Third Year Survival Guide 3o6o5b

Third  Year  Survival  Guide   Because  we  all  need  a  little  help  from  friends.   All  information  in  this  guide  is  from  previous  students  only.     It  is  not  ed  by  the  UTCOM  istration,  and  is  to   be  taken  purely  as  advice.    Good  luck  on  your  future   journey  in  clinicals!    

 

General Organization of 3rd Year: Your 3rd year is made up of bridge week, required clerkships, and one elective. Bridge week is mandatory and is your orientation to 3rd year. It is usually the last week in June, and you will be required to sit for Step 1 before bridge week begins. Do not take your backpacking trip across Europe, your honeymoon, or your family reunion during the last week in June; you are busy. Your clerkships during 3rd year are either 5 weeks or 10 weeks and are explained later on in this guide. The 5-week clerkships are always paired together to make up 10 week blocks: ● Obstetrics and Gynecology/Pediatrics ● Neurology/Psychiatry ● Family Medicine/Elective Vacations: ● Winter Break: 2 weeks, and the same break you had 1st and 2nd year ● Elective Vacation: You receive 1 week of vacation during your elective. Electives are 4 weeks of service plus 1 week of vacation. The vacation may occur anytime during your elective, it just depends on which elective you're in and how they assign it. ● Between 3rd and 4th Year: 1 week off at the end of 3rd year, before you begin 4th year. Usually the first week in July. ● Holidays you usually have off: ○ Independence Day ○ Labor Day ○ Veteran's Day ○ Thanksgiving Day ○ Friday after Thanksgiving Day ○ Christmas Eve, Christmas Day, New Year's Day (all during winter break) ○ Martin Luther King Day ○ Memorial Day Area Health Education Centers (AHEC's): https://www.utoledo.edu/depts/utahec/index.html • The AHEC program is designed to give students educational experiences in underserved or metropolitan (MAHEC) areas. o Requirement: You are required to have 8 weeks of AHEC during your 3rd year. If you do not complete all 8 weeks, you can finish them during 4th year with AHEC electives. o Applying: At some point before the clerkship begins, the clerkship coordinator will send you an email with a preference form. The preference form asks you to choose a region (BAHEC, LAHEC, SAHEC) as a first choice, and one region as a second choice. It will also ask you if you have completed an AHEC before. You will send your form back to the clerkship coordinator, who will send it on to the AHEC office. The AHEC office will place students based on a first come first serve basis, and based on who has the least weeks of AHEC already completed. If not enough students request an AHEC (just don’t fill out the form and return it),

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then students for that block will be randomly assigned to the available AHEC sites. Locations: § Bryan Area Health Education Center (BAHEC): Defiance, Fulton, Henry, Paulding and Williams Counties • Required Clerkships Offered o Family Medicine: Bryan, Montpelier, Hicksville, Defiance, Napolean, Wauseon, Archbold o Internal Medicine: Wauseon, Napolean o Pediatrics: Bryan o Ob/Gyn: Defiance, Wauseon, Napolean, Bryan o Surgery: Bryan, Defiance, Napoleon • Elective Clerkships Offered (4th Year): o Hospitalist: Bryan o Orthopedic Surgery: Defiance o Radiology: Wauseon o Urology: Wauseon § Lima Area Health Education Center (LAHEC): Allen, Auglaize, Hancock, Hardin, Logan, Mercer, Putnam, VanWert counties • Required Clerkships Offered: o Family Medicine: Lima, Findlay, Delphos, Pandora, Bluffton, VanWert, Wapakoneta o Internal Medicine: Lima, VanWert o Ob/Gyn: Lima o Pediatrics: Lima, Findlay, Delphos, VanWert o Surgery: Lima, Findlay, VanWert • Elective Clerkships Offered (4th Year): o Cardiology, Gastroenterology, Hematology/Oncology, Infectious Disease, Nephrology, Orthopedic Surgery, Pathology, Radiology, Urology: Lima o Dermatology, Pulmonology: Findlay § Sandusky Area Health Education Center (SAHEC): Erie, Huron, Ottawa, Sandusky, Seneca, Wood, and Lucas counties • Required Clerkships Offered: o Family Medicine: Bellevue, Bowling Green, Castalia, Fremont, Galion, Huron, Norwalk, Port Clinton, Sandusky, Toledo o Internal Medicine: Fremont, Greenwich, Sandusky o Pediatrics: Bowling Green, Fremont, Sandusky, Tiffin o Ob/Gyn: Bellevue, Sandusky, Norwalk o Neurology: Norwalk o Psychiatry: Fremont, Toledo, Northfield • Elective Clerkships Offered (4th Year):

