AnMed Primary Care- Honea Path, 21 S. Shirley Ave., Honea Path, SC. Students will observe the role of rural physicians and their interrelationships with the community.

1 credit hour

The student will be scheduled to assist with direct patient care activities with sports medicine physicians. In addition, the student will rotate through physical therapy. Finally, the student will be expected to develop and present a morning report/noon conference on a primary care sports medicine topic.

2.5 or 5 credit hours

Rotation offered at AnMed Clinical Campus only. This one-week course will be with AnMed Primary Care - Family Medicine Residency. The student will be scheduled (Monday-Friday only) to assist with direct patient care activities with Family Medicine Sports Medicine physicians; spending time in the training rooms at Clemson University and/or Anderson University, in the Ortho/Sports Medicine Clinic at AnMed Primary Care - Family Medicine Residency every Thursday and at a local orthopedic office. Exposure to ultrasound guided injections will be provided. Training will be provided by three primary care sports medicine attending physicians and 1-2 sports medicine fellows.

1 credit hour

The Family Medicine/Rural Clerkship fosters a strong understanding of the clinical issues in primary care and the professional role of a primary care physician. Ambulatory care and the importance of the patient-physician relationship are emphasized. This clerkship also broadens the focus of student learning from providing care to individual patients to improving the health of defined populations. The population health perspective "encompasses the ability to assess the health needs of a specific population; implement and evaluate interventions to improve the health of the population; and provide care for individual patients in the context of the culture, health status, and health needs of the populations of which that patient is a member." (Population Health Perspective Panel Report, Academic Medicine.1999;74:138). Prerequisite: successful completion of preclerkship curriculum and a passing score on Step 1 of the United States Medical Licensing Exam.

8 credit hours

Readings, rounds and discussions of spirituality and health issues including how to deal with spiritual issues in practice, recent research regarding spirituality and health, and ethical considerations.

2.5 credit hours

This fourth-year externship will provide students with an inpatient and outpatient experience of a community family medicine physician. Students will complete two weeks as acting intern on our Audit Teaching Service, 5 nights of night float for one week (Monday-Friday) and one week at our residency outpatient practice.

5 credit hours

How do health professionals help close the loops in caring for their patients? Many times health professionals are unable to meet the needs of their patients beyond diagnosis and prescription of medical care. However, for many patients, especially the underserved population, their social factors greatly affect all health outcomes. This course exposes students to clinical care for uninsured adult patients in our community while simultaneously giving them an in depth experience with community sites that help address major social determinants of health including food insecurity, transportation and literacy.

2.5 credit hours

This elective is structured to provide the student an inpatient experience consistent with the practice of community family medicine physicians. Based on the common discharge diagnoses of the 836 admissions for fiscal year 1999, the Inpatient Service is able to provide a comprehensive educational experience for a fourth year student.

2.5 or 5 credit hours

The fourth-year student will be scheduled to assist with direct patient care activities with sports medicine physicians at outpatient clinics as well as at athletic departments in local universities (Anderson and Clemson). The student will spend time with physical therapy as well as work with athletic trainers. The student will develop and present a primary care sports medicine topic.

2.5 or 5 credit hours

The student will be the initial onsite resource person handling patient calls, laboratory results, and consultative notes allowing the student to experience a supervisory role at Anderson Free Clinic (telephone backup by Medical Director). All decisions made by the student are to be logged and reviewed with the AFC Director (Dr. Nate Bradford) on the same day. Student will serve four half days at a local HIV clinic working with ID specialist. Exposure to homeless individuals will be done at Mercy Center under supervision by attending physicians/residents. Student will work with various healthcare team members (clinical social work, dentist, speech therapist, and pharmacist), always under supervision of rotating attending physicians.

2.5 or 5 credit hours

The course will consist of an 8-14 day international global medicine trip working with a faculty member of the MUSC AnMed Health Clinical Campus.These trips are co-sponsored with Volunteers in Medical Missions, a 501c3 interdenominational medical ministry founded in 1986 and headquartered in Seneca, SC. The student will focus on effective evaluation of patients to formulate a differential diagnosis while working with the many limitations of medical car in the developing world. This work is mainly in rural and remote locations. Completion of MUSC Global Medicine forms must be done in advance. CDC guidelines are utilized for student protection. Travel insurance is provided by VIMM. Students are expected to cover the cost of these trips. AnMed Health offers $1000 scholarships to students involved with the MUSC AnMed Health Clinical Campus.

2.5 credit hours

This rotation will provide the 4th-year medical student with an interest in primary care the opportunity to explore rural primary care. Student will work under direct supervision of a rural practicing family physician in Abbeville, SC. Student will see patients in the office, emergency department and rural hospital. Student will have opportunity to observe the role of a rural physician in relationship to community agencies, as well as learn administrative and office management expectations of rural practice.

2.5 or 5 credit hours

This rotation will provide students with inpatient and outpatient experience consistent with a community family medicine physician. Students will complete 2 weeks on a busy inpatient service (flexible), 1 week of outpatient medicine and 1 week geared towards a specific interest of the student (given availability of rotation). For instance, students interested in community medicine, geratrics or behavioral medicine (among others) wi ll have the opportunity to focus in these areas. If the student does not have specific interests, two weeks will be completed in the outpatient setting.

2.5 or 5 credit hours

The student will experience integrative medical practices to see what many of our patients partake. There is a time to reflect upon your own wellness as you will write a personal exercise program and engage in a 5 K walk/run. From spirituality, yoga and massage therapy to learning about herbal medicines and OTC supplements to observing acupuncture medicine, the student will work with various healthcare providers to better understand alternative and complementary medicine.

2.5 or 5 credit hours

LEARNING GOALS AND OBJECTIVES: At the completion of this clinical rotation, students will be able to: 1. Gather information through interview, physical examination, and laboratory/radiology studies to assess patients admitted to the hospital. 2. Use Evidence Based Medicine resources appropriately in the care of hospitalized patients.3. Recommend appropriate management for hospitalized patients.

2.5 credit hours

The fourth year student will work in the hospital, Post Acute Care Clinic, Geriatric office and Hospice inpatient facility. Student wi ll see patients in the inpatient and outpatient areas providing admission, hospital care, discharge, and outpatient follow-up as well as learning about end of life issues at an inpatient Hospice facility in Anderson. Work will be Monday-Friday BAM- 5 PM.

2.5 or 5 credit hours

A two week rotation (Monday-Friday) that provides third year students direct involvement and experience in a functioning rural practice associated with a rural family medicine residency and a solo physician rural practice. Student will work under direct supervision of a faculty or resident physician, as well as one half day learning administrative and office management expectations. Time will be spent in the office, local hospital, emergency department, Hispanic prenatal clinic and at Clemson University for clinics in colposcopy and dermatology.

2.5 credit hours

This fourth year elective is intended to familiarize the medical student with the specialty of occupational medicine. Student will become familiar with OSHA laws, DOT regulations, NIOSH recommendations, workers compensation system and medical surveillance for certain occupational exposures. This is an outpatient rotation with students seeing patients in the occupational medical office under supervision by the Occupational Medicine Physician. Time will be Monday-Friday from 8AM-5PM.

2.5 or 5 credit hours

This 2 week course is Monday-Friday only. The student will spend time working with a geriatrician and palliative care physicians in the hospital, nursing home, and Hospice home and inpatient facility in Anderson. Student will assist with direct patient care including admission, inpatient, and discharge activities. Common geriatric conditions (normal aging, dementia, incontinence, delirium, falls, etc.) will be seen and discussed.

2.5 credit hours

Direct Patient Care (DPC) Practice is a primary care elective designed for the fourth year student to explore the DPC model of medical practice. The DPC model gives family medicine physicians a meaningful alternative to fee-for-service insurance billing, typically charging patients a monthly, quarterly or annual fee which covers all or most primary care services. The student will be in a two physician primary care direct patient care practice. During this experience, the student will see patients under direct supervision , learn non-traditional modes of communication (texting, emailing, virtual visits, etc.), provide care with the faculty at alternative locations (such as patient's home) and explore how medications are dispensed at the DPC clinic. 2.5 or 5.0 variable credit course.

2.5 or 5 credit hours

This three week course will be with the AnMed Health Family Medicine Residency. The student will be scheduled (Monday-Friday only) to assist with direct patient care activities with Family Medicine Sports Medicine physicians; spending time in the training rooms at Clemson and Anderson University, in the Ortho/Sports Medicine Clinic at AnMed Health Family Medicine Residency every Thursday and at Blue Ridge Orthopedic office. Exposure to ultrasound guided injections will be provided. Training will be provided by 3 primary care sports medicine attending physicians and 1-2 sports medicine fellow.

4 credit hours

This 2 week selective will expose the student to ambulatory family medicine. Office hours will be in AnMed Health Family Medicine Center from 8 am to 5 pm. The student will also be exposed to specialty clinics that are run by family physicians that include dermatology, sports medicine, prenatal, gynecology, and travel medicine. This allows students to be exposed to the diverse roles of the family physician. The student will also obtain experience in the office laboratory to gain knowledge and skills related to phlebotomy, wet prep interpretation, skin scrapings, etc. This selective should be beneficial for students considering family medicine, and future consultants may gain an appreciation for the role of the family physician.

2.5 credit hours

The purpose of this selective is to foster student development of a strong understanding of the clinical issues and professional role of a primary care physician and to further broaden the focus of student learning from providing care to individual patients to improving the health of defined population health perspective. The perspective "encompasses the ability to assess the health needs of a specific population; implement and evaluate interventions to improve the health of the population; and provide care for individual patients in the context of the culture, health status, and health needs of the populations of which that patient is a member." (Population Health Perspective Panel Report, Academic Medicine.1999;74:138).

4 credit hours

Third year students at MUSC AnMed Health Clinical Campus are assigned to a longitudinal continuity clinic every other Thursday afternoon during the entire third year. Students are divided into two teams of six students. Each session will have two preceptors. Didactic sessions (set curriculum) are taught by faculty from 1:00-1:30 PM every Thursday. Patient care is from 1:30-5:00 PM. Students will evaluate and treat assigned patients. All patients will be seen by an attending physician or resident after patient presentation by students. Student will have many opportunities to perform necessary procedures, make referrals, write prescriptions, and place notes in the electronic record. Students will be scheduled to see two patients per day of clinic and as they progress in their skill level, will move up to seeing four patients per clinic.

2.5 credit hours

This two-week selective introduces the student to urgent care, which provides medical services for outpatient treatment of acute and chronic illnesses and injury. Urgent care medicine requires broad knowledge for the care of patients with complex and/or unusual conditions. Students will observe clinical skills in acute care as well as office-based laboratory tests (e.g., urinalysis, pregnancy test, rapid strep) and X-rays. Students will participate, as appropriate, in the management of common illnesses and minor injuries and be exposed to the decision-making involved processes such as referral of patients to specialists, transfer of patients to an emergency department, or direct hospitalization (with inpatient care by the consultant). This selective will take place at AnMed CareConnect- Anderson, 600 North Fant St., Anderson, SC.

2.5 credit hours

This 2-week course exposes 4th-year medical students to the Acute Care for the Elderly (ACE) unit at the Ralph H. Johnson VA Hospital, which is an innovative care model designed to maintain functional independence and reduce hospital-acquired disability among acutely ill older adults. Students will rotate on the Geriatrics consultation service to conduct a comprehensive geriatric assessment and round with the interdisciplinary team daily. Students will receive an email with details of the rotation prior to their start date. Students will attend didactic teaching sessions with the ACE team which will cover high-yield inpatient topics in geriatrics.

2.5-5 credit hours

Students will work with the inpatient Wound, Ostomy, and Continence Nursing Team and in the outpatient Wound Care and Hyperbaric Medicine Center on a daily basis. The rotation will function as an inpatient experience focusing on the acute care patient and wound healing as well as an outpatient specialty clinic experience for students to learn the basics of chronic wound care including diagnosis, dressings, debridements, advanced wound care techniques and hyperbaric oxygen therapy. 2.5 Credit hours

2.5 credit hours

This 2-week course exposes 4th-year medical students to the Acute Care for the Elderly (ACE) unit at the Ralph H. Johnson VA Hospital, which is an innovative care model designed to maintain functional independence and reduce hospital-acquired disability among acutely ill older adults. Students will rotate on the Geriatrics consultation service to conduct a comprehensive geriatric assessment and round with the interdisciplinary team daily. Students will receive an email with details of the rotation prior to their start date. Students will attend didactic teaching sessions with the ACE team which will cover high-yield inpatient topics in geriatrics.

2.5-5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

This is an away rotation in the Pathology department section on Laboratory medicine. Goals and objectives must be submitted and approve prior to the rotation. The experience may be in a Chemistry, Hematology, microbiology or other suitable area of concentration.

2.5 or 5 credit hours

The course is an opportunity for the student to work in the role of an intern in Pathology. There should be appropriate level of supervision, but all the usual responsibilities, including call, required of an intern is this field.

2.5 or 5 credit hours

Research based elective for 4th year medical students. Overall, the rotation affords the student with a fascinating educational opportunity.

2.5 or 5 credit hours

On the Internal Medicine core clerkship, third-year medical students care for hospitalized adult patients with a variety of diagnoses and clinical problems. Through experiential learning by working with residents and attending physicians on the General Internal Medicine inpatient ward services at the Medical University Hospital (MUH), Ashley River Tower (ART) and the Veterans Hospital (VA), students will develop the knowledge and skills to actively care for hospitalized adult patients. In addition, students will complete an ambulatory component during the Internal Medicine Clerkship to develop skills necessary to provide ambulatory primary care services. Students are expected to take responsibility for actively caring for patients, including interviewing, examining, and communicating with patients, as well as presenting and documenting patients' clinical courses. Performing, documenting and verbally presenting histories and physical examinations of patients in emphasized throughout the clerkship. In addition, students are expected to develop differential diagnoses, assessments and treatment plans that demonstrate understanding patients' illness and the impact of illness on the patient and family. Students' clinical experiences are supplemented by didactics, conferences, and small group interactive discussions. Prerequisite: successful completion of preclerkship curriculum and a passing score on Step 1 of the United States Medical Licensing Exam.

10 credit hours

This 1-week rotation will introduce students to various forms of diabetes in inpatient settings. Students will learn to take a diabetes-focused history and do appropriate physical exams. Furthermore, students will learn the importance of appropriate glycemic control and will be able to understand the pharmacology of antidiabetic medications and insulin.

1 credit hour

This 1-week rotation will introduce students to caring for patients with Chronic Kidney Disease, managing the complications of chronic kidney disease, complex hypertension, volume overload and preparation for outpatient long term dialysis. This rotation will also introduce students to the transplant referral process.

1 credit hour

Fourth-year medical students will be directly involved in assessing, stabilizing, and treating critically ill patients with a variety of complex diseases with a focus in but not limited to Heme/Onc and GI. With supervision and guidance, students will be primarily responsible for their patients and will gain experience in developing clinical plans for critically ill patients. Students will become familiar with the basics of mechanical ventilation, intravenous fluids, shock and vasoactive medications, surgical emergencies, procedural indications and end-of-life care issues in the ICU. Students will observe and potentially perform invasive procedures.

5 credit hours

This course will expose 4th-year medical students to Palliative Medicine. The focus is on providing relief from the symptoms and stress of a serious illness, regardless of the diagnosis in order to improve the quality of life for both the patient and family. Students will learn how to approach and support patients with serious illness who have emotional, spiritual, and symptomatic needs. Students will work with patients and families in the hospital setting and in Hospice as available. Students will be provided with reading material and regular didactic sessions concerning basic topics in Palliative Medicine.

2.5 or 5 credit hours

This course is designed to expose fourth-year medical students to see patients with endocrine disorders. Students will work with endocrinologist in the office and on rounds/consultations in hospital.

2.5 credit hours

Rotation offered at AnMed Clinical Campus only. This one-week selective is for third year medical students who desire to explore Endocrinology as a possible career opportunity. The student will observe an endocrinologist at AnMed Endocrinology, Suite 3100 North Campus.

1 credit hour

This course is designed to expose fourth-year medical students to common pulmonary diseases that are seen in the in-patient setting as well as in the pulmonary office. Students will participate in the care of pulmonary patients in the office, on the hospital war and in the ICU. Students will learn to Interpret pulmonary function and be exposed to common pulmonary procedures such as thorocentesis and bronchoscopy and their indications.

2.5 or 5 credit hours

The fourth year medical student will rotate in a busy two physician rheumatology practice. The student will present patients in the office. It is expected that the student will gain knowledge/experience with common rheumatology disorders (crystalline arthropathies; inflammatory arthritis including spondyloarthropathies; rheumatoid arthritis; systemic lupus erythematosus; osteoporosis; fibromyalgia; and vasculitis).

2.5 credit hours

This elective introduces the general approach to the diagnosis and management of common oncologic and hematologic disorders typically seen by primary care physicians. The student will see patients in inpatient and outpatient settings to achieve skills needed to take appropriate histories and perfonn physical exams as well as formulate assessments and management plans. Student will be working with oncologists in their outpatient setting (Anderson Area Cancer Center Oncology & Hematology, Suite 5000, 2000 East Greenville Street, Anderson) or inpatient at AnMed Health Main Campus (800 North Fant Street, Anderson). Student will work Monday-Friday from 8 AM to 5 PM.

2.5 or 5 credit hours

Fourth-year medical students will work with interdisciplinary critical care teams lead by Pulmonary and Critical Care physicians with house staff coverage by Senior Pulmonary/Critical Care fellows and Internal medicine residents. Students will be directly involved in assessing, stabilizing, and treating critically ill patients with a variety of complex medical diseases such as sepsis, respiratory failure, shock, renal failure, liver failure, post-operative liver transplant. Students will become familiar with the basics of mechanical ventilation, intravenous fluids, shock and vasoactive medications, procedural indications, and end-of-life care issues in the ICU. Students will observe and potentially perform invasive procedures.

5 credit hours

Students will see both ADULT and PEDIATRIC patients 5 days a week in our outpatient offices. Students will learn about asthma, allergic skin diseases, food allergies, insect allergies, and immune deficiencies. They will also learn about the economics of an outpatient office.

2.5 or 5 credit hours

Students will see both ADULT and PEDIATRIC patients 5 days a week in outpatient offices. Students will learn about asthma, allergic skin diseases, food allergies, and immune deficiencies. They will also learn about the economics of an outpatient office.

2.5 credit hours

This is a selective for third year students who desire to learn more about the field of Infectious Disease. The student will see patients with inpatient infectious diseases under the supervision of an Infectious disease specialist. The goal is exposure to common infectious diseases processes as to their diagnoses and treatment options.

2.5 credit hours

Rotation offered at AnMed Clinical Campus only. This is a one-week selective for third year students who desire to learn more about the field of Infectious Disease. The student will see patients with inpatient infectious diseases under the supervision of an Infectious Disease specialist. The goal is exposure to common infectious diseases processes as to their diagnoses and treatment options.

