baptisthealth system
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baptisthealth system
baptisthealth system RESIDENCY P R O G R A M S INTERNAL MEDICINE PAT H O L O G Y – A N AT O M I C & C L I N I C A L RADIOLOGY–DIAGNOSTIC SURGERY TRANSITIONAL YEAR baptisthealth system Baptist Health System is committed to delivering faith-based, high-quality and compassionate health care, while empowering our patients to achieve their best health. We are committed to reinventing the way health care is delivered by applying innovative solutions and technologies to advance safety, value and convenience in each patient experience. OUR VALUES: INTEGRITY Constantly sticking to a strict moral or ethical code in public and in private. It presents the idea of wholeness. This means that there is no compromise for integrity. OUR PURPOSE To Honor God and Others COMPASSION The deep awareness of the suffering of other people along with the desire and attempt to relieve it. It is ministering to the body, mind and spirit of those entrusted to our care, and treating others as we would want to be treated. ADVOCACY Taking action for, defending or recommending an idea. Advocacy is an ongoing process that tries to change attitudes or actions. We continuously search for ways to improve the well-being of the communities God has given us the privilege of serving....always striving to do more and better. RESOURCEFULNESS The ability to take what is given to you and use it effectively or imaginatively. We are challenged to be careful and responsible stewards of the God-given resources that have been entrusted to us. We are taught that to those who wisely used what they had, more was given. EXCELLENCE The commitment to reach higher and exceed expectations at every level of the organization through cooperation, sharing of new ideas and an obsession for quality. Scriptures teach us “whatever we do, we are to do it with excellence and enthusiasm, as unto the Lord.” In the belief that all persons are entitled to equal employment opportunities, the Baptist Health System does not discriminate against employees or applicants for employment because of race, creed, color, national origin, age, sex or religion. No applicant or employee is excluded from participation, denied benefits or subjected to discrimination solely by reason of his/her disability. We welcome your interest in the residency programs at Baptist Health System (BHS). We would like to introduce you to one of the very best community based teaching programs in the country. Medical Education is an important and integral part of the overall mission and activity of BHS. As an underlying principle, BHS recognizes that quality patient care is greatly enhanced by residency training programs in which bright, inquisitive, and energetic physicians and students actively pursue the study of medicine. Baptist Health System demonstrates its commitment to this concept by allocating extensive resources for the development and maintenance of excellent postgraduate training programs, outstanding student clerkships, and high quality continuing medical education. Our residency programs are conducted at our two teaching hospitals in Birmingham: Princeton Baptist Medical Center on the west side and Trinity Medical Center on the east side of the city. Both hospitals are large, progressive, fully-accredited tertiary-care institutions, which serve very different patient populations because of their own unique histories, demographics, and referral patterns. This inherent diversity broadens the patient base and physician faculty available for clinical teaching. Our full-time faculty members have extensive academic experience and are totally devoted to providing the best education possible for our residents and rotating students. In addition, more than 200 clinician educators volunteer substantial time and expertise to teaching our residents the needed skills to provide exceptional patient care. We believe that the learning environment at BHS is among the very best anywhere. Professional and personal support is readily available through Medical Education offices at both locations, and appropriate quarters are provided for on-call residents and students. Excellent medical libraries, which complement the ancillary services of our institutions, are accessible at both hospitals. BHS residents are actively involved in scholarly activity including the preparation and publication of clinical vignettes, participation in original clinical research, and presentation of their work at national meetings. We invite your inquiries and application to our residency programs. Baptist Health System offers a firm commitment to excellence in medical education and training. We trust you will find BHS to be the place where you will recognize your greatest potential in both the art and science of medicine. Best wishes, Elizabeth D. Ennis, M.D., FACP Chief Medical Officer and Designated Institutional Official Baptist Health System www.residency.bhsala.com 1.800.247.7404 | 3 TABLE OF CONTENTS Our Mission and Values Welcome Page About Birmingham 2 3 4-5 Teaching Hospitals Princeton Baptist Medical Center Trinity Medical Center 6 7 BHS Residency Programs Internal Medicine Pathology–Anatomic and Clinical Radiology–Diagnostic General Surgery Transitional Year Residency Application & Contact Info 8-11 12-13 14-17 18-21 22-23 24-25 BHS Elective Clerkships Cardiology Cardiovascular Surgery Emergency Medicine Gastroenterology Hematology / Oncology Infectious Diseases Internal Medicine (General) Nephrology Clinical Neurology Neurosurgery Ophthalmology Orthopedic Surgery / Sports Medicine Otolaryngology Pathology Plastic Surgery Pulmonary Medicine Radiology Surgery (General) 27 28 28 28 29 29 30 30 30 30 31 31 31 31 32 32 33 33 Clerkship Contact / Inquiry / Application How Do I Apply? Clerkship Process Housestaff Coordinators Contact Info Medical Libraries General Hospital Access Information 34 34 34 34 34 34 Helpful Websites 35 baptisthealth system Bapti st HealthA labama.o rg “Birmingham's culinary scene is a jewel, with nationally known chefs and restaurants . . . [and] tables full at trendy bars and bistros nestled in old brick mercantile buildings. The city's minor league baseball team relocated from the suburbs and is drawing big crowds to a new downtown stadium that opens to Birmingham's skyline. It's across the street from an urban park built on what was an unsightly lot strewn with weeds and gravel along railroad lines. Combine all that with a thriving nightclub scene, new craft breweries and an entertainment district that has started opening, and suddenly Birmingham is becoming a hot spot for residents and visitors alike.” –The Huffington Post, June 10, 2013 With a growing list of James Beard award-winning restaurants and nods from national publications like GQ, USA Today, Esquire and Zagat’s, we’ve become a veritable foodie playground. Add craft breweries, new urban parks, an entertainment district and a new downtown Minor League baseball park – and suddenly, Birmingham, the “Magic City,” is a jewel for residents and visitors alike. We’re Alabama’s largest city, and home to the second largest urban nature preserve in the country – Ruffner Mountain. We’re home to everything from the Sidewalk Film Festival – an industry favorite that takes place every September – to the Birmingham Museum of Art, which houses 10,000 works of art and the largest collection of Wedgewood pieces in the world. There’s the Alabama Theatre too, one of only a handful of 1920s movie palaces still in operation. For sports enthusiasts there’s Barber Motorsports Park – the “Augusta of Motorsports,” the Robert Trent Jones Golf Trail, which runs across the state, and Rickwood Field, the nation’s oldest baseball park. We embrace what makes us unique. Like being the only place in the world where all the ingredients for making iron are present: coal, iron ore and limestone—all within a ten-mile radius. We love iron so much we built Vulcan – the mythical god of metalworking and the largest cast iron statue in the world. When we won the first place with him in the World’s Fair in 1904, we decided to give him a permanent home, atop Red Mountain. But we’re more than the sum of our parts – there’s magic here. Come see for yourself. Images compliments of Birmingham Business Alliance, and Greater Birmingham Conventions and Visitors Bureau. www.residency.bhsala.com 1.800.247.7404 | 5 The Teaching Hospitals PRINCETON BAPTIST MEDICAL CENTER On its beautiful campus located just four miles west of downtown Birmingham’s business district, Princeton Baptist Medical Center has been a ministry of the Birmingham Baptist Association since 1922. Princeton Baptist Medical Center draws its primary market share from western Jefferson County. Princeton has a total of 505 licensed beds with 54 ICU/Step-down beds, and a full service emergency department. Four medical office buildings on the Princeton Baptist campus provide patients with access to excellent primary care physicians and specialists. PRINCETON BAPTIST MEDICAL