Michigan State University



2018-2019

Lansing Community Campus

Student Handbook

Lansing Assistant Dean’s Office

Dr. Renuka Gera, Assistant Dean

Sarah McVoy, Community Administrator

Anne Leiby-McMahon, Community Outreach Program Specialist

Michelle Knox, Curriculum Assistant

Patricia Faunce, Secretary

Michigan State University-College of Human Medicine

Lansing Assistant Dean’s Office

Sparrow Professional Building

1200 E. Michigan Avenue, Suite 305

Lansing, MI 48912

517-364-5890

Welcome to the Lansing Community! This handbook, although specific to the Lansing community, does include policies for all LCE students.

The LCE program starts with a mandatory one-week community orientation. During your third year, you will spend your time taking the seven core clerkships: Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Psychiatry and Surgery I and Surgery II. All clerkships are four weeks in length. Students will also be able to complete two two-week electives and one four-week elective.

Office Hours: The Assistant Dean’s Office official office hours are Monday through Friday from 8:00 am to 5:00 pm. However, Sarah McVoy is typically in the office between 5:30 and 7:00 am to be available to students in the early morning. (mcvoys@msu.edu or 364-5896). Dr. Gera is available to meet after 5:00 pm and is very often in the office until 7:00 pm.

Student Contact Information: It is very important that you keep our office (Patricia Faunce, patricia.faunce@hc.msu.edu or 364-5893) informed of any changes in your contact information, i.e., name, address, phone numbers, etc. You will also need to make address changes with the University online at msu.edu.

Clerkship Orientation: ALL clinical clerkships begin with a clerkship orientation and attendance at the clerkship orientation is mandatory. In the rare event that an emergency situation arises which precludes attending clerkship orientation, students must contact the community administrator immediately, who will then get in touch with the Clerkship Directors/Administrators. Such cases will be handled on an individual basis, depending on the circumstances. Without an appropriate excuse, students won’t be allowed to continue on the clerkship.

Absences: Students who are unable to be present for any required and elective clerkship or course activities because of extenuating circumstances are required to complete a CHM Absence Request form and have this form approved by the community administrator and community clerkship director. In all cases except for emergencies and sudden illness, requests for scheduled absences must be submitted at least 30 days prior to the date(s) of absence. Time off for religious holiday observance should be submitted at least 30 days prior to the beginning of the clerkship from which time off is being requested. If permission for an absence is granted, it is the student’s responsibility to notify his or her clinical preceptor. Scheduled absences are not approved until the Absence Request form is signed by both the clerkship director and community administrator. Failure to complete this form and obtain the required signatures will result in an unexcused absence from the clerkship.

Policy Regarding Personal Time Off (PTO): The faculty and administration of the College of Human Medicine recognize that students will periodically need to be absent during a clerkship to attend to personal or health matters, or because of illness. This day will be called a Personal Time Off (PTO) day. Students must complete an absence request form prior to the PTO day, and are strongly encouraged to submit it to the community administrator as early as possible prior to the PTO day. For any reason other than illness, the clerkship director and community administrator must both approve the PTO day prior to when it occurs. The PTO day must be taken as a whole day, and not an hour here and there to add up to 8 hours. The PTO day must not be used during:

• Clerkship orientation

• An examination

• A required weekend work or rounding day

• A call day or night float week

• Lectures

• Other activities which occur only a few times during a clerkship, which may vary by clerkship

• During the last week of the clerkship

Students must consult with the clerkship director and/or clerkship assistant when planning a PTO day in order to avoid conflicts. Additional days missed on a clerkship or elective, must be made up at the discretion of the department. Note that not all requests for specific PTO days may be honored, depending on the needs for students on a clerkship and other scheduling issues. Students must make sure time off is approved prior to making irrevocable plans. Clerkship deadlines remain the same for all students, regardless of whether or not a student is in attendance on a particular day.

Students will receive 2 days total for absences with one of the days absent requiring a make-up. Make up work will be at the discretion of each 4-week clerkship. One day of PTO counts towards the total of two days.

Student Room: The student room is located on the third floor of the Sparrow Professional Building, part of suite 305. The student room has a number of computer stations, which will be available to you. Login (noted in upper right corner of each monitor) - Password = chmspbstu640

Locker Assignments: Each student will be assigned a locker, which is located in the Student Room. You will receive an email from our office as soon as the assignments are made. If you use your own lock, you will need to give Patricia Faunce the combination. Some students may need to share a locker.

Student Mail: Each student will be given a mail folder which is also located in the Student Room in the Sparrow Professional Building. It is the responsibility of each student to check his or her mail folder. Time sensitive documents may be placed in your mail folder and if you do not read your mail on a regular basis, you may miss important deadlines and clerkship information.

Pagers: You will be issued a pager during orientation. You will be required to have your pager with you, and turned on from the first day of your clerkship until the last day of your last clerkship. It is your responsibility to answer pages promptly.

Student ID Badges: Your Sparrow Hospital ID Badges will be distributed to you on the first day of orientation. Each student is required to wear their badge. Hospital personnel may refuse admittance if you are not wearing proper identification. Should you lose your Sparrow ID, you will need to go to Security on the first floor of the hospital for replacement at a cost of $10.00.

Study Areas:

Sparrow Professional Building (SPB), Suite 305 – Student Room.

Sparrow: Resident Lounge-second floor of Sparrow Hospital near Foster elevators-Sparrow Library within RCC. Gathering Spot on first floor of Sparrow Hospital.

Radiology Building - Basement.

Clinical Center – Echt Lab.

Family Medicine: Sparrow Library, Break Room at the Clinical Center Clinic.

Internal Medicine: Sparrow Library/SPB, Surgical Resident Room-second floor of Sparrow Hospital, Outpatient Pre-Op Area (random computers), ICU (computer access), Central Hall of the new OR wing.

