REQUIRED ELECTIVES: BACK TO THE CLASSROOM SEMINARS
ALL P&S STUDENTS MUST TAKE ONE OF THE FOLLOWING THREE ELECTIVES, ALONG WITH THE CORRESPONDING CLINICAL PRACTICE IV COMPONENT AND BIOMEDICAL INFORMATICS.
| MD02P Advanced Medical Pathophysiology and Therapeutics |
| THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS. |
| Course Directors: |
Dr. Ronald Drusin, (212) 305-4194, red3@columbia.edu
Dr. Donald Landry, (212) 305-2131, dwl1@columbia.edu |
| Given: |
February only |
| Maximum: |
55 students |
| Start Date/Time: |
First weekday of the month, time to be determined |
| Site/Location: |
Schedule will be posted in Courseworks |
| Description: |
Objective:
Provides students with a knowledge of pathophysiology and therapeutics
that is organized so as to emphasize critical evidence which is
necessary for clinical decision-making.
Learning Experience:
The students will meet weekday mornings on Monday, Tuesday, Thursday,
Friday (CP IV is offered on Wednesdays as a separate course that is
included within each selective). Topics to be selected relate to
critical evidence that underlies decision-making in key areas of
clinical medicine. Topics covered in a recent offering included
Evaluation of publications appropriate to Evidence-based Medicine,
breast cancer screening, liver failure, diabetes, heart failure, acute
coronary syndrome, HIV, shock, and colon cancer.
Emphasis will be given to the foundations of medical knowledge
including critical appraisal of data as well as the more practical
aspects of management. The Faculty members are experts in each
field discussed. The topics to be covered have been selected with
the assistance of the P&S graduates serving on the Medical House
staff at the NewYork-Presbyterian Hospital to ensure relevance to the
experience of interns and residents. However, the course is
intended to serve the needs of those pursuing postgraduate training in
any clinical specialty.
Feedback: Continuous throughout.
Evaluation: Will be by self-assessment. |
| Please note: In addition to taking Advanced Medical Pathophysiology and Therapeutics you will be taking Clinical Practice IV (see below), a small group class for which attendance is required every Wednesday, and Biomedical Informatics. |
| PA06P Advanced Clinical Pathology |
| THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS. |
| Course Directors: |
Dr. Steven L. Spitalnik, (212) 342-5648, ss2479@columbia.edu |
| Coordinator: |
Aysha Perez, (212) 305-1790, ayt70001@nyp.org |
| Given: |
October only |
| Maximum: |
60 students |
| Start Date/Time: |
First weekday of the month, time to be determined |
| Site/Location: |
To be determined |
| Description: |
The
use of laboratory studies to make and/or confirm diagnoses has become
critical in modern medicine. However, the excessive use of laboratory
studies by physicians has become a prime target of attack by those
aiming to contain the cost of medical care.
Objective: We will explore several aspects of the use of laboratory medicine in today's changing environment.
Learning Experience:
These include: 1) The role of screening laboratory studies in both
in-patient and out-patient settings; 2) The use and interpretation of
sophisticated testing to resolve certain critical issues in patient
management, especially as related to hematologic testing; 3) The
relative place for new technology in the diagnostic and therapeutic
armamentarium - is it complementary, or should it replace less
sophisticated but well-tested studies currently being performed; 4) How
can we resolve the ethical dilemmas created by the availability of
testing to predict who might develop certain chronic illnesses (e.g.,
breast cancer, colon cancer, Huntington's disease) that heretofore
could not be predicted?; and finally, 5) Who decides what testing is
appropriate and what testing is inappropriate in any given situation?;
How are such decisions made, and how should they be made in the future?
Feedback: Continuous.
Evaluation: Participation in course and final exam. |
| Please
note: In addition to taking Advanced Clinical Pathology you will be
taking Clinical Practice IV (see below), a small group class for which
attendance is required every Wednesday. |
|
| PH01P Clinical Pharmacology and Therapeutics |
| THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS. |
| Course Director: |
Dr. Penelope Boyden, (212) 305-7907, pab4@columbia.edu
Dr. Steven O. Marx, (212) 305-0271, sm460@columbia.edu |
| Course Coordinator: |
Ms. Karen Justina Allis, (212) 305-4197, kja7@columbia.edu |
| Given: |
March only |
| Maximum: |
45 students |
| Start Date/Time: |
First day of the month, contact the course coordinator regarding the time |
| Site/Location: |
BB 7-724 |
| Description: |
Objectives: The
objective is to teach skills in designing and implementing appropriate
pharmacological therapy for the treatment of a wide variety of disease
states using sound clinical and scientific principles.
