College of Medicine MD Curriculum

Outpatient Hematology/Oncology - UTMC

Title of Clerkship: Outpatient Hematology/Oncology ‐ UTMC (2 weeks)

Elective Year(s): Fourth

Department: Internal Medicine

Type of Elective: Clinical 

Clerkship Site: ProMedica Toledo Hospital

Course Number: MEDI 737

Blocks Available: All

Number of Students per Block: 2

Faculty: Roland Skeel, M.D., Danae Hamouda, M.D., Divya Vijendra, M.D., and various Toledo Clinic Physicians; Rex Mowat, M.D., Mehmood Rashid, M.D. & Richard Phinney, M.D.

Elective Description / Requirements:

This elective is designed to provide the students with an opportunity to gain the knowledge, skills and attitude required to diagnose and manage patients hematologic and oncologic disorders through the evaluation of patients.

Length of Clerkship: 2 weeks

Educational Course Objectives: After completing the rotation, the student will be able to:

1. Describe laboratory procedures. (EPOs: PC-6)
   
   1. peripheral blood smear
   2. type and cross match blood
   3. tests used to evaluate hemostasis
   4. principles of flow cytometry
   5. basic principles of DNA testing
2. Describe the most common causes of the following. (EPOs: MK-4)
   1. anemia
   2. thrombocytopenia
   3. bleeding disorders
   4. thrombophilic states
3. Describe common manifestations of common cancers. (EPOs: MK-4)
   1. lymphoma
   2. colon
   3. breast
   4. prostate
4. Define and describe the approach to end of life care and palliative care of pain (EPOs: MK-6, MK-8)
5. Describe common chemotherapies and their pharmacologic characteristics. (EPOs: MK-7)
6. Demonstrate how to conduct literature searches and use evidenced based medicine in oncology & hematology. (EPOs: PBL-2, PC-6)
7. Describe how to manage oncologic emergencies include: Tumor lysis syndrome, Hypercalcemia. (EPOs: PC-8)
8. Describe general cancer terms. (EPOs: MK-4, MK-6)
   1. remission
   2. adjuvant
   3. neoadjuvant
9. Describe principles of radiation oncology. (EPOs: PB-1)

Professionalism: UT/COM students will meet or exceed the institutional standards for professionalism as stated in the current Educational Program Objectives and the current Educational Course Objectives for the Sponsoring Department.

Instructional Methods:

1. Ambulatory Care Experience
2. Case write‐ups
3. Clinical case presentations/discussions
4. Diagnostic tests – use/interpretation
5. Independent study
6. Interpretation of lab data
7. Lab – Pathology
8. Lecture – Small group activity
9. Mentored clinical practice
10. Residency program/department conferences

Evaluation Methods Employed:

1. Attendance
2. Case presentation
3. Case write‐up
4. Faculty/resident observation
5. Narrative

Prerequisites: Successful completion of required Internal Medicine Clerkship

Clerkship Director: Christopher Lynn, M.D.

Clerkship Coordinator: Dawn D. Jagodzinski
Phone Number: 419-383-5022
Email: dawn.jagodzinski@utoledo.edu

Special Requirements: None

ECC Approved
June 2023