CENTER’S STRENGTHS: EXPANSION PROJECT: Princeton recently completed and opened a $57 million expansion project which involves the renovation of 60,000 square feet of existing space (including a complete renovation of the hospital’s 16 operating rooms) and the addition of 90,000 square feet of new space. NURSING CARE: Compassionate bedside nursing and an active involvement with nurse education have been strengths since 1922. Princeton has clinical affiliation agreements with many Nursing Education programs in the Birmingham area. PHYSICIAN EXPERTISE:The Princeton Baptist medical staff is a diverse staff of physicians who are committed to continuous learning. Princeton is home to nationally well-respected residency programs in Pathology, Radiology, Medicine, Surgery and Transitional Year. This active intellectual environment contributes to Princeton’s earned reputation for state-ofthe-art care. 6 | www.residency.bhsala.com 1.800.247.7404 A TEACHING ENVIRONMENT: Princeton Baptist is a training site for many healthcare programs other than nursing and medical care. One particularly special teaching relationship is with the Auburn School of Pharmacy. We believe this teaching relationship with Auburn helps our physicians and our nurses to better ensure that our patients receive the correct medication at the right time and in the right amount. TECHNICAL EXPERTISE: Princeton Baptist is a demonstration site for General Electric diagnostic imaging. In other words, General Electric medical brings prospective clients to Princeton to show how excellent equipment in the hands of well-trained staff and physicians can improve both patient diagnosis and efficiency. HOLISTIC APPROACH TO PATIENT CARE: Most importantly, we at Princeton Baptist consider our healthcare services as a calling to ministry. Our chaplains, our medical staff, and our associates approach patient care as an opportunity for service. TRINITY MEDICAL CENTER The Trinity Medical Center campus, located southeast of downtown Birmingham on the south slope of Red Mountain, is a 534-bed hospital in a health care complex that includes three professional office buildings, a free-standing orthopedic and rehabilitation complex including a fitness center and indoor swimming pool, a free-standing neuroscience center, a comprehensive cancer center, a 17-bed rehabilitation unit, a 51-bed psychiatric unit, and a designated Neuro ICU. Trinity Medical Center will be relocating from its current campus to a new, $280 million hospital on Birmingham’s Highway 280. The million square foot facility will house all services currently located on the Trinity campus. The new hospital, to be known as Grandview Medical Center, is scheduled to open in December 2015. SINCE OPENING ITS DOORS IN THE 1960s, TRINITY HAS BEEN RECOGNIZED FOR MANY ACHIEVEMENTS. MOST RECENTLY, THOSE AWARDS HAVE INCLUDED: - American Heart Association’s Get with the Guidelines – Gold Plus - American Heart Association’s Get with the Guidelines – Gold Performance Achievement Award for Stroke - American Heart Association’s Mission: Lifetime STEMI Receiving Center Performance Achievement Award – Silver - American Heart Association’s Resuscitation Award – Gold - American College of Cardiology Foundation’s NCDR® ACTION Registry®– GWTGTM Gold Performance Achievement Award - Certified Chest Pain Center - National Sleep Center Accreditation - ASGE Quality in Endoscopy recognition - The Joint Commission Recognition as a 2011 & 2012 Top Performer in Key Quality Measures (heart attack, heart failure, pneumonia, surgical care) - Blue Cross Blue Shield Blue Distinction Center for Knee and Hip Replacement and Bariatric Surgery - Trinity Comprehensive Wound Care Center recognized as a Healogics Center of Distinction - American College of Surgeons Commission on Cancer Accreditation 2012 - Alabama Statewide Cancer Registry – ASCR Gold Standard for Quality, Completeness, and Timeliness In early 2014, Trinity Medical Center earned a No. 1 rating for its performance on key quality of care measures, according to information released by The Commonwealth Fund website WhyNotTheBest.org. The hospital is the only facility in Alabama, and among only 21 of 1,873 facilities rated nationwide, to receive the top score of 100 percent. 2014 also saw Trinity Medical Center as the first hospital in Alabama to implant in a patient the smallest insertable cardiac monitoring device available. The insertable cardiac monitor (ICM) is approximately one-third the size of a AAA battery, making it more than 80 percent smaller than other ICMs. While significantly smaller, the device is part of a powerful system that allows physicians to continuously and wirelessly monitor a patient’s heart for up to three years, with 20 percent more data memory than its larger predecessor. www.residency.bhsala.com 1.800.247.7404 | 7 baptisthealth system INTERNAL MEDICINE RESIDENCY PROGRAM (NRMP #1903140P0 & #1903140C0) PRELIMINARY MEDICINE (ONE YEAR) RESIDENCY PROGRAM (NRMP #1903140P0) OBJECTIVE To provide an initial year of clinical training in Internal Medicine for physicians who plan a future residency in a non-surgical specialty (e.g., neurology, physical medicine/rehab), or for those physicians who haven’t yet decided on a definite career path. PROGRAM DIRECTOR: TIFFANY J. LEWIS, M.D., FACP 8 | www.residency.bhsala.com 1.800.247.7404 THE PROGRAM This PGY-1 training program consists of a minimum of 8 months in rotations on general internal medicine and resident-selected medical subspecialty services, 1 month in the Emergency Department and 1 month in Ambulatory Medicine. Two months of elective time is provided. Preliminary medicine residents are expected to take part in all of the educational activities required of PGY1 residents in the Categorical Medicine residency. The physician successfully completing a year in the BHS Preliminary Medicine Program is eligible to pursue further training in Internal Medicine at the PGY-2 level, and will have met the ABIM requirements for the first year of postgraduate training. ASSOCIATE PROGRAM DIRECTOR: ERIN C. TOWNSLEY, M.D., FACP ASSOCIATE PROGRAM DIRECTOR: MICHAEL A. MOORE, M.D., FACP CATEGORICAL INTERNAL MEDICINE (THREE YEAR) RESIDENCY PROGRAM (NRMP #1903140C0) OBJECTIVES - To provide a learning environment that fosters the acquisition of knowledge and the diagnostic and therapeutic skills essential for general internal medicine. OVERVIEW The Baptist Health System (BHS) Internal Medicine Residency Program has prepared residents for the practice of Internal Medicine and its subspecialties since 1972. The program combines academic excellence in a community hospital environment with the best features of traditional university and community programs. Our two tertiary care teaching hospitals, Princeton and Trinity, are the sites where BHS residents deliver care for patients with challenging clinical problems. A diverse patient population allows the resident to see the spectrum of common and uncommon disease processes and to learn important diagnostic skills, develop clinical judgment, and practice evidence-based medicine. A didactic curriculum includes case-based lectures on topics important to the general internist as well as those preparing for subspecialty training. BHS residents excel academically and demonstrate this during research week. PGY-1 residents prepare a case report as well as a poster presentation of their case. PGY-2 and PGY-3 residents design and implement quality improvement projects and present these in poster format. There are also ample opportunities for all residents to participate in clinical research. They consistently demonstrate excellent performance on the American Board of Internal Medicine certifying examination, and those who seek subspecialty fellowships have been successful in obtaining positions in their chosen subspecialty at a variety of prestigious institutions. For the medical student seeking a stimulating, challenging and collegial Internal Medicine residency program, BHS has much to offer. - To provide a broad experience in all of the medical subspecialties, thereby strengthening the training of residents as generalists, and at the same time exposing them to fields of interest for future subspecialty training. - To nurture the learning of the art and science of medicine, with particular emphasis on the humanistic qualities needed by the compassionate and caring physician. - To foster the practice of evidence-based medicine through frequent didactic lectures, journal club and literature review. - To prepare physicians in training for future practice in an ever-changing medical and social environment, emphasizing quality improvement, cost effectiveness, preventive medicine, and ambulatory care. - To assure that medicine residents at BHS obtain the necessary training and credentials for certification by the American Board of Internal Medicine and to assist those residents in preparation for the ABIM certifying exam. www.residency.bhsala.com 1.800.247.7404 | 9 THE PROGRAM PROGRAM REQUIREMENTS Internal Medicine residents