Ob-Gyn: Resident Communication Center, 2nd floor Sparrow Hospital near Foster elevators; Resident Lounge in L&D (when on OB); Physician Communication Center on LL flo0or near auditorium.

Pediatrics: Resident Conference Room for inpatient pediatrics, Nursery Attending Room at Sparrow Hospital, Clinical Center Conference Rooms.

Surgery: Resident Surgical Lounge.

Call Room: The “Call Room” is to be used by students who are on call overnight. Please do not use it to store your backpack, books, coat, etc. You can store your possessions in the Student Room in the Sparrow Professional Building. Students must change their own bedding, and if students need supplies or garbage emptied, please call Service Response at 364-3434.

The Call Room is located in the Resident Call Room area on the third floor of Sparrow Hospital inside the Resident Quarters. You need to swipe your ID Badge to get into the Resident Quarters. Once you are inside, the student call room is Room 8 with an entry code of 8090.

Parking on the MSU Campus: Please be aware that according to MSU policy, the academic departments are not allowed to pay for student parking on campus. Should you choose to purchase a parking permit, MSU Police and Public Safety are located at 1120 Red Cedar Road, East Lansing – 355-2221. Students can buy a sticker for Lot 91 for $204 a year. If you use the lot for less than the year, you can return the pass and will receive a refund for the prorated portion.  That lot is free between the end of Spring Semester finals week and the beginning of Fall Semester. The lot is located across the street from the Radiology Building

Parking at Sparrow Hospital: Please be aware that students are not allowed to park in any Sparrow Health System parking ramp, which also includes the parking ramp adjacent to the Sparrow Professional Building as well as the Cancer Center parking ramp. Students are only allowed to park in the 1415 Shuttle Lot located at 1415 E. Michigan Avenue. This includes when students are on any clerkship located within the Sparrow Professional Building. Students scheduled to start at 6:00 am must park in the 636 E Michigan Avenue shuttle lot. Shuttle service for this lot begins at 4:45 am.

All Students must have their vehicle(s) registered with the Security Department and place an identification sticker on their rear view mirror. The Sparrow Vehicle Registration Form will be included in the orientation packet. Identification stickers will be provided at orientation.

Sparrow Health System offers buses to get to and from the main hospital.  The buses will begin transporting passengers to the main hospital, Monday through Friday, beginning at 6:00 am until 10:00 pm each weeknight.   The few students leaving after 10:00 pm can be transported to the shuttle lot by Security personnel.   Security can be contacted for escort by calling extension 42000 from any hospital phone or simply by stopping by the Security office, which is located on the first floor of the main hospital in the Foster wing.  Students working on the Weekends may park on levels 4-6 of the main hospital, as there is no shuttle service available on Saturday and Sunday.   If you have questions regarding this matter, please contact Todd Cassidy at 517 364-2398. 

Parking at McLaren Greater Lansing Hospital: Although many of you will not go to McLaren as part of your clerkship, students who do need to go to McLaren should be aware they must park in the upper ramp. Please do not park in the helipad area.

Email: CHM students are required to have a functioning MSUNet email address. Students are responsible for checking their MSUNet email accounts daily and maintaining their MSUNet mailboxes so that messages can be received. Forwarding MSUNet email to another email account or failure to check email are not valid excuses for missing a deadline or other requirements of the CHM clinical education program.

Use of Electronic Devices in Block III: Electronic devices are not to be used during rounds, meetings, small groups or lectures, or when in the room with patients; the only exception would be if instructed to do so by an attending or resident faculty member. Students wishing to retrieve information that may be relevant to the patient or small group discussion should get permission to do so from the faculty member. It is never appropriate for students to use electronic devices for reading e-mail, texting, surfing the web or other personal activities.

MSU Electronic Medical Library: Medical resources at MSU are primarily housed in the Main Library. Because medical students are not always on campus, the majority of medical journals come as electronic-only and can be accessed on-line. Iris Kovar-Gough, iris.kovar-gough@hc.msu.edu, 884-0853, is the liaison to CHM and Clinical Medicine Selector. . We will have a very informative, step by step handout for each of you at orientation. Link for electronic medical books:

Sparrow Health Sciences Library: Located on 2-South in the Sparrow Hospital, is a full-service library providing evaluated, quality medical information. Library hours are Monday-Friday, 7:00 am – 5:00 pm, 364-2200 x 1, . Students can also study in the library 24/7, with ID badge access.

Prescription Writing App/Medication Safety Guide:

A web-based application for easy access to medication safety and prescribing information: This application has been designed for mobile phones, mobile tablets, or desktop/laptop computers.

Spartan Bookstore: Located in the International Center on the MSU Campus. They have access to over 26,000 titles. Most orders can be shipped and received within five business days from the date of the request. Bookstore hours are Monday-Friday 8:30 am – 7:00 pm, Saturday - 10:00 am – 5:00 pm and Sunday 12:00-5:00 pm, 355-3450,

College of Human Medicine On-Line Store:

Health Access Partners

Olin Health Center:

Olin Health Center is the main location for MSU Student Health Services for students who are sick or in need of routine medical care.

463 East Circle Drive

olin.msu.edu

353-4660 - Appointments

353-5557 – Phone Nurse

884-6546 - General Information

Hours are as follows, unless otherwise noted on website:

Monday – Friday: 8:00 am to 6:00 pm

Saturdays: 10:00 am to 1:00 pm

Olin Health Center – Counseling & Psychiatry:

Psychiatry services are located at Olin Health Center. Consultation and treatment are provided for a wide range of mental health concerns including, mood and anxiety disorders, eating disorders, attention deficit hyperactivity disorder, alcohol/substance abuse and psychosis. Olin psychiatry works in collaboration with the MSU Counseling Center and the Olin Primary Care Unit.

