Clerkships

CORES:
Internal Medicine – 12 weeks:
Students gain knowledge of internal medicine, which includes health promotion, disease prevention, diagnosis and treatment of men and women from adulthood through old age, from times of health through all stages of acute and chronic illness. Additionally students develop skills in problem solving, decision making and an attitude of caring driven by humanistic and professional values. This rotation incorporates a consideration of human biology, behavior, and understanding of the epidemiology and pathophysiology of disease and the mechanisms of treatment. Students master clinical skills in interviewing, physical examination, differential diagnosis, diagnostic testing strategies, therapeutic techniques, counseling, and disease prevention. 
   
Pediatrics – 6 weeks: The objective of the pediatric rotation is to educate students about issues unique to the neonatal period, childhood, and adolescence. The clerkship uses both the hospital and ambulatory venues to focus on human development biology, the role of the family, community, and society of child health. There is a major emphasis on the impact of disease and treatment of the developing individual. During the rotation, the students develop the communication, examination, and problem solving skills that are required to evaluate the health status of pediatric patient. These skills are directed toward the diagnosis and management of acute and chronic illness in children. The students will develop an understanding of the physical growth and development from infancy through adolescence including the assessment of motor, language, and social development. They will learn to develop strategy for improving rapport with pediatric patients and their parents and to assess the physical changes that the child undergoes. The students will also develop and understanding of the importance of strategies for health promotion, disease, and accident prevention among pediatric patients.   

Obstetrics and Gynecology- 6 weeks: During this rotation, students will acquire a set of basis educational and technical skills related to the maintenance of women’s health. They will learn to take an obstetrical and gynecological history and physical with emphasis on the breast, abdomen, and pelvis. Students will develop a basic understanding of the pathophysiology in women as they occur from menarche through the reproductive years and menopause. This will include an appreciation of specific obstetric and gynecologic issues encountered at different stages of a women’s life. Inpatient obstetrical and gynecological admissions and surgical procedures, as well as ambulatory outpatient clinic or private practice experience, provides the necessary core fundamentals of the rotation.           

Family Medicine – 6 weeks: The objective of the rotation is to prepare medical students to engage in the delivery of comprehensive care to patients of all ages by addressing the diverse health needs of both individual and the family as a unit. The students will learn how the patients progress through the healthcare delivery system, to develop a holistic approach to the patient. Students should develop an understanding of mechanisms of disease process, inpatient care, referrals, consultations, and general resources.  

Students will be exposed to a broad spectrum of diseases. These include breast exams, dermatologic abnormalities, ophthamalgic and otorhinolaryngologic problems, respiratory and cardiovascular disorders, endocrinological abnormalities including diabetes, thyroid and adrenal disorders, a broad spectrum of gastroenterologic problems, neurological and musculoskeletal problems, psychiatric problems including substance abuse and eating disorders.

Psychiatry- 6 weeks:


General Surgery- 6 weeks:    
    

Elective Rotations-
Each elective rotation is (4) weeks.

Anesthesiology:    

Cardiology: .  

Critical Care:

Emergency Medicine: 
** Must have completed all CORE rotations prior and a minimum USMLE score of 210 or COMLEX of 500 required.

Emergency Medicine Ultra Sound:
** Limited Availability

ENT:

Family Medicine:
**Must have minimum USMLE score of 210 or COMLEX of 500 required.

Internal Medicine:

Psychiatry:
**Must have minimum USMLE score of 210 or COMLEX of 500 required.

OB/GYN:

Ophthalmology:

Orthopedics:

Pediatrics:

General Surgery: 

Orthopedic Surgery: 

Vascular Surgery:

Cardiovascular Surgery:


Research Elective:  The Kaweah Delta Research Center directs research for all academic and clinical departments within the Kaweah Delta Health Care System. This unique arrangement, most individual departments have their own research program, allows for a truly integrated approach to research. Rotating medical students can arrange to spend all or part of their elective time in any of the participating departments (Emergency Medicine, Psychiatry, Family Medicine, Surgery, and Radiology) as most ongoing studies are multi-disciplinary. Students will work directly with the medical center’s research director and other faculty involved in research projects. Students are expected to arrange their project prior to their arrival in Visalia so that may be spend time here actively working on the project. Most students should expect to work five days a week while on the rotation with their time being divided between small group, discussions, study design, and the data collection and analysis. Schedules may be arranged and are designed to be flexible to fit the needs of the student and their research project. It is expected that the rotating student will be involved in the presentation and /or publication of date derived from their work sometime after their rotation. Thus, most students will be able to present at medical society meetings and will like have the opportunity to be published.