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2017-2018Lansing Community Campus

Student Handbook

Lansing Assistant Dean’s OfficeDr. Renuka Gera, Assistant Dean

Sarah McVoy, Community AdministratorAnne Leiby-McMahon, Community Outreach Program Specialist

Michelle Knox, Curriculum AssistantPatricia Faunce, Secretary

Michigan State University-College of Human MedicineLansing Assistant Dean’s Office

Sparrow Professional Building1200 E. Michigan Avenue, Suite 305

Lansing, MI 48912517-364-5890

Michigan State University College of Human Medicine Lansing Community Office of the Assistant Dean 1200 E. Michigan Avenue, Suite 305, Lansing, MI 48912 Telephone: 517.364.5890 FAX: 517.364.5899

Welcome to the Lansing Community! This handbook, although specific to the Lansing community, does include some of the policies found in the Block III Handbook. The Block III Handbook will be distributed to you during orientation and we will go over that in detail during orientation.The Block III program starts with a mandatory one-week community orientation. During your third year, you will spend your time taking the six core clerkships: Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Psychiatry and Junior Surgery. All clerkships are eight weeks in length except for Psychiatry which is four weeks in length. Most students will take one four-week elective, in the Lansing community, in conjunction with the Psychiatry clerkship in the third year. The third year elective will count toward meeting one of the CHM required in-system elective requirements.

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 6:00 and 7:00 am to be available to students in the early morning. ([email protected] or 364-5890)Student Contact Information: It is very important that you keep our office (Patricia Faunce, [email protected] or 364-5890) 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 www.msu.edu.

Absences: Students who are unable to be present for any required and elective clerkship activities or Core Competency sessions 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. Please refer to the Block III Handbook for more detail.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 given a locker assignment, which is located in the Student Room. You will receive an email from our office as soon as the assignments

Michigan State University College of Human Medicine Lansing Community Office of the Assistant Dean 1200 E. Michigan Avenue, Suite 305, Lansing, MI 48912 Telephone: 517.364.5890 FAX: 517.364.5899

http://www.msu.edu/

mailto:[email protected]


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. Nurse stations at the hospital and the Lansing Assistant Dean’s Office have a supply of batteries.

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 badge, you will need to go to the Security office on the first floor of the hospital and have it replaced. There is a $10.00 fee for replacement.

Study Areas:Sparrow Professional Building (SPB), Suite 305 – Student Room.Sparrow: Resident Lounge-third floor of Sparrow Hospital near Foster elevators, adjacent to the COM student lockers.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: Sparrow Library, Outpatient Pre-Op (random computers), Central Hall of the new OR wing.Pediatrics: Resident Conference Room for inpatient pediatrics, Nursery Attending Room at Sparrow Hospital, Clinical Center Conference Rooms.Surgery: Resident Surgical Lounge.

Call Rooms:The “Call Rooms” are 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.Call Room #1: 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 2468.Call Room #2: Located on the second floor of Sparrow Hospital, just west of the staff elevators on the same side of the hall with an entry code of 8090.

Michigan State University College of Human Medicine A110 East Fee Hall East Lansing, MI 48824-1316

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 including Core Comps sessions, 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, [email protected], 884-0853, is the liaison to CHM and Clinical Medicine Selector. www.lib.msu.edu/health/. We will have a very informative, step by step handout for each of you at orientation. Link for electronic medical books: http://libguides.lib.msu.edu/medicalebooks

Sparrow Health Sciences Library: Located on the 3rd floor of the Sparrow Professional Building, Suite 360, is a full-service library providing evaluated, quality medical information. Library hours are Monday-Friday, 7:00 am – 5:00 pm, 364-5660 x 1, http://www.sparrow.org/sparrowlibrary. Students can also study in the library 24/7, with ID badge access.