353-8737 – Appointments

MSU Counseling Center

The MSU Counseling Center provides confidential individual counseling, couples counseling, group counseling, substance abuse, sexual assault program, psychiatry services, safe space, community engagement, and testing services.

Student Service Building - 355-8270

556 East Circle Drive, Room 207



Hours are as follows unless otherwise noted on website:

Monday and Tuesday: 8:00 am to 7:00 pm

Wednesday – Friday: 8:00 am to 5:00 pm

Crisis/Emergency Walk-ins are seen throughout their open office hours.

On and off campus emergencies: DIAL 911

Community Mental Health: 24-hour emergency service: 800-372-8460 or 346-8460

812 East Jolly Road, Lansing, MI

End Violent Encounters – EVE: 24-hour emergency service: 372-5572

MSU Counseling Center Sexual Assault Programs: 24-hour crisis line: 372-6666

MSU Police and Public Safety: 24-hour emergency service Dial 911: 355-2221-business line

MSU Safe Place, Domestic Violence Shelter: 24-hour emergency service: 355-1100, crisis line

National Suicide Prevention Lifeline: 24-hour emergency service: 800-273-8255

Sparrow Hospital Emergency-1215 E. Michigan Avenue, Lansing, MI – 364-4149

Sparrow Health Systems/St. Lawrence-1210 W. Saginaw, Lansing, MI – 364-7000

Director of Student Counseling and Wellness:

Judith Brady, Ph.D.

Office of Student Affairs and Services

College of Human Medicine - Michigan State University

1355 Bogue Street, Room B212

East Lansing, MI 48824

judy.brady@hc.msu.edu

353-9010

MSU University Physician’s Office

As an MSU-CHM medical student entering your clinical years, you must achieve and maintain Immunizations, Basic Life Support (BLS) and Blood Borne Pathogen Training (BBP) in compliance with the MSU University Physician’s Office in order to be authorized to see patients in hospitals and clinics. If you are non-compliant in any area, you will not be authorized to begin your clinical rotations. You are responsible for all costs incurred receiving and maintaining your immunizations, tests, and titers.

All students enrolled in health care programs are required to submit immunization records to the University Physician’s Office. If you need Immunizations, BLS or BBP, please contact this office.

463 East Circle Drive, Room 346



353-8933

Sparrow Employee Health Services

Location: 2 Foster, Sparrow Hospital

Monday-Friday, 7:30 am to 4:30 pm

517-364-2273

occhealth@

• TB Exposures/follow-up

Student Health Coverage

CHM requires every medical student to have health insurance coverage that includes mental health. All students will be automatically enrolled in the MSU student health insurance program, with the cost divided in half and added to his/her fall and spring semester tuition bill. If a student has other health insurance coverage that meets the MSU requirements, a waiver form must be submitted and he/she will not be enrolled in the MSU student health insurance program. Information on the student insurance waiver requirements and process can be found at: . Students may apply for a waiver under their StuInfo account at: .

MSU Human Resources Benefits Office

Ann Eure (A-K) 884-0144

Michelle Fewless (L-Z) 884-0170



Email: studentinsurance@hr.msu.edu

Exposure Control Policies and Procedures

The College of Human Medicine will provide course instruction on protecting students against infectious agents (e.g., HIV, TB, Hepatitis B), transmission, and universal precautions. Instructions will be given on how the student can minimize the risk of becoming infected with HIV and HBV while taking care of patients. Student participation is mandatory. You will be scheduled for Blood Borne Pathogens/Universal Precautions training during orientation in July.

Immediately following a potential exposure to an infectious pathogen, the following procedures should be followed:

• Needle sticks and cuts should be washed with soap and water.

• Splashes to the nose, mouth, or skin should be flushed with water.

• Eyes should be irrigated with clean water, saline, or sterile irrigants.

• Please note: no scientific evidence shows that the use of antiseptics for wound care or squeezing the wound will reduce the risk of transmission of HIV. The use of a caustic agent such as bleach is not recommended.

Report the potential exposure to the appropriate parties responsible for managing exposures (e.g., supervising physician, attending, resident). Prompt reporting is essential because, in some cases, post-exposure treatment may be recommended, and it should be started as soon as possible, preferably within one hour if at all possible.

Please notify Sarah McVoy of any exposures in which you are involved within 24 hours of exposure. The exposure control reporting form must be filled out at the time of contact and the original forwarded to the MSU Occupational Health Nurse with a copy to the CHM Senior Associate Dean for Academic Affairs. For further detailed information, please visit the website:



Medical Disability Insurance

The Liaison Committee on Medical Education (LCME) that accredits allopathic medical schools requires all medical students to have Medical Disability Insurance that provides coverage should a student become disabled and unable to continue their medical studies.  This insurance is separate from your health insurance.  The annual premium cost is $60 and is effective for one year September 1 – August 31. 

 

Email notices will be sent out the end of June from Dr. Lipscomb, with a due date after fall distribution of Financial Aid. You may pay by credit card online or mail a check or money order.

Once you receive the email notice, please complete the form.  If paying by credit card, there is a link in the form to CASHNET to complete the transaction.  After completing the payment information, return to the Adobe form and click submit.  If paying by check or money order, please complete the Adobe form, print a copy, click submit and return your payment to Michigan State University College of Human Medicine, 1355 Bogue Street, Room A234 Life Sciences, East Lansing, MI  48824. Please make checks payable to Michigan State University.

Wellness & Life Programs

The Graduate School helps with student life and wellness. The Graduate School provides a wealth of information including physical, emotional, spiritual, intellectual, occupational, and social wellness. Each of these six dimensions is even further broken down into numerous categories. This valuable website will help you evaluate your skills, start planning, create a plan, give tools for success and show upcoming Wellness Events. The Graduate School is partnered with: The Counseling Center, MSU Employee Assistance Program, Health4U, Olin Health Center, The Council of Graduate Students and many others. .