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Cardiothoracic Surgery, Cardiology, Emergency Medicine, Gastroenterology, Hematology/Oncology, Infectious Disease, Nephrology, Neurosurgery, Urology: Sandusky Ophthalmology: Sandusky, Tiffin Outpatient Pediatrics: Bowling Green Pathology: Galion

Housing: § BAHEC • Community Hospitals and Wellness Centers, Bryan & Montpelier Apartment provided by hospital, meals are 1/2 half off provided by CHWC • Community Hospitals and Wellness Centers, Archbold *Commute, meals are 1/2 half off provided by CHWC • Community Memorial Hospital, Antwerp & Hicksville - Private room in hospital, lunch is provided by Community Memorial Hospital (dinner provided if on call) • Fulton County Health Center, Wauseon - *Commute, meals are reduced to employee cost • Defiance Regional Hospital, Defiance - Private hospital room, free meals up to $6/meal are provided by Defiance Regional Hospital • Henry County Hospital, Napoleon - *Commute, one free meal per day is provided by Henry County Hospital § LAHEC • Blanchard Valley Health System, Findlay - Hospital or private home, $12 per day meal allowance at Blanchard Valley Hospital • Bluffton Hospital, Bluffton - Private home, free meals are provided by Bluffton Hospital • Lima Memorial Hospital, Lima - Two homes provided by hospital, free meals are provided by Lima Memorial Hospital • St. Rita's Medical Center, Lima - Two homes provided by hospital, students are given a 15% discount in the hospital cafeteria • VanWert County Hospital, VanWert - Hospital room (2 person) provided, free meals are provided by Van Wert County Hospital § SAHEC • Bellevue Hospital, Bellevue - Three bedroom house in Bellevue, free meals are provided by Bellevue Hospital • Community Health Services, Fremont - Apartment owned by Community Health Services • Firelands Regional Medical Center, Sandusky - Four bedroom house in Sandusky, $12 per day meal allowance

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Fisher-Titus Medical Center, Norwalk - Apartment rented by the hospital or a room in a privately owned home, free meals are provided by Fisher-Titus Medical Center Galion Community Hospital, Galion - Apartment rented by the hospital. Magruder Hospital, Port Clinton - Housed in Sandusky, commute to Port Clinton, $10 per day meal allowance Memorial Hospital, Fremont - Apartment owned by CHS, free meals are provided by Memorial Hospital Mercy Hospital of Tiffin, Tiffin - Hotel room provided by the hospital, meals are reduced to employee cost Mercy Hospital of Willard, Willard - Hotel room provided by the hospital foundation, meals are reduced to employee cost Northfield - Hotel room with kitchenette, no meal plan Advanced Neurological Associates - room in a privately owned home, no meal plan Wood County Hospital, Bowling Green - Commute, no meal plan

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Summary of Clerkships Internal Medicine: ● Length: Total of 10 weeks with 1 week of orientation at the beginning. The remainder of the 9 weeks is broken up into 3 sets of 3-week services. ● Services Available ○ UTMC: ■ Med A: Hospitalist ■ Med B: General Medicine ■ Med C: Hospitalist ■ GIM: General Medicine Consults ■ Med III: Pulmonary ■ CCU: Cardiac Care Unit (Cardiology) ■ Med V: Nephrology ■ Ambulatory: outpatient (everyone who does not have an AHEC will have 3 weeks of ambulatory) ○ Mercy St. Vincent's Medical Center (MSVMC): ■ Service A, B, C, D: General Medicine ○ Riverside Methodist Hospital, Columbus: ■ General Medicine (1 student per block) ■ Cardiology (1 student per block) ○ St. Joseph Hospital, Ann Arbor: ■ General Medicine ● Hours: Roughly 7:00AM-5:00/6:00PM - it really depends on the service ● Call: There is short call only, no overnight call. You must stay until 7:00PM or it 2 patients in the evening. You're supposed take short call every fourth night, rotating with other students. You receive a meal ticket to the cafeteria for dinner for call nights. ● Weekends: You are expected to work 1 weekend day every weekend. Divide it up with classmates so that there are students working each day. It is at the will of your residents. ● Departmental Grade Requirements: ○ 36 SIMPLE Online cases (www.med-u.org/simple) ○ Keeping up with Case Logs and Educational Hours Logs ○ Attending required conferences ○ Case Reports during Ambulatory service ○ OSCE ● ing Shelf Exam NBME Score: 69 (2014-2015) ● Grading: ○ Honors ≥ 89 total points ○ High ≥ 84 total points ○ ≥ 63 total points ● Website: http://www.utoledo.edu/med/depts/medicine/clerkship/ Neurology:

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Length: Total of 5 weeks with a half day of orientation on the first day. Divided into 3 weeks of inpatient service and 2 weeks of outpatient service (assigned to 1 physician every half day) Services Available: You will spend 1 week on each of the following inpatient services (all located on 5CD - 5th floor off the elevators to the right): ○ Primary Service ○ Consult Service ○ Stroke Service Hours: Mandatory lectures almost every morning at 7:30AM. Morning outpatient clinics start at 8:30AM, and afternoon outpatient clinics start at 1:00PM. Primary service rounds in the morning, and consult service usually rounds after primary service. Stroke service has a different attending and rounds on their own. Hours depend on service and attending. Call: No call Weekends: You must work 1 weekend day during your 3 weeks of inpatient service. Generally the residents will pick a service that will work on the weekend, and when you work on that service you will work 1 of those weekend days (Saturday or Sunday). Rounding is in the morning, and then you are usually done after rounds. Departmental Grade Requirements: ○ Evidence Based Medicine paper ○ Clinical Practice Exam (a 30 minute standardized patient observation) - No OSCE on neurology, they have this instead ○ 2 neurology vignettes completed on the day of the shelf exam (after exam) ○ AAN online self assessment (non-graded) ○ 2 Blackboard videos with post-tests (non-graded) ing Shelf Exam NBME Score: 66 (2014-2015) Grading: ○ High ≥ 87 total points ○ Honors ≥ 83 total points ○ ≥ 62 total points Website: https://www.utoledo.edu/med/depts/neurology/clerkship/clerkship.html

Psychiatry: ● Length: Total of 5 weeks with 1 day of orientation on the first day. There is also 1 day of mandatory lectures halfway through the clerkship ● Services Available: ● Hours: Can be 8:00AM/9:00AM to 3:00PM/5:00PM ● Call: No call ● Weekends: No weekends ● Departmental Grade Requirements: ○ Required Psychiatry Competencies Card ○ Ethics Paper ○ Pink Slip Assignment ○ Quiz

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○ Clinical DVD Exam ○ OSCE ing Shelf Exam NBME Score: Grading: ○ Honors ≥ 90 ○ High ≥ 85 ○ ≥ 64 Website: no website

Pediatrics: ● Length: Total of 5 weeks with 1 week of orientation during the first week. The last 4 weeks are divided into 2 weeks on inpatient service and 2 weeks on outpatient service. ● Services Available: ○ Toledo Children's Hospital (inpatient): general pediatrics or PICU ○ Mercy St. Vincent's Children's Hospital (inpatient): general pediatrics or PICU ○ Rupert Clinic (outpatient) ○ Rocket Pediatrics (outpatient in Waterville,OH) ● Hours: Toledo Hospital: 6:00AM-5:00PM, Mercy St. Vincent's Children's Hospital: 7:00AM-6:00PM ● Call: One 24 hour call during inpatient service. ● Weekends: One weekend day during inpatient services. On outpatient it just depends on how the schedule you, you may have to work a day on the weekend, you may not. ● Departmental Grade Requirements: ○ Special Needs Journal Assignment ○ Prescription Assignment ○ Online CLIPP cases (www.med-u.org/clipp) ○ CLIPP exam ○ Blackboard lecture modules ○ Completed forms ○ OSCE ● ing Shelf Exam NBME Score: 67 (in 2014-2015) ● Grading: ○ Honors ≥ 87 ○ High ≥ 79 ○ ≥ 62 ● Website: https://www.utoledo.edu/med/depts/peds/Clerkship.html Obstetrics and Gynecology: ● Length: Total of 5 weeks with 1 day of orientation during the first day. Your clerkship will be divided into 4 services with equal time spent on each. ● Services Available: ○ Obstetrics Day Shift/Obstetrics Service (The Toledo Hospital) ○ Obstetrics Night Float/Night Call (The Toledo Hospital) ○ Inpatient Surgical Gynecology (The Toledo Hospital)

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○ Outpatient Gynecology Clinic (University of Toledo Medical Center) Hours: Similar to surgery hours. Call: On OB Day Shift you are required to take 1 weekend day call. On Night Float you may be assigned to the weekends. Outpatient does not usually have weekends. Weekends: Similar to surgery. Departmental Grade Requirements: ○ Case Logs ○ PBL participation and quiz ○ History and Physical OSCE ing Shelf Exam NBME Score: Grading: ○ Honors ≥ 87 ○ High ≥ 82 ○ ≥ 62 Website: http://www.utoledo.edu/med/depts/obgyn/pdf/Clerkship-Manual.pdf

