Electives - Graduate Medical Education - Medical Services and Programs

Austin Medical Education Programs & UTMB at Austin Programs offers rotations to fourth year medical students from LCME and AOA accredited schools. All rotations are held at University Medical Center Brackenridge or Dell Children's Medical Center of Central Texas unless otherwise noted. All rotations are four weeks in duration

The graduate medical education programs in Austin are affiliated with UT Southwestern. However, the UTMB Office of Regional Medical Education (ORME) provides orientation and support to all students in Austin, including visiting students. Students who wish to complete an elective in Austin must submit an application to UTMB. Once your paperwork is cleared in Galveston, it will be forwarded to Adriane Thompson (acthompson@seton.org) in the ORME for placement in an Austin elective.
Electives are available to fourth year visiting students from LCME and AOA accredited schools. All rotations are held at University Medical Center Brackenridge or Dell Children's Medical Center of Central Texas unless otherwise noted. All rotations are four weeks in duration.

Dermatology
- Clinical Dermatology
- Advanced Clinical Dermatology
- Dermatology (Pediatric)
Emergency Medicine
Family Practice
Internal Medicine
- Cardiology
- Infectious Diseases-General ID Consultation
- Nephrology/Renal Elective
- Gastroenterology
- Hematology/Oncology
Ob/Gyn
Pediatrics
- Pedi ID
- Pedi Pulmonary
- Pedi GI
- Pedi Ortho Surgery
- Pedi Hem/Onc
- Pedi Neurology
- Pedi Rheumatology
- Pedi Surgery
- Pedi Neurosurgery
- PICU at DCMC
- NICU at DCMC
- NICU at Brackenridge
- Pedi ER
Psychiatry
- Consult/Liaison Service at Brackenridge
- Acting Internship at Brackenridge
- Inpatient elective at Shoal Creek
- Child Psychiatry at DCMC
Surgery

Dermatology

Clinical Dermatology

Advanced Clinical Dermatology

Pediatric Dermatology

Emergency Medicine

The University Medical Center at Brackenridge Emergency Department, the only major care emergency department in Central Texas, serves as the home base of our very active Emergency Medicine rotation. The student will be scheduled to work an approximately 60-hour week supervised by a full-time ED physician. The amount of involvement will depend upon the level of ability demonstrated by each student. The opportunity exists for the student to be an active participant in the assessment, planning of management and the treatment of trauma, acute medical emergencies and minor medical/surgical drop-in patients. The student will learn techniques of suturing, cast and splint application, x-ray diagnosis and clinical lab assessment.

NOTE: This elective is specifically reserved for students who will be pursuing a residency in Emergency Medicine, Family Practice, Internal Medicine or Pediatrics.

Family Practice

The goals for this elective are for the student to develop an understanding and appreciation for the specialty of Family Practice. The student will spend time at the Blackstock Family Health Center and rounding on patients admitted to the inpatient service. The student will develop an appreciation for the interaction of medical, socioeconomic and psychological factors in the practice of family medicine and a greater understanding of the doctor-patient relationship.

http://ar.utmb.edu/04-05review/bdisplay.asp?rec=334

Internal Medicine

AMEP Internal Medicine program offers a variety of electives for 4th year medical students aspiring to be internists. Students can do electives as an “acting intern” in inpatient ward rotations, Hematology/ Oncology, Neurology, Infectious Disease, GI, Endocrine, ICU, Renal and Pulmonary. Students from all over the United States have consistently rated their experiences here as highly valuable in terms of their clinical experience as well as in choosing their medical residency.
We invite you to come and experience this for yourself. Don’t miss the opportunity!

4th Year Electives

Acting Internship: Inpatient Internal Medicine:
The student will participate in the diagnosis and care of patients admitted to an acute care medical inpatient teaching service in a busy community hospital. He/she will serve in the capacity of a junior intern on a team consisting of an upper level resident, at least one intern, and an attending physician. Responsibilities will include clinical work from 6:30 a.m. - 5:30 p.m. weekdays, rounds on weekends, and every fourth night call. The student will be attending rounds, noon teaching conferences, and Grand Rounds.

http://ar.utmb.edu/04-05review/bdisplay.asp?rec=335

Internal Medicine ICU Elective:
This elective is for students who have completed a previous medicine elective and would like experience in the ICU. Supervised by the ICU resident and attendings, the student will have the opportunity to participate in procedures and twice daily ICU rounds. Call will be every third or fourth night with a resident on the team.

http://ar.utmb.edu/04-05review/bdisplay.asp?rec=336

Gastroenterology Elective:
Students will evaluate patients for gastroenterology consults. Residents will supervise them and the cases will be seen and discussed by gastroenterology faculty. Students will see no more than 1 or 2 consults on any given day so that they have time to read about their patient(s). Students will also observe diagnostic endoscopic procedures. Students will see patients in Gastroenterology Clinics with each case presented to and discussed with faculty.

http://ar.utmb.edu/04-05review/bdisplay.asp?rec=379

Hematology / Oncology Elective:
Students will make daily hospital rounds and will attend one or more clinics per week with a resident and members of the faculty. Students will receive instruction in the reading and interpretation of peripheral blood and bone marrow smears. Students will also be expected to give 5 to 15 minute reports on assigned topics several times during the elective.

http://ar.utmb.edu/04-05review/bdisplay.asp?rec=488

Endocrinology Elective:
During this elective, students will evaluate patients with diverse endocrine problems in a variety of clinical settings including the acute care hospital, a private outpatient clinic, an academic endocrinology specialty clinic, and a mobile diabetes clinic that travels to various community clinics. Students will see patients and present them to the endocrine faculty. Students will also read and review endocrine literature and present at Endocrine Journal Club.
This course is not available at this time.