You can also unwind with Michigan’s first hospital-based Labyrinth and Healing Garden, which is a walking path and its aim is to “quiet the mind,” stimulate reflection, contemplation and clarity and is a metaphor for spiritual or interior journey. The three phases of the Labyrinth: The Entering, The Centering and The Exit. The garden is located on the first floor of the Sparrow Professional Building near the parking ramp entrance.

Students are given discounted membership at the Michigan Athletic Club, with four swimming pools, two gyms, strength and cardiovascular training equipment, an indoor track, three aerobic studios and 30 courts for tennis, racquetball and squash.

Sparrow’s Childtime Learning Center provides full- and part-time developmentally appropriate programs for infants and toddlers. They also offer before and after school care, plus snow day and school break care for registered children.

Hours of Operation:

Monday – Friday 6:00 am to 6:00 pm (517-364-3923)

For information on availability and pricing, please contact:

Sparrow Childtime Learning Center

920 Jerome Street

Lansing, MI 48912

The Chapel at Sparrow Hospital: Is located on the first floor of Sparrow Hospital. The Chapel is a very small space where 5-6 people could use it with their prayer rugs. The Chapel is open at all times for quiet prayer and meditation for people of all faiths.

ACLS Certification: We don’t require that you become ACLS certified. If you need this for elective clerkships, the Learning and Assessment Center (ACLS) on the sixth floor of East Fee Hall offers ACLS certification:

Basic Life Support - BLS: The Learning and Assessment Center on the sixth floor of East Fee Hall, offers Basic Life Support courses. For more information, please contact Melissa Gray at 355-2247 or schedule:

HIPAA Privacy and Security Act: As a medical student, you will have access to records that contain health information pertaining to patients. This information is required by law to be protected. Students will receive HIPAA training during Block III orientation in July and will be required to sign the confidentiality agreement. Thereafter, yearly online renewal is required.

iSparrow Individual Access Agreement: The iSparrow individual access agreement is the requirement of Sparrow Hospital’s confidential information policy. Confidential information includes any information about a person’s past, present, or future physical or mental health; the health care services provided to the individual or payment information related to such services, that identifies the individual or provides enough information that there is a reasonable basis to believe the information could be used to identify the individual. It is protected by law and strict Sparrow Health System policies. State law and the federal health insurance portability and accountability act of 1996 (HIPAA) require protection of confidential health information. Inappropriate disclosure may result in serious fines and/or imprisonment. You will read and sign this agreement during orientation. Access into the EPIC EMR system is prohibited without agreement.

Mask Fitting: Even though Sparrow Hospital does not require a mask fitting, we will implement a session during orientation as many away rotations do require a fit. Rebecca Ceru will be your contact after your fitting should you have any questions or concerns.

MSU Environmental Health and Safety

Engineering Research Complex

1449 Engineering Research Court C125

cerurebe@msu.edu 432-5019 – Rebecca Ceru

OSHA-Bloodborne Pathogen (BBP)/Universal Precautions Training: Occupational Safety & Health Administration (OSHA) assures safe and healthful working conditions and enforces standards by providing training and education.

• Bloodborne Pathogens (BBP): Infectious microorganisms present in the blood and other infectious materials that can cause disease. You will receive Bloodborne Pathogen training during orientation in July. You will need to recertify on your own at the end of your third year. See link below for recertification. Select online Training, Bloodborne Pathogen Awareness. Select the Module, MSU Medicine and Nursing Students.

• Universal Precautions: An approach to infection control – students will receive this training as well.

Operating Room Scrub Orientation: Each student is required to attend an operating room surgical scrub orientation. We will hold scrub sessions during orientation.

Athena EMR Training: Athena EMR is the MSU HealthTeam (HIT) Electronic Medical Records and is a required component of training. This is the EMR for MSU clinics. Students will receive an email and will be required to follow directions in the email.

EPIC Electronic Medical Records (EMR) Training – Sparrow Hospital: EPIC EMR is a secure system which allows access to patients’ medical records within the Sparrow Health System.

• IP Provider EPIC - You will receive IP Provider EPIC training during orientation week. It is a six-hour training session located Sparrow Business and Education Center, 3301 East Michigan Avenue, Lansing, MI 48912. The schedule will be provided at orientation. Once our office registers you, you will receive an email from MySparrowLearning reminding you of your session. Once your session is successfully completed, and your iSparrow individual access agreement is signed, received and on file with Sparrow, our office is notified and your EPIC log-in/password will be emailed to you from Patricia Faunce. Please contact the Sparrow help-desk at 364-4357 should you have any access issues.

• Ambulatory Med Student – You will receive Ambulatory Med Student training for your Family Medicine or Ob/Gyn clerkship also during orientation. This is a two-hour session located at Sparrow Business and Education Center, 3301 East Michigan Avenue, Lansing, MI 48912 Our office will request training dates and provide student names to Sparrow. Once Sparrow receives this information, they will send you a confirmation email via MySparrowLearning.

• ED Med Student - You will only be required to attend training on ED Med Student if you have been scheduled for the Emergency Medicine elective through the Sparrow Health System (Also held in the Sparrow Business and Education Center, two-hour training).

Service Learning Course: Students must complete 40 hours of Service Learning in order to participate in the National Residency Matching Program (NRMP). This involves a structured learning experience combining community service with preparation and reflection. Projects are approved by Margo Smith, Service Learning Course Director, and reflection essays are reviewed by faculty advisors selected by the students.

Please see: , for description. For service-learning opportunities, see: Please also refer to the Block III Handbook for deadline.