Learning experience:
There is an initial series of workshops consisting of lectures and
discussions focused on basic principles of drug administration,
absorption, distribution, elimination and drug-drug interactions. This
includes how drug actions and pharmacokinetics are altered in special
populations such as women, and pediatric and geriatric patients.
The goal of these workshops is to learn how to modify drug
administration and dosing schedules to maximize therapeutic effects and
minimize drug toxicity. This will be followed during the next 3
weeks by student work‑up and presentation of therapeutic strategies for
a variety of clinical cases under the guidance of expert faculty in the
areas of cardiology, nephrology, hypertension, infectious disease,
rheumatology, oncology, endocrinology and psychiatry.
Feedback:
All students will work with preceptors who are expert in
pharmacological therapy and who will provide guidance in the management
of the clinical cases. |
| Please
note: In addition to taking Clinical Pharmacology and Therapeutics you
will be taking Clinical Practice IV (see below), a small group class
for which attendance is required every Wednesday. |
|
| CP04P Clinical Practice IV: Return to the Classroom |
| THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS. |
| Course Director: |
Dr. Constance Park, (212) 639-9850, cmp4@columbia.edu |
| Coordinator: |
Ms. Evelyn Addo (212) 342-9008, eaa31@columbia.edu |
| Given: |
October, February, and March along with the electives listed above |
| Start Date/Time: |
Start date and time to be determined |
| Site/Location: |
To be determined |
| Description: |
Description: Please note, attendance is required in this small group course on Wednesday mornings. This required four-session course occurs during each of the back to the classroom electives listed above.
Objectives: These sessions provide students with opportunities to reflect on their professional goals while investigating current challenges in medicine including medical economics, ethical challenges in the patient-physician relationship, life-threatening illness, disease prevention and health promotion. There are numerous opportunities to think about and discuss the mission of medicine and the professional motivations of individual students.
Learning Experience: There are opportunities for discussion of practical topics like delivering bad news, signing death certificates and DNR orders, and writing diet orders. Comprehensive patient care, patient-physician relationship, cultural competence and health care teams are important themes.
Feedback: Continuous throughout elective.
Evaluation: Each student will prepare written reflections or visual projects and participate in large and small group discussions in the following four areas: 1) Lifestyle Changes and Comprehensive Patient Care: Coronary Artery Disease. 2) The Rapidly Changing Health Care System: Economics, Organization, and Ethical Challenges, 3) The Physician and Patients with Life Threatening Illness. 4) Selected Topics: these include Physical Therapy, Pain Management, Nutrition, and Topics in Alternative Therapeutics,
|
|
| MI02P Biomedical Informatics |
| THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS. |
| Course Director: |
Dr. Herbert Chase, herbert.chase@dbmi.columbia.edu |
| Given: |
October, February, and March |
| Maximum: |
55 |
| Start Date/Time: |
Monday (2 PM – 4 PM) and Wednesday (3 PM – 5 PM) |
| Site/Location: |
To be determined |
| Description: |
This course will focus on the ways that Biomedical Informatics has improved the practice of medicine (by facilitating evidence-based practice, improving patient safety, and expanding the reach of public health initiatives). Students will also be exposed to the potential pit-falls of technology. Conference activities provide additional training in advanced literature searching and expose students to classic cognitive biases that influence medical decision-making.
Learning Experience: The program consists of four lecture sessions, and two conferences:
Lectures:
Session 1: Role of Biomedical Informatics in Healthcare
Introduction
Impact of biomedical informatics on healthcare outcomes
Creating a digital record of a clinical encounter
Session 2: Evidence-based practice
Finding the answers: information retrieval
Getting help with the answers: Clinical decision support
Session 3: Safety
Protecting individual patients from medical errors
Human-Computer Interaction and Health Technologies
Session 4: the Patient’s perspective
Using technology to improve patient-provider communication
Improving the health of the public through biomedical informatics
Conferences:
Searching techniques: students search cyberspace to find answers to difficult clinical questions. Training and tips follow.
Decision-support and medical decision-making: Students are provided clinical scenarios that require complex decision-making analysis. Each provides insight into the influence that cognitive biases have on rational medical decision-making.
Recommended Textbook: Shortliffe, E.H., et al. Medical Informatics: Computer Applications in Health Care and Biomedicine. Third Edition. 2006. Springer-Verlag New York, Inc. ISBN 0-387-98472-0. (All other materials will be posted on the course website.)
This seminar is NOT automatically added to your schedule. You must register for it during the same month that you plan to take one of the Back to the Classroom selectives. |
|
|