Prescription Writing App: A web-based application for easy access to medication safety and prescribing information: http://learn.chm.msu.edu/mobile/mmsg/story_html5.html. 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, http://www.spartanbook.com/

College of Human Medicine On-Line Store: http://shop.msu.edu/category_s/395.htm

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. http://police.msu.edu/ . 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. Students are only allowed to park in the Shuttle Lot located at 1415 E. Michigan Avenue. This includes when students are on any clerkship located within the Sparrow Professional Building.

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.


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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.

Sparrow Health System will immediately revoke badge access, for failure to adhere to the parking policy. You will be unable to continue in clinical experiences through the Sparrow Health System should this happen.

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 don’t park in the helipad area.


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 Drivewww.olin.msu.edu 353-4660 - Appointments353-5557 – Phone Nurse884-6546 - General InformationHours are as follows, unless otherwise noted on website:Monday – Friday: 8:00 am to 6:00 pmSaturdays: 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 CenterThe 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 - 355-8270556 East Circle Drive, Room 207www.counseling.msu.edu Hours are as follows unless otherwise noted on website:Monday and Tuesday: 8:00 am to 7:00 pmWednesday – Friday: 8:00 am to 5:00 pmCrisis/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 346-8460812 East Jolly Road, Lansing, MI

End Violent Encounters – EVE: 24-hour emergency service: 372-5572MSU Counseling Center Sexual Assault Programs: 24-hour crisis line: 372-6666MSU Police and Public Safety: 24-hour emergency service Dial 911: 355-2221-business lineMSU Safe Place, Domestic Violence Shelter: 24-hour emergency service: 355-1100, crisis lineNational Suicide Prevention Lifeline: 24-hour emergency service: 800-273-8255

Sparrow Hospital Emergency-1215 E. Michigan Avenue, Lansing, MI – 364-4149Sparrow Health Systems/St. Lawrence-1210 W. Saginaw, Lansing, MI – 364-7000


http://www.counseling.msu.edu/

http://www.olin.msu.edu/

Director of Student Counseling and Wellness:Judith Brady, Ph.D.Office of Student Affairs and ServicesCollege of Human Medicine - Michigan State University1355 Bogue Street, Room B212East Lansing, MI [email protected] 353-9010

MSU University Physician’s OfficeAs 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 346http://uphys.msu.edu 353-8933

Sparrow Employee Health ServicesLocation: 2 Foster, Sparrow HospitalMonday-Friday, 7:30 am to 4:30 [email protected]

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: http://www.hr.msu.edu/benefits/studenthealth/WaiverRequirements.htm. Students may apply for a waiver under their StuInfo account at: http://stuinfo.msu.edu.

MSU Human Resources Benefits OfficeAnn Eure (A-K) 884-0144


http://stuinfo.msu.edu/

http://www.hr.msu.edu/benefits/studenthealth/WaiverRequirements.htm


http://uphys.msu.edu/


Michelle Fewless (L-Z) 884-0170http://www.hr.msu.edu/benefits/studenthealth/studenplan.htm Email: [email protected]



http://www.hr.msu.edu/benefits/studenthealth/studenplan.htm

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: http://uphys.msu.edu/forstudents/needlestick/index.html

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


http://uphys.msu.edu/forstudents/needlestick/index.html

Street, Room A234 Life Sciences, East Lansing, MI 48824. Please make checks payable to Michigan State University.


Wellness & Life ProgramsThe 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. http://careersuccess.msu.edu/wellness.

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. http://www.sparrow.org/mac/

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. http://www.sparrow.org/sparrowchildtime

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 Center920 Jerome StreetLansing, 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.

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. Students on eight week clerkships may have one full day of excused absence which does not require a make-up activity. 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


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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 Core competency sessions PF SIMS, SCP day (Family Medicine) or SED and Mid-Clerkship Feedback

(Medicine) 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 an eight-week clerkship, as well as any days on a four-week 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.