Student Work Hours:

Clinical student work hours must be limited to 80 hours per week, averaged over a four-week period, inclusive of all in-house call activities. Students must be provided with one day in seven free from all educational and clinical responsibilities, averaged over a four-week period, inclusive of call. Adequate time for rest and personal activities must be provided. This should consist of a 14-hour time period provided after in-house call lasting 24 or more hours. In all cases, student schedules will be planned so that they have no more than 28 hours of continuous responsibilities, and students must be excused after 28 hours. In rare cases, the student may choose to continue working beyond 28 hours on an active case with overriding educational value; this is allowable as long as it is clearly the student’s choice.

Family Medicine



The specialty of Family Medicine is focused on the healthcare needs of all people without regard to gender, age, disease, or life stage. With this unique perspective, we are concerned with contextualizing care and integrating the complex biological, social, psychological, economic, and cultural needs of patients and families. While this approach may take many different forms, our focus has traditionally been on offering comprehensive health care for all.

The Family Medicine Clerkship is a required four-week clinical clerkship, taken in the third year of the Michigan State University CHM curriculum. It introduces students to the specialty of Family Medicine. This clerkship consists of clinical and didactic sessions. The clinical training is predominantly outpatient, where the vast majority of care in the United States and around the world is generally delivered, and is the only clerkship to offer this perspective. The didactic sessions make extensive use of adult learning techniques and include web-based materials, independent reading, and group discussion.

Harland Holman, MD – Lead Clerkship Director, holmanha@msu.edu

Hend Azhary, MD – Clerkship Director, hend.azhary@hc.msu.edu

Joy Hull – Department Clerkship Administrator, joy.hull@hc.msu.edu

Karla Cody – Clerkship Assistant, karla.cody@hc.msu.edu

Clinical Center – Tower B

788 Service Road, Room B104

East Lansing, MI 48824

884-0448

Internal Medicine



Internal Medicine is a four-week core clerkship that focuses on adult diseases primarily evaluated in the hospital.  For the Lansing Campus, all 4 weeks will be spent on the MSU/Sparrow “Firm” inpatient service. The Internal Medicine Clerkship also includes several formative assessments and evaluations including chest x-ray and electrocardiogram PBA’s and other exercises designed to strengthen understanding in diagnostic evaluation, clinical assessments, and therapeutic management based on evidence.  For additional details regarding the materials of the clerkship, visit .

Churlsun Han, MD – Lead Clerkship Director, churlsun.han@hc.msu.edu

Churlsun Han, MD – Lansing Clerkship Director, churlsun.han@hc.msu.edu

Laura Freilich, MD – Lansing Assistant Clerkship Director, laura.freilich@hc.msu.edu

Kelly Barr – Department Clerkship Administrator, kelly.barr@hc.msu.edu

Amanda VanEtten – Clerkship Assistant, amanda.vanetten@hc.msu.edu

Clinical Center – Tower B

788 Service Road, Room B334

East Lansing, MI 48824

432-3390

Pediatrics and Human Development



Pediatrics is a four-week clerkship.  It consists of inpatient pediatrics, ambulatory pediatrics, exposure to community agencies involved in the care of children, and didactic sessions, reading, and exercises covering core topics and skills in pediatrics.  The Goals & Objectives of Pediatric Clerkship at College of Human Medicine are derived from the 2005 revision of APA/COMSEP general pediatric clerkship curriculum.

Mahesh Sharman, MD – Lead Clerkship Director, msharman1@

Olga Napolova, MD – Clerkship Director, olga.napolova@hc.msu.edu

Katrina Krueger – Department Clerkship Administrator, katrina.krueger@hc.msu.edu

Martha Johnson – Clerkship Assistant, martha.johnson@hc.msu.edu

Life Science Building

1355 Bogue Street, Room B138

East Lansing, MI 48824

355-6893

Psychiatry



We take good care of our Lansing students. We orient you to our one-month Psychiatry Clerkship, assign you to award-winning faculty and top-notch residents for varied clinical experiences, and help you to prepare for the NBME Shelf Exam. No additional preparation needed before starting our rotation. Our main objectives are for students to gain a better understanding of the role of psychiatry in all fields of medicine and how to best help individuals with psychiatric issues. Welcome!

Brian Smith, MD – Lead Clerkship Director, brian.smith@hc.msu.edu

Brian Smith, MD – Clerkship Director, brian.smith@hc.msu.edu

Callie Langenderfer – Department Clerkship Administrator, callie.langenderfer@hc.msu.edu

Karen Cummings – Clerkship Assistant, karen.cummings@hc.msu.edu

East Fee Hall

965 Fee Road, Room A236

East Lansing, MI 48824

353-9245

Surgery I and Surgery II



Both clerkships are 4-week core clerkships. The final exam (NBME) is administered on the last day of Surgery II. The curriculum emphasizes basic clinical and technical skills as applied to patients considered to have illnesses for which surgery may play a role. You will be introduced to (1) pre-operative, operative, and postoperative care of patients with both elective and emergent illness, (2) psychosocial issues relevant to surgical patients and, (3) clinical skills and operating room procedures. This clerkship is designed to assist you in acquiring basic surgical skills; to know how surgical problems present; and to know when to get a surgical consult.

Surgery I and Surgery II is a blend of multiple specialties: surgery, medicine, critical care, plastic surgery and many other specialties. You will have a lot of fun with tons of hands-on experience suturing, trauma care, endoscopies and various kinds of surgery. Our faculty and residents will work with you to help you learn and start thinking on your feet during emergency surgical care. Welcome!