Family Medicine: ● Length: Total of 5 weeks with 1 day of orientation during the first day with additional optional (but highly recommended) knee exam workshop after orientation. There are also mandatory lectures the second and third Friday of the rotation. The 5 weeks are usually divided into 2 weeks of a community practice experience, and 3 weeks of a residency site experience. There is a rare few that will have 5 weeks at a community practice. ● Services Available: ○ UTMC - Family Medicine Department (Ruppert) ○ SLH Family Medicine Center ○ Mercy Family Practice Center (MAHEC) ○ Flower Family Medicine Center ○ The Toledo Hospital Family Medicine Residency ○ St. Mary Mercy in Livonia ○ Riverside Methodist Hospital (Columbus) ○ Grant Family Medicine Residency (Columbus) ○ Akron General Family Medicine Center ○ Fairview Hospital Family Medicine Residency (Fairview Park) ○ Selected Community Family Physician offices in the greater Toledo area ● Hours: Depends on the site. ● Call: No call ● Weekends: No weekends ● Departmental Grade Requirements: ○ Nutritional Project ○ Exercise Project ○ Geriatric Project ○ Patient-Centered Medical Home Checklist ○ 2 Journal entries

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○ 8 Online fmCases (www.med-u.org/fmCases) ○ Case Logs ○ OSCE ing Shelf Exam NBME Score: 68 (2014-2015) Grading: ○ Honors ≥ 86 total points ○ High ≥ 80 total points ○ ≥ 60 total points Website: https://www.utoledo.edu/med/depts/familymed/students/index.html

Surgery: ● Length: Total of 10 weeks with 1 week of orientation at the beginning. The remainder of the 9 weeks is broken up into 3 sets of 3-week services. 6 weeks will be on general surgery services and 3 weeks can be a subspecialty service. ● Services Available: ○ General Surgery ○ Cardiothoracic Surgery ○ Urology ○ Neurosurgery ○ Trauma Surgery ○ Vascular Surgery ○ Surgical Critical Care (SCC) ○ Pediatric Surgery ○ Plastic Surgery ○ Acute Care ● Hours: UTMC has 6AM and 6PM sign outs, but depends on the service ● Call: 2 overnight general surgery calls (6:00PM-6:00AM) per 3 week block (even on subspecialty blocks you will take general surgery call). You are excused at noon after your overnight call. ● Weekends: At UTMC you are expected to work 1 weekend day every weekend. ● Departmental Grade Requirements: ○ Case Logs ○ Ethics Paper ○ Diagnostic Category Requirements ○ Procedure and H&P Requirements ○ Mid-Rotation Formative Forms ○ Oral Examination ○ OSCE ● ing Shelf Exam NBME Score: 64 (2014-2015) ● Grading: ○ Honors ≥ 89 ○ High ≥ 83 ○ ≥ 62 ● Website: https://www.utoledo.edu/med/depts/surgery/students.html

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UTMC Clinical s: https://www.utoledo.edu/med/md/curriculum/pdfs/undergraduatemedicaleducationclinical s.pdf

Shelf Exams: • What are they?: Shelf exams are basically end of rotation exams. They are web-based exams given by the NBME. At UTCOM, they give shelf exams for every required 3rd year rotations. You will take them on a laptop (either personal or school provided) in a lecture hall with other students (generally students on your clerkship and on 1 other clerkship). Depending on the clerkship it will be a morning or afternoon exam. The exams are 100 questions and you get 2 hours and 30 minutes for the exam, with exception of the internal medicine exam (110 questions, 2 hours 45 minutes). • What if you fail?: You get 2 chances to each shelf exam before you fail the clerkship. However, you can only have 1 failed shelf exam grade at a time. o You've failed 1 shelf exam: You will continue on rotations, and make up the shelf exam when there is an open date. Shelf exams are only given every 5 weeks at UTCOM, and you may not take 2 shelf exams on 1 day. Therefore, you will have to wait until you have an open day (typically your elective) before you can make up that shelf exam. They generally do not like you to take a make up shelf exam during a 10 week rotation. o You've failed 2 shelf exams before retaking the 1st one: You will pulled off rotations until you 1 of the exams. o You've failed 2 shelf exams throughout the year but retook the 1st one and ed: Same deal as failing 1 shelf exam o You've failed the retest shelf exam: You have failed that clerkship and you will have to remediate the clerkship. • General Study Resources: o NBME Subject Exam Content and Sample Items: http://www.nbme.org/pdf/SubjectExams/SE_ContentOutlineandSampleIte ms.pdf o NBME Self-Assessments (practice exams) - Clinical Science Mastery Series: https://nsas.nbme.org/home. 2 practice exams per category, 50 questions each: § Clinical Neurology § Medicine § Obstetrics/Gynecology § Pediatrics § Psychiatry § Surgery o UWorld Step 2CK Qbank o USMLE Easy questions (UTCOM instructions: http://libguides.utoledo.edu/USMLE) o Online Videos: https://onlinemeded.org/home o Case Files book o First Aid for Psychiatry o Step Up to Medicine o Blueprints (usually given to you during Pediatrics) o NMS Surgery Case Book o Dr. Pestana’s Surgery Notes o Dr. Pestana’s audio lectures o Essentials of General Surgery (Lawerence)  