participate in the care of a large and diverse patient population derived from the private practices of the faculty, referrals from outlying areas, and from the housestaff clinic. Inpatient service assignments are split between the Princeton Baptist campus and the Trinity campus. Rotations on subspecialty medicine services are required in addition to rotations on general internal medicine services. Elective months in areas of particular interest are provided. Experience in critical care is gained on all inpatient services as residents follow their own patients in the intensive care units and is supplemented by a rotation in critical care. Ambulatory training is emphasized throughout the three year program, with a weekly continuity care clinic beginning in the first year. During the second year this increases to twice weekly. Block rotations broaden the ambulatory care experience. In addition, many traditional inpatient rotations have ambulatory components. Curriculum and rotations are structured to meet the requirements of the Residency Review Committee for Internal Medicine and the American Board of Internal Medicine. This includes rotations in general internal medicine and subspecialty medicine, geriatrics, hospitalist medicine, emergency medicine, neurology, and ambulatory care, during the 3 years of the Internal Medicine residency. The patient-centered clinical training that serves as the basis for the BHS Internal Medicine residency is supplemented and strengthened through a regular series of lectures derived from a core curriculum of subjects important for all internists. Morning report, journal club, and nonclinical conferences on ethics, informatics and practice management issues help round out the educational experience of our residents. Excellent medical libraries staffed by full-time librarians are available at both Princeton and Trinity. Computer facilities for use in literature searches as well as for other educational purposes are accessible to residents at all times. The program also has a simulation lab with mannequins to help train residents in a variety of procedural skills including intubation, central venous line placement and many more. The faculty of the BHS Internal Medicine Residency program include outstanding teachers and clinicians with years of experience in both academic medicine and private practice. A core of faculty members with a full-time commitment to the program in each hospital is supplemented by excellent and enthusiastic volunteer faculty. Chief Medical Residents (CMR) recruited from our program assist with educational programs such as providing didactic lectures each month to medical students and coordinating topics for morning report. In addition, CMRs work hand in hand with full-time faculty members to establish and carry out program policies. CMRs are provided excellent opportunities to assist with patient care activities by serving as clinic supervisors and attending on the inpatient medicine service. 10 | www.residency.bhsala.com 1.800.247.7404 PGY-1 RESIDENTS First year medicine residents rotate on both private medicine services and the housestaff medicine services. Emergency medicine, ambulatory medicine, internal medicine and subspecialty rotations complement the experience in general internal medicine. PGY-1 medicine residents cover a month of night float and stay overnight every other weekend during staff medicine months. PGY-2/PGY-3 RESIDENTS Upper level residents will assume progressively greater responsibility for patient care and for supervising and teaching junior residents and medical students. Rotations on Internal Medicine and subspecialty services will be supplemented by electives on nonmedicine specialties and ambulatory block months. Upper level residents have an opportunity to individualize their educational experience. Night call will be no more often than every fourth night, and generally can be expected to be less frequent. Alternate weekends free of clinical responsibilities will be scheduled. MEETINGS, CONFERENCES, AND EDUCATIONAL SUPPORT In addition to required attendance at regularly scheduled conferences on campus, internal medicine residents are encouraged to expand their education by attending local, regional and national scientific meetings. Financial support is provided to PGY-2 and PGY-3 residents for approved scientific meetings as well as a board review course during the final year of training. Associate membership in the American College of Physicians is sponsored by BHS. Educational materials including a yearly textbook stipend are provided. BEYOND THE INTERNAL MEDICINE RESIDENCY Physicians who successfully complete an internal medicine residency at BHS have a variety of attractive career options. Practice opportunities for internists at BHS or elsewhere in the state and region are numerous. Those graduates of our program who have chosen to pursue subspecialty training have obtained fellowships in excellent institutions, and outstanding residents may be given the opportunity to spend a fourth year as a Chief Medical Resident and Instructor in Medicine in our program, with faculty level responsibilities and autonomy. Finally, both hospitals have large Hospitalist groups that recruit strongly within the program. baptisthealth system www.residency.bhsala.com 1.800.247.7404 | 11 baptisthealth system ANATOMIC AND CLINICAL PATHOLOGY RESIDENCY PROGRAM (NRMP #1903300C0) OBJECTIVES THE PROGRAM The objectives of the residency program in anatomic and clinical pathology are: The Pathology Department at Princeton Baptist and Trinity offers a four-year program in anatomic and clinical pathology which fulfills the requirements of the American Board of Pathology for combined certification. The training is conducted within Princeton Baptist and Trinity with specific rotations to Children’s Hospital, the State of Alabama Forensic Science Laboratory, and a private flow cytometry molecular / diagnostics laboratory. - To offer the opportunity to acquire a broad and in-depth understanding of the subject matter in anatomic and clinical pathology. - To provide experience in the techniques and methodology used in this discipline. - To provide experience in the interpretation and clinical correlation of laboratory data, and in the management of the laboratory. - To provide the credentials required for combined certification by the American Board of Pathology. The departments process over 17,000 surgical specimens a year from all of the major surgical specialties. The clinical laboratories include advanced methodology and instrumentation. Over 700 different types of clinical laboratory procedures are performed in the two institutions. The faculty includes seven pathologists, including several with subspecialty certification in areas such as hematopathology, neuropathology and cytopathology. During the first two years, the majority of the resident’s time is spent in autopsy and surgical pathology rotations at Princeton Baptist and Trinity. However, interspersed in these two years, the resident will have four to six one-month rotations in various areas of the clinical laboratory such as hematology, clinical chemistry, blood bank, and bacteriology. PROGRAM DIRECTOR: KIM M. PARKER, M.D., FACP 12 | www.residency.bhsala.com 1.800.247.7404 ASSOCIATE PROGRAM DIRECTOR: GLORIA K. HUTCHINSON, M.D. During the third and fourth years, the resident will continue to acquire knowledge through rotations in general areas of anatomic and clinical pathology at Princeton Baptist and Trinity, but will also have rotations in pediatric pathology, forensic pathology, flow cytometry, molecular diagnostics and dermatopathology. Elective time is also scheduled during these two years. At the end of four years of pathology residency training, the resident will have spent at least 18 months concentrating on clinical pathology and up to 30 months with emphasis on anatomic pathology. The pathology residency program is affiliated with the University of Alabama School of Medicine and, in certain specialty fields, the residents rotate through facilities at the University. Evaluation of the residents occurs formally at least twice a year, but informal feed-back is provided regularly during each rotation. In addition, the residents also formally evaluate the program and the faculty at regular intervals. Time and monetary support are provided for residents in the second and subsequent years of training to attend postgraduate courses as well as regional and national meetings. In addition, funding is provided for a board review course during the final year of training. The emphasis of the program is to train physicians who are equipped to enter the private practice of pathology immediately upon completion of residency training or who are prepared for subspecialty pathology fellowship training. Our recent graduates have succeeded in obtaining fellowship positions at numerous academic institutions including: Wake Forest University, University of Tennessee - Knoxville, Virginia Commonwealth University, Medical University