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SCHOOL OF 2012-2013 - St. George's University

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School of Medicine<br />

Course Descriptions<br />

of commonly used psychotropic drugs. They will become<br />

familiar with the major psychiatric syndromes in children<br />

and adolescents, as well as with the effects on the child/<br />

adolescent/family of the life-disrupting syndromes of child<br />

abuse and substance abuse. <strong>St</strong>udents will learn detection<br />

and treatment of these syndromes, as well as how to evaluate<br />

and manage psychiatric emergencies. The goal is for<br />

students to feel more comfortable with psychiatric patients,<br />

and, ultimately, possess an understanding of biological,<br />

psychological, and social determinant behavior. <strong>St</strong>udents<br />

must fully work up at least one patient a week. The history<br />

and mental status examination are presented to the preceptor<br />

and the case is discussed. <strong>St</strong>udents must follow each patient’s<br />

progress throughout the duration of the rotation. <strong>St</strong>udents<br />

must attend ward rounds and outpatient sessions.<br />

Attendance will be expected at case conferences and<br />

seminars. Special experiences are recommended. These<br />

include attendance at Alcoholics Anonymous meetings<br />

and visits to local mental health facilities, county, and/or<br />

state hospitals, addiction programs, and any other special<br />

programs in the vicinity of the hospital. Observation and<br />

participation in group therapy, pre-discharge, and postdischarge<br />

group management are required.<br />

Pediatrics<br />

Phyllis Weiner, MD, Chair<br />

The goal of the rotation in pediatrics is to allow students to<br />

acquire the basic knowledge of the normal physical, mental,<br />

and emotional development of children. <strong>St</strong>udents learn<br />

how this development is influenced by medical, social, and<br />

educational factors, as well as understand the common<br />

disorders and diseases of childhood, especially their<br />

diagnosis, management, and prevention. <strong>St</strong>udents will be<br />

taught to be aware of the special needs of the newborn, the<br />

handicapped child, and the adolescent. An integral part<br />

of the rotation is the opportunity to acquire the necessary<br />

skills of taking a pediatric history, to examine children of all<br />

ages, and to acquire experience in evaluating the essential<br />

clinical information so that a coherent plan of management<br />

can be formulated and explained to the parents and, as<br />

appropriate, to the child. <strong>St</strong>udents learn to appreciate the<br />

value of a confident but sympathetic approach to the child<br />

and the family while recognizing and accepting the limits<br />

of that unit’s expectations and understanding. <strong>St</strong>udent<br />

reading is structured during the six weeks so that they<br />

first become acquainted with the normal child and then<br />

learn history taking and physical examination, reactions<br />

of children to illness and hospitalization, the principles of<br />

infant feeding, and fluid and drug therapy.<br />

Emergency Medicine<br />

Theodore Gaeta, DO, MPH, Chair<br />

The goal of the rotation in emergency medicine is to<br />

teach medical students the necessary skills to take care<br />

of patients with a wide variety of undifferentiated urgent<br />

and emergent conditions. <strong>St</strong>udents learn how to approach<br />

patients with common and potentially life-threatening<br />

complaints (such as chest pain, headache, abdominal pain,<br />

and many others). Emphasis is placed on teaching how<br />

to develop a working differential diagnosis and how to<br />

appropriately narrow it. During the rotation, students have<br />

the opportunity to gain proficiency in rapidly collecting<br />

data and performing focused physical examinations<br />

appropriate for the acutely or emergently ill patient.<br />

<strong>St</strong>udents function as an effective and essential part of<br />

the emergency medical team in the patient assessment,<br />

stabilization, and management of a variety of acute medical<br />

76 | <strong>St</strong>. George’s <strong>University</strong>

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