NEW ELECTIVE COURSE OFFERING

APPLICATION FORM

(Academic Year 2008– 2009)

Elective Type:  Intensive Clinical (ICE) (e.g., Subinternship)

An Intensive Clinical Elective course is one in which the focus is on an indepth clinical experience with patients with undifferentiated problems and includes an expectation that students will function with increased responsibility for patient care.  It is also expected that the SIU faculty member will remain the same during the entire 4-week experience.  The following criteria have been identified for Intensive Clinical Electives:

Decision Making:  Students must function in a clinical setting where they engage in decisions regarding clinical diagnosis and management of patients with undifferentiated problems.

Patient Care Responsibilities:  Students must function with increased responsibility for patient care (on the order of a Subinternship).  Examples of such responsibilities include (but are not limited to) conducting comprehensive patient evaluations, formulating diagnoses, developing an implementing treatment plans, taking overnight call, etc.

Faculty Supervision:  A SIU faculty member who has overall responsibility for the elective over the entire course of the 4-week experience must provide oversight of teaching and student evaluation.  Supervision must remain intensive, but must also allow students to work through the decision-making process with regard to patient evaluation, diagnosis, and treatment.  Students should have sufficient direct faculty supervisory contact (i.e., students have the opportunity to interact with faculty in the same manner as an intern). 

 

Name of Elective:
Department:	Anesthesiology Carbondale: Advanced Biomedical Sciences Family and Community Medicine Info & Communication Internal Medicine MD/JD Dual Degree Medical Education Medical Humanities Microbiology & Immunology Neurology Obstetrics/Gynecology Pathology Pediatrics Pharmacology Psychiatry Radiology Surgery
Faculty Responsible for Elective:
Telephone Number:
E-mail Address:
DESCRIPTION OF COURSE ACTIVITIES AND LOGISTICS:  Please provide a concise but complete description of the course activities and experiences students will engage in during this elective course.  Include performance expectations and any necessary logistical details. List the patient care activities in which student will be engaged during this elective (H&P’s, Progress Notes, Patient Rounds, Participation in Procedures, etc.): What percentage of the total elective experience will these activities constitute?        STUDENT LEVEL:  Is this course appropriate for Year Three students if prerequisites listed below are met? Yes, include this course in the Year Three Elective Catalog (maximum course length for Year Three students is 2 weeks). No, this course is appropriate ONLY for students who have successfully completed ALL Year Three Clerkships.
OBJECTIVES:  Please list the specific and attainable learning objectives designed for this elective.
EVALUATION:  Please describe the method(s) by which you will determine that the student has achieved the course objectives (observation, oral exam, written exam, case presentation, oral presentation, written essay, discussion with faculty, etc.).
ADDITIONAL FACULTY INVOLVED:
PREREQUISITES:  (mark all of the following that apply) Student to contact course faculty weeks before beginning elective Successful completion of all third-year clerkships. Successful completion of the following clerkship(s):     Other (Please specify):
ENROLLMENT:  Indicate the minimum and maximum number of students you will take at one time in this elective.    MINIMUM:       MAXIMUM:  Please indicate any additional enrollment restrictions that apply:
SCHEDULE:  Please specify the LENGTH of the elective, and whether it is FULL-TIME or HALF-TIME.  Half-time electives are offered mornings only or afternoons only.  EXTENDED ELECTIVES are offered on Thursday afternoons only, in 5-week blocks (maximum of 6 blocks or 30 weeks).  All students taking electives in Springfield are released from regular elective activities on THURSDAY AFTERNOONS if they are enrolled in an Extended Elective Course.  Mark all of the following that apply: A.     SCHEDULE:  (select one) Full-time Half-time     mornings     afternoons Extended B.     LENGTH Regular Extended   1 week   2 weeks   4 weeks   5 weeks   10 weeks