1 credit hour

This is an inpatient consultation service rotation designed to expose fourth-year medical students to the field of Infectious Disease. The student will see patients with infectious diseases under supervision by the attending physician and learn the diagnostic approach as well as medical management of these patients.

2.5 credit hours

This selective introduces the student to the care of the hospitalized adult patient. By working alongside patient care teams on the General Internal Medicine inpatient ward services at the Medical University Hospital (MUH), Ashley River Tower (ART), and the Veterans Hospital, students will learn firsthand about caring for the hospitalized adult patient. Students will be expected to learn the role of the patients' primary hospitalist and should take an active role in the documentation of the patient's hospital stay. Emphasis is placed on performing, documenting, and presenting histories and physical examinations of patients; developing differential diagnoses, assessment, and treatment plans; actively participating in the care of patients, and understanding the impact of illness on the patient and family.

4 credit hours

This rotation will be inpatient and outpatient to give the fourth-year medical student exposure to the field of gastroenterology. The student will be exposed to patients with digestive diseases and learn the diagnostic approach as well as the medical management of these patients. The student will also observe endoscopic procedures and understand their role in the care of these patients as well.

5 credit hours

This rotation will be inpatient and outpatient to give the third-year medical student exposure to the field of gastroenterology. The student will be exposed to patients with digestive diseases and learn the diagnostic approach as well as the medical management of these patients. The student will also observe endoscopic procedures and understand their role in the care of these patients as well. Office is AnMed Health GI Specialists, Suite 2900, 2000 East Greenville Street, Anderson and the hospital is AnMed Health, 800 North Fant Street, Anderson.

2.5 credit hours

Rotation offered at AnMed Clinical Campus only. The 3rd year student will work with patients in the hospital and in the clinic (130 Perpetual Sq., Anderson, SC) with the attending. The student will observe and learn the diagnostic and therapeutic approach to digestive diseases. The student will also observe endoscopy, understanding its role in the diagnosis and management of these patients.

1 credit hour

This two week elective will work with three internal medicine physicians to learn the intricacies of reading electrocardiograms. There is an on-line curriculum that must be completed during the two weeks. All ECGs done at the residency during the two weeks will be read by the senior medical student along with oversight by the two attending physicians. One-on-one sessions will be done with the attending physicians. Clinical time will be in the AnMed Health Family Medical Center.

2.5 credit hours

This course is designed to expose third-year students to common pulmonary diseases seen in both inpatient and outpatient settings. Students will participate in the care of patients in the office and hospital including the ICU. Students will learn to interpret pulmonary function tests and be exposed to common pulmonary procedures such as thorocentesis and bronchoscopy.

2.5 credit hours

Rotation offered at AnMed Clinical Campus only. This course is designed to expose third-year students to common pulmonary diseases seen in both inpatient and outpatient settings. Students will participate in the care of patients at AnMed Pulmonary & Sleep Medicine at the AnMed North Campus and the hospital, including the ICU. Students will learn to interpret pulmonary function tests and be exposed to common pulmonary procedures such as thorocentesis and bronchoscopy.

1 credit hour

This is an inpatient/outpatient rotation designed to expose 4th year medical students to the field of cardiology. The student will be exposed to patients with cardiac diseases, learn the diagnostic approach, as well as the medical management of these patients. The student will spend time in the cardiac cath labs, CDU, CCU and inpatient cardiology ward. There will be time spent in the ECG reading lab as well as in the private office of a cardiology group.

2.5 or 5 credit hours

Rotation offered at AnMed Clinical Campus only. This one-week course will be with cardiologists at AnMed Cardiology, 100 Healthy Way #1250, Anderson, SC. This course will provide a brief overview of inpatient and outpatient cardiology. The student will spend time in the cardiac cath lab, CDU, CCU, as well as on the inpatient cardiology ward. Time in the outpatient cardiology office will expose the student to various cardiac diseases and diagnostic approaches to treatment options.

1 credit hour

The student will manage acutely ill general medicine patients. The student will develop independent clinical practice skills with guidance and supervision from an individual attending on the hospitalist service. The student will function at the level of an intern, being primarily responsible for their patients' plan of care, communication, and documentation.

5 credit hours

Fourth-year medical students will work with interdisciplinary critical care teams lead by Pulmonary and Critical Care physicians in a large community hospital setting. Students will be directly involved in assessing, stabilizing, and treating critically ill patients with a variety of complex medical diseases such as sepsis, respiratory failure, shock, renal failure. Students will become familiar with the basics of mechanical ventilation, intravenous fluids, shock and vasoactive medications, procedural indications and end-of-life care issues in the ICU. Students will observe and potentially perform invasive procedures. Students will participate in a mandatory orientation day to cover essential critical care subject matter. Participation is expected at all simulation-based procedural skills modules unless absence is excused. Students will be expected to work at least 20 shifts. Make-up dates for unexcused absences will take place the final weekend of the rotation and then at the discretion of the unit director. There is no expectation of night call, but it can be offered by the unit director as an integral learning experience or as make-up for unexcused absences. This rotation is solely available to students completing clinical rotations at AnMed Hospital.

2.5 or 5 credit hours

The Hospice and Palliative Medicine Elective is based on the Voluntary Program Standards for residency Education in Palliative Medicine 2005.

2.5 or 5 credit hours

The course is an introduction to management of adult critically ill patients with a variety of complex diseases. The student will participate in all aspects of care including diagnosis and management. They will receive instruction in ventilator management (including bi-vent, oscillator, and non-invasive ventilation), pulmonary artery catheter use, and central line use. They will receive instruction in pharmacotherapy of the critically ill, and will have the opportunity to learn a variety of procedures such as central line placement, arterial line placement, and the use of ultrasound in the ICU. Students will participate in all of the academic activities of the Critical Care Team including the Division of Pulmonary Medicine in the Department of Medicine. They are expected to serve at the level of an intern this includes performing an admission history and physical, developing a differential diagnosis and treatment plan. It is also expected that the student will review relevant information in the medical literature regarding their patients146 disease state. Once a week call is strongly encouraged, but not required.

2.5 or 5 credit hours

This is an outpatient clinical (2 weeks) and inpatient consultation service (2 weeks) rotation designed to expose the 4th-year medical student to the field of Hepatology. The student will also observe endoscopic procedures and understand their role in the care of the patients. Students will rotate at the VA Clinic so current VA logins and codes are required. Overall, the rotation affords the student with a fascinating educational opportunity.

2.5 or 5 credit hours

Teaching clinical skills is essential and required for residents but students receive little to no training prior to residency. Preclerkship students often feel more comfortable asking questions of and become more confident learning from fourth year students as they recognize they will be able to learn and master clinical skills with lime and experience. 4th year medical students will attend didactic sessions about teaching clinical skills and assist in leading physical exam workshops, physical exam practice sessions, and interview skills practices sessions under the supervision of master clinical skills teacher or FPC co-director. They will also attend preparatory sessions to prepare for the workshops or practice sessions.

2.5 credit hours

Students will be assigned to the VA therefore students must be current with VA logins and codes before starting this rotation. This is an opportunity for 4th year students to experience a medical intensive care unit and the introduction of the management of critically ill patients with a variety of complex diseases. To understand the critically ill patients in the ICU, the students will also participate in the pulmonary consult service and inpatient and outpatient procedures. Students will learn how to interpret pulmonary function, and be exposed to common pulmonary and critical care procedures such as thorocentesis, bronchoscopy, ventilator and sepsis management, central line placement, and end of life discussions.

2.5 or 5 credit hours

Students on this rotation will be exposed to patients with acute kidney injury, chronic kidney disease, electrolyte abnormalities, and end stage renal disease. The student will work in an outpatient setting as well as in the hospital and dialysis center.

5 credit hours

Students will be assigned to the VA therefore students must be current with VA logins and codes before starting this rotation. This is an opportunity for 3rd year students to experience the pulmonary consult service at the VA in addition to being introduced to the medical intensive care unit at the VA. The students will participate in the care of complex pulmonary patients on the pulmonary consult service, learn how to interpret pulmonary function, and will be exposed to common pulmonary procedures such as thorocentesis and bronchoscopy and their indications.

2.5 credit hours

Rotation offered at AnMed Clinical Campus only. Students will be exposed to patients with acute kidney injury, chronic kidney disease, electrolyte abnormalities, and end stage renal disease. The student will work in both the inpatient and outpatient setting (779 Senate Pkwy, Anderson, SC) as well as the dialysis center.

1 credit hour

The student will participate directly in patient care topics in nephrology and hypertension in a supervised teaching environment of dedicated faculty, fellows and housestaff.

2.5 or 5 credit hours

This rotation will expose third-year medical students to Nephrology patients with acute kidney injury, chronic kidney disease, electrolyte abnormalities, and end stage renal disease. The student will work in an outpatient setting as well as in the hospital and dialysis center. Office is Nephrology and Internal Medicine of Anderson, 779 Senate Parkway, Anderson and hospital is AnMed Health, 800 North Fant Street, Anderson.

2.5 credit hours

This elective is designed to expose students to consultive adult cardiology both inpatient and outpatient.

5 credit hours

This course in adult gastroenterology provides students with sufficient exposure and knowledge so that they may be better prepared to deal with patients suffering from disorders of the gastrointestinal tract, biliary tract, pancreas and liver.

5 credit hours

This elective provides a broad and integrated exposure to the clinical presentation, diagnosis, and state-of-the-art management of patients with a variety of solid-organ tumors, hematologic malignancies, and other hematologic disorders including anemias and hereditary and acquired bleeding and clotting disorders. This is accomplished by assignment to the Consultation Service, participation in rounds on the inpatient Oncology-Hematology Bone Marrow Transplant Unit, attendance at the outpatient clinics, and formal training with the instructor in the interpretation of peripheral blood smears and bone marrow aspirates.

5 credit hours

This elective consists of consultation rounds with the infectious disease attending, fellow and medical resident at MUH providing extensive exposure to the diagnosis and treatment of infectious diseases precipitating hospital admission or occurring during hospitalization for non-infectious problems. The student will work up inpatients for presentation to the infectious diseases attending. The progress of inpatients will be monitored closely. Clinical experience is supplemented and extended by case conferences, Journal Club and a didactic lecture series. The didactic series is an 8 lecture series repeated each month by all faculty and fellows and provides an introduction to the practice of infectious diseases. HIV infection is not a part of this course. Please discuss with course director for possible opportunities to be involved in HIV care.

2.5 or 5 credit hours

This course provides student participation in the activities of the division: inpatient consultations, several outpatient clinics (Endocrinology, Diabetes Mellitus, Thyroid 150 private consultations), investigation of patients with endocrine/metabolic problems, weekly case conferences, noon house staff conferences, weekly conferences with the division (a topic oriented conference) and Journal Club. Direct contact with attendings is employed in all clinical settings.

2.5 or 5 credit hours

The student assumes the role of a PGY-l house officer. The student is expected to discharge the responsibilities appropriate for that position, including performance of the history and physical examination, providing clinical care and documentation of patients. The student works closely with a supervising medicine resident and attending physician. The student participates in the scheduled conferences offered by the Department of Medicine.

5 credit hours

This course allows students to review and apply principles of respiratory pathophysiology to disease states, introduces them to a variety of clinical forms of pulmonary disease and instructs them in the principles of respiratory care.

2.5 or 5 credit hours

This elective emphasizes the evaluation and management of outpatients with common musculoskeletal diseases. The majority of the time is spent in private and public ambulatory clinics of the division. Limited exposure to complicated inpatient consultations is available. Students will have intense one-on-one contact with faculty in the evaluation of ambulatory patients.

2.5 or 5 credit hours

Exposure to the full spectrum of diagnosis and treatment of congestive heart failure.

2.5 or 5 credit hours

This two week course will be with cardiologists at An Med Health Cardiology (7 physician group). This will provide a brief overview of inpatient and outpatient cardiology. The student will spend time in the cardiac cath lab, CDU, CCU as well as on the inpatient cardiology ward. Time in the outpatient cardiology office will expose the student to various cardiac diseases and diagnostic approaches to treatment options.

2.5 credit hours

The 4 week course is 2 weeks on the hospitalist consult service at MUSC and 2 weeks on the community hospitalist service at East Cooper Hospital in Mount Pleasant. The 2 week course is either. At both sites, the student is expected to independently evaluate patients, follow them daily, and present findings/plan to the hospitalist attending. The consult team at MUSC consists of an attending hospitalist and a medical resident. At East Cooper, the student works solely with an attending hospitalist.

2.5 or 5 credit hours

Demonstrate proficiency in assessing patients with liver disease and understanding the components of the history and physical exam that are essential for managing these patients.

2.5 credit hours

Students will rotate at the Harvest Free Medical Center, a faith-based facility in N. Charleston that delivers primary care to the indigent, and at Detyens Medical Center, a facility owned by Detyens Shipyards, Inc., that cares for its employees and their families at no cost to the employees. Time will be spent primarily in clinical duties in both sites (housed in the same building), but opportunities for clinical research are available.

2.5 or 5 credit hours

This elective rotation is designed to expose fourth-year medical students to multiple Internal Medicine subspecialties: cardiology, endocrinology, hematology/oncology, and hospital medicine. Each week, students will partner with an attending physician within an internal medicine subspecialty at MUSC Health Florence. During their cardiology, endocrinology, and heme/onc weeks, students will be active participants in patient care by both working in outpatient clinics and rounding on an inpatient consult service. During their week on hospital medicine, students will gain experience in managing acutely ill general medicine inpatients. The location of this rotation is MUSC Health Florence (805 Pamplico Hwy, Florence, SC 29505). MUSC Health Florence utilizes Epic as their electronic health record.

2.5 or 5 credit hours

During the rotation, the student will learn bedside point-of-care-ultrasound (POCUS) skills. They will begin building an image portfolio based on a list of at least 29 views of both normal anatomy and pathologic findings including aorta, IVC, biliary, cardiac, renal, thoracic, deep vein, pneumonia, pleural effusion, pericardial effusion, DVT and procedural findings. This rotation is in parallel with an internal medicine resident elective and so there will be opportunities to scan with residents and faculty. Most of the rotation will be self-directed learning during POCUS bedside rounds in both the Main and VA hospitals. Experience obtaining images will be supplemented with VA US simulator and Butterfly modules. Schedule permitting, the student may have the opportunity to rotate with VA sonographers and in the VA echocardiography reading room to gain experience with interpretation of images. The student will be evaluated based on the quality and interpretation of images in the image portfolio, EBM project completion and attendance at required conferences. Active VA logins/codes are required BEFORE start of rotation.

2.5 or 5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Demonstrate proper techniques for interviewing a patient to obtain a medical history and performing a physical examination in the inpatient setting. 2. Demonstrate analysis, synthesis, and integration of pertinent patient data. 3. Formulate a comprehensive, ordered differential diagnosis. 4. Present patient data gathered from patient interviews, physical examinations, and laboratory sources, including progress notes on patients, in standardized format. 5. Document patient data gathered from patient interviews, physical examinations, and laboratory sources, including progress notes on patients, in standardized format. 6. Apply knowledge of the pathophysiology, epidemiology, and natural history of diseases to the diagnosis and management of common patient conditions in Internal Medicine. 7. Perform diagnostic and lab test interpretation skills commonly used in Internal Medicine. 8. Demonstrate effective and professional interpersonal and communication skills in interactions with patients, including an awareness of psychosocial factors related to patients' problems. 9. Demonstrate professional demeanor and ethical behavior.

2.5 credit hours

Fourth-year medical students will work with interdisciplinary critical care teams lead by Pulmonary and Critical Care physicians and APPs at a large, active community-based ICU. Students will be directly involved in assessing, stabilizing, and treating critically ill patients with a variety of complex medical diseases such as sepsis, respiratory failure, shock, renal failure. Students will become familiar with the basics of mechanical ventilation, intravenous fluids, shock and vasoactive medications, procedural indications, and end-of-life care issues in the ICU. Students will observe and potentially perform invasive procedures.

5 credit hours

This selective offers students the opportunity to lead, assist, and appreciate EKGS.

2.5 credit hours

To understand basic classification of diabetes: Type 1, Type 2, Latent autoimmune adult onset, gestational, etc.

2.5 credit hours

Know and understand pathophysiology of common neoplastic disorders of the endocrine system (i.e. thyroid cancer, including post-surgical hypothyrodism and hypoparathyroidism and benign thyroid nodules; pituitary tumors and pituitary hypersecretory and deficiency syndromes; hyperparathyrodiam; MEN syndromes).

2.5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

This is a junior selective in Cardiology.

2.5 credit hours

This is a junior selective in hematology.

2.5 credit hours

Individualized research.

2.5 or 5 credit hours

This is a junior selective in Nephrology.

2.5 credit hours

Internship 101 is the required capstone course that occurs in the final two weeks of the M.D. program curriculum. It is designed to prepare graduating students for the transition to internship. Prerequisite: successful completion of the third and fourth year courses.

2.5 credit hours

This theme continues the Fundamentals of Patient Care emphasis from the preclinical phase of the curriculum. Students apply foundational principles of medical ethics and ethical reasoning in longitudinal discussion groups. Students complete geriatric medicine assignments in falls risk assessment and depression screening in continuity visits with their senior mentor. Prerequisite: successful completion of the preclerkship curriculum and a passing score on Step 1 of the United States Medical Licensing Exam.

3 credit hours

This theme continues the Fundamentals of Patient Care emphasis from years 1, 2 and 3 of the curriculum. Students apply foundational principles of medical ethics and ethical reasoning in longitudinal discussion groups. Students complete a geriatric medicine assignment in end of life care planning in one final continuity visit with their senior mentor. Prerequisite: successful completion of the third year courses.

3 credit hours

The overall longitudinal clinical skills course is an essential extension of Fundamentals of Patient Care theme didactics provided in each semester of the Pre-clerkship Phase. The Longitudinal Clinical Skills course will include small group activities, workshops, and skills labs that facilitate demonstration and assessment of necessary clinical competencies to include history taking, communication skills with patients, communication and teamwork with peers and healthcare professionals, oral presentations, clinical reasoning, physical examination, physical diagnosis, medical documentation, and professionalism.

3 credit hours

The overall longitudinal clinical skills course is an essential extension of Fundamentals of Patient Care theme didactics provided in each semester of the Pre-clerkship Phase. The Longitudinal Clinical Skills course will include small group activities, workshops, and skills labs that facilitate demonstration and assessment of necessary clinical competencies to include history taking, communication skills with patients, communication and teamwork with peers and healthcare professionals, oral presentations, clinical reasoning, physical examination, physical diagnosis, medical documentation, and professionalism.

3 credit hours

The overall longitudinal clinical skills course is an essential extension of Fundamentals of Patient Care theme didactics provided in each semester of the Pre-clerkship Phase. The Longitudinal Clinical Skills course will include small group activities, workshops, and skills labs that facilitate demonstration and assessment of necessary clinical competencies to include history taking, communication skills with patients, communication and teamwork with peers and healthcare professionals, oral presentations, clinical reasoning, physical examination, physical diagnosis, medical documentation, and professionalism.