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: http://msu.enrollware.com/schedule

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: http://msu.enrollware.com/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 AgreementThe 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


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imprisonment. You will read and sign this agreement during orientation. Access into the EPIC EMR system is prohibited without agreement.

Mask Fitting:Sparrow Hospital does not require mask fitting. Some of the elective clerkships you apply for will require this. All students need to do is call Rebecca to set this up. Men must have clean shaven faces!

MSU Environmental Health and SafetyEngineering Research Complex1449 Engineering Research Court [email protected] 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. http://www.oeos.msu.edu/TRAIN/BPA/

Universal Precautions: An approach to infection control – students will receive this training as well during Block III Orientation.

Operating Room Scrub Orientation:Each student is required to attend an operating room surgical scrub orientation. This is typically scheduled at the beginning of the Junior Surgery and Obstetrics/Gynecology clerkships. You will be instructed on proper scrub techniques, and various hospital guidelines. This is a mandatory orientation and students will not be allowed to enter surgical suites until they have completed this.

Athena EMR TrainingAthena EMR is the MSU HealthTeam (HIT) Electronic Medical Records and is a required component of training. This is the new EMR for MSU clinics. Procedures will be provided as soon as they are provided to us.

EPIC Electronic Medical Records (EMR) Training – Sparrow HospitalEPIC 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 four-hour training session at the 825 Building on E. Michigan Avenue. 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


http://www.oeos.msu.edu/TRAIN/BPA/


Patricia Faunce. Please contact the Sparrow help-desk at 364-4357 should you have any access issues.

Ambulatory EPIC – You will receive Ambulatory EPIC training for your Family Medicine or Ob/Gyn clerkship also during orientation. This is a two-hour session held at the 825 Building, as well. 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.

o Please note: When you are at an ambulatory site, the medical student ambulatory template does not allow medical students to access the Ambulatory notewriter progress note, as it is tied directly to billing. Students can write a note using smart text or use a note template (like a MS word format). Physicians can then see this as the ambulatory medical student note. Ambulatory physicians are responsible to create their own provider note and in many cases will incorporate your note into their provider note.

ASAP EPIC - You will only be required to attend training on ASAP EPIC if you have been scheduled for the Emergency Medicine elective through the Sparrow Health System (Also held in the 825 Building, two-hour training).

Core Competency Course: The Core Competency seminars will be scheduled throughout your third year and is a mandatory requirement. Module learning materials and assessments are in the D2L system available at https://d2l.msu.edu. Students are responsible for completing pre-session, session and post-session assignments, including pre-tests, post-tests and written assignments. The schedule will be provided during orientation.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: http://humanmedicine.msu.edu/Documents/Pdf%20Files/serviceLearningInTheCommunity.pdf, for description. For service-learning opportunities, see: http://www.servicelearning.msu.edu/ Please also refer to the Block III Handbook for deadline.

Block III Care of Patients Gateway Assessment: This is a six-hour clinical skills performance assessment which is held in the

Spring (May/June) of your third year. This exam will assess essential clinical skills that are the foundation of clinical practice and necessary for the first year of residency: communication skills; information gathering and history taking; focused physical examination; and writing a Progress/SOAP note. This takes place at the MSU LAC in East Fee Hall and consists of multiple clinical encounters portraying common patient presentations. You will be notified of the exact date at a later time in the year.

Block III Rationality Gateway Assessment:


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https://d2l.msu.edu/

This is a written examination assessing your understanding of evidence-based medicine and critical appraisal of medical literature. It’s a 1-hour exam scheduled during a Core Comps session after the completion of the entire CAAM module. Students must demonstrate minimal competency of 75% on the exam.

Block III Integration Gateway Assessment: This is a written examination assessing your ability to integrate health policy,

ethics and patient safety in a clinical context. This one hour exam is scheduled on the first day of the Senior Surgery clerkship in your fourth year (although it is not related to Senior Surgery).

Gateway exam resources are available on the College Wide Assessment website: http://cwa.chm.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.

