Description: The Primary Care Clerkship provides a 9-12 month longitudinal experience where students spend 2-3 sessions per month with a primary care preceptor. Students are placed in a community or hospital based practice site. Goals include learning skills in preventive care, the assessment of acute complaints, the management of chronic disease and understanding the role of primary care in the health care system. Students may work in adult internal medicine, family medicine, or pediatric clinic sites based on their expressed preferences. Longitudinal relationships with patients are emphasized, as well as the longitudinal oversight by a single faculty preceptor with whom the student works closely to develop content knowledge, primary care skills and the progressive ability to autonomously provide clinical assessment and decision making.

Description: Students are assigned to 1 month of ambulatory service at BWH or WRVA, or 2 months of in-patient service. The in-patient services take place at BWH, WRVA or Faulkner Hospital. During in-patient service, a student is responsible for up to 4 patients under the supervision of the intern, resident or attending physician. There are teaching sessions taught by the Chief of Medicine, the Clerkship Director and other faculty, with special attention given to bedside teaching. During ambulatory service, students are assigned to a preceptor for morning and afternoon clinics in both general medicine and sub-specialties. Didactic sessions are taught to emphasize approaches to solving clinical problems. All students are evaluated by attending physicians, housestaff and preceptors. The criteria for evaluation include clinical knowledge and skills in history taking, physical examinations and differential diagnosis. Learning skills and standards of professional conduct and responsibility form important components of the evaluations. In addition, a final exam is given at the end of the clerkship, which is used to determine student's grade.

Description: The goals of the clerkship include gaining confidence in the evaluation of neurological problems, especially in the performance of a complete and accurate neurological examination, familiarity with the use of neurological tests, including lumbar puncture, and neuroimaging procedures, EEG, EMG, nerve conduction velocity. There is a limited time during this core rotation to expand the knowledge concerning the diagnosis and treatment of common neurological problems. The first half day will be spent in orientation. During the month, students will be assigned to either the neurology inpatient or consultation service. They will function as part of a team with house staff and be expected to work up at least four patients per week. These workups will be reviewed, and students will participate in the patients' care. Students will also participate in daily teaching and ward rounds and in all hospital and departmental neurology conferences. There is a clinical ambulatory and neuropathological experience which is part of the rotation. All students will be given beepers and lockers for their personal belongings. The clinical clerkship is a component of PARTNERS neurological training program which involves the MGH and BWH house staff and officers. Also the hospitals in the Longwood Area participate in joint teaching exercises each week, including resident conferences and ground rounds.

Description: The clerkship provides an overview of important aspects of obstetrics and gynecology. The primary objective is to impart a basic knowledge of those aspects of the care of women essential for all future physicians. Included is the fundamental clinical information and skills development necessary to care for the pregnant woman and female patients with disorders of the reproductive system. The clerkship also strives to stimulate thinking and problem-solving, to develop skills for effective communication and to strengthen self-confidence and study skills. The clerkship is divided into an obstetrics and a gynecology rotation, with sites in ambulatory clinics, health centers, the operating room, inpatient units, and Labor and Delivery. Wednesdays are devoted to comprehensive seminars. Each student will be asked to prepare a case presentation. Presentations are expected to be case-based, interactive and evidence-based. In an effort to develop team building, students are assigned to individual residents in each component of the clerkship. Students are supervised by housestaff, faculty, midwives, nurses and other professional staff. Midway in the clerkship, a review session is scheduled for feedback with the Clerkship co-Director. This provides students an opportunity to openly discuss their experiences, pro and con, and to address any difficulties. Each student is scheduled for an end of the clerkship feedback session.

Description: Principal Clinical Experience at BWH PCE

Description: This clerkship makes use of the breadth and range of psychiatric services in the BWH and FH to expose students to fundamental issues in psychiatry: understanding and practice of interviewing skills, knowledge of psychiatric disorders and treatments, and familiarity and ease in talking with emotionally ill patients. Under the supervision of Harvard Longwood Psychiatry Residency Training Program attendings, students will work up and treat patients and participate in unit activities in one of two settings: in the Faulkner Hospital inpatient service or on the BWH Consultation-Liaison Service. Students will also participate in the outpatient evaluations and on call at the BWH or Faulkner ED, where they will see acute presentations of psychiatric illness and learn about the management of crises. Additionally, students participate in tutorials and a program of didactic seminars each Wednesday and visit an inpatient unit at Children's Hospital for an exposure to child psychiatry.

Description: The course is designed to teach the basic principles of radiological interpretation and utilization through small group instruction. Learning methods include audiovisual programs, lectures, film tutorials directed by staff radiologists, computer tutorials, self-learning film exercises and observation of clinical radiological interpretation. The indications and contraindications for radiologic examination and the benefits and limitations of radiological methods will be presented. Students must be present for the first and last day of the rotation, as well as the date scheduled for case presentations. Questions regarding these dates should be directed to Dr. Di Salvo (617-632-2603) or Terri Smith (632-2603) Opportunities exist for clinical research in radiology, either during the advanced elective radiology elective or as separately sponsored by full-time radiology faculty. Contact the course director for further details.

Description: The overall goal of the Core Clerkship in Surgery at BWH is to offer exposure to diseases encountered by surgeons and to gain insight into surgical decision-making. The clerkship is divided into four 3-week blocks. In two blocks, the student participates in the daily activities of an inpatient General Surgery service and sees outpatients with two assigned General Surgery preceptors. In the third and fourth blocks, the student spends one week in an Anesthesia rotation, one week in a Breast disease rotation and four separate weeks in a surgical subspecialty elective. For six of the twelve weeks, the student will spend one �shift� each weekend in the Emergency Department seeing surgical consults.