3 credit hours

The overall longitudinal clinical skills course is an essential extension of Fundamentals of Patient Care theme didactics provided in each semester of the Preclerkship Phase. the Longitudinal Clinical Skills course will include small group activities, workshops, and skills labs that facilitate demonstration and assessment of necessary clinical competencies to include history taking, communication skills with patients, communication and teamwork with peers and healthcare professionals, oral presentations, clinical reasoning, physical examination, physical diagnosis, medical documentation, and professionalism.

3 credit hours

The overall goals of this block are to provide the essentials of medical biology and introduce the fundamentals of patient care that form the foundation of all subsequent blocks in the pre-clerkship curriculum. The block is organized into 4 themes that are taught concurrently: 1) Molecules, Metabolism and Therapeutics (MMT), 2) Structure, Function and Pathology (SFP), 3) Homeostasis, Regulation and Response (HRR), and 4) Fundamentals of Patient Care (FPC). The themes are integrated throughout the block in order to facilitate a better understanding of the relationships between biochemistry, pharmacology, molecular and cellular biology, physiology, neuroscience, anatomy, embryology and patient care. The core content in the MMT theme includes molecular structure and function of building blocks such as amino acids and proteins, carbohydrates, lipids and nucleic acids. This content lays the groundwork for basic concepts in human nutrition and for pharmacology beginning with classification of drugs and pharmacokinetic principles. The core content of SFP is focused initially on the structure and function of subcellular components of eukaryotic cells and progresses to a comprehensive study of the 4 main tissue types. Processes involved in early embryonic development are also introduced. The HRR content incorporates the fundamental mechanisms involved in cellular transport and communication, maintenance of the human genome, genetics, gene expression, cell growth and division. The FPC didactic component is centered on patient interactions by the introduction of medical interviewing and by attention on patient diversity and its impact on access and delivery of health care. This didactic component of FPC prepares the student for the small group sessions in Longitudinal Clinical Skills 1.

8 credit hours

This block introduces the medical vocabulary and fundamental concepts of pathology, medical genetics, metabolism, pharmacology, immunology and microbial pathogenesis needed to proceed to a systems-based approach to medicine implemented in subsequent blocks. The block is organized into 4 themes that are taught concurrently: 1) Molecules, Metabolism and Therapeutics (MMT), 2) Structure, Function and Pathology (SFP), 3) Homeostasis, Regulation and Response (HRR), and 4) Fundamentals of Patient Care (FPC). Pathology fundamentals include pathophysiologic responses of cells to stress and noxious stimuli leading to cell death, reversible cell injury or adaptation, the general concepts underlying neoplasia and radiation injury, and immunologic hypersensitivity reactions underlying inflammatory disorders. Medical genetics concepts include analysis of inheritance patterns and genetic variation, including oncogenes and genetic changes leading to cancer. Aspects of metabolism covered are mechanisms of cellular energy generation and their byproducts, and the molecular basis of aging. Pharmacology introduces the autonomic nervous system and pharmacology of adrenergic and cholinergic drugs, anti-bacterial drugs and some inhibitors of the innate immune system. The histology of the skin, hematopoietic, vascular, and lymphoid tissues is presented, followed by the function of those tissues in the normal immune response. Microbial pathogenesis is introduced for bacteria and fungi utilizing in-depth discussion of prototype pathogens. Lecture material across themes is complemented by small group sessions where students apply the basic science knowledge to clinical situations including: seminar tutorials on ischemia and neoplasia, a laboratory medicine lab with hands-on venipuncture instruction, a genetics pedigree problem solving session, a team-based learning sessions concerning passive and active immunization and skin, lymph node, and blood vessel histology. The FPC didactic component introduces established techniques for medical interviewing and counseling, cultural competency, and an orientation to interpersonal skills with aging patients.

9 credit hours

The overall goal of this block is to provide a strong foundation in the structure and function of the cardiovascular system, and most importantly, relate foundational material learned about the cardiovascular system to physical exams, clinical care issues, progression of cardiovascular disease, and established treatment of these diseases. The block is organized into 4 themes that are taught concurrently: 1) Molecules, Metabolism and Therapeutics (MMT), 2) Structure, Function and Pathology (SFP), 3) Homeostasis, Regulation and Response (HRR), and 4) Fundamentals of Patient Care (FPC). The themes are integrated throughout the block to facilitate a better understanding of the underlying physiology that form the principles of the cardiac and pulmonary exam, to develop an ability to synthesize findings, and to enhance understanding of clinical terminology. Cardiovascular diseases covered will include general topics of atherosclerosis, ischemic heart disease and hypertension, cardiac arrhythmias, specific cardiac diseases, and lipid disorders. In addition, this block will provide the basic underpinnings of lipid metabolism and the foundations of hypercholesterolemia. There will be deliberate integration with respect to the Structure and Function and the Fundamentals of Patient Care didactic material in this block to support small group sessions in Longitudinal Clinical Skills 1. Specific important activities include using the Simulation Laboratory for an ECG practicum, a congenital heart lab, and a heart sounds practicum. Integrated lectures on exercise and cardiovascular physiology will focus on cardiac rehabilitation/wellness. This block will culminate with each small group providing a summary of important concepts presented during this block, and most importantly relate all of these concepts back to a relevant cardiovascular disease - in this case, heart failure.

9 credit hours

The overall goal of this block is to provide a clinically relevant foundation in the structure and function of the renal and respiratory systems, including their role in systemic acidbase balance, normal histology and physiology, pathophysiology, diagnosis and treatment of renal and respiratory diseases, and associated physical exams and clinical decision making. The block is organized into 4 themes that are taught concurrently: 1) Molecules, Metabolism and Therapeutics (MMT), 2) Structure, Function and Pathology (SFP), 3) Homeostasis, Regulation and Response (HRR), and 4) Fundamentals of Patient Care (FPC). The block begins with normal respiratory system function, physiology, histology and development. Respiratory diseases including infections, tumors, and chronic destructive diseases are covered, along with their pathophysiology, diagnosis, and treatment. The block then transitions to a comprehensive exploration of renal structure and function beginning with detailed instruction on the nephron and collecting tubules at the molecular, cellular and tissue levels. Next, pathologies of the renal system such as urinary tract infections, kidney stones, glomerular diseases and kidney tumors are covered. Finally, the integration of kidney function with the cardiovascular and pulmonary systems to regulate blood pressure and maintain fluid and acid/base balance via compensatory mechanisms is taught along with pharmacologic therapies that target the renin angiotensin system or function as diuretics. The course ends with study of the disorders that affect fluid, acid/base balance, pulmonary, and renal pathology using clinically oriented cases, clinical problem-solving tutorials and workshops, simulation labs, and a urinalysis laboratory session.

7 credit hours

The overall goal of this block is to provide a strong foundation in the structure and function of the gastrointestinal system, in relation to human development, health and disease. The block is organized into 4 themes that are taught concurrently: 1) Molecules, Metabolism and Therapeutics (MMT), 2) Structure, Function and Pathology (SFP), 3) Homeostasis, Regulation and Response (HRR), and 4) Fundamentals of Patient Care (FPC). The themes are integrated throughout the block in order to facilitate a better foundational understanding of the oral cavity, esophagus, stomach, small and large intestines, liver, gallbladder, and exocrine pancreas. The anatomy, histology, physiology, development, and biochemical processes related to this system are discussed. Emphasis is also placed on how the normal function of this system is intricately tied to the proper functioning of other organ systems such as cardiovascular, endocrine and nervous systems. In addition, the block covers various pathophysiological conditions related to this system, pertinent enteric pathogens, relevant diagnostic tools and abdominal imaging techniques, and treatment strategies for various gastrointestinal disorders. Moreover, a nutritional component is incorporated into this block to provide the underpinnings of basic nutrition, obesity, and the dietary requirements/management necessary for the proper nutrition care of patients. The FPC didactic component is centered alcohol-related substance use disorder management, abdominal exam techniques and physical exam procedures related to diagnosis of gastrointestinal disorders to prepare the student for small group sessions in Longitudinal Clinical Skills 2.

9 credit hours

The overall goal of this block is to provide a clinically relevant basic science foundation in the male and female reproductive systems and the endocrine system which will foster the student's success in clerkship rotations. The block is organized into 4 themes that are taught concurrently: 1) Molecules, Metabolism and Therapeutics (MMT), 2) Structure, Function and Pathology (SFP), 3) Homeostasis, Regulation and Response (HRR), and 4) Fundamentals of Patient Care (FPC). This foundation is highlighted by the embryologic and genetic development and anatomic and histologic features of the genital, reproductive, and endocrine organs. Alterations to normal functioning including infectious, congenital, genetic, neoplastic, and other pathological processes are presented. Interactive highlights of this block include the female pelvic exam workshop, ovarian cancer survival panel, male genitourinary exam workshop, and a clinicopathological correlation conference. The FPC didactic component of the block prepares students to acquire knowledge that supports demonstration of practical skills using standardized patients and simulators, and students extend interviewing skills by practicing interactions with an angry patient in small groups.

8 credit hours

The goal of this block is to provide a foundational understanding of pregnancy and children's health from birth through adolescence. Maternal physiologic changes and adaptations during pregnancy, prenatal and neonatal nutrition, normal development of the newborn, child and adolescent patient, as well as disorders and environmental hazards primarily impacting pediatric patients will be the focus of the block. The block is organized into 4 themes that are taught concurrently using an integrated approach: Molecules, Metabolism and Therapeutics (MMT); Structure, Function and Pathology (SFP), Homeostasis, Regulation and Response (HRR); Fundamentals of Patient Care (FPC). In regard to women's health, didactic content covers the following topics: placental development and function, maternal physiologic changes during pregnancy, care of the pregnant patient including labor and delivery, breast health and disease, contraception, abortion, and healthcare disparities: state of women's health in South Carolina and continuity of care. In regard to infant health, the didactic content of the block provides in-depth coverage of the following topics: anatomy, histology, physiology, development, and biochemical processes related to breast feeding, metabolic state and nutritional needs of the newborn, congenital abnormalities and infections, genetic testing and public health screening in newborns, and the newborn exam. In regard to child and adolescent health, didactic content covers the following topics: the pediatric interview, child development, parental anticipatory guidance, gun safety, public/global health, health disparities and gender, child/adolescent mistreatment, the adolescent interview, the genetics of chromosomal syndromes, as well as infections, psychiatric disorders, pharmacologic differences and pathologies that typically manifest during childhood and adolescence. The Block 7 course content described above is complemented by the Clinical Skills course, which includes small group sessions on the following: intimate partner violence, clinical reasoning, the breast exam, the newborn, child and adolescent exam, and the care of LGBTQ patients.

5 credit hours

Using a combination of team-based learning, lectures and on-line modules, the block introduces students to biostatistics, epidemiology, and the ethical and public health challenges they will encounter throughout their medical careers. When possible, medical literature assignments for the biostatistics section of the block will include content about ethical issues in health care to integrate the two subjects. Biostatistical formulas will be used to calculate and interpret data from various types of studies. Students will build on epidemiological principles to improve their understanding of clinical biostatistics. Students will combine this knowledge with an increased understanding of study types and study designs. These principles will be utilized by students to discuss risks and benefits of interventions with patients in patient-oriented terms. Additionally, biostatistical properties of screening and diagnostic tests will be discussed at length. This knowledge base will be practically applied to current literature in order to critically analyze and extrapolate findings to individual patient and population health management. This will add to the foundation of public health knowledge that the students will possess. Students will receive an introduction to PICO and how to read the medical literature. Didactic content will additionally cover practical considerations in the use of interpreters, understanding health care systems, patient safety, and quality improvement. The clinical ethics curriculum will focus on two tiers of ethical dilemmas that occur in the clinical setting: those involving duties inherent in the physician-patient professional relationship and those involved in therapeutic decision-making. Specific learning topics include: systematic approach to ethical dilemmas, ethical principles and guidelines, role of an ethics committee, ethical issues in psychiatric care, public health and pandemic ethics, conflicts of interest, promoting the patient's best interest, informed consent and refusal, confidentiality, requests for medically ineffective treatment, resuscitation issues, notable legal cases on life sustaining interventions, decision-making capacity, surrogate decision-making, caring for diverse populations, impact of racism on ethical practice, decision-making in children and adolescents, and ethical issues in genomics.

5 credit hours

This block begins by applying immunologic knowledge gained in previous preclerkship blocks to altered states, including transplantation, autoimmune diseases, and complement disorders. The block is organized into 4 themes that are taught concurrently: 1) Molecules, Metabolism and Therapeutics (MMT), 2) Structure, Function and Pathology (SFP), 3) Homeostasis, Regulation and Response (HRR), and 4) Fundamentals of Patient Care (FPC). The pharmacology of immunomodulatory agents in the context of these diseases will be presented. The FPC component of this block will focus on Biostatistics, utilizing computer modules to promote independent learning in preparation for participation in biostatistics problem solving sessions. Blood borne parasites, their treatment, and diseases transmitted by blood-feeding insects will be presented. The physiology of normal hemostasis will be reviewed and bleeding disorders will be discussed as well as anticoagulants. Transfusion medicine will be presented with opportunities for interaction and discussion with transplant patients. An intro to PICO and how to read the medical literature will be discussed.

3.5 credit hours

The overall goal for this musculoskeletal block is to teach those essential elements of the basic sciences and patient care that specifically relate to aspects of the muscular, skeletal and integumentary systems in healthy and diseased states. This block will focus on the structural organization of the extremities, the superficial, deep back and other parts of the musculoskeletal system at the gross and microscopic levels. The inherent structural functional relationships between the nervous system and musculature will be examined. Energy production and utilization during normal and abnormal muscle function will also be examined. The students will expand their understanding of the muscular, skeletal, nervous, circulatory, integument and lymphatic systems and the functional role of these systems within the context of the musculoskeletal system. This will include examinations of the musculoskeletal structures, brain and spinal cord in radiological images and in the dissection laboratory. The normal relationships of anatomy, human development, neurosciences, histology, and physiology, will be compared with abnormal and diseased states. Other important clinical pints related to the musculoskeletal system of the aging patient, nutrition and dermatopathology would be examined. Pharmacological treatment strategies for diseases will be included. Students will learn to interpret radiological images and perform musculoskeletal examinations to evaluate patients for sensory and motor function, pain, and other findings of physical impairment.

13 credit hours

In this block we will further develop neuroscience themes from the previous blocks. We will focus on the role of the central nervous system in choreographing purposeful thought and action, as well as unconscious regulation, feedback and homeostasis. We will explore the complex, specialized anatomy of structures in the head and neck, emphasizing the intimate relationship between these structures, support of brain activity and control mechanisms. Special attention will be given to the senses that we haven't already covered - vision, hearing, balance, taste, smell, and cognition. There will be a bit more review and reinforcement in this block than you have experienced in others, primarily due to complexity of material and need to integrate information from the Musculoskeletal block. This block is composed of integrated lectures and hands-on experiences. Ongoing gross anatomy laboratory exercises will be supplemented with brain dissection laboratory exercises supervised by neuroscience faculty. In other afternoon sessions, we will introduce components of the neurological exam, such as HEENT exam, cranial nerve exams, and eye exams. We know that the brain is a complicated organ, but remember that you have a required txt for this block, Neurosciences by Purves, et al. A helpful resource is Blumenfeld's Neuroanatomy Through Clinical Cases, on reserve in the library. A final resource is the set of PASS exercises (Practical Anatomy Self-Study), which are available on Moodle. This provides images at all level of the nervous system and self-assessment exercises to make sure you are mastering the material. By the end of the block, you should have a solid understanding of how the brain is wired, how it interfaces with structures that surround and protect it, how it processes information from special sensory organs, how it directly controls action, as well as a pathological changes that can occur to result in neurological diseases/disorders.

8 credit hours

This block will build upon the previous block by continuing to explore the complexity of the brain by discussing mental and psychiatric disorders, as well as pharmacological approaches for treatment. Topics such as anxiety disorders, mood disorders, psychotic disorders, personality disorders, substance abuse disorders, and suicide will be presented with a heavy clinical emphasis, with a discussion of these conditions across the lifespan. In addition, this block will touch on topics related to geriatric health, including elder abuse and polypharmacy, both of which are on the rise due to the aging population and both increase the risk of increased medical conditions in a vulnerable population. This block will also host symposiums which will include panel discussions related to intellectual disabilities and end-of-life planning. In the afternoons, students will be participating in problem-based and team-based learning exercises that will integrate basic science and clinical knowledge case based studies. These exercises will incorporate the use of physical diagnosis, clinical reasoning, and patient treatments.

4.5 credit hours

Students must attend 2 one-hour seminars focusing on preparation for USMLE step 1. Students are expected to use resources provided by COM (e.g., question banks, practice exams, academic support from CAE) to independently prepare for Step 1. Students must prepare and submit an individual study plan and take Step 1 by their approved deadline.

2 credit hours

In FLEX Phase 1, learners identify and plan a scholarly project that focuses on an element of the humanities that impacts patient health, delivery of medical care, and/or patient outcomes. The project is expected to foster practices that produce ethically sound relationships with patients across a broad range of socioeconomic and cultural backgrounds. Learners in this track achieve distinction in this concentration through didactic preparation and development of a scholarly project applying scientific/evidencebased inquiry.

5.5 credit hours

In FLEX Phase 2, learners implement and analyze data derived from a scholarly project that focuses on an element of the humanities that impacts patient health, delivery of medical care, and/or patient outcomes. The project is expected to foster practices that produce ethically sound relationships with patients across a broad range of socioeconomic and cultural backgrounds. Learners in this track achieve distinction in this concentration through didactic preparation and development of a scholarly project applying scientific/evidence-based inquiry.

5.5 credit hours

In FLEX Phase 1, learners identify and plan a scholarly project that focuses on global health. The project is expected to apply to a community-based health problem or health disparity. Learners in this track achieve distinction in this concentration through didactic preparation and development of a scholarly project applying scientific/evidence-based inquiry.

5.5 credit hours

In FLEX Phase 2, learners implement and analyze data derived from a scholarly project that focuses on global health. The project is expected to apply to a community-based health problem or health disparity. Learners in this track achieve distinction in this concentration through didactic preparation and development of a scholarly project applying scientific/evidence-based inquiry.

5.5 credit hours

In FLEX Phase 1, learners identify and plan a scholarly project that focuses on medical education. The project is expected to apply to the academic preparation of physicians or to the health of the community through public/community education. Learners in this track achieve distinction in this concentration through didactic preparation and development of a scholarly project applying scientific/evidence-based inquiry.

5.5 credit hours

In FLEX Phase 2, learners implement and analyze data derived from a scholarly project that focuses on medical education. The project is expected to apply to the academic preparation of physicians or to the health of the community through public education. Learners in this track achieve distinction in this concentration through didactic preparation and development of a scholarly project applying scientific/evidence-based inquiry. Critical review of pertinent literature and analysis of data resulting from the project are critical elements.