of South Carolina, University of Chicago, M.D. Anderson Cancer Center, New York University, and University of Alabama Hospitals. www.residency.bhsala.com 1.800.247.7404 | 13 baptisthealth system DIAGNOSTIC RADIOLOGY RESIDENCY PROGRAM (NRMP #1903420C0) OBJECTIVES The diagnostic radiology residency program provides an opportunity for development of the knowledge and technical skill necessary for the practice of diagnostic radiology with emphasis on training in an environment that reflects the clinical practice of radiology. Providing the credentials, case material and didactic education necessary for certification by the American Board of Radiology are the paramount objectives of the program. Although based in a private practice atmosphere, the basic and physical sciences of radiology are also emphasized. Clinical and basic science research are also encouraged. This combination affords residents the opportunity to pursue academic fellowships and other academic positions in radiology, if desired. Because radiologic diagnosis is important to essentially all physicians, the program provides an opportunity for medical students and residents in non-radiologic disciplines to learn the fundamentals of radiologic interpretation and to participate in the daily activity of a radiological practice. PROGRAM DIRECTOR: BIBB ALLEN, JR., M.D., FACR 14 | www.residency.bhsala.com 1.800.247.7404 ASSOCIATE PROGRAM DIRECTOR: ALLEN B. GROVES, M.D. ASSOCIATE PROGRAM DIRECTOR: COLIN C. STEWART, M.D. THE PROGRAM The philosophy of the program allows residents to assume a large amount of clinical responsibility while remaining under supervision of the radiology faculty. The complete program (NRMP 1903420C0) includes a clinical year under the supervision of the Transitional Year Program faculty followed by four years of diagnostic radiology. CLINICAL YEAR The clinical year is provided through the Baptist Health System’s Transitional Year program and is specifically designed to expose the incoming radiology resident to subspecialty areas where knowledge of the clinical and surgical aspects of disease processes in that subspecialty are important for understanding and interpreting the radiological findings. Rotations in the Transitional Year program include general surgery, ambulatory medicine, inpatient general internal medicine and critical care medicine, as well as electives. The last month of this clinical year is spent in a diagnostic radiology rotation. The clinical year in BHS’ Transitional Year program is granted automatically through the NRMP match process. If you successfully match into the Diagnostic Radiology program, then you are also automatically matched into the Transitional Year program. DIAGNOSTIC RADIOLOGY There are typically three residents at each level of training in the program. Exceptions have been made by the ACGME to allow additional residents at any given time under extraordinary circumstances. Occasionally, one of the residents in the clinical year switches to another specialty creating an opening in the four-year program. PGY-2 applicants to the four-year program must have completed at least one year of clinical training in an ACGME-accredited program. Over the four-year program, 41 months of clinical diagnostic radiology rotations are provided at Baptist Health System teaching hospitals, equally divided between the Trinity Medical Center campus and the Princeton Baptist Medical Center campus. These rotations provide training in mammography, vascular and interventional radiology, neuroradiology, nuclear medicine, diagnostic ultrasound, vascular ultrasound, gastrointestinal radiology, genitourinary radiology, chest radiology and skeletal radiology. Five months of clinical diagnostic radiology rotations are performed outside of Baptist Health System teaching hospitals, with four months at The Children’s Hospital for pediatric radiology, and one month at the University of Alabama Hospital for cardiac radiology. There is an opportunity for 2 one month electives including one month at the American Institute for Radiologic Pathology (AIRP) Radiologic Pathology Correlation Course. Didactic courses in radiologic physics are offered at the University of Alabama Hospital as one or two-hour lectures over approximately eight weeks each year. Residents are required to take the American College of Radiology In-Training Examination each year. The following table summarizes the subspecialty training residents receive in the diagnostic radiology program. The subspecialties are those recognized by the American Board of Radiology: Mammography CV Radiology (UAB) Interventional Radiology Neuroradiology Pediatric Radiology (Children’s) Nuclear Medicine Ultrasound GI Radiology GU Radiology Chest Radiology Skeletal Radiology AIRP Elective 3 Months 1 Month 6 Months 6 Months 4 Months 5 Months 3 Months 5 Months 4 Months 4 Months 5 Months 1 Month 1 Month TOTAL 48 Months www.residency.bhsala.com 1.800.247.7404 | 15 SPECIFIC ROTATIONS CONFERENCES AND EDUCATIONAL ACTIVITIES Assignments during the first year of radiology training include one month of inpatient fluoroscopy, one month of nuclear medicine, five months of imaging rotations (computed tomography, ultrasound and magnetic resonance imaging), two months of chest radiology and plain films, one month of pediatric radiology and two months of outpatient radiology. Throughout the four-year program, daily conferences are held or supervised by the program faculty at each hospital. Other conferences include monthly residents’ conferences, inter-departmental residents’ conferences, pathology-radiology conferences and guest lecturers. Frequent informal clinical, radiological and pathological case reviews are conducted on cases of special interest. The residents are also invited to attend the various medical and surgical conferences and grand rounds. The second year assignments include three months of angiography, one month of inpatient fluoroscopy, one month of nuclear medicine, three months of imaging rotations (computed tomography, ultrasound and magnetic resonance imaging), two months of outpatient radiology, one month of breast imaging, one month of pediatric radiology and three months of cardiovascular and interventional radiology. Physics courses during the first and second years cover general radiation physics, radiation biology and the physics of computed tomography, ultrasound, digital imaging and magnetic resonance imaging. Physics of nuclear medicine including quality control and safety are included in the first two years. During the third year, clinical assignments include three months cardiovascular and interventional radiology, one month of chest radiology, two months of outpatient radiology, one month of pediatric radiology, and four months of imaging rotations (computed tomography, ultrasound and magnetic resonance imaging) and one month at the American Institute for Radiologic Pathology. Third year physics includes a general review of physics in preparation for the American Board of Radiology Diagnostic Core Examination. Fourth year rotations include two months of cardiovascular and interventional radiology, two months of nuclear medicine, two months of imaging (computed tomography, ultrasound and magnetic resonance imaging), one month of breast imaging, two months of outpatient radiology, one month of cardiac radiology, one month of pediatric radiology, and one month of elective time. The American College of Radiology teaching files are available at both teaching hospitals for resident review. Other educational materials are available including a subscription to StatDx. RADIOLOGY FACULTY AND HOSPITAL FACILITIES Sixteen diagnostic radiologists are involved with resident education in our program in addition to the faculty at the University of Alabama at Birmingham Hospital and the Children’s Hospital. Faculty subspecialization includes fellowship training in interventional radiology, neuroradiology, abdominal imaging, musculoskeletal radiology and nuclear medicine. In addition, three radiation oncologists and a radiation physicist are available for consultation. State-of-the-art imaging equipment, including six MR scanners and nine CT scanners, is present within our system. State of the art nuclear medicine equipment is available including PET-CT at both hospitals. More than 100,000 diagnostic radiological studies are done each year at each hospital, including several hundred interventional procedures at each hospital. Radiology residents participate daily in radiological examinations and interpretation, and each resident will perform numerous vascular and image-guided interventional procedures during their training. During the nuclear medicine rotations, residents become familiar with PET and SPECT scintillation cameras, total body scanners, dosage calculation and administration, patient positioning, instrumentation and interpretation. RESIDENTS Over the years, many residents completing our program have completed fellowship training at numerous institutions across the country. Residents have entered practice in both academic and private settings and are practicing not only in the southeast but across the country. 