David Scheeres, MD – Lead Surgery I, Clerkship Director, scheeresh@msu.edu

Srinivas Kavuturu, MD – Lansing Surgery I Clerkship Director, srinivas.kavuturu@hc.msu.edu

Stephanie Cohen, MD, MS – Lansing Surgery I Assistant Clerkship Director, Stephanie.cohen@hc.msu.edu

Lynn Muñoz, MD – Lead Surgery II Clerkship Director, lynn.munoz@hc.msu.edu

Lynn Muñoz, MD – Lansing Surgery II Clerkship Director, lynn.munoz@hc.msu.edu

James Clarkson, MD – Lansing Surgery II Assistant Clerkship Director, james.clarkson@hc.msu.edu

Lindsay Gluf, BA – Department Clerkship Administrator, lindsay.gluf@hc.msu.edu

Deb Collier, RN – Lansing Surgery I Clerkship Assistant, deb.collier@hc.msu.edu

Barb Ward-Austin – Lansing Surgery II Clerkship Assistant, barb.ward-austin@hc.msu.edu

Sparrow Professional Building

1200 E. Michigan Avenue, Suite 655

Lansing, MI 48912

267-2485

Obstetrics and Gynecology



Anita R. Avery, MD – Lead Clerkship Director, anita.avery@hc.msu.edu

Anita R. Avery, MD – Clerkship Director, anita.avery@hc.msu.edu

Ruthie Barber – Department Clerkship Administrator, barberr@msu.edu – 884-8848

Nicole Simon – Clerkship Assistant, nicole.simon@hc.msu.edu

Sparrow Professional Building

1200 E. Michigan Avenue, Suite 655

Lansing, MI 48912

884-8849

Tips from Lansing Fourth Year Students:

Rules to live by:

• “No matter what you plan on specializing in, every clerkship is important. Your primary task for 3rd year is to build a solid Dean’s Letter (MSPE). Comments from every clerkship can make or break you. If you don’t agree with an evaluation, speak up immediately, it will be much more difficult to contest it later.”

• “When you want to leave (study in the library) for the day, don’t ask if you can go; keep asking what else you can help with. When there’s nothing else to do, they’ll let you go (study).”

• “Find a mentor (this is not the same as an advisor). Navigating third year, planning your fourth year, and applying for residency can be difficult tasks without someone to help guide the way.”

• “You'll get the most out of your time if you stick around. Be proactive and ask the residents if there is anything you can do to help. Believe it or not, some of the "scut work" can be educational and you'll be around and trusted when interesting things happen!”

• “When writing notes, don't worry about if anyone will be reading/using/caring or not. When writing up your plan, spend time you'll never have as a resident to really think about what's going on and write the full differential, pathophys, and rationale just like we are taught in 2nd year. This is what makes that task educational for you. (I didn't start my own advice until halfway through 3rd year, but my shelf scores reflected this extra effort!)”

• “Don't wait for a resident to "assign" you a patient. Show initiative and pay attention during sign out so you can choose interesting patients for yourself.”

• “No matter what specialty you want to go into, EVERY clerkship is important. There is a reason there are common core clerkships that are universal across every medical school. You can and should, however, make each clerkship as relevant to your interests as possible-- you will learn more this way because it will "stick" better and your days will be more fun and interesting! If you want to do surgery, skills you will learn on psychiatry about dealing with demented, delirious, suicidal or self-harming patients will be invaluable, for example. You can help out residents on all services with your expertise of other specialties. The shelf exams and Step 2 will be a struggle if you mentally check out

• “Be interested. It’s more enjoyable for everyone to work with happy people so find some aspect of every clerkship that you can appreciate. Some positivity will make your days more fulfilling and your residents/attendings will be more apt to teach you.”

• “Show up 5-10 minutes early. You are all smart and have made it this far. You will succeed in third year if you just show up on time and have a positive attitude...that's all it takes folks!”

What to keep in your white coat?

• “Always have a pen light because the attendings always want to borrow them.”

• “Always keep snacks!”

• “Make sure you have a small pad of paper and pen to jot down notes.”

• “Always carry 3 extra pens--your resident/attending will look to you when they can't find their own, AND hold on to it.”

• “I kept my phone charger. I was constantly looking up things on medical apps and residents often use text to communicate with the team. My phone battery did not last long so I would charge it whenever I got a few minutes. Some residents had portable chargers they carried.”

• I got a phone case that has a small slot for my ID and credit card. Teams will often make impromptu detours through the cafeteria or you’ll need to grab something quick between surgeries, and it’s nice to get your lunch or a coffee without having to run back to SPB.”

“I wish I….

• had learned to take more responsibility for the care of my patients rather than go off and study from books. I find that information that I get from reading never seems to stick in my brain for very long, but being responsible for the care of a patient forces me to learn the same information and it stays with me much longer.”

• had been more active in presenting patients. In particular, I wish I had presented my assessment and plan even if it was completely wrong and made me look like an idiot. It’s better to look like an idiot as a student and learn the correct answer than to realize as a resident that you never learned it properly.”

• had not hung back in an effort to avoid looking stupid. Be as active as you can in your own education.”

Example Model Personal Learning Plan

1. Be calm about the process of learning, don’t stress out.

2. Try to have fun in the learning process and not get frustrated for feeling uncomfortable in new situations.

3. Work on showing confidence even though you are not.

4. Work on learning role of physician (ordering/understanding/decision making) rather than picturing yourself as always being a medical student.

5. Continue pursuing understanding for more than just the test, so you feel more comfortable with making informed decisions and not guessing.

6. Make content your own, so that it is more easily retrievable.

7. Make opportunities to test yourself in the hospital (case presentations, orders, decision making, more, “what would you do if I had to make this decision?”)

AND, MORE, IN-DEPTH TIPS TO SUCCEED 3rd YEAR

From 4th year students

Below you will find some advice from some 4th year students on how to succeed on each clerkship, along with some of the tips they did for successful exam preparation. The students, who provided this information, honored all six clerkship.

Please note: As one student indicated:

“This is my perspective. Other students will recommend other textbooks/strategies.”

“In general terms, Shelf exams are different than Step 1 because the questions switch from “what is the diagnosis?” to more clinical questions, such as “What is the next step in management?” “What is the next best step?” “What is the treatment?” “What is the first step in treatment?” Try to remember this when studying; it will help.