5.5 credit hours

In FLEX Phase 1, learners identify and plan a scholarly project that focuses on basic science, clinical or translational research. The project is expected to provide hands-on experience to various research skills required to successfully address a research question. Learners in this track achieve distinction in this concentration through didactic preparation and development of a scholarly project applying scientific/evidence based inquiry.

5.5 credit hours

In FLEX Phase 2, learners implement and analyze data derived from a scholarly project that focuses on basic science, clinical or translational research. The project is expected to provide hands-on experience to various research skills required to successfully address a research question. Learners in this track achieve distinction in this concentration through didactic preparation and development of a scholarly project applying scientific/evidence-based inquiry.

5.5 credit hours

Students are enrolled in this required remediation course after approval by the College of Medicine Student Progress Committee in order to demonstrate knowledge competency in specified components of the preclerkship block curriculum. Students who are required to take this course must pass the course prior to sitting for the USMLE Step 1 and prior to entering the clinical rotations. The learner must pass a written exam for each theme-specific component that was previously failed in the preclerkship block curriculum.

2 credit hours

This rotation provides students the opportunity to work closely with local surgeons and global surgery experts. Students will gain exposure to local surgical practices, as well as participate in ongoing research projects. This elective allows students who are pursuing a surgical career learn and develop their understanding of another culture’s surgical practices During their elective, students will become familiar with the needs of the local patient population and better understand the challenges that are often related to foreign healthcare systems.

2.5 - 10 variable credit hours

The Introduction to the Principles and Practice of Clinical Research Independent Study course is designed for students to learn how to effectively conduct basic science and clinical research. The independent study experience is to encourage self-directed learning focused on the spectrum of basic science and clinical research, study design, protocol preparation, patient monitoring, quality assurance, ethical and legal issues, and much more. Course Objectives At the conclusion of this section of the course, students will be able to: . Compare and contrast basic science and clinical research approaches to scientific inquiry. . Demonstrate knowledge of research processes (reading, evaluating, developing, etc.) . Describe the principles of study design, development, and implementation (proposals and hypotheses, subject recruitment, and data collection) . Perform literature reviews using print and online databases . Cite sources using standard scholarly formats (APA) . Identify, explain, and compare the key elements of a research proposal/report . Compare and contrast quantitative and qualitative research paradigms, and explain the use of each . Explain the rationale for research ethics, and the importance of and local processes for Institutional Review Board (IRB) review . Apply clinical and/or basic science knowledge and skills in a research setting . Review principles and issues involved in monitoring patient-oriented research for clinical research. . Define roles and responsibilities of members in a research group . Review the infrastructure required in performing clinical research and the steps involved in developing and funding research studies. . Evaluate their own personal interest in research for the purpose of career exploration Requirements It is the student's responsibility to: . Identify a research mentor . Confirm research mentor and project and provide an overview of the study design (Moodle) . Complete the Collaborative Institutional Training Initiative (Citi) . Complete the Biostatistics modules in Moodle . Complete a literature review session (MUSC Library) . Continue to seek support from CAE and CAPS to address any underlying issues related to your academic progress . Attend mandatory roundtable sessions with Student Affairs . Prepare and submit a research progress report at the conclusion of this course. Your research mentor must review and sign off on your report before submission.

6 credit hours

This course is for MD/PhD students, other pre-doctoral trainees, and post-doctoral fellowship students ONLY. The objective of this elective is to help students write a translational research proposal in the format of a NRSA F32, R21, or mini-grant that expands on their current research interests. The course consists of research topic specialist lectures, literature review, completion of a mini-course covering basics of human subject regulations, active discussion about designing various clinical and translational research studies, development of a translational study including sample size calculation and power analysis, how to set up a study database, and how to statistically analyze data. Completion of this course will provide students with an excellent foundation in translational research, a relevant addition to a basic science base. Each student works with a mentor and obtains the assistance necessary to fully develop the clinical and/or translational study. At the end of the course, each student will formally present his/her proposal to members of the SCTR Research Nexus rotation course, his/her mentor, and selected other individuals..

5 credit hours

This required intersession course is dedicated to covering valuable clinical topics and building skills to incorporate into patient care. The course will also include topics to promote lifelong personal and professional growth.

1 credit hour

The course consists of full-time clinical exposure at OneWorld Health (OWH) Hospitals, Clinics, and Medical Outreaches. During each clinical encounter, the student will interact with patients and learn how to perform a focused H&P. The student will focus on how to order appropriate diagnostic tests and formulate a differential diagnosis while focusing on the many limitations of medical care in resource-limited settings. The student will work closely with the attending on duty and learn how to treat and manage any various illnesses and injuries including tropical diseases. The network of OWH facilities include clinics, hospitals, and patient-centered medical home styled diagnostic centers, taking care of thousands of patients monthly. Depending on the clinical setting most beneficial to the student’s particular medical interests, rotations are located in Uganda, Nicaragua, and Honduras. (See below for details on each). Students should be aware that travel to countries labeled by the U.S. Department of State as Level 3 or 4 may not be approved by the College of Medicine and would require more detailed information and approval through MUSC’s International Travel Oversight Committee (ITOC).

5 credit hours

In this four week elective, students will work closely with a faculty mentor to develop an educational experience that further develops the skills necessary to engage in scholarly work in medicine. Examples of scholarly work include conducting a literature review and producing a written summary, creating curricular content for a course, writing a textbook chapter, creating online content for medical education, evaluating a program or curriculum, designing a QI project, etc. Each student is expected to design a meaningful educational experience with their mentor and work independently under the mentor's supervision during the elective month. Each student will be expected to meet at least twice with their mentor to review their progress and to submit a work product, as specified during course application, to both the mentor and Dean's Office at the conclusion of the elective. Students must apply for this course at least 30 days prior to the beginning of the rotation.

5 credit hours

This elective is offered in cooperation with MUSC partner Child Family Health International (CFHI), which provides community-based global health education programs for students and institutions. CFHI's model fosters reciprocal partnerships and empowerment in local communities to transform perspectives about self, healing, and global citizenship. Students may participate in 2- or 4-week clinical electives in one of several countries, including Argentina, Ecuador, Ghana, India, the Philippines, South Africa, Tanzania, and more. Electives provide first-hand experiences alongside local physicians and public health experts and combine exposure to clinical practices, public health, social services, social determinants of health, and local culture. Electives are tailored to each student's educational level and interests to further the student's understanding of health care and development in communities that are struck by poverty, resource limitations, and a multitude of challenges leading to high burdens of illness, death, and reduced quality of life.

2.5 or 5 credit hours

This course is designed to foster students' cultural competency in medicine skills through medical mission experiences. Course credit: 5 credits for a month long trip; 2.5 credits for trips less than one month in duration. Students can take this course only once for credit.

2.5 or 5 credit hours

This course is a four-week clinical elective in Dar es Salaam, Tanzania and designed for fourth-year medical students with a genuine interest in global health and in caring for underserved populations. This rotation will expose the student to 1) medical care at a national hospital (Muhimbili National Hospital) in a developing country which has recently invested in an advanced cardiac center and 2) participation in a rural outreach clinic where MUSC and Muhimbili University of Health and Allied Sciences (the national university) have an active, NIH-funded field research site focused on large-scale community-based prevention and care programs, including integration of screening for non-communicable diseases such as diabetes and hypertension with HIV testing, coupled-based HIV treatment, HIV pre-exposure prophylaxis for HIV-uninfected clients coupled with HIV-infected partners, home-based monitoring for diabetes and hypertension, development of a low-cost locally produced glucometer, studies of the prevalence and predictors of non-communicable diseases (diabetes, hypertension, CKD), tailored counseling and testing for HIV based on risk profile, home-based HIV self-testing, and an incentive-based program to encourage sexual partners of HIV-infected and high risk patients to seek HIV testing. The primary focus will be on teaching the student to rely on clinical skills and judgment in addition to technology available in that setting. Students will participate in all aspects of care of medical patients at Muhimbili National Hospital. This will include daily inpatient ward rounds, outpatient clinics, ICU, and emergency room management of medical patients. There will be hospital-wide didactic teaching sessions involving attendings and students, didactic conferences, case presentations and interactive sessions with attendings. Students will be exposed to a wide spectrum of heart diseases in addition to problems not commonly seen in the US such as malaria, typhoid and rheumatic heart disease.

5 credit hours

The course consists of curriculum designed to supplement and enhance medical students’ knowledge and skills in medical ethics.

1 credit hour

The course consists of curriculum designed to supplement and enhance medical students’ knowledge and skills in medical ethics.

1 credit hour

The course consists of curriculum designed to supplement and enhance medical students’ knowledge and skills in medical ethics.

1 credit hour

The course consists of curriculum designed to supplement and enhance medical students’ knowledge and skills in medical ethics.

1 credit hour

This is a required evaluation given early in the fourth year that each student must pass in order to graduate from MUSC. It consists of 8-10 simulated patient interactions that require the student to gather information from the history and physical examination, decide what the problem is and either take action or document the findings, assessment and plan.

1 credit hour

This course is designed to further develop clinical skills using case-based learning, didactics, and simulation in preparation for the transition to clerkships. In addition, students will learn about use of the electronic medical record, including documentation, and policies related to personal and patient safety.

1 credit hour

The goal of this elective is for MSTP students to learn how to better integrate the basic sciences and their area of research interest with a meaningful clinical/translational experience. The students are expected to discuss the patient's problems from a literature/research perspective. They will work in a clinic, one-half day a week with an extramurally funded clinician-scientist who is chosen based on his/her demonstrated commitment to research. This is an elective clinic and is not required of MSTP students. The mentors for his elective could help the students with a potential clinical study that may evolve from their basic science project. Overall, the rotation affords the student with a fascinating educational opportunity.

2.5 or 5 credit hours

The Geriatric Medicine 3A curriculum is designed to supplement and enhance medical students’ knowledge and skills in geriatric medicine.

0.5 credit hours

The Geriatric Medicine 3B curriculum is designed to supplement and enhance medical students’ knowledge and skills in geriatric medicine.

0.5 credit hours

The Geriatric Medicine 4 curriculum is designed to supplement and enhance medical students’ knowledge and skills in geriatric medicine.

1 credit hour

In AMP Research I, learners develop a scholarly project that focuses on basic science, clinical or translational research, and analyze data from the project. The project provides hands-on experience in various research skills required to address a research question successfully. Didactic preparation and development of a scholarly project applying scientific/evidence-based inquiry are required. In AMP Research II, Learners implement their plan. In AMP Research III, Learners prepare and present their scholarly work as an oral presentation and report their findings formatted as a brief scientific journal article.

5 credit hours

In AMP Research II, learners implement a scholarly project that focuses on basic science, clinical or translational research, and analyze data from the project. The project provides hands-on experience in various research skills required to address a research question successfully. Didactic preparation and development of a scholarly project applying scientific/evidence-based inquiry are required. In AMP Research III, Learners prepare and present their scholarly work as an oral presentation and report their findings formatted as a brief scientific journal article.

3.5 credit hours

In AMP Research III, learners continue to analyze data derived from a scholarly project that focuses on basic science, clinical or translational research. The project provides hands-on experience in various research skills required to address a research question successfully. Didactic preparation and development of a scholarly project applying scientific/evidence-based inquiry are required. Learners prepare and present their scholarly work to peers and faculty as an oral presentation, and report their findings formatted as a brief scientific journal article.

3.5 credit hours

Individualized Research.

5 credit hours

Individualized Research.

5 credit hours

Individualized research.

5 credit hours

At the recommendation of Student Affairs and Progress Committee, students who are placed on a Behavioral Monitoring Contract or Academic Monitoring Contract are eligible for an Independent Study Clinical Course. Students who are enrolled are required to complete: - learning styles assessment with the Center for Academic Excellence and work with the CAE faculty to develop a plan to enhance study skills and test taking strategies; -continue to seek treatment provided by the Counseling and Psychological Services (CAPS).; -Meet with the Office of Student Affairs representatives to review their progress as outlined in their monitoring contract and present any concerns or questions they may have; -Show continued improvement in areas of deficit; -Prepare a comprehensive progress report attesting to adequate compliance to all of the terms of their Academic or Behavioral Monitoring Contract and include documented strategies that they implemented to strengthen their knowledge base.

6 credit hours

Independent study for medical students taking board exams.

6 credit hours

The Independent Study course in the College of Medicine is designed for approved students to explore different content areas including research and academic enrichment. The independent study experience is to encourage self-directed learning. Learners will have experiences in a research or academic focused setting. Course Requirements:As applicable, it is the enrolled students' responsibility to: Identify a research mentor; Confirm research mentor and project and provide an overview of the study design; Prepare and submit research progress report(s) throughout the enrollment of the course. Your research mentor must review and sign off on your completed work through the semester; Explore the processes of presenting and publishing research findings; Meet with the Office of Student Affairs to receive an academic monitoring contract or plan, to guide you through the independent study period; Engage with the Office of Student Affairs on a monthly basis to provide status updates on research projects or academic progress during the course. Failure to do so could result in failure of the course; Continue to seek support from CAE and CAPS to address any underlying issues related to your academic progress.

6 credit hours

Independent study for medical students taking board exams.

6 credit hours

At the conclusion of this rotation students should be able to obtain a neurological history, competently perform the neurological examination, and formulate the diagnostic and treatment plan for neurological disorders. Students are assigned to two clinical sites where they participate actively in daily patient care. (Inpatient and Outpatient) Students will present cases seen to the attending physician and will work closely with neurology house staff in patient care matters. Students may express a preference for assignment to do an adult or pediatric rotation, but actual assignment will be based on a balanced allocation of students to the various sites. In addition, students will be assigned to one week of rehabilitation experiences. Each student must take one night of overnight call on the neurology clerkship. Students also participate in lectures and simulation lab activities.

8 credit hours

This 1-week rotation will allow students to participate in patient care and perform clinically while under close supervision. The experience occurs on a hospital inpatient service where students will be expected to work-up and evaluate patients with general neurologic diseases, present cases to attending physicians, and participate in all aspects of the patient’s care. Teaching will emphasize clinical and anatomical correlations, as well as other aspects of professionalism in patient care.

1 credit hour

This two-week selective gives the student a first hand look at all facets of adult neurology. Students will assist in the care of patients in the outpatient and inpatient settings at AnMed Neurology, 2000 East Greenville St., Suite 2800 and AnMed Medical Center at 800 N. Fant St.

2.5 credit hours

The outpatient clinical stroke rotation is designed to give fourth year medical students an opportunity to interact with the Department of Neurology stroke faculty in a clinical setting. They will have the opportunity to learn stroke etiologies, diagnosis, treatment and management, secondary stroke prevention and stroke recovery, and management of post-stroke complications. In addition, students will have the chance to learn about the MUSC REACH tele-stroke network.

5 credit hours

This course will introduce students to the evaluation and treatment of patients with seizures and epilepsy. Students will be expected to evaluate patients admitted to the Epilepsy Monitoring Unit (EMU)each morning and present patients in daily EMU rounds. Students will also learn the basics of EEG interpretation, and the clinical utility of EEG in the evaluation of patients with epilepsy. Students will also have the opportunity to participate in the weekly Refractory Epilepsy Conference (REC), as well as epilepsy journal club, fellows noon EEG/epilepsy conference and EEG case conferences. Relevant articles related to epilepsy and EEG will be provided to students at the beginning of the course.

2.5-5 credit hours

Students will participate in daily morning and afternoon clinics Monday through Friday with providers in the cognitive and behavioral neurology department. The rotation will explore brain-behavior relationships in neurogenerative disorders, and will provide instruction on dementia subtypes, cognitive assessment, psychopharmacology and neuropathology. To apply this knowledge, students will participate in multidisciplinary clinics, during which they will perform neurobehavioral histories and examinations and develop differential diagnoses for neurobehavioral conditions. On days when there are not clinics, students will complete assigned reading assignments. Clinicians will provide feedback and guidance throughout the rotation, supplementing student differential diagnoses and plans for intervention.

2.5-5 credit hours

The goals of the course are for the student to learn and apply neurology to the ophthalmologic system. The student will be able to identify, and reasonably recognize and determine objective indications for visual concerns in patients. The student will learn to use common ophthalmologic tools.

2.5 or 5 credit hours

This elective focuses on commonly seen pediatric neurology problems seen in an outpatient setting. Students are first to evaluate the patient and their families as they work in a daily partnership with one of more pediatric neurology faculty attendings. Emphasis is on mastering the fundamentals of history-taking and patient assessment and on learning patient care approaches for common neuro-developmental disorders. Examples include seizures, migraine, motor or language delay, cerebral palsy, head injuries, tic disorders and sleep disorders. Hours are approximately 8:00 AM to 5:30 PM.

2.5 or 5 credit hours

Students will be exposed to clinical neurovascular (stroke) patients to acquire a basic knowledge of the clinical examination and patient interviewing, vascular risk factors for stroke and neuro-imaging (CT, MRI, TCD, etc.). Academic opportunities will be presented from shadowing the attending on wards, stroke clinic, research meetings/conferences, as well as at least two (but more if possible) open or endovascular surgical procedures arranged by the course director. Student will learn about evidence-based clinical study design and journal article review. Student will be introduced to the REACH-MUSC telemedicine program.

2.5 or 5 credit hours

This course exposes students to intern-level responsibilities in the care of clinical neurovascular (stroke) patients under appropriate supervision. Students will acquire knowledge of the clinical examination and interview of patients with stroke. Students will also learn about vascular risk factors for stroke, and neuro-imaging findings in stroke (e.g., CT, MRI, TCD, etc.) Academic opportunities will be presented by participating in Stroke Ward rounds, Stroke journal club and conferences, and stroke research meeting with Neurology residents, Neurovascular fellows and Neurovascular attending neurologists. Additional academic Neurovascular activities will include attending at least two (or more) Acute Stroke brain attack experiences, including acute Stroke Telemedicine consultations, and Neuroendovascular surgical procedures. Students will learn about evidence-based clinical study design and journal article review through Stroke Journal Club and Neurovascular attending interactions.

2.5-5 credit hours

Exposes the student to intern level responsibilities for patient care. Allows the student to perform clinically while under close supervision. Experience occurs on a hospital inpatient service. Students will be expected to work-up and evaluate patients, present cases to an attending physician, and participate fully in all aspects of patient care. Teaching will emphasize clinical/anatomical correlations as well as other aspects of professionalism in patient care. The Clinical Core Neurology Shelf exam will be offered to those who have not previously taken it.

5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

This 1-week rotation will introduce students to adult neurosurgery. Students will assist in the care of patients in the inpatient and outpatient setting at the Medical University Hospital. Students will also attend the neurosurgery grand round conferences.