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.


http://cwa.chm.msu.edu/

Family Medicinehttp://chmfamilymedicine.msu.edu/

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 eight-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, [email protected] Hend Azhary, MD – Clerkship Director, [email protected] Hull – Department Clerkship Administrator, [email protected] Karla Cody – Clerkship Assistant, [email protected]

Clinical Center – Tower B788 Service Road, Room B104East Lansing, MI 48824884-0448

Internal Medicinehttp://medicine.chm.msu.edu/

Internal Medicine (MED 608) is an eight-week core clerkship that focuses on adult diseases primarily evaluated in the hospital. For the Lansing Campus, it will involve 6 weeks on the MSU/Sparrow “Firm” inpatient service and 2 weeks in the outpatient setting. MED 608 also includes several formative assessments and evaluations including chest x-ray and electrocardiogram PBA’s, a “Student Education Day,” 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 www.justintimemedicine.com.

Churlsun Han, MD – Lead Clerkship Director, [email protected] Churlsun Han, MD – Lansing Clerkship Director, [email protected] Kelly Barr – Department Clerkship Administrator, [email protected]





http://www.justintimemedicine.com/

http://medicine.chm.msu.edu/





http://chmfamilymedicine.msu.edu/

Amanda VanEtten – Clerkship Assistant, [email protected] Clinical Center – Tower B788 Service Road, Room B334East Lansing, MI 48824432-3390



Obstetrics and Gynecologyhttp://obgyn.msu.edu/index.php/education/clerkship-program

Anita Avery, MD – Lead Clerkship Director, [email protected] Anita Avery, MD – Clerkship Director, [email protected] Ruthie Barber – Department Clerkship Administrator, [email protected] Tatro, BA, CHRS – Clerkship Assistant, [email protected]

Sparrow Professional Building1200 E. Michigan Avenue, Suite 655Lansing, MI 48912884-8849

Pediatrics and Human Developmenthttp://phd.msu.edu/

Pediatrics is an eight-week clerkship. It consists of inpatient pediatrics, ambulatory pediatrics, newborn nursery, 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, [email protected] Olga Napolova, MD – Clerkship Director, [email protected] Krueger – Department Clerkship Administrator, [email protected] Martha Johnson – Clerkship Assistant, [email protected]

Life Science Building1355 Bogue Street, Room B136East Lansing, MI 48824355-6893

Psychiatryhttp://www.psychiatry.msu.edu/

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, [email protected] Brian Smith, MD – Clerkship Director, [email protected] Langenderfer – Department Clerkship Administrator, [email protected] Cummings – Clerkship Assistant, [email protected]

East Fee Hall965 Fee Road, Room A236






http://www.psychiatry.msu.edu/





http://phd.msu.edu/





http://obgyn.msu.edu/index.php/education/clerkship-program

East Lansing, MI 48824353-9245


Junior Surgeryhttp://www.surgery.msu.edu

The Junior Surgery Clerkship (Surgery 608) is an eight-week core clerkship. 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.

Junior Surgery is tailored just for you and designed from student feedback. Junior surgery 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!

Lynn Muñoz, MD – Lead Junior Surgery Clerkship Director, [email protected] Lynn Muñoz, MD – Junior Surgery Clerkship Director, [email protected] Kavuturu, MD – Junior Surgery Assistant Clerkship Director, [email protected] Lindsay Gluf, BA – Department Clerkship Administrator, [email protected] Deb Collier, RN – Clerkship Assistant, [email protected]

Sparrow Professional Building1200 E. Michigan Avenue, Suite 655Lansing, MI 48912267-2485







http://www.surgery.msu.edu/

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.”

Planning your fourth year:Students will be contacted in October/November of your third year by Patricia Faunce via an email. She will set up meetings for each student with Dr. Gera and Sarah McVoy. The meeting will be about 30 minutes and will be held in December. During the fall Core Comps Career Counseling session, 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.