Also, learn from your patients! It will make questions so much easier if you can think back on a patient and remember how you treated them or what symptoms they had. You will learn it much better! I always tried to go home and read about at least one thing I learned from a patient each day. As the year went on, I got better at reading/looking things up throughout the day rather than waiting until I got home.

The weekend prior to the shelf exam, I always took a practice NBME online. Not all students did this, but I found it helpful to test where I was with my studying, and to see how questions were worded. I think my biggest piece of advice would be to study a little bit every day. That does not mean you have to extensively study every day. There will be times when you get home from work and are so exhausted you can’t do any studying. However, try to at least read something whether it is five minutes in between patients or for a longer period of time at night. You will retain information and succeed on clerkships if you do not save all the studying for the week before the shelf exam. It is hard to give a study plan because my study habits changed from one rotation to another. My general study pattern was to always make sure I got through the designated UWorld and read through whichever textbook I was using (see below) prior to the week of the shelf exam. I used the

remaining time to review what I felt were my weak spots or to review incorrect UWorld questions.

The hard part about third year is there is not one cohesive book to study from like how First Aid for Step 1. You will end up using a wide variety of resources. For my Step 2CK ISP, I bought the newest Master the Boards right before I started studying. I thought it was a good overview but it really skimmed the surface. I relied heavily on Step Up To Medicine and UWorld for more thorough explanations. For Step 2CS, First Aid is a great resource and will more than adequately prepare you.

For oral exams, be confident! I always found it helpful to think out loud. I would say what I was thinking while I tried to reason through the questions, so the examiners could hear my thought process. It gave me a chance to show my knowledge while also buying myself some time to think.”

“I was asked to reflect on my experience as a 3rd year student at CHM and offer advice that will hopefully help current and future students succeed while on the wards. Although these strategies worked for me, it’s important to remember we all have our own unique learning styles. So, when in doubt… stick to your strengths!

1. Approach each clerkship with a goal in mind regarding your desired grade: Do you want to Pass or Honor?

a. My goal was to honor each clerkship so that is how I will approach this document. I will say that most of my classmates had no problem simply passing each clerkship. Most students will pass if you stay organized, appear interested while in the hospital, and give a modest effort towards preparing for the shelf exams.

b. If you want to Honor, prepare yourself for a ton of work.

2. Use the first week of each clerkship to become comfortable with the hospital/outpatient setting and GO OVER THE SYLLABUS MULTIPLE TIMES:

a. The first week of each clerkship is a little overwhelming but it gets easier as the weeks progress. Use this week to figure out exactly what is required of you and which assignments are due and when.

b. Remember, this is CHM… “busy work” is plentiful throughout each clerkship. Like it or not, for most clerkships you have to jump through the hoops and honor the busy work to even be eligible to honor the clerkship come time for the shelf exam.

3. Use the second week to put a dent in the busy work:

a. Start the H&Ps, finish the smaller assignments, etc.… this was extremely helpful for me. It allowed me more study time towards the end of the clerkship for the shelf exam.

4. Keep a physical copy of your patient encounter logs with you at all times:

a. Whether its electronic or paper, this is generally an easy assignment and it would be a shame to miss honoring because you forgot to check something off the list.

5. Find the study resources that work best for you. Begin reading/doing problems early:

a. This not only helps for the exam, but you will also be more prepared for clinical duties.

b. This will be different for everyone, but I tried to find 1 or 2 books to read/reference furing each clerkship in addition to question banks. Generally, I used Blueprints, First Aid (for psych), Uworld, Pre-test and the individual Q-banks that some clerkships have (OB/GYN, Family Medicine).

6. Try to figure out which requirements will be most difficult to honor for each clerkship:

a. Give attention to these early. I can’t remember what these were for each clerkship aside from Surgery. The surgery shelf is hard, but the oral exam I felt was most difficult to honor. Prepare for this as early as possible. I used the big, blue book titled “Surgery” …not sure who the author is. Find the possible oral topics in this book and read those sections over and over. I found this to be extremely helpful for the shelf exam as well

7. Find the appropriate time to sneak away to read or do practice problems:

a. This will likely not be popular with administration/clerkship directors… but it’s necessary. CHM loads you with busy work. This makes it VERY difficult to study for VERY difficult shelf exams. Find time, use your best judgement. Fair warning: if residents or attendings feel you aren’t interested and only want to study, this will be reflected in your evaluations. This part is all a game. Play it well!

8. Make the most of your Clinical Experience:

a. It’s hard to just enjoy learning while at the hospital when you have all the CHM busy work on your mind. Compartmentalize as best you can. Hours can be long, but keep a good attitude and don’t be scared to fail or look stupid. If you practice suturing or hand-tying at home, you will be “confident enough” to try it on while on the wards. It may be uncomfortable but put yourself in as many situations as you can to learn. This is the time to do it without any real consequences for failure.

9. Enjoy the time you have off:

a. Yes 3rd year is busy. Yes, trying to honor every clerkship is exhausting. However, you do have a decent amount of actual free time. Life’s short, don’t forget to have fun. The first couple weekends of each clerkship are perfect for this. Work hard during the week. Enjoy yourself on those weekends.

10. Use your PTO day strategically:

a. If you have a wedding or another obligation, obviously use your PTO day then. If not, I found it extremely helpful to use my PTO days on the last Friday or Monday of a clerkship prior to the Shelf. This will give you an extended weekend to study. This was huge for me.

11. Step 2 CS Scheduling:

a. This is a toss-up. Some students take it early (during spring break) to get it over with and some take it later (during the week between 3rd and 4th year). Both strategies seem to do work just fine.

b. I took it the week between 3rd and 4th year because I had just finished my surgery rotation prior to Spring break and needed a vacation.

c. If in doubt, wait. Gateway is a good prep for the real thing.