1 credit hour

At the completion of this clinical rotation, students will be able to: 1. Recognize clinical neurosurgical diagnoses and discuss their management issues in some of the most common neurosurgical disorders (subdural and epidural hematomas, head/spine trauma, hydrocephalus, AVM, etc.). 2. Perform a focused history and neurological exam for neurosurgical disorders. 3. Discuss basic neurosurgical approaches to common neurosurgical disorders, as well as the post-operative care and long-term management issues. 4. Understand the contributions and limitations of diagnostic imaging (CT, MRI) and neurophysiological testing (EEG, EMG/NCV) in patient assessments. 5. Discuss the non-surgical treatment of neurosurgical diagnoses and the common complications which might occur with/or without neurosurgical intervention.

2.5 credit hours

This neurosurgery externship will provide exposure to all facets of neurosurgery, both pediatric and adult. Students will have the opportunity to provide outpatient and inpatient pre-operative and post-operative care in the clinic and hospital setting. Through didactic teaching, care of patients in the clinic and hospital, and direct observation of neurosurgical procedures, students will become familiar with common neurosurgical disorders and methods of treatment at all ages. Students will be expected to have an "on-call" schedule similar to a PGY-II neurosurgical resident.

5 credit hours

This Neurosciences ICU externship will provide students with a thorough understanding of basic general critical care and neuro-critical care concepts. The students are expected to read the syllabus that is provided to them. Students are expected to learn the fundamentals of resuscitating patients with severe acute neurologic injuries. Students will become familiar with airway management issues, respiratory management, circulatory support, management of increased intracranial pressure, and management of comorbid conditions seen in patients with acute neurologic injury. Students will be expected to become familiar with all critical care issues and instructed on imaging interpretation as it pertains to ICU patients. Students will participate in hands-on procedures under close supervision and will be expected to have an "on-call" schedule similar to a PGY-II neurology resident.

2.5 or 5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Research based elective for 4th year medical students.

5 credit hours

This clerkship teaches students about all elements of women's health care including pregnancy care, preventive care, management of gynecologic complaints, perioperative care, and gynecologic cancers. They participate in inpatient and outpatient care of women and encounter a variety of surgical experiences under supervision of residents and faculty. In addition to direct patient care, students participate in Student Learning Teams, a longitudinal small group experience designed to teach high yield topics in the field of obstetrics and gynecology while integrating basic science concepts, clinical reasoning, and clinical skills such as note writing, counseling, and use of national guidelines to guide care. Students also participate in a variety of additional learning activities such as Grand Rounds, suture lab, and an Unstable Patient Simulation. Prerequisite: successful completion of preclerkship curriculum and a passing score on Step 1 of the United States Medical Licensing Exam.

8 credit hours

This 1-week rotation will introduce students to the outpatient care of gynecologic oncology patients.

1 credit hour

This is a longitudinal outpatient clinical rotation during which students will participate in the delivery of care to a group of pregnant women from the 2nd trimester until delivery. Students will be assigned to a group of women participating in Centering Pregnancy, a contemporary model of prenatal care that encourages self-assessment, education, and emotional support during pregnancy. The benefits of this model of prenatal care include higher patient satisfaction, a reduction in preterm birth, low birth weight, and increase in breastfeeding postpartum. Beginning after 14-16 weeks gestation, groups meet monthly for 4 visits and then every 2 weeks for 6 visits. Students will be expected to participate in at least 7 group sessions that last 2 hours and occur at the same time and day of the week. Students will be expected to participate in physical assessments of gravid women and assist with group facilitation.

1 credit hour

Student will function as a sub intern on the gynecologic oncology service in the setting of the inpatient service, outpatient clinic and operating room. Formal didactic teaching and a weekly tumor board are included.

5 credit hours

This elective rotation is designed to offer the student an opportunity for enhanced experience in the management of high-risk obstetrical patients. The student will have a tutorial relationship with the faculty and fellows from the Section of Maternal-Fetal medicine in the Department of Obstetrics and Gynecology. Clinically, the student will have an experience in ultrasonography, genetic counseling, prenatal diagnostic testing, and high-risk antepartum care. The student will also participate in the intrapartum care of private high risk obstetrical patients and have the opportunity to participate in operative obstetrics. The student will also participate in weekly didactic teaching conferences sponsored by the section of Maternal-Fetal Medicine.

2.5 or 5 credit hours

The rotation will introduce students to the discipline of Reproductive Infectious Diseases (RID). The student will work with the RID fellows and faculty in both outpatient and inpatient settings. This will include attending specialty clinics at MUSC Women's Health for sexually transmitted infections, perinatal HIV, and women with vulvar disease and recurrent vaginitis. Under the guidance of the RID attendings and fellows, RID elective students will see women with postpartum and postoperative infections, inpatient RID consultations, and patients admitted with reproductive infections, e.g. PID, complications of HIV in pregnancy. Students must receive approval from the OBGYN Medical Student Education Director to schedule Blocks 1-6.

5 credit hours

This externship will expose students to all aspects of inpatient services of Labor & Delivery. Students will work closely with the ObGyn Specialists & Maternal Fetal Medicine faculty and residents in the Department of Obstetrics and Gynecology. This student will have the opportunity to observe and participate in the inpatient labor & delivery unit, assist with operating room cases, and triage patients. Students will also develop skills in the interpretation of NSTs and will perform basic ultrasounds. They will be involved in vaginal and cesarean deliveries. Students must receive approval from the OBGYN Medical Student Education Director to schedule Blocks 1-6.

5 credit hours

This fourth year elective is for students who plan to do residencies in OB-GYN or Family Medicine with an OB emphasis to get more hands on experience. The student will be expected to work in essence as an intern seeing patients in the office and hospital. Student will occasionally first assist in the OR as well as actively participate in L&D deliveries and procedures. Prior to arranging this rotation, the student must get permission from the course director.

2.5 or 5 credit hours

This selective will expose the participating student to all aspects of obstetric ultrasound. The student will work with the Maternal Fetal Medicine Faculty in the outpatient setting. The student will review ultrasounds, accompany the faculty when patients are counseled regarding their ultrasound findings, and observe ultrasound-guided procedures. The student will also have the opportunity to work with the Genetics Counselors while on the rotation.

2.5 credit hours

This elective offers students an opportunity to enhance their experience in the management of gynecological patients. This student will be responsible for rounding on the inpatient benign gynecology service, attending operating room cases, and participating in select subspeciality outpatient experiences (ex: urogynecology). Students must receive approval from the OBGYN Medical Student Education Director to schedule Blocks 1-6.

5 credit hours

This selective introduces students to the basic knowledge and clinical problems encountered in the field of obstetrics and gynecology. Students are taught to acquire and develop their clinical skills in the care of patients. Emphasis is placed on obtaining experiences in routine obstetrics delivery, outpatient gynecologic management, and common gynecologic surgery. Under supervision, students take histories and perform physical examinations.

2.5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

This elective is designed to introduce the student to clinical ophthalmology. The student will participate in didactic sessions including Grand Rounds, Journal Clubs and Friday afternoon lectures. Students will work one-on-one with ophthalmology residents and attending examining patients and observing surgery. A text will be provided as a checklist of practical goals which should be achieved over the course of the rotation.

2.5 or 5 credit hours

This two-week elective will introduce medical students to clinical ophthalmology. Students will work with attending physician in outpatient ophthalmology office and observe surgery in office and hospital.

2.5 credit hours

This 4-week, 5 credit Junior Selective course will introduce students to clinical ophthalmology. Students will participate in didactic sessions including Grand Rounds, Journal Clubs, and Friday afternoon lectures. Students will work one-on-one with ophthalmology residents and attendings, examining patients and observing surgery. A text will be provided as a checklist of practical goals that should be achieved over the course of the rotation.

5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Understand the role and scope of ophthalmology within medicine. 2. Initiate an ophthalmology exam with a standard screening protocol. 3. Identify the presentation of acute and common ophthalmology complaints. 4. Triage acute and common ophthalmology complaints and understand when to consult the ophthalmology service. 5. Identify common ophthalmology surgeries. For example: - Cataract surgery (Phacoemulsification/Intraocular lens placement) - Strabismus surgery - Corneal transplant surgery - Pars Plana Vitrectomy - Retinal Detachment Surgery - Glaucoma filtering or tube/shunt surgery - Oculoplastic surgery.

2.5 credit hours

This two week selective will introduce third year students to clinical ophthalmology. It is intended for students who may have an interest in Ophthalmology or students in primary care who desire more exposure to ophthalmologic diseases. Students will work one-on-one with a local ophthalmologist examining patients in outpatient clinic at Medicus Eye Group, 1655 East Greenville Street, Anderson and in operating rooms.

2.5 credit hours

This course will allow students to learn about the sub-specialty of neuro-ophthalmology. The student will learn how to independently conduct an appropriate history and physical and perform necessary testing. All patients will be seen together with the attending physician and differential diagnosis discussed along with plans for work-up and treatment. The student will become proficient with the neuro-ophthalmologic examination as well as ordering and interpreting testing, including review of neuroimaging studies. The student will be expected to present the monthly neuro-ophthalmology conference for the residents and may also be asked to present at the Ophthalmology Department Grand Rounds. There may also be some time available to spend in other subspecialty clinics, depending on the student's interests.

2.5 or 5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

This 1-week rotation will introduce students to the field of orthopaedic surgery. Students will be exposed to the evaluation and treatment of the musculoskeletal system. Students will participate in the orthopaedic surgery clinics, the operating theater, Orthopaedic Surgery Grand Rounds, as well as group and didactic sessions.

1 credit hour

This elective will provide a comprehensive exploration of the field of physical medicine and rehabilitation, focusing on the principles of optimizing functional independence and quality of life for patients with neurological disabilities and musculoskeletal disorders. Students will explore the management of spinal cord injuries, traumatic brain injuries, stroke, musculoskeletal disorders, amputee care, and chronic pain. Through a combination of clinical rotations, hands- on experiences, interdisciplinary collaboration, and optional volunteer events in the community, students will gain a deep understanding of the diverse spectrum of conditions managed by physiatrists. Students will increase their awareness about longitudinal issues that may arise when living with a disability outside of the acute care hospital setting. Students will become familiar with the various (non-physician) team members involved in rehabilitation care and their unique roles. Students will also learn the basics of nerve conduction/EMG studies and the clinical utility of EMG in the evaluation of patients with peripheral nerve disorders. Students will also participate in the PM&R journal club, interdisciplinary ortho/pmr/anesthesia spine conference, and interdisciplinary rehabilitation case conference. Relevant articles related to the various conditions that PM&R treats will be provided to students at the beginning of the course.

2.5 - 5 credit hours

This selective offers the third year medical student who may be interested in a surgical career the opportunity to observe orthopedic surgeons in their office, on the wards and in the operating rooms of the hospital.

2.5 credit hours

This one-week selective offers the third year medical student who may be interested in a surgical career the opportunity to observe orthopedic surgeons in their office, on the wards, and in the operating rooms of the hospital. It may be also utilized by the students interested in primary care field who desire to learn more about orthopedics. Students will work with AnMed Orthopedics & Sports Medicine, located at 100 Healthy Way, Suite 1200, Anderson, SC.

1 credit hour

This course offers students the opportunity to develop their evaluation and management of disorders of the musculoskeletal system. Students spend four weeks rotating through the orthopaedic subspecialty services. These services may include sports medicine, pediatric orthopaedics, adult reconstruction, hand, oncology foot and ankle, and spine. This rotation is for students interested in the care of the musculoskeletal system but not interested in a career in orthopaedic surgery. The students will also rotate at the South Carolina Sports Medicine and Orthopaedic Center.

5 credit hours

This course offers the fourth-year medical student the opportunity to develop their evaluation and management of disorders of musculoskeletal system. There will be experiences in the clinic, the hospital and the operating room.

5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Demonstrate an orthopaedic physical exam of the upper and lower extremities to spine. 2. Demonstrate the radiographic features of osteoarthritis. 3. Know the signs and symptoms of compartment syndrome. 4. Apply a plaster splint to the upper and lower extremities.

2.5 credit hours

This 4-week, 5 credit Junior Selective course is an introduction to the field of orthopaedic surgery. Students will be exposed to the evaluation and treatment of the musculoskeletal system. Students will participate in the orthopaedic surgery clinics, the operating theater, as well as group and one-on-one didactic sessions. Students are expected to participate in a limited amount of "call" while shadowing the junior orthopaedic surgery residents. Students are granted plenty of opportunities for hands-on experience. Students will present one patient encounter or clinical topic per week to an attending.

5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

Over a 1-week period, the student will rotate with a different subspecialty team daily to gain an overview of the specialty.

1 credit hour

Rotation offered at AnMed Clinical Campus only. This one-week selective offers the third year student an overview of Otolaryngology for the student who may be interested in ENT as a career or the student in primary care who desires a deeper knowledge of ENT diseases. Will work with local ENT doctors at AnMed ENT- Anderson, 1655 East Greenville Street, Anderson.

1 credit hour

This course is an introduction to the evaluation and management of diseases of the head and neck. Students attend a clinically oriented lecture series, participate in the outpatient clinics and have closely supervised inpatient responsibility.

2.5 or 5 credit hours

Intensive clinical experience in otolaryngology head and neck surgery. The student is given direct responsibility for inpatient care and is expected to participate in the operating room (under the personalized instruction of the attending staff).

5 credit hours

This two week rotation is an introduction to the evaluation and management of diseases of the ear, nose, throat, and head and neck. Student will work with attending physician in the office and surgery suite. Emphasis upon the diagnosis and management of otitis media, chronic sinusitis, adenotonsillar hyperthrophy, hearing loss, and common neck masses in adults and children.

2.5 credit hours

This course is an introduction to the evaluation and management of tumors of the head and neck. Students will function as an acting extern and will be responsible for learning the outpatient and inpatient care of patients with tumors of the head and neck. The student will be comfortable with the full head and neck exam, diagnostic evaluation, and perioperative management of head and neck tumor patients.

5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Know/demonstrate the essential components of a thorough head and neck history- taking and physical examination 2. Understand and discuss the applied anatomy of the face, ear, nose/sinuses, mouth, pharynx, larynx and neck 3. Gain exposure to patients with various common head and neck pathologies including otitis media, vertigo, rhinitis, epistaxis, sinusitis, pharyngitis, tonsillitis, stridor, dysphagia, dysphonia, facial trauma, and head & neck tumors/defects. 4. Recognize and describe symptoms suggestive of head and neck malignancies; and recognize abnormal exam findings of the oral cavity and pharynx, including malignant lesions and lesions suspicious for malignancy. 5. Provide a differential diagnosis of a patient with a neck mass. 6. Describe the diagnostic workup of a patient with head and neck cancer. 7. Describe some options for reconstructing a variety of head and neck defects resulting from trauma, congenital anomalies or cancer resections. 8. Describe the clinical aspects and develop differential diagnoses for hearing loss & vertigo; understand basic audiologic tests. 9. Describe common causes of hoarseness in adults and in children 10. List the differential diagnosis for stridor and be familiar with emergent and long-term airway management techniques. 11. Understand basic speech and swallowing principles and evaluations. 12. Describe the work-up and treatments of common childhood ear, nose, and throat diseases 13. Describe some basic aesthetic principles of facial plastic & reconstructive surgery 14. List the common causes of rhinorrhea and nasal obstruction 15. Define acute and chronic rhinosinusitis, and describe the work-up and treatment options. 16. Understand indications for Otolaryngologic consultation 17. Observe various Oto-HNS surgical procedures, including endoscopic sinus surgery, tonsillectomy, pressure equalization tube insertions, laryngoscopy and cancer resections and reconstructive surgeries.

2.5 credit hours

This two week selective offers the third year student an overview of Otolaryngology for the student who may be interested in ENT as a career or the student in primary care who desires a deeper knowledge of ENT diseases. Students will work with local ENT doctors at AnMed Health Medicus ENT, 1655 East Greenville Street, Anderson.

2.5 credit hours

This is a 4-week, 5 credit Junior Selective course. Over 4 weeks, the student will rotate on the Head and Neck team and other subspecialty teams to gain an overview of the specialty.

5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

This 1-week rotation will introduce students to the specialty of pathology. Students will begin with two to three days of autopsy pathology with some room for flexibility in the remaining days during which students may be able to rotate through other areas of the department to explore other disciplines such as Surgical Pathology, Hematopathology, Cytopathology or others based on availability. Students can reach out to the course director before the rotation begins to voice their preferences or it can be handled on the first day of the rotation during orientation. Students are also expected to attend the morning resident lectures and other applicable conferences.

1 credit hour

Rotation offered at AnMed Clinical Campus only. This course will provide third-year students with the opportunity to view pathology careers through observation of anatomic, clinical, blood bank, hematology, chemistry and microbiology work. The course is 5 days in length. The student will rotate with a pathologist on various rotations including surgical pathology, cytopathology, and clinical pathology.

1 credit hour

This course will introduce 4th-year students to surgical pathology and cytopathology. Students will review diagnostic slides with an attending pathologist at the microscope. The course is two weeks with nine days of surgical pathology, including gross examination of specimen, evaluation of frozen sections, and microscopic evaluation of biopsy and resection specimens. Students will follow cases from the time they leave the operating room through all testing and report out on them. Students will also attend tumor board on Mondays. Cytopathology is one day, including general cytology sign-out (pap smears and fluid analysis) and performance and evaluation of fine needle aspiration specimens. Timing of the cytology experience will depend on the surgical pathology schedule.

2.5 or 5 credit hours

This comprehensive elective exposes students to the scope, methods, and techniques of laboratory medicine and clinical pathology as they relate to patient care. Students evaluate the use of normal values, choice of test methods, and utilization of statistical materials for determining quality control within laboratories. The students are exposed to the multidisciplinary aspects of modern laboratory medicine. They work with a variety of physicians and doctoral scientists as well as clinical laboratory personnel.

2.5 or 5 credit hours

This course provides the student with hand-on experience in the postmortem examination of decedents in both the medicolegal and hospital setting. This experience is gained by functioning as an integral part of the autopsy team. The team is responsible for all aspects of the postmortem examination, including collection of historical and clinical information, external examinations with interpretation of findings (both medical and traumatic), dissection of procured organs, appropriate specimen collection for ancillary studies (including toxicology, cultures, etc), correlation of pre- and postmortem findings, and proper completion of death certificates. Students are expected to take call for one weekend and deliver a 5-10 minute presentation on a subject of his/her choice. Biweekly educational conferences occur as the schedule permits.

2.5 or 5 credit hours

This course will introduce students to cytopathology. The students will be involved with the evaluation of gynecologic and non-gynecologic cytology preparations. Students will participate in fine needle aspirations of superficial lesions and with the adequacy evaluation of fine needle aspirations performed by imaging services.

2.5 or 5 credit hours

This course will introduce students to surgical pathology. Students will be exposed to gross and microscopic pathology. Students will be exposed to intraoperative frozen sections. The course will be designed to meet the student's ultimate career interests.

2.5 or 5 credit hours

The student will participate in the daily readouts of skin pathology specimens and in self-study of teaching sets. The student will also participate in the daily teaching conferences in the Department of Dermatology including the Clinicopathologic Conference and the Dermatopathology Conference.