Neurology Elective:
Students will evaluate patients for inpatient neurology consults. Residents or an attending will supervise them, and the cases will be seen and discussed with neurology faculty. Independent reading is strongly encouraged on this rotation in addition to formal teaching.

http://ar.utmb.edu/04-05review/bdisplay.asp?rec=386

Cardiology and Infectious Disease rotations are also available on a case-by-case basis.
Cardiology
Infectious Disease

Ob/Gyn

Rotations on the OB/GYN service at University Medical Center Brackenridge are available for fourth year medical students. All students must have completed their core OB/GYN rotation. The student will be a member of a team consisting of first-year and senior residents and a faculty member. The student will be required to attend Morning Report and all clinical duties as assigned. They will also be able to participate in resident lectures. Experience in inpatient and outpatient obstetrics and gynecology, emergency room and operative procedures are available.

http://ar.utmb.edu/04-05review/bdisplay.asp?rec=534

Pediatrics

Inpatient Pediatrics
The student will function as sub-intern on one of the inpatient teams. Objectives include development of skills in pediatric history and physical diagnosis, exposure to common pediatric conditions requiring hospitalization and development of appreciation of the psychosocial issues that influence the delivery of health care to children and adolescents. The student will attend morning report, attending rounds, teaching conferences and Grand Rounds. Night call is every fourth night.

http://ar.utmb.edu/04-05review/bdisplay.asp?rec=311

Subspecialty Pediatrics
Rotations in many pediatric subspecialties from surgical (ENT, Orthopedics, Ophthalmology) to cardiology, endocrinology, neurology, infectious disease, nephrology, hematology-oncology and gastroenterology are available by request. Time is spent mainly in outpatient clinics learning about outpatient management of pediatric subspecialty problems.

NICU or PICU
The student will be involved with either the neonatal intensive care unit or the pediatric intensive care unit, under direct faculty supervision. Students on NICU rotation will participate in delivery room resuscitations, normal newborn and critically ill neonates and premature newborns. PICU students will participate in diagnosis and management of critically ill children and spend time in the OR suite. Night call will be every fourth night.

PICU at DCMC: http://ar.utmb.edu/04-05review/bdisplay.asp?rec=312
NICU at DCMC: http://ar.utmb.edu/04-05review/bdisplay.asp?rec=493
NICU at Brackenridge: http://ar.utmb.edu/04-05review/bdisplay.asp?rec=492

Pediatric Emergency Medicine This is a very active rotation. The Children's Emergency Center has approximately 23,000 visits per year. This is the only children's emergency department available in Central Texas. The student will work approximately 50 hours per week with a full-time attending physician staffing the patients with them. To the extent of the student's demonstrated ability, they will be an active participant in the assessment, planning of management, and the treatment of trauma, acute medical emergencies, and minor medical/surgical, drop-in patients. The student will learn techniques of suturing, cast and splint application, x-ray diagnosis and clinical lab assessment.

http://ar.utmb.edu/04-05review/bdisplay.asp?rec=333

Psychiatry

The Psychiatry Department consists of a consultation/liaison unit. There are approximately 40-60 inpatient consultations per month with particular emphasis on suicide assessment, psychosomatic medicine and substance abuse issues. Opportunities to see patients in the emergency room as well as in the outpatients clinics exist. Direct supervision on biological issues as well as psychotherapeutic issues occurs on a daily basis. Rounds with the entire team are Monday-Friday from 7:30 a.m. - 10:00 a.m. with formal teaching rounds on Thursdays from 10:00 a.m.- 12:00 p.m. The team usually consists of a Psychiatry resident, Family Practice resident, and Internal Medicine resident. "Home pager call" is rotated among these residents.

Consult/Liaison Service at Brackenridge: http://ar.utmb.edu/04-05review/bdisplay.asp?rec=225
Acting Internship at Brackenridge: http://ar.utmb.edu/04-05review/bdisplay.asp?rec=464
Inpatient elective at Shoal Creek: http://ar.utmb.edu/04-05review/bdisplay.asp?rec=394
Child Psychiatry at DCMC: http://ar.utmb.edu/04-05review/bdisplay.asp?rec=403

Surgery

The purpose of this elective is to provide experience in preoperative, operative and postoperative care for patients in all areas that constitute the principal components of General Surgery. This includes comprehensive management of trauma and emergency operations and surgical critical care. Student involvement includes participation in trauma "on-call" with a surgery resident, daily rounds and weekly clinics. Students are also expected to attend daily rounds and weekly conferences.

Acting Internship: http://ar.utmb.edu/04-05review/bdisplay.asp?rec=372

Graduate Medical Education Electives