Electives: You get 1 elective during your third year. 4 weeks of service plus 1 week of vacation! All electives are listed here: http://www.utoledo.edu/med/md/curriculum/curriculum3/electives.html, with links to each elective and their prerequisite requirements. Choose your elective wisely, as you only get 1 and you will have to decide what you want to do with your life before 4th year begins. • Anesthesiology Elective: UTMC • Dermatology Elective: UTMC • Emergency Medicine: UTMC • Internal Medicine o Gastroenterology: Lima AHEC, Sandusky AHEC o Hematology/Oncology: Toledo Clinic, Lima AHEC, Sandusky AHEC o Infectious Disease: Lima AHEC, Sandusky AHEC o Nephrology: Lima AHEC o Pulmonology: Lima AHEC • Neurosurgery: UTMC, Sandusky AHEC • Ophthalmology: Eye Institute, Vision Associates/UTMC, Sandusky AHEC • Ophthalmology/Otolaryngology: Vision Associates and UTMC • Orthopedic Surgery: UTMC, Bryan AHEC, Lima AHEC, Sandusky AHEC • Otolaryngology Surgery: UTMC • Pathology: UTMC • Pediatrics o Pediatric Allergy/Immunology: Various Sites o Pediatric Cardiology: Mercy Children's o Pediatric Endocrinology: Mercy Children's o Pediatric Hematology/Oncology: Mercy Children's o Pediatric Infectious Disease: Mercy Children's and The Toledo Hospital o Pediatric Pulmonology: Toledo Children's o General Outpatient Pediatrics: Sandusky AHEC • Physical Medicine and Rehabilitation: UTMC • Radiation Oncology: UTMC • Radiology: UTMC, Bryan AHEC, Lima AHEC • Surgery o Cardiothoracic Surgery: UTMC o General Surgery: UTMC • Urology: UTMC/Mercy St. Vincent's Medical Center (MSVMC), Bryan AHEC, Lima AHEC, Sandusky AHEC

 

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Akron General Medical Center 1 Akron General Avenue Akron, OH 44307 330-344-6000

Services & Directions From Route 8 North: Exit Rt. 8 at Perkins Street. Follow Rt. 59 West signs (Innerbelt). Stay in the far right lane, ing under the Rt. 59 South/W. Exchange Street sign. Turn left on Cedar Street and right on Akron General Avenue. From West or North: Follow 76 East/77 South. Exit at Innerbelt (Downtown/Route 59 East). Follow to Cedar St./ Downtown. Turn right on Cedar Street and right on Akron General Avenue.

GPS Coordinates: 41.077689, -81.532035 or N41°4.66134, W081°31.9221

From South or East: Follow 76 West/77 North. Exit at Dart Avenue, Rt. 59 to the Innerbelt. Follow to Cedar St./Downtown. Turn right on Cedar Street and right on Akron General Avenue.

Patients trust Akron General because of our experience and clinical excellence in these areas, but also because we offer a broad range of services that ensure the most comprehensive, comionate care.