2.5 or 5 credit hours

This course is designed to provide the student an opportunity to participate in the laboratory evaluation and diagnosis of malignant and non-malignant hematologic disorders. The student will be involved in the morphologic, histochemical and immunohistochemical, immunophenotypic, cytogenetic and molecular analyses of peripheral blood smear, bone marrow aspirate and biopsies and lymph node biopsies. Correlation of these data with the clinical history and physical findings will be emphasized.

2.5 or 5 credit hours

This course will introduce students to surgical pathology and cytopathology. Students will review diagnostic slides with an attending pathologist at the microscope. The course is two weeks with nine days of surgical pathology, including gross examination of specimen, evaluation of frozen sections and microscopic evaluation of biopsy and resection specimens. Cytopathology is one day, including general cytology sign-out (pap smears and fluid analysis) and performance and evaluation of fine needle aspiration specimens. Timing of the cytology experience will depend on the surgical pathology schedule.

2.5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Learn to use a multidisciplinary approach to the diagnosis of hematologic malignancies utilizing morphology, immunophenotyping, cytogenetics and molecular analysis including Fluorescent In-Situ Hybridization (FISH) and Polymerase Chain Reaction (PCR) 2. Distinguish between acute and chronic leukemias and determine cell lineage and any associated chromosomal abnormalities based on morphology, immunophenotyping and genetic analyses. 3. Distinguish between benign and malignant plasma cell hyperplasias utilizing clinical correlation, classical immunoelectrophoresis and immunofixation techniques in chemistry, bone marrow analysis and cytogenetics.

2.5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Understand the process by what a pathologic (histopathologic or cytpathogic) specimen is processed in the laboratory before it is available for examination by the pathologist. 2. Understand the role of intraoperative frozen section consultation in operative patient care. 3. Understand the role and utility of fine needle aspiration in workup and diagnosis of mass lesions. 4. Understand the relative utility of histologic and cytologic diagnostic techniques in the management of patient care. 5. Recognize the role of the pathologist in overall patient care through interactions with clinical colleagues.

2.5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Identify factors that define a forensic or medicolegal case. 2. Perform external examinations prior to autopsy in order to properly document identifying characteristics and injuries. 3. Prepare paperwork specific to forensic pathology including evidence transfer, clothing documentation, toxicology request forms, data sheets, etc. 4. Perform autopsy procedures and protocols including sexual assault examination, sample procurement, and basic dissection and evisceration technique. 5. Perform uncomplicated autopsy organ dissection.

2.5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

Introduces pediatric pathologic processes and further develops clinical skills and experience in handling and managing both healthy and ill infants, children and adolescents, and their families, and encouraging application of basic science knowledge to patient care. Half of the rotation is devoted to inpatient care with experiences both in acute/undiagnosed illnesses and chronic illnesses, the general pediatric wards, the newborn nursery, and the remaining time is spent in ambulatory/outpatient care (pediatric emergency department and general pediatric medical homes). Students engage in direct patient/parent contact with house staff and faculty supervision. Patient care experiences are supplemented with conferences, small group activities, and lectures. Prerequisite: successful completion of preclerkship curriculum and a passing score on Step 1 of the United States Medical Licensing Exam.

8 credit hours

This one-week rotation will introduce students to the Pediatric Hospital Medicine service in Shawn Jenkins Children’s Hospital. The student will be exposed to pediatric patients with acute and chronic diseases and will participate in the complete care of the patient as part of the general pediatric team. Clinical emphasis will include interviewing and physical examination skills, discussions of pathophysiology, and formulation of diagnostic and treatment plans.

1 credit hour

Rotation offered at AnMed Clinical Campus only. This one-week selective offers the third year medical student with an interest in pediatrics a chance to further explore pediatrics as a career. The student will be exposed to pediatric inpatients and newborns with acute and chronic diseases. Clinical emphasis will be upon interviewing and physical examinations skills, discussions of pathophysiology and formulation of diagnostic and treatment plans. Student will work with pediatric hospitalists at AnMed Women’s & Children’s Hospital.

1 credit hour

At the completion of this clinical rotation, students will be able to: 1. Identify developmental, behavioral and psychosocial problems using the medical history and exam of the school age child. 2. Describe the typical presentation of common developmental and behavioral problems in the school age child such as Attention Deficit/Hyperactivity Disorder (ADHD), sleep problems, enuresis and encoporesis. 3. Recognize academic underachievement and conditions that may be responsible such as learning disorders, ADHD and anxiety. 4. Understand the impact of biological, social and psychological aspects of the family that may lead to behavior problems (i.e., family history of mental illness, alcoholism, poverty, domestic violence). 5. Distinguish between age-appropriate behavior and abnormal behaviors that may suggest a neurodevelopmental/behavioral disorder. 6. Describe the interventions and community services available to children with behavioral problems.

2.5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Discuss normal and complex cardiac anatomy and physiology in pediatric patients, the transitioning physiology of the neonate, and the complex cardiac physiology of congenital cardiac disease states. 2. Perform a basic pediatric cardiac examination and correlate cardiac exam findings to the cardiac physiology in the neonate and child. 3. Identify basic and complex congenital cardiac defects. 4. Perform basic electrocardiogram reading for pediatric patients. 5. Describe the management and treatment of cardiac arrhythmias in pediatric patients. 6. Describe the surgical treatment of congenital heart disease, and the management of congenital and acquired cardiac disease.

2.5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Describe the importance of chronic diseases in Pediatrics, including their occurrence, care, outcome, and impact on the child and family. 2. Demonstrate approaches to maximize patient and family functioning. 3. Recognize the necessity of multi-disciplinary teams to optimize care and family support for children with chronic diseases. 4. Describe the challenges chronically-ill children face in school and the resources schools have to assess and help care for such children. 5. Recognize and appreciate variations in care style among various caregiver teams and disciplines. 6. Describe approaches to maximize compliance with care (getting the family to buy into daily care for their child.

2.5 credit hours

This rotation will consist of 1 week of extended exposure to ambulatory pediatrics in a community pediatric center caring for a primarily underserved population as well as 2 weeks of extended exposure to inpatient pediatrics within a pediatric ward, Level I and Level II nurseries to enhance knowledge of both chronic and acute diseases. The student will have opportunities to participate in all aspects of patient care. Emphasis will include refining history-taking and physical exam skills as well as deeper development of differential diagnosis and treatment plans in preparation for the MS4 year.

2.5 credit hours

This selective introduces students to both common and unique pediatric pathologic processes; further develops their clinical skills and experience in handling and managing both healthy and ill infants, children, adolescents, and their families; and encourages the application of basic science knowledge to patient care. Rotation activities provide students with exposure to a variety of clinical settings, including inpatient wards, newborn nursery, ambulatory clinics, and critical care units. Students will gain experience in managing acute, undiagnosed illnesses and chronic illnesses (subspecialty care).

2.5 credit hours

This Selective offers experience and instruction in the outpatient evaluation and management of both pediatric and adult asthma, allergic and immunologic diseases. The patient population is approximately 80% pediatric, 20% adult. Students who choose this rotation will become knowledgeable in the diagnosis and management of common allergic diseases including (but not necessarily limited to): asthma, allergic rhinitis, atopic dermatitis, urticaria, drug reactions, and anaphylaxis. In addition, students will be introduced to rare disorders of the immune system.

2.5 credit hours

In this 2-week selective, the student will work with a group of pediatric urgent care specialists in AnMed Health Kids' Care (2000 East Greenville St., Anderson, SC). This is a busy, seven day a week, urgent care clinic for children. There will be hands-on experience diagnosing common pediatric urgent care conditions as well as observing common urgent care procedures under direct supervision of an attending physician.

2.5 credit hours

Rotation offered at AnMed Clinical Campus only. In this one-week selective, the student will work with a group of pediatric urgent care specialists in AnMed Kids’ Care (2000 East Greenville St., Anderson, SC). This is a busy, seven day a week, urgent care clinic for children. There will be hands-on experience diagnosing common pediatric urgent care conditions as well as observing common urgent care procedures under direct supervision of an attending physician.

1 credit hour

Student will function in role of intern, taking history and performing physicals on patients and performing minor procedures. Students will develop assessments and will learn to manage acute pediatric problems. Recognize a sick child and initiate diagnostics and therapy. Manage minor trauma and have an understanding of major trauma in the pediatric patient.

2.5 or 5 credit hours

The fourth year student will spend two weeks with our pediatric allergist in an outpatient setting. Student will learn about common pediatric allergies; evaluation tools (allergy testing); and treatment options for these conditions.

2.5 credit hours

During this elective, students will work directly with specialists in pediatric cardiology and cardiothoracic surgery and rotate through all areas of pediatric cardiology including: one week in the cardiology clinic for outpatient pediatric cardiac consultations for new patients and the outpatient established patient evaluation, one week in the inpatient ICU, one week in the step-down floor for evaluation of the pre-operative and post-operative inpatient, and one week in observation of trans-catheter corrective procedures OR a one week rotation as a member of the pediatric cardio-thoracic surgical team, dependent on student preference.

5 credit hours

2.5 credit hours

Fourth-year medical students will work as integral members of an interdisciplinary team on a busy pediatric cardiac critical care service. Working directly with specialists in pediatric cardiology and cardiothoracic surgery, the student will gain experience in assessing, stabilizing and developing care plans for critically ill pediatric patients with congenital or acquired heart disease. Students will become familiar with the cardiac anatomy and physiology of both pre-operative and post-operative congenital heart disease. Additionally, students will become familiar with the basics of mechanical ventilation, sedation and analgesia, resuscitation, shock and vasoactive medications, surgical emergencies, procedural indications and end-of-life care issues in the pediatric cardiac ICU. Students will observe and potentially participate in invasive procedures. Students will participate in a mandatory orientation day to cover essential critical care subject matter. Participation is expected at all simulation-based procedural skills modules unless absence is excused. Students will be expected to work at least 20 shifts. Make-up dates for unexcused absences will take place the final weekend of the rotation and then at the discretion of the unit director. There is no expectation of night call, but it can be offered by the unit director as an integral learning experience or as make-up for unexcused absences. This rotation is recommended for students interested in pediatric specialties and cardiology.

5 credit hours

(Available only to students assigned to the AnMed Clinical Campus.) This course is designed for 4th-year students who anticipate having pediatric patients as a large part of their primary practice. The course will focus on children with developmental disabilities, chronic medical conditions, and those who have experienced abuse. The elective provides formal opportunities for students to work with professionals who provide support services for pediatric patients.

2.5-5 credit hours

The student will attend outpatient developmental clinics and perform supervised developmental assessments/evaluations for the spectrum of developmental and behavioral problems (ADHD, learning disabilities, autism, developmental delay, spina bifida, and neonatal high risk infant follow-up).

2.5 or 5 credit hours

Pediatric nephrology outpatient clinic and inpatient consultations.

2.5 or 5 credit hours

Students will learn the impact of genomics in medical practice now and in the future.

2.5 credit hours

The student will work with a group of pediatric urgent care specialists in Kids' Care. This is a busy seven day a week urgent care clinic for children. There will be hands on experience diagnosing common pediatric urgent care conditions as well as performing common urgent care procedures under direct supervision of an attending physician.

5 credit hours

The student will be exposed to pediatric inpatients and newborns with acute and chronic diseases and will participate in the complete care of the patient as part of the pediatric hospitalist team. Clinical emphasis will include interviewing and physical examination skills, discussions of pathophysiology, and formulation of diagnostic and treatment plans.

5 credit hours

Fourth-year medical students will work as integral members of an interdisciplinary critical care team on a busy neonatology service in academic and community facilities to learn about the evaluation and management of acute care illness in the perinatal period. With supervision and guidance, students will be directly involved in assessing, stabilizing, and developing care plans for critically ill neonates with a variety of complex diseases. Students will become familiar with the basics of delivery and resuscitation, mechanical ventilation, intravenous fluids, shock and vasoactive medications, surgical emergencies, procedural indications and end-of-life care issues. Students will observe and potentially perform invasive procedures.

5 credit hours

The extern will be exposed to pediatric patients with acute and chronic diseases and will participate in the complete care of the patient as part of the general pediatric team where they will learn to communicate with patients, families, staff and referring physicians. Clinical emphasis will include enhancement of interviewing and physical examination skills, discussions of pathophysiology, formulation of diagnostic and treatment plans and performance of commonly used procedures under the supervision of senior residents and attendings.

2.5 or 5 credit hours

Inpatient care of cardiology patients.

5 credit hours

This rotation is in an ambulatory pediatric center that will allow the student to provide acute care and preventative health screenings to children ages 0 - 18 years of age.

5 credit hours

A hands-on rotation on the clinical hematology/oncology services. The student will participate in rounds, tumor board, consults and teaching sessions.

5 credit hours

This course allows the student to gain additional fundamental knowledge of common genetic disorders encountered in day-to-day practice and to gain experience in analyzing the complex psychosocial and emotional aspects of genetic disorders and counseling. Students will attend clinics at the Children's Hospital and outreach sites (Florence, Beaufort and Georgetown), perform supervised patient assessments, prepare case summaries and literature search assignments.

2.5 or 5 credit hours

A rotation in pediatric critical care encompasses the multiple facets applying intensive care techniques to pediatric patients with life-threatening problems. Pathophysiology and advanced diagnostic and therapeutic modalities will be stressed.

2.5 or 5 credit hours

This elective is designed to provide an in-depth and intensive exposure to both common and unusual infectious diseases of children.

2.5 or 5 credit hours

This is a junior selective in Pediatrics concerning renal diseases, their occurrence, care, outcome, and impact on the patient and family.

2.5 credit hours

This elective is designed to allow the student to further their knowledge base in the area of child abuse/neglect (CAN). The student will read and review laws relevant to CAN and develop an understanding of the Department of Social Services (DSS) as well as explore community resources and observe function of multidisciplinary review panel.

2.5 or 5 credit hours

This selective is for students in the Pediatrics track of the COM Accelerated Medical Pathway Program. During this selective, students will be exposed to pediatric patients with acute and chronic diseases and will participate in the complete care of the patient as part of the Pediatric Hospital Medicine (PHM) team. Clinical emphasis will include interviewing and physical examination skills, presentation skills, note-writing skills, discussions of pathophysiology, and formulation of diagnostic and treatment plans.

2.5 credit hours

Students will receive a 4-week experience in primary care at the Med-Peds clinic providing direct clinical contact with adult and pediatric patients seeking well and sick care. Direct supervision will be provided by 2 full-time and 2 part-time med-peds faculty members. There will be an opportunity to work with med-peds residents and participate in the med-peds resident primary care curriculum. The patient care experience will include 9 half-day sessions per week. The student will independently perform history gathering and physical exams with the opportunity for direct observation of skills by faculty and residents. The student will also be able to participate in in-office procedures (joint injections, pap smears, etc) as those opportunities are available. With the supervision of residents and faculty, the student will be accountable for following up with labs and imaging ordered during patient care encounters.

2.5 or 5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

This 1-week rotation will introduce students to current patients at Encompass Health Rehabilitation Hospital of Charleston. Students will have the opportunity to observe physical, occupation and speech therapies. They will additionally have the opportunity to shadow Prosthetics/Orthotics during the rotation.

1 credit hour

Students will have contact with inpatients at Roper Rehabilitation Hospital. 1. Recognize diseases and aging processes that cause functional abnormalities. 2. Understand and utilize stages of recovery in functional disease such as stroke (Brunnstrom), brain injury (Rancho Los Amigos), spinal cord injury (ASIA), and orthopedic diseases and procedures. 3. Communicate functional goals and expectations to patients and caregivers. 4. Complete daily notes using a functionally-based template. 5. Understand the roles and scope of practice and interact with members of a rehabilitation team. 6. Understand patient factors and other requirements for the different rehab settings. 7. Prepare at least one patient care based project for presentation at a meeting or conference at the local, national, or international level.

2.5 or 5 credit hours

Students will have contact with inpatients at Roper Rehabilitation Hospital. 1. Recognize diseases and aging processes that cause functional abnormalities. 2. Understand and utilize stages of recovery in functional disease such as stroke (Brunnstrom), brain injury (Rancho Los Amigos), spinal cord injury (ASIA), and orthopedic diseases and procedures. 3. Communicate functional goals and expectations to patients and caregivers. 4. Complete daily notes using a functionally-based template. 5. Understand the roles and scope of practice and interact with members of a rehabilitation team. 6. Understand patient factors and other requirements for the different rehab settings. 7. Prepare at least one patient care based project for presentation at a meeting or conference at the local, national, or international level.

2.5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

Introduces the student to the care of psychiatric patients. Learning objectives are to increase the students' ability to recognize, diagnose, and treat psychopathology, use empathic patient-centered interview techniques, understand uses of psychotherapy, brain stimulation, and psychopharmacological agents, establish a supportive therapeutic relationship with patients, document and verbally present a psychiatric history and mental status examination, and work with inter-professional healthcare personnel. Students engage in direct patient responsibility with close supervision from house staff and faculty. Experiences are supplemented with conferences, a workshop, simulation, and lectures. Prerequisite: successful completion of spreclerkship curriculum and a passing score on Step 1 of the United States Medical Licensing Exam.

8 credit hours

This 1-week rotation will introduce students to the evaluation and management of a variety of childhood/adolescent psychiatric disorders on an acute inpatient psychiatric unit. The inpatient youth program at the IOP (2North) provides brief crisis stabilization of youth (5-17) with severe mood, behavior, anxiety, substance use, and thought disorders. The treatment team works closely with the patient, the family, and community providers to stabilize the crisis, improve coping skills and communication, and to ensure a smooth transition back to the community.

1 credit hour

This 1-week rotation will introduce students to working with an interdisciplinary treatment team on an inpatient psychiatric unit treating geriatric (> 60 years old) patients with a variety of psychiatric disorders. Common disorders encountered include depression, dementia, and delirium, and students will assist in the completion of initial and follow up examinations of patients and families.

1 credit hour

This 1-week rotation will introduce students to patients with neuropsychiatric disorders who prove to be treatment-resistant or have difficulty tolerating first line psychopharmacologic treatments. These patients, particularly those with depression, are often referred for neuromodulatory interventions such as transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), and deep brain stimulation (DBS). Psychiatry is in the early stages of formally recognizing and training “interventionalists” who perform specialized procedures. This course will introduce students to neuromodulation and the emerging field of Interventional Psychiatry.

1 credit hour

At the completion of this clinical rotation, students will be able to: 1.Diagnose various childhood psychiatric disorders in an acute care setting and describe methods used to stabilize these patients. 2. Interact effectively with families, children, and members of the treatment team. 3. Understand various treatment methods used in childhood psychiatric disorders including psychopharmacology, group therapy, and family therapy.

2.5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Perform psychiatric work-up of an elderly person with dementia, affective illness, or delirium. 2. Perform clinical evaluation of cognitive capacity of an elderly person. 3. Assess activities of daily living in an elderly person. 4. Select appropriate psychopharmacological treatments and tailor treatment to a geriatric patient. 5. Understand and apply the use of the milieu and interpersonal techniques in treatment of a geriatric patient.