16 | www.residency.bhsala.com 1.800.247.7404 baptisthealth system www.residency.bhsala.com 1.800.247.7404 | 17 baptisthealth system GENERAL SURGERY RESIDENCY PROGRAM (NRMP# 1903440C0) & (NRMP# 1903440P0) OBJECTIVES Baptist Health System offers two options for training in general surgery: a five-year Categorical program, leading to eligibility for examination by the American Board of Surgery; and a Preliminary program offering preparation for further training in a surgical or related specialty. The primary objective of our programs is to provide comprehensive training in surgery to prepare surgeons for independent practice or for additional specialty training. We strive to achieve excellence in patient care for the full range of surgical disorders and to instill an academic mindset toward clinical practice and an appreciation of basic concepts of surgical research. We believe that optimal training of surgeons occurs in a collegial atmosphere, where patients and professional colleagues are treated with respect and sensitivity to their needs as persons. PROGRAM DIRECTOR E. SHIELDS FREY, M.D., FACS 18 | www.residency.bhsala.com 1.800.247.7404 ASSOCIATE PROGRAM DIRECTOR DEREK E. ROBINSON, M.D. THE ONE-YEAR SURGERY PRELIMINARY PROGRAM (NRMP #1903440P0) There are five positions in the first year for those seeking a firm base of general surgery experience before going on to training in their terminal residency program. The Preliminary program is designed to develop judgment, skill and knowledge in the management of problems basic to all fields of surgery. Typically, a resident will be assigned to rotate through ten months of general surgery and two months of electives which are planned to meet the needs of each resident. Experience in clinical research is offered. ASSOCIATE PROGRAM DIRECTOR STEVEN SCARCLIFF, M.D. THE FIVE-YEAR GENERAL SURGERY CATEGORICAL PROGRAM (NRMP #1903440C0) There are four categorical positions in the five-year General Surgery Program. During the first three years, residents are assigned to general surgery, plastic surgery, pediatric surgery, transplantation, cardiovascular/ thoracic surgery, and one or more months in anesthesiology, trauma surgery, and otolaryngology. The fourth year includes thoracic surgery, vascular surgery, surgical endoscopy, trauma, and general surgery. Some of these rotations may be arranged at other institutions, such as the University of Alabama at Birmingham Hospital, the Children’s Hospital of Alabama and DCH Health System of Tuscaloosa, Alabama. During the fifth year, the chief resident is responsible for direction and operation of the staff services and the outpatient referral clinics for several months each at the Princeton Baptist campus and the Trinity campus. Under the supervision of faculty members at each hospital, the chief resident cares for patients with the full spectrum of surgical diseases. Endoscopic examinations are performed by the residents. PROGRAM DETAILS Throughout the training program, residents have close relationships with the clinical faculty in both general surgery and the surgical specialties. On several services, a preceptor style of instruction allows direct contact between junior residents and faculty members. Most of the preceptors are experienced teachers and provide a rich resource for the residents. On other larger services, senior and junior residents work together as teams. As experience increases, residents are given increasing responsibility for management of patients. We expect this graded responsibility to produce surgeons who are technically proficient, knowledgeable and highly competent in pre- and post-operative care, and who are personally able to relate to patients in a compassionate, effective and responsible way. www.residency.bhsala.com 1.800.247.7404 | 19 Training is provided primarily at Princeton Baptist and Trinity, which have a total of 1,039 beds, including a surgical bed capacity of over 200. More than 16,000 major operations and 11,000 minor and ambulatory surgeries are performed each year. Generally residents average six months of each year at each hospital. In addition to the chief resident’s staff service at each hospital, residents are assigned to two or more private services depending on case loads and training requirements. Pediatric surgery experience is obtained at the Children’s Hospital of Alabama and transplantation and trauma at University Hospital. Trauma experience is also obtained at DCH Hospital in Tuscaloosa, Alabama. A schedule of conferences and bedside teaching by experienced faculty members are regular parts of the weekly program. Basic science conferences are also held regularly throughout the year. The BHS General Surgery Program adheres to the ACGME duty hours policy. Evaluation of residents is a continuing process, which includes reports from all preceptors, periodic reviews by the teaching faculty at each hospital, and evaluations during conferences and teaching rounds. Residents are counseled regularly. The American Board of Surgery in-training examination is given annually. Residents provide regular feedback for evaluation of attending surgeons and clinical experience for ongoing program improvements. Residents receive a rich operative experience at the Baptist Health System. Evidence of this is seen as residents enter their cases in the ACGME case log system. The graduating chiefs can expect to participate in greater than 1,000 cases during their five years. MEETINGS, CONFERENCES, READING, AND RESEARCH Each hospital conducts surgical conferences to provide tracking of morbidity and mortality and regular didactic teaching sessions. Additional conferences in medicine, pathology, radiology and pharmacology are held regularly at each hospital. Regular multidisciplinary conferences, such as tumor board, are also available. Excellent library facilities available at both locations include computer access to literature searches and other on-line programs. A supervised journal club meets regularly. Computers are designated for resident use at both hospitals. Residents are expected to complete a clinical or basic research project for publication. Time for full-time research may be assigned, and limited funding is available. Numerous opportunities are available for successful completion of research projects within the time constraints of the residency program with assistance provided on an as needed basis. Residents are encouraged to present their findings at local, regional, or national meetings. Attendance at surgical meetings or courses may be available when approved by the Program Director. Support is available for such presentations. SURGERY MEMBERSHIP AND BENEFITS - ACS - SCORE - Surgical loupes for categorical residents baptisthealth system 20 | www.residency.bhsala.com 1.800.247.7404 baptisthealth system TRANSITIONAL YEAR (ONE YEAR) RESIDENCY PROGRAM (NRMP #1903999P0) PROGRAM DIRECTOR: MICHAEL A. MOORE, M.D., FACP OVERVIEW OBJECTIVES The BHS Transitional Year residency Program provides PGY-1 residents with a challenging variety of clinical experiences during which they develop a strong foundation of fundamental clinical skills in preparation for future specialty training. These skills, acquired and honed during required rotations in Internal Medicine and surgery, serve as the basis for building personalized educational programs designed with elective clinical rotations appropriate for the resident’s professional development. The Transitional Year Residency at Baptist Health System is designed to provide a stimulating and informative clinical experience to Medical School graduates who: ASSOCIATE PROGRAM DIRECTOR: ERIN C. TOWNSLEY, M.D., FACP 22 | www.residency.bhsala.com 1.800.247.7404 - Have chosen a career specialty for which the categorical training program requires a preliminary year of fundamental clinical education (such programs may also require that the preliminary year include specific experiences for development of desired skills); or - Desire a broadly-based year of clinical training to prepare and assist them in making a career choice and/or specialty selection decision. THE PROGRAM The Transitional Year curriculum is individualized through joint planning by the resident and the program director, based on personal educational needs and career goals. The BHS TY curriculum is structured to meet all ACGME requirements for education in fundamental clinical skills and for exposure to ambulatory practice settings. Electives are available at each of our two teaching hospitals with clinical faculty representing a broad spectrum of specialty (and subspecialty) practices. Available clinical rotations for BHS Transitional Year residents include: Internal Medicine: Ambulatory Internal Medicine Cardiology Critical Care Emergency Medicine Gastroenterology Hospital Medicine Hematology/Oncology Infectious Diseases Nephrology Neurology Pulmonary Medicine Surgical Rotations: Anesthesiology General