Audiology Bariatric Surgery

Emergency Medicine/ Level 1 Trauma Center

Cancer

Endocrinology

Nuclear Medicine

Pulmonary Medicine

Cardiology

Endoscopy

Nutrition & Dietetics

Radiology

Women’s Center

Community Health

Gastroenterology

Occupational Therapy

Sleep Disorders Center

Wound Center

Critical Care Center

Health & Wellness

Orthopaedic

Speech & Language

Diabetes Center

Infectious Disease

Physical Therapy

Diagnostic Services

Nephrology

Primary Care

Sports Medicine & Physical Therapy

Surgery

Neurosurgery

Psychiatry & Behavioral Sciences

Vascular

Neurology

Urology



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Parking Visitor parking is available in a surface lot or in one of our three parking decks. Handicapped parking is reserved at various locations on the Medical Center campus. Valet Parking Valet parking is available at the Medical Center’s main lobby entrance, Heart & Vascular Center entrance and at the Emergency Department/ Radiation Oncology entrances for a nominal fee. Picking up a Patient Parking charges are waived for drivers taking a patient home after a hospital stay. If picking up a patient, please park in the visitor parking deck and bring the parking ticket in to be validated. Move your vehicle to the main entrance only when the patient is actually leaving the room. A staff member will escort the patient to the entrance and remain with the patient until you arrive. If your family member or friend will have an extended stay, ask a parking deck attendant for information about a weekly parking . The Ohio Fire Code requires that fire lanes be left open. Cars left unattended in fire lanes around the hospital will be towed at the owner’s expense. Public Transportation Metro bus schedules are available in the main lobby foyer. Security We provide 24-hour security staff who make frequent rounds. Security staff are also available to escort visitors to their cars. Call extension 47604 from a hospital phone.

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ProMedica Flower Hospital

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DI RECTI ONS T O ProMedica Toledo and Toledo Children’s Hospitals from Area Expressways

D IR E C TIO NS F ROM ProMedica Toledo and Toledo Children’s Hospitals to Area Expressways

Traveling south on I-75

Traveling south on I-75

Take I-75 south to I-475 west. Take I-475 west to Exit 19, ProMedica Parkway. Turn right onto Upton Avenue and right at the next intersection, Central Avenue. Continue on Central Avenue and at the next traffic light, ProMedica Parkway, turn left. Follow signs to your desired campus destination.

From ProMedica Parkway, cross Monroe Street and Central Avenue to access the entrance ramp to I-475 east. Follow interstate signs for I-75 south.

Traveling north on I-75 Take I-75 north to I-475 west. Take I-475 west to Exit 19, ProMedica Parkway. Turn right onto Upton Avenue and right at the next intersection, Central Avenue. Continue on Central Avenue and at the next traffic light, ProMedica Parkway, turn left. Follow signs to your desired campus destination.

Traveling from US 23 Take US 23 to I-475 east. Take I-475 east to Exit 19, ProMedica Parkway. Cross Central Avenue and Monroe Street. Follow signs to your desired campus destination.

Traveling from the Ohio Turnpike

Traveling north on I-75 From ProMedica Parkway, cross Monroe Street and Central Avenue to access the entrance ramp to I-475 east. Please note that you must be in the far left lane for I-75 north. There is less than one mile from the ramp to the I-75 north exit.

Traveling to US 23 From ProMedica Parkway, cross Monroe Street at the traffic light and continue to the next light (Central Avenue). Turn right onto Central Avenue and continue to the next traffic light (Upton Avenue). Turn left onto Upton Avenue. The sign and entrance ramp for I-475 west will be on your left. Take I-475 west to US 23 north or south.

Traveling to the Ohio Turnpike

Take the Ohio Turnpike to Exit 64 (Perrysburg/I-75). Enter I-75 north and continue following directions above for traveling north on I-75.

Follow instructions above for traveling south on I-75. Take I-75 south to Exit 64 (I-80/90/Ohio Turnpike) in Perrysburg. See instructions below for entrance to the Ohio Turnpike from I-280.

Traveling from I-280

Traveling to I-280

Take I-280 north to I-75 south. Continue following directions above for traveling south on I-75.

Follow directions above for traveling north on I-75. Take I-75 north to I-280 south. If you are continuing on to the Ohio Turnpike, take I-280 south to Exit 71 (I-80/90/Ohio Turnpike).

© 2012 ProMedica

DS-296-12

0510901

1 TOLEDO HOSPITAL | TOLEDO CHILDREN’S HOSPITAL 2142 N. Cove Blvd. | Toledo, OH 43606 | 419-291-4000 | 866-865-4677 www.promedica.org

Please see reverse side for directions to/from the campus. From I-475 east Exit 19 ProMedica Parkway

Giant St.

Giant St.

A

Jackman Rd.

Georgia Ave. Stahlwood Ave.

Mo

nro

ProMedica P kwy.

Central Ave.

eS

t.

B

From I-475 west Exit 19 ProMedica Parkway

5

D

3

Entrance #2

Patient and visitor access for: • Heart Center

4

2 1 N. Cove Blvd.

KE Y

2

Entrance #3

Patient and visitor access for: • ProMedica Toledo Children’s Hospital • Pediatric Inpatient • Newborn Intensive Care Unit • Direct Pediatric issions • Pediatric Sedation • Oncology and Infusion Center

a Pkw ProMedic

Midwood Ave.