2.5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Perform an appropriate psychiatric evaluation for a patient with substance use disorder(s) with or without co-morbid psychiatric illness(es). 2. Describe treatment options for detoxification and rehabilitation for the following substances: Alcohol/benzodiazepines, opioids, cocaine, marijuana, nicotine. 3. Differentiate between a substance induced mood/psychotic disorder and a primary mood/psychotic disorder. 4. Describe the pharmacologic options for treating substance use disorders, including alcohol dependence, opioid withdrawal and dependence, and nicotine dependence. 5. Describe the medical complications that can occur with heavy alcohol, nicotine, opioid, and cocaine use.

2.5 credit hours

Students will be instructed on the basic principles of providing psychiatric consultation in a medical and surgical setting.

2.5 credit hours

This selective introduces the student to the care of psychiatric patients and aims to improve the students' ability to recognize psychopathology, use interview techniques, correctly diagnose psychiatric disorders, appropriately use psychopharmacological agents, establish a supportive therapeutic relationship with patients, document and present a psychiatric history and mental status examination, and work with health care personnel.

2.5 credit hours

Forensic Psychiatry is a two week selective for third year medical students interested in Psychiatry. Students will spend time with the Physician on the Inpatient Psychiatry Unit as well as attending court sessions to observe testimony. Supervision is built into all components and learning objectives will focus on forensic psychiatry.

2.5 credit hours

2.5 credit hours

Forensic Psychiatry is an elective that can be tailored to the fourth year medical student who has an interest in Psychiatry. Arrangements will be made to spend time with Dr. Maddox on Inpatient Psychiatry Unit at Patrick B. Harris as well as attending court sessions in Upstate South Carolina to observe testimony. Supervision is built into all components and learning objectives will focus on forensic psychiatry.

2.5 or 5 credit hours

Rotation offered at AnMed Clinical Campus only. Forensic Psychiatry is a one-week rotation. Arrangements will be made to spend time with Dr. Maddox on Inpatient Psychiatry at Patrick B. Harris Psychiatric Hospital and attend any scheduled court sessions to observe testimony. Supervision is built into all components and learning objectives will focus on forensic psychiatry.

1 credit hour

Substance use disorders are some of the most frequently encountered clinical conditions seen in many medical and psychiatric practices. Many physicians feel that they have inadequate training in, and experience with, the treatment of substance use disorders as this is something that is often not emphasized in medical schools and residency programs. Overall, the rotation affords the student with a fascinating educational opportunity.

2.5 or 5 credit hours

Students will work with psychiatry resident and geriatric psychiatrist on a unit specializing in the inpatient evaluation and treatment of dementia. Overall, the rotation affords the student with a fascinating educational opportunity.

2.5 or 5 credit hours

Many patients with neuropsychiatric disorders prove to be treatment-resistant, or have difficulty tolerating first line psychopharmacologic treatments. These patients, particularly those with depression, are often referred for neuromodulatory interventions such as transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), and deep brain stimulation (DBS). Psychiatry is in the early stages of formally recognizing and training "interventionalists" who perform specialized procedures. The purpose of this course is to introduce students to neuromodulation and the emerging field of Interventional Psychiatry.

5 credit hours

Forensic Psychiatry is an exciting field that combines psychiatry and the law. Much of the rotation will focus on the treatment of psychiatric disorders in incarcerated individuals. Issues related to substance abuse, personality disorders, mood disorders, and malingering will be seen in many of the patients. In addition, it will provide students with an opportunity to learn about competency issues and other legal matters as they pertain to psychiatric patients. Students may have the opportunity to make rounds on Death Row and when possible attend court proceedings. An attending physician and forensic Fellow will provide the instruction. Overall, the rotation affords the student with a fascinating educational opportunity.

2.5 or 5 credit hours

Consult Liaison Psychiatry focuses on the treatment of psychiatric disorders arising in medical and surgical patients. The majority of the experience involves consultation work on adult inpatients in the main hospital at MUSC, a transitional care unit, and Kindred, a tertiary care facility for patients with a high degree of morbidity located at McClennan Banks on Calhoun Street. It is an exciting opportunity to see the practical interface between medicine and psychiatry. This rotation teaches students skills they can use as a resident in any specialty. Diagnostic skills, interviewing techniques, and psychopharmacology are emphasized. An attending physician and 2 PGY-2 residents will supervise the student. Students will be given more autonomy in diagnostic evaluations and carrying out of therapeutic planning than during their third year clerkship. Overall, the rotation provides the student a very practical experience in a fun, yet challenging, way.

2.5 or 5 credit hours

The Child and Adolescent Unit (2N) in the Institute of Psychiatry offers students the ability to enhance their evaluation, treatment, management and knowledge of a variety of childhood/adolescent psychiatric disorders on an acute inpatient psychiatric unit. Students on this externship are required to participate at the level of an intern. This unit provides brief crisis stabilization of youth (5-17) with severe mood, behavior, anxiety, substance use, and thought disorders. The treatment team works closely with the patient, the family, and community providers to stabilize the crisis, improve coping skills and communication, and to ensure a smooth transition back to the community. Interdisciplinary Education: This externship not only benefits students interested in Psychiatry, but also those interested in: Pediatrics (including Developmental Pediatrics, Adolescent Medicine, and other pediatric subspecialties), Family Medicine, Neurology, and Pediatric Neurology.

5 credit hours

This elective in adult inpatient psychiatry offers students the ability to enhance their knowledge of psychiatric disorders and overall level of autonomy. During this month, students will be encouraged to experience and participate in patient care at the level of an intern. Students will be exposed to a variety of psychiatric conditions including substance use disorders, mood disorders, psychotic disorders, anxiety disorders, and personality disorders. The rotation is designed to complement the third year psychiatry core, not duplicate the experience. Supervision will be provided by an attending psychiatrist and resident. Even if a student is not pursuing a career in psychiatry, the rotation will teach the student skills necessary during the intern year regardless of specialty.

2.5 or 5 credit hours

Students who rotate in the Internal Medicine and Psychiatry Combined Experience would participate in a variety of clinical activities with dually trained faculty. Students would potentially join inpatient medicine and/or psychiatry teams, consult psychiatry service, and outpatient clinics in Rutledge Tower, lOP, and VA. The attending provider for all of these rotations would have combined training in Internal Medicine and Psychiatry.

5 credit hours

The MS4 student will have the chance to enhance their knowledge of psychiatric disorders and treatment while rotating at our inpatient psychiatry unit (AnMed Health and Harris Psychiatry Hospital) locations. Students are expected to participate at the level of an intern and will be exposed to a variety of psychiatric conditions. This externship will not only benefit students interested in Psychiatry, but also those interested in Family Medicine, Internal Medicine (and subspecialities), Emergency Medicine, and other fields that do not offer an externship.

5 credit hours

This elective offers students the chance to enhance their knowledge of psychiatric disorders and treatment while rotating at our VA location. Students are expected to participate at the level of an intern and will be exposed to a variety of psychiatric conditions. This elective not only benefits students interested in Psychiatry, but also those interested in Family Medicine, Internal Medicine (and subspecialties), Emergency Medicine, and fields that do not offer an externship.

5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

This course introduces basic applied descriptive and inferential statistics. Topics include elementary probability concepts, an introduction to statistical distributions, point and interval estimation, hypothesis testing, and simple linear regression and correlation.

3 or 4 credit hours

The objective of this course is to provide basic and intermediate skills necessary to apply regression methods to clinical and basic science research data. Topics include regression issues such as least squares estimation, hypothesis testing, diagnostics, model building and variable selection, and indicator variables. Simple and multiple linear regression, logistic regression, Poisson regression, and modeling of time-to-event (survival) data will be covered. The course uses a problem-based approach and applications to clinical and basic science problems are provided.

4 credit hours

The categorical data analysis sessions include methods for stratified 2x2 and r x c contingency table data, ordinal data, matched pair dichotomous data, and count data. The correlated data analysis section covers random and mixed effects models and generalized linear models. The didactic classes are augmented by SAS and R sessions lead by the Teaching Assistants. At the completion of this course, students will have the tools to analyze these data using SAS and R, and make appropriate inferences from the analyses.

3 credit hours

The course provides an introduction to fundamental principles of probability and inference including: laws of probability, discrete and continuous random variables and their probability distributions, select multivariate probability distributions, sampling distributions and the central limit theorem, point and interval estimation including maximum likelihood, an overview of the hypothesis testing framework, and common hypothesis tests including the likelihood ratio, Wald, and score tests.

3 credit hours

This survey course will introduce students to the major cancer risk factors. For the major cancers the most important epidemiological studies will be reviewed. The issue of genetic susceptibility and the use of biomarkers in cancer epidemiology will be studied as well as cancer screening.

3 credit hours

This course provides an introduction to basic epidemiologic principles including measurements of disease occurrence, study designs (cohort, case-control, randomized clinical trials) and calculation of risk. Lecture material is supplemented with exercises and discussion of examples from the epidemiologic literature and presentations of epidemiologic studies by guest speakers.

3 credit hours

An emphasis will be placed on procedures used in implementation of epidemiological research studies.

3 credit hours

This course will provide a comprehensive and quantitative view of the design, conduct, analysis, and interpretation of epidemiological studies and use of EGRET software. There is a more in-depth coverage of topics than in Epi I.

3 credit hours

The need for a public health workforce trained in equity-based approaches to social determinants of health has increased and is driven by a significant body of literature. In this course, students will learn principles and concepts of health equity and social determinants of health and relevant models and methodological issues in social epidemiologic research.

3 credit hours

The overall purpose of this elective course is to introduce students to the principles and core functions of public health in keeping with the 2002 recommendation of the Institute of Medicine. Materials presented in the course will enable students to understand the role of public health and its core functions to better understand patterns of diseases, global threats to health, and factors contributing to disparate health outcomes in population groups.

2 (MPH or Ph.D.) and 3 (MS or Ph.D.) credit hours

This course is designed for public health students interested in studying the relationships between people and their environment, and how it affects their well being. The course addresses fundamental topics and current debates in environmental health.

3 credit hours

This course aims to identify the main components and issues of the organization, financing, and delivery of health services within the various domains of public health in the U.S. It includes evaluation of several case studies of PH policy decisions and their implications. This course is required for all Master of Public Health students at MUSC.

3 credit hours

This class presents an overview of the epidemiology of the SARS-CoV-2 virus, the cause of COVID-19 disease. Topics covered include basics of outbreak investigation, the biology of the virus, therapeutics, vaccine development, principles of contact tracing, and public policy.

2 credit hours

Students learn to use the primary statistical software packages for data manipulation and analysis, including (but not limited to) R, R Bioconductor, and SAS.

1-2 credit hours

In this course, students will examine models and procedures for use in the systematic planning of public health interventions in a variety of settings (e.g., medical, community, schools). Students will obtain skills in conducting a needs assessment and using theory to guide the selection and development of public health intervention strategies. Students will also identify appropriate methods for selecting appropriate evaluation designs, data collection strategies and measures to conduct rigorous program evaluations.

3 credit hours

The overall purpose of this course is to introduce students to a broad range of issues in public health ethics. Students will be provided an introduction to key frameworks and concepts relevant to public health ethics and describes the overlap and distinctions between public health and medical ethics. The course will also address ethical dilemmas across the following domains: 1) resource allocation and distributive justice; 2) conflicts between individual rights and the common good; and 3) research involving human subjects.

3 credit hours

The overall purpose of this course is to introduce students to the design and evaluation of research protocols in public health. Students will also learn methods for designing and writing measurable goals and objectives. Specifically, this course will cover concepts and provide skills required for research design, grant proposal development, quantitative and qualitative data analysis, and reporting results. The goal is to enable students to conduct original research and critically review published research, giving them the necessary tools to succeed as public health professionals.

3 credit hours

MPH Seminar is a 1 credit hour course for Master of Public Health students in the Department of Public Health Sciences (DPHS) offered in the fall and spring semesters. Students are required to complete both the fall and spring semesters of the course (total of 2 credit hours). Students attend DPHS-sponsored seminars every other Monday throughout the semester to gain exposure to contemporary topics in public health research. Seminar speakers are invited guests to the department and represent a diversity of research topics that are complementary to the research interests of DPHS faculty. On alternating Mondays, the department sponsors a professional Public Health seminar series featuring guest speakers from local public health agencies, MUSC departments, and local non-profits. This valuable exposure helps first -year students identify potential mentors and projects for internship and volunteer hours, provides an overview of potential career paths for graduates, and introduces the pressing public health concerns that impact our region, nation and global communities.

1 credit hour

This course is designed to help students and faculty jointly prepare for the Integrative Learning Experience in their final semester of their MPH Program. The ILE or Capstone, as the culminating experience of the MPH program, requires students to synthesize and integrate knowledge acquired in coursework and other learning experiences and apply it to analyzing and addressing a public health practice and/or research challenge. This is a required 1-hour course available to all MPH students. It is designed to help students understand ILE requirements, gain skills necessary for successful completion of the ILE, and develop a proposal for their ILE experience with faculty and other mentors. At the end of the course, students will have developed a finalized ILE plan and gained skills to assure its completion. The Applied Practice Experience or Internship course is a 180 hour practicum which requires students to gain professional work experience in the public health workforce. This course will allow students to garner professional skills prior to starting their internship including resume building, interviewing tips, and workforce performance standards, along with internship and career exploration.

1 credit hour

Students enrolled in the MPH program are required to complete a field placement in an appropriate public health setting as part of the degree requirements. Sites include hospitals, not for profit organizations, government agencies, and worksite/for profit companies. A minimum of 180 contact hours will be required for the field placement.

6 credit hours

The objective of this course is to prepare students for the Applied Practice Experience (APE or Internship) and the Integrated Learning Experience (ILE or Capstone) during their final semester of the MPH Program. The APE is a 180-hour practicum which students complete to gain experience in the public health workforce. The ILE, is the culminating experience of the MPH Program, requires students to synthesize and integrate knowledge acquired in coursework and other learning experiences, and apply that knowledge to analyzing and addressing a public health practice and/or research challenge. The required, 3-hour credit planning course (pass/fail) will help students understand the APE and ILE requirements, gain skills necessary for successful completion of the projects, and draft the documents necessary to support this undertaking.

3 credit hours

All MPH students will participate in a culminating experience which is required for graduation from the program. It is completed in the final semester in the MPH program and is graded P/F. The capstone project will reflect the student's assimilation of theories and skills from didactic and experiential learning courses. Under the supervision of a faculty Capstone Advisor, the student executes a research plan and produces a final document for the capstone project, and also participates in the MPH Capstone Symposium- presenting their capstone project research in a public poster session.

3 credit hours

The course introduces MPH students to the principles and practices of the social and behavioral science principles that can be used to guide the process of identifying, characterizing, and resolving public health problems to improve the health of individuals and populations.

3 credit hours

Successful completion of this course will enable the student to describe the role of social and community factors in both the onset and solution of public health problems; identify the causes of social and behavioral factors that affect health of individuals and populations; identify basic theories, concepts and models; apply ethical principles to public health program planning, implementation and evaluation; specify multiple targets and levels of intervention; identify individual, organizational and community concerns, assets, resources and deficits; apply evidence-based approaches in the development and evaluation of interventions; describe the merits of social and behavioral science interventions and policies; describe steps and procedures for the planning, implementation and evaluation of public health programs; and identify critical stakeholders for the planning, implementation and evaluation of public health programs, policies and interventions.

3 credit hours

In this course, students will critically examine models and processes for the systematic planning of public health interventions in a variety of settings (e.g., medical, community). Students will gain skills in needs assessment, the identification of behavioral and environmental determinants of public health problems, and using theory to guide the selection of public health intervention strategies. Students will apply evidence-based approaches in the development of social and behavioral science interventions and become familiar with practical and ethical principles underlying public health program planning, implementation and evaluation.

3 credit hours

This course introduces students to research methods in health promotion and allows them to understand and evaluate common research methods used in H.P. research. Students learn techniques related to data collection by observation, interview and questionnaire, and adapt research techniques to vulnerable and medically under served populations.

3 credit hours

This course introduces MPH students to the principles and practices of Health Psychology, focusing first on learning theories of behavior change, discussing the case formulation process, and an intro to the fundamental aspects of health psychology treatments. The class then focuses on related and complicated cases - looking for connections between symptom classes and complementary treatment models and techniques.

3 credit hours

Introduces students to the care of cancer patients. Emphasis is placed in the role of radiation and the multi-disciplinary nature of the management of malignant disease.

2.5 or 5 credit hours

This 1-week rotation will introduce third-year students to the field of Radiation Oncology.

1 credit hour

This elective is for fourth year students with an interest in some aspect of oncology who want more hands on-experience with radiation oncology. The student will work directly with two radiation oncologists as well as the radiation oncology team. Student should have a solid foundation in oncology and be familiar with oncologic care. Student will attend tumor boards and actively participate in the care of radiation oncology patients in the Radiation Oncology Unit at North Campus, AnMed Health.

2.5 or 5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Assess the need for radiation in the management of malignancies. 2. Demonstrate working with a multi-disciplinary cancer team. 3. Demonstrate a fundamental knowledge about radiation treatment planning. 4. Demonstrate proficiency in examining patients. 5. Formulate a treatment program for care.

2.5 credit hours

This two-week selective provides an opportunity for students to work with attending physicians in Radiation Oncology. Students will both observe and gain hands-on experiences in examining patients with cancer, solving treatment management issues, and initiating treatment planning. Students will be involved with all aspects of the patients' management and will be expected to review patients' charts and be able to discuss key findings such as pathology and imaging results. Students will attend tumor boards with the treatment teams. At the completion of the course, students should have a foundation for further learning about complex management issues in oncology, specifically as it pertains to radiation oncology.

2.5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

During this 1-week rotation, students will be exposed to the spectrum of radiology through observational rotations in subspecialty areas of imaging and self-directed tutorials and readings.

1 credit hour

This course attempts to provide the student with various means to understand the importance of radiology in the patient's diagnostic evaluation through lecture, observation of the various modalities and interplay of departments in the reading room atmosphere. Teaching film series and case presentations are also involved.

2.5 or 5 credit hours

The students will participate in the full spectrum of pediatric imaging through daily neonatal rounds, weekly teaching conferences with oncology and pediatric surgery as well as through the daily clinical work of plain files, ultrasound, CT, MRI and fluoroscopy.

2.5 or 5 credit hours

General overview of the radiology subspecialty of Vascular and Interventional Radiology. Students will rotate through the fluoroscopic and computed tomography areas of the interventional radiology and become familiar with the disease states common to the practice and the techniques in which they are treated. This includes vascular, biliary, urologic problems as well as CT guided biopsies and abscess drainage.

2.5 or 5 credit hours

This rotation will provide the student with a broad overview of neuroradiology. It is designed specifically for students with an interest in Neurology, Neuropsychiatry, Neurosurgery and Ophthalmology, Otorhinolaryngology and Radiology. The student will be expected to be an active participant during the month. Four days a week will be spent in the Neuroradiology reading room going over CT and MR studies with residents, fellows and attendings.