Surgery Neurosurgery Ophthalmology Orthopedics Otolaryngology Other Elective Rotations: Dermatology Pathology Radiation Oncology Radiology Orthopedics Otolaryngology Transitional Year residents are expected to shoulder the same responsibilities, to perform the same clinical duties, and to achieve the same high standards of professionalism as other PGY-1 residents at BHS during these clinical rotations. An excellent program of didactic lectures and regularly scheduled conferences is part of the Transitional Year curriculum, and attendance and active participation in these conferences is required. TY residents also participate in the BHS Research Week program and in Quality Improvement activities at both hospitals. Extensive library facilities and computerized educational tools are available at both the Princeton Baptist and Trinity Medical Center campuses. BEYOND THE TRANSITIONAL YEAR Residents completing their training in the BHS Transitional Year program are expected to be clinically competent and well-prepared to enter the next stage of education in their chosen specialties. Over the years, our graduates have gone on to demonstrate their clinical skills and to validate the effectiveness of their training at BHS with strong performances in residency programs in anesthesiology, dermatology, emergency medicine, general surgery, internal medicine, OB/GYN, ophthalmology, orthopedic surgery, psychiatry, radiation oncology, radiology and physical medicine/rehabilitation. Former BHS residents who have completed subsequent specialty training in prestigious academic medical centers across the country have consistently reported that their time in the BHS Transitional Year Residency prepared them very well for the demands and expectations of those programs. www.residency.bhsala.com 1.800.247.7404 | 23 baptisthealth system Residency Application & Information APPLICATION ADDRESS AND PROGRAM OFFICES INTERNAL MEDICINE SURGERY RADIOLOGY PATHOLOGY Susan Elders Program Coordinator Residency Program in Internal Medicine Baptist Health System, Inc. 840 Montclair Road Suite 317 Birmingham, Alabama 35213 205.592.5759 or 1.800.247.7404 [email protected] PROGRAMS WILL ONLY RECEIVE APPLICATIONS SENT ELECTRONICALLY THROUGH THE ELECTRONIC RESIDENCY APPLICATION SERVICE (ERAS). Virginia (Missy) Fadlevich Program Coordinator Residency Program in Radiology Baptist Health System, Inc. 800 Montclair Road Radiology Department Birmingham, Alabama 35213 205.592.1257 [email protected] Valorie Davis Program Coordinator Residency Program in Surgery Baptist Health System, Inc. 833 Princeton Ave., S.W. POB III, Suite 200 Birmingham, Alabama 35211 205.783.3191 or 1.866.302.3098 [email protected] Deborah Hillestad Program Coordinator Residency Program in Pathology Baptist Health System, Inc. 800 Montclair Road Birmingham, Alabama 35213 205.592.5052 [email protected] TRANSITIONAL YEAR Meredith Skelding Program Coordinator Transitional Year Residency Program Baptist Health System, Inc. 817 Princeton Ave. S.W. POB II, Suite 106 Birmingham, AL 35211 205.783.7663 or 1.866.781.2262 [email protected] 24 | www.residency.bhsala.com 1.800.247.7404 MISCELLANEOUS RESIDENCY INFORMATION ON-CALL ADDITIONAL BENEFITS Comfortable on-call quarters and resident lounges are provided at each hospital. - Discounted and free meals - Free snacks and soft drinks - Lab coat allowance - ATLS course - Access to on-line textbooks LIBRARIES - Full-time medical librarian covering each hospital library to assist residents. - Library services include literature searches, article orders, photocopying, research consultations, and book orders. VISA INFORMATION - Free photocopying of articles and interlibrary loan services are available. Baptist Health System will consider only J-1 Visa applications sponsored by the Educational Commission for Foreign Medical Graduates (ECFMG). Generally BHS will not sponsor H-1B Visa applications. - Electronic resources include PubMed, EBSCOHost (electronic journal service), the Cochrane Library, eBooks, ClinicalKey, AccessMedicine and DynaMed. IMPORTANT – USMLE - Each library has book collections of over 500 texts and print journal collections to supplement electronic resources. - Medical books for personal use can be ordered through the library at a discounted price. CONFERENCES Three hours per week or more are spent in conferences. - 500 conferences are given annually at each hospital. - Many conferences are multidisciplinary. - Medical school faculty frequently are guest speakers. You should have completed USMLE Step II prior to beginning the residency program. If not successfully completed prior to the beginning of the residency program, then Step II must be successfully completed before completion of the first six months of residency training. Residents must register to take USMLE Step III prior to completion of the first year of residency training. Step III must be successfully completed before the resident will be renewed to continue beyond the second year of training. Individual residency programs may invoke more stringent requirements. TOBACCO-FREE HIRING POLICY OTHER EDUCATIONAL PROGRAMS - Medical student clerkships and electives. - Training site for Auburn University pharmacy students. - The Ida V. Moffett School of Nursing, a cooperative program of Baptist Health System and Samford University. - Residency in health care administration. - A variety of allied health students from local educational institutions rotate regularly to Baptist Health System for clinical experience. Baptist Health System does not hire individuals who use tobacco products. All incoming residents and other employees are tested for tobacco products, and if you are a current user of tobacco products at the time of orientation, then you will not be allowed to enroll in a BHS residency program. For general inquiries related to Medical Education at the Baptist Health System, please direct inquiries to: Stan Breaux Executive Director for Medical Education Baptist Health System, Inc. 820 Montclair Road, Suite 9B Birmingham, AL 35213 205.599.4823 [email protected] www.residency.bhsala.com 1.800.247.7404 | 25 Elective Clerkships 26 | www.residency.bhsala.com 1.800.247.7404 baptisthealth system ELECTIVE CLERKSHIPS CARDIOLOGY GOAL: To offer an intensive experience in the evaluation and management of patients with a variety of cardiovascular diseases and disorders. 1. Patient Material: Case load will vary depending on the individual student’s capability; however, there are significant numbers of challenging diseases. Most patients will have coronary artery disease with angina pectoris, acute infarctions, congestive heart failure, arrhythmia, etc. Students will have the opportunity to listen to interesting murmurs and observe unusual physical findings. Experience in the interpretation and reading of EKGs and echocardiograms will occur in relation to the care of patients. 2. Scans: Graded exercise tolerance tests and Thallium scans are performed regularly. 3. Monitoring: Holter monitoring equipment is available for the monitoring of arrhythmias during the course of daily activities. This is helpful in teaching the diagnosis, importance, and treatment of arrhythmias. 4. Pacemaker: Pacemaker insertion via the transvenous route for temporary pacing in the setting of acute myocardial infarction and in the pre-op stabilization of patients who are to undergo permanent implantation of pacemakers is performed with some frequency. A student will have the opportunity to observe the procedure several times. A cardiac catheterization laboratory capable of performing quality coronary arteriography, PTCA and other cardiac catheterization procedures is available, and the student will be exposed to these physiologic, hemodynamic and diagnostic procedures and have a thorough understanding of the technique, indications for and means of utilizing and interpreting data. COURSE DIRECTORS: Thomas Cawthon, M.D. Stephen Baker , M.D. LOCATION: Princeton Baptist Medical Center Trinity Medical Center PREREQUISITE: All Core Clerkships 5. PTCA: Percutaneous transluminal coronary angioplasty is a frequently performed procedure, and the students will follow patients after cardiac surgery, thereby providing experience with medical therapy, angioplasty and/or surgery. 6. Students: Students will have personal supervision and be assigned to cardiologists on a daily basis for a minimum of two to three hours and will be actively involved in the diagnosis and treatment of patients with cardiac problems. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. www.residency.bhsala.com 1.800.247.7404 | 27 COURSE DIRECTOR: Christopher Jones, M.D. LOCATION: Princeton Baptist Medical Center PREREQUISITE: Core Clerkship in Surgery CARDIOVASCULAR SURGERY GOAL: To expose the student to the field of Cardiovascular Surgery. The student will be under the personal supervision of the preceptor where he /she will participate in the preoperative evaluation, intraoperative and postoperative management of the cardiac surgery patients. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. COURSE DIRECTORS: Jeremy Rogers, M.D. Diamond Vrocher, M.D. LOCATION: Princeton Baptist Medical Center Trinity Medical Center PREREQUISITE: Core Clerkships in Medicine and Surgery EMERGENCY MEDICINE GOAL: To instruct the student in management of patients presenting to the Emergency Department. The student will participate in the daily activities of the Emergency Department under the supervision of a full-time Emergency Department physician. It is expected that the student will develop skills in obtaining a brief medical history and in performing a pertinent physical examination; participate in the treatment of various common problems seen in the Emergency Department of a large community hospital; and participate in the evaluation and management of multiple trauma and patients with other life-threatening emergencies. The student will have the opportunity to read concerning the disorders treated, and to observe the organizational framework and functioning of an Emergency Department. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. COURSE DIRECTOR: Raymond Tobias, M.D. GASTROENTEROLOGY LOCATION: Trinity Medical Center with gastroenterologic disorders, including the various procedures utilized to evaluate such patients. PREREQUISITE: Core Clerkship in Medicine GOAL: To acquaint students with diagnostic problems and therapy of patients The student will acquire basic information related to the evaluation, diagnosis, procedures and treatment of the gastrointestinal illness common to Internal Medicine. General internists must have a good working knowledge of the evaluation and treatment of upper and lower gastrointestinal bleeding, gastrointestinal neoplasms, acid reflux, peptic ulcer disease, hepatitis and gall bladder disease. Students will be given the opportunity to learn and participate in the common procedures essential to most Primary Care practices such as Flexible Sigmoidoscopy and Paracentesis. The student may also participate in Colonoscopy procedures in the GI Lab. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. 28 | www.residency.bhsala.com 1.800.247.7404 baptisthealth system ELECTIVE CLERKSHIPS COURSE DIRECTOR: James Lasker, M.D. LOCATION: Princeton Baptist Medical Center PREREQUISITE: Core Clerkship in Medicine HEMATOLOGY/ONCOLOGY GOAL: To offer senior medical students experience in Hematology/Oncology as practiced within the community hospital. Students will have opportunities to: 1. Evaluate and present new patients and follow them throughout their evaluation and therapy in both inpatient and outpatient settings. 2. Gain experience in performing / reviewing bone marrow aspirate / biopsy. 3. Present cases at multidisciplinary conferences. 4. Gain understanding of natural history of different solid and hematologic malignancies as well as new and innovative treatments. 5. Become familiar with treatment of common toxicities of chemotherapy. 6. Review febrile leukopenia, thrombocytopenia, mucositis, neuropathy, and paraneoplastic syndromes --associated with various malignancies. 7. Attend outlying clinic with attending (optional). This opportunity for multidisciplinary management will be coordinated by Medical Oncology, but the program will be flexible enough to allow emphasis according to the student’s desire to focus on either surgical oncology, GYN oncology, radiation oncology or medical oncology. The types of malignancies are those most commonly seen in the general population including lung cancer, breast cancer, colon cancer, gynecologic cancer and genitourinary malignancies, lymphomas and myeloproliferative disorders. The Hematology / Oncology Division also offers exposure to those hematologic problems commonly seen in the community hospital. There will be exposure to bone marrow pathology and the evaluation of anemias and coagulation disorders, thrombocytopenia, and leukopenia. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. COURSE DIRECTORS: Bruce Tucker, M.D. David M. Ennis, M.D. LOCATION: Princeton Baptist Medical Center Trinity Medical Center PREREQUISITE: Core Clerkship in Medicine INFECTIOUS DISEASES GOAL: To provide experience in the diagnosis and management of patients with infectious diseases. During the course of the rotation, the student will actively participate in the management of hospitalized patients with infectious disease problems. The student will become acquainted with the functions of the microbiology laboratory and will have the opportunity to personally examine all pertinent radiographs and pathology specimens. Rounds are made daily with the preceptor. Regular formal and informal didactic lectures will be provided. The educational experience will be supplemented by attending the weekly Birmingham VAMC HIV Clinic and the UAB Infectious Diseases conference. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. www.residency.bhsala.com 1.800.247.7404 | 29 COURSE DIRECTORS: Michael Moore, M.D. Tiffany Lewis, M.D. LOCATION: Princeton Baptist Medical Center Trinity Medical Center PREREQUISITE: Core Clerkship in Medicine INTERNAL MEDICINE (GENERAL) GOAL: To provide a quality educational experience with the direct supervision and close interaction of the faculty member. The student will be given ample opportunity to use his / her clinical skills and judgment in patient care. Students will make daily rounds with the attending and the staff Internal Medicine team consisting of an Internal Medicine core faculty member, a senior resident, and two or more interns. Students will be responsible for admitting patients, writing orders under supervision, and will be given an opportunity to participate in procedures. Students attend Morning Report (with residents and faculty) and daily didactic medical conferences. Night call is optional. Students are expected to take an active interest in their patients’ care and are encouraged to review the literature on patient management and problems. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. COURSE DIRECTOR: David Tharpe, M.D. LOCATION: Princeton Baptist Medical Center PREREQUISITE: Core Clerkship in Medicine NEPHROLOGY GOAL: To acquaint students with the diagnostic problems and therapy of patients with acute and chronic renal disease, including acid-base and electrolyte disorders. Students will evaluate patients with acute renal failure and follow chronic renal failure patients in the hospital. They will learn indications for and observe the performance of invasive and non-invasive diagnostic procedures. The relationship between pathophysiology, symptoms and treatment will be stressed. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. COURSE DIRECTORS: Frank Thomas, M.D. Rodney Swillie, M.D. LOCATION: Princeton Baptist Medical Center Trinity Medical Center PREREQUISITE: Core Clerkship in Medicine CLINICAL NEUROLOGY GOAL: To acquaint students with diagnostic problems and therapy of patients with neurologic disorders. The student will assist in the evaluation and treatment of neurologic problems of approximately three inpatients per day. The student will also become acquainted with the use and interpretation of specialized neurologic tests such as computed axial tomography, magnetic resonance imaging, electroencephalogram, lumbar puncture, electromyogram, nerve impulse velocity and evoked potentials. No night call. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. COURSE DIRECTOR: Zenko Hrynkiw, M.D. LOCATION: Trinity Medical Center PREREQUISITE: Core Clerkship in Medicine & Surgery NEUROSURGERY GOAL: To acquire proficiency in the examination and diagnosis of patients with the more common neurological and neurosurgical disorders. The student will serve as a member of the clinical team, participating in the care of patients on the neurosurgical service. This will include daily ward rounds with the staff, examination of new cases, assistance in diagnostic procedures and in the operating room, and attendance at all of the organized teaching sessions. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. 30 | www.residency.bhsala.com 1.800.247.7404 baptisthealth system ELECTIVE CLERKSHIPS COURSE DIRECTOR: B.S. Eich, M.D. LOCATION: Princeton Baptist Medical Center PREREQUISITE: Completion of Basic Sciences OPHTHALMOLOGY GOAL: To train the student in the use of the ophthalmoscope and basic examinations useful in the practice of many specialties and to familiarize them with the practice of Ophthalmology. Student will participate in the diagnosis and treatment of patients presenting with eye complaints in the office and in the hospital. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. COURSE DIRECTOR: Larry Lemak, M.D. LOCATION: Trinity Medical Center PREREQUISITE: Core Clerkship in Surgery ORTHOPEDIC SURGERY SPORTS MEDICINE GOAL: To provide the student with clinical experience in examining and managing common orthopedic problems in Orthopedics, Sports Medicine and Rheumatology. The student will work closely with one of the orthopedists in the office and in the hospital participating in the initial examination, diagnostic procedures, and in the operative and postoperative care of patients presenting with orthopedic and Sports Medicine problems. In the office setting, the student will participate in the examination, evaluation and non-operative Orthopedic, Sports Medicine and Rheumatology problems. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. COURSE DIRECTORS: Randy Real, M.D. Stephen Favrot, M.D. LOCATION: Princeton Baptist Medical Center Trinity Medical Center PREREQUISITE: Core Clerkship in Surgery COURSE DIRECTOR: Gloria Hutchinson, M.D. LOCATION: Princeton Baptist Medical Center Trinity Medical Center PREREQUISITE: All Core Clerkships OTOLARYNGOLOGY GOAL: To provide exposure to ENT at a clinical level. The student will work in both the office and hospital to develop facility in a thorough head and neck examination, utilizing the head mirror and laryngeal mirror, and in treatment of common diseases in these areas. There will be an opportunity to work in the operating room including observation of bronchoscopies. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. PATHOLOGY GOAL: To expose students to a broad understanding of the subject matter in anatomic and clinical pathology in a community hospital setting. Students will be exposed to the techniques and methodology used in pathology and will have experiences in the interpretation and clinical correlation of laboratory data. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. www.residency.bhsala.com 1.800.247.7404 | 31 COURSE DIRECTOR: Ben Johnson, III, M.D. PLASTIC SURGERY LOCATION: Trinity Medical Center GOAL: To expose the student to broad principles of plastic surgery as it applies to General Surgery. There will be considerable exposure to congenital anomalies, skin cancer, and reconstructive problems, as well as aesthetic plastic surgery. PREREQUISITE: All Core Clinical Clerkships The format will have the student as a full member of the surgical team. There will be active participation in all phases of patient care. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. COURSE DIRECTORS: Michael Crain, M.D. Sandra Gilley, M.D. LOCATION: Princeton Baptist Medical Center Trinity Medical Center PREREQUISITE: Core Clerkship in Medicine PULMONARY MEDICINE GOAL: To acquaint students with the diagnostic and therapeutic problems of the respiratory tract. The elective offers experience with the following: 1 . Pulmonary function testing, including arterial blood gases; 2. Respiratory therapy from the simple to the more complex evaluation problems; ventilator support. 3. Diagnostic problems; and management and treatment of pulmonary problems. 4. Critical care medicine. The student will be expected to work up new patients and consultations. Hospital rounds will be made once daily, except on critically ill patients who are seen at least twice daily. With time permitting, exposure to the office evaluation of disability applicants’ exercise blood gas testing may be available. The student will be offered as much responsibility as he/she is willing and capable of taking. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. 32 | www.residency.bhsala.com 1.800.247.7404 baptisthealth system ELECTIVE CLERKSHIPS COURSE DIRECTORS: Allen Groves, M.D. Bibb Allen, M.D. LOCATION: Princeton Baptist Medical Center Trinity Medical Center PREREQUISITE: Completion of Basic Sciences RADIOLOGY GOAL: To provide medical students with education in diagnostic radiology including general radiology, computed tomography, magnetic resonance imaging, diagnostic ultrasound and image guided procedures or, by special arrangement, education in radiation oncology. On this rotation, most of the student’s time will be spent in day-to-day observation of film interpretation working with both residents and faculty radiologists at the viewing stations. There is also time for independent study using both electronic and film teaching files allowing a student to spend more time in a specific sub-specialty area. Diagnostic Radiology conferences are held each morning at 7:00 a.m., and a conference schedule will be provided. There are also weekly pathology - radiology joint conferences at both campuses. The student will also be provided and encouraged to attend daily medicine conferences held in the media room in the hospital. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. COURSE DIRECTOR: Shields Frey, M.D. LOCATION: Princeton Baptist Medical Center Trinity Medical Center PREREQUISITE: Core Clerkships in Surgery SURGERY (GENERAL) GOAL: To provide a well-rounded experience in General Surgery in a community hospital under the close supervision of the attending and resident staff. Each student will be assigned to a surgical teaching service and will work with the resident on that service under the supervision of the attending surgeon. On such service, the student will participate in the pre-operative evaluation of the patient, scrub with the surgeon and resident, and participate in the post-operative care. The student will, under supervision, write orders, change dressings, learn how to use drains, gastrointestinal tubes, catheters, venous access lines, etc. The degree of responsibility is determined by progress during the clerkship. Conferences and bedside teaching rounds are held several times a week. The student participates actively in the conferences and rounds. No examination will be given. Performance of the student will be evaluated by the preceptor on the rotation evaluation form provided by the medical school. www.residency.bhsala.com 1.800.247.7404 | 33 baptisthealth system ELECTIVE CLERKSHIPS CLERKSHIP MISCELLANEOUS INFORMATION HOW DO I APPLY? MEDICAL LIBRARIES Once a clerkship has been selected, please contact the appropriate Housestaff Coordinator. Each clerkship is limited to one or two positions per institution. Please refer to the clerkship description to know which institution is providing that specific elective. Princeton Baptist Medical Center For Princeton Baptist Medical Center Electives Location: 1st Floor Main Hospital (next door to Medical Education) Librarian: Amber Long 205.592.5640 Chrisie Morris, Housestaff Coordinator 833 Princeton Ave., SW POB III, Suite 200 Birmingham, AL, 35211 205.783.3190 or 1.800.715.0277 [email protected] Location: POB III, Suite 200 Librarian: Elizabeth Laera 205.783.3078 Trinity Medical Center Medical Librarians are available to assist students with selection of required materials, literature searches, copying, etc. Computers with internet access are available in both medical libraries for the student’s use. For Trinity Medical Center Electives Kathy Wright, Housestaff Coordinator 1st Floor Main Hospital 800 Montclair Rd. Birmingham, AL, 35213 205.592.1591 or 1.800.247.7404 [email protected] The Housestaff Coordinator will work with you to arrange a rotation that fits your schedule and will contact the preceptor to set-up the rotation. In addition, the Housestaff Coordinator will contact the relevant Program Coordinator and Program Director to make them aware of the dates you will be on campus. When the schedule is confirmed, the Housestaff Coordinator will contact you with the details and advise you where to report on the initial day of the rotation. ORIENTATION Upon arrival for the clerkship, the student should report to the Housestaff Coordinator based at the hospital. The Housestaff Coordinator shall provide pertinent information relative to the rotation. The Housestaff Coordinator will contact the relevant Program Coordinator and Program Director to make them aware that you are doing a rotation in the hospital. The Housestaff Coordinator will provide the necessary documents the student is required to complete and relate pertinent information relative to the hospital. At the conclusion of the rotation, the student will check out with the Housestaff Coordinator before departing the campus. The Housestaff Coordinator will be available throughout the rotation to address questions and /or provide assistance. 34 | www.residency.bhsala.com 1.800.247.7404 GENERAL HOSPITAL ACCESS Medical students have full access to the Medical Education resident lounge areas at both teaching hospitals. Call rooms are available at each hospital in the event the student is assigned call. The call room areas contain lounge areas, computers and recreation equipment. BHS may provide lodging (if needed) and some food at no cost to you while you are at either Princeton Baptist Medical Center or Trinity Medical Center for one elective per year. HELPFUL WEB SITES Baptist Health System BaptistHealthAlabama.org Greater Birmingham Convention and VisitorsBureau BirminghamAl.org Birmingham Business Alliance BirminghamBusinessAlliance.com Official web site for Birmingham, Alabama InformationBirmingham.com Alabama State Parks AlaPark.com Things to Do in Alabama VisitUsa.com/alabama ThingsToDo.com/states/AL Alabama Media Group (For News, Weather and Sports) al.com www.residency.bhsala.com 1.800.247.7404 | 35 baptisthealth system BaptistHealthAlabama.org Baptist Health System Birmingham, Alabama