4

Patient and visitor access for: • Women’s Services • Labor and Delivery • Maternity (post partum) • Maternal-Fetal Medicine • Advanced ission Program • Cardiovascular Services • Endoscopy • Interventional Unit • Medical Records • Radiology • Surgery • Transitional Care Unit

3

y.

Hughes Dr.

Upton Ave.

C

Entrance #1

ProMedica Toledo and Toledo Children’s Hospitals

Parking

Harris McIntosh Tower/ Conrad Jobst Tower

Emergency Center

Entrance #4

Patient and visitor access for: • ProMedica Toledo Hospital • Adult Inpatient • Direct Adult issions • Laboratory Services • Interventional Radiology • Neurophysiology • Outpatient Pharmacy • Fertility Center of Northwest Ohio

5

Entrance #5

Patient and visitor access for: • Conrad Jobst Tower • Harris McIntosh Tower • ProMedica Breast Care • Education Center • Emergency Center • Chest Pain Center

South Parking Garage

Parking for access to: • Entrance #1 – Legacy Lobby

Heart Center

Parking for access to: • Entrance #2 – Heart Center

ProMedica Toledo Children’s Hospital Parking for access to: • Entrance #3 – ProMedica Toledo Children’s Hospital Lobby

North Parking Garage

Parking for access to: • Entrance #4 – Renaissance Lobby • Entrance #5 – Education Center and Harris McIntosh and Conrad Jobst Towers or Emergency Center/Chest Pain Center Entrance Valet parking is available at Entrances 1, 4 and 5.

Ancillary Facilities A Center for Health Services B WW Knight Family Medicine Center C The Flower Market D Ronald McDonald House

Third Year Required Clerkships and Fourth Year Elective Clerkships

EXAMPLE ABSENCE FORM Student: Complete for any absence. Submit to __________________ Name: ______ ___ _ ____ ________

Class Yea r : __ _

Address: 4430 North Holland Sylvania Rd City: ___ _______ ______ __ ___________ State: __ __ OH __ ______ T elephone: __ _____ _____

Mobile : (

) _____ _____ _______

Zip: _ _ __ ___ __ Pager: _____ _____ _ _ ____

Request from: Day(s): 5 Monday 5 Tuesday 5 Wednesday 5 Thursday 5 Friday

Date: _____1/4/15____ Time: ___All day____

5 Saturday 5 Sunday

Through: Day(s): 5 Monday 5 Tuesday 5 Wednesday 5 Thursday 5 Friday

Date: _____1/4/15____ Time: _______________

5 Saturday 5 Sunday

Clinical Site:

5 UTMC Residents Clinic and Rocket Pediatrics Waterville ______________________

AHEC Site:

5

________________________________________________

Other Site:

5

________________________________________________

Other scheduled activities that will be / have been missed: Grand Rounds and attending physical exam evaluation form ___________________________________________________________________________________________ ___________________________________________________________________________________________ Reason for absence: Sick________________________________________________________________________________________ ___ ___________________________________________________________________________________________

I understand I will be responsible for all clerkship/curriculum content during my absence, and to notify attendings and residents on service of my absence and to find out what the requirements will be to make-up my time missed. ________________________________________ Student Signature

____________________ Date

Clerkship Approval: _____________________________________ Date:

_____________________________________

FOURTH YEAR AWAY ELECTIVE INFORMATION Students may be required to provide the following documentation with their  application to the away institution (documentation requirements vary with away  institution).  Below is a list of possible documentation that may be required for your   elective rotation which includes, but is not limited to:  

Office of the Registrar Health Science Campus Mulford Library 114 Toledo, OH 43614 Phone 419.383.3600 Fax 419.383.4003 [email protected]

•

HIPAA Certificate  (Health Insurance Portability &  ability Act) 

Please email [email protected] to receive a copy  of your HIPAA certificate.  If you need to speak directly with her,  please call her at 419.383.3427. 

•

ACLS/BLS  (Advanced Cardiovascular Life  )/(Basic Life ) 

Kelly Burgin  Paramedics & Life  Training  Glendale Medical Center,3355 Glendale, Basement, Room 022  419.383.5204 & press 2 to by message 

•

Immunizations and Other   Health Requirements 

Documentation of immunizations/health requirements can be  ed through the myUT portal.  If your health requirements are delinquent or you feel the portal  documentation is incorrect, please go to the Student Health and  Wellness Center, Ruppert Health Center, Room 0013,  419.383.3777. 