2.5 or 5 credit hours

This course is designed to provide students with a better understanding of the central role of diagnostic radiology in the evaluation and management of patients through participation in reading room readouts, lectures, case conferences/ presentations, online assignments, interactive labs, and observation of the ultrasound interpretation and procedures. This course is designed to introduce participants to the role of ultrasound in patient care including the appropriateness criteria for the use of diagnostic ultrasound and ultrasound guided procedures.

2.5 or 5 credit hours

This course is designed to provide 4th year students with an understanding of diagnostic radiology as it pertains to breast imaging radiology and management of clinical breast disease. Students will participate in reading room readouts, lectures, case conferences/presentations, online assignments, and observation of the various imaging modalities and procedures in breast imaging. Students will attend breast radiology pathology concordance conference and breast tumor board. Students will spend the entire 2 or 4 week rotation in the breast imaging reading room and Hollings Cancer Center Mammography/Breast Imaging Suite.

2.5 or 5 credit hours

This course is designed to provide students with an understanding of diagnostic radiology as it pertains to musculoskeletal (MSK) radiology and the management of sports-related, degenerative, rheumatologic and orthopedic oncologic disease. Students will participate in reading room readouts, lectures, case conferences/presentations, on line assignments, and observation of the various imaging modalities and procedures in musculoskeletal imaging. Students will attend orthopedic tumor board. Students will spend the entire rotation in the MSK imaging reading in Rutledge Tower.

2.5 or 5 credit hours

In this 4 week elective, the student will attend a variety of clinical tumor boards, and identify and direct the collection of current clinical cases which demonstrate outstanding correlation of imaging and pathology. Case documentation will include review of patient history, physical exam findings, imaging, gross and microscopic pathology findings, and diagnosis. Cases will be uploaded by the student into an internet based teaching file to be subsequently used by medical students, residents, and faculty in the departments of radiology and pathology. At least 2 cases should include complete information and thorough discussion of the radiologic and pathologic features of a disorder/disease process suitable for submission for publication as a case report.

2.5 or 5 credit hours

This course is designed to provide medical students with a better understanding of the central role of diagnostic radiology in the evaluation and management of patients through participation in reading room readouts and observation of the various imaging modalities procedures.

2.5 credit hours

This course, a combination of online and in person activities, is designed to provide students with a better understanding of the central role of diagnostic radiology in the evaluation and management of patients through participation in reading room readouts, online lectures, case conferences/presentations, online assignments, and observation of the various Imaging modalities and procedures while affording some flexibility for residency interviews. Students will tailor their experience to their clinical interests by spending at least 4 days in 3 of our areas of specialty: Body, Cardiac, Chest, IR, MSK, Nuclear Medicine, Neuroradiology, Pediatrics, or Ultrasound.

5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Describe the spectrum of diagnostic imaging (e.g., ultrasound, CT, MR, NM, angiography, conventional radiology) and diagnostic and therapeutic image-guided interventional techniques. 2. Appreciate the breadth of medical knowledge necessary for imaging performance and interpretation and the spectrum of caregivers involved in the diagnostic and therapeutic imaging arena. 3. Appreciate the fundamental role and value of imaging to provide timely, accurate and actionable diagnostic information regarding a patient's medical condition. 4. Recognize the indications and appropriateness of imaging studies for common clinical problems. 5. Describe the appropriate sequencing of exams and the limitations of diagnostic imaging tests, including cost-effectiveness of imaging studies. 6. Discuss basic test concepts of sensitivity, specificity, accuracy, and predictive value and how the results of a diagnostic test affect the clinical probability of disease likelihood. 7. Participate in imaging interpretation, including basic study identification, viewing, and interpretation, basic normal anatomy and pathology as depicted on common studies. 8. Apply basic skills to evaluate basic imaging studies.

2.5 credit hours

This selective is to expose the third year medical student to basic diagnostic radiology. The student will observe radiologists and radiological technicians both in the inpatient and outpatient arenas. The student should have a better understanding of what a radiologist's daily activities are.

2.5 credit hours

The Advanced Clinical Radiology Selective is designed for the student who is interested in pursuing Diagnostic Radiology as a career and has already completed Radiology 880J. The student will spend 3 days observing read outs, procedures and multidisciplinary conferences in each of 3 subspecialty areas selected from the following options: Cardiovascular Imaging, Body Imaging, Neuroradiology, Nuclear Medicine, Pediatrics, Ultrasound, and Musculoskeletal Radiology. The students will be expected to review online Patient Safety materials as well as an online text about Imaging appropriateness. The students will attend Case of the Day conferences and also present three cases, one from each of the three chosen clinical areas, at the Case of the Day conferences. The students will complete a final quiz on Imaging Appropriateness.

2.5 credit hours

This course is designed for students who are interested in acquiring more knowledge of the field of Vascular and lnterventional Radiology. The course will expose students to VIR patient care by participating in lectures, self-directed tutorials and readings, presentations, and assignments. Students will spend the entire rotation in the VIR division.

2.5 credit hours

This elective is for students in the COM Accelerated Medical Pathway Program. It includes both online and in-person activities and is designed to provide students with a better understanding of the central role of diagnostic radiology in the evaluation and management of patients through participation in reading room readouts, online lectures, case conferences/presentations, online assignments, and observation of various imaging modalities and procedures. Students will tailor the experience to their clinical interests by selecting 3 subspecialties as available (Body, Cardiac, Chest, IR, MSK, Nuclear Medicine, Neuroradiology, Pediatrics, and Ultrasound). The student will spend 2 afternoons in each area.

2.5 credit hours

This elective is designed to provide 4th-year students that have specific interests and plans to apply to radiology increased exposure and hands-on experiences. This will be accomplished by allowing students to experience what radiology residents do daily, including dictating and signing out reports, hands-on procedure experience, and on-call experiences. Additionally, the students will be given online assignments, lectures, and case conferences to increase their knowledge of radiology. Exposure to more advanced radiology educational material and academic responsibilities will allow students to begin developing a more specific knowledge base and understanding of the rigorous academic demand of being a radiology resident. The course will culminate in a verbal case conference where students will have the opportunity to present the knowledge gained in a systematic way and will also be an opportunity to experience the presentation and public speaking skills required of radiologists.

2.5 or 5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

Introduces the students to the care of surgical patients. Emphasis is placed on establishing the diagnosis, learning the pathophysiology of surgical diseases, participating in the treatment of surgical patients, understanding the means to support patients before, during, and after surgery, and understanding the impact of surgical illness on the patient and family. Students engage in direct patient contact with house staff and faculty supervision. Experiences are supplemented with learning materials, conferences and small group discussions. Prerequisite: successful completion of preclerkship curriculum and a passing score on Step 1 of the United States Medical Licensing Exam.

8 credit hours

This selective introduces the student to the care of surgical patients. Emphasis is placed on establishing the diagnosis, learning the pathophysiology of surgical diseases, participating in the treatment of surgical patients, understanding the means to support patients before, during, and after surgery, and understanding the impact of surgical illness on the patient and family.

2.5 credit hours

This 1-week rotation will introduce students to aspects of peri-operative patient care in the inpatient and outpatient setting, including on rounds, in the clinics, and in the operating room as available. Students will be exposed to all aspects of the complex medical and surgical care of patients on one of the following assigned subspecialties: trauma surgery, vascular surgery, pediatric surgery, surgical oncology, colorectal surgery, bariatric surgery, hepatobiliary surgery, burn surgery or transplant surgery. Student experience will vary based on the particular surgical practice to which they are assigned..

1 credit hour

Students will participate in all aspects of patient care in the inpatient and outpatient setting, including on rounds, in the clinics, and in the operating room. Students will be exposed to all aspects of the complex medical and surgical care of patients on one of the following assigned subspecialties: trauma surgery, vascular surgery, pediatric surgery, surgical oncology, colorectal surgery, bariatric surgery, hepatobiliary surgery, or transplant surgery. Student experience will vary based on the particular surgical practice to which they are assigned.

2.5 credit hours

This is a 4 week, 5 credit Junior Selective course. Students will participate in all aspects of patient care in the inpatient and outpatient setting, including on rounds, in the clinics, and in the operating room over a 4-week period. Students will be exposed to all aspects of the complex medical and surgical care of patients on one of the following assigned subspecialties: trauma surgery, vascular surgery, pediatric surgery, surgical oncology, colorectal surgery, bariatric surgery, hepatobiliary surgery, or transplant surgery. Student experience will vary based on the particular surgical practice to which they are assigned.

5 credit hours

Students will be assigned to an attending on the cardiac surgery service and may serve as subinterns on the cardiac surgery service. This is a good opportunity for one on one time with an attending surgeon. Recommended for students interested in Intensive Care, Cardiology, General or Cardiac Surgery, Internal Medicine. Expect long hours but these are more than rewarded with an outstanding educational experience.

5 credit hours

Students will participate in the Night Emergency Trauma Service as members of the night float team. Students will remain in house from 6 PM until 6 AM nightly from Monday through Friday nights. This service is recommended to students interested in general surgery, as well as students interested in emergency medicine and primary care.

5 credit hours

Students will work with patients cared for by the thoracic surgeons within the Division of Cardiothoracic Surgery and see patients in inpatient, ambulatory and OR settings. Recommended for students interested in careers in Surgery, Internal Medicine, Radiation Oncology, and adult primary care.

5 credit hours

Students will serve as members of the patient care team for patients on the pediatric surgical service interacting with the attendings and residents from the pediatric surgical service on a daily basis. Students will participate in outpatient clinics, the operating room, and rounds with residents and attending surgeons. Students will also participate in the management of inpatient consults and assessment of pediatric burn/trauma patients.

5 credit hours

Students will participate in plastic surgery patient care including the inpatient and outpatient setting with one of the fulltime plastic surgery faculty. The student146s daily activities will be assigned by the academic chief plastic surgery resident. And will include activities such as plastic surgery didactic case and visiting professor conferences as well as inpatient and ambulatory patient activities. Recommended for students interested in Surgery, Plastic Surgery, Emergency Medicine, Dermatology, ENT, Ophthalmology, and Orthopedic Surgery.

2.5 or 5 credit hours

The student will shadow an attending surgeon in the division of surgical oncology and participate in evaluation and care of patients in both inpatient and ambulatory settings. The student will attend the appropriate tumor board conferences. This rotation is recommended for patients interested in general surgery, surgical oncology, medical oncology, radiation oncology, geriatrics, radiology, and primary care. Overall, the rotation affords the student with a fascinating educational opportunity.

2.5 or 5 credit hours

Students will be assigned to an attending surgeon in the Division of Transplant Surgery. Student will be exposed to all aspect of renal and hepatic replacement therapies as well as the care of patients with renal and liver failure. Opportunity for outcome research is available. Recommended for students interested in Surgery, Internal Medicine, Nephrology, and other Primary Care Specialties.

5 credit hours

Students will serve as active care givers on the trauma and emergency surgery service. Supervision will be provided by upper level housestaff and attending surgeons. This service is recommended for students interested in emergency medicine, primary care, orthopedic surgery, and general surgery.

5 credit hours

This externship offers students the opportunity to function as a member of the team and be responsible for many of the duties of an intern under the direct guidance and supervision of house staff and attending staff. Depending on clinical volume and anticipated training opportunities, the student may be assigned to either the vascular service at RH Johnson VA or at Ashley River Tower. In addition, if a student manifests a high level of interest in vascular surgery and communicates with the coordinator well in advance of the rotation, 3-5 days of the rotation may be arranged to interact primarily with MUSC clinical faculty at Roper Hospital. This course is designed primarily for students interested in surgery who are considering post-graduate training in general surgery or vascular surgery residencies.

5 credit hours

Students will spend time with vascular surgeons as they perform their daily functions. Students will participate in patient care based on their level of competency and at the direction of their surgery attending. Students will see patients with vascular surgeon in the office, cath lab, hospital wards and operating rooms.

2.5 or 5 credit hours

Students will be assigned to serve as externs in the surgical intensive care unit and will be the primary care provider for assigned patients. Very close supervision will be provided by the surgery residents assigned to the unit. Daily teaching rounds are given by attending surgeons who are board certified in critical care. Students will become familiar with the basics of mechanical ventilation, intravenous fluids, shock and vasoactive medications, surgical emergencies, procedural indications and end-of-life care issues in the ICU. Students will observe and potentially perform invasive procedures. Students will participate in a mandatory orientation day to cover essential critical care subject matter. Participation is expected at all simulation-based procedural skills modules unless absence is excused. Students will be expected to work at least 20 shifts. Make-up dates for unexcused absences will take place the final weekend of the rotation and then at the discretion of the unit director. There is no expectation of night call, but it can be offered by the unit director as an integral learning experience or as make-up for unexcused absences. This rotation is recommended for students with an interest in anesthesia or in any surgical field including ENT, orthopedics.

5 credit hours

Students will participate in plastic surgery patient care including inpatient and outpatient settings with the assigned attending physician. Students will be involved In operative cases on a daily basis with exposure to all aspects of reconstructive and cosmetic surgery.

2.5 credit hours

Rotation offered at AnMed Clinical Campus only. This selective will allow third year students to explore plastic surgery as a potential career option. Students will be involved in operative cases daily either in the surgery center at AnMed Cosmetic & Plastic Surgery, 7 Linwa Blvd. Anderson, SC and/or the hospital at AnMed Health. Student will observe plastic surgery patient care in the inpatient and outpatient settings.

1 credit hour

Students will work one on one with a local Anderson community surgeon participating in his clinical practice in both the office and the operating suite. The student will actively participate in the surgical care of patients. This course is designed to allow students interested in a surgical career to get more exposure to general surgery.

5 credit hours

Students will become an integral part of the multidisciplinary burn team and will provide longitudinal patient care for acute and complexed burn surgery patients throughout the patient care continuum in all aspects of patient care, including participating in daily rounds of critically ill patients, bedside ICU procedures, dressing changes, clinic visits, and the operating room. Students will assist with surgical techniques including grafting components and wound closures. Students will participate in initial comprehensive burn assessments, daily patient management, formulation of treatment plans, and discharge arrangements with the appropriate supervision and corresponding documentation.

2.5-5 credit hours

Plastic Surgery Selective will allow third year students to explore plastic surgery as a potential career option. Students will be involved in operative cases daily either in the surgery center and/or the hospital at AnMed Health. Student will observe plastic surgery patient care in the inpatient and outpatient settings.

2.5 credit hours

This two-week elective will offer 4th year students the opportunity to work on the colon and rectal surgery service. Students will be actively involved in the office evaluation, operative management, and postoperative care of patients with benign and malignant diseases of the colon, rectum, and anus. They will be expected to take call with the staff surgeon on assigned call days (1 per week). The elective component of this practice is almost purely colon and rectal surgery; however the service does include some general surgical experience through on-call responsibilities. This elective will take place with AnMed Health Piedmont Surgical Associates, located at 2000 East Greenville St., Suite 2500, Anderson, SC.

2.5 or 5 credit hours

This course prepares students for a career in surgery with emphasis on clinical skills and judgment. Students have the opportunity to complete this rotation on GI surgery, trauma surgery, surgical oncology or vascular surgery.

5 credit hours

Severely obese patients who have lost substantial amounts of weight following bariatric surgeries have experienced significant improvement of obesity-related conditions, but the procedures are not entirely without risk. The purpose of this 2 week course is to educate fourth year medical students about the role of bariatric surgery in the treatment of obesity, with particular attention to identifying candidates for surgery, surgical procedures available, and outcomes for obesity-related diseases. Discussion and activities will focus on the pros and cons of surgery, how surgery success is measured, and cooperating with other professionals (nutritionist, etc.) in the care of bariatric surgery candidates and patients. Participation in a Tuesday evening community seminar will be required.

2.5 or 5 credit hours

Students will serve as externs on the colorectal surgery service covered by board certified colorectal surgeons. This includes inpatient care as well as pre- and post-operative care in the surgery clinics. A typical week includes participation in complex surgical cases, colonoscopies, benign colorectal surgery clinic, Hollings Cancer Center colorectal surgery clinic as well as integration into the resident team for all patient care. Strongly recommended for students interested in general surgery as well as for students interested in primary care, geriatrics, and internal medicine.

2.5 or 5 credit hours

Students will serve as externs on the Minimally Invasive and Bariatric Surgery service, which is covered by attending surgeons specialized in complex bariatric surgery, foregut surgery as well as minimally invasive abdominal wall reconstruction. Time on service will include inpatient care as well as pre- and post-operative care in the surgery clinics. Strongly recommended for students interested in general surgery as well as for students interested in primary care, geriatrics, and internal medicine.

2.5 or 5 credit hours

Students will serve as externs on the Hepatobiliary and Pancreatic Surgery service, which is covered by attending surgeons specialized in complex and redo biliary surgery, hepatic malignancy, and benign hepatic disorders, as well as surgery for benign and malignant pathology of the pancreas. Time on service will include inpatient care as well as pre- and post-operative care in the surgery clinics. Strongly recommended for students interested in general surgery as well as for students interested in primary care, geriatrics, and internal medicine.

2.5 or 5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours

This 1-week rotation will introduce students to urology. The student will be exposed to both inpatient and outpatient clinical areas at MUSC and the VA Hospital. Service guidelines and other helpful information will be emailed two weeks before the actual rotation begins.

1 credit hour

This course is for the medical student who has an interest in learning more urology or is considering Urology as a career. The student functions as an assistant intern in both inpatient and outpatient settings.

2.5 or 5 credit hours

Students will rotate in both inpatient and outpatient clinical areas at MUSC Florence, managing complex urologic conditions and providing a detailed look at what a career in urologic surgery will entail.

2.5 or 5 credit hours

This course is for students considering urology as a career. Students will rotate in both inpatient and outpatient clinical areas at MUSC and the VA hospital, managing complex urologic conditions and providing a detailed look at what a career in urologic surgery will entail. Service guidelines will be emailed two weeks before the actual rotation begins. Students must receive approval from the course director to enroll in blocks 1-5, which are reserved for students choosing Urology as their specialty.

5 credit hours

This course will provide fourth year medical students an opportunity to spend time with a urology attending physician in his office, in the hospital and in the operating room. The student will be exposed to common urological problems seen in primary care medicine.

5 credit hours

At the completion of this clinical rotation, students will be able to: 1. Understand and assist in the diagnosis and treatment of common genitourinary conditions (e.g. nephrolithiasis, bladder, kidney, prostate malignancy, voiding dysfunction, female incontinence and prolapse, erectile dysfunction) 2. Understand and assist in implementing the pre-operative evaluation and post-operative care of genitourinary surgical patients. 3. Comprehend the outpatient management of common genitourinary conditions. 4. Recognize the indications for placement of, and removal of, urological catheters, drains, and tubes.

2.5 credit hours

This rotation includes all non-MUSC pre-approved electives for 4th year students.

2.5 or 5 credit hours

Individualized research.

2.5 or 5 credit hours