12. Step 2 CS Studying:

a. First-Aid is all you need. 3-5 days maximum. Read from cover to cover and practice a handful of cases with a classmate.

13. Step 2 CK Studying:

a. I studied 3 weeks total and felt well prepared. I couldn’t have studied another day even if I had the time.

b. I used Master the Boards and referenced Step 1 First Aid and Step up to Medicine.

c. Uworld Qbank”

INTERNAL MEDICINE FINAL EXAM

TIPS for taking the Internal Medicine NBME from 4th year students

“Internal Medicine can be overwhelming because it encompasses everything. I used Step Up To Medicine, and thought it was a great resource. I used it frequently during my Step 2CK studying as well. I think every 4th year would recommend this book. I also relied heavily on Onlinemeded videos (). They are awesome.”

“The Internal Medicine Shelf is similar to taking a mini Step 1 all over again. You are expected to know the same amount of material, so it can be a bit overwhelming. But the Step Up to Medicine book and the Online Med Ed videos do a great job of covering the high yield information. Make sure you go over the areas that you were weak on Step 1 to try to boost your score in those areas for the shelf. You will also probably need to start reviewing material earlier than other clerkships in order to cover everything.”

OB-GYN Clerkship NBME Exam

TIPS for taking the OB-GYN Clerkship NBME from 4th year students

“School provides Beckman’s Obstetrics and Gynecology textbook, but I ended up buying the OBGYN Blueprints for several reasons. 1. I like to be able to take notes and highlight so I wanted my own book. 2. Blueprints contains the newest information, whereas Beckman’s is outdated (the new version is in production). With that being said, the current shelf does not test on the newest guidelines because they know books are behind. I did all of the UWorld questions in addition to most of the ACOG UWise questions. I did the UWorld questions mainly so I had done them once prior to resetting my Qbank for ISP. In terms of preparing for the Shelf exam, the UWorld questions are considered to be “too easy.” The UWise questions are definitely more difficult, and I thought prepared me best for the exam. I even had a few very similar questions on my actual Shelf exam.”

“For OBGYN I used the OBGYN Blueprints book instead of the book that the clerkship provided. It has everything organized in a better way (I thought) and I could write additional notes on the pages that I learned along the way. You have to sign up for the APGO U wise questions, but I did only those (no UWorld) and did well on the shelf exam. Studying for the Oral exam is a great way to study for the shelf (you have to know the high yield topics inside and out for the oral, so if you can come up with the answer out of the blue, you can definitely narrow it down on a multiple choice question).”

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PEDIATRICS NBME EXAM

TIPS for taking the Pediatric Clerkship NBME from 4th year students

“I used First Aid for Pediatrics. I did not love this book. I have not heard of one book that people seem to really like. I did the UWorld questions, and I used Pretest for Peds and found this to be really helpful. I did not get through all the questions, but I am glad I got through a majority because I had very similar questions on my shelf exam. Definitely know your developmental milestones. They LOVE these questions and they’ll appear on Step 2 CK as well.”

“I used First Aid for Pediatrics and I liked it, but I really like the layout of the First Aid books and have used them a lot throughout third year. There is no “right” book, so if you find a style you like (i.e case files, blue prints, etc) then use that one. This shelf was tougher than I thought it was going to be. Definitely study all of the high yield that you see throughout the rotation but also know the rare metabolic diseases, immunodeficiency diseases, and infections.”

PSYCHIATRY CLERKSHIP FINAL EXAM

TIPS for taking the Psychiatry NBME from 4th year students

“I used First Aid for Psych and thought it was a great resource. I did the psych and neuro UWorld questions during this rotation because the shelf exam will ask neuro questions as well. I thought psych was a perfect example of being able to really learn from observing and interacting with patients.”

“I used First Aid for Psych and really liked it. Drugs are also super important in this clerkship, specifically their side effects. I reviewed the relevant Sketchy Drug videos for this shelf as well, but you will have to know much more detail about them than what sketchy gives you. First aid does a good job and online med ed (basically use this for every shelf) does too with giving you more details. This clerkship is short so you have to make sure that you jump into studying right away.”

JUNIOR SURGERY CLERKSHIP FINAL EXAM

TIPS for taking the Junior Surgery NBME from 4th year students

“Pestanas is a must. It is a small book but I read it three times through and found it to be the single best resource for surgery. I also used the Onlinemeded videos that correlate exactly with Pestanas. I used Surgical Recall at the beginning of the rotation prior to going into surgeries. It is not helpful for shelf studying, but perfect for a quick review before getting pimped in the OR. I did all the surgery UWorld questions along with the GI and Endo ones. This shelf exam is unfortunately basically an internal medicine exam, so I found the extra UWorld questions beneficial.”

“This is basically an internal medicine shelf exam with about 20% of the questions being relevant surgical information that you learned on the rotation. I used First Aid for Surgery only, but I should have also reviewed my step up to medicine book. Also, make sure you do the Medicine Uworld (specifically GI, endocrine, some neuro, critical care and urology) questions and not just the Surgery ones. There is also not a lot of outside time to study because your hours at the hospital are so long, so you will have to start early for this shelf as well. “

Planning your fourth year:

Your fourth year planning meeting will be held in December. It is prearranged and will show up on your clerkship schedule. Sometime in November, Sarah will go over fourth year required and elective clerkship planning, and materials will be distributed. Materials will include instructions for required clerkships, (Advanced Medicine and Senior Surgery), elective clerkships, a scheduling worksheet with instructions, the requirements, definitions, processes, Visiting Student Application Service (VSAS) information, along with a residency timeline and information. As indicated by one of our students, it’s important to identify a mentor to work with you on schedule planning. We will require that your mentor sign your scheduling worksheet prior to your meeting with Dr. Gera and Sarah.

Please feel free to contact us with questions or concerns. We all look forward to having you with us at the Lansing Community Campus! We wish you all much success during your clinical years.

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