•

Curriculum Vitae (CV) 

 

•

Copy of USMLE Score Reports  (United States Medical Licensing  Examination) 

If you did not  your original score report, you may  request/purchase a USMLE transcript and score report at the  Web address below: 

https://apps.nbme.org/ciw2/prod/jsp/.jsp  •

Proof of Health Insurance 

Must provide copy of card. 

•

Respiratory Mask Fit 

Students need to complete the Respiratory Clearance form  located on the Blackboard orientation resource site for medical  clearance and submit it to the Student Health and Wellness  Center, who will schedule the respiratory mask fit and/or  physician clearance visit, as necessary. 

•

Background Checks – FBI & BCI   (Federal Bureau of Investigation)  (Bureau of Criminal Identification) 

Main Campus Police – Sherri Kaspar, 419.530.4439  $60  Cost for both (this covers in state and out of state    background checks)  $40  FBI background check only  $35  BCI background check only  This form cannot be used for out of state rotations. 

  Please direct all requests for the below documentation to the area identified:   Office of the Registrar  • Letter of Good Standing  • Official Academic Transcript  • Malpractice Insurance  Documentation 

Office of Student Affairs  • Letter of Recommendation   from Dean 

Appropriate Faculty Member  • Letter of Recommendation 

th

Away Electives informational sheet 4  year/Revised 2012Feb03 

AWAY ELECTIVES GUIDE  Students should follow the instructions below to ensure accurate and timely  processing of all requested away electives, including those at institutions which  participate in VSAS.  Failure to do so will result in the student’s inability to  participate in and get credit for the away elective.   

VSAS/Non‐VSAS Electives 

Office of the Registrar Health Science Campus  Mulford Library 114  Mail Stop 1041  3000 Arlington Ave.  Toledo, OH 43614  Phone 419.383.3600  Fax 419.383.4003  [email protected] 

Away electives can be identified by searching one of the Web sites listed below:    1.  VSAS:  https://services.aamc.org/20/vsas/  VSAS authorizations are typically issued by the Health Science Campus (HSC) Office of the Registrar at the end of  December of the third year.  At that time students may log into VSAS and set up their profile and review visiting  institutions’ Web sites.    2.  Non‐VSAS:    a.  AAMC Extramural Electives Compendium sponsored by U.S. Medical Schools  http://services.aamc.org/eec/students/      b.  Web sites of hospitals not associated with a medical school     Students may start researching sites in December and submit applications as early as January, but typically away  sites do not start accepting applications until March.   

Away Elective Application Process    1.  Elective Description Approval   

  Before a student applies for an away elective, the elective must be approved by the UTCOM Clerkship Office and  the Associate Dean for Clinical Undergraduate Medical Education.  The student must email the elective description  to the UTCOM clerkship coordinator in the department associated with the away elective for approval at least 60  days prior to the start of the clerkship.  Elective descriptions are often online, so the student may simply include  the link to the appropriate Web address.  If the elective description is not online, please scan and attach to the  email.  The clerkship coordinator will email the student and Dr. Ali with the decision within 7 days of the initial  request.  Dr. Ali will then review for final approval/disapproval. 

    2.  Application    a.  VSAS Electives   

1)  If the away elective description is approved for credit at UTCOM, then the student should electronically  file a VSAS application and pay any required fees.   

 

2)  VSAS will automatically notify the HSC Office of the Registrar of a pending application.  If the application is  not complete, the HSC Office of the Registrar may  students for additional ing  documentation to complete their application, such as HIPAA certification, background checks, and  immunizations. 

 

3)  After the complete application has been released to VSAS by the HSC Office of the Registrar, the student  will be notified via VSAS if they are approved for the elective.  The time for notification will vary depending  on the host institution. 

  b.  Non‐VSAS Electives   

1)  If the host institution does not participate in VSAS, then a paper application for an away elective must first  be submitted to the HSC Office of the Registrar. 

AWAY ELECTIVES GUIDE  Page 2      2)  If the application is not complete, the HSC Office of the Registrar may  students for any required  documentation, such as health insurance, HIPAA certification, liability insurance, etc.   

3)  After the application has been verified and processed, the HSC Office of the Registrar will notify the  student via email that it is ready to be picked up to submit to the visiting institution.  

    3.  Offer of Acceptance     a.  As soon as a student is accepted for an away elective, the student MUST EMAIL the offer, acceptance, dates of  attendance, institution name, elective title, and  information to the clerkship coordinator and the HSC  Office of the Registrar ([email protected]) should be copied on this email.  The subject line should read “(Student  Name)/Course Description Approval Outcome.”  Record of Away Elective Information  The associated department will record the location of the away elective in the MedEd systems.   

   

Away Electives Guide/Rev 2012Feb24